Nursing diagnosis for transportation

Fibromyalgia - An Optimistic but Realistic Support Group

2009.04.18 10:29 LisaHellen Fibromyalgia - An Optimistic but Realistic Support Group

An optimistic but realistic support group.
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2012.02.06 07:43 khal_ Oncology: medicine and science

A subreddit for the discussion of cancer medicine and cancer biology
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2010.08.03 11:16 Vailhem Medical Technology

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2024.05.14 07:45 MELONBURBSS Graduating without my parents by my side.

I need someone to hear me please.
I feel like I’ve failed my parents. I feel like a failure. I barely went to school this year, completed the bare minimum to graduate. And yet here I am. Preparing to stand next to everyone else who tried. Who deserves their diploma.
My dad died in December of 2023. From those of you who have been on this subreddit long enough you’ll recognize my story. Shorty after, my mom was diagnosed with terminal brain cancer, and has been in a nursing home slowly declining since February. I see her often. But everytime it’s like a stab to the gut. Seeing my mom in this much pain. So out of it, barely speaking a word. Only 47. It breaks my heart. Nobody deserves cancer. But my mom especially. Because she is the most selfless, brave, kind, loving woman I have ever met. She gave up so much in her life and never complained. Went through cancer 3 times. While my father made it all about himself. Worked her butt off for years, being basically the only income in my household while my dad spiraled into depression and alcoholism.
Don’t get it twisted. I’d do anything for my father to come back. I miss him everyday and love him dearly. But that doesn’t excuse the pain he caused me and my family when he was drunk.
Anyways I’m getting off topic.
I was always the prodigy of the family. Taking college classes in 8th grade. All A’s etc*. When my dad died, and my mom got sick. I didn’t go back to school for months. So stuck in grief, and PTSD, and Depression. I didn’t leave my room for weeks, only to eat and go to the bathroom. Eventually, I had to go back. And I almost didn’t graduate. As I rightfully shouldn’t have. But, I had done all my work while gone. My GPA is a 3.4. So the school, thankfully, is letting me walk.
Despite this. I know I don’t deserve it. I’m not the success story they wanted. “Girl graduates after dad’s death and mom’s cancer diagnosis with honors”.
I’m not a success at all.
I don’t have any plans for my future. My dad’s gone, my mom’s dying. I haven’t told anyone the date I graduate. Haven’t set up a party. I don’t deserve their support. I don’t deserve anything.
I’m so lonely. I miss my dad. I wish my mom could see me walk. I wish they were the ones planning my party. I wish they were the ones sending out announcements. I’m not proud of myself. And I feel like they shouldn’t be either.
I’m usually good with words. But when it comes to this. this ugly feeling. I don’t know how to speak it.
Here’s something I wrote about grief. Or how I’ve experienced it everyday these past months. Maybe someone will understand it too.
“ Grief is one of those things that makes sense when you haven't experienced it. You think it's gonna be sudden. Like a cool bucket of water dumped over your head on a hot day.
A gasp of sudden breath, to make sure you're not drowning in it. In reality, it's not the water you should be dreading. That's the easy part. The shock.
It's the sun.
There's no sunscreen for grief. No way to stop it, to make it hurt less. You can run from it sure, enjoy the day.
But in the end, you're still sunburnt.”
I apologize if this makes no sense. I got sun poisoning last week and am sick af.
submitted by MELONBURBSS to CancerFamilySupport [link] [comments]


2024.05.14 07:26 TheyTookMyFibula Update on undiagnosed father who is rapidly declining

I posted a week ago about the difficult situation with our father and my sibling and I not knowing what to do. From this subreddit and the dementia subreddit, I received a lot of really helpful guidance.
My sibling and I contacted his PCP and they advised us to call 911 for an ambulance and tell them that he’s no longer safe living with us. We received similar guidance in the subreddits and it was probably the most difficult act of our adult lives thus far. I was in tears on the phone with his PCP’s staff, I was in tears when calling 911, and I could barely get the words out when explaining things to the paramedics.
The two paramedics who responded were absolutely amazing. I explained the situation but became very emotional and one of them proceeded to share that they were going through a similar situation with their parent as well. The other paramedic kept our dad calm and engaged him in talking about art. It was really wonderful to see. They transported him to a closer hospital, which has been significantly better for our father and us. The staff is much kinder, the rooms are nicer and cleaner, and everyone has just been so kind and attentive. He was assigned a case manager the following morning and she’s been helping us since.
As of right now, dad’s still in the hospital and the case worker is trying to place him in a rehabilitation home. A MoCA screening was conducted over the weekend and we’d assumed he’d score somewhere around 15-17, but he scored a 10 so now we’re trying to figure out the next steps. Because of his unusual immigration status (his birth country has a weird treaty with the US), he qualifies for Medicaid but not Medicaid long-term care and we can’t afford the $10k/month for a memory care facility.
We also spoke with his hospital case manager to reiterate how our mother has neglected and been verbally/emotionally abusive of our father. His Medicaid/Medicare applications are in and he’s covered by her insurance through the month of May. So at least we know that all isn’t lost if she has one of her typical knee-jerk reactions and tries to boot him from her insurance. Also, his DPOAs are now on file. No AHCD, mainly because our parents don’t have assets. Our mother hasn’t called to check on him in over a week now, and we don’t expect that she will until after we start notifying his family.
Things are happening so quickly, it’s been hard to process anything or really adjust. We’ve been visiting him twice a day, every day, for the past week. The day visits are rough, but the night visits have been the most difficult. Last night, he was extremely agitated and we had to ask the nurse on duty how to best talk to our father when he’s in that state.
He’s always been such a mellow, quiet, thoughtful man who never swears and is so concerned about the state of the world. But that dad is worlds apart from the person we’ve been visiting and it’s hard to accept that we may never get to have conversations with him like we used to…
So that’s where things are for us now. Everything is scary, sad, and heartbreaking. We have to start notifying his family and I spent a lot of the weekend rehearsing these conversations in my head. They all end with everyone more scared, more sad, and heartbroken. And I know that’s the reality of the situation, but everything just feels so damn bleak.
submitted by TheyTookMyFibula to CaregiverSupport [link] [comments]


2024.05.14 07:12 TheyTookMyFibula Update on undiagnosed, rapidly declining father

I’d posted about a week ago about the difficult situation with our father and not knowing what to do. From this subreddit and the caregiver support subreddit, I received a lot of really helpful guidance.
My sibling and I contacted his PCP and they advised us to call 911 for an ambulance and tell them that he’s no longer safe living with us. (This is essentially what we’d tried telling the ER the night before and they insisted that he just had arthritis and to give him two extra strength Tylenol.) We went to his room to talk to him and found that he’d slid onto the floor from his guard-railed bed… So we called for emergency services.
The two paramedics who responded were absolutely amazing. I explained the situation but became very emotional and one of them proceeded to share that they were going through a similar situation with their parent as well. The other paramedic kept our dad calm and engaged him in talking about art. It was really wonderful to see. They transported him to a closer hospital, which has been significantly better for our father and us. The staff is much kinder, the rooms are nicer and cleaner, and everyone has just been so kind and attentive. He was assigned a case manager the following morning and she’s been helping us since.
As of right now, dad’s still in the hospital and the case worker is trying to place him in a rehabilitation home. A MoCA screening was conducted over the weekend and we’d assumed he’d score somewhere around 15-17, but he scored a 10 so now we’re trying to figure out the next steps. Because of his unusual immigration status (his birth country has a weird treaty with the US), he qualifies for Medicaid but not Medicaid long-term care and we can’t afford the $10k/month for a memory care facility.
We also spoke with his hospital case manager to reiterate how our mother has neglected and been verbally/emotionally abusive of our father. His Medicaid/Medicare applications are in and he’s covered by her insurance through the month of May. So at least we know that all isn’t lost if she has one of her typical knee-jerk reactions and tries to boot him from her insurance. Also, his DPOAs are now on file. No AHCD, mainly because our parents don’t have assets. Our mother hasn’t called to check on him in over a week now, and we don’t expect that she will until after we start notifying his family.
Things are happening so quickly, it’s been hard to process anything or really adjust. We’ve been visiting him twice a day, every day, for the past week. The day visits are rough, but the night visits have been the most difficult. Last night, he was extremely agitated and we had to ask the nurse on duty how to best talk to our father when he’s in that state.
He’s always been such a mellow, quiet, thoughtful man who never swears and is so concerned about the state of the world. But that dad is worlds apart from the person we’ve been visiting and it’s hard to accept that we may never get to have conversations with him like we used to…
So that’s where things are for us now. Everything is scary and sad and heartbreaking. And eventually, we have to start notifying his family and break their hearts too. 😓
submitted by TheyTookMyFibula to dementia [link] [comments]


2024.05.14 05:32 waiflike Can I please just rant and cry for a second while I try to justify why I went no contact for the past 6 months?

This is going to be a long one. I just need to write it out so I don’t end up talking to anybody about it IRL (I don’t want many people to know - because I can’t handle anybody saying “but she is your mother” at this point), I just need to write this all down to get it out of my system.
And yup, definitely mommy issues here. I grew up with only her, only child, and she isolated us from everybody else because of her hoarding (and her personality). I feel like I have been living my life like an orphan trying to raise myself, combined with the strange mix of being a child who never felt like a child, who was trying to be the parent for my parent.
I’ve had a lot of… unfortunate events take place in my life, things that when I have told people 5% of it they would say it sounds horrible, that no person should experience things like that (in a variety of categories). But… I am dead set that the one thing that has affected me the most in my life is my mother’s neglect.
She did her best, it wasn’t good enough.
It’s been almost 6 months since I went no contact (well technically very low contact since I have exchanged maybe 5 - 6 text messages in the past half year) with my mother, and it got me thinking what pushed me over the edge to go no contact this time around - considering my mother hasn’t changed that much at her core. Sure, she has gotten older and even more rigid, but she is still my mother, with the same personality traits she always had.
I went to visit her three times last fall. I tried to help her. Be her “parent”. Take her to various doctors after she has neglected her own health for years. Arrange for home help. Clean up the worst of the hoard (like the literal rotting trash). Get the bathroom and kitchen back into a functional state so she can continue to live in her home. Try to clean up the worst parts of how she has neglected herself and her surroundings (her apartment).
That in itself didn’t make me go no contact.
It wasn’t that I came to a hoarded, dirty house that made me cut her out.
It wasn’t that she blatantly lied and said she had cleaned the apartment to bait me into coming visiting in the first place that made me go no contact.
It wasn’t that she refused to accept help from anybody but me until I put my foot down and pretty much forced it through.
It wasn’t even that she was so rude to both nurses and me, always either wanted to have power over someone or being the victim.
It was wasn’t even that she has so little interest in me or anything about me that she has no idea about what is going on in my life.
All of those things are sad, devastating even, but those things didn’t make me say “enough”. I’ve been living with her as my mother for close to 40 years. Of course, all of these things were some of the underlying factors, but I what drove me over the edge was a ridiculous, tiiiiiiiny little thing, tbh. And to explain that tiny little thing, I need to give some back story.
When I moved back from another country I had brought back a blanket from that country that I used on my bed. I used it when I lived with my previous partner in this other country, I used it when I lived alone in that country, and I used it when I moved back to this country and stayed over in the tiny room in her apartment I cleaned out so I had a base to help her with the rest of the apartment.
Because of Covid (and my reluctance to go back into her hoarded apartment), I had not been in that apartment for 4 years (2019 - 2023). In that apartment there was a tiny 6 square meter room that I cleaned up.
When I say “clean up”, it is an understatement. That room had been completely been blocked off because of her hoard from top to bottom from when I was younger. To the point where the door did not open and it was impossible to enter the room. I literally had to pry the door open, and try to pull out item by item until there was enough space to actually open the door.
But I cleaned the entire 6 square meters over the years! I bought a little foldable bed, a pillow and a duvet, some furniture, sorted my stuff in there, and my mother promised that this could be “my room” in her apartment. This was because she really wanted me to come visiting (and she needed my help), and the rest of the apartment is… unsanitary. I had two specific requests for that room - that she would not put any of her hoard in there, and not let the cats in there - since I am allergic. (I can take an allergy tablet and be fine around cats, but I can’t live in an environment with a ton of cat hair.)
When I returned for the first time in 4 years in 2023, the little room I’ve kept clean years prior was covered in cat hair and cat puke. And she has started hoarding there again as well. So she broke that promise - to keep that ONE tiny room cat- and clutter-free. (Technically she also flat out lied and said she has cleaned her apartment so I would come visit in the first place, but I thought that it sounded so far fetched I didn’t believe it in the first place. But the ONE tiny room though, I trusted she could keep that tiny space in her house - and her heart - for me.)
I got both sad and angry when I saw the state of the room. I had to buy a new pillow, and a new duvet, new sheets - which wasn’t covered in… cat piss, puke and hair. But my blanket, my dear blanket… I said that the least she could do was getting it dry cleaned. That was on visit number one last fall.
I even found a place she could hand the blanket in, and we even went there together and made sure they could clean the blanket for like 50 dollars (not a terrible price in this country for that type of blanket).
The blanket was completely covered in cat hair and what I presume to be cat puke (despite her swearing that the cats had never been in that room EVER or on that blanket on the bed EVER. She really took delulu is the new solulu to another level. I really think she believes her own lies). I cleaned off as much haipuke as I could from my blanket. Then I packed it up in a sealed bag, so it was ready to go to the dry cleaners.
Came back a second time, about a month later. She hadn’t taken the blanket to the dry cleaner yet. My itinerary was packed, following her to doctors appointments, setting up home help, the whole shabang.
Came back for the third time last fall, about a month after that again. She still had not taken the blanket to the dry cleaning. It was right where I left it, gathering dust.
So that is what broke me. That god damn blanket is the catalyst to why I went no contact. I haven’t been there since November 2023. (She lives a 7 hr train ride / 45 min flight away).
I will contact her at the end of May, and ask her if the blanket has been dry cleaned.
I am willing to bet a substantial amount of money that it has not. Despite me finding the place she can hand it in to be dry cleaned. Despite me packing the blanket up in a bag for easy transport.
I honestly don’t know where to go from here when I will (most likely) confirm that she hasn’t gotten the blanket dry cleaned. The place to hand it in is literally 5 min away with car, 7 by bus, 25 min to walk. And if she hasn’t been able to do that for me in 6 months - it is baffling to me if she doesn’t understand why I have to limit contact with her?
I know this is such a tiny thing. It’s just a blanket. But this is how every little tiny - and big - thing is with her.
I chose the flair that says “support through advice”, and I guess what I am asking is not how I can change her or her habits - I have lost most hopes she will change - but if someone can tell me if there are other solutions than no contact here? I feel so guilty. She doesn’t have many people in her life. I am an only child. She has no partner. Very little contact with friends. But at the same time I felt enraged whenever I had to communicate with her last fall before I went no contact. I thought maybe the no contact would have her reflect on her behaviors, but clearly this is a moot point. So where do I go from here? I don’t think I can ever forgive myself if she were to pass away and I would have been no contact. But I also feel so bitter and angry just thinking about picking up any contact with her again.
submitted by waiflike to ChildofHoarder [link] [comments]


2024.05.14 04:56 JL_Adv Quick question

Hi! Not a doc or EMS, but this sub popped up and I figured it was a great place to ask this question.
My husband was transported via ambulance to an ER yesterday for what turned out to be a heart attack and blockage in an artery (had a stent placed, doing fine).
How would I best go about getting the names of the EMTs, nurses, docs, techs, etc who helped him (and me)? That kind of thing doesn't seem to be a thing in his electronic records. We would really like to write a couple thank you notes. He is alive with a great prognosis because of what they did.
Thank you for any insight you can provide me!
submitted by JL_Adv to EmergencyRoom [link] [comments]


2024.05.14 04:45 AnonymousseJC Diagnosis made with no testing

I (49m) had my first trip to the urologist a couple of weeks ago, and I'm left with feelings of doubt as to her diagnosis.
I was referred to this Urologist by my GP after I found a lump on my testicle. The GP ordered an ultrasound and referred me to the urologist. Ultrasound found that the lump was a cyst and the pain in my other testicle was from a swollen, likely infected, epididymis.
The urologist visit was about a week later. The nurse took my vitals, asked if I could provide a urine sample, and I couldn't on the spot, so she said we would just get one before I left. The attending Dr asked a few questions and told me that it's common for men my age to have enlarged prostates, so he was going to prescribe flomax. Likely the swollen epididymis was from incomplete voiding due to the enlarged prostate. I asked if he was going to run any tests, and he said no. I asked if we were going to try to find out why it was enlarged, since it's only really been in the last 8 months that I've had the issue. Again, no; men's prostates just enlarge around this age and so, we just treat the symptom. I pressed again about testing and he said that the only really effective test was one that had a catheter in one end and a balloon in the other and it was rather extreme, since we could simply resolve the issue with the flomax. He did indicate that men should start getting PSA tests at 50, and so I will get one of those in 9 months when I turn 50.
He left, then came back with urologist that I booked the appointment with, and she said that she agreed with his diagnosis and felt nothing further was needed. When she directed me to the clerk for checkout I let her know that I wasn't able to provide a urine sample when I arrived, and still needed to do that. She said there was no need, so we would be doing any of that.
Am I wrong in feeling like maybe a root cause should be searched for? It just feels like I've been diagnosed with a case of being old and shitty.
submitted by AnonymousseJC to AskDocs [link] [comments]


2024.05.14 04:18 grad_max "you should spend time away from your baby, it's good for his attachment"

This is just me venting so bear with me here.
I have a few work conferences coming up and I'm very nervous/unhappy with the idea of spending a couple nights away from my baby. He'll be 10 months old, and he's still exclusively breastfed (I pump while at work and he nurses 5 pm to 5 am). I'm also a first time mom and the type of mom that loves to be around her baby. I get that some moms like the time away every now and then, but I genuinely prefer spending time with him over anything else (working or being alone or being with other adults). FWIW I have nights out and I see friends, and I go in to work and whatnot, but if I had a choice, I wouldn't spend this much time away from him (working full time, traveling for conferences).
With the upcoming conferences I have been telling people how I'm nervous, not very excited about being away etc. and I have a child free friend and a family member that keep telling me it's "good for his attachment" for me not to be "always around" so I don't become a "helicopter mom". Wtf? First of all, I'm pretty damn sure it is not "good for his attachment". Second of all, while maybe they think they're being supportive, I think they are just projecting their own feelings on the matter, complelety ignoring what I'm saying, and it's just annoying.
Mind you, the family members sends her kid off for 3 months to spend time with their grandparents and she has all summer "child free". She was like oh I'd love that break if I were you! I'm like sure okay but I already told you I don't want that "break", plus what kind of a break is it when I have to managing pumping and storing milk (tbh I'm probably dumping it instead of stressing about freezing and transport) etc. Not to mention that my baby still wakes up 5-8 times at night to comfort nurse and this is going to be the first time we're separated. I feel like very very few people understand my situation (basically just two new mom friends that I have) and everyone else either wasn't a working mom, didn't breastfeed, or just doesn't at all feel like I do regarding their babies/young kids.
Anyway, rant over. I just wanted to vent without being mean to my friends/family lol.
submitted by grad_max to workingmoms [link] [comments]


2024.05.14 03:18 Venusandvines Is it illegal for my boss to cut my hours after I told her about my chronic illness?

CONTEXT: I (17F) work in a nursing home as a waitress. I missed two shifts in a row due to a POTS/Cyclic Vomitting flare. I texted my manager to let her know the situation and to make sure she didn't think I was just skipping work. I told about my diagnosis, how they flare without warning, and that I can provide documentation if need be.
The issue is when the May schedule came out a week ago, I wasn't on it. I know I put in my availability on time but I wasn't scheduled for any shifts. I texted her about it, assuming there was a mistake, but she told me she took me off the schedule because of my disability. She said: "I figured that would be easiest for both of us given the issues you have to deal with."
Does this violate ADA?
submitted by Venusandvines to disability [link] [comments]


2024.05.14 01:49 Dirtysoulglass Family member [60s, M] 'went feral' after a cervical fusion operation. He is in an induced coma, on a vent, and each day they try to wake him up with the same extreme aggression and disorientation from him- resulting in re-intubation and sedation/drug induced paralysis.

Patient Info: Male, Caucasian, Mid 60s, Unknown Weight (but probably overweight), Cannabis use, Diabetes (I think), previous spine surgery at base of spine with hardware that has cracked, other medications unknown.
Backstory to current situation: He began having balance issues a couple months ago, and started falling more and more frequently. He then showed occasional confusion, like he didnt quite understand what you said to him but still responded in a related way. The confusion would clear up and he would be fine the majority of the time. Zero neck or arm pain, his lower back where his previous surgery was hurt him a lot due to a broken screw and his knees hurt him (previous knee replacement surgery). Went to the ER one night when family made him due to him being very disoriented and confused. Diagnosed at ER with some sort of issue at the base of his skull that was causing these balance and confusion issues. It was relayed to me as some sort of bone spur or restriction that needed intervention ASAP or the next fall could cause serious damage (if his neck is jolted). Cervical fusion surgery was scheduled pretty quickly fusing 4 vertebrae in his neck.
Current Situation: My Family Member (Male, mid 60s) had a cervical fusion surgery at c3-7 (4 vertebrae) about 1 week ago. First day he woke just fine, seemed happy, wanted to sit up and was doing fine. He is discharged, and over the next days he complains of worsening pain between his shoulders either at the very top of his back/base of neck (second hand info). The pain worsens each day for 3 or so days until he is in such a state that he is grunting, groaning, and banging his fists on things because of the pain. This past Friday he started getting almost violent and seemed incredibly disoriented, delirious, and terrified. He could not talk and did not recognize anyone or seem to understand words spoken to him. He was taken by ambulance to the hospital. Once there, he attacked staff (not like him at all) and seemed like a feral animal or a rabid animal. It took 4 people to get him restrained: and they gave him drugs to paralyze him to keep staff safe, restrained him, and sedated him to the point of being on a ventilator. Blood tests came back with only mild THC as anything out of the ordinary. He likely took his entire 30 day pain killer rx from the surgery (bottle was found empty) within a few days HOWEVER the prescription was weak enough that the doctor remarked that the 'drugs he is currently on is stronger than the whole bottle' so unlikely to be an issue. MRI came back fine, all tests they have run have come back fine (aside from blood tests, MRI, and 24hr seizure monitoring test, I do not know if other tests were preformed or what they would be.)
Each day they try to let the sedation wear off and remove the vent to gauge his reaction, and each day it has been the same nearly immediate intense aggression putting staff at risk. He broke restraints. I was told his eyes rolled back into his head where only white showed during one of these wake up attempts, and that when he does gain alertness he looks absolutely terrified and behaves like a cornered prey. So they just sedate/paralyze/intubate again. At this point the plan is to try waking him each day until he stops being aggressive due to tests not showing a diagnosis. He has been given a feeding tube today.
His surgeon's nurse had been contacted today and she said she does not believe this is related to the surgery and she has never heard of a reaction like this. His current doctors (not affiliated with the surgery) have told his mom and sister that 'they have seen this before' but also 'they don't know what this is', which is odd.
Is there anything else that could be going on, and tests that should be preformed, any idea on why this is happening? I cannot stand the idea of him being in terror over and over waking up to being pulled off a vent then put back on, indefinitely.
I apologize for the vague information, but any ideas would be greatly appreciated. Thank you!
submitted by Dirtysoulglass to AskDocs [link] [comments]


2024.05.14 00:59 Nichard ADHD screening

I'm a 35 year old woman living in England and have struggled with my MH all of my adult life. I do have a diagnosis of depression, anxiety and PTSD and I have long suspected I have ADHD also.
I've been back and forth to the GP more times than I can count and I was always just told I had depression, anxiety and more recently PTSD. So the last time I saw my GP she told me to make an appointment with the practice Mental Health Nurse which I did but before our appointment she sent me an Autism AQ test and an ADHD ASRSv1.1 screening test. At our appointment we went through my answers in more detail and she carried out a full assessment of my mood and we talked a lot about my childhood linking with my current MH situation.
The outcome of the Autism screening was what I expected in that there aren't any obvious traits right now so I scored low risk, however the ADHD one I scored 5/6 points on part A and 6/12 on part B which she said indicates that I "probably" do have ADHD but that the waiting list on the NHS for a formal diagnosis is around 10 years. So she basically said if I wanted the diagnosis in writing and on my health records to push for it or if I was coping okay and managing then she suggested to just keep going as I am but know myself that it's probably ADHD.
I just didn't think one screening test would be enough to diagnose? Am I wrong?
submitted by Nichard to ADHDUK [link] [comments]


2024.05.14 00:10 PoorAhab Two scam emails in one day - who falls for this stuff?

Here's the body(s) of the emails. 😂
"Greeting
I hope you are strong and keeping safe. Is it possible to invest in your country? I actually need an investment manager who can handle and manage the investment for me in your country or any other country of your choice.
The amount to be invested is intact and 100% Legit. It's for investment projects but my initial plans were to build an International Standard Private School of Nursing with executive amenities and buy some properties.
That's why I contacted you on how we can work something out about the investment projects.
I await your response and be free to any question which you don't understand do let me know.
Ms. Benita"
"I am Mr. James Michael Berry, I seek for your consent to know whether you are capable of investing with me in your country a very profitable business. Any Knowledge of business interest in the following sectors: Real Estate, Stock speculation, Mining and Oil, Transportation and Tobacco.
I'm open to have a good business relationship with you.
Kindly contact me back via( **************** ) for more details.
Mr. James Michael Berry"
submitted by PoorAhab to Scams [link] [comments]


2024.05.13 22:52 Tohtohnut Sharing my pneumothorax CT

Sharing my pneumothorax CT
I had plastic surgery on 4/30 and immediately felt short of breath. Reassured its “normal” and to keep walking. I’m a nurse so I made sure to have an incentive spirometer, my max was 500 mL. Thursday May 2nd checked my SpO2 and it was 83% on ambulation, low 90s resting. I couldn’t even speak a full sentence at that point. I called 911 and was transported on 4L of oxygen for a suspected Pulmonary embolism (Surgery + Blood clotting disorder)
Turned out I had been walking around with a right large pneumothorax. The chest tube was the worst part of this entire process. Can share more on that if there’s any interest, 0/10 would not recommend
submitted by Tohtohnut to Radiology [link] [comments]


2024.05.13 19:47 UCLA-GreenLab [Mod Approved] Paid UCLA Research Study - SoCal Area Only

Help us learn more about social connection!
Do you have a schizophrenia or schizoaffective disorder diagnosis? Are you between the ages of 25 and 65? Would you like to participate in a paid neuroscience research study at UCLA?
Help us understand relationships between brain activity and social functioning! See a picture of your brain! Individuals enrolled in the study will receive $25/hour for approximately 7.5 hours of participation. We can also cover local transportation expenses.
To determine eligibility and learn more click here or scan the QR code!
https://preview.redd.it/xewroqikd80d1.jpg?width=4000&format=pjpg&auto=webp&s=fb25857e318367425567fd5c38be07b3f6a00a53
Protocol ID: IRB#21-001219 (UCLA IRB)
Click here to learn more about our research lab!
submitted by UCLA-GreenLab to MRI [link] [comments]


2024.05.13 19:32 thefreecollege CNA Training and Jobs Update

Howdy!
Shepherd of the Valley Rehabilitation and Wellness formerly offered the CNA Training and Certification Program with Job Placement and NO LONGER OFFER THIS PROGRAM
However, there are CNA Training and Certification Programs offered in other organizations of Casper
For those in the industry who have solid transportation and are unhappy with employment location and pay, I’ve been told using the keyword “traveling nurse” have been helpful in gaining employment
submitted by thefreecollege to casper [link] [comments]


2024.05.13 19:09 ProfessionalAbies245 Nurses of Boston: tell me good & bad

Hi nurses,
I’m a nurse of 8 yrs and I love my job, but rent in my area is off the charts and the cost of living is just too much. From what I gather cost of living in Boston is less and so is rent. I eventually want to live in a home, but have a reasonable commute.
So tell me the good, bad and the ugly. What hospitals do you recommend working for? What are standard pay and benefits like? What’s your commute like? How is public transportation? I’m coming from New York City so I really have no idea what to expect and I’m scared to do the move without more info.
TLDR: Tell me the good bad and ugly about working in Boston as an RN.
submitted by ProfessionalAbies245 to nursing [link] [comments]


2024.05.13 17:11 calvin324hk [H] 1000+ Games / DLCs / VR Games [W] Paypal / Wishlist / Offers

https://www.reddit.com/IGSRep/comments/pikmri/calvin324hks_igs_rep_page/
https://www.reddit.com/sgsflaicomments/of2wzu/flair_profile_ucalvin324hk/
Wishlist
Region: NA (Canada)
Fees on buyer if any, currency is USD unless specified
CTRL + F to find your games in terms of name
  • 10 Second Ninja X
  • 11-11 Memories Retold
  • 112 Operator
  • 12 is Better Than 6
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  • 911 Operator
  • A Game of Thrones: The Board Game
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  • A JUGGLER'S TALE
  • A Long Way Down
  • A PLAGUE TALE: INNOCENCE
  • A Robot Named Fight!
  • A Tale for Anna
  • A.I.M.2 Clan Wars
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  • Farming Simulator 17
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  • For the King
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  • Frostpunk: Game of the Year Edition
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  • Fun with Ragdolls: The Game
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  • Golf Gang
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  • Gone Home + Original Soundtrack
  • Good Knight
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  • GREAK: MEMORIES OF AZUR
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  • Gremlins, inc
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  • GRID - 2019
  • grid ultimate
  • GRIP: Combat Racing
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  • Guts and glory
  • GYLT
  • Hacknet
  • Haegemonia: Legions of Iron
  • Hamilton's Great Adventure
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  • Hands of Necromancy
  • Havsala: Into the Soul Palace
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  • Heat Signature
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  • Hell Let Loose
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  • Hero of the Kingdom III
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  • Heros hour
  • Hexologic
  • Hidden & Dangerous 2: Courage Under Fire
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  • Hitman (2016) Game of the Year Edition
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  • Hoa
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  • Holy Potatoes! A Spy Story?!
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  • How to Survive 2
  • Hue
  • Human: Fall Flat
  • HUMANKIND DEFINITIVE EDITION
  • Hungry Flame
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  • I am Bread
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  • ibb & obb Double Pack
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  • Ice Age Scrat's Nutty Adventure
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  • IN SOUND MIND
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  • Infectonator 3: Apocalypse
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  • Internet Cafe Simulator
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  • Iron Fisticle
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  • JUST CAUSE 4: COMPLETE EDITION
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  • Kardboard Kings: Card Shop Simulator
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  • Koi-Koi Japan [Hanafuda playing cards] *Koi-Koi Japan : UKIYOE tours Vol.1 DLC *Koi-Koi Japan : UKIYOE tours Vol.2 DLC *Koi-Koi Japan : UKIYOE tours Vol.3 DLC
  • Konung 2
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  • Learn Japanese To Survive! Hiragana Battle
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  • LEGION TD 2 - MULTIPLAYER TOWER DEFENSE
  • LEGION TD 2 - MULTIPLAYER TOWER DEFENSE.
  • Leisure Suit Larry - Wet Dreams Don't Dry
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  • Lemnis Gate
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  • lethal league blaze
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  • Life is Strange Complete Season (Episodes 1-5)
  • Light Fairytale Episode 1
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  • LIGHTMATTER
  • Little dragons cafe
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  • Little Inner Monsters - Card Game
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  • Lornsword Winter Chronicle
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  • Lovecraft's Untold Stories
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  • Mafia Definitive Edition
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  • Marvel's Avengers - The Definitive Edition
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  • Metro Exodus
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  • Middle-earth: Shadow of Mordor GOTY
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  • Mighty Switch Force! Collection
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  • MKXL
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  • Monster Slayers - Complete Edition
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  • Monstrum
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  • Mortal Kombat 11 Ultimate Edition
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  • Motorcycle Mechanic Simulator 2021
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  • N++ (NPLUSPLUS)
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  • Nurse Love Addiction
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  • Pac-Man Museum +
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  • Poker Pretty Girls Battle: Texas Hold'em
  • Police Stories
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  • Princess Kaguya: Legend of the Moon Warrior
  • Pro Cycling Manager 2020
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  • Project CARS - GOTY Edition
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  • Quern - Undying Thoughts
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  • RAILROAD CORPORATION
  • Railroad Tycoon 3
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  • Red Riding Hood - Star Crossed Lovers
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  • Redout Complete Bundle
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  • Redout: Enhanced Edition + DLC pack
  • Regular Human Basketball
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  • REMNANT: FROM THE ASHES - COMPLETE EDITION
  • Republique
  • Rescue Party: Live!
  • Resident Evil 0 HD REMASTER
  • Resident Evil 4
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  • Resident Evil 7 Biohazard
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  • Resort Boss: Golf
  • RETROWAVE
  • rFactor 2
  • RiME
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  • Rise of Industry + 2130 DLC
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  • Rising Storm 2: Vietnam + 2 DLCs
  • Riven: The Sequel to MYST
  • River City Girls
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  • Roarr! Jurassic Edition
  • Roboquest
  • Robot Squad Simulator 2017
  • Rogue : Genesia
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  • rollercoaster tycoon 2
  • ROTASTIC
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  • RUNNING WITH RIFLES
  • Rustler
  • Ryse: Son of Rome
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  • Sailing Era
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  • Saturday Morning RPG
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  • SCP: 5K
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  • SEARCH PARTY: Director's Cut
  • Second Extinction
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  • Serious Sam 3 Bonus Content DLC, Serious Sam 3: Jewel of the Nile, and Serious Sam 3: BFE
  • SEUM speedrunners from hell
  • SEUM: Speedrunners from Hell
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  • Shoppe Keep 2 - Business and Agriculture RPG Simulation
  • Shotgun King: The Final Checkmate
  • Sid Meier's Civilization VI
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  • Sifu Deluxe Edition Upgrade Bundle (EPIC)
  • Silver Chains
  • SimCity 4 Deluxe Edition
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  • Sniper Elite 3 + Season Pass DLC
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  • Snooker 19
  • SONG OF HORROR COMPLETE EDITION
  • Songs of Conquest
  • Sonic Adventure 2
  • Sonic Adventure DX
  • Sonic and SEGA All Stars Racing
  • Sonic Generations Collection
  • Soulblight
  • Souldiers
  • SOULSTICE
  • Soundfall
  • Source of Madness
  • Spartan Fist
  • Spec Ops
  • Speed Limit
  • Spelunx and the Caves of Mr. Seudo
  • Spidersaurs
  • Spin Rush
  • Spirit Hunter: Death Mark
  • Spirit of the Island
  • Spirit of the North
  • Spring Bonus
  • Stairs
  • STAR WARS - Knights of the Old Republic
  • STAR WARS - The Force Unleashed Ultimate Sith Edition
  • STAR WARS Jedi Knight II - Jedi Outcast
  • Star Wolves
  • Starsand
  • STASIS: Bone Totem
  • State of Decay 2: Juggernaut Edition
  • Steel Rats™
  • Stick Fight: The Game
  • Still Life
  • Still Life 2
  • Stirring Abyss
  • STONE
  • Strange Brigade
  • Strange Brigade Deluxe Edition
  • STRANGER
  • Strategic Command: World War I
  • Strategic Mind: Blitzkrieg
  • Strategic Mind: Fight for Freedom
  • Strategic Mind: Spectre of Communism
  • Strategic Mind: Spirit of Liberty
  • Strategy & Tactics: Wargame Collection
  • Streamer Life Simulator
  • Street Fighter V
  • Street of fury ex
  • Strider
  • Strikey Sisters
  • Stygian: Reign of the Old Ones
  • Styx: Master of Shadows
  • Styx: Shards of Darkness
  • SuchArt
  • Sudden Strike Gold
  • Suite 776
  • Sumoman
  • Sunblaze
  • SUNLESS BUNDLE
  • Sunset Overdrive
  • Super Buff HD
  • Super Mag Bot
  • Superbugs: Awaken
  • Superhot
  • Surgeon Simulator 2
  • Survive the Nights
  • Surviving Mars
  • Surviving The Aftermath
  • Swag and Sorcery
  • Sword Legacy Omen
  • Sword of the Necromancer
  • Swords and Soldiers 2 Shawarmageddon
  • Syberia 3
  • Symphonic Rain
  • Symphony of War: The Nephilim Saga
  • Synthwave Dream '85
  • Tacoma
  • Take Off - The Flight Simulator
  • Tales
  • Tales from the Borderlands
  • Tales of Vesperia™: Definitive Edition
  • Talk to Strangers
  • Tallowmere
  • Tangledeep
  • Tank Mechanic Simulator
  • Tannenberg
  • Team Sonic Racing
  • TEKKEN 7
  • TEMTEM
  • Terminus: Zombie Survivors
  • Terror of Hemasaurus
  • Textorcist
  • Tharsis
  • The Adventure Pals
  • The Amazing American Circus
  • The Anacrusis
  • The Ascent
  • The Battle of Polytopia
  • The Battle of Polytopia *DLC1. Cymanti Tribe *DLC2. ∑∫ỹriȱŋ Tribe *DLC3. Aquarion Tribe *DLC4. Polaris Tribe
  • The Blackout Club
  • The Chess Variants Club
  • The Citadel
  • The Dark Pictures Anthology: House of Ashes
  • THE DARK PICTURES ANTHOLOGY: LITTLE HOPE
  • The Darkest Tales
  • The Dungeon Beneath
  • The Dungeon of Naheulbeuk: The Amulet of Chaos
  • The Elder Scrolls Adventures: Redguard
  • The Elder Scrolls III: Morrowind® Game of the Year Edition
  • The Elder Scrolls IV: Oblivion® Game of the Year Edition
  • The Elder Scrolls Online
  • The Escapists 2
  • THE GAME OF LIFE 2
  • The Golf Club™ 2019 featuring PGA TOUR
  • THE GUNK
  • The Haunted Island, a Frog Detective Game
  • The Hong Kong Massacre
  • The Horror Of Salazar House
  • The Indie Mixtape
  • The Innsmouth Case
  • The Invisible Hours
  • The Jackbox Party Pack 9
  • The Last Campfire
  • The LEGO Movie 2 Videogame
  • The Letter - Horror Visual Novel
  • The Long Dark
  • The Manhole: Masterpiece Edition
  • The Mortuary Assistant
  • The Mummy Demastered
  • The Outer Worlds
  • THE OUTER WORLDS: SPACER'S CHOICE EDITION
  • THE PALE BEYOND
  • The Quarry
  • The Quarry deluxe
  • The Ramp
  • The Red Lantern
  • The Rewinder
  • The Sacred Tears TRUE
  • The Sexy Brutale
  • The Smurfs - Mission Vileaf
  • The Tarnishing of Juxtia
  • The Tenants
  • The Uncertain - The Last Quiet Day
  • THE UNCERTAIN: LAST QUIET DAY
  • The Uncertain: Light At The End
  • The USB Stick Found in the Grass
  • The Walking Dead
  • The Walking Dead - 400 Days
  • The Walking Dead Saints and Sinners
  • The Walking Dead: A New Frontier
  • The Walking Dead: Final Season
  • The Walking Dead: Michonne - A Telltale Miniseries
  • The Walking Dead: Saints & Sinners
  • The Walking Dead: Season 1
  • The Walking Dead: Season Two
  • The Way
  • The Wild At Heart
  • The Wild Eight
  • The Witness
  • Them and Us
  • They Bleed Pixels
  • Thief of Thieves
  • This War of Mine
  • This Way Madness Lies
  • Three Kingdom: The Journey
  • Time on Frog Island
  • Tinkertown
  • Tiny Tina’s Wonderland(EU)
  • TINY TINA'S WONDERLANDS CHAOTIC GREAT EDITION
  • Tiny Troopers
  • Tinykin
  • Tinytopia
  • TIS-100
  • Titan Quest
  • Tokyo Xanadu eX+
  • Tools up
  • Tooth and Tail
  • Torchlight
  • Total Tank Simulator
  • Tour de France 2020
  • Tower Unite
  • Trailblazers
  • Train Sim World 3: Standard Edition
  • Train Simulator Classic
  • Train Valley 1
  • Transport INC
  • Treasure Hunter Simulator
  • TRIBES OF MIDGARD
  • Trine 4
  • Trinity Fusion
  • Trombone Champ
  • Tropico 5 - Complete Collection
  • Trover Saves the Universe
  • Tunche
  • Turmoil
  • Turok 2: Seeds of Evil
  • Twin Mirror
  • Two Point Campus
  • Two Point Hospital
  • TYPECAST
  • Tyrant's Blessing
  • Ultimate Chicken Horse
  • Ultimate Zombie Defense
  • Ultra Space Battle Brawl
  • Unavowed
  • Undead Horde
  • Unexplored 2: The Wayfarer's Legacy
  • Unity of Command: Stalingrad Campaign
  • Universim
  • UNLOVED
  • Unpacking
  • Until I have you
  • Unto The End
  • Upside Down
  • URU: Complete Chronicles
  • Vagante
  • Valfaris
  • Valfaris: Mecha Therion
  • Valkryia Chronicles 4 Complete Edition
  • Valkyria Chronicles 4 Complete Edition
  • Valkyria Chronicles 4: Complete Edition
  • Vambrace: Cold Soul
  • Vampire Survivors
  • Vectronom
  • Velocity Noodle
  • Venba
  • Verne: The Shape of Fantasy
  • Victoria 3
  • Victoria II
  • Viking: Battle For Asgard
  • Virgo Versus The Zodiac
  • VirtuaVerse
  • Visage
  • Viscerafest
  • Void Bastards
  • VOIDIGO
  • Volcanoids
  • Voltage High Society
  • V-Rally 4
  • Wanderlust: Travel Stories (GOG)
  • Wargroove
  • Warhammer 40,000 Sanctus Reach - Complete Edition
  • Warhammer 40,000: Armageddon - Imperium Complete
  • Warhammer 40,000: Battlesector
  • Warhammer 40,000: Gladius - Relics of War
  • Warhammer 40,000: Mechanicus
  • Warhammer 40,000: Space Wolf Special Edition
  • WARHAMMER AGE OF SIGMAR: REALMS OF RUIN – ULTIMATE EDITION
  • Warhammer vermintide collector's edition
  • Warhammer: End Times - Vermintide
  • Warhammer: Vermintide 2
  • Warman
  • Wasteland 3
  • Wayward
  • WE NEED TO GO DEEPER
  • We should talk.
  • We Were Here Together
  • We Were Here Too
  • Webbed
  • What Lies in the Multiverse
  • When Ski Lifts Go Wrong
  • while True: learn()
  • Whos Your daddy
  • Wick
  • Will You Snail?
  • Windward
  • Witch It
  • Witchy Life Story
  • wizard of legends
  • Wolfenstein 3D
  • Worms Rumble
  • WRC 6 FIA World Rally Championship
  • WRC 7 FIA World Rally Championship
  • WWE 2K Battlegrounds
  • WWE 2K23
  • WWZ Aftermath
  • Wytchwood
  • X-COM: COMPLETE PACK
  • XCOM: ULTIMATE COLLECTION
  • XIII - Classic
  • X-Morph: Defense + European Assault, Survival of the Fittest, and Last Bastion DLC
  • X-Morph: Defense Complete Pack
  • Yakuza Kiwami
  • Yumeutsutsu Re:After
  • Yumeutsutsu Re:Master
  • Zen Chess: Mate in One, Mate in 2 , Mate in 3 , Mate in 4 , Champion's Moves (5 games)
  • Ziggurat
  • Zombie Army 4
  • Zombie Army Trilogy
  • Zool Redimensioned
DLCs and Softwares:
  • For The King: Lost Civilization Adventure Pack
  • Train Simulator: Isle of Wight Route Add-On
  • Train Simulator: Woodhead Electric Railway in Blue Route Add-On
  • Train Simulator: North Somerset Railway Route Add-On
  • Train Simulator: Union Pacific Heritage SD70ACes Loco Add-On
  • Train Simulator: London to Brighton Route Add-On
  • BR Class 170 'Turbostar' DMU Add-On
  • DB BR 648 Loco Add-On
  • Europa Universalis IV: Wealth of Nations
  • Expansion - Europa Universalis IV: Conquest of Paradise
  • Expansion - Europa Universalis IV: Res Publica
  • Grand Central Class 180 'Adelante' DMU Add-On
  • Peninsula Corridor: San Francisco - Gilroy Route Add-On
  • SONIC ADVENTURE 2: BATTLE
  • Small World - A Spider's Web
  • Small World - Cursed
  • Small World - Royal Bonus
  • The Dungeon Of Naheulbeuk: The Amulet Of Chaos - Goodies Pack
  • The Dungeon Of Naheulbeuk: The Amulet Of Chaos - OST
  • Thompson Class B1 Loco Add-On
  • Total War: Shogun 2 - Rise of the Samurai
  • Train Sim World® 3: Birmingham Cross-city line
  • Train Sim World®: BR Class 20 'Chopper' Loco
  • Train Sim World®: Brighton Main Line: London Victoria - Brighton
  • Train Sim World®: Caltrain MP36PH-3C 'Baby Bullet'
  • Train Sim World®: Cathcart Circle Line: Glasgow - Newton & Neilston
  • Train Sim World®: Clinchfield Railroad: Elkhorn - Dante
  • Train Sim World®: Great Western Express
  • Train Sim World®: Hauptstrecke Hamburg - Lubeck
  • Train Sim World®: LIRR M3 EMU
  • Train Sim World®: Long Island Rail Road: New York - Hicksville
  • Train Sim World®: Nahverkehr Dresden - Riesa
  • Train Sim World®: Northern Trans-Pennine: Manchester - Leeds
  • Train Sim World®: Peninsula Corridor: San Francisco - San Jose
  • Train Sim World®: Rhein-Ruhr Osten: Wuppertal - Hagen
  • Train Sim World®: Tees Valley Line: Darlington - Saltburn-by-the-sea
  • Worms Rumble - Armageddon Weapon Skin Pack
  • Worms Rumble - Captain & Shark Double Pack
  • Worms Rumble - Legends Pack
  • Worms Rumble - New Challengers Pack
  • Ashampoo Photo Optimizer 7
  • Dagon: by H. P. Lovecraft - The Eldritch Box DLC
  • Duke Nukem Forever Hail to the Icons
  • Duke Nukem Forever The Doctor Who Cloned Me
  • GRIP: Combat Racing - Cygon Garage Kit
  • GRIP: Combat Racing - Nyvoss Garage Kit
  • GRIP: Combat Racing - Terra Garage Kit
  • GRIP: Combat Racing - Vintek Garage Kit
  • GameGuru
  • GameMaker Studio 2 Creator 12 Months
  • Intro to Game Development with Unity
  • Music Maker EDM Edition
  • Neverwinter Nights: Darkness Over Daggerford
  • Neverwinter Nights: Enhanced Edition Dark Dreams of Furiae
  • Neverwinter Nights: Enhanced Edition Tyrants of the Moonsea
  • Neverwinter Nights: Enhanced Edition
  • Neverwinter Nights: Infinite Dungeons
  • Neverwinter Nights: Pirates of the Sword Coast
  • Neverwinter Nights: Wyvern Crown of Cormyr
  • PDF-Suite 1 Year License
  • Pathfinder Second Edition Core Rulebook and Starfinder Core Rulebook
  • RPG Maker VX
  • WWE 2K BATTLEGROUNDS - Ultimate Brawlers Pass
  • We Are Alright
  • The Outer Worlds Expansion Pass
  • A Hat in Time - Seal the Deal DLC
  • City Skylines:mass transit
  • A Game Of Thrones - A Dance With Dragons
  • A Game Of Thrones - A Feast For Crows
  • Blood Rage: Digital Edition - Gods of Asgard
  • Blood Rage: Digital Edition - Mythical Monsters
  • Blood Rage: Digital Edition - Mystics of Midgard
  • Carcassonne - The Princess and The Dragon DLC
  • Carcassonne - Traders & Builders DLC
  • Carcassonne - Winter & Gingerbread Man DLC
  • Carcassonne - Inns & Cathedrals
  • Carcassonne - The River
  • Splendor: The Trading Posts DLC
  • Splendor: The Strongholds DLC
  • Splendor: The Cities DLC
  • Small World - Be Not Afraid... DLC
  • Small World - Grand Dames DLC
  • Small World - Cursed!
  • Sands of Salzaar - The Ember Saga
  • Sands of Salzaar - The Tournament
  • Monster Train: The Last Divinity DLC
  • WARSAW
submitted by calvin324hk to indiegameswap [link] [comments]


2024.05.13 17:11 calvin324hk [H] 1000+ Games / DLCs / VR Games [W] Paypal / Wishlist / Offers

https://www.reddit.com/IGSRep/comments/pikmri/calvin324hks_igs_rep_page/
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Wishlist
Region: NA (Canada)
Fees on buyer if any, currency is USD unless specified
CTRL + F to find your games in terms of name
  • 10 Second Ninja X
  • 11-11 Memories Retold
  • 112 Operator
  • 12 is Better Than 6
  • 198X
  • 1993 Space Machine
  • 60 Parsecs
  • 7 Billion Humans
  • 8 DOORS
  • 8-bit Adventure Anthology: Volume I
  • 9 Years of Shadows
  • 911 Operator
  • A Game of Thrones: The Board Game
  • A Hat in Time
  • A Hole New World
  • A JUGGLER'S TALE
  • A Long Way Down
  • A PLAGUE TALE: INNOCENCE
  • A Robot Named Fight!
  • A Tale for Anna
  • A.I.M.2 Clan Wars
  • Ace Combat Assault Horizon Enhanced Edition
  • Adore
  • Aeterna Noctis
  • AETHERIS
  • Agatha Christie Hercule Poirot The First Cases
  • AIdol
  • Airborne Kingdom
  • Alba: A Wildlife Adventure
  • Alder's Blood: Definitive Edition
  • Alfred Hitchcock - Vertigo
  • Alien Breed Trilogy
  • Aliens vs. Predator™ Collection
  • All-Star Fruit Racing
  • Almost There: The Platformer
  • American Fugitive
  • American Truck Simulator
  • Amerzone: The Explorer’s Legacy
  • AMID EVIL
  • Amnesia rebirth
  • Amnesia: The Dark Descent + Amnesia: A Machine for Pigs
  • Anomalous
  • Another World – 20th Anniversary Edition
  • Antigraviator
  • Anuchard
  • APICO
  • APICO
  • Aragami
  • Aragami 2
  • Arboria
  • Arcade Paradise
  • Arcade Paradise - Arcade Paradise EP
  • Arcade Spirits
  • Arkham Horror: Mother's Embrace
  • Armada 2526 Gold Edition
  • Army Men RTS
  • army of ruin
  • Arto
  • Ary and the Secret of Seasons
  • As Far as the Eye
  • Ascension to the Throne
  • Assemble With Care
  • Assetto Corsa Competizione
  • Assetto Corsa Ultimate Edition
  • Astebreed Definitive Edition
  • Astronarch
  • Attack of the Earthlings
  • Automachef
  • Automobilista
  • Automobilista 2
  • AUTONAUTS
  • AUTONAUTS VS PIRATEBOTS
  • Avatar: Frontiers of Pandora™ - Ubisoft Connect
  • AVICII Invector: Encore Edition
  • Awesomenauts All Nauts pack
  • Baba is you
  • Back 4 Blood
  • Back 4 blood (EU)
  • Backbone
  • Baldur's Gate II: Enhanced Edition
  • Baldur's Gate: Enhanced Edition
  • Banners of Ruin
  • Bartlow's Dread Machine
  • BASEMENT
  • Batbarian: Testament of the Primordials
  • Batman: Arkham Asylum Game of the Year Edition
  • Batman: Arkham Origins
  • Battle Royale Tycoon
  • Battlecruisers
  • Battlestar Galactica Deadlock
  • BATTLESTAR GALACTICA DEADLOCK SEASON ONE
  • Battlestar Galactica Deadlock: Complete
  • BATTLETECH MERCENARY COLLECTION
  • BATTLETECH Shadow Hawk Pack
  • BEAUTIFUL DESOLATION
  • BEFORE WE LEAVE
  • Beholder 2
  • Ben 10
  • Ben 10: Power Trip
  • Bendy and the Ink Machine™
  • Between the Stars
  • Beyond a Steel Sky
  • Beyond The Edge Of Owlsgard
  • Beyond the Long Night
  • BEYOND THE WIRE
  • Beyond: Two Souls
  • BIOMUTANT
  • Bionic Commando
  • Bionic Commando Rearmed
  • BioShock: The Collection
  • BLACK BOOK
  • Black Moon Chronicles
  • Black Paradox
  • BLACK SKYLANDS
  • BLACKHOLE: Complete Edition
  • Blacksad: Under the Skin
  • Blade of Darkness
  • Blasphemous
  • Blazing Chrome
  • Blightbound
  • Blood And Zombies
  • Blood Rage: Digital Edition
  • Bloodstained: Ritual of the Night
  • Bomber Crew
  • Boneless Zombie
  • Boomerang Fu
  • Borderlands 3
  • Borderlands 3 Super Deluxe
  • Borderlands 3 Super Deluxe Edition
  • Borderlands: The Handsome Collection
  • Bot Vice
  • Bounty of One
  • Brawlout
  • Breakout: Recharged
  • Breathedge
  • bridge constructor
  • Bridge constructor medieval
  • bridge constructor stunts
  • Broken Lines
  • Brothers: A Tale of Two Sons
  • Brutal Legend
  • Bug Fables: The Everlasting Sapling
  • BUILDER SIMULATOR
  • calico
  • Call of Duty® Modern Warfare 3™ (2011)
  • Call of Juarez: Gunslinger
  • Car Mechanic 2018
  • Car Mechanic Simulator 2015
  • Car Mechanic Simulator 2018
  • Castle Morihisa
  • Castle on the Coast
  • castle storm
  • CastleStorm
  • Cat Cafe Manager
  • Caveblazers
  • Celeste
  • Centipede: Recharged
  • CHANGE: A Homeless Survival Experience
  • Charlie's Adventure
  • Chenso Club
  • Chernobylite: Enhanced Edition
  • Chess Ultra
  • Chicago 1930 : The Prohibition
  • Chivalry 2
  • Chop Goblins
  • Chorus
  • Cities Skylines + After Dark
  • Cities: Skylines
  • City of Beats
  • CivCity: Rome
  • Click and Slay
  • Cloud Gardens
  • Cloudpunk
  • Code Vein
  • Coffee Talk
  • Comedy Night
  • Command & Conquer Remastered (Origin)
  • Complete Dread X Collection
  • Conarium
  • Construction Simulator (2015) Deluxe Edition
  • Constructor Plus
  • Control
  • Cook, Serve, Delicious! 3?!
  • cornucopia
  • Corridor Z
  • Cosmic Osmo and the Worlds Beyond the Mackerel
  • Cosmonautica
  • Crash Drive 2
  • Crash Drive 3
  • Creaks
  • Creepy Tale
  • Crookz the big heist
  • CROSSBOW: Bloodnight
  • Crush Your Enemies
  • Cube Runner
  • Cultist Simulator: Anthology Edition
  • Curse: The Eye of Isis
  • Cyber Ops
  • Cybercube
  • Danger Scavenger
  • Dark Deity
  • DARK PICTURES ANTHOLOGY: HOUSE OF ASHES
  • Darksiders Warmastered
  • Darkwood
  • DARQ: Complete Edition
  • Day of the Tentacle Remastered
  • days of war definitive edition
  • Dead by Daylight
  • Dead Estate
  • Dead Rising 2
  • Dear Esther: Landmark Edition
  • Death Stranding Directors Cut
  • DEATH STRANDING DIRECTOR'S CUT
  • Deceased
  • DECEIVE INC.
  • Degrees of Separation
  • Delicious! Pretty Girls Mahjong Solitaire
  • Deliver Us The Moon
  • Demetrios - Deluxe Edition
  • Depraved
  • DESCENDERS
  • DESOLATE
  • Destiny 2: Beyond Light
  • DESTROYER: THE U-BOAT HUNTER
  • Detention
  • Devil May Cry HD Collection
  • Devilated
  • Dicey Dungeons
  • Dirt 5
  • dirt rally
  • Dirt Rally 2.0
  • Disaster Band
  • Disciples III: Reincarnation
  • Discolored
  • DISTRAINT 2
  • Distrust
  • DmC: Devil May Cry
  • Do Not Feed the Monkeys
  • Don't Be Afraid
  • Doomed Lands
  • Door Kickers: Action Squad
  • Doorways: Prelude
  • Downfall
  • Dragons Dogma Dark Arisen
  • Dragon's Dogma: Dark Arisen
  • Draugen
  • Draw Slasher
  • Drawful 2
  • Dreams in the Witch House
  • Dreamscaper
  • DreamWorks Dragons: Dawn of New Riders
  • DRIFT21
  • Driftland: The Magic Revival
  • drive!drive!drive!
  • Drone Swarm
  • Due Process
  • Duke Nukem: Manhattan Project
  • Duke of Alpha Centauri
  • Dungeon Rushers
  • Dungeons 2
  • Dungeons 3
  • DUSK
  • Dusk Diver
  • Dust to the End
  • DV: Rings of Saturn
  • Dynopunk
  • Earth Defense Force 4.1 The Shadow of New Despair
  • Eastern Exorcist
  • Eiyuden Chronicle: Rising
  • El Matador
  • Elderand
  • ELDEST SOULS
  • Electrician Simulator
  • Elemental Survivors
  • Elex
  • Elex II
  • Elite Dangerous
  • Embr
  • Empire: Total War - Definitive Edition
  • Empyrion - Galactic Survival
  • ENCASED: A SCI-FI POST-APOCALYPTIC RPG
  • Endless Space 2
  • Endless Space 2 - Digital Deluxe Edition
  • Endless Space® 2 - Digital Deluxe Edition
  • Endzone - A World Apart
  • EPIC CHEF
  • Epistory - Typing Chronicles
  • Escape the backrooms
  • Eternal Threads
  • Europa Universalis IV
  • European Ship Simulator
  • Everdream Valley
  • Evil Genius 2: World Domination
  • Exorder
  • EXPEDITIONS: ROME
  • Expeditions: Viking
  • Explosionade
  • F1 2018
  • F1 2019 Anniversary Edition
  • F1 2020
  • F1 RACE STARS Complete Edition Include DLC
  • Fable Anniversary
  • Factory Town
  • Fallback uprising
  • Fallback: Uprising
  • FALLOUT 1
  • Family Mysteries 3: Criminal Mindset
  • FANTASY BLACKSMITH
  • FARMER'S DYNASTY
  • Farming Simulator 17
  • Farming Simulator 19
  • Fictorum
  • Field of Glory II
  • Fights in Tight Spaces
  • Filthy Animals Heist Simulator
  • Firefighting Simulator - The Squad
  • Fishing Adventure
  • Flashback
  • FLATLAND Vol.2
  • FlatOut
  • FLING TO THE FINISH
  • Floppy Knights
  • Fluffy Horde
  • FOBIA - ST. DINFNA HOTEL
  • For the King
  • Forgive me Father
  • Forts
  • Fred3ric
  • Fresh Start Cleaning Simulator
  • Friends vs Friends
  • Frogun
  • From Space
  • Frostpunk: Game of the Year Edition
  • Frozenheim
  • Fun with Ragdolls: The Game
  • Funtasia
  • Gamedec
  • Gamedec - Definitive Edition
  • Gang Beasts
  • GARAGE bad trip
  • Garden Story
  • Garfield Kart
  • GAS STATION SIMULATOR
  • Gelly Break Deluxe
  • Genesis Alpha One Deluxe Edition
  • Gevaudan
  • Ghostrunner
  • Giana Sisters 2D
  • GIGA WRECKER
  • Gigantosaurus: Dino Kart
  • Glitch Busters: Stuck On You
  • Gloria Victis
  • Go Home Dinosaurs
  • GOAT OF DUTY
  • GOD EATER 3
  • Godlike Burger
  • Godstrike
  • Going Under
  • Golf Gang
  • Golf It!
  • Gone Home + Original Soundtrack
  • Good Knight
  • Gotham Knights
  • GREAK: MEMORIES OF AZUR
  • GREEDFALL
  • Gremlins, inc
  • grey goo
  • GRID - 2019
  • grid ultimate
  • GRIP: Combat Racing
  • Gungrave G.O.R.E
  • Guppy
  • Guts and glory
  • GYLT
  • Hacknet
  • Haegemonia: Legions of Iron
  • Hamilton's Great Adventure
  • Hammerwatch
  • Hands of Necromancy
  • Havsala: Into the Soul Palace
  • Headsnatchers
  • Heartwood Heroes
  • Heat Signature
  • Helheim Hassle
  • Hell Let Loose
  • Hellblade: Senua's Sacrifice
  • Hellbound
  • Hellstuck: Rage With Your Friends
  • Hero of the Kingdom III
  • Hero of the Kingdom: The Lost Tales 2
  • Heroes of Hammerwatch
  • Heros hour
  • Hexologic
  • Hidden & Dangerous 2: Courage Under Fire
  • Hidden & Dangerous: Action Pack
  • Hidden Deep
  • High On Life
  • Hitman (2016) Game of the Year Edition
  • HITMAN 2 - Gold Edition
  • Hoa
  • Hob
  • Hollow Knight
  • Holy Potatoes! A Spy Story?!
  • Home Sweet Home
  • Home Sweet Home EP2
  • Homestead Arcana
  • Hood: Outlaws & Legends
  • Hoplegs
  • Hot Tin Roof: The Cat That Wore A Fedora
  • HOT WHEELS UNLEASHED ™
  • Hotshot Racing
  • House Flipper
  • How to Survive 2
  • Hue
  • Human: Fall Flat
  • HUMANKIND DEFINITIVE EDITION
  • Hungry Flame
  • Hyper Knights
  • I am Bread
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submitted by calvin324hk to SteamGameSwap [link] [comments]


2024.05.13 16:51 misanthrope247 Please help! Input on real world health assessment needed

I am a frustrated nursing instructor who hates the way health assessment is taught in our program. Tons of focus on PRECISE technique without teaching when and why an assessment actually matters. For example, second year students can perfectly demonstrate how to assess pupil response but none can tell you when it makes sense to do this or what an abnormal response even means. Heart sounds are also a big deal with a lot of time spent on landmarking for those. Are full heart sounds something done routinely (like Q shift) in your practice? If yes- what type of unit is it? I worked acute internal medicine and it just was not something we did routinely. Of course we often assessed apical Hpulse deficit [esp in pts with a fib]. I can easily rationalize when doing an apical makes sense vs not to students.
I reviewed an older post on this sub related to the topic of heart sounds but it seemed like people were mixing together the laying of a stethoscope on a chest for ANY reason with actually assessing for heart murmurs/extra sounds. There is a big difference between assessing for rhythm and rate and assessing for SOUNDS. So, in what situations would a new grad be expected to do full heart sounds every shift? What changes are you looking for from shift to shift? Is hearing an S3 really more sensitive for fluid excess in a pt with HF than daily wt/BNP or other assessments? If we already know a pt has a valve disorder like regurg or stenosis...are we able to pick up an acute change to that diagnosis that would require acute intervention? I want to be able to explain when taking the time to assess full heart sounds matters and when it doesn't in real life for a new grad nurse. HELP!
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2024.05.13 16:47 misanthrope247 REAL WORLD purpose of assessing heart sounds every shift?

I am a frustrated nursing instructor who hates the way health assessment is taught in our program. Tons of focus on PRECISE technique without teaching when and why an assessment actually matters. For example, second year students can perfectly demonstrate how to assess pupil response but none can tell you when it makes sense to do this or what an abnormal response even means 😒. Heart sounds are also a big deal with a lot of time spent on landmarking for those. Are full heart sounds something done routinely (like Q shift) in your practice? If yes- what type of unit is it? I worked acute internal medicine and it just was not something we did routinely. Of course we often assessed apical Hpulse deficit [esp in pts with a fib]. I can easily rationalize when doing an apical makes sense vs not to students.
I reviewed an older post on this sub related to the topic of heart sounds but it seemed like people were mixing together the laying of a stethoscope on a chest for ANY reason with actually assessing for heart murmurs/extra sounds. There is a big difference between assessing for rhythm and rate and assessing for SOUNDS. So, in what situations would a new grad be expected to do full heart sounds every shift? What changes are you looking for from shift to shift? Is hearing an S3 really more sensitive for fluid excess in a pt with HF than daily wt/BNP or other assessments? If we already know a pt has a valve disorder like regurg or stenosis...are we able to pick up an acute change to that diagnosis that would require acute intervention? I want to be able to explain when taking the time to assess full heart sounds matters and when it doesn't in real life for a new grad nurse. HELP!
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2024.05.13 16:45 ToEmpathyAndBeyond Wife’s numbers are scary high

Wife’s numbers are scary high
Tl;dr: My wife (38F) was diagnosed last week with BG 458 and A1c 13.7, started metformin 500mg extended release 2x/day, got a CGM, no finger sticks, numbers are 200-400 but mostly stayed in 250-350 range over past 40 hours. Looking for support, and wondering if anyone else was diagnosed with numbers this high, how long did it take to get them controlled?
My (39F) wife (38F) was diagnosed last week after a routine PCP visit with labs (first PCP visit in many years, but she had a gynecologist/nurse midwife visit in January and we saw a reproductive endocrinologist in March). Next morning the doctor sent this message. In hindsight I think her approach (incremental change, avoid info overload) is smart and probably works well for MOST people. But my wife and I freaked out, started Googling and asking our med pro friends, and immediately made a same-day appt. I left work 3 hours early and we arrived at the dr office 45 mins before the appt (unheard of for us 😂).
To the dr’s credit, she got us back to see her right away, quickly shifted gears to share lots of info and options, and took time to listen and answer our questions. She prescribed a CGM (Libre 2) which my wife got on Saturday. (Wife is terrified of needles and doesn’t want to do any finger sticks. I had to apply the CGM for her.) Over the past 40 hours, her numbers have ranged from 200 to 400+. She’s taken 8 doses of metformin 500mg extended release (2x day since Thursday night), and I know it can take 4-5 days to really see effects. I also know that her numbers have likely been this high for months and months, but I’m so worried about long-term damage. 😞
My wife is taking this super seriously and has already overhauled her diet (no added sugar, low carbs, extra protein and healthy fats), and started exercising more. We’ve both dieted before and know the drill. Emotionally she’s devastated by the diagnosis, especially because we were planning to TTC next month, and that’s likely delayed now. She’s motivated to get this controlled ASAP so that having a baby is still an option. And, I know this is a marathon and not a sprint, and I’m worried about burnout. She has a long history of (likely but undiagnosed) PCOS, obesity, binge eating, and avoidance of preventive medical care. (Ironically her weight is currently almost in a healthy range, thanks to 2 years of previously-unexplained weight loss, which no one besides me questioned - if you’re fat, weight loss is always the priority. 😑) I’m doing this with her, both to be supportive and because I’m concerned about my own IR (weight gain in the past year, fasting insulin was 17.5 in March despite having good FG and A1c, and last year my A1c was 5.7 so barely pre-D).
I know this is long, so I appreciate anyone who read this far. It’s been very overwhelming the last few days, and I feel like I need a “T2D spouse support group” already. I’m really hoping we can get her numbers down in the next few weeks and without having to add insulin.
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2024.05.13 16:22 Pookya What's your opinion on getting vaccines whilst having ME/CFS?

Just want to discuss this, I won't judge your opinion and I'm not trying to start an argument, I just want to see what other people think to help me decide what I should do. Surely I can't be the only one concerned about vaccines?
I'm hopefully going on holiday in September with my parents (so they can look after me). Very relaxed and should be able to get public transport, hire drivers etc. GP surgery has recommended I get 2 vaccines - hepatitis A and typhoid. I know these illnesses can be bad, but hepatitis isn't the end of the world and typhoid can be easily treated with antibiotics + very unlikely to become severely ill once receiving prompt treatment. I haven't had any vaccines since getting ME/CFS. I understand that with ME/CFS, T-cells don't work properly, and I know vaccines activate the T-cells which is the main reason I'm concerned. I know healthcare professionals rarely stay up to date and don't consider these things, they just think "you're not immunocompromised as per blood tests so you must be completely healthy so you should definitely get the vaccines". I also have 4 other linked health conditions. I'm unsure whether it's safe for me to get them at all, whether I get both or not and whether I should space them out. I think I'll get hepatitis A, not so sure about typhoid. I had bad experiences with my previous vaccines for COVID, I felt like I was forced into it but I wasn't comfortable with the risks, they made me feel terrible and they didn't stop me from getting long COVID so they were a waste of time and suffering. Not keen on more vaccines especially because I can't trust what healthcare professionals say and they've done so many unnecessary things that have just made me suffer and don't help at all
Parents think I'm anti-vax just because I'm concerned about the impact on my health and because I'm skeptical of a few vaccines so I can't ask them, they just laugh in my face. I believe in looking at vaccines without bias and I know they often aren't as safe as the NHS tells people. I'm worried these vaccines will make me feel much more unwell long term, and I'll have to spend weeks recovering from each one. I know the typhoid vaccine is only 50% effective and won't protect at all against paratyphoid. I I know the NHS doesn't care about the harm it causes so if something happens I'll be left to suffer alone. I'll ask the nurse when I go to an appointment (not sure when, not booked yet) but I suspect they haven't even considered this and I haven't been officially diagnosed with ME/CFS yet (everyone thinks I have it but won't diagnose 🤔). I need to decide what I want before I go to the appointment as it takes me a long time to make decisions due to my brain fog and I am absolutely not going to let them bully me into doing something I'm not comfortable with. I also know that they get paid for every vaccine they give so it's in their best interests to give as many cost effective vaccines as they can.
What do you guys think?
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2024.05.13 14:26 Affectionate-Egg8161 DSA query?

Hi, just wondering if anyone’s had experience with something similar.
I didn’t apply for DSA last year or this year because I didn’t think my anxiety was serious enough for it. However, I saw a post on here by someone discussing getting taxi or uber costs paid for instead of using public transport.
A couple of months ago I had quite a serious panic attack which I hadn’t experienced before on the underground. it was rush hour and extremely crowded. Despite the weather being freezing I really suddenly felt myself burning up and thought I was going to faint or die. There were no seats available so I ended up pushing my head against the window of the train to cool dow. I was really terrified, and my heart rate increased a lot really suddenly. The person I was travelling with was so shocked and worried about me
I don’t have an official diagnosis of anxiety, but my GP believes I have it and offered me medication which I chose to decline. I’m just wondering if this would make me eligible for this DSA?
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