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Got a question about going to uni in the UK? Want to find out more and speak to others about their course/uni? Not sure if you can eat something that's been loafing in your fridge for 3 weeks, and gone a dubious shade of purple-green? This is the place for you. If you want to post a survey for your dissertation, please make sure your post includes all information required by the rules linked in our wiki!
2024.05.14 10:13 prmssnz The logic of grid-down medicine
Last week in a post-deleted by the OP, there was discussion about how there is no point in stockpiling antibiotics and any attemps for lay people to practice any form of health care in a widespread grid down disaster.
Myself and some colleagues wrote: Survival and Austere Medicine https://corom.org/survival-austere-medicine/ . We are slowing working on a 4th edition with some new material and minor corrections - but it is taking longer than we thought!
But I thought given the above post, I would take the opportunity to post the introduction - which address the "why bother" question for a major long-term grid down situation. Apologies for the formatting and length
"There is a sense, when considering the issues around survival medicine practice, that everything is overwhelming, that it is impossible for lay people to provide a high level of medical care and maintain a high level of population health.
We don’t think this is the case at all. We believe that intelligent lay people with some basic medical knowledge, skills, and equipment can deliver high quality health care. While it is obviously impossible for lay people to safely and competently deal with every medical problem, and there remain many complicated diagnoses requiring equally complicated or technologically advanced treatments, for 80- 90% of the health problems afflicting humanity, simple things done well are all that is required to preserve life and limb and help alleviate suffering.
Consider the following:
1. Remote Medicine Practice:
Below are the results of one of our author’s experience in the provision of health care in various remote and austere locations (some third world, some first world) to nearly four thousand people over a cumulative 30-month period (spread over 18 years) – with more data there are few minor changes from the 2005 2nd edition, but the list is essentially the same – which is interesting. The record keeping was a bit unreliable at times, but the following summary is reasonably accurate.
Top 20 presentations (representing > 95% of consultations):
1. Minor musculoskeletal injuries - ankle sprains most common, included many minor fractures which didn’t require more than diagnosis and simple care
2. Upper respiratory tract infections
3. Allergic reactions/Hay feveAnaphylactic reactions/Rashes
4. Minor open wounds – included a mix of lacerations needing closure, many needing
cleaning and advice only, and some infected wounds
5. Gastroenteritis/Vomiting/Diarrhoea
6. Mental health problems
7. Sexual health/Contraceptive problems
8. Skin infections/Cellulitis
9. Dental problems
10. Abdominal pain - 4 confirmed acute appendix (2 treated with IV antibiotics and
subsequent delayed appendix removal / 2 required evacuation) + 1 gangrenous gall bladder. Many were "no cause found". Of the remainder with a clear diagnosis the most common were renal or biliary colic)
11. Fever /Viral illness
12. Chest infections
13. Major musculoskeletal injuries (fractures/dislocations)
14. Asthma
15. Ear infections
16. Urinary tract infections
17. Burns – mostly partial thickness within the realms of management in the environment the
patient was in. Several required evacuations. Several required rehabilitation due to location and sub-optimal initial treatment.
18. Chest pain
19. Syncope/Collapse/Faints
20. Early pregnancy problems
Major trauma was uncommon but was seen including several fractured femurs and a dozen cases of multi-system severe trauma resulting in a mix of in-country surgery and evacuations
Top 12 prescribed drugs (representing >90% of medications prescribed):
1. Paracetamol (Acetaminophen)
2. Loratadine (and other assorted antihistamines)
3. Diclofenac (and other assorted antiinflammatories)
4. Combined oral contraceptive
5. Flucloxacillin
6. Throat lozenges
7. Augmentin (Amoxycillin + clavulanic acid)
8. Loperamide
9. Nystatin (and other antifungals)
10. Hydrocortisonecream
11. Ventolininhalers(Salbutamol/Albuterol)
12. Morphine
What is of note here is that the clear majority of problems dealt with are simple and straight forward – there is still potential for serious consequences but there is scope for a well-informed lay person with a basic knowledge and access to a reasonable collection of reference books to provide reasonable care. Equally the vast majority of medication prescribed are from a very narrow well defined list – despite the fact 1000’s of drugs are on the market – the list of core lifesaving or comfort preserving ones is relatively brief.
2. Why children die
The World Health Organization (WHO) has identified the following conditions as having contributed to >75% of worldwide deaths in the under 5-year age group (in no particular order):
Pneumonia Pneumonia is an infection of lungs. Prevention of this condition is somewhat limited – although good nutrition, clean and warm housing, and a reduction in the exposure to respiratory irritants (smoke) all can help. However, the most common bacteria which cause pneumonia are frequently sensitive to penicillin – which is discussed later in the book and can be produced in a low-tech environment.
Diarrhea Death from diarrhea (dehydration) is almost 100% preventable with appropriate use of oral rehydration therapy. Dirty water or poor food handling causes much diarrhea – this can be virtually eliminated by proper hygiene practices and care with drinking water.
Pre-term delivery While we are limited in the direct interventions available in an austere environment to mitigate this problem contributing factors to early labor are young age, malnutrition, smoking, poor maternal health, so there is scope for indirect intervention based on optimizing mum’s health and environment. For babies who are born prematurely the necessities of life are warmth and breast milk. With attention to detail for both things, it is possible for infants as young as 33-34 weeks to survive without high-tech intervention.
Malaria. Prevention is better than a cure, knowledge about clearing stagnant water, mosquito nets and long sleeved clothes can significantly reduce the risk. Equally quinine is derived from the bark of the Chincona tree and the Chinese have been using the herb, Artemisinin, effectively for the treatment of Malaria for years. So, while not as easy to treat or prevent as diarrhea, there is still scope for significant reduction in death rates in low-tech ways.
Blood infection Blood infection or septicemia is rapidly fatal. The ability to intervene depends on the cause of the infection and antibiotics available. Broadly, infections causing septicemia can originate from the skin, the lungs, the kidneys or bladder, and the abdominal contents. While specific treatments for these may be lacking in an austere environment – all have prevention strategies and basic low-tech treatments that can be lifesaving when applied appropriately.
Lack of oxygen at birth Of these problems, this is the one with probably the least scope for impact. Unfortunately, even if foetal distress is detected during labor (with heart beat monitoring or signs of distress like meconium), without the ability to deliver the baby quickly options are limited. That said, a caesarian section is not a massively complicated operation (and discussed in Chapter 10), and in parts of the third world is performed by trained lay people with safety and success.
Measles Again, there is limited scope to intervene directly with the disease. Measles is always around and while vaccination reduced the incidence of epidemics, sporadic cases still occur. In the absence of vaccinations epidemics of measles every few years will be inevitable. There is however some scope to minimize the spread during an epidemic with isolation and respiratory precautions during outbreaks. While some of the serious neurological complications are unavoidable in a
Prevention is better than a cure, knowledge about clearing stagnant water, mosquito nets and long sleeved clothes can significantly reduce the risk. Equally quinine is derived from the bark of the Chincona tree and the Chinese have been using the herb, Artemisinin, effectively for the treatment of Malaria for years. So, while not as easy to treat or prevent as diarrhea, there is still scope for significant reduction in death rates in low-tech ways. small number of patients, basic care such as maintaining hydration can also prevent complications such as dehydration.
Neonatal tetanus The prevention of neonatal tetanus is easy. You don’t let the site where the umbilical cord attaches to the baby get dirty. It is as simple as that.
HIV/AIDS Prevention of maternal infection is the key to prevention of infection of newborns. The steps required to prevent exposure to the HIV virus are widely known: abstinence (not undertaking sexual activity), monogamy (maintaining a single sex partner rather than multiple) and if neither is a palatable option, then safe sexual practices.
Most the conditions above have an element of either preventability or the ability to be treated to some degree in an austere environment and significant improvements in mortality and morbidity can be made.
3. The greatest advances in medicine
Several years ago the British Medical Journal ran a poll trying to identify top medical advances of the last 200 years. The following is the top 12 from that poll:
Sanitation 1st Antibiotics 2nd Anaesthesia 3rd Vaccines 4th DNA 5th Germ theory 6th = The oral contraceptive 6th = Evidence based medicine 8th Imaging 9th Computers 10th Oral rehydration therapy 11th Smoking cessation 12th =
Just as with our discussion above about the causes of childhood deaths, this list is introduced to show just how much impact a very basic health care knowledge can have in terms of optimising health in a post-disaster or austere situation.
Of the biggest advances of medicine in the last 200 years, between 7 to 9 (depending on your knowledge and available resources) of the 12 can be applied to care in a austere situation. In particular, the knowledge of sanitation, germ theory, oral rehydration therapy, and simple manufactured antibiotics and anaesthetic agents all have the potential to be able to be continued to be applied in a post-disaster situation and to continue to contribute to a high quality of low-tech health care. In the same way that we can substantially reduce childhood death rates in a low tech post-disaster situation, we can still continue to have access to some of the biggest advances in medicine even at the end of the world.
4. Surgery in the third world
A non-specialist surgeon working at a isolated bush hospital in Papua New Guinea published his experience of Emergency Surgery over a 14 month period (similar articles have been published with similar data):
Emergency Surgery 243
Tendon repair 33 Open orthopaedics 32 Dilation and curettage 31 General surgery 29 Incision and drainage 26 Laceration repair 26 Obstetrics 23 Manipulation under anaesthesia 15 Urology 15 Gynaecology 9 Ear, nose and throat 2
Emergency anaesthesia 243
Ketamine – spontaneous breathing 166 Local anaesthesia 33 Ketamine – ventilated 16 Spinal anaesthesia 12 Propofol / thiopentone 10 Epidural 5 Epidural / GA 1
The point of this reference is to help illustrate what someone can achieve in primitive conditions with no formal surgical training and no dedicated anaesthetist. We are not suggesting that the average layperson can safely practice to this extent or breadth of surgery, but it does demonstrate that a non-surgeon can achieve much. It also shows that most anaesthetics for surgery in an austere situation can be done under local or ketamine anaesthetics.
Why this is relevant?
Each of these four references gives you insights, one way or another, into low-tech austere health care. First, it gives you an insight into the likely clinical problems that you may see in a survival situation, and how much can be dealt with in that sort of austere environment. Second, it demonstrates how medically speaking it is the small things and simple knowledge which save lives and some of the biggest killers can be mitigated with these relatively low level interventions or strategies.
In our opening summary – “Medicine at that end of the world”, we describe a pretty bleak medical reality post-SHTF. Will million’s really die from lack of access to modern heath care as we have alleged?
The short answer is yes – many will die much sooner than they otherwise would have, from disease and injury, which currently are not immediately fatal. But the answer is not nearly that simple nor bleak. The reality is that while cancer, diabetes, malnutrition or serious injury may claim many of its victim’s sooner than with today’s health care, most health problems can be treated or mitigated to a degree in a low- tech environment, with a narrow range of medications and interventions – including some cancers, non- insulin requiring diabetes and many major traumatic injuries.
Most medical problems are relatively mundane and not life threatening. Truly catastrophic problems in medicine are fortunately rare. You should focus on learning and preparing to deal with the common problems, and doing common procedures well, and you will save lives, and possibly also improve the quality of those lives.
There will be a significant change to health care but with knowledge and some preparation it isn’t quite as dire as many (including our own opening paragraph) predict. "
submitted by prmssnz to preppers [link] [comments]
Myself and some colleagues wrote: Survival and Austere Medicine https://corom.org/survival-austere-medicine/ . We are slowing working on a 4th edition with some new material and minor corrections - but it is taking longer than we thought!
But I thought given the above post, I would take the opportunity to post the introduction - which address the "why bother" question for a major long-term grid down situation. Apologies for the formatting and length
"There is a sense, when considering the issues around survival medicine practice, that everything is overwhelming, that it is impossible for lay people to provide a high level of medical care and maintain a high level of population health.
We don’t think this is the case at all. We believe that intelligent lay people with some basic medical knowledge, skills, and equipment can deliver high quality health care. While it is obviously impossible for lay people to safely and competently deal with every medical problem, and there remain many complicated diagnoses requiring equally complicated or technologically advanced treatments, for 80- 90% of the health problems afflicting humanity, simple things done well are all that is required to preserve life and limb and help alleviate suffering.
Consider the following:
1. Remote Medicine Practice:
Below are the results of one of our author’s experience in the provision of health care in various remote and austere locations (some third world, some first world) to nearly four thousand people over a cumulative 30-month period (spread over 18 years) – with more data there are few minor changes from the 2005 2nd edition, but the list is essentially the same – which is interesting. The record keeping was a bit unreliable at times, but the following summary is reasonably accurate.
Top 20 presentations (representing > 95% of consultations):
1. Minor musculoskeletal injuries - ankle sprains most common, included many minor fractures which didn’t require more than diagnosis and simple care
2. Upper respiratory tract infections
3. Allergic reactions/Hay feveAnaphylactic reactions/Rashes
4. Minor open wounds – included a mix of lacerations needing closure, many needing
cleaning and advice only, and some infected wounds
5. Gastroenteritis/Vomiting/Diarrhoea
6. Mental health problems
7. Sexual health/Contraceptive problems
8. Skin infections/Cellulitis
9. Dental problems
10. Abdominal pain - 4 confirmed acute appendix (2 treated with IV antibiotics and
subsequent delayed appendix removal / 2 required evacuation) + 1 gangrenous gall bladder. Many were "no cause found". Of the remainder with a clear diagnosis the most common were renal or biliary colic)
11. Fever /Viral illness
12. Chest infections
13. Major musculoskeletal injuries (fractures/dislocations)
14. Asthma
15. Ear infections
16. Urinary tract infections
17. Burns – mostly partial thickness within the realms of management in the environment the
patient was in. Several required evacuations. Several required rehabilitation due to location and sub-optimal initial treatment.
18. Chest pain
19. Syncope/Collapse/Faints
20. Early pregnancy problems
Major trauma was uncommon but was seen including several fractured femurs and a dozen cases of multi-system severe trauma resulting in a mix of in-country surgery and evacuations
Top 12 prescribed drugs (representing >90% of medications prescribed):
1. Paracetamol (Acetaminophen)
2. Loratadine (and other assorted antihistamines)
3. Diclofenac (and other assorted antiinflammatories)
4. Combined oral contraceptive
5. Flucloxacillin
6. Throat lozenges
7. Augmentin (Amoxycillin + clavulanic acid)
8. Loperamide
9. Nystatin (and other antifungals)
10. Hydrocortisonecream
11. Ventolininhalers(Salbutamol/Albuterol)
12. Morphine
What is of note here is that the clear majority of problems dealt with are simple and straight forward – there is still potential for serious consequences but there is scope for a well-informed lay person with a basic knowledge and access to a reasonable collection of reference books to provide reasonable care. Equally the vast majority of medication prescribed are from a very narrow well defined list – despite the fact 1000’s of drugs are on the market – the list of core lifesaving or comfort preserving ones is relatively brief.
2. Why children die
The World Health Organization (WHO) has identified the following conditions as having contributed to >75% of worldwide deaths in the under 5-year age group (in no particular order):
Pneumonia Pneumonia is an infection of lungs. Prevention of this condition is somewhat limited – although good nutrition, clean and warm housing, and a reduction in the exposure to respiratory irritants (smoke) all can help. However, the most common bacteria which cause pneumonia are frequently sensitive to penicillin – which is discussed later in the book and can be produced in a low-tech environment.
Diarrhea Death from diarrhea (dehydration) is almost 100% preventable with appropriate use of oral rehydration therapy. Dirty water or poor food handling causes much diarrhea – this can be virtually eliminated by proper hygiene practices and care with drinking water.
Pre-term delivery While we are limited in the direct interventions available in an austere environment to mitigate this problem contributing factors to early labor are young age, malnutrition, smoking, poor maternal health, so there is scope for indirect intervention based on optimizing mum’s health and environment. For babies who are born prematurely the necessities of life are warmth and breast milk. With attention to detail for both things, it is possible for infants as young as 33-34 weeks to survive without high-tech intervention.
Malaria. Prevention is better than a cure, knowledge about clearing stagnant water, mosquito nets and long sleeved clothes can significantly reduce the risk. Equally quinine is derived from the bark of the Chincona tree and the Chinese have been using the herb, Artemisinin, effectively for the treatment of Malaria for years. So, while not as easy to treat or prevent as diarrhea, there is still scope for significant reduction in death rates in low-tech ways.
Blood infection Blood infection or septicemia is rapidly fatal. The ability to intervene depends on the cause of the infection and antibiotics available. Broadly, infections causing septicemia can originate from the skin, the lungs, the kidneys or bladder, and the abdominal contents. While specific treatments for these may be lacking in an austere environment – all have prevention strategies and basic low-tech treatments that can be lifesaving when applied appropriately.
Lack of oxygen at birth Of these problems, this is the one with probably the least scope for impact. Unfortunately, even if foetal distress is detected during labor (with heart beat monitoring or signs of distress like meconium), without the ability to deliver the baby quickly options are limited. That said, a caesarian section is not a massively complicated operation (and discussed in Chapter 10), and in parts of the third world is performed by trained lay people with safety and success.
Measles Again, there is limited scope to intervene directly with the disease. Measles is always around and while vaccination reduced the incidence of epidemics, sporadic cases still occur. In the absence of vaccinations epidemics of measles every few years will be inevitable. There is however some scope to minimize the spread during an epidemic with isolation and respiratory precautions during outbreaks. While some of the serious neurological complications are unavoidable in a
Prevention is better than a cure, knowledge about clearing stagnant water, mosquito nets and long sleeved clothes can significantly reduce the risk. Equally quinine is derived from the bark of the Chincona tree and the Chinese have been using the herb, Artemisinin, effectively for the treatment of Malaria for years. So, while not as easy to treat or prevent as diarrhea, there is still scope for significant reduction in death rates in low-tech ways. small number of patients, basic care such as maintaining hydration can also prevent complications such as dehydration.
Neonatal tetanus The prevention of neonatal tetanus is easy. You don’t let the site where the umbilical cord attaches to the baby get dirty. It is as simple as that.
HIV/AIDS Prevention of maternal infection is the key to prevention of infection of newborns. The steps required to prevent exposure to the HIV virus are widely known: abstinence (not undertaking sexual activity), monogamy (maintaining a single sex partner rather than multiple) and if neither is a palatable option, then safe sexual practices.
Most the conditions above have an element of either preventability or the ability to be treated to some degree in an austere environment and significant improvements in mortality and morbidity can be made.
3. The greatest advances in medicine
Several years ago the British Medical Journal ran a poll trying to identify top medical advances of the last 200 years. The following is the top 12 from that poll:
Sanitation 1st Antibiotics 2nd Anaesthesia 3rd Vaccines 4th DNA 5th Germ theory 6th = The oral contraceptive 6th = Evidence based medicine 8th Imaging 9th Computers 10th Oral rehydration therapy 11th Smoking cessation 12th =
Just as with our discussion above about the causes of childhood deaths, this list is introduced to show just how much impact a very basic health care knowledge can have in terms of optimising health in a post-disaster or austere situation.
Of the biggest advances of medicine in the last 200 years, between 7 to 9 (depending on your knowledge and available resources) of the 12 can be applied to care in a austere situation. In particular, the knowledge of sanitation, germ theory, oral rehydration therapy, and simple manufactured antibiotics and anaesthetic agents all have the potential to be able to be continued to be applied in a post-disaster situation and to continue to contribute to a high quality of low-tech health care. In the same way that we can substantially reduce childhood death rates in a low tech post-disaster situation, we can still continue to have access to some of the biggest advances in medicine even at the end of the world.
4. Surgery in the third world
A non-specialist surgeon working at a isolated bush hospital in Papua New Guinea published his experience of Emergency Surgery over a 14 month period (similar articles have been published with similar data):
Emergency Surgery 243
Tendon repair 33 Open orthopaedics 32 Dilation and curettage 31 General surgery 29 Incision and drainage 26 Laceration repair 26 Obstetrics 23 Manipulation under anaesthesia 15 Urology 15 Gynaecology 9 Ear, nose and throat 2
Emergency anaesthesia 243
Ketamine – spontaneous breathing 166 Local anaesthesia 33 Ketamine – ventilated 16 Spinal anaesthesia 12 Propofol / thiopentone 10 Epidural 5 Epidural / GA 1
The point of this reference is to help illustrate what someone can achieve in primitive conditions with no formal surgical training and no dedicated anaesthetist. We are not suggesting that the average layperson can safely practice to this extent or breadth of surgery, but it does demonstrate that a non-surgeon can achieve much. It also shows that most anaesthetics for surgery in an austere situation can be done under local or ketamine anaesthetics.
Why this is relevant?
Each of these four references gives you insights, one way or another, into low-tech austere health care. First, it gives you an insight into the likely clinical problems that you may see in a survival situation, and how much can be dealt with in that sort of austere environment. Second, it demonstrates how medically speaking it is the small things and simple knowledge which save lives and some of the biggest killers can be mitigated with these relatively low level interventions or strategies.
In our opening summary – “Medicine at that end of the world”, we describe a pretty bleak medical reality post-SHTF. Will million’s really die from lack of access to modern heath care as we have alleged?
The short answer is yes – many will die much sooner than they otherwise would have, from disease and injury, which currently are not immediately fatal. But the answer is not nearly that simple nor bleak. The reality is that while cancer, diabetes, malnutrition or serious injury may claim many of its victim’s sooner than with today’s health care, most health problems can be treated or mitigated to a degree in a low- tech environment, with a narrow range of medications and interventions – including some cancers, non- insulin requiring diabetes and many major traumatic injuries.
Most medical problems are relatively mundane and not life threatening. Truly catastrophic problems in medicine are fortunately rare. You should focus on learning and preparing to deal with the common problems, and doing common procedures well, and you will save lives, and possibly also improve the quality of those lives.
There will be a significant change to health care but with knowledge and some preparation it isn’t quite as dire as many (including our own opening paragraph) predict. "
2024.05.14 09:45 anxiouscucumber_ About to get on a plane in about an hour and a bit (vent)
I’m going back home for 2 days to sort out some paperwork that has to be done there and see my mother but god do I dislike flying.
My last return flight was in October and I was a mess both ways, I’m talking really high heart rate and literally sobbing for the entire takeoff and then some. I had worked myself up so badly I was having palpitations and felt so bad when we finally landed. These days I mostly avoid going anywhere that requires a flight unless I have to or someone convinces me to but it’s always traumatic.
Anyway I’ve mostly felt calm in the last 24hrs because I know I have to go and can’t cancel this as it’s not a holiday. Usually I always feel like I have the option to. However now I feel like I should be worried and concerned and research flight statistics and how it’s safe etc because if I don’t, if I relax too much, something will go badly. I know it’s not logical.
I’m flying from London uk to Denmark and it’s relatively short flight but the weather is rainy and there are dark clouds atm and the landings in Copenhagen are always so bumpy because it’s right by the sea and they do these sharp turns where you can see the water and the wing is pointed down and it FREAKS ME OUT.
Anyway I’m just ranting to get this out of my system hopefully. I just want for once in my lifetime to get on a plane and not care in a way I don’t care when I’m in a train or bus.
I’ve read SO much about how safe it is and what happens every step of the way but it’s hard to come to terms with all the what ifs. If not that then I get anxious about having a medical situation on board. If not that, what if a pilot does. If not that - what if some unprecedented thing happens. Ugh.
submitted by anxiouscucumber_ to fearofflying [link] [comments]
My last return flight was in October and I was a mess both ways, I’m talking really high heart rate and literally sobbing for the entire takeoff and then some. I had worked myself up so badly I was having palpitations and felt so bad when we finally landed. These days I mostly avoid going anywhere that requires a flight unless I have to or someone convinces me to but it’s always traumatic.
Anyway I’ve mostly felt calm in the last 24hrs because I know I have to go and can’t cancel this as it’s not a holiday. Usually I always feel like I have the option to. However now I feel like I should be worried and concerned and research flight statistics and how it’s safe etc because if I don’t, if I relax too much, something will go badly. I know it’s not logical.
I’m flying from London uk to Denmark and it’s relatively short flight but the weather is rainy and there are dark clouds atm and the landings in Copenhagen are always so bumpy because it’s right by the sea and they do these sharp turns where you can see the water and the wing is pointed down and it FREAKS ME OUT.
Anyway I’m just ranting to get this out of my system hopefully. I just want for once in my lifetime to get on a plane and not care in a way I don’t care when I’m in a train or bus.
I’ve read SO much about how safe it is and what happens every step of the way but it’s hard to come to terms with all the what ifs. If not that then I get anxious about having a medical situation on board. If not that, what if a pilot does. If not that - what if some unprecedented thing happens. Ugh.
2024.05.14 09:43 AdTime4388 [EU] Chaos Gaming PvE Procedural No Decay No Killing Raidable Bases Vanilla+
Welcome to Chaos Gaming PvE, a friendly Rust community.
If you struggle with the PvP aspect of Rust why not come try out the PvE side of things. With a relaxed atmosphere and friendly players...for the most part.
We've disabled the Tech Tree meaning that players must found and research all items that they want. We wanted to make it more of a grind so you'll need to unlock everything you want to use via the research table. We have various additional in-game events for players to participate in.
PvE is great for learning the game. Learn how to build, practice raiding bases, get use to weapons by doing the monuments and taking on the NPC or if you're just looking to have a laugh with others without being killed check us out.
Search for 'Chaos Gaming PvE' under the modded tab or press F1 and copy and paste one of the following;
For more information check out
https://www.chaos-gaming.co.uk
Join our Steam group for perks
https://steam.chaos-gaming.co.uk
Join us on Discord
https://discord.chaos-gaming.co.uk
submitted by AdTime4388 to playrustservers [link] [comments]
If you struggle with the PvP aspect of Rust why not come try out the PvE side of things. With a relaxed atmosphere and friendly players...for the most part.
We've disabled the Tech Tree meaning that players must found and research all items that they want. We wanted to make it more of a grind so you'll need to unlock everything you want to use via the research table. We have various additional in-game events for players to participate in.
PvE is great for learning the game. Learn how to build, practice raiding bases, get use to weapons by doing the monuments and taking on the NPC or if you're just looking to have a laugh with others without being killed check us out.
Search for 'Chaos Gaming PvE' under the modded tab or press F1 and copy and paste one of the following;
connect pve.chaos-gaming.co.ukOur server offers;
- No Decay
- No Killing
- Monthly Wipes
- Raidable Bases
- Grid Power
- Vanilla Gather Rates
- Vote Rewards
- Discord & Steam Perks
- Increased Stack Sizes
- Kits
- Skinbox
For more information check out
https://www.chaos-gaming.co.uk
Join our Steam group for perks
https://steam.chaos-gaming.co.uk
Join us on Discord
https://discord.chaos-gaming.co.uk
2024.05.14 08:52 zeejay00 BLOODLETTER
-The Architect
Each hit on targets will give them a stack of Death Sentence. (x6 Max) For each stack of Death Sentence, the target's health regeneration is slower and they are more susceptible to damage from all sources.
Based on how many stacks of Death Sentence a target has when it is killed. You gain a damage increase and passive health regeneration for a short period of time. (10 Seconds)
"Today the lines between good and evil are blurred to the point of being nonexistent. Rights are being taken, evil is rewarded, lives are ruined, lies are blindly accepted, innocents are exploited, murder is commonplace, and criminals go unpunished by those who swore that they would."
"There are those who are praised and placed on a pedestal for all to see. We are told blatantly that they are something other than what we see with our own eyes. We are misled by our leaders and lied to by those who swore to surve us and there is no accountability."
"But there is solace in the knowledge that those who would perpetrate such evil will be given the hell they wish for so much. In the end there is no escape for them. By my hands or another's, they will face that ultimate judgment, that final fire, the kind that there is no escape from."
"If it is my life's work to do away with evil then so be it. I do it gladly with a free conscience and the knowledge that justice and truth always prevail in the end, no matter what."
-The Architect
2024.05.14 07:06 Objective_Box5956 Just finished my third 100% play-through
Just finished my third 100% play-through of Tears on the 1 year anniversary. It’s pretty brutal to 100% this game, but I enjoyed it. Here’s my 100% list:
____________________________________________________
Useful Links
Zelda Dungeon Interactive Map
Armor Upgrade List
Horse Upgrade List
100% Map Landmark Guide (Helped me find a few missed locations)
____________________________________________________
Missed Locations (after collecting all Koroks, quests, shrines, caves, and wells)
Missed all 3 times
Kolomo Garrison Ruins
Missed Twice
Gatepost Town Ruins
Castle Town Watchtower
Lost Woods
Inogo Bridge
Dracozu Altar
East Passage
Water Reservoir
Kolomo Garrison Ruins
Missed Locations (2nd and 3rd run-though)
Desert Rift
Device Dispenser on Thunderhead Isles
Sargon Bridge
Drena Canyon Mine
Retsam Forest Cave (North Entrance)
Missed Locations (1st run-through)
Lutos Crossing
Lanayru Road - West Gate
Canyon of Awakening Mine
Abandoned Eldin Mine Forge Construct
Floret Sandbar
Faron Woods
West Passage
Dalite Grove
Grove of Time
Nabooru Canyon Mine
Walnot Canyon Mine
Madorna Canyon Mine
Hickaly Grove
Rozudo Canyon Mine
Daval Canyon Mine
Granajih Canyon Mine
Agaat Canyon Mine
Applean Grove
Rok Grove
Rhoam Canyon Mine
Ruto Canyon Mine
Akkala Bridges (all 3)
Stolock Bridge
Crystal Refinery in Lookout Landing
Faloraa Canyon Mine (last one)
____________________________________________________
Final Koroks (2nd and 3rd time)
Money Makers
Rocket Shields
Oromuwak Shrine (east of Rito Village). I visit here regularly to stock up on Rocket Shields.
Zonaites and Crytalized Charges
4-4-5-3 Stat Horses Found Southeast of Bublinga Forest
Gems Info
How to get Stars
Also works with (not confirmed on my end)
Silent Princess and Blue Nightshade
(-2476, -0646, 0208)
Milk
Desert Colosseum
Gibdo Wings
Gerudo Underground Cemetery
Sand pits
____________________________________________________
Shopping
Restock Shops
To restock any shop in Tears of the Kingdom, here is what you will have to do.
Hylian Rice x5 (need 38 + recipes)
Swift Carrot x10 (need 10 + horses + recipes)
Bird Egg x5 (need 12 + recipes)
Fresh Milk x3 (need 66 + recipes)
Goat Butter x5 (Need 84 + recipes)
Kakariko General Store
Aerocuda Eyeball x3 (need 42)
Aerocuda Wing x3 (need 48)
Kakariko General Store Trissa
Goat Butter x5 (need 84 + recipes)
Swift Carrot x12 (need 10 + horses + recipes)
Bird Egg x5 (need 12 + recipes)
Fortified Pumpkin x3
Lookout Landing General Store
Hylian Rice x3 (need 38 + recipes)
Fresh Milk x4 (need 66 + recipes)
East Akkala Stable
· 3 Sticky Frog (need 30)
· 3 Smotherwing Butterfly (need 15)
Lakeside Stable
· 2 Sticky Frog
· 3 Thunderwing Butterfly (need 9)
· 2 Hightail Lizard (need 21)
South Akkala Stable
· 2 Sticky Lizard (need 24)
· 3 Hightail Lizard (need 21)
· 2 Fireproof Lizard (need 15)
Woodland Stable
· 3 Cold Darner (need 15)
· 3 Fireproof Lizard (need 15)
Kara Kara Bazaar General Store
Green Lizalfos Tail x3 (need 18)
Riverside Stable
· 5 Hylian Rice (need 38)
· 3 Thunderwing Butterfly (need 9)
· 3 Electric Darner (need 15)
Tabantha Bridge Stable
· 4 Fire Fruit (need 9)
· 3 Summerwing Butterfly (need 15)
· 3 Winterwing Butterfly (need 15)
· 3 Thunderwing Butterfly (need 9)
New Serenne Stable
· 4 Warm Darner (need 15)
· 4 Sunset Firefly (need 15 + 10 + 10)
Kara Kara Bazaar
· 5 Summerwing Butterfly (need 15)
· 5 Cold Darner (need 15)
Snowfield Stable
· 3 Summerwing Butterfly (need 15)
· 3 Warm Darner (need 15)
Kara Kara Bazaar
Summerwing Butterfly x5 (need 15)
Cold Darner x5 (need 15)
Foothill Stable
· 3 Thunderwing Butterfly (need 9)
Wetland Stable
· 3 Smotherwing Butterfly (need 24)
Rito Village General Store
Goat Butter x5 (need 84 + recipes)
Cane Sugar x3 (need 24 + recipes)
Tabantha Wheat x3 (need 42 + recipes)
Sunshroom x4 (need 15)
Korok General Store
Tabantha Wheat x2 (need 42 + recipes)
Hylian Rice x3 (need 38 + recipes)
Cane Sugar x3 (need 24 + recipes)
Goron General Store
Cane Sugar x3 (need 24 + recipes)
Goron Spice x3 (need 12 + recipes)
Zora General Store
Hylian Rice x4 (need 38 + recipes)
Swift Violet x4 (need 90)
submitted by Objective_Box5956 to tearsofthekingdom [link] [comments]
- 1,000 Korok Seeds
- 100% map completion (includes all Named Locations, Cave Entrances, Shrines, Light Roots, Wells, Chasms, Towns, Settlements, Stables, Specialty Shops, Device Dispensers, Sky View Towers, Forge / Weapon Constructs and Refineries, Tears of the Dragon, Ancient Tablets, and Fairy Fountains)
- All chest icons on Shrines (appears when all chests in the shrines have been opened)
- 23 Main Quests
- 60 Side Adventures
- 31 Shrine Quests
- 139 Side Quests
- 18 Memories
- Completed Hyrule Compendium
- 228 Recipes
- Upgraded all Horses to the max
- All Clothing and Armor Pieces upgraded to the max
- 21 Energy Cells
- 27 Zonai Devices
- 51 Paraglider Fabric Skins
- 12 Schema Stones
- 34 Yiga Schematics
- 31 Old Maps
- 147 Bubbul Gems
- 11 Horse Gear (Towing Harness, Saddles, Bridles)
- Medals of Honor
- All’s Well Key Item
- Dispelling Darkness Medal
- Hestu’s Gift Key Item
- 81 Addison Signs Put Up
____________________________________________________
Useful Links
Zelda Dungeon Interactive Map
Armor Upgrade List
Horse Upgrade List
100% Map Landmark Guide (Helped me find a few missed locations)
____________________________________________________
Missed Locations (after collecting all Koroks, quests, shrines, caves, and wells)
Missed all 3 times
Kolomo Garrison Ruins
Missed Twice
Gatepost Town Ruins
Castle Town Watchtower
Lost Woods
Inogo Bridge
Dracozu Altar
East Passage
Water Reservoir
Kolomo Garrison Ruins
Missed Locations (2nd and 3rd run-though)
Desert Rift
Device Dispenser on Thunderhead Isles
Sargon Bridge
Drena Canyon Mine
Retsam Forest Cave (North Entrance)
Missed Locations (1st run-through)
Lutos Crossing
Lanayru Road - West Gate
Canyon of Awakening Mine
Abandoned Eldin Mine Forge Construct
Floret Sandbar
Faron Woods
West Passage
Dalite Grove
Grove of Time
Nabooru Canyon Mine
Walnot Canyon Mine
Madorna Canyon Mine
Hickaly Grove
Rozudo Canyon Mine
Daval Canyon Mine
Granajih Canyon Mine
Agaat Canyon Mine
Applean Grove
Rok Grove
Rhoam Canyon Mine
Ruto Canyon Mine
Akkala Bridges (all 3)
Stolock Bridge
Crystal Refinery in Lookout Landing
Faloraa Canyon Mine (last one)
____________________________________________________
Final Koroks (2nd and 3rd time)
- Desert by Shrine (Climb Up)
- Hateno beach
- Wellspring Island underneath staircase by the waterfall, 3414 0618 1551
- Thims Bridge Korok
- Ceiling stump west of Ulria Grotto (4078 0821 0236)
- South of Flirly Plateau, dive into lily pads (3014 -2537 0129)
Money Makers
- If you are going to 100% this game, don’t sell items you will need later unless you already have extra, especially gems. Crosscheck it with the Armor Upgrade link above.
- I regularly cycled through Moldugas and the Lynels in the Floating Coliseum every blood moon. Lynel Hooves and Molduga Guts are easy to collect and have extra to sell at a good price.
- Extra armor is great to sell and can be easily obtained with Amiibos (if you have them all - I have the cards). In my experience, armor didn’t have a high drop rate until after I finished 2/4 regional phenomena
Rocket Shields
Oromuwak Shrine (east of Rito Village). I visit here regularly to stock up on Rocket Shields.
Zonaites and Crytalized Charges
- Save Zonaite for Autobuild only
- Save Large Zonaites for Armor Upgrades only
- Best Way to get Crystalized Charges is defeat all Flux Construct, Hinox, Stone Talus, Frox, and Gleeok in the depths. They will always give you 20 crystalized charges.
- After you beat each regional boss on the surface, 3 of them will respawn in the Depths and give you 100 crystalized charges each after the first kill.
- Floating Colieseum is an excellent place to stack up on strong weapons and get 100 crystalized Charges)
- Plenty of chests in the Depths that have 20 Crystalized Charges
- Every Frox location has a small cluster of Zonaite
- Large Zonaite Deposits are basically ripoffs, you get very little for the effort
- Hudson Signs can be dependent on time or weather or something
- My last 2 were Lodrum Headland and Gerudo Canyon Stable
4-4-5-3 Stat Horses Found Southeast of Bublinga Forest
Gems Info
- Sapphire and Opal are the hardest? In addition to the breaking Rare Ore Deposits, Frost Talus’ are a good source for Sapphire and Opal
- 4 Ruby’s at Simosiwak Shrine
- Dondons seemed like a waste of time for me.
- Turn your sensor on in Death Moutain to target Rare Ore Deposits and mark them on the map to visit every blood moon.
- Luminous stones: Sky Mine (northeast corner of Sky Map), West Necluda Sky Archipelago (north of Ukoojisi Shrine), South Hyrule Sky Archipelago (west of Jinodok Shrine), Maw of Death Mountain Lakes
How to get Stars
- Fast travel to Gerudo Canyon Skyview Tower
- Rest until Night.
- Walk up the ramp and launch yourself into the air.
- After being launched, point the camera down and begin diving. A star will eventually fall for you to claim.
- Descent back to the ground at Gerudo Canyon Skyview Tower and rest until night again.
- Fast travel to Typhlo Ruins Skyview tower. Launch, look down, catch star. (Or Mayam Shrine above Thyphlo Ruins)
- As soon as you catch start, you can warp right back to Gerudo Canyon Skyview Tower. Rest until Night. Rinse and Repeat.
Also works with (not confirmed on my end)
- Gerudo Canyon
- Gerudo Highlands
- Rabella Wetlands
- Mount Lanaryu
- Ulri Mountain
- Eldin Canyon
- Sahasra Slope
Silent Princess and Blue Nightshade
(-2476, -0646, 0208)
Milk
- Dantz in Hateno Pasture (Trade 3 acorns for 1 milk)
- Hateno Village General Store
- Sage Temple Ruins
- Dragon claws from each dragon for the Goddess Statues Side Quest
- Dragon parts respawn every 10 minutes so if you’re trying to farm any parts and want to be a little lazy, you can ride the dragon continuously and set a timer for 10 mins, collect part, then repeat. Be sure to save every now and then (One time I collected parts for 1.5 hours, stepped away from the game and died and lost everything). Also, with the exception of the Light Dragon, you will fall off the dragon unless you adjust yourself as they go in and out of the Depths.
- Big tree at Rutile Lake has 3-4 of each Beetle Type (-2470, -0610, 0202)
- Bronas Forest for Beetles
- Hinox guts come from Black Hinoxes (need 15)
- Tall Circular Rock north of Gerudo Desert Gateway and west of Gerudo Canyon Stable (use sky tower)
- West of Tabahl Woods Cave (southwest of Zora’s Domain)
- Veiled Falls (west of Zora’s Domain)
- Northeast of Upland Zorana (northwest of Toto Lake)
- North of Luto’s Crossing (just west of Ruto Lake name on small island)
- South of Ralis Pond
- Southwest of ebon Mountin (closer to the water)
- North of Keya Pond (intersects with Hanu pond, southwest of Ebon mountain)
- West side of Riola Spring (southwest of Mount Floria)
- North of Mount Hylia (and south of River of the dead)
- Gohma like skeleton, east of Gerudo town, west of Palu Wasteland
- Mystathi’s Shelf (Gerudo Highlands)
- West end of Vatorsa Snowfield (Gerudo Highlands)
- NW of Eastern Abbey (Great Plateau)
- SE corner of Aquame Lake in a half skull encampment (Hyrule Field near Coliseum Ruins)
- Halfway between Lanayru Bay and the Spring of Wisdom/ Mt Lanayru Skyview Tower (Lanayru)
- Varies since the game seems to scale some of these for some but not others even though they have story completed and a lot of hours as well.
- West Passage of Hyrule castle. Coords -0450, 0909, 0012. The entrance is closer to the castle gates where you’ll find a minecart that takes you to the room they’re in (just north of name label Hyrule Caste Moat)
- Another Black Boss Bokoblin in the depths at (-2097, -1510, -0692) near a Flux Construct I, and is underneath Nephra Hill (west of Digdogg Suspension Bridge)
- Depths north of Dueling Canyons Mine at 1332, -1547, -0646 (fixed)
- Patrolling just south of Talonto Peak in the Hebra region, along the path you travel to find Tulin at the peak during Rito storyline. There are actually two boss bokoblins here, with one on a higher and slightly more eastern shelf and the other slightly lower and westward shelf just above an entrance to Hebra South Summit Cave; the first one is the non-scaling red one, and the second scales. Thought I’d mention it because I and another commenter found the scaling one first.)
- On the skull bridge west of Mount Gustaf (west of Lookout Landing), between the Hyrule Ridge and Hyrule Plains regions.
- Patrolling the Maritta Exchange Ruins north of Lindor’s Brow in the Hyrule Ridge region.
- Patrolling in the middle of Seresa Scablands in the Hyrule Ridge region.
- In the Royal Ancient Lab Ruins in North Hyrule Plain, just north of New Serenne Stable
- Southeast Lookout Landing and Mabe Village Ruins in Hyrule Field
- South of the East Deplian Badlands in the Eldin Mountains, on a landing to the northwest of the Isle of Rabac (east of Thyphlo Ruins)
- On Zauz Island in the Lanayru Wetlands, directly east of Wetland Stable
- South of Mount Daphnes in Hyrule Field, between the mountain and the Exchange Ruins
- Warp to Zakusu Shrine, in the Naydra Snowfield near Mount Lanayru. There are about 6 in this area going up around the mountain and around the edges of the snowfield.
- Warp to the Niuzimod Lightroot in the depths, in the Ancient Underground Fortress, this is underneath the Akkala Citadel Ruins on the surface. There are about 4-5 here as well
- Another location for one blue Lizalfos: 2991, - 0215, 0278. It's the blue water area between Zobodon Highlands and Ruto Mountain, just south southwest of Zora's Domain
- Found some in the Lanayru region here: ** 4023, - 1664, 0345 (Lanayru Range - A platform of about 3 blue Lizalfos)
- Madorna Mountain - Another platform with 2 blue (3808, - 1660, 0329)
- North of Nadrya Snowfield Chasm - 1 blue under a tent with an icy Lizalfos (3601, - 1128, 0263)
- (1) In-isa shrine on great sky island - captain I
- (1) Ijo-o Shrine West Hebra Sky Islands
- (1) Rasitakiwak Shrine, southeast of Tarrey Town. 4166 1323 0229
- (1) Yansamin Shrine, Zonaite Forge Island, in sky above Fort Hateno. Other bots wield weapons with a captain 1 horn and a captain 2 horn. (2350 - 1782 1475)
- (1) Simosiwak Shrine, Bravery Island, in sky above Korok Forest. (Also, three rubies and a ruby sword, for 420 rupees every blood moon) (0163 1972 0759)
- (1) Nouda Shrine, inside Kopeeki Drifts Cave, east of Rito Village. -2318 2201 0173
- (1) Zakusu Shrine, Naydra Snowfield, west side of Mount Lanayru. 3527 - 1482 0168
- (1) Sifumim Shrine, overlooking Lurelin Village. 2826 - 3271 0078
- At the east end of the Lake Siela supply river, east of Kakariko Bridge, south east of the Pilars of Levia. Basically the line formed by the Pilars of Levia point south east to a camp of Constructs, one of which is a Captain II. 2248, -1429, 0026.
- Where the old bowling game used to be south of snowfield stable, east of nouda shrine -1974, 2144,0253
- Kanalet ridge in akkala highlands, north east of shrine by south akkala stable (3244,2000,0160)
- East of proxim bridge, north of hills of baumer, north of popla foothills sky view tower
- Wellspring island, up and southwest of Igoshon Shrine 3340 0538 1353
- Two in Typhlo Ruins, north of Korok Forest + eventually (2) soldier construct IV + 1 Soldier Construct III
- Two in a sea fort between Clarnet Coast and Aris Beach, west of Lurelin Village. 2 Captain Construct III + 3 Soldiers Construct III + 1 Soldier Construct IV
- South of Tarry Town, north of Ulria Grotto
Desert Colosseum
Gibdo Wings
Gerudo Underground Cemetery
Sand pits
____________________________________________________
Shopping
Restock Shops
To restock any shop in Tears of the Kingdom, here is what you will have to do.
- Buy out the item in the shop until there are none left.
- Take out wood and flint to make a fire.
- Rest by the fire till the next day.
- Manually save the game.
- Load the game from the save you just made.
Hylian Rice x5 (need 38 + recipes)
Swift Carrot x10 (need 10 + horses + recipes)
Bird Egg x5 (need 12 + recipes)
Fresh Milk x3 (need 66 + recipes)
Goat Butter x5 (Need 84 + recipes)
Kakariko General Store
Aerocuda Eyeball x3 (need 42)
Aerocuda Wing x3 (need 48)
Kakariko General Store Trissa
Goat Butter x5 (need 84 + recipes)
Swift Carrot x12 (need 10 + horses + recipes)
Bird Egg x5 (need 12 + recipes)
Fortified Pumpkin x3
Lookout Landing General Store
Hylian Rice x3 (need 38 + recipes)
Fresh Milk x4 (need 66 + recipes)
East Akkala Stable
· 3 Sticky Frog (need 30)
· 3 Smotherwing Butterfly (need 15)
Lakeside Stable
· 2 Sticky Frog
· 3 Thunderwing Butterfly (need 9)
· 2 Hightail Lizard (need 21)
South Akkala Stable
· 2 Sticky Lizard (need 24)
· 3 Hightail Lizard (need 21)
· 2 Fireproof Lizard (need 15)
Woodland Stable
· 3 Cold Darner (need 15)
· 3 Fireproof Lizard (need 15)
Kara Kara Bazaar General Store
Green Lizalfos Tail x3 (need 18)
Riverside Stable
· 5 Hylian Rice (need 38)
· 3 Thunderwing Butterfly (need 9)
· 3 Electric Darner (need 15)
Tabantha Bridge Stable
· 4 Fire Fruit (need 9)
· 3 Summerwing Butterfly (need 15)
· 3 Winterwing Butterfly (need 15)
· 3 Thunderwing Butterfly (need 9)
New Serenne Stable
· 4 Warm Darner (need 15)
· 4 Sunset Firefly (need 15 + 10 + 10)
Kara Kara Bazaar
· 5 Summerwing Butterfly (need 15)
· 5 Cold Darner (need 15)
Snowfield Stable
· 3 Summerwing Butterfly (need 15)
· 3 Warm Darner (need 15)
Kara Kara Bazaar
Summerwing Butterfly x5 (need 15)
Cold Darner x5 (need 15)
Foothill Stable
· 3 Thunderwing Butterfly (need 9)
Wetland Stable
· 3 Smotherwing Butterfly (need 24)
Rito Village General Store
Goat Butter x5 (need 84 + recipes)
Cane Sugar x3 (need 24 + recipes)
Tabantha Wheat x3 (need 42 + recipes)
Sunshroom x4 (need 15)
Korok General Store
Tabantha Wheat x2 (need 42 + recipes)
Hylian Rice x3 (need 38 + recipes)
Cane Sugar x3 (need 24 + recipes)
Goron General Store
Cane Sugar x3 (need 24 + recipes)
Goron Spice x3 (need 12 + recipes)
Zora General Store
Hylian Rice x4 (need 38 + recipes)
Swift Violet x4 (need 90)
2024.05.14 06:11 tattedsparrowxo I feel awful and rundown 24:7
This isn’t really a mom post but I feel better posting here than in a doctor sub, as they can be pretty rude. Would really love some insight if any of you had this happen and what it was?
For the past few years I have felt crappy most days than few. Lately this past year it’s been a nightmare. In may 2023 I had a random cyst that’s been deep under my skin rupture and it turned out to be an extremely rare type of staph and an unidentified other type of bacteria. I was on 2 antibiotics before I was sent to the hospital. I was then admitted and on 3 iv antibiotics and it kept getting worse and I kept having reactions to literally every antibiotic. They ended up having to cut a gold ball sized hole to clear the junk out and I was in patients 14 days and had a nurse come daily for 3 months to my house. Then in December I caught Covid and was admitted four days and in February flu b and admitted another 7 days because my body was going ape shit. High BP High HR High Temp and no meds helped. Now I have more cysts than ever and have literally waited a year to get into a derm. All my bloodwork is perfect minus low iron. I’m so over how I feel. I’m nauseated 24/7, tired all the time, get boughts of high heart rates for days on end (135-147) (normal ecg minus tachycardia) feel like I’m going to pass out, dissociate all the time, horrible memory, periods are all out of wack, smell burning all the time or rubber, itch all over, bad constipation or diarrhea, a crawling and burning sensation in my skin, my face is always red, I feel malnutritioned even though I’m 214 and haven’t lost weight. I eat healthy 80/100 and am active at work. I drink a ton of water, watch my sugar and dairy and grains. I don’t do drugs, I do smoke ciggs sometimes, but I feel like I’m stuck in flight or fight. I can’t sleep, and when I do sleep I’m either up every hour or out for 12. I have dark circles under my eyes and my teeth are basically rotting and can’t find a dentist who will take my insurance. Literally every blood test I’ve had is fine! I’m to the point I cry every night and at work because it’s too hard on my body. I’m a single mom and this job is the only one I have and I can’t find anything remote or anything that pays better. I don’t know what to do. I’m seriously depressed and anxious 24/7. Has anyone had any of these symptoms? Even in the hospital the doctor kept saying it sounded like withdrawal but I’m literally on no drugs that would cost me to withdraw. I take Ativan maybe once a week if I’m having a panic attack only. My doctor is at a loss.
To add, when I do eat I immediately want to vomit but don’t and even water fills my stomach yet I’m still over weight. I’m starting to think it’s all inflammation.
submitted by tattedsparrowxo to breakingmom [link] [comments]
For the past few years I have felt crappy most days than few. Lately this past year it’s been a nightmare. In may 2023 I had a random cyst that’s been deep under my skin rupture and it turned out to be an extremely rare type of staph and an unidentified other type of bacteria. I was on 2 antibiotics before I was sent to the hospital. I was then admitted and on 3 iv antibiotics and it kept getting worse and I kept having reactions to literally every antibiotic. They ended up having to cut a gold ball sized hole to clear the junk out and I was in patients 14 days and had a nurse come daily for 3 months to my house. Then in December I caught Covid and was admitted four days and in February flu b and admitted another 7 days because my body was going ape shit. High BP High HR High Temp and no meds helped. Now I have more cysts than ever and have literally waited a year to get into a derm. All my bloodwork is perfect minus low iron. I’m so over how I feel. I’m nauseated 24/7, tired all the time, get boughts of high heart rates for days on end (135-147) (normal ecg minus tachycardia) feel like I’m going to pass out, dissociate all the time, horrible memory, periods are all out of wack, smell burning all the time or rubber, itch all over, bad constipation or diarrhea, a crawling and burning sensation in my skin, my face is always red, I feel malnutritioned even though I’m 214 and haven’t lost weight. I eat healthy 80/100 and am active at work. I drink a ton of water, watch my sugar and dairy and grains. I don’t do drugs, I do smoke ciggs sometimes, but I feel like I’m stuck in flight or fight. I can’t sleep, and when I do sleep I’m either up every hour or out for 12. I have dark circles under my eyes and my teeth are basically rotting and can’t find a dentist who will take my insurance. Literally every blood test I’ve had is fine! I’m to the point I cry every night and at work because it’s too hard on my body. I’m a single mom and this job is the only one I have and I can’t find anything remote or anything that pays better. I don’t know what to do. I’m seriously depressed and anxious 24/7. Has anyone had any of these symptoms? Even in the hospital the doctor kept saying it sounded like withdrawal but I’m literally on no drugs that would cost me to withdraw. I take Ativan maybe once a week if I’m having a panic attack only. My doctor is at a loss.
To add, when I do eat I immediately want to vomit but don’t and even water fills my stomach yet I’m still over weight. I’m starting to think it’s all inflammation.
2024.05.14 01:01 MerkadoBarkada COMING UP: This week; PH: OGP 1st week; PH: BSP rate decision; PH: UBP SRO start; INT'L: US April inflation; OceanaGold falls 6% in 1st day of trading; CREIT, MREIT, and FILRT declare Q1 divs (Tuesday, May 14)
Happy Tuesday, Barkada --
The PSE gained 92 points to 6604 ▲1.4%
Shout-out to Atot for saving the Inside the Boardroom special [MB link] for their "lunch read" (at least it's not a porcelain chair?), to Trina Cerdenia for retweeting the ITB episode with highlights, to Tenkan Sen for noting the bloodbath that has been the recent (and even not-so-recent) IPO market, to Just'n for recognizing that in most cases a secondary IPO is for exit liquidity, to Enrico P. Villanueva for mentioning the ITB article as a jumping-off point for further research and analysis, to Jonathan Burac for providing interesting background on auditors and former-auditors as Independent Directors, to kalel.RON for having their mind blown by my reveal that I'm not Matteo Guidicelli (deep cut for the OGs), to Tirador for the straight-forward review ("pangit an ipo yan"), and to arkitrader for the Monday vibes GIF.Thanks also to the many readers who wrote in privately with praise, follow-up questions, and comments about yesterday's Inside the Boardroom special episode with OceanaGold PH's President, Joan Adaci-Cattiling. I won't list your names because you didn't choose to make your comments public, but I appreciate all of the notes that I've received and it's encouraging to see the interesting in the ITB series. Thank you!
Just for background, the Inside the Boardroom series takes a lot of extra work to organize, conduct the interview, and write the content for each episode. MB does not receive anything in return for an Inside the Boardroom interview; I only ask for direct access to the c-suite executive and the understanding that all questions that I ask will be direct (not trying to avoid unfavorable parts), to-the-point (not flowery), and without honorifics or deference (no titles or fawning).
I have a great amount of respect for companies and executives that agree to those terms, as there are many companies here that would never in a million years allow their executives to speak publicly, let alone on topics that are not 100% positive and dripping with marketing talking points.
OK, enough of that, let's get to the new stuff!
▌In today's MB:
- COMING UP: This week
- PH: OGP 1st week
- PH: BSP rate decision
- PH: UBP SRO start
- INT'L: US April inflation
- OceanaGold falls 6% in 1st day of trading
- CREIT, MREIT, and FILRT declare Q1 divs
- FMETF halted due to broken price tracker
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▌Main stories covered:
MB is written and distributed every trading day. The newsletter is 100% free and I never upsell you to some "iNnEr cIrClE" of paid-membership perks. Everyone gets the same! Join the barkada by signing up for the newsletter, or follow me on Twitter. You can also read my daily Morning Halo-halo content on Philstar.com in the Stock Commentary section.
- [COMING_UP] The week ahead... PH: While we had the OceanaGold PH [OGP 12.50 ▼6.2%; 100% avgVol] IPO yesterday, the biggest waves will be made on Thursday when the Bangko Sentral ng Pilipinas (BSP) meets to evaluate our interest rate situation. The Union Bank [UBP 34.60 ▼6.0%; 83% avgVol] stock rights offer period will also start on Thursday. International: The only datapoint that I’m following for this week is the US April inflation report, which we should get early Thursday morning.
- MB: The inflation metagame is where my mind’s at these days, and that’s all about inflation expectations. Not so much where inflation “is”, but where people (and companies) think inflation “will be” in the future. Inflation expectations matter because they can cause dramatic changes. For individuals, expectations of higher inflation can lead to changes in purchasing behavior and higher wage demands. For corporations, expectations of higher inflation can cause companies to increase their prices. I think you can see why the US Federal Reserve and the BSP are most afraid of these expectations; they’re something of a self-fulfilling prophecy. There should be a lot of analysis to consume on this point after the US CPI report is out on Thursday morning.
- [UPDATE] OceanaGold falls 6% in first day of trading... OceanaGold PH [OGP 12.50 ▼6.2%; 100% avgVol] [link] dropped a little over 6% in its first day of trading, falling ₱0.82 from its ₱13.33/share IPO price to close at ₱12.50/share. The highest the stock traded was ₱13.34 in the first 20 minutes of trading before consistent selling pressure pushed OGP price to an intra-day low of ₱12.46 around 1:30 PM. The stock mounted a significant recovery to around ₱12.90/share before a massive amount of late-day selling pushed it back down to the ₱12.50 level at the close.
- MB: Since this is the first IPO of the year, the questions in my inbox tell me that we need to quickly cover a few points before we move forward. First, yes, OGP does have a stabilization fund, but it’s important to remember that a stabilization fund isn’t supposed to entirely prevent a stock’s price from falling. A stab fund is best thought of as a discretionary pool of money that a paid agent (in this case, BDO Capital) can use to buy shares on the open market to provide some artificial demand for the stock. It has a limited amount of money (usually around 10% of the value of the total IPO) and a limited amount of time (30 days), and once either of those is gone, so is the fund. The other thing to remember about stab funds is that it’s entirely up to the agent to deploy the limited resources of the fund. They might be hands-off for days before suddenly smashing the market with a swarm of buy orders to soak up the selling pressure, or they might constantly drip artificial buy orders into the market. Or they might employ a chaotic mixture of those strategies. Stability funds are a little bit of short-term downside protection and a handy pool of exit liquidity, but they shouldn’t be seen as IPO Investing insurance or a protection against loss! Be careful out there!
- [DIVS] CREIT, MREIT, and FILRT all declare Q1 dividends... Citicore Energy REIT [CREIT 2.83 ▲0.3%; 345% avgVol] [link] and MREIT [MREIT 12.96 ▲0.1%; 96% avgVol] [link] declared their Q1 dividends on Monday, while Filinvest REIT [FILRT 2.93 ▼2.0%; 47% avgVol] [link] declared its Q1 dividend on Friday. For CREIT, the dividend will be ₱0.049/share (stable), payable on July 9, representing 101% of CREIT’s Q1 distributable income (DI). For MREIT, the dividend will be ₱0.246 (stable), payable on June 14, representing 93% of MREIT’s DI. For FILRT, the dividend will be ₱0.062/share (falling), payable on June 7, representing 99.9% of FILRT’s DI for the quarter.
- MB: The name of the REIT game is stability. While REITs cannot help what happens in the macroeconomic world with interest rates (all REITs got smacked when rates rose to fight inflation), what separates a good REIT from a bad one (in my opinion) is the management team’s ability to effectively worry about everything else to protect the income stream from loss. Bonus points should be awarded to teams who grow their dividend over time. Between these three companies, both CREIT and MREIT have shown the ability to deliver a stable dividend. CREIT has even managed to grow its dividend 11%. That leaves FILRT, which has continued to deliver giant turd after giant turd to its bagholders in the form of smaller and smaller dividends. FIRLT’s first three quarterly divs were at the ₱0.112/share level, and their most recent div was just ₱0.062. That’s a 44.6% drop. I don’t have a thesaurus within reach capable of accurately describing to you just how bad that is for a REIT. It’s not like the company suffered some major trauma that nearly halved the dividend; the div level has fallen four times over the past twelve quarters and in each of the last three.
- [NEWS] FMEFT halted due to broken price tracker... FMETF [FMETF 105.20 ▲0.9%; 5% avgVol] [link], the PSE’s only exchange-traded fund, was halted by the PSE at 1 PM yesterday after it was discovered that its iNav had failed to update since 11:30 AM. FMETF said that it would “coordinate” with its “service provider” to implement a fix, but as of this writing, FMETF has not advised that a fix has been implemented nor has the PSE lifted the halt.
- MB: This problem happened six times last year, and while it’s great that we made it into May before we had our first FMETF outage of this year, it’s still discouraging to see “iNav not calculating” as a problem that we need to contend with in 2024. For those who are unfamiliar, FMETF is an exchange-traded fund, so FMEFT’s per-share price is derivative of the per-share prices of all the shares that FMETF owns/represents. The “iNav” that keeps breaking is the number that represents the current value of FMETF’s holdings, expressed as a “NAV per unit” or “NAV per share”. So, if the iNav isn’t updating, then traders are not getting the kind of information they need to place FMETF stock trades. “We need more ETFs” is something that I’ve heard traders say for years now, and while I still count myself as part of that group, I wish we could see some forward progress in the maintenance of FMETF before we introduce anything more exotic to the market.
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2024.05.14 00:34 Special_Ad3170 Got an offer for Audit but honestly idk if it’s what I want to do
Hi, all. I’ve received an offer after quite a long application process. The role is a Graduate Audit Trainee and is at a mid-level global accountancy firm (based in the UK).
However, I’m not sure if I want to do it and should accept the offer to see how it is and leave if I don’t like it.
I also wanted to ask if it is common for accountancy companies to offer an interest-rate loan and if it is included in the contract but I find a better opportunity before the start date, would I have to pay the loan back in full? Generally, I’m just not sure about this, firstly because it’s in a different location which will take long to get to and from, secondly because of the work style where it seems to be long hours with boring work and low pay and finally, I wanted to work in Asset Management but couldn’t get through unfortunately and this is the first offer I’ve got.
submitted by Special_Ad3170 to FinancialCareers [link] [comments]
However, I’m not sure if I want to do it and should accept the offer to see how it is and leave if I don’t like it.
I also wanted to ask if it is common for accountancy companies to offer an interest-rate loan and if it is included in the contract but I find a better opportunity before the start date, would I have to pay the loan back in full? Generally, I’m just not sure about this, firstly because it’s in a different location which will take long to get to and from, secondly because of the work style where it seems to be long hours with boring work and low pay and finally, I wanted to work in Asset Management but couldn’t get through unfortunately and this is the first offer I’ve got.
2024.05.14 00:11 krusty-krab-pizza1 iPhone Configuration Guide w/ Checklist
A month or so ago I busted my phone, and it was a huge pain in the ass. Aside from some lost data which was minor, the biggest PIA was resetting MFA, getting in touch with my US banks, and any other services that were tied to my phone. The experience also made me take a step back and realize I am pretty lax with security, and if someone had gotten hold of my phone and somehow god-forbid gotten the passcode, then I'd be fucked. They could do so much damage with unlimited access to my email + MFA SMS, even in just a few hours.
As a result, I kind of went down the ADHD rabbit hole hyper-fixating on how best to "optimize" my iPhone and iCloud configuration for two things:
The eSIM has been very helpful for maintaining a US phone number for which I can receive SMS texts from my banks and other financial services as well as continue to use iMessage with all my US contacts since hardly anybody is on Whatsapp.
Most, if not all, carriers in the US support eSIMs now, and so you should try to find a carrier that offers an international pay-as-you-go plan. Verizon offers two international plans - one is a "Travel Pass" where it's a flat fee of $10/day anywhere outside the US or Canada (even for just one text message). The other is "pay for what you use" which has a rate per text, minute, and mb. For my US plan, I only care about receiving SMS texts from my banks and the occasional phone call to a service that doesn't have an international, toll-free number. Data will always be cheaper outside the US, so I disable cellular data switching for my US line.
The last time I was in the US was for the holidays and I bought 2 used iPhone 12's for about $200 each. They have some scuffs, but they're perfectly serviceable. In LATAM, it also doesn't attract nearly as much unwanted attention in the street as an iPhone 14 or 15.
I brought these with me as extra devices. When my phone busted last month, thankfully I had a backup in iCloud and everything was loaded in a few minutes as normal. This was before I was using the eSIM, but if I had the eSIM I could just go to Verizon support online via chat and they could help me switch the line to the new device easily.
submitted by krusty-krab-pizza1 to digitalnomad [link] [comments]
As a result, I kind of went down the ADHD rabbit hole hyper-fixating on how best to "optimize" my iPhone and iCloud configuration for two things:
So I put together this guide and checklist that I thought I'd share with others. I am a programmer but by no means a security guru, and so if any IT, DevOps, or SecOps folks want to chime-in with suggestions or improvements, please do.
- If it breaks, the transition to a new device will be relatively painless. I won't have to spend several days stressing and trying to find the right international customer support number for a myriad of institutions and services to get into my accounts.
- If it gets stolen and compromised, then there will be enough barriers such that the I'll have enough time to lock down the device and/or my accounts remotely before the thief can get key data or move funds.
Requirements
- an iPhone XR, iPhone XS, iPhone 11, iPhone 12, iPhone 13, iPhone SE (2nd generation), and iPhone 14 or newer for eSIM compatibility.
- a US-based carrier with eSIM support + a pay-as-you-go model for international travel (I use Verizon)
- iOS 17 or above (may not be strictly necessary, but I know my setup works with iOS 17.4.1)
- a password manager. I personally use 1Password because it works, is reliable, has cross-device support, and is easy and intuitive. It's also only $3/month.
Dual Sim Setup
I have been rocking an iPhone 12 for the past few years, and it's served me very well. I know the newer iPhones (14 and up) no longer offer physical SIM card support, but carriers in most developing countries are behind the curve. Even if they offer eSIM support, it's been my experience that it's a major headache to get setup, there is a lack of customer support in English, and they may even require a local ID to register the eSIM. It's way easier to just head to a shop and pay $5 for a SIM card, load some funds onto it, and then you're good to go.The eSIM has been very helpful for maintaining a US phone number for which I can receive SMS texts from my banks and other financial services as well as continue to use iMessage with all my US contacts since hardly anybody is on Whatsapp.
Most, if not all, carriers in the US support eSIMs now, and so you should try to find a carrier that offers an international pay-as-you-go plan. Verizon offers two international plans - one is a "Travel Pass" where it's a flat fee of $10/day anywhere outside the US or Canada (even for just one text message). The other is "pay for what you use" which has a rate per text, minute, and mb. For my US plan, I only care about receiving SMS texts from my banks and the occasional phone call to a service that doesn't have an international, toll-free number. Data will always be cheaper outside the US, so I disable cellular data switching for my US line.
The last time I was in the US was for the holidays and I bought 2 used iPhone 12's for about $200 each. They have some scuffs, but they're perfectly serviceable. In LATAM, it also doesn't attract nearly as much unwanted attention in the street as an iPhone 14 or 15.
I brought these with me as extra devices. When my phone busted last month, thankfully I had a backup in iCloud and everything was loaded in a few minutes as normal. This was before I was using the eSIM, but if I had the eSIM I could just go to Verizon support online via chat and they could help me switch the line to the new device easily.
Basic Configurations
- Always use the latest version of firmware
- Require a passcode that's unique to that device.
- Use FaceID instead of passcode when possible (a thief can't snipe your passcode from a distance if you unlock your phone with FaceID)
- Set auto-lock to 30 seconds (lowest possible)
- Erase data upon excessive passcode failures note, this is complemented in a later step with daily backups. The odds of you putting in the wrong passcode 10 times is low, but in the event you do and you wipe the device by accident, you should be able to easily load in a back-up from the previous day)
- Turn off "Ask to Join Networks"
- Forget unused networks so that you don't rejoin automatically (airports, hotels, etc.)
Creating Backups
- Set iCloud backups to run automatically every night. This will allow you to load your entire phone as is (contacts, call history, iMessages, apps, even your wallpaper) onto another device during setup. The iCloud backup usually runs at 2am while I'm sleeping.
- You may need to pay for a higher tier in iCloud if you have too much stored on your phone. It's $3/month for 200gb of iCloud storage, and I find it worth it. Though I know some people with tens of thousands of photos for which 200gb might not be enough.
Password Policy
- For any accounts that may contain sensitive data (payments, PII, etc), always generate a unique password with 1Password. Don't reuse passwords. Same goes for PIN codes.
- For core accounts, create a strong but memorable password and then memorize it. The odds of getting locked out of 1Password are low if you're diligent, but for 2 or 3 core accounts (where you access money, your primary recovery email, your iCloud, 1Password), it's worth it to create strong, unique passwords for each core service and memorize them.
- I try not to reuse passwords in general, but I still sometimes am lazy and use one of my handful of typical passwords if there's no sensitive data collected by the service and it's a service I don't use often.
MFA
Set up MFA with everything. Add multiple options if possible. My preferred MFA options are as follows:- One-time code that renews every 30 seconds. This is device agnostic and can be stored in 1Password. You could also use Microsoft Authenticator, Google Authenticator, Authy or similar, but there's just more overhead to now recover those accounts if your device becomes inaccessible.
- One-time code to recovery email.
- One-time code via SMS to my US phone number. On the pay-as-you-go Verizon plan, I only pay 5 cents per text message received. It's worth it to keep one consistent number.
- List of recovery codes (stored in 1Password as an attached txt file for the given account)
- Use another app for verification (Google does this a lot).
Lockdown your iCloud security
- Enable MFA.
- Create a strong, unique password.
- Remove any old or unused devices from the iCloud account (old phones, ipods, etc).
- Enable "Find My" for all of your devices.
- In Find My, configure all devices to send the last known location.
- In Find My, enable the configuration to remotely wipe a device.
Final Clean-Up
- Move any compromising photos to the "hidden" folder (which requires FaceID or passcode to unlock)
- Review the Files app for any documents containing sensitive info. If you need these documents to be accessible on mobile, then move them to 1Password and delete them from the Files app.
- Create a shortcut to trigger the lock screen (and thus require FaceID or passcode) when specific apps are opened (banking, email, photos, etc).
- Not sure if this is best practice, but I just keep everything in 1P and turn off apple keychain and the apple built-in password manager. I also don't save passwords in Chrome or Safari.
Extra tips
These aren't really iPhone tips but general tips. They are probably obvious to you if you aren't as scatterbrained as me, but I figured that I'd drop them here in case they help someone.- Add thorough security measures to iCloud, primary email, and any banking or financial services. Review each account and make sure you have a strong, unique password as well as a unique PIN, MFA configured, login alerts, recovery codes, and an international, 24-hour toll-free phone number stored somewhere to contact the service in the event of a crisis. For banking services, add withdrawal limits, regional restrictions (if you bounce between the same few countries), and SMS notifications for charges over a certain threshold. Open up a second checking account with a separate debit card for trips to the ATM.
- Consolidate and close any unused bank accounts. I realized that on my phone I had Revolut, Venmo, Paypal, Nequi, plus 4 US banking institutions. I took this time to close my Discover account (which is pretty much useless outside the US anyway), close my Revolut account since I'm hardly ever in the UK/EU, and consolidate investment accounts from different institutions into just a handful that's easier to monitor.
2024.05.14 00:00 MamaHunter100 Infected Tissue Expander Removed in Bonus Mother's Day Surgery (Reconstruction Problems)
Hey Breasties - I'm leaning in here to get some support as I'm struggling. Was diagnosed with high grade widespread DCIS 2/5, had UMX on affected left breast (didn't want to wait for plastics to coordinated the surgery months out, so just had cancerous side removed.) Pathology showed dirty margins, so I was able to get back into the surgery queue for 4/29 - resection of left cancer side to get clear margins (which did come back clear), removed right breast prophylactically, put in tissue expanders on both sides.
I suffered through the first 10 days post-op (so much pain, so hard to sleep or be comfortable awake), then developed a ranging infection in the left side which had been resected, so lots of trauma to this breast area.
Went into the ER Friday night of Mother's Day Weekend, was admitted, IV antibiotics to try and rebound from infection - no dice - went into surgery Saturday afternoon to have the expander removed and tissues flushed out. I had to make the decision on the spot whether or not to go totally flat and wait 8-12 in line for diep flap, or keep the right expander and try again. I went with keep the right expander and hope for the best with implants.
So that's three surgeries in 8.5 weeks.
My plastic surgeon explained that I could start doing fills on the right (tomorrow would be the first, my expanders were place flat with no saline because I didn't have room), get right breast where I want it over three months, which is how long I'll have to wait before getting a new left TE, but they could put in my permanent right implant when they place the left expander. Then I'd have lefty filed over...however many weeks to match the right, then a final exchange for implant on the left.
I'm pretty devastated to be lopsided again....and through the summer with swimsuit season and my 25th wedding anniversary (I was hoping we'd perhaps vacation somewhere warm). But now...argh. Just feel so deflated (bc comedy) to be uniboobed again...as long as I have no other infections or issues, this cancer will include 6 surgeries, plus I have a bonus hysterectomy to schedule amidst all the plastic surgeries. If I want nipples, add one more surgery. (that's 8 surgeries)
I'm self-employed - writer, coach, musician - but am not holding it together very well. Trying to coach people when you're falling apart is tough.
I'm interested in hearing from anyone who has made it to the other side through TE infections to a completed chest they like with implants (or did you give up on TE>implants and go with Diep Flap). I'm just now hearing about the 25% failure rate of TE> Implants. Somehow I missed that before going for it.
I'm listening...
submitted by MamaHunter100 to breastcancer [link] [comments]
I suffered through the first 10 days post-op (so much pain, so hard to sleep or be comfortable awake), then developed a ranging infection in the left side which had been resected, so lots of trauma to this breast area.
Went into the ER Friday night of Mother's Day Weekend, was admitted, IV antibiotics to try and rebound from infection - no dice - went into surgery Saturday afternoon to have the expander removed and tissues flushed out. I had to make the decision on the spot whether or not to go totally flat and wait 8-12 in line for diep flap, or keep the right expander and try again. I went with keep the right expander and hope for the best with implants.
So that's three surgeries in 8.5 weeks.
My plastic surgeon explained that I could start doing fills on the right (tomorrow would be the first, my expanders were place flat with no saline because I didn't have room), get right breast where I want it over three months, which is how long I'll have to wait before getting a new left TE, but they could put in my permanent right implant when they place the left expander. Then I'd have lefty filed over...however many weeks to match the right, then a final exchange for implant on the left.
I'm pretty devastated to be lopsided again....and through the summer with swimsuit season and my 25th wedding anniversary (I was hoping we'd perhaps vacation somewhere warm). But now...argh. Just feel so deflated (bc comedy) to be uniboobed again...as long as I have no other infections or issues, this cancer will include 6 surgeries, plus I have a bonus hysterectomy to schedule amidst all the plastic surgeries. If I want nipples, add one more surgery. (that's 8 surgeries)
I'm self-employed - writer, coach, musician - but am not holding it together very well. Trying to coach people when you're falling apart is tough.
I'm interested in hearing from anyone who has made it to the other side through TE infections to a completed chest they like with implants (or did you give up on TE>implants and go with Diep Flap). I'm just now hearing about the 25% failure rate of TE> Implants. Somehow I missed that before going for it.
I'm listening...
2024.05.13 23:58 SunshineStodder Tilt Table Test
I am currently in the process of trying to get diagnosed, I did my tilt table test, I was having a pretty good day symptom wise, after the test I felt pretty sick but managed. I just got my results and Im not sure how to read them and the doctor that did said it was negative for PoTs. I do see my heartrate jumps 40 bpm on the tilt and stays about 10bpm faster than baseline (which they got baseline right after starting an IV and personally I've seen my resting heart rate sit at 65bpm pretty regularly.) the cardiologist who read the report is not my regular cardiologist so i do have them faxing the results over so she can read them herself. Just feeling confused and frustrated with this
submitted by SunshineStodder to POTS [link] [comments]
2024.05.13 23:56 juliaxyz 8 year old male - abdominal pain since February
Son 8.5 M, 45 lbs has abdominal pain since February. He doesn't go to school and stays in bed most of the time. It happened before but not as severe and went away after a month or so. We realize we need to wait longer for Amitripltyne to work but we are concened that he has rear good days (hours) and in bed most of the time. Normally he is a bright, fun and social boy and now doesn't leave his bed. Could this be something not tested for?
Current Outpatient Medications
famotidine 40 MG/5ML Recon susp - Take 2 mL (16 mg) by mouth at bedtime
gabapentin (Neurontin) 250 MG/5ML Solution Take 3 mL (150 mg) by mouth twice a day
8.5 years old has been constipating for many years. He has been diagnosed with encopresis in 2021. Ever since he was diagnosed with encopresis He was on MiraLAX .5 to .75 cup twice a day. This helped him to control his constipation. During all this time except for approximately a few weeks he was soiling his pants almost daily. He was also frequently complaining about abdominal pain. Per doctor’s recommendation we were reminding him to sit on the toilet after each meal. Feeding him with homemade meals and we try to limit processed food. We did physical therapy and psychologist therapy. He has a toilet foot stool and seat.
About 1 year ago (January 2023), a bowel cleanup was performed per Max’s pediatrician recommendations. One cupful of MiraLAX was given every 3 hours. (No fasting or clear food diet was recommended)
During that time evacuated lots of poops with diarrhea content. We did not achieve the yellow fluid and stopped after a couple of days. Since this cleanup Max experienced severe abdominal pain for about a month.
Per GI doctor recommendation, we were no longer doing cleanup to avoid severe abdominal pain. Instead, Max was back on his MiraLAX dose .75 cup twice a day with fiber gummies 4mg a day.
He has good apetite most of the time, except after a dose of Exlax. His stool was always help soft over these years.
Notes from GI visit April 22nd - Today he has more guarding, mild distension and tenderness. I can't tell if he has a surgical abdomen (ie volvulus, appendicitis) but it is not associated with vomiting or eating. His most likely diagnosis is abdominal migraines (abdominal pain and headaches) and anxiety at this point, but the pattern has been consistent without as much good days. Activity makes him worse, and we have considered ACNES as well. He has had multiple cleanouts, and the periodic soiling could be from inattentiveness. Perhaps this is from constipation, but should rule out surgical abdomen at this time. We had a long conversation today about abdominal migraines, but upon repeat exam, it is still quite guarded. Pain is daily / off and on. Has had 2 good days in last 3 weeks Appetite is good except when pain is high. No vomiting. Stooling daily with miralax. Sleeping well.
UPPER Endoscopy Diagnosis
A. Duodenum, mucosal biopsy:- Duodenal mucosa with no pathologic change. B. Duodenum, bulb, mucosal biopsy:- Duodenal mucosa with a small lamina propria lymphoid aggregate. C. Stomach, antrum/body, mucosal biopsy: - Antral-and oxyntic-type gastric mucosa with focal features of mild reactive (chemical) gastropathy. D. Esophagus, distal, mucosal biopsy: - Squamous epithelium with rare intraepithelial eosinophils (up to 2 per high-power field). E. Esophagus, proximal, mucosal biopsy:- Squamous epithelium with rare intraepithelial eosinophils (up to 1 per high-power field).
The overall findings are nonspecific. The esophageal findings do not meet threshold numerical criteria for a diagnosis of eosinophilic esophagitis. Reflux related changes are favored. Clinical correlation is recommended.
Blood tests - Collection date: April 30, 2024 11:08 AM
Lactase 13.9 Normal value: >=14.0 nmol/min/mg Prot
Sucrase 51.0 Normal value: >=19.0 nmol/min/mg Prot
Maltase 201.3 Normal value: >=70.0 nmol/min/mg Prot
Palatinase 15.8 Normal value: >=6.0 nmol/min/mg Prot
Glucoamylase 24.2 Normal value: >=8.0 nmol/min/mg Prot
submitted by juliaxyz to AskDocs [link] [comments]
Current Outpatient Medications
famotidine 40 MG/5ML Recon susp - Take 2 mL (16 mg) by mouth at bedtime
gabapentin (Neurontin) 250 MG/5ML Solution Take 3 mL (150 mg) by mouth twice a day
hyoscyamine 0.125 MG Tab - does not help
amitriptyline 10 mg Tab - full dosage started May 2nd, makes him agressive
Medical History Summary:8.5 years old has been constipating for many years. He has been diagnosed with encopresis in 2021. Ever since he was diagnosed with encopresis He was on MiraLAX .5 to .75 cup twice a day. This helped him to control his constipation. During all this time except for approximately a few weeks he was soiling his pants almost daily. He was also frequently complaining about abdominal pain. Per doctor’s recommendation we were reminding him to sit on the toilet after each meal. Feeding him with homemade meals and we try to limit processed food. We did physical therapy and psychologist therapy. He has a toilet foot stool and seat.
About 1 year ago (January 2023), a bowel cleanup was performed per Max’s pediatrician recommendations. One cupful of MiraLAX was given every 3 hours. (No fasting or clear food diet was recommended)
During that time evacuated lots of poops with diarrhea content. We did not achieve the yellow fluid and stopped after a couple of days. Since this cleanup Max experienced severe abdominal pain for about a month.
Per GI doctor recommendation, we were no longer doing cleanup to avoid severe abdominal pain. Instead, Max was back on his MiraLAX dose .75 cup twice a day with fiber gummies 4mg a day.
He has good apetite most of the time, except after a dose of Exlax. His stool was always help soft over these years.
Notes from GI visit April 22nd - Today he has more guarding, mild distension and tenderness. I can't tell if he has a surgical abdomen (ie volvulus, appendicitis) but it is not associated with vomiting or eating. His most likely diagnosis is abdominal migraines (abdominal pain and headaches) and anxiety at this point, but the pattern has been consistent without as much good days. Activity makes him worse, and we have considered ACNES as well. He has had multiple cleanouts, and the periodic soiling could be from inattentiveness. Perhaps this is from constipation, but should rule out surgical abdomen at this time. We had a long conversation today about abdominal migraines, but upon repeat exam, it is still quite guarded. Pain is daily / off and on. Has had 2 good days in last 3 weeks Appetite is good except when pain is high. No vomiting. Stooling daily with miralax. Sleeping well.
UPPER Endoscopy Diagnosis
A. Duodenum, mucosal biopsy:- Duodenal mucosa with no pathologic change. B. Duodenum, bulb, mucosal biopsy:- Duodenal mucosa with a small lamina propria lymphoid aggregate. C. Stomach, antrum/body, mucosal biopsy: - Antral-and oxyntic-type gastric mucosa with focal features of mild reactive (chemical) gastropathy. D. Esophagus, distal, mucosal biopsy: - Squamous epithelium with rare intraepithelial eosinophils (up to 2 per high-power field). E. Esophagus, proximal, mucosal biopsy:- Squamous epithelium with rare intraepithelial eosinophils (up to 1 per high-power field).
The overall findings are nonspecific. The esophageal findings do not meet threshold numerical criteria for a diagnosis of eosinophilic esophagitis. Reflux related changes are favored. Clinical correlation is recommended.
CT ABDOMEN PELVIS W CONTRAST
Narrative
IMPRESSION:Normal appendix. No CT evidence of inflammatory changes in the abdomen or pelvis. Moderate stool burden in the colon.NarrativeINDICATION: o appendicitis/abscess - GI requesting CT d/t guarding/distensionEXAMINATION: CT ABDOMEN AND PELVIS WITH CONTRAST - CT Abdomen And Pelvis W/ Contrast InjectionTECHNIQUE: Multiple axial images were obtained of the abdomen and pelvis following IV contrast. A radiation dose optimizationtechnique was used for this scan. DLP: 29.8 , CTDI vol: 0.63IV Contrast dosage and agent: 63 mL of Isovue 300Oral contrast: Administered.COMPARISON: None.____________________________________________FINDINGS:LOWER CHEST: Lung bases are clear without any infiltrate. No pleural effusion noted. There is no cardiomegaly or pericardialeffusion.LIVER: The liver has a homogeneous density. No focal masses noted. There is no intrahepatic biliary ductal dilatation.GALLBLADDER AND BILIARY TREE: No calcified gallstones. No gallbladder distension or wall edema. No intra- or extrahepaticbiliary ductal dilation.PANCREAS: No focal cystic or solid mass. There is no pancreatic ductal dilatation or peripancreatic fluid.SPLEEN: Normal size without focal cystic or solid mass.ADRENAL GLANDS: Normal.KIDNEYS AND URETERS: Both kidneys have a normal enhancement without hydronephrosis, renal cysts, masses or perinephric fluid.There is no hydroureter.PERITONEUM: No ascites or free air. No other fluid collection.BOWEL: No abnormal dilatation of the bowel loops is noted. Contrast is noted in several nondilated small bowel loops and in thecolon up to the splenic flexure. Moderate stool noted in the colon, including the rectum. Terminal ileum is visualized andappears normal. A normal caliber partially contrast filled appendix is seen in the right lower quadrant. A few scattered foci ofair also noted in the appendix. No adjacent inflammatory changes are seen. The appendix is best visualized on axial series #2,images 58-69/139.LYMPH NODES: No enlarged mesenteric or retroperitoneal lymph nodes.VESSELS: Vasculature appears normal. No stenosis or aneurysmal dilatation noted.URINARY BLADDER: Appears normal without wall thickening, mass or trabeculations.REPRODUCTIVE ORGANS: No pelvic masses.ABDOMINAL WALL: No discrete abdominal or pelvic wall hernia.BONES: No lytic or blastic abnormality.Blood tests - Collection date: April 30, 2024 11:08 AM
Lactase 13.9 Normal value: >=14.0 nmol/min/mg Prot
Sucrase 51.0 Normal value: >=19.0 nmol/min/mg Prot
Maltase 201.3 Normal value: >=70.0 nmol/min/mg Prot
Palatinase 15.8 Normal value: >=6.0 nmol/min/mg Prot
Glucoamylase 24.2 Normal value: >=8.0 nmol/min/mg Prot
Sed Rate 9
Ferritin 24.7
C-Reactive Protein < .5
Lead, Venous, B <.1
White Blood Count 5.98
Hemoglobin 14.7
Mean Cell Volume 81.8
MCHC 34.5
Platelet Count 302
Red Blood Count 5.21
Hematocrit 42.6
MCH 28.2
RDW 12.4
MPV 8.8
Segmented Neutrophils (ABS #) 2.35
Final Absolute Neutrophil Count 2.35
Lymphocytes (ABS #) 3.8
Eosinophils (ABS #) 0.05
Immature Granulocytes (ABS #) 0Monocytes (ABS #) .47
Basophils (ABS #) .03
Add: he has headaches on the right side and sensativity to light, not sure how often but at least several times a week.2024.05.13 22:31 Alert-Republic8874 in and out of hospital for the past month and a half
I (f, 22) just wanted to vent somewhere people will actually understand. I’ve been dealing with GP for about 4 years now and finally got diagnosed last year, i had the botox injection in september and was in hospital for around a month, didn’t have to go back to a&e at all until the end of march where it all started happening again. for the first time in years i actually felt free and i was able to live as close to a normal life as i could, obviously being careful in what i ate and portion size but pretty much had freedom to eat what i wanted when i wanted and it just made me feel somewhat like a normal person.
since the end of march i’ve been in and out of hospital, i had another round of botox early april but that didn’t seem to help and the doctors couldn’t explain why, they said maybe it wasn’t injected in the right place or they didn’t use enough, they honestly were nearly as clueless as i was. in the end they decided to repeat the botox, that was just over a week ago. i was sent home the same day, had to go back to a&e later that evening, was sent home 2 days later and again was back in a&e that same evening. i’ve now been kept as an inpatient for a week and i’m still finding it hard to eat/drink without being sick and feeling really intense stomach pain, it gets to the point where i’m rolling around, crying and screaming in pain. doctors don’t seem to do much at all other than keep me on regular IV cyclizine and metoclopramide for sickness, subcutaneous morphine injections for the pain and a sliding scale to manage my T1DM.
when i was healthy for that october-march period i’d managed to gain some weight and was around 50kg, a week ago i was back to the godforsaken 46kg i seemed to always be stuck at before, and now i’ve gone down to 43kg which has been really disheartening and has taken a toll on my mental health. i felt i was doing so well, not only had i gained weight but also muscle, i was exercising more than i ever could have before and even walking 10-12km a day, now i can barely walk down the hall without feeling drained. i managed to get a job which i was doing quite well at and it was my first job, at 22, because i could never get hired before due to being so unreliable with my condition, luckily they understand what i have to deal with as it is my boyfriend’s family business.
i don’t know, everything is just making me feel really down and depressed and all i want is to be able to go home and go back to my life. staff at hospital also don’t help, the majority are nice but i still get comments from certain nurses who accuse me of faking to get medication or who complain when i’m crying as i’m “disturbing others” when there’s nothing i can do. i hate the way my body looks again, i hate the gap between my thighs and how i can see my ribs and bony shoulders. i hate my arms even more, all the bruises and needle marks from blood tests and IV drips, it makes me look like a junkie and i find myself crying because of it a lot.
i’ve been referred to another hospital for a consultation regarding a G-POEM but still haven’t heard from them yet. it’s just getting to the point where i’m feeling so hopeless and helpless. i’ve also been put back on anti depressants and taking diazepam regularly to help with the anxiety and distress it all causes.
at home i smoke weed, a decent amount, which helps with my appetite and also helps with my mental health struggles but obviously being in hospital i haven’t been able to smoke which makes everything so much worse as i don’t have anything to distract myself from what’s happening. some days smoking is the only thing that will get me to eat and keep me from having anxiety toward food.
my boyfriend (m, 29) and his family have been really supportive and they’re pretty much the only reason i haven’t spiraled into a full on mental health crisis, he visits nearly everyday and so does his mother who has been such a huge support for me as my own family aren’t there for me. i actually asked my mother if she would come visit me, i knew she wouldn’t, but i did it anyway, she came up with a bullshit excuse as to why she couldn’t and that nearly broke me because i was already feeling so low and on top of that i then felt rejected by my own mother, i should’ve known better but at that moment i just needed my mom. the one who came through for me that day was my boyfriend’s mom who came to see me as soon as she found out how upset i was, she held me, she let me cry and hugged me so tightly and reassured me i was loved and cared for. she’s truly been the mother i needed through this.
i know that i can be somewhat healthy and live almost normally, but right now things are just so bleak and i’m struggling to see a way out, all i want is to just be normal, it’s all i’ve wanted my entire life and it’s like no matter what i will never get that. i’ve had T1DM since i was 9 with 2 diabetes related comas under my belt by age 10, PTSD, depression, and anxiety since 12, and the GP since i was 18, it’s like i can’t catch a break. no one understands what it’s like but i keep getting told “i get it” or “i relate to that” and i know people are trying to make me feel better but to me it just comes across as diminishing what i’m going through and have been going through for so long. I was also recently told just how bad my GP is and i just couldn’t stop crying for hours, i was always told it was ‘severe’ but now i know that i have 96% retention after 4 hours and all it did was make me feel even more hopeless.
sorry for the long post, i just really don’t know where else to go where people might ACTUALLY understand what i’m going through
submitted by Alert-Republic8874 to Gastroparesis [link] [comments]
since the end of march i’ve been in and out of hospital, i had another round of botox early april but that didn’t seem to help and the doctors couldn’t explain why, they said maybe it wasn’t injected in the right place or they didn’t use enough, they honestly were nearly as clueless as i was. in the end they decided to repeat the botox, that was just over a week ago. i was sent home the same day, had to go back to a&e later that evening, was sent home 2 days later and again was back in a&e that same evening. i’ve now been kept as an inpatient for a week and i’m still finding it hard to eat/drink without being sick and feeling really intense stomach pain, it gets to the point where i’m rolling around, crying and screaming in pain. doctors don’t seem to do much at all other than keep me on regular IV cyclizine and metoclopramide for sickness, subcutaneous morphine injections for the pain and a sliding scale to manage my T1DM.
when i was healthy for that october-march period i’d managed to gain some weight and was around 50kg, a week ago i was back to the godforsaken 46kg i seemed to always be stuck at before, and now i’ve gone down to 43kg which has been really disheartening and has taken a toll on my mental health. i felt i was doing so well, not only had i gained weight but also muscle, i was exercising more than i ever could have before and even walking 10-12km a day, now i can barely walk down the hall without feeling drained. i managed to get a job which i was doing quite well at and it was my first job, at 22, because i could never get hired before due to being so unreliable with my condition, luckily they understand what i have to deal with as it is my boyfriend’s family business.
i don’t know, everything is just making me feel really down and depressed and all i want is to be able to go home and go back to my life. staff at hospital also don’t help, the majority are nice but i still get comments from certain nurses who accuse me of faking to get medication or who complain when i’m crying as i’m “disturbing others” when there’s nothing i can do. i hate the way my body looks again, i hate the gap between my thighs and how i can see my ribs and bony shoulders. i hate my arms even more, all the bruises and needle marks from blood tests and IV drips, it makes me look like a junkie and i find myself crying because of it a lot.
i’ve been referred to another hospital for a consultation regarding a G-POEM but still haven’t heard from them yet. it’s just getting to the point where i’m feeling so hopeless and helpless. i’ve also been put back on anti depressants and taking diazepam regularly to help with the anxiety and distress it all causes.
at home i smoke weed, a decent amount, which helps with my appetite and also helps with my mental health struggles but obviously being in hospital i haven’t been able to smoke which makes everything so much worse as i don’t have anything to distract myself from what’s happening. some days smoking is the only thing that will get me to eat and keep me from having anxiety toward food.
my boyfriend (m, 29) and his family have been really supportive and they’re pretty much the only reason i haven’t spiraled into a full on mental health crisis, he visits nearly everyday and so does his mother who has been such a huge support for me as my own family aren’t there for me. i actually asked my mother if she would come visit me, i knew she wouldn’t, but i did it anyway, she came up with a bullshit excuse as to why she couldn’t and that nearly broke me because i was already feeling so low and on top of that i then felt rejected by my own mother, i should’ve known better but at that moment i just needed my mom. the one who came through for me that day was my boyfriend’s mom who came to see me as soon as she found out how upset i was, she held me, she let me cry and hugged me so tightly and reassured me i was loved and cared for. she’s truly been the mother i needed through this.
i know that i can be somewhat healthy and live almost normally, but right now things are just so bleak and i’m struggling to see a way out, all i want is to just be normal, it’s all i’ve wanted my entire life and it’s like no matter what i will never get that. i’ve had T1DM since i was 9 with 2 diabetes related comas under my belt by age 10, PTSD, depression, and anxiety since 12, and the GP since i was 18, it’s like i can’t catch a break. no one understands what it’s like but i keep getting told “i get it” or “i relate to that” and i know people are trying to make me feel better but to me it just comes across as diminishing what i’m going through and have been going through for so long. I was also recently told just how bad my GP is and i just couldn’t stop crying for hours, i was always told it was ‘severe’ but now i know that i have 96% retention after 4 hours and all it did was make me feel even more hopeless.
sorry for the long post, i just really don’t know where else to go where people might ACTUALLY understand what i’m going through
2024.05.13 21:59 AubreyE83 Formerly slow guy at the back becomes a race winner! (Backyard Ultra)
Race Information
• Name: Bad Ass Backyard Ultra
• Date: May 11, 2024
• Distance: 29.5
• Location: Rio Linda, CA
• Website: https://www.skybreakerracing.com/bad-ass-backyard-ultra/
• Strava: https://www.strava.com/activities/11388611030
• Loops: 7
Pre-race:
I’m a 40 year old guy who sits at a desk all day (CPA). I started running in August of 2021 specifically to do a marathon, crossed the finish line that December and since then it’s been an addiction. I’ve now run 4 marathons, 2 50k, 3 70.3s, a full Ironman and in February as I switched from Triathlon to Ultras I did my first 50 miler. The 50 (in spite of showing I need to fix some blister issues) confirmed for me that ultra events are my favorite. I still like the triathlon training and how I feel with those more, but as far as events and culture, ultras are my thing. So anyway, I know I’m now an ultra runner, but I was a little lost as to what my next “A” race would be. I had the option of Ironman in October, Rio Del Lago 100 miler in November, or one of these backyard ultras that I’ve been hearing about. For those that are unaware, it’s basically a 4.2(ish) mile loop that is done every hour. No matter how fast or slow you run that loop, every hour on the hour another loop starts. This goes until people drop off and there is one person left. At the surface, this seemed like something that I’d like to inject directly into my veins. But that could just be me being naïve about how boring doing the same loop over and over would be, or how much I HATE stopping during runs. But the main draw for me, is that within 15 minutes of any race I’ve ever run in my life, the eventual winner is nowhere near me. Lining up every hour with the eventual winner and looking them in the eye just gets me irrationally hyped. That said, I’m coming off my first 50 miler, my toes are still healing (waiting on my big toe nail to fall off at this point, and my coach has BEGGED me to not go too deep in the well for this one. He wants a real training build up, some time to figure out blister issues and be legitimately prepared for a race. So the main goal here is to see if I want to throw 6 months of specific training at a race of this format.
Race Day:
So there are only 3 people signed up for this race. We even got an email from the race director asking if we still wanted to race. I get there with my wife, 3 kids and parents with tents, pop-ups, battery packs and iPads ready for this to be a long day. I have Maurten gels for 24 hours, huge packs of electrolyte mixes, I have my headlamp in case this goes into the night, 7 pairs of socks, 3 pairs of shoes, I have my heat gear, a tent, pop-up and a table. Quite frankly I may have had as much setup as the race director. My Bi-Carb and Ketones get drunk, we’re ready to rock.
Course:
This course was very strange. We’re out in the middle of farm land, and the first 1.7 miles is all exposed and it got up to 90 degrees at the peak of the day. What made it worse was a good mile of this section was not mowed, so we were trying to pave a path through calf high grass in places. After that you get to a legitimate trail that has a good bit of tree cover. One tiny hill for a grand total of 30 feet of elevation gain on the loop, so it’s pancake flat. There’s also a street crossing where there are a couple volunteers pressing the button to stop any cars coming by. Not a super busy street, so it was never a huge issue, but I did laugh a bit every time.
Race:
8am rolls around and I meet the two other people I’m running with. One guy just turned 33 so his goal was to do that many miles. Another is a woman in her 50s who had about the same goal for the day, but she was training for a run from the bottom of the UK to the top over 35 days or something. She’s done the Tahoe 200 before (something that’s on my bucket list), and I’m definitely a bit intimidated. That said, she says she has tickets for a comedy show later tonight, so I jokingly say I just need to hold out until she has to leave for that. Race starts and we decide we should run together a bit for the first lap just to figure out where the hell we’re going. We universally agree that the first section is BS, but the shade after makes all the difference. I start walking at the shade and let them run up ahead. I see them later on when I finish my loop.
My goal was to hit 50 to 55 minutes on each loop. First and foremost I don’t want to be sitting too long and thinking about pain or heat or whatever. To do this, I go at an easy pace for the heat section, walk when I get to the shade until I get to a 13 minute pace or so. Then I start running again. When I get to the tiny hill I start walking again until the pace drops in that range and then run into the finish line. I think I pegged every single lap right around 53 minutes. I’d grab a sponge from the ice bucket and wipe down my arms, sit down, eat my gel, put some ice in the pouch on my back, in my hat and down my pants. Every 2 laps I’d change socks and spray my feet down with Aquaphor to keep them lubricated. Every 4th lap I’d change shoes. I’d eat fruit or any snacks I was feeling while my dad would fill my water bottles, one with electrolyte mix and one with regular water. I’d usually get up from the seat between the 2 and 1 minute warning, mosey on over to the start line, sponge down my arms one last time and get ready to do it again.
Loops 1 and 2 are about the same. I send a check in text as I’m walking in the shade to my wife and coach which I call my “*.5 check in.” I grade my pace, attitude, pain level and fun being had with any notes.
On loop 2.5 I text that the young guy is struggling in the heat. I even texted my wife to have the race director check on him when I didn’t see him for a while, but he was ok. I talked to him a bit and he said he was using too much energy running the heat section so he was walking some of it. I figured that would be too much heat exposure for me, but he says he’s ok.
Loop 3.5 I am getting too much sweat in my eyes. I usually wear an American flag headband when I run, but in the heat (and with my thinning hair up top prone to sunburn) I’ve switched away to a bucket hat. Until now I had the headband on the outside of the bucket hat. I admit I’m choosing fashion/superstition over practicality and put the headband under the hat which immediately fixes the problem. I also have a fun conversation with the woman about how I’m doing this whole mathematical calculation for my pace which makes sense being a CPA. She says she’s running completely on feel, but that makes sense because she’s a massage therapist. The young guy struggles a lot and comes in at 57 minutes on lap 4 and drops.
Loop 4.5 I have made my first shoe switch. After wearing the Altras with the wide toe box the Hokas that I’ve run all my other races in feel horribly constricting and I have a good idea of why I keep getting blisters. I decide to change shoes back to the Altras after this lap. Woman says her goal is 4 more laps.
Loop 5.5 I write that she’s trying to mind game me and that she’s gone a bit negative and I need to be more positive to combat it. Now I know that this probably says a lot more about me than it does her. It’s possible and even likely that she was dancing at the start line of loop 6 because she liked the song. But in my head, in that minute it seemed like she was trying to show no weakness. She starts off that lap a little hot, but I keep my same pace. The surprising part is when I pass her about halfway through the heat section and it takes her a bit to catch up as I’m walking in the shade. She grumbles a bit about that section of uncut grass and asks how long I’m going and what happens if we both stop at the same time. Just some little cracks mentally that I note as she starts running again up ahead of me. Now usually at this point I don’t see her until the finish line because she’s been running 46 minute laps and I’ve been well behind at 53 minute laps. But midway through my walk section I see her just a little up ahead at a turn. Please know, I AM NOT PROUD of what happens next. It’s not time to run yet, but with her struggling a little bit, I bet that if I pass her she breaks. So I start running, and make sure to keep my breathing and heart rate in check. I run by, say “I’m gonna hustle on this one, I want a burrito.” This is not a lie, I did indeed want a burrito and when I came in the announcer asked how I was feeling to which I responded, “feels like half-time” as I had just finished 25 miles. Well half way into my burrito they tell me she’s going to drop. She congratulates me and I just have to finish my last lap to win. Yes, I mind-gamed a woman in her 50s to win. Now is she a badass woman in her 50s? Damn right she is. She’s done races I can only dream about right now, and I probably do it again given the chance. She later tells my dad that she asked herself what the hell she was doing once I passed her.
I decide lap 7 should be really strong, so I take off and do the heat section in sub 9 minute pace. This was a bad call. I decide my ego isn’t that big and walk in the shade a bit so I don’t pass out. I finish in about 49 minutes, get a cool sweatshirt, which I then proceed to wear in spite of the heat for pictures with my kids on a makeshift podium because I never have and probably never will win another race in my life.
Post-race:
A few small blisters. One of which is on my heel which is new, but as of Monday they’re already minimal, so 30 miles in that is a huge improvement from normal. I’m on the right track but still stuff to figure out. With the system I had I didn’t mind the stops at all in this race format. I also think my superpower is doing boring things over and over again, so the loop didn’t bother me at all. It’s almost certainly something I’m going to be throwing 6 months of training at for a big showing in November. Had a fun day with some really enjoyable people. Plus my coach didn’t yell at me for going too deep and this will be a quick recovery into some real training blocks. Overall loved it!
submitted by AubreyE83 to running [link] [comments]
• Name: Bad Ass Backyard Ultra
• Date: May 11, 2024
• Distance: 29.5
• Location: Rio Linda, CA
• Website: https://www.skybreakerracing.com/bad-ass-backyard-ultra/
• Strava: https://www.strava.com/activities/11388611030
• Loops: 7
| Goal | Completed |
|---|---|
| Stay under 50 miles | Yes |
| See if I like this kind of race | Definitely |
| Have Fun | Always |
| Win? | Yes! |
I’m a 40 year old guy who sits at a desk all day (CPA). I started running in August of 2021 specifically to do a marathon, crossed the finish line that December and since then it’s been an addiction. I’ve now run 4 marathons, 2 50k, 3 70.3s, a full Ironman and in February as I switched from Triathlon to Ultras I did my first 50 miler. The 50 (in spite of showing I need to fix some blister issues) confirmed for me that ultra events are my favorite. I still like the triathlon training and how I feel with those more, but as far as events and culture, ultras are my thing. So anyway, I know I’m now an ultra runner, but I was a little lost as to what my next “A” race would be. I had the option of Ironman in October, Rio Del Lago 100 miler in November, or one of these backyard ultras that I’ve been hearing about. For those that are unaware, it’s basically a 4.2(ish) mile loop that is done every hour. No matter how fast or slow you run that loop, every hour on the hour another loop starts. This goes until people drop off and there is one person left. At the surface, this seemed like something that I’d like to inject directly into my veins. But that could just be me being naïve about how boring doing the same loop over and over would be, or how much I HATE stopping during runs. But the main draw for me, is that within 15 minutes of any race I’ve ever run in my life, the eventual winner is nowhere near me. Lining up every hour with the eventual winner and looking them in the eye just gets me irrationally hyped. That said, I’m coming off my first 50 miler, my toes are still healing (waiting on my big toe nail to fall off at this point, and my coach has BEGGED me to not go too deep in the well for this one. He wants a real training build up, some time to figure out blister issues and be legitimately prepared for a race. So the main goal here is to see if I want to throw 6 months of specific training at a race of this format.
Race Day:
So there are only 3 people signed up for this race. We even got an email from the race director asking if we still wanted to race. I get there with my wife, 3 kids and parents with tents, pop-ups, battery packs and iPads ready for this to be a long day. I have Maurten gels for 24 hours, huge packs of electrolyte mixes, I have my headlamp in case this goes into the night, 7 pairs of socks, 3 pairs of shoes, I have my heat gear, a tent, pop-up and a table. Quite frankly I may have had as much setup as the race director. My Bi-Carb and Ketones get drunk, we’re ready to rock.
Course:
This course was very strange. We’re out in the middle of farm land, and the first 1.7 miles is all exposed and it got up to 90 degrees at the peak of the day. What made it worse was a good mile of this section was not mowed, so we were trying to pave a path through calf high grass in places. After that you get to a legitimate trail that has a good bit of tree cover. One tiny hill for a grand total of 30 feet of elevation gain on the loop, so it’s pancake flat. There’s also a street crossing where there are a couple volunteers pressing the button to stop any cars coming by. Not a super busy street, so it was never a huge issue, but I did laugh a bit every time.
Race:
8am rolls around and I meet the two other people I’m running with. One guy just turned 33 so his goal was to do that many miles. Another is a woman in her 50s who had about the same goal for the day, but she was training for a run from the bottom of the UK to the top over 35 days or something. She’s done the Tahoe 200 before (something that’s on my bucket list), and I’m definitely a bit intimidated. That said, she says she has tickets for a comedy show later tonight, so I jokingly say I just need to hold out until she has to leave for that. Race starts and we decide we should run together a bit for the first lap just to figure out where the hell we’re going. We universally agree that the first section is BS, but the shade after makes all the difference. I start walking at the shade and let them run up ahead. I see them later on when I finish my loop.
My goal was to hit 50 to 55 minutes on each loop. First and foremost I don’t want to be sitting too long and thinking about pain or heat or whatever. To do this, I go at an easy pace for the heat section, walk when I get to the shade until I get to a 13 minute pace or so. Then I start running again. When I get to the tiny hill I start walking again until the pace drops in that range and then run into the finish line. I think I pegged every single lap right around 53 minutes. I’d grab a sponge from the ice bucket and wipe down my arms, sit down, eat my gel, put some ice in the pouch on my back, in my hat and down my pants. Every 2 laps I’d change socks and spray my feet down with Aquaphor to keep them lubricated. Every 4th lap I’d change shoes. I’d eat fruit or any snacks I was feeling while my dad would fill my water bottles, one with electrolyte mix and one with regular water. I’d usually get up from the seat between the 2 and 1 minute warning, mosey on over to the start line, sponge down my arms one last time and get ready to do it again.
Loops 1 and 2 are about the same. I send a check in text as I’m walking in the shade to my wife and coach which I call my “*.5 check in.” I grade my pace, attitude, pain level and fun being had with any notes.
On loop 2.5 I text that the young guy is struggling in the heat. I even texted my wife to have the race director check on him when I didn’t see him for a while, but he was ok. I talked to him a bit and he said he was using too much energy running the heat section so he was walking some of it. I figured that would be too much heat exposure for me, but he says he’s ok.
Loop 3.5 I am getting too much sweat in my eyes. I usually wear an American flag headband when I run, but in the heat (and with my thinning hair up top prone to sunburn) I’ve switched away to a bucket hat. Until now I had the headband on the outside of the bucket hat. I admit I’m choosing fashion/superstition over practicality and put the headband under the hat which immediately fixes the problem. I also have a fun conversation with the woman about how I’m doing this whole mathematical calculation for my pace which makes sense being a CPA. She says she’s running completely on feel, but that makes sense because she’s a massage therapist. The young guy struggles a lot and comes in at 57 minutes on lap 4 and drops.
Loop 4.5 I have made my first shoe switch. After wearing the Altras with the wide toe box the Hokas that I’ve run all my other races in feel horribly constricting and I have a good idea of why I keep getting blisters. I decide to change shoes back to the Altras after this lap. Woman says her goal is 4 more laps.
Loop 5.5 I write that she’s trying to mind game me and that she’s gone a bit negative and I need to be more positive to combat it. Now I know that this probably says a lot more about me than it does her. It’s possible and even likely that she was dancing at the start line of loop 6 because she liked the song. But in my head, in that minute it seemed like she was trying to show no weakness. She starts off that lap a little hot, but I keep my same pace. The surprising part is when I pass her about halfway through the heat section and it takes her a bit to catch up as I’m walking in the shade. She grumbles a bit about that section of uncut grass and asks how long I’m going and what happens if we both stop at the same time. Just some little cracks mentally that I note as she starts running again up ahead of me. Now usually at this point I don’t see her until the finish line because she’s been running 46 minute laps and I’ve been well behind at 53 minute laps. But midway through my walk section I see her just a little up ahead at a turn. Please know, I AM NOT PROUD of what happens next. It’s not time to run yet, but with her struggling a little bit, I bet that if I pass her she breaks. So I start running, and make sure to keep my breathing and heart rate in check. I run by, say “I’m gonna hustle on this one, I want a burrito.” This is not a lie, I did indeed want a burrito and when I came in the announcer asked how I was feeling to which I responded, “feels like half-time” as I had just finished 25 miles. Well half way into my burrito they tell me she’s going to drop. She congratulates me and I just have to finish my last lap to win. Yes, I mind-gamed a woman in her 50s to win. Now is she a badass woman in her 50s? Damn right she is. She’s done races I can only dream about right now, and I probably do it again given the chance. She later tells my dad that she asked herself what the hell she was doing once I passed her.
I decide lap 7 should be really strong, so I take off and do the heat section in sub 9 minute pace. This was a bad call. I decide my ego isn’t that big and walk in the shade a bit so I don’t pass out. I finish in about 49 minutes, get a cool sweatshirt, which I then proceed to wear in spite of the heat for pictures with my kids on a makeshift podium because I never have and probably never will win another race in my life.
Post-race:
A few small blisters. One of which is on my heel which is new, but as of Monday they’re already minimal, so 30 miles in that is a huge improvement from normal. I’m on the right track but still stuff to figure out. With the system I had I didn’t mind the stops at all in this race format. I also think my superpower is doing boring things over and over again, so the loop didn’t bother me at all. It’s almost certainly something I’m going to be throwing 6 months of training at for a big showing in November. Had a fun day with some really enjoyable people. Plus my coach didn’t yell at me for going too deep and this will be a quick recovery into some real training blocks. Overall loved it!
2024.05.13 21:20 SIDATI666 Is your business king of the shits or shit of the kings tomorrow?
Every business seeks a competitive advantage that accelerates profits and total shareholder returns.
Some businesses create long-term shareholder value across the short, medium and long-term horizons.
Few businesses optimise and maximise high-value exits - selling their business at the right time for maximum goodwill. The core question for directors and shareholders is your business's endgame strategy.
Selling a business for small and medium businesses is often emotional - but for others, they are strategic chess players - with one aim - the buyer pays a premium for their business.
Day-to-day optimising operations - margin improvement - revenue operations, and maximising net profits are vital day-to-day hand-to-hand combat for every business.
This Advanced Growth Framework study of 25,000 businesses globally, representing 98% of the global market capitalisations, found that buying-selling, mergers and acquisitions in industries are predictable well in advance. A.T. Kearney's endgame analysis provides significant insights.
Making it through the four stages is primarily a game of speed; the fastest business wins. The core strategic question is to determine can your business be a leader and survivor or if the wiser course is to be acquired or even opt-out and sell.
Future industry leaders belong to those who can master external ( M+A) inorganic growth.
What is your business's growth plan?
Regardless of industry, there are always economies of scale - professional services -merging accounting firms to reduce the transaction cost and increase shareholder value.
submitted by SIDATI666 to Entrepreneur [link] [comments]
Some businesses create long-term shareholder value across the short, medium and long-term horizons.
Few businesses optimise and maximise high-value exits - selling their business at the right time for maximum goodwill. The core question for directors and shareholders is your business's endgame strategy.
Selling a business for small and medium businesses is often emotional - but for others, they are strategic chess players - with one aim - the buyer pays a premium for their business.
Day-to-day optimising operations - margin improvement - revenue operations, and maximising net profits are vital day-to-day hand-to-hand combat for every business.
This Advanced Growth Framework study of 25,000 businesses globally, representing 98% of the global market capitalisations, found that buying-selling, mergers and acquisitions in industries are predictable well in advance. A.T. Kearney's endgame analysis provides significant insights.
Four Stages of Industry Development
Stage I: Opening- Characteristics: Involves newly deregulated industries, startups, and spin-off industries.
- Catalysts: New technologies, regulations, ideas, and consumer needs.
- Market Concentration: Little to no market concentration at this point.
- Characteristics: Major players begin to emerge and size becomes important, leading to consolidation.
- Market Dynamics: Niche players begin to feel pressure; concentration rates can be as high as 45% in some industries.
- Characteristics: Successful players aggressively outgrow their competition.
- Strategies: Companies focus on extending their core business and streamline their supply and value chains, eliminating secondary business units.
- Characteristics: Consolidation rates reach up to 90%, with a few players dominating each industry.
- Market Control: Large companies form alliances and dominate the landscape, controlling 70% of the market. The remaining 30% of the market can be occupied by any number of businesses.
- Expansion Strategy: Companies often look for new Opening-stage industries to expand into due to challenges in growth at this stage.
Combined Market Share of Top 3 Players:
- Stage I: 41%
- Stage II: 42%
- Stage III: 50%
- Stage IV: 70%
Making it through the four stages is primarily a game of speed; the fastest business wins. The core strategic question is to determine can your business be a leader and survivor or if the wiser course is to be acquired or even opt-out and sell.
Or, as they say in the military - will your business be the king of the shits or shit of the kings?
Four Stages
- First-mover advantage: First-to-market companies frequently establish their product as the industry standard. They are the first to reach customers and leave a lasting impression, leading to accelerating brand recognition and loyalty. They control resources, such as locating strategically, establishing premium contracts with key suppliers, or hiring the most talented employees.
- Be faster advantage: Economies of scale can be achieved rapidly by acquisition-focused competitors. One of the primary benefits of internal economies of scale is lower costs, which allow businesses to improve their price competitiveness. Economies of scale lead to higher profits, a higher return on capital invested, and a foundation for business growth. As it grows, a company becomes more solid and less vulnerable to external threats, such as hostile takeover bids. It is one of the essential benefits of economies of scale for industries because it increases the share price of the company as well as its ability to raise new financing.
- Defence advantage: A company's defensive strategies to thwart a hostile takeover can have a significant impact on its shareholders, including, in some cases, a drop in shareholder value. Being acquired or awaiting new developments and reacting may be the best approach.
- Change the game: Globalisation, new technologies, increased transparency, and privacy legislation changes all deliver a constant feeling of continuous disruption. Those businesses that thrive now do so by being faster, detecting and responding to new growth opportunities daily and embedding new products and services faster than their competitors can.
Big Leadership Changes
- Different leaders suit different stages of growth.
- Empirical evidence identifies that deal-maker skills and bold leadership traits suit stages 1 and 2.
- Stage 3 and 4 CEOs are shrewd chess players and portfolio managers.
- Many businesses entering stage 4 deploy a spin-off growth strategy from their core business.
- The spin-off business typically launches new industries or sub-industries, creating new opportunities for the spun-off business to fuel future growth.
How can a business survive and thrive during the industry's evolution stages?
The answer from the research of 25,000 businesses is it must acquire or merge other businesses —it cannot solely rely on its organic growth.- There is no optimal or maximum company size— survival requires every business to grow continuously.
- Mergers are inevitable if a business wants to outgrow its competition - a must to maximise value for the future.
- There are few to almost no protectable niche markets of size— almost all industries are now global.
- Learning how to integrate an acquisition or merger partner successfully is a core competence of successful businesses. Build the skill sets early. (i.e.to, arrive at a top 3 company)
- For a merger or acquisition to be successful, it should advance the resulting entity further along the curve.
Future industry leaders belong to those who can master external ( M+A) inorganic growth.
What is your business's growth plan?
Regardless of industry, there are always economies of scale - professional services -merging accounting firms to reduce the transaction cost and increase shareholder value.
2024.05.13 21:19 doesitmatter_no The Endo Survival Guide
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
PRE-SURGERY
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
Here’s the tips and tricks I found helpful for maintaining my pain and symptoms (GI and back pain related):
submitted by doesitmatter_no to endometriosis [link] [comments]
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.
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
- 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.
- 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.
- I used a pregnancy pillow on the bed to help me stay on my back while sleeping and help you feel cozy.
- Stock the house with foods that will be light for your stomach. Think soups and casseroles! Saltine crackers, broths, rices etc..
- 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.
- 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.
- Netflix, Kindle, Puzzles, Craft Projects…visits with friends. Whatever makes the time pass, set it up ahead of time so it’s handy.
- Items to Keep on Hand: Baby Wipes, heating pads, pads/diapers, candles, essential oils, things that smell good haha
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
- Do your check-ins and keep your people with you as long as you want.
- Make sure to read all the consent forms and ask any questions upfront. Make any advance directives clear.
- 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.
- 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.
- If you need something for anxiety, they will be sure to give you something if you ask :)
- 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.
- 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!
- You may be wheeled or walked into surgery. I’ve only ever walked in and laid on the table myself.
- 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!
- 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!
Here’s the tips and tricks I found helpful for maintaining my pain and symptoms (GI and back pain related):
- 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.
- 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 :)
- 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.
- Diet/Exercise:
- 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.
- 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.
- Chamomile for relaxation
- Walking and movement are important. I cannot do anything high impact due to my sacroiliitis diagnosis, so I stick with light yoga and walking.
- Alcohol/Other Substances: Don’t do it. Don’t touch it. You’ll thank me later on this point.
- 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.
- Medications/Supplements:
- 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.
- 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!
- 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.
- 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
- 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).
- 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.
- 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.
- 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).
- 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)..
- Heated Blankets/Cozy Blankets: Make yourself feel better with a cozy blanket. Do it, I dare you!
- 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.
- 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.
- 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.
- 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..
- 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.
- 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.
- 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.
- 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.
- 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!
2024.05.13 21:18 doesitmatter_no The Endo Survival Guide
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
PRE-SURGERY
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
Here’s the tips and tricks I found helpful for maintaining my pain and symptoms (GI and back pain related):
submitted by doesitmatter_no to Endo [link] [comments]
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.
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
- 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.
- 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.
- I used a pregnancy pillow on the bed to help me stay on my back while sleeping and help you feel cozy.
- Stock the house with foods that will be light for your stomach. Think soups and casseroles! Saltine crackers, broths, rices etc..
- 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.
- 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.
- Netflix, Kindle, Puzzles, Craft Projects…visits with friends. Whatever makes the time pass, set it up ahead of time so it’s handy.
- Items to Keep on Hand: Baby Wipes, heating pads, pads/diapers, candles, essential oils, things that smell good haha
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
- Do your check-ins and keep your people with you as long as you want.
- Make sure to read all the consent forms and ask any questions upfront. Make any advance directives clear.
- 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.
- 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.
- If you need something for anxiety, they will be sure to give you something if you ask :)
- 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.
- 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!
- You may be wheeled or walked into surgery. I’ve only ever walked in and laid on the table myself.
- 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!
- 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!
Here’s the tips and tricks I found helpful for maintaining my pain and symptoms (GI and back pain related):
- 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.
- 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 :)
- 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.
- Diet/Exercise:
- 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.
- 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.
- Chamomile for relaxation
- Walking and movement are important. I cannot do anything high impact due to my sacroiliitis diagnosis, so I stick with light yoga and walking.
- Alcohol/Other Substances: Don’t do it. Don’t touch it. You’ll thank me later on this point.
- 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.
- Medications/Supplements:
- 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.
- 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!
- 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.
- 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
- 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).
- 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.
- 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.
- 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).
- 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)..
- Heated Blankets/Cozy Blankets: Make yourself feel better with a cozy blanket. Do it, I dare you!
- 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.
- 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.
- 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.
- 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..
- 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.
- 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.
- 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.
- 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.
- 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!
2024.05.13 16:40 NPSResearch Participate in a survey investigating ADHD self-medication with novel stimulants (15 minutes)
*approved by moderators*
Self-rated effectiveness of novel psychoactive substances (NPS) in self-medicating attention deficit disorders (ADHD/ADD)
KCL ethics approval #: HR-22/23-36258, Principal Investigator: Tayler Holborn, MRes, BSc. Sponsor: King's College London, Institute of Psychology, Psychiatry and Neuroscience
The purpose of the study is to assess self-medication with NPS (legal highs/research chemicals). There is evidence to suggest that individuals may be self-medicating with NPS such as 2-FMA and 4F-MPH, however this is scarcely represented in the academic literature. We aim to examine the self-rated effectiveness (SRE) of novel psychoactive substances (NPS) for attention deficit disorders, compared to conventionally prescribed treatments. As a proponent of evidence-based drug policy, we hope that understanding how NPS are being used can help to positively influence drug policy.
What will happen if I take part?
If you agree to take part you will complete a survey anonymously. The survey will take you approximately 15 minutes to complete. The survey will ask you questions about your gender, age, ethnicity, country of residence, medication you may be using and its effectiveness, NPS you may be using and its effectiveness and your perceptions of professional healthcare. The survey will also ask about the attentional deficit disorder you are suffering from and your mental health experiences. Examples of questions you may be asked include:
Who is eligible to participate?
You are being invited to participate in this study because we are interested to hear from the general public. If you are 18-years old, or older, understand English, and have used/are using a NPS to self-medicate ADHD/ADD then you are eligible to participate in this study. To participate you do not require a formal diagnosis.
To find out more about the study, visit the link below: https://qualtrics.kcl.ac.uk/jfe/form/SV_3guJCP3r8NjFdfE
If you have any questions, please contact Tayler Holborn ([tayler.j.holborn@kcl.ac.uk](mailto:tayler.j.holborn@kcl.ac.uk)).
submitted by NPSResearch to ADHDUK [link] [comments]
Self-rated effectiveness of novel psychoactive substances (NPS) in self-medicating attention deficit disorders (ADHD/ADD)
KCL ethics approval #: HR-22/23-36258, Principal Investigator: Tayler Holborn, MRes, BSc. Sponsor: King's College London, Institute of Psychology, Psychiatry and Neuroscience
The purpose of the study is to assess self-medication with NPS (legal highs/research chemicals). There is evidence to suggest that individuals may be self-medicating with NPS such as 2-FMA and 4F-MPH, however this is scarcely represented in the academic literature. We aim to examine the self-rated effectiveness (SRE) of novel psychoactive substances (NPS) for attention deficit disorders, compared to conventionally prescribed treatments. As a proponent of evidence-based drug policy, we hope that understanding how NPS are being used can help to positively influence drug policy.
What will happen if I take part?
If you agree to take part you will complete a survey anonymously. The survey will take you approximately 15 minutes to complete. The survey will ask you questions about your gender, age, ethnicity, country of residence, medication you may be using and its effectiveness, NPS you may be using and its effectiveness and your perceptions of professional healthcare. The survey will also ask about the attentional deficit disorder you are suffering from and your mental health experiences. Examples of questions you may be asked include:
Who is eligible to participate?
You are being invited to participate in this study because we are interested to hear from the general public. If you are 18-years old, or older, understand English, and have used/are using a NPS to self-medicate ADHD/ADD then you are eligible to participate in this study. To participate you do not require a formal diagnosis.
To find out more about the study, visit the link below: https://qualtrics.kcl.ac.uk/jfe/form/SV_3guJCP3r8NjFdfE
If you have any questions, please contact Tayler Holborn ([tayler.j.holborn@kcl.ac.uk](mailto:tayler.j.holborn@kcl.ac.uk)).
2024.05.13 16:00 -343-Guilty-Spark- 343 Plz Weekly Thread
Hey everyone. This week's 343 Plz thread has arrived.
You can also check out the 343 Plz announcement thread here: https://www.reddit.com/halo/comments/ud70v9/introducing_343_plz_a_list_made_from_your_feedback/
submitted by -343-Guilty-Spark- to halo [link] [comments]
343 Plz List
| Feedback Item | Date Added | Game |
|---|---|---|
| Improve theater functionality | January 25, 2023 | Halo Infinite |
| Add matchmaking rejoin | January 3, 2023 | Halo Infinite |
| Add an option to limit menu FPS | October 10, 2022 | Halo Infinite |
| Finish the work on Campaign split-screen support and introduce it | September 5th, 2022 | Halo Infinite |
| Fix or remove overactive text chat censorship | July 11th, 2022 | Halo Infinite |
| Prioritise and fix desync | June 27th, 2022 | Halo Infinite |
| Rework or remove rarity on items | June 27th, 2022 | Halo Infinite |
| Add Multi-Team | June 5th, 2022 | Halo Infinite |
| Allow all items in the in-game store to be purchased at all times | June 5th, 2022 | Halo Infinite |
| Add Assassinations | May 28th, 2022 | Halo Infinite |
| Introduce the Match Composer, similar to MCC | May 28th, 2022 | Halo Infinite |
| Bring back old emblems and allow for better customisation over them. | May 28th, 2022 | Halo Infinite |
| Revert changes to slide momentum jumps made in Season 2 | May 15th, 2022 | Halo Infinite |
| Introduce more social features and support | May 10th, 2022 | Halo Infinite |
| Enable player collision for friendlies | May 9th, 2022 | Halo Infinite |
| Bring back pre- and post-game lobbies | May 3rd, 2022 | Halo Infinite |
| Add remaining Halo Online maps to Halo 3 in MCC | May 3rd, 2022 | Halo: The Master Chief Collection |
| Introduce more body type options, including more "feminine" options similar to previous games | May 3rd, 2022 | Halo Infinite |
| Enable color on armor attachments outside of certain kits | May 2nd, 2022 | Halo Infinite |
| Allow for more control over color customization | May 2nd, 2022 | Halo Infinite |
| Improve/Address aiming and aim assist issues on Xbox and PC | May 2nd, 2022 | Halo Infinite |
343 Plz List Implemented/Changed
| Feedback Item | Date Added | Date Changed | Game |
|---|---|---|---|
| Add Mark IV armor for MP | October 23, 2023 | Operation: Spirit of Fire | Halo Infinite |
| Implement Cross-Core Customization | May 2nd, 2022 | Operation: Spirit of Fire | Halo Infinite |
| Improve custom games stability and drastically increase the custom game options available | May 16th, 2022 | December 5th, 2023 | Halo Infinite |
| Bundle duplicate/repeating items (e.g. shoulders) in passes | November 7th, 2022 | Season 5 | Halo Infinite |
| Add a Mark VI Gen 3 (Chief's armor in the campaign) core or set for MP | May 19th, 2022 | Season 5 | Halo Infinite |
| Add Firefight or a PvE mode | May 9th, 2022 | Season 5 | Halo Infinite |
| Redesign the User Interface | May 9th, 2022 | Season 5 | Halo Infinite |
| Make Squad Battle a permanent playlist | July 17, 2023 | August 9, 2023 | Halo Infinite |
| Fix asymmetrical vehicle spawns in Big Team Battle | January 3, 2023 | August 9, 2023 | Halo Infinite |
| Add the 'Infection' game mode | June 13th, 2022 | June 20, 2023 | Halo Infinite |
| Separate Event Challenges into their own deck | May 15th, 2022 | March 21, 2023 | Halo Infinite |
| Add an option to disable enemy shield outlines | February 20, 2023 | Season 3 | Halo Infinite |
| Reduce kill effects or let players adjust/toggle them | July 11th, 2022 | December 6, 2022 | Halo Infinite |
| Improve the KBM experience by addressing balance issues and pursuing other QOL refinements | May 10th, 2022 | December 6, 2022 | Halo Infinite |
| Enable 'red reticle' on the PC version | May 3rd, 2022 | December 6, 2022 | Halo Infinite |
| Rebalance the VK78 Commando | May 2nd, 2022 | Winter Update | Halo Infinite |
| Rework or replace the Challenge system | May 7th, 2022 | Winter Update | Halo Infinite |
| Team Slayer" challenges should be able to progressed in all Team Slayer modes, not just the Team Slayer playlist | May 2nd, 2022 | Winter Update | Halo Infinite |
| Implement ray tracing | November 1st, 2022 | Season 3 | Halo Infinite |
| Accommodate lower population regions better | July 18th, 2022 | Winter Update | Halo Infinite |
| Add Region/Server selection, similar to MCC's implementation | May 7th, 2022 | Winter Update | Halo Infinite |
| Rework MMR / Global Rating | May 23rd, 2022 | Winter Update | Halo Infinite |
| Keep MCC free of microtransactions | July 18, 2022 | September 14th, 2022 | Halo: The Master Chief Collection |
| Allow us to access the unreleased Halo: Reach armor from Season 1 | May 28th, 2022 | December 2022 | Halo Infinite |
| Reduce effect of or remove scope glint entirely | May 3rd, 2022 | August 25, 2022 | Halo Infinite |
| Add more loading screen images | May 4th, 2022 | June 14th, 2022 | Halo Infinite |
| Fix different UI elements stuck in indefinite or very long loading wheels | May 2nd, 2022 | June 14th, 2022 | Halo Infinite |
| Improve Scorpion Tank Controls | May 2nd, 2022 | June 14th, 2022 | Halo Infinite |
- Most recently added items are in bold
- You can find the full list along with thread examples for these topics and if/how 343 has acknowledged them on the 343 Plz wiki page
A reminder on how 343 Plz works:
- 343 Plz is a comprehensive list of wildly popular suggestions/feedback relating to Halo games. This will be a list that is generated by the community and will be visible to everyone. Users can submit a request to include an item on 343 Plz and, provided it meets the criteria, it will be added the following week alongside the weekly thread.
- The 343 Plz list will be on both our wiki as well as the weekly sticky thread. The sticky thread will provide a prominent place on halo to routinely list and discuss these items, as well as suggest new ones.
- Once a topic has been added to 343 Plz, it will be 'retired' from the subreddit until there is either significant news relating to the topic, or if the actual topic is added/changed to the game.
You can also check out the 343 Plz announcement thread here: https://www.reddit.com/halo/comments/ud70v9/introducing_343_plz_a_list_made_from_your_feedback/
How do I submit to 343 Plz?
- Find at least three threads submitted on Halo over the past few months with 300+ upvotes; threads/comments from other communities will not be considered
- Submit your idea and the required threads either in this sticky or via this Mod Mail template
- If your idea does not have the required threads, it won't be added; instead, you are encouraged to make a standalone post about your topic
What is the point of this weekly thread?
The point of this weekly thread is to organize and sticky popular community feedback for 343, allow discussion of these 'retired' items, and suggest new ideas for 343 Plz.2024.05.13 13:50 TELMxWILSON FRESH TUNES of the week! Teddy Killerz, Enei & DRS, Tim Reaper, Zero T, Repill, Danny Byrd & S.P.Y, Culrure Shock and more.. Reviews for two new shooting stars in neuro & tech [+weekly updated Spotify playlist] New Music Monday! (Week 20)
| Weekly updated Spotify Playlist | H2L: New Drum & Bass |
| Soundcloud Playlist | H2L: New Drum & Bass Soundcloud |
| Youtube Playlist | H2L: New Drum & Bass Youtube |
| Youtube Music Playlist | H2L: New Drum & Bass YT Music |
| Apple Music Playlist | H2L: New Drum & Bass Apple Music |
| Retroactive Playlist | H2L: Retroactive New DnB |
| Last Week's list | http://reddit.com/ 1clj4km |
| Follow us on Instagram | TELMxWILSON, lefuniname, voynich |
Picks Of The Week (by u/lefuniname)
1. Skrimor - Boogie Woogie / Club Girl [Evolution Chamber]
Recommended if you like: Gydra, Punchman, Absu_NTQLYou know what we should talk more about on here? Neurofunk. Not even joking, the last proper Neuro spotlight here has been months ago, and frankly I cannot stand for this injustice anymore. So let's talk about Neuro's biggest shooting star of recent times: Skrimor!
Dzmitry Vilchytski, the Warsaw-based man behind the incredible project, is one of those people whose music isn't just well-produced and hard-hitting, he is also able to effortlessly tap into that fun, cheeky Eastern European energy that makes you want to get up from your deep slav squat and get movin'. This combo of technical prowess and musical diversity with a healthy chunk of Neuropunk attitude immediately convinced a ton of established artists across the subgenre, leading to one release after the other on Neuropunk (of course), Eatbrain and Korsakov, shortly after Garud from Teddy Killerz started working as their label A&R, plus remixes for Jade, Gydra and, well, Teddy Killerz.
That kinda omnipresence, plus all the support across the scene, almost makes you forget that his journey as Skrimor only started a little bit more than a year ago somehow?! Sure, his artist bio expands on his background a bit more and talks about how he's been involved with music since 2005, when he played in a Nu-Metal band, saw the dubstep/dnb/bass music light in 2007 while in Vilnius, graduated in 2012 and explored electronic music some more in Poland. But then, 11 years of nothing later and bam, a sick debut release on NickBee's Axon Records kicking off an avalanche that the Neuro scene hasn't seen in a while, and apparently isn't gonna stop anytime soon. Case in point: Now, after debuting on the label's wonderful Transmissions compilation series just a couple weeks back, Dzmitry is once again returning to Magnetude's, Task Horizon's and Receptor's one and only Evolution Chamber to deliver two slices of his infamously, undeniably, certifiedly raw material to the masses: Boogie Woogie / Club Girl.
We kick this one-two-punch off with a mantra to conquer any of your everyday problems: Boogie Woogie. Train delayed? Boogie woogie. Waiter brought you the wrong food? Boogie woogie. Wife divorcing you? Boogie that damn woogie already! To help us all achieve this serene state of boogie-woogie-ing, Skrimor brings us only the crunchiest of chugger basslines, propelled forward by some heavy drums, with an incredibly funky combination of cheekily distorted neuro stabs and the titular vocal mantra adding that extra bit of spice on top. Not yet enough for you to get your butt movin'? Alright, then let's go straight to the Club, Girl! To get even the laziest mofo up from their seats, Skrimor brings out the big guns: only the dirtiest of 8th note chuggy basses that even briefly turns into 4x4 later on, only the largest of neuro whomp melodies and, most importantly, only the catchiest, earwormiest vocal of the year, if not the decade! Might sound simple, but trust me, this one is a bop. Sometimes less is (Skri)more, after all.
I'm genuinely obsessed with the raw energy Skrimor is bringing to the scene lately. Even after a ton of sick output in the past year, I'm still skriming for more.
Other neuro from this week: - Redpill - The Chase EP - PAIN - Push The Pusher (Zardonic Remix) - Teddy Killerz - Do U L Me - Mean Teeth - Bring Back The Funk Remixed Part 1 - Perplex - The Basilisk - JIROBASS - Izolite / Carbon 💎
2. Aegis - Pressure & Existential 💎 [DIVIDID]
Recommended if you like: Buunshin, Maysev, EmperorNow for a debut release that's putting all sorts of established artists to shame: Aegis, with his double single Pressure & Existential.
While this actually is the first officially released Aegis production that I am aware of, which automatically makes this our Hidden Gem Of The Week™️, the rabbit hole does of course go way deeper than that. Residing in the North Brabantian metropolis Tilburg, Nederlander Joppe Damstra has been involved in music-related endeavours since he was in the Dutch equivalent of high school. Whether it was playing in bands like Young Spirit, Locked Out or Rabble, organising events of his own, most notably the band battle tournament Fame Game in 2018 and the Save The Night events, or interning at Korsakov from 2019 to 2020, Joppe undeniably has always had an unstoppable drive to become an integral part of the music scene at large, in every possible corner. As you can maybe already tell, over time, the love for all things electronic outgrew everything else. Not only was he laying down some crazy DnBeats at some of those events, either under his real name or as BMBRMN (bomberman?), he also kept himself busy working all sorts of label operations jobs at Dimensional Music.
For our purposes though, the really interesting part begins just slightly after all that, in 2022. On the one hand, because he became part of the team at ABIS' incredible DIVIDID label as both their Event Manager and resident DJ, on the other, because that's when Aegis was finally born! Across a proper onslaught of insanely sick DIVIDID label nights, Joppe jumped on the decks in places like Vienna, Bristol, Lyon, Maribor and all over Germany and the Netherlands, converting one city after another to Aegisism, with a slew of DIVIDID dubs and, eventually, even his own creations. I remember one day last year I was supposed to go to their takeover in Berlin's VOID club, something I had been hyped about for ages (or should I say aeges), but because my body simply said no, my friend ended up going alone. When they came back the next morning, there was one thing they couldn't stop raving about: that Aegis dude. After finally experiencing his selections myself a couple months later, I can now see what they were on about - dude is a wizard. Now, with his debut release finally released, we can see if his wizardry also extends to production!
I'm happy to report that it absolutely does! Pressure opens up pandoraegis' box of destruction rather beautifully, with ominous synths constantly ringing in your ears, a delightfully eery vocal haunting you in your dreams, explosive basses going off in your face and incredibly intricate, fierce drumwork working up an actual wildfire of a storm - what a crazy introduction into the scene! As if that wasn't already huge enough, we've also got Existential on the flipside doing serious damage. Whereas the opener was still strangely lovely, this one is just downright evil. Especially that otherworldly lead synth is filled to the brim with menacing energy, but the back and forth we're getting on the drop, where the unrelenting ratatatat is interrupted by a somehow even more sinister, proper all-encompassing bassline - that shit is just ridiculous man.
I'm having problems finding puns stupid enough to fully articulate my love for this insane debut release. I'm having Aegissues, one might even say. Genuinely though: This is a crazy-good first release and I cannot wait to see what else Aegis will accomplish in the future!
Other techy things from this week: - Various Artists - Antimatter:2 EP 💎 - Misanthrop - Open World EP - Onetral - Flow 💎 - VENAL - Metamorphosis 💎 (only found these two recently)
New Releases
General DnB / Mixed
- Andrey Sirotkin - Woman He Loves (I Wannabe Remix) [Deviant Drums] [Beatport], [Bandcamp], [Spotify]
- Cameron Hayes - Spend The Night [Selfreleased] , [Spotify]
- Charlotte Plank - Nightshift [Black Butter] [Beatport], [Spotify]
- Conrad Subs - Leff Dem Dead [Koba] , [Bandcamp]
- Drvmmer, Onyra - Coming Over [Electric Wave] [Beatport], [Bandcamp], [Spotify]
- Karacha - Back to the Criminal [Liquid Brilliants] [Beatport], [Spotify]
- Thys - Versatile [Fool's Gold] [Beatport], [Bandcamp], [Spotify]
Dancefloor
- Aivarask - Rapture [Gas Pedal] [Beatport], [Spotify]
- Apokain - Techno [Hoofbeats] [Beatport], [Spotify]
- Axel Boy - Burn For You [Axel Boy] [Beatport], [Spotify]
- Colleen D'Agostino, Bensley, Kumarion - I Am Here [mau5trap] [Beatport], [Spotify]
- Culture Shock, Sarah De Warren - Out My Head [Culture Shock] [Beatport], [Spotify]
- Des McMahon - Piercing Noises [Play Me] [Beatport], [Spotify]
- JFB, CLIQUES. - Ninja Frog [DeVice] [Beatport], [Spotify]
- Lionheartz - Sunset Beach [Lizplay] [Beatport], [Bandcamp], [Spotify]
- Lya, Bitsune, M'Go - Don't Care EP [Simplify.] [Beatport]
- Maozon, Yellock - Restart [9D] [Beatport], [Spotify]
- MF, SnowB1 - For All [Blondie] [Beatport], [Spotify]
- SCARFIE - FEELING [Selfreleased] , [Spotify]
- Sem, Artino - Way Out [Liquicity] [Beatport], [Bandcamp], [Label Store], [Spotify]
- Transmission, Dannii Murphy - Foundations [Square Lemon] [Beatport]
- V O E - Blem [Viper] [Beatport], [Bandcamp], [Label Store], [Spotify]
Liquid
- A.P.O.L.L.O - Seaside [Empathy] [Beatport], [Spotify]
- Bazil Mc, Noppo - Grow EP [Galacy] [Beatport], [Bandcamp], [Spotify]
- bd:j - Your Melody [FX909] , [Spotify]
- Blean - Live To See The Sunrise EP [Fokuz] [Beatport], [Bandcamp], [Spotify]
- Bloque - Get Through [Totally Liquid] [Beatport], [Bandcamp]
- Bloque - Miles & Miles EP [Influenza] [Beatport], [Bandcamp], [Spotify]
- Capital Dogz, Badd Kitty - Sunny Breeze [Live History] [Beatport], [Bandcamp], [Spotify]
- Casa - My Eyes [Record Union] [Beatport], [Spotify]
- Danny Byrd, S.P.Y., Cmd/Ctrl - Pink Champagne [DnB Allstars] [Beatport], [Spotify]
- Dr Meaker, Laurent John - Try [Flightcase] [Beatport], [Spotify]
- FX909 - Black hole EP [Liquid Drops] [Beatport], [Spotify]
- Goodboi - The Cosmik Connection, Vol. 7 EP [Unknown To The Unknown] [Beatport], [Bandcamp], [Spotify]
- Hiraeth - Deep Blue (Phloem Remix) [Galacy] [Beatport], [Bandcamp], [Spotify]
- Just A Gent, Solomon France, McCall - Invisible [Selfreleased] , [Bandcamp], [Spotify]
- Malve, Ghillez - Breathe Underwater [High Tea] [Beatport], [Bandcamp], [Spotify]
- Mindstate, Metrodome, Blind Mic, Dogger - Over & Over [Precinct] [Beatport], [Bandcamp], [Spotify]
- Nichenka Zoryana - Wiax [Lizplay] [Beatport], [Bandcamp], [Spotify]
- Nomad - Costa Mesa / Vblvb [Sciophonic] , [Bandcamp]
- Oktae - Bedtime Stories [Chilli Tribe] [Beatport], [Bandcamp], [Spotify]
- SAVANNA KATE - Obvious [Global League] [Beatport], [Bandcamp], [Spotify]
- Science of Man - Phase Two EP [Emcee] [Beatport], [Bandcamp], [Spotify]
- Soul Concept - Solar Energy [Soul Deep] [Beatport], [Bandcamp], [Spotify]
- Stimpy - Soulmates EP [Celsius] [Beatport], [Bandcamp], [Spotify]
- Synkro, Tom Jarmey, Ed Hodge, Dodd Noble - Negative (Synkro Remix) [Oathcreations] [Beatport], [Bandcamp], [Spotify]
- Various Artists - Cloying Aftertaste, Vol. 4 LP [Different Styles] [Beatport]
- Various Artists - Spring Tube Liquid, Vol. 18 EP [Spring Tube Liquid] [Beatport]
Deep / Tech / Minimal
- 9 Livez - Trust [MalLabel] [Beatport], [Spotify]
- Aegis - Pressure & Existential [DIVIDID] [Beatport], [Bandcamp], [Spotify]
- Cadenzo - Wonderment EP [Audio Entropy] [Beatport], [Bandcamp], [Spotify]
- Detboi, Robert Manos, Fanu, Adred, Mister Shifter - Dispatch Blueprints 013 EP [Dispatch] [Beatport], [Bandcamp], [Spotify]
- DJ Hybrid - Bottomless Brunch (Jenks Remix) [Boom 93] [Beatport], [Spotify]
- Enei, SOLAH, Drs - Count To Ten (2024) / Break the Cycle [Critical] [Beatport], [Label Store], [Spotify]
- Flixton - The Stalker [Ransom] [Beatport], [Bandcamp], [Spotify]
- Forbidden Society - Lonely Road: Sampler Pt. 1 EP [Vision] [Beatport], [Bandcamp], [Spotify]
- Hyperlynx, LoveTheEND, SiLi, Coil Circuit - Antimatter:2 EP [In The Lab] [Beatport], [Spotify]
- I-O - GO BACK / 2 ME [Subplate] [Beatport], [Bandcamp]
- JIROBASS - Izolite / Carbon [High Resistance] [Beatport], [Spotify]
- Leks, Endorphine (AT) - Focus / Russo [Yamatai] [Beatport], [Spotify]
- Misanthrop - Open World EP [Neosignal] [Beatport], [Bandcamp], [Spotify]
- Mish & Greeen - Had Enough [Selfreleased] , [Spotify]
- Nasz - Crossroads [4 Jungle] [Beatport], [Bandcamp], [Spotify]
- Nichenka Zoryana - Papa Jim [Solocat] [Beatport], [Spotify]
- Oblique (NZ) - Pirates [Dutty] [Beatport], [Bandcamp]
- Oli Lewis - Cabal EP [Drippyboiii] [Beatport], [Spotify]
- Ominous - Break It EP [Phase DNB] [Beatport], [Bandcamp], [Spotify]
- Oura - Fossilizer [Savory] [Beatport], [Bandcamp], [Spotify]
- Phentix - Guardians / Protocol [Flexout] [Beatport], [Bandcamp], [Spotify]
- Stelios Vassiloudis - M3M25M4 Remixes EP [Bedrock] [Beatport], [Bandcamp], [Spotify]
- Tao Maffa - Hut [Soundpolis] [Beatport], [Spotify]
- Tempza - Guava [Selfreleased] , [Spotify]
- VELLE - Carry Four [Selfreleased] , [Spotify]
- Warm Roller - Hunter [DLT9] [Beatport], [Bandcamp]
- Zero T, L-Side, MC GQ, Onj - Journey Begins EP [V] [Beatport], [Spotify]
Neuro
- DC2 - Rockstar [Gunsta] [Beatport], [Spotify]
- Mean Teeth, Phentix - Bring Back The Funk Remixed Part 1 EP [C4C] [Beatport], [Spotify]
- Noize Komplaint - Alien Force EP [Dirtbox] [Beatport], [Spotify]
- PAIN - Push The Pusher (Zardonic Remix) [Wool Music] , [Spotify]
- Redpill - The Chase EP [Eatbrain] [Beatport], [Spotify]
- sammythesinner - ELUDE YOU [Onelove] [Beatport], [Spotify]
- Skrimor - Boogie Woogie / Club Girl [Evolution Chamber] , [Spotify]
- Teddy Killerz - Do U L Me [Roadblock] [Beatport], [Spotify]
Jump Up
- DJ Linky - Deeper [DNBB] [Beatport], [Bandcamp], [Spotify]
- DJ Rap - Ecstasy [Propa Talent] [Beatport], [Spotify]
- DRZ, Roche - Faster [Elevate] [Beatport], [Bandcamp], [Spotify]
- Formula, T-Lex - Locomotiv [Ego Project] [Beatport], [Spotify]
- Leemo (UK), Barren Land - Keep Pushing [Monotonous Material] [Beatport], [Spotify]
- Magenta, GR4HM - Celebrate EP [Make Your Era] [Beatport], [Spotify]
- MONSS - Haunted (Burt Cope Remix) [NUFORM] [Beatport], [Spotify]
- Profile, Master Error - Labyrinth [Exert] [Beatport], [Spotify]
- R!PT!DE, Ghee-k - Pull Up [Repulsive] [Beatport], [Spotify]
- R3dX - Move Like Dat EP [Run Tingz] [Beatport], [Spotify]
- Syndicat, M.L.D - Stench [Audiofelonzrecords] [Beatport], [Spotify]
- Zeppa, Jango Kett - Bipolar EP [Dub Shotta] [Beatport]
Jungle
- Dillinja - Test /2/ EP [Deep Jungle] [Beatport], [Bandcamp], [Spotify]
- D-Program, Olly - Pearl Clutcher EP [Tech Support] [Beatport]
- Ed Solo, Durazz - Take Me High [Jungle Cakes] [Beatport], [Spotify]
- Halavari - Obsession EP [Sound On Sound] [Beatport]
- Hard Ton - Believe / Swallow My Pride EP [Maximum Airtime] [Beatport], [Bandcamp], [Spotify]
- Harmony - Hold On / Star Chaser [Deep Jungle] [Beatport], [Bandcamp], [Spotify]
- Jamie Myerson - Coldmachine [Selfreleased] , [Bandcamp]
- Martyn, TRG - Through Lines LP [3024] [Beatport], [Bandcamp], [Spotify]
- Neekeetone - Jungle In Dub [Selfreleased] , [Bandcamp]
- Okee - Kobo / Yuyu [Wicked Jungle LLC] [Beatport], [Bandcamp], [Spotify]
- reserve. - simulated reality [DistroKid] [Beatport], [Spotify]
- Sewerslvt, Cynthoni, Projekt Melody - Sewerslvt Presents: Cynthoni, Pt. 1 EP [DistroKid] [Beatport], [Bandcamp], [Spotify]
- Tim Reaper, Basic Rhythm - Target Lock [Straight Up Breakbeat] [Beatport], [Bandcamp], [Spotify]
- Xenon - Lizard Lounge / The Howling [36 Hertz] [Beatport], [Bandcamp], [Spotify]
2024.05.13 13:21 EssentialSiteSkills From Energy Efficiency to Enhanced Market Value: The Power of EPCs in Property Sales
Did you know that a superior Energy Performance Certificate (EPC) could increase your property's value?
As the UK housing market continues to evolve, Catherine Storer, Executive Director and construction industry expert at Essential Site Skills, is emphasising the significant impact that Energy Performance Certificates (EPCs) have on buying and selling homes. With the UK’s firm commitment to reducing carbon emissions, EPCs are not just regulatory requirements but key factors in maximising property value and ensuring sustainable living.
“Whether you are selling your home or in the market to buy, understanding the EPC of your property is crucial,” said Catherine Storer. “These certificates do more than outline energy costs; they provide a blueprint for enhancing energy efficiency, which can substantially increase property value and appeal in today's eco-conscious market.”
An EPC rates a property’s energy efficiency, from A (most efficient) to G (least efficient), and includes detailed information on a home’s energy use, typical energy costs, and tangible recommendations for improvements. This information is invaluable for homeowners looking to sell, as a higher rating can attract buyers looking for an energy-efficient home. Likewise, buyers benefit by knowing the potential energy costs and savings associated with their new home.
Energy Efficiency Improvement Tips
Heating and Ventilation: Upgrading your heating system can significantly enhance your EPC rating. Specialists in modern and efficient heating technologies can install new boilers, heat pumps, or more efficient radiators tailored to your property's specific needs.
Renewable Energy: Integrating renewable energy sources like solar panels, biomass heaters, or air source heat pumps can greatly improve your home’s energy efficiency. Experts in these technologies provide installation services and advice on the best options for your property.
Insulation: Effective insulation is one of the most cost-efficient methods to boost a home's energy efficiency. Professionals specialising in loft, wall, and floor insulation can significantly improve your home’s heat retention.
Windows and Doors: Installing energy-efficient doors and windows, such as double or triple-glazed options, can also markedly enhance your home's thermal performance.
“As the property market becomes increasingly competitive, a good EPC rating is not just a nice-to-have, but a crucial component of a property’s marketability and long-term value,” Storer added.
For homeowners interested in selling their properties, or buyers wanting to invest wisely, understanding and improving an EPC can be a game-changer.
About Essential Site Skills
Founded in 2013, Essential Site Skills has become a leading authority in construction and property-related services, known for its commitment to enhancing property value and promoting sustainable living practices through professional EPC assessments.
For More Information
Discover more about how Essential Site Skills can assist in preparing your property for the market by visiting their website.
submitted by EssentialSiteSkills to u/EssentialSiteSkills [link] [comments]
As the UK housing market continues to evolve, Catherine Storer, Executive Director and construction industry expert at Essential Site Skills, is emphasising the significant impact that Energy Performance Certificates (EPCs) have on buying and selling homes. With the UK’s firm commitment to reducing carbon emissions, EPCs are not just regulatory requirements but key factors in maximising property value and ensuring sustainable living.
“Whether you are selling your home or in the market to buy, understanding the EPC of your property is crucial,” said Catherine Storer. “These certificates do more than outline energy costs; they provide a blueprint for enhancing energy efficiency, which can substantially increase property value and appeal in today's eco-conscious market.”
An EPC rates a property’s energy efficiency, from A (most efficient) to G (least efficient), and includes detailed information on a home’s energy use, typical energy costs, and tangible recommendations for improvements. This information is invaluable for homeowners looking to sell, as a higher rating can attract buyers looking for an energy-efficient home. Likewise, buyers benefit by knowing the potential energy costs and savings associated with their new home.
Energy Efficiency Improvement Tips
Heating and Ventilation: Upgrading your heating system can significantly enhance your EPC rating. Specialists in modern and efficient heating technologies can install new boilers, heat pumps, or more efficient radiators tailored to your property's specific needs.
Renewable Energy: Integrating renewable energy sources like solar panels, biomass heaters, or air source heat pumps can greatly improve your home’s energy efficiency. Experts in these technologies provide installation services and advice on the best options for your property.
Insulation: Effective insulation is one of the most cost-efficient methods to boost a home's energy efficiency. Professionals specialising in loft, wall, and floor insulation can significantly improve your home’s heat retention.
Windows and Doors: Installing energy-efficient doors and windows, such as double or triple-glazed options, can also markedly enhance your home's thermal performance.
“As the property market becomes increasingly competitive, a good EPC rating is not just a nice-to-have, but a crucial component of a property’s marketability and long-term value,” Storer added.
For homeowners interested in selling their properties, or buyers wanting to invest wisely, understanding and improving an EPC can be a game-changer.
About Essential Site Skills
Founded in 2013, Essential Site Skills has become a leading authority in construction and property-related services, known for its commitment to enhancing property value and promoting sustainable living practices through professional EPC assessments.
For More Information
Discover more about how Essential Site Skills can assist in preparing your property for the market by visiting their website.
2024.05.13 12:54 VictoriaBrooke93 [HIRING] OnlyFans Chatter - Full time, 48 hours per week - Up to 20% commission on sales - Expected earnings $1 - 1.25K per month
Hi all, we are an OnlyFans Agency based in the UK, and are looking to hire a new chatter.
As an OnlyFans Chatter, you will engage with subscribers on the OnlyFans platform, acting on behalf of the model. Your responsibilities include conversing with the subscriber, following our pre-set sales strategy, and up-selling our models content in line with a pricing structure. The chatters aim is to sell the models content for the highest price possible, whilst maintaining subscriber relations. There is no limit to how much money each piece of content can make.
Job Description:
You MUST posses a western standard of English and strong communication skills. PLEASE DO NOT APPLY OTHERWISE. Prior industry experience is not mandatory, having backgrounds in sales and communication-related roles are favourable. You must have competent computing skills, and be fluent with a keyboard and mouse.
How to Apply:
If you wish to apply for this position, please complete our online application form that follows: https://docs.google.com/forms/d/e/1FAIpQLSfgwg0mM98VnFYuHnl4BXQvRh01XRw-bD5eUwVSLUT4TqIaLQ/viewform?usp=sf_link
submitted by VictoriaBrooke93 to ChinaJobs [link] [comments]
As an OnlyFans Chatter, you will engage with subscribers on the OnlyFans platform, acting on behalf of the model. Your responsibilities include conversing with the subscriber, following our pre-set sales strategy, and up-selling our models content in line with a pricing structure. The chatters aim is to sell the models content for the highest price possible, whilst maintaining subscriber relations. There is no limit to how much money each piece of content can make.
Job Description:
- Paid up to 20% commission on sales (expected starting 1,000 - 1,2500 USD per month - current earning expectation, great potential to increase this range based on immediate performance) - No hourly rate/wage is paid.
- Hours of work 0200-1000 BST (UTC+01) from Monday through to Saturday
- Remote working
- Flexible time off
- Sponsored training up front
- Daily support from managers, weekly team catch up calls
- Upsell models content to subscribers
- Short form daily sales updates to managers
- Regular training
- Team-working and communicating with colleagues
You MUST posses a western standard of English and strong communication skills. PLEASE DO NOT APPLY OTHERWISE. Prior industry experience is not mandatory, having backgrounds in sales and communication-related roles are favourable. You must have competent computing skills, and be fluent with a keyboard and mouse.
How to Apply:
If you wish to apply for this position, please complete our online application form that follows: https://docs.google.com/forms/d/e/1FAIpQLSfgwg0mM98VnFYuHnl4BXQvRh01XRw-bD5eUwVSLUT4TqIaLQ/viewform?usp=sf_link