Personal Narrative: Hemolytic Anemia

Hyperlipidemia. We did review his last labs. We will check that again with his next lab draw. I plan on seeing him back in approximately six months and I have encouraged him to try to be as healthy as possible in the meantime with his diet and exercise choices.

He has three children a 19-year-old son, a 24-year-old son, and a 27-year-old daughter all alive and well. He has a first cousin with diabetes other than that there is no family history of diabetes.

Shadowing Dr Anderson allowed me to encounter the day to day problems faced by a physician. I've learned about genetic disorders and their symptoms, but I got to see how diagnosis is rarely that clear cut. Most of the patients presented with developmental delay, a symptom common to many genetic disorder. Variable expressivity and penetrance further complicates differential diagnosis. Genetic testing is required for confirmation, yet almost never covered by insurance. Out of pocket costs can be too expensive for many families to afford. Without a confirmed diagnosis, it's difficult for families to get the needed support from insurance and the government. Dr Anderson tried to avoid going through insurance by enrolling her patients in clinical

Maria yesterday, I met with Ms. Betty Blake, she has two letters from the Dialysis Center that she goes to. One of the letters is from the doctor and the other letter is from the Social Worker. Both letters are addressed to the Department of Homeless Services, requesting for the client to be transferred to a medical shelter. Client refuses for this worker to make a copy of both letters. The Social Worker letter stated that in the past the client was physically assaulted at this shelter and this shelter is not a good setting for the client.

Otherwise known as G6PD deficiency, people with an extreme case of this illness would experience hemolytic anemia, fever, and fatigue after eating fava beans or take drugs like primaquine. This is due to the fact that people with favism lack sufficient amount of the enzyme G6PD, which is important for protecting cells from chemical elements that would otherwise destroy the cells. The substances mentioned above act as the catalysts for the production of free radicals (un-paired electrons). As these un-paired electrons seek to pair with electrons in red blood cells with deficient amount of G6PD, it causes the cell membranes to burst. The loss of red blood cells when left untreated can cause the person to have kidney failure, heart failure, and death. As of now, there is no treatment for G6PG

“It is forbidden to talk to those of another trade” (Rand 40). This is an example of what is forced upon Equality and The Golden One in this dystopic society. In fact, the social rules of this dystopia prohibit any interaction between members of different jobs. There is only a community. Individual thoughts are bad and are a transgression against fellow man. Equality struggles when he finds that he has love for someone, and especially one of another trade because their love is forbidden. He is also sneaking away to work on his inventions and discoveries, that he thinks will one day change mankind. This is also a struggle for him because individual achievement is forbidden.

“Connor, mom and I are going to make breakfast without dairy for you in about 15 minutes. We’ll need to leave our house at noon since we need to be there by 1:00 P.M.,” my dad claimed. After knowing this, I got a glass of refreshing ice water, went into my family room, and I took my usual spot on our couch to watch some television. I knew I was nervous, but I didn’t want that to conquer my success. Once I was settled in, my siblings came stampeding into the family room.

He said that I was a Type 1 diabetic and was lucky that I had gotten to the hospital when I did. He also said that when I arrived that my glucose level was in the eight hundreds. For someone who is healthy, their glucose level should be between ninety-five and one-hundred and twenty. If we had waited any later, my body could have shut down and gone into a diabetic coma, but thankfully the doctors and nurses brought my levels back to normal. I stayed in the hospital for about three days, so that my mom and dad could learn how to treat me and how to set a routine. I had to check my glucose level and take one shot in the morning, one shot in the afternoon depending on my levels, and one before going to bed. After getting a hold on things, we left the hospital and went

Reaching across the center console of my car, I imagined the commute that I had into school. My 1992 Jeep Cherokee courageously braved the snowstorm of the year, with only one functional windshield wiper and a forlorn four wheel drive system. As I turned onto the Merritt Parkway, a Honda Civic swerved past me and proceeded to weave in and out of the afternoon traffic. Fast-forward sixty seconds and that Honda was now engulfed by the powder white trees which bound the highway. Instinctively, I pulled up behind the crash site, dialing 911 as I ran over to the mangled wreck. I peered into the car, my pupils the size of marbles, and the driver seemed uninjured; regardless, I proceeded to reassure the driver that Emergency Medical Technician’s/Paramedic’s

Modern attachment theory, which has now shifted to a regulation theory, takes Bowlby’s original work on attachment and looks at how early experiences, such as prenatal stress, optimal/suboptimal stress, and the mother’s ability to regulate the child’s needs, help the child form an internalized working model for attachment style due to the brain being an “experience-dependent organ” (Cozolino, 2010c; J. Schore & A. Schore, 2012).

When I was 8 years old, the thoughts running through my mind should have been like any other 8 year old girl: going home to play my brand new Nintendo DS or playing house with my little sister. Reality was, I wasn’t a normal little girl. I was the girl whose life got turned upside down in a matter of minutes. No matter how much anyone tried to tell me, I knew a normal 8 year olds life didn’t include being surrounded by doctors 24/7.

A portion of (2–3 mg) from the partially purified polysaccharide powder was mixed with KBr then pressed into a disk. The whole infrared spectrum was analyzed at a scan range of 4000–400 cm-1. Thirty scans were taken with 4 cm-1 resolution. CO2 and H2O corrections were incorporated. Reproducibility of the normalized spectra was ±2%. (Shanthi et al., 2014).

It turned out to be the wrong specialist. My grandmother told one of her friends (who happened to be a nurse), and she suggested my dad go to pulmonary specialist. So, my father reluctantly scheduled an appointment at Ellis Hospital. Thank god he did. After a few scans and a few blood tests, the doctors found three blood clots in my father’s body. Dad had a clot in both of his lungs, and one in his leg. The worst was yet to come. The doctors were not pleased with his blood results. He had a very low white blood cell count, and his platelet levels were low as well. They needed to find the cause. One doctor had an idea. The doctors did what is called a bone marrow extract, this is when they drill a needle into your hip, through the bone, and take out bone marrow. The results were not something I wanted to hear. I was at my grandmother’s house at the time when my father called. The doctors found cancer, Acute Leukemia, and it was traveling through my father’s entire blood stream.

Hemostasis is the stoppage of blood flow. In order to do this our body’s rely on an “adequate amount of platelets, normal levels of coagulation factors, and absence of defects in vessels walls” (Huether and McCance 540).

Partnership working in the context of safeguarding refers to the joint work made by professionals and agencies with different expertise and roles to improve their safeguarding capability.