Cymbalta help with copay

Hi
The reason im on antidepressants is severe crippling post acute withdrawal syndrome caused by heavy synthetic weed abuse..
I tried SSRIs with no help... mirtazapine and wellbutrin too...
Then i tried cymbalta with seroquel and FINALLY felt something... my anxiety got better but i still experience pretty bad lows.. mood swings..
So now me and my doc have decided to give effexor a try... im still cross tapering so its way too early to judge anything... all i can say is that so far im handling the cross taper well...
I just have one question.. being that cymbalta and effexor are both SNRIs, did anyone find success with effexor after failing cymbalta or only gettinng a partial response from it ?

hello! 24f here, diagnosis’s of polycystic ovarian syndrome, history of hypothyroidism, asthma, and a pericardial cyst.
so, without injury/falling, i have been having a lot of back pain around my left shoulder blade for around three months, and some chest pain in the same spot in the front of my chest for the same amount of time. i also have been having mild nerve pain in my arms, legs, back, and head for around the same time. i have also been having clicking/popping in my neck when i walk or turn my head in any way, and my shouldeback pops whenever i take a deep breath in. this has all been kind of bearable.
in the last week or so, i have been getting a horrible electric shock type feeling in my chest mostly whenever i lay down, on either side or my back and even propped up in a recliner. it has only continuously gotten worse, and now it is to the point where it is radiating to both of my arms and my head, it lasts about 3 seconds on and off each time, and only stops when i sit up, but it leave me really hot and dizzy for about 30 minutes. i have went to the emergency room for it 3 times this last week, because i do not have my first primary care appointment until monday. they have done a full cardiac work up every time, just tell me it’s not my heart, (which i don’t think it is, i try to express heavily that i think it’s my back or my ribs or my shoulder each time) and send me home. the time before last they sent me a referral to a cardiologist though, for my pericardial cyst. i see them in june. they do think i was born with it so it’s not my main concern and the size of it hasn’t changed since they first caught it in 2018. the last time that i went, they referred to a spine doctor who i went and saw yesterday. it was a horrible experience that i won’t get too much into unless needed, but basically, he was 40 minutes late to my appointment, didn’t do an x-ray,(which i had called the front desk after the appointment and asked if they normally do one the first visit, and they said yes. i’m trying to see a new doctor there on monday without another copay) told me that most of my problems were “probably muscular” and “probably because of my boobs”, and he told me that the electric shock-type feeling in my chest was probably my esophagus, or heartburn, and told me to see a gastroenterologist. i tried to express to him that i don’t think that it could be my esophagus if it hurts worse when i turn my head or put my shoulders forward, to which he just shook his head “no” at me the whole time i was explaining it. he said all of this without doing an x-ray. i haven’t been able to sleep hardly for a week since this started. the hospital gave me a 3 day supply of pain meds on my last visit, and today i am on my last two, and even though they are not helping enough to sleep, they are helping a good amount. they are norcos. i don’t know what to do. i have been told by the emergency room before that i need an mri to see if i have a pinched nerve, which i’ve been waiting to see my primary care to give me the referral to get. i just don’t know what to do at this point? i am in so much pain and discomfort constantly. i would appreciate any advice or input! thank you so much for reading :)

Hi everyone - I'm really in need of help. I developed severe pain (it's especially in my neck/spine as well as upper back, but I'm also sensitized in the front of my body now as well. I now have more tingling in my fingers and my feet, as well as developing some weird motor symptoms (trembling hands, had what felt like a seizure, buzzing feet/legs that feel vibrating).
I initially had some medical emergencies and nerve damage from a blood draw, that lead to spreading nerve pain. Following that spread, I had a shock to my system (allergic reaction) and felt a giant pulsing shock go down my spine/body, lots of nerves tingling and a lot of numbness. Following that, lots of pain - it's gotten much worse over this last month. In particular, my head feels like a bobblehead with a lot of pressure in the back of my neck and stabbing pain, and pain going down my spine, as well as what feels like my bones against skin.
I have attempted to take my life a few times over the last few weeks because I have no pain relief (stopped by family). I am on gabapentin, though can't tolerate a very high dose, and not sure it does much (actually seems to seize muscles). Was on ativan as well, trying to switch to Valium, but that doesn't really do anything either at this point. It honestly feels like my head is being decapitated with how severe it is. I'm at 10/10 most days this week especially.
I was referred to a pain clinic, which had a very brief consult with me and immediately set me up for some short ketamine infusions - had two this week, they did nothing but make me very high during, and no pain relief after (each was about 1.5 hours, 60-70mg). I asked for some stronger pain meds as I'm in debilitating pain - they told me that me being suicidal due to pain is a mental health issue and not a pain issue (I'm suicidal because of how much pain I'm in) and that I basically just need to calm my nervous system, that it's only central sensitization. While I'm sure I've developed this, I also think something went wrong in my spine/there is nerve damage in my body, given how severe this is, and I still deserve something to help.
The pain clinic told me to take a supplement called PEA and sent me home. My family doctor is not allowed to prescribe anything stronger. I am thinking of trying to source fentanyl on the street, I have no idea. I've never used substances in the past. I'm young (34) and this has all ruined my life.
My doctor did prescribe tramadol (I did a gene test and it looks like I would need to take a bunch of it, and it made me super ill). I was able to tolerate hydromorphone which she also did prescribe, but it was a low dose, and it didn't really work for the pain I have.
I was given some recommendations in a past post, but I'm looking for more - support, advocacy, something. I have no idea how to get pain meds that might actually help me. At this point, my doctor is very about letting the pain clinic take the lead, but they are super Woo woo it seems and very anti-opiate or other meds, pro lots of injections. Additionally, I've had no nerve testing/conduction or any MRI yet - been waiting 7 months for the MRIs, which are without contrast. The neurologist I saw just brushed me off and said I probably have fibro - fine, I'm sure this is part of it. All doctors were telling me to take Cymbalta, which did nothing for my pain and actually lead to initiating those tremors (they have reduced now that I've stopped taking the med, though still happening). My family doctor wants me to try Effexor - they are still saying I need to go through all first line options. Nobody has asked many questions about my pain or what kind of pain, and nobody has even touched my neck/back.
I just can't anymore. I feel done. I don't know whether to go to the ER or psych ward, where I think they will just treat me like I'm nuts. My allodynia is so severe I can barely wear clothes right now - spent most of the time lying naked in bed.
Please, if anyone is out there - I'm in Vancouver, BC. I really need support and help. I was a regular person who worked full time before all this - now I fully rely on family and cannot function with this level of pain, let alone live.
Please don't tell me to turn to mindfulness, yoga or whatever - yes, these things are soothing and good, though I feel like I'm being stabbed all the time and I'm just not able to engage. And it feels weirdly like telling me it's my fault I can't turn off these insane signals - I really wish I could.

Hi! So I'm an F-1 student and my girlfriend (not US citizen) is pregnant and we are having our kid here. Now, in an attempt to have everything fixed sooner than later, I got a private insurance with BWA AmeriCare (Plan 3 Plan) through Fusion Health Agency License LA-1628724. This is a $620 monthly plan that's supposed to cover the entire pregnancy by just paying copays of $60 for every OBGYN visit and she said that the pregnancy was gonna be waived, but i felt a bit pressured by the sales rep as she said that we should get the insurance now as the further we were into the pregnancy, the pricier it was gonna become. To find a provider, you do it through MultiPlan, and my card says (PHCS Limited Benefit Plan Per Name: FE-AmeriCers 300 Group ID: G1203233) Now, talking to a friend, they told me that they used multi plan and aside from the co-pay, you end up paying a lot of stuff that is not covered. Are private insurance The best way to go for international students? I understand that you shouldn't apply for Medicare/Medicaid or any aid program since that could affect future F-1 visa renewals or a future adjustment of status, but I'm very clueless about this. I'm living in NYC. Is there any place or any number I should contact for further guidance? Any help would be greatly appreciated!!

Hi! So I’m an F-1 student and my girlfriend (not US citizen) is pregnant and we are having our kid here. Now, in an attempt to have everything fixed sooner than later, I got a private insurance with BWA AmeriCare (Plan 3 Plan) through Fusion Health Agency License. This is a $620 monthly plan that’s supposed to cover the entire pregnancy by just paying copays of $60 for every OBGYN visit, but i felt a bit pressured by the sales rep as she said that we should get the insurance now as the further we were into the pregnancy, the pricier it was gonna become. Are private insurance The best way to go for international students? I understand that you shouldn’t apply for Medicare/Medicaid or any program since that could affect future F-1 visa renewals or a future adjustment of status, but I’m very clueless about this. I’m studying in NY. Is there any place or any number I should contact for further guidance? Any help would be greatly appreciated!!

has anyone successfully treated their central sensitization? i was diagnosed with central pain syndrome, have both myofascial and nerve pain, and have really struggled finding the right treatments. i’ve been trying lots of medications but am super sensitive and have to be on very low doses (apparently that’s also connected to CS). best thing so far has been cymbalta but it gave me an unreasonable heart rate (120 bpm at rest). ldn made my nerve pain worse, trying out gabapentin but it’ll be a long haul to get up to a reasonable dose because it makes me so tired. if you found something that helped, what as the process like? how soon was your pain improved, and what did it feel like?

So I’m getting my first health insurance plan for myself, and I’m mixed up on how copayment / deductibles figure in with eachother in practice. I’ll give the relevant info on the plan, and some hypotheticals using their copay figures:
(Individual)

• Overall Deductible 2,000
• Out of Pocket Max 9,450

It says clearly “Copayment after Deductible is met”
Here’s two hypotheticals using their numbers to help:
1.) Surgery:

• In Network Surgery Center Fee Copay: 500
• Surgeons Fees: Waived
• Hospital Stay: 1,000

So , from the idea I have does this mean I’d have to pay these fees (1500) on top of the deductible bringing it to a total of 3500 in this hypothetical? Or just the first 2,000? How does the out of pocket max figure in?
2.)

• PCP doctor visit: 25

on the smaller scale, I doubt that means I’d have to pay 2,000 for a 25 copayment doctor visit. Or would I?
Mixed up on the order of all this - so if anyone can clear it up, and particularly help work out my hypotheticals it’d help me understand a lot. Thank you!

So I’m getting my first health insurance plan for myself, and I’m mixed up on how copayment / deductibles figure in with eachother in practice. I’ll give the relevant info on the plan, and some hypotheticals using their copay figures.
Likely a dumb question but gotta start somehwere and seeing other answers have made me more confused!
Massachussetts
WellSense Health Plan Clarity Silver 2000
(Individual)

• Overall Deductible 2,000
• Out of Pocket Max 9,450

It says clearly “Copayment after Deductible is met”
Here’s two hypotheticals using their numbers to help:
1.) Surgery:

• In Network Surgery Center Fee Copay: 500
• Surgeons Fees: Waived
• Hospital Stay: 1,000

So , from the idea I have does this mean I’d have to pay these fees (1500) on top of the deductible bringing it to a total of 3500 in this hypothetical? Or just the first 2,000? How does the out of pocket max figure in?
2.)

• PCP doctor visit: 25

on the smaller scale, I doubt that means I’d have to pay 2,000 for a 25 copayment doctor visit. Or would I?
Mixed up on the order of all this - so if anyone can clear it up, and particularly help work out my hypotheticals it’d help me understand a lot. Thank you!

Hey everyone. I hope this isn't a weird place to ask but I've grown to appreciate the little helpful communities on reddit.
I love coffee so much, but I've developed a pretty unforgiving caffeine intolerance to the point where even if I have too much chocolate, I get jittery, super anxious and I crash a little while after. Regular cheap decaf I get from the grocery kinda makes me feel similar.
Does anyone have any a similar experience and have recommendations for good decaf brands I could try?
It's funny how I hated the taste of coffee in my early 20s but now I miss it. 😅
(About me, 33 m. I was diagnosed with anxiety disorder and fibromyalgia 2 months ago and started Cymbalta to help treat it.)

i am 25 female with Autism, 140 lbs. i have tried fluoxetine, quetiapine, olanzapine, escitalopram, gabapentin, ativan, trazodone, prazocin, cymbalta, lamotrigine, risperidone, and also have self medicated with xanax, cannabis, 3,4-methylenedioxymethamphetamine, psilocybin (micro, normal and macro doses), and a few other neat lil guys. i also have tried vyvanse and maybe concerta(????), though not by choice. the most helpful medicine i’ve ever tried when my nervous system freax out tho is taking a double shot of butterscotch liqueur (20%). it just takes the edge off a bit. i have pretty extensive medication trauma and medications tend to make me very sick, so i’m only willing to try a medication if it will be likely to give me as good of an effect as taking just one double shot of butterscotch liqueur. i don’t want to worry my family by drinking in the day time, but from my perspective it is harm reduction to have one shot as a prn than to freak out for days on end because i’m sick of having skin and hearing the fricken electricity all the livelong day.

My niece (teenager) sent me a picture of her hand… it was swollen black and blue and looked broken(like bones not straight), she said she punched something and her parents(mom and step parent) didn’t want to take her to get it checked out. They have a new baby so I understand being totally exhausted as I have a new baby too. I talked to her for a bit and she was saying how bad it hurt and she couldn’t move her fingers. I didn’t know what to do because I didn’t want to over step and didn’t really know what to do so I called my mom to ask for advise (neither me or her live in the same state as them) she said i should reach out to her parents and ask what’s up and why they won’t take her and ask if they need help with the baby or taking her and my mom would drive there to help(she has a flexible work schedule) They ignored my calls which I told my mom. My niece sent me a screen shot of her conversation with her mom saying she was too tired and has work in the Am so will take her tomorrow after school. My mom was fuming at this point(the picture made it seem like she might need surgery on it)and said she would call my dad( which my sister and her family live with but they try too keep separate so like two families living in one house that don’t get involved in each others parenting) I said idk if she should get him involved but she did anyway. Turns out my niece was playing it up and my sister sent me a picture of the hand and it looked completely different than the one my niece sent me(idk if he edited it or what)… like not bad at all just a bruise. My dad also talked to my mom and said she was there eating and using her hand fine and thinks she just wanted to get out of school. I was hurt my niece did that to me and got me so stressed out. I texted my sister apologized and sent her the picture I got and why I was so upset they didn’t think of taking her. My sister later flipped out on me that I was calling her a bad parent by questioning her not taking her, and she has been a parent longer than me and some other stuff along with her saying I got the whole family involved which I didn’t!!! I only asked my mom what to do and she offered to drive my niece if that was the issue. I feel like I didn’t do anything wrong, I asked if they needed help, if they needed me to pay the hospital copay( money is tight) if they needed my mom to come help and then even said sorry and sent the picture I got so they could see why I was worried, never said anything mean or rude. I explained why I reached out to just my mom and how I didn’t involve the family(my mom told my dad, and my niece told my other sister too) was I in the wrong? What should I have done differently?
Also I will be talking to my niece how that was wrong of her to do to me, she has been struggling with new baby and all so maybe it was for attention idk but we will be talking about this.

Hello this is my first time asking on this sub. I was bit really bad by a dog on 12/24/2023. She tore tendons and nerves in my leg. There’s still a pain and numbness there so I need an MRI. My insurance hasn’t kicked in yet and I am in a legal battle with the owner but they are not very responsive. I’ve tried to have it billed but the facility needs a copay for the procedure. My leg is doing worse and worse so I would really like some answers. I have doctors notes pay stubs so you can see my next pay date when I will pay it back in full. Thanks for any help!

I can’t believe I’m writing this. But, I need some support.
I had to be unfortunate and come across a tweet in X about a trans man shooting a school, and when I read the comments and the article and the OP’s opinion, it really triggered my anxiety. The poster and commenters were talking about how SSRIS/testosterones causes people to kill, and I went into a rabbit hole because I got really scared. I wanted to find relief, but I ended up worse. I developed intrusive thoughts, and my panic attacks started to affect me a lot, there was a point that I ended up burning my skin, so those images and flashes would just stop (for some reason my brain convinced me that I was going to become one and hurt my family whom I love with all my heart.)
I also fainted, my body collapsed with all the stress. My brain ruminated and heart pounding was enough to sent me to the ER, as I suffered a syncope or whatever it is called. I spoke to the psychiatrist whom I have to change because he put me on Mexalozam (I used to take clonazepam, but the dr changed it to 0.5 of 1mg of mexalozam. I took 0.5 of clonazepam) and well for some reason that pill gave me depression and put me worst than I was, so I changed psychiatrist (the last one told me to trust the treatment, to not let my emotions control me, but I was feeling like a zombie and I was emotionally blunt and couldn’t feel and that scared me even more. I mentioned it to the dr but he just dismissed me.) i returned to the psychiatrist who stabilize me on 2021 (he returned back from another country) he put me back on clonazepam, 0.5 mg (based on the gene test he ordered me on 2021, I metabolize clonazepam faster while the rest I don’t. The SSNRi that I’m on is Cymbalta which he put me on and I haven’t stopped taking me has helped me a lot, no side effects.) And put me on TMS.
The treatment has helped me a lot, and I have been more motivated. Yet, I still have that feeling of impending doom, and now and then I feel like my heart constricts. I don’t know how to explain it. I no longer feel like I have intrusive thoughts, but I feel kind of panicky sometimes?
Can someone give me some advice while I wait for my next therapy session?
Any help?

Hi. I'm a young man of 24 years old who needs a hug, support and advice at the time of writing these lines. The last month and a half has been terrible for me, I had a moment of depression which led me to consult and change medication by quitting the Cymbalta that I had been taking for generalized anxiety for a year at 60mg. I have always had OCD linked to the fear of self-abandonment, of being disconnected from reality and the irrational fear of seeing spirits or hallucinating abnormal things. In short, I have always been extremely anxious since childhood about being different and having all the most serious pathologies possible. I chose to go for a consultation six weeks ago and through cognitive behavioral therapy we explored thinking, its origins and how to try to react to it. I am an extremely obsessive person about irrational ideas and fears which are the source of my anxiety. It always has been and is like an unstoppable cycle that constantly hits thoughts. Tomorrow, May 17, I'm going to Vietnam for a month with a friend and the trip has been planned for a few months. I'm terribly anxious because I'm in a weak mental shape, the likes of which I haven't had in a long time. I started Venlafaxine (Effexor XR) almost 20 days ago at 37.5 mg and gradually increased to 150 mg over the last 4 days. I had an extremely relevant consultation with a family doctor but the fact remains that my hypochondriac condition of anxiety makes me paranoid and I am afraid of all the effects of the medication or that it will not work and that my life is over because of my continued obsessive thoughts. In short, I'm on my third different antidepressant since 2021 and I've had some terribly difficult times but I don't want to give up. When you read online, people will rarely talk about their success with antidepressants but rather talk about the problems or the fact that they had a bad experience with the medications.
Help me, the last few weeks have been terribly difficult and I want to enjoy this journey. Thanks in advance!

39F, 165lbs, US.
We experienced a missed miscarriage last week. We went in for our 12 week scan at 12w4d, and discovered the baby had stopped growing at 10w3d and there was no longer a heartbeat. This was my first pregnancy, and we had used donor egg IVF to achieve it due to my diagnosis of primary ovarian failure. Our donor was 25, husband is 38, and the embryo was untested, though we had done genetic testing on both the donor and my husband to ensure no genetic issues.
I am aware (and my OB emphasized) that this was most likely a chromosomal abnormality incompatible with life, and that I should not blame myself, blah blah. But because of the events of that week, I can't help but wonder. No testing was performed on the POC that I'm aware of, so I realize we will likely never know, but I wanted to ask some questions in hopes that IF it was somehow my fault, I can hopefully prevent this next time.
At just about 9 weeks, I started to taper off of Cymbalta 60mg, as it wasn't helping, so my OB prescribed me 30mg and I started a taper. Around the same time, my nausea started to let up. Toward the end of that week, my husband and I started a 4 day cycling trip of 120 miles, which was more than I had biked recently but not sufficiently so that it was very difficult for me, and we finished this the day I was 10w3d. At 10w2d we got massages, hot stone. I don't recall the massage going over my belly at all, but it was quite hard on my back (but felt amazing after all the biking).
The confluence of things that happened that week, and the timing of it, makes me wonder if something went wrong because of that. I was starting to feel brain zaps from the taper in week 10, and I've heard week 10 is important for brain development, could the Cymbalta taper have done something? Or the massage?
I realize it's likely that it was already happening since my nausea had already started to decline, but that was a week earlier, so wouldn't the baby have stopped growing then, instead? Our IVF clinic doctor also said that usually when the embryo is aneuploid, they see poor growth from the beginning. Our confirmation scan at 6w measured 5w5d (within the error, she said), but at our scan at 8w5d, they were right on track and HR was strong. That, combined with our donor's age, makes it hard for me to believe that it was just an abnormality, and I can't help but think it was the Cymbalta withdrawal or massage or something else from that week.
I had a d&c on Friday, and have been very slow to recover. My BP was very low (80/40) following the procedure and remains a bit on the low side. Not sure if that helps at all.
ETA: I also had a sinus infection around then, which I think started after vomit came out my nose from earlier morning sickness. I had yellow mucus, then green, and occasionally blood. My PCP gave me amoxicillin and assured me it was safe to take, though this was not until later in week 10. The sinus infection issues started a few days before we started the cycling trip.

50M, 6ft, 211lb, caucasian.
This is going to be a long post, with as much detail as I can provide. Thank you in advance for reading it if you do so.
I currently suffer from General pain as well as pain and numbness in my extremeties. as well as being tired all the time and not getting good sleep. I have tried everything I can think of and was conviced for a long time that it was Fibromyalgia, due to the general tiredness, my nose running after eating lunch many days, not everyday but more often than not. as well as some other things I can't think of. I spent well over a year trying to get a referal to a Rhemetologist and finally was able to see one yesterday. She told me in the first few minutes it wasn't Fibro. Not sure how she knew right away but she seemed very very sure. She seemed very dismissive of my pain and said that all of my symptoms were due to the general deteriation in my back. Since I have had multiple MRIs and all of them say the degeneration is in a different location, all of them have stated there is nothing wrong with my back I find this difficult to beleive.
I have difficulty doing anything due to my pain and am currently taking alot of Opiates as well as cymbalta and seem to be stable on my current medications. However my pain management doctor wants to reduce the Percaset from 150/mo to 120/mo Which I realize is still 4/day and should be fine. I currently take 3/day every day just to get by and am still in a lot of pain. I am no stranger to pain, I have broken multiple bones so am familiar with pain. I generally have a high tolerance for pain. I have been on percaset for 6 years and have taken progressively more since I started 7 years ago.
I am an open book and happy to answer any questions that might help, I realize you probably can't diagnose me based on this brief summary. However, any direction that might help me mitigate my pain and make it so I don't have to take so many pills everyday would be greatly appreciated. I feel like if I could just figure out what is wrong with me, get an actual diagnosis then I could get on meds that would help manage my condition and then wouldn't have to feel like a drug seeker every month when I go to my Pain management doctor and the pharmacy. More and more lately I just feel like no one beleives me about my pain and they all think I just want more drugs. I don't really, I would love to not be in pain and not need to take opiates to just go to work and be able to survive.
If you made it this far, I appreciate you more than you know! Thank you in advance for anything you can provide to maybe help me figure out what is going on.

Hi! Long time cymbalta user, 10 years minus two pregnancies. I’ve been on 60mg past 3 years and recently “tapered” off quickly due to side effects, increased anxiety. I’m 12 days with out it and started Zoloft 3 weeks ago to help with the process.
The past couple days have been great, no brain zaps, intermittent nausea but manageable compared to the first week. Over the last 24 hours I just feel like a complete space cadet, scared of my own shadow. Everything is making me anxious and scared. Anyone else experience this?

hi, im pretty new to the whole reddit scene and felt like i didnt have much to post about, but man, i need to talk about this situation im in. any and all advice is welcomed and greatly appreciated. this is not a request for money!
im currently 32 weeks pregnant (was not planned.) just over a month ago, my boyfriend and i were homeless, like sleeping on benches kinda homeless. im 19 and he is 21. he comes from pretty broken home, and i was kicked out when i told my mom about my pregnancy. being thrown out into the real world so young has really not worked out so well for either of us, but recently things were starting to look up. i was able to make amends with my family to move back in & he was able to secure a construction job by sleeping nearby so he was able to walk to the site. on his first paycheck he bought a cash car to sleep in and get him to safer areas at night time. here and there he would let me use the car to doordash for some extra money. all was well for about 2 weeks until we hit a pothole that blew out one of our tires, and when we took it in to have it replaced, we also had to pay to fix the alignment and a leak in the coolant tank. $800 gone just like that. we actually had to get some assistance in paying for that from a couple friends because we didn’t have the full amount that was sprung on us. that was 2 DAYS AGO. so, here we are today, enjoying having the car back running “smoothly” until randomly, no more than 20 minutes after he picks me up, the car starts literally vibrating and jolting while we are driving. he calls up a friend who is supposedly pretty good with cars, and uses a code reader to tell us we need a new battery. we are dead broke after getting this car out of the shop, so after a while we eventually called up our church to see if this was something they could help with, and they actually did. we had to catch a ride there with a friend, but they gave us a brand new battery. we get it hooked up in the car, and nothing changed. so he uses the code reader again, now its saying the spark plugs are misfiring. thankfully our friends were willing to help us out with another $40 on those, and he got to changing them. on the 3rd plug, when he pulled it out, it was covered in black oil. we dried it up, put the new one in, and just by leaving the car idling for a couple minutes, it pooled up again. the car is not safe to drive and we have no means of income without it considering that he is stranded about 30 miles from his job. he is having to sleep in the autozone parking lot tonight. thankfully, yet AGAIN, i got help from my friend to get me an uber home because i have an OB appointment tomorrow, which i also will have to pay back the copay for at some point lol. so now we are a few hundred in debt to our friends with no means of income and it was all for nothing. we literally wasted everyones day away and now im literally drowning in stress because it will more than likely need to be towed. and even if it can be worked on at autozone we are completely out of options to continue trying to fix it. we spent EIGHT HUNDRED DOLLARS that we did not have only for this to happen 2 days later.
i guess thats it, lol. once again i would like to reiterate that this is not a post to ask for financial assistance, but this car is our lifeline and we have put every dollar we can into it. are there any other things we can do at this point? neither of us have credit so we cant take out a loan through the bank. this is the first car either of us have ever owned. if its useful info, the car is a 2015 nissan altima.
sorry for the long post. i just had an exhausting night and wanted to yap a little about it. thanks for reading and again any advice would be helpful . :)
edit: my boyfriend was able to catch a ride to work this morning, and then to autozone where the car was parked to try and get a different diagnosis. luckily, it is not an alternator issue and the only thing we need to do is replace 2 of the ignition coils, one more urgent than the other. while we dont exactly have the means for it in this moment, its not wildly expensive and i expect we’ll be able to get it fixed before too long. thank you to everyone who commented with some things to take a look at, it definitely helped him out at autozone this morning. God bless :)

I have outstanding, positive reviews on Google and almost 100% perfect Press Ganey scores from patients...but you just can't please them all. I spent over 60 minutes with a new patient, and at the end of the visit, she says, "but the main reason that I am here is for my chronic pelvic pain." The reason listed for the appointment that she scheduled was to discuss hormones and urinary symptoms. I very kindly told her that we would need her to return for another appointment to address that. She scheduled, then called the OM to ask to be refunded her copay because "I barely laid a finger on her." I DID performed a problem focused abdominal exam, and most of her visit was spent on counseling and obtaining a complicated history/reviewing her records. I reached out to her to say that I was sorry that she was disappointed in her visit. She was very nasty and said that she wanted to see a DOCTOR not a NURSE PRACTITIONER, and said that I was harassing her. Then she went on Google reviews and said that I fraudulently documented a full physical exam (I truly only documented what I did). She then reported me to my healthcare organization. I don't really understand why she snapped, because I was truly trying to help her. Has anyone ever had a situation like this? I'm thinking about getting a lawyer to send her a cease and desist letter for defamation.

So...has pelvic floor physical therapy helped anyone?? Also...the one my doc referred me to is out of network with my insurance and im not sure if i'll be able to afford it. I know regular pt ive paid a copay but when i try to look for a pelvic specific physical therapist theyre all not covered by insurance. Has anyone else experienced this? im frustrated because ive tried everything except for physical therapy and now im not even sure i can afford it.

Has anyone completed transitioning from cymbalta to naltrexone successfully and found the same or greater shift in their pain score ?
I’m tired of cymbaltas side effects and am considering the switch but unsure if it’s worth it since the tapering side effects are horrible with cymbalta ( on 30 mg )and if naltrexone to help with the pain

Hi everyone, I'm in the process of getting my residency investor visa and I've been looking for health insurance for the past 2 weeks.
I was stupid enough to explicitly describe my medical history with Cigna (even though I've never had any health issues, just checks) and they quoted me 40k (26 yo male).
I got a decent quote from Allianz for global excl USA (12.5k AED/year, 20% max $28 USD copay on outpatient), they accepted some pre-existing conditions, and I was literally about to sign the credit card authorization form when I saw that Nextcare is the data processor on behalf of Orient, who is the actual insurer in the UAE (Allianz takes care of global ex UAE).
I've researched this extensively here on Reddit and I saw folks say really bad things about Nextcare hence I want to avoid them at all cost.
Does anyone here have insurance from Allianz (covered by Orient in the UAE) and has any experience with Nextcare?
Are they really that bad, or does it depend on the company you use?
I've gotten quotes from (AED):

• Cigna - they hit me back with 40k
• Allianz - 12.5k
• AXA / GIG gulf - they wanted like 18k
• BUPA - 21k
• Hanse Merkur - 18k

Those are all the good ones I found here on reddit, based on other people's feedback.
Would really appreciate some help, trying to finalize my visa ASAP. Thank you very much fellow Dubai Redditors.