I reacted to this image in two stages:
1) Awwwwwwww
2) Cardiomegaly is no joke! Starts listing differentials....
How many differentials can we come up with?

seen from Malaysia
seen from China
seen from China
seen from United States
seen from China
seen from China
seen from Pakistan

seen from United States

seen from Malaysia
seen from Vietnam
seen from United States
seen from China
seen from China
seen from China
seen from United States
seen from United States
seen from China
seen from Malaysia
seen from China

seen from United States
I reacted to this image in two stages:
1) Awwwwwwww
2) Cardiomegaly is no joke! Starts listing differentials....
How many differentials can we come up with?
Enlarged Heart (Cardiomegaly)
Belonged to 27 year old with Morbid Obesity, diabetes and congestive heart failure. Weighed 423 Pounds at his death
Heart is 3x the size of a normal heart
This is who I am
I can remember being very young as in less than 8 even when I realized that pain was the only constant in my young life. I didn’t focus on it unless it was a fabulous flare up day and then I didn’t want out of my bed, much less go to school. There never were tests more than normal things doctors ask a parent and a child. How could I tell my peds doc I was broken and it would all be present by the end of my shortened life. The pain was so great that not even 8 ibs or tylenol did anything. . . nothing helped. In 2001 at the age of 20 I woke up one day and that pain changed to a more centered middle back and it had names. Degenerative Disc Disease, Severe OsteoArthritis, and 3 herniated discs. It wasn’t until recently that I began to research what it was to be in pain but not a broken bone type but an all over pain that never ceases. Not even one moment is free of pain of some sort. I have not worked since I was 24. When I finally became able to be insured it was like I tripped and fell all the way down a mountain of epic proportions. I have a parking permit, I am riddled with Glaucoma, and so many more things. Too many to list and not have you lost by the time I am done. I am disabled by Government standards. I am terminally ill. I am going blind. Most of all I feel alone. So I am reaching out. If you are a human with feelings and love in your heart and know pain regardless of situation or severity or where it is please let me know you exist. I know you are out there. One spoon at a time.
Enlarged Heart (Cardiomegaly): Symptoms, Causes & Treatment
Learn about enlarged heart (cardiomegaly), its symptoms, causes, risks, diagnosis, and treatment options. Know when to seek medical help and protect your heart.
The Three Sizes Larger Christmas
The Grinch. A classic, green villian who proves to us all that no one is beyond the reach of the true meaning of Christmas. Thus being not gifts and all the trappings, but the love we give each other at the Holiday season. Family celebrating together is more important than gifts. This the Grinch realized Christmas morning as those gifts and trappings were stolen by him overnight. Christmas once…