36m here; last night i was eating some food and for some reason decided to try and clear my sinuses while doing so which resulted in me inhaling some of the food. this did trigger a rather violent coughing fit which calmed down after ten minutes or so but i made the mistake of googling what happens when food "goes down the wrong pipe" and it got me a little concerned.

that was about 17 hours ago and i still have a feeling of something in my throat but i am thinking it's just from the irritation of coughing. don't have a fever or anything, just the feeling like something tiny is in the back of my throat. is this something i should be concerned about?

Sex/Age: Male/26

Height: 5 foot 10

Weight: 165

Medications: None

Smoking Status: None

Indian

Previous Medical Problems: Nothing in the last few years

Yesterday I was eating cashew nuts, mistakenly few of them went in my lungs when I drank water.

There was pain in my chest.

I have cough [white/grey phlegm ] since yesterday. Temperature is 99 F. I am quite sure I felt the cashew nut pieces remained lodged in lungs inspite of violent coughing.

I am feeling uneasy overall since yesterday, There is no nasal congestion. Although there is difficulty in belching as if something is obstructing the passage of air.

I can't go to doctor. I have azithromycin and levofloxacin. Is azithromycin good enough or do I need amoxicillin??

3/31/21. Original Post

A couple of days ago, I awoke to find my daughter in an awake, eyes open, and enlarged, but mute, unresponsive state. SOne eye seemed bigger than the other or set forward more somehow.She had repetitive, stereotyped movements, like bracing herself on her arms, pushing herself upward repeatedly, to no effect. Her mouth was open with a fish-like look to it. Panic, fear, surprise in her eyes/face. Her arms were alternately folding up to the chest, fists rolling inward, and then curling into the lap, wrists curled inward. Her legs were extending and rolling inwards. I'm not sure she was breathing. Then that all stopped and she just curled over and didn't move. We called 911.

At the hospital:

History: "Patient with a possible episode of seizure and following altered mental status. "

Her oxygen level was 77%; She didn't have a gag reflex, one pupil was 3mm, one was 4mm.

BiBasilaer Alterlisis

"Minimal subpleural consolidation in the dependent portions of the lower lobes likely related to atelectasis with aspiration possible given secretions within the trachea and mainstem bronchi."

Phosphorus 7.2,

10:22 EGFR 85 mL/min, Lipase 31,

11:06 AM VBG's PH 7.3***, PCO2 52 mmHg***, *PO2 73 mmHg*******,, Sodium 136 mmol/L, Potassium 4.5 mmol, Chloride 103 mmol, Calcium++ 1.24 mmol/L, Glucose 140 mg/dL** Lactate .7 mmol/L, HgB 11.5 g/dL** , HCO3 26 mmol, Anion Gap 7 mmol/L

Anion Gap 11 (then 13**, 16**) Calcium 9.7 Chloride 104 CO2 25 (then 22, 19) Creatinine 0.94. (then 1.05**) Glucose 153. Po

https://www.jmedj.co.jp/journal/paper/detail.php?id=17481

As you know, this hospital is MS's trial site for both ONE-BRIDGE and TREASURE. But sorry, this is a paid contents. I tried free registration, but this wasn't a free content. I can only show you the small introductory part that I have access ......does anyone have full access to this medical magazine? Well, maybe not, it's in Japanese : (

Hardy liked this on Twitter.

https://twitter.com/HardyTSKagimoto/likes

-----------------------------------------------

Acute Respiratory Distress Syndrome (ARDS) [My treatment]

No.5070 (Jun. 26, 2021) P.40

Dr. Kazuya Ichimon ( Division Director of Respiratory Medicine, Respiratory Center, Saiseikai Kumamoto Hospital; Clinical Professor, Department of Medicine, Kumamoto University Hospital)

Article Registration date: 2021-06-24

Corner: Academic Serials, "My treatment"

Department: Internal Medicine, Respiratory Medicine

Acute respiratory distress syndrome (ARDS) is a non-specific syndrome diagnosed based on the Berlin definition revised in 2012. It is a non-cardiogenic pulmonary edema condition that develops secondary to an underlying condition (pneumonia, sepsis, and aspiration are the three major factors). It is a non-cardiogenic pulmonary edema condition that develops secondary to an underlying condition (pneumonia, sepsis, and aspiration are the three major causes).

There are recommendations for therapeutic interventions according to the severity of the Berlin definition, and pulmonary protective ventilatory management is strongly recommended to prevent ventilatory-related lung injury. Although there are no drug recommendations, evaluation and treatment of DIC and drugs with immunomodulatory effects are expected to prevent secondary multiorgan failure. 2 clinical types (phenotypes) have been identified,1) and therapeutic interventions may change depending on the type in the future.

▶Diagnostic points

The Berlin definition2) of ARDS is acute onset within one week, bilateral shadows on chest X-ray, respiratory failure that cannot be explained by heart failure or fluid overload, and positive end-expiratory pressure (PEEP) of at least 5 cmH2O. The severity of the disease was classified into three levels (mild: 200 < PaO2/FiO2 ≤ 300, moderate: 100 < PaO2/FiO2 ≤ 200, severe: PaO2/FiO2 ≤ 100) under artificial respiration control

Hi everyone, I’m currently in my last year of med school. Hoping to go into pediatrics. When my baby was in the NICU, I kept looking for websites that tried to explain his condition, treatment, etc. and couldn’t really find any that explained them in a clear and concise way. The resources we used from school were way too dense for me to understand at the time while I was riding the emotional rollercoaster that is the NICU.

My baby suffered from meconium aspiration and developed pulmonary hypertension of the newborn, the latter of which was very hard for me to grasp. I know that a lot of medical conditions are heavy in medical terminology, so I was thinking of possibly starting a blog or even possibly a YouTube channel for NICU parents. What topics do you think could use more explaining? This will also help me prepare for residency as having a strong foundation is imperative to doing well and managing patients optimally. Please and thank you!

Hi NICU Parents - our baby boy (37w+0d) spent 19 days in the NICU due to respiratory distress syndrome, fluid aspiration and slight pulmonary hypertension. He was born to my wife who had preeclempsia with severe features and was born via an unplanned C section due to arrested descent.

The baby was intubated and on a ventilator for the first 5 days, then on high flow oxygen via a nasal cannula for 4 more days. He is now very safely breathing entirely on his own and the pulmonary hypertension is gone.

The one problem we are left with is trouble swallowing liquids. He showed aspiration on breastmilk, so a week ago they switched him to formula fortified with rice cereal (nectar thickness). On that, he does not aspirate and can safely feed. He is now 3.5 kg, after being born weighing 2.8 kg.

My question to you guys: how long are newborns on thickened liquids? My wife is pumping and we are freezing the breast milk. It is such a shame that he cannot have breastmilk.

Thank you in advance!

x-post from /r/gerd

I've had gerd/acid reflux for about 7 years now.

A few years ago, when my symptoms were at their worst, I had an episode which I think was aspiration pneumonia - woke up with blue lips and white blotchy face, shallow rapid breathing, feverish, dizzy etc. I didn't seek any kind of medical treatment, I was in a bad place mentally and not taking care of myself. Around this period I have a lot of feverish symptoms, wheezing and night sweats etc.

I was in my mid 20s at the time and I know pneumonia should generally heal on it's own. But seeing as I didn't seek any treatment at the time and had acid continuously washing up my stomach and probably into my lungs at night, I doubt my lungs will have had a chance to heal properly.

I've managed to get my reflux under control to a certain extent recently by controlling my stress. But shortness of breath is something that has remained constant over the years even as other symptoms have come and gone.

So now I'm worried about possible lung-scarring and it's long-term implications. Alarmingly, when I google it, there doesn't seem to be a distinction between lung scarring and pulmonary fibrosis, which has a 3-5 year life expectancy and tends to effect 50+ people. So I'm struggling to understand what the outlook of potential damage to the lungs would be for a 29 year old.

I've made an appointment with a doctor to talk about reflux issues for the first time, primarily out of concern about Barrett's Esophagus. But lung scarring seems potentially even more deadly. I wonder if anyone can shed light on this, how worried I should be and what the outlook is.

Phil

Sudden Lee

Go post NSFW jokes somewhere else. If I can't tell my kids this joke, then it is not a DAD JOKE.

If you feel it's appropriate to share NSFW jokes with your kids, that's on you. But a real, true dad joke should work for anyone's kid.

Mods... If you exist... Please, stop this madness. Rule #6 should simply not allow NSFW or (wtf) NSFL tags. Also, remember that MINORS browse this subreddit too? Why put that in rule #6, then allow NSFW???

Please consider changing rule #6. I love this sub, but the recent influx of NSFW tagged posts that get all the upvotes, just seem wrong when there are good solid DAD jokes being overlooked because of them.

Thank you,

A Dad.

So far nobody has given me a straight answer

Beyond Air (XAIR) is a biopharmaceutical company developing the LungFit platform system, a generator and delivery system that produces nitric oxide from ambient air. This medical device can generate up to 400 ppm of nitric oxide for continuous or intermittent delivery to a patient’s lung. As a result, this technology can eliminate cylinders from the hospital, can be used anywhere in the hospital setting, and may allow for self-administration at home. XAIR seeks to apply the LungFit system to treat infants with persistent pulmonary hypertension (PPHN). Furthermore, XAIR's pipeline includes using nitric oxide to treat bronchiolitis, COVID-19, and solid tumors.

The immediate potential catalyst for XAIR is treating persistent pulmonary hypertension of the newborn (PPHN). The LungFit delivery system can provide the dosage of nitric oxide that’s in line with current guidelines (20 ppm with a range of 0.5-80 ppm). The company estimates that US sales potential would be greater than $300 million and worldwide sales could be greater than $600 million. The LungFit PH Ventilator compatible system is pending pre-market approval (PMA) by the FDA, with a deadline of May 10, 2021. XAIR also plans to present two abstracts at the American Thoracic Society International Conference from May 14-19. These abstracts will provide updates to their 3 trials evaluating the safety and efficacy of nitric oxide to treat bronchiolitis, as well as inhaled nitric oxide to treat COVID-19. This analysis will consider nitric oxide as a treatment option for PPHN and COVID-19 as well as the LungFit PH Ventilator system and the LungFit Pro system.

PPHN Background:

Persistent pulmonary hypertension of the newborn (PPHN), also known as persistent fetal circulation syndrome, is a serious breathing problem in newborns. During pregnancy, a baby gets oxygen through the placenta, and the baby’s blood skips over its lungs, so the blood vessels going to the baby’s lungs (pulmonary vessels) are closed. When the baby is born, normally pulmonary vessels should open up to allow for blood to flow through the lungs, but with PPHN, these blood vessels don’t open up fully. As a result, the brain and body don’t get enough oxygen, and there is too much pressure in the blood vessels to the lungs.

The cause of PPHN is unknown, but certain factors increase the risk of developing the disease, including meconium aspiration, infection, respiratory distress syndrome (RDS), a lack of oxygen before or during

..... Will get a reward.

Well, toucan play at that game.

Windows

Martin Freeman, and Andy Serkis.

They also play roles in Lord of the Rings.

I guess that makes them the Tolkien white guys.

My boy is full of life. A month ago, he showed signs of respiratory distress and we took him to the emergency vet where they discovered and tapped 250 ml of pulmonary fluid (fluid around the lungs). They discovered a tumor close / on his heart.

Since removing the fluid, he returned to his old self, and theres no way to really describe how he's been acting other than thankful. I can see how grateful he is based on his actions and the look in his eyes. He's always been a gentle, expressive cat. We put him on topical steroids, and he's been eating wonderfully, loving pets, and just really acting like his old self.

We had to shift our focus from him to my dog for a brief period. She was diagnosed with Osteosarcoma and needed a leg amputation ASAP. We've been focused on her recovery.

Fast forward to yesterday. We had a three week checkup on my cat's weight to determine whether he's maintaining / putting on / or losing weight. He's been maintaining his weight, which is wonderful. Then the vet drops a bombshell on us. His lung sounds were very diminished, and with an ultrasound we learned he has a large fluid buildup around his lungs, again.

We made a vet visit for Tuesday with the expectation we'll either be tapping him again (we can't really go past doing it a second time: the fluid is sticky to the lungs and creates microtears), or putting him down.

Our only other option is to needle aspirate the tumor to figure out if it is Thymoma (benign) or Lymphoma, and if it's Thymoma, a potentially massively expensive surgery with a difficult recovery.

I just don't know how to express how much life he has left in him. I have had to make many animal decisions, but this one feels so hard. He doesn't give me any signs he's ready to go. He's youthful in his personality and other health, and this just hurts so much. We always put our animals first, their quality of life and happiness is our priority, and it just hurts to feel like we might be taking him when he still has a quality of life.

And we can't wait for him to diminish on that quality of life, because at that point it will be traumatic for him and a medical emergency where we couldn't confirm him a gentle, peaceful end that he deserves.

I could really just use some words right now.

She said apple-lutely

'Eye-do'

This is my first post pls don't kill me lol.

The people in the comment section is why I love this subreddit!!

Cred once again my sis wants credit lol

Keep in mind, my son is 4 years old, so everything is an original to him.

I had to work late into the evening yesterday, and he was just going to bed when I got home. I had left home for the office nearly 14 hours prior, had a long day, lots of meetings, traffic, etc.

When I walked through the door, I was exhausted, run down, and starving. My wife hugged me and asked how my day was, and I replied, "Done. It was a good day, but has got me exhausted. I just want to grab a bite and go to bed. I'm hungry."

From my son's bedroom, I hear him shout, "Hi Hungry! Nice to meet you!"

Not only did it make me laugh, but I completely forgot about how hungry and tired I was. I went to his bedroom, and we laughed together about it. It was exactly what I needed.

Edit: Thanks for all the awards, kind strangers! I'll let my son know y'all enjoyed his joke too!

I heard parents named their children lance a lot.

First post please don't kill me

Edit: i went to sleep and now my inbox is dead, thank you kind strangers for the awards!

I've started this message several times. The super detailed account. The detailed account. The overview.

The summary.

Aspirational pneumonia. 2 weeks in the ICU. Intubated for transport to a university hospital specialized in pulmonary diseases. 2 weeks there in the ICU, 10 days in a medically induced coma, intubated, on the ventilator.

Rollercoaster ride. "She's doing better", "no, she's doing worse", "we need to intubate", "no we don't".

Hope. Despair. "Normally this takes a week", "we don't know why she isn't getting better", "1 in 3 survives", "1 in 2 survives", "she's young, 60; we have good hope". The call; "there's no progress, we're losing hope".

Hopeless. "She passed a hard night, we had problems keeping her blood oxygenated. The kidneys have been damaged. The heart. One of the lungs isn't working. We have to assume the brain lagged oxygen. At this point, there is irreversible damage; we cannot bring her back"

Once unplugged, extubated, I could finally kiss her lips again, one more time. I guided her to her death, talked her into calm. Felt her heart stop under my hand.

Gone.

23 years of marriage ended. Do I really have to miss you now for the rest of my life? What happens we me now, sweetheart? I wasn't supposed to be doing it alone.

I left my country to marry her, to not end life alone. To have a family. Then one by one the children left, cut contact. Coming back to a house without kids. And now, without her.

No family here. Her family cut contact. Few friends; hers, which became mine.

53. I have 20-30 years to go. And although I rationally know from bitter experience that "you never know what the future holds", that "you don't need to make decisions now", and that "things will start to look different in 1-2 years", I'm scared. I'm scared. I can do the years in between. Being alone in the house hasn't been bad. I have those friends, plus people I talk with online. But one day....one day I'm that old man, and there will be nobody there for me. Every option, every solution, every way out, feels like crap.

I do my best to look at the road right in front of me, to not try to see too far ahead. But boy is it difficult. I mourn the past, the recent-now, the never-to-be future -- and mixed in on top of that, this fear, this worry.

"Don't try to smell tomorrow's shit", she would have told me. Do now first.

I know. I just wanted to have said it.

I'm scared.

Japan.

It's one of the outright stupidest fucking things I've ever done, and hopefully the dumbest shit you'll read today.

Ok, so a couple of weeks ago, my friend and I were looking to get some dinner, and we decided that red lobster would be good. I don't really watch my diet like I should, and we hadn't been there in about a year, so we placed our order and went to pick it up curbside.

Once we'd gotten it, we elected to eat in the car. I got lobster alfredo, and it was delicious. Everything was fine and I went to bed a few hours later.

I woke up suddenly at around 3am, struggling desperately to breathe.. I was hacking and choking, wheezing and coughing up thick yellowish liquid; I felt like I was going to die.

A tiny light in my mind clicked on.. this feels a lot like when I was in the icu last winter..

A second, dimmer light slowly warmed to a glow.. I was in the icu with atrial fibrillation w/rvr, cardiomyopathy, pulmonary edema, and aspiration pneumonia..

After a little while, as I got back to where I could breathe somewhat normally again (it still hurt and took a lot of effort), the third tiny light in my mind sputtered to life, and I FINALLY remembered (what should've been) the most obvious fucking thing all along..

I have congestive heart failure.

My lobster alfredo had like 5000mg of sodium in it.

Sodium is a HUGE no-no for people with heart conditions.

TLDR: I totally didn't connect the dots and realize that my meal was exactly what I should not eat because it's loaded with salt and I have a serious heart condition

Also, other than the 3 or so days of chest pain (extremely dangerous) after it happened, I feel pretty normal. i have not been to the cardiologist yet, but I do have an appointment coming up. (They take forever to get, this will be my 3rd in like 7 months and the last one was only a phone call)

Edit: Those with knowledge tell me that the S doesn't mean that it's a small fuckup, it means it's a short post.

Edit2: Thank you all for your kind and terrible words!

Edit3: Red Lobster is an american chain seafood restaurant.

Edit 4: rBangerz YT has my consent to make a video involving this story

second hand stores!

it's Hans free now..

I've had gerd/acid reflux for about 7 years now.

A few years ago, when my symptoms were at their worst, I had an episode which I think was aspiration pneumonia - woke up with blue lips and white blotchy face, shallow rapid breathing, feverish, dizzy etc. I didn't seek any kind of medical treatment, I was in a bad place mentally and not taking care of myself. Around this period I have a lot of feverish symptoms, wheezing and night sweats etc.

I was in my mid 20s at the time and I know pneumonia should generally heal on it's own. But seeing as I didn't seek any treatment at the time and had acid continuously washing up my stomach and probably into my lungs at night, I doubt my lungs will have had a chance to heal properly.

I've managed to get my reflux under control to a certain extent recently by controlling my stress. But shortness of breath is something that has remained constant over the years even as other symptoms have come and gone.

So now I'm worried about possible lung-scarring and it's long-term implications. Alarmingly, when I google it, there doesn't seem to be a distinction between lung scarring and pulmonary fibrosis, which has a 3-5 year life expectancy and tends to effect 50+ people. So I'm struggling to understand what the outlook of potential damage to the lungs would be for a 29 year old.

I've made an appointment with a doctor to talk about reflux issues for the first time, primarily out of concern about Barrett's. But I wonder if the lung issue is something anyone else has experienced or worried about or is able to shed light on.

"No, the regular kind!" I laughed.