#Total cholesterol

[fisco77]

[iconhub2023]

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[californiaquail]

four days until my consult to get my wretched organ ripped out

[nothingbutalgae]

Long rant post bc ugh doctors and weight.

I'm happy but also annoyed. So I stopped weighing myself as much this year because fuck it, I don't care anymore. I'm overweight and always have been and I'm pretty active and always have been, so what gives?

Every time I go to the doctors they go well you need to eat less (I eat 2 meals and a few snacks a day, just want me to do 2 meals?). Eat more veggies/leafy greens! "You can cook up spinach in some oil on the stove and that would be a good way to get more leafy greens in!" I'm a very picky eater, always have been, but I've been getting better as the years go on, but I'm not frying up spinach and eating just that. I snack on carrots, sometimes cauliflower, cherry tomatoes, etc. Not leafy greens but at least they are veggies. Work out: "have you tried working out? how much do you work out each day? you need to be working out every day". Last time I went to the doctor in June she went "so have you been working out?" and I was like "well no, but I haven't really had time or energy because I've been working 12 hour days a few times a week, but I'm literally always on my feet and moving at work" she literally looked at me with the most unamused/annoyed expression and was like "so that's a no to working out" and I was a bit pissed off. I work as a floor person at a pet store aka constant walking around, regular lifting and carrying heavy bags up and down ladders/out to people's cars. I work as a massage therapist aka constant movement there. I started working at a garden center where they have me do random odd jobs (moving clay pots, cleaning shelves, watering or moving plants, etc all without air conditioning) or just stand at a register occasionally. Well my cholesterol is high. Yeah I know, it's been high for a while but I stopped eating fast food except for rare occasions now so I was hoping it would go down (I did start eating more chips however after that so....). With the results of the test she was like "you need to be eating less, smaller portions, more veggies, and you need to be working out for an hour a day, every day." and I was like fuck okay fine. So I started going on the treadmill for like.. 15 to 30 minutes a day, but stopped again because I really don't have the energy or time. I also have depression that idk if we ever got fully under control because I struggle to get out of bed unless I have to go do something which is actually part of the reason I started working at the garden center because at least if I'm working a 12 hour day or morning shift somewhere I have to get my ass out of bed in the morning. I do not have the energy to work out, especially when I'm working. But I figured I would gradually start with 15 to 30 minutes a few times a week and then get to 60 a few times a week (yeah that lasted like maybe two weeks and I haven't worked out since). However, despite not working out still and going down to one day a week at the garden center (so only one 12 hour day a week), I've lost 12 pounds since June without working out. How you may ask? I cut chips and egg yolks out of my diet. Literally that's the only real difference. I still eat the same portions, I may have a few more veggies because it's summer and we have the garden going (so plenty of zucchini and cherry tomatoes), but literally I still eat just as much sugar as I have, I still snack quite a bit (just not on chips) AND I'VE LOST 12 POUNDS GRADUALLY IN TWO MONTHS. LITERALLY THAT'S ALL IT TOOK. THAT'S ALL I CHANGED! I've literally struggled with my weight for as long as I can remember, and while I will have to see how far it goes down if I keep this up/maybe also start working out, I've always been classified as overweight. I got the short and stocky genes from my mom. My mom works out 30 minutes to an hour a day almost every day, in addition to being on her feet from 6am to 2pm plus whatever she does at home, she is still classified as overweight. This lady is pure muscle, she doesn't eat a ton, but nope she's still overweight. I hate that even at my lowest weight as a pre-teen/teen (which is about 35 pounds lighter than I am rn), I was still overweight. I'm happy I've lost weight but also am sad and frustrated because even if I lost 40 pounds it wouldn't be good enough to not be overweight.

[evermoreal]

price would be strangely possessive over his assistant.

referring to her as things that really aren’t work appropriate at all. “swee’eart,” “dolly,” “sugar.” once, a “baby” slipped through his teeth, but he was switching the subject before she could really catch on.

it’s hard to pinpoint exactly when it was he started tacking “my” in front of his pet names. “my angel,” “my love.”

even when she wasn’t in the room — it was impossible to know he was talking about a colleague with the way he spoke about her. “my woman’s always on my case abou’ shit like that — cholesterol levels, sugar intake. fuckin’ bullshit, but i do it to make ‘er happy.” or “can’t stay long, lads — got my lady waitin’ on me.”

in the summer months, her skirts get a bit shorter and her tops a bit tighter. he doesn’t blame her, the AC is shit and the heat can be suffocating. what does bother him, though, is the way his men ogle her as they stroll past her desk. how they’re coming up with excuses to visit her throughout the day.

it’s an easy enough fix. “why don’t ye come work in my office for the day, lovey?” he’s already collecting her paperwork. “keep an old man company, would ye? i’ve got a nice little fan too, keep ye nice an’ cool.”

though the job came with benefits, perhaps more than an assistant should be getting, price didn’t think it was enough. when her phone started to slow and the screen cracked, he left a new one on her desk. didn’t bother mentioning it came out of his paycheque. if she complains about her outfit — all my good clothes are in the wash — he’ll take her shopping, doesn’t let her worry about the totals. and, hey, if they end up at a lingerie shop, no one has to know, right? he’s just being a good boss. it’s only crossing a few boundaries when he gets her to model it for him in the fitting rooms. when she disappears behind the curtain, john adjusts himself in his slacks — it’s a natural reaction. on that note, it would make too much of a fuss if he were to correct the worker when she asks if his wife needs any help.

when day turns to night and she’s refusing price’s suggestion of hitting another shop, he pulls into a nearby restaurant, insists on treating her to a glass of wine to end the night. finding out she’s a lightweight is a pleasant discovery — two glasses in and her skin is warm to the touch, she’s giggling and hanging onto his every word. he likes her like this, he decides — but it’s not safe to leave her alone. no, she should stay with him tonight. another few sips and she’s agreeing, changing into one of her new lingerie sets and falling into john’s bed, dozing off with his hand splayed over her tummy, beard tickling the back of her neck.

it’s been too long since he’s had a woman in his life. his wires have gotten a bit crossed. you can’t blame him, can you?

[takeiteasyjoan]

Alright! Gonna try to make some Vegetable Chicken Soup. Wish me luck!

[marccurelab]

Everose capsule is an ayurvedic medicine for treating various diseases

Everose capsule is an ayurvedic medicine for treating various diseases such as problems related to your skin like acne, it also helps in the most common skin-related problem which is eczema. The oil has the main ingredient Gamma-linolenic Acid, which is an effective antioxidant. It also improves overall skin health. In Premenstrual syndrome, this capsule is very effective.

In case of high blood pressure, this medication can also be used. Along with these medical benefits, it also benefits many other conditions. It is a herbal and ayurvedic product so it could be taken daily without having any adverse effect on health.

[cncpathlabs]

High cholesterol total test usually comes with no symptoms, so the only way to know for sure if you have it is to get a complete cholesterol test done. This test will not only tell you whether or not your cholesterol is high, but will also offer an estimate of your risk for heart attacks and other forms of heart disease, as well as diseases of the blood vessels.

[skylarsblue]

✦Incorrect C.o.D Quotes, AGAIN AGAIN✦

Ghost: Release me, woman. Fem!Y/N: …. *hugs him tighter* :3 Ghost, scared of intimacy: UNHAND ME!- -- (Comedic Death Mention) Someone: I shot you six times hOW ARE YOU ALIVE?! Y/N: Fool! The only one that’s gonna knock me off is ME! Price: *PANICKING*

-- Gaz: What did you do? Soap: ….suckdickonaccident Gaz: What? Soap: Sucked dick on accident! Gaz: HOW THE FUCK DO YOU SU-

-- Gaz: Here. We’ll put your phone on the aux- Y/N: NO DON’T- Speakers on full volume: FUCKFUCKFUCKMEUPANDCUTCUTCU- Price: JESUS BLOODY CHRIST *shuts off radio* Soap: *scratching the inside of his ear* Steamin’ Jesus- Y/N: I tried to warn you! Gaz: Who listens to Slipknot at 0900?! Ghost: *raises hand* Gaz: That’s- okay that’s fair. Soap: I’ve gone deaf. Y/N: You’re a bomb tech, it was gonna happen eventually. Soap: *middle finger* Price: *disappointed sigh* It’s too early for this-

-- (This one’s kinda sad but I couldn't stop thinkin' bout it-) Alejandro: You used to be nice…or did you never used to be? Valeria: … Alejandro: Oh god…maybe you never used to be…

-- Not a quote but if any of you have heard that audio that’s the names of the Princes of Hell overlayed on Funky Town, please imagine Soap & Y/N dancing to the Funky Town portion while Ghost sits there menacingly. Thank you.

-- (Depression joke) Y/N: Ahaaaa I’m soooo unwell. Price: Go to the psyche- Y/N: Ya know what it never was? That serious. It was never that serious- Price: Get your ass back here- Y/N: NEVER!-

-- König: I’ll keep all my emotions right here, and then one day, I’ll die. Horangi: No-

-- (Valeria has no color here, I ran out) Valeria: *eye roll* I am not trying to seduce you. Y/N, bi panicking: …. Valeria, but now smug: Would you like me to seduce you? Y/N: *strained wheeze & squeaky* Already achieved ma’am- Gaz: *listening to a mic implanted on Y/N* God damnit dON’T LET YOUR MOMMY ISSUES RUIN THIS MISSION!

-- (These next two have mental health jokes in’em) Y/N, hyper cleaning the base: AHAHA, yes! I’m finally feeling bett- ah, wait. I’m manic, and I’m hyper cleaning everything, ✨as a diversion✨. Price: P s y c h e . Y/N: Jokes on you, old man. I already have meds for this! …might need to up them though they feel like they’ve stopped working. Price: When did you start to feel they weren’t working? Y/N: Like three months ago. Price: PSYCHE Y/N: ASKING THEM QUESTIONS ABOUT MEDS ARE SCAAAARRYYY Price: YOU KILL MEN ALMOST EVERYDAY Y/N: Fair point. (Take ya meds)

-- Price: I don’t understand you- Y/N: Good! Means you’re probably mentally well. Price: I- Gaz: We really need to like- specify when you’re joking and when you’re serious, you’re gonna give him a heart attack.

-- Gaz: …Hm. Price: You’ve been staring at me for the past six minutes, what is it?Gaz: I think you have a grey hair. Price: Y/N, speeding in: WHICH IS TOTALLY FINE, IT’S BARELY EVEN THERE AND EVEN IF YOU WERE GOING GREY IT’D LOOK FANTASTIC ON YOU. Price: …would it? Y/N: Absolutely! …*thumps Gaz in the back of the head* Gaz: Ow-Uh yeah! Yeah! Actually I don’t even think it’s there, just the lighting. Price: Hm…alright. Y/N: Mhm! *death glare* Gaz: *mouthing* I’msosorry-

-- (Will someone please notice that I write Ghost as "Simon" when he's with Soap and they're being soft? It's intentional-) Soap: I’m not really sure what I’d do if I lost you… Simon: I know what I’d do. Soap: What? Simon: I’d find you.

-- Soap: I got my ankles microwaved. Ghost: X-rayed. Soap: They took my blood away for science! Ghost: Cholesterol tests. Soap: Si had his sinuses…removed? Ghost: Looked at. Soap: Some guy looked at my penis, touched it. That was weird. Ghost, cleaning blood off a knife: That guy wasn’t even a doctor.

-- Medic!Y/N: You think killing is hard? Try healing something. That is hard, that requires patience. Alejandro, watching them bandage his hand: Hm… Medic!Y/N: You can break something in two seconds. *vaguely motions to Ghost, then Price, then at a necklace Alejandro wears that came from Valeria* But it can take forever to fix it. Alejandro: …aye…well said.

-- Gaz: *being annoying and singing a song for the 10,000th time* Price: KYLE! Gaz: I’m watchin’ my tone, dunana. I ain’t talkin’ back, no, why? Cause I’ma get thrown, dunana-

-- Graves: You know, Ghost, real talk bro, you never say nothin’ when you’re around us. Why is that? Ghost: Cause I don’t fucking like you guys.

-- Enemy: I’m gonna send you to God. Y/N: God? I’m insulted you think I’d end up in Heaven. I work hard for my sins, thank you very much. Ghost: We are hostages right now, can you please not-

-- Valeria: And guess who gets to be my little helper.~ Y/N: It’s me, I’m the helper… Valeria: That’s right, you sure are.~ Alejandro: Alright that’s enough! Valeria: What? You don’t believe in positive affirmation?

-- Rudy: Me gustan los perros. Alejandro: Me gustas… Rudy: ….hm. Me gusta un hombre en el ejército. Alejandro: Aye? Rudy: Mhm. Alejandro: *chuckles* Me gusta mi mejor amigo. Rudy: Me gustas.

(This was poorly translated but listen, I tried for the gays)

-- Price: You actually were telling the truth. Valeria: I do that quite a lot, you people are always surprised.

-- Laswell: Don’t pull any of those stunts like you did last time. Fem!Y/N: I made an offering. Laswell: You dropped a dead mouse into that poor man’s lap. Fem!Y/N: Yes! Like a cat. Laswell: You are not a cat! Fem:Y/N: No…tragically, I am a woman.

-- Ghost: Some people are simply…better than others. Graves: You really think you’re that much better than me? Ghost: Oh I think we both know the answer to that.

--

(Needing to fake a date for a mission) Y/N, on the phone: Laswell, I don’t need help with dating. I’ve been on loads of dates! Y/N: *turns and whispers to Gaz* I’ve literally been on one.

-- Enemy: Think you can answer questions without the usual level of sarcasm? Y/N: If you can ask them without the usual level of stupid. Enemy: Where’s your captain and why hasn’t anyone been able to contact him? Y/N: I dunno, I’ve been here, haven’t seen him in days. Enemy: Is he drinking again? Y/N: What do you mean again? He never had to stop. Enemy: But he did have to slow down, is he drinking like he used to? Y/N: Alright, how bout this? Next time I see him, I’ll give’im the field sobriety test, okay? We’ll do the alphabet, start with F & end with U.

-- Graves: And that’s why I personally, don’t agree with your opinion. Soap: Okay, counter point- Graves: Valid argument? Soap: No. Pipebomb!

-- Gaz: Y/N: Gaz: Y/N: Y/N: I’ma instigate. Gaz, lightly pulling them back: nnnnoooooooooo-

-- Y/N: Eeraaawr >:3 Gaz: What sound is that? Y/N: A dyianosaur Gaz: A what? Y/N: Dianoswaur. Gaz: Make the sound again. Y/N: Uurraawer Gaz: Oh you talkin’ bout them things from ✨Jerressi PerAHck✨ Y/N: AHAH! Ghost: I’m gonna lose it. Soap: Hush yer mouth, it’s cute. Lighten up ya big log.

-- Ghost: I think I’ve finally had enough. Y/N, getting his antidepressants: I think you’re full of shit.

-- Medic!Y/N: C’mon, stick with me, Ghost. Ghost: Might be time to follow my call si-OH FUCKING HELL WHY Medic!Y/N: You listen here you Fuckin’ bastard, I’m gonna love the absolute shit out of you until you never make a joke like that again. And then, if you still do it, I’ll have the team smother, smother, you in affection. And if you STILL don’t get it, THEN I’m gonna whoop your ass. Shut your perfect fucking mouth, you got that, soldier?! Ghost: ….since when did you get scary? Medic!Y/N: Adrenalin keeps people alive and sometimes we run out of epipens, had to substitute somehow.

-- Price: Now, sergent, what would you rather be? A lion or a panda? Soap: Captain, I’m me. Why would I want to be anything else? Price: I’m not sure you realize how psychologically healthy that is.

-- Ghost, pissed off: Sometimes I can’t stand you. Y/N, while walking away: Then kneel! And while you’re down there, occupy your mouth, you’d do better down there, QUIET, anyway!! Ghost: I-…… Soap: Oooooo…. Gaz: I- I-…they have no fear. None. Absolutely no survival instinct, no self preservation. None!

-- (Younger Y/N as in like…mid-late twenties. Also, this one is long. I might honestly make a lil oneshot with this one and I welcome anyone else to do the same) Y/N: John… Price: I know, I know. You love me. You’ve said it a thousand times and it should just stick, I just…can’t help but think about how you’re so… Y/N: *snort* Out of your league? Price: To put it bluntly. Y/N: Well, regardless of where I rank? I still love you. I’m going to love you for a long time, you’re stuck with me, ya sweethearted bastard. Price, fondly: Ah Dear, whatever will I do. Y/N: Yeaaaah. Besides! Even if I wasn’t completely and utterly, disgustingly, in love with you? …you are way too good of a sugar daddy to ditch. Price: Hah! Oh really? Why’s that? Y/N: Are you kidding?! Paid off house, paid off car, successful military captain, great manners, great dick, extremely attractive, good with kids, good cook, sexy voice. I could go on for awhile. Price: Oh now you’re just feedin’ my ego. Y/N: Yes, yes I am. Price: I’ll get cocky. Y/N: You’re sexy when you’re arrogant too, that doesn’t deter me. Price: *sigh* Far out of my league. Y/N: You’re a rank climber, I think you’ll keep up.

-- (NSFW but it's in a ha-ha funny way, based on a conversation I've had. Kink mentions) Soap: Look, I just...I need advice on how to spice it up in the bedroom. Y/N: Do you know how little that narrows it down? Gaz: I feel there are few options. Y/N: No there are a lot of options, it depends on your level of spice. I dunno your boundaries wit'cha man! Soap: I just need something! Y/N: THERE ARE A LOT OF THINGS! Get some handcuffs, grab a vibrator, TRY ANAL, I don't fucking know! Gaz: *chokes on drink* Soap: Okay, listen- Y/N: No, you listen. Rule of thumb with kinks? It's a mountain and there are three kinds of people on it. People who don't wanna climb, people who want to climb but choose not to, and people who stay climbing. You reach a level of kinkiness and you stay there. You can't go back down the mountain. Me, personally? I have chosen to stop climbing because I know I'll get worse. I'm choosing to stay on my part of the mountain. Where you wanna climb is up to you. Soap: Where do I climb then? Y/N: The beginner's trail is fuzzy handcuffs, orgasm control, and mirror sex. Soap: This is the weirdest advice I've ever gotten. Y/N: It's my specialty.

-- (Follow it up with an asexual joke) Graves: Are you fighting the urge to make out with me right now? Y/N: Not really, I'm really into this pizza though. Soap, in the back: Aw they burnt my fuckin' cookies! Assholes. Y/N: Karma. Soap: It is not my fault I ate the last slice of cake, I didn't know it was yours- Y/N: IT WAS LABELED! Soap: I DIDN'T SEE IT!! Graves: *slowly backs away*

-- Y/N, holding up a coffee pot: Anyone want more coffee? Price: No, we've all had ours. Y/N: *takes off the lid* Cool. Gaz: What are y-NO! Y/N: *chugging from the pot* Ghost: ...This is the peak of mental illness. Price: PUT THE DAMN POT DOWN! Soap: This is the scariest thing I've ever seen them do- Y/N: *fighting to finish the coffee as Price tries to get it away from them*

[scientia-rex]

Wound Care

Ok so, take this with a BIG grain of salt, because I may be a medical doctor BUT you need to know how much wound care training we get in medical school: none. Zip. Zilch. There may be medical schools where you do, but mine wasn't a bozo factory and there was NO wound care training. Everything I know I learned from one of several sources: an intensive 2-day wound care course I did in residency (highly recommend), the local Home Health wound care nurse (highly recommend), a completely batshit insane old white male doctor who started our learning sessions by yelling Vietnam War stories at me (do not recommend), a hospital wound care nurse (highly recommend), and experience (oh god do not recommend).

The first thing you need to know is that wound healing varies dramatically across the course of a lifespan. Kids? Kids will heal. If they don't, get their ass to a pediatrician because there's something genetic going on. Young adults will heal. Middle-aged adults will heal. You know who doesn't heal for shit? The elderly, and people with severe illnesses, and people with uncontrolled type II diabetes.

Your body needs several things in order to heal. It needs macronutrients, so you need to be able to EAT protein, fat, and carbs. If you are on total parenteral nutrition, aka TPN, aka IV nutrition, you are going to be worse at healing. If you are starving yourself, you are going to be worse at healing. If your body is desperately funneling all the calories you take in to surviving your COPD or cancer, you are going to be worse at healing.

It also needs micronutrients. If your diet sucks, you won't heal. Take a multivitamin once in a while.

There are two CRITICAL skin components to healing: collagen and elastin. Guess what we stop making as we age. Promoting collagen isn't just good for "anti-aging," it's good for NOT ripping your skin apart. Taking oral collagen is probably bullshit because your body is going to have to disassemble it to get it across the intestinal membranes to absorb, but it's also harmless, and if your diet REALLY sucks, who knows. Give it a try. Collagen is made of amino acids; think protein.

Another absolutely crucial component is blood flow. As people age, they start to develop cholesterol plaques lining arteries that eventually pick up calcium deposits. This makes blood vessels less elastic, which is a problem, but eventually also blocks them off, which is a much bigger problem. If someone has the major blood flow to their feet decreased by 90% by arterial stenosis, they are not going to heal for shit AND their foot's gonna hurt.

One component of blood flow I hadn't thought about before going into medicine is fluid retention. The way your body works, blood exits the heart at a very high velocity, but slows to a crawl by the time it gets into capillaries, the smallest blood vessels in the body. Water is a very small molecule and can leave the blood vessel, especially if there aren't big, negatively-charged molecules like proteins like albumin in the blood vessels to hold the water there. And we're built for this--some water is supposed to leak out of our blood vessels when it gets to real little vessels. It gets taken back up by the lymphatic system and eventually dumped back into the bloodstream at the inferior vena cava. But if you aren't making albumin--for instance, in liver failure--you may leak a LOT of fluid into the tissue, so much that your legs get swollen, tight, the skin feeling woody and strange. This isn't fixable by drainage because the fluid is everywhere, not in a single pocket we can drain. And because it puts so much pressure on the tissues of the skin, it often results in ulcers. Congestive heart failure, liver failure, kidney failure--these are all common causes of severe edema, aka swelling due to fluid in the tissues. And they're a real bitch when it comes to wound care, because we have such limited resources for getting the fluid back out, which is a necessary first step to healing.

Pressure is another common cause of wounds. Pressure forces blood out of those little capillaries, so you starve the cells normally fed by those capillaries, and they die. It's called pressure necrosis. Very sick people who can't turn themselves over--people in the ICU, people in nursing homes--are especially prone to these wounds, as are people with limited sensation; pressure wounds are common in wheelchair users who have lost some feeling in the parts of their bodies that rub against those surfaces, or diabetics who don't notice a rock in their shoe.

So, if you're trying to treat wounds, the questions to ask are these:

Why did this wound happen?

-Was it pressure? If it's pressure, you have to offload the source of the pressure or else that wound will not heal. End of story. You can put the tears of a unicorn on that thing, if you don't offload the pressure it won't heal.

-Was it fluid? If it's fluid, you have get the fluid out of the issues or else it won't heal. You can sometimes do that with diuretics, medications that cause the body to dump water through the kidneys, but that's always threading a needle because you have to get someone to a state where they still have juuuuust enough fluid inside their blood vessels to keep their organs happy, while maintaining a very slight state of dehydration so the blood vessels suck water back in from the tissues. You can use compression stockings to squeeze fluid back into the vessels, but if they have arterial insufficiency and not just venous insufficiency, you can accidentally then cause pressure injury. The safest option is using gravity: prop the feet up above the level of the heart, wherever the heart is at, at that moment, and gravity will pull fluid back down out of the legs. Super boring though. Patients hate it. Not as much as they hate compression stockings.

-Was it a skin tear because the skin is very fragile? This is extremely common in the elderly, because they're not making collagen and elastin, necessary to repairing skin. If this is the case, make sure they're actually getting enough nutrition--as people get into their 80s and 90s, their appetites often change and diminish, especially if they're struggling with dementia. And think about just wrapping them in bubble wrap. Remove things with sharp edges from their environments. I have seen the WORST skin tears from solid wood or metal furniture with sharp edges. Get rid of throw rugs and other tripping hazards. I had somebody last week who tried to a clear a baby gate and damn near destroyed their artificial hip.

The next critical question: why isn't it healing?

-Are you getting enough nutrients? Both macro and micro?

-Are you elderly?

-Are you ill?

-Do you have a genetic disorder of collagen formation?

Fix why it's not healing and almost anything will heal. If you're diabetic, find a medication regimen that improves your sugars and stick to it. If you're anorexic, get treatment for your eating disorder. If you have congestive heart failure, work with your doctor on your fluid balance. Wear the damn pressure stockings. Prop up your feet.

If, after those two unskippable questions are done, you want to do something to the wound--apply a dressing, do a treatment--that's a whole other kettle of fish. I'll write that later. The dryer just sang me its little song and I need to put away the laundry.

[mistydeyes]

141 and what their patient file looks like

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summary: This is what I imagine everyone's favorite pharmacist as well as medics see when they look at 141's medical file.

Based on this pharmacist and 141 interactions

pairing: Task Force 141 x pharmacist!Reader

warnings: medical/pharmacy terminology, medical inaccuracies, swearing, depiction of wounds, mention of substance use disorder and abuse

Terms

PMH - Past medical history - the total sum of a patient's health status prior to the presenting problem

FH - Family history - contributing family history, generally parents and siblings

SH - Social history - contributing social behavior and routine

a/n: not canon at all! this is just a reference for me

┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊

Price

PMH

Height: 1.88 m (6' 2'')

Weight: 93 kg (205 lbs)

Blood type: O+

Extensive physical injuries

21+ stab wounds - 2 required antibiotics for recurrent infection

9x bullet wound - 5x in the extremities, 4x in the chest (no perforation of vital organs), healed without complication

5x abrasion collar - 1 near right eyebrow became infected following medical eval and stitches

3x diagnosed concussion

Aspirin-sensitivity

Previously evaluated for tinnitus and hearing loss

FH

Father - deceased at 76 from liver disease - 50 pack years, mycardial infarction (x2)

Mother - deceased at 84 due to chronic heart failure (CHF) -Glaucoma, asthma, CHF

Sister - Sports induced asthma, hypothyroidism

Negative family history of diabetes, hypertension, and cancer

SH

Smokes - 30 pack years

Drinks regularly - 4-5 hard liquor each weekend; 1 glass of whiskey occasionally

Physically active - Enjoys recreational activities such as hiking, swimming, and biking

Has 1 dog, currently under the care of pt's younger sister

History of monogynous long term relationships, currently single

Medication list + indications

Amoxicillin/Clavulanic acid 625mg - Infection

Morphine 15mg + Ketamine 3mg - IV - Pain

Paracetamol 750mg - Pain

Buproprion SR 150mg - Smoking cessation - not-taking est 2004

Allergies

Aspirin allergy - Reaction: hives and asthma - ONLY PRESCRIBE PARACETAMOL

No environmental, food, or animal allergies

Notes

Patient has denied smoking cessation options

Soap

PMH

Height: 1.88 m (6' 2'')

Weight: 91 kg (200 lbs)

Blood type: O+

7x stab wound - 6 required antibiotics for recurrent infection, 2 MRSA resistant

2x bullet wound - 2x in lower extremities, healed with no complication

6x abrasion collar

2x broken collar bone - healed, with no complication

Lactose sensitivity - Recurrent IBS if ingested

Chipped first left molar following opening a beer with teeth

FH

Father deceased at 68 due to heart failure - Type 2 Diabetes Mellitus, high cholesterol

Mother - Stage I HTN (hypertension)

Sister #1 - Postpartum depression, generalized anxiety disorder

Sister #2 - Elevated cholesterol/triglycerides

Brother - No known chronic health issues

Positive family history of diabetes and hypertension, but no cancer

SH

Drinks regularly and heavily - 8-12 beers and 2-3 glasses of hard liquor each weekend; 1 glass of scotch occasionally

Smokes socially - 5 pack years

Physically active

Close relationship with family, has 4 dogs at home under the care of pt's mothers

Avid fan of The Glasgow Football Club

Medication list + indications

Clindamycin 300mg with ciprofloxacin 400mg - Infection

Amoxicillin/Clauvanic acid 625mg - Infection

Vancomycin 18mg/kg - MRSA resistant infection

Paracetamol 500mg - Pain

Morphine 15mg IV - Pain

Doxycycline 100mg - Acne discontinued in 2004

Allergies

Insect stings - Observed anaphylaxis to childhood bee sting

Notes

Patient demonstrates medication non-adherence, counsel ESPECIALLY with antibiotics

Scored 6 on Alcohol use disorders identification test for consumption (AUDIT C)

Gaz

PMH

Height: 1.86 m (6' 1'')

Weight: 93 kg (205 lbs)

Blood type: B-

3x stab wound - healed, no complications

1x broken collar bone

2x broken femur

Diagnosed concussion - evaluated in Oct. '19

FH

Father - Type 1 Diabetes, high cholesterol

Mother - Vitiligo, Stage 3 breast cancer

Positive family history of maternal cancer and diabetes, but no hypertension

SH

Social drinker - 3-4 beers each weekend

Does not smoke

Physically active - Enjoys morning and evening runs

Enjoys spicy food and tries to introduce into diet

When on leave, enjoys attending concerts and music festivals

Medication list + indications

Piriteze 10mg - Allergic rhinitis

Fluticasone Propionate - 93 mcg/actuation - Allergic rhinitis

Paracetamol 500mg - Pain

Allergies

Seasonal - Pollen and pet dander

β-Lactam allergy - Reaction: anaphylaxis evaluated in '19

Notes

Organ donor

Ghost

PMH

Height: Weight: 1.93 m (6' 4'')

WeighT: 100 kg (220 lbs)

Blood type: AB-

Extensive cuts and scarring to entire body

4+ stab wounds - healed, no complications

Gun shot to lower abdomen - healed, no complications, evaluated in Nov. '22

13+ collar abrasion

2x broken nose

Childhood injury of broken tibia and large toe

Psych eval - History of depression and post traumatic stress disorder, childhood history indicates emotional and physical abuse

FH

Father - status unknown Diagnosed alcohol use disorder

Brother - deceased, cause of death non-contributory - Substance use disorder

Mother - deceased, cause of death non-contributory - Hypertension, thrombophilia (blood clotting disorder)

Positive family history of hypertension, but no diabetes or cancer

SH

Social drinker - 3-4 glasses of hard liquor each weekend

Smokes socially - 10 pack years

Physically active - Enjoys nightly walks

Psych eval - Other squad members act as his emotional support

Expressed interest in cats and tattoo art (FLAGGED: Further input and comments from other medical professionals would be appreciated)

Medication list + indications

Paracetamol 1000mg - Pain

Amoxicillin/Clavulanic acid 625mg - Infection

Morphine 20mg + Ketamine 4.5mg IV - Pain

Mafenide acetate 5% topical - Antimicrobial, burn wounds

Fluoxetine 20mg twice daily - Depression - not taking est 2001

Allergies

NKDA - No known drug allergies

No environmental, food, or animal allergies

Psych recommends evaluation of a pet, such as cat, for pt while on leave

┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊ ⋆ ┊ . ┊ ┊┊

[littlebearbigchub]

As usual, gym OOTD is: “Hasn’t accepted that he needs to size up.” 🐷 skipping cardio and letting my shirt ride up in front of everyone when I do my lifts.

I’m really being a fat slut recently. I’ve just been crushing my protein goals after a lengthy period of being too depressed to build muscle. I am feeling so BIG and loving the growing strength. I’m just totally embracing my appetite and the jiggles.

Oh course, I’m sure that it’s only a matter of time before I start freaking out again about the new highs on the scale and make another pathetic attempt at losing some of it. I’m not worried though. I know where I’m eventually going to end up and it’s going to make me so happy.

Standing at the precipice of stepping off the cliff of the 150 lb range is as thrilling and euphoric as it is genuinely terrifying. I can see myself and my path to 165 lbs (which would be my ideal next pit stop on my way to my goal of obesity at 180 lbs) but dang, I’m gonna be ruined physically and mentally if I’m not careful. I think that so long as I keep in shape I can mostly convince myself that my weight isn’t /too/ bad but it’s such a tight line to walk to not get fat too fast to stay fit (for me at least) and it gets more and more tempting to be lazy with every extra pound.

I’ve also basically decided that I’m gonna seek medication related to diabetes prophylactically when I reach that point. Like, I can eat as plant based as possible and work out to support my cholesterol and blood pressure but with my family history and signs of insulin insensitivity already appearing at a certain weight I’m gonna need some sort of pancreatic support - to minimize the squeeze from visceral fat if nothing else (besides more subq would be sexyyyyyyy) I’ve made a ridiculous delusional plan that I could access something like that and it could actually really support my gain by preventing damage from my obesity instead of reacting to it and hopefully minimize the chances of being in a situation where I have to lose weight for my health.

“Piggy boy is such a fatass that he needs meds because he just can’t say no to ice cream, doc. That’s why his belly is spilling out of his shirt and he’s up 10 pounds year over year for the past 5 years. You better do something quick before he starts tipping past 200 lbs and the gains accelerate until he can barely waddle back into this office.”

[olowan-waphiya]

of fucking course.....they fucking coated paper straws with pfas......its a fucking nightmare

--

Long-lasting 'forever chemicals', which can cause damaging health issues, found in 18/20 brands of paper straws

In the first analysis of its kind in Europe, and only the second in the world, Belgian researchers tested 39 brands of straws for the group of synthetic chemicals known as poly- and perfluoroalkyl substances (PFAS).

PFAS were found in the majority of the straws tested and were most common in those made from paper and bamboo, the study, published in the peer-reviewed journal Food Additives and Contaminants, found.

PFAS are used to make everyday products, from outdoor clothing to non-stick pans, resistant to water, heat and stains. They are, however, potentially harmful to people, wildlife and the environment.

They break down very slowly over time and can persist over thousands of years in the environment, a property that has led to them being known as "forever chemicals."

They have been associated with a number of health problems, including lower response to vaccines, lower birth weight, thyroid disease, increased cholesterol levels, liver damage, kidney cancer and testicular cancer.

"Straws made from plant-based materials, such as paper and bamboo, are often advertised as being more sustainable and eco-friendly than those made from plastic," says researcher Dr Thimo Groffen, an environmental scientist at the University of Antwerp, who is involved in this study.

"However, the presence of PFAS in these straws means that's not necessarily true."

A growing number of countries, including the UK and Belgium, have banned sale of single-use plastic products, including drinking straws, and plant-based versions have become popular alternatives.

A recent study found PFAS in plant-based drinking straws in the US. Dr Groffen and colleagues wanted to find out if the same was true of those on sale in Belgium.

To explore this further, the research team purchased 39 different brands of drinking straw made from five materials -- paper, bamboo, glass, stainless steel and plastic.

The straws, which were mainly obtained from shops, supermarkets and fast-food restaurants, then underwent two rounds of testing for PFAS.

The majority of the brands (27/39, 69%) contained PFAS, with 18 different PFAS detected in total.

The paper straws were most likely to contain PFAS, with the chemicals detected in 18/20 (90%) of the brands tested. PFAS were also detected in 4/5 (80%) brands of bamboo straw, 3/4 (75%) of the plastic straw brands and 2/5 (40%) brands of glass straw. They were not detected in any of the five types of steel straw tested.

The most commonly found PFAS, perfluorooctanoic acid (PFOA), has been banned globally since 2020.

Also detected were trifluoroacetic acid (TFA) and trifluoromethanesulfonic acid (TFMS), "ultra-short chain" PFAS which are highly water soluble and so might leach out of straws into drinks.

The PFAS concentrations were low and, bearing in mind that most people tend to only use straws occasionally, pose a limited risk to human health. However, PFAS can remain in the body for many years and concentrations can build up over time.

"Small amounts of PFAS, while not harmful in themselves, can add to the chemical load already present in the body," says Dr Groffen.

It isn't known whether the PFAS were added to the straws by the manufacturers for waterproofing or whether were the result of contamination. Potential sources of contamination include the soil the plant-based materials were grown in and the water used in the manufacturing process.

However, the presence of the chemicals in almost every brand of paper straw means it is likely that it was, in some cases, being used as a water-repellent coating, say the researchers.

The study's other limitations include not looking at whether the PFAS would leach out of the straws into liquids.

Dr Groffen concludes: "The presence of PFAS in paper and bamboo straws shows they are not necessarily biodegradable.

"We did not detect any PFAS in stainless steel straws, so I would advise consumers to use this type of straw -- or just avoid using straws at all."

[treason-and-plot]

Sunday 5.57

Mia turns up unannounced at Kaleb’s house, hoping to find him with someone else, which would give her the perfect excuse to break up with him.  But he’s alone.  Worse, he’s shirtless. Shirtless Kaleb always gives her the flutters.

“Hey, Princess,” he says. “I was just making a salad. Do you want some?”

“Not really,” says Mia. “Salad sucks.”

“You should really change your attitude towards healthy food. Your diet is atrocious. “

“Whatever,” says Mia. “Kaleb, we need to t-“

“When was the last time you had your blood pressure taken? Your cholesterol checked?”

“My cholesterol and my blood pressure are both fine. Kaleb, are you listening? We need to t-“

“You need to look after your body, you know. I mean, you’re a total smoke show right now, but that’s only thanks to genetics-“

“Kaleb, I didn’t come here for a lecture on my eating habits,” says Mia, but the fact he called her a smoke show is causing the flutters to become palpitations.    

“Of course I know why you came here, babe,” he winks, and leans forward to murmur it in her ear. She can smell the scent of his skin and taste it on her tongue.

“I give up,” she says.

“Sorry?”

“Nothing,” she says. "Can you just, um, repeat that, please? I couldn't hear you properly above the sound of my panties dropping."

[octuscle]

Hey support. I gave my phone to my dad for safekeeping while I went to a doctors appointment. During the appointment, I started feeling strange, like I was getting dumber? Also my shirt feels tight, don’t know if that’s something.

It's just a screening appointment. I'm here because I need to get my blood levels checked. Of course, I know for a fact that the doctor will say something about my cholesterol levels again. He will say something about the fact that I should do more sport. What should I do? I'm a junior in college. It is extremely challenging to keep up with the curriculum.

The shirt is not only tight, it is also itchy. It would be nice if the doctor came soon. Then I can finally take it off for the examination. I don't have forever. I have to be back on campus by 4 p.m. at the latest. Otherwise I won't have enough time to warm up before training.

I hope da doc isn't uh wimp. Yes, I cud have taken uh shower before going to da doctor. But before da doctor wuz gym, afta da doctor is football training. Ha much sense does uh shower make? let me check my armpit. Yes, gud jock sweat. Da doctor will like that.

Bruh, I'm lowkey praying this ain't nah shredded muscle or somethin wild like that. Haha, damn, I probably went ham on dem weights, but you know ha it goes on chest day - total amnesia, all about them pecs! I live for chest day!

Yo fam, like, why do I gotta chill on this chair every time for them to drain my blood? n why does da doc gotta inspect my balls first, like, what even? but hey, he's da med guru, he must know his shit, right? lit to know that my coach is posted up in da waiting room holding down my celly. Praying I can bounce back to ballin' with da squad pronto. Da ultimate showdown is goin' down this weekend. N coach dropped uh hint about needing uh fresh QB on da team. Please, oh please, let it be yours truly!