Singer with a big band, mostly Sinatra charts, though I've hit a few of the Anka charts from Rock Swings (2005).
I've gotten a lot of accurate transcriptions form eJazzlines, but I was wondering what other websites I should be looking at, especially as I've noticed some of the Anka charts I've previously purchased have been removed, as well as some I was planning on purchasing.
My wish list includes:

• My Kind of Town 1974 Nelson Riddle arrangement (also used on Duets in 1993) that omits the verse and starts with a hard swing. (the band I'm with can't handle the soft verse section of the original 1964 arrangement). I'm hoping to use this as the band's closer in Chicago gigs.
• Don't Stop Me Now, the 2015 arrangement by Murray Gold for Doctor Who.
• Against the Wind, the 2007 arrangement used by Paul Anka that has an amazing Basie feel.

So I'm looking for either additional websites or someone the band can pay to transcribe charts.

I have been diagnosed with ADHD for over like 10 years by 3 different doctors and have tried different medications. Long story short I stopped taking them either because it was expensive to follow and anxiety was off the charts.
From all the periods I took the pills, the best time for me was when I was taking only 10 mg of Tradea and Wellbutrin. I moved to Norway and the doctors insist with Aduvans (almost the same as Ritalin) but it has really bad side effects like dry mouth and excess anxiety.
I think I can use a mild-antidepressant like Wellbutrin. Has anyone been able to treat ADHD it with mild antidepressants for long periods? If so, how was it? I really cannot tolerate 40mg+ of Ritalin,etc

34F, 5'4" 140lbs, in the US, migraines, generalized anxiety disorder and OCD. I take wellbutrin and anafranil daily. I take sumatriptan for migraines.
I had a migraine that continues to last now 18 days (status migrainosus per my chart) and none of the regular methods would stop it. Thus my neurologist prescribed Zyprexa for one week - 5 mg for two days and then 2.5 mg for five days.
The Zyprexa made me extremely irritable and gave me terrible nightmares. I have been off the medication for five days now and the migraine has come back PLUS I'm still having the above mentioned side effects. My husband is waking me crying due to nightmares multiple times a night. I was able to get squeezed in for an urgent appointment tomorrow but it's only with my Neurologist's PA and I'm super nervous to take anything else after this.
Is this expected? How long until these side effects go away? Is there a way to speed up that process?
Thank you

Hi all,
Long time listener, first time caller. 33-year-old male. Workout 4-6 times per week and eat relatively well. Found my latest blood work (first time with this level of detail) interesting and was wondering if there was much to be concerned about. Specifically, my Lp(a) and ApoB aren't off the charts, but my LDL is quite high. Any thoughts would be appreciated!

Marker	Result
Lp(a)	18.3 mg/dl
ApoB	81 mg/dl
LDL	137
Total Chol	199
HDL	54
Triglycerides	43
Non-HDL Chol	140

Posting first time to seek opinion,
I was diagnosed with T2D on 22/04/2024 with A1C report showing massive 12% ratio.
Below is my routine and steps i took,

1. Immediately cut down carbs and sugar intake
2. Immediately started exercise. Slow start but currently about 4km Morning Walk Empty stomach, 4km Evening and and 4km at night after light dinner
3. Glucose level average first few days remain at 280 then reduced to 170 without any medicine in about 15 days.
4. I went to physician, at first he said no medicine required but keep this routine and intake as it was brilliant but when i told him that in the morning at and night when i walk despite no major intake my sugar spikes to 250 and then normalize to 140 on which he recommended

https://dawaai.pk/medicine/xiga-met-xr-5-mg-1000-mg-tablets-2-x-7s-pack-47659.html
1 tablet a day after breakfast.
The problem i am facing are

1. When i walk in the morning empty stomach, No matter what i do, I take breakfast or not, use medicine or not, My glucose spikes to 250 and even 300 sometimes
2. Same phenomenon happens at night walk after dinner
3. Walk in the evening however reduces my levels.

Health and symptom wise i feel nothing on the contrary i feel super active, without thirst or hunger and energetic. Currently i am planning to add running in my schedule too.
Its like medicine is doing nothing except causing dihrea and strain on muscles. My sugar levels are like timed and they know when to go up making me think that i should drop the tablet. physician says its normal but its still sitting on back of my mind that this much high glucose while exercising should not be good.
Currently my chart showing my current day to day average level at 160. My next test will be around 31/07/2024
Edit: Typo as i am diagnosed with Type 2.

The official reason was discharging a patient without an order from a provider. Which, yeah, is bad. But the nurse educator told me that this should have been a write-up, not a termination. My direct supervisor, the clinical nurse manager, was excluded from this process. They tried to escort me from the hospital without her knowing. There's been a culture of bullying and intimidation from management at this facility; googling the CEO reveals a lawsuit settled out of court for illegal retaliatory practices.
Honestly I felt kind of relieved, just yesterday I told a seasoned nurse I didn't think this was a safe facility, and she laughed for a solid minute and was like, yeah, and you think this is bad,? Check out some other hospitals.
Editing the post for some clarification.
Extremely fast discharges happen on this unit on every shift. In our previous charting system, nurses completed medication reconciliation, and frequently entered discharge orders and medical clearance orders for providers. Additionally, ambulatory psych patients are more medically stable, and are frequently readmitted days after discharge because they have a treatment resistant form of mental illness. This was one of those patients. Additionally, many of the patients are direct admits from prison, and are extremely violent to the point that they need to be put in restraints immediately upon arrival to the unit, as well as managing the acutely psychotic patients already on the unit. We also get patients with medical comorbidities that need to be transferred off the unit. Yesterday I had a patient whose blood sugar vacillated between 740 mg/dl and 47 in a 10 hour period. When I called his consulting medical provider, I was told they weren't comfortable managing this patient, and to contact the hospitalist. Except the hospitalists at this facility don't answer their phones, and rarely show up. This post was not intended to be flippant. It's because, while I realize the severity of the mistake, these kinds of mistakes are highly likely on this unit, and when I expressed this to another very experienced nurse, and she responded by saying this lack of safety is an industry standard, that freaked me out. Just wanting some kind of understanding and support from the hive mind, this should have been posted on a psych specific sub.
Final edit:
Hey guys, I won't be interacting with this post further. Thanks for the great discussion around this. I posted this because I want to foster discussion around mistakes, and push back against the culture of shaming and self-flagellation for healthcare workers. Those of you saying I expressed inadequate remorse, examine your sanctimonious attitudes. Of course I felt terrible. It's an awful mistake to make. I called my manager right away and asked her how to handle it. She was understanding, kind and direct. She was excluded from the termination process completely, there are a lot of politics happening within the department currently that I won't get it into, but nurses have been retained here after doing much worse. As u/sockfist pointed out, these kinds of mistakes take place within a culture of unsafety, and addressing systemic issues is the solution, not further blaming nurses. Nurses are blamed for everything. Administration made the decision to fire me immediately instead of re-education or remediation on a unit where these mistakes were made due to dangerous staffing, further exacerbating the problem. We all fuck up sometimes. It takes courage to talk about it. Please work to create a culture where we can do that without being punished for it.

Had a horrible fight with my husband, we had been drinking. He left and I took 4 mg zanax (I usually don’t take them if I’m going to drink). I called the Samaritans and they asked my address then abruptly hung up. Not 10 minutes later 7 fire fighters, 2 paramadics and a cop showed up. I was taken to hospital and after 4 hours given the all clear.
My question is as I’m sure the hospital will send my chart to my gp. Is he likely to wean me off them or stop them altogether? I’m in an enormous state of anxiety this morning and I don’t have an appointment until Wednesday .
I take the resposible and usually 1 month will last at least 6 weeks. I’m not a dope fiend just a 63 year old lady navigating life until timer is up.
Thank you for reading.

22F, 5' 6", 112 lbs, caucasian Medications: OTC Tylenol for monthly menstrual cramps Supplements: Women's daily multivitamin with iron Most recent blood pressure: 88/69
Question:
I had routine blood work done yesterday, and I got the results back today. Everything was within normal range, but I noticed that my A1C value was almost into the prediabetes range.
My fasting glucose was 80 mg/dL, and my fasting Hemoglobin A1C was 5.5 (with Estimated Average Glucose 111 mg/dL). Should I be worried about this?
This was my first time getting an A1C test, so I don’t have anything to compare it to. I looked at my online medical chart and saw that my routine fasting glucose numbers have always been normal.
I’ve always been slender and I’ve never managed to get over 116 lbs due to a low appetite and a high physical activity level (and maybe genetics – all the women in my family are very slender until menopause). In January, I made it a goal to work really hard on gaining weight. I'd like to reach 125 lbs by the end of the year. I’ve added a lot of carbohydrates (a mix of white and whole wheat) to my diet over the past few months to try to speed up weight gain, but looking at the A1C numbers I’m now worried that I could be heading into trouble in the future. I’ve been trying so hard to gain weight, but I don’t want to end up with diabetes in pursuit of that goal. Are these numbers an early warning to take action?

Demographics: Age: 22 Height: 172 cm Weight: 86 kilo Gender: non-binary smoking status: non smoker medical issues: gender dysphoria, anemia, chronic fatigue, splenomegaly, chronic bladder pain & pelvic pain & UTI, bipolar II, GAD, social anxiety disorder, some more I'd have to look medications: hormonal replacement therapy (estradiol), anxiety medications ATM Lexapro once a day, lamical 200 mg twice daily, buspar. bladder pain treatments are instilled into my bladder, but this is most definitely irrelevant to this post
Recently I have not been able to express my medical needs properly. I have ASD and some other anxiety disorders, but I've been able to cope with the challenges living with ASD has in an albleist world along with my anxiety very well when seeking medical care. I currently have an array of health problems I've been monitoring. Primary care has tried to use hematology and genetics etc. to get a diagnosis. The array of symptoms I have, and trying to find treatment has been at a halt at the moment and we need to restart from the beginning. I think at least that's what we're having to do. My PCP has always been excellent at providing care for people like me. But I'm currently running into some difficulties functioning that are a big thing in the way of continuing this process. We can all say that psychology&psychiatry& therapy could possibly help with these problems with learning how to help myself. But these issues are getting worse and I don't understand why. I've chiefly experiencing this sensation, that is linked to the in office experience, where the words that I'm speaking don't feel like my own, or I can't control them properly to express myself, and I will basically misrepresent myself when speaking. I've tried making lists, which is something I have always done for years to keep our visits on track. But that leads to another issue. Memory. I for the life of me cannot remember much anymore. I cannot remember enough to even form proper lists. The last visit I had with primary care I had a list that was just a bunch of vague things that I was thinking were in the directions of me expressing my health problems. But it did not work. I ended up wasting my pcp's time and she had to do the get out of my office thing. It took me two weeks to realize she tried to leave the room three or four times, because the conversation looked like it naturally ended? But it didn't for me and I was still lost. I think she understood that at the end but I can't be in a situation where primary care is just trying to tell me what needs to be done or maybe even what to think because I'm not sure idk. To give an example. She told me we needed to follow up with genetics and get their eval because that's what we were waiting on. I saw genetics one last time and they told me they found nothing to explain anything and to follow up in five years (not that the doesn't make complete sense). In two months I will be seeing my primary care doctor again. And it's not like I'm experiencing health anxiety with symptoms I'm making up. these conditions are chronic and serious matters. Another example, if I were to go to psychology, I would not be able to represent myself properly to even ask and get the right help. Not that I would do that for this type of thing, because it would just rob me of my subjectivity in the same way. I recently tried to follow up on something on MyChart, because with all the other problems and doctors I've been communicating with this year I have been able to do emails very good or somewhat well. I couldn't do it and she told me that we need to do these things in office to get me the best care. I'm not sure if she has time for the back and forth as it's not ideal for either of us. I seriously don't know what to do at this point except stop seeing anyone. I'd still be very sick, but I can survive the way I have because it has not got any better. I can keep getting treatments with other doctors that are somewhat helping. but I will need primary care if they stop working, or if we're in the wrong place. another example is, I have chronic bladder and pelvic pain. this is a giant destroyer of my mental capacity, even to my brain itself. perpetual pain is not healthy. I've been getting treatments weekly and they've helped modestly, but I'll likely have to live like this for most of the rest of my life or a couple years for it to be more bearable.
and directly on "I've chiefly experiencing this sensation, that is linked to the in office experience, where the words that I'm speaking don't feel like my own, or I can't control them properly to express myself, and I will misrepresent myself". This is quite literally a paradox, because it's the only way I can describe it. I talked about it with psychology, but they didn't have any answers, because what I'm saying sounds like disassociation to them, but from what it sounds like it actually isn't. I basically cannot describe it. I don't have the time to find the words for it because I don't even know I could use them even if I tried to use them. my memory is not lacking because I'm possibly disassociating. it might be because of the chronic pain. I'm reaching two years of it now. From what I know from a phenomenology of chronic pain fixing this will not exactly be function to variable.
I think it's all a double bind. I feel like either way I can only make demands that I don't think they can reconcile with.
I'm not sure if anyone can give any good advice here, because I'm not sure anyone has had a similar situation like this with a patient. And to be very clear I am aware this is something that happens in a medical setting. I can function with speaking to people mostly like I always had outside of a medical setting, and maybe that's because it's no where as difficult. Daily living for me is kind of average for a disabled person with my other issues and isolation. I have a support system consisting of my family, but they cannot do much to help with this situation. like possibly going with me to every visit to see if that somehow pushes my mind into the right direction.

Update: what a turn of events. Went to the ER to have metabolic acidosis I developed from my asthma exacerbation corrected as the nausea from it prevented me from keeping down the bicarb tablets I was prescribed to correct it. Turns out I am also in myasthenic crisis so am in the ICU, have been started on IVIG, and am on BiPAP with a low a threshold for intubation. Also somehow the acidosis has shifted to alkalosis but they’re less concerned about that. This is the same hospital system but a different campus than I was at a month ago. I am certain the positive LRP4 is why they’re taking me seriously.
You might remember my posts from about a month ago. Started huperzine A after recommendation from people here - noticed instant improvement. Stopped working enough and ended up briefly intubated in the neuro ICU with suspected myasthenic crisis. They drew LRP4 and titin antibodies then.
That hospital stay was frustrating as apparently I didn’t have a “typical MG presentation” and they tried to say I had FND, then changed it to long Covid vs FND. The FND tentative diagnosis in my chart haunted me over the weekend when I was admitted overnight at a different local hospital system for an asthma exacerbation (happens when I get sick, I had a random upper respiratory virus that I’m over now). The pulmonologist declared I was not in an asthma exacerbation without listening to my lungs and my difficulty breathing was all due to my alleged FND. I was struggling to breathe from my asthma and also from my diaphragm being weak. The RT did do a NIF test on me and it was -25 but the night doctor refused to put in any orders even though the RT was concerned with my intubation history and thought I at least needed BiPAP.
It hasn’t hit me yet that I am LRP4 positive. I was starting to doubt myself even though my symptoms are getting worse. Now I’m just mad at how I have been treated by all the specialists and a bit worried they still won’t take me seriously even with this positive LRP4 result.
Thank you for all your support - wouldn’t have known what to look for without you.