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

Hello
25F, 130lbs, 5’10”, no tobacco, MMJ user, hydrocodone and oxyxodone as needed, cyclobenzaprine, protonix
If you read this thank you so much because I’m absolutely desperate and my doctors are tired of me and I think they think I only want pain meds. I don’t, I just want to feel better. I have a huge stash of emergency oxycodone anyway so I barely even need them for that.
On 12/15 I fell down the stairs and hit the lower of my middle back quite hard. 12/19 I had a LEEP done, 01/06 I came down with extreme urinary issues and between then and now have been back 6 times, seen 4 specialists and have seen my PCP at least ten times for urine samples. I’ve also only been able to attend my full time job for 43 days so far this year and have no more money for copays and if it weren’t for my ADA paperwork, I’d have been fired a long time ago
Over the last two weeks, it’s been taking me up to two hours to produce urine while having a full (and very sore - mostly left side) bladder. This is infuriating. When I do end up finally feeling the need to release, I have less than 3 minutes to get to a restroom before my vision starts going spotty from the bladder pressure pain.
My urologist ordered a cystoscopy, but has been blaming my 3mm kidney stone until I begged for an ultrasound last month of my bladder. Found bladder wall thickening and bladder cyst / possible urachal remnant.
I found out what Cuada equina is today. I learned that it is very very commonly missed. I can barely walk, and at the music festival I went to over the weekend I had to use ADA for just about everything. I look completely normal so I got judged pretty hard, but I do have paperwork. I have been losing weight without much diet change and my back has been killing me as well. I feel so weak. My urine flow is so small compared to what it used to be. I had a period of time where the pain was so bad, I couldn’t feel my clitoris or labia at all so sex was pointless as well, and I thought I’d lose my relationship and be alone forever. They send me to an OB-Oncologist who said not to come back, which is why my urologist finally agreed to check my bladder.
Is it possible that all my issues are related to the cyst and thickening, or could this be cuada equina that was missed on multiple CT’s? I can’t find info on bladder cysts. using retention. When is the appropriate time to go to the hospital? I can barely walk without pain meds. I urinated about 40 times on Saturday, with my usual being 10-20 times, and some days there’s very little pain or urgency at all, but the retention is almost always there to some extent.
It almost feels like the part of my brain that controls my bladder doesn’t work anymore because no matter how hard I tell my bladder to release, it just doesn’t happen sometimes and I can’t get comfortable after that. I’ve slept a total of 4 hours since Saturday morning and I only have one hydrocodone left. Pyridium does NOTHING except for when burning pain presents, and I can’t take NSAIDS until my GI clears me due to extreme gas, constipation and bloating / belching thought to be caused by peptic ulcers. I can’t walk at this point without pain meds, but the ER always releases me with the same DX of cyst and bladder wall thickening and tells me they have no clue what that means. But I’m in so much pain I feel like there has to be something they can do other than give me fluids and monitor me for an hour or two until I can get to my cystoscopy next week.
If you have any advice for me I really appreciate it. I don’t want to die but I feel the only way out of lifelong urinary pain after 6 months now is suicide. The only time suicide doesn’t cross my mind a couple times is when I do end up having to take a pain pill. In March, I had to take oxy every day. I only take them now when I can’t walk because the effects are too strong for me to keep my life in order while taking them every day. But this weekend I have had the most trouble walking, and using the restroom, since all of these issues began.
I can’t afford any more specialists visits after my procedure, so I really wish the ER could do something for me as they’re the only ones who won’t turn me away for not having money at this point. My GI doc actually canceled my appointment because I don’t have $20 and I’ve been putting off another ultrasound because it’s $200 up front. IDK what to do but I’m pretty sure this is how a lot of people end up on fent and heroin - if I had been denied pain meds this far I would have turned to the streets, and that’s coming from someone who has chosen - on their own - to quit most drug related and extracurricular activities to better their life at a young age and is much happier for it.
I can’t even get the ER to catheterize me when I can’t urinate for 6+ hours at a time. What gives? Why won’t they run a different imaging test? They wouldn’t even give me a breath test for h pylori recently and now I’m waiting a month for an appointment I can’t even afford.
TL;DR extreme bladder pain, nobody understands why, extreme difficulty urinating, ER can’t do anything for me and awaiting surgery. Is there anything I can say or do to get proper medical attention or can the ER really not touch your bladder like they say? Is there a way I can convince them to admit me so I could see a urologist before my procedure? My urologist is unavailable until my follow-up and I don’t think the company they work for allows them to Rx narcotics and I’m against taking more than 1 oxycodone a week at this point but so far have been unsuccessful in getting something weaker like hydro or tramadol.

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

I've never understood the medical system to be honest. On my claims history, for a consult with a GP it says:
Cost to claimant: $46.80 Benefit paid: $41.20 Total cost: $88.00
However I paid the full $88 and never got a rebate. This GP does not bulk bill.
What am I missing here? Is this correct?

So I am close to finishing my assiocates paralegal program and my A.A. All I need is my internship, which I'm having trouble finding. All the summer internships that were offered on handshake and other sites that my program director gave are filled or dont meet my requirements. I missed out on submitting my resume due to a competition and family issues. I want to start cold calling firms or hand-out my resume to firms and ask if they are looking for interns, I feel that this would paint me in a negative light and seen as pushy.
Also, some more information
I am currently working part-time as a receptionist at a car dealership and would like to continue working as I do my internship. Got to pay rent and bills somehow
My program director is pretty hands-off and is new to the position. She really hasn't been helpful in advising students beyond giving out the websites and resume/cover letter help.
I haven't seen any posting on handshake or other websites for fall internships
I plan on talking with my schools career success guy, but I'm unsure if he is available in the summertime.
Internship requirements

1. I need 150 hours
   
2. I can only work at a max of 10-15 hours a week. ( This is my program directors suggestion, and also, I would be working part-time and having an 11 credit course load)
   
3. Needs to be a legal internship within a legal setting
   

My main question is, what's the best strategy to finding an internship? And how do I go about finding one?

"Order!
The time for debate on this motion has expired. The question is that the Motion be agreed to.
Motion Details

1. Recognizes the serious concern regarding the inappropriate use of chemical restraint in aged care facilities across Australia, which has resulted in significant harm and violates the rights and dignity of elderly residents.
   
2. Acknowledges the findings of recent reports, investigations, and inquiries highlighting the widespread and often unnecessary use of psychotropic medications as a form of chemical restraint in aged care settings.
   
3. Expresses its commitment to ensuring the safety, well-being, and rights of older Australians living in aged care facilities, including their right to autonomy, dignity, and freedom from unnecessary restraint.
   
4. Calls upon the Australian Government to take urgent and comprehensive action to address the issue of chemical restraint in aged care, including but not limited to:
   a. Implementing stronger regulatory frameworks and oversight mechanisms to prevent the inappropriate use of psychotropic medications.
   b. Providing adequate training and support for aged care staff in alternative methods of care and behavior management that do not rely on chemical restraint.
   c. Increasing funding and resources for mental health services within aged care facilities to address the underlying causes of behavioral symptoms.
   d. Strengthening accountability measures and enforcement mechanisms to ensure compliance with regulations and standards relating to the use of chemical restraint.
   e. Supporting research and innovation in dementia care and geriatric medicine to develop alternative approaches to managing challenging behaviors in older adults.
   
5. Calls for bipartisan cooperation and collaboration among all political parties, aged care providers, healthcare professionals, advocacy groups, and other stakeholders to work together towards eliminating the inappropriate use of chemical restraint and improving the quality of care for older Australians in aged care facilities.
   

Bill/Motion History
Motion Debate

Division Required

The Chamber shall now divide. Members are to vote only Aye, No or Abstain.
Voting shall end at 5PM AEST (UTC +10) 17/05/2024. View in your timezone here"

Hello. Stupid question but I’m confused. I had my baby in February this year at the hospital through c section so ofc they did some blood tests there after surgery. My question: can I still get my wellness yearly exam that includes blood test free of cost this year at my pcp? Or will they charge me since I had some blood tests done after c section? I would like to get it but want to make sure I don’t get charged as I already have enough medical bills from delivery. My insurance does offer free preventive care usually.

Added a picture to illustrate exactly where I feel the pain.
I (35M) will start by stating the following: I am going to include all background information I believe may be pertinent towards the diagnosis of this pain, and investigations that have taken place up until now. It will include me mentioning the covid vaccine. I am not an anti-vaxxer or a conspiracy theorist.
I have had this pain almost continuously since late-December 2021. Up until this point I had never had any physical or mental health issues, other than GERD which I had been taking Omeprazole for since my late teens. I had also been taking over the counter ibuprofen every day for 3 years due to a leg injury sustained in a car accident in 2017. I haven't taken any for about a year by now.
I got my second Covid booster (Pfizer) on 22nd December 2021. After having zero ill-effects from the first one, the second floored me for a couple days with strong flu-like symptoms but I was generally ok by Christmas day, other than a burning feeling in my stomach. However, as mentioned above, I have GERD so I thought nothing of it.
A few days later, the burning in my stomach had turned into more of an ache and although this was initially positioned to the upper left of my abdomen (just behind my bottom couple of ribs) it eventually settled exactly where my Xiphoid Process is. On top of this, my urine became very frothy (something that's persisted to this day) to the extent where it looked like I had been mixing it with dish soap! I became very worried about this, so called NHS24 (I am in Scotland) and got referred to emergency out of hours doctor. The took my bloods and ran a urine sample. Urine came back normal which gave me relief, and later that week the bloods came back. I can't remember exactly what was "raised" but it showed that my body had been dealing with trauma. Their solution to this was to wait it out a couple weeks, give me painkillers, and then do a new blood test to see if the levels returned to normal. They did this as planned, and by that point my bloods then showed as "normal" and NHS basically didn't want to do anything more about it.
However, for me the pain persisted and it was now the pain and location it has been ever since. It is with me all times of the day, it doesn't seem to matter if I am full or hungry, moving or sedentary. The pain is always there. Sometimes it is barely noticeable, other times it is uncomfortable but never excruciating. The only thing I have noticed that seems to make it worse is caffeine intake. Painkillers have no effect. Omeprazole has no effect. Stretching doesn't do anything. Nothing I have tried has any impact on the pain at all. When I touch/push in the area around the Xiphoid Process, it always feels tender and bruised, as if I have just taken a really hard punch the day before. It's been like that now for 3 years.
I went to my GP in Feb 22 - she ordered more bloods (looking for infection) and ordered me a chest x-ray. Again the bloods showed trauma! The x-ray didn't show anything. New round of bloods had returned to normal. At this stage, the GP didn't know what else to look at (NHS albeit a free service, are very reluctant to order additional tests they may deem as unnecessary). GP tried to say it would just go away on its own, was probably a strain in my rib cage - I work out 3 times per week, weight lifting - and threw more painkillers at me.
My job provides me with private medical care, so I went to a specialist who ordered a CT scan and more bloods. Once again the bloods showed trauma levels which suggested to him I was fighting something off in my system. The CT scan didn't show any abnormalities and the specialist basically put me on a "wait and see" solution, which was to go away for 3 months and see how I got on. I lost hope with this and eventually stopped any further medical interventions at that point. It was clear to me I wasn't about to drop down dead any time soon, and all major illnesses had been ruled out, so I left it at that. I subsequently haven't had it seen to since then, which was mid-2022. Yet some 2 years later, I still have this persistent pain.
I am wondering if anyone else has experienced similar and got anywhere with this? It's driving me crazy not knowing what is wrong with me and has me worrying about my future. I have 2 young kids and feel I am doing them a disservice by just ignoring this in case it gets worse.
TLDR Summary: Have an aching/bruised-like pain in my Xiphoid Process area for 3 years. Never goes away with different levels of severity. Had bloods, urine tests multiple times. Chest x-ray and CT, all normal apart from bloods frequently showing trauma reaction. Started almost immediately after my second Pfizer jab. Have told this to all doctors, largely ignored. Specialist did acknowledge it but admitted medical knowledge hadn't yet caught up with possible side-effects.
https://preview.redd.it/ypu6ocz8wc0d1.png?width=572&format=png&auto=webp&s=e11f91252010141e2b09851b5a2757b3d3d0327d

I recently landed a new job after almost 18 months of unemployment. So got my EID again, and I have 2 credit cards which needs to be paid. Now this collection agency is continuously calling and emailing my place of work, despite asking them not to. I told them it will be a few months before I start paying the cards as I have bigger pending bills to take care off like medical and other things. What are my options here.

Medical ko na po tomorrow and due this week lahat ng reqs. Okay naman na sana kaso nagbago start date. Unang sabi kasi 23 this month, tapos ngayon biglang naging June na siya. Matagal po ba talaga onboarding process ni TU? Willing to wait naman kaso any tip/advice po… is it worth it to wait? Okay lang naman sakin yung offer kasi malapit lang naman sa bahay saka bet ko yung campaign na binigay kasi nga non-voice. Na-stress na kasi ako voice before sa ibang company kaya looking forward dito kaso nga nauusog yung start date. Di naman magbabayad mag-isa yung bills ko huhuhaha. Nagtataka lang din ako bakit due lahat this week tapos next month pa pala start date. Bakit ang tagal? Normal po ba to? Any advice?

Nalay-off ako recently sa trabaho ko last April. I have 12 years BPO experience at 8 years non is with financial accounts. 3 years na ako sa company na to and when I started, 42k package with allowance ang offer sakin. May yearly annual increase na performance based. Lowkey performer ako at as of 2024, 51k na package (salary + allowance) na kinikita ko monthly agent level. Ang sarap tingnan ng payslip na nakikita ko ang taas ng sweldo ko kumpara sa previous bpo ko before.
Sobrang lungkot ko nung makita ko name ko sa lists ng malalayoff pero I told myself, “Ah, di bale na. Shit happens. I am a BPO veteran, madali ako makakahanap ng panibagong work. Maganda ang work history ko and my skills as an agent are above industry standard na. Recruiters will always want me.”
ABSOLUTE WRONG.
Yes, recruiters want me. But thing is, sobrang hirap maghanap ng company na magaaccomodate ng salary that will match my last employer’s salary pay sakin. Kaya ako narereject kasi daw I was “demanding an outrageous amount for an agent-level role.” Hanggang ngayon wala parin akong mahanap. The most I was offered was 43k (37k plus 6k allowance). Sinabi pa nung recruiter na un na daw talaga ang max agent level standard kahit san ako magpunta. This was my pay 3-4 years ago. I worked so hard para maachive ang 51k na package ko ngayon. Sobrang nakakalungkot. Kahit pa may separation pay ako, I am scared for my life for the long term. Like pano na ung 4 na insurance na binabayaran ko? Pano na ung lupang hinihulugan ko, ung bills ko sa bahay, mga basic necessities para mabuhay? I am so scared for my life na I could no longer afford to pay my credit card bills in full and most importantly, I am scared for my life na I could no longer afford to give myself and my little family a comfortable life. :(
So looks like I’m back to being paid the basic agent level salary na sabi nila.
Ang point ng post ko is hindi para sabihin na “pucha oo ang malas ko, ganda sana ng swelduhan mo kaso minalas ako.” Ang point ko is if you’re earning more than 40k monthly salary as an first level agent, magisip isip ka na at magstrive magpapromote to TL, Coach, QA, SME, whatever basta magpapromote ka na. Minindset ko na magccalls ako at ok nako don, logout at uwi ako agad after, walang additional work. As long as bayad ako, may HMO ako at ng pamilya ko, may pangkain at panghospital kami, di ko kailangan ng promotion ok na ko. Sakit lang sa ulo un pulitika pa minsan. Maling mindset pala to. Sa BPO, hindi ka welcome sa mataas na pay pag agent level hanap mo. So magpapromote ka para if ever comes a time na magresign ka or malayoff ka gaya ko, may leadership history ka sa resume mo.
Un lang. sana wag mangyari senyo nangyare sakin.

Six years together. 2024 has been quite a year so far. My boyfriend has been out of work for almost 5 months, which is yearly occurrence since his main source of income is from doing gig work with a local transportation company. He has been applying to jobs with an out of date resume, he hasn't had that much luck in finding work. When I suggested taking on a temporary job at a grocery store or cafe to stay afloat until his main job starts up again, he became extremely upset and said that those jobs were beneath him.
In these past 5 months he has been playing video games, smoking weed in my bathroom, randomly leaving at all hours to hang out with his friends. He doesn't help with any chores, out of fear for my safety I purchased him a new phone when he broke his, paid for two months worth of phone bills, purchase work boots, and allowed him to shake me down for cash to buy weed.
Even though he tries to gaslight me but saying that this is first year that he hasn't been without work, it hasn't been. Every year since he quit his job during covid(2020)and moved into my apt. he has had periods of no work and very little to no money. He just games and smokes those months away. He berates me for not cooking or cleaning when I was working two jobs and he was working none. When he finally did get a new job thanks to his dad helping him, he refused to contribute financially even though he saw how physically and mentally exhausted I was from working 6 days a week. He said I didn't deserve help. He treats me terribly whenever I help him out. He has forced me to pay his taxes, give him one of my stimulus bills, buy him food. He becomes irate if things aren't exactly how he wants it. He loves to make plans only to cancel at the last minute and then gaslight me about it. He would refuse to go out with me to events but then drop everything to go hang out with his friends.
I always told him that if he can't contribute financially due to not having enough or having work, it's fine but he should contribute by doinf household chores. He refuses.
I think what is going on is that my mind is trying to protect me by compartmentalizing and lessen the gravity of the situation and of what occurred this past weekend. I see the signs of being in an abusive relationship but I don't fully believe that I am in one because it doesn't fit what we all have been told are the signs of an abusive relationship.
In February he pushed some storage bins into me, one of which broke and cut me in my back because I told his parents that he hadn't been working for the past two months.
This past weekend which we were walking through a soon to be closed mall, I had been recording the beautiful 80's/90's architecture when he said wait, I instinctively turned around and he was scratching himself. I laughed a little bit and turned back and continued walking. Since I had my phone in my hand he thought I had recorded him, he rushed down the hallway angrily asking me if I recorded him and to give him my phone. I said I didn't and kept walking,I was wearing a hoodie and he grabbed my hood and pulled, angrily telling me to give him my phone, I told him to let go that he was hurting me. I tried to keep on walking but he was still holding onto and pulling my hood. He then proceeds to try to grab the phone out of my hands. You know when someone tries to grab something out of your hands and both of you start grappling over the item, that's what happened. My phone is brand new and did not have a case yet and I was worried he would smash it into the ground. I know my personal safety is more important than a phone but I couldn't let go even if I wanted to, he had grabbed onto me and was in the process of pushing me into the wall when a guy rounded the corner.
He didn't step in nor call the police as far as I know. I took the opportunity to get away from my boyfriend as quickly as I could.
I ran to the train station, he kept on yelling at me "Are you really going to act like this", I didn't answer. My neck and throat burned from where his was pulling back on my hoodie. I started to cry. There was a lady who seemed to notice that something was going on and nodded her head in approval when she saw me rushing past to get into the station.
When he finally did catch up to me and when he texted and called me afterwards, he kept on blaming me for what happened. He said that I shouldn't have walked away from him when he grabbed onto my hood and that I should have told him that I was playing around and pretending to record him( which is what I said to placate him). When I said that he shouldn't have grabbed my hoodie and pulled he retorted with the so now it's my fault, as if I made him pull my hoodie and react like that.
I wanted to go home but I didn't have my keys on me, so I went down to a nearby marina and watched the boats for awhile.
I ultimately ended up at his parents house. I did not tell them what happened. In the past he would become enraged when he found out that I had told his sisters or mom about what was really going on, and would forbade me to either go to a family function or to say anything. His dad then proceeded to have a conversation about selling his house and giving us the proceeds to buy a house but we should have two kids. His parents have been pressuring me have a child with him even though we aren't married. I want to get married and have a small church wedding but according to my boyfriend I don't deserve a wedding. He also shared with us the importance that both people in a relationship need to contribute financially and pay bills, I told him he should tell that to his son, not me. It would be insanity to have a child with a man like him. I know that he will not change who he is if a child came along.
My friends are aware of the general situation (not of this latest incident), some of my family is aware of the general situation( I don't want them to worry and I don't want to bring unnecessary drama into their lives). His family is aware, one of his older sister's told me to call her for help when I wanted to end things with him and she would come over but when I actually did reach out to her, she said that I was an adult and would need to handle things on my own. I think she feigned concerned in order to get information to gossip with the rest of their family.
I am scared of him. Scared of how he would react if I stand firm in him needing to leave. Scared that he will harm my friends, family, himself and me. He has threaten suicide before. He has threaten to harm my pet. He has threaten to steal my mom's ashes. I have asked him to leave before and either he refuses or he simply ignores me.Him leaving is not that simple. He has nothing to lose yet at the same time everything to lose. He doesn't want to go back to his parents house because they will make him find a full time job and then won't let him do what he wants, he would have less freedom( couldn't smoke weed)...and those are his words not mine. He has never agreed to a break or even a temporary visit because he would "come back madder". He knows if he does leave, I will try to end things with him.
He comes across as a calm, chill guy when he is around my friends and family because he is high all or most of the time. That calm, chill guy is not who he really is. He is angry, volatile, and cruel. Yes, he has his moments of kindness(or niceness) and sweetness. Is it "nice" to have someone around to talk with, yes. Who seemingly care about when you will be back home, yes. but do those niceties outweigh everything else that has happened.
There is so much more that I could add to this post, but I am exhausted and I have blocked several incidents out. He constantly tries to gaslights me. He lied about his background and education. He has gotten physical several other times as well as verbally/emotionally. He has engaged in several sexting relationships, most notably with his ex Christy and his "friend" Lore. When I expressed how hurtful his cheating was he stated that is who he is, that he's the kind guy but since he didn't sleep with them, it's fine, it's not cheating. These girls also do not see anything wrong with what they have done.
I do not have any immediate family ie siblings or parents. Therefore, I cannot go and stay with family until he leaves or have a family member accompany me while he moves out. I do have extended family in the area but life has taught me that there is no guarantee that they will help you even if you desperately need it. It's the American way to find your own way out of problems and pull yourself up by your bootstraps ( I say this sarcastically).
The apt. is in my name and I'm pretty sure there is a clause in it that states that if there are domestic disturbances I would have to move out. As stated above I don't have anywhere else to go, so he must leave.
Sometimes I think that this is my lot in life and that I should just accept it. I find myself questioning if what happened on Saturday really is abuse or if it was just a misunderstanding that got a little bit out of hand. Sometimes I just don't know anymore.

How often do you encounter it ? ACB gets a lot of ire for not going after the big fishes. Would you agree? Do you think the empires built on corruption have collapsed? Or the people who have built generational wealth still enjoy it? If you know folks guilty of it, what is stopping you from reporting it ?
The excuse one hears is how one couldn’t cover the medical bills of their family members, built a house worth ten times their salary, spent on education,marriage if they weren’t corrupt and this was the only way out. How much of that would you say is true?

My insurance refused to pay 500$ bill Obgyn PCR . I appealed and they claim that provider never explained why it is medically necessary. The problem is that the provider no longer work in that clinic- I talked to front desk and billing. They are willing to send records, but it’s not good enough for my insurance. Ideas? Advice? Thank you

CURRENT AS OF 5/13/2024

Made this because I was bored and thought I'd put my love of lists of things to good use. Here's where you can find and farm shards for every character in MSF. I'll try to keep this current with new updates and any changes that occur. If I make any mistakes, let me know.
(Apologies for everything being left-justified, I tried to put the section names in the middle but Reddit's formatting is being annoying.)

Table of Contents

Heroes Campaign
Villains Campaign
Nexus Campaign
Cosmic Campaign
Mystic Campaign
Doom Campaign
Heroes Campaign Hard
Villains Campaign Hard
Nexus Campaign Hard
Incursion Campaign
Legendary Events
Dark Dimensions
Scourges
Sagas
Trials
Blitz Store
Raid Store
Arena Store
War Store
Crucible Store
Orbs
Other
Not Currently Farmable
In-Game, Unreleased
Upcoming Characters

Heroes Campaign

Beast
Black Panther
Bullseye
Cable
Captain America
Captain America (Sam)
Colossus
Doctor Strange
Emma Frost
Firestar
Gamora
Iceman
Mysterio
Punisher
She-Hulk
Shocker
Squirrel Girl
Spider-Man (Symbiote)
Venom
Yondu

Villains Campaign

Ghost Rider
Groot
Gwenpool
Hela
Jessica Jones
Juggernaut
Kingpin
Kitty Pryde
Magik
Mighty Thor
Morbius
Ms. Marvel
Nebula
Rescue
Sabretooth
Shang-Chi
U.S. Agent
Vision
War Machine

Nexus Campaign

Black Widow
Bucky Barnes
Captain America (WWII)
Drax
Electro
Elsa Bloodstone
Fantomex
Ghost-Spider
Green Goblin
Iron Fist
Mister Fantastic
Mockingbird
Moon Knight
Moondragon
Mystique
Nobu
Psylocke
Red Guardian
Silver Samurai
Star-Lord (T'Challa)
The Thing
Winter Soldier
Yellowjacket

Cosmic Campaign

America Chavez
Karnak
Kate Bishop
Misty Knight
Nakia
Taskmaster
Thanos
Wasp

Mystic Campaign

Brawn
Doctor Voodoo
Multiple Man
Okoye
Stature
Storm
Swarm

Doom Campaign

Captain America (Sam)
Dark Beast
Loki
Namor
Polaris
Red Skull
Silver Surfer
Spider-Woman

Heroes Campaign Hard

Carnage
Darkhawk
Dazzler
Deadpool
Echo
Gambit
Lizard
Maria Hill
Mysterio
Phyla-Vell
Spider-Man (Noir)
Spider-Punk
Sunspot
Tigra
Wong

Villains Campaign Hard

Agent Coulson
Bishop
Black Panther (1MM)
Cloak
Dagger
Fantomex
Mighty Thor
Moonstone
Nico Minoru
Photon
Sersi
Sharon Carter
Spider-Man 2099
Strange (Heartless)
Viv Vision

Nexus Campaign Hard

Absorbing Man
Sylvie
Loki (Teen)
Thor (Infinity War)
Titania
Union Jack

Incursion Campaign

Deathpool
Iron Man (Zombie)
Kang the Conqueror
Spider-Weaver
Vahl

Legendary Events

Adam Warlock
Black Bolt
Doctor Octopus
Ebony Maw
Invisible Woman
Iron Man
Jubilee
Magneto
Nick Fury
Omega Red
Phoenix
Shuri
Star-Lord

Dark Dimensions

Kestrel
Ultron
Ultimus
Doctor Doom
Dormammu
Super Skrull
Mephisto

Scourges

Morgan Le Fay
Rogue
Red Hulk
Archangel

Sagas

Apocalypse

Trials

Nova
Black Cat
Green Goblin (Classic)
Old Man Logan

Blitz Store

Ant-Man
Captain Marvel
Crossbones
Deadpool
Elektra
Hand Archer
Hand Assassin
Hand Blademaster
Hand Sentry
Hand Sorceress
Human Torch
Iron Fist (WWII)
Luke Cage
Mantis
Maria Hill
Mockingbird
Namor
Okoye
Proxima Midnight
Quake
Ravager Boomer
Ravager Bruiser
Ravager Stitcher
Rescue
Rhino
Ronan the Accuser
S.H.I.E.L.D. Assault
S.H.I.E.L.D. Medic
S.H.I.E.L.D. Operative
S.H.I.E.L.D. Security
S.H.I.E.L.D. Trooper
Scarlet Witch
Scream
She-Hulk
Silver Surfer
Spider-Man
Spider-Man (Miles)
Spider-Slayer
Stryfe
Sunfire
Toad
Valkyrie
Viv Vision
White Tiger

Raid Store

A.I.M. Assaulter
A.I.M. Infector
A.I.M. Monstrosity
A.I.M. Researcher
A.I.M. Security
Agent Coulson
Baron Zemo
Bishop
Brawn
Cloak
Cull Obsidian
Cyclops
Daredevil
Elsa Bloodstone
Graviton
Hawkeye
Ikaris
Ironheart
Killmonger
Korg
Kraven the Hunter
Mercenary Lieutenant
Mercenary Riot Guard
Mercenary Soldier
Mercenary Sniper
Misty Knight
Moonstone
Ms. Marvel (Hard Light)
Negasonic
Nico Minoru
Night Nurse
Rocket Raccoon
Scientist Supreme
Sharon Carter
Spider-Man (Big Time)
Stature
Thor
Vulture
Yo-Yo

Arena Store

Agent Venom
Anti-Venom
Blob
Colleen Wing
Corvus Glaive
Dagger
Deathlok
Domino
Falcon
Gambit
Heimdall
Hydra Armored Guard
Hydra Grenadier
Hydra Rifle Trooper
Hydra Scientist
Hydra Sniper
Korath the Pursuer
Kree Cyborg
Kree Oracle
Kree Noble
Kree Reaper
Kree Royal Guard
Loki
Madelyne Pryor
M'Baku
Mordo
Phyla-Vell
Red Skull
Ronin
Shatterstar
Spider-Man (Noir)
Spider-Punk
Spider-Woman
Star-Lord (Annihilation)
Strange (Heartless)
Yelena Belova

War Store

Absorbing Man
Carnage
Crystal
Dazzler
Echo
Forge
Ghost
Ironheart (MKII)
Longshot
Minn-Erva
Mister Sinister
Pyro
Scarlet Spider
Sif
Spider-Man 2099
X-23

Crucible Store

Abomination
Agatha Harkness
Black Panther (1MM)
Beta Ray Bill
Captain Carter
Cosmo
Ghost Rider (Robbie)
Hulkbuster
Iron Man (Infinity War)
Lady Deathstrike
Nemesis
Nightcrawler
Quicksilver

Orbs

Black Knight - Boosted Odds in Premium Orb
Kang the Conqueror - Boosted Odds in Premium Orb
Ronin - Boosted Odds in Arena Orb

Other

Hulk - Achievements
Mister Negative - Daily Web Free Claim
Wolverine - Daily Objectives

Not Currently Farmable

Cosmic Ghost Rider
Gwenom
Iron Patriot
Juggernaut (Zombie)
Peni Parker
Peter B. Parker
Red Goblin
Spider-Man (Pavitr)
Starbrand
The Leader
Void Knight

In-Game, Unreleased

Daken
Pandapool

Upcoming Characters

Guardian
Karen Page
Man-Thing
Professor X - Dark Dimension
Sasquatch

Need help to get a credit card for medical expenses, i have the following right now- 1)Amazon ICICi 2) BOB Easy CC

So recently, I flew to my hometown to help a close elderly relative. She had experienced a medical emergency, and none of the other local relatives were taking it seriously. So I dropped everything and left to go help. I missed work, my partner had to watch my small children, so they missed work too, and I ended up being gone for over a week.
And I did save a life. She got to the hospital because of me, and the doctors said we were in the nick of time. She had a rampant infection, and sepsis was starting to shut organs down. A few weeks in the hospital, and she’s home. Hooray, yeah?
But… no. This woman is a narcissist. She was fairly terrible to me, and everyone else, throughout my entire life. I considered this, as I was traveling. Am I going to say goodbye, or to try and force help? But ultimately I decided that I want to be the person who saves a life, not a person who disregards life.
Only now, she’s degenerating. Losing her grip on reality, due to age I suppose. And she’s pulling down all the people I love. She’s aggressive, demeaning, irresponsible. She believes literally everything she reads on the internet. She thinks some doctors are out to get her, or are talking bad about her behind her back. All her normal negative qualities, but magnified.
She’s spending all her money, not paying the bills, refusing the advice of her doctors and social workers, becoming violent, entitled, and just generally making life hell for all those near her.
And so I wonder if I should’ve just…. Stayed home. The first go round. Initially, I felt really good that I went. We had a lot of bad blood, and some of that was healed in my visit. And while I’m grateful for that, I wonder if I’m being selfish by valuing that over the pain she’s now inflicting on those nearest. While I’m safe in my house, hundreds of miles away, with the freedom to decline calls.
That’s it. That’s the off my chest.
As a postscript, I recognize that she likely has Alzheimer’s or dementia, or something else causing this disconnect with reality. And we are working on getting her diagnosed by her doctors. I’m closely working with her partner on the necessary steps. I work in the medical field myself, so I understand what we need to do. It’s just… given how terrible she’s been to everyone, her entire life…. Maybe we just shouldn’t have intervened with nature.

Symptoms of Chest Wall Cancer

The symptoms of chest wall cancer can vary depending on the type and stage of the tumor but generally include:

1. Pain: Persistent pain in the chest area that may worsen with movement or breathing.
2. Swelling or Lump: Noticeable mass or swelling in the chest wall.
3. Breathing Difficulties: Shortness of breath or difficulty breathing.
4. Chest Discomfort: General discomfort or tightness in the chest.
5. Weight Loss: Unintended weight loss.
6. Fatigue: Persistent tiredness or fatigue.
7. Neurological Symptoms: If the tumor presses on nerves, it can cause numbness, tingling, or weakness in the arms or legs.

Diagnosis of Chest Wall Cancer

Diagnosis involves several steps and tests to confirm the presence of cancer and its extent:

1. Physical Examination: Initial assessment by a healthcare provider, including a review of medical history and symptoms.
2. Imaging Studies:

• X-rays: Basic imaging to identify abnormalities in the chest wall.
• CT Scan (Computed Tomography): Detailed cross-sectional images to evaluate the size and spread of the tumor.
• MRI (Magnetic Resonance Imaging): High-resolution images for detailed view, particularly of soft tissues.
• PET Scan (Positron Emission Tomography): Detects metabolic activity of cancer cells to determine the extent of spread.

1. Biopsy:

• Needle Biopsy: A sample of the tumor tissue is taken using a needle for microscopic examination.
• Surgical Biopsy: Sometimes, a surgical procedure is necessary to obtain a tissue sample.

1. Blood Tests: To assess overall health and detect markers that might suggest cancer.

Treatment of Chest Wall Cancer

Treatment options depend on the type, size, location, and stage of the tumor, as well as the patient’s overall health:

1. Surgery:

• Resection: Removal of the tumor and some surrounding healthy tissue.
• Reconstructive Surgery: May be necessary to rebuild the chest wall using synthetic materials or tissue from other parts of the body.

1. Radiation Therapy: High-energy rays to kill cancer cells or shrink tumors. Often used before surgery (neoadjuvant) to reduce tumor size or after surgery (adjuvant) to destroy remaining cancer cells.
2. Chemotherapy: Drugs that kill cancer cells or stop them from growing. It can be systemic (throughout the body) or localized.
3. Targeted Therapy: Uses drugs or other substances to specifically target cancer cells without affecting normal cells.
4. Immunotherapy: Boosts the body's immune system to fight cancer.
5. Pain Management and Palliative Care: Focuses on relieving symptoms and improving quality of life for patients with advanced cancer.

Conclusion

Early detection and treatment are crucial for improving the prognosis of chest wall cancer. If you experience any persistent symptoms such as chest pain, swelling, or difficulty breathing, consult a healthcare provider promptly. Multidisciplinary approaches combining surgery, radiation, and systemic therapies offer the best outcomes, tailored to the individual needs of the patient.
Blaze0 notes Symptoms of Chest Wall Cancer
The symptoms of chest wall cancer can vary depending on the type and stage of the tumor but generally include:

1. Pain: Persistent pain in the chest area that may worsen with movement or breathing.
2. Swelling or Lump: Noticeable mass or swelling in the chest wall.
3. Breathing Difficulties: Shortness of breath or difficulty breathing.
4. Chest Discomfort: General discomfort or tightness in the chest.
5. Weight Loss: Unintended weight loss.
6. Fatigue: Persistent tiredness or fatigue.
7. Neurological Symptoms: If the tumor presses on nerves, it can cause numbness, tingling, or weakness in the arms or legs.

Diagnosis of Chest Wall Cancer

Diagnosis involves several steps and tests to confirm the presence of cancer and its extent:

1. Physical Examination: Initial assessment by a healthcare provider, including a review of medical history and symptoms.
2. Imaging Studies:

• X-rays: Basic imaging to identify abnormalities in the chest wall.
• CT Scan (Computed Tomography): Detailed cross-sectional images to evaluate the size and spread of the tumor.
• MRI (Magnetic Resonance Imaging): High-resolution images for detailed view, particularly of soft tissues.
• PET Scan (Positron Emission Tomography): Detects metabolic activity of cancer cells to determine the extent of spread.

1. Biopsy:

• Needle Biopsy: A sample of the tumor tissue is taken using a needle for microscopic examination.
• Surgical Biopsy: Sometimes, a surgical procedure is necessary to obtain a tissue sample.

1. Blood Tests: To assess overall health and detect markers that might suggest cancer.

Treatment of Chest Wall Cancer

Treatment options depend on the type, size, location, and stage of the tumor, as well as the patient’s overall health:

1. Surgery:

• Resection: Removal of the tumor and some surrounding healthy tissue.
• Reconstructive Surgery: May be necessary to rebuild the chest wall using synthetic materials or tissue from other parts of the body.

1. Radiation Therapy: High-energy rays to kill cancer cells or shrink tumors. Often used before surgery (neoadjuvant) to reduce tumor size or after surgery (adjuvant) to destroy remaining cancer cells.
2. Chemotherapy: Drugs that kill cancer cells or stop them from growing. It can be systemic (throughout the body) or localized.
3. Targeted Therapy: Uses drugs or other substances to specifically target cancer cells without affecting normal cells.
4. Immunotherapy: Boosts the body's immune system to fight cancer.
5. Pain Management and Palliative Care: Focuses on relieving symptoms and improving quality of life for patients with advanced cancer.

Conclusion

Early detection and treatment are crucial for improving the prognosis of chest wall cancer. If you experience any persistent symptoms such as chest pain, swelling, or difficulty breathing, consult a healthcare provider promptly. Multidisciplinary approaches combining surgery, radiation, and systemic therapies offer the best outcomes, tailored to the individual needs of the patient.

I get it. Sometimes it may become hard to comprehend the scale of thing.
Amount of tax we pay is Gigantic! Toll, road, car, service tax, etc etc only to name a few.
Money looted by big corporationsz decrease in corporate tax aand politicians itself is so huge that it can provide free stuff to large population. .
India has enough...it's the management of money which sucks. Just imagine the scale of money with BJP, it's so huge! If they want, they can feed millions of malnourished people!
And yes India needs free stuff like fre education and free bus ride for women etc.
Mint it, majority of Indians are still poor. Your hous maid, sabzi wala, puncture wala, doodh wala, etc. and all those living in rural areas!
Each child born in the country deserves good education, nourishment, and other opportunities.
Each women should be able to travel freely in the country.
Bottom point we can afford free stuff and it's needed by country too.
Have some empathy and get out of your comfort zone. Treat people from weaker section of society as your equal. You're not superior and they are not inferior.
MOST PROBABLY, if you are on reddit, you were born in a family where at least 2 generations before you were educated OR had decent money OR both.
There are people where their generations were un educated and poor.
Also caste system kept people poor and un educated for generations.
Edit: Delhi govt. Gives free 200 unit electricity to everyone. Bus ride free for all women. govt school and mohalla clinic is for everyone.
Now, if you want, you can let go of their free stuff. Apply for full electricity bill, buy a ticket in bus, send your child to private school, and visit a private clinic.
It's wonderful that government provided free stuff to its population. Now it's up to people... If they can think they can afford it or they don't want it..then they can let go of the free stuff.
Intresting facts:
Delhi is doing wonderfully well economically despite free stuff. And despite so much hindrance by BJ Pee Government.
2nd fact) Mohalla clinic in Posh Localities like GK has millionaires and poors coming to the same place for basic medical stuff. Which I believe is wonderful, reducing the class divide.
Edit 2:
People forget the condition of women in our country. Again, look beyond your housing societies!
Go to tier 3, tier 4 cities, go to villages. women are un-educated when compared. Women get less opportunities when compared to men.
For a city like Delhi, think of women who don't live in housing societies. Ask your maid, or ask women who don't earn, ask wives of poor husbands.
Look beyond your comfort zone. I only see poverty and a huge division in our society.
I feel like, many people ignore the poorest section of society like we ignore dogs on our streets. They aren't even considered humans.

I have tried working other jobs in finance and insurance. But I am utterly miserable and kinda suck at it to be really frank. The only way I kept my job was by kissing the right butt. I had a job in finance and got fired. I now work in insurance and while my team lead thinks I'm a dullard who moves too slow, my supervisor and the head Honcho at this office loves me.
Anyway, I hated working in human services, especially case management, when I got paid peanuts just to do the stressful job itself. I loved my clients and gave my heart and soul to my work. I watched children with disabilities learn to walk, talk, communicate, and stay in school. One parent even reached out to me to say her kid got into college; he was in middle school when I first worked with him and I feel old now. I also worked with people who made a bad decision with addiction. And the thing is, they weren't bad people. I learned that they were depressed, lonely, and scared people who didn't know what options they had when it came to managing pain, mental illness, or suicidality. I watched them beat addiction and become good friends, family members, and spouses. I once saw this young woman being welcomed into her parents home once again, keys to the house placed in her ha ds, when she completed one year of sobriety from heroin. And that meant a lot considering how she was so consumed by addiction that she stole from her family to get drugs. To see someone be taken back like that pulled my heart strings.
People told me I was empathetic, strong-willed, and dedicated. But I got tired of it at some point. I was sick of being blamed for something that was simply out of my control. I'm there to help people not force them to make decisions. I got tired of having no work-life balance and sick of bringing my stress from work, home. I also got so sick of being obsessed with my work (that was my fault though), and taking it to heart when someone still ended up dropping out of school, went back to jail, relapsed on drugs, and so on. I also got tired of not being a le to meet my needs. I have medical bills and health issues of my own to tend to, and will need to pay more if I had a family. It's pretty upsetting knowing your friends who have the same level of education as you make significantly more than you, all because a younger version of you felt money didn't matter.
I tried helping people by simply being a good friend, family, or neighbor. Many of my clients needed that and wouldn't have been in their horrible situations if they had that. Yet it wasn't enough because I'm not good at anything else.
When I say I'm good at helping people, I mean that I fit right in and actually felt like I was a part of something. My clients were the ones who were good at solving their problems, I was just there to help navigate.