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@featherdownmoor
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this is more what i was picturing when i heard abt health goth
a lot of people are closer to their dads in childhood than in adulthood but im the opposite... i trust and love my dad more in adulthood because i recognize better all the things he does behind the scenes. maybe my most treasured time with my dad would be the 2 days we spent in singapore, getting on busses and trains and walking through the hippie part of the city and reexamining singapore... fairy lights in cafes, and street lamps trailing into tree lined alleyways and people walking home. me and my dad got lost in the olddd foodcourt, we found another and he went all the way to withdraw cash to pay for my herbal chicken soup. then dads treated me to cendol at a place he scouted earlier in the evening when i was in the hotel room studying, it was so yummy. then he kicked his feet back and video called mummy in the room. we were just chilling, dad and daughter, i love my dad so much, i dont make it obvious sometimes but i do.
The reason why i know im annoying is bc everytime someone callsone of my body parts small i feel an uncontrollable surge of joy that is actually so fucking annoying and that reminds me i am not immune to the stupid hetero propaganda
clarks orinoco cove black leather platform fisherman sandal..... clarks orinoco cove black leather platform fisherman sandal.... clarks orinoco cove black leather platform fisherman sa.....
people on tumblr are really weird
When I went to the hospital they said my electrolyte levels were fine. So why does drinking an electrolyte drink make my heart palpitations go away 🤔
I'm not smart or educated enough to elaborate on this but I think a lot of clinical measurements are more about the level it takes to continue being alive rather than the amount your body needs to function well. And that probably leads to a lot of people walking around with suboptimal nutrition etc and therefore suboptimal physical function bc a doctor told them there's nothing wrong w them. And then they go about their lives feeling defeated and unwell and never figure out what's going on because the computer said the numbers were in the acceptable range and the doctor didn't bother to investigate any further.
unfortunately you're right and this is pretty much how it works by design. but you may not know how deeply flawed the whole thing really is specifically for anyone with any kind of mysterious complicated disease
two general methods are typically used to interpret standard lab blood tests: reference intervals and clinical decision limits. reference intervals are a range of the central 95% of results of a population deemed "healthy". they are not a measure of optimal physiological function, its just normal distribution. broad, generalised and nonspecific. subtle abnormalities will not be taken into consideration. a result outside the reference range may not be clinically significant and likewise, a result within the reference range may indicate a greater underlying issue yet go undetected. these values are not extremely useful in isolation and should be considered alongside patient history and symptoms. and you just know its not happening a lot of the time. clinical decision limits are cutoffs determined to be associated with known clinical risks. they are actionable thresholds where your doctor actually has to do something. the data for these values comes from previous studies therefore only exists for conditions that are well-characterised enough.
there is a prevalent and endorsed attitude where it is discouraged to order extensive tests and perform excessive investigation if a patient doesn't seem to deviate from the norm in any quantifiable way. pre-test probability is the (inherently flawed) concept of estimating the chance that a patient actually has a condition prior to performing diagnostic tests. it factors in things like disease prevalence, patient symptoms, family history etc to determine whether investigation is worthwhile. reasons behind this are to cut down on healthcare costs, the fact that many diagnostic tests do have relatively low specificity (ability to correctly identify those without the disease) and/or sensitivity (ability to correctly identify those with the disease), the fact that many tests do have adverse effects (radiation from x rays and CT scans, anaemia from blood tests). they also apparently do this to reduce patient anxiety and avoid overdiagnosis.
you can see how biased and subjective this is. if you suspect you have a disease with a 1 in 1000 prevalence rate then you have a pre-test probability of 0.1% without any family history or specific symptoms. the doctor is most likely not going to conduct any kind of investigation in this case even if you actually do have the condition. if you don't describe your symptoms sufficiently in a way the doctor correctly interprets you have decreased the chance of a proper investigation being carried out.
but: many diseases are progressive and undetectable in their early stages and present with a range of non-specific symptoms. so in order for you to receive a diagnosis, significant disease progression needs to occur before treatment is started. and for diseases that are rare or poorly characterised, by the nature of how the diagnostic process actually works (the necessity of the doctor actively considering your history and symptoms and ordering tests where they see appropriate compared with how often they just don't) you may never actually reach the treatment stage.
so because there is no foolproof holistic catch-all disease scan and doctors often aren't willing to actually investigate at all, everyone with any kind of complex condition needs to build a solid case for themselves and do their own research because the odds are actually stacked against you
also, specifically for the case of POTS or orthostatic intolerance hypovolemia (the most common underlying cause when your situation is that you have palpitations relieved by drinking salty water), the hypovolemia itself is what's causing the problems. you do not have enough blood, period, but the blood you DO have usually contains the normal amount of blood ingredients. but since you have less blood than you should, you also have not-enough of those blood ingredients to make your body functional. testing will consistently show normal levels of everything, because the lab cant test to see how much blood you have, total. you will have all the symptoms of anemia and mineral deficiency because you physically do not contain enough of those nutrients in your body, you are actually deficient. but they will keep testing your blood and finding nothing wrong, because the problem is that your blood is mostly normal, there just isnt very much of it. you are walking around trying to function with, on average, 85% of the amount of blood youre supposed to have.
>>>hypovolemic POTS patients are walking around every day with less blood than healthy people who have just donated blood to the Red Cross.<<<
i have yet to find a single doctor who acknowledges this as the underlying paradox of hypovolemic disorders
After reading the responses to this post I increased my salt and water intake and it seems to be helping. Which is weird bc standing relieves the heart palpitations which is basically the opposite of POTS but whatever, if it works it works
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