So I don’t mean to diss people who love marketing or their jobs. But marketing, inherently, CAN be lying to customers (example: “weight loss” pills or something).
I moved to the public sector to hopefully escape this and actually help people. Again, not saying that all marketing doesn’t help people but a lot doesn’t. Anyway, upon reading reviews of the government entity where I work (many people saying it’s unhelpful or dangerous or falling apart etc.), and knowing that I create content that promotes the opposite, makes me feel unethical.
So… even in the public sector, can it still be evil?

Today illustrated that the Democrats have become America’s cheerleaders, emphasizing how investment in the nation’s infrastructure has created jobs and rebuilt the country. This week, the Biden-Harris administration is touting its investments in rebuilding roads and bridges, making sure Americans have clean water, getting rid of pollution, expanding access to high-speed internet, and building a clean energy economy, contrasting that success with Trump’s eternal announcements of an “Infrastructure Week” that never came.
The White House today announced that it has awarded nearly $454 billion in funding from the Bipartisan Infrastructure Law, including more than 56,000 projects across more than 4,500 communities across the nation. Those include fixing more than 165,000 miles of roads and more than 9,400 bridges and improving more than 450 ports and 300 airport terminals. It has funded more than 1,400 drinking water and wastewater projects and projects to replace up to 1.7 million toxic lead pipes, as well as more than 8,000 low- and zero-emission buses. It has funded 95 previously unfunded Superfund projects to clean up contaminated sites. It has improved the electrical grid and funded 12,000 miles of high-speed internet infrastructure, and exposed internet junk fees.
The White House explained that this investment is making it cheaper to install clean energy technology and lowering families’ monthly energy bills, and highlighted today the available rebates to enable people to take advantage of the new technologies.
On Wednesday, May 8, a report from the Semiconductor Industry Association and the Boston Consulting Group explored the “breathtaking speed,” as the president of the semiconductor organization put it, at which the industry is growing. In the Financial Times on May 9, John Thornhill reported that the CHIPS and Science Act, which provided a $39 billion investment in the semiconductor industry, has “primed a torrent of private sector investment.” With the influx of both federal money and an additional $447 billion of private investment in 83 projects in 25 states, the report forecasts that the U.S. will increase its share of global manufacturing capacity for leading-edge chips from today’s rate of 0% to 28% by 2032. Thornhill compared this investment to that spurred by Russia’s 1957 launch of the Sputnik satellite.
The Economist yesterday announced that the U.S. “is in the midst of an extraordinary startup boom,” and explored “[h]ow the country revived its “go-getting spirit.”
In contrast to the Democrats’ confidence in America, the Republicans are all-in on the idea that the country is an apocalyptic wasteland. At a rally in New Jersey Saturday, Trump announced: “On day one we will throw out Bidenomics and reinstate MAGAnomics.” He promised to extend his 2017 tax cuts for the wealthy and corporations.
But the gist of his speech was an angry, vitriolic picture of a failing nation full of “enemies” that are “more dangerous” than China and Russia and who are “going to destroy our country.” In his telling, the criminal case against him in Manhattan is “bullsh*t,” and President Biden has done more damage than the “ten worst presidents in the history of our country” combined: “[h]e’s a fool; he’s not a smart man…[h]e’s a bad guy…the worst president ever, of any country. The whole world is laughing at him.”
Trump lied that other countries are “emptying out their mental institutions into the United States, our beautiful country. And now the prison populations all over the world are down. They don’t want to report that the mental-institution population is down because they’re taking people from insane asylums and from mental institutions.” Then he riffed into “the late great Hannibal Lecter,” the fictional murderer and cannibal in the film The Silence of the Lambs, apparently to suggest that similar individuals are migrating to the U.S.
House Republicans this week are working to pass a nonbinding resolution to condemn Biden’s immigration policies, although it was Republicans, under orders from Trump, who killed a strong bipartisan immigration bill earlier this year.
The only way to turn back this apocalypse, Trump and his supporters insist, is to put Trump and his team back into the White House. From there, Republicans will return those they consider “real” Americans to power.
The last few days have added new information about what that means. On Thursday, May 9, Senators Katie Britt (R-AL), Marco Rubio (R-FL), and Kevin Cramer (R-ND) introduced the More Opportunities for Moms to Succeed (MOMS) act. Britt—who is best known for her disastrous response to Biden’s State of the Union speech from her kitchen—said the measure would provide a federal database of resources for pregnant women and women parenting young children, but that information excludes anything that touches on abortion.
The measure is clear that it enlists the government in opposition to abortion, but more than that, it establishes that the government will create a database of the names and contact information of pregnant women, which the government can then use “to follow up with users on additional resources that would be helpful for the users to review.”
A government database of pregnant women would give the federal government unprecedented control over individuals, and it is especially chilling after the story Caroline Kitchener broke in the Washington Post on May 3, that a Texas man, Collin Davis, filed a petition to stop his ex-partner from traveling to Colorado, where abortion is legal, to obtain an abortion. Should she do so, his lawyer wrote, he would “pursue wrongful-death claims against anyone involved in the killing of his unborn child.” Now Davis wants to be able to depose his former partner along with others he says are “complicit” in the abortion.
Antiabortion activists are also seeking to make mifepristone and misoprostol, drugs used in many abortions, hard to obtain. In Louisiana, state lawmakers are considering classifying the drugs as “controlled dangerous substances,” which would make possessing them carry penalties of up to ten years in prison and fines of up to $75,000.
More than 240 Louisiana doctors wrote to lawmakers saying that the drugs have none of the addictive characteristics associated with dangerous controlled substances and warning that the drugs are crucial for inducing routine labor and preventing catastrophic hemorrhage after delivery, in addition to their use in abortions. “Given its historically poor maternal health outcomes, Louisiana should prioritize safe and evidence-based care for pregnant women,” the doctors wrote.
Louisiana lawmakers also rejected a bill that would have allowed anyone under age 17, the age of consent in Louisiana, to have an abortion if they became pregnant after rape or incest. Passionate testimony from those who suffered such attacks or who treated pregnant girls as young as 8 failed to convince the Republican lawmakers to support the measure. “That baby [in the womb] is innocent.… We have to hang on to that,” said Republican state representative Dodie Horton.
Today, at the Asian Pacific American Institute for Congressional Studies, a nonpartisan, nonprofit organization promoting Asian American and Native Hawaiian/Pacific Islander participation and representation at all levels of the political process, Vice President Kamala Harris encouraged young people to innovate and to move into spaces from which they have been traditionally excluded.
“So here’s the thing about breaking barriers,” she said. “Breaking barriers does not mean you start on one side of the barrier and you end up on the other side. There’s breaking involved. And when you break things you get cut. And you may bleed. And it is worth it every time…. We have to know that sometimes people will open the door for you and leave it open. Sometimes they won’t. And then you need to kick that f*cking door down.”
Harris’s advice reflects the history that happened on this date in 1862, when the enslaved mariners on board the shallow-draft C.S.S. Planter gathered up their families, fired up the ship’s boilers, and sailed out of the Charleston, South Carolina, harbor. The three white officers of the ship had gone ashore, leaving enslaved 23-year-old pilot Robert Smalls to take control. Smalls knew how to steer the ship and give the proper signals to the Confederates at Fort Sumter, Fort Moultrie, and three other checkpoints.
Smalls piloted the Planter, the sixteen formerly enslaved people on it, and a head full of intelligence about the Confederate fortifications at Charleston to the U.S. Navy. In Confederate hands, the Planter had surveyed waterways and laid mines; now that information was in U.S. hands. Smalls went on to pilot naval vessels during the war, and in 1864 he bought the house formerly owned by the man who had enslaved him.
A natural leader, Smalls went on to become a businessman, politician, and strong advocate for education. After serving in the 1868 South Carolina Constitutional Convention that made school attendance compulsory and provided for universal male suffrage, he went on to serve in the South Carolina legislature from 1868 to 1874, when he was elected to the U.S. House of Representatives, where he served until 1887. When President Barack Obama signed an executive order establishing the nation’s first national monument concerning Reconstruction, he cited the life of Robert Smalls.
—
Notes:
https://newjerseymonitor.com/2024/05/12/trump-brings-2024-campaign-to-the-jersey-shore/
https://www.esquire.com/news-politics/politics/a60774814/trump-rally-new-jersey-weird-speech/
https://www.britt.senate.gov/wp-content/uploads/2024/05/MOMS-Act_FINAL-Britt_Rubio_Cramer1.pdf
https://www.theguardian.com/us-news/article/2024/may/11/katie-britt-proposes-federal-database-to-collect-data-on-pregnant-people
https://www.washingtonpost.com/investigations/2024/05/03/texas-abortion-investigations/
https://lailluminator.com/2024/05/08/rape-incest/
https://www.washingtonpost.com/nation/2024/05/13/abortion-pills-louisiana-controlled-substance/
https://www.economist.com/finance-and-economics/2024/05/12/america-is-in-the-midst-of-an-extraordinary-startup-boom
https://www.whitehouse.gov/briefing-room/statements-releases/2024/05/13/fact-sheet-biden-harris-administration-kicks-off-infrastructure-week-by-highlighting-historic-results-spurred-by-president-bidens-investing-in-america-agenda/
https://www.whitehouse.gov/briefing-room/statements-releases/2024/05/13/fact-sheet-president-bidens-investing-in-america-agenda-is-helping-american-families-across-the-country-save-money/
https://www.presidency.ucsb.edu/documents/icymi-the-great-american-innovation-engine-firing-again
https://www.ft.com/content/0d39e8f0-38ba-40aa-8ec8-d04e82afb690
https://www.nytimes.com/2024/05/08/us/politics/chips-grants-fuel-industry-growth.html
https://www.politico.com/news/2024/05/11/trump-rally-new-jersey-trial-fascists-00157482
https://obamawhitehouse.archives.gov/the-press-office/2017/01/12/presidential-proclamations-establishment-reconstruction-era-national
https://www.nps.gov/people/robert-smalls.htm
Twitter (X):
cspan/status/1790048826440503495
Fritschnestatus/1790051154887340473
rosiewestwood/status/1788291766866567439
CecileRichards/status/1789020452855140723
https://heathercoxrichardson.substack.com/p/may-13-2024

👏EMERGENCY 👏ORAL 👏CONTRACEPTIVE 👏DOES 👏NOT 👏AFFECT 👏FUTURE 👏FERTILITY 👏ISSUES
Emergency contraception: dispelling the myths and misperceptions - PMC (nih.gov)
👏EMERGENCY 👏ORAL 👏CONTRACEPTIVE 👏DOES 👏NOT 👏AFFECT 👏FUTURE 👏FERTILITY👏ISSUES
Emergency Contraception Pill Awareness and Knowledge in Uninsured Adolescents: High Rates of Misconceptions Concerning Indications for Use, Side Effects, and Access - PubMed (nih.gov)
👏EMERGENCY 👏ORAL 👏CONTRACEPTIVE 👏DOES 👏NOT 👏AFFECT 👏FUTURE 👏FERTILITY👏ISSUES
A Systematic Review and Meta-analysis of the Adverse Effects of Levonorgestrel Emergency Oral Contraceptive Clinical Drug Investigation (springer.com)
👏EMERGENCY 👏ORAL 👏CONTRACEPTIVE 👏DOES 👏NOT 👏AFFECT 👏FUTURE 👏FERTILITY👏ISSUES
If there is one thing I want the ladies of this sub to get drilled into their heads before I nuke this account is this. Read up, be educated, stop regurgitating misinformation used by the patriachy to moral police other woman.
Edit: This is in response to the absolute ridiculous post with hoards of misinformed woman giving out medical advice without any inkling of idea in terms of why and what makes ECPs problematic.

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I came to Florida for the first time. Spent a week. Got scammed twice. Also you can't park anywhere. Everything is a tow away zone. Drivers are crazy and everyone seems to be an ***hole. F Fort Lauderdale.
Want to edit my post to specify:
Scams:

1. Easirent car rental. I can write a 5000 word essay on how bad this is, but I'll leave a link to the reviews instead, which are accurate.

My bad for not researching first. I couldn't imagine a car rental place this bad existing. This business would not be allowed to operate where I'm from.
https://www.tripadvisor.com/ShowUserReviews-g34227-d18227832-r780280451-Easirent-Fort_Lauderdale_Broward_County_Florida.html

1. Vacations Made Easy (can't find link to reviews). Used them to book tickets for Carrie B. Boat tour. Once booked, they tell you to physically go into their office to pick them up (like it's 1996) instead of emailing them to you. Once I got there, and it was not easy to find the office that was a small kiosk in one of the building of the Wyndham, the lady who was supposed to manning the kiosk at the time wasn't even there. I went during their advertised "operating hours".

Why parking generally sucks:
Yes, there are many places with paid parking, especially close to the beach. However, if I want to try say, La Bamba, which has a small parking lot, I'm sool. No where else to park legally. God forbid the city made it legal to park on one of the nearby residential streets.
Drivers being assholes.
I have not been on the receiving end of this. My comment is based on how trigger happy people are in general to use their horn. Take a chill pill.
People looking into my post history:
Not sure what you're looking for, detective dipshit.

I’ve had a history of consistent itching and smell in my vagina for a while back in hs I’m graduating college now. I had gotten tested at a hospital and apparently nothing came back positive but the itching had persisted. When I did my own research I realized I could’ve have bacterial vaginosis and took honey pot boric acid and felt almost immediate relief. That was a year ago and when I feel like I could possibly have a flair up I would insert a boric acid pill to clear it up by the next day. I’ve recently been with my bf for the past 4 months and sometimes I would feel what I believed to be bv flair ups and then insert boric acid to feel okay.
Recently though, I’ve been feeling a different and stronger irritation than what I normally felt for what I thought was bv. It’s lasted for the past 4/5 days and boric acid wasn’t working like it had been in the past and I just went to a local urgent care to figure out what’s wrong. I thought it would’ve been a yeast infection because I believe I never experienced it before but the results came back with me actually having bv.
I apologize for the backstory because I’m still confused on what I could’ve had before if not bv or if this a worst case of bv, I’m not sure. The doctor prescribed me metrogel vaginal and I’m concerned on the side effects because I’m a student athlete and one of my biggest competitions is coming up in less than two weeks so I need to be able to train effectively. I’ve only seen one good review and the rest report nausea, cramps etc. Even if I get those side effects I wouldn’t mind if it works in the end but is it worth it? I’m also not covered by insurance where I am so I would be paying out of pocket as well.

Hello!
Most of these items have been used with some frequency, excepting the tenkara pole, but they're all in good working condition. Shipping is included, but please include extra 3.5% if using G&S. I haven't used the new flair review system, but have bought and sold here before that.
Images: https://imgur.com/a/wdFN1qm
MSR Dynalock Explore Poles: I believe these were originally meant for snow sports, but I've used them over the past few years for backpacking. I'm shifting away from trekking poles, however, so these have to go. $50
Jetboil Flash: You know what it is. Has been decently used, but works well. $60
Nissin Prospec 7:3 360: Opened up and examined but never used. $100
Prana Zion (dark khaki): These are in well-used (sap, some pilling, tiny holes) but good shape. $30
Zoleo Satcom: No longer have need of this. I used on maybe a handful of backcountry trips. $100.

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delusion

“delulu” moment, on the other hand, refers to “odd behavior but doesn't necessarily indicate a mental illness,” explains Minaa B. “An example may be if a celebrity follows an influencer's Instagram account, and the influencer begins spreading rumors the celebrity has a crush on them,” she says...Being “delulu” is not inherently bad...When done right, being delulu is not only safe but also healthy! In fact, Dr. Hoffman recommends practicing delulu thinking." https://www.verywellmind.com/should-you-embrace-delulu-thinking-8628811

violent doctors

malta psychiatrist "charged with domestic violence and harassment of his ex-partner." https://timesofmalta.com/article/psychiatrist-charged-domestic-violence.1092362

unhelpful

"United States Senate Commission on Mental Health Act of 2024, the goal would be to provide congress and the president independent policy recommendations by experts to improve access and affordability of mental health care services." https://www.wfmj.com/story/50774071/senator-fetterman-cosponsors-bill-to-establish-us-commission-on-mental-health poison pills will be more affordable when new york's 60,000 involuntary patients become voluntary and choose to spend less on drugs.

podcast

"explain a concept related to the commitment process in three minutes or less." https://mcdn.podbean.com/mf/web/wyefbz5x2pwptz4w/CC_Teaser.mp3

Due Process

n.y. times doesn't believe in constitutional right to a trial for any poison or electrocution. they need to learn what conflicts of interest are.

war zones

“If you go see a psychologist, it’s because you’re ‘crazy,’ and ‘crazy’ people are really discriminated against in Haiti,” he said." https://www.wral.com/story/violence-is-traumatizing-haitian-kids-now-the-countrys-breaking-a-taboo-on-mental-health-services/21428131/ Trauma is a normal reaction to being shot at. The quacks should be security guards.

nature

"denial of fresh air and outdoor access to individuals receiving psychiatric treatment in hospitals operated by NYC Health and Hospitals (H+H)...in jail or prison, they would instead be guaranteed the right to regular outdoor access." https://www.bkreader.com/health-wellness/patients-deprived-of-outdoor-access-at-city-run-psychiatric-hospitals-8709015

antipsychotic warning

"Warning letters to primary care physicians (PCPs) regarding overprescription of quetiapine were helpful in reducing overprescribing of this agent, new research suggested." https://www.medscape.com/viewarticle/do-antipsychotic-overprescribing-warning-letters-work-2024a1000928

talk therapy

"This editorial will focus on reviewing the psychological and psychosocial interventions that have been developed for psychosis...clinical outcome for people with schizophreniform illnesses has shown little demonstrable improvement." https://journals.lww.com/amhe/abstract/2014/15020/improving_access_to_psychosocial_interventions_for.5.aspx

overdose

singapore, "Mr Quek died of multiple organ failure four days after the last of these prescriptions was issued in 2012. He was 50 years old. The final prescription included a daily dosage of 60mg of antidepressant medication mirtazapine, which Dr Ang acknowledged went to the “edge of the killing range." https://www.straitstimes.com/singapore/courts-crime/psychiatrist-found-guilty-of-misconduct-over-prescriptions-that-deviated-from-guidelines

mediation

"Family Members at One Another’s Throats? Call In the Mediator." The only reason I was false arrested is parents' hate crimes. https://www.nytimes.com/2024/05/13/health/elder-care-family-mediators.html

baker act

florida, "from July 1, 2022 to June 30, 2023, there were 174,450 involuntary examinations statewide." https://www.naplesnews.com/story/news/local/2024/05/13/where-in-florida-are-the-most-involuntary-holds-for-mental-health/73517160007/

Hey there everyone. Like so many my story is very long but I’ll try to shorten it as much as possible. So lo no story I’m suffering and have been for a few years now without much answers or resolution other than being told to Lower my stress and IBS diagnosis.
———————————————
Symptoms: I’ve had weird stools that seemed to be mixed consistency of dark and lighter and a lot of looser floating style stools for a while. This has been going on for a while but it also got to a point where the stools where almost all loose and floating and very light brown almost pale sometimes and more undigested veggies and stuff that I never used to see in my stool.
I have very little appetite in that I don’t really feel like I get hungry but instead have to make myself eat.
This all started around 2021 or so.
I’ve had upper gastric pain alternating from the right side to left side throughout this period.
Recently my symptoms have escalated to include really fast transit (like 10 hours average for most meals) and bad lower right abdominal discomfort and pain. This is like a pressure and burning pain in a specific spot.
Also I have urgency every morning to the point I can’t wait.
I also have considerable intermittent pain in my center abdomen around my Belly button but that’s intermittent and not constant but at times has been pretty bad.
I did take a long round of antibiotics prior to this escalation of symptoms as well for unrelated issues and I had drank on Easter for the first time in a while and seems to have escalated things.
Finally anytime I eat anything unhealthy or carbonated etc I will burp ridiculous amounts for a long time.
———————————————-
I have had the following tests recently:

• colonoscopy April 2024—>normal ; biopsies negative
• sm bowel follow through April 2024—>normal but fast transit time noted for 30 mins
• CT of abdominal and Pelvic w &w/o contrast —> no abnormalities noted -fecal elastase May 2024—> 456 -fecal elastase Sept 2023–> 296 -upper endoscopy gi aug 2023 —> showed inflammation in my esophagus but Barrett’s after biopsy.

———————————————
My main question is if EPI or CP needs to be considered more than my drs seems to think because they state that those elastase test are within normal range because they are above 200?
The thing is I’ve seen contradictory things online stating that between 200-500 is suboptimal so is my elastase results and symptoms in line with
What tests should I have done at this point? My dr doesn’t do EUS or pill cam endoscopy and doesn’t seem to think I need MRCP or ERCP etc because CT is normal and Elastase is “normal”
In review:
I’m in some good amount of pain a good amount of the day and have concerning loose floating stools and urgency along with burning pain in my lower abdomen / pelvis. I’ve got 2 elastase tests below 500 but above 200 since September. Is this possibility EPI or CP?

So on 02/02/2023 I was involved in a car accident. I was the front passenger (21), my younger brother (19) was behind the driver (21) and the driver was a friend that I'd been to school with and good friends with for a few years. It was a swooping corner where the speed limit for the road was 50mph. I don't remember the accident because of the extent of my injuries, which I'll talk about further on, but my brother seems to remember it like it was yesterday. I'm not going to get into all the nits and grits because I'm not here to talk about that. From my brothers recollection she was going 60/65mph. Now this corner is a corner that most people take going about 35-40mph fastest so when it was hit with this speed, she lost control. The car flipped twice and caused driver and bro to pass out for a second. Now me, me on the other hand, I got fucked up. So, unconscious and the fire brigade had to cut me out. Ambulance got to me after that and I had a seizure in the ambulance. This is all on a corner 5 minutes away from my home, maybe not even that so my mum had quickly attended. The ambulance had to give me 4 pints of plasma and 4 pints of platelets on scene so, damn I've lost more than half of my blood on scene so yeah oof ok. I was unconscious the whole time, sent to the Trauma ER, thank god, and well that's where it begins in a way.
I'm sorry to bombard you guys with this as my first post, I've got accounts I just didn't want to put time into logging in. So, injuries I'll list em head to toe:- Major head trauma: Skull fracture, Right side perforated ear drum, Fractured spine (C6), Broken clavicle, Broken elbow, Broken ribs x2 (4L, 6R, I believe), Nerve damage of the entirety of my left side: Nerve damage to the eye caused double vision as the nerves in the eye couldn't move the eye as well, Due to the perforated ear drum I now require a hearing aid because it's damaged and doesn't work as well. I was in a coma for 5-7 days (can't remember how long),The major head trauma caused me to forget a good chunk of the year before and the memory loss got more sparse the further it went back so I remembered childhood shit but not much of 2022, Kind of most of 2021, then it drains off and None of 2023. I got a good amount of 2022 and 2023 given back to me through other people telling me memories. My family were all in the hospital within an hour, they were told by the doctors that they didn't know if I would survive but if I did that there was a high chance of me having a disability of some sort or not remember them. Even in ICU when I started to twitch and move the way my family's used to seeing me move, they'd always be like 'It might just be her reflexes' n shit like that.
This is where it gets deep. That's the first thing I had to learn to deal with, I had short term memory loss from the brain injury so I had to rely on the memory of others. Before the crash I was smoking weed, didn't have a reliable job that I wanted yet and I was free. I'd broken up with my first girlfriend of 4 years and I spent the whole of January finding girls to shag (I slept with 3 from after Christmas till the crash) and I had no commitments. Nada. I remember feeling fucked with not knowing what to do but feeling great about the fact I was free. It had it's ups and downs. After the crash I was in hospital till mid march, I got my neck brace off in Jul/Aug, I got a girlfriend in August (one of the ones from January that I'd been chatting to in hospital and shagged in my neck brace) and then come round to September I manage to have the energy for a few shifts at the pub. Then, since January, I've been working full time, 5 days a week at a Primary school. One thing that no one can understand is what it feels like to come from being that weak, so weak that anyone around you doesn't want you to carry anything to in the gym better than before. I look fine now. Believe it or not the only visible injuries that say I nearly died are my hearing aid, my neck scar from my hospital tube and a wonky broken finger (but that happened in hospital because the nurses weren't watching me when they were told 24/7 watching so it's fucked). I look fine but I'm not fine. I think part of what I'm sick of is people seeing that I've healed physically so they assume I'm fine and better than before but no, I'm worse. I feel worse than I did when I was fucked up, neck brace on 24/7, Oramorph at night as well as literally 12 other pills. 12 pills 3 times a day. No one will ever know what it was like to have to take all of that. They all had a purpose, every single one 3 times a day had a FUCKING PURPOSE. I'm only taking 4 a day now but that's because I've been diagnosed with ADHD and I'm taking meds for that. Only ones from hospital I'm still taking is Propanalol but I'm due for a review. All of these appointments. CT scan, MRI scan, finger check up, clean neck brace, get your hearing tested, do a teaching assistant course, learn to be a SEND teaching assistant on the job, check up for your health condition, confirm with the doctor you can drive. ALL THIS SHIT BECAUSE MY FRIEND OFFERED TO DRIVE AND I SAID YES, WHEN I WAS GOING TO DRIVE.
Moral of this is, if literally anyone has had anything similar or something they thing they should say about their experience that might help me with all of this. I'm not gonna read back through to check for grammar errors or make the story come across perfectly. At the moment it just feels like the only thing that's stopping me top myself is knowing I've got money coming my way. It's hard though because how far can someone be pushed until money isn't worth living for.

I know that I’m lucky to have survived my first covid infection that lasted 21 days despite taking two rounds of Paxlovid. I also feel lucky I was able to stay on one of the antidepressants I had already been taking. But I’m not sure if I can keep up with even a low activity life. I could use some encouragement. I’ve taken so much in my own hands and wonder when is the point at which someone in the medical profession helps or even anyone in society? No one in my family believes me so I don’t even bother asking for help.
When I got infected, I had already been diagnosed with autoimmune arthritis for which I take an immunosuppressant and mental illness for which I took both an SSRI and strattera. Because I was immunosuppressed, I was isolated socially during the pandemic but doing okay. The strattera was used to help my attention issues. After my infection, I started Paxlovid and discontinued strattera to protect my heart.
after I finally tested negative, I started getting abnormal heart rate alerts while at rest from my watch. I had chest pain. Although I had previously been a distance runner, I would end up in bed for days after even brief exercise. Needless to say, I wasn’t able to restart strattera. My HRV was shot.
I am allergic to NSAIDs so my main way of managing arthritis pain was increasing my pain tolerance through distance running. But I’m no longer able to run. I have trouble walking. My rheumatologist said I can only have prednisone if my knees swell to the size of grapefruits.
Separate from the fatigue and heart issues, I have brain fog. It’s much worse than my attention issues before covid. I’m sensitive to every day stimuli, have word finding and memory issues, and sometimes feel mentally exhausted. My doctors have not done the paperwork that can help me get accommodations at work and I’m getting tired of searching for doctors.
What I’ve done so far: - I had been having what seemed like allergic reactions to nothing. I eventually started taking Xyzal and quercetin. I had read about those on the internet. I also take vitamin D and turmeric.

• Noticing that my hemoglobin MCHC and MCH were low and my RDW was in range but at the top of the range, I convinced a NP to order vitamin D, iron, ferritin, and TIBC. I found my iron was okay but ferritin and iron sat were low and TIBC on the high side of normal. The NP and my psychiatrist did not think these would be sufficient to account for my complaints but I thought why not knock out some low hanging fruit? And at least later no one could attribute my dysautonomia to being anemic.
  
• I have been having GI issues and can’t stand the iron pills. But I feel I have no choice.
  
• I stopped eating aged cheese. This was the only food trigger I found.
  
• I eat more salt.
  
• I thought inflammation in my brain might be making matters worse. I tried an induction course of ketamine as a sort of Hail Mary. It did help but it’s very expensive. My Gad-7 and PHQ-9 are no longer showing more than mild anxiety and depression but my brain fog and fatigue remain despite not being moody. And who wouldn’t be moody if they could no longer work, run, cook, think, stand up for a shower, or speak as they had previously done?
  

I couldn’t find anyone who would write for LDN so I tried getting it online. My appointments is at the end of June. I don’t know if I can make it that long.
I am so tired. Physically. Mentally. Emotionally. I shouldn’t have to review my own labs and beg the medical field to do even simple blood tests that would explain fatigue. Vitamin D, iron tests, ANA…this would take the person almost no time to order. Sure, the forms that would allow me to get accommodations at work are much more involved.

firstly thnx really for all doctors here who is helping people and answer their questions, My message is a bit long, but I wanted to mention all the details. My problem is in the specialty of urology. I'm an athletic young man with no health problems, age 34, single, never had sex before, I masturbat for a few times a weekly, About five months ago, I suddenly and without warning, and immediately after I got out of the shower, experienced severe pain in the left testicle, abnormal pain, to the point that I could not walk or stand due to the severity of the pain. At the same time, I felt pain in my bladder, like a rupture, and I began to urinate a lot. An entire night like this, I used a pain killer that I had, and then the testicle pain began to ease and return until the morning. The second day the pain returned, I went to a nearby hospital, but there was no doctor whose specialty was urology, so they gave Ciprofloxacin 500 and a painkille- diclofenac potassium 50. I used these pills for the next days, The result was the disappearance of the left testicle pain, but a constant feeling of mild pain in the bladder, frequent urination, a constant feeling of the presence of light urine in the urethra, and really strong weakness in the bladder muscles, and I feel when I squeeze the bladder to expel urine that it comes out weakly, and when I squeeze the bladder muscles I do not feel strong control on it as before. The most important thing is a feeling of lack of sexual desire, the absence of a morning erection, and the difficulty of maintaining an erection. I felt that the desire was 90% absent. I stayed like this for a week and I was surprised because usually my desire is strong and I always have a morning erection. Even after that I tried masturbating, but the erection was weak, the desire diminished. To a very large extent, ejaculation was rapid and at an unusual time, and there was no ejaculation, only fluid came out. Unlike my normal condition, the ejaculation was strong and the erection took a long time to disappear, and even after ejaculation the erection remained.
I stayed like this for a while, taking ciprofloxacin, and the symptoms were the same. In fact, I thought I had an enlarged prostate. After two weeks, I visited a urologist in my area, after examining and taking an ultrasound of the area of ​​the ureters, kidneys, and prostate. The doctor did not order a urine analysis or anything, and he said that there is nothing wrong with you and the prostate is fine. Your problem is simple, and it is bloating in the colon that has affected the bladder, and it goes away with time and you will return to your normal condition as soon as possible. He prescribed me Ciprofloxacin 500 two pills a day, and he said take the medicine until you return to normal and there is no need to review, and this has been going on for 4 months and a little, and now I am taking two pills in the morning and evening. If I quit the medication, I feel worse. My current situation: - Urinate quickly after drinking fluids - A feeling of heat in the body in general and constant heat in the genital area after every morning awakening - A feeling of coldness in the head of the penis always - Almost complete absence of sexual desire (and I was usually very active, meaning that I had an erection in the morning and thought less about topics of desire, as there was a response from my body) - Erection is very weak, ejaculation is rapid and small in quantity and comes out without ejaculation. (I tried masturbating several times during this period to see if my condition was normal or not.)

• After ejaculation, sexual pleasure disappeared by 80 percent compared to my previous normal state.
• The external area of ​​the penis began to feel that its response to the sense of touch had diminished by 50 percent or more, to the point that sometimes I pinched it forcefully and did not feel anything. Unlike before, the penis was sensitive to any touch.
  My psychological condition has worsened for these reasons, and I want to visit a good doctor later im looking for a new one in my area,cuz i live in a place wich doesn't have the good doctors. In general, what do the specialists think about this case, Will I remain like this, because I really feel that I have become sexually impotent?
  

*sorry for my english, it not my native language

So I haven’t had sex in a year. I have a pretty big fear of getting pregnant, so I was using condoms. All fun and games until I had a few break on me, and I had to take morning after pill. I have been on 3 different types of the pill, two were the combined pill and one was the progesterone-only pill. I found they all made me almost completely lose my sex drive, so I stopped taking them. Whats the point of being on the pill if I’m not interested in having sex? I assumed it was due to the hormones, so I haven’t even looked in to the other types of hormonal birth control as I assumed they would just have the same effects (implant, mirena IUD, injection etc). I was doing some research on the copper IUD, as it seems like a very effective non-hormonal method of birth control. I found that out of all the reviews I have read, about 80% of them had a terrible experience on it.
So I can’t always rely on condoms, hormonal birth control doesn’t work for me, and the copper IUD has a considerably high chance of making my life miserable. Is abstinence my only option?
I have completely lost touch with my sexuality due to this. My fear of pregnancy has taken over my life. I know that none of these methods are 100% effective, but they would provide a LOT of security for me if they worked for me. I am young and want to live freely. For the record I have never been pregnant, and plan to keep it that way for at least another 7-8 years.
Is there any advice anyone can give me? Or is anyone here in the same boat?

First of all, I want to thank the people on this subreddit who offered the information that made me feel like I could go through with this. I’m a longtime lurker (posting from a throw away) but finally got my bisalp earlier this week and I couldn’t be more excited. This was my first experience with surgery/general anesthesia, so I wanted to share my experience in as much detail as possible in hopes that it can help someone else know what to expect. My only regret: not doing it sooner. :)
About my physical health: I’m a 33 year old woman who’s never had kids or even so much as a pregnancy scare. I’m 5’5” and 124 pounds, and I feel privileged that I have no major health issues; I exercise on a daily basis and try to eat healthy when possible; I’ve been a social drinker for the past few years; I use THC and CBD several times a week, but in small doses (like 2-5mg); I’m diagnosed with ADHD and regularly take medication for it, but that’s the only prescription medication I take regularly.
About my desire to not have kids: I’ve known since I was a kid that I never wanted to have any children of my own; being raised by two neglectful parents made me realize how selfless and patient a good parent needs to be, and how I have no desire to be that person. Some of my favorite things about my current life include freedom, good sleep, some disposable income, minimal stress, and not being responsible for anyone else. I’ve also never used any forms of birth control aside from condoms. What galvanized me to take the plunge with permanent birth control was the situation with Roe v. Wade… I’d rather just embrace my childfree lifestyle and ensure it stays the way it is. It’s hard to put into words the relief I feel about not ever being able to have kids… it’s surreal in the best possible way. It’s like I’m still trying to wrap my mind around having finally achieved a dream I’ve been thinking about for years.
About my health insurance: I’ve been on Medicaid for the past 3 years. When I was first approved for Medicaid, I was automatically placed on my city’s plan (Denver Health) and since that was the only option that was covered, I tried to schedule a bisalp there. The nurse practitioner I met with walked me through the details and asked if I’d thought it through and fully understood if it was permanent (I’ve forgotten her name but can try to look it up if anyone’s interested). I said yes. She told me she approved me for the procedure, and that the next step would be to wait for the surgery scheduler to give me a call. The scheduler tried calling me about 6 times over the next two months, all during work hours when I was unable to answer my phone; I was never once able to get through to her even though I tried calling her back 43 times before I gave up.
I applied for the Medicaid option with wider coverage (Colorado Medicaid) the next possible chance I had. I’d researched doctors listed on this sub and had seen that Dr. Dabelea had gotten good reviews AND accepted Medicaid, so I booked a consultation. (again, a big thank you to fellow redditors on this sub for recommending him)
During the appointment, Dr. Dabelea confirmed that my past bisalp approval was still valid, and I appreciated his kindly and gentle tone as he reiterated the details. Everyone in the office was incredibly kind, in fact, and especially Betty, the scheduler (she actually scheduled me for the surgery unlike other clinics–I’m looking at YOU, Denver Health). I told her about my anxiety around medical procedures and she suggested I choose the earliest morning appointment time possible because my surgery would be less likely to be delayed than if I booked an afternoon time slot. As someone who hates waking up early yet hates waiting around anxiously even more, I accepted the earliest time slot–a 7:30am surgery. This meant that I’d need to be at the hospital by 5:30am to check in and get prepped. The first available surgery appointments were about a month out and Betty got me set up with a 2 week follow up as well. She sent me home with a surgery “goody bag” with Ensure to drink 4 hours before the procedure + a bottle of Hibiclens soap to use in the shower the 4 days prior to surgery + chapstick.
What I did to prepare: 1. put reminders in my schedule to start showering with the soap 4 days out. 2. The Ensure went in my fridge because Betty said it was best when chilled. 3. I asked a close friend if she could get me to and from the hospital. 4. I completed the online surgery registration forms about my current prescriptions, health history, etc 5. I immediately started reducing alcohol , THC, and CBD and completely cut them out about a week before my surgery. 6. The weekend before, I deep cleaned my house, did all my laundry, took out the trash, got groceries, and asked friends for recommendations for light TV shows I could binge. 7. The day before, I made a nest on my couch with cozy blankets and a hot water bottle and a mini stockpile of meds (including gas pills and throat lozenges and laxatives). I made a smoothie and stuck it in my fridge for the next day. I laid out my clothes (baggy black cotton maxi dress, cozy sweater, and slip-on shoes) and threw some essentials in a bag just in case I’d need to stay overnight (airpods, chapstick, phone charger, toothbrush/paste, underwear). I double checked the pre-surgery info page, and followed instructions not to eat or drink anything after midnight… 8. …except for the chilled Ensure that I set next to my bed before I set my alarm for 3am and 4:45am. 9. Woke up at 3am and chugged Ensure. 10. Woke up again to shower with the Hibiclens one last time.
My friend got me to the OR admissions office by 5:30am. From there, the warm-voiced receptionist handed me an iPad to fill out a few more details and explained that a nurse would be along shortly to take me upstairs to prep for surgery.
Upstairs, the nurse weighed me then instructed me to go into the bathroom to provide a urine sample: “even just 3 drops is all I need,” she said. (Thankfully she didn’t need much, because I didn’t have much in my system.) Next, in the prep room, she pointed out plastic bags for my clothes and shoes to go into, along with a back-opening gown and grippy sock slipper things. She motioned to the packet of 6 surgery towelettes and told me to use one for each arm and leg, and the front and back of my torso and said she’d leave me to do that and get changed.
Once I had, another nurse came in to go over a few other details. I confirmed that I felt like a big ol baby with my anxiety about the whole thing, and she said it was normal and that she was impressed that it was my first time with general anesthesia. She suggested that she could add a couple friends’ phone numbers to get text alerts about my progress so they could have an idea of when to pick me up.
“Placing the IV is the hardest part,” she said as she answered my questions about its purpose. “This is how we’ll make sure you’re properly hydrated. And this will be how your anesthesiologist administers sedation. They used to use gas, but they rarely do anymore because it tends to cause terrible nausea for women.” She asked if I got carsick easily, and when I said yes, she provided me with an anti nausea patch of scopolamine behind my ear. “If you happen to touch it, just be sure to wash your hands ASAP. If you touch the patch then accidentally touch your eyes, they’ll get really dilated.” She then told me that she’d be getting me a small cocktail of pills to take before the surgery.
IV placed, I gulped down my pill cocktail. The nurse asked if I’d like to use the restroom one last time.
Next, I briefly met the anesthesiologist. He threw me for a loop when he asked about the prescription medications the nurse had just given me–he seemed to think I was regularly prescribed them until I told him they were just for today. (“Please don’t mess up my anesthesia,” I thought.) He asked about my habits with alcohol, and how often I used THC. He clarified that regular users of high THC doses tended to need more anesthesia to knock them out.
When Dr. Dabelea came in and greeted me with a handshake and asked if I had any questions, I asked him if it’d be possible for me to take my tubes home with me. I felt like a weirdo for asking but he seemed to take my request seriously. “The usual procedure is to send the tissue to the Pathology Department to confirm that the tissue is, indeed, the Fallopian tubes,” he said. “It’s very rare that it isn’t, but we do this to make absolutely sure that the patient is sterilized.” Fine by me–I’d rather be totally sure than have some weird shit to put on my mantle. I also asked him if he’d been seeing an uptick in bisalps. “Yes,” he said, “before the Roe v. Wade situation, I did 1-2 bisalps a year for women under 30. Since the decision, I’ve been doing 1-2 per month.”
One of the nurses popped back in to put my phone away in a locker with the rest of my stuff. As she was doing that, I met the final member on my surgery team, my OR nurse, and immediately liked her warmth and the competence she radiated. I told her how silly I felt for being so nervous. As she wheeled me back to the OR, she told me I’d be in good hands, and that in a few minutes I’d get to drift off to sleep like I was on a tropical beach vacation. The compression pads around my calves, she said, would start inflating and would feel like I was getting a massage.
She helped me shift onto the OR bed, then the anesthesiologist was placing a mask over my face and instructing me to breathe deeply, and the next thing I knew I was waking up in a curtained section of PACU. A new nurse was asking me what year it was and I told her. (“It is 2024, right?”) Then I asked her what time it was. The surgery had gone quickly–it was 8:30. The nurse asked if I needed to pee, I said yes, and she brought a bedpan. Apparently they’d used a catheter on me, so the slight soreness around that plus the bloated sesnation in my belly made me feel like I had to pee more than I did. The nurse brought me water, applesauce, and graham crackers before she walked me through post-op instructions that included things like: avoid alcohol for at least 24 hours; drink plenty of water; avoid spicy/greasy/fried foods at first; avoid lifting anything over 20 pounds for the first couple weeks; take the least amount of your prescription narcotic as possible.
She went to pick up my prescription of pain pills from the hospital pharmacy (very convenient; I’d called the office the week prior to see if I could arrange to pick up my pills before the surgery, but the receptionist had let me know that the hospital’s pharmacy would get them to me).
At around 9:30, I was ready to start getting dressed. I texted my friend that I’d be ready to go soon, and before I knew it, I was in her car on the way home.
I could not be more GRATEFUL to have gotten this surgery. I feel blessed to have experienced minimal pain: I feel aware of the bloating and incisions, but not in a painful way. If anything, my stomach feels the way it would the day after a big ab workout. I was prescribed a weeks’ worth of pain pills (2 per day) but luckily this post-op discomfort doesn’t come close to the sharp pain of my monthly period cramps.
While researching this surgery, several people had mentioned the risk of constipation from dehydration and pain pills, so I took a laxative in the evening of day 2 (about 36 hours after surgery) and ate a meal with lots of beans.
Stuff I’d recommend: 1. Make sure that your pickup person has a wide-ish window to pick you up, just in case it takes you a while to come out of anesthesia. 2. If you like CBD, have plenty of it on hand for after the surgery. (Please take this with a grain of salt: there can be interactions between pain medicine and CBD.) 3. Wear the absolute baggiest clothes you own. The dress I wore was essentially a giant bag. 4. The day before your surgery, drink some electrolytes and try to get as hydrated as possible. 5. Although waking up before dawn isn’t ideal, I loved knowing that I wouldn’t have to deal with potentially anxiety-inducing delays the way I might if I had a surgery scheduled later in the day. 6. Do as many little chores around the house as possible so you don’t have to worry about taking out the recycling, for example.
I’d read about how terrible it was to have your period start soon after this surgery, but I couldn’t change the fact that mine was due to start 3 days after. Thankfully the cramps weren’t extra painful. The only difference I’ve noticed is that I’ve definitely bled a bit more than usual.
TL;DR: I had a smooth bisalp experience and highly recommend the procedure if you’re considering it.

I’ve been on the shot for about 5 years now. My period has completely stopped. Before that, I just took pills. I started birth control in middle school because my periods were more often than once a month, extremely heavy, with horrible cramping. I don’t even know who I am without birth control anymore as I’ve been on it for so long. People completely freak when I tell them how long I’ve been on the shot and tell me I need to get off. My issue is what to change to. I have an appointment set for the IUD (Mirena), but after reading about people’s experiences I don’t know if I will be able to handle it. I already have a hard enough time having sex and getting Pap smears. I would love to just get off of birth control completely but I fear that when my period comes back, it will be just as bad. I’m not sure what to do and I would love any and all advice as to what you all think would be best. One of my clients also gave me a fear that I have endometriosis, but my Obgyn told me not to worry about that right now and that it was probably just puberty. I started my period in fourth grade for reference. I have done pretty well on the shot, no extreme weight gain, it cleared my face up, and not having a period at all is really nice. I’m 22 now so I’ve heard mixed reviews on whether I should be concerned over continued usage or not.

Hi guys so I’m writing this down as a potential help line for guys whose gf/wife got pregnant and wants an abortion. Hope this helps! So a few things to take note is that once your gf misses her period, if she’s not known to have inaccurate period timing, go take a test asap. Because firstly, you’ll prob take off that big if about her being pregnant and more importantly, you got more time to plan (crucial). Pregnancy timing is very important especially first 8 weeks because that’s when y’all can explore more options on methods for abortion. First thing in mind is definitely pill because it’s cheaper and more discreet but pills also need to go for minimally 2-3 reviews afterwards. Then there’s the suction method which is 100% (unlike pills) and a lot safeeasier on the mother. Although more expensive but at this point in time you really thinking about money meh if not enough just borrow then go work afterwards to pay back it’s part of the parcel of your consequences. Why I mentioned it’s crucial to have time to plan because this needs to make appointment even seeing the doctor for pills/suction also need make appointment that’s why should just test early so you have one less headache or not having enough time. Honestly no need Paiseh at least you’re here taking responsibility and owning up to your actions no pump and dump so kudos to us bro. No need stress because there is a very clear path and you know what to do there’s a direction.
Okay now on to the taking care of your gf part. She will start having symptoms such as vomiting and a whole lot of tiredness and low energy vibes. Need to be EXTREMELY understanding because it’s actually very tiring for her, especially if she’s working/studying. Whatever acts of service you can do for her just do be it fetching her from work/school or sending her there or meeting her for dinner, anything you can do just do because whatever tiredness or sian you go through, she’s going through 10x worse.
Okay that’s all broski I hope this helped you out well and I promise you that everything will be all right :D