#pulmonary programing!

[sleepyblr-heart]

spring parts hehe

[rehabilitation-and-nursing]

Jamaica Rehab Center

The skilled physical therapists at the clinic collaborate closely with patients to enhance their general physical function, strength, and mobility. Whether the goal is managing chronic conditions, recuperating from surgery, or addressing other particular goals, personalized therapy programs are created to meet those needs.

The center's occupational therapists concentrate on assisting patients in regaining their independence in daily tasks. This could involve making changes to the living space to improve accessibility and safety as well as help with self-care activities like dressing and grooming.

The institute offers specialist speech therapy treatments for those who struggle with swallowing or communicating. Speech-language pathologists assist people with swallowing difficulties and helping them communicate more effectively.

The Jamaica Rehab Center treats each patient's physical, mental, emotional, and social requirements as part of a comprehensive approach to recovery. With the help of an all-inclusive treatment approach, patients are guaranteed a diverse network of support throughout their recuperation process.

Each patient at the Jamaica Rehab Center has a customized care plan made to meet their unique requirements and objectives. The multidisciplinary team at the center collaborates closely with patients and their families to create a plan that takes into account their particular goals and obstacles.

Selecting the appropriate rehabilitation facility is a crucial phase in the healing process. People and their families can make wise decisions that result in positive outcomes by being aware of the qualities and advantages of these centers.

When it comes to treating addiction, mental health conditions, and physical rehabilitation, rehabilitation centers in Jamaica are essential. They offer a secure, encouraging setting where people can get all the care they require and learn the skills necessary for long-term recovery. These facilities provide individuals in need with hope and healing via individualized treatment programs, expert medical care, and a holistic approach.

[yeoldenews]

Robert Moss was diagnosed with polio at the age of six, the year before he wrote this letter. He would spend the next nine years of his childhood in and out of hospitals.

He made a full recovery and was a decorated athlete in High School and College, as well as an Eagle Scout. After college, he became a junior high science teacher, while also coaching football, basketball and track.

During summer break from teaching in 1965, his childhood struggle with polio inspired him to spend the summer working at the Louisiana Lions Camp for Crippled Children. He went back the next summer and was hired as camp director.

Robert was the Executive Director of the Lions Camp for 41 years. Over his tenure he expanded the camp to include programs for children with pulmonary disorders, muscular dystrophy, diabetes and autism.

He assisted in programs to set up similar camps in Puerto Rico and Australia, as well as a camp for children with terminal illnesses in Texas.

The Lions Camp still operates and is 100% free of charge for all attendees.

(source: The Minden Herald, December 19, 1941.)

[liketolaugh-writes]

Danny's medical tests

Vitals and thresholds:

Age: 16

Pulse: 20 bpm resting, 54 bpm active (54 atrial, 30 ventricular), grayout at 80/35, blackout at 90/35. (Can stop heart for up to three minutes without repercussions; becomes painful after two)

Respiration: 6 breaths per minute resting, up to 30 active, no more than 15 resting. (Can slow to 1 breath per minute for up to half an hour; strain sets in after twenty)

Blood pressure: 90/40 (blood reaches his brain with Magic)

Temperature: between 50° and 80° (human) or 0° and 32° (ghost) Cold tolerance is no lower than 3° in human form, heat tolerance no higher than 90°

Height: 5’3’’

Weight: 101 lbs (3/5 what his weight should be by build)

Ectoplasmic purity: between 80% and 90% (low, normal for halfas)

Core pitch: 29 kilohertz (low, normal for halfas)

Power level: 214 (out of 300)

Aura brightness: 154 (low, lack of obsession fulfillment)

List of tests, results, and consults:

ECG shows a third degree AV block with a ventricular escape rhythm.

Echocardiogram shows no physical abnormalities.

Event monitor shows mild strain (palpitations, discomfort) with normal exercise and stress, moderate strain (chest pain, shortness of breath, dizziness) with high activity and stress.

(“No, this is pretty much what I remember exercise feeling like.”)

Blood reacts violently to all potential donors

Blood tests:

>Complete blood count:

>>White blood cells: slightly elevated, also weird (green, have faces)

>>Red blood cells: low (thinner blood)

>>Hemoglobin: high (red blood cells carry more oxygen)

>>Hematocrit (percentage red blood cells): 29%

>>Mean corpuscular volume: slightly low (smaller red blood cells)

>>Mean corpuscular hemoglobin: high

>>Mean corpuscular hemoglobin concentration: high

>>Red cell distribution width: low

>>Platelet count: low and also they are all green

>Comprehensive metabolic panel:

>>Glucose: 50 mg/dl (low)

>>Blood urea nitrogen: low (good kidney function)

>>Creatinine: low (good kidney function + can indicate low muscle) (this is not because of low muscle this is because of Ghost)

>>Estimated glomerular filtration rate: high (good kidney function)

>>BUN/Creatinine ratio: 12:1 (normal)

>>Sodium: high (electrolyte)

>>Potassium: very high (ectoplasm component) (electrolyte)

>>Chloride: very high (ectoplasm component) (electrolyte)

>>Carbon dioxide: low (waste product)

>>Calcium: high (electrolyte)

>>Protein, total: normal (plasma)

>>Albumin: slightly low (should be normal) (sign of malnutrition)

>>Globulin, total: high (high immune function)

>>Bilirubin, total: normal

>>Alkaline phosphotase: low (slow metabolism)

>>Aspartate aminotransferase: low (no liver damage)

>>Alanine transaminase: low (no liver damage)

>Lipid panel:

>>Cholesterol: normal

>>Triglycerides: low (dietary)

>>HDL Cholesterol: slightly low

>>VLDL Cholesterol Cal: normal

>>LDL, calculated: normal

>>Chol/HDL ratio: normal

>Thyroid tests:

>>Thyroid-stimulating hormone: low

>>Thyroxine: low

>>Triiodothyronine: low

DNA test: Takes an extremely long time to fully process, but early results show that Danny’s DNA is covered in a thin layer of ectoplasm, making the underlying structure difficult to decipher. Programming a machine to recognize it could be difficult.

Urine tests: normal

Pulmonary function tests: normal

Allergy panel shows no reactions.

Hypermobility test shows hypermobility in spine, elbows, and knees. No other signs of EDS, tentatively ascribed to his abilities.

Dietitian consult: nothing concrete yet. They discuss Danny’s eating habits, deal frankly with the fact that they don’t know what his exact dietary needs are, and talk about intuitive eating. Danny gets a list of signs to look out for and things to try.

Endocrinologist consult: they discuss Danny’s concerns and assess his current stage of puberty. Danny states (visibly mortified) that he has grown two inches since his accident, no vocal deepening, no facial or body hair, no reproductive function benchmarks. They discuss various possible causes of delayed puberty (excessive exercise, psychosocial problems, physical trauma, irradiation) as well as treatment options. Danny asks what circumstances would normally have them recommend inducing puberty (bullying, ostracization, distress) and they finally decide to go ahead and induce it.

Semen analysis: Danny is producing normally but the sperm die before exiting.

Slit-lamp exam shows tapetum lucidum in human form and odd eye structure in ghost form.

Autonomic nervous system tests:

>Gag reflex: Sensitive in human form, inactive in ghost form

>Motor reflexes (jaw jerk, biceps, triceps, brachioradialis, finger jerk, knee jerk, ankle jerk, superficial abdominal): hyperactive, forceful, but controlled. Identical in both forms.

>Pathologic reflexes: None present

>Cardiovagal function:

>>Heart rate variability: [not applicable because of heart condition]

>>HR response to deep breathing: exaggerated. This is how he stops his heart.

>>Valsalva: perfect adaptation. (blood pressure self-regulates rapidly)

>Vasomotor adrenergic function:

>>BP response to standing: perfect adaptation.

>>Tilt table testing: perfect adaptation. (blood pressure self-regulates rapidly)

>Sudomotor function:

>>QSART: Exaggerated in human form, not present in ghost form. (sweat response)

>>Silastic sweat test: Exaggerated in human form, not present in ghost form.

>Salivation: Normal in human form. No response in ghost form.

>Pupillography: rapid in human form, not present in ghost form.

>Cold pressor test: done with salted ice water. Reduced response. (sympathetic nervous system test)

Human CT scan was normal.

Ghost CT scan was semitransparent but otherwise normal.

Vaccine test shows good immune system function.

Human fNIRS, EEG, and MEG brain scans were used primarily for mapping. Showed normal activity for motor function and sensory activity, slightly reduced activity for memory exercises and problem solving, and substantially reduced activity for emotional responses.

Ghost EEG and MEG brain scans were used primarily for mapping. Showed no activity for motor function, mild activity for sensory and memory functions, and moderate activity for problem solving and emotional responses. No brain stem activity. (fNIRS not performed because it monitors blood oxygen activity in the brain and his ghost form doesn't have that)

Human MRI scan is largely normal, but shows darkened nerves on the left hand.

Ghost MRI scan indicated that his insides are abnormally malleable but highly coherent. Nerve damage is much less apparent owing to minimal function.

Human EMF reading showed increased activity corresponding to reduced brain activity.

Ghost EMF reading showed moderate activity for everything except emotional responses, which indicated strong activity.

Nerve conduction study shows severe nerve damage in ulnar and median nerves in human form, no nerve response in ghost form.

Electromyography shows that very few electrical signals are being transmitted in his left hand, Danny moves his hand with Magic. Otherwise normal readings in human form, ghost form shows no readings at all.

Polysomnography shows several signs associated with hibernation, making Danny’s sleep deeper, but his brain waves still indicate REM sleep in a normal pattern.

All biopsies normal except the inclusion of ectoplasm.

Microneurography was for mapping only.

The doctors manage to create an external device that can monitor the EMF activity of Danny’s core in milligauss, as well as his core pitch. It outputs it as a graph. Danny’s core EMF is 3,210, and his resting surface EMF in ghost form is around 2,000, with a total range of 200 feet. In human form, this is significantly reduced to 800 mG at the surface, and a range of 80 feet. (GIW sensors only detect as low as 900 mG, while the Fentons’ goes as low as 750.)

Core EMF level varies from ghost to ghost, measured on a scale that goes from 1 to 300. This is found to be equivalent to 15 to 4500 milligauss. All but around 2/3 of radiation is naturally contained, but the amount rises rapidly with power use.

[rottmnt-residuum]

Hi! I have a question, why was Mikey taken to the hospital while Leo was taken to a prison? They were captured in the same place, so they should know that they are brothers, right?

Mikey and Leo are both in the same area. The buildings are connected, the tunnel that connects them takes like 15 minutes to drive through.

Mikey is in the hospital because he needs medical attention after breathing in sewer water. They need to monitor him to make sure he doesn't develop pulmonary edema. The reason Mikey ended up inhaling sewer water is that he is the only non-aquatic turtle.

Unless you're asking why they're in separate programs. Program placement is decided by a combination of: how they came into the facility, how they react when they wake up in the facility if captured, whether they sign the contract, perceived threat level, and the psych eval.

Those that don't sign the contract pretty much always get sorted into Hephaestus.

If Leo and Mikey hadn't woken up early, they would have woken up in one of the interview rooms like with Donnie, and this (Residuum) would have gone very differently.

[covid-safer-hotties]

Almost 10% of US lung transplants go to COVID-19 patients. Researchers are learning why - Published Aug 21, 2024

Researchers from Michigan State University and Corewell Health, in collaboration with the Cleveland Clinic, have made a significant breakthrough in understanding post-COVID-19 lung complications.

The study, by Xiaopeng Li of MSU, Reda Girgis of Corewell Health and Kun Li of Cleveland Clinic's Florida Research and Innovation Center, was published in the American Journal of Respiratory Cell and Molecular Biology and highlights the role of a gene called ATP12A in promoting lung damage and excessive mucus production following COVID-19 infection.

COVID-19 infection activates this gene in the lungs, initiating progressive lung scarring that can eventually require a lung transplant. The collaboration investigated the biology behind climbing lung transplant rates among patients with post-COVID pulmonary fibrosis. Almost 10% of all lung transplants in the United States now go to COVID-19 patients, according to data from the United Network for Organ Sharing, or UNOS.

"Understanding how and why some individuals develop severe lifelong complications is critical to developing more effective post-COVID lung damage treatment," said Xiaopeng Li, associate professor in the MSU College of Human Medicine's Department of Pediatrics and Human Development.

Collaborating with Kun Li, Xiaopeng Li investigated ATP12A expression in lung samples from individuals undergoing lung transplantation. Clinical samples provided by Reda Girgis, medical director of Corewell Health's lung transplant program and a professor at MSU, confirmed elevated ATP12A levels in individuals with post-COVID-19 pulmonary fibrosis, akin to fibrosis unrelated to COVID-19.

"At Cleveland Clinic, we confirmed COVID-19 infection directly caused ATP12A levels to increase and contributed to pulmonary fibrosis," noted Kun Li.

This discovery lays the groundwork for potential therapeutic interventions, aiming to benefit all pulmonary fibrosis patients, irrespective of their condition's origin. The next step for the researchers is to unravel how infection elevates ATP12A levels and its contribution to pulmonary fibrosis, paving the way for improved treatments in the future.

Find the (paywalled) study at either link!

[accord-vn]

Subject: Archon Program Candidates

From: ██████

To: Flora Pearson <fpearson@mail.asc>

Timestamp: 2088.09.24.6138

Dir. Pearson:

It took some time to process the data we've received from the Dept/Statistics request, and your patience in that matter is deeply appreciated. Our diligence has paid off, and we have narrowed to 54 potential candidates across the Republic. I've attached the full portfolio--note that among the 54, 7 in particular stand out. I've flagged these subjects accordingly. While a thorough examination of *all* prospective candidates is paramount for expedience and risk mitigation, the attached dossiers will surely speak for themselves with regards to their fit for the program.

Saklas

Raithe Desmont

b.2057.12.30 / 193cm / 66kg / B+

int-SYN/TRA compatibility: 83.25%

d-SYN/TRA compatibility: 57.29%

Minor irreversible microgravitational osteoporosis from offworld childhood

History of childhood asthma, no noted persistent chronic obstructive pulmonary disorders in adulthood

Existing psychiatric profile suggests an intense need for approval, acknowledgement

Medical records became publicly available when he was processed following the dismantling of Synesia

Immediate family:

- Estranged father, younger sister

- deceased mother

Census records indicate no other family or partner

Criminal records indicate a history of activism that ended following an arrest with no conviction

Church records confirm status as hylikos

Currently works an administrative role within the Automation Division of the Dept/Research

Evaluation:

Desmont's department shows fantastic efficiency and produces incredible results at the expense of high turnover rates. Exit interviews indicate that his aggressive and controlling management style is to blame, however the growth in his department was undeniable to his superiors. Were he not a hylikos, he would surely be head of the division by now.

Desmont's ego is thoroughly immodest, and his focus solely on the Material. He refuses to accept that he cannot rise above his position without aid from the Church.

His methodical yet aggressive nature and relatively high d-SYN/TRA compatibility score suggest that he would be an ideal candidate for the archon of kings.

Iao

Zoe Katab

b.2070.07.19 / 170cm / 70kg / A-

int-SYN/TRA compatibility: 95.66%

d-SYN/TRA compatibility: 71.90%

Several childhood hospitalizations for frequent upper and lower extremity fractures

History of self harm attributed to survivor's guilt/PTSD

Existing psychiatric profile indicates a need for control that stems from severe anxiety

Medical records became publicly available following her adoption as a ward of the state

Immediate family:

- deceased mother, father, sister

Census records indicate no other family or partner

Criminal records indicate that she was arrested for the murder of her parents, but ultimately found innocent

Church records confirm status as hylikos

Currently unemployed

Evaluation:

Katab's past indicates that she is capable of bloodshed yet more interested in the stability of total control. Behavioral reports from her childhood describe a deeply protective personality with recurring accusations of attempting to manipulate others.

Katab's exceptional d-SYN/TRA compatibility alongside her complex psychiatric profile indicate that she is an ideal archon candidate, with the most synergy with the archon of lordship.

Sabaoth

Sera ████

b.2060.10.30 / 180cm / 102kg / AB+

int-SYN/TRA compatibility: 98.92%

d-SYN/TRA compatibility: 89.01%

Significant medical records were removed from public record following her involvement in the destruction of the Caesarea

Existing psychiatric profile indicates a deeply emotionally disturbed individual

Immediate family:

- estranged mother, father

- aunt, living apart

Census records indicate no other family or partner

Criminal records indicate that she is currently convicted for criminal negligence, manslaughter, and practicing medicine without a license

Church records confirm status as hylikos

Currently imprisoned

Evaluation:

██��█ 's involvement has been previously confirmed, as she was sponsored by █████.

Nonetheless, ████ 's unprecedentedly high SYN/TRA compatibility, unique physiology, and damaged psyche suggest that she is an ideal archon candidate, such that she may be a possible match with the archon of deity.

Adonaios

Ash Ward

b.2074.08.16 / 175cm / 58kg / B-

int-SYN/TRA compatibility: 84.11%

d-SYN/TRA compatibility: 74.39%

Childhood history of malnourishment

Reports of several scars from infections secondary to insufficient wound care

Existing psychiatric profile indicate difficulty controlling anger

Medical records became publicly available upon becoming a ward of the state

Immediate family:

- deceased mother, father, uncle

Census records indicate no other family or partner

Criminal records indicate a predisposition to violence

Church records confirm status as hylikos

Currently a ward of the state

Evaluation:

Ward's behavioral reports indicate a tendency to lash out against authorities and classmates alike. He is quick to violence and has little patience for others.

His exceptional SYN/TRA compatibilities and temperament suggest a strong compatibility for the tyrant archon.

Elaios

Adrien Hein

b.2059.03.03 / 187cm / 40kg / O+

int-SYN/TRA compatibility: 74.29%

d-SYN/TRA compatibility: 52.63%

Bilateral below-knee amputation secondary to explosion during an attempted live-munitions terrorist attack

Existing psychiatric profile indicates severe anxiety bordering on paranoia

Medical records became public record upon arrest

Immediate family:

- deceased husband, son

- mother, father live apart

Census records indicate no other family or partner

Criminal records indicate that he has been convicted for terrorism, conspiracy, possession of illegal explosives, destruction of property

Church records confirm status as hylikos

Currently imprisoned

Evaluation:

Hein lost his husband and son in a riot started by immigrants protesting the stride of Stauros. He was radicalized by the experience and subsequently became involved with a group of nationalists. During an attempt to bomb a train station the explosives were improperly timed, resulting in the loss of both of Hein's legs.

His willingness to shed blood, loyalty to Stauros, and obsessive mental state make him an ideal candidate for the archon of jealousy.

Oraios

Surya Marit

b.2068.09.25 / 175cm / 68kg / B+

int-SYN/TRA compatibility: 88.04%

d-SYN/TRA compatibility: 73.43%

Minor broken bones in youth, negative growth plate abnormalities noted

Possible TBI secondary to concussion received during routine training though MRI/CT inconclusive

Existing psychiatric profile indicates an antisocial personality disorder diagnosis as well as a need for connection

Medical records became publicly available upon joining the ExoCorps

Immediate family:

- estranged brother, mother

- deceased mother

Census records indicate no other family or partner

Criminal records return no charges

Church records confirm status as hylikos

Currently unemployed

Evaluation:

Marit is an unusual individual. She was initially chosen to be a Cataphract though her surgery regimen was cut short by a traumatic head injury during a routine training exercise. This purportedly spawned a change in her behavior, at which point she was ejected from the ExoCorps.

Marit's fantastic SYN/TRA compatibility, her experience as a pilot, and her alienation from others make her a strong candidate for the archon of wealth.

Astaphaios

Elena Casaubon

b.2069.09.09 / 158cm / 53kg / O-

int-SYN/TRA compatibility: 63.14%

d-SYN/TRA compatibility: 47.69%

Irreversible microgravitational osteoporosis from offworld childhood

Existing psychiatric profile indicates obsessive tendencies and a thirst for the forbidden

Medical records not publicly available

Immediate family:

- absentee mother

- deceased father

Census records indicate no other family or partner

Criminal records return no charges

Church records confirm status as hylikos

Currently employed by the Dept/Research as a part of the Archon program

Evaluation:

Casaubon's participation was, of course, previously confirmed due to her connection to the Rite.

Casaubon's SYN/TRA compatibilities barely meet program minimums, and though her psychiatric profile does not indicate any particular affinity, the archon of wisdom will likely be the most fitting for her potential as a pilot.

Thank you for your patience,

██████

[pandemic-info]

What Is Long COVID? Understanding the Pandemic’s Mysterious Fallout > News > Yale Medicine

Originally published: April 15, 2024. Updated: June 4, 2024

Just weeks after the first cases of COVID-19 hit U.S. shores, an op-ed appeared in The New York Times titled “We Need to Talk About What Coronavirus Recoveries Look Like: They're a lot more complicated than most people realize.”

...

Unlike most diseases, Long COVID was first described not by doctors, but by the patients themselves. Even the term “Long COVID” was coined by a patient. Dr. Elisa Perego, an honorary research fellow at University College in London, came up with the hashtag #LongCOVID when tweeting about her own experience with the post-COVID syndrome. The term went viral and suddenly social media, and then the media itself, was full of these stories.

Complaints like "I can't seem to concentrate anymore" or "I'm constantly fatigued throughout the day" became increasingly common, seemingly appearing out of nowhere. With nothing abnormal turning up from their many thorough lab tests, patients and their physicians were left feeling helpless and frustrated.

The World Health Organization (WHO) has defined Long COVID as the "continuation or development of new symptoms three months after the initial SARS-CoV-2 infection, with these symptoms lasting for at least two months with no other explanation." This deliberately broad definition reflects the complex nature of this syndrome. We now understand that these symptoms are wide-ranging, including heart palpitations, cough, nausea, fatigue, cognitive impairment (commonly referred to as "brain fog"), and more. Also, many who experience Long COVID following an acute infection face an elevated risk of such medical complications as blood clots and (type 2) diabetes.

In April 2024, an estimated 5.3% of all adults in the United States reported having Long COVID, according to the Centers for Disease Control and Prevention (CDC). Data from the CDC suggest that Long COVID disproportionately affects women, and individuals between the ages of 40 and 59 have the highest reported rates of developing this post-acute infection syndrome.

...

Inderjit Singh, MBChB, a YSM assistant professor specializing in pulmonary, critical care, and sleep medicine, and director of the Pulmonary Vascular Program, is actively engaged in clinical trials aimed at uncovering the fundamental underpinnings of Long COVID.

...

Through this work, a significant revelation emerged. They observed that patients grappling with Long COVID and facing exercise difficulties were unable to efficiently extract oxygen from their bloodstream during physical exertion. This discovery identifies a specific cause underlying the biological underpinnings of Long COVID.

... Dr. Singh, along with other researchers, is focused on the identification of blood-based markers to assess the severity of Long COVID. For example, a research group, led by Akiko Iwasaki, PhD, Sterling Professor of Immunobiology and Molecular, Cellular, and Developmental Biology, and director of the Center for Infection & Immunity at YSM, most recently created a new method to classify Long COVID severity with circulating immune markers.

Further investigations conducted by Dr. Singh's team identified distinctive protein signatures in the blood of Long COVID patients, which correlated with the degree of Long COVID severity. Researchers identified two major and distinct blood profiles among the patients. Some of them exhibited blood profiles indicating that excessive inflammation played a prominent role in their condition, while others displayed profiles indicative of impaired metabolism.

...

Researchers currently believe that the impairment of a spectrum of key bodily functions may contribute to these diverse symptoms. These potential mechanisms include compromised immune system function, damage to blood vessels, and direct harm to the brain and nervous system. Importantly, it's likely that most patients experience symptoms arising from multiple underlying causes, which complicates both the diagnosis and treatment of Long COVID.

...

The last word from Lisa Sanders, MD:

I’m the internist who sees patients at Yale New Haven Health’s Multidisciplinary Long COVID Care Center. In our clinic, patients are examined by a variety of specialists to determine the best next steps for these complex patients. Sometimes that entails more testing. Often patients have had extensive testing even before they arrive, and far too often—when all the tests are normal—both doctors and patients worry that their symptoms are “all in their head.”

One of our first tasks is to reassure patients that many parts of Long COVID don’t show up on tests. We don’t know enough about the cause of many of these symptoms to create a test for them. The problem is not with the patient with the symptoms, but of the science surrounding them. If any good can be said to come out of this pandemic, it will be a better understanding of Long COVID and many of the other post-acute infection syndromes that have existed as long as the infections themselves.

[nicad13]

Hey there. You mentioned doing PT for long COVID and I’m curious to hear what that entails. I have a couple of friends who have been dealing w various complications since 2020 but I’ve not heard of PT being helpful. If you’re willing to share, I’d love to hear.

Absolutely!

I'll start with two important points: 1) I am very fortunate to live near one of the AHRQ Long COVID clinics (a list of which can be found here), where the care I've received is provided by people who specialize in long-COVID. 2) Long COVID is not a coherent, unified syndrome - it manifests very differently in different people, and what has helped me will not necessarily help everyone. During my six-month check-in with the clinic coordinator, she stated it was "refreshing to hear from someone who is actually improving," which implied that many (most?) patients were not, but I'll admit I didn't pursue that line of conversation.

I'll continue with some context. I've always been an active person, even if only a mediocre athlete. I ran cross-country and track through middle and high school, and continued running until my mid/late 40's when old injuries caught up with me and I had to switch to an indoor rower. Just before I got sick, I was rowing 20K a week and could pull a 5K in under 22 minutes (not amazing, but pretty good for a 49-year-old woman). I mountain biked regularly and could ride a 25-mile cross country trail and still feel like a human being after. Never smoked, drank casually, and was effectively managing hypothyroidism with medication. All of this is to say I was reasonably healthy.

Despite being fully vaccinated and generally masking in crowded indoor situations, I managed to get COVID. Best guess is at the dentist, but there are a couple other possibilities, so I'm not really sure.

The acute phase actually wasn't too bad - first few days were like a moderate flu, then I made a quick improvement and sailed through the 5-day precautionary period feeling almost normal. Day 6 I woke up with a racing heart and my head feeling like it was stuck in a vice. My bout with long COVID had begun and that headache lasted for three months. It didn't really ease up until my next COVID booster.

The clinic I'm at doesn't enroll patients until you have symptoms for three months, and makes referrals specific to patient issues. Mine were primarily headaches and racing heart & chest pain after any kind of physical exertion - I went from the activity level I described above to not being able to walk more than a quarter of a mile at a time. A glass of wine a month after COVID made it feel like a xenomorph was trying to tear its way out of my chest. Near-constant chest pain made it difficult to sleep. My first referral was for a pulmonary function test to make sure I could handle PT. It was challenging, it was painful, and I felt like garbage for a couple days after, but my results were normal. On to PT!

The first test I did there was to walk laps around the gym for 5 minutes, with the goals of measuring how far I could get, reporting my pain level (2 or 3 on a scale of 1 to 10), compare my blood pressure from before, immediately after, and five minutes after, while monitoring my heart rate throughout. Recovery was reasonable enough so that the following week I did a Buffalo Test (developed at the University of Buffalo) - walked on a treadmill where the speed was gradually ramped up while my heart rate and pain level was monitored throughout, again with BP comparisons before and after. I recovered ok there, but, confirming my therapist's hunch, I had elevated stress levels (as measured by a Garmin watch) and felt like garbage several hours later. That lasted for a few hours and went away. Diagnosis made: I was having an inflammatory response to physical exertion, but with careful supervision, it's possible to train that out. One quick check with a cardiologist to confirm that my heart was up for it, and I got underway.

Two key points with the PT program I've followed: 1) unlike traditional competitive training that alternates hard & easy days, this has mostly been steady & consistent - no hard days, but no days off either. 2) closely supervised! I've had to keep an eye on my heart rate through all of this, made possible by the smartwatch I already had. I started off with getting a minimum of 10K steps in a day, including a brisk 1/2 mile walk every day with the goal of getting my heart rate up to 100 bpm but not going over that. (Normally, my resting heart rate is about 47 - at this point it was in the mid-50's and it didn't take much to get me up to 100.) Within a few days of that, I noticed that the chest pain improved and I was much more comfortable to sleep. After a while, that got bumped up to a mile. Then a mile and a half, etc., until a few months later when I got up to 4 miles. Then we added some rowing a couple days a week - first a few short intervals keeping under prescribed heart rates. (The smartwatch worked less well for this and I had to get a chest strap.) That felt horrible at first, but got better, and now I'm at 20 minutes twice a week, keeping my heart rate under 168 bpm. I have to be mindful to lay down and take it easy for a few minutes after to get my heart rate down (and keep it down for the rest of the evening).

My progress seems to have plateaued out for the last month or so. I'll hit the one-year mark next month. Current thinking is that the driving force with long-COVID is inflammation, so eating a diet that counteracts that (minimize processed foods & preservatives) is a general recommendation for everyone. So I do have to be careful about what I eat, and have noticed new things that disagree with me - Kraft mac & cheese (probably the preservatives in shelf-stable cheese), tomato sauce (high acidity, probably a GERD issue), and hummus (probably a preservative in that as well). I still can't drink without feeling like garbage and I'm big mad about it. CBD gummies give me chest pains and headaches as well.

So that's the general rundown. Again, what has led to improvement for me won't work for everyone - I had to pass a few tests to make sure I could tolerate it, and I was under very close supervision to start. I'm still nowhere near the person I was a year ago, and I have no idea if I'll ever fully recover. The funding cuts for scientific research and an anti-vaxxer getting installed at the head of HHS in the US does not fucking help. We'll see what happens.

[film-classics]

Barbara Stanwyck - The Queen of Film Noir

Barbara Stanwyck (born Ruby Catherine Stevens in Brooklyn, New York on July 16, 1907) was an American actress who was one of the most celebrated femme fatales in cinema. She fleshed out iconic and radiant characters in numerous film noirs, making her "The Queen of Film Noir."

Of English and Scottish descent, Stanwyck made her debut on stage in the chorus as a Ziegfeld girl at 16, and within a few years was acting in plays. Her first lead role, which was in the hit Burlesque (1927), established her as a Broadway star. That same year, she debuted in films.

After moving to Hollywood in 1928, Stanwyck starred in a number of sound films. Unlike most of her peers, she never signed a long-term contract with one studio. In the early 1930s, she signed a short-term non-exclusive contract with Columbia and at the same time also had a similar contract with Warner Bros. When her contracts with both studios ended, she did not renew and became a free agent instead.

Stanwyck then signed with Paramount in the 1940s, again a non-exclusive contract. By this time, she had become the highest paid woman in the country. It was at Paramount where she made her some of her most memorable films, including The Lady Eve (1941) and Double Indemnity (1944). As her film career declined during the 1950s, she successfully moved to television and even hosted an anthology drama series titled The Barbara Stanwyck Show in 1961. She retired from acting in 1986 and busied herself with charity work.

At the age of 82, she passed away from congestive heart failure and chronic obstructive pulmonary disease while in hospital in Santa Monica, California

Legacy:

Nominated four times for the Academy Award for Best Actress: Stella Dallas (1937), Ball of Fire (1941), Double Indemnity (1944), and Sorry, Wrong Number (1948)

Won the 1966 Primetime Emmy Award for Outstanding Lead Actress – Drama Series and nominated two more times (1967 and 1968) for The Big Valley

Won the Golden Globe Award for Best Supporting Actress – Series and the Primetime Emmy Award for Outstanding Lead Actress – Miniseries for The Thorn Birds (1983)

Nominated for the Primetime Emmy Award Outstanding Performance by an Actress in a Series for The Barbara Stanwyck Show (1961)

Nominated thrice for Best TV Star – Female at the Golden Globe Awards - 1966, 1967 and 1968 - for The Big Valley

Received an Honorary Academy Award in 1982

Presented the Cecil B. DeMille Award at the 1986 Golden Globe Awards

Honored with a block in the forecourt of Grauman’s Chinese Theatre in 1941

Won the Golden Laurel for Top Female Dramatic Performance for Three Came Home (1950)

Chosen as 1953 and 1963 Woman of the Year at the Los Angeles American Advertising Awards

Awarded the Venice Film Festival Special Jury Prize for ensemble acting for Executive Suite (1954)

Inducted into the Brave Dog Society of the Blackfoot First Nation in 1954

Chosen by the Professional Photographers of California –as The First Lady of the Camera in 1963

Granted the 1963 Golden Anniversary Award and the 1965 Heart of Gold Award at the City of Hope Biennial Awards

Awarded Best Performance by an Actress in a Television Program at the 1966 American Cinema Editors Award for The Big Valley

Received the Life Achievement Award in 1967 by the Screen Actors Guild Awards

Awarded Most Popular Female Star in 1967 and 1968, a Special Award in 1957, and Best Performances of the Month for July 1939 by Photoplay Awards

Honored by the Los Angeles Film Critics Association Awards in 1981 with the Career Achievement Award

Won the Golden Apple Award for Most Cooperative Actress in 1961 and Female Star of the Year in 1983

Honored with the 1967 Life Achievement Award by the Screen Actors Guild

Inducted into the Hall of Great Western Performers at the Western Heritage Awards and the Cowboy Hall of Fame in Oklahoma City in 1973

Honored by the Film Society of Lincoln Center Gala Tribute in 1981

Received the 1981 Career Achievement Award by Los Angeles Film Critics Association

Was the recipient of the 1987 Lifetime Achievement Award and chosen as the the 11th-greatest female star of classic Hollywood cinema in 1999 by the American Film Institute

Ranked #40 in Entertainment Weekly’s 100 Greatest Movie Stars of All Time in 1998; #98 in Premiere magazine’s 100 Greatest Performances of All Time in 2006 for Double Indemnity (1944)

Honored with the In Memoriam Award at the 1998 Golden Boot Awards

Inducted in the Online Film & Television Association Hall of Fame in 2000

Has had her former home, the Oakridge Estate, turned into a museum since 2009

Has a star on the Hollywood Walk of Fame at 1751 Vine Street for her motion picture

[sleepyblr-heart]

rewrote the dialog system lol !!!

[rehabilitation-and-nursing]

What types of specialized rehabilitation services do the Rehabilitation and Nursing Center in New York offer?

The foundation of the best nursing homes and rehabilitation facilities in New York is a dedication to a multidisciplinary, holistic approach to treatment. Teams of highly skilled medical experts, including doctors, nurses, physical therapists, occupational therapists, speech-language pathologists, and social workers, work in these institutions to create individualized treatment regimens that are specific to the needs of each resident.

Facilities such as the Upper East Side Rehabilitation and Nursing Center in New York provide stroke rehabilitation programs that can be beneficial to residents who have suffered a stroke. These programs include speech, occupational, and physical therapy to assist patients with regaining their mobility, enhancing their communication abilities, and relearning daily life skills.

Personalized exercise regimens are designed by physical therapists (PTs) to enhance balance, strength, mobility, and coordination. For people healing from fractures, joint replacements, or strokes, this may be essential. Consider a patient at an RNC undergoing physical therapy following knee replacement surgery. In order to assist the patient walk independently once more, the PT would create a program that progressively increases weight-bearing activities and strengthens surrounding muscles.

The goal of occupational therapists (OTs) is to assist patients in regaining the ability to perform activities of daily living. This covers things like getting dressed, taking a shower, preparing meals, and taking medications. OTs can also assist people in modifying their living spaces to take into account their restrictions. Consider an RNC patient whose fine motor abilities are affected by a stroke.

At Highland care center, specialized nurses offer professional care for long-term wounds such as pressure sores or diabetic foot ulcers. Debridement (the removal of dead tissue) and specialist dressings may be necessary for this. In order to ensure that patients heal more quickly and with fewer complications, wound care management is essential for preventing infection and promoting recovery.

[madamlaydebug]

The lifeforce of nature..

The spinal cord is connected to everything in the human body from the nervous system to the cardiovascular system and pulmonary system, all of our organs, down to the smallest of cells.

Spinal energy is connected to the body through 7 gateways along the spinal cord.

When we emerge from our mother's womb, our body contains a beautiful wave-like motion that travels all the way from the occiput down through the cervical, thoracic and lumbar spine into the pelvis and back again. In an ideal world, this wave would be free to flow throughout our lives.. you can even feel it, but most are unaware.. that’s because about 90% of us have blockages preventing our natural healing force…

When we are born, first we are the brain and spinal cord. We are born with no blockages and our spinal flow is free and natural. Over time stress can cause physical, mental, and emotional blocks in the spine, which sends signals to the rest of the body.

Most western Dr.s today treat illnesses by addressing the symptoms or in other words examining the rotten apples but forgetting it’s the tree, root 🌳 that needs to be cared for and given the nutrients it needs - that’s what assures optimal health of all it’s fruit. 🍎

I’ve been studying energy flow for some time now.. and I just received a scholarship for the Spinal Flow Program! 🙏🏼 Which will teach me how to diagnose physical, mental, and chemical blockages and how to clear the spine for optimal source flow.

I will be sharing what I can along the way ✨

[zealouspolicepolice]

Physiotherapy Treatment

Physiotherapy, also known as physical therapy, is a holistic healthcare practice aimed at improving movement, function, and overall well-being. It involves the use of various techniques to treat injuries, chronic conditions, and post-surgical rehabilitation. With its growing popularity worldwide, physiotherapy treatment in Padur has become a sought-after service, offering quality care to individuals looking to enhance their physical health and recover from ailments. know more.

What is Physiotherapy?

Physiotherapy is a branch of healthcare that uses physical methods such as exercise, manual therapy, education, and advice to treat conditions that affect movement and functionality. It is a science-driven approach that takes into account the individual’s specific needs and circumstances. By focusing on movement science, physiotherapists can identify the root cause of discomfort and design tailored treatment plans.

Why Choose Physiotherapy?

Physiotherapy is beneficial for individuals across all age groups. From infants with developmental delays to elderly individuals with degenerative conditions, physiotherapy can cater to diverse needs. It is widely recognized for its effectiveness in treating conditions such as:

Musculoskeletal issues: Back pain, neck pain, arthritis, and sports injuries.

Neurological conditions: Stroke, multiple sclerosis, and Parkinson’s disease.

Cardiopulmonary problems: Chronic obstructive pulmonary disease (COPD) and post-cardiac surgery recovery.

Post-surgical rehabilitation: Recovery after joint replacement, fractures, or ligament repair.

In Padur, a bustling locality known for its growing community and healthcare facilities, physiotherapy treatment in Padur stands out as a reliable option for people seeking professional care close to home.

The Role of Physiotherapy in Modern Healthcare

Modern lifestyles often lead to sedentary behavior, poor posture, and stress-related ailments. Physiotherapy bridges the gap between medical treatment and lifestyle adjustments by addressing both the symptoms and the underlying causes of discomfort. Here are some key roles physiotherapy plays in healthcare:

Pain Management Chronic pain can significantly impact one’s quality of life. Physiotherapy treatments like manual therapy, dry needling, and ultrasound therapy help reduce pain and improve function without the need for medication.

Improved Mobility and Flexibility Physiotherapists use specific exercises to restore range of motion and flexibility. This is especially important for individuals recovering from injuries or surgeries.

Preventative Care Many physiotherapists in Padur offer preventative care programs designed to reduce the risk of injuries and manage chronic conditions effectively. These programs often include posture correction, ergonomic advice, and fitness plans.

Rehabilitation and Recovery Whether recovering from a stroke, an accident, or orthopedic surgery, physiotherapy accelerates the rehabilitation process, ensuring that patients regain their independence as quickly as possible.

Physiotherapy Treatment in Padur: What Makes It Unique?

Padur is home to a range of healthcare facilities, and its physiotherapy centers are well-equipped to meet the growing demand for specialized treatments. Here are some reasons why physiotherapy treatment in Padur has gained prominence:

Accessibility: With clinics located within residential areas, physiotherapy services are easily accessible to the local community.

Qualified Professionals: Many physiotherapy centers in Padur are staffed with highly trained and experienced physiotherapists who specialize in various areas, from sports injuries to neurological rehabilitation.

Personalized Care: The focus is on providing individualized treatment plans tailored to each patient’s unique needs.

State-of-the-Art Equipment: Clinics in Padur often utilize advanced equipment and techniques, ensuring effective and efficient treatment outcomes.

Community Focus: Physiotherapy centers in Padur aim to build long-term relationships with patients, offering ongoing support for chronic conditions and preventive care.

Common Techniques Used in Physiotherapy

Physiotherapists use a combination of manual therapy, exercises, and technology to address a variety of conditions. Here are some commonly used techniques:

Manual Therapy This involves hands-on techniques such as massage, joint mobilization, and manipulation to improve circulation, reduce pain, and enhance movement.

Exercise Therapy Tailored exercise programs are a cornerstone of physiotherapy. These exercises strengthen muscles, improve flexibility, and restore functional movement.

Electrotherapy Modalities like ultrasound, TENS (Transcutaneous Electrical Nerve Stimulation), and laser therapy are used to reduce pain and promote healing.

Dry Needling A technique that involves inserting thin needles into trigger points to release muscle tension and alleviate pain.

Heat and Cold Therapy The use of heat packs or ice packs helps manage inflammation and pain, particularly in acute conditions.

Education and Counseling Physiotherapists educate patients about their condition, posture correction, and lifestyle changes to prevent recurrence of issues.

Conditions Treated Through Physiotherapy in Padur

Physiotherapy is effective for a wide range of conditions, including:

Sports Injuries: Strains, sprains, and ligament tears.

Post-Surgical Recovery: Especially after joint replacements or spinal surgeries.

Chronic Pain: Conditions like fibromyalgia and chronic lower back pain.

Neurological Disorders: Stroke, cerebral palsy, and balance disorders.

Respiratory Issues: Physiotherapy can help manage conditions like asthma and COPD.

Choosing the Right Physiotherapy Center in Padur

When looking for physiotherapy treatment in Padur, consider the following factors:

Reputation: Look for clinics with positive reviews and testimonials.

Specialization: Choose a clinic that specializes in your specific condition or injury.

Convenience: Ensure the clinic is easily accessible and offers flexible appointment schedules.

Facilities: Check if the clinic is equipped with modern tools and adheres to high standards of hygiene.

The Future of Physiotherapy in Padur

With the increasing awareness of the benefits of physiotherapy, Padur is witnessing a surge in demand for these services. The integration of technology, such as virtual consultations and tele-rehabilitation, is making physiotherapy more accessible. Moreover, collaborations between physiotherapists and other healthcare providers are ensuring comprehensive care for patients.

Conclusion

Physiotherapy is more than just a treatment—it’s a journey toward better health and an improved quality of life. For residents of Padur, the availability of advanced physiotherapy treatment in Padur ensures that professional care is always within reach. Whether you’re dealing with an injury, a chronic condition, or simply want to improve your physical well-being, physiotherapy can provide the support and guidance you need.

Investing in physiotherapy is investing in your health, mobility, and independence. With dedicated professionals and cutting-edge techniques, the physiotherapy centers in Padur are equipped to help you achieve your health goals, one step at a time.

[covid-safer-hotties]

Reference added to our archive (Daily updates!)

This could help explain why there is currently no functional treatment for persistent cough following covid.

Abstract Monocyte-derived alveolar macrophages drive lung injury and fibrosis in murine models and are associated with pulmonary fibrosis in humans. Monocyte-derived alveolar macrophages have been suggested to develop a phenotype that promotes lung repair as injury resolves. We compared single-cell and cytokine profiling of the alveolar space in a cohort of 35 patients with post-acute sequelae of COVID-19 who had persistent respiratory symptoms and abnormalities on a computed tomography scan of the chest that subsequently improved or progressed. The abundance of monocyte-derived alveolar macrophages, their gene expression programs, and the level of the monocyte chemokine CCL2 in bronchoalveolar lavage fluid positively associated with the severity of radiographic fibrosis. Monocyte-derived alveolar macrophages from patients with resolving or progressive fibrosis expressed the same set of profibrotic genes. Our findings argue against a distinct reparative phenotype in monocyte-derived alveolar macrophages, highlighting their utility as a biomarker of failed lung repair and a potential target for therapy.

[lais-a-ramos]

i usually don't talk about personal stuff, but, since i'm still waiting for the public university that i get my free therapy from to clarify whether the program continues or not, this is a rare venting post ig...

well, earlier today i attended the funeral of one of my paternal aunts.

she died yesterday, and we got the news late at night.

as it's common for many working class Brazilian families, there are, like, 4 houses in the same terrain that belonged to my late grandpa, so, we all sort of lived together, and it was a huge shock for all of us.

other relatives, who live in the same town as us, also appeared to show support.

i overheard a cousin of mine (who is younger than me and recently lost her own mom to breast cancer, which just shows how strong she is to come back to the place she grew up to support the remaining aunts, one of which is her grandma) saying this aunt died of pulmonary embolism, after she was diagnosed with pneumonia last week.

my dad also said something earlier this week about lung damage, if i remember correctly.

me and my big sis, we suspect that this aunt either got covid or was suffering from the consequences of long covid, since she was looking weaker and more fragile in the past 2,3 years or so.

but, since the health unit she was admitted has a pretty basic infrastructure, as it's common for small towns here, we might never know for sure, bc we don't even know if it occurred to the doctors to get her tested...

i wasn't particularly atached to her, but it's still very painful, bc, with the terrain thing i said above, i still grew up with her and she was a psrt of my childhood...

but, most of all, it's particularly painful bc of the son she left.

he has down syndrome, but, as it's also common for the lives of working class ppl here in Brazil and i assume South America in general, he never had access to the type of multidisciplinary healthcare support that he needed and is a person with high support needs, which means he depended on his mother for almost everything.

in the days she was still at the health unit -- which can't be called a hospital, bc it's this type of unit we call here "unidade de pronto atendimento" and serves to provide medium complexity healthcare -- he frequently asked to my other aunts and relatives when his mom would come back.

he is not completely abandoned, since my other aunts, who helped said aunt to take care of him, are still alive and will take care of him, which is a relief ofc...

but they are also elderly women, and way older than his late mother.

and, most of all, it's been devastating way beyond words to hear the poor guy crying and having panick attacks as these aunts and my other relatives tried explaining to explain to him that his mom won't come back to go to church with him ever...

bc, really, there are no words to describe how terrible it all is...

it's also a pretty average working class Brazilian experience, as you guys can see by the stuff i mentioned above...

and, i don't even know what's the takeaway from this story i'm telling...

i guess it's just to give an insight of what life here in this country can be, you know, besides all the venting and stuff...

(and, YES, i know that other countries on the Global South still got it worse.

in fact, even here in Latin America.

it's just that it's still fucking terrible that we have to endure this type of stuff every day bc of economic inequality and other social issues)

maybe it's just a reminder that life and death are way bigger than all of us idk...

just a reminder of one of those "remember you are mortal" moments that life throws at us sometimes...

yeah, sounds about right.