The Nasty Truth


 

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Another bullshit remark; calling me Sweetheart

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Here's what it means, because never have so many people called me sweetheart like this year. Sweetheart aka  Diabetic cardiomyopathy (DCM) is a chronic, often asymptomatic disorder of the heart muscle in diabetics (type 1 or 2) that causes structural damage and functional impairment, leading to heart failure independently of coronary disease or hypertension. It presents as early diastolic dysfunction (stiffness) progressing to systolic failure. Systolic failure: Systolic heart failure, or  heart failure with reduced ejection fraction  (HFrEF),  occurs when the left ventricle becomes weak or enlarged and cannot contract properly to pump sufficient blood to the body This condition leads to fluid buildup in the lungs and body, causing fatigue, swelling, and breathing difficulties.
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Quality of Life

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Quality of life (QOL) is subjective and defined differently by everyone, but generally, "no quality of life" refers to a state where an individual's suffering or limitations outweigh their ability to experience joy, meaning, or basic comfort.  Physical and Functional Limitations Loss of Independence: The inability to perform basic Activities of Daily Living (ADLs), such as dressing, showering, or eating without assistance. Chronic, Unmanageable Pain: Persistent physical suffering that cannot be adequately controlled by medication or treatment, often interfering with sleep and mobility. Severe Symptom Burden: Dealing with constant, distressing symptoms like frequent nosebleeds, coughing up blood, or severe nausea that dominate daily existence. *** No quality of life" is a subjective, often terminal, state characterized by an inability to experience pleasure, profound loss of autonomy, or overwhelming pain. It is generally marked by the absence of joy, independence, an...
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Cliff Swallows

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The annual return of cliff swallows to Mission San Juan Capistrano, traditionally celebrated on St. Joseph's Day (March 19), marks the birds' return from Argentina to nest. While urban development reduced their numbers in the 1990s, the birds still return to the area annually.  Migration Pattern: Swallows arrive in mid-March and depart around October 23 (Day of San Juan) for a 6,000-mile journey south. The Mission Connection: Legend says Father St. John O'Sullivan invited them to the Mission in the early 20th century after a shopkeeper destroyed their nests. Today's Return: Efforts to encourage their return, including using bird call recordings and installing artificial nesting, have resulted in some nesting in the Mission's East Corridor. Celebration: The city celebrates with the annual Swallows Day Parade and mercado.  The birds are known for building gourd-shaped mud nests under the eaves of the old stone church.  I saw them flying low along the ocean in San Juan...
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