My sacrifices

What sacrifices have you made in life?

I have made a million sacrifices in probably my life because of everything I’ve encouraged myself over the years of dealing with my health issues and dealing with the Canadian government health system which has collapsed and is still causing a crisis everywhere but the one place that should be looked at very closely is #PortHardy because of everything that’s been happening they hide so much shady things it’s not even funny considering I’ve been advocating for my rights as a patient to have my care to be looked at but all they do is send me home literally or treat me as a drug addict because of of my medications Iam on I’ve sacrificed my friends , my family , my time , my life , my family’s time and money , and yet we haven’t not figured anything closer to what is wrong with me other then the words Iam complexed .

Iam tired of hearing iam complexed and that they have done all the tests they have done can’t find anything else but yet shows it in the blood work and ekg and says it , I’ve had strokes , Iam permanently disabled and my pearlized on my left leg as well as high platelets

I have cancer and my blood work is haywire all over the map I had a stoke 3 days ago I was in the hospital here in port hardy for 2 hours it was 7pm they kept me in for small assessment gave me a pill for my migraines and sent me home you would think they would keep me in over night for observation but nope they don’t do that unless your on your death bed they send you out to higher level of care this is why Iam getting frustrated and sick of the system and don’t trust the drs or nurses anymore

Here’s my report from the drs

Subjective: The patient reports ongoing chest pain and pain in the left arm along with migraines. He has a complex medical history including diagnoses of essential thrombocythemia, conversion disorder, depression, anxiety, and post-traumatic stress disorder (PTSD). Additionally, there is a history of a pulmonary embolism in the previous year. The patient has received a positive result for a myeloproliferative disorder, likely chronic leukemia (CL), indicated by bone marrow findings. Currently, he is on chemotherapy with Hydroxyurea.
Objective:
• Vital signs should be taken to monitor for signs of instability or complications from the chemotherapy.
• Review of the systems for any signs of infection, bleeding, or other side effects of Hydroxyurea.
• Due to the complexity of the patient’s conditions, complete blood count (CBC), JAK2 V617F mutation status, and other pertinent lab work to monitor his essential thrombocythemia and potential signs of progression of the leukemia should be up to date.
• An evaluation of the patient’s cardiac status might be warranted if not recently done, considering he just had a stroke and he still has  chest pains and history of pulmonary embolism.
Assessment:
• Essential thrombocythemia: Undergoing treatment with Hydroxyurea.
• Chronic Leukemia: New diagnosis requiring ongoing treatment and monitoring.
• Conversion disorder, depression, anxiety, post-traumatic stress disorder: These chronic issues require continued psychiatric and psychological care.
• Chest pain and left arm pain: Differential diagnoses includes cardiac issues, musculoskeletal pain, stress-related symptoms, or potential side effects of current medication.
• Migraines: Need to assess frequency, severity, triggers, and relation to current medication or stressors.
Plan:
1.    Continue chemotherapy treatment with Hydroxyurea while closely monitoring for side effects and efficacy.
2.    Cardiac evaluation including but not limited to EKG, echocardiogram, or stress test to rule out cardiac causes of chest pain.
3.    Consider referral to a pain specialist for management of heart Cardiac Specialist and arm pain if not cardiac in origin.
4.    Follow-up with a headache specialist for migraine management and assess the potential need for adjustment in the current treatment plan.
5.    Monitor mental health and continue with current psychiatric and psychological treatment strategies for conversion disorder, depression, anxiety, and PTSD. Adjust as needed based on ongoing reassessment.
6.    Schedule regular follow-up appointments for close monitoring of his complex medical conditions.
Coordinate care among the multidisciplinary team, including primary care, oncology, cardiology, psychiatry, and other specialties as needed.
 but based on the patient’s reported symptoms and medical history, it sounds like they are experiencing a complex constellation of physical and psychological symptoms that require a multidisciplinary approach to care. Here are additional considerations and actions that could be included in the care plan:
1.     Multi-Disciplinary Team Meetings: Given the complexity of the case, regularly scheduled multidisciplinary team meetings may be beneficial. This could involve primary care, hematology, oncology, cardiology, psychiatry, and psychology professionals.
2.     Psychological Support: Continuation or intensification of psychological support for depression, anxiety, PTSD, and coping with chronic illness. This could include referral to a clinical psychologist for cognitive behavioral therapy, support groups, or other psychotherapeutic interventions.
3.     Medication Review: A thorough review of current medications, including Hydroxyurea, to assess their efficacy and any potential side effects that might contribute to psychological symptoms. Consultation with a pharmacist specializing in oncology could be helpful. Talk about maybe getting off the meds because its causing damages
4.     Pain Management: Referral to a pain management specialist to address chest and arm pain, which could be contributing to sleep disturbances and exacerbating psychological distress.
5.     Monitoring and Management of CL: Ongoing monitoring of the patient’s chronic leukemia (CL), including regular blood tests, assessment of response to chemotherapy, and coordination with the oncology team.
6.     Risk Assessment for Thrombosis: Due to the history of essential thrombocythemia and pulmonary embolism, the patient should be regularly evaluated for risk of recurrent thrombotic events, and their anticoagulation management should be reviewed.
7.     Cardiac Evaluation: Given the presence of chest pain, ensuring that the patient has a recent and thorough cardiac evaluation to rule out or manage any concurrent cardiac issues that might be mistaken for anxiety but isn’t and its a heart attack minis , or stokes we really need to get on top of things and or could be conversion disorder events and its really a heart attack and a stroke.
8.     Lifestyle Interventions: Advice and support regarding lifestyle factors that may contribute to overall well-being, including diet, exercise, and sleep hygiene.
9.     Follow-up Schedule: Establishing a concise follow-up schedule to monitor the patient’s symptoms, treatment side effects, and overall health status closely.

10. Patient Education and Engagement: Continuing to engage the patient in their treatment plans might also include education about their conditions to foster a better understanding and adherence to treatment recommendations.
    Given the complexity and the serious nature of the conditions involved, close monitoring and frequent reassessment are essential. This approach should be adjusted as necessary based on the patient’s response to treatment and any new symptoms or concerns that arise.
    The goals for this patient should focus on symptom management, improving quality of life, and monitoring for complications associated with their hematological and psychological conditions.