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OfflineMorphinTime
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Re: Morrow teaches medicine: Basic lessons in medicine to empower yourself [Re: Psion]
    #26678142 - 05/18/20 03:59 AM (3 years, 8 months ago)

Quote:

weigh gain of 2lbs in one day generally indicates congestive heart failure.




Whoah, how has this never clicked for me!?  Thanks morrow!


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Offlinewatermelon mon
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Re: Morrow teaches medicine: Basic lessons in medicine to empower yourself [Re: MorphinTime]
    #26678149 - 05/18/20 04:05 AM (3 years, 8 months ago)

I was taking shots of black seed oil every morning.

Is that stuff ok ? I heard it's really healthy.


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OfflineFrenziedTortoise
Registered: 09/04/07
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Re: Morrow teaches medicine: Basic lessons in medicine to empower yourself [Re: watermelon mon]
    #26678183 - 05/18/20 04:48 AM (3 years, 8 months ago)

Thanks for this morrowasted. Appreciated :smile:


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Offlinemorrowasted
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Re: Morrow teaches medicine: Basic lessons in medicine to empower yourself [Re: MorphinTime]
    #26678333 - 05/18/20 07:08 AM (3 years, 8 months ago)

Quote:

MorphinTime said:
Quote:

weigh gain of 2lbs in one day generally indicates congestive heart failure.




Whoah, how has this never clicked for me!?  Thanks morrow!



Obviously if you're not having bowel movements that can also cause you to "gain weight" quickly, but nobody gains or loses 2lbs of lean or fat body mass in a day. What we do in the hospital is measure fluid intake and output precisely by the milliliter for people who are at risk of fluid retention/overload. We also weigh these people every morning. This gives us an idea about how effectively their heart and kidneys are working together to move fluid through the vasculature.


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Offlinemorrowasted
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Re: Morrow teaches medicine: Basic lessons in medicine to empower yourself [Re: watermelon mon]
    #26678336 - 05/18/20 07:09 AM (3 years, 8 months ago)

Quote:

watermelon mon said:
I was taking shots of black seed oil every morning.

Is that stuff ok ? I heard it's really healthy.



I've taken it before. I don't know how healthy it is, I just heard it makes you feel good.  It did make me feel different, I remember. I would be careful drinking a whole lot of plant oils though. That stuff is generally almost all omega 6 fat.


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Offlinemorrowasted
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Re: Morrow teaches medicine: Basic lessons in medicine to empower yourself [Re: gopher]
    #26678351 - 05/18/20 07:20 AM (3 years, 8 months ago)

Quote:

gopher said:
when you do metobolic panel, include wether you think C reactive protein is a usefull marker or you think its bunk, Ive seen people argue both sides



C-reactive protein (CRP) isn't part of the basic metabolic panel. It's well known to be non-specific. The way the diagnostic process works is to gather a lot of different assessment data to help you make a judgment. No one piece of data is sufficient to determine the diagnosis. CRP is used alongisde other information like blood/sputum cultures (for infection) or perhaps genetic screening (for autoimmune disorders) to give information about severity. With an infectious process, a higher CRP is presumed to indicate that the patient is more likely to progress into sepsis (generalized inflammatory state throughout the blood vessels). This information isn't especially useful to the patient, but predicting acuity and resource demand for patients is important for hospitals to keep things flowing smoothly. For some diseases causing inflammation there may not be accurate tests available, or they may be genetic and the contribution of genetics to the disease may not be well understood. In this case, doctors will use nonspecific markers like CRP to guide them in making a diagnosis.


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Offlinemorrowasted
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Re: Morrow teaches medicine: Basic lessons in medicine to empower yourself [Re: morrowasted] * 2
    #26678404 - 05/18/20 07:56 AM (3 years, 8 months ago)

Basic Medicine #3: Labs-  Basic Metabolic Panel (BMP)

Quote:

The basic metabolic panel (BMP) is probably the most common blood test, at least in a hospital setting. The BMP isn't typically used to help guide diagnosis, but to provide information to the medical team about how to provide supportive care to the patient while they are being treated for other conditions. Information provided by the BMP helps to guide the medical team in making decisions about which IV fluids to give the patient, what kind of nutrition to give the patient, whether or not to keep the patient on a continuous cardiac monitor, and how closely the patient's fluid intake and output need to be monitored.

The labs included in the BMP fall into four categories: Kidney function tests, electrolytes, glucose, and calcium.

Kidney function tests include Creatinine (Cr) and Blood Urea Nitrogen (BUN). Cr is a very useful test for determining how well the kidneys are working. An elevated Cr means that the filtration rate of the kidneys is lower than it should be. The kidneys need to filter at least 30ml of fluid per hour in order to properly remove waste products. An accumulation of Cr in the blood means that the kidneys are not doing so. This can be the result of many problems: for example, in heart failure, the heart does not pump fluid to the kidneys efficiently. Dehydration, infection, and direct damage (punching/stabbing) to the kidneys can also damage them in such a way that they do not filter as well as they should. If an accurate test of the kidney filtration rate (called the Glomerular Filtration Rate (GFR) is needed, the nurse has to measure the total amount of urine produced in 24 hours and keep a consistently timed set of Cr measurements. This information is used by the computer along with information like age, race, and gender to calculate the GFR. A value under 90 indicates either acute kidney injury or chronic kidney disease.

BUN is less useful. It essentially represents the breakdown of proteins in the body. An elevated BUN can indicate the the kidneys are failing to filter properly, but it can also be caused by many other conditions, or even simply eating too much protein or doing frequent resistance training.

The easiest way to understand electrolytes is that they are ionized forms of minerals. The BMP tests for sodium, potassium, bicarbonate, and chloride. Each of these plays a role in regulating appropriate body function. Decreased sodium may indicate that there is too much fluid in the blood vessels. Sodium plays an essential role in the nervous system; patients with increased or decreased sodium are at risk of seizures and coma. Increased potassium may reflect many processes such as kidney failure, cancer, and more. It is not used for diagnosing so much as giving information about how to provide supportive care. The electrical conduction system of the heart depends on potassium. Patients with elevated or reduced potassium are connected to a device that measures their heart rhythm constantly. That information is sent remotely to a room called telemetry, and abnormal heart rhythms are reported to the medical team remotely.

Bicarbonate is responsible for maintaining appropriate pH of the blood. It is a basic (opposite of acidic) compound. An elevated bicarbonate level may indicate that the body is attempting to compensate for some disease process that is acidifying the blood. Acidic blood with a normal bicarbonate may reflect a failure of the kidneys to appropriately compensate.

Chloride levels reflect kidney function as well. Reduced or elevated chloride levels cause GI dysfunction, changes in thirst, and peripheral nervous system dysfunction.

Calcium is used for electrical conduction throughout the body, and reduced or elevated levels can indicate many problems with the heart, muscles, and brain.

Glucose levels are important for appropriate cellular metabolism. Elevated glucose levels may indicate insulin resistance and ketoacidosis, which must be addressed. Reduced glucose levels are even more dangerous and can lead to coma, so they must be addressed immediately.






Next I'm going to cover acidosis and alkalosis.


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OfflinePupenhause
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Re: Morrow teaches medicine: Basic lessons in medicine to empower yourself [Re: morrowasted]
    #26679167 - 05/18/20 03:06 PM (3 years, 8 months ago)

Good thread, I get a full panel every 4 months for my trt and I encourage everyone my age and older to get it done at least twice a year to see how everything is functioning.  I don’t know what all the stuff is on it, but if it’s in the high or low range I look it up to see what I can do to fix it.  One thing I love to see is the people I’m helping with diet, their blood work before they start with me and their blood work as we go along with it.  Based on my blood work I’m happy to say I’m pretty healthy, with exception of my RBC being a tad  high, which is fixed with me giving blood, and my blood pressure being slightly elevated, which I attribute to the ECA stack i was taking.


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OfflinePupenhause
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Re: Morrow teaches medicine: Basic lessons in medicine to empower yourself [Re: Pupenhause]
    #26679171 - 05/18/20 03:07 PM (3 years, 8 months ago)

I remember my panel before last my BUN was super high, I figured from too much protein.  I ended up eating more protein and it went back to normal levels, so who knows what happened there.


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Offlinemorrowasted
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Re: Morrow teaches medicine: Basic lessons in medicine to empower yourself [Re: Pupenhause]
    #26679791 - 05/18/20 08:28 PM (3 years, 8 months ago)

probably just got your levels taken after an intense workout


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InvisibleGrateful Dead
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Re: Morrow teaches medicine: Basic lessons in medicine to empower yourself [Re: morrowasted]
    #26681457 - 05/19/20 04:14 PM (3 years, 8 months ago)

Time to start a shroomery medical case studies sub forum.


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