COVID19 RECOMMENDATIONS FROM PSYCHOLOGISTS

*1*. Isolate yourself from news about the virus. (Everything we need to know, we already know).

*2*. Don't look out for death toll. It's not a cricket match to know the latest score. Avoid that.

*3*. Don't look for additional information on the Internet, it would weaken your mental state.

*4*.Avoid sending fatalistic messages. Some people don't have the same mental strength as you (Instead of helping, you could activate pathologies such as depression).

*5*. If possible, listen to music at home at a pleasant volume. Look for board games to entertain children, tell stories and future plans.

*6*. Maintain discipline in the home by washing your hands, putting up a sign or alarm for everyone in the house.

*7*. Your positive mood will help protect your immune system, while negative thoughts have been shown to depress your immune system and make it weak against viruses.

*8*. Most importantly, firmly believe that this shall also pass and we will be safe.... !

@stringofhealth

*Stay positive...Stay safe.* 🙏🏻🌹

How you can stop covid 19

  Corona virus arrives in any country, sooner or later there is no doubt that many countries have no diagnostic sets or equipment, so
  Please use as much as possible of natural vitamin C to strengthen your immune system.
  Don't worry, C gets rid of it a lot, and it's fine.

    The virus currently contains no vaccine and no specific treatment
  Unfortunately, due to the genetic mutation that made it very dangerous
  This disease appears to be caused by gene fusion in a snake and bat, and it has acquired the ability to infect mammals, including humans.

It is important to keep the message on your greatest knowledge: Professor Chen Horin, CEO of the Beijing Military Hospital, said: "Slices of lemon in a cup of lukewarm water can save your life."  *
   Even if you work, you should take a look at this message and pass it on to others! The lemon cut into three parts and put in a cup, then pour hot water and turn it into (alkaline water),
  After reading, talk to someone else and transfer it to the person you love and take care of your personal health.
  Council:
  Professor Chen Horin notes that anyone who receives this message is at least guaranteed to save someone's life...
  I have done my job and I hope you can help me develop it as well.
 They published it in academic groups
@Just_Doctors

Looking after people with cancer

In uganda People dying from cancer /yr: is 21,300 people (source:

Ugandan Cancer Organisations and Resources

:)

While many may not appreciate the poor prognosis attached to diagnoses such as liver failure or heart failure, ‘cancer’ has a widespread association with suffering and death.

Communication is the first step on a cancer pathway and underpins whatever that diagnosis may subsequently entail for the individual. A range of overwhelming feelings can surface upon receiving a cancer diagnosis: shock, numbness, denial, panic, anger, resignation (‘I knew all along…’). Preconceptions, possibly derived vicariously from friends and family, may be deeply embedded leading to despair or inappropriate optimism. Without an understanding of your patient’s starting point, you may fail to be effective in your guidance and support.

doctor delivering the news to the patient

Tips for the discussion of a cancer diagnosis 

1 Set the environment up carefully. Choose a quiet place where you will not be disturbed. Make sure family or friends are present according to your patient’s wishes. Anticipate likely questions and be sure of your facts.
2 Find out what the patient already knows and believes (often a great deal). ‘What are you worried about today?’
3 Give some warning: ‘There is some bad news for us to address’.
 4 Ascertain how much the person wants to know. ‘Are you someone who likes to know all the details about your condition?’ Although information is a priority for the majority of cancer patients, this may change with the individual, and the course of the disease. ‘Monitors’ will seek information, ‘blunters’ will distract themselves.
 5 Share information about diagnosis and treatments. Specifically list supporting people (oncology multidisciplinary team) and institutions (hospices). Break information down into manageable chunks and check understanding for each. 6 Invite questions patients may feel they cannot ask. ‘Is there anything else you want me to explain?’ Do not hesitate to go over the same ground repeatedly. Allow denial, don’t force the pace, give time. Listen to any concerns raised, encourage the airing of feelings. Empathize.
 7 Address prognosis. Be honest. Doctors are often too optimistic. Encourage an appropriate level of hope, refer to an expert.
8 Make a plan. The desire to be involved in decisions about treatment is variable: your patient’s locus of control can be internal (desire control of their own destiny) or external (passive acceptance). Decision-making can be immediate, deferred, panicked, or rationally deliberated. Time may be required to facilitate any style of decision-making: your plan may be simply to come back and talk again.
 9 Summarize, and offer availability. Record details of your conversation including the language used. 10 Follow through.
       Leave your patient with the knowledge that you are with them, and that your unwritten contract will not be broken. No rules guarantee success. Use whatever your patient gives you—closely observe both verbal and non-verbal cues. Getting to know your patient, seeking out the right expert for each stage of treatment, and making an agreed management plan, are all required.

For any situation which involves the communication of bad news, consider SPIKES 

• Setting up the interview. 

• Assess the patient’s Perception of the situation. 

• Obtain an Invitation (asking the patient’s permission to explain).

 • Give Knowledge and information to the patient.

 • Address the Emotional response with Empathy.

 • Strategy and Summary: aim for consensus with patient and family

my first message to my viewers

Benefits of pain you are unaware of

Pain is often seen as an unequivocally bad thing, and certainly many patients dream of a life without pain. However, without pain we are vulnerable to ourselves and our behaviours, and risk ignorance of underlying conditions.

 While most children quickly learn not to touch boiling water as their own body disciplines their behaviour with the punishment of pain; children born with congenital insensitivity to pain (CIPA) can burn themselves, break bones, and tear skin without feeling any immediate ill effect. Their health is constantly at risk from unconsciously self-mutilating behaviours and unnoticed trauma. CIPA is very rare but examples of the human tendency for self-damage without the protective factor of pain are common. Have you ever bitten your tongue or cheek after a dental anaesthetic? Patients with diabetic neuropathy risk osteomyelitis and arthropathy in their pain-free feet.
If you receive a message of bad news, you do not solve the problem by hiding the message. Listen to the pain as well as making the patient comfortable.

VITAL SYMPTOMS OF BREAST CANCER YOU MUST KNOW

The main symptoms of brain cancer are breast pain, nipple discharge,and breast lumps,Peeling, scaling, or flaking skin

  First steps Begin by establishing a menstrual history. You should also determine the date of the last period of menstruation. Pre-existing disease in the breast is likely to become more noticeable during the second half of the menstrual cycle—lumps often get bigger or become more easily palpable.
         Bear in mind that seeking medical attention for a breast lump or tenderness can produce extreme anxiety and embarrassment in patients. Men with gynecomastia are also likely to feel anxious about their breast development . Be sure that you adopt an appropriately sensitive, sympathetic, and professional approach. 

 Breast pain (mastalgia) As for pain at any other site, you should establish the site, radiation, character, duration, severity, exacerbating factors, relieving factors, and associated symptoms. Also ask the following:
• Is the pain unilateral or bilateral?
• Is there any heat or redness at the site?
 • Are there any other visible skin changes?
 • Is the pain cyclical or constant—and is it related to menstruation?
 • Is there a history of any previous similar episodes?
 • Is the patient breastfeeding?
 • Is the patient on any hormonal therapy (especially perimenopausal)? The most common cause of mastalgia in premenopausal women is hormone-dependent change. Other benign causes include mastitis and abscesses. One in 100 breast cancers presents with mastalgia as the sole symptom.

 Nipple discharge
 Important causes of nipple discharge include ductal pathology, such as ductal ectasia, papilloma, and carcinoma. Ask about the following:
• Is the discharge true milk or some other substance?
 • What color is the discharge (e.g., clear, white, yellow, blood-stained)?
 • Is it spontaneous or nonspontaneous?
 • Is the discharge unilateral or bilateral?
• Are there any changes in the appearance of the nipple or areola?
 • Mastalgia?
 • Are there any breast lumps?
• Periareolar abscesses or fistulae indicating periductal mastitis?
• This is closely linked to smoking in young women. Periductal mastitis is also associated with hidradenitis suppuritiva. Ask about abscess elsewhere, e.g., axilla and groin. The symptoms are often recurrent
  Remember that after childbearing, some women continue to discharge a small secretion of milk (galactorrhea). However, in rare instances this can be the first presenting symptom of a prolactin-secreting pituitary adenoma.
In the case of true bilateral galactorrhea, you should also ask about
 • Headaches
• Visual disturbances, especially visual field deficits

Breast lumps 
These are a very important presenting complaint with a number of causes , the most important one being cancer. Establish the following:
• When the lump was first noticed
 • Whether the lump has remained the same size or enlarged
 • Whether the size of the lump changes according to menstrual cycle
 • Is there any pain?
• Are there any local skin changes?
 • Is there a history of breast lumps (ask about previous biopsies, diagnoses, and operations)?
• A full systems inquiry should include any other symptoms that might suggest a neoplastic disease (weight loss, loss of appetite, fatigue, etc.) and metastatic spread to other organ systems (shortness of breath, bony pain, etc.).
 Age
 A good clue as to the likely diagnosis of a lump is the age of the patient: • Fibroadenomas are common between 20 and 30 years.
 • Cysts are common between 30 and 50 years.
• Cancer is very rare <30 years of age but more likely in the >50 age group.


next we shall be looking at the inspection of the breast where we shall do generalised inspection and palpitation of the breast, etc