8 : Hypothyroidism

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Hypothyroidism / Hashimoto's Disease

✔️⬇️ thyroid hormones
✔️due to surgery, autoimmune
✔️ dec. metabolic rate

ASSESSMENT
1. COLD INTOLERANCE ( cool, dry skin)
2.dec heart rate and resp. Rate
3. Constipation
4. Weight gain
5. Forgetfulness (may suffer depression) lethargic
6. Menorrhagia
7. Dry brittle hain

DIET :
-dec calorie and dec fiber

MANAGEMENT
1. Levothyroxine Na (Levothroid, synthroid)

Compliance : use alarm wrist watch

*MYXEDEMA COMA - complication
- severe respiratory distress due to stress, infection/illness, surgery

⚜️🔱⚜️

Aviona

We need to smile even when life sucks.

Malakas ang ulan sa labas kaya masminabuti kong dito na lang muna sa apartment ko. Ithe weather is also getting colder.

Past eleven na ng gabi ngunit nanonood parin ako ng palabas sa star movies nang may marinig akong kumatok. There's only one person who would come this time of the night here.

My thoughts battled if I will open the door or not. Kung bubuksan ko ba ang pintuan, ano ang sasabihin ko? What will we talk about? Iyung family dinner nila? The upcoming engagement?

What bitch? Will you stop him? Nah. Don't open the door.

Nilakasan ko iyung volume ng tv kahit na masyado ng malakas iyung pagbuhos ng ulan sa labas at pinagpatuloy ang panonood.

But ten minutes passed, I can still hear knockings at my door. I increased the tv's volume further. I said bitch says don't you dare open the door, Aviona.

Maslumakas pa ang pagbuhos ng ulan sa labas. I'm sure walang payong na dala si Luke kaya basang basa siya. Guilt overrode my sistem.

For old time's sake, will I be this heartless not to let that man behind my closed door succumb in this cold night with his wet clothes?

It won't hurt bitch. Your body and heart is immuned to pain. What then is a slight cut in your heart compared to death itself?

I removed the blanket wrapped in my body and stood up to open the door.

The moment I've opened the door, Luke appeared in front of me. With his clothes wet and his eyes tired.

Amoy alak din siya.

" You barged in the wrong place, Luke" Bungad na wika ko sa kaniya.

" Sorry for intruding. I just miss you. Sobra" That made me shut my mouth. Inalalayan ko siya dahil mukhang hindi na niya kayang maglakad ng siya lang.

" Inom inom pa kase" Bulong ko sa aking sarili.

Come on bitch. What will you do to a drunk man who'se wet? He can't possibly take a warm bath. Baka matumba pa 'to sa banyo. He doesn't have clothes here with me. I forbid him to leave his clothes here.

Tinulungan ko siyang tanggalin uyung basa niyang sapatos at damit leaving him with just his boxers. Buti na lang at hindi masyadong basa iyung boxers niya. Binalot ko muna sa kaniya iyung kumot ko para hindi siya lamigin.

" Sit down there." I told him. I quickly placed his clothes in the laundry and dried it.

It didn't take me long to finish doing it. Pagbalik ko ay naabutan ko siyang nakaupo parin sa kung saan ko sinabing umupo siya. I took another blanket and approached him.

I handed him another blanket when he pulled my hand causing me to fall in his embrace.

He expertly positioned my between him and wrapped the blanket on me and locked me in his arms.

Tahimik lamang siya habang yakap yakap niya ako.

" Why the sudden clinginess, Luke. The last time I've checked, we had an argument" I told him. Bitch says, you are very talkative. My heart beated hard and fast when I felt the beating of his heart from behind. Ang lakas ng tibok ng puso niya.

He showed me something. Infront of me was something I don't wish to see him show me.

The ring sparkled despite the darkness of the night.

" Marry me, Aviona. Be my wife" My eyes opened wide. My lips glued. Para akong naestatwa sa sinabi niya at wala akong masabi.

I just closed my eyes

" Hindi. Hindi kita puwedeng pakasalan" And with that my heart died with my answers of lies and cruelty.

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Unholy Sinner  [R-18]Tahanan ng mga kuwento. Tumuklas ngayon