Lab prctical exam on tissues and muscles

I am currently in the Army’s med lab program in clinicals and should be sitting got my exam in August. When I do the adaptive exams on lab CE/ Media lab I’ve been getting 50’s with a difficulty of 4.5-5.5
My worse section is micro :( but I’ve been getting better now that I work in the section.
At what point in the adaptive exams should I feel “comfortable” that I am likely to pass? What resources did you use and do you have any advice?

Cross posting from askdocs.
22F. Seeing a general neurologist (already saw MS specialist) and getting an EMG in three weeks but would like to get other people’s opinions - my PCP has no idea what’s going on with me. Do these sound like autoimmune symptoms / should I look into that? Sorry for the long post but I thought I should include all info in case it’s relevant.
Current symptoms: - perceived weakness and neuropathy in left hand/wrist (feels like a weird burning/tingling sensation, sometimes triggered by the cold but present a majority of the time) - this is by far my worst symptom - occasional tingling sensations in other extremities, but never as frequent as left hand - bad upper back pain (comes and goes, gets worse with certain positions and never in one specific area) - derealization/brain fog (feels like I’m out of it/in a different universe, also hard to describe) - occasional chills/shivering - fatigue (sort of comes and goes in waves)
Timeline of my symptoms:
Feb 2023: fell twice while drunk (don’t have balance issues), woke up a two days later with terrible back spasms. A few days after that I noticed weird tingling sensations in my hands and feet and freaked out, also generally not feeling well/having a lot of fatigue. Freaked out about having MS - doctor did brain MRI and told me to chill out, symptoms went away.
Sept 2023: started experiencing chronic fatigue, brain fog, and derealization, chalked it up to weed withdrawals (I was cutting back at the time).
Oct 2023: got Covid - brain fog and fatigue got a lot worse.
Late Oct 2023: started having weird stomach issues - constant bloating and random sharp pains in lower abdomen. Got some tests done, this went away in around a month.
Early Nov 2023: started getting vaginal pain/constant burning sensation. Got more tests done, also went away in around a month.
Dec 2023: started feeling a bit better, then had a terrifying experience on THC (fully disassociated and thought I was dying multiple times), quit again.
Mid Dec 2023: started talking combination birth control for PCOS as per gyno’s recommendation.
Late Dec 2023: started getting weird muscle weakness in both left hand and foot, went away in around three weeks. Also felt chest pain a few times and ended up in the ER for it, where I got my heart tested. Fatigue was pretty bad this whole time.
Jan-Feb 2024: muscle weakness mostly gone, fatigue slowly improving throughout these months, still dealing with some brain fog. Resumed weed use which was probably a bad idea.
March-May 2024: Quit weed for good. Switched to new progestin-only birth control because the combination one was giving me high BP. Started getting all this weird neuropathy and joint pain all over the place, for a few days it was super bad in my left/hand wrist and since then it’s been mostly in that area. Makes me wonder whether I have carpal tunnel or some nerve compression problem - it’s pretty painful. Sometimes shows up in left foot but not that bad there. Still have some derealization and brain fog that shows up for a few hours a day - it’s weird. Fatigue and back pain still present. Symptoms come and go in ways though - I have both good and bad days. I’d like to think I’m improving overall, but days like today make me not so sure of that.
Medical history: - had spinal fusion surgery for scoliosis in thoracic spine when I was 15 - have PCOS - no family history of any autoimmune or neurological conditions except for grandmother with MS. Got genetic testing for 150 ish conditions and every single one was negative
Medications/drugs: - take 2,000 IU of vitamin D3 every day - started birth control in December (right before the neuropathy started - wonder if they might be related?) - chronic daily THC abuse for ~14 months right before all this started, been sober for several months now (possibly related?)
Tests I’ve already had: - brain MRI in Feb 2023 and March 2024 - both showed one/possibly two unchanged nonspecific T2 hyperintensities that the MS specialist said were benign - cervical spine MRI - 100% clear - neurological exams (multiple) - 100% normal - full abdominal and pelvic ultrasound - clear except for benign liver finding that doctor is not concerned about - chest x-ray - 100% clear - two EKGs - normal - thoracic spine x-ray - clear, showed that screws from surgery are in proper place - stool test - normal - urine test - normal - pap smear - atypical cells of undetermined significance, HPV negative - doctor said not to worry about it/continue screening every three years - lyme disease test - initial screening came back positive but confirmation tests were negative so doctors concluded it wasn’t lyme - B12 test - 526 (normal) - A1C - 4.8 (normal) - Rheumatoid factor - normal - C-reactive protein - normal/on lower side - ESR - normal/on lower side - SPEP panel with immunofixation - all normal - Jo-1 antibody - negative - CBC and complete metabolic panel - all normal - hepatic panel - normal - Methylmalonic acid - normal - TSH with reflex - normal - troponin - normal - PT-INR - normal - magnesium - normal - lipase - normal - serum protein electrophoresis - normal - mono (multiple times) - negative - reproductive hormones - elevated androgens (hence the PCOS diagnosis)

I just finished taking my COMPTIA A+ 1101 exam. (717/675)
First I’d like to say that I truly believe that anyone that is trying to get certified in A+ should start with 1102. 1102 covers a lot of details in the vocab that you’ll hear in 1101.
Here’s what I did to pass 1101: Mike Meyers’s TOTAL course. It’s about 15h long, but keeps you engaged the entire time. His material is for someone like me— I usually have to repeatedly go back to re-listen because my attention span is horrendous. He uses lots of visuals. (For people that like more detailed straight forward information, I advise going to Dion Training) Then I went over my notes, and marked things I was having trouble understanding and went to Dion Training on Udemy, and Prof Messer on YouTube to clarify whatever I was having troubles with. Took the CertMaster practice exam 3 times, until I scored an 85% or higher, then went to Dion training’s practice exam and took that once. (93%)
I CANNOT TELL YOU ENOUGH. Go on YouTube and watch Informatik Lab Simulation questions and DeanCypher’s Simulation questions. You will most likely run into one or more of the EXACT same PBQ’s on the exam. 90% of my PBQ’s were based on labeling motherboards, and configuring gaming computers—not many troubleshooting.
Also, know your printers and your cables. I had about 20 questions regarding them.
Now I go on vacation. Bye guys

Hey Westerners🫡
I was wondering if anyone has taken a class with Georgianne Connell but specifically if they had accommodations with the DAC!
I’m currently in a lab science class where my prof doesn’t understand that I have a memory aid accommodation… and very desperately need my memory aid to be open note quizzes and exams to be even remotely successful.
To give you some insight, I have dyslexia and dyscalculia, and a VERY poor working memory. I was diagnosed when I was 8, and I’ve been fighting my way all years of my school life. Having to recall a formula or something might be easy or a medium level challenge for the individual sitting next to me in class, but it’s a very difficult challenge for me (hence needing open note exams). Without notes, I am no where near the same level as my peers around me, which is a really shitty feeling.
I’ve had profs and instructors before who’s class is already open note, or they allow it to be open note for me, and I wish I could all thank them enough. They are angles.
This quarter has been a rough one for me as I went to the DAC to talk to them about it, and they ultimately said it’s up to the instructor. Which I completely get, but it’s just incredibly frustrating for a person in my circumstance. I felt not heard, and feeling very discouraged for future lab classes (which I plan on taking a lot of…)
My ultimate reason for this post was to ask anyone who has accommodations through the DAC, and their experience with Georgianne in that regard!
Thanks for reading and possibly responding to this long post if you stuck around💛

Hello, I will preface that I am coming on here to both vent, ask for some advice, and ask some questions. I have fractured 10 bones while in the military (in my first contract), 8 were in my foot from sort of a freak accident(service related) , and 2 were in my tibia's from over use and ignoring shin splints. I have been dealing with chronic pain due to my injuries since 2022 and have sort of avoided being seen because of how I was treated initially when I got injured (they ignored it and thought I was faking it to get out of PT)
Recently I have been getting seen at physical therapy, 2 times a week for the past few months getting all my documentation and being as honest with them as possible about my pain progression. I feel like I haven't gotten better and some days it is worse then when I started, I have a constant limp, and every day it hurts to walk (just enough to be annoying but also exhausting after having it for so long without answers because all I hear is "you should be healed")
I am also in my window for the BDD, VA process where they try to get you a rating before you get off of active duty (Aug 2024). I have been uploading all my clinical documents as I get them and I am currently in the evidence gathering stage. Today I was supposed to have a follow up discussing a P2 profile because running agitates my lower body and makes my calves swell up and compromises the circulation. However, when they did a comparison between my initial exam and the follow up exam they noted improvement in soft tissue growth and mobility in my ankle, slight but still present.
Once this was noted, all claims about my bone pain were ignored. I explained that I am still in pain and that it hasn't changed and it still hurts just the same as my first visit. She was convinced it was what is called "nociplastic pain" basically your body telling your brain that it is hurt when it is not. I am sure this should've been welcomed news but she kept describing it as pseudo pain and saying it'll go away on it's own. Which after 2 years I am not as convinced it will go away on it's own. I was surprised when I broke down in tears because I just wanted answers to why I am still in pain and how to treat it and not just that there isn't anything wrong.
She documented this "nociplastic pain" and that I was displaying "significant fear-avoidance behavior" when I displayed my concern for putting me on the walk to run program again after I was injured running both times and been on the walk to run program multiple times (that I was unable to complete due to the intolerance in my legs)
I guess time for the questions after the vent session, Will her documenting "nociplastic pain" and "significant fear-avoidance behavior" possibly affect my VA process? All my fractures are well documented, I have uploaded 100+ clinical notes. But I am worried they will say my pain is fake too because of her documentation. I get a bone scan tomorrow to see if that will explain some of it, I also see my PCM to talk about pain management, and I guess back to PT 2 times a week to see if I can tolerate walk to run again.
Thank you, I came on here because who else knows about the army saying "you are fine " then a couple of veterans?

1. Read the question first then use case if needed.
   
2. Always check the allergies
   
3. If female, always check pregnancy status if asked to start or change therapy
   
4. For drugs that affect electrolyte levels such as diuretics, ACEi and ARBs always check the lab values. I recommend checking electrolyte levels for all cardiac drugs
   
5. Always look if the clinical lab value is given before going ahead and calculating it.
   
6. To answer SATA questions, go through each option (starting from A then B, then C etc, in that order) and determine if it is T or F. If in the end you have 2 or 4 that is true to what is asked, then go with that. This prevents you from spending too much time on those questions.
   
7. The HIGHLIGHT feature is your best friend, practicing using it before you go into the exam. You can highlight both things in the cases and the question.
   
8. Process of elimination is very helpful when you must make an educated guess. The strikethrough feature helps with that.
   
9. Always re-read the question before clicking next, this important for all questions, but most relevant for calculations.
   
10. Plan out your exam, have an idea of where you want to be in 30- or 60-minutes blocks, that way you are not rushing.
    
11. Work calculations twice! If you happen to know two ways to work a question, use both to check if you get the same answer.
    
12. In the actual exam take your assigned breaks, it does not affect the total time you get to take the exam, and it really helps to just walk away for 10 minutes to clear your head.
    

Guilt can eat you alive, I can say I experienced it first hand.
When people think of cannibalism, notorious serial killers like Jeffery Dahmer, Ted Bundy will pop into anyone's head
Though there is another type of cannibalism that is far less comprehensible then just regular, and that is auto cannibalism. Eating oneself.
Its even been labeled as a disorder called autophagia, usually co-morbid with things such as schizophrenia, psychosis, the types of things that will put you strapped to a bed basically.
I have autophagia, but I'm not crazy? I work, I go to school, I have friends, I have a life.
Sure I may have a little bit of darker thoughts then some people but that can be hidden
Until I decided to take action on it.
First it started with scabs, disgusting, I know. Eating scabs is something you wouldn’t normally see but it's just like someone biting their nails or chewing their coffin nails. It wasn't a bad thing, even if the taste was bad.
Food fills your senses, you can feel it on the flavor coating your tongue till it goes down your throat. Scabs on the other hand are grainy and have somewhat an iron kind of taste. It could go from feeling liquid pus to dried blood at times to. I accepted these tastes, I don't know why. I don't know. Then a stench, a stench you can taste, it's as if eating a band-aid that you have had on for the weekend was shoved down your throat.
I know it was disgusting
I felt disgusting
And somehow it just made me keep doing it
After a while of this I needed something more, I needed more tastes.
What is beneath the pale skin that I see, how white is a bone, what will muscle tissue look like before a wound clots with blood. What did all of these things taste like inside of me. I could go on about the details I was so morbidly curious about my body.
But I am not fucking crazy.
I can't be, I still function, I can see, I can work, I can eat. I can do everything a person can do, it's like living a double life of just someone I truly wanted to be and it was a curious person to explore, needed to explore what lied beneath me.
I started cutting myself, first it started with tiny, open wounds that showed a white sheet beneath. It was intriguing. I would pry at my cuts, open them with my fingers as wide as I could, try and peer at what was inside of me.
Eventually I got to see though.
Now, before I go into to much detail about this I did at this point show some kind of… off-ness my friends realized. I would get band-aids more often, not caring to answer my friends questions on why I was. I started to take energy pills because I was always cutting I got tired, so quickly. I stayed awake to cut, I maybe got two hours of sleep those days.
My family told me during this time of my life, there was nothing behind my eyes. It was was just dark, there was no flickering interest of anything. I would avoid there eyes but when they caught a glimpse it was as if they were struck with the fear that I wasn't human anymore because of my lack of life.
I had an obsession at this point.

I'm a third year in college now and I study Biology with the intension of going to medical school here in the States. Everyone knows how important it is to get high grades in order to make it easier on yourself to get into a medical school but honestly I don't feel like I am cut out for it anymore. I study for a long time and I feel like I'm barely comprehending what I am reading. After taking an exam and discussing it with my friends I somewhat always end up missing certain points because of my forgetfulness. It's like all the information that I have been studying for the past 3 days to prepare for the exams just evaporate while I am taking the exam and no I don't have testing anxiety. I really hate it and I feel so stupid. I'm also in a research lab and my lab manager that has been training me kept on asking me if I will eat lunch during break so I mentioned that I'm taking adderall and so I don't have an appetite for eating lunch, she told me "oh that makes sense so you have ADHD?, is this why you seem like you don't understand my instructions?" when she said that I got really upset because even if I am focused on what people are saying I always end up forgetting what they said immediately. I am tired of ADHD ruining me as a student, I just want to able to understand and remember what I am reading/studying and what people are telling me, I am starting to hate myself I wish I was a normal person :(

I would like advice on where to start as far as seeking treatment goes as I have no insurance, little money and will have to pay in cash for any diagnosis or labs.
I am a mid 40's male, overweight with no insurance, doctor ect. I have worn glasses since I was a kid and I have a severe astigmatism in one eye.
For 5 days now I have noticed my vision seems to progressively getting worse.
Day 1 I looked at the clock on the stove 25' away and it was blurry. I normally read it clearly with my glasses on. I thought it was just fatigue no big deal got some rest woke up the next day no change. Now everyday since it seems to get blurrier and now today The text on my TV 8' away is appearing blurry as well. When I take my glasses off it's blurrier than I ever remember it being without my glasses.
I have a family history of diabetes (Father type 1) (Grandmother type 2)
I have noticed more frequent trips to the bathroom during the night the past few weeks and maybe even a little more thirst. I know blurry vision can be associated with diabetes and my mom always told me to watch out for frequent urination or intense thirst since I was little. So my first thought is this is what I should be tested for. I have also read that blurry vision can be caused by a host of other things. So basically what I'm looking for is some advice on where do I start? Taking into consideration the first part of my post about little money and no insurance.
Do I make an appointment with the eye doctor and get my vision checked and see if when they do an exam they can shed more light on what might be causing it?
Do I make a minute clinic or cvs appt for a diabetes check with a glucose check and the A1C blood test?
Do use an online labs company to order some blood work in various categories that's drawn at a local clinic?
These are the things I have come up with. I know I could make an appointment at a local clinic as a walk in and pay cash I am just worried that would be the most expensive route with testing, blood work and racking up a bill I can't afford.
Thank you for taking the time to read my post and hopefully comment. I hope it's not too vague or all over the place. I wish I had insurance and could just make an appointment and do whatever things they said with insurance paying for it but I don't have that ability right now. So I'm asking for your help because the vision stuff really scares me.
I wish I wasn't so gun shy about the costs associated with seeing a doctor but last year I got altitude sickness when I was in Colorado and had trouble breathing so I went to the hospital and it cost me $6,000 " I'm still paying for" just to check me out for a few hours and run a few labs and do an EKG.
Thanks for reading my post. Any recommendations are greatly appreciated!

Background
Demographic: White, male, age 30, 5' 5", 175 +/- 5lbs.
Lifestyle: Active (workout 3-4x per week), Desk/Physical work split of 90/10%.
Complaint: Abdominal injury and pain (1 year and 8 months since injury), presently inconsistent pains levels between 3-5/10 and consistent lingering discomfort (1-2/10).
Medication: No consistent medications, no allergies.
Drug use: alcohol (1-3x per month), non-smoker.
History of the Injury
Late August of 2022, I hurt myself doing a kip on horizontal bar outdoors. Right after raising my feet to the bar and kicking my legs out I felt a sharp pain in my abdomen. (I've done this and similar moves many times before through my 20s, while exercising)
Bar kip example: https://www.youtube.com/watch?v=YRPFWdelsDY
I couldn't stop slouching and crunching my abdomen. Stretching backwards and straightening my posture was very discomforting. The severe pain subsided in a day but in the following months I couldn't stretch my stomach and had to sleep on my back with pillows under my knees to keep a flexed/crunched posture. Sleeping on the side was discomforting, because the stomach would hang to the side, bringing up the pain.
In 3 months, I felt better. However, there were always some flare-ups of pain.
Pain Description: The pain always feels along "horizontal lines", on 1-3 locations at a time, around the belly button level, below, or above it, with varying intensity of pain. Through my personal touch/observation, these horizontal lines of pain are always along tendinous inscriptions of the ab structures. Sometimes I feel lower 1 or two lines in pain. Other times it’s one of the upper line(s).
Tendinous inscriptions image: https://test.usabcd.org/courses/lk-native-ld2-basic-ugra/lessons/lknative-rectus-sheath-block/topic/3-anatomy-the-rectus-abdominis-muscle/
Causes of Pain from Movement: Pain flare-ups happen when moving heavy objects rapidly (without prior prep), pulling something heavy from ground, rapidly stretching the abdominal area, or a day after the occasional exercise. Jumping and landing on ground from 1 ft. or above can make me brace my abdomen, leading to some pain as well. Twisting my torso side to side could also make pain worse, stretching one side of the abdomen, especially if twisting in my full range. Slight turns are okay.
Causes of Pain from Food: Flare-ups also happen immediately after eating specific foods, like sunflower seeds, nutty bars, and when a bit bloated from eating. Trigger of this pain doesn't need to be a substantial amount of food either. Sometimes just a bite or two gets the sensation going.
Pain Relief: Often immediately after having bowel movement there is some pain relief. If pain is not too intense, and more of a discomfort, bowel movement can sometimes end the discomfort
Medical History and Pain Progress Timeline

• September 2022, within a week of the injury, ruled out hernia at a clinic.
  
• 3+ months of slow pain relief, with flare ups. Mostly sedentary life and very little physical activity.
  
• Late December 2022 through early February 2023: Doctors visit, abdominal ultrasound, and physical exam. No specific conclusions on either physical injury or gastric issues. No diagnosis.
  
• February to June 2023:
  

Slow increase in physical activity and exercise. Some running. With a good warm up, stretching the abdominal area isn't too painful (though I did not stretch the area at this time)
Rare ab exercises can feel discomforting, and some pain returns the day after.
Jumping high or landing from high jumps/drops can bring about the pain or worsen it.
Bloated stomach, or consumption of some foods (as mentioned above) can feel discomforting or even painful along 1 or more " horizontal lines". Bowel movement often relieves discomfort and even pain.

• July 1st, 2023, MRI of abdomen. No diagnosis or findings. Quote from the report: "IMPRESSION: Normal noncontrast MRI of the abdomen. There is no abnormality to explain the patient's pain."
  
• August 2023, start of physical therapy. Therapist's hypothesis - myofascial layer causes pain. Prescribed exercises to do at home with light stretch and some balance/strengthening of abdomen.
  
• August 2023, start of journaling of my pain in 1-10 scale on daily basis, as I do the PT.
  
• September 26, 2023, endoscopy was done, no notable results. Results were normal
  
• August 2023 - March 2024, pain fluctuates with steady 2/10 (pain discomfort) with multiple flare ups of pain, one reaching up to 5/10 and lasting and others staying at 3/10 or higher for 2-3 days in a row.
  
• April 2024, colonoscopy revealed no remarkable results. 1 week post colonoscopy pain levels increased to an all time high or close to it (5-6/10). Mostly pain along tendinous intersections, in 3 locations, with some lower right and left abdomen pains, burning sensation around or above bladder, and other discomforts. No issues with bowel movements or peeing.
  

Post colonoscopy I did not return to physical activities and PT as the pain lingers on and is too consistent and limiting to do much in terms of consistent exercise.
Self-medication: On a few occasions, I tried to apply heat or cold, which didn’t help with pain much. But the cold helped numb things down. Heat helped to warm the abdomen and make some movements easier for a short time.
Rare/inconsistent instances of ibuprofen use (around 400-600 mg). Can't remember how effective pain relief is.
Massage/poking: Generally, I do it when I feel pain or discomfort along the horizontal lines. Massage, poking, deep massage does NOT reduce the pain for me. Sometimes even makes me feel the pain more. But mentally feels good to do and feel out where I feel it.
Present day condition (May 2024)
Some pain flare-ups with physical activities, infrequent feeling of discomfort after food (for both, often relieved through bowel movement).
Concern: While pain level has overall gone down since 1.5 years ago, I am not certain what I should and should not do, given there is no diagnosis or clear understanding of cause of pain. The occasional pain increases made me curious if someone had an experience with pain like this. Doctor's appointment all have lead to little to no improvement.
Additionally, I sense a lot of dismissiveness in all the doctors and specialist for this entire timeline described above, where with no results to show on diagnostic tests, I am sent home to "rest" without any hypothesis or brainstorming, and telling me "come back if pain gets worse". It gets worse and I run another round of catching doctors for, what feels like, waste of time with more tests, same questions and same story being told over and over to each new referred specialist I see.
Note: I asked the doctors on multiple occasions to review the MRI images or query a radiologist to do so as there are 100s of frames. I genuinely don't believe that initial look at it was done properly, with only 1 page report showing "unremarkable" for all metrics they looked at. I don't sense that my pain patterns (which I described extensively to every doctor and the radiologist) were accounted for when looking through any of the tests done.
Thanks in advance for any feedback!!!
[Previously posted on with no luck so far.]

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1. Digestive Process: After eating, the body directs blood flow to the digestive system to break down and absorb nutrients from the meal.
   • Time for Digestion: It takes time for the stomach to empty its contents and for the digestive process to progress.
   • Avoid Discomfort: Exercising too soon after eating can lead to discomfort, bloating, cramping, and nausea as the body attempts to digest food while simultaneously engaging in physical activity.
2. Blood Flow Redistribution: During exercise, blood is redirected away from the digestive system to the muscles and other active tissues.
   • Impaired Digestion: Exercising immediately after a meal may impair digestion and nutrient absorption due to reduced blood flow to the stomach and intestines.
   • Potential for Discomfort: This can result in feelings of fullness, indigestion, and gastrointestinal distress.
3. Energy Levels: Waiting 1-2 hours after a meal allows time for the body to convert food into usable energy.
   • Optimal Performance: Starting a workout with adequate energy reserves enhances performance and prevents premature fatigue.
   • Balanced Blood Sugar: Waiting allows blood sugar levels to stabilize, preventing fluctuations that can impact energy levels and endurance during exercise.

Conclusion
In summary, it's generally best to wait 1-2 hours after a meal before beginning a workout. This allows for adequate digestion, optimal blood flow, and stable energy levels, minimizing the risk of discomfort and maximizing performance during exercise. However, individual tolerance may vary, so it's essential to listen to your body and adjust timing based on personal preferences and digestive sensitivity.

I work for a 3-brand dealership. Only Honda tech when I started in parts two years ago was a notoriously mean oldhead. But we got along. So when I decided I wanted to work in the shop, I told the boss I could handle said tech. So 6 months later here I am.
I haven't really been getting mentored. I only ask him when I'm super stuck or want confirmation on something. My dealership has no friggin clue how Honda works and we seem to get a new clueless rep every few months.
Asking my service manager, general manager, rep, and IST contact had given me NO information.
I know it's more like a college lab with a practical exam than a rubber-stamp class. But that is all I know.
I have received only vauge (Just do your self-studies. You'll be starting with elpectrical repair basic) answers when I ask WHICH training center modules I will be taking so I should be totally prepared for. When I ask specifically if I have been exempted from the 2-years experience requirement I get no answer at all. (Although I have worked at the dealership for two years so maybe bossman smoothed it over)
Is there more I should know? Is there a point of contact at the training center (I will be going to Portland next week to train there) I can get ACTUAL clarity from? Who decided which modules I am doing??? What is an average rate of module completion per number of days at IST?
I've re-studied all the electrical and it's easy stuff. But will my next modules be the rest of basic or will it be harder electrical? Will anyone ever hand me this mythical roadmap that is nowhere on my IN pages so I know what to study when it's actually tough??

I did this hygiene exam on a patient 3 months ago and I forgot to write the clinical note. Patient later went to OS and they discovered a lesion on their soft tissue. The OS office called me to inform me of the finding and I realized that there is no documentation that I did an Oral cancer screening on that day. I wrote the note today on their chart but I wonder if this would be make me liable or no. I always do an oral cancer screening and I see up to 10-15 hygiene checks every day so it was an honest mistake that I missed that note

Hey guys, hoping you can help out a struggling soul here. I'm currently 30 years old and have spent most of my adult life hopping between jobs and working paycheck to paycheck. I did a few years of community college out of high school but bounced between three different majors before running out of steam and money and just dropping school entirely.
Recently I was able to pass the CompTIA A+ exam in what is hopefully my first step into finally starting a career in IT. Two of the three majors in college were IT related but like mentioned earlier, it didn't pan out back then. I'm really just looking for anything I can get at this point just to get my foot in the door, but I'm really struggling on how to re-write my resume to adapt to this.
Most of my previous work has been customer service related and my resume probably looks really sketchy. I worked two and a half years of retail straight out of high school, left there to work in a hotel for about 7-8 months, then went back and did another 2 years in retail before jumping back into the hotel biz for another year and a half. After that I did two different hospital jobs in the culinary department, then about 6 months as a bank teller before Covid shut us down. After that I did a little over a year as an admin assistant at a phlebotomy lab, then ended up leaving there and did some gig work for a few months on my own before getting my current job. I've been working in a scheduling department for a home health care agency for almost two and a half years now.
So yeah, a lot of not so pretty stuff to put on a resume. I'm trying to right the ship but I'm not sure how much to list and what to omit to encourage someone out there to give me a chance. Any advice at all?

Hello, sorry for the long post but my family recently had our kitty put to sleep due to end stage kidney disease and I just had some questions regarding what was happening and some other concerns. *Species: cat* Age: likely 16* Sex/Neuter status: F/spayed* Breed: shorthair* Body weight: <4 lb* History: bad teeth, allergic to fleas, heart murmur* Clinical signs: see below* Duration: worsened over 2 months* Your general location: USA East Coast
So this little girl had never been the in the greatest health; at her healthiest she weighed a little more than 5 lb, she had lost many teeth due to her body reabsorbing the calcium(?) and had many dental issues that we could not fix because she couldn't be put under anesthetic to clean them to due the risks involved, as she had a heart murmur. We often had trouble getting her to eat, so we would take her to the vet and they would give her antibiotics for her mouth (either infections in her teeth or her one remaining canine jabbing into her mouth and getting the tissue infected), and she would start eating again. We had to go to a new vet (first one closed due to lack of vets) during one of her spells and they did blood work and determined she had kidney disease (I cannot remember if they told us what stage, but they did mention it might be not reliable to stage due to her not having eaten). We tried to switch her to kidney food but she would only eat it if it was mixed with her regular food; we were hoping to gradually increase the amount of kidney food but she was real picky about it.
Two months later she has another spell of not eating and we had notice some behavior changes during that time (drinking a LOT of water, a bit wobbly on her feet, standing strange when was eating, despite not eating she acted very chipper and kitten-like, following us around, cuddling). They did blood work again and determined she was in either stage 3 or 4 kidney disease and gave us some anti-nausea medicine and appetite simulant to get her eating again. It seemed to help for a few days and then she went rapidly downhill; crying out in pain despite never making noise before (she couldn't meow), very clear wobbling and stance changes, she was obviously in pain and went from looking skinny to having virtually no muscle at all. We schedule a "quality of life assessment" with the new vet, but we all knew it's going to end in euthanasia.
She spent her last day mostly sleeping on either a heating pad or my chest, as her lack of fat led to her being very cold. Her last meal was a couple licks of tuna the day before the appointment (something was better than nothing right? and we couldn't get her to eat anything else). The vet had us give her very tiny amounts of gabapentin to relieve any pain she was in. Her last few hours she was barely conscious, but she did indicate to me once that she wanted to get up, so I put her down and she pulled herself to the kitchen (she was "standing" but not really lifting her legs to walk, you could hear her back claws scraping against the hardwood) and had a drink of water. She then moved herself to the living room and peed in the litterbox, She went back to being mostly unresponsive, though she perked up a bit in the car on the way to the vet. The vet told us it was best to let her go, so we did.
I don't regret letting her go, I know these kinds of subs always say better one week early than one minute late. But I do have some questions about what was happening that I want answered so I can do better in the future; so here's my questions:
1) a lot of what I've read says that cats will act in certain ways at end of life. She clearly was exhibiting some, but her trying to drink and her successfully peeing that morning make me question whether her body was truly shutting down the way we were thinking?
2) if she had been in better health (ie no heart murmur or brought her to the vet a few days sooner), would the vet have been able to do anything? I know kidney disease isn't reversible but some things I've read talk about cats with kidney disease crashing, and then being treated at the vet and being able to bounce back somewhat. I don't quite understand how this works so if someone could explain it to me I'd be grateful
3) Is there anything at all we could have done in regards to her teeth? Her first vet couldn't do anything like a cleaning because of the heart murmur, we briefly tried to brush her teeth but it seemed to hurt her so we eventually gave up, and by the time we went to the second vet things were definitely too bad to try anything like removing her teeth
Thanks for reading <3

Do you guys ever feel like your lymph nodes are being attacked? It feels like my muscles, nerves and bones are weakening rapidly. I’m experience neurological and kidney stuff stuff too. I can’t tell where this is coming from. I’m diagnosed sjorgens b. (Never had a lip biopsy), Epstein Barr, Raynauds, mixed connective tissue diease, positive ANA, few bands on a Lyme test, endometriosis, pelvic congestion syndrome, degenerative disc disease, I feel like I’m missing the bigger picture here. Seems like last 6-months though my health has taken a drastic nosedive. I just got a hysterectomy 5 week ago and already have a cyst. My kidney blood work comes back okay but it looks there’s dilation in the veins and blockage in my ureters, I’ve had stones and am peeing blood, lots of flank pain.. my CT scans are saying hydronephrosis. And now it looks like my liver is swollen. My primary care doctor told me I belong in a research facility. Because this isn’t typical for a 31 year old. I’m sure there are others out there like me though. I’m hoping someone can give me some insight. Forever grateful for this group 💕

Hi, I am a long time member of the Reddit community, active almost daily for years. On Sunday May 12th, my beloved princess Valentine suddenly started breathing weirdly. I got her into a vet as soon as I could, and she was diagnosed with heart failure. We were at the office for 5 hours, between the exam, x-rays, lab work, and waiting for the Echocardiogram Doctor to come, and I admit I was utterly in a daze. Have you ever felt drunk, even though you know for a fact you are absolutely 100% sober? That was me, the whole time. Honestly, 24 hours later, I’m still not clear. One thing I am clear about, though, is the fact that I cannot afford this level of care for my sweet baby. Just a week ago she was skipping happily on a walk with me, so I do think that with assistance from anyone who loves animals as much as I do, she can do really well on her medication.
I included a bunch of photos, of Valentine when I found her at a high kill shelter named Devore 12 years ago, Vali a week ago, and her yesterday at the vet’s. There are other photos to prove my bill and her meds.
I am asking humbly if you could, to donate any amount, to help me keep my beautiful Phalene (floppy eared Papillion) alive. Thank you. 🙏🏻
Here is the link:
https://gofund.me/27f40814

It feels like my muscles, nerves and bones are weakening rapidly. I’m experience neurological and kidney stuff stuff too. I can’t tell where this is coming from. I’m diagnosed sjorgens b. (Never had a lip biopsy), Epstein Barr, Raynauds, mixed connective tissue diease, positive ANA, few bands on a Lyme test, endometriosis, pelvic congestion syndrome, degenerative disc disease, I feel like I’m missing the bigger picture here. Seems like last 6-months though my health has taken a drastic nosedive. I just got a hysterectomy 5 week ago and already have a cyst. My kidney blood work comes back okay but it looks there’s dilation in the veins and blockage in my ureters, I’ve had stones and am peeing blood, lots of flank pain.. my CT scans are saying hydronephrosis. And now it looks like my liver is swollen. My primary care doctor told me I belong in a research facility. Because this isn’t typical for a 31 year old. I’m sure there are others out there like me though. I’m hoping someone can give me some insight.

22F. Seeing another neurologist and getting an EMG in three weeks but would like to get other people’s opinions - my PCP has no idea what’s going on with me. What am I missing/where do I go from here?
Current symptoms: - perceived weakness and neuropathy in left hand/wrist (feels like a weird burning/tingling sensation, sometimes triggered by the cold but present a majority of the time) - this is by far my worst symptom - occasional tingling sensations in other extremities, but never as frequent as left hand - bad upper back pain (comes and goes, gets worse with certain positions and never in one specific area) - derealization/brain fog (feels like I’m out of it/in a different universe, also hard to describe) - occasional chills/shivering - fatigue (sort of comes and goes in waves)
Timeline of my symptoms:
Feb 2023: fell twice while drunk (don’t have balance issues), woke up a two days later with terrible back spasms. A few days after that I noticed weird tingling sensations in my hands and feet and freaked out, also generally not feeling well/having a lot of fatigue. Freaked out about having MS - doctor did brain MRI and told me to chill out, symptoms went away.
Sept 2023: started experiencing chronic fatigue and derealization, chalked it up to weed withdrawals (I was cutting back at the time).
Oct 2023: got Covid - brain fog and fatigue got a lot worse.
Late Oct 2023: started having weird stomach issues - constant bloating and random sharp pains in lower abdomen. Got some tests done, this went away in around a month.
Early Nov 2023: started getting vaginal pain/constant burning sensation. Got more tests done, also went away in around a month.
Dec 2023: started feeling a bit better, then had a terrifying experience on THC (fully disassociated and thought I was dying multiple times), quit for good.
Mid Dec 2023: started talking birth control for PCOS as per gyno’s recommendation.
Late Dec 2023: started getting weird muscle weakness in both left hand and foot, went away in around three weeks. Also felt chest pain a few times and ended up in the ER for it, where I got my heart tested. Fatigue was pretty bad this whole time.
Jan-Feb 2024: muscle weakness mostly gone, fatigue slowly improving throughout these months, still dealing with some brain fog. Resumed weed use which was probably a bad idea.
March-May 2024: Quit weed for good. Switched to new progestin-only birth control because the combination one was giving me high BP. Started getting all this weird neuropathy and joint pain all over the place, for a few days it was super bad in my left/hand wrist and since then it’s been mostly in that area. Makes me wonder whether I have carpal tunnel or some nerve compression problem - it’s pretty painful. Sometimes shows up in left foot but not that bad there. Still have some derealization and brain fog that shows up for a few hours a day - it’s weird. Fatigue and back pain still present. Symptoms come and go in ways though - I have both good and bad days. I’d like to think I’m improving overall, but days like today make me not so sure of that.
Medical history: - had spinal fusion surgery for scoliosis in thoracic spine when I was 15 - PCOS - no family history of any autoimmune or neurological conditions except for grandmother with MS
Medications/drugs: - take 2,000 IU of vitamin D3 every day - started birth control in December (right before the neuropathy started - wonder if they might be related?) - chronic daily THC abuse for ~14 months right before all this started, been sober for several months now (possibly related?)
Tests I’ve already had: - brain MRI in Feb 2023 and March 2024 - both showed unchanged one/possibly two nonspecific T2 hyperintensities that the MS specialist said were benign - cervical spine MRI - 100% clear - neurological exams (multiple) - 100% normal - full abdominal and pelvic ultrasound - clear except for benign liver finding that doctor is not concerned about - chest x-ray - 100% clear - two EKGs - normal - thoracic spine x-ray - clear, showed that screws from surgery are in proper place - stool test - normal - urine test - normal - pap smear - atypical cells of undetermined significance, HPV negative - doctor said not to worry about it/continue screening every three years - lyme disease test - initial screening came back positive but confirmation tests were negative so doctors concluded it wasn’t lyme - B12 test - 526 (normal) - A1C - 4.8 (normal) - Rheumatoid factor - normal - C-reactive protein - normal/on lower side - ESR - normal/on lower side - SPEP panel with immunofixation - all normal - Jo-1 antibody - normal - CBC and complete metabolic panel - all normal - hepatic panel - normal - Methylmalonic acid - normal - TSH with reflex - normal - troponin - normal - PT-INR - normal - magnesium - normal - lipase - normal - serum protein electrophoresis - normal - mono (multiple times) - negative - reproductive hormones - elevated androgens (hence the PCOS diagnosis)

Long read, sorry. Hi! I’ve been following this sub for a bit trying to help myself. Mid March I woke in the middle of the night with severe shaking. After a while it passed and I called that following Monday to make an appointment with my doctor to talk about it. Because I mentioned a family history of seizures on the phone they wouldn’t see me but sent me to the ER. While there getting checked out, I was hooked up to the EKG machine and had heart palpitations. They went up to 177 and they treated me with Ativan and basically told me I was just having anxiety. So I followed up with my doctor and was prescribed anxiety meds. They made things so much worse and didn’t help the heart palpitations I was having. I quit taking them after a week. During this time I was starting a new class at the gym. I had a really intense workout and I felt like I pulled a muscle in my shoulder. I went home and was fine the rest of the evening. The next morning I woke with SEVERE heartburn and back pain super intense. I tried treating with what I had on hand, antacids and just relaxing. It kept persisting. A week goes by and I cannot keep up with the back pain, it’s super painful and I go to the ER again. They basically just reiterate it’s a pulled muscle. I leave and again try to treat it with relaxing, some Tylenol and ibuprofen when I can. Another week goes by and same thing. It’s getting worse and at this point I’ve maxed at (honestly over max) 1200mg of ibuprofen and I cannot sit up it hurts so bad. I go back to ER and they do some blood work and xray. Bloodwork comes back and they say everything looks fine but I have slightly elevated levels in a few things, one of them being the blood clotting factor. They say I may have a blood clot, they can do CT scans to see if I do. I agree because why would I want to go home scared?? They do it and see ground glass in my lungs and swollen lymph nodes (note: I did have a pretty severe cold in January, but nothing else since). They sent me home with a diagnosis of atypical pneumonia and gave me 10 days worth of antibiotics. I take the antibiotics faithfully and am actually feeling significantly better. 2 days after coming off the antibiotics I start with the back pain again. Severe enough to send me home from church early. I take the narcotics that has been prescribed to me at one of the various ER runs. I’m fine, mostly for a day or two, but don’t move far from my bed because everything hurts. But the pain ramps back up and I cannot function. I again go to the ER because eating hurts me, I was concerned I had severely damaged my spine at the gym and it was missed or something. I go and they basically make me feel like crap. Give me some muscle relaxers and send me away. I lost it and cried so hard in the hospital room they sent in a nurse to talk to me asking what I wanted them to do. I left and followed up with my doctor again. (It’s noted that I didn’t make doctor appointments in between because I kept getting better thinking I was finally over it, only for it to hit intensely with no notice). Doctor gave me a once over and said it’s probably just muscle still. She did hit a knot I had in my back muscles and just attributed everything to that. Another week goes by and it’s getting worse again. I call to schedule an appointment with the doctor and get told that Dr is not there anymore and get a new doctor I’ve never seen. (In the waiting for the appointment I actually stumble upon finding out about the symptoms of gallbladder issues). At the appointment, I’m feeling fine again with little to no problems or symptoms. I try to explain to the dr what’s going on and I ask about gall bladder. He does the exam on my stomach and because I didn’t have pain when he pressed he said it’s all heartburn and gave me heartburn meds. I’ve been on them for a few days now and it’s not really doing anything. The pain hasn’t been as intense after eating but it’s still there.
I’m tired of being told everything is anxiety, heartburn and muscle spasms. I don’t have an appointment scheduled yet for a follow-up but when I do I plan to demand an ultrasound. However I feel like I’m half just going to stick it out and wait until I am in so much pain I need an ambulance or until my husband gets home from military training next month.
Do I just try and follow a low fat fodmap diet and manage myself with the antacids too or continue to pursue with my doctor that it’s gallbladder. Oh and it turns out I have a family history of gallstones and gall bladder issues that I just learned about.

Hey yall! Its been exactly a year since my lap with endo biopsies. Wanted to know if anyone does anything for their belly button scar tissue? I feel like my muscles they cut through can get tense and painful and i always have a sharp pain below my belly button somewhere inside my tissue. I also have formed keloids where they cut over my belly button. Dont know if i should have started massaging my belly early on to prevent scar tissue…. Would love to hear what yall do!