Sorry this is so long 😢 I am a university student. At the beginning of the term, I experienced a pattern of deliberate harassment targeting my disabilities, culminating in physical aggression. The primary aggressor, a fellow student and a member of my cohort, engaged in an escalating series of actions that included derogatory comments specifically about my disabilities as well as physical intimidation. This harassment peaked when student accosted me in a threatening manner. The specificity and nature of student's actions, directed at my disabilities, suggest that this harassment could be considered a hate crime under federal law, as it was motivated by bias against my disability.
Despite multiple attempts to report these incidents and express my concerns about my safety, I faced significant obstacles within the university’s administration. My faculty member for the class not only refused to allow me to report the incidents, ignored my repeated expressions of concern for my personal safety, yelled at me for trying to report, and ultimately disciplined me without cause. Furthermore, the associate dean during a recorded discussion, explicitly stated her prioritization of the university’s reputation over addressing student safety. She expressed a preference for handling such complaints internally rather than involving outside police, and stated that campus security would defer to the school rather than take necessary actions to investigate or address the matter properly. In fact, in the recording this dean alluded to this happening many times, stating "a lot of things have happened that haven't made the news."
I also contacted the school's office of civil rights and set up a phone interview for a later consultation. After they contacted them on the phone they told me they would not create a report, just some intake notes. The intake person expressly told me that this was only an intake, no report or complaint would be filed. They would take notes, discuss with director of this office as to whether they would take action at which time I would need to file a formal complaint and they would write a report. After not hearing back within their specified time frame I contacted the university’s Office of Civil Rights and learned the employees there dismissed my case without adequate justification. I asked for more info and was told they forwarded my "report" to the sr. associate dean and stated to me no civil rights violations occurred. I was totally shocked because this was against what they said their procedure was. I asked for a copy of the "report" and was very shocked to see it absolutely full of deliberate lies, serious omission and designed like a targeted attack against me. My concerns were minimized, the seriousness of the events were omitted and all the relevant information excluded. I did file a complaint with local law enforcement when the incident peaked, and this detail was left in the "report" by the school's civil rights report but as if I made a false criminal complaint. I was also hearing different reports from the sr assoc dean that the official report was that a student tapped me on the shoulder and I went off. This never happened. So far everything I have heard, read or been told has contained falsifications and misrepresentations of my statements, deliberately altering the severity and nature of the incidents reported. This office failed to accurately record my experiences and intentionally downplayed the seriousness of my situation, and later forwarded the report to the Dean without my knowledge or consent, intentionally compromising the integrity of any future investigative process.
My efforts to seek justice and safety have been documented through various means. I have maintained written correspondence, including emails and text messages with university personnel, that chronicles my attempts to report the harassment and the inadequate responses received. Additionally, I possess recordings that were made by request and approval, that further substantiate my claims regarding the university’s handling of my complaints. I also believe there is security footage capturing the incident that escalated the situation which could corroborate the physical confrontation initiated by the other student.
The school did not help or support my concerns for safety. However, after repeated writing and advocating I was placed in a new clinical team and site with new faculty supervision. The student in question was my close associate and the faculty that refused to acknowledge my complaint is the one replaced.
However we are a cohort. So I see the student at other times and also had to do small group work with them. I repeatedly reached out to all of my faculty about this. Because in addition to the increased potential for physical violence from this student they had also made up false allegations against me. Obviously, it's a mess. Our term is almost over and I just got switched to a new small group, where the new faculty literally took my grade from an A to an F in less than a couple of days. The new faculty graded my work from previous/original small group and failed me on everything. They gave me two failing marks for missing group despite numerous emails regarding safety concerns. The new faculty also doesn't accept my health-related academic accommodations. They also required I do the work of the previous small group as well as this new group. The new faculty knew of my concerns for safety as well as health issues. They offered to walk me to seminar and then proceeded to leave before I noticed and never told me where their small group met. I sent her an email right away and she didn't respond for over 10 hours. So I was late because I had to wait for someone from the group I was joining to respond. So she marked me down for lateness. She also accused me of taking a photo of her (I'm still talking about the faculty) which is very weird. I had my phone propped up on my laptop and was using like a second screen and she was trying to lean over to see what I was doing. There was no test or any cause to suspect I was cheating, etc. Weirdly, the camera part of my phone was against my computer and so obscured.
I am absolutely not sure what to do. The sr assoc dean is very pushy and made numerous phone calls to me. I had hoped that she was on the up and up but after reading what they sent from the school's civil rights office to her, I told her that all correspondence must be written due to discovering multiple false reports and misinformation. I also asked for all notes, reports, info on my case -no response to that but she did say ok to emails.
I did file a complaint with the U.S. Dept of Justice office of civil rights since the student was targeting my disabilities and I reported the problems with trying to go through the school. I will also file a complaint with the US Dept of Ed office of civil rights shortly.
What the hell can I do here? This is a healthcare degree and I have one term left ---but I won't because this new faculty dropped my grade to an F. I was suspicious of this fac to begin with and was sickened when told I was being transferred to her. Today was the first day I was officially in her class. She works fast.
Any legitimate suggestions? I need a lawyer but don't know where to begin. Also, I want this fixed now before it goes any further. I have sent an email to my academic advisor. But I really don't trust anyone at my school.

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Gratitude to the Greatly Merciful and Greatly Compassionate Guan Yin Bodhisattva, Gratitude to Master Jun Hong Lu.
Respected fellow Buddhists, do you know what's worse than death? Have you ever escaped death? Today, I have a firsthand experience of escaping death to share with you.
Have you heard of a disease called myasthenia gravis (MG)? I believe many people have not. As only about 30,000 people worldwide suffer from this disease (Note: This figure may vary as there are differing estimates, with the United States alone having approximately 36,000 to 60,000 cases), where the nerves cannot control the muscles. For example, if the affected area is the hand, it can feel pain, heat, cold, and pressure. But no matter how much you command your hand to move, it won't budge. I am one of those 30,000 people. The affected areas include the cheeks, mouth, left arm, and the chest muscles responsible for breathing. In other words, during an episode of the disease, I cannot breathe. Can you now imagine how close I was to death?
Back to my story. In mid-September 2012, my lungs were infected with bacteria, and I fell seriously ill. On the night of September 29th, my breathing became increasingly difficult, and my family rushed me to the hospital for emergency treatment. The next night, my condition deteriorated to the point of MG, and my breathing became so weak that it was almost cut off. The doctors once again performed emergency procedures for me, eventually placing me on life support system (LSS) and transferring me to the intensive care unit (ICU). The so-called LSS involved many instruments strapped to my body and several tubes inserted into my body. Although the areas where the tubes were inserted were very painful, I dared not move for fear that any loosening of the instruments might endanger my life. So, at that moment, I didn't dare to move at all.
One night, a nurse attempted to draw blood for examination, but the needle just couldn't find the right artery. She would try once, then pull out the needle, try again, and repeat this process several times. I was in excruciating pain, but because my body was encased in instruments, I couldn't move. Finally, I couldn't help but ask myself in my heart, what did I do wrong? Why must I endure all this? I've never harmed anyone, never wronged anyone, so why me?
At that time, I didn't understand Buddhism, nor did I know anything about making vows. But the pain drove me, someone who barely recognized a few Chinese characters despite being educated in English, to silently call out the name of Guan Yin Bodhisattva in my heart, begging her to save me from this sea of suffering. A few days later, my condition improved. The doctors removed my LSS, and I was transferred from the ICU to a regular ward. I thought I would soon be discharged and return to my previous life, believing that everything was almost over. I felt very happy!
Looking back now, I realize how ignorant and selfish I was at that time, even as I began to recover. I was only thinking about my own survival and never cared about other people who were suffering like me. Perhaps it was because of this that I received a retribution. On the same evening that I was transferred to the regular ward, I suddenly had difficulty breathing again, couldn't make any sound, and my whole body was immobilized. I could only use my eyes and hands to draw attention, making small gestures with my hand to communicate.
A nurse noticed and called a doctor from the floor. Surprisingly, after glancing at the readings on the instruments, the doctor told the nurse that my heartbeat and breathing were normal, and then left. Once again, I tried my best to attract the attention of those around me. Thanks to the blessings of the Bodhisattva, another doctor passing by noticed me and observed that something was not right with my condition. He/She called back the previous doctor and urged him to conduct a detailed examination. While they were debating whether I was normal or not, I was almost breathless, mentally giving up on life.
The readings on the instruments once again sounded the alarm. Luckily, with both doctors nearby, they were able to save me at the fastest speed possible. The next day, I woke up in the familiar ICU, with the life support system back on me. Through this rollercoaster of emotions, I finally understood that the suffering I endured stemmed from the ignorance and folly accumulated since my birth, perhaps not just in this lifetime, but through countless past lives. Now, I must face the consequences.
I once again prayed to Guan Yin Bodhisattva and made a vow to her: "Guan Yin Bodhisattva, I believe that every soul, before they pass away, experiences a lot of suffering, and their pain is surely no less than what I am enduring now. I implore Guan Yin Bodhisattva to save me from all this suffering. I am willing to be a vegetarian for the rest of my life."
Whether you believe it or not is up to you. Two days after making this vow to Guan Yin Bodhisattva to be a lifelong vegetarian, my lung infection showed significant improvement, and I was subsequently transferred to a regular ward. Perhaps it was destined. Not only did I start to follow a vegetarian diet, but my parents also understood at the same time that my illness was beyond the control of doctors and only the Bodhisattva could save me. At that time, our entire family had just begun to explore Buddhism.
Every day, my mother devoutly chanted the name of Guan Yin Bodhisattva, while my father recited the Heart Sutra for me diligently.
However, our ordeal was not yet over. One night, I once again experienced difficulty breathing and had to be placed on the LSS for the third time.
I saw my parents kneeling down, praying to the deities and Bodhisattvas to bless me with a safe recovery. They had knelt before doctors before, but this time, seeing them kneel again went beyond what I could bear. I didn't want my parents to kneel for me. Witnessing them kneel deeply wounded me. As a 19-year-old young man, I should be taking care of my parents, yet why were my parents, who were over 50 years old, kneeling for me?
Three times being placed on LSS and admitted to the ICU, followed by three instances of improvement, resulted in my transfer to a regular ward. It was three months later, after my extended hospital stay, that I finally got discharged and returned home. I am deeply grateful for the blessings of the Bodhisattva. Instead of weakening our faith in Buddhism, this series of challenges only deepened our belief in the principles of karma and karmic obstacles as explanations for my condition. After leaving the hospital, my family and I continued to immerse ourselves in the teachings of Buddhism. Grateful for the blessings of the Bodhisattva!
One day, my family and I went to a vegetarian restaurant near our home and discovered Guan Yin Citta Dharma Door. Excitedly, I immediately went online when I returned home and downloaded several Buddhist scriptures in English phonetics from the Guan Yin Citta website to start reciting. Guan Yin Citta Dharma Door truly works wonders. That very night after reciting the Buddhist scriptures, I dreamt that while reciting the Great Compassion Mantra on the balcony at home, the image of Guan Yin Bodhisattva appeared in the clouds.
However, the next day after waking up, I felt a headache and drowsiness when reciting scriptures. My family and I took the liberty of contacting the Guan Yin Citta fellowship in Kuala Lumpur. The Buddhist practitioner who answered the call instructed us to come to the fellowship to recite scriptures. One day, while reciting scriptures at the fellowship, I experienced severe headaches. At that time, everyone was busy preparing for a Dharma conference, and the venue was crowded. I am grateful to the practitioner who cleared some space for me to lie down and gathered many fellow practitioners present to recite scriptures for me.
Later, the practitioner explained that my headaches were messages from the karmic creditors and taught me about releasing lives, making vows, and the importance of Little Houses for eliminating karmic obstacles. I immediately arranged to release thousands of fish. Today, my family still insists on releasing lives for me on the first and fifteenth day of every lunar month.
Guan Yin Citta Dharma Door is truly a miraculous practice. Ever since I began reciting Little Houses under the guidance of the fellow practitioner, I have experienced continuous dreams. On the first night, I dreamt of a seven-story-tall Buddha statue with many people practicing beneath it. Just two weeks later, after memorizing the Great Compassion Mantra, I dreamt of the Dharmakaya of Bodhisattva and two Dharma protectors driving me around in a car. Even more wonderfully, two months later, after memorizing the Eighty-Eight Buddhas Great Repentance, I dreamt of myself having tea with Master Lu.
Most importantly, after continuing to release lives, make vows, and recite Little Houses, my illness has not recurred.
Having now healed from this unusual illness, I'm here to share my story with you. These dreams signify an enhancement in the quality of life. I deeply appreciate the blessings of the Greatly Merciful and Greatly Compassionate Guan Yin Bodhisattva, which have reinforced my resolve to earnestly follow the path of Buddhism and instilled me with confidence. I am dedicated to diligently progressing in the Guan Yin Citta Dharma Door and remain steadfast in my commitment.
Currently, I am studying in Singapore, and whenever I have the opportunity, I propagate the Dharma and benefit sentient beings. Whenever I return to Malaysia, I often volunteer at the fellowship center.
Additionally, I would like to mention two more things. Firstly, on the second night after making my vow to be a vegetarian, I saw a child's spirit clearly flying beside me in the hospital and heard it laughing. Shortly after, I dreamt of a man killing a woman and cutting open her chest. In the dream, I felt that the pain of the woman being cut open was exactly the same as the pain I felt during my surgery.
While many still question the reality of karma and karmic obstacles, doubting Master Lu's teachings, I have personally experienced their effects. Thus, I hope my story can encourage you to embark on the practice of Buddhism and the recitation of Buddhist scriptures, starting today. I wish to prevent anyone from following my path, waiting until karmic obstacles manifest and adversity strikes before beginning their spiritual journey. I am deeply thankful for all those who stood by me during that challenging time, particularly my family and friends, who supported me through my darkest moments. My heartfelt gratitude also goes to the fellow practitioners at the Guan Yin Citta fellowship in Kuala Lumpur, who patiently guided me into the Guan Yin Citta Dharma Door.
Deep gratitude to our Greatly Merciful and Greatly Compassionate Master Jun Hong Lu for establishing the Guan Yin Citta Dharma Door, guiding us on a path away from suffering towards happiness. Lastly, and most importantly, deep gratitude to the Greatly Merciful and Greatly Compassionate Guan Yin Bodhisattva, who saves those in distress and hardship. With Her Buddha light blessing each one of us, She guides us back to the right path of learning Buddhism and constantly watches over us, blessing us at all times and in all places. Gratitude to the Greatly Merciful and Greatly Compassionate Guan Yin Bodhisattva!
Buddhist practitioner: GWT
Speech to text translator: Guan Jing
Proofreaders: Miao and Dong Ri Yang Guang
Date: 2024-05-11
Translator: Frank
Published: 2024-05-14
Statement by translator
The story was translated from video into text, and then translated from Chinese into English. If there is anything that is not rational or in line with the true meaning of the presenter, I pray for forgiveness from the Greatly Merciful and Greatly Compassionate Guan Yin Bodhisattva, all Buddhas and Bodhisattvas, Dharma protectors and Master Jun Hong Lu.
Propagation
It would be greatly appreciated if you would forward this presentation to all sentient beings you know, sick or healthy. You will accumulate immeasurable merits and virtues. Saving a life is more meritorious than building a seven-floor pagoda!
Would you like to change your destiny?
We will show you how to do the Five Golden Buddhist Practices of Guan Yin Citta Dharma Door: (1) making vows, (2) reciting Buddhist scriptures (sutras and mantras), (3) performing life liberation, (4) reading Buddhism in Plain Terms, and (5) repenting. You will personally witness how you and your family can achieve physical and mental stability, relief from illness and grievances, wisdom growth, academic progress, career advancement, and family happiness through Dharma. It’s free of charge.
Contact
Buddhist practitioner: Lily
Email: [sunnypurplelily@gmail.com](mailto:sunnypurplelily@gmail.com)
WeChat: HanJing20210820
原文如下：
下面让我们有请来自马来西亚的郭同修与我们分享：郭同修身患绝症，重症肌无力，饱受病痛折磨几次病危。然而心灵法门使他摆脱病魔，重获新生。让我们掌声欢迎!
感恩大慈大悲观世音菩萨，感恩卢军宏师父。
尊敬的各位佛友，你是否知道什么事情比死更糟糕？你是否曾经死里逃生？今天我便有一个亲身经历死里逃生的故事要告诉你。
你是否听过一种称为重症肌无力的疾病？相信很多人都不曾听过。因为全世界只有约三万人患上这种病，患者的神经控制不到肌肉。举例说，如果患病部位是手臂，这个手就能感觉到痛热冷及压力。但无论如何你怎么叫你那个手动，它都不会动。我就是三万人之一。而受影响的部位包括脸颊，嘴巴，左手臂以及负责呼吸的胸肌。也就是说，当病程发作的时候，我是无法呼吸的。你现在估计到我多接近死亡了吧？
回到我的故事。2012年9月中旬，我肺部被细菌感染，久病不起。在9月29日当晚，我的呼吸也到了越来越困难，家人赶紧送进医院急救。第二天夜里，病情终于恶化到重症肌无力，我的呼吸微弱到快要断气了。医生再次替我急救，最后替我戴上了维生系统，并送进加护病房。所谓维生系统，就是很多仪器套在身上，很多管子插进身体里。虽然被插管子的部位很痛，但万一随便一个仪器松脱了，可能我的生命就会有危机。所以，我当时连动都不敢动。
有一夜，护士替我抽血检查，但是针管却一直插不进正确的动脉。她们这里插一下不行，拔出针管，在那里又插一下，一次又一次。我那时痛得死去活来，却因为全身套满了仪器而不能动。我终于忍不住在心里问自己，我做错了什么？为何必须承受这一切？我不曾伤害任何人，也不曾亏待任何人，为什么是我？
那时还不懂佛法，也不懂什么许愿。但痛苦使得我这个受英文教育认不到几个中文字的人也会在心里喊出观世音菩萨的佛号，祈求她救我出苦海。几天后，我的情况有好转。医生移除了我的维生系统，从加护病房推进了普通病房。我想自己很快可以出院，回到之前的生活，一切几乎结束了。我觉得很开心！
现在回想起来，我才发觉自己当时是多么的愚昧，才开始康复仍然如此的自私。只想着自己生存，不曾关心其他和我一样受苦的人。可能因为这样我受到了教训。就在我被转进普通病房的同一天晚上，我突然呼吸困难，发不出声音，全身又不能动，只能用眼神和手，以我的手用一点小动作来引起别人的注意。
一个护士发现到把楼层的医生叫来。想不到医生竟然看看仪器读数后跟护士说我的心跳和呼吸都正常，然后就离开了。我再一次用最尽力的引起身旁的人注意。感谢菩萨保佑。这时有另外一位医生经过，看到我，察觉到我的神态不正常，并把之前的医生叫回来，求他详细检查。就在他们两个还在争论我究竟是正常或不正常，一旁我已经几乎断气了，心里放弃活命了。
仪器读数也再一次变成警报状态。幸好两个医生在身旁，能以最快的速度把我救了。第二天，我在熟悉的加护病房里醒来，身上又套上了维生系统。经过这一次乐极生悲，我终于明白到我受的苦是源于我出生以来愚昧无知的罪，或许不止只有这一世，而是过去无数世累积下来的因果。如今要面对果报了。
我再次向观世音菩萨祈求，而且向她发愿说：“观世音菩萨，我相信每个灵魂，他们死之前都会受到很多苦，它们的痛苦肯定不比我现在所受的少。请求观世音菩萨救我脱离这一切痛苦。我愿意为此一生吃素。
相不相信由你。向观世音菩萨发愿终身吃素后两天我肺部感染有了明显的好转，之后被转进普通病房。或许是因缘到了。不但我自己开始吃素，我父母也同时明白到我的疾病已不在医生的控制范围，只有菩萨才能救到我。当时我们全家人才刚接触佛法。
妈妈每天勤念观音菩萨的佛号。爸爸找来一本《心经》每天为我念诵。
但是，我们的考验还没过去。某天晚上我再次感到呼吸困难，第三次戴上了维生系统。
我看到父母下跪求神佛菩萨保佑我平安度过。他们之前已经跪过医生了，这一次再下跪，已经超出我能承受的限度。我不要父母为我下跪。看到他们下跪，深深地刺伤了我。我这一个19岁的男孩应该照顾父母，反而为什么要让他们超过50岁的父母为我而下跪？
三次戴上了维生系统住进加护病房又三次的好转，被转进普通病房。我在医院里住了三个月后，才终于出院回家。感恩菩萨保佑。这三好三坏的过程，不但没有减少我和家人对佛法的信心，反而相信只有因果和业障才能解释我的状况。出院后，我和家人还继续研究什么是佛法。感恩菩萨加持！
某一天，我和家人到住家附近的一间素食馆，认识到心灵法门。于是，我回家就急不及待的上网，上心灵法门的网站下载了几篇佛经的英文拼音版开始念诵。心灵法门真的很灵验。我当夜念诵了经文后，便梦见在家中的阳台念诵《大悲咒》时，在梦里天上的云朵化出观世音菩萨的形象。
然而，第二天醒来后我念经便感到头痛及爱睡。我和家人冒昧地拨电话联络吉隆坡心灵法门共修会。接电话的师姐便叫我们到共修会里念经。一天我在共修会里念经时，头痛剧烈。当时大家正在忙着筹备法会，会所堆得很拥挤。很感恩师姐搬开东西，腾出空间让我躺下，还召集了在场的许多师兄师姐们一起为我念诵经文。
后来，师姐解释我的头痛是要经者的讯息，还教会我放生、许愿及小房子并告诉我消除业障的急迫性。我当时便即刻安排放生数千条鱼。如今家人依然坚持每逢初一十五为我放生。
心灵法门真的是很灵验的法门，自从我在师姐的教导下，开始以正确的方式念小房子之后，便不断有梦境显现。第一晚便梦见一座七层楼高的佛像，底下有很多人在共修。心灵法门真的很灵验的法门，两个星期后我背熟了《大悲咒》时，便梦到菩萨的法身，还有两护法神用车子载我兜圈。更美妙的是，两个月后，当我背起了《礼佛大忏悔文》，竟然梦见自己和师父一起喝茶。
最重要的是我继续的放生许愿及念小房子之后，我的病情不曾复发。
现在已经从这奇怪的疾病中痊愈，活下来告诉你们这一个故事。这一切的梦境显示生活素质提升。我都感恩大慈大悲的观世音菩萨的加持，坚定了我学佛精进，很有信心，并立志在心灵法门一门精进永不退转。
我如今在新加坡求学，只要有机会就弘法利生，一回到马来西亚更是经常到共修会工去做义工。
另外，我要补充两件事，第一件事在我发愿吃素后的第二晚，我便在医院看见一小孩子的灵性清楚地在我旁边飞过，还发出了笑声。不久后我又梦见了一个男人杀了一个女人，还把她的胸口割开。而我在梦里感觉，那女人的被割开胸口的痛苦竟然跟我动手术时的痛苦一模一样。很多人还在质疑因果和业障的存在，怀疑卢台长的教导，但是我亲身体验过了。因此，我希望自己的故事能启发你学佛，学习佛法，今天就开始念诵经文。因为我不希望有人跟我一样，等到业障显现坏事发生之后才开始修行。深深感恩所有在我那段时间陪伴过我的人，尤其是我家人和朋友，在我最艰难的时刻，可以为我支持的人。深深感恩吉隆坡心灵法门共修会的师兄师姐们。他们耐心引导我进入心灵法门。
深深感恩我们大慈大悲的卢军宏台长创办了心灵法门，指引我们一条离苦得乐的道路。最后也是最重要的，深深感恩南无大慈大悲救苦救难广大灵感观世音菩萨，以她的佛光加持了我们每一个人，指引我们回到正确的学佛之道，随时随地都在庇佑着我们。感恩南无大慈大悲救苦救难广大灵感观世音菩萨！
如果整理过程中有不如理不如法之处，还请观世音菩萨护法神菩萨慈悲原谅！
观净师兄语音转文字，妙师兄和东日阳光师兄校对。
2024-05-11
您想改变命运吗？
我们手把手传授您观世音菩萨的心灵法门五大法宝：“许愿”、“放生”、“念经”、“读《白话佛法》、大忏悔”。您将亲自见证如何通过佛法让自己及家人获得身心安定、病苦解除、冤结化解、智慧增长、学业进步、事业提升、家庭幸福。免费学习，免费结缘。
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Disclaimer of Liability:
The contents of the presentation and answers, including text, images, and other information obtained from Dharma practitioners, are provided strictly for reference purposes. Due to the unique nature of individual karma, results similar to those experienced by the authors may not be replicated. The experiences and advice shared should not be construed as medical advice or a diagnosis.
In the event of an emergency, it is crucial to promptly contact your doctor or emergency services by dialing 911. Relying on any information found in the answers is done solely at your own risk. The translator and answerer bear no responsibility for the consequences. By using or misusing the contents, you accept liability for any personal injury, including death. It is imperative to exercise caution and seek professional medical guidance for health-related concerns.

Hey guys,
Many Reddit posts really helped me in the run up to my exam, so I want to tell you my story to ease anyone else's anxiety for their screening.
This is gonna be a long read so only read along if you're wanting every detail of this journey.
A few months ago I admitted myself to ED as I was having blood clots coming out in my stool. I have had many years of bleeding stool and hemorrhoid issues but this was the first time it had happened with blood clotting.
I was asked to stay overnight but before I left I asked for a referral for a colonoscopy so at least I went home with something moving forward.
It was in the public system so it was a few months until I could get an appointment but the run up to it I was frightened about mostly the results and the sedation.
This was in Australia so the sedation option is Midazolam and Fentanyl. It's a twilight sedation and something I've never experienced before.
In the two weeks running up to it, I expressed to my psychologist of my fears and she suggested asking my GP for quick action anxiety medication.
My GP prescribed me Diazapam and suggested I take it before I leave the house.
Fast forward to the day before. I stopped eating at 2pm and started my first PLENVU dose at 7pm. Initial bowel movements weren't so bad. Maybe went 6 times over the course of the night and it slowed down by midnight and I was able to get about 6 hours sleep.
I drank lemonade, apple juice, bone broth, sucked on Werther's originals and basically tried to keep belly full of sugar and liquids to stave off hunger.
Next morning I woke up at 7am, time for dose two. This one was much more intense when it came to bowel movements. I must have gone about over 10 times in the morning and twice more at the hospital. PLENVU isn't horrendous tasting. It's very salty and viscous but drunken cold with a straw and chasing it with lemonade, it was fine. I drank as much fluid as I could before I stopped all fluid intake at 10am. I think the worst part of the prep is not the hunger but the hours after 10am and before the procedure is the intensity of the thirst. I took my 5mg of Diazapam at 10am and this helped a lot with fighting back the anxiety and nerves.
I got to the hospital, checked in easily enough and was lucky they had a good system. I arrived at 12pm for a 1:30pm procedure.
Nurses were lovely and cannulated me with ease. I expressed my nerves and one of the assistant nurses explained I would be in a Twilight sleep on Midazolam and Fentanyl and depending on how my body reacts I could be aware of what's going on, could talk to them the whole time or go straight to sleep.
Turns out, I didn't go under basically at all. I was talking to them the whole time and they were holding my hand. I may have conked out for a second here or there with no memory but I basically watched the entire footage of the scope and at one point asked for more Midazolam as it hit a bit of a sore spot.
What a was 20-30 mins felt like 5 minutes. They then banded my hemorrhoids in the same procedure.
I didn't feel it initially but as soon as I got to recovery the pain of my bands set in but the nurse was so quick to check on my pain levels and what she initially gave as Panadol turned into Oxycodone and that helped a lot.
I'm back home now and my butt still hurts through the painkillers a bit but a banding isn't a part of every procedure but something that was given as an option to me during and I was more than happy to accept.
Turns out bleeding seems to be hemorrhoid related and that shouldn't be as big of an issue once I heal from the banding.
But yeah, I found the prep way more of a breeze than I thought and all I can say is if given the option of unsedated or sedated, choose sedation cos at least you have the option to ask for more pain relief if you remain conscious. Or if you're knocked out and propofol is your option, that would probably be even more pain free than my experience.
There really isn't much to fear and now my fear of going back to get another one is basically nil. Especially since the staff were so patient and friendly to me. They really made it everything so much smoother and calming.
I know this is a long read but I hope it helps someone heading into their upcoming procedure.

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

Hey! I have been spending a lot of time in this subreddit reading other people’s experiences to comfort myself through my own abortion process, and I wanted to share my story for any other uterus-havers out there that were in the same boat as me and need a little reassurance and honesty about the process. For reference, I’m 19F and 5’4/115lbs, and I’ve been with my partner (20M) for almost three years.
I took a pregnancy test on the 40th day of my cycle (so I was five weeks four days along, my period was a week and a half late) and got a very quick positive result. I had a suspicion that I was pregnant because I had some weird spotting in the middle of my cycle and the week my period was supposed to start (no clotting), odd cramps, random nausea from strong smells, needing to pee way more than usual, random sadness and aggression from ovulation onward, extreme breast swelling and sensitivity (they were agonizing to even touch) and an ever so slight bloat that appeared right around ovulation and never really went down. I live in a southern state and knew that going in for procedure was going to be a goat rope despite the fact that I live in a decently sized city- I knew that if I was pregnant I wanted to have the medical abortion at home with my partner.
I ordered pills from AidAccess and it couldn’t have been any simpler, all I had to do was fill out a short survey and they guided me through email on how to pay for the pills. They were delivered about three days after I ordered them in an unmarked mail envelope with directions on how to use them inside. I ordered them a few days before I took the test because I was pretty confident it was going to be positive. They sent me 1 Mifepristone and 12 Misoprostol.
I took the test on a Friday night and told my partner I was pregnant, and he insisted I take another test just to be sure before I took the medication. Once again, another strong positive. At 9pm that night I took 800mg of Motrin (4 pills) and ate a bag of microwave popcorn and drank some water so I’d have something on my stomach. At 9:30 I took the Mifepristone orally and immediately inserted 4 Misoprostol vaginally- I’m terrified of throwing up and told my partner that if we had to get medical help to make sure there weren’t any remnants of the pills left inside. I know it’s NOT OPTIMAL to take the Miso at the same time as the Mife, but it was Easter weekend and I couldn’t be prolonging this process to when I would be going back to my extremely Christian and conservative parents’ house for the holiday.
I was extremely terrified and shaking when I got back into bed with my partner, and he rubbed my stomach to calm me down and put on a movie as a distraction. After about an hour I felt some light cramping and discomfort but nothing serious. At 12:30am, I inserted the next 4 pills vaginally- there was no bleeding at this point and I was worried, but I decided to give it time. My partner and I fell asleep around 1am and I woke up at about 3:15am to some discomfort but no real pain, and at 3:30am I inserted the last 4 pills and had bloody fingers after. I slept until about 10am the next morning and woke up feeling normal and not in any pain. I went to the bathroom to pee, and as soon as I sat down I had about a solid thirty seconds of chunks, clotting, and blood pouring out. I called my partner in and we ultimately determined that I had probably passed the pregnancy with the size of the chunks in the toilet.
Saturday and Easter Sunday were fairly normal, I stayed taking Motrin and bleeding ever so slightly throughout the weekend. The worst part was the hormonal comedown, I felt like I had been hit by a bus emotionally and didn’t really compute actual feelings. Monday morning I got up and went into work feeling pretty normal, and at about 9:30am I got hit with the worst abdominal pain I have ever felt in my life (I’m prescribed opioids for my cramps as a result of how many times I’ve been hospitalized from sheer pain, so this was a big deal) and clung to the toilet bowl for about 45 minutes at my research firm before just calling it a day and going home. I took 800mg of Motrin and it took about two hours to kick- those were probably the worst two hours of my life up to that point. Nothing would shake the pain, I was taking hot baths and putting microwaved bags of rice on my stomach and nothing was alleviating it. I also started bleeding heavily and clotting severely again. By about 2:30pm that afternoon I was feeling okay enough to get myself some food and felt like I would be able to go into work the next day.
I was so wrong. I was so entirely wrong. I woke up at about 8:00am the next morning and immediately vomited from the antagonizing pain I was in. This was the first time I actually threw up during the whole experience- thankfully my partner was there to hold my hair back and try to make me eat toaster waffles so I could take some more Motrin before he went to work. I was somehow able to choke it down and fell asleep shortly after as I did NOT want to be awake. Wednesday was a little crampy and bloody but I went to work and took breaks sitting on the cold bathroom floor for about 15-20 minutes at a time through the day- but by Thursday we were smooth sailing.
The uterine swelling, needing to pee, and breast tenderness went away after about a week and a half, and the bleeding stopped after about two weeks. I took two more pregnancy tests exactly four weeks from that Friday and they were both negative, and my first period was exactly six weeks after the abortion- it started this Friday. Emotionally, I’m still recovering- Mother’s Day kinda sucked for me I won’t lie, haha. I definitely couldn’t handle a baby right now as I’m a research scientist and my career is on the incline, but it’s fun to dream.
I’ll put any resources I used in the comments as this post is getting very long, and I’ll try to answer whatever questions anyone has to the best of my ability. The buildup was definitely scarier than the actual thing, as it was just like having a heavy period drawn out- and if you’re pregnant, you’ve probably had a period before, so just look at it as something you already experience once every 4 weeks, just ever so slightly amped up. Nothing new. You got this!

A week ago, someone asked why “divestment from IDF contracts is so difficult.” After the actions, suspensions, and arrests of last week, I have also wondered why protestors and MIT’s administration did not reach an agreement. Here’s an effort to explain it.
I’m looking to read the protest demands carefully and generously, then consider MIT’s constraints generously. My conclusion is that if the core demands had broad support on campus—and I can't say whether they do or do not—there are still principled, consistent reasons MIT could not agree to them.
Please add anything I’ve missed about the SAGE and MIT positions in the comments. Factual corrections or additional details are appreciated.
(If you’re here for hot takes, you’re in the wrong thread. I’m not saying what MIT should do about the demands, and I'm not sharing opinions about student protests or MIT's response. Please feel welcome to share your opinions about these in other posts about these topics.)
The demands
The core demands of the Scientists against the Genocide Encampment (SAGE) are:

1. The immediate termination of two active faculty contracts with the Israel Ministry of Defense (IMoD)
2. A ban on future faculty contracts with IMoD.[1]

The protestors identified these contracts in the MIT Brown Books, which provide detailed information about all sponsored research projects on campus. SAGE says the following two basic research contracts are active:

• “Autonomous Robotic Swarms: Distributed Coordination and Perception.” SAGE alleges this project can be used to “target Gazan citizens or American protestors.”[1]
• “Field-capable Bacterial Biosensors with Hyperspectral Reporters for Remote Detection of Analytes of Interest." I have not seen any specifically alleged concerns about this project. [3]

SAGE proposes to end current funding for these projects, but says they can proceed with alternative funding.[2] SAGE also says a review of project-specific human rights risks or new limits on foreign military research would only work if they ended these two contracts with immediate effect.[2] So while public statements do take issue with at least one of the research subjects, the demands focus only on the sponsor.
Two facts about these contracts have been widely misreported. First, the contracts appear to be funded by the U.S. Department of Defense (DoD), not IMoD.[4] As the “direct sponsor,” IMoD chooses which academic research projects to fund. DoD involvement does not appear to be an important consideration to SAGE. I suspect, but don't know for certain, that ending contracts with a primary government funder could add complications for MIT.
Second, SAGE has said that “more than $11M” has been funded through DoD/IMoD since 2015.[1][3] But the data SAGE has published duplicates balances for many multi-year awards. Once deduplicated, the amount allocated by DoD since 2015 is closer to $3.4 million, of which $3.2M has been spent.[4] The demands do not address spent research funds, only the unspent balance of the two active grants, an amount not publicly reported by SAGE or MIT. That said, the direct cost does not seem to be a material issue for either side.
Conflicts between the demands and MIT’s research policy
Meeting protestors’ core demands would require MIT to do something it has not done before: electively ban faculty from working with a specific sponsor. Doing this would conflict with the MIT faculty’s longstanding position on “research freedom,” which A) lets faculty freely choose collaborators and topics and B) limits university intervention when their research faces criticism.[5][6]
Consistent with research freedom, MIT has not previously banned sponsors or ended research contracts except when required by U.S. law. For example, when many MIT faculty said that MIT should sever all ties with the Saudi kingdom after the murder of Jamal Khashoggi, MIT did not terminate any Saudi-affiliated research contracts.[5] MIT has similarly rejected calls to stop faculty research contracts with fossil fuel industry partners.
MIT’s faculty and administration have taken related public positions favoring “research openness,” including for sponsors in host countries criticized for human rights concerns like Russia and China.[5][6] These positions assert that science requires open collaboration even during foreign policy conflicts. MIT recently reaffirmed its position on openness as Congress considered new limits on U.S.-China research collaboration.[7]
SAGE argues that research freedom was disregarded in February 2022, when MIT terminated a $100M/year collaboration agreement with Russia’s Skoltech after the Russian military invaded Ukraine.[1][8] However, as a broad, university-level partnership between MIT and Skoltech, the agreement did not implicate faculty research freedom as SAGE’s demands do.[8] MIT continues to allow faculty to work with Russian sponsors and collaborators, although U.S. State Department sanctions now restrict research collaborations with many Russian institutions, including Skoltech.[9]
The Saudi and Skoltech decisions show MIT's inflexible position on faculty research freedom, even when human rights concerns are broadly held in the MIT community. MIT exercises more discretion over non-research funding, like direct partnerships and gifts. But unless required by U.S. law or foreign policy, MIT seems unlikely to create a tailored ban on one faculty research sponsor.
Other policy limits on military-sponsored campus research
MIT’s existing rules for campus research limit how military-sponsored research can be conducted, but not the collaborators or subjects faculty can choose. Research projects:

• must be publishable without restriction.
• cannot require students to work on classified topics.
• cannot exclude researchers by country of origin.[10]

These rules practically limit the military projects that can happen on campus. For instance, no research project could be kept secret from anyone else at MIT. (See [11] for reasons that MIT has opted to limit military research through conduct restrictions.)
For sponsors in some countries, MIT applies an “elevated-risk review” to faculty research proposals when the content could present risks to human rights, U.S. national security, or U.S. economic competitiveness.[12] These reviews involve both an MIT-wide faculty committee and senior administrators. They can result in project modifications, contract changes, or a refusal of MIT support.[4][12] Elevated-risk reviews are not done for approved research contracts because “the bar for administrative intervention to terminate such projects should be set very high.”[4]
There are at least two reasons an elevated-risk review would not satisfy SAGE's stated demands. First, SAGE seeks a content-independent ban on contracts with IMoD, which does not easily fit with a review process that looks at content-specific risks.
Second, since expanding these reviews would limit faculty research freedom, doing so would normally involve faculty. But getting faculty involved means that changes could not happen immediately, which SAGE has said it cannot accept.
Sources and further reading
[1] SAGE website
[2] SAGE final proposal to MIT administration
[3] MIT Graduate Students for Palestine, “No more MIT research for Israel’s Ministry of Defense,” The Tech, 10 May 2024
[4] SAGE data extracts of MIT Brown Book research contracts
[5] Richard Lester, "Review and Reassessment of MIT’s Relationship to the Kingdom of Saudi Arabia" (2019)
[6] MIT Faculty, "MIT Statement on Freedom of Expression and Academic Freedom" (2022)
[7] Maria Zuber, “Written Testimony to House Committee on Science, Space and Technology” (2021)
[8] Phillip Martin, “MIT abandons Russian high-tech campus partnership in light of Ukraine invasion” WGBH News (2022)
[9] “Information Regarding Informal Research Collaborations with Peers at Russian Institutions” MIT VPR website (2022)
[10] MIT Policy & Procedures 14.2 (“Open Research and Free Interchange of Information”)
[11] Harvey Brooks on research freedom, protests, and military contracts at MIT (1973)
[12] MIT VPR, “Elevated risk project review process” (2019)
EDITS: Since posting I've fixed typos, made formatting adjustments for reading clarity, and corrected a few statements based on comments below (see my in-thread responses).

I am NOT OOP, OOP is u/AdhesivenessMurky204
Originally posted to AITAH
AITAH for separating from my husband because he refused to get a vasectomy?
Thanks to u/queenlegolas and u/Direct-Caterpillar77 for suggesting this BoRU
Editor’s Note: added paragraph breaks for readability
Trigger Warnings: PTSD, mentions of abortion, domestic abuse, verbal abuse, sexual assault, rape
Original Post: April 28, 2024
My husband (28M, who I will call Jack) and I (27F) have been together for 4 years, we have 2 young children and I am pregnant again. I have been pregnant for what feels like most of our relationship. I got pregnant 4 months into our relationship. We got married a month before our daughter’s 1st birthday and ended up with a honeymoon baby. After our son was born, I talked to my OB and she put me on birth control and I have been taking it militantly.
My daughter is now 3 and my son is 2. A little over a month ago I discovered I am pregnant again, despite taking my birth control religiously. Abortion is banned in my state, and the pregnancy was discovered too far along to attempt to obtain one out of state. While Jack and I were nervous, we also love being parents and decided that 3 young kids would be a challenge, but 3 was a good number for us. Then we went in for the first ultrasound and got some unexpected news - it’s twins.
Things have been tough financially, and while we were stressed but excited for a third child, we were not expecting a third and fourth child. Beyond the finances, I am the primary caretaker and I know that twins is going to be a lot, three children under 5 is already a lot, but 4 children under 5 is going to be really really difficult for me. Physically, I am tired of being pregnant. I’ve been pregnant or breastfeeding the majority of our relationship. It’s exhausting, it feels awful, and I don’t recognize my body anymore.
Four children is enough. I don’t want more. I told Jack that I was done with pregnancy, I’ve been pregnant enough, I’ve been experimenting with different types of birth control for over a decade and I still can’t stop getting pregnant, abortion isn’t a valid option where we live, we need something more permanent. He agreed, and suggested an IUD, I told him no - if it did fail then it could cause an ectopic pregnancy which could kill me, especially where we live. I’ve had both control fail me multiple times already and I’m not taking the chance, so I suggested a vasectomy. He was not open to the idea, and was even upset that I suggested it and told me I should get my tubes tied. I told him a tubal ligation is a much bigger surgery and I could be recovering for weeks during which time I wouldn’t be able to work or take care of our 4 young children, but he could ice his balls for a day or two and be done with it. He told me that not getting pregnant was ultimately my responsibility, and topped it off by saying “that’s what your body your choice means, YOUR body, so YOU choose.” That’s when it went from a discussion to a full blown fight.
See, when I was 19 I had another birth control failure with my boyfriend at the time (who I will call Tom). I wanted an abortion, Tom did not because he was opposed. I told him I was getting the abortion since it was my body and my choice, and Tom said some horrible things to me, including threatening me. I broke up with him and got the abortion. In response, Tom ended up following me one night and attacking me. I don’t want to go into detail but it was horrible, and he ended up going to prison for a number of charges related to the attack. Not only do I have a number of scars and some long lasting physical effects, but I have PTSD as well.
Jack knows about my history and diagnosis, and has known from the beginning. I have a pretty prominent facial scar so I was upfront about it early on in our dating. Jack always presented himself as very pro-choice, so I was shocked that he would say that. I got really emotional and started crying and shouting, and it turned into a full-blown fight.
Eventually I said that birth control is a two-way street and so far I’ve been the only one managing it and he said “and now we have 2 kids and 2 more coming, great job.” I told him he sounded like Tom and he got super pissed, basically said how dare you compare me to him, and maybe he might want kids one day with someone who doesn’t compare him to her felon ex-boyfriend. I was stunned and horrified. I said “well then let’s not waste any fucking time,”then packed up myself and the kids and drove to my parents place.
It’s been about a week since the fight. I’ve spoken with Jack a few times and he has since apologized and said he was out of line and was speaking from a place of anxiety after finding out about the twins, but also that I said things that were out of line and it was wrong of me to insist he undergo a medical procedure. He said that can move on from the things I said and that he wants to see his children and be a family again. I told him no, that I didn’t want to “move on” from the things he said to me. I can’t just get over that and I think we need space apart. Jack was upset by this and while we talked I brought up getting a separation agreement to manage custody and finances while we figure things out. He did not like this suggestion, said we didn’t need to pull the courts into this.
I haven’t told a lot of people about what’s happening but my family and a couple close friends. My sister and best friend both think I should throw the whole man away, but my brother (who is the only other one married with kids) thinks that I’m being extreme for what sums up to a fight between two scared people who both said nasty things. My mom is trying to be supportive but is occasionally reminding me that I “don’t want to be a single mother of 4” and telling me not to let my PTSD drive my decisions, while my dad is being completely unhelpful (he thinks jokes are helpful - like calling me Doorknob because I “can’t stop getting knocked up”, telling me to let the oven cool down, real knee-slappers). I don’t know what to do. My kids are happy to be at grandma and grandpas house but they miss their daddy, I’m 4 months pregnant and already uncomfortable as hell, I wish I could go back to being a happy little family but I’m so hung up on the things he said in that fight. Am I destroying my family over one bad night? Am I being unreasonable for asking my husband to get a vasectomy?
Edit: I've noticed a lot of people recommending condoms. I have gotten pregnant with condoms twice. Our second child and my first pregnancy were both conceived using condoms properly (correct fit, put on correctly, single use, not expired, no breaks, etc). I do not trust condoms enough to not fail a third time. I know the failure rate is supposedly small, but it's not personally small enough for me. Edit to the edit: I'm sorry, I didn't expect so many comments so fast and I can't keep up with them. By the first pregnancy I mean the pregnancy with Tom. With Jack I was on the patch when I got pregnant with our daughter, condoms with our son, and the pill with the twins. So far I haven't ever suspected that Jack has tampered with our birth control and always presumed that I'm a fertile Myrtle.
I recognize the comments and just want people to know I'm seeing the suggestion. I'm not dismissing it, but the thought of it is deeply upsetting and has provoked a lot of anxiety. I just wanted to make it clear that if the suggestion is only based on the condoms, that the condom pregnancies were with two different partners. While I know I always used condoms properly with Tom, I do believe that Tom could have been fully capable of sabotaging the condoms.
AITAH has no consensus bot, OOP received mixed reactions of NTAs and YTAs
Relevant Comments
deepsleepsheepmeep: NTA. Your husband is though. Your body has already been through A LOT. A tubal ligation is a serious surgery and you are right about being out of commission for a while when recovering. If he is more concerned with an imaginary future wife than he is for you, I don’t think there is much hope for this marriage.
We have 4 close friends who all got vasectomies. None of them bitched about it like your wimp of a husband. We actually had fun vasectomy themed parties for them.
On the off chance he does end up getting a vasectomy, make sure to do the follow up appointments. One of the vasectomy fab 4 did not follow through and ended up with a post-vasectomy baby.

OOP: Thank you, I feel like this is a lot of what has been so upsetting has been that he's thinking about some imaginary future wife when I'm right here, his actual wife, the mother of his children. It's like he's already imagining a future without me.

 
Update: AITAH for separating from my husband because he refused to get a vasectomy?: May 3, 2024
I didn’t expect so many comments and literally couldn’t go through them all. It seemed like the majority of people said I was NTA but I did get a lot of YTAs telling me I was trying to force him to get a medical procedure and telling me to get one instead. Besides already addressing my reasonings why I made my request in the original post (which I want you to read with real "per my last email" energy), I in no way am *forcing* him to have a medical procedure, but I am saying that I do not want to be with a partner who is not willing to be snipped. This is an issue of compatibility. The number of children you want, the methods of birth control you’re willing to use, those are issues of compatibility and a reason relationships end all the time. If he doesn’t want to be sterilized that’s fine, but then that means that we’re not compatible anymore, since it means he wants more children and I don’t. Beyond that there were some YTA comments and some DMs that were just nasty, calling me a murderer and saying my body is a cemetery. Sadly enough, I expected those types of comments, because I know there are a lot of Toms out in the world.
First I wanted to address a couple things that kept coming up, because last post turned into thousands of comments that all said about 5 different things, so to avoid my inbox becoming another echo chamber:

You’re 100% going to have a C-section anyway so just get a tubal while giving birth.

No, I’m not 100% going to have a C-section anyway. Twins are not an automatic C-section. With my birth history there is no reason to presume that a C-section is in my future. My OB agrees, and has discussed the possibility as doctors have to do but also said that based on my past two birth experiences, I'm a "perfect candidate" for vaginal delivery.
I also am not going to mince words: tubal ligations are *less* effective than vasectomies with a *much higher* likelihood of an ectopic pregnancy. Ectopic pregnancy can *kill me*. In fact I got a PM from a woman who is a fellow fertile Myrtle who had an ectopic after a tubal. I am rejecting birth control options that, if they fail, would lead to my likely death. I don’t want to be pregnant again but I also don’t want to die and leave my children motherless, and in no way should anyone assume that traveling to another state to obtain an emergency abortion will continue to be an option in the future - we live in scary times, and Gilead is a real possibility. The comments seemed to have the vibe that people think that ligations are magically more effective than vasectomies and vasectomies are more of a whisper of sterility than an actual sterilization method so for those in the back VASECTOMIES ARE MORE EFFECTIVE THAN TUBAL LIGATIONS, FULL STOP. So I really need y’all to shut up about it.

Go to another state and obtain an abortion anyway.

I appreciate the personal offers to help I received in DMs deeply, but no. I’m in my 2nd trimester, which I know is still legal in some places, however I am at a point in my pregnancy where I personally as an individual do not feel comfortable obtaining an abortion, considering I would be *even farther* along by the time I could travel (which is not only finances, but logistics as well). I am 16 weeks pregnant now, these babies aren’t just clusters of cells to me anymore, and I’m not going to expand on that since it’s not up for debate.

Why not adoption?

With love and respect to everyone who has gone through adoption in all its aspects, adoption is absolutely not for me. This is a thought process I already went through 8 years ago, and now that I’m a mother and not a scared teenager I know it’s even less for me. I personally could not go through with it and come out the other side intact. Going through a full pregnancy, having my babies, and then being separated from them would break me.

Leave him and give him full custody of the twins

No. Because going through a full pregnancy, having my babies, and then being separated from them would break me. Jesus, some of y’all.

Just have a sexless marriage.

No. I love banging my husband, obviously lol. I don't want to be in a sexless marriage and anyone who has been to an abstinence-only high school knows that abstinence is not the way lol. There were a lot of comments assuming I would be perfectly fine withholding sex from my husband and having na dead bedroom, and I wouldn't. I have a sex drive. I'm going to want to bang my husband. Wanting to have sex with your spouse is *normal*.

What you would do about birth control if you divorced and dated in the future?

I’m not thinking of dating anyone else right now, because I’m thinking more about saving my actual marriage instead of an imaginary relationship. And if theoretically I did, I would probably seek out a partner who was snipped or was ready to be to be honestly, or a woman. I’m bisexual so there’s a very good chance that my future partner wouldn’t have the right parts to knock me up anyway lol.

Jack is sabotaging your birth control

I clarified my methods in the original post (as per my last email), but I did want to address this because it came up a LOT. I don’t have reason to believe that Jack sabotaged my birth control. A number of other fertile Myrtles showed up and brought up they or their family members repeated pregnancies in the face of birth control, including tubals. Accusing my husband of reproductive coercion for no reason other than I keep getting pregnant is a big leap and a weighty accusation. I am not the only fertile Myrtle out there, there's a reason there's a whole term for it.

Your husband is a narcissist, abuser, psychopath, and he does no childcare

My husband and I historically have a really healthy and loving relationship outside of this fight. In fact, this fight is the first time we’ve really had a fight, we’ve only ever had little arguments that we’ve been able to talk through. He’s an active father, the reason that I do the majority of childcare is due to circumstance between maternity leaves, our job schedules and the fact that I breastfed my babies. Someone also presumed I’m the breadwinner, which isn’t quite true. Jack makes more than me, but we do not have deeply significant differences in our incomes. When he is home he does his fair share of cleaning and cooking (arguably more than me at times), and parenting. That being said, the things he said in the heat of the moment were deeply concerning, and we’re addressing that together.
So to get down to the nitty gritty of the real update: since the last time I posted, Jack and I have sat down together and had a real come to Jesus talk. I’m not going to go through the whole breakdown, but it basically boiled down to this: it’s the vasectomy, but it’s more than the vasectomy. It was wrong of me to compare him to Tom but it was wronger of him to weaponize my trauma against me in a very malicious way. The way he intentionally used the same language my abuser used in an effort to hurt me was not acceptable and damaged the trust between us. He agreed it was not acceptable and said that in the aftermath he was horrified and ashamed his own words, and that he (as an explanation and not an excuse) kind of snapped under the stress. Oh and what he said about his “next wife” was not an indication of him not being committed to me but was because he felt hurt and wanted to hurt me back. He has apologized numerous times and seems to feel genuinely bad about it.
As for the separation, I am still going forward with it. I need space and time and I need to take that before the babies come. I am still staying with my parents who, for the record, are not sick of me or the kids. We’re a tight knit family, I only moved out when I moved in with Jack, and my sister moved out about a year ago so they have been empty nesting, and my mom doesn’t like that we live “too far” (an hour) away. What I have realized with space and time is how deeply triggering it was, in a way that I cannot explain to those without PTSD from DV, those who know will know. It’s deeply unsettled me and I’m having a hard time “getting over it” so to speak. There is now a lot of fear of my husband that was never there before and it’s going to take a lot to repair that trust and sense of safety. I cannot make a decision while I’m in this space, and I am addressing this with my personal therapist. Overall, I told him that if he wanted to stay married to me I needed two things from him: marriage counseling and a vasectomy, and even then I still cannot guarantee him anything. He understands, but I do not know what will happen with the vasectomy right now, we focused more on talking about the fight, but he is very aware that it's now a dealbreaker. And we have a marriage counseling appointment set up for next week. I'm hoping that counseling will bring some clarity to the situation, and in the mean time for the next couple months I'm focusing on giving my kids lots of cuddles and preparing myself for two new babies to come into my world, with or without Jack.
Additional information from OOP on her relationships

OOP: I've been through a trial to convict my ex-boyfriend of trying to kill me because of an abortion in a deep red, deeply religious area. I've definitely heard worse things, and I typically have pretty thick skin. That being said, I am pregnant and pretty emotional, so it's not the best experience. That being said, I do appreciate the level-headed comments when I see them through the sea of comments kind of saying the same stuff over and over. I'm not reading a lot of them if what I can see in the comment notification starts off nasty, so a lot of it is just inbox white noise. My favorites are the ones that start off with "I'm not going to read that BUT..." and I just think lol same. Like you don't want to read my post but expect me to read your comment that was made without even reading the situation? lol nope. And there are a lot of people conflating "providing someone with a hard choice" with "forcing someone into a medical procedure" and it just makes wading through for the actually helpful comments more tiring. Thank you though, I very much appreciate the kindness. Sorry, I've gotten so much of the same nonsense I guess I needed a little vent lol.

OOP on wanting her husband to make a decision and be on the same page

OOP: I want to be honest with him about where I am emotionally because I want him to make an informed decision. While the vasectomy is a deal breaker, it's really my secondary concern. My primary concern is the way he acted during the fight and his intention exploitation of my trauma because he was mad and scared. I think that telling him "get the snip to stay with me" and then deciding to leave anyway because there are deeper issues and/or I don't feel safe anymore would be cruel. He deserves to have the full picture before he makes a choice, doesn't he?
If he doesn't want the vasectomy, that's his choice. It's not what I want, but it is what it is. If he wants to call it quits at 4 kids, then it is what it is and if he secretly wants to be the next Nick Cannon then it is what it is he should be free to do that. That is part of why I don't know where he is on the vasectomy right now and we didn't really discuss it much when we talked, I'm focusing on discussing the bigger issue for me which is trust and safety within the relationship. The only way for him to make an informed decision about whether or not he get a vasectomy is for him to have all the information about the situation. If that makes him want a vasectomy less, then it is what it is. It's not about making him want to have a vasectomy. It's about being on the same page.

 

DO NOT COMMENT IN LINKED POSTS OR MESSAGE OOPs – BoRU Rule #7

THIS IS A REPOST SUB - I AM NOT OOP

Hello! I just wanted to hop on here real quick and share my story because not too long ago it was me looking for answers and hope. I am a 24 year old female that was originally “diagnosed” with HPV in 2020.
Backstory: I’d had a boyfriend at the time that cheated on me with his ex and got her pregnant (so obviously no condom). Before we’d started dating we’d gotten all the checks done and were clear to have intercourse without condoms as I had an IUD. He picked up the HPV from her and transferred it to me (yes we broke up but it was too late) and that’s where my story begins.
That year while in for my annual Pap smear I was told I had cell abnormalities, but my doctor never told me specifically it was HPV, just that’d we’d keep an eye on it. This happened for the next couple years until 2022 when I had a whole bunch of genital warts pop up. Initially I’d thought they were maybe razor burn and went to a walk in clinic to be sure. That day I was told by the male PA working that I was fine, it was indeed likely razor burn. Unfortunately, that was a bad call and they continued to spread like wildfire.
Months later I went in to see my gynecologist about the spots, she did a biopsy, and confirmed they were genital warts. We were too far past cryotherapy spot treatment at this point and it was the first time I officially heard I had HPV, not just “cell abnormalities.” I’m not sure why my doctor made it sound so casual, mentioning that lots of people got it at some point in their lives. Either way, I became completely sexually inactive out of fear of spreading it, how could I ever do that to someone? A few weeks later I went in for a full laser therapy surgery on my entire vagina, it was pretty unpleasant and I was out for a few days with a huge tube of aquaphor on hand. That was Dec. 2022.
Months later in July of 2023 I had another pap that still showed the abnormal HPV cells. This was a cause for concern by my doctor who suggested a loop electrosurgical excision procedure and to come in at my earliest convenience (I’d moved from OK to AZ but kept my doctor since we’d come so far together). Well I never got around to it and decided to get a new doctor in AZ because it was illogical to fly for those appointments.
I finally was able to get in to see the doctor of my choice on May 1st of 2024, who finally took the time to explain HPV, the test, how it’s detected, etc. During my pap she took one look at my cervix, said it looked healthy, and that they’d upload the results on the portal as well as give me a call. May 10, 2024 I finally received the normal/negative pap I’d been hoping for. To say I was surprised and overjoyed would be an understatement.
As for what I did? Well… I don’t really know. I graduated college in May 2022 and around that time I became pretty health conscious. I lost 25 pounds (160lbs to 135lbs as a 5’7” F) by working out multiple times a week, cutting out seed oils, drinking purified water, focusing on whole/natural foods, and getting more sleep. I can’t say for sure if this helped specifically, but you never know.
I also had never been HPV vaccinated and got my shots in 2023, I figured it wouldn’t hurt and my doctor gave me the green light.
I hope this helps someone realize it’ll be ok, but to keep up with those tests. I was convinced I’d have it forever and then one day it was just gone. I wish HPV was talked about and normalized more because I was confused and felt so dirty. I googled my little heart out, read all the Reddit pages, and ultimately found some peace with knowledge. Please leave your thoughts and questions, I’d love to hear from you!
Signed, OP

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Got a 690, nice.
Prior to this, my only real experience with Linux had been making a Raspberry Pi tablet that nobody really uses, and installing Kali Linux on a potato laptop. I'm a Mac user and I have used Terminal a bit, and I used DOS a lot in the 90s, so some of the material (particularly hardware, basic CLI) was familiar to me. I started studying about two and a half weeks ago.
In case this is helpful to anybody, this is what I did and here are my thoughts:

• I went through the Cisco NetAcademy course. I did some of the labs. I read all the content and outlined it. It was extremely boring.
  • I completed all the unit tests on the Cisco course (In one case, and chapter 9 I am looking at you, up to 11 times...) and looked up answers and reread material until I was consistently scoring 80% or, ideally, 90-100% on each unit, the midterm, the final, and the cumulative final. Last night I finally hit 80% on all except Chapter 18 (Special Directories and Files), which is sorta funny since I got 100% on the "Security and File Permissions" component of the exam.
• I made Anki flashcards for everything I got wrong or that confused or even mildly interested me. Basically, I "Ankified" everything that was not a transition sentence, lol.
• I also had a big document where I took notes from every single section. This was, honestly, mostly to keep myself from just skimming through and skipping over stuff because it was really really dull. It might not be efficient, but throughout my education (and this ain't my first school rodeo), I've found it useful to see how information is organized, so I generally make top-down outlines of what I read. I used to do this in MS Word but lately I've been using Notion since the formatting is nicer Maybe it's a total waste of time, because it took fivever. But I did it and now I have a huge Notion document of Linux notes....so I've got that going for me.
• I went through the big blue Linux book. It was also EXTREMELY boring. It was actually sort of impressive, just how incredibly dull they managed to make that book. After a certain point, it felt almost like meditation or a fever dream. I had a friend who did a silent meditation retreat and I think I started to feel like she described feeling towards the end of that. I did as many of the exercises and "explorational" activities as possible (some required permissions that weren't possible with the VMs I had at the moment).
• For a few days, I was using the online tests / flashcards that went with the LPI Linux Essentials Study Guide: Exam 010 v1.6 book, but apparently the site those were on was "retired" on April 30th, and it was annoying enough to get access the first time, so I didn't bother to try & figure out whatever it changed to. I found that book to be the least helpful of the materials anyway. The practice tests were the best thing about that one.
• I completed the Codecademy Bash scripting course one afternoon, since I like Codecademy's approach to scaffolding material and wanted to practice actually doing Bash scripting (but without, like, installing a VM).
• I took all the Dion exams multiple times.
• I followed the same process as with the Cisco exams, making cards / looking up anything and everything I got wrong.
• I made Anki flashcards for all of the above, and used GIFs or made graphics or used ChatGPT / Midjourney to generate ridiculous / weird images or songs to help me remember commands. Please, let me regale you with my and ChatGPT's interpretation of Johnny Cash, called "A Command Named Su." (And, actually, su came up ZERO times on the actual exam for some reason).
• I played this "Command Line Murder Mystery" game and really wished there was more to it, because while it's a great intro to the CLI that I'd recommend to anybody new to it, it also replicated a lot of the stuff I was more familiar with. I would have loved it if there had been something like that for every corresponding unit of the Cisco course or chapter of the book.
• I spent about a week and a half going through the flashcards during any and all downtime: During my kid's bath, on a flight, at a stoplight, at a family wedding, hair appointment, meals, whatever.
• I had started out by downloading a public Anki deck that was supposed to be for Linux Essentials, but ultimately I didn't think those cards helped nearly as much as the ones I made myself. The process of making the cards is important, and the deck I found was all "basic" format (instead of Cloze or Image like I was using). The deck I found had very open-ended questions that lacked context, and I regret wasting time on it instead of just making my own cards from the get-go. In the end, my deck was 835 cards, though that included the rando one I had downloaded. I don't think I use Anki in the most efficient way, so that was probably too many.
• I was able to attend one of the Cohorts and do the online game yesterday, and it was both fun and helpful. So I'd definitely recommend doing that.

Exam:

• I was mildly surprised that there were a few more "pick X of these options" questions than I'd expected. I had thought there'd be 7; by my count, I had 9.
• In case you aren't aware, there are about 3 fill-in-the-blank questions on the exam. They only ask for one word, though. The practice exams do not have these types of questions. However, since I had no idea until yesterday that this was even a question type, I wanted to put that out there, since some people might get thrown off by a question type they're not expecting.
• I did my exam at a testing center and it felt like a damn vacation. I managed to show up precisely on time for the first and probably only time in my entire life. It was, just extremely nice people, free parking, free locker for my stuff, a nice sunny window in the testing room, everything was very clean and bright. I wish I could take all the OAs that way!
• I've taken the Dion and Cisco and Study Guide practice tests so many times they run together, so it's hard to say exactly which questions came from where, but I was surprised that a lot of the questions on the exam were verbatim from the pool of practice tests I'd been using.
• In general, I think Dion's exams were a little bit easier than the actual exam and Cisco's were a little bit harder. Dion tends to have some goofy or humorous "distracter" wrong answer options (which, frankly, I appreciate because this was generally extremely boring material to me, sorry), but the other practice exams I took were all srsbiz. Also, since Cisco's unit tests are specialized to each topic, I think they go into greater depth than the actual exam might.
• In the end, I think I did substantially better on the exam than I had on the Cisco material, so I'd say that Cisco over-prepares you a tiny bit and that's probably what you want, right?
• I was so psyched about the "Command Named Su" and never even got to use it. :(

Recommendations:

• I am sure the best actual approach is to have and use Linux daily via the command line, or perhaps to be bo(u)rn(e) to a family fluent in C and grow up speaking Bash or C as your native language... but failing that, I'd start with the Cisco course (Link). It's fantastic that it's FREE. Note that about once a week they take it down for an annoyingly long maintenance window, but still. Each unit test is only 10 questions, and it doesn't actually tell you what the "right" answers are if you get them wrong, so it's extremely hard to get through a unit without having a good understanding of the material.
• If you're not familiar with the CLI, definitely try the game I linked above. It's really cool. Actually, try it even if you are, it's just a fun way to practice.
• If you can figure out where the practice tests went for the LPI Linux Essentials Study Guide: Exam 010 v.16 (by Bresnahan and Blum), they are fairly useful, but they are also very, very similar to the Cisco course.
• It took me some time to figure out that the Dion course on Udemy is really two courses. One has videos and 2 practice exams, one is just 6 practice exams. Between the two courses, there are 8 practice exams. I took all of them multiple times and thought they were really good practice. I tried feeding the exams to Chat GPT and asking it to generate new questions, but it didn't work very well (they were too easy / just reworded, etc).
• I love Anki, though I guess it might not work for everybody, and don't take a shortcut; make your own flashcards.
• A lot of the material that seems to be floating around about this exam is redundant to the big boring book and the Cisco course. So I think it probably matters to just find a format you enjoy, or at least that you can stand (e.g., video, course, whatever) and stick with it all the way through.
• The thing that helped the most for me, in terms of both trying to stay sane and memorizing the material, was trying to turn it into something fun and interesting. I actually began to enjoy the process of studying once I started making stupid / weird / traumatizing AI art images. I am sure a smarter person than myself (which is most of you) would've probably figured that out a lot faster.
• The real kernel is the soul-crushing boredom we found along the way. Right?

OK, onward and upward. Hope this helps somebody out.

Hi everyone. My 5 year old son has had enlarged tonsils for around 18 months - 2 years. He got tonsillitis 3 times relatively close together, then after the 3rd time, his tonsils stayed enlarged. He hasn’t had tonsillitis in over a year now and doesn’t get sick much at all. His behaviour is good, concentration is good during the day, good energy levels. Sleeps 11 hours per night. His symptoms are that he sounds “stuffed up” when he talks. He can breathe through his nose but he has to try, it doesn’t come naturally, he’s a mouth breather. He has mild sleep apnoea, he can grunt sometimes, he’s wet the bed a couple times, and he’s a loud mouth breather. He doesn’t really snore, just lets out some loud Grunty noises every now and again. The last time he saw an ENT doctor in the hospital, she said the same thing the GP said, that he’s a grade 3 out of 4 but they think because he doesn’t get infections, and doesn’t seem to be causing him severe discomfort or bothering him too much, he will be fine to be left alone and he will probably out grow them. She referred us for a sleep study anyways and referred us on to get a second opinion from the surgeon.
He had his sleep study done but the results came back inconclusive because he must have kicked the machine off after I last checked on him and they didn’t get enough data.
He has the surgeon appointment tomorrow and of course I don’t know what hes going to say, but my question is, has anyone here ever had a child or known someone that’s outgrown the enlarged tonsils? I see so many people saying why risk the complications of the whole procedure, anaesthetic and recovery is the child is generally well. I’d really rather prefer to stay away from surgery as I’m scared and reading all the child death stories. I’d love for him to just get given maybe a nasal spray to help him sleep better at night and try learn to breathe through his nose more.

TL;DR: After 3 miscarriages and a diagnosis of DOR, I had two healthy pregnancies without IVF or other ART.
We started TTC when I was 35.5, my partner 37. We got pregnant quickly, and quickly had 3 miscarriages, all around 8 or 9 weeks. We never had them tested, but my OB suspected genetic abnormalities.
My partner's test results were normal for a man his age. After the 2nd miscarriage, I had bloodwork and an SHG, a procedure where my OB filled my uterus with saline and looked at it on an ultrasound to see whether I had any visible issues that could explain what was wrong. This procedure was timed to a specific day in my menstrual cycle, so that while we were at it, she could look at my ovaries on the ultrasound as well, to make a prediction about how many eggs she could expect to retrieve if we decided to try IVF.
The SHG turned out normal. My uterus was perfectly fine. My ovaries, however, looked like those of a woman nearing menopause. My antral follicle count (AFC) was only 4. If we did IVF now, the doctor said, that’s how many eggs she expected to harvest -- just 4. Not nearly enough for a promising cycle. The results from the blood test also corresponded to the levels of a menopausal woman. Here are the numbers, for those of you who already know what these mean:
Day 3 AMH: 0.311
Estradiol: 23.8
FSH: 13.8
I might have looked 30 on the outside, but I’d just turned 36, and on the inside I was closer to 50. Our doctor did not recommend that we move forward with IVF. We asked her what we could do instead. She suggested I try supplementing with DHEA, and gave us the recommended dosage (25 mg 3 times/day, for a total of 75 mg daily). She also recommended CoQ10, though she didn’t have a suggested dosage for that, and noted that my vitamin D levels were low. I started supplementing with each of those three things.
I noticed the effects of the DHEA very quickly. It’s an androgen, and can cause women to start sprouting extra body hair. My libido sprang up to teenager levels, and I got acne again.
I decided to take only 200 mg/day of the CoQ10 because it was expensive. That and the vitamin D seemed to give me more energy, maybe, but I couldn’t say for sure.
It took us longer to get pregnant the 3rd time. The miscarriage was the same.
Our OB explained again why she didn't recommend IVF for women with DOR, and told us about a patient of hers who’d had 9 miscarriages before having a successful pregnancy. We were lucky we were able to get pregnant so easily, she said. We were lucky that we didn’t have any other issues compounding the DOR.
If we wanted to explore other options, she told us, our best chance was to use an egg donor. Other than that, all we could do was keep trying. During my fertile window, and given our age, she recommended intercourse every 48 hours.
I doubled down on my research. I read everything I could find online, and read a lot of posts on message boards like the one I’m writing now. Here’s what I decided to do:

1. Lots of exercise, or at least “lots” by my desk-worker standards (brisk walks every day, gentle training with 10-to-20-pound weights a few times a week, and frequent bike rides)
2. Lots of time being happy and relaxed and out in the sun
3. Supplements:
   1. DHEA, 75 mg/day divided in 3 doses
   2. CoQ10, 800 mg/day (ubiquinone, the cheaper kind)
   3. Vitamin D3, 2,000 IU/day
   4. Acetyl L-carnitine, or Alcar, 250 mg/day (the typical dose is 500 mg, but I found this amount gave me nightmares; at 250 mg I felt more energetic, like I could do twice as much exercising as I normally did)
   5. Alpha lipoic acid, 300 mg/day (this makes your urine stink, but it’s inexpensive and safe, and in addition to helping with fertility, I also found studies about its benefit to diabetics and its effect on the pancreas)
   6. Black cohosh on cycle days 1 through 12 (it’s an herb, so I have no idea how much I was actually getting)
   7. Vitex (ditto)
   8. Prenatal vitamins
   9. Fish oil (why not)
   10. More soy foods and freshly ground flax seeds in my diet, for extra estrogen

A note about CoQ10: There are two kinds on the market, a cheaper one (ubiquinone) and an expensive one (ubiquinol), which is supposed to be better absorbed. Both are similar in structure to vitamin E, but are not classified as vitamins because your body can make them on its own. I went with a low-ish dosage of the expensive one the first time around, but after the third miscarriage, I switched to a higher dose of the cheaper one, 800 mg. I definitely noticed an increase in energy while I was taking it.
Here is a study on CoQ10 in follicular fluid and its association with better outcomes: https://link.springer.com/article/10.1007/s00404-011-2169-2
Here’s another (“Conclusion: Our observation leads to the hypothesis that the oral supplementation of CoQ10 may improve follicular fluid oxidative metabolism and oocyte quality, specially in over 35-year-old women”): https://www.mdpi.com/2076-3921/7/10/141
The positive news about CoQ10 keeps coming. I’ll stop with these: https://rbej.biomedcentral.com/articles/10.1186/s12958-018-0343-0, https://onlinelibrary.wiley.com/doi/full/10.1111/acel.12368
From what I learned while researching this stuff, both CoQ10 and acetyl l-carnitine are antioxidants that are thought to be active in the mitochondria. The mitochondria is sometimes called the “battery” of the cell, supplying its energy as it does its job. After an egg leaves the nourishing environment of the ovary for its journey down the fallopian tube, its only source of energy is its own mitochondria. That’s what keeps it fresh and alive. So an antioxidant that might help the mitochondria have more energy might be crucial for keeping egg cells, and the DNA inside them, better organized for longer -- long enough to conceive. This theory would apply to sperm cells as well, and is thought to be why taking these supplements gives people more energy. Young people have a lot of CoQ10 in their bodies, but after age 25 or so, our natural production goes down.
Here’s a study about egg quality and acetyl l-carnitine (ALCAR): https://www.sciencedirect.com/science/article/abs/pii/S0378432012002436
There isn’t as much research, especially in humans, on ACLAR as there is on CoQ10, but what’s been done so far looks promising. Here’s a study in mice: https://www.sciencedirect.com/science/article/abs/pii/S0378432012002436
As for alpha lipoic acid (ALA), my understanding is that this is thought to be beneficial for diabetics because of its effects on the pancreas. The pancreas and the ovaries are similar in the way they age (again, according to things I read while I was researching like crazy). While I’m not overweight, I’ve always had high blood sugar, and have type 2 diabetes on both sides of my family. So I added this to my regimen too.
Research: ALA supplementation is thought to be safe during pregnancy: https://www.tandfonline.com/doi/abs/10.1080/09513590.2018.1462320
A small study has shown ALA to be helpful in patients with PCOS undergoing IVF: https://www.researchgate.net/profile/Luisa_Caponecchia/publication/303088959_Effect_of_myo-inositol_and_alpha-lipoic_acid_on_oocyte_quality_in_polycystic_ovary_syndrome_non-obese_women_undergoing_in_vitro_fertilization_a_pilot_study/links/584fb41c08ae4bc8993b3211/Effect-of-myo-inositol-and-alpha-lipoic-acid-on-oocyte-quality-in-polycystic-ovary-syndrome-non-obese-women-undergoing-in-vitro-fertilization-a-pilot-study.pdf
Anyway, if you're still reading, pregnancy number 4 was a success. I quit every supplement except for prenatal vitamins. My doctor at the IVF clinic put me on progesterone until I got through week 10, in case a progesterone deficiency was the cause of my previous miscarriages. She’d never tested for this, so the progesterone was just a precaution. I’d always been plenty nauseated with each of my pregnancies, and the supplemental progesterone only made it worse. All I could eat were dry crackers. After reading a few things about the potential effects of progesterone on an embryo, I don’t think I’d do it again, not unless my doctor had a test result suggesting that it was what I really needed.
My doctor also recommended I start taking baby aspirin, 81 mgs/day, to be continued throughout the pregnancy, in case I had an issue with blood clotting that was causing the miscarriages. She’d never tested me for it, and given my AFC and AMH and FSH levels, it seemed like we already knew what my problem was, but she said it couldn’t hurt, so I went on it and stayed on it until 36 weeks.
Two years later, while I was supplementing with just prenatal vitamins and CoQ10, and without really trying, we got pregnant again. Baby #1 is now five years old, and #2 is three.

Several people have approached me that they might have endometriosis. Lifelong warrior so thought I would share my tips and tricks I put together for my friends and family to share with you :) Hope this helps someone!
ENDOMETRIOSIS SURGERY FACTS

• EXCISION SURGERY! I cannot stress this one enough. If you have an ablation, it will grow back and likely quick (but consult with your doctors on your case 100%). Excision is when they cut it out vs. it gets burned off. You will have a better success rate and slow rate of growth if they excise. Not all cases can be depending on location so again, please talk with your doctor about your situation. This is not the same for everyone.
• If your doctor cannot do excision surgery. Skip and move on to the next! Trust me, well worth the time to research and find the right doctor. You will thank me later for this one too haha.
• Finding a doctor is stuff. Also tough to find resources. If you cannot find an Endometriosis specialist in your area who does excision, you may need to look out of state, but one tip is exploring gynecological oncologists. Some will take benign cases, but not all so do your research. But it’s a good avenue for help in your area or you want insurance coverage.
• Nanny’s Nook is a good resource for online information regarding endometriosis: https://nancysnookendo.com/
• Dr Seckin’s book called The Doctor Will See You Now is also worth the read (https://www.amazon.com/Doctor-Will-See-You-Endometriosis/dp/1681621126)
• Definitely look into Egg Freezing before doing any permanent surgeries. The ovaries are more intact when there is a uterus in place, so I recommend immediately following any excisions with Egg Freezing if you can and if it’s part of your plans. I found my AMH levels low (1.2) but still retrieved 25 eggs, so never be discouraged if this is your future planning path.
• My Symptoms: I experience bloating, constipation, diarrhea, nausea and vomiting as the main culprits. I have irregular periods in regards to the number of days and if it comes or not (even with an IUD). Pelvic pain is probably the worst of all since it accompanies these symptoms and is present a majority of the time. Others may have different symptoms, and there’s many others I didn’t list but wanted to paint the picture of some I’ve experienced.

ENDOMETRIOSIS LAPAROSCOPIC SURGERY (WHAT TO EXPECT)
PRE-SURGERY

• List of questions to ask your doctor
• Insurance Information and ID
• Necessary forms or paperwork the doctor requires
• Make sure any medical records are sent that would be relevant

POST-OP PREP

• Eat smaller meals and simple foods days beforehand. If bowel prep is necessary, they also recommend taking a laxative in the days leading up to help prep.
• Pack a bag! Not every surgery is an overnight stay but even if you have a day-of surgery, back an overnight bag. Here’s the essentials:
  • Phone/Headphones/iPad/Kindle/Books
  • Device Chargers
  • Medications that you currently take
  • Glasses (do not wear contacts day of)
  • An extra pair of underwear
  • Sanitary Pads or Always Discreet
  • Comfy pants with light elastic band around the waist
  • Non wired bra
  • Slip on shoes (this is clutch! Recommend slides -https://www.amazon.com/gp/product/B0BL7LJKZW/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1).
  • Layers - Sweatshirt, Long Sleeved Shirt etc. - Hospitals are cold!
  • Toothbrush and tooth paste
  • Hairbrush
  • Face wipes, wash cloth, small towel and bar of soap.

SPACE PREP

1. Make sure your bed or couch is prepped. I stayed on the first level for the first 2ish days before feeling well enough to stay upstairs.
2. I used a pregnancy pillow on the bed to help me stay on my back while sleeping and help you feel cozy.
3. Stock the house with foods that will be light for your stomach. Think soups and casseroles! Saltine crackers, broths, rices etc..
4. If you have a raised bed, get a step stool to assist. It’s best to sit on the side of the bed and slowly lay your upper body down while bringing your knees up and over to your back. You will need to use arm strength the first couple of days to get you up and over since you can’t use the abdomen.
5. Water and Beverages stocked at all times. I have a reusable water bottle and avoid carbonated beverages for the time being. They fill you with gas for the procedure so it may make those symptoms worse.
6. Netflix, Kindle, Puzzles, Craft Projects…visits with friends. Whatever makes the time pass, set it up ahead of time so it’s handy.
7. Items to Keep on Hand: Baby Wipes, heating pads, pads/diapers, candles, essential oils, things that smell good haha

BOWEL PREP
This is dependent on the type of surgery you are having, but its good to have Gatorade, Magnesium Citrate (liquid), laxatives and enemas on hand just in case you need these.
ON SURGERY DAY
It’s important to follow the instructions on what to stop taking and/or eating/drinking prior to the surgery. Wear comfy clothes (wide elastic waistband) and slides with cozy socks. Double check your to go bag and breath.
AT THE HOSPITAL

1. Do your check-ins and keep your people with you as long as you want.
2. Make sure to read all the consent forms and ask any questions upfront. Make any advance directives clear.
3. Just try to remain calm as there’s a lot of down time while they do intake. It is about 2 hours of prep before they bring you in for the surgery itself.
4. They will ask you the same questions over and over again, that’s normal and trust me, you want to confirm it’s all being done properly.
5. If you need something for anxiety, they will be sure to give you something if you ask :)
6. You will be wearing a gown, socks, funky underwear and a cool hair net haha wear the gown backward so you keep warm and keep the butt covered.
7. Vitals will happen and the anesthesiologist will come and speak with you to make sure they prep the right meds beforehand. Bring up any concerns here with them!
8. You may be wheeled or walked into surgery. I’ve only ever walked in and laid on the table myself.
9. They will then put the IV in your arm and sometimes will put on a mask, they will then ask you to count backwards and before you know it, you will be awake again!

RECOVERY

• You will wake-up and feel groggy. Totally normal and you will be in a different room. They will likely say a lot really quick about your surgery. Before leaving ask for them to walk through it or see if you can speak with the doctor again when clear headed. RECOMMENDED!
• Your throat will be sore, that’s normal from the tube.
• Just relax and sleep it off if you want, the goal is to be relaxed and pee once before leaving.
• Before you go, eat and drink and pass smoke urine. They’ll provide you with the meds and you’ll be good to go.
• Make sure someone brings you home after :)
• Make sure you have a bag for vomit in the car.
• Bring a small pillow that can be strapped between the car belt and you for maximum comfort on the trip home.
• Pain Med Management: This one is important. I messed up night one and didn’t take it soon enough and was in too much pain so make sure you stick to the schedule the doctors give you to ensure you are comfortable.
• Keep Walking: It seems unnatural to have a surgery then walk, but the sooner you get up and keep moving around the house, the better. Just avoid heavy lifting and immense bending like movements. Stairs are also ok but also consult with your doctor!
• Gas Build Up: I did feel pain in my shoulders from the gas. Just keep moving! It will help get that out of the system but this pain is normal.
• Relax and let people take care of you! Don’t be too quick to recover.
• Keep an eye out for fever, increased vaginal bleeding, or feeling terrible.
• Keep all post op appointments and follow all post op instructions!

ENDOMETRIOSIS MAINTENANCE
Here’s the tips and tricks I found helpful for maintaining my pain and symptoms (GI and back pain related):

1. Pelvic Floor Therapy: This is important for keeping the muscles in your pelvis healthy and strong to maintain your structure and also help manage pain. Consult with your doctor on whether this is right for you.
2. Physical Therapy: I do PT for my back and pelvic floor since it’s all related. We focus on Myofascial Release Therapy to help break up the adhesions and give me more mobility. This helps with temporary pain relief (reduction in number), but that is always welcome :)
3. Acupuncture: I swear by Acupuncture. I don’t know what it does or why, but it works. It’s not a cure by any means, but it's great for relaxation, fertility, digestion, endometriosis, sleep, etc.. I can go on, but it’s not covered by insurance plans all the time so you will need to check and see what you’re able to take on.
4. Diet/Exercise:
   1. Eating high protein, lower fat/carbs (not none just low) helps your body, but overall learn your trigger foods! This will go a long way.
   2. Ginger, turmeric and fennel all help with bloating. I like to drink them in tea form when I’m feeling particularly hard stomached as it’s a good natural way to decrease the bloat. Peppermint also works for some, for me it irritates my GERD.
   3. Chamomile for relaxation
   4. Walking and movement are important. I cannot do anything high impact due to my sacroiliitis diagnosis, so I stick with light yoga and walking.
5. Alcohol/Other Substances: Don’t do it. Don’t touch it. You’ll thank me later on this point.
6. Sleep: Insomnia is a very real thing. I think I went 2 or 3 days at its worst one time and I cannot say enough how important trying to keep the same sleep schedule will benefit you. Waking and sleeping around the same time each day will still feel exhausting but at least you know your body is getting the most sleep it can get.
7. Medications/Supplements:
   1. Ibprofuern: This does NOT work for me. I have GERD and ulcers so I cannot take NSAIDs, but with that in mind, NSAIDs are supposedly the best pain medication over the counter to help you manage it.
   2. Pain Killers: These are AS NEEDED. I try to refrain and leave these for the TRULY bad days which I try to spread out. Not even worth it sometimes, because I don’t like how I feel and sometimes vomit after taking them. But they do help the pain!
   3. IUD/Orilissa: An IUD will NOT do anything. If you are diagnosed, ask your doctor about Orilissa or similar medicines instead of birth control methods. This will not stop the growth, just suppress it. There are side effects and it is only a short term solution.
   4. Linzess: This worked well for me for constipation symptoms when they got severe. Definitely recommend bringing this to your doctor if you’re truly suffering and they have not yet mentioned. I also resorted after trying magnesium citrate
   5. CBD Lotions/Salves: For my pelvis, I use Healing Rose CBD Salve in Orange and Lavender (https://www.thehealingroseco.com/product/orange-lavender-with-chamomile-herbal-salve-300mg-cbd/). For my back, I use a medical grade CBD lotion with menthol (https://cbdclinic.co/clinical-strength-series/). I also use a CBD massage oil from Healing Rose of the same scent when doing myofascial release at home. I also use Somedays Cramp Cream (https://somedays.com/products/period-cramp-cream?variant=42062153842853).
8. Heating Pads and Ice Pack: I have several varieties of heating pads. A cordless travel heating pad (https://www.amazon.com/dp/B09FPTJL4G?psc=1&ref=ppx_yo2ov_dt_b_product_details), a plug-in heating pad (lhttps://www.hsn.com/products/pure-enrichment-purerelief-xxl-heating-pad-with-9-cord/22188460) and stick on patches (https://www.thermacare.com/ - I use the back patches but reverse them to the front for better coverage). For hot flashes and night sweats (also if you need to relax while anxious) place an ice pack over your chest to help cool or calm down.
9. Self-Care: No joke, massages, facials, epsom salt baths, sound baths, reiki….anything that you find relaxing. Do it. Try it! They also make CBD bath bombs Ive been wanting to check out.
10. TENs Machine: I really want one, don’t have one, but people swear by them (the heating pad linked to MyObi has a TENs version - https://myobistore.com/en-us/collections/my-obi-belts/products/apollo-2-0).
11. Pregnancy Pillow: This one sounds so lame, but I bought a pregnancy pillow for my first endometriosis surgery since I’m a side sleeper to help keep me on my back during recovery. It changed by life! It helps my anxiety and makes me comfortable while sleeping. (https://www.amazon.com/gp/product/B08YYVRXLM/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1)..
12. Heated Blankets/Cozy Blankets: Make yourself feel better with a cozy blanket. Do it, I dare you!
13. Endo To-Go Bag: Includes heating pads (travel, plug-in and patches), medications, balms/salves, essential oils and pads/protection items, change of clothes, wet wipes.
14. Sex Life: I’m single, I don’t have a partner to worry about communicating this issue with at this point, but go slow and communicate given eventually this will have to be a conversation. What I have learned is that if you do have sex and feel pain. Immediately stop! If you associate sex with pain mentally in that moment, it may cause fear in doing so down the line so it’s best to stop the moment you feel any pain occur.
15. Work Life: I work a demanding job so it was not working with the appointments and care I needed to manage pain. Always get FMLA from your doctor for intermittent leave based on your company's policies. This protects you from flare-ups and appointments. Short Term Disability is based on your situation with work so talk with them about any leave of absence for surgery and recovery and ensure the medical providers fill out the paperwork appropriately.
16. Friends/Family: This one is the worst. I have to cancel and make plans all the time based on how I feel. I like to line up a bunch of plans for three months out and do my best to make them happen at the beginning of the month when I know I’m most likely to feel good. I just say I’ll make things up to them when I get better and those who have stuck around have been truly amazing friends, but don’t be upset that some might be over the day in and out of what you’re going through. It’s hard for you and sometimes others and it’s just a part of the relationships we’re meant to experience in life. Most people (unless they have endometriosis) don’t understand it so it can feel isolating, but there’s others out there who know what you’re going through and are willing to chat. Just gotta find them and reach out on social media, online etc..
17. Journaling Symptoms: Guilty of not being the best at this always, but it's good to track your symptoms to see how they work and operate. It helps not only you plan for it, but also your doctors in how best to handle your care. Take photos of things that make sense to show your doctors! Discharge, bowels etc..can sometimes help diagnose or judge with the images.
18. Next to Bed Kit: Make sure your nightstand is stocked with the essentials for your bad days. Makes it easier to access the items you need when you just can’t get up and get it.
19. Squatty Potty: Another thing that is majorly life changing on constipation days! Get one or you can make your own :) Take a stack of books and stack them at equal heights on each side and put your feet up. The trick is making sure you’re in a squat with your knees high to your ears.
20. Clothing: Dressing for this is key but you still want to look cute! Joggers with a stretchy waist are my go to pants, but wide leg trousers with a stretchy waist help with ease of removal but also comfort and brings some style to the look.
21. Pads: I wear Always Discreet vs. pads. I find when you need to wear them full time for incontinence it just makes it more comfortable. They have different cuts and styles so definitely check them out!

Several people have approached me that they might have endometriosis. Lifelong warrior so thought I would share my tips and tricks I put together for my friends and family to share with you :) Hope this helps someone!
ENDOMETRIOSIS SURGERY FACTS

• EXCISION SURGERY! I cannot stress this one enough. If you have an ablation, it will grow back and likely quick (but consult with your doctors on your case 100%). Excision is when they cut it out vs. it gets burned off. You will have a better success rate and slow rate of growth if they excise. Not all cases can be depending on location so again, please talk with your doctor about your situation. This is not the same for everyone.
• If your doctor cannot do excision surgery. Skip and move on to the next! Trust me, well worth the time to research and find the right doctor. You will thank me later for this one too haha.
• Finding a doctor is stuff. Also tough to find resources. If you cannot find an Endometriosis specialist in your area who does excision, you may need to look out of state, but one tip is exploring gynecological oncologists. Some will take benign cases, but not all so do your research. But it’s a good avenue for help in your area or you want insurance coverage.
• Nanny’s Nook is a good resource for online information regarding endometriosis: https://nancysnookendo.com/
• Dr Seckin’s book called The Doctor Will See You Now is also worth the read (https://www.amazon.com/Doctor-Will-See-You-Endometriosis/dp/1681621126)
• Definitely look into Egg Freezing before doing any permanent surgeries. The ovaries are more intact when there is a uterus in place, so I recommend immediately following any excisions with Egg Freezing if you can and if it’s part of your plans. I found my AMH levels low (1.2) but still retrieved 25 eggs, so never be discouraged if this is your future planning path.
• My Symptoms: I experience bloating, constipation, diarrhea, nausea and vomiting as the main culprits. I have irregular periods in regards to the number of days and if it comes or not (even with an IUD). Pelvic pain is probably the worst of all since it accompanies these symptoms and is present a majority of the time. Others may have different symptoms, and there’s many others I didn’t list but wanted to paint the picture of some I’ve experienced.

ENDOMETRIOSIS LAPAROSCOPIC SURGERY (WHAT TO EXPECT)
PRE-SURGERY

• List of questions to ask your doctor
• Insurance Information and ID
• Necessary forms or paperwork the doctor requires
• Make sure any medical records are sent that would be relevant

POST-OP PREP

• Eat smaller meals and simple foods days beforehand. If bowel prep is necessary, they also recommend taking a laxative in the days leading up to help prep.
• Pack a bag! Not every surgery is an overnight stay but even if you have a day-of surgery, back an overnight bag. Here’s the essentials:
  • Phone/Headphones/iPad/Kindle/Books
  • Device Chargers
  • Medications that you currently take
  • Glasses (do not wear contacts day of)
  • An extra pair of underwear
  • Sanitary Pads or Always Discreet
  • Comfy pants with light elastic band around the waist
  • Non wired bra
  • Slip on shoes (this is clutch! Recommend slides -https://www.amazon.com/gp/product/B0BL7LJKZW/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1).
  • Layers - Sweatshirt, Long Sleeved Shirt etc. - Hospitals are cold!
  • Toothbrush and tooth paste
  • Hairbrush
  • Face wipes, wash cloth, small towel and bar of soap.

SPACE PREP

1. Make sure your bed or couch is prepped. I stayed on the first level for the first 2ish days before feeling well enough to stay upstairs.
2. I used a pregnancy pillow on the bed to help me stay on my back while sleeping and help you feel cozy.
3. Stock the house with foods that will be light for your stomach. Think soups and casseroles! Saltine crackers, broths, rices etc..
4. If you have a raised bed, get a step stool to assist. It’s best to sit on the side of the bed and slowly lay your upper body down while bringing your knees up and over to your back. You will need to use arm strength the first couple of days to get you up and over since you can’t use the abdomen.
5. Water and Beverages stocked at all times. I have a reusable water bottle and avoid carbonated beverages for the time being. They fill you with gas for the procedure so it may make those symptoms worse.
6. Netflix, Kindle, Puzzles, Craft Projects…visits with friends. Whatever makes the time pass, set it up ahead of time so it’s handy.
7. Items to Keep on Hand: Baby Wipes, heating pads, pads/diapers, candles, essential oils, things that smell good haha

BOWEL PREP
This is dependent on the type of surgery you are having, but its good to have Gatorade, Magnesium Citrate (liquid), laxatives and enemas on hand just in case you need these.
ON SURGERY DAY
It’s important to follow the instructions on what to stop taking and/or eating/drinking prior to the surgery. Wear comfy clothes (wide elastic waistband) and slides with cozy socks. Double check your to go bag and breath.
AT THE HOSPITAL

1. Do your check-ins and keep your people with you as long as you want.
2. Make sure to read all the consent forms and ask any questions upfront. Make any advance directives clear.
3. Just try to remain calm as there’s a lot of down time while they do intake. It is about 2 hours of prep before they bring you in for the surgery itself.
4. They will ask you the same questions over and over again, that’s normal and trust me, you want to confirm it’s all being done properly.
5. If you need something for anxiety, they will be sure to give you something if you ask :)
6. You will be wearing a gown, socks, funky underwear and a cool hair net haha wear the gown backward so you keep warm and keep the butt covered.
7. Vitals will happen and the anesthesiologist will come and speak with you to make sure they prep the right meds beforehand. Bring up any concerns here with them!
8. You may be wheeled or walked into surgery. I’ve only ever walked in and laid on the table myself.
9. They will then put the IV in your arm and sometimes will put on a mask, they will then ask you to count backwards and before you know it, you will be awake again!

RECOVERY

• You will wake-up and feel groggy. Totally normal and you will be in a different room. They will likely say a lot really quick about your surgery. Before leaving ask for them to walk through it or see if you can speak with the doctor again when clear headed. RECOMMENDED!
• Your throat will be sore, that’s normal from the tube.
• Just relax and sleep it off if you want, the goal is to be relaxed and pee once before leaving.
• Before you go, eat and drink and pass smoke urine. They’ll provide you with the meds and you’ll be good to go.
• Make sure someone brings you home after :)
• Make sure you have a bag for vomit in the car.
• Bring a small pillow that can be strapped between the car belt and you for maximum comfort on the trip home.
• Pain Med Management: This one is important. I messed up night one and didn’t take it soon enough and was in too much pain so make sure you stick to the schedule the doctors give you to ensure you are comfortable.
• Keep Walking: It seems unnatural to have a surgery then walk, but the sooner you get up and keep moving around the house, the better. Just avoid heavy lifting and immense bending like movements. Stairs are also ok but also consult with your doctor!
• Gas Build Up: I did feel pain in my shoulders from the gas. Just keep moving! It will help get that out of the system but this pain is normal.
• Relax and let people take care of you! Don’t be too quick to recover.
• Keep an eye out for fever, increased vaginal bleeding, or feeling terrible.
• Keep all post op appointments and follow all post op instructions!

ENDOMETRIOSIS MAINTENANCE
Here’s the tips and tricks I found helpful for maintaining my pain and symptoms (GI and back pain related):

1. Pelvic Floor Therapy: This is important for keeping the muscles in your pelvis healthy and strong to maintain your structure and also help manage pain. Consult with your doctor on whether this is right for you.
2. Physical Therapy: I do PT for my back and pelvic floor since it’s all related. We focus on Myofascial Release Therapy to help break up the adhesions and give me more mobility. This helps with temporary pain relief (reduction in number), but that is always welcome :)
3. Acupuncture: I swear by Acupuncture. I don’t know what it does or why, but it works. It’s not a cure by any means, but it's great for relaxation, fertility, digestion, endometriosis, sleep, etc.. I can go on, but it’s not covered by insurance plans all the time so you will need to check and see what you’re able to take on.
4. Diet/Exercise:
   1. Eating high protein, lower fat/carbs (not none just low) helps your body, but overall learn your trigger foods! This will go a long way.
   2. Ginger, turmeric and fennel all help with bloating. I like to drink them in tea form when I’m feeling particularly hard stomached as it’s a good natural way to decrease the bloat. Peppermint also works for some, for me it irritates my GERD.
   3. Chamomile for relaxation
   4. Walking and movement are important. I cannot do anything high impact due to my sacroiliitis diagnosis, so I stick with light yoga and walking.
5. Alcohol/Other Substances: Don’t do it. Don’t touch it. You’ll thank me later on this point.
6. Sleep: Insomnia is a very real thing. I think I went 2 or 3 days at its worst one time and I cannot say enough how important trying to keep the same sleep schedule will benefit you. Waking and sleeping around the same time each day will still feel exhausting but at least you know your body is getting the most sleep it can get.
7. Medications/Supplements:
   1. Ibprofuern: This does NOT work for me. I have GERD and ulcers so I cannot take NSAIDs, but with that in mind, NSAIDs are supposedly the best pain medication over the counter to help you manage it.
   2. Pain Killers: These are AS NEEDED. I try to refrain and leave these for the TRULY bad days which I try to spread out. Not even worth it sometimes, because I don’t like how I feel and sometimes vomit after taking them. But they do help the pain!
   3. IUD/Orilissa: An IUD will NOT do anything. If you are diagnosed, ask your doctor about Orilissa or similar medicines instead of birth control methods. This will not stop the growth, just suppress it. There are side effects and it is only a short term solution.
   4. Linzess: This worked well for me for constipation symptoms when they got severe. Definitely recommend bringing this to your doctor if you’re truly suffering and they have not yet mentioned. I also resorted after trying magnesium citrate
   5. CBD Lotions/Salves: For my pelvis, I use Healing Rose CBD Salve in Orange and Lavender (https://www.thehealingroseco.com/product/orange-lavender-with-chamomile-herbal-salve-300mg-cbd/). For my back, I use a medical grade CBD lotion with menthol (https://cbdclinic.co/clinical-strength-series/). I also use a CBD massage oil from Healing Rose of the same scent when doing myofascial release at home. I also use Somedays Cramp Cream (https://somedays.com/products/period-cramp-cream?variant=42062153842853).
8. Heating Pads and Ice Pack: I have several varieties of heating pads. A cordless travel heating pad (https://www.amazon.com/dp/B09FPTJL4G?psc=1&ref=ppx_yo2ov_dt_b_product_details), a plug-in heating pad (lhttps://www.hsn.com/products/pure-enrichment-purerelief-xxl-heating-pad-with-9-cord/22188460) and stick on patches (https://www.thermacare.com/ - I use the back patches but reverse them to the front for better coverage). For hot flashes and night sweats (also if you need to relax while anxious) place an ice pack over your chest to help cool or calm down.
9. Self-Care: No joke, massages, facials, epsom salt baths, sound baths, reiki….anything that you find relaxing. Do it. Try it! They also make CBD bath bombs Ive been wanting to check out.
10. TENs Machine: I really want one, don’t have one, but people swear by them (the heating pad linked to MyObi has a TENs version - https://myobistore.com/en-us/collections/my-obi-belts/products/apollo-2-0).
11. Pregnancy Pillow: This one sounds so lame, but I bought a pregnancy pillow for my first endometriosis surgery since I’m a side sleeper to help keep me on my back during recovery. It changed by life! It helps my anxiety and makes me comfortable while sleeping. (https://www.amazon.com/gp/product/B08YYVRXLM/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1)..
12. Heated Blankets/Cozy Blankets: Make yourself feel better with a cozy blanket. Do it, I dare you!
13. Endo To-Go Bag: Includes heating pads (travel, plug-in and patches), medications, balms/salves, essential oils and pads/protection items, change of clothes, wet wipes.
14. Sex Life: I’m single, I don’t have a partner to worry about communicating this issue with at this point, but go slow and communicate given eventually this will have to be a conversation. What I have learned is that if you do have sex and feel pain. Immediately stop! If you associate sex with pain mentally in that moment, it may cause fear in doing so down the line so it’s best to stop the moment you feel any pain occur.
15. Work Life: I work a demanding job so it was not working with the appointments and care I needed to manage pain. Always get FMLA from your doctor for intermittent leave based on your company's policies. This protects you from flare-ups and appointments. Short Term Disability is based on your situation with work so talk with them about any leave of absence for surgery and recovery and ensure the medical providers fill out the paperwork appropriately.
16. Friends/Family: This one is the worst. I have to cancel and make plans all the time based on how I feel. I like to line up a bunch of plans for three months out and do my best to make them happen at the beginning of the month when I know I’m most likely to feel good. I just say I’ll make things up to them when I get better and those who have stuck around have been truly amazing friends, but don’t be upset that some might be over the day in and out of what you’re going through. It’s hard for you and sometimes others and it’s just a part of the relationships we’re meant to experience in life. Most people (unless they have endometriosis) don’t understand it so it can feel isolating, but there’s others out there who know what you’re going through and are willing to chat. Just gotta find them and reach out on social media, online etc..
17. Journaling Symptoms: Guilty of not being the best at this always, but it's good to track your symptoms to see how they work and operate. It helps not only you plan for it, but also your doctors in how best to handle your care. Take photos of things that make sense to show your doctors! Discharge, bowels etc..can sometimes help diagnose or judge with the images.
18. Next to Bed Kit: Make sure your nightstand is stocked with the essentials for your bad days. Makes it easier to access the items you need when you just can’t get up and get it.
19. Squatty Potty: Another thing that is majorly life changing on constipation days! Get one or you can make your own :) Take a stack of books and stack them at equal heights on each side and put your feet up. The trick is making sure you’re in a squat with your knees high to your ears.
20. Clothing: Dressing for this is key but you still want to look cute! Joggers with a stretchy waist are my go to pants, but wide leg trousers with a stretchy waist help with ease of removal but also comfort and brings some style to the look.
21. Pads: I wear Always Discreet vs. pads. I find when you need to wear them full time for incontinence it just makes it more comfortable. They have different cuts and styles so definitely check them out!

Hi all - thanks in advance for any comments that come through; I know this is a long read. I've been referencing the IVF Reddit thread for a while but this is my first post. I'm struggling and have seen such thoughtful advice on other threads!
I started ttc in 2022, and after 6 months my obgyn referred me to get an HSG. The (incredibly painful) procedure showed no blockages, and in our next cycle, we managed to conceive - but it turned out to be an ectopic, which ruptured in September 2022.
During the lap for the rupture, the surgeon noted endometrial lesions throughout my pelvis. I'd never had symptoms for endo, so this was a surprise to me.
We paused so I could recover and in April 2023, we saw Dr. Carrie Wambach at RPMG in Los Angeles who did a saline ultrasound. She determined that my remaining tube was blocked and IVF would be my best option. We did our first retrieval in July, resulting in 10 eggs and 4 euploids (4AA, 4AB, 4BB, and 3BC).
Dr. Wambach then recommended I do an ERA, followed by Lupron Depot to suppress the endo prior to a transfer. The ERA showed that I was on the cusp of post receptive, so my RE adjusted my progesterone timing accordingly. Next, I did 2 shots of Lupron Depot over Sept and Oct 2023, but the transfer was unsuccessful.
For next steps, we were advised to do another retrieval with a Lupron protocol to extend the suppression, and go straight into an FET. The new protocol yielded 17 eggs but only 1 euploid (4AA). The FET, timed with the retrieval cycle, failed again.
At this point, my RE recommended a hysteroscopy to make sure there were no physical obstructions. I also did an HSG to rule out hydrosalpinx, and another endometrial biopsy to rule out any infections. (Interestingly, the HSG showed my remaining tube as having no blockage.)
Dr. W removed a very small polyp during the hysteroscopy, and then we went into our third transfer on a kitchen sink protocol (progesterone suppositories and estrogen plus baby aspirin, prednisone, lovenox, pepcid, claritin, and an intralipid infusion 2 days before transfer). My beta came back just under 3, perhaps signaling a CP.
At this point, we have our 4AB and 3BC euploids left. For next steps, Dr. W recommends a laparoscopic to excise any endo before a 4th and final transfer attempt; if that doesn't work, she would consider all experimental treatments to have failed, and recommend going another route (aka surrogacy, which I'm honestly not sure is financially feasible for us right now).
I met with another RE (Dr. Hubert at Fertility Associates) who had a very different opinion: He said he would *not* recommend another retrieval, Lupron Depot or a lap at this point, and instead, would do an LH-timed transfer with our 4AB. This approach is appealing to me, but I'm also concerned that evidence is mounting that I cannot carry - between the ectopic and 3 failed transfers, I'm worried that something is not allowing for implantation in my uterus.
Very long post, but I'm just so curious to hear from anyone else who has been in a similar position, and I have so many questions: Does it sound like I should switch doctors at this point? Does anyone have any positive (or negative) experiences after a lap? Any other recommended LA-based doctors I should try to get an opinion from? Anyone else had conversations with their doctors about different endo treatments? Anyone with endo had an LH-timed transfer work (without Lupron or other interventions)? How many transfers before your clinic told you to stop?
Thanks again - and strength to everyone going through this.

I just looked through all my work for the year and, because I am a total nerd, I calculated the total amount of pages I wrote. Except for the outlines which are single-spaced (having them be condensed makes them easier to flip through during open-note exams), everything is double-spaced. Also note that the vast majority of these pages were written by me personally, but some material includes copy and pasted text and charts. I did not include supplemental materials (like commercial outlines or slides) that I used that were not created by me personally. Here are the totals by class:
Introduction to Law Class notes = 5 Reading notes = 11
Civil Procedure Class notes = 69 Reading notes = 85 Outline = 34
Contracts Class notes = 51 Reading notes = 54 Outline = 23
Criminal Law Class notes = 28* Reading notes = 51 Outline = 20 *This class was super chaotic, so some days I wrote virtually nothing in class.
Property Class notes = 48 Reading notes = 53 Outline = 25
Torts Class notes = 29* Reading notes = 58 Outline = 15** Same reason as above. *This exam was very time-sensitive, so my outline was as dense as possible
Constitutional Law Class notes = 24* Reading notes = 34** Outline = 34 Computers were not allowed in this class, so these notes are hand-written. *I gave up on reading for this class halfway through the semester. My understanding of constitutional law immediately improved.
Legal Research and Writing Assignments = 28
Total pages = 779
I wonder if the amount I wrote is more or less than the average student. Prior to law school, I never took that many notes per class, and I would usually study off of PowerPoint slides. That was simply not possible here. Seeing this number makes me realize just how much of a JOB law school is.