Tag: Educational
Covid Intubation; Stridor, Glottic Stenosis. Misleading Vital Oxygen Readers.
Do you have a loved one struggling after coming home after recovering from a severe case of Covid-19, was Intubated fighting for his/her life and you now notice unusual sounds coming from your loved one?
Perhaps it sounds like a bazaar humming sound or harmonic as time goes by. The noises are becoming longer durations and distressing for your loved one, yet vitals are stable, including O2 oxygen reader…?
Then this topic may help you or your loved one. Vital O2 oxygen readers can be very misleading and rather confusing when it comes back within normal range, yet your loved one looks to be in distress, trying to breathe? This would include those especially with tracheostomy or post tracheostomy after Covid-19 recovery
What is Stridor Breathing…?
Bilateral vocal cord paralysis is a common cause of stridor in adults. It results from a disruption in nerve function in both of the vocal cords, the two small structures in the throat that vibrate and collide to produce sound, leading to vocal cord tissues blocking the airway. This causes biphasic stridor, which means the symptoms of noisy breathing occur when a person inhales and exhales.
Bilateral vocal cord paralysis can result from being intubated, having a breathing tube inserted. These procedures can cause scar tissue that interferes with breathing.
What is Glottic Stenosis…?
Glottic stenosis describes a fixed narrowing of the upper airway at the level of the glottis. The glottis is the portion of the larynx containing the vocal cords and the glottic opening. Anatomically, the glottis is the part of the larynx extending from the junction between the true and false vocal cords at the apex of the laryngeal ventricle to a line one centimeter below the inferior aspect of the vocal cords. The anterior two-thirds of the glottis is the glottis vocalis, while the posterior third is known as the respiratory glottis.
Acquired glottic stenosis is more common and has multiple factors. The most frequent is trauma secondary to endotracheal intubation, which is thought to occur due to the tube’s pressure effect causing tissue ischemia, inflammation and scarring. The risk of glottic stenosis is related to the duration of the intubation, the size of the endotracheal tube, the number of intubations, and excess movement of the endotracheal tube in agitated patients. Also, prolonged nasogastric intubation causes mucosal ulceration which may progress to posterior stenosis.
Post endotracheal intubation stenosis is the most common type of glottic stenosis. The risk of developing stenosis in intubated patients has been found to be higher based on two prospective studies realized in the long term intubated patients, particularly in those intubated for five days or longer.
Acquired glottic stenosis thought to be caused by mucosal ulceration which leads to infection, perichondritis, and cartilage necrosis leading to granulation tissue formation over the vocal process of the arytenoid cartilage. Subsequently, scar formation and fibrosis cause contraction and arytenoid fixation.
The clinical presentation of glottic stenosis is variable and depends on the cause and the severity of the stenosis. The most common presentation of laryngeal obstruction is stridor. The level of the airway obstruction determines the nature of the abnormal breathing sounds. Upper airway obstruction results in mostly inspiratory stridor while obstruction in the lower respiratory tract results in expiratory or biphasic stridor.
Acquired glottic stenosis symptoms depend on the severity and location of the stenosis. Respiratory symptoms are the predominant symptoms in posterior glottic stenosis while anterior glottic webs mainly present dysphonia. In general, patients may present with respiratory distress. Other symptoms include hoarseness, alteration of voice, and aphonia. Dysphagia and aspiration may also be present.
History needs to concentrate on the assessment of dyspnoea and stridor, the onset and severity of the symptoms as well as the aggravating and relieving factors. Also, the voice should be thoroughly assessed. Finally, history should focus on previous episodes of intubation, trauma, infectious and inflammatory processes as well as co-morbidities.
Lastly, when in doubt and you feel something alarming going on with your love one, keep on track getting the best care and don’t settle on an ER Band-Aid treatment. Keep going until you find answers.
This especially true to those who had intubation for extended period of time due to Covid-19, those with healing trach wounds from previous Tracheostomy and removed post Covid-19.
Marsha B
The astonishing truth is astronomical and colossal mess… A must read before scheduling surgeries, especially outpatient.
The Wait Is Over!!
Parallel Waterfront “Storm Chaser” Available @Barnes & Noble and @gravity71Amazon.
Scarlett has awaken from her coma in current reality to her situation. Not all things appear as Scarlett’s confusion sets into distorted thoughts. New characters emerge; who is Jenna as she becomes relevant in such parallel?
Jenna’s Story is courageous in her daily fight to be true to herself as a member of the LGBTQ community. Jenna’s Story can be found in Parallel Waterfront “Storm Chaser” available at Amazon and Barnes & Noble in ebook and paperback format.
Featuring Jenna
LGBTQ COMMUNITY and FRIENDS
WHAT IS THE HUMAN RIGHTS CAMPAIGN?
In conversions therapy or reparative therapy words spoken translate in form to lead negative interpretations, falsify, mislead references towards LGBTQ communities. Conversion therapy and reparative therapy are also dangerous and discredited practices that falsely claim to change a person’s sexual orientation or gender identity or expression. Such practices have been rejected in mass of credentials, mainstream medical and mental health organization for decades. However some continue ongoing discrimination, societal bias beliefs against LGBTQ people. Conversions therapy, a “havoc in ruins” leads to depression, anxiety, drug use, homelessness, and sadly increasing risk of suicide in the LGBTQ community.
Not long ago many organizations began to acknowledge the long term damaging effect of words in power of religious abuse towards LGBTQ Communities; to treat people of LGBTQ Community in a religious movement as an “evil spirit addiction” that needed to be cleansed, repent of great sins, to rid bad spirits of great evil; to go as far to chant in what one would be called to “Chant in Religious Tongue” in a sole purpose to rid the demons . The “Strong Hold Effect” in some religions, members and affiliates use this method as a way to tear down the fabric of one’s emotional and physical wellbeing; to treat people of LGBTQ as people in need of saving of their soul.
This wouldn’t be considered a traditional prayer group because it requires members to prayer chant among other religious members as well to chant in a circle over someone who identifies themselves as LGBTQ without permission from the individual to rid something they are compelled to remove like demons in circumstances that resemble an exorcism.
The Human Rights Campaign Link
https://www.hrc.org/resources/the-lies-and-dangers-of-reparative-therapy
Conversions/Repairitive Therapies: The Lies and Dangers of Efforts to Change Sexual Orientation or Gender Identity”
To date, Connecticut, California, Nevada, New Jersey, the District of Columbia, Oregon, Illinois, Vermont, New York, New Mexico, Rhode Island, Washington, Maryland, Hawaii, New Hampshire and Delaware all have laws or regulations protecting youth from this abusive practice. A growing number of municipalities have also enacted similar protections, including cities and counties in Ohio, Pennsylvania, Washington, Florida, New York, Arizona, Wisconsin and other States soon Followed.
In August of 2013, the 9th U.S. Circuit Court of Appeals upheld California’s law, which was signed by Democratic Governor Jerry Brown in 2012. In May of 2015 and again in February of 2016, the United States Supreme Court let stand decisions of the 3rd U.S. Circuit Court of Appeals upholding New Jersey’s law, which was signed by Republican Governor Chris Christie in August of 2013. In February of 2015, a NJ Superior Court judge ruled that misrepresenting homosexuality as a disorder violates the state’s consumer protection laws. Additionally, in June of 2015, the jury in that case found a conversion therapy provider liable for consumer fraud and ordered the provider to pay the plaintiffs for refunds and damages.
In February 2016, the Human Rights Campaign, National Center for Lesbian Rights, and Southern Poverty Law Center filed a consumer fraud complaint with the Federal Trade Commission (FTC) against People Can Change, a major provider of conversion therapy. The complaint alleges that People Can Change’s advertisements and business practices which claim they can change a person’s sexual orientation or gender identity constitute deceptive, false, and misleading practices and can cause serious harm to consumers, all in direct violation of Section 5 of the Federal Trade Commission Act. The complaint urges the FTC to take enforcement action to stop these deceptive practices and investigate all practitioners making similar claims.
Some right-wing religious groups promote the concept that an individual can change their sexual orientation or gender identity, either through prayer or other religious efforts, or through so-called “reparative” or “conversion” therapy. The research on such efforts has disproven their efficacy, and also has indicated that they can be affirmatively harmful. Beyond studies focused solely on reparative therapy, broader research clearly demonstrates the significant harm that societal prejudice and family rejection has on lesbian, gay, bisexual, transgender and queer (LGBTQ) people, particularly youth. Furthermore, there is significant anecdotal evidence of harm to LGBTQ people resulting from attempts to change their sexual orientation and gender identity. Based on this body of evidence, every major medical and mental health organization in the United States has issued a statement condemning the use of conversion therapy.
https://www.hrc.org/resources/the-lies-and-dangers-of-reparative-therapy
To continue reading article by The Human Rights Campaign follow link provided above.
https://youtu.be/XJcco95LbzU Available now @ Amazon Kindle Ebooks
Follow https.//parallelwaterfront.com
Jenna’s Story is someone I’ve known to be courageous in her daily fight to be true to herself as a member of the LGBTQ community.
Disclosure of names have been edited to remain anonymous; to protect individuals from discrimination.
Jenna’s Story can be found in “Parallel Waterfront” Part Two “Storm Chaser” Available @Amazon and Barnes & Noble in ebooks and paperbacks.
Not long ago many organizations began to acknowledge the long term damaging effect of words in power of religious abuse towards LGBTQ Communities; to treat people of LGBTQ Community in a religious movement as an “evil spirit addiction” that needed to be cleansed, repent of great sins, to rid bad spirits of great evil; to go as far to chant in what one would be called to “Chant in Religious Tongue” in a sole purpose to rid the demons . The “Strong Hold Effect” they call it in some religious groups of faith is a way to tear down the fabric of one’s emotional and physical wellbeing, to treat people of LGBTQ as people in need of saving of their soul.
This wouldn’t be considered a traditional prayer group because it requires members to prayer chant among other religious members as well to chant in a circle over someone who identifies themselves as LGBTQ without permission from the individual to rid something they are compelled to remove like demons in circumstances that resemble an exorcism.
The Human Rights Campaign Link to Conversation Therapy carries similar situation as to Jenna’s Story.
https://www.hrc.org/resources/the-lies-and-dangers-of-reparative-therapy
“The Lies and Dangers of Efforts to Change Sexual Orientation or Gender Identity”
So-called “conversion therapy,” sometimes known as “reparative therapy,” is a range of dangerous and discredited practices that falsely claim to change a person’s sexual orientation or gender identity or expression. Such practices have been rejected by every mainstream medical and mental health organization for decades, but due to continuing discrimination and societal bias against LGBTQ people, some practitioners continue to conduct conversion therapy. Minors are especially vulnerable, and conversion therapy can lead to depression, anxiety, drug use, homelessness, and suicide.
To date, Connecticut, California, Nevada, New Jersey, the District of Columbia, Oregon, Illinois, Vermont, New York, New Mexico, Rhode Island, Washington, Maryland, Hawaii, New Hampshire and Delaware all have laws or regulations protecting youth from this abusive practice. A growing number of municipalities have also enacted similar protections, including cities and counties in Ohio, Pennsylvania, Washington, Florida, New York, Arizona, Wisconsin and other States soon Followed.
In August of 2013, the 9th U.S. Circuit Court of Appeals upheld California’s law, which was signed by Democratic Governor Jerry Brown in 2012. In May of 2015 and again in February of 2016, the United States Supreme Court let stand decisions of the 3rd U.S. Circuit Court of Appeals upholding New Jersey’s law, which was signed by Republican Governor Chris Christie in August of 2013. In February of 2015, a NJ Superior Court judge ruled that misrepresenting homosexuality as a disorder violates the state’s consumer protection laws. Additionally, in June of 2015, the jury in that case found a conversion therapy provider liable for consumer fraud and ordered the provider to pay the plaintiffs for refunds and damages.
In February 2016, the Human Rights Campaign, National Center for Lesbian Rights, and Southern Poverty Law Center filed a consumer fraud complaint with the Federal Trade Commission (FTC) against People Can Change, a major provider of conversion therapy. The complaint alleges that People Can Change’s advertisements and business practices which claim they can change a person’s sexual orientation or gender identity constitute deceptive, false, and misleading practices and can cause serious harm to consumers, all in direct violation of Section 5 of the Federal Trade Commission Act. The complaint urges the FTC to take enforcement action to stop these deceptive practices and investigate all practitioners making similar claims.
Some right-wing religious groups promote the concept that an individual can change their sexual orientation or gender identity, either through prayer or other religious efforts, or through so-called “reparative” or “conversion” therapy. The research on such efforts has disproven their efficacy, and also has indicated that they can be affirmatively harmful. Beyond studies focused solely on reparative therapy, broader research clearly demonstrates the significant harm that societal prejudice and family rejection has on lesbian, gay, bisexual, transgender and queer (LGBTQ) people, particularly youth. Furthermore, there is significant anecdotal evidence of harm to LGBTQ people resulting from attempts to change their sexual orientation and gender identity. Based on this body of evidence, every major medical and mental health organization in the United States has issued a statement condemning the use of conversion therapy.
To continue reading article follow link provided above.
You can find more on list of government, nonprofit, and well establed members of community didicate in their own words against the dangers of conversion therapy.
Jenna’s pleas to connect with her mother with an overabundance amount of strain to have a better relationship becomes bitter as if her love for LGBTQ is branded by her mom obsession and compulsions to rid demons.
Jenna
You are lowering my self esteem. I feel like committing suicide because of it. I can’t take anymore stress. You know my struggles. Its affecting my job and my self-worth. If I could change who I am don’t you think I would? All the hatred in this world, why would I want to be a target of hatred? Why can’t you just love me for who I am?
Your prayer group dictates every decision you makes. Don’t let this church destroy the loving heart felt mother I use to have. Saying you love me are simply words that don’t speak from heartfelt emotions. You use to validate my feelings. The time we use to spend together are gone. You pushed me away because of who I am.
Words from Mom
I’m very concerned about your talk of suicide. Your trying to change your god given image into something it’s not! Thoughts of suicide are caused by trying to be something that you cannot attain. Jerimiah 29:11 tells us the moment we are born God has a plan for us. Honey when you change the plan and can’t succeed you open the door to the enemy to destroy you. John 10:9-10. Regardless of what your going thru Jenna I will never stop loving you and for you. Please don’t be mad but I must stop enabling your homosexual life. I will pray for you to lead the righteous path to our Lord Jesus Christ. I will pray for you to find the Lord, claim it and repent for your sins.
Words from mom
Jenna, I spent time in the word putting things together to you. My dear friend has the message bible and I liked it and used it, so I bought one for you, and along with that sent you the book about “Strong Holds”. These books and the letter were sent to you from my heart to yours to try to help you. You took them to a “secular” counselor who doesn’t know the Lord so of course he says ” it’s not the way to do it”. Do you really think he loves you more than I do?
You can’t ask me to stop loving you! But even if our gospel is veiled, it is veiled to those who are perishing, whose minds, the god of this age has blinded, who do not believe lest the light of the gospel of the glory of Christ, who is the image of God, should shine on them. 2 Corinthians 4:3&4
Jenna
I gave all the letters and box you sent to me to my counselor. The first letter he read he looked at me with empathy. Shoving bible versus down my throat only hurts me more. My counselor was worried that the energy I put into you just loving me for who I am is making me depressed and suicidal.
All bibles say they were edited from original bible and that God is great loving God who also forgives everyone. Why do you keep insinuating that I’m going to hell? We all sin and you are judging me even though you tell me your judging the sin, not me? God said “judge others and you will be judged the same. Christ died for our sins. Through Christ we are washed of our sins. All those believe will pass through the gates of heaven through Jesus Christ.
Words from mom
Jenna, it deeply hurt me for you to say that I’m judging you and not the sin. Your flesh of my flesh and bone of my bone. Knowing you lost your eternity as the wages of sin is spiritual death. Romans 6:23 How could I stop loving you and praying for you? Jesus loved the sinner but judged the sin. Matt 23:13-33 How else can you reconcile unless you understand that Jesus loved the sinner but judged the sin. I know how confused you you must repent, accept the Lord Jesus Christ.
Words from writer
Jenna came to me with the box of stuff her sent her, a bible, the book on strong holds and a pamphlet on conversion therapy. In spit of all Jenna’s efforts have her mom to love her unconditionally for who she is she hasn’t succeeded. If anything her mom treats her as if her love for me as a lesbian couple is an sinful addiction, banning any contact or desire for validation and love unconditionally. Every contact is screened through text and ends with the prayer group and we/I will pray for you.
Words from writer
We decided in that moment to place the bible, the stronghold book and the conversion therapy pamphlet back in the box. We then placed a copy of the Human Rights Campaign article and affidavits regarding conversation therapy into the box along with the items sent to Jenna and mailed it back to her mom. We felt very much validated from our community.
Words from writer
I’ve heard more than my share of bible verses from Jenna’s mom than I’ve done my whole life. This whole concept of religious moral freedom I admit, I get agitated at times thinking about all this saying to myself “hasn’t Jenna suffered enough?” How could her mom do this to her? All this nonsense of strongholds. Why can’t she just love Jenna for who she is, her daughter they have to pray and chant over.
I found myself on many occasions wondering “who made them the righteous leaders of all religions? What makes their religious beliefs more true than others? There’s so many different bible versions out there. What makes one more to the true gospel than another?”
But one thing I’m certain is Jenna is a great person, with great spirit and loves unconditionally. She certainly is quite the crusader.
Marsha
How Far Will You Go? 
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