This video depicts life perfectly. Don’t forget to laugh. There are multiple benefits so go with the flow.
All posts by She Had 3
Does Everything Go Back to Normal After a Kidney Transplant?
The short answer is no. As a patient, whether you’re on dialysis or post-transplant, you assume new roles as your own advocate, pharmacist, organizer of appointments, and your labs. It’s your job to know about all aspects of your health. You may be seeing multiple specialists. It becomes a part or full-time job and allows you to detect abnormalities and notify your team.
Taking medications can have side effects, but it’s better to have them monitored by doctors than needing dialysis. After my third transplant four years ago, I experienced Type II diabetes, Covid with pneumonia, hair loss, and an autoimmune skin disorder. Patient portals are incredibly useful for managing your health and medical care.
A woman’s hair is her crown, and promises of growth are a billion-dollar business. I have spent a lot of money chasing the dream of maintaining my tresses. However, I started losing my hair, and it became noticeable to others. With every click and like on various media outlets, an overwhelming amount of targeted ads flooded my feeds. My likes ranged from vitamins for hair growth to hair products, wigs, and weaves. After considering all the options, I decided to go for a haircut. What a relief!❤️
#shehad3 #she.had3 #shehad3k #medication #organization #selfadvocacy #nurse #grace #therapy #transplant #warrior #faith #strength #mystory #health #journey #family #medicine #resilience #expert #sideeffects #consistent #chronicillness #livestrong #informed #prednisone #tacrolimus #type2diabetes #helpingothers #tellyourstory #doctors #multidisciplinary #blogger #writer #mindset #responsibility #patient #aimtoinspire #yourtruth #bookcoming
Does Everything Go Back to Normal After a Kidney Transplant?
PTSD
L.Myers MSN RNC CSN
When you’ve experienced a loss of a loved one, health, and/ or financial ruin it can be a devastating experience. How you handle it depends on your emotional intelligence, support systems, and previous experience. You can only carry so much trauma until you break which can manifest in different ways. As the old saying goes, “Pressure bursts pipes.” In order to manage trauma or post-traumatic stress syndrome (PTSD), you must recognize that the battle is not yours.
I’ve experienced trauma as a nurse and a patient. You learn to suppress events in order to cope with the pain. I’ve dealt with unbelievable patient experiences and as a nurse, you have to minimize the event to continue to provide the best care for patients. Working in the medical profession, you learn to lean on others for support. It’s common to ignore your health during emotional distress, but we must make it uncommon. Stress, depression, and anxiety can also cause physical and mental distress. It’s nice to be told how strong you are as a person, but you don’t have a choice. Get help by speaking with a trusted friend and by seeking a therapist!
“Being able to be your true self is one of the strongest components of good mental health.” Lauren Fogel Mersy, n.d. “All stress, anxiety, depression, is caused when we ignore who we are, and start living to please others.” To maintain wellbeing, individuals need to recognize their inner strengths.
#SheHad3 #PTSD #FromNurseToPatient #SheHad3 #EmotionalDistress #MentalExhaustion #MentalHealth #Strength #SeekHelp #Stress #Depression #Anxiety #HappinessIs
ᴅᴏɴ’ᴛ sᴛᴏᴘ ʟ. ᴍʏᴇʀs ᴍsɴ ʀɴᴄ ᴄsɴ
ʟɪᴠɪɴɢ ᴡɪᴛʜ ᴄʜʀᴏɴɪᴄ ɪʟʟɴᴇss ᴄᴀɴ sᴇɴᴅ ʏᴏᴜ ɪɴᴛᴏ ᴀ ᴅᴏᴡɴᴡᴀʀᴅ sᴘɪʀᴀʟ ᴏғ ᴅᴇᴘʀᴇssɪᴏɴ. ɪғ ʏᴏᴜ ʜᴀᴠᴇ ᴅʀᴇᴀᴍs ʏᴏᴜ ᴍᴀʏ ᴅᴇʟᴀʏ ᴛʜᴇᴍ ᴜɴᴛɪʟ “ᴛʜɪɴɢs ɢᴇᴛ ʙᴇᴛᴛᴇʀ.” ʏᴏᴜ ᴍᴀʏ ʜᴀᴠᴇ ᴛᴏ ᴀᴅᴊᴜsᴛ ᴛᴏ ᴀ ɴᴇᴡ ɴᴏʀᴍᴀʟ ᴀɴᴅ ᴛʜᴀᴛs ғɪɴᴇ, ᴊᴜsᴛ ᴅᴏɴ’ᴛ ɢɪᴠᴇ ᴜᴘ ᴏɴ ʏᴏᴜʀ ᴅʀᴇᴀᴍs/ᴛʜᴀᴛ ᴛʜɪɴɢ ʏᴏᴜ ʟᴏᴠᴇ.
ɪ ʙᴇᴄᴀᴍᴇ ᴀ ɴᴜʀsᴇ ɪɴ 1988 ɢʀᴀᴅᴜᴀᴛɪɴɢ ᴡɪᴛʜ ᴍʏ ᴀssᴏᴄɪᴀᴛᴇs ᴅᴇɢʀᴇᴇ ɪɴ ᴀᴘᴘʟɪᴇᴅ sᴄɪᴇɴᴄᴇ ᴀɴ ɢᴇɴᴇʀᴀʟ sᴛᴜᴅɪᴇs. ᴍʏ ᴍᴇɴᴛᴏʀ sʜᴀʀᴏɴ ᴛᴀᴜɢʜᴛ ᴍᴇ ᴛʜᴇ ɪᴍᴘᴏʀᴛᴀɴᴄᴇ ᴏғ ʟᴇᴀʀɴɪɴɢ. ᴡʜᴇɴ ʏᴏᴜ ɢʀᴀᴅᴜᴀᴛᴇ ᴀs ᴀ ɴᴇᴡ ɴᴜʀsᴇ ɪᴛs ɪᴍᴘᴏʀᴛᴀɴᴛ ᴛᴏ ғɪɴᴅ ʏᴏᴜʀ ʏᴏᴅᴀ. ʏᴏᴜ’ʟʟ ᴋɴᴏᴡ ᴛʜᴇᴍ ɪᴍᴍᴇᴅɪᴀᴛᴇʟʏ ᴀs ɪ ᴅɪᴅ ᴡɪᴛʜ ʜᴇʀ. ᴏᴜʀ sᴘᴇᴄɪᴀʟᴛʏ ᴡᴀs ʜɪɢʜ ʀɪsᴋ ʟᴀʙᴏʀ ᴀɴᴅ ᴅᴇʟɪᴠᴇʀʏ. After attending conferences with her we became a groupies of a prominent speaker. I was in awe of her education and certifications.
I wanted to go back to school for my Bachelor of Science in Nursing. I started in 2004 and had several setbacks due to health issues. Working as a labor and delivery nurse was therapy for me. I worked with the most intelligent people ever. We cared for high risk vulnerable pregnant women giving exemplary care. It was tiring working full-time, doing dialysis, and furthering my education. I took one course per semester, received a certification in inpatient obstetrics in 2010, and graduated with honors with my BSN in 2012.
I realized that I was addicted to education and loved teaching. Yup, you guessed it I enrolled in the nursing education master’s degree track. My husband and friends thought I needed to relax but I wanted this for me. I had one course left before my practicum and I did not pass. I had an 83.3 and the passing score was 84. The instructor said, “You’ll thank me in the end” I didn’t. I took the course again with a different professor and received an A+ and no I didn’t. That was stressful, I decreased my work hours to accommodate the required practicum hours and graduated with my MSN. I couldn’t have done this without faith, my husband, work family, and friends. 2004-2018
#shehad3 #blogger # education #goals #inspiration #mindset #fighter #mystory #coping #livestrong #positivity #strength #resilience #kidneydisease #warrior #kidney #health #journey #nurse #chronicillness #inspiration #mindset #fighter #mystory #coping #livestrong #positivity #strength #nursingeducation #drexel #laboranddelivery
Teaching
L. Myers MSN RNC CSN
Teaching is gratifying when you are passionate about the profession, patient, and know why you’re doing it, and rewarding when your student absorbs the information. It should make you happy because you’re impacting someone’s life. In life learning and teaching are cyclical and are applicable to every profession.
My nephrologist is one of the best teachers I know; you can feel his passion for teaching. I’ve been his patient for over 15 years. He asks my permission with every visit to have students accompany him. I never mind it because they are learning from a great teacher. I had a visit this week and I’m usually his last patient. He said, “Buddy would you mind if I brought some students in with me?” My answer is always yes. A parade of students came in, a medical student, a nurse practitioner, a physician’s assistant, and a nephrology fellow. They listened to my heart, lungs, and felt my transplanted kidney. They were briefed about my medical history. I miss working with the camaraderie of working bedside nursing. There’s so much learning that occurs with a multidisciplinary team approach.
“Develop a passion for learning. If you do, you will never cease to grow. ” Anthony J. D’Angelo
#blogger #shehad3 #teaching #learning #inspiration #mindset #mystory #coping #livestrong #positivity #strength #resilience #kidneydisease #warrior #strength #kidney #kidneytransplant #health #journey #nurse #patient
Plan Your Life Around Dialysis
L.Myers MSN RNC CSN: From Nurse to Patient
Dialysis is another job in your life but don’t forget to live. Sometimes you will have the energy for outings and others you will not. Forget making excuses or feeling bad if you can’t make an event, dialysis can be draining. I tried to plan my dialysis treatments earlier in the day so that it would give me time to recover.
I was told by a coworker, “Well all you do is sit in a chair.” I walked away from her, I refused to respond to such an ignorant comment. You are often judged by your exterior and the perception is that you look good on the outside so you must be okay. Don’t ever let anyone belittle your struggle, there is so much more to dialysis than sitting in a chair. I’d rather people ask than assume.
This is me post dialysis going out to dinner. I thank God that dialysis exists it gives dialysis patients the opportunity to live. I never enjoyed doing dialysis but I accepted it.
Living With Dialysis: https://www.kidney.org/sites/default/files/docs/11-10-0307_dialysistransitionbk2_oct07_lr_bm.pdfhttps://www.kidney.org/sites/default/files/docs/11-10-0307_dialysistransitionbk2_oct07_lr_bm.pdf
#shehad3 @shehad3k@twitter.com @she.had3@instagram.com #blogger #nurse #kidneydisease #warrior #faith #perserverance #kidney #hope #livestrong #renaldisease #ownit #management #support #strength #mystory #kidneytransplant #kidneyfailure #health #journey #medicine #resilience #support #strength #resilience#nurse #blessed
Helping Others Helps You
L.Myers MSN RNC CSN
My doctor calls me Buddy, when he calls it’s from a blocked number but I know it’s him. “Hey Buddy, I need a favor. “I have a patient with 30% kidney function requesting to speak with another patient about their experiences with dialysis and transplant. Could you speak with him about the modes of dialysis? He’s a doctor and he’s really nervous. I always think it’s better coming from someone who’s been through it”. I will always do this for anyone, I know what it’s like to receive a diagnosis of renal failure and all that comes along with it.
I called and addressed him by his title and told him who I was. He stated that it was fine to be on a first-name basis. He asked about my experiences with dialysis, specifically the time it takes, different modes, and transplants. We spoke for 30-45 minutes and he asked if I was married. I said yes, he asked if my husband would mind if we spoke from time to time and I replied no he would not mind. Then he said, “Would you mind checking on me every once in a while? I’m married but my wife is having medical issues. I’ll need a caretaker and this may be too much for her, my son will be moving back to help me. He is doubtful about his eligibility for a transplant because he is 75. I advised him to make 2 appointments for listing, one in his state and the other out of state at a major hospital with the rate of success with renal transplants.
Age can be a factor to be a candidate for transplant. Other factors include the length of time on dialysis, and other comorbidities (cancer, obesity, infection, obesity, smoking). It’s always best to speak with your nephrology team.
“At the end, it’s not about what you have or even what you’ve accomplished. It’s about who you’ve lifted up, who you’ve made better. It’s about what you’ve given back.” Denzel Washington
#blogger #shehad3 #nursetopatient #health #happiness #giveback #inspiration #mindset #coping #helpingothers #positivity #strength #resilience #kidneydisease #kidney #kidneytransplant #health #journey #nurse #patient #chronicillness #informed
∴ᴍᴜsɪᴄ sᴏᴏᴛʜᴇs ᴛʜᴇ sᴏᴜʟ∴
Do you ever wonder why music makes you happy? We can be in the dumps one moment but once we put on our favorite jam, we’re swaying and shaking away…feeling pretty good about ourselves too! The reason for this is that listening to music increases dopamine levels. Scientists say that listening to music has the same effect as eating our favorite foods or watching our favorite T.V. show. So, when you’re feeling down, throw on some of your favorite tunes and jam out! https://www.scienceofpeople.com/benefits-music/
ɪ ʟᴏᴠᴇ ʜᴏᴡ ᴛʜᴇ ʙʀᴀɪɴ ᴡᴏʀᴋs. ɪ ᴡᴀs ʟɪsᴛᴇɴɪɴɢ ᴛᴏ ᴍᴜsɪᴄ ᴡʜɪʟᴇ ʀᴜɴɴɪɴɢ ᴇʀʀᴀɴᴅs. “ʜᴇ ʟᴏᴠᴇs ʏᴏᴜ” ʙʏ sᴇᴀᴡɪɴᴅ ᴘʟᴀʏᴇᴅ ᴀɴᴅ ɪɴsᴛᴀɴᴛʟʏ ᴛʜᴇʀᴇ ᴡᴀs ᴀ ʙᴏᴏsᴛ ᴏғ ᴇᴜᴘʜᴏʀɪᴀ ᴛʜᴀᴛ ᴄᴀᴍᴇ ᴜᴘᴏɴ ᴍᴇ . ɪ ᴋɴᴇᴡ ᴍᴏsᴛ ᴏғ ᴛʜᴇ ᴡᴏʀᴅs ᴀʟᴛʜᴏɢʜ ɪ ʜᴀᴅɴ’ᴛ ʜᴇᴀʀᴅ ɪᴛ ɪɴ ᴀ ᴡʜɪʟᴇ. ɪᴛ ᴍᴀᴅᴇ ᴍʏ ᴅᴀʏ ᴀɴᴅ ɪ ʀᴇᴍɪɴɪsᴄᴇᴅ ᴀʙᴏᴜᴛ ᴀʟʟ ᴛʜᴇ ᴡᴏɴᴅᴇʀғᴜʟ ᴍᴇᴍᴏʀɪᴇs ᴀᴛᴛᴀᴄʜᴇᴅ. ᴀs ᴀ ᴋɪᴅ ɪ ʟɪᴠᴇᴅ ɪɴ ᴀᴘᴀʀᴛᴍᴇɴᴛ ᴀɴᴅ ᴛʜᴇʀᴇ ᴡᴀs ᴀ ғᴀᴍɪʟʏ ᴛʜᴀᴛ ʟɪᴠᴇᴅ ᴜᴘsᴛᴀɪʀs ᴀᴘᴀʀᴛᴍᴇɴᴛ ᴀɴᴅ ɪᴛ ᴡᴀs ᴀ 2ɴᴅ ʜᴏᴍᴇ ᴛᴏ ᴍᴇ. ɪ ᴡᴏᴜʟᴅ ɢᴏ ᴜᴘ ᴛʜᴇʀᴇ ᴀɴᴅ ʟɪsᴛᴇɴᴇᴅ ᴛᴏ ᴛʜᴇ ᴍᴏsᴛ ʙᴇᴀᴜᴛɪғᴜʟ ᴍᴜsɪᴄ ғᴏʀ ʜᴏᴜʀs. ᴛʜᴇ ᴄᴏʟʟᴇᴄᴛɪᴏɴ ᴏғ ʀᴇᴄᴏʀᴅs ᴡᴀs ᴀ ᴅʀᴇᴀᴍ ᴛᴏ ᴍᴜsɪᴄ ʟᴏᴠᴇʀs. ɪᴛ ᴛᴀᴜɢʜᴛ ᴍᴇ ᴛʜᴇ ᴠᴀʟᴜᴇ ᴏғ ᴛʜᴇ ᴅᴇᴛᴀɪʟs ɪɴᴠᴏʟᴠᴇᴅ ɪɴ ᴀ sᴏɴɢ, ɪ ᴡᴀs ᴇɴʟɪɢʜᴛᴇɴᴇᴅ. ᴛʜᴀɴᴋ ʏᴏᴜ ɴᴜɴɴᴇʟʏ ғᴀᴍɪʟʏ.♡✰🎶
Song: He Loves You–>Seawiɴᴅ 🌼 https://m.youtube.com/watch?v=gLs4YTTLcK4
ʟ.ᴍʏᴇʀs ᴍsɴ ʀɴᴄ ᴄsɴ ғʀᴏᴍ ɴᴜʀsᴇ ᴛᴏ ᴘᴀᴛɪᴇɴᴛ
#blogger #shehad3 #mindset #happiness #memories #dopamine #music #singing #family #joy # love #goodday #instamood #life #cool #amazing #smile #beautifulday #bestsong #songs #lovethissong #repeat #goodmusic #motivation
3rd Times the Charm
I was living my life on dialysis achieving my goals. I was referred by my Doc to get listed at a 2nd hospital, I got listed at Our Lady of Lourdes. Getting listed is an involved process, there has to be a referral from your doctor, a meeting with the surgeon, nephrologist, nurse coordinator, social worker, dietician, and financial coordinator, and the lab drawing of approximately 25 tubes of blood for matching.
https://www.kidney.org/transplantation/transaction/waitingresources
I instantly felt a good feeling with everyone I met, especially the surgeon. He had a glow and a great smile and stated that they could help me, even with a PRA level of 100%. The team confirmed what I suspected, I did not lose the kidney to rejection, and I cried. I knew in my heart what happened. The meeting was about 2 hours and it was to determine if I had adequate support, was psychologically stable, and where the kidney would be placed. After the interview, I was asked if I had any questions. I wanted to know if the search would be in the tri-state area and if could I be officially listed after finishing my Master’s Degree in Nursing Education. They stated that they would make me inactive until graduation and that I would be nationally listed by UNOS (The United Network for Organ Sharing). I had been on dialysis for 10 years and had a routine of dialyzing on off days from work. I hadn’t urinated and I made a perfect dinner date with my friends. I would sit against the wall because I didn’t have to go. I have a strong support system and great people in my life.
My husband is God-sent. He went through everything and was willing to donate a kidney to me because he was a match but when I had my 1st & 2nd kidney transplants, I had developed antibodies against him. Both of us ever thought about it, of course, it was a big disappointment but my husband went ballistic on the coordinator of the 1st transplant team. I also thought counseling could have been better, but I accepted it. I always wanted to move on to the next step in my life. The caregiver is often forgotten about, my Ty was always trying to make me better. He had a grueling schedule, he was up at 4:30 am, feed the cat/litter box, set the machine up, picked our granddaughter up took her to and from school, tutored her, and came home to help me get on the machine while completing his lesson plans, get food for us, take vital signs, and occasionally troubleshooting with me when there were problems. He was nodding out at 7:30 pm and sometimes we were up until 10-11:30.
I finished my degree and started clinical studies at the place I worked. It was an awesome experience and I received a great evaluation from the students and my director from Drexel. I was actually full-time with all my commitments. I worked part-time in labor and delivery, participated in hospital committees, and education, and worked as an adjunct professor. I decided to take the winter semester off to relax.
I was on a non-dialysis day and my husband and I were relaxing. I received a phone call around 4:00 pm from the transplant coordinator on February 20, 2019. “Hey Lisa, we may have a kidney, you are #2 it would be a backup call if the 1st person doesn’t meet the requirements. Stick close to your phone.” We looked at each other smiling, thinking what this could mean but still apprehensive. Then I received a 2nd call at 5:00 pm, “Lisa, we need you to do a dialysis treatment.” My heart was jumping out of my chest, could this be happening? I called my nephrologist to let him know what was happening. He said, “That’s great buddy, keep me in the loop.” We went to bed, and I thought it was not meant to be but I was still happy about receiving a call since I hadn’t received any notifications in years. My phone rang at 2:00 AM in the morning, “Lisa the kidney is yours, we need you at the hospital at 8:00 am.” We were so excited for the future but I thought about my previous transplant and how I woke up in the ICU losing the kidney from hemorrhage. We were not in a position to drive, so we took an Uber to Our Lady of Lourdes. From the moment we hit the door, it was a positive experience and it started with hospital registration. We were taken to the room and I was seen by everyone, there was an IV attempt, and they apologized and stated that it could be done in the operating room. I called my family and friends, it was a big deal, to say the least. The social worker showed up and said I already know your history and Tyrone can stay with you as long as he needs and the hospital will provide meals and parking for him. She took all the worrying away and was so personable with us.
The anesthesiologist arrived, he told me how my pain would be managed and then I said my goodbyes with tears. I had been down this road before. As I was rolled into the operating room, tears started rolling down my face. My friends reassured me and Ty always did this thing with me to help me relax. He would let me feel a tensed hand and then he relaxed it and told me to go to the beach in my head and pray. As soon as I got in the room, my anxiety increased. There were 2 teams, 2 instrument tables, and a cooler labeled and I knew it was the kidney. The anesthesiologist told me that everything was going to be fine and that all the people in the room were for me. The surgeon came over, he looked like an angel; he smiled at me and told me that the kidney was perfect. He had a great spirit and glow about him and I knew God was there.
I woke up in the ICU with my husband at my side and Mark the nurse, he was constantly doing something with numbers and urine, yes URINE. I loved that his name was biblical. When I saw the urine and my numbers on the screen I relaxed and fell asleep. Little did I know a friend called the nurse to tell him what happened to me the last time and to take good care of me and he assured her that he would. My husband was so excited to see the urine and that everything was going as planned, it was his kidney too. I thank God and all the people in my life that supported me throughout this journey. I could imagine God saying, who is this Lisa she has so many people praying for her. Thank you God for giving me my life back and watching my husband sleep peacefully.
“Look for the helpers.” Mr. Rogers I love you Ty♥️
#blessed #blogger #shehad3 #nursetopatient #3rdtimesacharm #caregivers #love #marriage #dedicatedhusband #educator #goals #health #happiness #youarestrong #giftoflife #unos #dreamteam #newlife #kidneyevaluation # thecall #thematch
Living With Chronic Illness
From Nurse to Patient: L. Myers MSN RNC CSN
People that know my story will tell me that I’m the strongest person that they know. My strength comes from God, family, and friends. Also by gaining knowledge from my doctor(s), credible sources, and pharmacists. As a nurse, I knew basic information but I’ve gained immeasurable knowledge as a patient. When you are researching it empowers you and in the words of Michael J. Fox, makes an expert of you. He is inspirational to me and I’ve watched him on television shows and in movies. It was sad to see him as a 29-year-old man with a diagnosis of Progressive Parkinson’s Disease. He has turned his disease into a cause by raising millions of dollars and has a great support system. https://www.cbsnews.com/news/michael-j-fox-parkinsons-diagnosis-7-years-of-denial-i-only-knew-that-it-would-get-worse/
When you have a chronic condition it’s important that you have documentation of each medication and the times they are taken. With modern technology, your doctor can print out a list with a schedule. I have my list in the notes section of my smartphone and alarms set for every day at 9:00 AM, 3:00 PM, and 9:00 PM. Post-transplant, the immunosuppressive drugs along with your other medications can cause side effects and it’s easy to contract diseases.
I have had autoimmune skin disorders Epidermolysis bullosa acquisita (EBA) – a blistering disease, vasculitis from Rapamune with my 1st kidney transplant, Trichodysplasia Spinulosa post 3rd transplant, and recently Lichens Planus attributed to Furosemide. It’s so important to be in tune with your body so that you recognize the abnormal. Be consistent with your care and try to stay within the same system so that all specialists are able to communicate. If it’s not possible, ask for a copy of the visit or go to the patient portal for the information so that it’s immediately available for appointments and emergency department visits. ꕤ
List of Resources and Information ☼ https://eatspeakthink.com/31-creative-ways-to-take-your-medication/ https://rarediseases.info.nih.gov/diseases/6360/epidermolysis-bullosa-acquisita https://journals.lww.com/transplantjournal/Fulltext/2002/09150/Sirolimus_induced_leukocytoclastic_vasculitis.25.aspx https://www.bad.org.uk/pils/oral-lichen-planus/ https://www.mdedge.com/dermatology/article/254201/hair-nails/facial-follicular-spicules-rare-cutaneous-presentation https://www.uptodate.com/contents/dialysis-or-kidney-transplantation-which-is-right-for-me-beyond-the-basics https://www.kidney.org
#God #faith #faithoverfear #blogger #shehad3 #giveback #inspiration #michaeljfox #mindset #fighter #mystory #coping #livestrong #positivity #strength #resilience #kidneydisease #warrior #strength #kidney #kidneytransplant #health #journey #nurse #patient #medication #expert #sideeffects #consistent #chronicillness #livestrong #informed #trichodysplasiaspinulosa #epidermylosisbullosaaquista
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