Official website for the latest Paralympic news, videos, events and results. Follow the Paralympic Games and competitions for all Paralympic and IPC sports. Someone who is paralyzed because of a birth defect or sudden injury often can’t feel or move anything at all in their affected body parts. Someone paralyzed by a medical condition, like multiple. Verb (used with object), paralyzed, paralyzing. To affect with paralysis. To bring to a condition of helpless stoppage, inactivity, or inability to act: The strike paralyzed communications.

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par·lay

(pär′lā′, -lē)tr.v.par·layed, par·lay·ing, par·laysn.

parlay

(ˈpɑːlɪ) vb (tr) n

par•lay

(ˈpɑr leɪ, -li)
v.t. n.

parlay

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Past participle: parlayed
Gerund: parlaying

Imperative
parlay
parlay

Present
I parlay
you parlay
he/she/it parlays
we parlay
you parlay
they parlay

Preterite
I parlayed
you parlayed
he/she/it parlayed
we parlayed
you parlayed
they parlayed

Present Continuous
I am parlaying
you are parlaying
he/she/it is parlaying
we are parlaying
you are parlaying
they are parlaying

Present Perfect
I have parlayed
you have parlayed
he/she/it has parlayed
we have parlayed
you have parlayed
they have parlayed

Past Continuous
I was parlaying
you were parlaying
he/she/it was parlaying
we were parlaying
you were parlaying
they were parlaying

Past Perfect
I had parlayed
you had parlayed
he/she/it had parlayed
we had parlayed
you had parlayed
they had parlayed

Future
I will parlay
you will parlay
he/she/it will parlay
we will parlay
you will parlay
they will parlay

Future Perfect
I will have parlayed
you will have parlayed
he/she/it will have parlayed
we will have parlayed
you will have parlayed
they will have parlayed

Future Continuous
I will be parlaying
you will be parlaying
he/she/it will be parlaying
we will be parlaying
you will be parlaying
they will be parlaying

Present Perfect Continuous
I have been parlaying
you have been parlaying
he/she/it has been parlaying
we have been parlaying
you have been parlaying
they have been parlaying

Future Perfect Continuous
I will have been parlaying
you will have been parlaying
he/she/it will have been parlaying
we will have been parlaying
you will have been parlaying
they will have been parlaying

Past Perfect Continuous
I had been parlaying
you had been parlaying
he/she/it had been parlaying
we had been parlaying
you had been parlaying
they had been parlaying

Paralysis

Conditional
I would parlay
you would parlay
he/she/it would parlay
we would parlay
you would parlay
they would parlay

Past Conditional
I would have parlayed
you would have parlayed
he/she/it would have parlayed
we would have parlayed
you would have parlayed
they would have parlayed

Noun	1.	parlay - a series of wagers in which the winnings from one wager are used as a stake for the subsequent wagers wager, bet - the act of gambling; 'he did it on a bet'
Verb	1.	parlay - stake winnings from one bet on a subsequent wager bet on, gage, game, stake, punt, back - place a bet on; 'Which horse are you backing?'; 'I'm betting on the new horse'

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Adrenal insufficiency occurs when the adrenal glands don’t make enough of the hormone cortisol. You have two adrenal glands. They are located just above the kidneys. They work with the hypothalamus and pituitary glands in the brain. Cortisol helps break down fats, proteins, and carbohydrates in your body. It also controls blood pressure and affects how your immune system works.

Adrenal insufficiency can be primary or secondary:

• Primary adrenal insufficiency. This is known as Addison's disease. It occurs when the adrenal glands are damaged. They don’t make enough of the hormones cortisol and aldosterone. This condition is rare. It may occur at any age.

• Secondary adrenal insufficiency. This starts when the pituitary gland doesn’t make enough of the hormone ACTH (adrenocorticotropin). As a result the adrenal glands don’t make enough cortisol.

What causes adrenal insufficiency?

Primary adrenal insufficiency is most often caused when your immune system attacks your healthy adrenal glands by mistake. Other causes may include:

• Cancer

• Fungal infections

• Tuberculosis infection of the adrenal glands

• Inherited disorders of the endocrine glands

A lack of the hormone ACTH leads to secondary adrenal insufficiency. That can happen if you must take certain steroids for a long time due to a health problem. For example, people with asthma or rheumatoid arthritis may need to take prednisone. Other causes include:

• Pituitary gland tumors

• Loss of blood flow to the pituitary

• Pituitary gland is removed or you have radiation treatment of the pituitary gland

• Parts of the hypothalamus are removed

What are the symptoms of adrenal insufficiency?

You may have mild symptoms when you are under physical stress. Each person’s symptoms will vary. Symptoms may include:

• Weakness

• Fatigue

• Dizziness

• Dark skin (Addison's disease only)

• Bluish-black color around the nipples, mouth, rectum, scrotum, or vagina (Addison's disease only)

• Weight loss

• Fluid loss (dehydration)

• Lack of appetite

• Muscle aches

• Upset stomach (nausea)

• Vomiting

• Diarrhea

• Low blood pressure

• Low sugar levels

• In women, irregular or no menstrual periods

If not treated, adrenal insufficiency may lead to:

• Severe belly (abdominal) pain

• Extreme weakness

• Low blood pressure

• Kidney failure

• Shock

These symptoms may look like other health problems. Always see your healthcare provider for a diagnosis.

How is adrenal insufficiency diagnosed?

Your healthcare provider will ask about your medical history. You will also need an exam. Tests that can diagnose adrenal insufficiency include:

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• Blood and urine tests. These can check levels of the adrenal hormones and ACTH.

• Imaging tests. These include X-rays, ultrasound, and MRI.

How is adrenal insufficiency treated?

Your healthcare provider will figure out the best treatment for you based on:

• Your age, overall health, and past health

• How sick you are

• How well you can handle certain medicines, procedures, or therapies

• How long the condition is expected to last

• Your opinion or preference

You will need to take hormones to replace those that your adrenal glands are not making. That mainly means cortisol. But if you have Addison's disease, you may need to take aldosterone as well.

Addison's disease can be deadly. Treatment often starts with IV (intravenous) fluids and medicines called corticosteroids. You may take these medicines by mouth or by IV. You may have to take them for the rest of your life. You may also need to take other medicines (fludrocortisones). These can help keep your body's sodium and potassium levels normal.

What are the complications of adrenal insufficiency?

You may have sudden severe symptoms. This is called acute adrenal insufficiency, or Addisonian crisis. This can occur when your body is stressed. That can happen for many reasons, such as an illness, fever, surgery, or dehydration. You may also have a crisis if you stop taking your steroids or lower the amount of your steroids suddenly. The symptoms of an Addisonian crisis include the symptoms of adrenal insufficiency or Addison’s disease. But if an Addisonian crisis is not treated, it can lead to:

• Shock

• Seizures

• Coma

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Living with adrenal insufficiency

Take your medicine exactly as prescribed. You should also carry a medical alert card or tag at all times. This can make sure you get proper treatment if there is an emergency. When traveling always carry an emergency kit with a shot of cortisol.

When should I call my healthcare provider?

Any condition that stresses your body can affect how much medicine you need. Call your healthcare provider if:

• You have any kind of illness, especially a fever, vomiting, or diarrhea

• You become pregnant

• You need surgery

Get medical help right away if you have sudden severe symptoms (Addisonian crisis).

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Key points about adrenal insufficiency (Addison’s disease)

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• Adrenal insufficiency occurs when the adrenal glands don’t make enough of the hormone cortisol.

• The primary kind is known as Addison’s disease. It is rare. It is when the adrenal glands don’t make enough of the hormones cortisol and aldosterone.

• Secondary adrenal insufficiency occurs when the pituitary gland doesn’t make enough of the hormone ACTH. The adrenal glands then don’t make enough cortisol.

• Mild symptoms may be seen only when a person is under physical stress. Other symptoms may include weakness, fatigue, and weight loss.

• You will need to take hormones to replace those that the adrenal glands are not making.