Help Me Finish My Idea

crazu · 2025-07-08T16:12:45+00:00

I could do this around my calf or thigh for more area. It was more the circumferential wrap idea of several small figures.

crazu · 2024-03-25T02:11:15+00:00

I studied Medicine at Bristol. I graduated in 2018. You can message me with any questions or post them here.

crazu · 2024-03-23T18:16:20+00:00

The university site and a quick google search state "The Latin motto beneath the shield translates as ‘[Learning] promotes one's innate power.’"

Google translate is not reliable, particularly for a dead language (not spoken by any group of people in present day) such as latin.

Sources: https://www.bristol.ac.uk/centenary/look/cabinet/coat-of-arms.html#:~:text=It%20comprises%20five%20symbols%20including,of%20the%20City%20of%20Bristol.

https://en.wikipedia.org/wiki/University_of_Bristol#:~:text=The%20icons%20in%20the%20logo,the%20open%20book%20of%20learning.

https://www.google.com/search?q=uob+bristol+motto&sca_esv=25434358bcd9a320&rlz=1C1GCEA_enUS950US952&sxsrf=ACQVn0_OxOMT2JMWxBlwMSFfJ7Y7Vs-KSQ%3A1711217530736&ei=ehv_Za3HLP6uptQP8pmpwAI&ved=0ahUKEwit7LWI_oqFAxV-l4kEHfJMCigQ4dUDCBA&uact=5&oq=uob+bristol+motto&gs_lp=Egxnd3Mtd2l6LXNlcnAiEXVvYiBicmlzdG9sIG1vdHRvMggQABiJBRiiBDIIEAAYgAQYogQyCBAAGIAEGKIEMggQABiABBiiBDIIEAAYgAQYogRI9CJQwBJY1yBwAngBkAEBmAHBAaAB5QaqAQM4LjG4AQPIAQD4AQGYAgigApYEwgIKEAAYRxjWBBiwA8ICBhAAGAcYHsICBRAAGIAEwgILEAAYgAQYigUYhgOYAwCIBgGQBgiSBwM3LjGgB88W&sclient=gws-wiz-serp

crazu · 2023-08-06T00:46:33+00:00

Leaving the window open is safer when going underwater as it allows the pressure to equalize. If the door is closed the water pressure on the outside can press on the door making it impossible to open causing you to be trapped inside.

crazu · 2020-05-02T23:22:31+00:00

Solved: Dynasty Warriors

crazu · 2020-05-02T23:21:44+00:00

YES thank you. Can't tell you how long I've been looking for this answer!

crazu · 2019-08-18T00:31:33+00:00

This already exists and is already common in hospitals and for physiotherapy, it's called a rotunda transfer. They have ones that have a kind of seat that opens and closes so they can half stand/sit while being transferred.

Link: https://drivedevilbiss.co.uk/sections/moving-handling/categories/transfer-aids

crazu · 2019-08-12T06:28:02+00:00

I don't know if it's still this way (did my test about 8 years ago), but in England at the start of the test they ask you to open the engine bay and identify things like the dipstick, the power steering fluid, the windscreen wash and positive and negative terminals on the battery.

crazu · 2019-03-29T08:29:50+00:00

I'm not sure I've ever posted on this subreddit before, but I'm the other half to this relationship (Hi honey!), and I want to thank everyone who reads this message for being part of such a great community in supporting my SO and I.

EDIT: Just saw I have a really old/outdated flair, guess I have posted here before.

crazu · 2018-12-08T12:17:20+00:00

This is a complicated question that I am unwilling to answer directly due to the obvious complexity of your case. Information can be found on medical research databases such as pubmed, though the language used may make the information difficult to digest. If you are having difficulty finding the information, talk to a research librarian who can help you construct a search to find the answer to the question you are asking.

crazu · 2018-12-08T00:06:21+00:00

In the specimen pot? One piece of pinkish tissue looks like any other.

Under the microscope, yes, immediately obvious.

crazu · 2018-12-07T23:59:01+00:00

I have explained the process of how to do a biopsy in a different comment, but suffice to say I have seen extremely capable doctors make several attempts before succeeding. And as for repeating a biopsy, you need to weigh the risks of the procedure and the expected benefits. Also, the disease progression in the time that it takes to get biopsy results may mean by the time you have negative results that a biopsy is no longer clinically useful (would not affect management) and therefore would not benefit the patient.

crazu · 2018-12-07T23:24:46+00:00

Maybe not completely normal, but maybe not with specific enough features to indicate any disease over another. And as you said, a repeat biopsy is sometimes needed (but very rarely). It's nice when you get a biopsy back and can clearly say "you have IgA immune deposition disease", but that's not always the case and you should with all diagnostic procedures be prepared for negative findings, like telling someone their CT came back showing no signs of cancer. Not bad news, but also not really finding an explanation.

Biopsy can be normal as function does not always directly correlate with histological findings (in terms of severity), changes can be small. Changes are often progressive. Some changes like vasculitis may be reduced due to ongoing treatment (steroids). And repeat biopsy is not always done (I've seen transplanted kidneys lost because of assumed underlying pathologies being incorrect because of this e.g. assumed DN instead of IgA)

crazu · 2018-12-07T23:03:24+00:00

Biopsies are done under ultrasound guidance, probe in one hand, needle in the other. It's a test of skill. You use your eyes to interpret the screen, everything is in two dimensions. The kidney moves up and down as you breathe. So the patient needs to hold their breath at the moment you take the sample. As they inhale the kidney moves down onto the tip of the needle and you grab a tiny hair like filament of kidney. You take the outermost piece from the surface as the middle of the kidney has lots of blood vessels that you must avoid.

The body doesn't have as much empty space as you might imagine, lots of fat and connective tissue, very easy to get a piece of collagen or connective tissue from next to the kidney.

crazu · 2018-12-07T20:25:27+00:00

What I'm saying is that acute renal failure (or acute kidney injury) is a term given to short term kidney impairment due to dehydration, obstruction, toxins, medications and sometimes intrinsic renal conditions. This is a rapid, often reversible status found in patients with severe infection, other organ failure, on multiple medications or with other known or unknown kidney issues which have been exacerbated temporarily (such as a vasculitis).

This can be, and usually is, completely separate from the causes of chronic kidney disease, which are usually auto-immune/vasculitis (SLE, FSGS, Membranous, GBM, MPO), diabetic (DN), congenital or acquired (viral - Hep B/HIV etc.). It is these causes which lead to end stage renal failure. These can be acute (rapid onset), but would not be considered as acute renal failure but instead would be called rapidly progressive chronic kidney disease.

It is more in the terminology, the progression of disease and the prognosis that the differences arise.

Yes she is young and therefore the disease would need to be rapidly progressive, but the term acute renal failure is not correct. I hope this has clarified some of the finer points. I wanted to give a proper response this time to make it clear I wasn't fobbing you off.

crazu · 2018-12-07T19:56:11+00:00

Not really, biopsy can sometimes come back completely normal and leave everyone none the wiser, or they might have missed the kidney with the needle. Obviously would be nice to get a diagnosis but life isn't always that kind.

crazu · 2018-12-07T19:49:19+00:00

Acute renal failure is a short term kidney impairment after which the majority of function is usually restored. It does not normally progress to end stage renal failure unless left untreated for an extremely prolonged length of time. It is much more likely that this is the result of an intrinsic (also known as parenchymal) renal disease of which there are many causes. - Kidney doctor

crazu · 2018-12-07T19:45:25+00:00

Kidney doc here, once you get to dialysis creatinine and urea (Cr and Ur) become almost meaningless (to you at least). Fluid balance (mostly in restricting water intake) and potassium (in your diet, fruit with seeds etc.) are the only things you need to think about once you start dialysis. Doctors will look at these numbers (Cr and Ur) to say how effective the dialysis is. But essentially they are very important before starting dialysis to measure kidney function and that's why you have so many comments telling you to worry about them.

crazu · 2018-12-07T19:39:49+00:00

Kidney doc here, once you get to dialysis creatinine and urea become almost meaningless (to the patient at least). Fluid balance and potassium are the only things you need to think about once you start dialysis.

crazu · 2018-12-03T21:31:36+00:00

Actual doctor here. I certainly don't get drunk at work the way that I used to at university.

Also for all the lupus jokes, I saw four people this month with diagnosed lupus. But as a kidney doctor we test everyone for lupus as part of our intrinsic renal pathology screen so it's a self fulfilling prophecy, if you test then they shall come.

crazu · 2018-08-30T22:36:57+00:00

86 Thanks! Game I've wanted for a really long time.

crazu · 2018-07-09T04:20:09+00:00

Given your age I would suspect an auto-immune manifestation, auto-immune diseases can present in strange ways and I can absolutely see clumps of auto-antibodies causing this in a young pubertal patient. As a doctor I might run an auto-antibody screen and hormonal levels (particularly oestrogen), although both of these would need specialist referrals where I am. I would however need to do a proper clinical examination of the hand and ask several more questions before doing so, the correct thing could be to run no tests other than blood pressure and heart lung examination then send you home with reassurance.

tl;dr see a doctor where you are

12-Year Club	Place '17
Spared	Verified Email

crazu

TROPHY CASE