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#Urosepsis
drmayurdalvi · 1 year
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Urologic Emergencies Management and Treatment Strategies
Overview
Urologic emergencies refer to conditions that require immediate medical attention due to their potential for serious complications. These emergencies can range from life-threatening conditions such as urosepsis to painful conditions such as kidney stones.
In this blog post, we will discuss the management and treatment strategies for some common urologic emergencies.
Urinary Tract Infection (UTI)
UTIs are a very common urologic emergency, especially in women. Symptoms include burning pain during urination, increased frequency and urgency to urinate and fever. UTIs can cause major problems, like kidney infections if they are not addressed.
Management: The first step in managing a UTI is to obtain a urine culture to identify the bacteria causing the infection. Antibiotics are then prescribed based on the culture results. For intravenous antibiotics, hospitalization may be required in extreme cases.
Kidney Stones
Kidney stones are solid masses made of crystals that form in the kidneys. Severe side or back discomfort, nausea, vomiting, and blood in the urine are all symptoms. Kidney damage and urinary tract obstruction can both result from kidney stones in extreme circumstances.
Management: Treatment for kidney stones depends on the size and location of the stone. Pain management with analgesics is important to help patients cope with severe pain. Small stones can be treated with medication and hydration to help pass the stone. Large stones may require surgery or shock wave lithotripsy to break up the stone.
Testicular Torsion
Testicular torsion occurs when the spermatic cord twists, cutting off blood flow to the testicle. The scrotum will be extremely painful, swollen, and red. Testicular torsion is a medical emergency and requires immediate attention as the testicle can die within hours of torsion.
Management: Surgery is the primary treatment for testicular torsion. The goal of surgery is to untwist the cord and restore blood flow to the testicle. It might be necessary to remove the testicle if it is significantly injured.
Urosepsis
Urosepsis is a severe infection that occurs when a urinary tract infection spreads to the bloodstream. Symptoms include fever, chills, confusion and rapid breathing. Urosepsis is a life-threatening condition that requires immediate medical attention.
Management: Treatment for urosepsis includes hospitalization, intravenous antibiotics and supportive care. In severe cases, patients may require admission to the intensive care unit (ICU).
Acute Urinary Retention
When a person is unable to empty their bladder, acute urine retention develops, causing excruciating agony and discomfort. Causes include prostate enlargement, bladder stones, and neurological conditions.
Management: Using a urinary catheter to empty the bladder is part of the treatment for acute urine retention. In some circumstances, surgery can be required to address the retention's underlying cause.
Conclusion
 urologic emergencies require prompt medical attention to prevent serious complications. Early identification and treatment are key to successful management. If you are experiencing symptoms of a urologic emergency, seek medical attention immediately. If you are seeking such as urological condition please visit for better constancy
 drmayurdalvi.com
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onlyhurtforaminute · 2 years
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UROSEPSIS-EXTRACORPOREAL MEMBRANE OXYGENATION 
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mrsballlegs · 27 days
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There’s multiple reasons I haven’t let them train me to do open hearts (mostly I don’t like that it could either be a textbook easy recovery or you could be mass transfusing while stroking out while unable to get a hold of the surgeon) but I’m not gonna lie the proportion of awake patients doesn’t help sell it especially since many of our hearts come out on night shift…. I’m an micu and former stepdown nurse the truth is I’d rather torture someone who’s mostly vegetable that I don’t have to talk to than intentionally wake up an intubated patient and start making them do shit in the middle of the night. It’s bad enough I have to deal with their awake asses a day or two later when they’re stuck on balloon pump or prisma. And I hate breaking my back dragging the stable ones out of bed because they’re on sternal precautions and can barely help
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creepyscritches · 2 years
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I'm going to be interviewing for a position move I've been dying to get into since I started my career and I'm 🥺 my superiors almost tailored the position to me before ever talking to me abt if I was interested and I've had two different employees (one mine and one on our sister team) independently reach out to ask if I was going for the position--one of them even told her supervisor that she and the other hiring manager should pick me for the role 🥺🥺🥺🥺🥺🥺🥺🥺🥺🥺🥺🥺🥺 I love my job.....
#Creepy chatter#It's not even a case of 'I need to move for more money or better conditions'#I'm so cozy and happy in my current role but I wanna have more responsibility and bandwidth to look out for my guys#In a more official capacity at least. I already body block goofy shit before it gets to my team#Literally the first job I've had where the money feels secondary 😭 I'm surrounded by such intelligent good people every day dudes...#Literally at least 15 people a day would be keen to hear me infodump on various cancers bc I'm a fucking freak that loves oncology#And we got someone like that abt obstetrics (gods strongest warrior frfr...) and ophthalmology etc etc#AND? I can use my critical care knowledge w/o having to work heartbreaking ICU records all day#Coding 6 separate teen suicide attempts in a week + having to read the family/MD care discussions literally darkened my brain it was awful#Eventually I got numb to most of it but idk. I was good at it sure but I didn't like feelin like I was losin my emotional depth for tragedy#Now my knowledge is repurposed to explain what documented vent dependence looks like vs a pt being on a vent#Or like sepsis protocols to show activity status (like taking a repeat lactate every 6hrs or parental abx)#Bc none of that is really smth you can learn outside the specialty--not that deep at least.#Gather round my little colleagues I'm so excited to talk abt how urosepsis is not true sepsis and then Q/A on blood cancers :3#No emotionally devastating records needed!#Suicide cw#jic--I know I've worked in some traumatic specialties#Oops lol *parenteral abx#Autocomplete doesn't believe me when I type shit 🙄
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insipid-drivel · 2 years
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Hey, you. Yes, you. When was the last time you remembered to go pee? Now do me a favor on your way to the bathroom and stand on the very tips of your toes if you can, and then drop down with your full weight onto your heels.
Did it suddenly hurt somewhere in your back/abdomen on one or both sides? Congratulations! You may have a kidney infection! Get to urgent care/the ER ASAP because you need antibiotics before the infection spreads! It probably started out as a UTI or bladder infection you didn’t notice or that didn’t respond to medication the first time - superbugs are real, y’all.
No shame. Asymptomatic UTIs and bladder infections are surprisingly common and sometimes manifest with as little as an increased or decreased need to go to the bathroom. Some people get very ill with them because they have sensitivities to things like bath soap and are used to ignoring urinary pain. It happens all the time, is a major contributor to hospital/doctor bills, can be deadly, and about 40% of all AFAB people are destined to get a urinary infection of some kind in their lifetime. They’re less common in AMAB people (about 12% likelihood), but just as hazardous if left untreated. An untreated urinary infection can lead to Urosepsis, which isn’t nearly as fun as Eurovision. Urosepsis has a 30%-40% mortality rate.
For those interested, here’s how and why your piss pipes can turn dangerous: 
Kidney infections can be, and sometimes are, lethal. That UTI you had that resolved without antibiotics? Well, you got lucky, assuming you’re sure the initial infection cleared up on its own. Most kidney infections start out as urinary tract infections. It’s most usually caused by E. Coli, which is present on most surfaces, including other people’s skin. E. Coli is usually harmless unless it manages to infect, and if you notice that you get UTIs whenever you’re sexually active, a very common cause is a sensitivity to the bacteria natural to your partner’s body; you can reduce your chances of an infection by washing before sex and making sure you go pee as soon as you’re done to literally rinse out your urethra. Condoms and dental dams can also help depending upon your body chemistry, but not always. Properly using a bidet (they come in portable travel-size models now for like, $30, Americans) can also drastically help reduce your risk of an infection.
The problem is that the renal (pee) system is all connected by tubes and hoses that can be very easy for bacteria to climb. Here’s a very generic, non-gendered diagram:
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(source)
Regardless of what you’ve got from a reproductive standpoint, that’s pretty much it! Same wiring and everything, save for that people who are AFAB aren’t typically born with prostates, which isn’t part of the renal system at all. People with short urethras (AFAB people, intersex, endocrine syndrome, etc) contract UTIS and bladder infections. AFAB or AFAB-similar people have a 40% likelihood of contracting a common UTI at least once in their lives. AMAB people only have about a 12% chance. The difference is so drastic because said AMAB people have pretty average external genitalia and therefore a much longer urethra than average for bacteria to try to survive colonizing. Drinking water and going to the bathroom regularly are highly effective at preventing a renal infection, because the bacteria literally has to climb its way from the urethra to the kidneys. Urinating helps to wash it out. Depending upon your immune system, it can take days or even weeks before the bacteria reaches your kidneys if that’s what’s going to happen.
Not only are kidney infections incredibly painful (There Will Be Blood), but those yellow nodules on top of the kidneys in that diagram I posted up there? Those are your adrenal glands. Where all of your adrenaline comes from. Those major veins and arteries also can give the bacteria unmitigated access to the bloodstream, which generally leads to sepsis, shock, and death. If your adrenal glands are infected, it can cause them to release dangerous amounts of adrenaline that can stress, damage, and even cause the heart to stop.
And no, cranberry juice and cranberry supplements will not cure you. If you have a full-blown infection, go to the doctor. You need a full course of antibiotics at the very least and probably urinary painkillers. AZO makes an over-the-counter brand in the US. It is non-addictive, temporarily stops the pain, but dyes your pee an electric orange color that will stain your underwear (fun fact: if you’re a swimmer or diver you can get a prescription for a version that turns your pee blue instead so nobody can see you pee in the water; my mom used it when she was a SCUBA diver). AZO is also responsible for making UTI home-test kits that you can buy on Amazon. The renal benefits of cranberries is largely a myth. The compound, which is good for a lot of other uses, is called D-Mannose, which kinda-sorta maybe can make it harder for bacteria to stick to the walls of your renal system and more easily flush out when you pee, but you do not want to play chicken with septic shock. It will kick your ass and you will die. If you’re experiencing urinary pain and/or a fever, get to the doctor.
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greenyvertekins · 1 year
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Thank God my Kidney ain’t acting up it seems. I tend to mistake middle back pain from EDS and nausea for Kidney issues. I was diagnosed 13 years ago with a deformed Kidney. Which causes problems in that it doesn’t have correct “plumbing”. Nearly died from a serious infection which caused Urosepsis and the ultrasound scan I had whilst hospitalized to check for Kidney damage revealed the deformity. I hope I never have to go through illness that severe ever again.
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david843346 · 4 months
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Vaginal Slings Market: Global Demand Analysis & Opportunity Outlook 2036
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Increasing Prevalence of Urinary Incontinence and Rising Cases of Weakening of Pelvic Floors Muscles to Promote Global Market Share of Vaginal Slings Market
The global vaginal slings market is estimated to grow majorly on account of the rising demand for minimally invasive procedures and growing technological advancements to fuel the global vaginal slings market growth in the forecasted period. The ongoing advancements in the technologies and rising prevalence of SUI (stress urinary incontinence) are also acting as catalysts for global vaginal slings market growth. Other than this, the common urinary tract infections reported in the elderly population are pyelonephritis (14%), cystitis (37%), urosepsis (11%), etc. Hence, the growing prevalence of urinary tract infections is also an imperative factor propelling the growth of the vaginal slings market during the forecast period. Furthermore, the vaginal slings are widely utilized in surgical treatment of surgical incontinence in women. In the year 2019, the rate of surgery for SUI was almost 40 procedures per 100,000 women a year. This is also expected to fuel the global vaginal slings market growth during the forecast period.
Some of the major growth factors and challenges that are associated with the growth of the global vaginal slings market are:
Growth Drivers:
Surge in Technological Advancements in Sling Designs
Increase in Patient Awareness and Education
Challenges:
Safety concerns and complications associated with the vaginal slings, legal and ethical issues, and reimbursement challenges are some of the major factors anticipated to hamper the global market size of global vaginal slings market.
By end user, the global vaginal slings market is segmented into hospitals, ambulatory surgical centers, and gynecology clinics. Out of this, the hospitals segment is projected to garner a remarkable share in the year 2036. The aim to develop ultra-modern infrastructure for hospitals equipped with all facilities is also a remarkable growth driver for the hospital segment in the global vaginal slings market. For instance, in the US almost 7000 hospitals in the year 2021, and number is going to increase in the future. These hospitals are progressively adopting minimally invasive surgical techniques, including vaginal sling procedures.
By region, the Europe, global vaginal slings market is to generate the highest revenue by the end of 2036. The presence of state-of-the-art healthcare infrastructure, technological advancements, and skilled professionals are expected to boost the vaginal slings market in Europe. Other than this, the government is investing in healthcare development, driving the growth of the vaginal slings market.
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usmedilife12health · 5 months
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What is Forxiga 5mg used for?
Forxiga 5 Tablet is an antidiabetic medicine. It is used in the treatment of type 2 diabetes.
This medicine works by eliminating the excess sugar from your body.
Forxiga 5 Tablet has some side effects like excess urination, urinary tract infections, back pain, dizziness, etc.
Consult your doctor if they bother you for a long time or worsen.
Avoid taking this medicine if you are allergic to it. Forxiga 5 Tablet is usually taken once a day with or without food.
Do not take more than the prescribed dose. Take it every day at the same time to maintain a constant level of this medicine in your blood.
Do not discontinue this medicine without consulting your doctor, as it may cause an elevation in your blood sugar levels.
Forxiga 5 Tablet may not be suitable for everyone. It is not recommended for use in children below 18 years of age.
Inform your doctor if you have liver or kidney problems or other health conditions.
Also, inform your doctor about all your ongoing medications to avoid undesired effects.
Consult your doctor if you are pregnant or are breastfeeding before taking this medicine.
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Side effects
Major & minor side effects for Forxiga 5 Tablet
Increased urination
Increased thirst
Difficult or painful urination
Urinary tract infection
Back pain
Dizziness
Low blood sugar levels
When not to use?
Allergy
Avoid taking Forxiga 5 Tablet if you are allergic to it. Serious allergic reactions to this medicine are rare.
However, seek immediate medical attention if you notice any symptoms such as skin rash, itching/swelling, Severe Dizziness, breathing difficulty, etc.
Severe kidney impairment
Forxiga 5 Tablet is not recommended for use if you have severe kidney problems due to the increased risk of worsening your condition.
Warnings
Warnings for special population
Pregnancy
Forxiga 5 Tablet is unsafe for use during pregnancy as it may harm your foetus. Hence, consult your doctor if you are pregnant.
Breast-feeding
Forxiga 5 Tablet is not recommended for use while breastfeeding unless necessary. Hence, consult your doctor if you are breastfeeding.
General warnings
Use in children
Forxiga 5 Tablet is not recommended for use in children below 18 years of age as the safety and efficacy data for use are not clinically established.
Ketoacidosis
Ketoacidosis is a complication of diabetes that causes increased levels of acids in the blood.
Forxiga 5 Tablet should be used with extreme caution as it may increase the risk of this condition.
If your experience symptoms such as difficulty breathing, abdominal pain, unusual tiredness, excess thirst, loss of appetite, etc., consult your doctor immediately.
Liver diseases
Forxiga 5 Tablet should be used with caution if you have liver problems due to the increased risk of side effects.
Your doctor may suggest tests to monitor your liver function during treatment with this medicine.
Hypoglycaemia
Hypoglycaemia is a condition of very low blood sugar levels.
Forxiga 5 Tablet may cause hypoglycaemia on concomitant use with insulin or other antidiabetic medicines such as Sulfonylureas and Glinides.
Hence, your doctor may suggest dose adjustment to use both medications safely.
Urosepsis
Urosepsis is a condition in which untreated urinary infection spreads to your kidney.
Forxiga 5 Tablet should be used with extreme caution in such cases, as it may increase the risk of urinary tract infections and further worsen your condition.
Genital mycotic infections
Genital mycotic infection is a fungal infection in the genital area (private parts).
Forxiga 5 Tablet should be used with caution if you have genital mycotic infections, as it may further worsen your condition.
Dosage
Missed Dose
Take the missed dose of Forxiga 5 Tablet as soon as you remember.
However, skip the missed dose if it is time for your next scheduled dose. Do not take extra medicine to make up for the missed dose.
Overdose
Never take more than the recommended dose of Forxiga 5 Tablet. Seek emergency medical treatment in case of an overdose.
General Instructions
Take Forxiga 5 Tablet with or without food as prescribed by your doctor. Do not break, chew, or crush the tablet in your mouth. Avoid taking more or less than the prescribed dose.
Regular monitor your blood sugar during treatment with this medicine to keep track of your blood sugar levels.
Eat a balanced diet and exercise regularly to get maximum benefits from the treatment.
Always carry a sugar candy with you to counteract the unexpected lowering of blood sugar levels.
Do not change the dose or stop taking this medicine without consulting your doctor, as it may worsen your condition.
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mindfulnutritionsblog · 5 months
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What Are Common Urological Conditions in Seniors?
Navigating Urological Health in Older Adults
As individuals journey through the golden years of life, prioritizing urological health becomes increasingly essential. Aging brings about changes in the body, and the urinary tract system and male reproductive organs are not exempt from this process. Understanding the common urological conditions that affect older adults empowers both individuals and caregivers to take proactive steps towards maintaining optimal health and well-being. Exploring the services of the best urologists in Jamaica can provide invaluable support and guidance in managing and treating these conditions effectively.
Prostate Enlargement (BPH):
One of the most prevalent urological issues faced by older men is benign prostatic hyperplasia (BPH). This condition involves the non-cancerous enlargement of the prostate gland, leading to urinary symptoms such as frequent urination, urgency, weak urine stream, and incomplete emptying of the bladder. While BPH is not life-threatening, its symptoms can significantly impact quality of life. Treatment options range from medications to surgical interventions, tailored to the severity of symptoms and individual preferences.
Urinary Incontinence:
Urinary incontinence, the involuntary leakage of urine, becomes more common with age, particularly among older women. This condition can manifest as stress incontinence (leakage with physical activity), urge incontinence (sudden, intense urge to urinate), or overflow incontinence (inability to empty the bladder completely). Effective management strategies include pelvic floor exercises, behavioral therapies, medications, and in some cases, surgical procedures.
Urinary Retention: 
Older adults may also experience urinary retention, the inability to empty the bladder fully. This can result from various factors, including BPH, nerve damage, medications, or structural abnormalities. Chronic urinary retention increases the risk of urinary tract infections (UTIs) and bladder damage. Treatment often involves catheterization to drain the bladder and addressing the underlying cause.
Urinary Tract Infections (UTIs): 
UTIs are common among older adults and can present with vague symptoms such as confusion, agitation, or generalized weakness, rather than the typical urinary symptoms seen in younger individuals. UTIs in older adults may be associated with factors such as bladder dysfunction, urinary catheterization, or underlying medical conditions. Prompt diagnosis and appropriate antibiotic therapy are crucial to prevent complications such as urosepsis.
Kidney Stones: 
While kidney stones can occur at any age, their incidence tends to increase with age. Older adults may be more prone to dehydration, reduced kidney function, and changes in urinary composition, predisposing them to stone formation. Management of kidney stones may involve pain management, hydration, and in some cases, procedures such as lithotripsy or surgical intervention to remove larger stones.
Urological Cancers: 
Aging is a significant risk factor for urological cancers, including prostate cancer, bladder cancer, and kidney cancer. Regular screenings and early detection are paramount for favourable outcomes. Treatment options vary depending on the type and stage of cancer but may include surgery, radiation therapy, chemotherapy, or targeted therapies. In conclusion, navigating urological health in older adults requires a multifaceted approach encompassing preventive measures, timely screenings, and tailored interventions. By prioritizing urological wellness and addressing any emerging concerns promptly, older adults can enjoy a fulfilling and vibrant quality of life in their later years.
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drgirishnelivigi · 8 months
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Dr. Talk on Urosepsis: Symptoms and Treatment | Best Urologist in Bellandur | Dr. Girish Nelivigi
Best Urologist in Bellandur | Dr. Girish Nelivigi. In this video, he talks about "Urosepsis: Symptoms, Diagnosis and Treatment". Urosepsis is a techinical word for Urinary Infection.
Watch Now!!
For more information visit: http://www.nelivigimultispecialityhospital.com/ or call us @ 70222 09038 / 6366 208 767
#Urosepsis #Urosepsis #UrinaryInfection #NelivigiMultispecialityHospital​ #NelivigiMultispeciality #NelivigiUrology #urologyhospital #DrGirishNelivigi #urology #urologyproblems #urologists #UrinaryInfectionTreatment #UrologyTreatment #bhfyp #Urologist​ #bhfyp #Bellandur #Bangalore
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onlyhurtforaminute · 2 years
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UROSEPSIS- Epidermodysplasia Verruciformis
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mcatmemoranda · 3 years
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Cefepime (4th generation cephalosporin) covers pseudomonas whereas ceftriaxone (third generation cephalosporin) doesn't. Pts with indwelling Foley catheters often have pseudomonas, so you need pseudomonas coverage.
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whitecoat-bluegown · 6 years
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ICU Signout #1
“Yeah, her urine is straight up like a pina colada.”
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tyneoconnell · 5 years
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HAPPY 2020 TO #ECCENTRICS EVERWHERE! Sorry for my long enforced silence - I wasn’t able to use my iPhone or any device due to #EKG monitoring etc but I’m looking forward to opening my #christmas2019 #presents in the coming days, catching up on messages & #celebrating the #newdecade throughout 2020 ⚜️ #surviving #urosepsis has a sobering reminder that #life is a precious #whitetie #occasion & I plan to celebrate every breath Im privileged to take in #2020 in #regalstyle ⚜️ “life’s too brief to fit-in” & “conformity is overrated” ⚜️Looking forward to the eccentricity & opulence of @londonfashionweek ⚜️ @fashionscout @fashionweek #dandy #dandizette #eccentrics #splendour #fashionasart #braintumourawareness photograph @muirvidler https://www.instagram.com/p/B7WZvF5AUfJ/?igshid=1bqy13dwq83dt
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pharmdup · 2 years
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Have you ever had a colleague make a comment about your work that you wish you could have framed?
Had to give handoff to our scary antimicrobial stewardship pharmacist, who kind of hates me at baseline, and he muttered this under his breath as though grudgingly impressed.
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zephyrplatypus · 3 years
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Gonna be honest, doing this doesn't feel very good. I never like asking for help, nonetheless asking for financial help. I never thought I was going to be one of the numbers and numbers of gofundme's for medical expenses. Yet here we are.
My younger sister back in March became seriously, seriously ill while living on campus. After finally bringing her to a local emergency room, it was revealed that she had urosepsis that developed from a severe kidney infection. She would've died that night if we didn't bring her in.
She spent over a week in the hospital, several of those days in the ICU fighting for her life. During that period of time, it was revealed that she might have heart issues as a result of late-term effects from her childhood cancer treatment. Now we have to find her a cardiologist to look further into this, as well.
We're now figuring out the final medical expenses and they're uh... very, very large bills. Did you know that sepsis is one of the most expensive emergency medical conditions to treat? <:)
We're looking at a possible goal of $10k right now, given anything that our insurance sorts out. We don't know if that's a definite though, as we didn't have local CA insurance at the time. We moved across the country only a number of months ago and are still figuring out switching over stuff like insurance. The actual medical bill costs may be much, much higher, but we're hoping for the best and going with $10k for now. We're hoping that's all we'll need.
Me and my family are no stranger to extremely high hospital bills. As I referenced, my sister was diagnosed with Leukemia at six years old back in 2008. The hospital bills were so absolutely enormous that it forced my family to file bankruptcy, lose our family business, our house, and our cars. Me and my sister are just starting out our adult lives in California and starting/finishing up college. I don't want to go through what we had experienced before all over again. I really don't.
Any donation and sharing around of this would literally mean the world and beyond to me. Having these expenses taken care of would take such a huge weight off my back, given the already enough stress of work, school, and my mental and physical health that I have to deal with daily. Thank you so much to anyone in advance who considers donating or boosting.
Here's the GoFundMe link
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