@1goodtern I actually agree with that particular sentence of his. It's just that my eyes nearly burned holes in my screen because we are already in that situation! But of course, that individual has no self awareness or understanding of irony.
@ThePOTSPostman I only occasionally search for something specific and end up on r/dysautonomia and then read some posts. Saw one the other day that mentioned not breathing when concentrating etc. I have NO IDEA when in my life I started that. When DID the foundation start to crack?
I want to explain more on what I mean when I say that #POTS is a #brain disorder, neuroimmune or neurological.
🧠 It means that the brain, the brainstem and the central autonomic networks play a major role in the pathophysiology of POTS.
🧠 Striking neurologic and cardiovascular symptoms in nearly all patients with POTS point to the impaired neural control of the cardiovascular reflexes, including modulation of heart rate, blood pressure and possibly blood volume.
🧠 It means that we neurologists should be trained in POTS and other forms of autonomic NERVOUS system disorders.
What it DOESN'T mean:
🧠 It doesn't mean that neuroplasticity, central sensitization or abnormal interoception are the mechanisms of POTS --> there is no evidence to suggest this.
🧠 It doesn't mean that biofeedback or brain reprocessing therapy are effective --> Zero studies to date that demonstrate these therapies being effective in POTS.
🧠 It doesn't mean that patients with #POTS should be referred to psychiatrists and psychologists for treatment of POTS.
🧠 It doesn't mean that POTS is caused by anxiety, hypervigilance, functional neurologic disorder or fear of standing --> Only physicians with very little training and understanding of POTS would think that.
#BrainHealth #MedEd #PatientCare #Neurology
@amiandlife I have MCAS, but also Autoimmune Progesterone Dermatitis and that's exactly the kind of rash I get with that. Check against your hormone cycle when it appears? Also my MCAS flares with pretty much every hormone upturn/spike.
@ghhughes Oh that would definitely be expensive, and I appreciate any work that you and others do manage.
Just something for people to think about maybe, you don't need to have all answers.
I guess it depends on what % of each remains breathable SA on different sized people (>2 anyway)?
@ghhughes Very important. What interests me about your graph is that the smaller version of the same mask seems to be a lot harder to breath through than the regular/larger version. Do you think this is due to testing method or is it harder for smaller people to breathe in a fitted mask?
@JenLRossman This is why I never finished West Wing (and other shows) I didn't finish right away and then the streaming service got rid of them. I think I had around 4 episodes. Not finishing is worse than finishing.
@PanickedFoodie Oh right it has a name! Ortho just sent me to PT. I think it must depend on how it happened. Mine (15+ yrs ago) was not moving it "enough" with a sling for <a week after weird minor injury (ER gave me sling!). MONTHS of PT w/massage, TENS, and neck traction, but not years.
@LauraMiers Back in 2015 Kohl's told me I didn't meet their minimum qualifications for holiday help. I had a BA, some grad school, 7-8 years of customer service, a couple years each of supervisory/management/inventory/bookkeeping, and had interned at a zoo. This isn't even new anymore.
@cocomarvgrows@Squijibo Nosebleeder here - Honeywell for ~30 years, but last couple models went ⬇️ in quality. Now @LevoitLifestyle Superior 6000S. THE best humidifier we ever had! They aren't available rn? Needs to come back!
Evaporative+fan+large tank, check w/portable reader, ~50% in cold weather.
@AnciraBecky Fairly certain, but I was chronically ill before. I only got sick once June 2020, both I and the person I caught whatever from were PCR tested while highly symptomatic and both neg. Even that made me decline so I became very strict about masking and barely leave the house.