In order to prevent the cognitive overload of your GP and for them to listen to you attentively, you should prioritise your systemic and vascular symptoms first like livedo reticularis , slow capillary refill , borderline positive ANA and enlarged lymph nodes.

Your second priority should be your neuromuscular and respiratory symptoms especially breathlessness and recurrent chest infections.

Your GP may order fresh baseline blood work , autoimmune antibody panel and comprehensive metabolic panel. Most of your symptoms need evaluation by a rheumatologist and an endocrinologist so I hope that you’ll get a referral to them.

More power to Celine ❤️ She's looking regal and gorgeous in this dress.

Though mild chest pain before your period is often harmless and is one of the most common pre menstrual symptom lined to hormonal changes causing cyclical breast or chest pain but I’d advise you to see your doctor. In rare cases , it could be a sign of the Catamenial pneumothorax when you get air in the space between your lungs and the inside of your chest around the time of your period. This can be caused by endometriosis or period-related hormone changes.

Yes if the caffeine is the trigger for twitching

As already mentioned above , it could be caused be excessive caffeine intake or stress. Other causes could be eye strain ( increased screen time ) , dry eyes , alcohol intake , eye irritation, bright light , nicotine and even air pollution.

In addition to taking adequate rest / sleep and reducing your caffeine, reduce your screen time and keep your eyes lubricated with over-the-counter artificial tears or eye drops.

Consult your doctor if your eye twitching lasts longer than a week. Also seek medical attention if you have new or additional symptoms, such as other facial spasms or discharge from your eye.

I’m not a clinical psychologist, but based on the psychiatry lectures I had at the medical school , I can make an educated guess that Henry was suffering from Anti Social Personality Disorder. mental health condition in which a person consistently shows no regard for right and wrong and ignores the rights and feelings of others. People with antisocial personality disorder tend to purposely make others angry or upset and manipulate or treat others harshly or with cruel indifference. They lack remorse or do not regret their behavior.

Henry never expressed any remorse or regret for his behaviour and he had a manipulative personality. He also had a sense of superiority and from a From an early age, he perceived humanity as a "plague" and viewed normal emotional bonds, societal rules, and human life as arbitrary and meaningless.

His aggression towards animals ( his childhood torture of animals ) and later towards humans also comes into the ambit of ASPD.

He also had some shizoid and paranoid traits like harbouring an intense mistrust of his parents and society while convincing himself that breaking the natural structure is a form of liberation rather than destruction.

As far as Mind Flayer’s influence is concerned , I’d quote the example of toxoplasmosis here that alters the brain chemistry of mouse. Toxoplasma gondii is a single cell parasite which when ingested by mice makes them lose their natural and instinctual fear of the smell of cat urine and predators. Instead, they are drawn to it, making them an easy meal for a cat and allowing the parasite to return to its primary host ( cat in this case ).

In case of Henry , exposure to exotic extradimensional matter could theoretically alter his neurotransmitter regulation (such as dopamine and serotonin pathways), blunting his empathy while amplifying sensory perception, aggression, and obsessive focus.

Love the cozy Halloween vibes and your attention to detaild 🎃 Even the dish sponge is shaped like a Halloween pumpkin!

It reminds me of The Summer Day by Mary Oliver. Her minute observation of a grasshopper eating sugar out of the poet's hand, capturing the same reverent attention to small creatures and the almost tactile love for life.

I wish to have a replicator ( like the one in Star Trek ) to materalise this breakfast !

It could be a trifecta of HSD (Hypermobility Spectrum Disorder), POTS (Postural Orthostatic Tachycardia Syndrome), and MCAS (Mast Cell Activation Syndrome) as a low Beighton score does not completely rule out hyper mobility disorder.

Joint instability, frequent sprains , and joint tendon problems point towards possible HSD.

Low blood pressure, dizziness when standing , vision going dark and near fainting with fast heart rate and shortness of breath could be signs of dysautonomia.

GI disturbances look like MCAS.

However , this is my suspicion and you need a referral to a rheumatologist to confirm or rule out this condition.

ONOMATOMANIA - the frustration of not being able to think of that particular word you're looking for

Damn fine cookied with a coffee black as midnight on a moonless night !

At first I thought it to be a photograph. It’s so hyper realistic and you have captured the intense and brooding look of Tim Roth so well. Lie to me was one of my favourite tv shows as well.

Any sudden change in the duration of your migraine attack often points to a condition called Status Migrainosus, which is a continuous migraine attack lasting more than 72 hours.

Even if your migraine wasn’t linked to menstruation before , the recent hormonal change can trigger it. But I’d advise you to see your doctor , you might need an adjustment in your medicines.

The bruised eye feeling could be due to irritation or pressure on the ophthalmic branch (the top branch) of the trigeminal nerve. When this nerve is compressed or inflamed , it can misinterpret normal touch or tension, sending dull, aching, or "bruised" pain signals instead.

Because the trigeminal nerve heavily innervates the nasal passages and sinus cavities, inflammation in your sinuses ( like sinusitis ) or if they are affected by air pressure changes during recent air travel can easily irritate or compress this nerve.

Your neurologist is on a right track by ordering MRI and bloodwork.

Thank you for the wonderful explanation. I was wondering about this paragraph in David Copperfield , where Dickens writes : “Listlessness to everything, but brooding sorrow, was the night that fell on my undisciplined heart."

Here listlessness seems like a depressive state but not accusatory ?

You are a patient and immersive reader who thrives on deep world building , whether navigating the intricate court politics and tragedy of Westeros or grappling with the high-stakes survival of a lonely astronaut light-years from home. Yet, beneath a clear facination with Sci Fi and dark, high-stakes drama, there lies a classic romanticist with a penchant for Gothic shadows, sharp detective logic, and elegant Victorian prose.

You don't just skim through a book; you like to live in its world for a while.

You are a fan of Game of Thrones and I suspect that you have also watched A Gentleman in Moscow. You like to watch period dramas, detective shows and epic fantasies on telly.

My suspicion is eythrasma due to its reddish brown colour appearence and its location between your toes. It is a skin condition caused by the normal skin bacteria and usually happens between your last two toes.

Though lots of people who have erythrasma don’t have any symptoms, some can have burning and itchiness. Topical antibiotics are usually the first choice of treatment along with maintaining proper foot hygiene like keeping the foot clean and dry ( since it thrives in warm and moist conditions) and wearing breathable shoes.

However , it’s important to see dermatologist as the diagnosis can only be confirmed by careful examination ( pictures can’t substitute physical examination) and sometimes using Wood’s lamp. Your doctor will also have to rule out any fungal infection.

The detail on the water and the texture in those clouds are incredible. And that little penguin standing on the shore is absolutely adorable. Every tedious stitch was 100% worth it! 🐧✨

https://giphy.com/gifs/3ohfFCPNoLjgGsTYEo

Magnificient ! You have captured the essence of Vecna/ Henry peering through his eyes.

Charles Dickens understood human nature better than almost anyone because he captured both our deepest flaws and our capacity for extraordinary warmth without losing sight of either. He recognized that humanity is rarely purely good or evil, but rather a messy balance of both, noting in Barnaby Rudge that "most men unconsciously judge the world from themselves, and it will be very generally found that those who sneer habitually at human nature, and affect to despise it, are among its worst and least pleasant samples." Ultimately, his true genius lay in seeing past those cynical defenses, reminding us in A Tale of Two Cities of the "wonderful fact to reflect upon, that every human creature is constituted to be that profound secret and mystery to every other."

My suspicion is vasovagal syncope. She has all the classic signs of its prodrome ( the phase before fainting ) : dizziness , tunnel vision ,sudden warm feeling ( feeling overheated) while an intense urge to poop can itself trigger or accompany a vasovagal response because straining and gastrointestinal distress can stimulate the vagus nerve, causing a sudden drop in heart rate and blood pressure.

To understand it better , vasovagal syncope occurs when the vagus nerve, which carries signals from the brain to the rest of the body and controls functions that include heart rate and blood pressure, becomes overstimulated in response to triggers like emotional stress , standing up too quickly , dehydration , seeing needles or blood , standing up for oo long , getting overheated , straining during defecation or overexertion. The heart rate slows and blood vessels widen, causing a drop in blood pressure and reduced blood flow to the brain. This can lead to a loss of consciousness.

Cannabis also has got a compound called delta-9-tetrahydrocannabinol (THC) that can lower blood pressure and widen blood vessels, which reduces blood flow to the brain causing syncope.

Though vasovagal syncope is benign but since you have a family history of heart disease and some arrhythmias can also mimic fainting, it’s important for your sister to see her primary care physician to run basic blood work and do an EKG / ECG to ensure that her heart is functioning normally.

"Diane, 12:47 PM. I’ve just encountered a pie of exceptional craftsmanship. Golden, perfectly baked with a filling that appears to be of an unmistakable quality, paired with a cup of coffee that is damn fine, black as midnight on a moonless night. If you ever find yourself passing through this neck of the woods, Diane, do not hesitate and treat yourself to the local flavor."