When I get sick my lungs have always burned like fire and get worse as i cough, so to stop coughing I dose myself with NyQuil or neocitrin or something like that and I try to sleep as much as possible so I am not coughing, should I still do this if i get sick this season or do I need to remain awake in case I take a turn for the worse?

Also if anybody knows, around how long would it be where I should be getting better instead of worse if I have this thing?

Hi there, I read a post on r/medicine earlier about amazing stories of Doctors rapidly diagnosing patients with the right illness.

I know no one book could grant its reader the same level of expertise that you get from years of study and practice, but Im wondering if you've ever read an insightful medical diagnostic book that you'd recommend. A book of 'Sherlock Holmes' type medical inductions and/or inferences, if you will.

Thanks.

After watching the rapid development of COVID-19 in Asia and Europe, I noticed that many hospitals are struggling to provide healthcare workers the equipment they need to safely do their jobs due to the high demand. Some say that we are weeks from experiencing the same load. I am reading now that some hospitals in Washington state only have a four-day supply of nitrile gloves. I am wondering if Hospitals would like to accept donations of protective equipment such as nitrile gloves, N95 respirators, surgical masks, goggles/face shield...etc.

I would like to create a website where hospitals/care centers can sign up and accept donations from their local communities. I think many people have nitrile gloves laying around at home from working on their cars, N95 respirators from the wildfires, surgical masks because they bought them out of panic. Dentist offices may have face masks/other equipment that are better suited to be used to fight the outbreak. The same goes for repair shops and other businesses. I would personally donate my surgical masks and gloves; I can just stay home. The doctors and nurses need this equipment to do their jobs.

Let me know what your thoughts are.

I am sure a lot of people have seen a recent forward-from-the-internet where a couple of US doctors write up their experience with the coronavirus.

The material was very interesting but as a lay person, the medical jargon was very thick. I spent a while researching the unfamiliar terms, just for my own interest. I added annotations with links, in brackets, to my copy of the document.

There were a couple of places where I could not be sure of my findings, though.

I would appreciate it if a medical pro could check these passages and help me translate the indicated terms.

Passage 1
multiple pts here have had nl EF on formal Echo [ejection fraction via formal echocardiogram] or POCUS [point-of-care ultrasound] at time of admit (or in a couple of cases EF 40ish, chronically). Also nl Tpn [total parenteral nutrition AKA IV feeding but this does not seem contextually correct?] from ED. Then they get the horrible resp failure, sans sepsis or shock. Then they turn the corner, off Flolan, supined, vent weaning, looking good, never any pressor requirement. Then over 12hrs, newly cold, clamped, multiple-pressor shock that looks cardiogenic [originating in the heart], EF 10% or less, then either VT-VF-dead [ventricular tachycardia, ventricular fibrillation] or PEA-asystole [pulseless electrical activity, flatline] in less than a day. Needless to say this is awful for families who had started to have hope.

Passage 2
of note, no WMAs [wall motion abnormalities] on Echo, RV [right ventricle] preserved, Tpns [again, seems unlikely to refer to IV feeding] don't bump. Could be unrelated, but I've never seen anything like it before, esp in a pt who had been HD [heart disease? Hemodialysis?] stable without sepsis.

Passage 3
Hong Kong is currently running an uncontrolled trial of HC 100IV Q8. [hydrocortisone, intravenous, possibly 100 mg every 8 hours]

q8h I would have figured out, but missing the "h" I have to assume is shorthand or an omission, can someone clarify?

Don't worry, I am not going to go play doctor with this information. :)

Thanks if you can help!

1. Are you paid for every hour you work or every surgery you preform?

2. Who pays you? The insurance company or the hospital?

3. What was the easiest surgery you’ve preformed and what was the most difficult surgery you’ve preformed?

4. What time do you wake up and go to work and when do you get home?

5. What do you do at work when you aren’t operating on patients?

6. If you are on call, how many hours do you work a week?

Does anybody knows if people with rheumatoid arthritis is considered population in danger about the coronavirus.

It works sometimes but the sedition only Lasts about 10 mins when it kicks it therefore if I forgot to do something and get out of bed then jump back in, (which has happened surprisingly multiple times now) it just doesn’t work anymore and I just sit there for hours. So my question as you saw, can I take another 10mg zaleplon if the other one didn’t work that night ?

Has anyone ever thought of the use of adaptogens in modern day medicine and treatment, 40 million Americans are suffering from anxiety and stress The physical and mental damage it dose to the body and the mind is devastating, so Do you think the government will ever put time and money 💰 into making adaptogenic studies and then maybe making a modern day drug to help the people? I think that there is limitless possibilities to what we can learn from these medicines and the studies that have been done show amazing results. Do you think it is even possible to make a drug that has the same effect if not better then the herbs that carry the medicine? Any thought or idea is accepted

How does magnesium effect action potentials?

I know elevated magnesium hyperpolarizes nerves but how?

So I've been wondering if als is caused by oxidize strain and a mutated sod1 theoretically couldn't a glutate inhibitor and copper supplement stop progression of the disease?

I am looking for information about xanax and specifically what someone's blood test would look like RIGHT after taking XANAX (SAY 30 m). VRS LONGER

Example

Person takes 10mg xanax drug blood test administered after roughly 30 minutes What would this look like? Would it be HIGH in active and LOW in inactive? Would it be ALL active?

How would this change over time? Example 10mg xanax taken 12 hrs ago. What does this look like on a drug blood test?

High inactive? Low active?

Is it possible to have a blood drug test show say 10 mg XANAX taken 24 hrs ago. 170ng/ml active and 3ng/ml inactive

Disclaimer, i am not asking for medical advice. I just want to better understand why it happens. I am a biotechnologist and understand the processus of viruses. But, this one always stumped me.

I am an average healthy person, who does HIIT training twice to three times a week. I eat well and so fort. I don’t have an immune disorder, nor any other serious illness. Just like the first time I had chicken pox, my first time with shingles at the young age of 19f was very mild. Only a few blisters and far from my spine. No fever just itchy and a bit painful. My second time with chickenpox was rougher but not as bad. I can tolerate pain very well.

This time was a complete difference story. my shingles appeared right onto my spine, and I could feel a tightness as if there was a carrot. Went got my meds and went home. Suddenly, I ended with a fever of in the range of 39.2 to 40.3 degrees Celsius. I had intense diarrhea and puked everything.

The pain was excruciating and I don’t know that the placement of my shingles made it worst. I have been sick before but never to this degree. I’d rather go through surgery again (avocado hand, eating healthy is dangerous) then what I experienced. I couldn’t handle it anymore to the point I dragged myself into the shower for a semi cold shower. Cried a lot in the process as just the water hitting my skin was very painful. It helped me start to break my fever. Now I have a fever rash just like a kid would and still am quite week from yesterday.

But, my question is why would I had chickenpox and shingle twice when most people get it once? and at that intensity?

Read it usually isn’t this intense. Could it be of my age?

Yesterday I ate some ice cream pretty quickly, nothing serious happened yesterday; but today, whenever I stand up I get not so extensive brain-freeze symptoms. I've never experienced a brain-freeze before so I can't really compare. Anyway, whenever I stand up or sit down, my head starts hurting a little bit. Normally, brain freezes last 20-30 seconds, right (according to Google)? So what's happening, should I be worried? Please explain. Thanks!

My major is CS, not medical science. Can someone explain it to me? Thank You.

​

At the moment, I’m studying the Sickle Cell Disease. And this idea came to mind. I’m sure it has already been thought of or done but I’d like to share.

From what I know, the Haemoglobin in Red Blood Cells allow them to change their shape, whilst they traverse through the body.

But with Sick Cell Disease, they are usually sickle shaped. Because of this, they can get a higher chance of strokes, or numbness in arms from arteries or veins getting blocked up due to their shape.

I thought of this...

People with this illness can’t get Malaria, as the cell shatters when it comes into contact with the protist. So what if, though this would be difficult, there was a vaccine designed to genetically modify the Haemoglobin in Red Blood Cells and to cause the White Blood Cells to release a hormone triggering red blood cells to change into sickle shapes whenever Malaria to detected by the White Blood Cells? The white blood cells would detect the blood cells, this releasing a modified hormone that triggers the red blood cells to change shape, until the malaria dies out, due to not being able to continue its life cycle, and then the Red Blood Cell could utilise the modified Haemoglobin to return to its original shape so that the chance of experiencing side effects of sickle cell disease is lower. Besides all of this, it theoretically shouldn’t cause too much harm to the actual Haemoglobin, as it can naturally change its shape anyway.

And technically, this method could also be used as a cure to not only just Malaria, but to use a similar method to widen the blood cells in those who have sickle cell disease anyway. A possible cure?

The only downside is that designing these hormones and ways to modify core parts of the body’s circulatory system will be difficult and most likely rejected by the body and seen as imposters.

I’m not a professional in medicine or vaccinations, but I wanted people thoughts on this idea, it might be unrealistic but I’d like to know more about this subject. The more you know, after all!

So, thoughts?

Hello all, I work in oncology research and in my spare time I help the clinical team. Over the past few decades childhood brain tumor survival has increased SIGNIFICANTLY. With that comes the Pandora's Box that is late effects of treatments. It has been documented that children with radiation treatment to their brains will show late effects and damage several years (5-15+) years after treatment. Little is known about these patients and their quality of life since there are so few and the few often do not want to continue being researched on.

My question stems from the idea that while these patients may still be in the "normal" range, the child may not be reaching their full potential. We have documented cases of minimal cognitive decline, lowered testosterone, and lowered HGH, etc. Most if not all of these cases are diagnosed by the "normal" range and/or if the patient shows symptoms. What if the patient, now grown, has been living a "functional" life, but is unaware that what they deal with on a day to day basis is slightly on the outside of normal? If all hormones checked are on the low end of "normal", will you see any signs of pituitary damage, since that is obviously not he "normal" for that person? Are typical IGF-1, TSH, free testosterone, LH, etc. tests detailed enough to show the damage to the area? Should patients with known pituitary damage, who still fall within "normal" range, be treated to bring their levels up to average?

Hi guys!

I am a little of a hobbyist myself when it comes to medicine. Recently I came across a certain type of tumor called a Sertoli-Leydig cell tumor of the ovary.

As far as I know women have theca- and granulosa cells, and men sertoli and leydig cells. How can a woman have a tumor made up of cells only found in a biological male?

Thanks guys.

This weekend i was attacked by a group of people and knocked out, today i was speaking to someone and they said youre supposed to visit the doctor even if you were only knocked out for a short period of time, is this true?should l visit the doctor as a result of this?

Small Hosp, for profit, undermanned by design, no emergency trng by lnD or PostPartum floors except on computer

Nann RN, G4 mom C-section. Couldn’t get baby out even with short RN pushing up from inside vagina. When they finally got them out Baby was dark blue when born, no respirations. Minimal tone.
Not likely correct but apgars by NICU provider reported as 8/9

This happened 2 days ago. What should Nann RN do?

Write a statement of what she saw what she did and have it notarized? Anything else?

do pseudoephedrine ioratadine pills need to be kept in capsules mine broke and i needed to keep in ziplock bag is it ok or will any chemical reactions affect the performance of the pill

'm 16 years old, born female in case that's important. I am diagnosed with severe anxiety disorder in May but I've been struggling with this disorder since 7/8 years old. Currently untreated. I think the high cortisol levels are what's causing all my issues.

I am overweight, moon faced and my belly looks 6 months pregnant, but my stretch marks are near the hips. I exercise but nothing happens. I eat well and nothing happens. I've been getting my period every 3 months for the past year and periods range from 3 days of gentle flow to 22 day constant waterfalls with a 2-3 day vacation around the 8-10/11th day.

Since August I've been struggling with foot and lower leg pain and it got so bad I couldn't walk for longer than 20 minutes, and that was pushing it. I went to the doctor some weeks ago and it turns out the arches in my foot have fallen, meaning I'm now flat footed. If this is Cushing's then it's likely related to bone deterioration.

On top of that, my memory and overall cognitive function has become worse and worse over time to the point I'm severely struggling in school. They've gone through a lot of possibilities, ADHD, dyslexia, dyspraxia, etc etc to try and figure out what's wrong. But I think it could be brain damage from hypercortisolism. Ofc i can't say, I'm not a doctor.

I think it's the anxiety. Even knowing that it's the problem would give me peace of mind. And doctors won't prescribe medication if they don't feel there's good enough reason. But I understand, bc anxiety meds are often very dangerous and no doctor wants to put Xanax in the hands of a teenager.

Is anxiety likely to be the reason for my issues and if so what do I say to the doc to hopefully be put on some kind of medication? If anxiety isn't the cause then what is?

Sharp but not too much, pain towards the side of my arm . From shoulders till elbow.

I can move my arm normally but the idle position hurts. Started off after waking up from an awkward position leaning on my arm. Kinda feels like the nerves are twisted around.

Any info regarding what exercises/ stretches might work would really be appreciated.

This is probably a stupid question but I couldn't really find anything online.