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COPD & Asthma Fundamentals  "The most up-to-date Asthma & COPD Fundamentals course available in New Zealand. The course aligns the latest research with specific information for the New Zealand context, such as recently funded medications, treating Māori and Pacific peoples, and best practice health literacy. The course aligns with the latest NZ asthma guidelines." It includes two half day workshops covering the key aspects of COPD and asthma pathophysiology, management and practice. Delivered by The Asthma & Respiratory Foundation (NZ).

4years ago I had which I now know was PMR. Although never diagnosed at that time I was treated with tapering doses of prednisone and analgesic meds and after 6 mos all symptoms disappeared. Three months ago after a mild URI I came down with the EXACT same symptoms a frustrating condition! Only abnormal tests were very high sed rate and C-reactive proteins which are indicative of edema,along with a mild anemia. Went back to the same Drs who were perplexed as to why I had this 4 year remission until I went to a new Rheumatologist ( previous one had retired) who finally diagnosed PMR. 24 hours after the first dose of steroid(40mg) I was 85% better. I am now on a tapering dose currently 20mg and take acetaminophen at regular 4 hour intervals( being. Careful not to exceed 4000mg max per day )
It has given me my life back. I am being followed for side effects of the steroids but the plan is to keep tapering dosage till weaned completely. I know this is not a cure but if it will give me another 4 year respite I will be eternally grateful! (I am now 62yr but first episode was at age 58)

Hi geniusni, if I were you I would not wait for my Dr to return from holiday, get a second opinion. I broke my tibia and fibula in February also had surgery, plates and screws. The heat you feel could be from swelling and inflammation, and the bruising is normal. I had bruising from my toes all the way up to my knee, and it takes a long time to fade, in fact I still have slight bruising around the surgical incisions. Try not to put weight on the bad leg at all and don't take the boot off at night when you sleep until you have seen a Dr. You can take the front piece of the boot off when you go to bed and keep the straps looser, this will help support the ankle while you sleep. Also try keep it elevated as much as possible if you still have swelling. Hopefully you are also taking some type of pain meds. I take K-Fenak it is cheap and helps with pain, swelling and inflammation. Hope you recover soon. When you see a doctor please let us know the results.

Patients with Diffuse Liver Hemangioma likely have severe hypothyroidism which is caused bye type 3 Iodothyronine deiodinase, this enzyme cleaves off iodine and inactivates it the body.  Aggressive Thyroid Replacement therapy may balance this mechanism.  Monitoring TSH levels can help determine the dosage of thyroid replacement medication to use.  Once the liver Hemangioma has involuted thyroid replacement therapy can be discontinued.   Traditionally the management of this type of liver hemangioma did not include Aggressive Thyroid Replacement Therapy, the hemangioma was managed but the child was impaired mentally due to hypothyroidism.  Understanding the management of TSH levels has prevented this complication. 

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Steroid forums nz

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Patients with Diffuse Liver Hemangioma likely have severe hypothyroidism which is caused bye type 3 Iodothyronine deiodinase, this enzyme cleaves off iodine and inactivates it the body.  Aggressive Thyroid Replacement therapy may balance this mechanism.  Monitoring TSH levels can help determine the dosage of thyroid replacement medication to use.  Once the liver Hemangioma has involuted thyroid replacement therapy can be discontinued.   Traditionally the management of this type of liver hemangioma did not include Aggressive Thyroid Replacement Therapy, the hemangioma was managed but the child was impaired mentally due to hypothyroidism.  Understanding the management of TSH levels has prevented this complication. 

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