From the dry winter and fires we are getting a lot of coyote’s, bears, raccoons. Keep your pets in.
How do you identify narcissistic people?
John smith said the best way to find out if a person is truly a narcissist is to politely confront them when they have said or done something nasty to you. Most people will become defensive at first, which is a completely normal reaction. But non-narcissists will eventually see your point, apologise for their behaviour and not repeat the action ever again. A narcissist, however, will not concede. They will stay on the defensive and also turn the tables on you and blame you for doing something that put them in a position to *have* to insult you — they may even expect you to apologise to them for abusing them (since they have severe victim mentalities)
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Positron Emission Tomography, uses radioactive traces in die that injected and circulated through out your oody and brain to reveal details about the blood flow, glucose, metabolism and more, it works at the cellular level, for a great view of seizures and memory disorders and to tract the progression/regression of cancer over time.
EEG: Electroencephalography monitors the brain’s electrical activity through electrodes on and occasionally in the scalp. It’s high temporal resolution, great for diagnosis in Epilepsy, sleep disorders or whether or not some one is in a coma.
MRI: Functional Magnetic Resonance imaging, monitors brain activity due to changes in blood oxygenation, useful for mapping which brain region are activated in the course of various activities. but th e
CT Computed Tomography: x Rays and digital processing to create 3-D images by stacking cross-section views. Its low resolution is powerful enough to detect tumor itself create
Well the time has come for my treatment, I am blessed it’s all coming together, but never the less scary, a friend just reminded me not to be the victim but the fighter, so that is who I have to be. My treatment protocol is coming from Washington research institute, and national institution of health and Stanford. I.will be receiving ivig treatments that go between 3_4 hours per visit
My scheduleis 5 days on 5 days off. If i can tolerate the treatment, they will be surgically putting in a port, so i dont have to destroy my already calcified veins. Then we are back on 5 and off 5. There are risks but I have to say I am not getting them. Ihe first week will be the hardest , we are trying to get the home health to come do it at my home wich is 100 percent covered and keep me out of areas where people are being treated for infectious disease. That’s the goal. I was not aware this treatment will continue for a year if not longer. I will.have regular blood work and biopsys to see if the treatment is working. Each vial is $6,000.00 so making sure it working is important information and will be done at Stanford. Although this day should have been done years ago, the technology wasn’t there and reno can’t even perform my biopsys. Seriously!!!stanford does not trust the equipment or Doctors in reno because for one they do a echocardiogram and told my MVP has healed and My heart was fine, only to find out my MVP is worse and I had a heart attack and surgery done there. The simple step of turning the loop recorder down so it can read your hearts activity is pretty embarrassing, mind you the Dr did it with out any surgical attire in a Operating Room and had to be reminded by the tech he had no sterile clothing on. So many stories like that. I simply can not believe a Doctor in Reno can not do skin biopsy’s. 2017 why will no one do them, Every Dr said they can’t be done in Reno. My trust level has diminished in this town and the 49 Doctors that mis diagnosed me, but no one was willing to look outside the box, they choose to not keep up on the latest papers, journals ect. There a few good ones left in town but soon to retire, the only gynecologist my insurance covers, I wouldn’t take my guinea pig to. But there are a lot of new Doctors in town, one is my Electrophysiologist, He’s suppose to be like the best in the US, a little odd but I don’t Care, Dr Ogara, Dr Fairmond, Dr West, Dr Backman, but again none of them are treating me, it is going through Stanford and that is fine with me. One thing I have noticed about the new generation of Doctors coming into Reno, Is a lot of Indian decent and so kind, smart, empathy, and truly in medicine for the right reason, So Reno hopefully will be changing. So there r two things I’m asking any of my close friends, I might need help time to time or someone to come just sit with me, I’m also asking that please donate blood, blood is used and things removed that cure others, not just today, but on a regular basis, since I am the guinea pig for this I pray it not only works but can help all the other people that aren’t even being tested for this antibody, but I had a Dr at Stanford that went beyond the call of duty in researching who was researching my first disease the autonomic dysfunction didn’t just land off mars and pick me, I carried the antibody that causes it. So that being said I have volunteered to be part of the research team, I’m not going through just for me but the people diagnosed behind me, so I wanted to give you a update and to tell you how its going.
This is my personal story of why you need to be your own advocate. Its hard when you sick, weak, tired, nauseated what ever your symptoms may be, but I have learned the largest lessons is Stand up for yours self. When you go to your Dr. Question the medications they are giving you, I have started asking my Doctors to write down their instructions for my treatment, you get so many instructions, prescription refills, so that helps a lot, ask what is the best way of communication, I have one Doctor I had to get a app on my phone and can only correspond with him, another they have different charts online for different Doctors or Doctors that are not on electronics they usually prefer calling leaving a message. I make sure my next appointment is set up. Before leaving. Always have your ID and insurance card at every visit and expect to fill out new paperwork every year, I have only come across that with one office. Pain Management Doctors require a agreement to receive pain meds and you can not get pain meds through same Doctor. Write your list of questions. and get to know your insurance inside and out. Most information is on line. But If you leave it to Doctors they get to you when they can . Well You must speak up for your self even if that means you speak to the office manager. Call daily if you have to. If you don’t your at the bottom of the pile. I am not rude disrespectful, I explain what I am going through and its amazing how that gets things going. Your doctors office may tell you a Dr they are trying to get you into will take 6 weeks, I called got in 4 days, they told me my home health is 500.00 per visit. I found out I have 100 percent home health coverage. So my point is be your own advocate, or if your truly not well enough appoint one, ask, tell them you need one to step up on your behalf, My contact at my insurance has done so much for me, I can’t believe it. Also make sure that people you want to receive information have written permission and those you don’t you have a letter stating that. Hospitals at least one that I go to is going to a code, If I am in the hospital and someone comes in without a code, no info is given. so make sure what your hospitals policy’s are and your Doctors office, such as if you have a child that goes from pediatrician to gynecologist, the gynecologist can’t break Hippa and give you information unless your daughter wants them to, a husband has no writes unless written consent. So when a Dr’s office says check in is 15 minutes a head of time, that means arrive 15 minutes ahead of time. We are getting less and less Dr’s in the Reno area and specialist are booking out 6-12 months in advance so I always ask for reminder card or call or make the appointment. If you stay regular and are on top of your appointments, there more likely to squeeze you in if there is a problem. Don’t wait until you have a problem to keep up on visits. I went to every Doctor and asked How many times do I have to see you to be compliant with your policy’s, my one Dr said 1 1/2 years, I ask another one every 6 months another one every 4 so if you let your health care go. you will be put on a list that could take a year. If your Dr calls to get into another Dr’s office, the Dr can possibly get you in sooner. So I hope some of these ideas can help with your Doctors and there is online medication lists or phone apps for medication list and allergies. That Is so important. Well that’s all for today. You can get a little not book that you can tape or keep somewhere it won’t get lost that reminds you of Dr’s how often to see them, what they require to remain a patient ect. Kelly