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A Ventricular fibrillation time lapse!

12/8/16
  • When she says "I'm fine" she really means: TAYLOR FUCKING SWIFT JUST DROPPED A SONG WITH FUCKING ZAYN ON A SCHOOL NIGHT!!! IM JUST TRYNNA DO MY DAMN HOMEWORK AND CHILL FAM AND THEN MY MOTHER SENDS MY HEART INTO FIBRILLATION LIKE THIS (studying 4 anatomy currently)!!!!! Wtaf... wtf... W T A F.... THEN THIS BITCH COMES BACK TO TUMBLR AFTER 7.MONTHS.IM SO CONFUSED!!!! IM JUST TRYNNA LIVE MY LIFE IN PEACE WOMAN! WHY YOU GOTTA ATTACK ME LIKE THIS?!?!

kvestori  asked:

I have a question about basic medical care in a post-apocalyptic / zombie apocalypse setting. What kind of things would be the most important to acquire? And what kind of substitutes could you use, like vodka for cleaning wounds. You said earlier that asthmatics would be hard hit, I assume other chronic illnesses too, diabetics to name one? (Thank you for the blog! It's so great.)

Hey there! Yeah, asthmatics are in trouble, as is anyone with significant allergies, including anaphylaxis. Type I diabetics will die very quickly after the event, within a few weeks if they don’t have their meds. Type II diabetics will survive a lot longer. For one, the apocalypse will probably require them to get a lot of physical exercise; for another, diet may or may not improve if they’re eating out of farms (after the supplies of carbs run out).

People with thyroid disorders and atrial fibrillation are in trouble too, the first because people may be unable to control their heart rates and metabolism, the second because they’re now going to be prone to throwing clots, which can cause strokes. HIV+ people might last a few months, though it might be less.

Generally, any event involving mass die-offs will weed out the young, the old, the sick and the weak.

As to what people would hoard? Individuals will generally hoard anything they or their family members will need. If I were raiding a hospital in the first few days, I would probably hit up stuff like analgesics (painkillers) of all types including over-the-counter stuff, antihistamines, adrenaline (for allergic reactions), and a good set of broad-spectrum antibiotics. Insulin; I personally don’t need it but it would be invaluable as a trade. Generally I would avoid anything that someone would need every day for years; realistically, the stock on hand won’t be enough to keep them alive forever.

If I had the carrying capacity, I would take a WHOLE LOT of IV fluids, start kits, needles, bandages, scalpels, iodine, a handheld ultrasound (if they’re there and I have reason to think I can get electricity)…. hmm. That’s all I can think of off the top of my head, but I’m sure there’s more; if I think of something I’ll reblog this with the additions.

Thanks for the ask! xoxo, Aunt Scripty.

Babe: every time I see you, my heart skips a beat

Roe: how often does that happen?

Roe: do you feel heaviness in the chest? do headaches come and go? does the pain reach the neck?

Babe: Gene, I -

Roe: how about shortness of breath?

Babe: well, you certainly take my breath away too, but that’s not the-

Roe: dear God, I need to take you to the hospital

Roe: this could be atrial fibrilation-

Babe: Gene

Roe: …or premature ventricular contractions-

Babe: Gene

Roe: -…i don’t know your family history on heart diseases but you should call your father and-

Babe: EUGENE LISTEN TO ME

Roe: -…I need to take blood tests as well as cardiogram- 

Babe: oh my god

First Do No Harm.

As doctors, we can’t help patients who won’t help themselves. Like my patient, Maisy Leland. She has a condition known as atrial fibrillation, meaning her heart rhythms are irregular in a way that could induce blood clots. Left untreated, she could stroke out at any second. That’s why I’ve prescribed her with warfarin, a blood thinner that makes her less prone to clotting.

The problem is, Maisy Leland is what we call a non-compliant patient. It doesn’t matter what wonder drug she’s prescribed if she won’t take her medications regularly. She won’t admit to it, but her alarmingly low INR tells the whole story.

Her husband, a gorilla of a man, brought her to the appointment, mumbling about his time wasted. “Well doc, tell the silly bitch what’s wrong with her.” He barked a laugh, his grip firmly on her shoulder. Maisy Leland said nothing to her husband’s silent gloat of how he could get away with hurting her with no bruises.

“Ms Leland, as your physician I am concerned. Your bloodwork hasn’t shown any improvement. If warfarin doesn’t work, we’ll have to consider more expensive options.”

“Who’s gonna pay for that?” Her husband demanded. “Maisy, you stupid bitch! Haven’t you cost me enough money?”

“Do you remember what we’ve discussed last time, Ms Leland?”

Maisy Leland’s pale lips went thin. “Of course. You accused me of not taking my meds.”

“Accuse is a strong word.”

“I’m not senile,” she said as her husband scoffed, “I know how well my medication is supposed to work. I assure you, I never miss a dose.” She looked at her husband. “I’m a very patient woman, doctor. I know it takes time to see full effect.”

“Yes, but for warfarin, we’re talking two to four weeks at most. We’ve been incrementing your warfarin dose for months now, but your readings haven’t shown a tad of improvement. In fact, I’ve never seen even a grown man take this much warfarin without bleeding out sooner or later. But going by your INR, it’s like you’ve never taken a single pill to begin with.”

Maisy Leland’s lips practically lost dimension. “I wouldn’t worry about it, doctor. Like I said, I’m a very patient woman.”

I sighed. No doctor in the world can help a patient who won’t help themselves. “In that case, we’ll try upping the dose again. If your INR shows no improvement in two weeks, we’ll talk alternatives, okay?”

She agreed.

“Goddamn, Maisy,” her husband snarled, “your messed up heart is gonna bleed me dry one day.”

As they let themselves out, Maisy Leland’s husband turned to me. “And doc, those vitamins you had Maisy get me? You’d better make damn well sure it’s covered by my insurance this time.”

I met Maisy Leland’s petrified gaze. Well, damn. She’s a very patient woman, alright.

“Of course,” I finally said, “I’ll see to it.”

As doctors, we can’t help patients who won’t help themselves. That’s why we’ll do everything to help those who do.

First Do No Harm

Estimated reading time: Less that or equal to 5 minutes. Story Source. This story is not necessarily scary. 

As doctors, we can’t help patients who won’t help themselves. Like my patient, Maisy Leland. She has a condition known as atrial fibrillation, meaning her heart rhythms are irregular in a way that could induce blood clots. Left untreated, she could stroke out at any second. That’s why I’ve prescribed her with warfarin, a blood thinner that makes her less prone to clotting.

Keep reading

Valentine’s day,
the day I usually dread the most, with my heart wrenching, writhing, withering with the sadness of a hole that can’t be filled: always desperately dreaming of a day love will come and heal.

Now the truth of it all, the missing parts of my untold story:

Valentine’s day,
You promised to see me that day, what is now a year ago.
I had only seen you two days before, after that magical night under the stars, where you told me how much I meant to you, where you didn’t want any of it to end at all.

You promised to see me on Valentine’s day, you were dying to see me that day, you said, messaging me constantly, counting down the hours until our hearts met again. Every message brimmed with heart-fibrillating excitement, it seemed you couldn’t wait any moment longer for those small hours to pass, where we’d come together, at last.

Valentine’s day,
You weren’t there. You didn’t even call. You were so excited, ever constantly, in those forty-eight hours just before. When I tried to reach out to you, a cold, bitter darkness swept over me, for you were distant, suddenly apathetic, and uninterested as can be. Some silly excuse, you prattled away, of why you couldn’t even have been bothered messaging me that day.

I told myself that it was fine, that maybe you had a bad day, everyone goes through that sometimes. But as the weeks flew by, cold silence was all I received, and in a last act of hope I reached out to you, only to be met with the strange sudden isolation, that cold distant numbness from you: the kind that seemed to wish I wasn’t there, the kind that screamed you really didn’t care.

Where did I go wrong, if I went wrong at all? You were so excited only two days before. We had known each other for a long while up until that point; could I really have done something to sever everything so quickly? But truthfully, that experience taught me so much about love: how to see with eyes open instead of eyes shut. For you were never what I thought you to be, and I was so silly, I should have been thinking more of me.

But now I know, a year has passed, I won’t be seeing you again
(whether you try to crawl your way back or not, again).
It’s all in the past,
I just need to let it go,
and understand that you were all just for show.
—  The Untold Story Of You// Musings By Moonlight

ravynheart22  asked:

Just imagine: Feli having some sort of heart problem (I googled and I think Atrial fibrillation would work) and not telling Ludwig (cus he was already babied enough ) so he has to go to the clinic during training because he gets dizzy or something and Feli freaking out about how Ludwig will react because he kept it secret.

Oh Shiz 

The Signs as Cardiac Rhythms
  • Aries: Normal Sinus Rhythm
  • Taurus: Ventricular fibrillation
  • Gemini: Ventricular tachycardia
  • Cancer: Atrial flutter
  • Leo: Torsades des Pointes
  • Virgo: Asystole
  • Libra: Junctional tachycardia
  • Scorpio: Wandering Atrial Pacemaker
  • Sagittarius: Sinus arrest
  • Capricorn: Bradycardia
  • Aquarius: 3rd degree AV block
  • Pisces: Atrial fibrillation

Medical Mnemonics// Causes of atrial fibrillation (characterised by absent P waves on an ECG) can be remembered using the mnemonic PIRATES.

If you like my posts, please consider taking the time to visit toho-medblr.com on your desktop and clicking on the ads, I’ve recently installed google adsense. It feels a bit cheeky, but means you’ll be seeing more original content on this blog.

First Do No Harm

As doctors, we can’t help patients who won’t help themselves. Like my patient, Maisy Leland. She has a condition known as atrial fibrillation, meaning her heart rhythms are irregular in a way that could induce blood clots. Left untreated, she could stroke out at any second. That’s why I’ve prescribed her with warfarin, a blood thinner that makes her less prone to clotting.

The problem is, Maisy Leland is what we call a non-compliant patient. It doesn’t matter what wonder drug she’s prescribed if she won’t take her medications regularly. She won’t admit to it, but her alarmingly low INR tells the whole story.

Her husband, a gorilla of a man, brought her to the appointment, mumbling about his time wasted. “Well doc, tell the silly bitch what’s wrong with her.” He barked a laugh, his grip firmly on her shoulder. Maisy Leland said nothing to her husband’s silent gloat of how he could get away with hurting her with no bruises.

“Ms Leland, as your physician I am concerned. Your bloodwork hasn’t shown any improvement. If warfarin doesn’t work, we’ll have to consider more expensive options.”

“Who’s gonna pay for that?” Her husband demanded. “Maisy, you stupid bitch! Haven’t you cost me enough money?”

“Do you remember what we’ve discussed last time, Ms Leland?”

Maisy Leland’s pale lips went thin. “Of course. You accused me of not taking my meds.”

“Accuse is a strong word.”

“I’m not senile,” she said as her husband scoffed, “I know how well my medication is supposed to work. I assure you, I never miss a dose.” She looked at her husband. “I’m a very patient woman, doctor. I know it takes time to see full effect.”

“Yes, but for warfarin, we’re talking two to four weeks at most. We’ve been incrementing your warfarin dose for months now, but your readings haven’t shown a tad of improvement. In fact, I’ve never seen even a grown man take this much warfarin without bleeding out sooner or later. But going by your INR, it’s like you’ve never taken a single pill to begin with.”

Maisy Leland’s lips practically lost dimension. “I wouldn’t worry about it, doctor. Like I said, I’m a very patient woman.”

I sighed. No doctor in the world can help a patient who won’t help themselves. “In that case, we’ll try upping the dose again. If your INR shows no improvement in two weeks, we’ll talk alternatives, okay?”

She agreed.

“Goddamn, Maisy,” her husband snarled, “your messed up heart is gonna bleed me dry one day.”

As they let themselves out, Maisy Leland’s husband turned to me. “And doc, those vitamins you had Maisy get me? You’d better make damn well sure it’s covered by my insurance this time.”

I met Maisy Leland’s petrified gaze. Well, damn. She’s a very patient woman, alright.

“Of course,” I finally said, “I’ll see to it.”

As doctors, we can’t help patients who won’t help themselves. That’s why we’ll do everything to help those who do.

I need Cristina Yang to check my fucking heart because I might have a  ventricular fibrillation or some shit like that right now because of Taylor Swift and Calvin Harris. 

Behind the Medic: I don't usually get updates from my urgent care patients if everything went well...
  • Cranquis Boys (running amok in the grocery store): I want this kind of pasta! Can we get some applesauce?
  • Woman (walks past, then double-takes): Oh, you're Dr. Cranquis! You don't remember me, but 3 years ago... [insert story here]... and I just wanted to thank you for how you figured out I was having atrial fibrillation, my cardiologist said I'm doing great now!
  • Cranquis (awkwardly humble): Oh well, sure, my pleasure, thanks for the update!
  • Cranquis Boys: Dad why did that lady want to talk to you?
  • Cranquis: Well, I helped her a while ago and --
  • Woman #2 (walks past, double-take): Oh hello, aren't you Dr. Cranquis?
  • Cranquis: Y-yes?
  • Woman #2: It's so nice to see you! Do you remember, you stitched up my finger after I cut myself cooking the Thanksgiving meal last year?
  • Cranquis (no I don't): Oh sure! No accidents this year?
  • Woman #2: Nope, I'm doing fine, thank you again!
  • Cranquis: Oh well, sure, my pleasure.
  • Cranquis Boys: Dad how come everybody knows you in the store today?
  • Cranquis: I have no idea, but I'll be wearing this paper bag over my head for the duration. Go find the applesauce.
Hearts all around

I’m rewatching the episode right now but I needed to pause to talk about this thing.

Harold had just had heart replacement(correction here) surgery, Arthur had “a broken heart” and they assumed Mildred would be the next one because of her atrial fibrilation. What all those have in common is that their vulnerability was their heart, so why was Dean vulnerable then?

Because of matters of the heart of course. There is an extraneous force calling for his heart, making him feel an attraction that scares him and that he doesn’t want. And when he confided this on someone close to his heart, he was told that it may be a good thing they could use to their advantage, instead of receiving the support and understanding he expected. There’s also the fact that unbeknownst to him he just confesed all his intimate fears to an enemy who will no doubt take advantage of that knowledge and unscrupulously use it to further his own goals. There is our Dean’s very vulnerable heart at the moment.

It’s also interesting to see how he was paralleled to the other three vulnerable hearted people this episode.

Stealing Harold’s viagra (just like he had stolen it from other people before) is yet another symbolic nod to Dean getting old. When Dean says “Maybe we oughta make a reservation” when they’re arriving to the retirement home, the camera very blatantly pans down to focus on the picture of the old happy couple staring out at the sea.

Arthur’s broken heart is due to his emoji-loving wife having just left him, and not returning his calls. He also would like to have sent her the heart, tell her how he really feels, but he can’t help being rougher than that to her. Now, I don’t know why, but this kinda reminds me of someone who has just left and isn’t giving any signs of life, and who Dean has some trouble showing his appreciation to¿? I’m just saying, maybe Cas said yes because Dean keeps sending poop emojis when actually he meant to send the heart.

[gif source]

And then we have Mildred, who told him to follow his heart, and was able to see that there’s someone else he’s pining for.

Now, knowing all those very interesting things about Dean’s heart, I would say his vulnerablity is as much about Amara as it is about his pining for Cas and his worry for whatever is going on with him, and even in a foreboding sense, the fact that he exposed his heart to a dangerous enemy and he doesn’t even know it yet.