When should swollen lymph nodes go down

Corrupting children's coloring books.

2014.03.12 12:36 CrayonsForBrains Corrupting children's coloring books.

Get some crayons and a coloring book to turn adorable pictures into twisted and or hilarious corruptions of their former selves.
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2012.03.05 16:44 ts87654 for cosplayers, by cosplayers

This is a subreddit specifically for people who cosplay and people looking to cosplay. Want to share the outfit you just made? Share it here! Want some advice on a costume? Ask here! Want to show some cool pics you took at the last convention you went to? Post them here!
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2016.04.13 22:39 no_turn_unstoned WELCOME TO THE_PACK

THIS IS THE PACK WE'RE FUCKEN BAD ASS AND WE MAKE BOMBASS MEMES!!!!! CUM CRANK YOU'RE HOG IN ARE DISCORD MFER https://discord.gg/3WqqfRM !!!!!!!!!
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2024.05.14 19:10 Known_Heat_2326 Should I go to ER?

I (F21) have had a fungal infection on my scalp on and off since October. I woke up today and my neck was stiff along with the lymph node behind my ear absolutely swollen. It hurts to lay down. My head is throbbing and the fungi on my scalp is oozing this clear liquid. I accidentally hit a part of my head with my hair dryer and I guess where was a huge clump of yellow scab like that tore from my scalp. It’s gotten bad. I have been using nizoral shampoo for the last two months and it doesn’t seem to budge. It only went away when I was ingesting oral antibiotics in the shape of pills but idk what they are because the emerge doctor gave them to me, should I go to emerge? There’s no clinics around me open until tomorrow morning, which I think I can hold out on. Should I just go in?
submitted by Known_Heat_2326 to AskDocs [link] [comments]


2024.05.14 18:43 Yurii_S_Kh A Parish Priest’s Conversation in the Cemetery on Radonitsa

A Parish Priest’s Conversation in the Cemetery on Radonitsa
Before I came to the faith, I didn’t like going to the cemetery. What’s more, the cemetery always reminded me of my mortality, and it made me sad. Since I didn’t see life as eternal, it seemed sad to live on earth.
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What should I live for? In order to die? It’s all pointless. Willy-nilly you arrive at the idea of evolution here. Man appeared on earth as a result of positive mutations and eventually we began to have consciousness, conscience and reason. Sometimes you clutch your head, saying, “Why did I become a human being? Who needed all these mutations if I will just be buried in the ground or turn into a pathetic handful of ashes?” With such ideas, the old saying seemed justified: “Take everything from life before the worms eat you.”
The awareness of the fact that you are a mold from an eternal Image justifies your existence and gives it meaning. And the thought of your inevitable meeting with the Creator makes you take your life seriously. The purpose is revealed to you: He loves you, and you are a child of His love.
And you think: “How good!” It was only after I came to the faith that the cemetery ceased to be an eerie place for me and turned into a “repository of completed narratives.”
Our cemetery beyond the village in the heart of the forest is divided into the smaller, old one, which appeared in the seventeenth century, and the new and larger one. Do you know how our village cemetery differs from urban ones—apart from its size? I served the funeral for almost everyone who is buried in the new cemetery. I made the “last entry” in the destiny of almost every person buried here. I pray for them and remember many of them. Besides, even before my ordination I had lived and worked with these people for many years. And I know that their life in eternity depends on my prayer in some way. Our bond with them was not severed by their demise. Spiritual care does not stop even beyond the grave.
The Church year, with its memorial Ancestors’ Saturdays and especially the Paschal services, does not allow us to forget those who have already departed this life. And visiting people’s graves on Radonitsa always is always a special, joyful event for me. I go to the cemetery as if to visit my friends—those whom I came to love during their earthly lives and with whom I prayed and restored the church—my brothers and sisters.
One day I had a dream just before going to serve on Ancestors’ Saturday. It was as if I had died, my soul had flown away, and I could even see my own body from outside it. And I was so upset and sorry that I could not say goodbye to anyone, hug my children and kiss my wife. And my soul began to cry from anguish.
Suddenly a thought flashed through my mind: “Today is Ancestors’ Saturday! How many people will come to church now, but there will be no service! Where will another priest come from?” And my soul, accustomed to responsibility, immediately returned to my body. I woke up and was relieved that it had all just been a dream. But then I remembered forever how my soul had wept after leaving the body. From that day on I began to feel compassion for the deceased while performing the funeral over them.
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I am greeted first by Alexei at the entrance to the new cemetery. I learned a lot from that man and in many ways, would like to be like him. He knew how to live and had a great desire to live. But for all his buoyancy, illness taught Alexei to be patient and to humble himself. He was dying for several years, but every time after the unction he got better and continued to come to church every Sunday and receive Communion. And he passed away on the feast of the Ascension of the Lord.
The last thing Alexei said to me—and I managed to give him Communion—was:
“Thank you, Father. Thanks for everything!”
Christ is Risen, Alexei!
The well-groomed grave of the child Sashenka [a diminutive form of the name Alexander.—Trans.] is very close. He received Communion almost at every Sunday Liturgy. He drowned in Feodosia the day before he was supposed to start going to the first grade. His father Nikolai, a simple worker, could not save the child. After that, through hard labor he earned a sufficient sum of money for us to pay for the work of icon-painters. Three large icons of the Deesis in the St. Nicholas Chapel of our church are his sacrifice in memory of his son.
One day, after his death, the boy came to his father in a dream and said:
“Papa, I’ve been to many places, but I like St. Alexander Svirsky’s monastery the most.”
Christ is Risen, dear child! Pray for us there.
Irina. Irochka, I still can’t come to terms with the fact that you’ve been here for six years already. You shouldn’t have died, especially at such a young age. You are our beauty! I will never forget it—after I had given you Divine Unction and Communion, you took my hand in yours, already translucent from illness, and, kissing it, said:
“Now I’m not afraid of anything. Thank you.”
I hope you were not offended that I almost forced your husband away from your grave. You know, I started to fear for him. The dead cling to the dead, and the living cling to the living, as it were. Christ is Risen, our joy!
* * *
Sophia, I’ll tell you honestly: no one bakes pancakes the way you baked them. Do you think I’m joking? No, in all seriousness. The schoolchildren who cleaned the church with us and then ate your pancakes with tea have already grown up. Now some of them have their own children, but every time they come, they recall how much they enjoyed your delicious pancakes!
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What hard times we had! Now we have both a refectory and a parish house (with two floors), but back then we didn’t have anything. I still wonder how you always managed to cope with everything. Christ is Risen, our wise woman!
Praskovyushka [a diminutive form of the name Parasceva.—Trans.]! My angel who selflessly helped me in the altar. Today is Radonitsa and the eighth anniversary of your birth into eternity. You read by syllables, but you taught me so much! My friend, I am grateful to God that He brought me together with you.
Pray for me, mother, so that someday I too can reach the measure of your simplicity and learn to hope and trust in God the way you did. Of course, you know that your youngest daughter gave up drinking and came to the church, that she prays and often takes Communion. Today she is almost never out of the church, as was the case with you. So, both your daughters are in the church.
Your prayer does its job, and even after your death it does not lose its power. You cried your eyes out for your daughter. The time came, and she told me herself, “That’s it, Father, there there’s no turning back.” What a wise woman you are! Praskovyushka, Christ is Risen!
And here rests my old acquaintance, Vasily Ivanovich. In his old age a strange thing happened to him: he fell in love like a teenager. He started writing love poetry, but he was ashamed to reveal it to anyone. But he trusted me. He would come to the entrance of my house, sit down on a bench and wait for me to see him and come out. Then he would take out his notebook, and his “sonnets” would start flowing. How many times I invited you to the church, my friend! You kept promising, but... never came. Christ is Risen, Vasily!
Then the tombstones of rich people begin. There are three tombstones here, behind an imposing metal fence. That’s right, it’s a family of three people. Petrovich, an entrepreneur, a good man who drank. He didn’t give sufficient attention to his son who was hooked on drugs. No matter how much they tried to cure him it was all in vain. After the young man’s death, Petrovich’s wife took to drinking too, as if she had decided to die. They lived beside the church. Their house had once been built on church land. It was a big, beautiful “mansion” in which you could live for many years.
One day Petrovich came to our church while I was racking my brains over the problem of where to find money for a new roof. I desperately needed to have our winter church reroofed. A piece broke off from the destroyed bell-tower and pierced the roof in several places. And we had just plastered the walls inside, putting so much effort into it.
There was no one in the church except Petrovich and me. I went up to him and greeted him. I saw that he was having a very hard time. And who would be feeling otherwise after losing his only son? I addressed him:
“Petrovich, do a good deed in memory of Kostya [a diminutive form of the name Konstantin.—Trans.]. Do you see how the roof was broken by bricks from the bell-tower? Help us redo it as long as there is no rain so far. You’re a wealthy man, help me. I will also ask the parishioners—and we will do it all together. I’m afraid we’ll ruin the plaster inside after the rain starts.”
Petrovich was silent for a little while. His face was so kind, he really was a nice chap. Then he said:
“You know, father, I’ve been thinking about how I’m going to live now, after my only son’s death. And I’ve decided that now I will live only for myself. So, please don’t take it amiss, but look for other sponsors.”
And indeed, Petrovich started to live for himself: he bought a new car, had a holiday abroad, and began to dress well. And then Petrovich disappeared—we couldn’t find him for a whole week. One afternoon as I was walking to the church, a boy of about ten caught up with me:
“Father, go and see what it is! I keep looking and I can’t figure it out.”
I went with him, and he brought me to the back of Petrovich’s house, where there was a huge puddle. I looked where the boy was pointing and saw something like a swollen sugar bag floating in the puddle. But it didn’t seem to be a bag—it resembled a man. We called the police, and Petrovich’s daughter-in-law pulled him out of the puddle.
She said she saw a bullet hole in his forehead. But no one investigated it then.
I performed the funeral for him in the courtyard of our church. And three months later his wife passed away. Their “big mansion” stands empty.
Christ is risen, Petrovich! Don’t think that I bear a grudge against you. After you refused, another man came and offered his help—he took the church reroofing on himself. This is how things work with God—if not you, then someone else. You already know that. Poor Petrovich, nobody remembers you, but I don’t forget you.
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How many years have I served at the grave of a young mother’s child on Radonitsa. She crossed a pedestrian crossing in Moscow when the traffic light was green. But a jeep suddenly appeared, knocking the child down. There must have been a tiny news report about you that day. As I understand it, the jeep driver was acquitted. But it doesn’t matter now whether he was acquitted or not. A momentary incident, but the mother’s mental distress has not abated for four years, she is sick at heart, and she still wears black.
How accustomed we are to these news reports: Someone has perished here, someone else has been killed in an explosion there, a plane crashed somewhere, etc. But all this means someone’s pain, tears, broken hearts, and orphaned children.
Mother, Christ is risen, don’t cry and start praying for your girl. Help her, while you have some strength.
There is a large marble slab with a portrait of a young man. Yuri worked at one of his father’s gas stations. About ten years ago, some drug addicts murdered him at work at night. I remember his mother weeping in church. We have a custom: If people make a contribution to the church in memory of their reposed loved one, order an icon, buy a candle stand or something like that, then we add the name of the person in question into our list for permanent commemoration.
I offered the same to Yuri’s close ones. On hearing this, his mother stopped crying. She came up to me and said quietly:
“Father, only don’t tell my husband. I’m afraid he won’t understand you.”
It was only then that it dawned on me: If he left his son alone to work at the gas station at night without security, he really wouldn’t understand me. His family does not set foot in church anymore.
Yuri, your closest ones betrayed you. But forgive them; You know, we don’t choose our parents. But I’m still wondering: How will they look into your eyes when you meet them in eternity?
Nobody comes to your grave on Radonitsa, but I remember you, your placidness, and sometimes pray for you. But forget them all. Christ is Risen, Yuri—you and I will rejoice together.
At the exit I met one of our believers from Moscow, who had buried her mother right around Pascha a year before.
“Earlier I couldn’t go to the cemetery—I felt uneasy here. But now I can sit here next to my mother’s grave, talk to her, and I feel so good—I don’t want to go away,” she said.
And we, Galochka, don’t “go away”. It only seems to us that the departed are somewhere far away from us, but in reality they are close, in our hearts, in our memory and our prayers. After all, and of course, you know it yourself, love (if we have it) does not disappear, even after death.
Archpriest Alexander Dyachenko
submitted by Yurii_S_Kh to SophiaWisdomOfGod [link] [comments]


2024.05.14 18:40 thepurlshq Cisplatin & Radiation Treatment (My Experience)

Update post on my progress and protocols for my treatment with side effects and how I managed it all.
Now that I'm done with treatment, I hope that this can help others who may be starting the same journey and have questions. I attribute my easy time to the premeds and my mental willpower. I focus on the positives and silver linings over the negatives. You can only control one thing -- your reactions. The rest requires you to practice acceptance.
Diagnosis: Stage 2 Endocervical Adenocarcinoma Gastric Type with LVSI
Treatment Plan: Surgery (cervix, uterus, and ovaries) followed by concurrent Chemo with Radiation with a PET Scan scheduled 2 months after treatment to determine if NED or more treatment is required.
I was scheduled for 6 chemo cycles, once a week, and 28 radiation beam therapies. Chemo happened on Monday and Radiation was Monday through Friday. I had to skip Cycle 3 on Chemo only because I was hospitalized with Norovirus and my counts were too low. I still did radiation those days.
Chemo Protocol in order of meds:
  1. Magnesium Sulfate + Potassium Chloride. Cisplatin strips this from your body, supplements.
  2. Emend (Fosaprepitant) - antiemetic. I had to get a port for this, it burned my arm vein and I had to use other arm for Chemo, no fun.
  3. Aloxi (Palonosetron) - antiemetic.
  4. Decadron (Dexamethasone) - steroid. It burns in your nether region, if it burns too much, ask them to push it slower.
  5. Lasix (Furosemide) - diuretic. Cisplatin is hard on kidneys, this is to help purge the chemo faster. Be close to a bathroom and ask nurse if you can just unplug your IV pole and go to bathroom freely vs. pushing call button -- its easier.
  6. Cisplatin (Platinol) 70mg (my dose). Didn't make me feel any different than the other infusions.
Plan for at least 5 hours for the above. I started at 7:30am and ended between 12 and 12:30pm.
Cisplatin Symptoms: This is going to vary person to person and you may get different premeds than me.
Pelvic Radiation Symptoms: This is going to be different based on what areas are treated. My bladder, vagina, and pelvic nodes were heavily treated. Be sure you understand the side effects before you start treatment - so you can be on top of everything. Below is my experience and I had a fairly easy time of it.
Nurses are your best friend. Having cancer and going through treatment sucks, but the nurses are there for you and my experience was all-inclusive resort service. Take advantage of the snacks (yes they have ice cream) when you're getting chemo. Don't be shy about asking them about your meds, they did a good job explaining this to me, but I still had questions now and again. It takes a special person to be an oncology nurse and you feel it. It never felt fake or like they were putting on a show/smile just for me. They truly cared. I never want to see them again either way :)
Edited to add: get a port. You will not regret it. I plan on keeping mine for a year after NED, which will require a monthly flush. It makes things so much easier, especially if you have to be hospitalized. I didn't need the numbing cream, it hurts less than the arm pokes for labs and infusions. I asked for mine before chemo and doctor didn't think it was necessary. First treatment proved it was - I had three IV's that day and I'm still suffering from the Emend infusion (not the chemo surprisingly) on my arm. Yes, its surgery but its easy. I had it in place before my 2nd chemo and it was lifechanging. I'd keep it for life it wasn't for the monthly flushes lol, my arm veins were crap to start and the more they are poked the worse they get.
submitted by thepurlshq to CervicalCancer [link] [comments]


2024.05.14 18:30 InitiativeSuitable30 My grandfather is refusing to take his pills, and I don't know what to do

I'm not looking for answers exactly, but I really hope someone can help me navigate this problem I'm having with my grandfather because I'm at a loss. Thank you in advance 🙏
My grandfather is 92. He's been remarkably healthy and strong his whole life until last October when he fell off a stepladder trying to trim his bushes and broke his hip. After a partial hip replacement, he could no longer go on walks. He couldn't lift his right foot and lost a lot of sensation. Despite this, he actually did recover somewhat and regained some mobility.
Then, last month, he was hospitalized due to fluid buildup/retention around his heart, plus heart inflammation. From this, he was prescribed an antibiotic for an infection, the probable cause of the inflammation, and a water pill to reduce swelling. And Eloquis for A-fib, plus metroprolol.
He took the antibiotic and metroprolol, but I just found out he never took the water pill. I visited him the other day and noticed his legs had gotten really red and swollen. Sores had formed on his ankles and they were weeping fluid. I took him to a doctor, who told him that he needed to take the water pill because of the severe swelling and stop taking the Eloquis due to low blood counts.
I helped him fill his pill box and told him everything he needed to know. But I just found out that he didn't take the water pill for even one day after I left. He's convinced that it's giving him diarrhea, which he is having pretty badly now. I told him that it was probably from the antibiotic and that he should take a probiotic to help his digestion recover. Of course, that didn't work.
I'm concerned that he continues refusing to take the water pill. His attitude has now become, "it's my body, so it's my choice." But if he has a stroke or a heart attack and becomes invalid, he's going to be everyone's problem, and it's not going to be his choice anymore. I'm not saying that to be selfish - I'm saying it because being a burden to other people is the LAST thing he wants in the whole world. That's just the way he is. So that's what I need to prevent from happening.
I just don't know what to do if taking him to a doctor and having her explain everything and him agreeing to it just didn't actually work. One of the problems is that his eldest daughter is an anti-vaxxer and anti-medication type of person whose attitude when he asks her advice is basically, "dad, it's your choice, whatever you want to do." Of course, she's hundreds of miles away, and I'm the grandson down here dealing with the repercussions of her "encouragement."
I'm sorry, that was long. Does anyone have any advice that I haven't thought of? Even advice on alternative treatments for the swelling and diarrhea would be most appreciated.
submitted by InitiativeSuitable30 to eldercare [link] [comments]


2024.05.14 18:27 InitiativeSuitable30 My grandfather won't take his pills, and I'm scared

I'm not looking for answers exactly, but I really hope someone can help me navigate this problem I'm having with my grandfather because I'm at a loss. Thank you in advance 🙏
My grandfather is 92. He's been remarkably healthy and strong his whole life until last October when he fell off a stepladder trying to trim his bushes and broke his hip. After a partial hip replacement, he could no longer go on walks. He couldn't lift his right foot and lost a lot of sensation. Despite this, he actually did recover somewhat and regained some mobility.
Then, last month, he was hospitalized due to fluid buildup/retention around his heart, plus heart inflammation. From this, he was prescribed an antibiotic for an infection, the probable cause of the inflammation, and a water pill to reduce swelling. And Eloquis for A-fib, plus metroprolol.
He took the antibiotic and metroprolol, but I just found out he never took the water pill. I visited him the other day and noticed his legs had gotten really red and swollen. Sores had formed on his ankles and they were weeping fluid. I took him to a doctor, who told him that he needed to take the water pill because of the severe swelling and stop taking the Eloquis due to low blood counts.
I helped him fill his pill box and told him everything he needed to know. But I just found out that he didn't take the water pill for even one day after I left. He's convinced that it's giving him diarrhea, which he is having pretty badly now. I told him that it was probably from the antibiotic and that he should take a probiotic to help his digestion recover. Of course, that didn't work.
I'm concerned that he continues refusing to take the water pill. His attitude has now become, "it's my body, so it's my choice." But if he has a stroke or a heart attack and becomes invalid, he's going to be everyone's problem, and it's not going to be his choice anymore. I'm not saying that to be selfish - I'm saying it because being a burden to other people is the LAST thing he wants in the whole world. That's just the way he is. So that's what I need to prevent from happening.
I just don't know what to do if taking him to a doctor and having her explain everything and him agreeing to it just didn't actually work. One of the problems is that his eldest daughter is an anti-vaxxer and anti-medication type of person whose attitude when he asks her advice is basically, "dad, it's your choice, whatever you want to do." Of course, she's hundreds of miles away, and I'm the grandson down here dealing with the repercussions of her "encouragement."
I'm sorry, that was long. Does anyone have any advice that I haven't thought of? Even advice on alternative treatments for the swelling and diarrhea would be most appreciated.
submitted by InitiativeSuitable30 to AgingParents [link] [comments]


2024.05.14 18:04 CreativeUserName709 Lymph node swelling

Hey, so 5-6 months ago when I first got diagnosed, I had a swollen lymph node in the left side of my neck. I showed my rheumatologist and he suggested an ultrasound, it actually went away by the time the scan was due. They did the scan anyway, they checked everywhere, not just the area of complaint and they found nothing.
Now months later I have a swollen lymph node on the right side of my closer to the base of my skin, it's much larger too. Is this a part of AS? this doesn't hurt to touch and I only noticed it by chance. But I tend to stress about them when I get them.
I thought I'd ask here and see if anyone else gets this. I'm on vacation at the moment and hopefully it dues down by itself when I'm back. If not I'll let them know.
submitted by CreativeUserName709 to ankylosingspondylitis [link] [comments]


2024.05.14 17:19 treslilbirds First visit to the ER for allergic reaction and I’m questioning myself on everything

I just keep replaying the whole thing in my head and everyone else’s reactions and I still don’t know if I did the right thing. Did I do too much? Not enough? I’m hoping maybe some parents in here that work in healthcare can give me an unbiased answer.
So daughter is 4 (turning 5 in June). She was diagnosed at birth with septo optic dysplasia and optic nerve hypoplasia. Long story short, she has very low vision and developmental and verbal delays. She is otherwise healthy as a horse, active, very strong, followed by specialists at a children’s hospital nearby, gets therapy through school, all that good stuff. We’ve never had issues with allergies, she’s been stung by a wasp (barely phased her), eats peanut butter, has had cooked egg and stuff made with egg and no issues. So this was alarming to say the least.
We live out in the country and have chickens so there’s no shortage of eggs that are laid out around my kitchen on a daily basis (obviously not anymore). About a month ago she grabbed one off the counter, broke it, and got egg all over her arms and hands and some on her face. I didn’t think much of it, it had happened before plenty of times. I cleaned her up, wiped up the floor and went on making dinner. She went and played in her room and when she walked back out I noticed she had little bumps popping up on her face and arms where the egg got on her. She didn’t seem bothered at all, I put some hydrocortisone cream on her, gave her a dose of Claritin just to be safe and it was cleared up in less than 10 minutes. I mentioned it to one of her teachers the next day at school and asked if they had ever noticed anything when they would have eggs for breakfast and they said no and told me they’d keep an eye out. And that was it. I didn’t think too much about it after that.
Fast forward to yesterday. Same scenario, I’m about to make lunch and she manages to grab an egg that I was sure was out of her reach, she dropped it, I immediately went over and checked her. It wasn’t even that much that got on her that I could tell. I got everything cleaned up and not even 5 minutes later her entire face is swollen, eyes swollen shut, bumps all over her legs and face. I am internally panicking at this point because it was so sudden and not something I ever expected to deal with. Plus we’re home alone and the nearest ER is at least 30 minutes away. There is a local clinic less than 5 minutes from our house so I called them, explained what was going on. Her face was swollen but she was still in good spirits, breathing fine, didn’t seem to be in distress. They told me to go ahead and bring her in. I just assumed the quicker I could get her to medical professionals, the better. I did consider calling for an ambulance but we’re in a rural area with one ambulance to service the entire county and I knew I could get her to the clinic faster than the ambulance could get to me. We get to the clinic, I’m filling out paperwork, nobody at the front really seems phased, they see her face but not really acting like it’s urgent. Nurse takes us back, gets her weight and height, gets history from me. She tried to get Daughter’s vitals but she has never tolerated any of that since infancy. Blood pressure cuffs send her into a full meltdown, she won’t keep a pulse ox on her finger. I always feel so bad for healthcare workers having to deal with her because as sweet as she is, she is EXTREMELY difficult at doctor visits. I can tell the nurse is getting frustrated with us. So then the NP comes in and looks at her and asks me, “So is there a reason why you didn’t just go to the ER?” My heart dropped and I tried to stay calm and told her I came here because it was a lot closer and I did call first and explain the situation and they said it was fine to come in. She then proceeded to tell me that they weren’t really equipped to handle anything like this and I should have just gone to the ER. I guess that was my first dumb mistake, assuming that a clinic with a full pharmacy attached could handle an allergic reaction. I just figured they’d give her a shot of Benadryl and we’d be good. But apparently not.
Other than the swelling and hives, Daughter wasn’t showing any other symptoms. The NP listened to her chest, said everything sounded good but she still wanted her to be monitored in case something happened and we’d be best off taking the ambulance to the ER. They gave her a dose of oral Benadryl and called the ambulance for us. Thirty minutes later the ambulance gets there, and we head to the ER. They were very kind and understanding, Daughter was actually having a good time riding in the ambulance, laughing and singing. She wouldn’t let them hook up any monitoring equipment still but they kept a close eye on her. I start feeling a little bad at this point because she’s still not in any distress and other than the severe facial swelling, seems totally fine, so I started feeling guilty for wasting local resources and peoples time.
We get to the ER and they get us to a bed and one of the nurses comes over and I can just tell right off the bat that she doesn’t even want us there. She was very short with us and kept talking at my daughter telling her that she’d have to leave if she didn’t act right. I kept mentioning that she was low vision and had verbal delays but I don’t know if she was listening. I was beyond stressed at this point and so was Daughter and she was admittedly being difficult yet again and not keeping the pulse ox on her finger. I just mentioned to the nurse that we have to go to the children’s hospital a lot and they’ve only ever managed to get her vitals once when she was sedated for an MRI. I guess at the time I was just trying to acknowledge that yes my kid is difficult and let the nurse know please don’t feel bad because she’s like this with everybody. I wasn’t trying to tell her how to do her job. She glared at me and snapped “I am NOT sedating your child just to get her vitals!” and stormed back over to the nurses station across from our bed and repeated the same thing loudly, “I am NOT sedating someone to get their vitals that’s just RIDICULOUS!!”
I’m trying not to break down and cry at this point. I feel like I should just apologize to everyone for wasting their time and leave. Like I’m that dumbass that went to the ER for no reason and took up space that a real emergency could have used. A different nurse came over and was very sweet. She used a different monitor that taped to her toe and we were able to get a quick reading just to verify that her stats were good. The doctor came in and listened to her heart and checked her out for any other symptoms. Said she seemed stable but he wanted to watch her for a couple of hours to make sure the Benadryl was working and she continued to improve. So after we hung out for an hour and watched PBS kids, her hives went away and her face cleared up and her eyes opened back up. The doctor came in and cleared her, pharmacy tech came in and brought us her Epipen prescription and gave us instructions on what to do next time (Benadryl, blue to sky, orange to thigh, straight to ER). Paid $300 and went home.
Daughter is perfectly fine. I however am not. I barely slept last night between getting up to check on her and replaying the whole scenario in my head. Part of me feels like I didn’t do enough and the other part feels like I overreacted and wasted peoples time. I apologize for this being so long. It’s just all been so heavy on my mind and I needed to get it out and get another perspective on the whole situation. Much thanks to anyone that managed to read all of this.
submitted by treslilbirds to Parenting [link] [comments]


2024.05.14 17:03 Cyanide_Sprite I’m sick cause of work

I’m a guest advocate, 5 days straight I was scheduled to work the positions that require the most talking and running around. Everyone in my store has been well aware that I despise being talkative all day long and tend to not talk at all when I’m drive up unless I’m with a guest or grumbling profanities cause my stuff isn’t done properly or my times have gone down. I go on a lovely week long trip tomorrow and have a concert while I’m on my trip that I’ve been trying to see for over 5 years. Well. Having to be in check out and guest services 4 days straight and in drive up for one 6 hour shift killed my feet and throat. Unfortunately drive up day was rough, I had called my roommates trying to figure out who was going to be taking care of my cats as my hire backed out while I was at work and was fuming and cussing pretty heavily. So last night I felt my throat get sore and my nose all runny. I woke up and to nobody’s surprise my lymph nodes are swollen and I’m in severe pain. I called out last night because I knew this would happen, whenever my throat is sore from talking too much my lymph nodes swell. My TL called me in a panic/fit of rage at 7:30 am- half an hour before my shift was supposed to start. I couldn’t talk so I handed my phone to my wife on speaker and had her explain that talking and swallowing hurt and that I’ve gotten sick and just need to rest. My TL demanded that I have to be the one calling out if I’m sick. I called out through the app and my wife was aware of this, she quickly told TL to check my time for target for my call out and said once again that I’m sick and called out properly.
submitted by Cyanide_Sprite to Target [link] [comments]


2024.05.14 16:25 ConsistentTune4406 How can I (28F) best support my partner (33M) while maintaining my boundaries after we found out his Dad has cancer?

I have been dating my partner for about 2.5 years, living together for about 9 months. We've had some ups and downs- nothing breakup worthy- but we've both had some significantly tough times. Given some recent events in our life, I would like some advice as to whether or not I'm being realistic in terms of my expectations of him and our relationship.
My partner's Dad was hospitalized in January for a cardiac episode. He was released after 5 days and during the follow up appointments, it was discovered that he had colon cancer. He had surgery that removed the tumor in late April. During the surgery, they removed 26 lymph nodes and sent them out for testing. 1 of nodes came back positive for stage 3 cancer cells. The oncologist said his best course of action would be chemo to rule out any additional cancer cells that may exist before they become a bigger issue. He'll be starting chemo in early June. My partner is understandably negatively affected by this diagnosis. For context, his Mom survived breast cancer about 12 years ago, during which time my partner was her primary caregiver, but his best friend's father just died from cancer 3 weeks ago. The best friend's father went from totally fine, to diagnosis, to dead in less than a month. It was brutal. Partner's father is not in the best shape health wise, and quite frankly, my partner is anticipating a poor outcome from the chemo/cancer. I'm trying to be positive and supportive for the family, but it's taking its toll on all of them, as is to be anticipated.
As this whole thing has been happening, my partner has been going through it in terms of his mental health. He's struggled with depression and panic attacks for most of his adult life. He's been on an antidepressant for years. After his father was hospitalized in January, he was temporarily laid off from his job because of his poor work performance. The company basically told him they wouldn't let him return to work until he started therapy and got his shit together. He started seeing a therapist in February and started Adderall for his ADHD in March. It's been better in the sense that's he's more communicative with me, seems to be on a bit of a better schedule, etc. He started back to work on May 1st. Going back to work has been pretty good- he likes his new position and his schedule is much more consistent now, so that's good.
This entire time, I've been supporting our household financially as he completely drained his small emergency fund in less than 5 weeks. Financially, we are total opposites, and it stresses me out! I have 150K in savings/retirement, and he has only a couple grand saved and nothing in retirement. We've been talking about getting married, but in December (before this whole ordeal even started) we had a conversation where I ultimately told him marriage was off the table until he's financially in a better position, and he'd agreed to open retirement accounts and asked me to help him budget etc., but this was before the whole cancer- laid off- therapy thing even started. We haven't really discussed it much since.
Some of the other issues that we continue to have is that he's generally unable to remember to do any tasks unless I remind him incessantly (as in, tell him multiple times, text him, call him, etc.) Tasks would include: taking out the trash, putting away his vapes so the dog can't get to them, brushing his teeth, putting laundry in the basket, picking up his wet bath towels, etc.
The biggest one that bothers me is his lack of consistency after I go to bed. He's a night owl and stays up late, which is fine, but he'll (more often than not), pass out on the couch with the lights on, the TV on, the computer playing a video, food and drinks all over the living room, didn't brush his teeth, etc. I wake up naturally a lot throughout the night so then I either go get him from the living room, basically force him to brush his teeth and get in bed, and then have to deal with the mess/electronics myself at whatever ungodly hour it is OR just leave everything as is and go back to sleep. If I do that, I still have to deal with all of those things when I wake up at 5 am with the dog and get ready to go to work- she's a puppy who's excitable and it's so much easier on me if he's in the bedroom in the morning so she'll stay focused on me and I don't have to worry about her getting to his vapes, food, drinks, etc.
As a side note, the fact that his oral health is so poor is disgusting to me. I've already set a strong boundary that I will refuse to kiss or be intimate with him unless he's brushed his teeth at least once per day. He's a very touchy person that likes physical affection, so it's tough for him that I refuse to kiss him unless his teeth are brushed, but it's generally pretty effective in helping him to remember to brush them. At least, it was until January.
I want to be clear that our communication is pretty good, and all of the boundaries I have/expectations I've set are things we've talked about and agreed upon together. These are all areas in which he agreed and often he was the one to suggest that he needs to work on. I also didn't mention the areas I've agreed to work on within myself, but there are a few.
Given the things happening with his Dad, I feel like an asshole pushing him to be better with his finances, health, and chores, but I also don't think I can deal with these things NOT getting worked on for the next 8-12 months (the projected length of his Dad's treatment). So- what's the balance? How can I support him through this which pushing us to work on our relationship? Or, is it totally unrealistic to expect that right now? I know I want to have a conversation with him about our foreseeable future but I want to be realistic as to what I can/should ask of him. So- what do you think?
Edit: For context, my partner would like to be engaged by the end of the year. He'd been saving for a ring/wedding prior to getting laid off. I pushed pause on that plan because I was uncomfortable with his lack of financial stability and generally felt that he did not pull his weight of the household responsibilities. He agreed to work on these things before taking the next step. He still wants to propose this year, despite what's happened.
submitted by ConsistentTune4406 to relationship_advice [link] [comments]


2024.05.14 13:17 Kinnporscheislife Non pathologically enlarged cervical nodes for 3 months.

At the start of March I felt like I was going down with something it started with a whole body muscle/bone pain and then at night the back pain was really severe and I developed a fever of 37. 4 celcious and sweated that night. I've also been having some neck discomfort burning sensation and randomly noticed a lump after a few days of my fever night. I got an ultrasound that showed several non patholgoically enlarged lymph nodes both under my jaw and right and left side of neck and also the lump one was described in the report as "hypoechoic oval shaped (lymph node?) Measuring 9.5mm".the radiologist also felt an occipital one and said it was most likely also a lymph node. I also had a clear chest X ray and cbc was normal, along with esr, crp and thyroid hormones, LDH, ca-125, ANA, Igh Igm Iga all normal. A hematologist felt my nodes on my neck and the groin ones that are palpatable too on both sides but didnt request even an ultrasound they are pea sized. Also an ENT checked me and said everything ok despite my left ear also echoing loud noises from time to time. So they all dismissed me with having a viral infection but after 3 months lymph nodes are still the same and while stretching my neck I get cramps and when I apply pressure behind my neck it also triggers a muscle cramp and my occipital node feels sensitive. I have off and on muscle cramps all over the body, also jaw bone pain and under cheekbones feel like a pressured from time to time. Constantly I feel my hip flexors kind of going numb or sore when I open or rotate my leg and I feel the inside of my left buttock muscle spasming or tightening. The back pain and back of neck/muscle pressure gets worse at night while laying down. I also tested for covid the flue and some other tests but were all negative. Should I look into this further or could it be a lingering virus still after 2-3 months?
submitted by Kinnporscheislife to DiagnoseMe [link] [comments]


2024.05.14 12:28 Kinnporscheislife 26F Non pathologically enlarged cervical nodes and an oval shaped one measuring 9.5mm

It's been 3 months ever since I had an episode of my whole body aching especially my back pain which got really worse to the point I couldnt sleep from the pain and even sweated and had a mild fever 37.4 celcius that night. The whole body/bone pain has been going on for a few days prior to developing that fever for one day but I felt like I was going down with something. My neck has been bothering me for a while I dont cough but it felt sore inside/weird. I did a cbc everything normal, crp, esr normal, ANA normal, ca-125 normal, LDH normal, igA, Igg, Igm normal, ultrasound showed reactive nodes with a more prominent one in the right side of my neck which is palplatable and measured 9.5mm and was described as a hypoechoic oval shape (lymph node?) In the report. Chest x ray clear. A hematologist felt my nodes on my neck and then my groin ones which are pea sized but dismissed them. For the past months Ive been having muscle spasms and discomfort on my legs, and hands which comes and goes like the burning feeling in the inside of my throat. I also get pressure in the sides of my head and there are swollen occipital nodes that cause me discomfort too. It feels like my muscles are really tense. Also I have really weak muscles/tendons/hip flexors? In the side of my buttocks especially the left one which becomes more intense when I open that leg or rotate it inside. I also get some burning sensations spreading from my chest to stomach and sometimes I feel cold. I also get random pain on my jaw and under cheekbones. Most discomfort was noticed during the night or laying down. I still experience back/hip pain from time to time. Also my left ear is sensitive when I hear something loud or touch it it makes something like echo ear drum? Also been seen by an ENT doctor who said I was clear. Should I look into this further or could this be due to a virus after 3 months? Possibility for Sjogrens(mildly drymouth, also vagina with frequent candida infections, dry eyes and have always had problems with cavities, dry nose) or TMJ? 6months ago I also had a neck and brain MRI which showed back left bone spurs in A4-A6 level that could be pressuring the A6 root. I've also worried about lymphoma because I got some mild night sweats that could be connected to anxiety and nightmares, were not drenching and after xanax use they havent appeared for a few weeks. What has been constantly bothering me though is the lower back pain muscle spasms and that weird stiff feeling on the sides of my hips and that tendon/nerve/muscle stretching/spasm deep inside left buttock.
submitted by Kinnporscheislife to AskDocs [link] [comments]


2024.05.14 12:04 Sezzyyy19 ongoing symptoms for 6 months :(

So I am a type 1 diabetic recently diagnosed Celiac. About 6 months ago I discovered a few lumps in my neck which I thought were swollen tonsils or swollen lymph nodes. I gave them some time to come down but in the mean while I have experiencing drenching nightsweats, muscle/bone pain, intense fatigue like i am iron deficient (as I have been before) but my iron levels are perfect, hair loss, itchy head, and a rash that appears randomly on my chest and neck. i had had my neck ultrasound which doctors have said was fine. I have also recently had a CT scan of my chest as I was in hospital for chest pains (outcome was inflammation around the heart), which had been clear. I have had countless bloods done for autoimmune disorders and infections which doctors have said all normal. These symptoms are still occurring every day and night for the past 4-6 months and i feel like i still have swollen lymph nodes in my neck. I have had a look at my results and have taken note of the numbers out of range if anyone can understand this.
Leucocytes tested in urine: 41 H (reference interval is <10) Urate: 0.13 L Ferritin: 201 H (reference interval 15-200) MCV: 79L (reference interval 80-100) CRP: 9.4 H (reference interval 0.0-5.0)
Would anyone possibly know what might going on and what I should get tested for?
submitted by Sezzyyy19 to u/Sezzyyy19 [link] [comments]


2024.05.14 11:49 Commercial-Fan3913 Possible Tonsil Cancer

Hey guys, I just need to vent and have people to talk to I guess.
I’m a 36F single parent , I only have my young teenage daughter and my elderly mother so I don’t really have anyone to talk to.
This will be a long post because I just need to get it all out there.
It all started mid January 2024, I was suffering severe pains in my stomach and rib areas and was vomiting mostly liquids/ stomach acid , I went the the emergency room a few times I was sent to have ultrasound done on my gallbladder, kidney and liver- results were normal , my GP put me on acid reflux medication since being on that the pains have gone and the vomiting it’s every once in a while compared to a few times a day.
Then in early February 2024 I started to get ringing in my ears mostly on the left side but in both, it never stops, my ears felt blocked/ muffled (no pain) I also had a feeling of something in my throat. I went to see my GP again who checked inside my mouth and noticed my left tonsil was swollen so she put me on antibiotics which didn’t work so she did a second course I ended up going to the emergency room as I noticed a weird thing on the bottom of my tonsil towards the front it looks like a skin tag? Not sure how to explain it but I was freaking out , the ER doctor said it “looks” like a small cyst nodule and did blood test , he said I don’t have a bacterial infection and to stop the antibiotics, if the cyst was there still in 3 weeks to go back to my GP. After 3 weeks the cyst was there still, I still had the issues with my ears and the feeling of something in my throat but it felt higher up more like the back of my mouth. I went to my GP who then referred me to a public ENT I got an appt with them for March 8th, I went to the ent appt and I was a complete mess, I just said straight up I think I have tonsil cancer so he got me to sit in the chair so he could scope up my nose/ down my throat, I asked him is it cancer and he said “ I don’t think so “ then he went to go get his boss which made me freak out more. In came the boss which seem to be nice he had a look with his light and eye piece and said that my left tonsil is slightly bigger than my right and was firmer he also said he didn’t think it was cancer. He said he wanted me to come back in 5/6 weeks for reassurance. He asked me to see my GP to get my anxiety sorted and also suggested I go visit my dentist to get teeth cleaning done as I have tartar ( I’m a smoker )
They sent a report to my GP which states on the report about having my tonsils removed and biopsy done. Why would they say that if they don’t think it’s cancer …. I’m a complete mess. Surgery absolutely scares me.
I was meant to have my next ent appt on the 16th of May but have just received a letter saying that it’s been postponed to the 29th July
I noticed about a month ago I have a swollen lymph node on the left side going along my jaw from just below my ear. It was tender to lay on to begin with but now there’s no pain but it’s still very large maybe 2-3cm in length (from ear going towards chin ) it’s not rock hard but it’s firm, I can move it only a tiny little bit
I’m just so scared , I’m scared that having to wait so long to see the ent that if it’s cancer it’s going to spread even more and then not be treatable
submitted by Commercial-Fan3913 to AskDocs [link] [comments]


2024.05.14 10:40 wisteria_town Day 14 post SCT + A little storytime

Hi! Just wanted to thank everyone for all of the support on my last post, the days have been passing by easier since then. 🥹🫶🏻
Day 14 today, my counts started going up a few days ago! Neutrophils pranked me a little (0,00→0,05→0,00→0,02→0,04 today) but otherwise, everything else has been going up pretty well, hemoglobin and platelets especially! Still got pain obviously, and god awful issues with my bowel movements, but I'm managing! Optimistic for once in my life.
I realized that the only people who know my story are my doctors and part of my family. I love reading other people's stories, it makes me feel less alone (feel free to share yours if you want!), so I figured I'd share. I'll keep it brief.
Everything started with a cold that took a suspiciously long time to heal which left me with a really bad cough (that took 3 months to go away, my doctors tried everything 😭). Tiredness (5h naps during the day wouldn't cut it) turned into faiting episodes. Wounds wouldn't heal, bruises would appear. Swollen lymph nodes and gums. My last memory before getting the blood tests that changed my life was helping kindergartners (Vocational HS section where I'm basically learning to be a daycare teacher) explore a forest. In heels, without water and with no food in my stomach... Man, I really thought I could do anything. Sweet memory I cherish though.
After I got a few blood tests (I only remember my iron being 4x the amount it should've been, WBC 24k + 60% blasts) done we got a call from the lab to go to the hospital and re-do them. The hospital wouldn't re-do them because they said the results are clear, I've leukemia. The poor doctor started crying. I remember my reaction, “Leukemia? But I'm only 16.” (And now I'm turning 17 at the end of the month, how time flies) Saw a pediatric onco-hematologist on Monday. Said it looked like AML (later on found out it's "high risk, M4" but I don't exactly know what that entails) there's treatment available, said my dad can't stay as my caretaker (which I didn't understand then but I thank her for now), and then she left. She's not exactly very talkative...
Next day I got a portacath, and started investigations pre-chemo. Thankfully everything looked fine, hadn't spread to my brain, my lungs and heart were fine, basically everything was okay otherwise. Started chemo. Didn't go into remission after induction (I think I was at around 11% blasts) but went into full remission after second round. Two more rounds of chemo, then a SCT with my mom as the donor.
Now I'm looking forward to the future (although I'm also terrified of it and of the long term effects that I know I'll have to deal with). If everything goes well, my doctors have said I could maybe return to school at the start of September, which would be perfect for me since that's when the school year starts. It's genuinely my only wish. I value school so much, I know it seems ridiculous, but I studied a lot, got pretty good grades, even went to the national English olympics in 9th grade. My teachers have been very understanding too. I hope I'll be able to return, but I'll do whatever my doctors say. I don't want to set my expectations too high. I miss my teachers a lot. Also my cat, but she's having fun on the countryside! Meet Șoarec
The only thing I haven't been able to cope with is the less understanding people, haha. It really be your own family sometimes. Mom is my caretaker and although she's super sweet, she can be very rude about my pain, and pressuring me to eat/drink. Dad told me “God punished me and that's why I got leukemia” which left me stunned, I've been thinking about that for a month. Also the occasional “Oh, what's leukemia? Is it like, gamer over for you?” or “RIP” reaction when I tell someone my diagnosis. I'm gonna work these issues out in therapy though...
Hope this isn't too long or trauma-dumpy haha! Just wanted to share, this community has been very kind & helpful and I definitely wish I would've joined sooner.
submitted by wisteria_town to leukemia [link] [comments]


2024.05.14 10:26 TemporaryMiddle792 What’s wrong with my neck help please

What’s wrong with my neck help please
Hello, last Dezember I had an necessary surgery and got abused, they layed me down in a hospital bed with 2 pillows and lifted the part were my head was laying while I still was unconscious, also there was gas that had to escape my body and was pushing against my shoulder musculature. One of those is why I have forward head posture(never had these problems)be it that my unconscious adopted the position, I have lymph nodes everywhere and my neck muscles are cramped up or infected. Also my face changed, I can’t concentrate very well, I have nerve issues(damage), get head aches more often than I used too, have hearing and tmj problems, I don’t feel good. Nothing I do seems to loosen the musculature, for 5 months I’ve tried Physio Therapy, stretches etc, orthopedic therapy, accupuncture, last week going to sauna. The only thing where I kinda noticed change is when I took the muscle relaxants, I got fever and my neck started aching and I got really bad cough. I still have neck aches, it’s been 2 Weeks since I took them. The musculature however also did not let loose. Is there an infection happening? My doctor gave me cervical syndrom as diagnosis but what could he really do to help other then muscle relaxants? I heard people inject Botox in the sc‘ms to relax them but I won’t do that and I don’t see any other option rn
submitted by TemporaryMiddle792 to PostureTipsGuide [link] [comments]


2024.05.14 08:56 Flashy-Angle-7697 How to get a job as soon as possible?

I studied at a uni for 1.5 years but then left because it was hard for me and I was studying in a different language.
But after that, I feel like I got a lot more closer to getting a job than I was when I was at uni.
I learned react, next, tailwind, express, node. I was moving in a direction of learning MERN stack, but then I was advised to learn PostgreSQL instead of MongoDB.
Now I am building my first project with NextJS + Supabase (without a youtube tutorial). A social media web app to get a feel of what a finished, fill stack web app made by me feels like
I just wanted to give some context and ask you for some advices, direction, places I should go, what I should participate in and how to get a job as soon as possible, what I should know in general.
I would probably prefer some specific advices, but if it all comes down to general advices like, "build a project and apply to jobs", i don't mind them as well
submitted by Flashy-Angle-7697 to learnprogramming [link] [comments]


2024.05.14 08:49 fieldworkfroggy What can the ophthalmologist actually do if it comes to that?

This is my first rodeo at 36 years old with no other known health problems. I have very bad hypochondriasis/health anxiety, and I’m not handling the diagnosis well. I was also going through a pretty bad mental health episode when it hit.
At first, I thought I was getting sick because I had a swollen lymph node and felt the pain on top of my head, around my ear, and behind my eye, like with a sinus infection. But the sensation in my scalp was the worst, which is unusual, and it was the left side only.
The doctor confirmed that the way the pain manifested is almost certainly shingles. Based on where the pain is the worst and where there might be little bumps creeping up, it looks like it’s going to be centered on my scalp. But the top of my forehead burns too.
I got on antivirals, and the doctor said it’s possible that this might even prevent the blisters from coming at all since we got it this early. But he said to watch out for it getting close to my eye or ear.
I’m honestly kind of petrified. If that happens, what can the ophthalmologist actually do? Are they just going to confirm that there are blisters on my cornea and say be careful?
Anything else is appreciated. I’m just panicking right now. From what I was reading, it sounds like above the neck is one of the worst places to get this.
submitted by fieldworkfroggy to shingles [link] [comments]


2024.05.14 08:05 _Lucie_ I need a sanity check. Friend won't be induced until 43 weeks (+ Bonus Post)

I am NOT OP. OP is u/BlueMillennium with one post being by u/Resource-National
Posts were originally posted to BabyBumps and pregnant
Trigger Warnings: may be distressing to those suffering from infertility, mentions of babyloss/stillbirth, mental health issues
Original Post : Posted on May 2, 2024 (12 days ago) by OOP
I have a weird situation and I need a sanity check. Please tell me I'm not crazy for being concerned and skeptical.
Background: a friend of mine is 34 years old, first time mom, and currently 42.5 weeks pregnant. She says her doctor is not concerned at all. After her 41 week appt, I asked when she would be getting induced, since generally doctors don't let you go past 41 weeks. She said her doctor didn't even talk about induction and baby is healthy, etc. Then a week later, she said her and her doctor briefly talked about induction and because she's dilated, doctor thinks she's in labor and to just come to the birthing center that night to check on progress. She ended up not going in at all because "she's not cramping" and made another appointment with her doctor, which was yesterday. She just let me know that her doctor said they'll induce her on Friday when she's 43 weeks! I'm absolutely baffled. I've given birth 3 times and every single time, they've told me that they rarely let women go past 41 weeks.
I'm starting to think something is going on. This friend is a bit of an odd duck. I have not seen her in person since she told us she was pregnant. She's turned down every offer for baby items, baby shower, walking buddy, etc. She has sent over baby bump pics over the last few months. She has a really small build but does have a small bump I guess. Nothing that would make me think she's 3 weeks overdue.
This is weird, right??
Comments agree that it is indeed strange but a few comments offer potential explanations.
Relevant Comments
mrun1: Midwife here. I think it’s entirely possible your friend and her doctor are going off different due dates. As many others have commented very few providers would be so relaxed about someone going >42 weeks. We often see a due date change after the dating scan but sometimes folks really latch onto their first “due date” that was based only on their last period.
MabelMyerscough: That would also make me very suspicious.. please let me/us know what the 'end result' is! Something sounds indeed shady.. but she's not in the same country as you guys right now? Is she in a country with very weird healthcare?
OOP: She's in the US at a large health system. Her boyfriend lives in Europe. It's a weird situation all around. The boyfriend was supposed to come down for the birth but she's made excuses on why he's not here. At first it was because he only had a week of vacation time and didn't want to get here too early and now it's that he'd rather spend that time with the baby after she's born. This friend was originally going to move to Europe for the birth but that never happened either...
MabelMyerscough: Interesting.. I'm not in the US but from what I read the US is even stricter with inducing early if needed and not past 41 weeks! Where I come from in EU they let you go until 42 weeks if all checkups are good, but not longer than that, ever..
Yeah maybe surrogate or something? I'd still be willing to give her the benefit of the doubt.. has she shared pictures of nursery or something?
OOP: No pictures. We even asked for an ultrasound picture when we got suspicious (we have a friend chat group) but she said she never got copies of the images. It's so shady!! I've offered her my baby stuff that she might need but she doesn't want it for various reasons.
So I'm actually a surrogate and she's well aware of my experience with it. I don't think she could afford it 😕
DeepBackground5803: Is she someone you would have seen in person before pregnancy?
The 43 week induction is concerning to me. Weird especially that her doctor told her to go to the birthing center that night to get checked out, but she didn't because she wasn't cramping.
What do you think is going on? Do you think she secretly has a surrogate? Lying about being pregnant altogether?
OOP: We see each other maybe once or twice a year so not super concerning. She has a boyfriend who she visited overseas, which is supposedly where she got pregnant. I'm thinking there's something shady going on but at some point... There's no baby.. lol
UPDATE: Friend won't be induced until 43 weeks : Posted on May 5, 2024 (10 days ago) by OOP
My friend said her water was starting to leak on Thursday around 2pm. She said her doctor told her not to come in until her contractions are 4 min apart. She was not currently having contractions but more sharp cramps. Friday morning, I checked in on her. She said she's still not having contractions and she still plans to go in that night (last night) around 8pm. I text her around that time to wish her luck and I hope things go well, yadda yadda. She just said "thank you" and nothing else. No updates overnight.
My friend is a nurse at her delivery hospital and called me this morning, asking for an update because she's concerned about her water breaking nearly 48 hours ago and she hasn't had the baby. So, she called her hospital to see if my friend was there and they have no record of her checking in at all. She plans to text her this morning and see if she says she is in the hospital or what. We are all in the same group chat, for reference.
This is all just so crazy. My nurse friend said there's no way her doctor wouldn't have her immediately come in if she's 43 weeks and her water broke. I have no idea what to think. This friend is always really open and texts us all the time with random updates so the radio silence is not normal for her.
Update: friend says she's currently at the hospital and doing well but it's possible she put herself on the privacy list.
{Edited to remove private information}
**I get it. Nurse friend may crossed a line. I have no idea. Just updating with what I was told.
To be continued! 🤷🏼‍♀️
Update 2: it's now been almost 48 hours since she's arrived at the hospital, supposedly. She has said multiple times that she's there and all is well. Zero pictures, updates, or information. She's responding to other messages like normal. It's been 72 hours (I think) since her water broke and she's past 43 weeks now. This friend is one who sends tons of pictures when she's doing anything exciting so... This is definitely not like her. She has volunteered pregnancy related information the last several months.
We don't know how long to let this go. We all agree that we think there is no pregnancy or baby. We've all been friends since elementary school so this is hard for us to accept. There's 3 options. 1) she's pregnant and lied about her due date for whatever reason. 2) she truly believes she's pregnant even though we are pretty sure she hasn't been a doctor. 3) she's just straight up lying. This is hard for us because she hasn't posted on social media so if she wanted the attention, why not post there too? We are thinking that she's lied about previous life events. She was once engaged for years without any wedding or meeting the supposed fiance. I'm sad for her and mad/disappointed she is lying to us.
What do we do??
Update 3: I don't even know how to start. Friend has supposedely been in the hospital for several days at this point. I'm actually in St Lucia right now on vacation so don't have access to our chat group via texts so trying to get updates via FB.
One friend in that text group said she reached out privately and the friend said she had the baby but was too stressed to send pics or updates. So she reached out to the other friend in the chat who said she also reached out to the pregnant friend who said she has NOT had the baby and was starting pitocin that day. So she's now telling people different things
And now, another reddit user reached out via PM. She posted a topic on the Pregnancy subreddit about this exact story. Someone linked her to my posts. I can confirm it is indeed the same person. The main details she has shared are the same with a few things that are off from what I was told.
We are actively trying to get a hold of her parents. They moved recently and no longer have the landline number but we are very concerned.
Edit 4: one friend in our group was able to find pregnant friends home address. This friend is closest to her between all of us. She is going to go over this evening and is prepared to talk to her. We talked to someone we know who is a psychologist and helped us with what to say, how she might react, etc. her parents should be there as well.
Pregnant friend has told one friend that she had the baby yesterday and another friend that she just had the baby an hour ago and is being discharged, which is just impossible. We think she truly believes she is pregnant based off a pregnancy test and it was likely a chemical pregnancy. She never met with a doctor because other tests were negative and I think deep down, she was afraid a doctor would confirm that there is no baby. So, she decided to carry on as if she was pregnant and now she has tricked herself into thinking she is pregnant.
We also found the baby daddy from Europe. He is married. We believe maybe they had an affair. His wife may have already tried talking to pregnant friend and accused her of lying. Or, maybe she found some random guy and made the whole thing up. We have no idea. We are going to urge her to go to a mental health facility in her town.
Relevant Comments:
ruebarbara_: Dude! I had a life long friend do this to me in 2022. Lied the whole way through the pregnancy. Had a baby shower. Bought a fake bump. Boyfriend was excited to be a dad. But none of us actually hung out together. Literally no one knew it was all a lie until she went in for her “induction” and instead she actually fled the state because she was in too deep and didn’t know what to do. Her mom called me and asked what doctor she sees, I gave her the name. She called the clinic and this friend never showed up for her confirmation of pregnancy appointment. Her mom was so embarrassed but also worried. Friend ended up going to inpatient psych for a few days. She’s a pathological liar. We are no longer friends as this wasn’t the first time she had lied about something major and I just don’t have the mental space for that. It was a wild ride that actually caused me a lot of anxiety.
OOP: Oh my God 😲😲 that's what I'm thinking now.. how is she going to get out of the lie??
NoYesterday_6662: I wonder if she feels like she’s “ behind “ in the friend group. So she makes stuff up to feel better. Idk if any of the other friends maybe are married or have kids? So she’s making things up to feel like she’s not “ left out “?
OOP: Yeah she's always wanted kids. There's one other friend who is unmarried, no kids. 🤷🏼‍♀️
bananapajama1: when is the last time you saw her in person? :o is that normal for your friendship?
OOP: It's probably been a year but yeah that's normal. We try to see each other twice a year. I did offer to see her; throw a shower, be her walking buddy, go shopping for baby stuff. She didn't take me up on any of it. Now that is odd. Originally when she told us she was pregnant, she said she was moving to Europe with the boyfriend so it was just so chaotic there for a while, according to her.
Beckella: She’ll claim she had a stillbirth for the attention.
OOP: I think she's convinced herself that she's really pregnant. She did maternity photos and everything but she doesn't really look pregnant. Bloated maybe
JG0923: Is she one to lie about things in general? I had a friend like that who lied about A LOT of things in her life and we didn’t realize it for years and years.
OOP: Looking back at the things she's said over the years, it's possible. She had a fiance for 5 years that I never met. Wondering if that was a lie. Ugh
Resource-National: This is crazy! I “met” a woman on a fertility fb group who is telling me the exact same thing! She lives in Kansas City apparently and has no baby bump and has told me for months she’s been bullied by friends and co workers. She has sent me bump pictures and even photos from her maternity shoot. Literally same story- leaking fluid on Thursday and it’s Sunday and no baby. Today she told me she’s 42 and 6!!! And even said her friends are “attacking” her saying she’s not even pregnant! Really curious if it’s the same woman.
OOP: Wow, same woman. I saw your PM. Holy shit this is wild.
Going past 42 weeks? : Posted on May 6, 2024 (8 days ago) by u/Resource-National
I think I may have befriended a person who is faking their pregnancy. We met on an online fertility community and both got pregnant around the same time. We’ve checked in on each other through our “pregnancies”. She claims to have a very small bump, which I know can happen, and has more or less been bullied by friends and co workers. She’s sent me bump pics throughout her pregnancy and there is no bump.
She’s post term now. Around 40 weeks she claimed to be spotting for a week saying it was her “bloody show”. I tried to keep an open mind because even tho this is my second pregnancy and none of my friends had a bloody show like that, hey, anything is possible right? Now she claims to have been leaking amniotic fluid since Thursday night. She messaged me Friday afternoon and my response was to call her dr or go to labor and delivery to be checked. She claimed that it was confirmed to be amniotic fluid and she was told to go home since she wasn’t having contractions. I found that odd considering she was past the 24 hr mark.
Today she says she’s still leaking fluid and has no contractions. Then I asked her how far long she is and she said 42.6. Prior to this, the first thing she said to me was how she was so upset because her close friends were accusing her of faking a pregnancy. I found that really odd. But after the 42.6 I have to wonder. When I suggested she got to l&d immediately it seemed like groundbreaking news to her (“will they help labor speed up?”). She said she was treated at the er on Friday, which my understanding is that anything pregnancy related always goes through l&d.
I realize not everyone has a provider who educates them or takes it upon themselves to learn the basics of pregnancy. Maybe she’s not the sharpest tool in the shed. But now I’m thinking this person is either fake or totally lying about being pregnant. Either way it’s bizarre!! Does any ob permit pregnancy past 42 weeks in the us?!
Edit:
Wow- the number of comments saying they’ve seen this similar story questioning this woman’s pregnancy is insane. For the record I’ve never told this woman any identifying features other than I live on the west coast. No photos etc. this is through Facebook and my profile is extremely private and we are NOT Facebook friends! Thank you for your concern. My mind def went to all of the horror stories.
Update: It’s safe to say this woman isn’t pregnant. In a shocking turn of events here is a post about the same woman written by her irl friend https://www.reddit.com/BabyBumps/s/LpIboHfJT5
Here is the final Update #2 to this very sad and bizarre saga: https://www.reddit.com/BabyBumps/s/Zm4ARKWcW1
Relevant Comments:
Possible_Library2699: I feel like someone else posted about this same woman!?
ppaulapple: The OP in the other sub just confirmed it’s the same person 2 hours ago 🤯
Final Update: 43 week pregnant friend has admitted to not being pregnant. : Posted on May 7, 2024 (7 days ago) by OOP
A lot has happened in the last 24 hours. Previous posts can be found in my history. I'll link to them later.
Pregnant friend will be called El in this post for simplicity sake.
El has told different friends different stories over the last couple days. She told one friend that she gave birth yesterday, but another friend that she gave birth today and is already home and doing well. The friend closest to her was able to find her home address (she moved recently).
Friend went to the delivery hospital to double check that she wasnt there. They confirmed they had no patient with that name. She called El. She asked El where she was and El said she was leaving the hospital right now. Friend said "well I am here so I'll help you walk out". That's when El broke down and admitted everything after my friend was able to meet her at her house. Here's the gist:
El visited her boyfriend in Europe. A few weeks later, she thought she might be pregnant. She took a test and it had an incredibly faint line. She started posting in pregnancy FB groups asking for confirmation. Then she went to the doctor and asked for an ultrasound. They confirmed that there was no baby. El was convinced they were lying to her. She says she went to another boutique ultrasound place and they did a 3d scan and found a baby and did an entire pregnancy scan. (We don't believe this actually happened). Then El started getting symptoms, her belly starting growing and she fully convinced herself that she was pregnant. She did maternity photos, prepped for a baby and told her workplace and parents. She never went back to the doctor because she was convinced they were all lying to her.
Once she hit "full term", she starting getting anxious. She thought she was cramping, losing her mucus plug, and her water broke. She didn't know what to do because the doctors wouldn't help her. Once she went past 43 weeks, she decided to go to the hospital (yesterday). She showed up with her hospital bags packed and her parents went with her. She told the front desk that she was 43 weeks pregnant and was ready to have her baby. I don't know what all happened here but they basically turned her away and told her she was not pregnant or having a baby. We think her parents started to figure it all out a week or so ago, but didn't know the extent of the lies. They have always let El do whatever she wants and pay for her entire lifestyle. We assume she lied to them about everything.
Friend said El does have a swollen belly that looks like she's 20ish weeks. They talked for a long time and she is grieving this lost pregnancy/baby. She legitimately thought she was going to give birth.
We think she is suffering from a phantom pregnancy. Thank you to the redditor who told me about this. I had never heard of it.
We are all very upset for her and realize that we need to be very careful. We are not going to attack her or confront her as a group. We have a mental health resource ready to help her, if we can delicately get her to agree to go.
This is not how I thought this would all play out. This is all so unbelievable. I appreciate everyone who reached out and commented with words of support. 🩷
Relevant Comments:
linny93: You mentioned in your last post that the “father” is married. Did you get any update on that situation? Did she choose a random European guy and say it was her fiancé?
OOP: She seems to think they are together but his FB says otherwise. He has posts with his wife on trips, etc. we just don't know yet 😕
cherb30: I’m a little confused, forgive me for being skeptical!
Do women who lose a baby 20+ weeks ago still have a noticeable baby bump? What do you mean they “turned her away and told her she was not pregnant”… did they take a pregnancy test or just turn her away? Did any of your friends become concerned that she waited til 43 weeks to go to the doctor to deliver? That is super late. Also I’m really surprised the hospital would have disclosed she was/was not a pregnant patient there. Anyway just my initial questions on this!
OOP: We all started getting very suspicious at 41 weeks when she said her doctors didn't want to induce her and it grew with each week she went past. We were very very concerned, hence my initial post on this subreddit.
I don't know if the hospital did any tests or checked her in any way. I'm shocked they wouldn't have her meet with a social worker or something. She def does not look pregnant enough to give birth. She's a very tiny girl normally so any weight gain in her stomach would be very noticeable. She probably weighs 100-110 pounds. I think it was probably obvious she wasn't ready to give birth and they maybe told her to go to the ER when she wasn't in their patient system.
We are trying to sort between the truth and lies she's spun trying to convince herself and others.
OOP (in response to a deleted comment): She isn't actually pregnant but she truly believes she was pregnant, enough to convince her body that she was. It's called a phantom or hysterical pregnancy. She's having a mental health episode. She's not insane but she does need professional support. She thought she was coming home with a baby. That's what she is grieving. She's wanted to be a mom so badly.
PLEASE DO NOT COMMENT IN ANY LINKED POSTS OR COMMENTS
Marking as concluded due to OOPs friend being confirmed to have not been pregnant.
submitted by _Lucie_ to BestofRedditorUpdates [link] [comments]


2024.05.14 06:51 atomchoco pain from premolar extraction [ramble] (so far)

i had two premolar extractions last Friday and yesterday was just the worst lol (so far?)
nothing much to say about the operation itself, i was a good boy and my dentist and his assistants did a good job
post-extraction advice felt kinda casual, like he was confident it won't be much of a deal as long as i followed the advice to heart:
i was still able to do some errands after (since i was already out) and it didn't really feel like much. just weird i had a smoothie then for lunch which in hindsight i should've eaten with a spoon of some sort as the empty spaces make using a straw kinda weird and difficult
next day there was some pain so i figured i should try my best to just sleep as much as i could, had soup and tofu for my meals
Sunday wasn't so remarkable either iirc there was some pain but all i remember is that i devoured a tub of spaghetti
Now yesterday, i wasn't so sure why but like huh
i probably misremembered the days prior just cause i was already past them but i remember starting my day thinking "oh it's really getting better now"
was it because i tried eating fried chicken for dinner? or that i used my tongue so much to feel the sockets yesterday, only to realize after the pain had been getting worse that i should not have even done that? lmao
anyway the pain wasn't so different from the days before but yesterday it just felt like the pain kept on growing
eating the chicken wasn't impossible but i had to take twice the amount of time than usual so i could be careful
after dinner (i was still at work btw) i was giving myself a lot of pep talk in my head thinking stuff like
but my god
well it wasn't unbearable strictly speaking, but it was so annoying it was hard to do anything.
my cheeks and temples feel so swollen, and there was a bit of a sharp pain on the teeth next to the sockets. i even munched up a cotton ball like i did day 1 thinking the clot may have been undone but there was no blood in there
so i thought i'm doing fine, the pain is just normal
but ugh it just kept on escalating
btw if this pain is any comparable to period cramps - ladies life is so unfair for you and the whole world as a society needs to do better. it's bs that you'll have to deal with that while biological men don't, plus you get ridiculed for it
so i hurried home and took my usual shower and it kept getting worse somehow, like at this point i was getting chills from rawdogging the pain. it reminded me of that time when i had my hair bleached and the bleaching agent hit the roots. it was painful and when the lady asked if i was fine i said i was okay, but all the sweat dripping on my cheeks suggests we shouldn't continue because i was in pain that i wasn't supposed to be enduring
i thought "huh so that's why my dentist prescribed painkillers" as i realize it's late at night and there isn't a drug store nearby in case i really needed them
fuck it lmao
and here's the cool part
as i laid down in bed to sleep, the pain almost instantly subsided (or cut in half at least) like wtf???? the body is really an incredible miracle
it's like the escalating pain was my body telling me to sleep and rest so they can work on the anomaly, and true enough as soon as i closed my eyes and thought of dreaming the pain was gone (or did i actually die ie "no more pain"?)
the pain throughout yesterday was worse than the days before but unlike those days i didn't feel pain at all when i tried to sleep what the hell is going on
i woke up today and there was barely any pain, i can feel a teeny tiny bit of swelling on the same parts but it sort of feels like a hangover from yesterday's ordeal (and miracle)
hopefully it gets better from here and my teeth begin to move
have painkillers handy. my life is pretty boring so i choose masochism in moments like these ig
submitted by atomchoco to braces [link] [comments]


2024.05.14 06:47 queens1021 Stuck in a painful marriage

Stuck and need to let it out
Before i start i know i am very stupid for the choices i made. I (26f) got married to my husband (30m) when i was 21 we met from mutual friends and i fell in love with him and it was a feeling ill never forget. He was an amazing guy until he wasn’t he was always very charming and people instantly liked him when meeting him. There is more details but i am going to try to sum it up. I worked a little after marriage than covid hit and i got pregnant with my first born. He took care of me financially always and assured me i dont need to work anyways. I was with him when he was struggling i never complained as a newly wed who barley got to spend time with her husband because i understood i never asked him to take me out or anything i stood by him and now hes very successful (ill get back to why i mentioned that later) my pregnancy was very stressful in my 7th month he hit me and i had bruises on my neck and face i dont even remember what the fight was about after giving birth i struggled alot i was 22 years old i kept finding porn and videos being sent between friends which i have seen before but it started to make me feel bad about myself which i have always been confident before him i told him it bothered me and it never stopped so now im 23 and insecure and i alter my body and do a procedure thinking that will fix things (as i said i know im stupid) he strangled me 2 months after giving birth to the point that i passed out and woke up he almost killed me i never told anyone. He kept saying hes changing and well work things out so i forgave him. My family dosent believe in divorce and as much support i have from them i don’t want to disappoint them. We did good for a little bit we moved to a bigger place and than we moved again to another bigger place that i am in currently. In between all of that there was stuff that i kept seeing that hurt me and bothered me but anytime i say anything he says its me who keeps digging which is true because i grew up having a father who cheated on my mom and i saw it first hand im not going to lie it traumatized me but i did not project it on him until after he started doing the things he did. Hes a very jealous person himself he always tried to control everything he hates that im good looking he tells me all the time he should have married someone “ugly” i do NOT dress provocative at all i barley show any skin but somehow EVERYTHING always leads back to how i dress and all our problems are my fault because of how i dress he says that when we go out men always check me out and it angers him even tho i am not showing any damn skin. Anyways mothers day 2022 he hit me again but he says he didnt but the bruises on my arms say otherwise i have pictures of it and it was bad he tried to throw me down the stairs i begged him not to. Sadly i still wanted to be loved i forgave him moved on he is would buy me gifts and cards and because im so stupid i believed he was sorry anyways now its 2023 and i find out im pregnant i didnt know how i felt my first born was lonley so i thought at least they will have a sibling.. surprise its twins and i knew im going to go through it i had the worse pregnancy i almost died i developed pre eclampsia and my doctor missed it i gave birth early my whole pregnancy i was alone i was so lonley just me and my first born i cried everyday husband was working so i couldn’t complain without it turning to a fight even though its his company and he could afford to have been there a little for me it is not 7 months after i gave birth physically i feel good mentally i dont he is never there for me as a husband i been telling him i feel like he’s just a roomate at this point we have no dates barley any intimacy which had been going on for years i know hes insecure and i never used it against him but he always would to me he hates now that i bounced back quickly and like to dress up again because the end of my pregnancy i was very swollen i was wearing all his clothes. I kept crying telling him i have needs just like anyone else i want to feel loved i dont want to live like this but anytime i say anything he says i complain to much now last week he beat me over nothing it was 60 seconds into a petty argument and he attacked me i packed myself and my 3 kids he watched me packing calling me names i left to a hotel for a night nd than my moms house he got backlash from both our families i ended up having to come home for the kids im miserable hes not sorry mothers day he barley acknowledged me But we spent the day and today any time we try to talk about anything he blames me.
I know im stupid i dont know how i can start over again i have 3 kids i am in the works of going back to school so when the babys start school ill have my career because i am financially dependent on him which is my fault i worked since i was 14 but he convinced me not to anymore My oldest loves their father so much it hurts me to put my baby through this drama There is soooooo much more detail and stuff to add Hes not the worse person i guess i bring out the bad in him when all i ever wanted was to be in a healthy marriage and give my kids what i didn’t have growing up
I dont know what to do i know i have to finish school so i can get a stable job but that means i have to stay and suck it up
I never wanted to be divorced but this marriage is over i always thought cheating was the only reason for divorce i am not in love with him but its so hard to let it go i never was like this i was so out going the life of the party i dont even recognize myself i feel so sad and depressed and alone i have the most amazing friends but i cant get myself to open up
submitted by queens1021 to offmychest [link] [comments]


2024.05.14 06:46 cecilep6 Dental issue and Clindamycin

So this past weekend I took my 4 year old chihuahua to the ER vet because his regular vet couldn't seem to determine what's wrong. Well they saw his lymph nodes were swollen slightly and did an aspiration. Come to find out it was "non reactive" meaning no lymphoma but he likely has peronditis. They put him on clindamycin 2xs a day. Since he has been taking it (going on 3 days) I don't see a huge difference, but it hasn't gotten worse. Meaning the swelling hasnt increased. What I do notice is he constantly is itchy on his face. He rubs his face on the carpet and scratches it with his paw a lot more then he did previously.
My question is this, does this mean the antibiotics are working and it's causing the itching or should I call to get a stronger medication?
submitted by cecilep6 to Chihuahua [link] [comments]


2024.05.14 06:37 Effective-Engine6745 MD4 Farming [Team Lists/Updates]

MD4 Farming [Team Lists/Updates]
Greetings, Fellow Managers.
With MD4's advent, I've decided to make a new centralizing post for my build updates. I'm still opting to be sparse on details, entrusting the reader to intuit specific tactics (but I'll try to give timely answers to questions in comments).
To new readers: this post serves as a crude follow up to my MD3 farming guide (covertly a teambuilding guide). It's quite the backlog to delve into that entire corpus (and I don't expect many would), but this post does rely on some cursory understanding of the strategies outlined (and updated) within that prior guide (and its revisions). As usual, feel free to make changes suited to your own preferences and enjoyment. Enjoy!
Original guide link(s):
https://www.reddit.com/limbuscompany/comments/18nvuos/md3_farming_strategy_deep_diveguide_part_0_1/
https://www.reddit.com/useEffective-Engine6745/comments/1cffe6o/md3_farming_team_listsupdates/
MD4 Analysis:
Lets begin with an analysis of MD4 changes, and their impact on our runs. Fortunately, I was made aware of an excellent, recently released guide, covering a lot of what I wanted to write about:
https://steamcommunity.com/sharedfiles/filedetails/?id=3237308577
I agree with much of this writer's analysis, but because our focuses differ slightly (theirs center difficulty management/being able to clear MD4 for newer players, and mine aggressively centers clear speed for the more experienced), there's necessarily some different recommendations that I'll highlight below. I'll also reiterate some of the more crucial points, and other points where our perspectives may differ.
  1. Floor Packs. Naturally, avoid hard/time-sink packs, and remember rerolls exist. Specifically, for Story Packs: everything Canto 5+ should be avoided (but Lake World is okay). Unloving (Baba Yaga) and Unconfronting (Kromer) are decent, but slow with the wrong team. Intervallo packs are all great picks, but note whether they resist your current team. They're slightly slower on average, but have good gift pools that make up for it (so ideally you want to rapidly cheese through them with AoE EGOs). Everything else has the potential floor boss printed on the pack; so pick accordingly based on your team's specific strengths - you can refer to the tables in the steam guide linked above if you need help identifying them. Note that while number of nodes do correlate with clear speed, less nodes isn't always faster, because fight compositions tend to matter more. I'll detail any team-specific considerations (if any), in their own section below.
  2. Fight Compositions. For many packs, regular fights now tend to face us off against groups of 3~4 as opposed to the 5~6 in MD3. This majorly changes our team building considerations. Notably, it slightly lowers the value of 5+ weight EGO, and allows 3-weight EGO to do almost as much work (but note that 5~6 enemy fights still happen, so have those EGOs ready in your back pocket). Similarly, SP gain is slower now, because enemies are less overleveled; so we have the opposite of MD3's excess sanity issue, and certain tactics abusing that SP overflow (e.g. some EGO spam strategies) get slightly worse.
  3. Pathing/Node choices. As with MD3, we still prioritize event nodes (the "?" nodes) to skip fights. However, focused encounters are now worthwhile over regular fights, as Peccatula die far faster now (fewer units), trivially giving us additional reward chances. Risky encounters are also usually worthwhile, but will depend on the floor pack (you'll identify which to avoid with experience).
  4. Abno Fights from event nodes. Most go down in 2~3 turns, but they're almost never worth the time sink (0 turns is faster than 2 turns after all). We should usually only fight these if we greatly benefit from both gifts, but I'll make the assumption that everyone has different barometers as to which fights are fast/easy, so I'll leave it to the reader's discretion. Detailing how to speed clear each individual boss fight is of course beyond the scope of this writeup.
  5. Keywords and Fusing. Contrary to some popular sentiments, I regard the new gifts (and fusing) very highly. A majority of them are incredibly powerful, but do require some teambuilding to effectively exploit. I'll cover separately the specifics as it applies to each team, but will briefly cover general fusing strategies in the next section.
  6. Fixed Target EGO gifts. Many only apply to a subset (based on deployment #) instead of the whole team, so it's important to judge their strengths as a fraction of a "full" EGO gift. What's notable is that some of them do target #1, thus boost 2 slots by T2. These front-targeting ones typically have a bigger effect than those targeting later slots. They also tend to be status gifts, and since we (usually) already deploy our best status units up front, it won't affect our team order too often. The back-targeting gifts so far have been for physical keywords (but their Tier 4s target only #3), so our teambuilding should try to catch as many of the good effects as we can. From some analysis, the average best pierce slot is #4. Slash thrives in #5, and multi-coin blunts should be put in #5/6. There's special consideration for slot #3, but we'll get to that in the fusing section.
  7. Reward Cards. The starlight cards are clearly amazing. Once you've gotten into the groove of things, even after maxing out your tree, picking the starlight gain card is always a top choice. When you're just starting out, we do pick the guaranteed EGO gift every time. However, once you've filled roughly half your starlight buffs, you should often prefer picking the starlight card. Because we can reroll shops for 10 starlight now, they represent an average cost-save greater than picking the guaranteed EGO gift (when utilizing some clever gambits).
  8. Ritornello (Hard) Mode. Better than MD3 in terms of starlight-time efficiency (due to starlight cards mostly), but it still doesn't beat normal mode's (even without getting into BP exp considerations). My current recommendation is thus still the same: hard mode for weekly, then farm on normal. However, it's certainly closer than before, and the new hard mode is also easier than ever. Some floor packs also only show up in hard mode, so if you're a completionist and wish to fill out your compendium, go for it. All our teams still perform well there.
Keywords and Fusing Deep Dive:
Let's talk fusing. The new fusing system is incredible, especially after filling out some starlight buffs. When you're first starting out, as with our MD3 strategy, it's better to hoard gifts and sell the unwanted ones later (lets define these as "junk"), to reroll shops or upgrade items. Eventually however, after filling in more buffs, you'll regularly clean out shops, and won't be starved for costs anymore. Instead, because fusion now targets specific keywords (and success rate being solely determined by # of ingredients), we've gained a powerful tool to exploit the small pools of some keyword categories. There is an in-game button ("Fusion Guide" in the fusion UI) you can refer, to look up specifics on success rates and tier outcomes, but I'll spare the details and describe 3 main fusion strategies I utilize:
  1. upFuse: This is the obvious strat, fusing 3 gifts to get a higher tiered one. However, note the discounted Tier 4 fuse: Tier 3 + 3 + 2. We'll often use this, as well as the 2 + 1 + 1 fuse for a Tier 2.
  2. rollFuse: This is actually the more important one, essentially rerolling junk into what we want. Like with upFuse, we can also get a discounted rate on this one. e.g. fusing Tier 3 + 2 + 1 gives us a Tier 3 back.
  3. 2Fuse: This is a cheap trick we use (rarely) to fish for fusion gift components, specifically for Tier 1s. Using 2 ingredients is only a 60% success rate to get the targeted keyword, but notably if you miss, you get still get back one ingredient's worth. i.e. if you have 4 junk Tier 1s, you can reroll 3 times (which exceeds the 90% success rate of fusing 3). We should really only do this if we are overflowing with junk Tier 1s, and already have the other fusion pair (or simply for fun of course).
So now that I've defined some techniques, what do we actually fuse towards? The classic fusion gifts isn't actually our main goal. We specifically want to target any category that have low ratios of junk for our team. And would you know it, there's quite a lot:
  1. Physical Keyword Tier 3s. Would you look at that, there's only one Tier 3 in these categories. e.g. rollFusing a Thunderbranch + Golden Urn + Lithograph into Clasped Structure for our Tremor or Burn team is downright criminal.
  2. Physical Keyword Tier 4s. This one is more situational (because it only affects #3 deployed), but again, there's only one in the pool. e.g. Our poise team uses Cinqclair in slot #3, and you should see what Punctured Memory does for him yourself.
  3. Status Tier 4s. There's only 2 in the pool, and neither are junk for their respective teams. So it is trivial to upFuse for one of them; however, we should only do so if we have some junk T3 (or alternatively, force one from an easy event abno fight). They're really strong however, so it's often worthwhile.
  4. Status Tier 2s. The consequence of starting runs with two Tier 2 status gifts is that it knocks out a considerable chunk of the pool. We'll usually get another Tier 2 from our keyword on floor 1/2 anyway, so we have a very good shot of cornering what we want. Notably also, many status categories' T2s are incredibly broken, and the duds are few and far between (burn or bleed for example doesn't even have a bad Tier 2, and yes, I consider Gossypium a good gift for bleed).
  5. Classic Fusion Gifts. And finally, we do sometimes go for this, but usually only if we have the Tier 1 half already. Specific Tier 3s are actually easier to get than Tier 1s, as a consequence of the fusing system (and pools), so if we have the Tier 1, we can easily force the Tier 3 (and thus the fusion gift); though if you really want to, you can also 2Fuse for the Tier 1. However, we rarely -need- the fusion gift, but sometimes the situation just presents itself, so it's worth taking notice when it does (or of course, just for fun).
I'll specify in each respective team's section which particular fuse strategy (and for what targets) we're applying, but for the most part you can likely intuit what we want to target based on the team comp (though there are some notable exceptions like Tremor teams always wanting to fuse Tremor Tier 3s).
Updated MD3 Team comps:
Burn:
https://www.reddit.com/useEffective-Engine6745/comments/1crjr7n/comment/l3ynsnw/
https://preview.redd.it/1zjxy62jaf0d1.png?width=1182&format=png&auto=webp&s=274ee916785308bd2eefcd3100f1d932ab6f8ae2
https://preview.redd.it/gmxe1a2jaf0d1.png?width=1182&format=png&auto=webp&s=11826c18cdfd80a92d2d7768132bd35c01feaa2b
Bleed:
https://www.reddit.com/useEffective-Engine6745/comments/1crjr7n/comment/l3yqsrh/
https://preview.redd.it/6fa6kh4kaf0d1.png?width=1182&format=png&auto=webp&s=a9f86d88e8160bdb9702a2e5de9d328aafe98ed4
https://preview.redd.it/kxpcxh4kaf0d1.png?width=1182&format=png&auto=webp&s=7b6bd5774ba91614a75be888d5afad83c7a6e15b
Tremor:
https://www.reddit.com/useEffective-Engine6745/comments/1crjr7n/comment/l3yz3x1/
https://preview.redd.it/6dhqvtclaf0d1.png?width=1182&format=png&auto=webp&s=bec649dcb6cb191b63778d488ced204ea29b76f1
https://preview.redd.it/dmn4tvalaf0d1.png?width=1182&format=png&auto=webp&s=dd0b59a7ef4ecd2f1f3e360ddb572f5c77248573
Rupture:
https://www.reddit.com/useEffective-Engine6745/comments/1crjr7n/comment/l3z4zwn/
https://preview.redd.it/752djpdmaf0d1.png?width=1182&format=png&auto=webp&s=0adf649a6d1be62089f571bf84c8e04f2d695010
https://preview.redd.it/z8ql9qdmaf0d1.png?width=1182&format=png&auto=webp&s=90e9c2e132f5d6c8dce8a3532ff224741a9dd580
Sinking:
https://www.reddit.com/useEffective-Engine6745/comments/1crjr7n/comment/l3z7680/
https://preview.redd.it/5mbj30gnaf0d1.png?width=1182&format=png&auto=webp&s=a50a5f206439ea732d80731460080abe3878500b
https://preview.redd.it/7qhkz3gnaf0d1.png?width=1182&format=png&auto=webp&s=76266f064d1a92664c975494c56619bce1c94335
Poise:
https://www.reddit.com/useEffective-Engine6745/comments/1crjr7n/comment/l40dqt5/
https://preview.redd.it/l04oryboaf0d1.png?width=1182&format=png&auto=webp&s=758483d684417f622351767d372eeac22d3599e2
https://preview.redd.it/grmlzvboaf0d1.png?width=1182&format=png&auto=webp&s=aa965cd00e8f6ce744b2589e01626c640a71e086
Charge:
https://www.reddit.com/useEffective-Engine6745/comments/1crjr7n/comment/l40nhkq/
https://preview.redd.it/9l9thw0paf0d1.png?width=1182&format=png&auto=webp&s=f1937593ed8667602022c4dfa639f55ef719ec9f
https://preview.redd.it/hox4ex0paf0d1.png?width=1182&format=png&auto=webp&s=f20918504bcaee7860e5011b84664ac4d6b9735e
Updates:
Alright, all done for now. With the coming update, I'll see if the sinking team requires a revision before fully fleshing out that section (on top of evaluating the new Pointillists). I also recommend Wingbeat for all teams except Burn and Charge, but I don't have that yet (on this account at least, but I've found ways to run my tests). In any case, hope your farming has been going well, managers!
As a side note, I've found my post haunted by Ryoshu yet again (but at least I understand now that it's taking the image from the first non-reddit link).
Last updated to: a week after MD4's release (DawnClair's additional buff patch).
Thank You.
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