Maintaining penis health is essential for overall well-being and sexual satisfaction. Incorporating daily habits that support penile health can help prevent issues such as erectile dysfunction, infections, and discomfort. In this guide, we'll explore a range of daily habits and practices to promote optimal penis health.
Hygiene Practices:

• Wash the penis daily with warm water and mild soap to remove sweat, bacteria, and debris.
• Dry the penis thoroughly after washing to prevent moisture buildup, which can contribute to fungal infections.
• Pay attention to the area beneath the foreskin (if uncircumcised) and clean it gently to prevent smegma accumulation.

Moisturizing:

• Apply a penis-specific moisturizer or natural oil (such as coconut oil or jojoba oil) to the penis skin to keep it hydrated and supple.
• Moisturizing regularly can help prevent dryness, itching, and irritation, particularly for individuals prone to skin conditions like eczema or psoriasis.

Safe Sexual Practices:

• Use condoms during sexual activity to reduce the risk of sexually transmitted infections (STIs) and unwanted pregnancies.
• Communicate openly with sexual partners about sexual health and STI testing to ensure mutual protection.

Regular Exercise:

• Engage in regular physical activity to promote overall cardiovascular health, which is crucial for erectile function.
• Pelvic floor exercises (Kegels) can strengthen the muscles that support erections and improve bladder control.
• Natural Unique Exercise by Growth Matrix

Balanced Diet:

• Eat a diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats to support overall health and circulation.
• Foods high in antioxidants, such as berries, leafy greens, and nuts, can help combat oxidative stress and inflammation in the body.

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streak1 (routines): 98d (-26), streak2 (calle2): 17x (-10) streak3 (q): 1
Testing routines with slight different accents in celebration for my 100th d.
1WB practicesx2: 2Hedging
Hedging A ○ point&tell (escap etc) ○ double check estimates ○ vignettes x2 (plan, pq's) ○ review end of day over kmr ○ labels out ○ focus exercisesx5
HedgingB ○ e-cup ○ focus ○ cuts
Weekly list: 1check in on vital stats 2clear folder 3masking 4 informative read 5 exercise 6 think-tank to pq opportunities 7 sort h&y/prep fwd
Notes2me: Root@2escape Inble: switch, gauge, recall n☆ .... Switch1 or Switch2Calle2 0MultiTsks Soc: Mask. Fast. Form. Q. Isle. ..... Visibility: Labels Focs5pd: ....... 1d@aT H5

I am F22, 5'6, 183 pounds and exercise daily. I am white. I haven't lost weight on the scale yet, but I've gone from a 36 inch waist to a 30 inch waist. I don't drink, I don't do drugs but I do vape. Ive taken 37.5mg of Effexor for the past 4 days after ceasing Sertraline 75mg after 3 months. Diabetes does run in my family but typically during menopause/older age. My grandfather had type 1 diabetes and he died at 57 years old. My last blood test was in 2022 in the ER due to abdominal pain. Cystic leisons in pelvic area, cystic leisons around bladder extending to my interior abdominal muscle/internal debris found and SI joint arthritis. Other than that, unremarkable. Tip top shape. I had my Mirena IUD taken out April 17th 2024. Today my boyfriend brought donuts home and I had four within the course of a few hours. Eventually I went to the gym, worked out for an hour and came back upstairs. Enjoyed another delicious donut. I don't typically eat sugar because I'm not a fan of sweets and the most sugar I get in a day is from ketchup or grapes. My period was/is two days late so I did what any responsible and paranoid young lady would do and took a test. The test required me to pee into the little cup it provided and use a dropper to transfer the urine into the test. I urinated into the cup and noticed a sweet smell. I smelled myself and my clothes because it honestly smelled exactly like donuts or a gourmand vanilla perfume. No, not me, so I brought the cup up to my nose to get a closer smell. My urine smelled like the donut glaze they use at Tim Hortons, which is exactly where the donuts I enjoyed came from. I finished the test, I am not pregnant, yippe! I have been noticing odd symptoms that easily could be explained by other things going on in my life. Dry mouth, thirsty constantly, urinating constantly, fatigue, blurry vision: SSRI. I stopped taking Sertraline very specifically because a few times a week I would wake up dizzy, shaking, nauseous, diarrhea, blurry vision, laggy vision and rapid heart beat. I'd get up, unlock the door incase I needed to call 911, get my gigantic water bottle, find my way into a hot shower and sit in it until I felt "settled" and then eat a bite of an uncrustable. I would go back to bed and hope I wouldn't die. I'd wake up feeling better but overall lethargic. My doctor said it's not possible Sertraline was the cause of this because he confirmed I didnt have serotonin Syndrome. He seemed frustrated but switched me anyways because he had no explanation otherwise. I noticed about a few months ago my urine smelled like the buttered popcorn and I never thought much about it, since I am not a peeologist. 

About an hour after my sweet urine dilemma I started to feel like garbage. Perhaps anxiety, perhaps not. All I know, is that it probably wasn't a great idea to smarf down 4 donuts at once and then 1 donut after the gym. I don't typically eat donuts, but I was so hungry and they really hit the spot.

A few questions. Is it possible to have sweet smelling urine without having diabetes? Is it possible that because I don't eat much sugar that I didn't notice until now? Am I just overly anxious about my other symptoms and being paranoid? If I am diabetic do SSRI's & SNRI'S affect your blood glucose or insulin? 

I have an appointment with my doctor on the 23rd and I will be bringing it up with him. I just don't want to sound crazy or overly paranoid about my health. If this is concerning (which all put together sounds like it is lol), I do live with my boyfriend so he will be around to keep an eye on me. I also acknowledge I am overweight and I am working on it actively by daily exercise, caloric deficit and healthy foods.

I will be very specific when i say bad genetic. Some kind of problem you have with your body that doesn't let you build muscle. For instance, me, complete normal man. Can't see anything wrong on my body. One thing everyone notice will be my bad form while lifting weights. Cannot build muscle without proper form, you will see some gains but not enough' That's what i say. And because to my "bad genetics" that directly impact my form, I'm planning on to stop gym. More exact..my scapula/the back part below rear dealts/external rotation in shoulders...i belive my muscles are weak/missing that keep the scapula attached to the back. This thing doesn't let me train my chest, shoulder, arms, core, back. And whats more is its not equal f*cked up in left and right scapula. Right upper scapula is more stable. Which makes right hand side body a little bit more strong and more muscles. Now after a year in the Gym my body have visible uneven shoulders and other muscles too. After almost a year in gym i have gone from 96kg to 84 kg. But i look exactly the same with skinny fat. Well that was my case. And to mention i have been doing weird stretches and exercise for few weeks now without any results, so maybe i can't fix this thing. So my question is what exactly you should do when you have bad genetic? Lets be honest if a person don't see results the motivation dies and even more, if he still continues without being motivated its just becomes depressing. I used to enjoy Gym and training in start too.

I will be very specific when i say bad genetic. Some kind of problem you have with your body that doesn't let you build muscle. For instance, me, complete normal man. Can't see anything wrong on my body. One thing everyone notice will be my bad form while lifting weights. Cannot build muscle without proper form, you will see some gains but not enough' That's what i say. And because to my "bad genetics" that directly impact my form, I'm planning on to stop gym. More exact..my scapula/the back part below rear dealts/external rotation in shoulders...i belive my muscles are weak/missing that keep the scapula attached to the back. This thing doesn't let me train my chest, shoulder, arms, core, back. And whats more is its not equal f*cked up in left and right scapula. Right upper scapula is more stable. Which makes right hand side body a little bit more strong and more muscles. Now after a year in the Gym my body have visible uneven shoulders and other muscles too. After almost a year in gym i have gone from 96kg to 84 kg. But i look exactly the same with skinny fat. Well that was my case. And to mention i have been doing weird stretches and exercise for few weeks now without any results, so maybe i can't fix this thing. So my question is what exactly you should do when you have bad genetic? Lets be honest if a person don't see results the motivation dies and even more, if he still continues without being motivated its just becomes depressing. I used to enjoy Gym and training in start too.

tl;dr - after doing great over the last couple years, I am relapsing hard.
My journey with engaging in ED was not on purpose but it happened suddenly & extremely at 21.
After 2 years, I had lost half my body weight & could barely walk up a flight of stairs. I went to IP treatment out of state only after a great therapist (I’ve had 2 out of >20 my whole life,) insisted, & then bloodwork had shown I was in the early stages of organ failure.
IP treatment was good (anyone who wants more info, I’m happy to share why it was,) & I came back to “real life” & struggled for years. I’d have a great several months then relapse hard.
This went on til about 3 years ago. Basically, I hit rock bottom (which is saying a lot,) & I wanted to be a good mother, wife, & had faith.
Recovery was not something I was new to, but I took it seriously. From tears after snacks, to not being able to eat without someone with me, to dealing with a healthy relationship with exercise, to recovery binges, to not looking at labels. I mean, I was really doing it.
6 months ago I would have said I was 95% recovered. I WFH so if I wanted a snack, I’d go get one. Heck, I could even eat alone without watching or listening something. I’d do cardio ~35 mins daily, only 5-6 a week, but out of love of moving my body. Not a punishment. No biggie if I missed. A major win.
But I’ve relapsed hard & suddenly, it seems.
It was small at first. I noticed if I didn’t have one of two “safe foods” during the day, I wouldn’t eat. I’d wait til dinner, my “safe meal” (I have no problem eating most things for dinner, but even that’s becoming more restrictive in my brain.) So, not sure why suddenly I was limiting myself, but slowly I was. & my “rules” in my brain were coming out of nowhere, seemingly for no reason. But school (returning student,) housekeeping, work (high stress, lots of hours, but love it,) & basically most responsibilities have fallen on me. This is my only guess why I’m struggling?
Then, I had a small tear to my Achilles tendon & my “feet” (to sum it up) are all messed up lol. While that’s being seen after, I’m basically not able to do most things, especially exercise. I can hobble around in my walking boot, but mostly ice & elevating & pain.
So suddenly, I can’t exercise. I’m truly depressed for the first time in years for an extended period. the weight loss has been rapid with my ED coming back so damn suddenly. & I know how bad it is. I know what it does to personality, to my emotions, to how I treat people, to the brain. Let alone all the physical stuff.
I wasn’t seeking it.
It’s just back.
I can’t tell my partner. He was my biggest advocate, but he was hurt the worst due to my mental issues & poor coping abilities (substance abuse coupled with a starved brain & an addiction to purging.)
I don’t struggle with purging really, but I feel unable to be open with my partner as I was for the last 8 years of recovery (I was very secretive & protective of my ED the first time around. Now I’m secretive because of the stigma I gave my own self.)
Idk what to do. I’m going back to therapy as a Hail Mary, but the questioning/accusation coming from my partner are making me angry & also feel like I have to shut down.
Numbers trigger me, so I’ll spare mine. But I was at a healthy weight & where my IP ED treatment dietician said I need to be according to my growth chart & happy enough with my body. I could talk about “ugh these don’t fit so annoying” or my partner couldn’t gently say “you might want to try something else?” & it not trigger me or make me spiral. Now, I look at my legs while I’m sitting & it disgusts me. My weight loss is quite noticeable.
I’m getting to what would be “normal” for my height, but toeing the line for what’s unhealthy & not enough for my brain.
Sorry for the long post. Don’t know what I’m looking for. It’s great to talk to a therapist but idk. I thought I was a success story who could & would help & support others.
Now I’m a secretive, irritable, impatient person who is having to lie about hunger, what I ate, etc. & I was proud of no longer being a liar.
Thanks for reading :(

all over my fyp is these hot ass trans guys and I need to know what exercises are getting them so stronggggg. I need them big arms and then strong thighs and them nice ass back muscles and everything I wanna be strong ash pleaseeee someone help me, I have a whole list of workout and I have no idea what's necessary and what's not, I plan on working out 5 days a week probably and Im 5'6 and like 120ish rn

Gratitude to the Greatly Merciful and Greatly Compassionate Guan Yin Bodhisattva, Gratitude to Master Jun Hong Lu.
Respected fellow Buddhists, do you know what's worse than death? Have you ever escaped death? Today, I have a firsthand experience of escaping death to share with you.
Have you heard of a disease called myasthenia gravis (MG)? I believe many people have not. As only about 30,000 people worldwide suffer from this disease (Note: This figure may vary as there are differing estimates, with the United States alone having approximately 36,000 to 60,000 cases), where the nerves cannot control the muscles. For example, if the affected area is the hand, it can feel pain, heat, cold, and pressure. But no matter how much you command your hand to move, it won't budge. I am one of those 30,000 people. The affected areas include the cheeks, mouth, left arm, and the chest muscles responsible for breathing. In other words, during an episode of the disease, I cannot breathe. Can you now imagine how close I was to death?
Back to my story. In mid-September 2012, my lungs were infected with bacteria, and I fell seriously ill. On the night of September 29th, my breathing became increasingly difficult, and my family rushed me to the hospital for emergency treatment. The next night, my condition deteriorated to the point of MG, and my breathing became so weak that it was almost cut off. The doctors once again performed emergency procedures for me, eventually placing me on life support system (LSS) and transferring me to the intensive care unit (ICU). The so-called LSS involved many instruments strapped to my body and several tubes inserted into my body. Although the areas where the tubes were inserted were very painful, I dared not move for fear that any loosening of the instruments might endanger my life. So, at that moment, I didn't dare to move at all.
One night, a nurse attempted to draw blood for examination, but the needle just couldn't find the right artery. She would try once, then pull out the needle, try again, and repeat this process several times. I was in excruciating pain, but because my body was encased in instruments, I couldn't move. Finally, I couldn't help but ask myself in my heart, what did I do wrong? Why must I endure all this? I've never harmed anyone, never wronged anyone, so why me?
At that time, I didn't understand Buddhism, nor did I know anything about making vows. But the pain drove me, someone who barely recognized a few Chinese characters despite being educated in English, to silently call out the name of Guan Yin Bodhisattva in my heart, begging her to save me from this sea of suffering. A few days later, my condition improved. The doctors removed my LSS, and I was transferred from the ICU to a regular ward. I thought I would soon be discharged and return to my previous life, believing that everything was almost over. I felt very happy!
Looking back now, I realize how ignorant and selfish I was at that time, even as I began to recover. I was only thinking about my own survival and never cared about other people who were suffering like me. Perhaps it was because of this that I received a retribution. On the same evening that I was transferred to the regular ward, I suddenly had difficulty breathing again, couldn't make any sound, and my whole body was immobilized. I could only use my eyes and hands to draw attention, making small gestures with my hand to communicate.
A nurse noticed and called a doctor from the floor. Surprisingly, after glancing at the readings on the instruments, the doctor told the nurse that my heartbeat and breathing were normal, and then left. Once again, I tried my best to attract the attention of those around me. Thanks to the blessings of the Bodhisattva, another doctor passing by noticed me and observed that something was not right with my condition. He/She called back the previous doctor and urged him to conduct a detailed examination. While they were debating whether I was normal or not, I was almost breathless, mentally giving up on life.
The readings on the instruments once again sounded the alarm. Luckily, with both doctors nearby, they were able to save me at the fastest speed possible. The next day, I woke up in the familiar ICU, with the life support system back on me. Through this rollercoaster of emotions, I finally understood that the suffering I endured stemmed from the ignorance and folly accumulated since my birth, perhaps not just in this lifetime, but through countless past lives. Now, I must face the consequences.
I once again prayed to Guan Yin Bodhisattva and made a vow to her: "Guan Yin Bodhisattva, I believe that every soul, before they pass away, experiences a lot of suffering, and their pain is surely no less than what I am enduring now. I implore Guan Yin Bodhisattva to save me from all this suffering. I am willing to be a vegetarian for the rest of my life."
Whether you believe it or not is up to you. Two days after making this vow to Guan Yin Bodhisattva to be a lifelong vegetarian, my lung infection showed significant improvement, and I was subsequently transferred to a regular ward. Perhaps it was destined. Not only did I start to follow a vegetarian diet, but my parents also understood at the same time that my illness was beyond the control of doctors and only the Bodhisattva could save me. At that time, our entire family had just begun to explore Buddhism.
Every day, my mother devoutly chanted the name of Guan Yin Bodhisattva, while my father recited the Heart Sutra for me diligently.
However, our ordeal was not yet over. One night, I once again experienced difficulty breathing and had to be placed on the LSS for the third time.
I saw my parents kneeling down, praying to the deities and Bodhisattvas to bless me with a safe recovery. They had knelt before doctors before, but this time, seeing them kneel again went beyond what I could bear. I didn't want my parents to kneel for me. Witnessing them kneel deeply wounded me. As a 19-year-old young man, I should be taking care of my parents, yet why were my parents, who were over 50 years old, kneeling for me?
Three times being placed on LSS and admitted to the ICU, followed by three instances of improvement, resulted in my transfer to a regular ward. It was three months later, after my extended hospital stay, that I finally got discharged and returned home. I am deeply grateful for the blessings of the Bodhisattva. Instead of weakening our faith in Buddhism, this series of challenges only deepened our belief in the principles of karma and karmic obstacles as explanations for my condition. After leaving the hospital, my family and I continued to immerse ourselves in the teachings of Buddhism. Grateful for the blessings of the Bodhisattva!
One day, my family and I went to a vegetarian restaurant near our home and discovered Guan Yin Citta Dharma Door. Excitedly, I immediately went online when I returned home and downloaded several Buddhist scriptures in English phonetics from the Guan Yin Citta website to start reciting. Guan Yin Citta Dharma Door truly works wonders. That very night after reciting the Buddhist scriptures, I dreamt that while reciting the Great Compassion Mantra on the balcony at home, the image of Guan Yin Bodhisattva appeared in the clouds.
However, the next day after waking up, I felt a headache and drowsiness when reciting scriptures. My family and I took the liberty of contacting the Guan Yin Citta fellowship in Kuala Lumpur. The Buddhist practitioner who answered the call instructed us to come to the fellowship to recite scriptures. One day, while reciting scriptures at the fellowship, I experienced severe headaches. At that time, everyone was busy preparing for a Dharma conference, and the venue was crowded. I am grateful to the practitioner who cleared some space for me to lie down and gathered many fellow practitioners present to recite scriptures for me.
Later, the practitioner explained that my headaches were messages from the karmic creditors and taught me about releasing lives, making vows, and the importance of Little Houses for eliminating karmic obstacles. I immediately arranged to release thousands of fish. Today, my family still insists on releasing lives for me on the first and fifteenth day of every lunar month.
Guan Yin Citta Dharma Door is truly a miraculous practice. Ever since I began reciting Little Houses under the guidance of the fellow practitioner, I have experienced continuous dreams. On the first night, I dreamt of a seven-story-tall Buddha statue with many people practicing beneath it. Just two weeks later, after memorizing the Great Compassion Mantra, I dreamt of the Dharmakaya of Bodhisattva and two Dharma protectors driving me around in a car. Even more wonderfully, two months later, after memorizing the Eighty-Eight Buddhas Great Repentance, I dreamt of myself having tea with Master Lu.
Most importantly, after continuing to release lives, make vows, and recite Little Houses, my illness has not recurred.
Having now healed from this unusual illness, I'm here to share my story with you. These dreams signify an enhancement in the quality of life. I deeply appreciate the blessings of the Greatly Merciful and Greatly Compassionate Guan Yin Bodhisattva, which have reinforced my resolve to earnestly follow the path of Buddhism and instilled me with confidence. I am dedicated to diligently progressing in the Guan Yin Citta Dharma Door and remain steadfast in my commitment.
Currently, I am studying in Singapore, and whenever I have the opportunity, I propagate the Dharma and benefit sentient beings. Whenever I return to Malaysia, I often volunteer at the fellowship center.
Additionally, I would like to mention two more things. Firstly, on the second night after making my vow to be a vegetarian, I saw a child's spirit clearly flying beside me in the hospital and heard it laughing. Shortly after, I dreamt of a man killing a woman and cutting open her chest. In the dream, I felt that the pain of the woman being cut open was exactly the same as the pain I felt during my surgery.
While many still question the reality of karma and karmic obstacles, doubting Master Lu's teachings, I have personally experienced their effects. Thus, I hope my story can encourage you to embark on the practice of Buddhism and the recitation of Buddhist scriptures, starting today. I wish to prevent anyone from following my path, waiting until karmic obstacles manifest and adversity strikes before beginning their spiritual journey. I am deeply thankful for all those who stood by me during that challenging time, particularly my family and friends, who supported me through my darkest moments. My heartfelt gratitude also goes to the fellow practitioners at the Guan Yin Citta fellowship in Kuala Lumpur, who patiently guided me into the Guan Yin Citta Dharma Door.
Deep gratitude to our Greatly Merciful and Greatly Compassionate Master Jun Hong Lu for establishing the Guan Yin Citta Dharma Door, guiding us on a path away from suffering towards happiness. Lastly, and most importantly, deep gratitude to the Greatly Merciful and Greatly Compassionate Guan Yin Bodhisattva, who saves those in distress and hardship. With Her Buddha light blessing each one of us, She guides us back to the right path of learning Buddhism and constantly watches over us, blessing us at all times and in all places. Gratitude to the Greatly Merciful and Greatly Compassionate Guan Yin Bodhisattva!
Buddhist practitioner: GWT
Speech to text translator: Guan Jing
Proofreaders: Miao and Dong Ri Yang Guang
Date: 2024-05-11
Translator: Frank
Published: 2024-05-14
Statement by translator
The story was translated from video into text, and then translated from Chinese into English. If there is anything that is not rational or in line with the true meaning of the presenter, I pray for forgiveness from the Greatly Merciful and Greatly Compassionate Guan Yin Bodhisattva, all Buddhas and Bodhisattvas, Dharma protectors and Master Jun Hong Lu.
Propagation
It would be greatly appreciated if you would forward this presentation to all sentient beings you know, sick or healthy. You will accumulate immeasurable merits and virtues. Saving a life is more meritorious than building a seven-floor pagoda!
Would you like to change your destiny?
We will show you how to do the Five Golden Buddhist Practices of Guan Yin Citta Dharma Door: (1) making vows, (2) reciting Buddhist scriptures (sutras and mantras), (3) performing life liberation, (4) reading Buddhism in Plain Terms, and (5) repenting. You will personally witness how you and your family can achieve physical and mental stability, relief from illness and grievances, wisdom growth, academic progress, career advancement, and family happiness through Dharma. It’s free of charge.
Contact
Buddhist practitioner: Lily
Email: [sunnypurplelily@gmail.com](mailto:sunnypurplelily@gmail.com)
WeChat: HanJing20210820
原文如下：
下面让我们有请来自马来西亚的郭同修与我们分享：郭同修身患绝症，重症肌无力，饱受病痛折磨几次病危。然而心灵法门使他摆脱病魔，重获新生。让我们掌声欢迎!
感恩大慈大悲观世音菩萨，感恩卢军宏师父。
尊敬的各位佛友，你是否知道什么事情比死更糟糕？你是否曾经死里逃生？今天我便有一个亲身经历死里逃生的故事要告诉你。
你是否听过一种称为重症肌无力的疾病？相信很多人都不曾听过。因为全世界只有约三万人患上这种病，患者的神经控制不到肌肉。举例说，如果患病部位是手臂，这个手就能感觉到痛热冷及压力。但无论如何你怎么叫你那个手动，它都不会动。我就是三万人之一。而受影响的部位包括脸颊，嘴巴，左手臂以及负责呼吸的胸肌。也就是说，当病程发作的时候，我是无法呼吸的。你现在估计到我多接近死亡了吧？
回到我的故事。2012年9月中旬，我肺部被细菌感染，久病不起。在9月29日当晚，我的呼吸也到了越来越困难，家人赶紧送进医院急救。第二天夜里，病情终于恶化到重症肌无力，我的呼吸微弱到快要断气了。医生再次替我急救，最后替我戴上了维生系统，并送进加护病房。所谓维生系统，就是很多仪器套在身上，很多管子插进身体里。虽然被插管子的部位很痛，但万一随便一个仪器松脱了，可能我的生命就会有危机。所以，我当时连动都不敢动。
有一夜，护士替我抽血检查，但是针管却一直插不进正确的动脉。她们这里插一下不行，拔出针管，在那里又插一下，一次又一次。我那时痛得死去活来，却因为全身套满了仪器而不能动。我终于忍不住在心里问自己，我做错了什么？为何必须承受这一切？我不曾伤害任何人，也不曾亏待任何人，为什么是我？
那时还不懂佛法，也不懂什么许愿。但痛苦使得我这个受英文教育认不到几个中文字的人也会在心里喊出观世音菩萨的佛号，祈求她救我出苦海。几天后，我的情况有好转。医生移除了我的维生系统，从加护病房推进了普通病房。我想自己很快可以出院，回到之前的生活，一切几乎结束了。我觉得很开心！
现在回想起来，我才发觉自己当时是多么的愚昧，才开始康复仍然如此的自私。只想着自己生存，不曾关心其他和我一样受苦的人。可能因为这样我受到了教训。就在我被转进普通病房的同一天晚上，我突然呼吸困难，发不出声音，全身又不能动，只能用眼神和手，以我的手用一点小动作来引起别人的注意。
一个护士发现到把楼层的医生叫来。想不到医生竟然看看仪器读数后跟护士说我的心跳和呼吸都正常，然后就离开了。我再一次用最尽力的引起身旁的人注意。感谢菩萨保佑。这时有另外一位医生经过，看到我，察觉到我的神态不正常，并把之前的医生叫回来，求他详细检查。就在他们两个还在争论我究竟是正常或不正常，一旁我已经几乎断气了，心里放弃活命了。
仪器读数也再一次变成警报状态。幸好两个医生在身旁，能以最快的速度把我救了。第二天，我在熟悉的加护病房里醒来，身上又套上了维生系统。经过这一次乐极生悲，我终于明白到我受的苦是源于我出生以来愚昧无知的罪，或许不止只有这一世，而是过去无数世累积下来的因果。如今要面对果报了。
我再次向观世音菩萨祈求，而且向她发愿说：“观世音菩萨，我相信每个灵魂，他们死之前都会受到很多苦，它们的痛苦肯定不比我现在所受的少。请求观世音菩萨救我脱离这一切痛苦。我愿意为此一生吃素。
相不相信由你。向观世音菩萨发愿终身吃素后两天我肺部感染有了明显的好转，之后被转进普通病房。或许是因缘到了。不但我自己开始吃素，我父母也同时明白到我的疾病已不在医生的控制范围，只有菩萨才能救到我。当时我们全家人才刚接触佛法。
妈妈每天勤念观音菩萨的佛号。爸爸找来一本《心经》每天为我念诵。
但是，我们的考验还没过去。某天晚上我再次感到呼吸困难，第三次戴上了维生系统。
我看到父母下跪求神佛菩萨保佑我平安度过。他们之前已经跪过医生了，这一次再下跪，已经超出我能承受的限度。我不要父母为我下跪。看到他们下跪，深深地刺伤了我。我这一个19岁的男孩应该照顾父母，反而为什么要让他们超过50岁的父母为我而下跪？
三次戴上了维生系统住进加护病房又三次的好转，被转进普通病房。我在医院里住了三个月后，才终于出院回家。感恩菩萨保佑。这三好三坏的过程，不但没有减少我和家人对佛法的信心，反而相信只有因果和业障才能解释我的状况。出院后，我和家人还继续研究什么是佛法。感恩菩萨加持！
某一天，我和家人到住家附近的一间素食馆，认识到心灵法门。于是，我回家就急不及待的上网，上心灵法门的网站下载了几篇佛经的英文拼音版开始念诵。心灵法门真的很灵验。我当夜念诵了经文后，便梦见在家中的阳台念诵《大悲咒》时，在梦里天上的云朵化出观世音菩萨的形象。
然而，第二天醒来后我念经便感到头痛及爱睡。我和家人冒昧地拨电话联络吉隆坡心灵法门共修会。接电话的师姐便叫我们到共修会里念经。一天我在共修会里念经时，头痛剧烈。当时大家正在忙着筹备法会，会所堆得很拥挤。很感恩师姐搬开东西，腾出空间让我躺下，还召集了在场的许多师兄师姐们一起为我念诵经文。
后来，师姐解释我的头痛是要经者的讯息，还教会我放生、许愿及小房子并告诉我消除业障的急迫性。我当时便即刻安排放生数千条鱼。如今家人依然坚持每逢初一十五为我放生。
心灵法门真的是很灵验的法门，自从我在师姐的教导下，开始以正确的方式念小房子之后，便不断有梦境显现。第一晚便梦见一座七层楼高的佛像，底下有很多人在共修。心灵法门真的很灵验的法门，两个星期后我背熟了《大悲咒》时，便梦到菩萨的法身，还有两护法神用车子载我兜圈。更美妙的是，两个月后，当我背起了《礼佛大忏悔文》，竟然梦见自己和师父一起喝茶。
最重要的是我继续的放生许愿及念小房子之后，我的病情不曾复发。
现在已经从这奇怪的疾病中痊愈，活下来告诉你们这一个故事。这一切的梦境显示生活素质提升。我都感恩大慈大悲的观世音菩萨的加持，坚定了我学佛精进，很有信心，并立志在心灵法门一门精进永不退转。
我如今在新加坡求学，只要有机会就弘法利生，一回到马来西亚更是经常到共修会工去做义工。
另外，我要补充两件事，第一件事在我发愿吃素后的第二晚，我便在医院看见一小孩子的灵性清楚地在我旁边飞过，还发出了笑声。不久后我又梦见了一个男人杀了一个女人，还把她的胸口割开。而我在梦里感觉，那女人的被割开胸口的痛苦竟然跟我动手术时的痛苦一模一样。很多人还在质疑因果和业障的存在，怀疑卢台长的教导，但是我亲身体验过了。因此，我希望自己的故事能启发你学佛，学习佛法，今天就开始念诵经文。因为我不希望有人跟我一样，等到业障显现坏事发生之后才开始修行。深深感恩所有在我那段时间陪伴过我的人，尤其是我家人和朋友，在我最艰难的时刻，可以为我支持的人。深深感恩吉隆坡心灵法门共修会的师兄师姐们。他们耐心引导我进入心灵法门。
深深感恩我们大慈大悲的卢军宏台长创办了心灵法门，指引我们一条离苦得乐的道路。最后也是最重要的，深深感恩南无大慈大悲救苦救难广大灵感观世音菩萨，以她的佛光加持了我们每一个人，指引我们回到正确的学佛之道，随时随地都在庇佑着我们。感恩南无大慈大悲救苦救难广大灵感观世音菩萨！
如果整理过程中有不如理不如法之处，还请观世音菩萨护法神菩萨慈悲原谅！
观净师兄语音转文字，妙师兄和东日阳光师兄校对。
2024-05-11
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我们手把手传授您观世音菩萨的心灵法门五大法宝：“许愿”、“放生”、“念经”、“读《白话佛法》、大忏悔”。您将亲自见证如何通过佛法让自己及家人获得身心安定、病苦解除、冤结化解、智慧增长、学业进步、事业提升、家庭幸福。免费学习，免费结缘。
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The contents of the presentation and answers, including text, images, and other information obtained from Dharma practitioners, are provided strictly for reference purposes. Due to the unique nature of individual karma, results similar to those experienced by the authors may not be replicated. The experiences and advice shared should not be construed as medical advice or a diagnosis.
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I remember I used to have this pain in all my school days before exams mostly due to prolonged hours of study. I used to sit on bed drooping down with all my back and neck over the book so I think that was due to bad posture. Consulted two orthopedic doctors, both of them showed me some exercises and that's all. Back then the pain was right on the shoulder blades. During my college days, the pandemic occurred and also lost few pounds(went almost aneroxic type skinny) I wasn't studying those days, all day I used to scroll phones lying on bed or workout a little bit. I don't know for what reason, but my backpain was gone. It was maybe because of I was working out or because I had no fat accumulation on back, or because I was lying down all day. I don't remember it was bothering me this much until last year,, I used to do very little(only high knees) to no workout then. But from the beginning of this year I started preparing for February Gate (which I miserably failed tho) sitting all day in my room and stopped doing any exercise or anything. I gained 4-5 kgs during that. After that I am getting backpain now and then. Now the pain is not exactly on shoulder blades but the muscle below it, also my spine near that hurts a little. I consulted an ortho again, he didn't come up with any solution actually. Told me to sit straight while studying. Now I don't study that much, even if I try to study (even while lying upside down on bed) I get distracted or get backpain. This pain comes out of the blue anytime of the day, makes me suffer for half of the day or 2 days straight and disapppears magically. I get backpain even after sleeping sometimes. I quitted using pillow, because i felt like it makes the pain worse(ik sleeping without pillow is not recommended at all) but still it occurs. how do you treat this kind of pain?

“These weight loss drugs, they basically cause the development of frailty in older patients in months instead of years,” said Dr. Mitchell Steiner, the chief executive of Veru, which is conducting the study.
In the meantime, doctors said, it’s critical for these patients to find ways to maintain their muscle. Older adults and postmenopausal women, in particular, are at risk for becoming frail or developing osteoporosis if they lose too much muscle, said Dr. Scott Hagan, an assistant professor of medicine at the University of Washington who studies obesity. But anyone who loses muscle could experience weakness and fatigue, Dr. Hagan said, and could be at an increased risk of falls and injuries.
“Just because we’re losing weight doesn’t always mean we’re getting healthier,” said Dr. Michelle Hauser, obesity medicine director of the Stanford Lifestyle and Weight Management Center.
Doctors tend to recommend two simple fixes to fight muscle loss: eating protein and doing strength training.
(https://www.nytimes.com/2024/02/08/well/live/ozempic-muscle-loss-exercise.html)

“These weight loss drugs, they basically cause the development of frailty in older patients in months instead of years,” said Dr. Mitchell Steiner, the chief executive of Veru, which is conducting the study.
In the meantime, doctors said, it’s critical for these patients to find ways to maintain their muscle. Older adults and postmenopausal women, in particular, are at risk for becoming frail or developing osteoporosis if they lose too much muscle, said Dr. Scott Hagan, an assistant professor of medicine at the University of Washington who studies obesity. But anyone who loses muscle could experience weakness and fatigue, Dr. Hagan said, and could be at an increased risk of falls and injuries.
“Just because we’re losing weight doesn’t always mean we’re getting healthier,” said Dr. Michelle Hauser, obesity medicine director of the Stanford Lifestyle and Weight Management Center.
Doctors tend to recommend two simple fixes to fight muscle loss: eating protein and doing strength training.
(https://www.nytimes.com/2024/02/08/well/live/ozempic-muscle-loss-exercise.html)

Could those with neurovegetative depression speak about their experience and symptoms? I feel so alone. Can't feel anything, can't feel stress or tension, complete anhedonia all the time, no energy to move and when I do exercise or do anything I feel nothing. Not hungry or thirsty. Muscles and body feel empty and loose. Mind completely blank in the sense that it feels like there's no activity. Cognition gone and it's physically empty in there too and the thoughts I do have even feel airy and choppy

I'm so tired. I'm 41. Chronic bladder infections as a baby, one that almost killed me. Started having lower back spasms at 11. Doctors were like, huh, that's weird, kid. Welp, enjoy your life.
Got very active and fit, that kept it mosty at bay during my teenage years. Back pain returned in young adulthood. Cried on the way to work every day on the bus, because sitting hurt. Knelt on the floor to type at work. Got a part time job so I didn't have to sit as much. Did PT, got massages.
Migraines slowly started over the years. Recurrent UTI and yeast infection. My back would go out 3 to 4 times a year, regularly, but I was very active after the 2-week recovery period. Kept asking doctors why do I get so much back pain, infections? They were like "Iunno, some people are more prone to it. Welp, enjoy your life!"

1. I don't know what the fuck happened but my neck did something bad when I was lifting a chair and it was months and months of uncontrollable spasms and complete trauma. Barely able to sleep for months. Poorly controlled pain, pain medicine-related trauma from doctors who are so afraid to give me five fucking hydrocodone at a time when I was almost at suicidal levels of pain.

Interstitial cystitis appeared a few months later just for kicks. Gastrointestinal pain started. My nervous system seemed to be jacked up after that. Super reactive to everything.
I pulled myself heroically back to some decent functionality after a few years of painful and exhausting experimentation.
Was getting back into enjoying life. Then new knee pain (chondromalacia) took away roller skating which was my favorite activity in life and probably the main thing that kept me strong and together. I've been working on my knee since 2020 and I still haven't made progress with all the PT. No one knows what to do for it. It's so incredibly frustrating and it's responsible for my slide into deep conditioning. I try to keep active with walking and PT exercises, but nothing equals skating for joy and for strengthening.
I finally piece together my own diagnosis through years of my own reading, brought it to my doctors, who confirmed. (Wish I could get paid for doing My own research). Was enjoying life as much as possible.
Then, one day, my seemingly loving husband of 12 years abandoned with no warning (He actually secretly moved out while I was gone for the weekend and let me know by email that he wanted a divorce, saying that my recent diagnosis made me a ticking time bomb waiting to ruin our lives)
The shock and pain and fear.
Fast forward 2 years through the trauma of utter blindsided betrayal by someone I thought was my best friend, and the mental trauma of being forced to do a whole divorce and fight for my future needs with someone who had suddenly, nonsensically become angry with ME, saying didn't deserve any alimony at all because I created all this chronic pain in my head to manipulate care out of him (Yes, that was his point of view. He believed that my pain was real but that it was mentally-caused. I can't explain it. It's nuts. I think it's basically his twisted rationale to make this my fault and to make abandoning a loving wife with chronic pain acceptable to assuage the guilt)
I haven't worked in years. I don't qualify for disability because I stopped working gradually, before I had a diagnosis, and I trusted my husband. So now I don't have enough recent work credits for disability.
Ironically I was doing relatively well physically when he left. I actually had some hope. Then, out of the blue a year after he left, I developed chronic tailbone pain. I haven't been able to sit down without pain for over a year. It's really a hard condition to treat, no solution in sight but strengthening, which I'm used to and I'm ready to do...
... but my hips have started possibly subluxing in the last few months? I've never had trouble there before because I've historically been very active. I don't drive. I walk everywhere, so those muscles get a lot of exercise.
But I got more deconditioned because JUST gotten over an exhausting trial of LDN which backfired on me (It caused completely new peripheral neuropathy to appear in my hands and feet and then set my migraines to become chronic, every day, for over a month)
Now it hurts to lift my leg when I lay on my side, feels like it gets stuck, like I have to rotate my leg in order to properly lift it. Sometimes I get a sharp pain in the back part where the top of the thigh bone is. Aching today. I know I have a labral tear in that leg, got to get it checked out
I'm suspecting this gradual deconditioning has finally weakened my hip/butt area, allowing my hips to sublux for the first time?
It's literally been 3 days since the amitriptyline has finally kicked in and I've gone a day or two without migraine. I just started to be able to think again.
But today's hip pain is taking me down mentally. It feels like the last straw.
How can I exercise to get better when despite my best efforts, I keep adding injury after injury? They're stacking up. They don't have solutions. I feel like I can't climb my way out.
And all the emotional trauma. I'm just tired. I've been so strong getting through the past 2 years. I don't know how much I have left.
I'm terrified because I can't sit. I can't even use a wheelchair if my hips give out. How the fuck am I supposed to live? Am I going to be bed bound? Thus far in my life it has taken me working at peak functionality to get enough exercise to keep my body together. Functionality has taken a nose dive for years now, despite my best efforts.
How much more can I fucking take?
I'm probably just having a little emotional breakdown. I hope I can improve things.
But I'm just so goddamn fucking tired.
I've tried so hard. Is this how the story ends with me? Alone, disabled, poor, and in more pain?
Thanks for listening to my novel of a rant.

Hi i got across this video and it was the best video i could find explaining what to do and only using dumbbells at home https://www.youtube.com/watch?v=Jpxc0TUr9BI . I use 2x 2 kgs dumbbells. But this is 30 seconds of each exercise and not sets? Is it better to do sets or is it fine doing the as in the video 3 times a week? My other option is PPL but I can't find any video showing the exact workouts. My goal is to get more a much better appetite so I can reach 3000 calories but also build a bit muscle at the same time.

Looking for advise regarding over exercising leg/ knee injury and those who have gained weight to aid recovery- did this have any impact on injury?

The EXTREMELY detailed, mega-anxiety edition!!! Major events like consult and surgery day are labeled like this:
——— EVENT TITLE ———
Surgeon was Dr. David Whitehead and I saw him on Long Island (New Hyde)
Summarized list of major dates:
Consult: July 19 2023 Mental health letter acquired: August 9 Dates discussed: September 12 Pre-op appointment: December 18 Surgery day: January 8 2024 Post-op: January 17
November 11th 2022: Emailed northwell health for the first time, they emailed back saying to call. I was too anxious so I avoided it for a few months.
Called northwell a few months later but got too anxious talking to the person who picked up. They were being normal and talking normally, it was just personal anxiety on my part.
October 2022 - Early March 2023: Spent time talking to trans friends and family members about their timelines and processes for top surgery.
Looked into Penn medicine for a bit but wasn’t happy with the surgeons there, specifically as a nonbinary person. The patient navigational team however is lovely.
March 2: emailed Penn health patient navigation
March 3-10: correspondence and phone calls w patient navigation (absolutely wonderful people, some of the easiest phone calls I’ve ever had) Got lots of into on surgeons, things I’d need, processes etc.
Date unknown: phone call to Penn medicine asking about surgeons and possibly setting up as a patient (v long wait time on phone) Surgeon I had heard good things about only works w CHOP program and I’m was too old for that program. Other surgeons I was v iffy on.
March 23rd: Back to square 1. Called northwell again to set up an appointment. Everyone I spoke to was really nice. Could have set up an appointment within the week but decided to wait till the end of the semester. Scheduled a trans care and primary care appointment for May
Couple of calls In between for confirmations. Trans care appointment got moved around a bit and ended up being moved to a phone call.
May 8th: Trans care call: Basic preliminary questions like: Emergency contact, what you’re looking for, are you thinking of looking into hormones, experience w dysphoria or dysmorphia, mental health, and eating/nutritional concerns, things you might want doc to know, piercings or tattoos, do you do any drugs or drink often, etc. total call time was about 20 minutes. Doctor was incredibly kind, I still experienced a good deal of anxiety but the call was super easy, welcoming, and friendly. Got sent contact referrals for the surgeons, as well as trans-friendly therapists under my insurance.
May 9th: started looking at list of therapists and making respective emails and calls. Checking per session costs and double checking insurance. Most charge 100-150 per session. Got in contact w one.
May 10th: Called w first therapist talking about what I’m looking for, where I am in this process, if parents are supportive, and talking about costs. She was very friendly and affirming, wants to have a few sessions to get to know me and my situation before writing a letter. Understandable and expected, but frustrating.
May 15th: Primary care appointment: Went to northwell health primary care, parkinglot was a little scary (just a large lot with a lot of cars) but everyone working there’s is super kind. Office is incredibly affirming, pride flags and lgbtq+ art everywhere. Gave my insurance card, filled out some paper work, got called in pretty quickly. I have a needle phobia and medical trauma so I was panicking a bit in the office, nurse was good w me about it and doctor was very kind, I just requested to not have any blood work done that day and that was totally fine, so I could schedule that at a later date and go w a friend. Recommended to get blood work done before scheduling a consult w a surgeon. Also prescribed me a single dose anxiety med for the bloodwork which I was very happy about. I found over time that the anxiety meds unfortunately do little to nothing for my panic attacks personally when it comes to needles but regardless having a doctor acknowledge and respect that fear and listen to me was incredibly helpful and reassuring.
May 30th: Got blood work done in a different lab, went w a friend. Scheduling for that is super easy, I think I did it online actually I don’t entirely recall. they do take walk ins but I made an appointment to minimize complications and make sure I could prepare properly. Front desk/lobby area was a little spooky, but I think that is mainly just bc of my social anxiety. They take a urine sample, you give them your prescription, eventually they call you over for blood work. Quick and easy, tech was v nice and having a friend with me was incredibly helpful. Probably the best I’ve ever done with a needle despite the fact that I did still panic and get very lightheaded lol.
Got blood work results back within the next couple days, all looks a-okay! Neat :)
June 15th This day was incredibly difficult. I had my first session with a therapist to establish some ground knowledge around my dysphoria and the way that I view myself. Top surgery is something that I know from research and related experience Can be difficult and expensive to get and can take time, so much of my prep work has been on the understanding of taking things a step at a time and just knowing that the current way things are doesn’t have to be forever. It allowed me to be able to live with myself while prioritizing my health better. This read to the therapist as “not having the level of dysphoria [she’s] come to expect and look for in someone who is trans” and was largely based off the fact that I don’t want to go on hrt. Past that point I started to break down because now my method of learning to live with myself felt like it was actively going to work against me and prevent me from getting top surgery. I’m not good at talking about my dysphoria, I can’t imagine it’s easy for anyone, especially to a stranger I just met. It was rough, and I felt incredibly mentally drained after ending the session.
June 19th Called it quits with the first therapist, I felt incredibly disrespected and the one session we had put me in a mental spiral for days. It can feel some times in this process like the people you have to get permission from need you to be severely depressed and unable to wait another second for this procedure just in order to take you seriously.
After I left that therapist, I immediately got back to the list to find someone new. Spoke to a new therapist via email, but my insurance is kinda weird (Blue Cross Blue Shield out of state) so its off putting to some people. This therapist recommended I go through the office she started out at (Heart and Soul Counseling)
————- Time Skip ——————
IM BACK its time for some record keeping. Got super overwhelmed and lost the energy to document my process for some time so here goes.
HEART AND SOUL COUNSELING: My experience w/ this therapy office was mostly good. The person in charge, Jesse, was absolutely lovely and responsive. Never spoke in person, but any text/email interaction was prompt, respectful, and kind. The office is stellar with email/text communication, so I only ever had to call them once when I was initially inquiring about the office. This is something I wish all therapy/counseling centers did better, eliminated a ton of my anxiety and hesitation to speak to therapists.
I got set up w someone as quickly as possible and established what my goal was (to acquire letter document for my surgery team). I attended multiple session w the therapist, she was a kind lady but the sessions were unfortunately p miserable for me. We didn’t fit well, but I was willing to stick it out rather than backtrack on my process. She also did not invalidate me or accuse me of not being trans which was a major step up from my first therapy experience. Once I acquired my letter I did stop therapy there, I kindly explained to the therapist that it wasn’t a good match, but I may honestly explore my options at the office in the future. Receptionist there was also lovely and they had a cool fish tank.
———- CONSULT STARTS HERE —————
July 19th: CONSULT!!! My mama and I went to Dr. David Whiteheads office for a consult. Parking was a nightmare so I’m super glad I didn’t have to drive for this one (ty mama). Consult went really well, and the staff were all super friendly. Dr. Whitehead is cool, very chill energy and a bit intimidating, but I’m scared of everyone so that’s nothing new. First question he asked me is what I wanted/what he could do for me which caught me more off guard than it should have? I didn’t realize going into this process how many times people ask you what you’re having done even if it’s already written down, because there’s so much variety in what you can look for in the results.
We talked about the procedure, went through a slideshow n stuff, and discussed how I wanted a flat chest w/ no nipple preservation. They made sure to specify that my mental health professional letter had to include that I did not want nipple preservation because thats technically a “non-standard” appearance. Also had the first breast exam I’ve ever had in my life. Can’t say i’m a fan (not that I need to worry about that anymore!) Took pictures n measurements n such, and also discussed recovery supplies and care w me and my mom.
August 9th: After a plethora of painfully awkward therapy sessions, a decent amount of crying, and a couple breakdowns in friends cars/backyards, I got my therapist letter and sent it to the surgeons office. It ended up needing minor revisions to which I contacted Jesse from Heart and Soul and he got me the revised letter immediately. Unfortunately the surgical coordinator was out of office for the rest of the month the next day ;w;. Is how it be.
September 12th: Got a call from Surgical coordinator mid-painting class that I stepped out to take. Started discussing surgical dates!! She was kind enough to email the dates to me which was lovely because I was absolutely shaking/mind blank haha. There was an option for January 8th which felt like an absolute miracle the way it would work with my school schedule. It would give me a solid two weeks recovery time before spring semester began. Because it would be a couple months out, I was asked to contact her in the second week of October to submit documents to insurance.
(Timeline note: earliest date offered was in early December)
October 10th: Documents sent to insurance, predetermination started
October 30th: Received mail from my insurance approving my procedure as medically necessary (YAY) But! This is also where things get,,, fun! Dr Whitehead’s surgical coordinator, Alyssa, is a blessing and was very helpful and prompt with me despite the fact that I had to email her pretty constantly during this general time which I still feel bad about.
Around this time, my mom got diagnosed with breast cancer, which I reported to the surgical coordinator because it influences my family history (grandmother also had breast cancer). It was asked that I get genetic testing done because this could impact my surgical procedure. Now I’m handling the setup on this between helping my mom in her process setting up consults and considering her options because there of course is a lot of crossover to the steps I’ve already completed and am familiar with.
November 1st: Very kind person at cancer genetics calls me, sends me a family history questionnaire to fill out before I can be scheduled to see a genetic counselor. Filled out the questionnaire the same day.
November 8th: Called cancer genetics to check about scheduling, office was not open so left a message. Got a call back later in the day. I have a virtual appointment with a Genetic counselor Tuesday the 14th. Current plan is a mailed saliva genetic test but I’m going to ask if theres anything I can do to get results/materials quicker. If I can’t get results/feedback by December 8th my surgery date may get deferred.
Trying not to stress too much because there is little to nothing I can do about this, and I just don’t want to be sad. I’ve kept telling myself throughout this process to not get excited and not let myself believe anything is solid because something could happen at any time that might mess up my schedule or plan, and If I convince myself I’m in the clear, those changes will hurt a lot more. So far I think thats been a good move, because this really sucks.
My surgery date is still officially scheduled as of now as well as my first post-op. I will also ideally have pre-surgical testing done December 18th should I be cleared by genetics in time (Fingers crossed!)
ALSO! Def lean on friends if/when you can during this process. It can absolutely be challenging, and having a support system is incredibly important and helpful. I’m super lucky to have really lovely and supportive friends that are around to listen to me and send me pictures of stupid little animals.
November 9th: My mama is scheduled for her double mastectomy on December 4th
November 10th: Did some shopping with my mama for recovery supplies for double mastectomy/top surgery. Having watched a million and a half transition/top surgery videos and tiktoks and having read all the blogs and posts and tweets makes you a great support for someone suddenly faced with an upcoming double mastectomy! We might go shopping this weekend for some button ups and zip ups for her, clothes shopping is better done when you can try stuff on
November 14th: Meeting w genetic counselor: Victoria Webb, one of the loveliest medical care workers I’ve ever met. Had a virtual appointment with her to discuss and set up genetic testing. I explained to her about my situation w the proximity of my surgery and tight deadline as well as my willingness to do a blood test instead of a saliva kit to get results quicker. She was so incredibly kind and good with me, ended up being able to do a saliva kit and get results in time she deserves every good thing in life.
December 18th: pre-surgical testing: This was at the main hospital, everyone was really nice but I had a really bad panic attack despite being on Xanax.
The process is sort of like getting a physical. Measurements like weight and blood pressure get taken, lots of preliminary health questions. The people working with me were really kind and I was very open with them about my anxiety, it was visually apparent though anyway because I started crying the second we even started talking about the blood draw.
Once the equipment was actually brought into the room I started to panic. Both of the women working with me were really kind and helpful and tried to distract me and keep me talking the entire time, but I did still have a really horrible panic attack. Every muscle in my body locked up and I lost all my color, took a bit to get back to a spot where I could move and talk properly because my speech was affected too. It was a bit scary but funny to think about in post. Thanked the medical staff for being patient w me as always, a good portion of the anxiety is also guilt about making things harder for them. Got through it tho. Def eat before presurgical if allowed, I didn’t and that probably didn’t help!!
———- SURGERY DAY ————-
January 8th:
Ok so surgery day:
This day was very scary. Got my phone call the Friday prior for my surgery time which ended up being 1pm and I was asked to arrive around 11. Got there at 10 and went in at 10:30.
Called up to check in then in waiting room till someone brought me back to change. I told her right away about my anxiety with the iv bc that’s legit all I could think about. Got changed right after. I was generally shaky and a little disoriented the entire time because I was panicking but everyone was very patient with me. Clothes and belongings go in a bag in a locker and you get two gowns one that faces back and one that faces front. I was given underwear and a pad as well because lucky me I got my period a couple days before my surgery.
The pre-op area is a lot of little cubicles with curtain divider things, blue soft chairs, and medical equipment. Everyone I met and spoke to was very kind, but any time someone even suggested starting my iv I would panic. I was informed it would have to be placed in my hand and that terrified me, I’m especially anxious and sensitive about my hands and fingers. I think doctors and nurses tend to misunderstand exactly where my fear is with needles and ivs. It isn’t the pain that scares me, but the concept of veins and and anything being in them. Even writing this right now is horrible so I’m going to stop w any further detail. I spent the entire two-ish hours of pre-op absolutely terrified about this iv.
I wasn’t really keeping track of time but dr whitehead came in to do markings for surgery. They had cool rainbow socks on,big fan. Having your chest drawn on and just like, moved around n shit is such an experience. Felt bad because I kept losing my balance but doctor Whitehead is cool and I am 98% less scared about them now.
Probably my most favorite person I met during my entire hospital experience was the anesthesiologist. I know he told me what his name was but I couldn’t focus on or retain information at the time. He told me we could essentially put me to sleep with gas before putting the iv in and for the first time in probably a solid week I felt like I could calm down a little. He took a look at my hand and arm to check my veins which always does freak me out a bit but I’m more used to that kind of thing at this point and I know nothing bad is going to happen. One of the nurses came in with the iv equipment and he let her know that were going to wait till in the or which was also incredibly helpful because I absolutely panicked when I saw that little supply kit again.
V nice lady brought me into the or, I’d never been in one before it was cool. They had a little music speaker which was really cool. Took off blue jacket gown and they helped me onto the table. They put a warm blanket over my legs and my chest to help me calm down. Before long they gave me a mask w fun happy sleepy time gas, they let me keep my arms on my chest for a while which was really nice because I was still scared. I started getting loopy pretty fast but I still heard when someone mentioned where the iv equipment was and panicked a little because of that. I remember feeling them take my hand for that but never actually felt anything happen. Just some fear but the gas was v helpful obvi. Someone said they would see me in a little bit, and then I was groggily waking up in recovery.
Recovery was a little rough bc the iv was still there (fully wrapped up so I couldn’t see it though which was rad) but I was still really anxious about it until it was taken out and when it was taken out. For anyone that struggles w this i did not feel them remove it, just the tape. Everything was mentally much easier after that. After a while, going over instructions w parents, a cracker , some ginger ale and some juice, my dad helped me Get dressed and I was helped out to the car in a wheel chair. Ride was smooth bc of remaining numbness and meds except a few Bumps in the road
TOP SURGERY GOTTEN
My post op date was scheduled for Jan 17th and that’s the day I got my drains out followed by several post op check-ins. First week of recovery was miserable but things exponentially approved each day past that, and I went back to school in person two weeks post-op with driving and item-carrying assistance from friends!
Will upload recovery notes at a later date! Feel free to message me with any questions, more than happy to answer and give info! I’m a bit over four months out from surgery now and thriving 🥳

Hi, I'm 23, I live in the UK, and I have a laundry list of physical and mental health issues that are still largely undiagnosed due to our failing healthcare system, so I'm also being left to completely self manage. Now the government is trying to push disabled people back into work without actually providing the necessary health care and support and I don't know what to do. I'm estranged from my family so I have no support that way and have no choice but to live independently, I have to be able to pay my bills and living costs, and I also have no idea if a job even exists that I'd be suitable for.
I dropped out of secondary school because my health was so poor my school attendance was 34%, I am unqualified to do pretty much anything. I'm considering going back into education hoping that it will open some doors but even that would be a monumental task so here are my limitations:
I would need a minimum of 3 days a month in sick days just to manage my endometriosis flare ups, I would not even be able to work from home on those days as they are mostly spent on the bathroom floor somewhere between consciousness and unconsciousness in unmanageable pain.
I have joint and mobility issues that have a flare/remission pattern and are wildly unpredictable, I wake up with dislocated shoulders frequently and randomly, I could go 6 months with my knees being fine and then have recurring patella dislocations that leave me wheelchair bound as crutches cause my elbows problems. I might be able to work from home on days this is an issue.
I have social and sensory issues that are thought to be undiagnosed autism (my brother and father are autistic, I showed all the same signs as my brother, I was just punished for my traits while he was accommodated.) This affects me in work profoundly because I frequently misunderstand instructions or feedback, take things very literally, am seen as overly pedantic and difficult to instruct, and get very burnt out by any kind of customer facing roles, and things like work uniforms, jobs involving unpleasant sensory tasks, can all cause me to experience periods of verbal shut down, self injuring behaviour, repetitive motion (pacing, rocking) and become intolerant of lights, sounds, and temperature. This is a constant issue that I don't know how to manage.
I have chronic pain that also has flare ups, baseline pain, and somewhat remission, it affects my muscles and joints and is unpredictable, baseline pain I'm somewhat functional but limited, flare ups have me bed bound and unable to concentrate. I may be able to work from home on some of these days but not others.
I have digestive issues that cause nausea, alternating bowel movements between cant go and going too much, episodes of passing blood, mucus, extreme painful bloating, severe nausea and weight loss, but there are brief periods of remission. I probably wouldn't be able to do a full day of work from home during a flare up due to the time constraints of actively being in flare up.
I have been coughing up mucus to a point of bleeding from the back of my throat for about a year, I also have episodes of air hunger with pain and wheezing. Again, thank you NHS for no diagnosis or treatment. I could work from home during a flare up of this issue most of the time.
I have some kind of blood pressure or fainting issue, when I stand, I'm close to fainting, its worse when standing still, sometimes walking just about keeps me going but sometimes it ends with my faceplanting the floor, loosing consciousness and fitting. This is unpredictable and I've done everything I can to manage symptoms (cutting out nicotine, caffeine, sugar, pushing fluids and gentle floor based exercise when possible.) I would not be able to go anywhere during a flare up, I'm dubious about my ability to work from home during a particularly bad episode as post faint/fit I'm usually confused and out of commission for hours.
I also struggle with depression, getting out of bed, showering, making food (when physical issues allow) can be a struggle. I also have CPTSD, anxiety, agoraphobia, PMDD, derealisation and depersonalisation. So on bad mental health days, I don't feel real, the world doesn't seem real, I'm reliving traumatic events, can't leave my home, and have back to back panic attacks while having no energy or inclination to care for myself.
All in all, I don't think anyone would want to employ me, and I'm very uncertain about my ability to work, but seeing as my government has created an environment where I can't get adequate healthcare to manage any of my conditions, doesn't believe that I'm that severely disabled due to lack of formal diagnoses for the physical health problems despite my medical record reflecting me seeking help since age 10 for most of these issues, and therefore is now trying to force me back into work or else stop all my payments leaving me homeless and penniless, I'm not sure what to do. I can't stay with family, and they would not financially support me regardless, I've got no safety net. I don't think any jobs exist with the flexibility I need, AND the certainty I'd need of income.
Any advice would be appreciated, I'm really trying to rack my brain for any workable solutions but it's looking bleak.
TLTR:
Physically disabled, mentally ill, unable to access adequate health care, no family support, and possibly being forced to work despite not being able.

The IELTS listening test can feel like a high-stakes audio marathon. For aspiring test-takers in Faridabad, acing this part requires effective practice. But with so many resources available, where do you begin? Fear not, future IELTS champions! This guide unveils the best resources for IELTS listening test practice in Faridabad, empowering you to conquer this crucial section.
Harness the Power of Coaching Institutes:
While self-study can be valuable, reputable IELTS coaching institutes in Faridabad offer a structured approach with numerous benefits. Experienced trainers provide a roadmap for success, demystifying the test format, question types, and effective listening strategies. They can also guide you through various listening tasks, from map labeling to summarizing lectures.
Coaching Institute Benefits:

• Targeted Practice: Coaches provide practice materials and exercises tailored to specific question types. This targeted approach allows you to focus on areas needing improvement and maximizes your score potential.
• Mock Tests and Exam Simulation: Coaching institutes conduct mock listening tests under timed conditions, replicating the actual exam environment. This helps you manage test anxiety, practice active listening skills, and develop effective note-taking techniques.
• Expert Feedback: Trainers analyze your performance on practice tests, pinpointing areas for improvement and offering valuable feedback on your listening comprehension.

Finding the Right Coaching Match:
Not all coaching institutes are created equal. When searching for the perfect fit in Faridabad, consider:

• Trainer Expertise: Look for trainers with experience in IELTS listening test preparation and a proven track record of student success.
• Class Size: Smaller class sizes allow for more personalized attention and opportunities to ask questions and refine your listening skills.
• Course Schedule: Choose a course that aligns with your learning style and schedule, offering evening or weekend options for working professionals.

Beyond Coaching: Unleashing Your Inner Active Listener:
Coaching isn't the only path to success. Here are some effective self-practice resources readily available in Faridabad:

• Online Resources: The internet is a treasure trove of free and paid IELTS listening test practice materials. Explore websites like the British Council's Road to IELTS and platforms offering practice tests, audio recordings with transcripts, and vocabulary building exercises.
• IELTS Listening Test Apps: Download mobile apps specifically designed for IELTS listening practice. These apps often offer a variety of exercises, timed practice tests, and customizable difficulty levels to cater to your learning pace.
• English Podcasts and Audiobooks: Immerse yourself in English by listening to podcasts and audiobooks on topics that interest you. This exposure to authentic English accents and natural conversations will enhance your listening comprehension and vocabulary.

Remember: Consistency is key! Regular practice, whether through coaching or self-directed methods, is paramount for success.
Sharpening Your Listening Skills:

• Develop Active Listening Skills: Don't just passively listen – actively engage with the audio. Anticipate upcoming information, identify keywords, and take clear notes to capture key details.
• Build Your Vocabulary: A strong vocabulary is crucial for understanding the listening passages. Focus on learning new words related to commonly tested topics in the IELTS exam.
• Practice with Diverse Accents: The IELTS listening test features speakers with various accents. Expose yourself to different accents by listening to English news from around the world or watching English movies and TV shows with subtitles.

Conclusion:
By combining coaching resources with self-directed practice, you can conquer the IELTS listening test in Faridabad. Remember, mastering active listening skills and building a strong foundation in English are essential for success. So, take the first step today! Explore coaching institutes, utilize online resources, and embark on your IELTS listening test practice journey. With dedication and the right approach, you'll be well on your way to achieving your target score and unlocking a world of opportunities.