pacemakers

Let this sink in - a list of pre-existing conditions lost under #Trumpcare: 

Rape, C-section, AIDS/HIV, acid reflux, acne, ADD, addiction, Alzheimer’s/dementia, anemia, aneurysm, angioplasty, anorexia, anxiety, arrhythmia, arthritis, asthma, atrial fibrillation, autism, bariatric surgery, basal cell carcinoma, bipolar disorder, blood clot, breast cancer, bulimia, bypass surgery, celiac disease, cerebral aneurysm, cerebral embolism, cerebral palsy, cerebral thrombosis, cervical cancer, colon cancer, colon polyps, congestive heart failure, COPD, Crohn’s disease, cystic fibrosis, DMD, depression, diabetes, disabilities, Down syndrome, eating disorder, enlarged prostate, epilepsy, glaucoma, gout, heart disease, heart murmur, heartburn, hemophilia, hepatitis C, herpes, high cholesterol, hypertension, hysterectomy, kidney disease, kidney stones, kidney transplant, leukemia, lung cancer, lupus, lymphoma, mental health issues, migraines, MS, muscular dystrophy, narcolepsy, nasal polyps, obesity, OCD, organ transplant, osteoporosis, pacemaker, panic disorder, paralysis, paraplegia, Parkinson’s disease, pregnancy, restless leg syndrome, schizophrenia, seasonal affective disorder, seizures, sickle cell disease, skin cancer, sleep apnea, sleep disorders, stent, stroke, thyroid issues, tooth disease, tuberculosis, ulcers. 

This cannot pass the Senate, too – contact your senators, people!

[Source]


I found this on Facebook:

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If you or a loved one have a pre-existing condition, your insurance premiums and deductibles will skyrocket under the Republican (non) healthcare plan, or may be denied coverage. Pre-existing conditions include, but are not limited to:

AIDS/HIV,
acid reflux,
acne,
ADD,
addiction,
Alzheimer’s/dementia,
anemia,
aneurysm,
angioplasty,
anorexia,
anxiety,
arrhythmia,
arthritis,
asthma,
atrial fibrillation,
autism,
bariatric surgery,
basal cell carcinoma,
bipolar disorder,
blood clot,
breast cancer,
bulimia,
bypass surgery,
celiac disease,
cerebral aneurysm,
cerebral embolism,
cerebral palsy,
cerebral thrombosis,
cervical cancer,
colon cancer,
colon polyps,
congestive heart failure,
COPD,
Crohn’s disease,
cystic fibrosis,
DMD,
depression,
diabetes,
disabilities,
Down syndrome,
eating disorder,
enlarged prostate,
epilepsy,
glaucoma,
gout,
heart disease,
heart murmur,
heartburn,
hemophilia,
hepatitis C,
herpes,
high cholesterol,
hypertension,
hysterectomy,
kidney disease,
kidney stones,
kidney transplant,
leukemia,
lung cancer,
lupus,
lymphoma,
mental health issues,
migraines,
MS,
muscular dystrophy,
narcolepsy,
nasal polyps,
obesity,
OCD,
organ transplant,
osteoporosis,
pacemaker,
panic disorder,
paralysis,
paraplegia,
Parkinson’s disease,
pregnancy,
restless leg syndrome,
schizophrenia,
seasonal affective disorder,
seizures,
sickle cell disease,
skin cancer,
sleep apnea,
sleep disorders,
stent,
stroke,
thyroid issues,
tooth disease,
tuberculosis, and
ulcers

Republicans in Congress have exempted themselves and their staff members from losing the ACA protections that cover pre-existing conditions.

Actual things said to me by health care professionals while working as a healthcare professional

You can’t be in pain, you laughed at someone’s joke.

You were fine yesterday, you must be faking.

Migraines and asthma attacks are 100% preventable. You only get them because you want to cause drama.

During an asthma attack: I can hear you wheezing when you breathe. Stop being so dramatic. 

About being incapacitated by a migraine: We handle our little headaches like adults here. 

You need to stop it with the health problems. It worries people, and that disrupts their work flow. 

anonymous asked:

Hello aunt scripty, this may be a really dumb question because it may or may not exist, but has there been a case of anyone that lived with two hearts? If so how do you think it would work? How would it work during CPR/etc? Would having two hearts hinder anyone? Would it pump too much blood because of two hearts!? (Doctor Who, amirite?) Haha... nope, jk, as much as I'm a fan, I'm just asking out of pure curiosity.

Okay, this ask is really, really cool. Thank you for this!

So there are two ways this comes into being.

One is a birth defect. The only report I was able to find of someone being born with two hearts is a guy by the name of George Lippert, who also had three legs. (The third leg had 6 toes, for a total of 16. The things I have learned for making this blog.) At autopsy it was discovered that he had two hearts as well, which…. Sure! That said, this was all in the 19th and very early 20th centuries, so we have no idea if a) it was true or one final prank/an attempt to make some cash by his family or doctors; b) the second heart worked or, like the third leg, if it was just…. there and useless. It was never studied or even discovered in vivo, so we don’t know how it worked. 

It’s likely that he basically absorbed his twin in the womb but was left  with some, well, leftovers. This is called a parasitic twin.

The other thing I’ve heard of regarding a human with two hearts is… adding a second heart.

There are two types of transplants: orthotopic transplants, in which an organ is straight-up removed and replaced, and a heterotropic transplant, in which a weak-but-still-functioning organ is augmented by adding in an extra. Sometimes this is done with kidneys, but occasionally, we graft a second heart into a human and send them back into the wild.

So there was a phenomenal case of a guy showing up to an Italian ER in cardiogenic shock from his two hearts having conflicting rhythm. He coded, got zapped, got a new pacemaker, and left the hospital. Dude was apparently 71, which is kind of badass: 71, two hearts, and death can’t touch him. This guy is clearly an action hero in the making.

Sometimes, the person recovers enough not to need their second heart anymore.

Hannah Clark is a teenager in South Wales who had serious cardiac complications when she was just a baby, had a second heart grafted in, and then had it removed when she was 16. She was suffering immune complications from the grafted tissue, and her native heart had had the time to grow strong enough to carry her itself. She’s the first person in the UK to have a transplant reversed.

In the heterotropic grafts, it seems like what happens is that the transplanted heart’s rhythm is basically paired to the native heart’s, so that one almost paces the other.

As for CPR, it’s unaffected by the number of hearts. Like our Italian man, your character might run into trouble if the two hearts beat at different rates. 

This is an area of fiction where you can kind of make up what you want, because the two hearts idea functionally breaks the Rule of Reality. Just remember that if they were born with two hearts, they have to work together long enough and well enough to get that character out of the womb and into the world and raised to (whatever age they’re at), so however the system works at baseline, it has to work (at least until it goes wrong).

So best of luck with your story!!

xoxo, Aunt Scripty

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Some Blackwatch Genji headcanons
  • For Genji to have been able to be reconstructed the way he is, I’m pretty sure that most of the major internal organs would have to be fairly undamaged, or else he would have gone into shock before he could be stabilized 
  • Given his flesh is a natural tone, his circulatory system is probably largely intact
  • He may have lung damage given the torso damage but his ribs seem mostly okay on that one side, so it’s probably the right lung
  • However, given he was sparring with an open visor and talking, he probably doesn’t have to have any sort of external breathing support
  • There doesn’t seem to be much, if any, fluid support to the abdominal compartment, which if the digestive system was extensively damaged would be necessary
  • Given that he can go on missions for days at a time and went off to Nepal where he probably didn’t have a lot of access to human medical equipment, I’m inclined to say he can eat because IV nutrition is no good for anyone doing anything more strenuous than lying in bed and tube feeding requires equipment and a lot of care, and there didn’t seem to be an induction port, and he has to be getting something to make his flesh bits that muscular
  • I’m pretty sure that thing over his chest is just a power relay or something for his cybernetics to keep the electronics from playing merry hell with his cardiac rhythm, mostly because an external pacemaker would be fucking stupid in someone clearly expected to see combat, and Mercy is not stupid
  • There’s not anything that looks like a blood filter system even though blood and circuits don’t traditionally play well, so either the fluid in the tube to the chest is not blood or it’s internal
  • The tubes are only for when he’s at base and they carry drug treatments intended to keep his body from flipping out about the huge amounts of inorganic material in it, because he’s probably still getting cybernetic upgrades at this point (because otherwise they’re just a huge vulnerability for a guy who does quite a bit of fighting with a sword)
  • The tubes are also not blood because that is a huge amount of blood volume to be outside of the body, and we can replace bad blood vessels in a hospital today, so I refuse to believe we can’t put them under the skin where they belong sixty years in the future with advanced medical tech.
My patient is 99, severely demented, malnourished, and bed bound, but their child/caregiver insists that we place a pacemaker for their SSS because they still have “a good quality of life”...

Originally posted by justalittletumblweed

2

Roy Orbison with The Beatles and Gerry and the Pacemakers in May 1963, and with The Traveling Wilburys in 1988

Photos: Harry Hammond (1);  Neal Preston, Gered Mankowitz or Chris Smith (2)

“When Roy came off-stage, George got on his knees. He was really funny. He then said, ‘We want to have a band and we want to have you in it. Will you do it?’ And Roy said yes.” - Barbara Orbison on how George Harrison and Jeff Lynne asked Roy to join The Traveling Wilburys, Express, 23 May 2007

“Even right up to when he died he was a killer, because of his songs, and he had the most incredible voice. He’d had so many hit songs and people could sit and listen to him all night. He didn’t have to do anything, he didn’t have to wiggle his legs, in fact he never even twitched, he was like marble. The only things that moved were his lips - even when he hit those high notes he never strained. He was quite a miracle, unique.” - George Harrison on Roy Orbison, The Beatles Anthology

coriander-sunset  asked:

One of the characters in my story gets his heart stopped for about 1-3 seconds. It's done by magic, but it's as if it just stopped beating naturally (like if the pacemaker stopped sending out signals or something). None of the heart tissue is actually damaged. What would happen to his body during those seconds? He's a sixteen year old male in good physical condition, if that matters.

Stopping hearts is totally a normal thing we do for a living in emergency medicine.

Nope. Not kidding. We do this with a medication called adenosine. It gives what’s politely termed a “sinus pause” for about 6-20 seconds. We use it to basically give a certain kind of arrhythmia (SVT) a time-out and wait for the heart to pick back up in a “normal” rhythm. (You can learn more about SVT, and actually see a strip of EKG with some adenosine added, here).

Now, patients absolutely HATE adenosine. They feel like they’re going to die, they can get tight in their chest. I had a patient tell me, “I feel like I have a tornado in my chest”. But it all goes away in less than half a minute.

So if you want, you can a) extend the time his heart stops to closer to 6-20 seconds, for more Drama™, and also give him sensations like that.

Oh, and he should probably be sitting down, or else fall down, when it happens.

I hope this was helpy!

xoxo, Aunt Scripty

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