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๐† ๐ˆ ๐Œ โš•๏ธ retweeted
Not many nurses can carry out this procedure called "SPIROMETRY" And it's not even their fault... The system isn't centralized at all, Setting A has their awkward policies. setting B has their own different policies.
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Replying to @Admk_Tweets
he talks about spirometry. thavakalai katchi ku yepdi theriyum๐Ÿคฃ๐Ÿคฃ๐Ÿคฃ
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Replying to @Ya_kso
๐Ÿ˜ญ๐Ÿ˜ญ๐Ÿคฃ๐Ÿคฃ I once mistakenly answered giving Incentive Spirometer for a patient with bells palsy. Though I got it correct. It wasn't the first line of treatment. Since that day my name became Incentive Spirometry.๐Ÿ˜ญ
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Fuck clinical posting Fuck ECG Fuck EEG Fuck spirometry Fuck physiology department Fuck my HOD Fuck Lagos state teaching hospital Fuck fmc Fuck state hospital ๐Ÿ˜ญ๐Ÿ’” Fuuuucckโ€ฆโ€ฆ๐Ÿ˜”
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Replying to @thediabetes_doc
โœ… B. FEVโ‚ improvement โ‰ฅ12% and โ‰ฅ200 mL after bronchodilator. This is the classic spirometric evidence of reversible airflow obstruction, a hallmark of asthma. ๐Ÿซ Asthma: โ€ข โ†“ FEVโ‚/FVC โ€ข Obstructive flow-volume loop โ€ข Significant bronchodilator reversibility ๐Ÿ’ก Exam pearl: COPD may show obstruction too, but asthma is characterized by marked reversibility after bronchodilator therapy. #Asthma #Spirometry #Pulmonology #MedEd #FOAMed
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not to mention the suctioning, the bagging, the rounds, the ABG blood extraction, the PFT, taking the ECG, the transferring of intubated pt, the spirometry, the MV machines, and the oxygen tanks!!!!
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SP Series differential pressure sensors are the MVPs of spirometry! With our Z-Track algorithm, zero drift is a thing of the past. They're like the spies of sensors, delivering accurate readings no matter how you hold 'em. Purchase from Digikey and Mouser bit.ly/47PwS59
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Think you're breathing fine? Your lungs may be at 70% capacity. Check your lung power with spirometry. Call (949) 364-2900 socalallergy.com #spirometry #lunghealth #preventativecare #asthmacontrol #ochealth #medicaltest #breathing
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Chidambara .ML. retweeted
A study in the journal compares exercise responses between smokers with preserved ratio impaired spirometry (PRISm) and healthy controls. PRISm patients show increased dyspnoea and reduced exercise tolerance. bit.ly/4xpWAL4
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Kali Ka: Indian Hindu Goddess - Shivan Nataraja Kali is; Shiva. When, you are married to a celestial, as a; a celestial - you take half -of them, soul. CERN: Energy - Consciousness - Spinal and Silver-line twin energy: The energy coincides together vibrations that are similar but not matching, but they are similar - These two, energies they coincide and combine into one; when they combine into one, they cause spirometry and this makes a whole new dimension due to the spirometry, of, the collision of the two energies. The energy travels faster together, they move up, higher and higher. Earth has, electromagnetic biofeedback fields around it, which causes the earth to move and vibrate, which causes the field around it, and the closer you get to the sun, the higher the vibration of the matter, and now that you have matter, that moves faster - the energy from the Collison will find, where it eventual subtle and matches, it's own energy. Which creates another field, of energy around it, and within the fields, this is where energy will dissipate to when you die, from your spinal cord - known as, your s-line.
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Intermittent Positive Pressure Breathing (IPPB) IPPB is primarily used as a lung expansion therapy to treat or prevent atelectasis. It is especially beneficial for postoperative patients who are sedated, unconscious, or otherwise unable to perform incentive spirometry. #ippb
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It is absolutely amazing what claude can do. - as many know, I was denied disability with the PACT act. This explains it where even I can understand it, and makes me think they didn't do their job, but hell, I don't know how to fight it. - Let me read the skill for handling uploaded files first, then look at what you've got.Now I have a good picture of the full record. Let me do one final targeted search for the key chest X-ray with the scarring finding and its date.Now I have everything I need. Let me put it all together for you. The chest X-ray with the lung scarring findings was from March 4, 2010 โ€” that's the one that mentioned "minimal scarring or coarsening of lung markings" and "low normal inspiratory volume." The reason for the scan was a persistent hacky cough for 10 years, meaning that cough started around 2000. The 2020 chest X-ray you uploaded came back completely normal by comparison. Here's what the records actually show and why your claim situation is complicated: What your records document: Your 2010 chest X-ray showed "minimal scarring or coarsening of lung markings" and "low normal inspiratory volume." That's a real finding. By 2020 the chest X-ray reads as essentially clear with "no focal consolidation, congestion or mass." Your VA record at page 289 and 306 explicitly documents that you reported AFFF and asbestos as toxic exposure concerns during your PACT Act screening in October 2023, and it was flagged for follow-up. So the VA has your own self-reported asbestos exposure on record. The problem with how the VA denied you: The VA's standard denial reason for asbestos claims is that asbestos exposure is not a "presumptive" condition under the PACT Act the way burn pit exposure is. For asbestos, the VA requires you to prove three things: that you were exposed during service, that you currently have a diagnosable condition, and a medical nexus opinion connecting the two. What they're saying when they claim they "can't prove where you got it" is that they're requiring the third piece โ€” a doctor's written opinion specifically connecting your restricted lung disease to your shipyard service. What's notably missing from your records: There is no pulmonary function test (spirometry) documented anywhere in this Blue Button report. That's a significant gap. A formal restrictive lung disease diagnosis should be supported by spirometry showing reduced FVC with normal FEV1/FVC ratio. Without that in your VA record, the diagnosis may be soft. There's also no CT scan of your chest, no pulmonologist consult note, and no C&P exam note visible in this record โ€” though the C&P exam results may have gone to the claims side rather than the medical record side. Your strongest argument: Navy shipyard overhaul is extremely well documented historically as a high asbestos exposure environment. Ships built before the mid-1970s were packed with asbestos insulation โ€” pipe lagging, boiler insulation, gaskets, deck tiles. When a ship went into dry dock for overhaul, workers disturbed all of it. The VA actually acknowledges this in their own training materials. The problem is the VA treats it as "possible" rather than "presumptive," so they make you prove it individually rather than granting it automatically. What I'd suggest: The most important next step is getting a private nexus letter from a doctor โ€” ideally a pulmonologist โ€” who will review your records and write an opinion stating that your restricted lung disease is "at least as likely as not" caused by your Navy shipyard asbestos exposure. That phrase, "at least as likely as not," is the legal standard. You don't have to prove it beyond a doubt, just that it's 50/50 or better. The VA's own examiner apparently didn't write that, which is why you were denied. A VSO โ€” your record shows the Kerrville VSO number is 210-617-5175 โ€” can help you file a supplemental claim with that nexus letter attached. That's the cleanest path to reversal without going all the way to the Board of Veterans' Appeals. One more thing worth noting from your record: your O2 sat was 95% at your October 2024 visit. That's on the lower end of normal, and for a 66-year-old with documented lung scarring it's worth flagging to your doctor as a baseline measurement to track. I'm not a doctor and this isn't medical or legal advice โ€” but that's what your own records show, and I wanted you to be able to see it clearly.
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