After a long day at work, Jake, a young man, collapses and becomes unresponsive in this tale. His girlfriend Becky can conduct cardiopulmonary resuscitation (CPR) on her own and enjoys watching the TV shows "ER" and "General Hospital." The show is fan Becky can recall the lyrics to the song that is ideal for CPR, or cardiopulmonary resuscitation.
When Jake's heart stops, Becky begins chest compressions with both hands to keep his blood flowing and oxygen to his brain. However, Becky is unaware that Jake's brain was deprived of oxygen for a while, which can result in both mental and physical problems. Even if Jake makes it to the hospital alive, his chances of surviving are only about 5%.
When the ambulance pulls up, the team receives crucial information from the paramedics who have been shocked Jake's heart to keep him alive. The boxes for "Bystander CPR Box," "compressions started," "ventilations," and "defib" have all been checked. Additionally, the boxes for "return of pulse" and "rearrest" have been checked.
A lead physician, a compressing person, an airway manager, a defibrillator user, a pharmaceutical dispenser, and a timekeeper make up the hospital resuscitation team. Following each shock, Jake receives air via Bag-Valve-Mask Ventilation at a rate of 8 to 10 breaths per minute. Compressions then begin again.
The medical staff has been interviewing Becky as much as they can, including paying attention to her when she insists, "I am not going to die." The significance of comprehending the advantages and disadvantages of CPR and CPR in the event of cardiac arrest is highlighted by this story. Dr. Jake, the main physician in this novel, is a physician dealing with the abrupt and unexpected death of a young man. Jake's parents are hoping for the best as they wait in a designated room at the hospital. After speaking with everyone in the room, who believes Jake has no chance of surviving, the lead doctor ends resuscitation. The "Determination of Death" protocol is utilized to determine Jake's death because his brain is dead.
The doctor describes the incident while referring to Jake by name and stating that every effort was made to save Jake's life. The family is horrified but holds no one accountable because doctors cannot teach this expertise. The physician notes that Jake was not in agony when he passed away and that they are still unsure of the cause of his cardiac arrest.
The room has been cleared of clutter, and Jake's body is resting on the bed. He is made to appear as presentable as possible after having all life support systems turned off. The doctor waits with the parents until they are able to view their son's body without crying. They need to verify identity and complete information for a death certificate.
Jake's body is now deemed to be legally dead following the autopsy, and his muscles begin to relax, leading to primary flaccidity. Just 15 minutes after passing away, he changes color to a shade of white, which is known as pallor mortis. This is because his capillaries, which are tiny blood arteries, collapsed, causing his blood to collect where gravity wants it to. Jake's body is likewise going through algor mortis, therefore it can not control its own temperature.
In conclusion, the essay emphasizes the significance of comprehending the circumstances surrounding a young man's abrupt and unexpected death, as well as the difficulties encountered by the family and medical experts. Although Jake's death is not suspicious, investigators are having trouble figuring out what caused it because of his girlfriend's personality condition and her unpredictable conduct. Jake's body will be examined by the medical examiner for indications of heart problems, such as structural irregularities, clotting, underlying diseases, infections, or arrhythmia syndrome. Cocaine use as part of Jake's lifestyle could have contributed to his heart issues.
Jake will undergo a toxicology test to determine whether poisons, such as cocaine, alcohol, opiates, antidepressants, and benzodiazepines, are present in his blood. Jake's muscles, including those in his internal organs, grow tense, and his eyes, jaw, face, and neck stiffen. A cadaveric spasm, which is the release of trapped air, could also occur to him.
Due to putrefaction, the disintegration of the flesh, and eventually the liquefaction of internal organs, Jake's body starts to smell. His immune system is no longer working, which causes trillions of germs to be released and eat other organs and tissues. This process has the potential to induce the organism to consume itself, which rarely happens in humans.
At the mortuary, Jake is given five-star service and given a makeover in addition to a first-rate refrigerator. Blood samples will be sent to the lab, and his family will be questioned regarding potential hereditary issues before the lengthy autopsy. Jake's body will also be subjected to genetic testing to look for chromosomal or genetic abnormalities. Jake's body is examined by a pathologist for indications of cardiac disease, heart arrhythmias or mechanical problems, and possibly heart damage. Jake had no serious diseases or recent infections, according to information she knows on his mental state at the time of his initial fall.
The pathologist makes a Y-shaped incision on Jake and looks for any anomalies in his skin and hair. Jake's skin is pulled across his chest, and specialized shears are used to cut out his ribs. The heart is punctured, and blood is drawn for chemical analysis and microbiological cultivation. The big arteries and veins of Jake are weighed and examined after the brain has been removed.
The pathologist examines the organs using X-rays and other imaging techniques, such as post-mortem magnetic resonance imaging and a microscope. The organs are then repaired by sewing, and they are kept in the refrigerator for later analysis.
For Jake's special day, his parents ask that his body be embalmed. Just over $10,000 is the price, or around what the average funeral in the US costs. Although cremation can be less expensive, there are situations when it is equal to Jake's burial.
At 75 dollars, Jake is transferred to a stainless steel table where his body is cleansed and his hair, fingernails, and toenails are cut. Any little blemishes on Jake's face are inflated with the help of a hypodermic needle by the funeral director. His body tag is then compared to the tag on the coffin once the body has been placed in it. The pathologist makes sure Jake's body is positioned correctly in the casket, and the family discusses the procedure as it happens. At a funeral, a deceased person's head may appear to be rubber-necking, although ARVC (arrhythmogenic right ventricular cardiomyopathy) is a genetic condition that causes this.
Because there are no set autopsy criteria for this uncommon type of death, it is challenging to make a diagnosis. ARVC happens when the heart's electrical signals are thrown off by physical effort, participating in sports, or giving a funeral speech. Although it is a contentious diagnosis, it has been documented in young persons who collapsed without exhibiting any symptoms. If he had been put through screening, the real-life Jake could have survived, but his dedication, volatile nature, and periodic cocaine binges did not bode well for him. There will never be another funeral quite like it.
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WHAT HAPPENS WHEN YOU TAKE TESTOSTERONE?
With a new industry booming in 2021, millions of men have recently begun taking testosterone as a pill, nasal spray, or injection. According to a survey, younger men are more likely than ever to take testosterone supplements. So why are so many men taking testosterone? What is it doing to your brain and body? Is it connected to a decline in testosterone infertility seen in men around the world? To answer these questions, we must first understand testosterone. testosterone is a hormone hormones are chemical Messengers in your body that flow through your bloodstream and bind to receptors on or in cells to stimulate action and maintain your life hormones are produced in endocrine glands in your body such as the pituitary gland pineal gland thyroid gland but your gonads also produce hormones such as estrogen from the ovaries or testosterone from the testes although testes do produce estrogen more on that later testosterone is a steroid hormone so unlike protein hormones which are made of amino acids and bind to the out side of cells steroid hormones like testosterone can pass through lipid bilayers and enter cells to have their effect after conception before six weeks in the womb no one had visible testes in fact whether you are a woman or a man or anything in between before six weeks when you are in the womb everyone was starting to grow a vagina when conceived you receive an X chromosome from your mom but depending on which of your dad's sperm fused with the egg you either get another X chromosome or a y chromosome before six weeks all development is controlled by the X chromosome but at six weeks if you got a y chromosome the sry gene encodes a sry protein which changes the gonads the sry protein causes the pre-overies to drop into testes the labias to fuse into the scrotum creating that line of tissue on the ball sack and the clitoris grows into a penis so yes at first we all kind of had vaginas then if the sry gene kicked in you started to grow testes and started to produce testosterone but there are are exclusions to this process because human sex is complicated you can have X Y chromosomes and can appear female with a vagina but have testes internally due to conditions along chemical Pathways that happen after six weeks in the fetus this is known as being intersex it proves that the binary of being XX of women and X Y A man is not real for the most part if you are XY the production of testosterone will begin to change your life as your pituitary gland will release a hormone called GnRH which will stimulate the production of testosterone in the testes The GnRH hormone is reduced during childhood, but when a person with testes begins to experience puberty between the ages of 9 and 14, the GnRH hormones begin to pulse again and things start to change. The first signs of puberty include the testes growing larger and releasing more testosterone; this increase in testosterone is what causes boys to become more masculine; their voices become deeper; they develop body hair; and they begin to produce sperm after puberty. of course, ongoing sperm production, as well as sex drive The amount of testosterone in your blood is regulated by a feedback loop in your body. If testosterone levels rise too high, the pituitary gland receives a signal to release hormones that lower testosterone levels in your body. Because of this, testosterone levels can vary significantly over the course of a person's life and throughout the day. This is one reason why it can be difficult to define normal testosterone levels. So why are so many men now experimenting with testosterone boosters? When a woman goes through menopause, there is a sharp decrease in the hormone estrogen from their ovaries, causing typical symptoms like hot flashes and mood changes, and everyone loves to talk about that men also go through a form of menopause as they age, there is a decrease in testosterone from the testes and an increase in the sex hormone globulin which decreases bioavailability. Testosterone deficiency syndrome is a common condition in aging men, Since this process is slow and gradual, it often goes unnoticed. Most people will not lose enough testosterone to experience any negative effects, but two to five percent of people with testes over the age of 40 have testosterone levels that are too low, which can cause a TDS called hypogonadism. Symptoms include extreme fatigue. less sexual arousal fewer face and body hair expanding breast size inadequate attention broken bones mood swings and erectile dysfunction You must have your blood checked by a doctor to determine your testosterone levels before you can declare that you have hypogonadism because those symptoms could be caused by anything else. As we mentioned earlier, testosterone levels can vary greatly throughout the day, so you could get a low testosterone reading but not have the symptoms or have hypogonadism. The idea of testosterone replacement therapy was developed more than 75 years ago to treat this condition, and the Baltimore Longitudinal Study of Aging reported the incidence of hypogonadism as 20 in men over 60, 30 in men over 70, and 50 in men over 80 years of age. A doctor must regularly examine your blood to see if you have this illness, although hypogonadism does not account for the high rate of testosterone use among young men today. One research of males entering a health clinic discovered that while only half of the men were even aware of what hypogonadism was, they were not there for this disease. Nevertheless, 43% of the men were interested in testosterone replacement therapy. In the past 20 years, the number of males between the ages of 18 and 45 who use testosterone supplements and get therapy has grown four-fold. Since it has nothing to do with hypogonadism and is a rapidly growing and lucrative industry, it begs the question of why so many young men are tampering with their endocrine systems. A good place to start is in 2000 and 2003, when There are studies that show testosterone can increase bone density and be a valid treatment for age-related decrease in muscle mass by increasing type 1 and tyrosine levels. A Harvard medical study found that even among men who had normal testosterone levels, taking testosterone supplements led to a loss of fat and increase in muscle mass, better overall moods, and less anxiety. Anecdotal data from Burrows suggests that men who use testosterone feel younger and more sexual. A study on aging men with hypogonadism indicated that testosterone treatment helped them bench press more and leg press more. When testosterone therapy was started in a castrated mouse, erectile function improved. When testosterone therapy was studied in men with hypogonadism, it was found that it helped with sexual ability, morning erections, and sexual desire. Another survey found young men in the United States believed that testosterone supplements improved sexual function, increased energy, and felt better overall. There is a growing market of vendors willing to sell you this chemical without any testing, so many men are taking it without knowing if they are actually suffering from low levels of testosterone. It makes sense that you might want to attribute your fatigue, depression, and lack of sexual desire to low testosterone without actually really knowing. The problem is that people are now seeking out testosterone replacement therapy without any connection to their doctor. However, this was a very small study, and a subsequent meta-analysis, which is a review of several trials, indicated that it had no effect on cardiovascular disease provided you had no core morbidities before to supplementing. One study explicitly claimed that testosterone therapy can raise your risk of heart disease. testosterone companies and people who are proponents of testosterone supplementation will be pointing at this meta-analysis a lot one thing we know for sure is that testosterone supplementation increases hematocrit aka the amount of red blood cells in your blood this is why it is important to have blood tests and your doctor monitoring your blood while taking testosterone as your blood will be getting thicker as well if blood cell amounts get too high in your blood it can lead to cardiovascular disease stroke and Pulmonary embolisms testosterone can stimulate the prostate gland and prostate cancer to grow leading many medical professionals to worry about testosterone therapy leading to prostate cancer but many other longitudinal studies investigating the relationship of testosterone levels and subsequent risk of prostate cancer failed to find any association although one study found that it could make already existing prostate cancer worse but not technically create the prostate cancer that's the conflicting research now onto the risks that we do know are real from taking testosterone supplementation the biggest issue with young people taking testosterone supplements is decreased sperm count and decreased fertility GnRH is the hormone needed for spermatogenesis to occur when you take increased testosterone it blunts the release of GnRH decreasing spermatogenesis and can even decrease the size of the testes this is why testosterone therapy can be okay for older men with hypogonadism because they've usually stopped trying to make a family but if young men are taking this supplement without talking to their doctor to get bigger muscles to feel better more sexual Etc they may not realize that they're decreasing their ability to start a family as well as shrinking their balls in the last 40 years sperm counts have decreased by 50 percent leading to a huge fertility issue with one-third of all infertility issues being linked to sperm it's important that young men understand take taking testosterone could increase their chance of being infertile as well we have a video you can click above about how the chemicals and Plastics and air fresheners and fast food packaging are actually decreasing sperm counts decreasing taint size and in some ways decreasing human penis size as well shrinking balls and leading to decreased fertility other issues with testosterone supplementation could be increased risk of breast cancer there are no direct links right now as it is understudied but the high levels of testosterone may lead to a biochemical pathway that stimulates increased breast tissue receptors which could lead to increased breast cancer 11 cases of breast cancer were discovered in one study of 45 men receiving testosterone therapy, but they are not yet significant enough to support a correlation. A rise in testosterone will also result in an increase in the sebum that causes acne, so those taking testosterone should keep an eye on how severe their acne can become. This particular link is currently the subject of extensive research, as young men taking testosterone is still a relatively new phenomenon. If you already have sleep apnea, testosterone supplementation can make it much worse and even cause it in people who start the supplementation, which can also cause sleep issues. However, the biological pathway as to why this happens is not currently known. In addition to heart conditions and insomnia, using testosterone may cause you to snore loudly. In addition to more emotional side effects like mood swings, testosterone supplementation has also been linked to kidney stones. irritation and poor decision-making There are serious risks associated with taking testosterone without consulting your doctor, but the use of testosterone supplements among young men is steadily increasing. If you have low testosterone or suffer from hypogonadism, testosterone replacement therapy can be very beneficial to your life. The only way to know this is to visit a doctor and have your blood tested regularly to understand if you have low levels of testosterone.
By AGU NELSON3 years ago in FYI
Society Often Teaches Us to Suppress Our Sad Feelings, Branding Them as Negative.
Allow yourself the time to feel, process, and let go. What a journey we’ve traveled together. You can relate to that pain that appears out of nowhere and wants to linger in our minds. Once fear moves in, it takes root—spreading doubt, loneliness, and confusion It’s that kind of pain that overtakes your mental health, gradually making a home within you. Your thoughts can create a space filled with fear, a feeling that we often cling to because it’s the one our minds use against us—leading to a fierce battle between your thoughts and your feelings. It’s a struggle no one wants to lose, yet losing yourself feels like an ever-present threat. Isn’t that a trick life plays on us?
By Johana Torres24 days ago in Psyche
Letters to Myself Before Sleep
The first letter I wrote to myself was a mistake. It wasn’t meant to be a letter. It was meant to be a note. I had just finished a long day at work—one of those days where your brain feels like a blender and your body feels like a broken machine. I came home, made dinner without tasting it, and sat on the edge of my bed staring at the ceiling.
By Ahmed aldeabella3 days ago in Psyche
The Blue Ridge Stalker
Tom had left the Ford down the way, its spark plugs finally exhausted and no mechanics for a dozen miles back through the foothills to Strossburg. No matter, he had worn his boots—almost as if he planned for this to happen. The puzzle he sought to solve emanated from the woods clinging to the slopes above; the valley behind held no mysteries.
By Stephen A. Roddewig5 days ago in Fiction
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