Loéva 6 Introduction

 

ID and general health questions

Hello

Doctor speaking:

-Take a sit, ok, I need your "carte vitale" - your green health card, thank you

so your first name is Alan and Last name is  Lincoln , right?         Your surname is Lincoln.

((((((Last name=surname=family name

name=first name....and some people have a second name

everybody has a nickname ))))

Alan Lincoln

How old are you, date of birth, are you a resident, where do you live,

I need your history,: your past medical history,

Habits: do you smoke; how long had you been smoking; do you drink; how many units a week?

are you on any medication?

Any addiction?

Are your Immunizations up to date? Diphteria, Poliomyelitis, Tetanos, Measles, Mumps, Rubella, Shingles, Flu... Did you have your flu vaccination updated this winter?

Doc says:"After these general health questions I have to proceed to the clinical examination;

of the heart and blood pressure

of the abdomen

the neurological examination

the gynecological examination

-Ok doc...Top off? (Patients ask this short question sometimes, the same as they say I'm sick, (short for I fell nauseous, and suffering from my stomach (abdomen).

When the patient has undressed, the doctor proceeds with checking the blood pressure, listening to the heart, the lungs and the abdomen: this is the clinical examination/

The doctor notes down the findings of the clinical examination on his computer; the abdomen, the lungs, the cardiovascular system, the genitalia, the nervous system.

This is the first page of the health application;

Second page is Case history; if the patient has any desease currently active, and needing to be looked after.

QUIZZ

1 First thing first: the patient takes off his clothes

2 First thing first, the doctor introduces himself and asks what is the weather like?

3 First thing first: the doctor asks the patient for his ID card, opens his file, and notes down his name and surname and Health and Social security number thanks to the green card.

Loéva quiz 5

 Musculoskelettal system

It is made of bones, muscles, senews or tendons, and nerves. (And arteries, veins, lymph,  etc)

You can have your bone broken, a broken bone is very painful, you have to fix the fracture rapidly.

When you sprain your joint, you don't have a broken bone: the problem, the swelling and the pain, comes from the tendons and ligaments you sprained. It's been over-stretched and now it needs repairing. To get back to normal. It takes a few days.

Not only accidents can affect the joints. Deseases can cause joint pains as well. From damage in the tendon or in the bone or both. There are joint infections which are called infectious arthritis.

You can need pain killers, or anti-inflammatory medications, or antibiotics..

QUIZ

1You need antibiotics to fix the fracture rapidly.

2 You are young, you practice a lot of sports, your bones are solid, your muscles are strong and so are your tendons, so much so that you can't break any bone, even if you jumped off the roof. 

3 Before exercising it is good to do a little warm up. Real athletes exercise regularly.

Loéva 4 Musculoskeletal system

About the musculoskeletal system

 

-Hello doc, I've got a terrible pain in my left ankle, I cannot walk, I could hardly reach your surgery.

 
-ok Do you feel the pain in the bone? How did it happen? You sprained your ankle ?  Did you sprain your ankle or did you fall down somewhere, or did it happen suddenly, out of nowhere?

-Maybe I sprained my ankle a little bit when climbing down the stairs yesterday but I could keep going. A few hours later I was in pain and some swelling developped on the side of my ankle, and I could not walk; I hope it is not broken; do you think I need X ray examination ?

-Lie down flat on your back on the couch please and relax and let me examine the joint: yes it is swollen and sensitive, tender, achy ; it looks looser when I try to manipulate it: ok it is a sprained ankle; you 'd better have an X ray. People your age, I'm sorry to say, have fragile bones; let's be careful.

QUIZ 

1
X ray means the patient needs to use Twitter to have X ray examination rapidly. NB one must know the way one has to pronounce X not like in french but like in exercice, example, ex voto, ex aequo.
2 When the ankle is just sprained there is no bone dammage, X ray examination won't show any fracture line. You just need to fix the ankle, and apply some contention, for some time. And get some rest.
3 The patient needs to stay in bed for 3 weeks.

LOEVA QUIZ 3 Respiratory system

1 People inhale so as to bring oxygen to the blood in the lungs, through the respiratory system which is made of the nostrils, sinuses, the throat, the breathing pipes (trachea, bronchial tubes or bronchos) to the pulmonary tissue; exhale so as to get rid of carbon dioxyde.

2 Smoking is a bad habit because it makes your finger turn yellowish and a good one because it help  smokers get rid of the mucus on their lungs and bronchos. 

3 Covid desease is an infectious desease that affected only smokers. It does not spread in non smoking communities: in retirement homes for example there were no covid infections.

WORDS

Respiratory system:

a) Coughing

-Does the coughing come in bouts, is it a dry cough or a wet cough? Is it painful?

b) Sputum

-People with chronic bronchitis - and smokers of course- they bring up what is called "sputum".

People with tuberculosis would spit in sputum cups: it is disgusting.

Patients can cough blood sometimes because of their desease; they spit mucus with red or black streaks of blood

c) Dyspnea 

Those patients are breathless, they run short of breath. Dyspnea is what the doctors coll that symptom. Breathlessness.

People with asthma happen to wheeze; the wheezing is induced by exposure to wind and dust and pollens or after taking a medication or even the wheezing can be provoked by stress. It can be eased by some medicines ("ventoline" spray is Salbutamol; Steroid sprays can be needed on a daily basis to prevent the wheezing and ease the desease. The doctor decides according to the severity of the desease.

QUIZZ

1 When a patient has bouts of coughing it means that he has got tetanos.

2 Sputum is what is brought up by patients when coughing a wet cough.

3 Patients with asthma wheeze when their medication is too strong.

Loëva quizz 1 THE SURGERY

 The doctor asks the new patient as she is entering the consulting room:

-How are you?

-Not good because I need your advice

-Ok so what is your problem? what is wrong with you?

-I feel like vomiting every morning; it gets better as the day passes by.

-You are nauseous in the morning and your nose is watering, dripping you'd say?

-Yes I do feel tired as well all the time; this is not me, I'm wrecked, I used to be active, had many hobbies, sports, exercising all the time, but I've no appetite, no stamina, nothing.

-Don't you think you are pregnant? Are you on a contraceptive pill or any other medication?

-I can't be pregnant, Doctor, believe me; I've not been out of my house for two years, since the covid thing you know, we had to stay at home, and I got new habits; since then I've been smoking more than I did before, and got depressed, and everything went wrong.

QUIZ-(only one answer!)

1 The patient is pregnant

2 The doctor has not asked her for her drinking habits, and she did not mention it either

3 The patient has no stamina because she is in love with the doctor.

0000000000000000000000000000000000000000

 staart an traoù gast 

“Ukraine Scores Rare Avdiivka Win as Russia Attacks on Eastern Front: UK MoD. Defence Intelligence”

UK MOD according to Newsweek, said that "Ukrainian units have likely conducted successful local counterattacks, denying Russian forces full control of the village of Stepove."

“Ukrainian forces have enjoyed some success in the brutal battle for Avdiivka, according to British officials, in an update that follows a series of recent downbeat assessments regarding Kyiv's war prospects.”

Reminder. Oct 7 saw Hamas forces do their best to slaughter every Israeli man woman and child they could.

Oct 8 saw russia launch a massive artillery barrage on Avdiivka in advance of their wasteful and so far almost fruitless attempt to grab the Ukrainian settlement (under ruski assault for 9 fucking years now).

Some assessments conclude russian losses on Avdiivka since Oct 9 2023 total as high as 25,000 Orcs. Killed in action.

Ukraine kills russians now faster than Shoigu can assemble the meat for a scant 2-week (or less) training before being exposed to Ukrainian fire.

Ukrainian slaughter of Orcs and advance on Stepove, according to the MoD and Newsweek “was also reported by the Kremlin-affiliated Russian milblogger Rybar, who said that Ukrainian forces had advanced in unspecified forest areas near Stepove, where Russian troops were attempting one part of a pincer movement to envelop Avdiivka and its heavily defended industrial zone.”

Looking to the ruski millbloggers for credible updates in russian failure has been enlightening throughout the war.

“The Ukrainian military command has set the task of holding Avdiivka at any cost," the Rybar channel said, noting that "over 40 battalions from eight brigades of the Ukrainian Armed Forces, transferred from the western sectors of the front, are concentrated in this direction.

Another Russian milblogger, Two Majors, has described the Avdiivka front as "a lighter version of the Bakhmut meat grinder," referring to the Donetsk city that saw high casualties during a fierce fight.

Russia's offensives in Avdiivka continue to involve largely dismounted infantry assaults, often by Storm-Z penal units.

The Institute for the Study of War (ISW) said on Sunday that “russian forces are conducting attritional infantry-led frontal assaults on Ukrainian fortifications "at high cost."

The Ukrainian General Staff reported on Sunday that its troops had repelled at least 39 Russian attacks within six miles in several directions of Avdiivka, as well as near Stepove.

Meanwhile, Alexander Syrsky, the head of the Ukrainian Ground Forces, described the operationalsituation in the east of Ukraine as "difficult" and said 60 military clashes took place at the front during the day.

Here's to Ukraine continuing to roll out a special welcome to the murderers and rapists seeking to glorify their filth-hole from which they crawled.

DEEP BEATHING AND RELAXATION

 

Relaxation techniques

Adjusting to life after a heart attack can be stressful. Learning breathing and relaxation exercises can help you to manage stress and anxiety to support your recovery.

Practicing deep breathing and relaxation each day will help you to respond better to stressful situations. This can help to lower the amount of adrenaline in your body. This reduces the effects of stress and anxiety.Psychologist Marie Young, learning how to relax as part of stress and anxiety management after a heart event.

Releasing tension

We all have parts of our body that carry tension - where do you have yours? Go through the list below and relax your body.

Forehead
Is it creased and frowning, or smooth and relaxed? Push your eyebrows up then let them fall into a relaxed position.

Jaw
Are your teeth tightly clenched? Let them come apart without opening your mouth. Feel your jaw muscle. Is it hard or relaxed? Let it go.

Tongue
Is it up against your front top teeth? Let it lie on the floor of your mouth.

Shoulders
Are they up round your ears, or relaxed? Push them up and then let them fall down relaxed.

Breathing
Is it rapid breathing from your chest, or slow deep breathing from your stomach?

Hands
Are they clenched like fists ready for a fight or floppy and relaxed?

Toes
Are they curled up tight or relaxed?

Deep breathing

Stress, illness and loss of muscle as we get older means that we often start to breathe with our chest. Chest breathing means we take short, shallow breaths that only fill the top part of our lungs.

We do this automatically when we are scared, in pain or exercising hard. When we are fully relaxed we breathe using our stomach or diaphragm. These breathes are longer and slower than chest breathing. They use our full lung capacity. This type of breathing helps our mind and body to relax. Sometimes chest breathing can become a habit.

Chest breathing for long periods can cause problems like:

• palpitations (your heart rhythm is disturbed)
• dizziness
• chest pains
• poor concentration and memory.

Learning to deep breathe again can help change this habit. Try this deep breathing exercise:

• Lie or sit in a relaxed position and put one hand on your stomach, near your belly button and put your other hand on your upper chest. Relax your upper chest and shoulders. Now take a gentle breath in by gently pushing out your stomach. Try to keep your chest muscles and shoulders relaxed.
• As you breathe out, try to relax. You can use your hand to press on your stomach to help a little. Try to keep your chest and shoulders relaxed.
• Keep doing this for a couple of minutes. Stop if you get dizzy. Don’t take huge breaths. Try and breathe quite slowly.
• If you find it difficult, you can make it happen by deliberately pushing out your stomach muscles when you breathe IN and relax your stomach as you slowly breathe OUT. Or, you can PUSH your stomach in with your hand as you breathe OUT.

Set aside five minutes, twice a day to practice this to move towards slower, smoother, stomach breathing all of the time.

Try listening to these audio tracks for relaxation and deep breathing exercises to practice.

Tost da bemzektez, mut

 Un druez eo an amzer o vont hebiou ken buan all bepred,

Bet on o veajiñ war takad sevel bigi Blavet ma veze gellet gwelout gwez lakaet d'ober ur c'houc'h gant membroù, ur penn a-raoi hag un en a-dreñv hag all...

a-hed bloavezhioù ez eus bet fardet bigi bihan betek an deiz ma voe raktres eus un vras, ur vatimant anezhi keak, 1000 tonnel pe ouzhpenn

Ur vag kenwerzh flanket mar geller larout gant kanonoù a bep tu hag er penn a-raok hag a-dreñv?

Heol ar Reter hec'h anv: heol o vezañ arouez ar roue ha reter o vezañ pal ar veaj du-hont Indez ha me'oar Japon hag all en ur dremen el lark da Vada ha Bourbon.

Ur follenn 'm eus savet gant deiziadoù ha darvoudoù d-b buhez an HER . E-tro 1666 un deiziad aes derc'hel soñj outañ ma voe savet ar c'hevredad ar reter; hag e tro an deiziad-se e oa darvoudoù e Paris o tremen hag e kêrioù ar vro ivez

adkempennet ar Geoded kastel ar spagniz goude em zisgraet diouto, ha roet dezhi ar furm difennoù a zo hiziv war an dachenn: ur pezh mell moger a wareze ar gêr ivez moarvat, deuet da vout anvez Porzh Loiz.

Hennebont ivez oa a-bouez da gentañ hag eno ez oa c'hoarvezet abadenn gant Guise hag all, met goude, eo tost d'ar mor e oa o vont da greskiñ al labourioù hag an difretañ, ar sevel kestell hag ar sevel bigi; ha diouzh ret ar sevel kêrioù, tud o tont diouzh an druilh da labourat eno.

Se oa e-kerzh ar brezelioù a badas tregont vloaz ma komzed spagnoleg galleg anglich brezhoneg hag all ma em zifrete en douaroù an dud da gaout krog war ar c'hêrioù, ken em c'houlenner penaos e c'helle al labour sevel bigi mont en-dro da skouer, pezh a lavar ivez pouez gant kestell emzifenn rak a bep seurt enebourien a c'helle bezañ.