I got my first IUD on Friday. I had never had a pap or examine (32 yr) and have always felt guilty about being behind on preventative health care. I have also exclusively used withdraw since I was 18. I have only been in long term relationships and when the birth control conversation inevitably came up in the beginning of each, I would bristle. It would follow the ceasing of condom use and come with the implication that we (I) should be more responsible about birth control. I resented the suggestion that I alone should be responsible for altering my body to accommodate a man's, even my partner's, pleasure because they would rather not wear condoms and don't want to pull out. The idea of bearing the full burden of responsibility by inserting a foreign object in my body, in my most intimate organ has always insensed me on a fundamental level. But in truth, I always felt guilty for depriving my partner. and when friends would rebuke my choices as reckless- I don't know how many times I've been told I must be infertile if I haven't become pregnant yet while not using birth control. So when I went for my first exam, I thought it might be wise to do the responsible thing that I've felt urged to do from all fronts.
I wasn't nervous. In fact I saw it as a challenge to overcome. I listened to the information given to me during the consultarion. I felt like I had enough of a grasp of what was going to happen. I was offered xanax and lidocaine, but it was implied that lidocaine could be just as painful. I don't feel I was discouraged necessarily, but I felt it was not being encouraged. I wish I would have taken both offers instead of just the ibuprofen.
I was told of the potential pain and range of variable experience, that some women have felt the pain of insertion worse than child birth. But everyone that knows me knows that I have a high pain tolerance. And so say many women I imagine. The doctor told me I might have a "whoosh" experience, which I understood to mean fainting. I still didn't feel much fear leading up to the procedure.
I was told how the procedure would go, the assessment, the speculum, the measuring and the insertion. I was surprised by the size of the model iuds, though I'm not sure what I was expecting. I thought I understood the sounding- I didn't. I had no idea about the tenaculum. Once the examine was rolling it seemed all previously mentioned anxiety and pain management were off the table unless I insisted they stop.
I was uncomfortable from the beginning and realized I was in for an unpleasant experience if I couldn't get myself to relax. The resident MD was being coached by the doctor. I heard them discussing the tilt of my uterus as she seemingly went rutting around for my cervix. Even the cotton swab was painful. They brought in a nurse to squeeze my hand and try to distract me with idle conversation. He was a literal angel and I wouldn't have been able even attempt to mask the agony without him there.
I knew it could be painful but I had no idea. I have only ever heard of the "pinch" and some menstrual like cramps. I had only ever heard from women that had had relatively uncomplicated insertions with moderate pain if any.
The insertion was the single most excruciating event of my life. It is still so surreal as my mind is already trying to protect me from the memory days later. I was close to screaming but tried hard to laugh through the agony out of embarrassment and not wanting to make the doctors feel bad. I wish I had blacked out but I was acutely aware of every sensation. At peak pain, I did something I would normally never do and said "This Really Hurts". I can't put into words how much but I know some reading this may understand.
It felt like it lasted ages but eventually it was over. I felt absolutely broken. I was able to sit up even though I was in severe pain and all I could feel was my wrecked cervical canal and the device inside of me. I was able to dress and have some juice that was brought to me. The angel nurse came and sat with me some more to make sure I was okay. I was not, there was no position I could sit or stand in for relief but I again tried to put on a brave face, for a moment.
I felt delirious trying to make conversation and I suddenly realized I was sweating profusely. I informed him I needed to get undressed again. He suggested I lay back down. Terrible, no. I put my head under the faucet. My pelvis was screaming. Standing was awful. I hobbled to the bathroom across the hall and immediately took my shirt off again, more water. I felt like I needed to shit and puke. The pain was getting worse and worse so I weakly crossed the hall again shirtless back to the bed. Now the staff were concerned and coming to assist me.
I spent the next HOUR in pain again, nearly as bad as the procedure. Charlie horse level cramps all over from the waste down, the worst of which concentrated in my cervix. Fever chills and aches like the worst food poisoning/stomach virus you've ever had. The muscles in my hips were screaming and moving was not an option. I had ice packs on my head and warm packs all around my waste. I wondered if my body was in full assault mode against a perceived foreign invader. I am pretty sure I was in shock. I was hypotensive the whole time while a new nurse monitored my vitals. I struggled to respond to any one verbally.
The doctor overseeing the insertion swung by, placed pressure on my lower stomach and asked if it hurt. Yes. You're not gushing blood though are you? No. I don't recall him saying much else before a left again. Later, when delivering my exit consultation he reminded me of the "whoosh" sensation he'd told me about and explained thats what I had just experienced for the last hour and that it was not uncommon.
I felt like I was nailed to that bed for hours pouring sweat and trying everything to avoid the pain in my entire body. Eventually I noticed my breaths were finally seeming to connect back to my heart rate. I started coming back to life and immediately asked the new nurse if she knew why male birth control options were not available in the US after decades. She flatly responded, the patriarchy. I told her I had used tracking and withdraw for the past 14 years and I wasn't sure what I had just done to my body was necessary. She agreed, tracking could be a viable planning option she said. I still hadn't shed a tear during this ordeal.
Tears were to come and to come repeatedly in the following days, every time I remember anything about what happened. I was depleted and deeply depressed. I feel hurt and violated and alone. I'm not mad at any one in particular. I mad on the whole that we are made to feel we have an obligation to bravely endure Why?
The pain largely subsided after the worst of it but I could, and still can, feel the IUD inside me. I hope that awareness goes away and I can eventually forget it's there and what I went through for it. I was starting to feel better today until I got my medical report in my email. Notes for post procedure: "patient tolerated procedure well."
I am so beyond hurt and angry. This has to be a mistake? I've left voice messages with the clinic. This is very important for me that this is corrected, for my record and the larger record. I found it so hard to find stories like mine outside of this forum. Are they going unreported? How common is this? What are these statistics that are published?
I'm mad and exhausted and I hurt for anyone who had also experienced this. I want to hear your stories of your experiences, even if they were more fortunate than mine.
I don't not recommend getting any IUD, but I won't recommend it, at least not without pain management. do yourself the favor. But I feel more opposed to the concept now than ever before. I won't accept that this is the best option available in this day and age. Really?

Content warning: Trauma
I got my first IUD on Friday. I had never had a pap or examine (32 yr) and have always felt guilty about being behind on preventative health care. I have also exclusively used withdraw since I was 18. I have only been in long term relationships and when the birth control conversation inevitably came up in the beginning of each, I would bristle. It would follow the ceasing of condom use and come with the implication that we (I) should be more responsible about birth control. I resented the suggestion that I alone should be responsible for altering my body to accommodate a man's, even my partner's, pleasure because they would rather not wear condoms and don't want to pull out. The idea of bearing the full burden of responsibility by inserting a foreign object in my body, in my most intimate organ has always insensed me on a fundamental level. But in truth, I always felt guilty for depriving my partner. and when friends would rebuke my choices as reckless- I don't know how many times I've been told I must be infertile if I haven't become pregnant yet while not using birth control. So when I went for my first exam, I thought it might be wise to do the responsible thing that I've felt urged to do from all fronts.
I wasn't nervous. In fact I saw it as a challenge to overcome. I listened to the information given to me during the consultarion. I felt like I had enough of a grasp of what was going to happen. I was offered xanax and lidocaine, but it was implied that lidocaine could be just as painful. I don't feel I was discouraged necessarily, but I felt it was not being encouraged. I wish I would have taken both offers instead of just the ibuprofen.
I was told of the potential pain and range of variable experience, that some women have felt the pain of insertion worse than child birth. But everyone that knows me knows that I have a high pain tolerance. And so say many women I imagine. The doctor told me I might have a "whoosh" experience, which I understood to mean fainting. I still didn't feel much fear leading up to the procedure.
I was told how the procedure would go, the assessment, the speculum, the measuring and the insertion. I was surprised by the size of the model iuds, though I'm not sure what I was expecting. I thought I understood the sounding- I didn't. I had no idea about the tenaculum. Once the examine was rolling it seemed all previously mentioned anxiety and pain management were off the table unless I insisted they stop.
I was uncomfortable from the beginning and realized I was in for an unpleasant experience if I couldn't get myself to relax. The resident MD was being coached by the doctor. I heard them discussing the tilt of my uterus as she seemingly went rutting around for my cervix. Even the cotton swab was painful. They brought in a nurse to squeeze my hand and try to distract me with idle conversation. He was a literal angel and I wouldn't have been able even attempt to mask the agony without him there.
I knew it could be painful but I had no idea. I have only ever heard of the "pinch" and some menstrual like cramps. I had only ever heard from women that had had relatively uncomplicated insertions with moderate pain if any.
The insertion was the single most excruciating event of my life. It is still so surreal as my mind is already trying to protect me from the memory days later. I was close to screaming but tried hard to laugh through the agony out of embarrassment and not wanting to make the doctors feel bad. I wish I had blacked out but I was acutely aware of every sensation. At peak pain, I did something I would normally never do and said "This Really Hurts". I can't put into words how much but I know some reading this may understand.
It felt like it lasted ages but eventually it was over. I felt absolutely broken. I was able to sit up even though I was in severe pain and all I could feel was my wrecked cervical canal and the device inside of me. I was able to dress and have some juice that was brought to me. The angel nurse came and sat with me some more to make sure I was okay. I was not, there was no position I could sit or stand in for relief but I again tried to put on a brave face, for a moment.
I felt delirious trying to make conversation and I suddenly realized I was sweating profusely. I informed him I needed to get undressed again. He suggested I lay back down. Terrible, no. I put my head under the faucet. My pelvis was screaming. Standing was awful. I hobbled to the bathroom across the hall and immediately took my shirt off again, more water. I felt like I needed to shit and puke. The pain was getting worse and worse so I weakly crossed the hall again shirtless back to the bed. Now the staff were concerned and coming to assist me.
I spent the next HOUR in pain again, nearly as bad as the procedure. Charlie horse level cramps all over from the waste down, the worst of which concentrated in my cervix. Fever chills and aches like the worst food poisoning/stomach virus you've ever had. The muscles in my hips were screaming and moving was not an option. I had ice packs on my head and warm packs all around my waste. I wondered if my body was in full assault mode against a perceived foreign invader. I am pretty sure I was in shock. I was hypotensive the whole time while a new nurse monitored my vitals. I struggled to respond to any one verbally.
The doctor overseeing the insertion swung by, placed pressure on my lower stomach and asked if it hurt. Yes. You're not gushing blood though are you? No. I don't recall him saying much else before a left again. Later, when delivering my exit consultation he reminded me of the "whoosh" sensation he'd told me about and explained thats what I had just experienced for the last hour and that it was not uncommon.
I felt like I was nailed to that bed for hours pouring sweat and trying everything to avoid the pain in my entire body. Eventually I noticed my breaths were finally seeming to connect back to my heart rate. I started coming back to life and immediately asked the new nurse if she knew why male birth control options were not available in the US after decades. She flatly responded, the patriarchy. I told her I had used tracking and withdraw for the past 14 years and I wasn't sure what I had just done to my body was necessary. She agreed, tracking could be a viable planning option she said. I still hadn't shed a tear during this ordeal.
Tears were to come and to come repeatedly in the following days, every time I remember anything about what happened. I was depleted and deeply depressed. I feel hurt and violated and alone. I'm not mad at any one in particular. I mad on the whole that we are made to feel we have an obligation to bravely endure Why?
The pain largely subsided after the worst of it but I could, and still can, feel the IUD inside me. I hope that awareness goes away and I can eventually forget it's there and what I went through for it. I was starting to feel better today until I got my medical report in my email. Notes for post procedure: "patient tolerated procedure well."
I am so beyond hurt and angry. This has to be a mistake? I've left voice messages with the clinic. This is very important for me that this is corrected, for my record and the larger record. I found it so hard to find stories like mine outside of this forum. Are they going unreported? How common is this? What are these statistics that are published?
I'm mad and exhausted and I hurt for anyone who had also experienced this. I want to hear your stories of your experiences, even if they were more fortunate than mine.
I don't not recommend getting any IUD, but I won't recommend it, at least not without pain management. do yourself the favor. But I feel more opposed to the concept now than ever before. I won't accept that this is the best option available in this day and age. Really?

I’m a 30 yr old EMT in Seattle, I have around 2 years of EMS experience in Seattle (OD’s, stabbing, shootings, MVC’s) . I’ve been applying for LE and getting disqualified recently. I’ve noticed a trend and I’m wondering if it’s nationwide or just this area. PD’s around Seattle that claim they are understaffed are still pretty picky with applicants. I’ve applied with Seattle PD and many surrounding depts, all DQ’ed.
Background on me: I experimented with harder drugs in college 2012-2016 (coke, LSD, shrooms, adderall, whippets), smoked pot a lot, drank underage, partied hard but still went to class and got my BA. One buzzed driving incident in 2017 from a bar close to my house. (4 strong beers in the span of 2 hrs then drove a mile home, whoops)
Quite a few jobs but clean work history my entire twenties except for a fire academy that asked me to resign in 2023, and a previous EMS company that I was fired from in 2022. In the fire academy I liked to ask the instructors a lot of questions and I think I annoyed some of them unintentionally and they saw it as disrespectful, my physical performance and skill retention was great. The EMS company did only interfacility transfers of people, nursing home to hospital, no 911, I refused a call with 5 minutes left of shift because I had very important plans after work, that got me fired, this company would exploit employees end of shift times constantly. I wouldn’t have refused the call if I was doing 911 obviously. But since I was doing interfacility transfers the patients were never in an emergent situation, they just needed a taxi ride basically.
During my oral board interviews I’m completely transparent that I’m not a perfect Boy Scout type applicant with my drug use and work history, and they seem to have appreciated that. But the depts I’ve gone to backgrounds with I will get a disqualification letter after they screen my background. Should I keep applying and hope to find a dept that is willing to hear my job explanations or take a break from applying?
I find it very strange a department like Seattle PD is that picky with applicants when they are in a staffing crisis. Thanks guys.
Update: thanks for all the replies! If you could keep the rude and snarky comments to yourself that would be nice, I came here for feedback not to be torn a new asshole. I had a BI from a dept I applied at recently tell me today, it’s my recent negative work history that’s concerning, they don’t care about the drugs or intoxicated driving that much cause it was so long ago. I’ll get more time at my current employer and reapply. That’s what she told me.

My fiancè- 27M, 255 lbs, only on Zoloft 100 mg daily but was previously on Adderall
Since 2022 he has struggled with gambling addiction losing thousands of dollars and getting his car repossessed twice. Not to blame medications at all, but his impulsive gambling did not start until Adderall initiation which could be a simple coincidence. On his most recent bender, he ran out of the medication and he said only then did he start thinking about his spending limits and have some rational, practical impulse control.
So he stopped it, self-excluded in our state so he longer has access to betting or casinos, and has been attending support groups. That said, he is considering going back on it because he feels “off” and not focused at work. We both have concerns that’s the wrong decision for his recovery. I did look into research on this and it’s quite interesting. I’m a psychiatric nurse myself so I really want to help him make an informed choice.
What are the options here? What would you advise? It’s anxiety provoking to think this could be detrimental to his progress.

Hi everyone, I am new here and new to diagnosis 38 F. I have suspected for years that I had adhd primarily inattentive but never looked seriously into it. These past few months I've really been tortured by my symptoms while trying yet another trade school (paralegal). My grandmother passed away last month and my symptoms went absolutely crazy. I finally got a referral from my counselor to talk with a psychiatric nurse practitioner. Had my appointment today, crying my eyes out the whole time and finally got my validation! I took my first Adderall and it feels like I'm remembering to breathe! I felt such immense relief I cried again. This post is proof positive of how amazing I feel, I never post on the internet ANYWHERE. Anyway, I'm so happy to have found this subreddit and all you ladies I relate to so much! Cheers!

They did send it one time to the wrong pharmacy after 5 emails and 10+ phone calls, 6 phone calls later now they are telling me the doctor says she sent the prescription and isn’t doing it again and hung up on me I have been going through adderall withdrawal since Friday and when I first emailed I had asked for Prozac for days 14-28 of my cycle as i was diagnosed by a psych nurse with pmdd now and nothing lol my whole body is in pain and all of my bones are on fire and im raging and i am at the point i may need to go to ER for a psych hold

20mg of Adderall ER made me soooo anxious which indicated to me and my doctor I needed a higher dose, so we upped me to 30mg a few months ago. 30mg chilled me out completely, and while I was productive, I was tired ALL DAY LONG. Could literally nap anywhere, anytime, and I slept 8+ hrs at night without difficulty. I’m a nurse who works 12hr shifts and the all day fatigue just wasn’t feasible for me, not to mention my days off consisted of “I need a dang nap!” I had bloodwork checked by my PCP to make sure there wasn’t an underlying issue (i.e., anemia, hypothyroid, vitamin D deficiency, folate, literally all the things,) and every single lab was stone cold normal.
My doctor increased my dose to 40mg, and the sleepiness is gone and I feel amazing all day. BUT, I’m finding it harder to sleep at night, even though I take my meds at 6am. My Apple Watch tells me my deep sleep is efficient and I’m sleeping all throughout the night, but I don’t FEEL like I’m sleeping “deep” like I used to? Have I just confused “good sleep” with pure exhaustion from the past, and is this what normal sleep feels like?!
Idk this might sound crazy LOL but let me know if this rings a bell to anyone! I prefer NOT being tired and needing to nap all day, but it’s just a different kind of sleep than what I’ve been used to. I’m used to waking up and feeling like I died for 8+ hrs

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When I found this forum about a month ago I was reading the back posts and weeping the whole time.
Background:
I have processed this in therapy, made my peace, and have empathy for the situations that made her who she is.
I don't want to cause her harm, and fortunately I am really bad at relationships, and do not have children. Because it would be very painful if she had grandchildren that she has no access to. My sister and BIL can't have kids. (Details omitted for TW)
I work in the MH field, I'm an Nurse Practitioner. I worked as part of a DBT team. I am not DBT trained or certified but I got really good at boundaries, and sensing manipulation, without having an emotional response.
Before I went NC I would directly and clearly set limits. I stopped her when she would try to split my Sister and I, or gossip about her. There were several times every visit where I would stop her, and explain how I would not engage, did not want to hear, or set a reasonable expectation. Her reply a few times was "Don't analyze me."
Which is amusing because after the last estrangement, I asked her to go to therapy.... never happened.
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Current Situation:
My Mother visited my Uncle who is dying of cancer and has by his estimation about 2 months to live.
My Mother sent me a text that I should visit him that she was down there and he does not have much time to live. I forgot I hadn't blocked her number on the new phone.
I have been NC for 9 years other then sending her a 9th Step (AA) letter. I intend to be NC for the rest of her life or mine whichever ends first.
I asked if she was present in the room. She left the morning of him calling me. I said I appreciated him not doing "One of those Ophra type interventions" as it's usually destructive.
I asked about visiting. Everyone has been invited down but me. He says he would like a visit.
He wants me "As a personal favor" to reconcile with her. I should mention he's a retired corporate attorney. Yes it's not amateur hour on either side of the phone. He said she was "Distraught that I would not talk with her."
I said let's address the second item, as you may not want me to visit depending on how I answer.
I would prefer having this conversation in person and to not have this conversation on a 2 sided Cell phone call either.
I said "no."
He pushed back and said this was not normal. I explained how it's more common then you would think both from people I know and also from being in clinical practice for almost 20 years.
He said "I can hear it in your voice that you want to reconcile." (Defining my feelings) I said I am speaking to you in the same tone I use with my patients.
I said that I will not be interacting with her for the rest of our lives. That this was a carefully made and considered decision.
I said we can discuss my reasons if you would like.
He said that was not his concern that it was between my Mother and I.
My mind formulates, "So no matter what happened, there is no reason that would cause you to find estrangement acceptable." Secondly you are implicating that I am being unreasonable, or worse yet cruel.
This goes in circles.
He bounces off a few boundaries, answer stays the same.
​
I figure I am going to let him know some of the situation. Because he's dying and I don't want him to think I am just being unreasonable and stubborn.
I then explain a little of how our childhood was. The abuse that my mother and I got. I also said I suspect my sister getting other abuse. Left that one hanging out there... Remember this is what I do for a living so that should have significant weight.
The things I did that I regret, and have made amends, as well as going to therapy, stopped drinking, worked the steps, and so forth.
I mentioned my sister goes to Trauma therapy, partially because of me.
Which also puts out there "Has your Sister ever had any therapy for all the stuff she has been through?"
​
He says "I can hear you are angry at your mother.." (defining feelings again) "
"Help me understand why do you feel that way."
"Based on what you said (above)" I said back, I am not angry at her. I have accepted and made my peace with this situation. I only listed my part in it, and what I have done to become a better person."
Which floats the unsaid question "What is her part in this?"
​
I said the offer is on the table to talk about this, or not talk about it. That is up to him. If you do want to have this conversation then it needs to be scheduled so I can have my notes.
The offer of a visit is "We shall see, and depends on how I am doing, check back in a week." I know the answer already. I also explained if I visit I will be getting a hotel room and a rental car, and that it's probably better if we do 2-3 hour visits so I don't tire him out.
The unsaid part is I want to be able to leave if I need to immediately, I want to be able to go to daily AA meetings, I want my own space process this coming loss. I
wrote a poem about this situation and read it in at my AA homegroup (The meeting you go to most and help keep it going.) I haven't written a poem since HS writing class. I've been weepy about the whole situation on and off.
​
I have a letter penned to my cousins, who I am in contact with explaining that he is a father figure in my life, that this is a very painful situation for me anticipating his passing, and that I apologize for not attending major life events in their lives and their children's lives because of this estrangement. That I won't be attending his service because it's the place for my Mother to mourn her last living sibling.
​
​
Conclusion:

1. That firstly he feels that there is nothing that would justify estrangement.
2. That my Mother probably said she has no insight into why I estranged her.
3. Based on #2 I am guessing that she has had no therapy. A good therapist would turn that around and use certain questions to help her develop insight.
4. That he feels I am angry and I want to reconcile.
5. Defining my feelings is a huge red flag for me.
6. I bet he didn't expect me to be calm, collected and give a rational and consistent dialogue.
7. Having to hear about his Sister's home life probably hurts. The fact that he probably had no clue until my father passed, he has a lot of guilt.
8. He's formally trained and skilled in negotiation tactics.
9. He's dying so he has a huge ability to guilt me.
10. I gave him the option to understand, that I would visit if asked, that I would limit exposure, and that we did not have to address this, or we can look at photos and tell stories, etc. What is not on the table is reconciliation with my Mother.

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Has anyone successfully convinced their significant others to get evaluated for BPD? I am almost certain that my wife (36f) has it, but I don't want to bring it up because she has split on me and I am her enemy. Married for 10 years, been together for 20 total. I have several posts about her in marriage, but only recently stumbled on BPD and it fits her SPOT ON. She had some horrific points in her childhood and trauma through covid(she's a nurse). And also was terminated from her job for bullying. She also takes Adderall consistently and smokes a lot of weed (1oz+ a month). She has convinced her support group that I am a cheating violent abuser and have never done anything like this. She tells EVERYONE that I will kill her if she divorces me, but she still says she wants a divorce but has not filed for months. She does attend individual therapy, but I believe she may have manipulated that to the point where her therapist thinks I am this person she has created in her mind. I recently got us back into couples therapy to coparent and she is saying the same wild accusations there. We are 2 weeks in and I am hoping that the therapist can shed some light on this. She has already had several melt downs in the sessions. We have 2 kids together, 3 & 9. What would your approach be? I feel like she needs help, but won't ever get it if I bail, and will make for an even harder divorce. Co-parenting has already be a shit show. As of last month we are separated and in 2 separate homes

With the development of new, faster, smarter technology, the field of cardiology continues to evolve significantly and attending any Upcoming Cardiology Conference 2024 offers an amazing learning platform to keep up with emerging state-of-the-art technologies in this field.
A Cardiovascular Conference can help you understand and use these trends in your profession. These are great events for researchers, cardiologists, doctors, nurses, medical students, other medical professionals, and cardiovascular device manufacturers who want to stay abreast of the trends.
This blog highlights the top emerging technologies that you will learn about at a good Cardiology Conference in 2024. So, let us get started:

Artificial intelligence (AI) for faster and more accurate diagnosis

Many manual devices, especially those equipped with obsolete technology, may fail to diagnose a patient's heart conditions accurately. This is because older technologies had many limitations that required much innovations to help patients.
AI diagnosis is a brilliant way to understand and analyse medical images faster and more accurately. This technology is helpful in body scans, ECGs, and thoroughly breaking down minute details of patient data. In addition, AI is extremely helpful in determining the heart's working patterns, allowing doctors to provide the best treatment and medications for their patients.
If you attend an International Cardiology Conference 2024, the role of AI in cardiology is one of the most common topics of discussion. At these events, you can learn from esteemed doctors and world-famous medical professionals from around the globe.
3D Imaging and Printing
Having an exact-size model for patients during heart surgery is critical for its success. The technology provides easy-to-understand details of complicated spatial relationships between the heart and vascular system. This understanding is helpful for cardiac surgeons, cardiac radiologists, and cardiologists to successfully manage complex heart diseases.
By attending Cardiology Conferences 2024 India, you will learn how 3D imaging and printing is shaping the cardiology field. Experts, session speakers, industry professionals, researchers, and influential cardiologists attend the Cardiology Conferences 2024 India.

Nanotechnology for cardiovascular disease

Nanotechnology involves working with devices and materials on a nanoscale level, and nanomedicine refers to the use of nanotechnology in healthcare. Nanomedicines are showing huge potential in various cardiac applications because of their unique properties. In simple words, nanomedicines are made of active pharmaceutical ingredients (API) packaged into nano-sized carriers made of excipients.
In addition, Nanotechnology may stimulate angiogenesis from pluripotent or vascular stem cells, resulting in various implications such as wound healing, cardiomyocyte regeneration, and organ recellularization. Similarly, the technology has shown great promise in cardiovascular surgery.
You can learn all about the role of nanotechnology in cardiology health by attending a Cardiology Conference India. These events showcase practical skills and help you gain a clear understanding of nanotechnology in cardiology.

Telecardiology

There are many circumstances where doctors cannot physically check the patient due to remote locations. Telecardiology is a modern medical practice that uses telecommunications for remote diagnosis and treatment of heart patients.
So, telecardiology is a hot topic of discussion at any well-planned International Cardiology Conference. Case studies from cardiologists and researchers will give you exposure to this fastest-emerging cardiovascular technology.

Implantable Cardioverter-Defibrillators (ICDs)

ICDs is a small battery-powered device put in the chest by heart surgeons. The device uses remote monitoring, personalised therapy, and algorithms to detect and prevent arrhythmias. You can learn all about this technology at the Upcoming Cardiology conference 2024. The practical exposure from live workshops and seminars can help you try this technology and learn how to use it in Cardiology.

Final Words

As you see, attending a Cardiology Conference can help you learn about all the latest emerging trends and technologies in this field. Attending these events not only provide knowledge but also give you endless network opportunities with world’s leading cardiologists and researchers. Attend a Cardiology Conference in 2024 today.
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My hospital self insures us for health insurance. Reeeeally sucks if you have something like a heart that needs surgery or pesky children that gets sick, but decent coverage for things we provide. You have to use the hospital pharmacy unless you want outrageous co pays.
When the Adderall shortage started they decided they would start covering name brand Adderall. Made sense, you know the percentage of nurses that need it. Recently they announced they were going back to only covering generic. Ok, figured they were able to get a supply of generic.
Nope. Not able to fill it at all.

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i starting going to the gym in october and went five days a week for about four months. i was eating 100-120g protein and 2000 calories per day, which i made myself sick doing. i did 2 leg days, 1 upper body day, and 1 full cardio day. for reference, i’m 5’1, female, and 114 lbs. i saw little results except for increased mass in my arms, which was not really something i was looking for. i was so busy with nursing school at the time that i couldn’t justify carving out an hour of each day and hating all the food i ate for little to no gains. now, i’m on summer break and finding myself with more time on my hands. i did enjoy going to the gym, and would be willing to go again. my problem is i know i would hate forcing chicken and protein powder down my throat like that again. my anxiety makes me have very little appetite, so i generally only eat around 1400-1700 calories a day. i’m making this post because i’m wondering if anybody has had success with a less strict diet - or any tips for little appetite in the gym. if possible, i would like to avoid any hardcore dirty bulking as i do know the health implications of excessive sodium/cholesterol/saturated fats on the body, but i am willing to make some sacrifices.
EDIT: i should’ve mentioned that i am currently still active - i go for walks/hikes frequently and do pilates 3x a week at home. this post is strictly regarding weight-lifting, not exercise as a whole.

It was a very dark Cloud Atlas moment.
These boys 11-15 are part of the State's underbelly. I get paid $11 an hour to be with these kids, and the atmosphere is rough. I'm the only young white girl apart from the tired old black ladies. I don't know how long I will last. My first week this woman got me to take off my other job early, I agreed to pick up her shift. When I got there, she did not leave. I sat as a background person for hours. The night shift came and I clocked out, she said you can't clock out without my consent, "I'm assistant manager!" I wasn't supposed to be there. That was my first warning. For Easter she made me cook deviled eggs and then threw me under the bus for bringing the items. Yesterday she publicly humiliated me by saying she is the only one doing her job. She roped the nurse in with her and said now I have a witness. Then she and her left me alone with the kids as they descended upon me banging on the table calling me a wh0re. She stayed on the phone for hours calling coworkers and friends, loud capping everything and said it's her entertainment. To have the kids bully me was a different level of hell. I'm told to watch these kids at all times where they are locked in this house in the ghetto. It's worse than jail. In the meeting I was accused of not watching the "consumers" enough. I felt so angry. The consumers are the consumed.
What's worse is the most well behaved child raped his baby sister repeadtly and now he's touching me. I've been working alone with these kids, 3 just recently escaped. He's doing this in such a subtle way that is horrible and gaslighting. I've told him to stop multiple times. I just feel so alone and like I have no backing from management. One of the kids keeps threatening to shoot up the school, even my niece knew about it. I mentioned that he needs actual help. They said he has a school counselor and also proceeded to give him Adderall twice a day. I can't believe it's this bad, each decision made for these kids is miles deep in bureaucratic lazy shit. Seems impossible to fix.
To me the term "consumers" is as dark and ironic as China's "skynet."

Hello all,
So for back ground information i was on Strattera for a couple months, i started at 40, then 60, then 80 and eventually went on 5 mg of adderall. I did not think the Strattera was helping and was contacting my psychiatrist that I thought I should be off it but she was not responding to me so I just stopped taking it (i know not the best move). she finally got back to be and said the game plan is for me to slowly decrease from 80 to 40 to 18 mg. I am worried that since I just stopped taking it cold turkey that I will have some sort of medical implication. what should I do, what are the negative effects of just stopping medication like I did.

Hello all,
So for back ground information i was on Strattera for a couple months, i started at 40, then 60, then 80 and eventually went on 5 mg of adderall. I did not think the Strattera was helping and was contacting my psychiatrist that I thought I should be off it but she was not responding to me so I just stopped taking it (i know not the best move). she finally got back to be and said the game plan is for me to slowly decrease from 80 to 40 to 18 mg. I am worried that since I just stopped taking it cold turkey that I will have some sort of medical implication. what should I do, what are the negative effects of just stopping medication like I did.

I previously posted about being afraid of medical denial because I stopped taking adderall in November. In March, my nurse told me that volunteers who need amphetamine-based psychostimulants could no longer be supported in Samoa and it was no longer an option for me. I was devastated, but had not uploaded the medical forms from my psychiatrist yet and asked if I could appeal the decision. I received a task questioning when I last took adderall and my psychiatrist filled out the necessary forms. At this point all of my forms were done, but my nurse uploaded one more task asking if I was aware if my medication would not be provided even if I did need it - which I acknowledged. Three days ago, I received clearance! I am so fortunate this situation turned around. Just wanted to post this to give hope to those who are afraid of being denied because of a medication they no longer take.
I know a lot of people ask which countries are available if medications like adderall are needed, but my nurse did not inform me of those.

The nurse practitioner recommended Adderall XR last month, and the side effects are killing me! I'm not sure how to describe it, but I simply feel horrible. I'm really emotional, ranting one second and crying the next. I've found that I dislike communicating with others and feel annoyed when they try to talk to me. I've tried IR a few times before, but the side effects were usually so varied that it wasn't worth it. When I told her about it, she attempted to put me on Vyvanse, but there were complications with my insurance and the PA would not go through. I was using Modafinil for a year but didn't have a prescription. It appeared to help considerably with far less negative effects, but I'm hesitant to ask for it outright. I considered just typing the name into my phone's notes and telling her that someone advised I ask her about it, but I'm concerned she'll just say it's not for ADHD and dismiss me. I know insurance normally doesn't pay it for ADHD, but I also work shifts at night, which is what it is prescription for.
Has anyone ever gotten a prescription for it for ADHD?

Hey peeps.
I'm wondering how many Nigerians (especially on non-immigrant status) in the diaspora struggle with dating. I'm an international student (in the States for six years now). All two of my relationships have been with African American men. I'm currently seeing this lovely man who is great and has all the great qualities I'm looking for. We have been seeing each other for about six-ish months now and I think I'm on some love nwantinti shii.
The wahala stems mostly from me. I want to date for marriage. Not right away but purposeful with the intention to commit to each other in that capacity. The issue is with the reputation Nigerians have with green card marriages. Regardless of the clear legal implication, I'm not judging anybody who chooses to go that route, this is not about making a moral statement about it. I feel like I have to tiptoe around what I want from a relationship so I don't come across as trying to use them as a means to get a green card. I'm working hard, did my own research and am graduating from a field that has a higher chance of being sponsored by my employer (nursing 😩) with a job lined up. This way, I'm not reliant on them sponsoring me. But, I still do not know how to bring this topic of long-term intentions without feeling extremely vulnerable.
I have attempted to date my fellow international students (Nigerians) and been served breakfast in a house I don't even live in more times than I can count. I've seen another post about dating in the diaspora as a Nigerian man and think OP made some salient points.