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guild wars 2 gold Tips And Recommendations For Pulmonary Emb

 
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guild wars 2 gold Tips And Recommendations For Pulmonary Emb
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Tips And Recommendations For Pulmonary Embolism Survivors Information About PE RecoverySee all 2 photos Source: Pulmonary Pathology GA_googleFillSlot("health_hub_content_250x250"); Recovery From Pulmonary Embolism Recovering from a pulmonary embolism can be a very long process. Blood clots in the lungs can cause extensive damage to both the lungs and the heart. If an embolism survivor had a deep vein thrombosis (DVT), he or she will also have damage to the veins in the arm or leg that was affected. This can cause significant pain and swelling during pulmonary embolism recovery and beyond. All of this damage doesn't even take into account the physical deconditioning that occurs from extended periods of inactivity and possible bed rest. It also doesn't take into account the mental strain that happens when one suffers and survivors a major medical crisis. Pulmonary embolism survivors have a lot of healing to do and very little information about how to go about healing once they return home from the hospital and begin recovery. What Is A Pulmonary Embolism? A pulmonary embolism is a blood clot that is in the lungs. It prevents blood from being able to reach the oxygen filled areas of the lungs. Pulmonary embolisms often come from the large veins in the legs and travel through the veins until they reach the lungs and become trapped. As oxygen is vital to the body, blood clots in the lungs are potentially fatal. Pulmonary Embolism Recovery Challenges After a pulmonary embolism , patients are sent home from the hospital with very little in the way of instructions. Most of the instructions that are given will focus on medications such as Lovenox or Coumadin . Very little time is spent telling the patient how to cope with a healing body, deal with pain, or re-develop lost muscle mass, endurance, or lung capacity. Lack of information is only one of the problems that is faced by these patients. Pulmonary embolism survivors have a few things that they will need to accomplish as part of recovery : Become stable enough to leave the hospital safely Reach adequate levels of anticoagulation Develop an in depth level of understanding about their medications and how to use them Be able to identify what is a medical emergency and what is simply ongoing symptoms Learn what their bodies' limitations are and how to stick within them Learn how to regain lung health Learn how to regain endurance Items 1-2 on the list are generally focussed on while in the hospital. Item 3 is worked on a bit in the hospital but often leaves a patient with ongoing questions. Items 4-7 are very confusing and show a need for greater patient education. This article is going to focus on items 4-7 and will also include some information on item 3, medication management. Living With Coumadin insertVideo('YouTube', 'CDpKEtdQy5U', 'videoYouTubeSmall', '', 'video_712724', ''); Lovenox Information insertVideo('YouTube', 'cYTUR_L0EAA', 'videoYouTubeSmall', '', 'video_712723', ''); Medication and Anticoagulation One of the first things that is done when a pulmonary embolism is found is placing the patient on some type of anticoagulant . While in the hospital, this is managed for the patient. Once the patient is home, many questions will begin to show up. Lovenox is commonly used when a patient is just beginning to take warfarin, as a short term treatment around surgery, for long haul flights, in pregnancy, and if the patient is unable to take warfarin. The largest challenge that patients have with Lovenox is that it hurts! Lovenox is an injection that the patient self administers twice a day twelve hours apart. Lovenox stings and can cause bruising. Ice packs can really help with both of these problems. Also, check out this site with additional ideas about Lovenox injections: Patient to Patient Lovenox Shot Tips. Coumadin or its generic warfarin are typically used for the long term prevention of blood clots as well as for the healing process after having a pulmonary embolism. This medication typically raises a lot more patient questions. Warfarin is a very particular drug. It blocks the effects of vitamin K in the body and by doing that, it slows the time it takes for blood to clot. The dose varies person to person, by diet, and by other medications or supplements that are being taken. For this reason, levels are warfarin are carefully monitored by watching something called INR. INR will determine how much warfarin is needed. If the INR is too high the dose will be lowered. If INR is too low, the dose will be raised. Problems with warfarin typically stem from difficulties maintaining the correct INR. If a patient is having problems with INR, he or she should try some of the steps that can be found on my page about warfarin. Other problems with warfarin stem from problematic side effects. There are a number of documented side effects. A list of these can be found on the PubMed site . Talking to patients who are on warfarin reveals that there are a number of people who report having other, unlisted side effects. Some of these effects include a fast heart rate, feeling jittery, loss of appetite, and a general unwell feeling. If a patient is feeling unwell or experiences possible side effects, he or she should talk to a doctor. Although the FDA states that generics and name brand medications are the same, some people feel that they feel better when on name brand version, Coumadin. It is worth exploring this option with your doctor. If you are feeling unwell or are having problems with your anticoagulation therapy, explore options with your doctor. Name brand Coumadin, dosage changes, and Lovenox are all options that may help you to feel better. While many side effects are not officially listed, each person's body chemistry is different. You and your doctor may be able to fix your symptoms with a medication change. Also, if you are having problems with your INR, review any life changes that you have experienced. Even topical medication can effect your INR. A great example of this is over the counter yeast infection creams. Pulmonary Embolism Recovery Symptoms Versus New Problems One of the most difficult parts of pulmonary embolism recovery is knowing what is a new problem versus what is expected during recovery. Every patient is different. The key here is, if a symptom has gotten worse or if you have a new symptom call your doctor . If you experience new problems or worse problems with breathing, pain, or other issues that could signal a new clot or other life threatening condition go to the emergency room . Do not rely on the Internet or your friends for a diagnosis. The emergency room is safe. They have the tools to diagnose new clots. They also have life support systems. Keep in mind that blood clots in your lungs can kill you. Being overly cautious, especially as a new survivor, is important as it may save your life. You are less likely to get clots on anticoagulation but it is not impossible. Dealing With Symptoms And Side Effects One of the most frustrating things about pulmonary embolism recovery is dealing with symptoms, especially new or changing ones. The best thing that a patient can do is to establish a strong team of doctors . Unless the clot was caused by a known factor (surgery, already diagnosed with thrombophilia, sickle cell anemia...), then the patient should strongly consider asking for referrals to a hematologist (blood doctor) and possibly a pulmonologist (lung doctor). These two specialists can answer a variety of questions. Ask doctors questions . If you don't feel that you are being valued and answered with consideration, ask another doctor. Patients need to know what symptoms are expected, common to healing, side effects of medication, or an emergency situation. A general practitioner or nurse line may be able to help to interpret test results. Get copies of your records and carry them to doctor visits. After clots, patients tend to see a number of doctors. In the United States, HIPPA requires medical files to be accessible. [url=http://www.goldvk.com/Game.gw2_us.Guild Wars 2.gw2.Gold.Info.aspx]guild wars 2 gold[/url] There may be a fee for getting the records and it may take some time so make sure that you plan ahead. Records can be sent directly from doctor to doctor or a patient can get a copy of the records and carry them to visits. Make sure that you records include any medical imaging that may have been done as well as any blood work. Go to the emergency room. This is especially true in the beginning when a patient has yet to establish what is the new "normal". It is always better to be in the hospital than to be dead. Remember, blood clots are very dangerous and life threatening. Yoga Videos and CDs Yoga for Beginners Boxed Set (Yoga for Stress Relief / AM-PM Yoga for Beginners / Essential Yoga for Inflexible People) Amazon Price: $17.99 List Price: $39.99 YOGA - For Breathing Disorders (Fitness DVD) Amazon Price: $44.98 List Price: $9.99 Yoga Breathing Amazon Price: $15.91 List Price: $24.95 Mental Health After Pulmonary Embolism Mental health is rarely spoken of when discussing recovery. It is one of the most important topics to think about. Anxiety and depression are very common in pulmonary embolism survivors. Recovering from a pulmonary embolism means working through a number of emotional challenges. Patients often experience: Stress due to trying to survive and support themselves after and during a massive health crisis. Survivors' guilt - surviving a life threatening health diagnosis often makes one question life. Post traumatic stress syndrome - patients who were very close to death may panic with new symptoms as their bodies are on heightened alert. Anxiety about healing, having subsequent clots, and getting back to "normal". Depression due to loss of health and function. Panic attacks - these can cause shortness of breath and symptoms similar to a pulmonary embolism. The stress from the PE can trigger these attacks. Counseling can be a very important part of healing. Talking over one's fears and learning relaxation strategies is often a huge help to a pulmonary embolism survivor. Emotional problems are normal and are to be expected. Look into work insurance plans or IEP programs for counselors. If mental health needs are not covered, many colleges with counseling degrees offer low cost student training clinics. Some patients find that pulmonary embolism recovery is easier when treated with anti-anxiety or anti-depressant medications. Ask the primary care physician if he or she feels that a pharmaceutical approach may help. Examples Of Meditation Tools For Android Breath Pacer Amazon Price: $0.00 Simply Being Guided Meditation Amazon Price: $0.99 Breathing Meditation Amazon Price: $2.99 Pocket Yoga Amazon Price: $2.99 Breathing And Relaxing Yoga and meditation can be great tools for pulmonary embolism recovery. Both of these tools may be able to help out with stress relief and breathing. Meditation is great because it can be done at home for free. I recommend downloading some guided meditation that focuses on breathing excercises. Two of my favorite sources for free guided meditation are: The Meditation Podcast - can be found on iTunes or at their website . The Meditation Oasis - can be found on iTunes or at their website. Both of these resources are free podcasts. Each one has numerous different meditations including breathing exercises. They can be listened to on an iPod, iPad, iPhone, mP3 player, or computer. Meditation and breathing tools can also be found in either an Android or Apple app store. There are a number of apps that will monitor breathing and give coaching to help the user pace breathing to a slower, deeper pace. There are also meditation apps available. Yoga is another source of breathing exercises . Some of the slower paced yoga forms can also help a patient to increase physical endurance and strength while he or she is recovering from a pulmonary embolism. Yoga classes lead by a teacher seem to be the best way to do yoga. [url=http://www.goldvk.com/Game.gw2_us.Guild Wars 2.gw2.Gold.Info.aspx]guild wars 2 gold[/url] This way, a teacher can assist and correct a student. Also, yoga teachers are able to recommend accommodations if a student is unable to participate with the standard yoga poses. Speech Therapists also can specialize in breathing exercises. Ask your doctor for a possible referral. [url=http://www.goldvk.com/Game.gw2_us.Guild Wars 2.gw2.Gold.Info.aspx]guild wars 2 gold[/url] Exercise Tools Timex Mid-Size T5G941 Easy Trainer Heart Rate Monitor Watch Amazon Price: $49.95 Sportline 1025 Women's Duo Heart Rate Monitor Amazon Price: $50.00 List Price: $89.99 Omron HJ-112 Digital Pocket Pedometer Amazon Price: $34.99 Recovering Stamina And Endurance Due to the bed rest, possible heart damage, and lung damage patients often loose a lot of endurance. Fatigue and muscle loss are common complaints of pulmonary embolism survivors. Once a doctor has cleared exercise it is time to figure out how to get back to where the patient was before the clots. Many patients expect to jump right back in to where they were prior to the clots. This rarely works out as planned. Gentle aerobic exercise is often supported by doctors. This may include things like yoga (see above), walking, or swimming. First, clear whatever form of exercise you choose with your doctor(s). Get a log book to track your progress (time out, heart rate). Keep in mind that housework and shopping are physical activities. Working everyday tasks slowly back into the mix can really help. In the beginning just walk to and from the car and wait while someone else shops, then move up to walking in the store a bit and then sitting. Your walks will get longer as time passes. Get a heart rate monitor watch and a pedometer to help you pace yourself, stay in a safe exercise range, and chart your progress. Give yourself patience, patience, and more patience. After a year, you will be amazed how far you have gone. Some areas have rehabilitation based sports facilities available. These places are staffed with medical personal as well as trainers. If a person is severely impacted with significant heart and lung damage, medical sports rehabilitation may be for you. Ask you doctor if there are any medically oriented gym facilities in your area. When you return to work, consider a lighter work schedule or staggered re-entry. You can taper your hours 4, 6, 8 hour days or make other arrangements. FMLA leave will cover partial days if you are in the United States, are eligible for FMLA, and have not exhausted your leave time. Return To Work pmm.add(187230, new PollManager(19762577, 187230) ); When did you return to work after your pulmonary embolism? Less than a week 1-2 weeks after diagnosis 2-4 weeks after diagnosis 1-2 months after diagnosis 3-4 months after diagnosis 5-6 months after diagnosis 6 months - 1 year after diagnosis greater than one year after diagnosis See results without voting Returning to Work after a Pulmonary Embolism Some of the most common questions that come up during pulmonary embolism recovery are, "when and how will I return to work?" These are very important questions. It is important to start thinking about them early in recovery. Returning to work is a great motivator. When one is looking at mental health, breathing, and endurance, having an end goal in mind will really help. Also, patients may need to consider how they are using their leave time from work. Whether paid or unpaid, most work places have limitations on leave. FMLA only guarantees twelve weeks of leave , after that time is up, work places may fire an employee. Planning to have enough time to ease back into work and continue to make doctor appointments will really ease stress in the long run. A full work day is a lot different from a day in the hospital or even a day at home. A full work day means no time for rest or naps. It may also mean having to maintain the home and work on the same day. If work is a physical job, the need for endurance is even larger. How can patients prepare for these changes? The best way to prepare for work is to work on all of the areas that are mentioned above. Another thing that is important is becoming informed about leave policies at work. Once the time to return to work approaches, the pulmonary embolism patient can approach his or her doctor about the best way to ease back in. Whether work is highly physical or not, it is often a good idea to start back to work on a part time basis. For many people who are recovering from pulmonary embolism, four hours at work will be a long time for the first few days. Talk to your doctor about how many hours would be a good starting place. You may want to do a week at 4 hours, then one at 6 hours, then 8 hours, then typical days. FMLA will cover part days if you have any time remaining. If you are in a highly physical job, you may want to inquire about being placed on light duty for a while. Read your work place's policies, review FMLA, and speak with your doctor about what will be best for you. Another consideration is asking for help. It sounds like such a little thing. A friend or family member may be able to help you cook, clean, or do laundry while you are just starting back. This will give you more time for naps when you get home from work. See all 2 photos Source: mara Sex And Birth Control Sex is often nerve wracking during pulmonary embolism recovery. Don't be afraid to consult your doctor. Patients will want to ask a doctor when sex is safe again. Once it is safe, survivors need to be patient with their own bodies. Endurance is often an issue in this area as it was in other life areas. Planning sex for a time when the patient has the energy to participate will help out a lot. Also, couples may want to modify their activities so that the pulmonary embolism survivor has the least amount of strain possible. Once women are healthy enough for sex, new problems often arise. Women are often very concerned about pregnancy at this time. Warfarin is not safe for a pregnant woman. The woman may not be healthy enough to feel safe carrying a baby to term. Also, pregnancy increases the risk of clotting. Doctors may not feel safe with pregnancy unless the pulmonary clots have dissolved. For these reasons, birth control is often very important. It is also a challenge. Oral contraceptives are often out of the picture due to the fact that hormones increase the risk of clots. Combine oral contraceptives with both estrogen and progesterone are very risky. Doctors typically will not prescribe them to someone who has clotting problems. Here is a list of possible birth control methods and their clotting risk: Copper IUD Condom Lea's Shield Cervical Cap Fertility Tracking Sponge Spermicide Lower Risk These methods have a lower risk than standard oral contraceptive pills that contain estrogen. Talk with your doctor about your personal risk. Progesterone only mini pills Mirena Depo Provera shot For another source of medical advice regarding contraception, please see Managing Contraception. They have a great question and answer area that is staffed by doctors. More Information On Pulmonary Embolism Recovery The Clot Spot The Clot Spot is a non-medical, patient-run, advocacy website that is dedicated to providing pulmonary embolism survivors, their friends, and their families with information about pulmonary embolism recovery. Support Groups Information for those living with factor V Leiden and other forms of thrombophilia Online Support Group for Pulmonary Embolism at DailyStrength Online Support Groups and Forums for DVT at DailyStrength Factor V Leiden and Pregnancy Issues MTHFR Pregnancy Factor V Leiden Support Group Conclusion If you have any other personal tips for recovery, please leave them in the comments section. Much of what is presented on this page is from my own experience. Keep in mind, I am not a doctor. I am a survivor. Take this information to your doctor and discuss it. This way you know that you are doing what is safe and healthy for you. Please check out my other Hubs. I have numerous hubs on pulmonary embolism, blood clots, and blood thinners. If you need additional information about recovery and recovery experiences, please see my other hub What to Expect During Pulmonary Embolism Recovery. In that hub I detail my recovery experiences and timeline. There is also a substantial comments section that has almost turned into a forum. GA_googleFillSlot("health_hub_share_520x280"); Last updated on February 8, 2013 xboter 2014
Pon Maj 12, 2014 06:18 Oglda profil uytkownika Wylij prywatn wiadomo Wylij email Odwied stron autora
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Pon Maj 12, 2014 06:18
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Doczy: 09 Maj 2014
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Post guild wars 2 gold Montag, 13. <a href="http://www.go Odpowiedz z cytatem
Montag, 13. [url=http://www.goldvk.com/Game.gw2_us.Guild Wars 2.gw2.Gold.Info.aspx]gw2 gold[/url] [url=http://www.goldvk.com/Game.gw2_us.Guild Wars 2.gw2.Gold.Info.aspx]guild wars 2 gold[/url] Oktober 2008Fast vollstndig flog die Sulzberger Gemeindevertretung von Friedrichshafen, vermutlich auch ber den Sulzberg, in die steirische Landeshauptstadt Graz. In Anbetracht der zahlreich mitgereisten Begleitpersonen kann davon ausgegangen werden, dass es sich um keine Dienstreise handelte. [url=http://www.goldvk.com/Game.gw2_us.Guild Wars 2.gw2.Gold.Info.aspx]guild wars 2 gold[/url] Berichten folgend, wurde diese Reise zur Hlfte von der Gemeinde Sulzberg bezahlt . Somit htte die Gemeinde ihren individuellen Beitrag zum CO 2 Aussto ber dem eigenen Gemeindegebiet beitragen. Die politische Vorbildwirkung ist jedenfalls dahin: Ist das die (wahre) Haltung unserer Gemeindepolitiker zum Flugverkehr? Gerade die Gemeinde Sulzberg ist stark vom Flugverkehr (Flugstrae L1) betroffen. Hoffentlich hat sich der [Aus]Flug wenigstens gelohnt! PS: Es gab auch Ausnahmen, welche sich von dieser Reise distanzierten. xboter 2014
Pon Maj 12, 2014 07:41 Oglda profil uytkownika Wylij prywatn wiadomo Wylij email Odwied stron autora
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Post wow gold STM ‘destroying’ 747 shuttle with cuts, airport Odpowiedz z cytatem
jQuery("img#storyphoto.tabClick").click(function() { tabClick(' - Photos Tab',false,'storypage','story_photo_content',true,true); ); The 747 airport shuttle bus has far more departures then is warranted, making it a Cadillac service, says STM vice-chair Marvin Rotrand. Photograph by: mf coallier Montreal’s airport authority says the Société de transport de Montréal is “destroying” the popular 747 airport shuttle bus by slashing the service. But the STM says the 19-per-cent service cut as of Jan. 2 was a “fleet management” decision that will not dramatically affect passengers. There are now 145 daily departures on the 747 bus route, down from 180 in December. When compared to January 2013, the number of departures has actually fallen by 30 per cent, said Christian Beaulieu, a spokesperson for Aéroports de Montréal. “To have a good service, you have to have frequency, you have to have confidence that the service is good,” Beaulieu said. <a href="http://www.goldvk.com/Game.wow_eu.World of Warcraft - EU.wow_eu.Gold.Info.aspx">wow gold</a> “And that’s what, sadly, this cut is destroying.” Introduced in 2010, the 747 links downtown Montreal and Trudeau Airport. The bus has proven popular with airport workers and tourists. In 2013, ridership on the 747 jumped by 12 per cent, reaching 1.44 million. Holders of transit passes use the 747 at no extra cost. Those who pay on board must buy a $10 ticket (up from $9 in 2013), which includes unlimited access to the bus and métro network for 24 hours. “If you have really good service and a place to sit in the bus, we all agree people would pay a premium,” Beaulieu said “But now you pay 10 bucks and you’re squeezed like a sardine and you only have it every 30 minutes and it’s minus-30 C outside and you’re waiting on the street. I don’t think it’s worth 10 bucks.” Last month, the STM was forced to cut $65 million from its budget. But STM vice-chair Marvin Rotrand said the 747 cut was planned before the belt-tightening started. Until now, the 747 was a “Cadillac service,” with far more departures than was warranted by its ridership levels, he said. “This is better fleet management. Our planners felt we weren’t optimally using our resources. On certain 747s at certain times of the day there wasn’t much ridership. <a href="http://www.goldvk.com/Game.wow_eu.World of Warcraft - EU.wow_eu.Gold.Info.aspx">wow gold</a> ” Rotrand said the STM wants “the airport to be attractive but that doesn’t mean they’ll get a quality of service that is well above what everybody else in the network is going to get.” The 747’s new service levels “in no way compromise the quality of service” he added. “You arrive in Montreal, you clear customs and you can take public transit right downtown for $10, plus you have a pass that is valid for 24 hours,” Rotrand said. “That is a very good deal.” Before the 747, a private company provided a much less frequent airport bus service, charging $16, he noted. The STM will increase service during busy periods at the airport, such as the March school break, he said. xboter 2014
Pon Maj 12, 2014 09:33 Oglda profil uytkownika Wylij prywatn wiadomo Wylij email Odwied stron autora
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Post wow gold Suzuki to build new auto plant in India - Nikkei Odpowiedz z cytatem
var bitlyurl = 'http://api.bit.ly/shorten?version=2.0.1 try { Reuters.utils.loadScript("bitly", bitlyurl ) catch(e) ; } processBitlyURL = function(obj) if( obj.errorCode == 0 ){ var shortUrl = obj.results['http://in.reuters. <a href="http://www.goldvk.com/Game.wow_eu.World of Warcraft - EU.wow_eu.Gold.Info.aspx">wow gold</a> com/article/2010/09/05/idINIndia-51291820100905'].shortUrl; var twitterShareLink = document.getElementById("twitter-share-link"); twitterShareLink.setAttribute("data-url", shortUrl); Reuters.utils.loadScript("twitterShare", "http://platform.twitter.com/widgets.js"); } getBitlyURL(); Link this Share this (function() var s = document.createElement('SCRIPT'), s1 = document.getElementsByTagName('SCRIPT')[0]; s.type = 'text/javascript'; s.async = true; s.src = 'http://widgets.digg.com/buttons.js'; s1.parentNode.insertBefore(s, s1); )(); TOKYO (Reuters) - Japan's Suzuki Motor Corp is planning to build a new factory in India capable of producing more than 250,000 vehicles a year, the Nikkei business daily reported on Sunday. Suzuki aims to start operations at the new plant as... Email Print Suzuki Motor Corp's logo is seen on the company's special painted minivehicle Wagon R displayed at Tokyo Auto Salon 2010 in Chiba, east of Tokyo, January 15, 2010. <a href="http://www.goldvk.com/Game.wow_eu.World of Warcraft - EU.wow_eu.Gold.Info.aspx">wow gold</a> Reuters.utils.addLoadEvent(function() xboter 2014
Pon Maj 12, 2014 10:34 Oglda profil uytkownika Wylij prywatn wiadomo Wylij email Odwied stron autora
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Sro Wrz 01, 2021 20:31 Oglda profil uytkownika Wylij prywatn wiadomo
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Doczy: 18 Lut 2021
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Doczy: 18 Lut 2021
Posty: 777186

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