The Clinician

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RACHEL SALOME writes; Spreading this information for those of you that don’t have your affairs in order. Make sure all b...
05/07/2025

RACHEL SALOME writes;

Spreading this information for those of you that don’t have your affairs in order. Make sure all bank accounts have direct beneficiaries. The beneficiary need only go to the bank with your death certificate and an ID of their own.

- TOD = Transfer On Death deed if you own a home. Completing this document and filing it with your county saves your heirs THOUSANDS. This document allows you to transfer ownership of your home to your designee. All they need to do is take their ID and your death certificate to the county building and the deed is signed over. Doing this will avoid the home having to go through probate.

- Living Will: Allows one to put in writing exactly what you want done in the event you cannot speak for yourself when it comes to healthcare decisions

- Durable Power of Attorney: Allows one to designate a person to make legal decisions if one is no longer competent to do so.

- Power of Attorney for Healthcare: This document allows one to designate someone to make healthcare decisions for their person.

- Last Will and Testament: Designates to whom personal belongings will go too.

- Funeral Planning Declaration: allows one to say exactly one’s wishes as far as disposition of the body and the services.

- If the above documents are done, you can AVOID probate. If all the above is not done, you have to open an estate account at the bank. All money that doesn’t have direct beneficiaries goes into this account. You have to have an attorney to open the estate account. The attorney also has to publicize your passing in the newspaper or post publication at the county courthouse, to allow anyone to make a claim on your property. - It’s a complete PAIN.

- Make a list of all banks and account numbers, all investment institutions with account numbers, lists of credit cards, utility accounts, etc. Leave clear instructions as to how and when these things are paid. Make sure heirs knows where life insurance policies are located.

- Make 100% sure SOMEONE knows your Apple ID, bank ID account logins and passwords!

- Make sure you have titles for all vehicles, campers, etc!

- MOST IMPORTANTLY!!!! - Talk with those closest to you and make all your wishes KNOWN. Talk to those whom you’ve designated, as well as those close to you whom you did not designate. - Do this to explain why your decisions were made and to avoid any lingering questions or hurt feelings.

Hope this helps! Hope this lights a spark to encourage all your friends and family to take care of these things to make it easier for those we all leave behind!

My hope is that the above list at least helps you start an important conversation with your loved ones.

Changes that occur to a woman during pregnancy.Pregnancy is a complex and transformative process that brings about many ...
04/07/2025

Changes that occur to a woman during pregnancy.

Pregnancy is a complex and transformative process that brings about many changes in a woman's body, both internally and externally. These changes begin to occur as soon as conception takes place and continue throughout the duration of the pregnancy. Here are some of the most significant changes that happen during pregnancy:

1. Hormonal changes: Pregnancy triggers a surge of hormones that help to support the growth and development of the baby. These hormones can also cause a range of physical and emotional changes in the mother, such as nausea, fatigue, mood swings, and increased appetite.

2. Physical changes: As the baby grows, the mother's body will begin to change in various ways. Some of the most noticeable physical changes include weight gain, a growing belly, and swelling in the hands and feet. The uterus will also expand to accommodate the growing baby, which can cause discomfort and pressure on other organs in the body.

3. Cardiovascular changes: Pregnancy can put a strain on the cardiovascular system as the body works harder to supply blood to the growing fetus. This can lead to increased blood pressure and an increased risk of blood clots.

4. Digestive changes: Many women experience digestive changes during pregnancy, such as heartburn, constipation, and nausea. These changes are often caused by hormonal fluctuations and the pressure of the growing uterus on the digestive organs.

5. Emotional changes: Pregnancy can also bring about a range of emotional changes, such as mood swings, anxiety, and depression. These changes are often linked to the hormonal changes that occur during pregnancy, as well as the stress and anticipation of childbirth.

Overall, pregnancy is a time of significant change for both the mother and the baby. By understanding these changes and seeking appropriate medical care, women can help ensure a healthy pregnancy and a safe delivery.

The Clinician

People who are scared of this and elevators. Gather here and tell us exactly what you are afraid of.
01/07/2025

People who are scared of this and elevators. Gather here and tell us exactly what you are afraid of.

Which profession?Ladies, here is a husband material. So I heard.
01/07/2025

Which profession?

Ladies, here is a husband material. So I heard.

Benefits of breast sucking (to both women and men)Woman's breasts are filled with hyper-sensitive nerve endings that get...
28/06/2025

Benefits of breast sucking (to both women and men)

Woman's breasts are filled with hyper-sensitive nerve endings that get stimulated when touched, sucked or licked.

Men love to suck the breast just as women love their breast to be stimulated. But some men avoid a woman's breast as soon as she gets pregnant because they believe the breast milk is harmful to Adults.

CAN AN ADULT ALSO TAKE BREAST MILK?

YES...

Breast milk is quite beneficial for adults too... It increases an adult immunity as it does in children.

BENEFITS TO THE WOMAN:

It helps to balance the cardiovascular system. If a woman breast is sucked for a long period of time, it increases the heart beat rate of a woman to 110 beats per minute. It is a very good exercise for your heart health.

A FIRMER FACE:

Breast feeding or sucking for adults, helps to move more than 30 female facial muscles; and improves blood flow in the skin.

OR**SM:

If you are the type that don't feel or enjoy s*x, encourage your hubby to suck your breast and play with your ni***es. I bet, you will reach or**sm.

BOOSTS IMMUNE SYSTEM:

It is a natural remedy that stimulates the immune system resulting in the production of antibodies that can protect against viruses. This process is called CROSS IMMUNO-THERAPY. During breast sucking, the breath of a woman becomes faster more than 60 times per minute. INHALING AND EXHALING MORE OFTEN WILL HELP PREVENT A VARIETY OF diseases OF THE LUNGS.

CANCER OF THE BREAST

Study has shown that sucking and massaging a breast simultaneously and vigorously help to reduce chances of a breast lumps which can develop to cancer.. It helps in easy flow of hormones and prevent lumps in the breast.

BENEFITS TO A MAN

Breast milk can tackle cancer. Adults with cancer cells, digestive disorder and immune disorder are advised to drink several ounces of milk daily or weekly to ease the ravages of CHEMOTHERAPY. It helps to booster their immune system and improve digestion.

WOMEN, IF YOU ARE A BREASTFEEDING MUM, WILLINGLY ALLOW YOUR BABY TO FEED FROM THE BREAST AS LONG AS THE BABY WANT. AS YOU'RE BREASTFEEDING, MASSAGE THE BREAST TO PREVENT LUMPS.; SAME IF YOU ARE USING BREAST PUMP, MASSAGE AS YOU PUMP.

The Clinician

26/06/2025

When i was 15, I thought I’ll be married by 25 and millionaire by 30. Well, 5 years later. Here I am, I just turned 20😁 I think I still have a chance. Happy birthday to me

Him: I like your personality Her: thanks, it's a disorder.Him: oh, you have a lovely disorder Her: (in her head) TF do y...
25/06/2025

Him: I like your personality
Her: thanks, it's a disorder.
Him: oh, you have a lovely disorder
Her: (in her head) TF do you want?
Him: you up for a date tonight?

Ladies, what's your response?

PREMENSTRUAL SYNDROME (PMS) OR TENSION (PMT)The premenstrual syndrome (PMS) has been defined as the recurrence of sympto...
24/06/2025

PREMENSTRUAL SYNDROME (PMS) OR TENSION (PMT)

The premenstrual syndrome (PMS) has been defined as the recurrence of symptoms during the premenstruum, with their absence in the postmenstruum. Symptoms tend to occur in the in the second half of the menstrual cycle, and often the first few days of me**es. Most common behavioural symptoms include fatigue, severe mood swings and with intense emotional reactions (labile mood), irritability, tension, depressed mood, increased appetite, forgetfulness, and difficulty concentrating. These symptoms must be severe enough to impair patient's social and occupational functioning.

Premenstrual symptoms and their frequency.

Fatigue(92%), irritability (91%), anxiety and/tension (89%), mood lability (81%), depression (80%), food cravings (78%), acne (71%), increased appetite (70%), oversensitivity(69%), expressed anger (67%), crying easily (65%), feeling of isolation (65%), forgetfulness (56%), poor concentration (47%), dizziness (14%)

Physical symptoms such as headache
(60%), abdominal bloating (90%) and breast tender-
ness (85%), hot flushes (18%) are also fairly common.
[6/6/2020, 19:21] Jeremie: Characteristic physical signs and symptoms affect up to three quarters of women with regular menstrual cycles.
However only about 5% of women experience symptoms of a severity sufficient to interfere with their work or lifestyle. The prevalence is higher in women over the age of 30 years, who are multiparus ([having more than one child] prevalence increases with number of children), who do not use oral contraception and who experience significant degrees of psychosocial stress. Genetic, hormonal/biological and psychosocial factors have been implicated in the cause (good relationships are thought to have a protective effect).

When to seek psychiatric consultation?

For already diagnosed premenstrual symptoms, this is rare unless emotional symptoms are marked and/or there are Vegetative symptoms (disturbances of a person's functions necessary to maintain life), suicidal ideation, or a frequent inability to function.

Up to 40% of women presenting to a physician with presumed PMS have another mood disorder; many meet the criteria for a depressive or anxiety disorder. Medical disorders such as migraines, chronic fatigue syndrome, and irritable bowel syndrome can have exacerbations prior to or during me**es.

MANAGEMENT
Non-specific management of PMS includes reassurance,
advice on healthy eating, stress-reduction, and exercise.
Abstaining from caffeine or alcohol in the week before
menstruation can also be helpful.

Psychotherapeutic
intervention may be beneficial, in the form of psychosocial counselling, stress management and cognitive-behavioural therapy (CBT).

Pharmacological therapies may be helpful, specifically hormonal contraception, antidepressants and hormones analogues.

The Clinician

About stress and diabetes..There is a complex and bidirectional relationship between stress and Type 2 diabetes mellitus...
24/06/2025

About stress and diabetes..

There is a complex and bidirectional relationship between stress and Type 2 diabetes mellitus. Chronic stress can have an impact on the development and management of DM-2 through various physiological and behavioral mechanisms.

Here are some key connections:

1. Hormonal response: During stress, the body releases stress hormones like cortisol and adrenaline. These hormones raise blood glucose levels as part of the body's "fight or flight" response. Over time, repeated or chronic stress can lead to prolonged elevation of blood glucose levels, which can contribute to the development of insulin resistance and diabetes.

2. Insulin resistance: Stress-induced hormonal changes can interfere with insulin's ability to regulate blood sugar levels effectively. Prolonged exposure to stress hormones can lead to insulin resistance, where cells become less responsive to the action of insulin. Insulin resistance is a key factor in the development of diabetes.

3. Emotional eating and unhealthy behaviors: Stress can influence eating behaviors, leading to overeating or a preference for unhealthy, high-calorie foods. This emotional eating response may be a way for individuals to cope with stress. Consistently making poor dietary choices can contribute to weight gain and obesity, which are significant risk factors for diabetes.

4. Sedentary lifestyle: Stress can also affect physical activity levels. When individuals are overwhelmed with stress, they may have less motivation or energy to engage in regular exercise or physical activity. A sedentary lifestyle is associated with an increased risk of diabetes.

5. Cortisol regulation: Chronic stress can disrupt the body's regulation of cortisol, a stress hormone. Cortisol plays a role in various metabolic processes, including glucose metabolism. Dysregulated cortisol levels may contribute to imbalances in blood sugar control and insulin function.

While stress can contribute to the development and management of diabetes, it is just one factor among many. Genetics, lifestyle choices, obesity, and other environmental factors also play significant roles in the development of this condition.

Managing stress through healthy coping mechanisms, such as exercise, relaxation techniques, and social support, can be beneficial for overall well-being and diabetes management.

The Clinician

23/06/2025

I’m peaceful like a bottle full of coca cola. The problem starts when you shake me up.

Why is there an increased white cell count in sickle cell anemia?Hello sweet people!I spent today's free time searching ...
23/06/2025

Why is there an increased white cell count in sickle cell anemia?

Hello sweet people!

I spent today's free time searching for what is the cause of leukocytosis in sickle cell anemia

There are multiple causes for leukocytosis in sickle cell disease. Here are a few reasons for the pathogenesis of increased WBC count in SCD -

1. Over stimulation of bone marrow for compensation of anemia:
Chronic medical conditions induce stimulation of the bone marrow as compensation for either anaemia or thrombocytopenia result in secondary leukocytosis. These conditions include haemolytic anaemias, such as sickle cell anaemia, in which leukocytosis is commonly found.

2. Altered RBC's are recognised and destroyed by white blood cells:
Sickle red cells also show a loss of phospholipid asymmetry with externalization of phosphatidylserine (PS), which is believed to play a significant role in promoting macrophage recognition with removal of erythrocytes (erythrophagocytosis).

3. Recurrent bacterial infections:
In sickle cell disease, there's an increased susceptibility to invasive bacterial infections because of dysfunctional antibody production, opsonophagocytosis, abnormalities of the alternate complement pathway, leukocyte functions, cell-mediated immunity and defective splenic clearance. Iron overload due to chronic blood transfusions is also a predisposing factor.

The Clinician

What's your story with this?
22/06/2025

What's your story with this?

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