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MEDizzy - Medical cases, medical videos, medical school notes, MCQ's. Join global community of HCP's
2018.01.08 12:04 GiorgioMD MEDizzy - Medical cases, medical videos, medical school notes, MCQ's. Join global community of HCP's
This is subreddit created for medical professionals who want to discuss amazing medical cases, watch useful medical videos and share inspiring pictures. All about Medicine!!!
2008.06.27 00:52 Exercise for Body, Mind, & Spirit.
A friendly and uplifting community focused on Mind, Body, & Spirit Exercises, RESEARCH, NEWS, and helpful/motivating information and videos. Exercise has numerous benefits associated with it aside from physically looking and feeling better. Exercise is known to enhance cognitive abilities, mood, and is closely tied to better mind and body health and function overall. KEEP IT POSITIVE OR GET BANNED.
2008.06.24 03:01 Tattoos
Welcome to the Tattoos subreddit community
2024.05.16 21:14 Aggravating-Skirt270 Inquiry about payout
I don’t want to give too much detail as I’d rather keep the answers just as vague. I have had a traumatic hand injury with a battery skillsaw, happened in September 2023, endured 4 surgeries, im in my final stretch of Physical therapy. The doctor believes im approaching my maximum medical improvement, I’m unable to make a fist and have permanent partial loss of sensation in all my fingers , along with a permanent lack of strength (30% of my good hand capabilities) and loss of dexterity. Any body wanna throw around a range of what I can expect, I don’t mind if it’s very off so don’t be scared to share
submitted by Aggravating-Skirt270 to WorkersComp [link] [comments]
2024.05.16 21:13 EntertainmentHour985 I had a bad feeling and now I feel guilty
I had a bad feeling from the very beginning of my pregnancy but it was my first so I was naive. I found out I was pregnant very early, I was testing but the tests were pretty light. Eventually after a week they started to darken and and that week I started spotting. I went to the ER they saw nothing in my uterus but said maybe it was early. Tested hcg and doubled (but I thought it was low). I went to the Ob and I told her my concerns she said she thinks the spotting was from a hemorrhagic corpus luteal cyst that was seen in the ultrasound (but I had these before and never spotted?). Anyways she makes me feel very at ease and does’t even say to continue to test my hcg. Says we will do another US in 2 weeks.
A week later I got anxious again so I went to a private US place. Because at this point I was 6 weeks and SOMETHING should be seen right? The tech sees nothing, only some bleeding. Tells me maybe it’s too early (IK they can’t give medical advice e) it’s ok, my OB appt is exactly a week from then.
I wait anxiously for my appt. Funny, I even posted about it in another reddit group and someone warned me it would probably be ectopic. I thought about it but up until that point I felt fine so I didn’t want to stress myself out without “evidence” (more pain, more bleeding, wanted to wait until my appt)
Well the night before my ob appt I get the feeling like I had trapped gas. Hurt so bad I fell to the floor sweating and unable to move, my body felt stiff. Went to the ER, ruptured ectopic. I was in such a state of shock and pain I could not even react when they told me that. Actually I did cry like a yelp and it sent shooting pains through my whole body so I had to stop. I had the surgery and lost a tube.
It’s been three weeks. Now I feel so angry and guilty that I was so naive and didn’t advocate more for myself in the beginning. I had the feeling all along Maybe I would still have my other tube. I am feeling like I am in a state of functional depression, I look ok on the outside I can smile I can laugh I can get things done but when I am alone or at night I feel so sad and empty. I even had a therapy session (and have been in therapy before) with someone who specializes in child loss and it didn’t even help. She kept asking me what do I want to get out of this. And told me to be more grateful for the things I do have.
Not to go on and on even more but I have always been an introverted, deep feeler, day dreamer. So this experience is really torture to me. Anyways thanks for listening. It always helps me to share experiences with others going through something similar iar because no one seems to understand.
submitted by EntertainmentHour985 to EctopicSupportGroup [link] [comments]
A week later I got anxious again so I went to a private US place. Because at this point I was 6 weeks and SOMETHING should be seen right? The tech sees nothing, only some bleeding. Tells me maybe it’s too early (IK they can’t give medical advice e) it’s ok, my OB appt is exactly a week from then.
I wait anxiously for my appt. Funny, I even posted about it in another reddit group and someone warned me it would probably be ectopic. I thought about it but up until that point I felt fine so I didn’t want to stress myself out without “evidence” (more pain, more bleeding, wanted to wait until my appt)
Well the night before my ob appt I get the feeling like I had trapped gas. Hurt so bad I fell to the floor sweating and unable to move, my body felt stiff. Went to the ER, ruptured ectopic. I was in such a state of shock and pain I could not even react when they told me that. Actually I did cry like a yelp and it sent shooting pains through my whole body so I had to stop. I had the surgery and lost a tube.
It’s been three weeks. Now I feel so angry and guilty that I was so naive and didn’t advocate more for myself in the beginning. I had the feeling all along Maybe I would still have my other tube. I am feeling like I am in a state of functional depression, I look ok on the outside I can smile I can laugh I can get things done but when I am alone or at night I feel so sad and empty. I even had a therapy session (and have been in therapy before) with someone who specializes in child loss and it didn’t even help. She kept asking me what do I want to get out of this. And told me to be more grateful for the things I do have.
Not to go on and on even more but I have always been an introverted, deep feeler, day dreamer. So this experience is really torture to me. Anyways thanks for listening. It always helps me to share experiences with others going through something similar iar because no one seems to understand.
2024.05.16 21:11 Gabahealthcare What Causes Postpartum Depression?
 | Becoming a parent is one of the most wonderful feelings in the world. Even the mere thought is associated with a lot of intense emotions and feelings. The birth of a baby is expected to bring unmatched contentment and joy. But, sometimes, it may result in an unfortunate condition - Postpartum Depression. submitted by Gabahealthcare to u/Gabahealthcare [link] [comments] It is also known as Postnatal Depression, this condition is the onset of a depressed mood and its associated symptoms within the first year of the birth of the child. It is observed that most mothers experience baby blues, and some mothers develop persistent severe symptoms that do not resolve on their own. https://preview.redd.it/1evs32ee8u0d1.png?width=1080&format=png&auto=webp&s=d572673599431a0d95db703de345b8e638679454 Postpartum Blues and Postpartum Depression are two different sides of the same coin, but Postpartum Depression is more severe and is a long-term condition that should not be overlooked. Postpartum Blues, also known as Baby Blues, are temporary changes in mental and emotional state that occur in the mother within 2 to 3 days after childbirth and last for approximately 2 weeks. They usually resolve on their own without medical intervention. However, suppose the symptoms of Baby Blues elevate and persist for more than a few weeks. In that case, it can be identified as Postpartum Depression (PPD), which is a more serious condition and requires proper support and health care. Jessica, a 37-year-old mother of a four-year-old, recalls feeling irritable, sleepless, stressed, and angry after giving birth. She did not receive a formal diagnosis and prefers to refer to her symptoms as "Baby Blues" rather than "Postpartum Depression" considering the severity of her condition. Postpartum Depression Causes Every year, there are 140 million births worldwide, while the incidence of postpartum depression is estimated to be around 10–20 percent of new mothers. The obvious question to ask is why some mothers get postpartum depression while others do not. Here are a few causes: Genetics Studies indicate that sometimes family history of the condition is one of the main causes of postpartum depression in mothers. More people have this prevalent subtype of major depressive disorder than any other psychiatric disorder due to genetics. The largest meta-analysis of genome-wide association studies carried out by an international team of researchers investigated the genetic makeup of postpartum depression. According to the study, common genetic factors may account for approximately 14% of the variations seen in cases of postpartum depression. Chronic Fatigue Evidence suggests that chronic fatigue may raise a woman's risk of postpartum depression. Lack of sleep lowers sleep quality, making it harder for a mother to regain her physical stamina and agility. The symptoms of anxiety and depression may worsen as a result of inadequate sleep. A single sleep session is insufficient to address the chronic fatigue that emerges from an imbalance between rest and activity. It impacts over 60% of new mothers and may result from many conditions, including thyroid dysfunction, anemia, inflammation, and infection. The changes in the mother’s hormones may also result in postpartum fatigue. Jessica had to deal with sleep disturbances in the postpartum period. She also recalls having insomnia and struggling to sleep for the recommended number of hours. Implementing sleep hygiene in small but significant steps would have helped her deal with this situation more effectively. Loss of Aspiration Stressors related to psychology may arise as a result of becoming a mother. The drastic changes in a woman’s body, overwhelming responsibilities, and perception of society can all trigger and contribute to low self-esteem. A person may easily experience a loss of motivation and aspiration as a result of such abrupt changes in their life, which can exacerbate the symptoms of postpartum depression. Women are more likely to feel difficult feelings like frustration, confusion, anxiety, guilt, and sadness during the postpartum period, in addition to overwhelming emotions like excitement, anticipation, fulfillment, and happiness. Jessica recalls feeling a lack of ambition and fear about the future after having her baby. She almost forgot to have some fulfilling "me time" because she was so preoccupied with the responsibilities of her child. Relationship Discord When a child is born, the parent's relationship undergoes a dramatic transformation. Despite this milestone being a source of great joy, it can also lead to emotional distress due to parental frustration shortly afterward. These intense emotions may result in postpartum depression symptoms in both parents. It can disrupt the mother-child bond and, in some cases, affect the child’s emotional and cognitive development. Paternal discord can lead to later disorders in children and have an impact on their behavioral development. Individuals' depressive states worsen during this phase when couples stop doing things they used to enjoy together, such as traveling, going to the gym, enjoying moments together, seeing friends, and spending evenings out. This disconnection can sometimes become so severe that couples lose recognition for each other as the people they once loved.While adjusting to the arrival of a newborn, the mother may struggle to maintain her bond with her elder children. Elder children may struggle to cope with the arrival of a new sibling because it divides the mother's attention and makes them feel less loved. Jessica's relationship conflict with her husband was the most difficult aspect of her pregnancy and postpartum experience. She struggled to cope without her partner during her difficult divorce. But she was really fortunate to have the support of her friends and family, which helped her avoid severe mental health symptoms. She still believes that the presence of both parents would have been beneficial to her daughter's behavioral development. Sheehan’s Syndrome Sheehan's syndrome, first described in 1937, is postpartum hypopituitarism caused by shock or hypotension as a result of massive hemorrhage or blood loss during or after childbirth. This syndrome can manifest itself during or after the postpartum period as lactation failure, generalized weakness and debility, cessation of menstrual periods, premature wrinkling of the face and forehead, body hair loss, and dry, coarse skin.Sheehan's syndrome is estimated to affect one out of every 1,00,000 births worldwide. Women in developing and underdeveloped countries have limited access to sophisticated medical care, skilled healthcare professionals, and medical resources, which contributes to higher rates of postpartum hemorrhage and raises the figure to five out of every 1,000 births. It is considered 'rare' in industrialized nations, but the numbers are increasing due to the influx of immigrants from developing countries. Sheehan's syndrome is frequently diagnosed late due to its chronic nature. Because it presents as a case of multiple hormone deficiencies, it may be misdiagnosed as hypothyroidism, pituitary tumor, or postpartum depression. Some patients struggle with achieving the correct diagnosis and are often treated as cases of postpartum depression or major depressive disorder. An incorrect diagnosis leads to the wrong treatment and worsens symptoms, making the patient prone to intensified mental health conditions, including depression. History of Depression A history of depression and anxiety has been identified as a significant psychological risk factor for postpartum depression. According to a study that observed approximately 70,000 births in Sweden between 1997 and 2008, women with a history of depression are twenty times more likely to develop postpartum depression than those without a prior depression diagnosis. Women who have contracted depression earlier are more susceptible to hormonal changes and can better identify their symptoms. Referring to the research foundations laid by O’Hara MW, it is clear that 23.9% of women who were diagnosed with postpartum depression had experienced depression before. In contrast, only 2.6% of women with no history of psychiatric illness were diagnosed with PPD symptoms. In line with previous research, this study reveals significant rates of recurring postpartum depression (PPD) among women who have previously experienced PPD. The risk of developing PPD after the birth of a second child was found to be 46.4 times higher (95% CI 31.5–68.4) for women who had been hospitalized for PPD following the birth of their first child. Similarly, women who were treated with antidepressants for PPD after their first child had a 26.9-fold increased risk of experiencing PPD after their second child (95% CI 21.9–33.2). Anemia Anemia is a condition in which the body lacks red blood cells, or hemoglobin, which transports oxygen to the tissues. During pregnancy, a woman is more likely to develop four types of anemia: iron deficiency anemia, pregnancy anemia, folate deficiency, and vitamin B-12 deficiencies. This condition may cause the baby's unfulfilled growth, resulting in an underweight or premature birth. Iron deficiency anemia is the most common type of anemia among pregnant women, accounting for approximately 80% of cases. Anemia has been identified as a significant contributor to postpartum depression. It is therefore critical to pay attention to the nutritional status of women during this time. The prevalence of anemia in pregnant women may be influenced by lifestyle, diet, and geographical location. Anemia can lead to negative pregnancy outcomes such as preeclampsia, low birth weight, small head circumference, premature birth in the baby, and postpartum depression. According to research, the prevalence of PPD in anemic women is significantly higher than in non-anemic women, and there is a link between anemia and postpartum depression. High Work Load A study published on PubMed suggests that higher psychological work demands, lower perceived control over work and family, and lower schedule autonomy intensify the symptoms of postpartum depression. Low job flexibility and a higher workload are other contributors to this condition. Working women may find it difficult to balance multiple work commitments while also dealing with the unnecessary guilt of not being good mothers. Some solutions to postpartum depression symptoms caused by poor work-life balance include mental and social support from peers and colleagues, partners assisting with household chores, reduced workload at work, maternity leave, motivation and encouragement for the mother, and equal distribution of responsibilities among partners. Jessica believes that her decision to take time off from work after becoming a mother allowed her to rest and recharge. After returning to work, she embraced the support of her coworkers, which made it easier for her to integrate work-life balance and successfully restart her career. Loss of Identity New mothers frequently experience a loss of identity. After having a baby, some parents may believe that being a parent is their sole identity. Postpartum depression symptoms may worsen if thoughts of exhaustion, worry, and unhappiness persist for an extended period, making it difficult to get through each day. Loss of identity causes feelings such as disrupted professional identity, inability to earn money, a low-quality social life, less time for leisure activities, and a lack of self-confidence. All of these characteristics may cause parenting issues and a lack of bonding with the baby. In most cases, mothers discontinue activities they once enjoyed, such as seeing friends, taking long showers, spending quality time with their partners, and engaging in hobbies. Difficult Pregnancy Pregnancy complications can arise due to concerns about the mother's health, the fetus's health, or both. Even healthy women may experience difficulties during their pregnancies. Complications include high blood pressure, gestational diabetes, infections, preterm labor, stillbirth, and preeclampsia. Mothers who do not receive adequate and timely prenatal care are more likely to develop such pregnancy complications, which may contribute significantly to the onset of postpartum depression. High-risk pregnancies can occur due to pre-existing medical conditions or complications that arise during pregnancy. Some factors are mentioned below that may contribute to difficult pregnancies:
There has been much speculation about the causes of PPD, with some claiming that the rapid changes in reproductive hormones such as estradiol and progesterone before and after childbirth may play a part. While several studies, both in humans and in animals, have found a link between changes in hormone levels and PPD, others have discovered no link between hormone concentrations and symptoms. For example, studies on the differences in ovarian hormone levels and depressive symptoms during the postpartum period have not found a direct link between absolute estrogen and progesterone concentrations and PPD. However, studies that used estradiol treatment successfully alleviated depressive symptoms, and animal studies have shown that withdrawing estradiol and progesterone can cause depression-like behavior. Reproductive hormones play important roles in a variety of functions, including basic emotion processing, arousal, cognition, and motivation. As a result, they may indirectly contribute to postpartum depression by influencing psychological, social, and economic risk factors. Interestingly, these hormones also regulate the biological systems involved in major depression, implying a direct link to a woman's risk for PPD. Thyroid hormones have been proposed as a potential biomarker for PPD due to the suspected link between thyroid dysfunction and major depression. Thyroid dysfunction is associated with pregnancy and may contribute to PPD in some women. Nutritional Deficiency Malnutrition, or a lack of specific nutrients such as B and D vitamins, n-3 polyunsaturated fatty acids (PUFA), folate, trace minerals, iron, antioxidants, and so on, can increase the risk of developing postpartum depression. Lactation and pregnancy place additional demands on a new mother's body, making nutritional deficiencies more common during this time and paving the way for depression symptoms. Investigations are currently underway to determine whether low vitamin D levels may increase the risk of postpartum depression. This is because vitamin D functions as a neuroactive hormone, playing an important role in the nervous system rather than the endocrine system. Its primary function is to link sensory stimuli to the release of hormones, resulting in a hormonal response. Vitamin D helps to regulate neurotransmitters like adrenaline, norepinephrine, dopamine, and serotonin. Any abnormalities in these neurotransmitters and hormones have been linked to the onset of depressive symptoms.Omega-3 fatty acids have also been linked to PPD. Docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) are two types of omega-3 fatty acids that are well-known for their cardiovascular benefits, but they also play an important role in brain development and neurotransmitter regulation. Increased DHA and EPA levels are associated with improved serotonin receptor sensitivity, which is achieved by increasing the fluidity of the receptor cell membrane. Furthermore, omega-3 fatty acids are thought to reduce neuroinflammatory processes associated with the onset of depression. Many people in the United States are deficient in omega-3 fatty acids due to a lack of these nutrients in their diets, according to reports. The typical American diet consists primarily of fast food, which is deficient in nutrients and does not meet recommended nutritional guidelines. Pregnant women are especially vulnerable to the harmful effects of low omega-3 fatty acids. This is because the increased blood supply required for fetal oxygen causes a natural decrease in DHA and EPA levels. In addition, the body prioritizes the fetus's growth and development by redirecting blood and nutrients, putting pregnant women at greater risk of developing nutritional deficiencies and, as a result, postpartum depression. Dealing with postpartum depression (PPD) can be difficult for both the mother and her child. It jeopardizes both the mother's health and the child's development. Women with PPD frequently struggle to maintain consistent breastfeeding due to depressive symptoms. PPD complicates the mother-child relationship, resulting in poor cognitive functioning, aggressive behavior, excessive crying, emotional instability, and sleep issues in infants and adolescents. PPD is linked to negative thoughts, substance abuse, postpartum psychosis, hallucinations, confusion, mood swings, paranoia, impaired judgment, loss of appetite, and insomnia in mothers. It impairs a woman's ability to interact and socialize with her own family, making her feel inadequate as a mother and preventing her from participating in activities and hobbies. Women with PPD are also more likely to commit infanticide and suicide, as well as develop serious mental illnesses such as bipolar disorder. "In a world where women are constantly invalidated, they must seek help for postpartum depression," says Jessica. She believes that women should understand that PPD is normal and, in some cases, inevitable. It is effective to see an Online Psychiatrist for postpartum depression, as it is economical, involves less hassle, and is more accessible. Gaba Telepsychiatry's psychiatrists aim to deliver a comprehensive approach to psychiatric care while adhering to evidence-based medicine. Our online psychiatrists consider a range of factors, including genetics, development, trauma, nutrition, hormones, career and relationship difficulties, coping skills, concurrent medical illnesses, head injuries, medication side effects, and more. Visit https://gabapsychiatrist.com/postpartum-depression-treatment/… to know more and seek help for depression. |
2024.05.16 21:03 Shot_Night7292 Pay structure advice
Hello fellow Estis.
This is a long post and I'm looking for advice.
Background: I graduated in 2021 and quickly got a job at a local destination spa doing basic facials and body treatments. I was the only esthetician there and basically got the spa back up and running, revamped the menu etc. I was making $14.50 an hour plus 35% commission and they automatically added 25% gratuity. I was making about $100 an hour give or take. Unfortunately, it wasn't busy enough so I set foot to find another part time job.
In Jan 2023 I landed as a laser technician performing laser tattoo removal, laser hair removal, facials and IPL at a local laser studio. My pay since they paid for my laser training (sent me to Dallas for a few days) was $20 an hour and 5% commission on total revenue. It wasn't much but it was steadier than the destination spa and I was okay with it because I worked both places and was gaining experience. Eventually my goal was to leave the destination spa completely.
In Nov 2023 the laser studio decided to sell the LHR part pf the business to a local and very large Plastic Surgery Center, and I went with it. The tattoo removal was sold to another company.
I tried to renegotiate my pay however the Plastic Surgery Center would not budge and said we could potentially revisit at a later date when they got to know me better.
Fast forward 6 months.. I have brought up this issue again. I'm having difficulty making ends meet (as I left the spa at the start of starting here because I would be working full time.)
I currently offer Laser Hair removal, dermaplaning, Diamond glow, Co2 laser, got certified in Microneedling with prp, as well as many chemical peels including in depth.( I have accomplished a lot)
They have come back to me with this offer:
Titrate my hourly pay over the next 3 months from $20 an hour to minimum wage which is $15 an hour where I am located. And bump my commission from 5% to 10%.
Am I out of my mind for being a tad bit offended? Is this normal pay for an Esthetician that works in the medical field?
My cheapest service is a discounted LHR $117.50 which takes me about 10 min to perform if that.
My most expensive is $1900 for co2 laser that takes me about 1.5 hrs depending.
Please note that my books are not full and it obviously varies week to week. Also basically restarting some clientele for the 3rd time.
I will also add that the other practitioners and I have become like family very quickly. It's not toxic here at all and I get free services should I choose.
Just need some advice if I should stay where I'm at ( $20/5%), pursue the offer or try to renegotiate if they're willing.
If you've made it to the end, thank you so much. ❤️
submitted by Shot_Night7292 to Esthetics [link] [comments]
This is a long post and I'm looking for advice.
Background: I graduated in 2021 and quickly got a job at a local destination spa doing basic facials and body treatments. I was the only esthetician there and basically got the spa back up and running, revamped the menu etc. I was making $14.50 an hour plus 35% commission and they automatically added 25% gratuity. I was making about $100 an hour give or take. Unfortunately, it wasn't busy enough so I set foot to find another part time job.
In Jan 2023 I landed as a laser technician performing laser tattoo removal, laser hair removal, facials and IPL at a local laser studio. My pay since they paid for my laser training (sent me to Dallas for a few days) was $20 an hour and 5% commission on total revenue. It wasn't much but it was steadier than the destination spa and I was okay with it because I worked both places and was gaining experience. Eventually my goal was to leave the destination spa completely.
In Nov 2023 the laser studio decided to sell the LHR part pf the business to a local and very large Plastic Surgery Center, and I went with it. The tattoo removal was sold to another company.
I tried to renegotiate my pay however the Plastic Surgery Center would not budge and said we could potentially revisit at a later date when they got to know me better.
Fast forward 6 months.. I have brought up this issue again. I'm having difficulty making ends meet (as I left the spa at the start of starting here because I would be working full time.)
I currently offer Laser Hair removal, dermaplaning, Diamond glow, Co2 laser, got certified in Microneedling with prp, as well as many chemical peels including in depth.( I have accomplished a lot)
They have come back to me with this offer:
Titrate my hourly pay over the next 3 months from $20 an hour to minimum wage which is $15 an hour where I am located. And bump my commission from 5% to 10%.
Am I out of my mind for being a tad bit offended? Is this normal pay for an Esthetician that works in the medical field?
My cheapest service is a discounted LHR $117.50 which takes me about 10 min to perform if that.
My most expensive is $1900 for co2 laser that takes me about 1.5 hrs depending.
Please note that my books are not full and it obviously varies week to week. Also basically restarting some clientele for the 3rd time.
I will also add that the other practitioners and I have become like family very quickly. It's not toxic here at all and I get free services should I choose.
Just need some advice if I should stay where I'm at ( $20/5%), pursue the offer or try to renegotiate if they're willing.
If you've made it to the end, thank you so much. ❤️
2024.05.16 20:56 livingnightmarera I feel nothing for my future
Maybe it’s because I’m a bit under the influence (medication since I had my wisdom teeth removed) but I feel so alone and unworthy right now. I have assignments to do and my body won’t get up and do them. I wanna be able to graduate next year but it all just seems so useless. I wanna be able to make music full time but I just don’t see the use for anything right now. I even thought about selling my body online, but I don’t even think I’m that desirable for anything to come of it. It just seems like I’m rotting away very slowly now. Whenever I try to make friends it just seems as though it never lasts past a day. I’m so sensitive and I just feel like an awful person. It doesn’t help that I detach so easily, so I’m just bound to feel alone and loveless. I feel just apathic towards my future. I really do think I’m gonna die before I turn 40. I hate being so depressing like this, but I don’t want to bother anyone with these thoughts. I thought I was doing better but I guess that was a lie. I just feel really shitty and incompetent now. I hope no one ever has to experience the pain and uncertainty I have for countless days and months. It’s just awful.
submitted by livingnightmarera to SuicideWatch [link] [comments]
2024.05.16 20:56 NightOwlXXIV How to gain toned muscle without losing too much weight?
Hello all health and fitness enthusiasts. I'm a female in early 40's that is 5'4" tall and weighs 128 lbs. I work in a medical facility and my daily activity level at work consists of about 65% time of desk work and 35% time of walking or otherwise moving / standing. My diet is healthy most of the time (I cook at home and eat out only once in a while, no fast foods, no processed foods, etc). In the last 7 years I have taken up light exercise such as biking, jogging, and aerobic workouts usually 3-4 times a week, except for the last year. My usual weight is about 120-125 Ibs but in the last 2 years I have steadily gained weight to 128 lbs. So after a year of almost no exercise I am going back to my usual cardio routines + more. As we age, we lose muscle and our bodies become more and more "flabby." While I am not overly flabby (yet) I know that I am on my way there. My goal is to lose weight to 120 lbs AND build lean muscle. I want my body to become more toned (but not bulky). I know that I can't get muscle only lightly biking, jogging, or aerobic exercise. I do know that I need to incorporate some kind of strength and/or resistance training into my routine. My questions are the following:
(1) Do I need to be lifting weights at the gym or are resistance training exercises at home enough? (For example: using dumbbells and resistance bands) (2) If I do need to lift at the gym, how many times a week should I do it? (3) If resistance training at home is enough, then how many times a week should that be done? (4) How many times a week should I continue doing my cardio workouts? (Ex. how many days of cardio and how many days of strength or resistance training?) (5) How long does it take to tone a body trying to lose 8 los at the same time?
Any answers, suggestions, and help are greatly appreciated. Thank you!
submitted by NightOwlXXIV to Exercise [link] [comments]
(1) Do I need to be lifting weights at the gym or are resistance training exercises at home enough? (For example: using dumbbells and resistance bands) (2) If I do need to lift at the gym, how many times a week should I do it? (3) If resistance training at home is enough, then how many times a week should that be done? (4) How many times a week should I continue doing my cardio workouts? (Ex. how many days of cardio and how many days of strength or resistance training?) (5) How long does it take to tone a body trying to lose 8 los at the same time?
Any answers, suggestions, and help are greatly appreciated. Thank you!
2024.05.16 20:54 Negative_Answer6417 Am I the lucky recipient of Nummular/Discoid Eczema?
28 Asian Female Height 5'3" Weight 165 lbs Duration of complaint: 3 weeks Location: Los Angeles Any existing relevant medical issues: None Current medications: None
Rash started on my chest sometime in April 2024, around 3 weeks old. Circular rash spots increasing in quantity all over body. Seems circular spots with dark middle start appearing.
I'm thinking scabies cause it's itchy at night but it doesn't have a concentrated area, it's all over and not concentrated in folds. Also it doesn't have trail marks, I tried ink test and it doesn't seem to show any marks either.
Rash is very itchy, no fluid and no blisters, not very flaky only when I scratch it and it scabs from the abrasive scratching, more circular in nature and has a dark middle. It's more on my trunk (back and chest) and some on my neck, chin, lower face, ears, scalp, arms, legs, very little on hands and feet.
I'm thinking it's looking more like discoid eczema since it's circular in nature and is sporadically appearing all over my body.
HISTORY: I recovered from shingles recently, took Acyclovir x1 week. Had facial eczema in the past that was more dry, weeping, flaky, resolved with taking care of my skin barrier on my face. No allergies except rye grass and dust mites.
SEE IMAGES: https://ibb.co/7gyS42b https://ibb.co/4F6S7Yd https://ibb.co/19Qq5wW
Any help is very appreciated.
submitted by Negative_Answer6417 to eczema [link] [comments]
Rash started on my chest sometime in April 2024, around 3 weeks old. Circular rash spots increasing in quantity all over body. Seems circular spots with dark middle start appearing.
I'm thinking scabies cause it's itchy at night but it doesn't have a concentrated area, it's all over and not concentrated in folds. Also it doesn't have trail marks, I tried ink test and it doesn't seem to show any marks either.
Rash is very itchy, no fluid and no blisters, not very flaky only when I scratch it and it scabs from the abrasive scratching, more circular in nature and has a dark middle. It's more on my trunk (back and chest) and some on my neck, chin, lower face, ears, scalp, arms, legs, very little on hands and feet.
I'm thinking it's looking more like discoid eczema since it's circular in nature and is sporadically appearing all over my body.
HISTORY: I recovered from shingles recently, took Acyclovir x1 week. Had facial eczema in the past that was more dry, weeping, flaky, resolved with taking care of my skin barrier on my face. No allergies except rye grass and dust mites.
SEE IMAGES: https://ibb.co/7gyS42b https://ibb.co/4F6S7Yd https://ibb.co/19Qq5wW
Any help is very appreciated.
2024.05.16 20:52 Full_Flamingo_2833 i think i know what i i'm but i'm not sure
How old are you? What's your gender? Give us a general description of yourself.
i'm a teenagers i prefer not to specify my age i'm female (i'm a introverted)
• Is there a medical diagnosis that may impact your mental stability somehow?
i may have ADD/ADHD but i'm still uncertain but i don't believe it has a big impact on my mental stability
• Describe your upbringing. Did it have any kind of religious or structured influence? How did you respond to it?
i have a religious i don't agree with everything it says but i still pray i prevere not talking about my religious all i will say is i believe in the one and only above us all
• What do you do as a job or as a career (if you have one)? Do you like it? Why or why not?
i'm still at school and i don't like it nobody like it i study financiël i don't' really like it but the other options that where available weren't fun either so i choose the easiest for me
• If you had to spend an entire weekend by yourself, how would you feel? Would you feel lonely or refreshed?
this will be sad only one weekend could't you give me more time either way they is plenty of stuff i can do on my own to enjoy i wouldn't feel lonely at al i will probably do a little exercices watch tv and most important of all i would sleep as much as possible
• What kinds of activities do you prefer? Do you like it, and are you good at sports? Do you enjoy any other outdoor or indoor activities?
yes i like sport an moving my body is such a great feeling and it's really need to feel good i like doing stuff outdoors especially if i have the money i also like to relax indoor too
• How curious are you? Do you have more ideas then you can execute? What are your curiosities about? What are your ideas about - is it environmental or conceptual, and can you please elaborate?
i'm very curious always asking questions about random thing that i'm interested in and seeking to understand them the only i have goals that i want to achieve later but it's so far ahead of me that i'm not really concerned about them thee only thing i want to execute is finishing my list of serie i wanna watch i probably won't cause it's too long about how certain things work about why stuff happen about why people thinks differently and what do certain stuff means deep down if they is a hidden meaning my ideas are more conceptual they can be about objects but most of time my environment is boring to me and i don't give it much attention and most of the time i'm detached from that
• Would you enjoy taking on a leadership position? Do you think you would be good at it? What would your leadership style be?
i hate leadership position but a believe a be a good leader as i strive to results but at the same time i understand it's not always easy i will make sure we get too the finale project without trying to overwork the people and giving them a lot of freedom i believe they can decide for their one so but overall i don't like giving people work i don't like blaming others when stuff don't go the right way or controlling people or simply interacting with people so i prefer to work on my own unless i know if i'm a leader i would like to know the strengths and weakness of all of people
• Are you coordinated? Why do you feel as if you are or are not? Do you enjoy working with your hands in some form? Describe your activity?
i'm not that coordinated the way my body move is extremely random and purly impulsive and a bit aggressive too i don't try to control my movements that much but i'm practicing a sport who that make me more coordinated i like working with my hands as long as i'm not under pressure
• Are you artistic? If yes, describe your art? If you are not particularly artistic but can appreciate art please likewise describe what forums of art you enjoy. Please explain your answer.
i believe i'm very artistic especially with panthings as i have a eye to recognize good and less good painting i like to paint and my painting is abstract and very intuitive
i also appreciate fashion a lot
• What's your opinion about the past, present, and future? How do you deal with them?
thinking about the past is a waste of time cause you can't change anything thinking about the future is a good thing but it's demanding in energy i prevere dealing with what her is in the present
• How do you act when others request your help to do something (anything)? If you would decide to help them, why would you do so?
i will see what i can do to help if i refuse it's probably cause i don't like the person or that i have no energy or that i don't see what i can do to help
• Do you need logical consistency in your life?
i love logical consistency everything with logic in it make it easier to understand everything i don't understand cost me a lot of energy if i don't see any logic in a certain thing i will ignore it to not waste energy on it
• How important is efficiency and productivity to you?
i believe all my problems will be solve if i become more efficient and productivity is just for work in my case school and i'm still in a growing and learning how to become more of both of them
• Do you control others, even if indirectly? How and why do you do that?
no i don't like controlling others it's not easy to manipulate people i don't try it that much and i don't think i should do it neither do i want to be manipulated to do things against my own will
• What are your hobbies? Why do you like them? the sport i'm practicing cause it's fun + eating+sleeping+shopping with a lot off money +watching tv learning more about stuff i'm interesting in (example history ) why do i like them cause the are fun/relaxing / entertaining
• What is your learning style? What kind of learning environments do you struggle with most? Why do you like/struggle with these learning styles? Do you prefer classes involving memorization, logic, creativity, or your physical senses?
i use different methods to lean i can not lean all those subject in the same way i have easier using logic on certain things i will need my class involvement probably what i use the most logic cause i'm still a student other i have the need for physical senses or sensation
• How good are you at strategizing? Do you easily break up projects into manageable tasks? Or do you have a tendency to wing projects and improvise as you go?
i can probably strategize things well i'm not the best or the worst but what is harder is following the strategy when the moment come to do so a i'm more likely to improvise
• What are your aspirations in life, professionally and personally?
i want to become estate agent have more social skills and be more focus on work
• What are your fears? What makes you uncomfortable? What do you hate? Why?
death pain school exams pressure arguing with my mom do i really need to say why a hate those ting it's pretty obvious to me why
• What do the "highs" in your life look like?
having a good school report at the end of the year having a good sport competition
• What do the "lows" in your life look like?
failing in my classes
• How attached are you to reality? Do you daydream often, or do you pay attention to what's around you? If you do daydream, are you aware of your surroundings while you do so?
89% of the time i daydream and no i'm not aware of my surrounding when i do that
• Imagine you are alone in a blank, empty room. There is nothing for you to do and no one to talk to. What do you think about it?
i take my phone and put music till a get bored and then i start scream punch the wall think of a way out or i sleep
• How long do you take to make an important decision? And do you change your mind once you've made it?
i take as long as i need to i'm not the kind person that will run out of time cause i'm not that indesisive i can make quick decisions but i can also take a long time when i feel it's needed if after that i don't change my mind in the 5 sc after my decision i probably won't change my mind
• How long do you take to process your emotions? How important are emotions in your life?
the needed time to feel good my emotions aren't that deep so i mostly don't need much time but when they get what deeper i will need more time
• Do you ever catch yourself agreeing with others just to appease them and keep the conversation going? How often? Why?
i find myself agreeing with others when i'm too tired to argue or when i'm talking to my mom
• Do you break rules often? Do you think authority should be challenged, or that they know better? If you do break rules, why?
i beak rules when i know i'm not getting in trouble authority should be challenged they make dumb decisions but it's not me that should do that i'm too lazy , and i break rules cause they stupid
submitted by Full_Flamingo_2833 to MbtiTypeMe [link] [comments]
i'm a teenagers i prefer not to specify my age i'm female (i'm a introverted)
• Is there a medical diagnosis that may impact your mental stability somehow?
i may have ADD/ADHD but i'm still uncertain but i don't believe it has a big impact on my mental stability
• Describe your upbringing. Did it have any kind of religious or structured influence? How did you respond to it?
i have a religious i don't agree with everything it says but i still pray i prevere not talking about my religious all i will say is i believe in the one and only above us all
• What do you do as a job or as a career (if you have one)? Do you like it? Why or why not?
i'm still at school and i don't like it nobody like it i study financiël i don't' really like it but the other options that where available weren't fun either so i choose the easiest for me
• If you had to spend an entire weekend by yourself, how would you feel? Would you feel lonely or refreshed?
this will be sad only one weekend could't you give me more time either way they is plenty of stuff i can do on my own to enjoy i wouldn't feel lonely at al i will probably do a little exercices watch tv and most important of all i would sleep as much as possible
• What kinds of activities do you prefer? Do you like it, and are you good at sports? Do you enjoy any other outdoor or indoor activities?
yes i like sport an moving my body is such a great feeling and it's really need to feel good i like doing stuff outdoors especially if i have the money i also like to relax indoor too
• How curious are you? Do you have more ideas then you can execute? What are your curiosities about? What are your ideas about - is it environmental or conceptual, and can you please elaborate?
i'm very curious always asking questions about random thing that i'm interested in and seeking to understand them the only i have goals that i want to achieve later but it's so far ahead of me that i'm not really concerned about them thee only thing i want to execute is finishing my list of serie i wanna watch i probably won't cause it's too long about how certain things work about why stuff happen about why people thinks differently and what do certain stuff means deep down if they is a hidden meaning my ideas are more conceptual they can be about objects but most of time my environment is boring to me and i don't give it much attention and most of the time i'm detached from that
• Would you enjoy taking on a leadership position? Do you think you would be good at it? What would your leadership style be?
i hate leadership position but a believe a be a good leader as i strive to results but at the same time i understand it's not always easy i will make sure we get too the finale project without trying to overwork the people and giving them a lot of freedom i believe they can decide for their one so but overall i don't like giving people work i don't like blaming others when stuff don't go the right way or controlling people or simply interacting with people so i prefer to work on my own unless i know if i'm a leader i would like to know the strengths and weakness of all of people
• Are you coordinated? Why do you feel as if you are or are not? Do you enjoy working with your hands in some form? Describe your activity?
i'm not that coordinated the way my body move is extremely random and purly impulsive and a bit aggressive too i don't try to control my movements that much but i'm practicing a sport who that make me more coordinated i like working with my hands as long as i'm not under pressure
• Are you artistic? If yes, describe your art? If you are not particularly artistic but can appreciate art please likewise describe what forums of art you enjoy. Please explain your answer.
i believe i'm very artistic especially with panthings as i have a eye to recognize good and less good painting i like to paint and my painting is abstract and very intuitive
i also appreciate fashion a lot
• What's your opinion about the past, present, and future? How do you deal with them?
thinking about the past is a waste of time cause you can't change anything thinking about the future is a good thing but it's demanding in energy i prevere dealing with what her is in the present
• How do you act when others request your help to do something (anything)? If you would decide to help them, why would you do so?
i will see what i can do to help if i refuse it's probably cause i don't like the person or that i have no energy or that i don't see what i can do to help
• Do you need logical consistency in your life?
i love logical consistency everything with logic in it make it easier to understand everything i don't understand cost me a lot of energy if i don't see any logic in a certain thing i will ignore it to not waste energy on it
• How important is efficiency and productivity to you?
i believe all my problems will be solve if i become more efficient and productivity is just for work in my case school and i'm still in a growing and learning how to become more of both of them
• Do you control others, even if indirectly? How and why do you do that?
no i don't like controlling others it's not easy to manipulate people i don't try it that much and i don't think i should do it neither do i want to be manipulated to do things against my own will
• What are your hobbies? Why do you like them? the sport i'm practicing cause it's fun + eating+sleeping+shopping with a lot off money +watching tv learning more about stuff i'm interesting in (example history ) why do i like them cause the are fun/relaxing / entertaining
• What is your learning style? What kind of learning environments do you struggle with most? Why do you like/struggle with these learning styles? Do you prefer classes involving memorization, logic, creativity, or your physical senses?
i use different methods to lean i can not lean all those subject in the same way i have easier using logic on certain things i will need my class involvement probably what i use the most logic cause i'm still a student other i have the need for physical senses or sensation
• How good are you at strategizing? Do you easily break up projects into manageable tasks? Or do you have a tendency to wing projects and improvise as you go?
i can probably strategize things well i'm not the best or the worst but what is harder is following the strategy when the moment come to do so a i'm more likely to improvise
• What are your aspirations in life, professionally and personally?
i want to become estate agent have more social skills and be more focus on work
• What are your fears? What makes you uncomfortable? What do you hate? Why?
death pain school exams pressure arguing with my mom do i really need to say why a hate those ting it's pretty obvious to me why
• What do the "highs" in your life look like?
having a good school report at the end of the year having a good sport competition
• What do the "lows" in your life look like?
failing in my classes
• How attached are you to reality? Do you daydream often, or do you pay attention to what's around you? If you do daydream, are you aware of your surroundings while you do so?
89% of the time i daydream and no i'm not aware of my surrounding when i do that
• Imagine you are alone in a blank, empty room. There is nothing for you to do and no one to talk to. What do you think about it?
i take my phone and put music till a get bored and then i start scream punch the wall think of a way out or i sleep
• How long do you take to make an important decision? And do you change your mind once you've made it?
i take as long as i need to i'm not the kind person that will run out of time cause i'm not that indesisive i can make quick decisions but i can also take a long time when i feel it's needed if after that i don't change my mind in the 5 sc after my decision i probably won't change my mind
• How long do you take to process your emotions? How important are emotions in your life?
the needed time to feel good my emotions aren't that deep so i mostly don't need much time but when they get what deeper i will need more time
• Do you ever catch yourself agreeing with others just to appease them and keep the conversation going? How often? Why?
i find myself agreeing with others when i'm too tired to argue or when i'm talking to my mom
• Do you break rules often? Do you think authority should be challenged, or that they know better? If you do break rules, why?
i beak rules when i know i'm not getting in trouble authority should be challenged they make dumb decisions but it's not me that should do that i'm too lazy , and i break rules cause they stupid
2024.05.16 20:51 SaltExpression7521 I don’t know what to do anymore
Hi. I am a 24 year old female who has become a shell of herself and i’m fighting like hell to be okay again. I started experiencing severe pain in my back and slowly has gone to my shoulders and neck. My leg goes numb when I drive. I am on gabapentin 300 mg 3x a day and I am scared of this drug but it’s the only thing that helps. After further research on other symptoms I am having that I do not feel comfortable sharing I am convinced it is lyme disease. My mental health is on the floor. I have been to a psychiatrist since I was 12 years old and have been able to handle my anxiety and depression symptoms up until December of last year. I went through a really traumatic breakup and my family said they thought the medication I was on was making me act like a zombie because i was so out of it so i just quit taking everything. but prior to my health decline i thought i was doing fine on it. I was on Latuda.
From January to around the end of february or beginning of March I was acting like myself again but I was getting weaker and sicker. By April, physically my body has Deteriorated to the point where it’s hard for me to walk. I have seen a rheumatologist and just completed a nerve conduction study. By this time I was and still am a nervous wreck. Panic attacks every day for absolutely no reason and my chest feels heavy. I cannot find a new psychiatrist so I have left my mental health symptoms in the hands of my PCP and I don’t think she’s understanding the severity of this.
Since I don’t have a diagnosis yet I feel like everyone is looking at me like a drug seeker. She placed me on seroquil about a month ago and I don’t know what it’s done besides make me gain over 7lbs, sleep, and cry a lot and be angry, maybe it’s just making me have a clearer mind and i’ve realized I am angry that no one is taking me seriously and my life has changed completely and I have been grieving who I once was. I don’t think an antipsychotic is what I need since I have been told before that I am not Bipolar. Either way, I just want something for anxiety and panic attacks. Has anyone experienced anything like this while taking both gab and seroquil? I want off the gab but i am afraid that once I get off of it I won’t be able to walk again, i feel weak and like my entire back is vibrating and my insides are being electrocuted. I am so scared.
I know how some people can be so let me just say this. I hate being high or under the influence of anything. I can’t even take THC or CBD because feeling like i’m not in control of my body scares me. I don’t even drink except maybe 2 glasses of wine with an alcohol volume of 5% and that is like maybe 1 time every few months. I am just genuinely scared of who I am becoming. Any advice on how to overcome this fear will be greatly appreciated.
submitted by SaltExpression7521 to seroquelmedication [link] [comments]
From January to around the end of february or beginning of March I was acting like myself again but I was getting weaker and sicker. By April, physically my body has Deteriorated to the point where it’s hard for me to walk. I have seen a rheumatologist and just completed a nerve conduction study. By this time I was and still am a nervous wreck. Panic attacks every day for absolutely no reason and my chest feels heavy. I cannot find a new psychiatrist so I have left my mental health symptoms in the hands of my PCP and I don’t think she’s understanding the severity of this.
Since I don’t have a diagnosis yet I feel like everyone is looking at me like a drug seeker. She placed me on seroquil about a month ago and I don’t know what it’s done besides make me gain over 7lbs, sleep, and cry a lot and be angry, maybe it’s just making me have a clearer mind and i’ve realized I am angry that no one is taking me seriously and my life has changed completely and I have been grieving who I once was. I don’t think an antipsychotic is what I need since I have been told before that I am not Bipolar. Either way, I just want something for anxiety and panic attacks. Has anyone experienced anything like this while taking both gab and seroquil? I want off the gab but i am afraid that once I get off of it I won’t be able to walk again, i feel weak and like my entire back is vibrating and my insides are being electrocuted. I am so scared.
I know how some people can be so let me just say this. I hate being high or under the influence of anything. I can’t even take THC or CBD because feeling like i’m not in control of my body scares me. I don’t even drink except maybe 2 glasses of wine with an alcohol volume of 5% and that is like maybe 1 time every few months. I am just genuinely scared of who I am becoming. Any advice on how to overcome this fear will be greatly appreciated.
2024.05.16 20:39 Ill-Range-4954 Hsin Hsin Ming: On trust in the Heart (by Seng-ts'an)
I was reading some texts by Foyan when he mentioned Seng-ts'an and his writings. I decided to share and comment on the whole poem which is called Hsin Hsin Ming. The poem is huge, so buckle up!
On having no preferences.
On taking things as they are.
On intellectualization.
On duality of "Is" and "Isn't".
On me and you.
On having no fixed path.
On splitting the hair in half.
On no differentiation.
On the end of complication.
On freedom.
William Blake says:
submitted by Ill-Range-4954 to zen [link] [comments]
On having no preferences.
The Perfect Way is only difficult for those who pick and choose; Do not like, do not dislike; all will then be clear. Make a hairbreadth difference, and Heaven and Earth are set apart; If you want the truth to stand clear before you, never be for or against. The struggle between "for" and "against" is the mind's worst disease; While the deep meaning is misunderstood, it is useless to meditate on Rest. It [the Buddha-nature] is blank and featureless as space; it has no "too little" or "too much;" Only because we take and reject does it seem to us not to be so.If you support and objectify something outside yourself, that is already a preference. And then you will reject any view that denies your view of truth. However if you do not have such an object to look towards, what will you do? What would it look like not to fight against another view?
On taking things as they are.
Do not chase after Entanglements as though they were real things, Do not try to drive pain away by pretending that it is not real; Pain, if you seek serenity in Oneness, will vanish of its own accord. Stop all movement in order to get rest, and rest will itself be restless; Linger over either extreme, and Oneness is for ever lost. Those who cannot attain to Oneness in either case will fail: To banish Reality is to sink deeper into the Real; Allegiance to the Void implies denial of its voidness.There is no use to clean your glasses with your own fingers, it will only smudge them more. By trying to fabricate states or change your current state hoping to have a nicer experience, you will only get further estranged from yourself. By reacting to emotions, you will create even more emotions. Why force rest or peace? Why prefer something more real? How can something other than this experience be more real?
On intellectualization.
The more you talk about It, the more you think about It, the further from It you go; Stop talking, stop thinking, and there is nothing you will not understand. Return to the Root and you will find the Meaning; Pursue the Light, and you will lose its source, Look inward, and in a flash you will conquer the Apparent and the Void. For the whirligigs of Apparent and Void all come from mistaken views;This reminds of the monk who got to go on a walk with his master and they watched the sunset together. At one point the monk could not help himself and said "How beautiful!". His master never allowed him to go on a walk with him. Of course, this is an extreme case, but by expressing / looking for the beauty in words, it is no longer the same beauty. It is, as if, examined by one and no longer of-itself.
On duality of "Is" and "Isn't".
There is no need to seek Truth; only stop having views. Do not accept either position [Assertion and Negation], examine it or pursue it; At the least thought of "Is" and "Isn't" there is chaos and the Mind is lost. Though the two exist because of the One, do not cling to the One; Only when no thought arises are the Dharmas without blame. No blame, no Dharmas; no arising, not thought.From the One Mind are born "this" or "that". It can flower in any direction, but don't consider it your own and see it as an arbitrary view.
On me and you.
The doer vanishes along with the deed, The deed disappears when the doer is annihilated. The deed has no function apart from the doer; The doer has no function apart from the deed. The ultimate Truth about both Extremes is that they are One Void. In that One Void the two are not distinguished; Each contains complete within itself the Ten Thousand Forms.One void, not two, not me, not you. So tell me, who knows more than others? Who has views that others don't see? Who argues with another?
On having no fixed path.
Only if we boggle over fine and coarse are we tempted to take sides. In its essence the Great Way is all embracing; It is as wrong to call it easy as to call it hard. Partial views are irresolute and insecure, Now at a gallop, now lagging in the rear. Clinging to this or to that beyond measure The heart trusts to bypaths that lead it astray. Let things take their own course; know that the Essence will neither go nor stay; Let your nature blend with the Way and wander in it free from care.Only a fool would try to put a nail in the sky. What is subtle and what is surface understanding? There is a point where they no longer mean anything separately. What then? When things are seen for what they are, as appearances in the One Mind, all boundaries begin to crumble. In nature some branches grow short, some long, all is the body of Buddha.
On splitting the hair in half.
Thoughts that are fettered turn from Truth, Sink into the unwise habit of "not liking." "Not liking" brings weariness of spirit; estrangements serve no purpose. If you want to follow the doctrine of the One, do not rage against the World of the Senses. Only by accepting the World of the Senses can you share in the True Perception. Those who know most, do least; folly ties its own bonds. In the Dharma there are no separate dharmas, only the foolish cleave To their own preferences and attachments.Don't sit in your meditation or emptiness and reject everything. Don't sit with your Zen texts and reject what is not in your Zen texts. There is One Dharma and it manifests as all. Estrange yourself from your perceptions and senses and you will estrange yourself from the One Dharma.
On no differentiation.
To use Thought to devise thoughts, what more misguided than this? Ignorance creates Rest and Unrest; Wisdom neither loves nor hates. All that belongs to the Two Extremes is inference falsely drawn- A dream-phantom, a flower in the air. Why strive to grasp it in the hand? "Is" and "Isn't," gain and loss banish once for all: If the eyes do not close in sleep there can be no evil dreams; If the mind makes no distinctions all Dharmas become one.I see this as river, it does not look for the best course, it just flows into the best course. It does not blame rocks for being in the way, it just goes over them. What do you blame? What is it that you want to accomplish and what is it that stands in your way?
On the end of complication.
Let the One with its mystery blot out all memory of complications. Let the thought of the Dharmas as All-One bring you to the So-in-itself. Thus their origin is forgotten and nothing is left to make us pit one against the other. Regard motion as though it were stationary, and what becomes of motion? Treat the stationary as though it moved, and that disposes of the stationary. Both these having thus been disposed of, what becomes of the One?When you wake up from a dream in the morning, it instantly becomes unreal. In the same way, when all subjective complications are forgotten once and for all, the only flow of existence is revealed to have never ceased. Eternally This, ever flowing.
On freedom.
At the ultimate point, beyond which you can go no further, You get to where there are no rules, no standards, To where thought can accept Impartiality, To where effect of action ceases, Doubt is washed away, belief has no obstacle. Nothing is left over, nothing remembered; Space is bright, but self-illumined; no power of mind is exerted. Nor indeed could mere thought bring us to such a place. Nor could sense or feeling comprehend it. It is the Truly-so, the Transcendent Sphere, where there is neither He nor I.Thusness is the place of non-abiding. No one does the non-abiding so we can say that it happens of itself. This is the freedom that is sought after through endless kalpas of thoughts and emotions. Who would have thought that even thoughts and emotions are of themselves, part of it.
For swift converse with this sphere use the concept "Not Two;" In the "Not Two" are no separate things, yet all things are included. The wise throughout the Ten Quarters have had access to this Primal Truth; For it is not a thing with extension in Time or Space; A moment and an aeon for it are one. Whether we see it for fail to see it, it is manifest always and everywhere. The very small is as the very large when boundaries are forgotten; The very large is as the very small when its outlines are not seen.
William Blake says:
To see a World in a Grain of Sand And a Heaven in a Wild Flower, Hold Infinity in the palm of your hand And Eternity in an hour.On the futility of words and trusting the Heart.
Being is an aspect of Non-being; Non-being is an aspect of Being. In climes of thought where it is not so the mind does ill to dwell. The One is none other than the All, the All none other than the One. Take your stand on this, and the rest will follow of its own accord; To trust in the Heart is the Not Two, the Not Two is to trust in the Heart. I have spoken, but in vain; for what can words tell Of things that have no yesterday, tomorrow or today?Here we meet the paradox of being and non being, of using words to describe the word-less. What does it really mean to trust the Heart? We cannot convey that in any direct way using language. To be honest, we cannot convey much directly using language. Seeing things as not two, or not separate is to have trust in the Heart, or to put it in another way, not closing yourself off via intellectual analysis or emotional reactions is to have trust in the Heart. What is your take on all of this?
2024.05.16 20:33 2112bliss How else feels like they have it all under control and then next thing you know, it's not going so well?
Ok so I am 4 months PP and have been genuinely wondering if anyone else feels the same.
I am still recovering from giving birth (low blood pressure, anemia, hormone imbalances etc.), & l am doing everything to feel as good as possible and taking needed supplements. The thing is; it feels like one moment, everything is going perfectly (baby and I are out and about, my mental health is great, my body feels strong) and then one day later, it's like I am back to square one!? (feeling depressed, weaker and low energy).
I know this is not meant to ask for medical advice and I have a medical appointment scheduled soon, but is any other new mom feeling this 0 to 100 to 0?
Thanks for any input ♥️
submitted by 2112bliss to NewParents [link] [comments]
I am still recovering from giving birth (low blood pressure, anemia, hormone imbalances etc.), & l am doing everything to feel as good as possible and taking needed supplements. The thing is; it feels like one moment, everything is going perfectly (baby and I are out and about, my mental health is great, my body feels strong) and then one day later, it's like I am back to square one!? (feeling depressed, weaker and low energy).
I know this is not meant to ask for medical advice and I have a medical appointment scheduled soon, but is any other new mom feeling this 0 to 100 to 0?
Thanks for any input ♥️
2024.05.16 20:29 Pretend_Violinist475 how to talk to doctor about wl meds
I think morally i am against weight loss medications so im having a hard time internally fighting with the part of my brain that wants to lose weight and the part that is fat positive/body neutral. Nonetheless, i want to try and bring up the possibility of starting weight loss meds in the near future with my doctor. I am 5’9 and about 260lbs. During lock down i experienced the peak of my eating disorder and was the smallest i’ve ever been. Since then ive found a very healthy and stable relationship and have gained the weight back plus more. I typically always have high BP when i’m at the doctors (probably white coat syndrome) but other than that am “healthy”. I’ve tried everything and have been on and off diets since i was 9. I worry now that if i try to go back to counting calories and working out that I’ll fall into old patterns and my ED will take over my life again. I can’t do that to myself. I’m also learning as i enter my first adult job and start to settle into life that no matter what i do or how i present myself people will always see me as less than because im fat. I’m a nurse and the disordered eating talk amongst my co-workers has clearly been getting to me. They all stare and look at me with disgust and pity. I find myself criticizing my body constantly and comparing myself to everyone i see. Anyways, i’ve gotten a bit side tracked but bottom line is I want to voice all these concerns with my doctor while still maintaining my fat positive/neutral stance. It feels like i’m betraying that side of me. I also don’t know how exactly to bring it up with my PCP. I have an appointment in 2 weeks, just an annual physical with routine labs. Advice and comments in general are welcomed i’m curious what people have to say about all this.
submitted by Pretend_Violinist475 to loseit [link] [comments]
2024.05.16 20:19 lustreadjuster My ubpdMom is trying to have my arthritic dog put down instead of treating him
I have never been this angry in my entire life so please excuse the post as I am literally shaking right now.
My 9 year old black lab has arthritis in his entire body. The vet called my "Mom" even though they were directed not to and gave her the x-ray results and treatment options. The treatment options were meds (2 different options for meds) or surgery with meds. My "Mom" being the horrible person that she is decided that my dog needs to be put down. She said she made this decision because he was suffering and she was "trying to make a good decision." She scheduled the appointment and then told me afterwards and was proud about her decision. I rightfully lost my shit and immediately cancelled the appointment she set for euthanasia.
She is now at her therapist who just enables her behavior and only makes her worse.
I am forced to live with her and my Dad due to medical conditions partially caused by her (I'll go into this another time). I can't live alone and the person I lived with has to be trained in my equipment in the odd chance they would ever have to use it.
What do I do? How can I get it through her thick skull that she is being extremely selfish and destructive and that she doesn't get to make these decisions?
submitted by lustreadjuster to raisedbyborderlines [link] [comments]
My 9 year old black lab has arthritis in his entire body. The vet called my "Mom" even though they were directed not to and gave her the x-ray results and treatment options. The treatment options were meds (2 different options for meds) or surgery with meds. My "Mom" being the horrible person that she is decided that my dog needs to be put down. She said she made this decision because he was suffering and she was "trying to make a good decision." She scheduled the appointment and then told me afterwards and was proud about her decision. I rightfully lost my shit and immediately cancelled the appointment she set for euthanasia.
She is now at her therapist who just enables her behavior and only makes her worse.
I am forced to live with her and my Dad due to medical conditions partially caused by her (I'll go into this another time). I can't live alone and the person I lived with has to be trained in my equipment in the odd chance they would ever have to use it.
What do I do? How can I get it through her thick skull that she is being extremely selfish and destructive and that she doesn't get to make these decisions?
2024.05.16 20:17 Legitimate_Class180 How to Achieve Optimal Health: A Comprehensive Guide
Introduction
In today's fast-paced world, prioritizing health has become more crucial than ever. Achieving optimal health encompasses various aspects of physical, mental, and emotional well-being. This comprehensive guide aims to provide you with the tools and knowledge necessary to embark on a journey toward a healthier lifestyle.Define the Concept of Optimal Health
Optimal health refers to a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity. It encompasses lifestyle choices, preventive measures, and proactive healthcare practices aimed at enhancing overall quality of life.Importance of Prioritizing Health
Incorporating healthy habits into daily routines can lead to numerous benefits, including increased energy levels, improved mood, enhanced productivity, and reduced risk of chronic diseases. Prioritizing health not only benefits individuals but also contributes to a healthier society as a whole.Types and Categories of Health
Understanding the different classifications and types of health conditions is essential for developing tailored approaches to maintaining well-being.
Physical Health
Physical health relates to the proper functioning of the body and its organs. It involves aspects such as nutrition, exercise, sleep, and regular medical check-ups.
Mental Health
Mental health encompasses emotional, psychological, and social well-being. It involves coping with stress, maintaining positive relationships, and seeking support when needed.
Emotional Health
Emotional health refers to the ability to recognize, express, and manage one's emotions effectively. It involves self-awareness, resilience, and healthy coping mechanisms.
Social Health
Social health pertains to the quality of relationships and interactions with others. It involves communication skills, empathy, and a sense of belonging within a community.
Symptoms and Signs of Poor Health
Recognizing the symptoms and signs of poor health is the first step toward addressing underlying issues and implementing necessary interventions.Physical Symptoms
Physical symptoms may include fatigue, persistent pain, changes in appetite or weight, and frequent illnesses or infections.
Mental and Emotional Symptoms
Mental and emotional symptoms may manifest as mood swings, persistent sadness or anxiety, difficulty concentrating, and social withdrawal.
Behavioral Signs
Behavioral signs of poor health can include unhealthy coping mechanisms such as substance abuse, excessive screen time, and avoidance of social interactions.
Causes and Risk Factors Contributing to Poor Health
Identifying the underlying causes and risk factors associated with poor health empowers individuals to make informed decisions and adopt preventive measures.Biological Factors
Biological factors such as genetics, age, and pre-existing medical conditions can influence an individual's susceptibility to certain health issues.
Environmental Factors
Environmental factors including pollution, toxins, and access to healthcare resources can impact overall health outcomes.
Lifestyle Choices
Lifestyle choices such as diet, physical activity, smoking, and alcohol consumption play a significant role in determining one's health status.
Diagnosis and Tests for Health Conditions
Timely diagnosis and appropriate testing are essential for identifying health conditions early and initiating timely interventions.Medical Tests and Screenings
Medical tests and screenings may include blood tests, imaging studies, physical examinations, and specialized assessments tailored to specific health concerns.
Diagnostic Tools
Diagnostic tools such as medical history evaluations, symptom assessments, and diagnostic criteria are used by healthcare professionals to formulate accurate diagnoses.
Treatment Options for Various Health Conditions
Treatment options for health conditions vary depending on the nature and severity of the issue. They may include medical interventions, therapeutic modalities, and lifestyle modifications.Medical Treatments
Medical treatments may involve medications, surgeries, or other procedures aimed at addressing underlying health issues and alleviating symptoms.
Therapeutic Interventions
Therapeutic interventions such as physical therapy, psychotherapy, and counseling can help individuals manage symptoms and improve overall well-being.
Lifestyle Adjustments
Lifestyle adjustments encompass changes in diet, exercise routines, stress management techniques, and sleep hygiene practices aimed at promoting optimal health outcomes.
Conclusion
In conclusion, achieving optimal health is a multifaceted journey that requires dedication, commitment, and informed decision-making. By prioritizing physical, mental, and emotional well-being, individuals can enhance their quality of life and thrive in all aspects. Remember to consult with healthcare professionals and prioritize self-care practices to embark on a path toward lifelong health and wellness.Ready to prioritize your health and embark on a journey toward optimal well-being? Start implementing the strategies outlined in this guide today and take the first step toward a healthier, happier you!
2024.05.16 20:15 Normal_to_Geek Can someone help me figure out what happens if I need medical service if I leave my job? I can't take it anymore.
I work at a warehouse and I get insurance through them. I want to quit because it is very strenuous on my body and it doesn't help that I have GERD. This and heavy lifting is kicking my butt. I want to quit but then I'll lose my insurance and I am in the middle of taking medication and will have to go back in a couple of months to see the results of the medication. I live in California and have Kaiser. I don't know anything about government assistance and will need to sign up for that, and I do not know how to go about it.
submitted by Normal_to_Geek to HealthInsurance [link] [comments]
2024.05.16 20:14 guate8089 Time to stop?
I have been on phentermine for about 2 months, I have my 2 month follow up on the 29th. My doctor said I would hit a plateau soon (this is my second time on it) and I think I have. I am a firm believer in not putting things in your body that aren’t necessary and you don’t need. I think I am at that point but I’m also really nervous to go off the medication and gain the 24 pounds I’ve lost back. I know it is in my head and I control my weight in the long run but I’m stressing.
submitted by guate8089 to PhentermineTopiramate [link] [comments]
2024.05.16 20:13 diddly_doodler Hit a plateau and got shamed by my doctor.
So for reference I’m 28/f and from Nov ‘22-June ‘23 I was going through chemotherapy for Hodgkins Lymphoma.
Just prior to that I had gone from 255lbs down to 195lbs which was partially from working out/changed diet, and part from having the cancer.
Fast forward to last month and I’m almost a year out of treatment and going in for my quarterly scans. I gained about 25lbs during treatment because of the steroids they gave me and from not being able to get up very much and move around. This was of course disappointing but I was working at it.
Currently I’m back down to 205lbs from eating really clean, keeping a healthy calorie deficit, maximizing protein, and doing strength training 5-6days a week for a minimum of 1 hour along with daily walks.
I’m doing everything I can by the book and from January to March I lost about 15lbs with my BF% and body measurements consistently going down. But from March to today, even with the same routine and eating pattern, I’ve gained 5lbs (not fluctuating, consistently 5lbs higher considering outside variables.) and I don’t know what else to do.
I inquired with my oncologist about it at my last appointment and she told me I need to do more pushups 🥲. She isn’t a dietitian or trainer, so while I take her opinion with a grain of salt, she is still a medical professional and it sucked to essentially be told that everything I’m doing, and all the progress and lifestyle changes I’ve made are seen as “not doing enough. And for the record, I do 50 pushups a day, and have been since January per her advice.
I don’t know what else to do, but I’m so sick of feeling like crap about the way I look. I just want the way my body feels inside to reflect on the outside.
submitted by diddly_doodler to loseit [link] [comments]
Just prior to that I had gone from 255lbs down to 195lbs which was partially from working out/changed diet, and part from having the cancer.
Fast forward to last month and I’m almost a year out of treatment and going in for my quarterly scans. I gained about 25lbs during treatment because of the steroids they gave me and from not being able to get up very much and move around. This was of course disappointing but I was working at it.
Currently I’m back down to 205lbs from eating really clean, keeping a healthy calorie deficit, maximizing protein, and doing strength training 5-6days a week for a minimum of 1 hour along with daily walks.
I’m doing everything I can by the book and from January to March I lost about 15lbs with my BF% and body measurements consistently going down. But from March to today, even with the same routine and eating pattern, I’ve gained 5lbs (not fluctuating, consistently 5lbs higher considering outside variables.) and I don’t know what else to do.
I inquired with my oncologist about it at my last appointment and she told me I need to do more pushups 🥲. She isn’t a dietitian or trainer, so while I take her opinion with a grain of salt, she is still a medical professional and it sucked to essentially be told that everything I’m doing, and all the progress and lifestyle changes I’ve made are seen as “not doing enough. And for the record, I do 50 pushups a day, and have been since January per her advice.
I don’t know what else to do, but I’m so sick of feeling like crap about the way I look. I just want the way my body feels inside to reflect on the outside.
2024.05.16 20:08 Desperate_Speaker753 Tips for Applying for MCAT Accommodations, from someone with ADHD & Approval for Standard Time + 50% and more.
For anyone who feels lost trying to apply for accommodations on the MCAT, you are not alone! I will try to keep this short with as much information as possible. Please feel free to DM me with any personal questions!
Accommodation History
I took the MCAT with no accommodations on 6/17/23. I scored below 500 (which was not consistent with my practice exams, but I remember being extremely nervous on test day, really running out of time, and only being able to guess on the math questions because I had no time to attempt them).
Reasons For Not Originally Attempting To Apply For Accommodations:
AAMC requires a neuropsych eval that has not expired within 4 years. My eval had just expired. It is pretty expensive and time consuming to get this done.
Didn't want to spend the time and money on a new neuropsych eval.
AAMC accommodation process seemed tedious and intimidating. I almost felt like I would be using my time better by studying for the MCAT instead of working on the application.
The stigma surrounding ADHD/receiving extra time on tests - I think I wanted to try to "overcome" my disability because of the fear of being judged..Especially when thinking about how doctors don't receive extra time in the real world. However, I can confidently say that there is no reason to feel judged for finding what works best for you as an individual and as a test taker, especially in order to "level the playing field". And we all know the MCAT is not comparable to real life emergency situations.
Important Resources/Documents I Submitted When Applying for Accommodations:
Submitted this reconsideration letter on 12/22/23
Received Final Decision & Approval of What I Initially requested on 01/20/24.
This was a really long post and an extremely long journey. While I am extremely grateful that I have all these resources to share with you, I acknowledge that every situation is different. Please don't give up if you truly feel you deserve certain accommodations. The MCAT does not define you!
Good Luck & feel free to message me with any questions!!
submitted by Desperate_Speaker753 to u/Desperate_Speaker753 [link] [comments]
Accommodation History
- Junior year of HS, my ACT tutors recommended I get a neuropsychological evaluation for support for extra time on the ACT due to clear signs of ADHD and testing struggles.
- Received full 2 day neuropsych eval outlining my ADHD and testing struggles.
- Received time & a half on all standardized tests (SAT, ACT)
- Received time & a half on all college assessments.
I took the MCAT with no accommodations on 6/17/23. I scored below 500 (which was not consistent with my practice exams, but I remember being extremely nervous on test day, really running out of time, and only being able to guess on the math questions because I had no time to attempt them).
Reasons For Not Originally Attempting To Apply For Accommodations:
AAMC requires a neuropsych eval that has not expired within 4 years. My eval had just expired. It is pretty expensive and time consuming to get this done.
Didn't want to spend the time and money on a new neuropsych eval.
AAMC accommodation process seemed tedious and intimidating. I almost felt like I would be using my time better by studying for the MCAT instead of working on the application.
The stigma surrounding ADHD/receiving extra time on tests - I think I wanted to try to "overcome" my disability because of the fear of being judged..Especially when thinking about how doctors don't receive extra time in the real world. However, I can confidently say that there is no reason to feel judged for finding what works best for you as an individual and as a test taker, especially in order to "level the playing field". And we all know the MCAT is not comparable to real life emergency situations.
Important Resources/Documents I Submitted When Applying for Accommodations:
- Received a new neuropsychological evaluation.
- As I said before, this can be extremely costly. Unfortunately, I do think this is absolutely necessary.
- AAMC posted this Lower-Cost Evaluation Option for those who cannot afford pricey testing: https://students-residents.aamc.org/applying-medical-school/article/university-clinics
- As I said before, this can be extremely costly. Unfortunately, I do think this is absolutely necessary.
- Submitted previous neuropsych eval from 2017.
- I attended the same school from Kindergarten - 12th grade. I reached out to them and asked if they kept my report cards and notes from teachers throughout my academic career. I chose quotes from teachers that highlighted my ADHD-like tendencies throughout my time at the school.
- Reached out to the ACT to have them send my approval of taking the ACT with extra time.
- Submitted my ACT score when I tested with normal time & after testing with extra time (to show improvement)
- a screenshot of your score is fine, just make sure your name is shown somewhere in the screenshot.
- Letters from High School + College explaining proof of receiving accommodations.
- Standard Time & 50% (This means testing over 2 days)
- Stop-The-Clock Breaks
- Extended Section Breaks (Only get one 10 min break per day when testing over 2 days)
- Approval for Standard Time + 25% (testing over 2 days)
- Stop-The-Clock breaks (30 min per testing day)
- Extra 5 minutes of break time for a total of 15 minutes, as opposed to 10 mins.
Submitted this reconsideration letter on 12/22/23
Received Final Decision & Approval of What I Initially requested on 01/20/24.
This was a really long post and an extremely long journey. While I am extremely grateful that I have all these resources to share with you, I acknowledge that every situation is different. Please don't give up if you truly feel you deserve certain accommodations. The MCAT does not define you!
Good Luck & feel free to message me with any questions!!
2024.05.16 20:08 Mountain-Apple9662 Fever of unknown origin/PET scan results
Hello - I've recently received a PET scan for FUO. Since last July, I've been experiencing right sided abdominal pain which received no diagnosis. Last fall, I became severely ill with GI symptoms (primarily nausea) followed by chest/rib pain and neuro symptoms (shooting pain down right leg, headaches, etc.). My period had completely stopped during this time, which was likely due to the stress my body was under. They've since resumed, albeit painful ovulation and period cycles with frequent bloating all month long. Colonoscopy did not show any reasoning for my extreme bloating or abdominal pain. In January I began experiencing frequent fevers. I ended up with infectious disease and neurology referrals, and after extensive workups that did not provide any insight, we moved forward with a full-body PET Scan. Everything came back normal except the following:
ABDOMEN/PELVIS: In the posterior left adnexal region there is a 43 x 23 mm ovoid low density structure with moderately increased uptake in the peripheral posterior portion maximum SUV 7.7.
IMPRESSION: 1. Moderately increased uptake within the peripheral posterior portion of a 43 x 23 mm ovoid lesion posterior left adnexa. Findings may simply represent a physiologic ovarian cyst within an otherwise somewhat prominent ovary. In this particular patient chronic tubo-ovarian abscess or other fallopian tube or ovarian pathology could be considered. Recommend pelvic ultrasound with transabdominal and transvaginal imaging for further evaluation. 2. No other potential source of fever demonstrated.
________
The thing this I've had two ultrasounds (results below) in the past year, and my current OBGYN was quite dismissive of the results and is insistent that my symptoms are not GYN related. I'm currently waiting to see a new GYN next month, but wondering if this is urgent and should not wait that long. I'm really struggling to go back to my current OBGYN because of my experience there, and I'm not sure she'd do anything with these results. She largely double downed last time that my past US results were not a cause for worry or concern, and to manage with OTC pain relievers. No further action or testing needed.
Could the ultrasound and a CT (in relation to abdominal pain) I've had missed this?
Would love to know based on your experiences, how hard I should advocate for myself and if there's any specific testing I should explicitly ask for.
I have alot of medical fatigue and feel dismissed despite feeling so awful all the time. If you've read this far, thank you and sorry for the novel.
________
February 2024 Ultrasound:
submitted by Mountain-Apple9662 to Ovariancancer [link] [comments]
ABDOMEN/PELVIS: In the posterior left adnexal region there is a 43 x 23 mm ovoid low density structure with moderately increased uptake in the peripheral posterior portion maximum SUV 7.7.
IMPRESSION: 1. Moderately increased uptake within the peripheral posterior portion of a 43 x 23 mm ovoid lesion posterior left adnexa. Findings may simply represent a physiologic ovarian cyst within an otherwise somewhat prominent ovary. In this particular patient chronic tubo-ovarian abscess or other fallopian tube or ovarian pathology could be considered. Recommend pelvic ultrasound with transabdominal and transvaginal imaging for further evaluation. 2. No other potential source of fever demonstrated.
________
The thing this I've had two ultrasounds (results below) in the past year, and my current OBGYN was quite dismissive of the results and is insistent that my symptoms are not GYN related. I'm currently waiting to see a new GYN next month, but wondering if this is urgent and should not wait that long. I'm really struggling to go back to my current OBGYN because of my experience there, and I'm not sure she'd do anything with these results. She largely double downed last time that my past US results were not a cause for worry or concern, and to manage with OTC pain relievers. No further action or testing needed.
Could the ultrasound and a CT (in relation to abdominal pain) I've had missed this?
Would love to know based on your experiences, how hard I should advocate for myself and if there's any specific testing I should explicitly ask for.
I have alot of medical fatigue and feel dismissed despite feeling so awful all the time. If you've read this far, thank you and sorry for the novel.
________
February 2024 Ultrasound:
- Myometrium: Single fibroid seen
- Right ovary: appears normal with a 21mm hemorrhagic corpus luteum containing retracting clot
- Endometrial thickness, total 4.9mm
- Endometrium: within normal limits
- Fibroids:
- Uterine fibroid D1 11 mm
- Uterine fibroid D2 8 mm
- Uterine fibroid D3 9 mm
- Uterine fibroid mean 9.3 mm
- Uterine fibroids findings: Intramural. Anterior. Right lateral wall
- Uterus
- Endometrium: 4 mm cyst , no solid masses
- Endometrial thickness, total 9.8 mm
- Fibroids: Fibroids identified
- Uterine fibroid D1 30 mm
- Uterine fibroid D2 25 mm
- Uterine fibroid D3 25 mm
- Uterine fibroid mean 26.7 mm
- Uterine fibroids findings: transmural FIGO 2-5 with 10 mm cyst
- Right Ovary:Appears normal
- Rt ovary D1 27 mm
- Rt ovary D2 30 mm
- Rt ovary D3 12 mm
- Rt ovary Vol 5.1 cm³
- Left Ovary: Appears normal
- Lt ovary other findings: seen transabdominally only
- Left Tube: Size 38.0 mm x 18.0 mm x 24.0 mm
- Impression: 1. Heterogeneous mildly thickened endometrium with a 4 mm cyst. Clinical correlation recommended for potential hyperplasia or polyp. If clinically appropriate, repeat ultrasound could be performed in 4-6 months to evaluate for persistence. 2. Findings cost consistent with a degenerated fibroid. 3. Normal ovaries.
2024.05.16 20:07 flowerkitten896 Lexapro made things worse?
To start, I have an appointment next week with a psychiatrist and to get me on the schedule for regular therapy. A few weeks ago, I was put on Lexapro 5mg. I was dealing with reignited panic and anxiety from having a reaction to medication in the emergency room a month before.They had given me Compazine IV push and it made me hallucinate and panic.
I took the Lexapro for about a week. 4 days in, I started feeling absolutely horrible. It felt like a panic attack that didn't end for 3 days. I had full body shakes, dilated pupils, sweating and shivering. I felt dizzy and confused almost. My muscles became super twitchy and I had such awful headaches. I dealt with it for 3 days before I talked to the prescriber who said to immediately stop taking it. It took another week to fel even half back to normal.
Now they want me to take Zoloft but after 2 weird medication reactions, I'm terrified. I googled my symptoms of course and serotonin syndrome came up but they all said it's from higher doses for longer times. Is it even safe for me to try another ssri? The original prescriber said I might just be extra sensitive to them. I'm scared of my anxiety and panic attacks getting worse.
Hoping for some advice on what to do moving forward. And maybe a push in the right medication direction. I'm diagnosed with generalize anxiety and panic disorder.
submitted by flowerkitten896 to AskPsychiatry [link] [comments]
I took the Lexapro for about a week. 4 days in, I started feeling absolutely horrible. It felt like a panic attack that didn't end for 3 days. I had full body shakes, dilated pupils, sweating and shivering. I felt dizzy and confused almost. My muscles became super twitchy and I had such awful headaches. I dealt with it for 3 days before I talked to the prescriber who said to immediately stop taking it. It took another week to fel even half back to normal.
Now they want me to take Zoloft but after 2 weird medication reactions, I'm terrified. I googled my symptoms of course and serotonin syndrome came up but they all said it's from higher doses for longer times. Is it even safe for me to try another ssri? The original prescriber said I might just be extra sensitive to them. I'm scared of my anxiety and panic attacks getting worse.
Hoping for some advice on what to do moving forward. And maybe a push in the right medication direction. I'm diagnosed with generalize anxiety and panic disorder.
2024.05.16 20:07 Lu_Tai_Lei I felt like my lungs were stopping. Was struggling to breathe.
Age 28
Sex male
Height 5'8
Weight 150
Race White / Caucasian
Medications: Daily: Descovy for PrEP, 5000 IU Vitamin D3, 50mg zinc, 10mg Zyrtec (generic)
Last night I smoked a bowl, same weed I've been smoking for weeks. Same amount of weed I do every night. Started eating dinner after smoking. After about 10 mins, my hands and head and feet were going tingly and numb. It definitely didn't feel like weed, and I let my SO know I was feeling weird. He had me lay down in bed.
My hands went completely numb, still tingly. Couldn't move my fingers at all. My abs and chest started getting super tight. It started feeling like my chest was super heavy. I was struggling to breathe, gasping for air as I had my SO call 911.
I'm literally gasping and fighting so hard for every breath for about 10 mins while my entire body is numb, and I'm in a cold sweat. About 1 minute before EMS got here, I felt like I could start breathing again. EMS got my vitals and stuff and my heart rate was 150 and basically stayed elevated for 10+ mins so they recommended hospital.
So I took an ambulance to the ER. Got IV fluids. By the time the doctors started seeing me, my heartrate was still in the 130s. They did an EKG, CT, blood work, and an xray.
Was there from 8:30 to midnight and they couldn't figure out really what caused it, but they said for sure it wasn't a PE or DVT. The ER doctor thinks maybe it was a vasovagal spasm or pre-syncope.
Still don't know if it was just an insane anxiety attack? Or if I really do have an underlying issue. When I was discharged from the hospital I still had over 100 heart rate.
During those 10 minutes where I was fighting to breathe, I thought I was either gunna die, or my SO was going to have to start doing cpr on me because it was getting so hard to gasp for every breath.
It definitely felt like I was going to stop breathing, but I know the brain is powerful and a part of me still thinks it could have been random anxiety attack? The only thing that was out of the ordinary compared to any other day, is that my SO was using heavy duty wood-stripper on our deck about an hour before I smoked on the deck. The label says that if you can't smell any fumes there shouldn't be any, but another part of me thinks that maybe that had some sort of impact? Seems far-fetched but I just don't have much else to go off of.
I've never had anything like this happen before and I am otherwise healthy, no asthma, or previous heart or lung problems. I'm going start making regular PCP appointments, but I wanted to see if someone else here had any thoughts. Thank you.
submitted by Lu_Tai_Lei to AskDocs [link] [comments]
Sex male
Height 5'8
Weight 150
Race White / Caucasian
Medications: Daily: Descovy for PrEP, 5000 IU Vitamin D3, 50mg zinc, 10mg Zyrtec (generic)
Last night I smoked a bowl, same weed I've been smoking for weeks. Same amount of weed I do every night. Started eating dinner after smoking. After about 10 mins, my hands and head and feet were going tingly and numb. It definitely didn't feel like weed, and I let my SO know I was feeling weird. He had me lay down in bed.
My hands went completely numb, still tingly. Couldn't move my fingers at all. My abs and chest started getting super tight. It started feeling like my chest was super heavy. I was struggling to breathe, gasping for air as I had my SO call 911.
I'm literally gasping and fighting so hard for every breath for about 10 mins while my entire body is numb, and I'm in a cold sweat. About 1 minute before EMS got here, I felt like I could start breathing again. EMS got my vitals and stuff and my heart rate was 150 and basically stayed elevated for 10+ mins so they recommended hospital.
So I took an ambulance to the ER. Got IV fluids. By the time the doctors started seeing me, my heartrate was still in the 130s. They did an EKG, CT, blood work, and an xray.
Was there from 8:30 to midnight and they couldn't figure out really what caused it, but they said for sure it wasn't a PE or DVT. The ER doctor thinks maybe it was a vasovagal spasm or pre-syncope.
Still don't know if it was just an insane anxiety attack? Or if I really do have an underlying issue. When I was discharged from the hospital I still had over 100 heart rate.
During those 10 minutes where I was fighting to breathe, I thought I was either gunna die, or my SO was going to have to start doing cpr on me because it was getting so hard to gasp for every breath.
It definitely felt like I was going to stop breathing, but I know the brain is powerful and a part of me still thinks it could have been random anxiety attack? The only thing that was out of the ordinary compared to any other day, is that my SO was using heavy duty wood-stripper on our deck about an hour before I smoked on the deck. The label says that if you can't smell any fumes there shouldn't be any, but another part of me thinks that maybe that had some sort of impact? Seems far-fetched but I just don't have much else to go off of.
I've never had anything like this happen before and I am otherwise healthy, no asthma, or previous heart or lung problems. I'm going start making regular PCP appointments, but I wanted to see if someone else here had any thoughts. Thank you.
2024.05.16 20:07 ThrowRAgmsa242 Seeking any advice on how to exercise a demon
I believe my sister is possessed. I’ve never been the person to believe in “possession” per se, i’ve always believed that energy attaches itself to the mind and body when there is a lack of self control and self knowledge. She told me she invited spirits into her home and into her mind, and conveniently, when she did this, she started to hear voices and see these. she’s had professional help, taken medication and even been to a mental health clinic. Nothing has worked. My great grandmother is extremely religious (Christian) and has said since the beginning, with no knowledge of my sisters religion, that she believes she is possessed. I’m strong in sense of self and spiritual and awareness. but i know im also ignorant in things. is there any advice i need to hear? anything important i need to understand before i jump into something this big?
submitted by ThrowRAgmsa242 to DemonicHelp [link] [comments]