Age: 22
Sex: F
Height: 5’1”
Weight: 164 lbs
Race: hispanic
Duration of complaint: 3 months
Location: abdomen
Currently have high cholesterol. bad cholesterol count of 103 according to my primary care.
Current medications: metoclopramide 5mg. sertraline 25mg, pantoprazole 40mg
i’ll include pictures of some tests that i’ve had done in the comments if i can.
Gonna try to include as best of a description of my symptoms as i can, i’ll also try to edit anything if it makes my description better.
this all started 2 months ago. literally the last week of february. at the time i wasn’t on any type of medication. nothing changed in my eating habits, except for the fact that i’d had panda express for the 1st time ever starting in february.
i became constipated suddenly one afternoon and this continued for a week. went to the doctor and i was sent to get a ct scan. but obviously, i’m not familiar with medical terms. from what i understand, there’s evidence of slow transit through my small bowel, but don’t know where or why exactly.
symptoms include: constipation accompanied by side and abdominal discomfort/aches/ pains. my upper abdominal area aches a lot some days. it feels as if the area right under the breast bones wants to cramp up. i feel burning in my stomach and abdomen too. gas is hard to pass somedays and feels trapped. i also have upper back aches. doctor told me it’s because of my small intestine. i also have lower back aches as well, but was told it could be because of kidney stones i didn’t even know i had, but just thought i’d mention this. i have diarrhea (once i went and it was very watery,) loose stools, stools with mucus of varying shapes and consistencies. the mucus on my stool is clear and white and appears like strings on my stool. sometimes i’ll have a semi normal movement, but with mucus. sometimes my stool will be thin, in small pieces, or just very loose even after a “normal” bowel movement. other times i’ll go but it’s just mucus. all my stools are also slimey in texture from what i can tell. also, everytime i wipe my stool it’s yellow in color with mucus and/or clear fluid.
also, not sure if this has to do with my current condition but have been wiping light red blood after i go, both with my more solid stools and loose ones. in one instance i even wiped only blood. there’s also been times where i’ve seen streaks of blood on my stool too. clear fluid also seems to be leaking out of my anal area…. clear mucus sometimes too. the mucus that comes out sometimes has pieces of stool/liquid that is the color of my stool. even with the supplements and meds i’ve been given i’m lucky if I go even once a day now, but constipation is getting worse in my opinion.
in late march/early april i started to experience nausea, heartburn, acid reflux, and severe loss of appetite. all of these symptoms have persisted since. i no longer eat any of the food i used to. i can’t eat fast food or meat any more. i’m sticking to fruit, no citrusy fruits, crackers, soups, and cereal with almond or lactose free milk. even with these changes in diet my symptoms have persisted.
i eat very little because i just don’t feel hunger like i used to at all. even if i do i find that i get full very easily. i’m bloated after i eat as well. also, like i said i’m constipated so my bowel movement are little to none.
i currently still have all of the symptoms above and they don’t seem to be improving.
in a addition to a ct scan i’ve gotten tested for a blood infection, negative. celiac disease blood test came back negative. stool test for h pylori came back negative. a test to find if there was any blood digested and present in my stool came back negative. a stool test that was done to measure levels of fat in my stool came back indicating normal levels of fat in my stool. i also got an ultra sound for lumps that appeared on my abdomen but it was found that they were just fatty lumps. i also got an endoscopy in late april where 3 tissue biospies were taken. apparently, the 3 things they tested for all came back negative. other than a bacterial infection, i have no idea what else they ruled out. i’m not even white sure what bacterial infections they ruled out.
honestly, i’m getting more questions than answers at the moment and just want to know if there’s any more testing that i should ask for. what could possibly be happening to me and why?

Hello, so for context I’m currently a sophomore in undergrad, and summer is quickly approaching so I reached out to a previous PI at a medical school I interned at last summer. He originally said that he’d have me back every summer of my undergrad, and even when I asked “If he was sure” that I could come back this upcoming summer he said, “Of course!”. Anyway, I left on great terms, and then when I reached out a few months ago to confirm he said he had accepted another intern overseas and took on multiple Ph.D. students, and could no longer fund me working in his lab. I had already created an hour-by-hour itinerary of what I had planned to do during the internship to maximize my time, and come out with an interesting presentation, and was super bummed. In the same email he had also sent me a link to two grants I could apply to that would fully fund me, both of which were nearly a month EXPIRED 😭(only found out after pouring my heart and soul into an application saying why I need the funds to work in his lab). How would y'all feel about this? I mentioned while replying that they had already expired and were no longer a viable option for me along with most grants closing for funding in early March, and I've felt ghosted ever since. *Fast forward a month I ended up getting an internship at the same medical school but not in research, I’d be on campus and definitely run into my old lab mates eventually since everyone eats lunch at the same place. Should I go visit my old lab and check in on him still? Or would it be weird? I want to maintain a good relationship since he did say he would write me a letter of rec but he hasn't emailed me back since and I don't know what he's thinking or if it would be too awkward. Any advice on my stupid little dilemma would be appreciated! Thank you! :)

With my fiancé. We were arguing. He kept saying things that made me feel like he was against me. Like giving me a straw, five days after wisdom teeth removal. (I’ve already been eating solid foods, vaping, and drinking).
Somebody at work (who is gay) mentioned that he knew my fiancé (he knows his coworker from work) . He said this coworker was giving my fiancé “a hard time”. I think that is innuendo for something else. When I asked if I should break up with my fiancé, he said no.
I feel like life is corrupt and wrong and everyone is at each other’s throats.
I hate this. I ruined my whole life to get limited pleasure. (Meth) There are a number of paths I wish I would’ve chosen otherwise. Am I really this way? I have been off my medication for two months. Maybe I just have ptsd? From my traumatic experiences? Maybe I am right from this gut feeling and this is a little suspicious? I don’t know.

Hi everyone!
I was diagnosed with Grace’s about a month ago, after being hospitalised for thyrotoxicosis, and having had symptoms for around the last year.
I am having a TT on the 19th of June, because I never want to experience what I felt in the days before going to hospital EVER again.
Anyway, point of this post is, how quickly post TT can one start exercising (assuming all the stars align and medication is right first time and there are no complications?)
I LOVE running, but I have been struggling so much over the last year because of the headaches and heart rate. I miss it, and I so badly want to start training again.
I’ve just been walking for the last month while my meds have kicked in, and I feel well enough to start running again but won’t do so until my endo gives me the green light.
I asked her this question, but she just said it depends on my own healing - so I just want to get a frame of reference from others?

Experiences from the medical world regarding certain topics (these are not my comments):
.
"EDS is a genuine clinical entity. There are multiple subtypes with known mutations which will show up on a genetic panel.
There is a hypermobile subtype with no (known) genetic marker and relatively subjective diagnostic criteria. This makes it prime real estate for hpeful folks fishing for a diagnosis to explain their symptoms. In my experience it's generally self-diagnosed or diagnosed without investigation (eg by the very damaging PT run POTS/EDS clinic in town).
The hyoermobile subtype may have a pathological basis we simply don't yet understand and we shouldn't kmmediately dismiss it from a patients history. That said, it's been widely adopted in the Munchausen's by Internet communities and propagated by predatory borderline-alternative practitioners. I use it as a marker for a patient needing a more careful psychiatric history."
.
"Great job for recognizing that EDS is comprised of 13 very distinct types that stand on their own. It sucks that most generalize EDS as one condition. There is a big difference between Vascular, Kyphoscoliotic, types, ect. and the hypermobility type. Its a bummer when a person with vEDS will not be taken serious because of a medical professional's experience and subsequent stigmatization that comes with a hEDS shit-show."
.
"To clarify, I’m speculating on a specific subset of patients I’ve seen with no family history of EDS. These patients rarely meet diagnostic criteria, have undergone extensive testing with no abnormality found, and yet the reported impact on their quality of life is devastating. Many are unable to work or exercise, are reliant on mobility aids, and require nutritional support. A co-worker recommended I download TikTok and take a look at the hashtags for these conditions. There also seems to be an uptick in symptomatic vascular compression syndromes requiring surgery. I’m fascinated."

Experiences from the medical world regarding certain topics (these are not my comments):
.
"-self-diagnosed, unconfirmed and typically incorrect - and unfortunately perpetuated by unsuspecting PCPs who trust their patients' reports and presume the diagnosis was confirmed (i.e., did not confirm as above). When the PCP refers to a specialist for management, that specialist says wut?, then then the patient ends up with me.
-Doctor shoppers. This is elevated to a fine art by some. I get referrals who have already been seen by the diagnostic clinics at half a dozen top tier US university diagnostic clinics already - I typically refuse these because I doubt I have anything to add, I have a 3 - 6 month-waiting list - not fair those with no workup yet.
-Many have psychiatric or behavioral or personality disorder component that plays in. Sometimes it's mild, especially in the form of secondary gain. Many lobby for a disability label to get out of working, but seem able to work.
-Some seem to have real psychiatric disease. These folks almost always refuse a psych referral.
-Full blown Munchausen Syndrome, or MS by Proxy, the latter of course is the ultimate can of worms for pediatrics."
.
"Of course food allergies, FPIES, EOS and mastocytosis are real. The problem is when parents live on forums, and get told "you need a better doctor"., and it's really diagnosis (x).
My allergist had a ton of self referrals until covid hit. Now the clinic plays hard ball on a full work up before you get an appointment. He got tired of parents on a mission, with a consult from Dr. Google."
.
"Like Lyme disease, MCAS was hijacked by quacks.
Basically, the scheme involves:

• Taking a real problem that impacts a small number of people
• Claiming it causes many problems in many people
• Falsely claiming to be an expert in the condition and peddling fake diagnoses
• Selling fake treatments for the fake diagnoses
• Crying conspiracy and persecution if anyone questions you

The above applies to Lyme, gluten problems, MTHFR, vaccine injuries, heavy metal toxicity, bartonella, babesia, and other dubious diagnoses frequently sold by those who market themselves as functional, integrative, alternative, holistic, and naturopathic.
In a book excerpt, Dr. Jonathan Howard explains the psychology of fake diagnoses. Lists of non-specific symptoms are used so that the diagnoses can fit almost everyone.
Two of the top MCAS charlatans are business partners Lawrence Afrin, MD and Tania Dempsey, MD. Both advertise as "integrative" and have been associated with the dangerous pseudoscience group ILADS. Dempsey admits that she thinks 80+% of her "chronic Lyme" patients have evidence of MCAS.
See also:

• Doctor, I Think I Am Suffering from MCAS: Differential Diagnosis and Separating Facts from Fiction
• AAAAI Consensus about MCAS31116-9/fulltext)
• Dr. Alan Khadavi: Mast Cell Activation Syndrome (MCAS): Fact & Fiction"

Back in February I decided to homeschool for the remainder of the year due to personal stress unrelated to school. My plan was to come back to public school in August for my freshman year. When I was discussing my plan with registrar before homeschooling, I made sure to ask questions to make sure I was making the right decision. She told me, with my mother as a witness, that I would not have to take any exams or partake in any long process, and as long as I had the transcript it would transfer smoothly. Now, I have recently found out that I will have to take an exam for every single subject. This wouldn’t usually be a problem, but I have to have a 90 minimum to even receive credit. In subjects such as Algebra, Spanish, and Biology, which I am not that strong in, I am screwed. (maybe even english or geography considering how high the bar is) What should I do? (I need 7 credits to be promoted)
Here are my options if I am not promoted to Sophomore (there may be more that I am unaware of) A - Take credit recovery classes at my high school, most likely will take me another 4 years to graduate B - Attend the local credit recovery charter school, no extracurriculars (which I don’t need as I’m enrolled in a school unaffiliated theatre studio) but I can graduate in just 2 years. C - Enroll in K12 online school, pretty much the same outcome as A. D - Keep on homeschooling and get my GED, which will be a lot faster for me to finish than all other options besides B.
I want to avoid homeschooling again, as I like the in-person environment, but if I need to I am willing to. I know a lot of people don’t like charter schools, but I have enrolled in one before and it is honestly the exact same in my experience as a non-charter public school. I was also considering Penn Foster online but I know someone who had a bad experience with them. Again, any help would be appreciated. <3

I had gallbladder removal surgery on May 8th. It's now May 18th. And between that time frame I have gained 9 pounds.
I am 34 Female, had gastric sleeve surgery July 2020. I went from 420 to 296. April 2023 I started a weight loss injection, and unfortunately my insurance no longer covers it and I discontinued it Mid April this year, after having lost another 60 or so pounds (before this weight gain) over the course of the year. I still have another 54 or so to go for my personal goal of 180 (it's still considered overweight but my stature would look disproportionate).
Anyways. I weigh in on Saturday mornings first thing then the scale goes away for the week. Every 4 weeks I do fluctuate up a pound to three because of PMS incoming. I weighed in on May 4th and was up 1.8lbs from prior week but It was the 4th week rough area. Then I had my surgery. I weighed on May 12th, and was up 5.1! The 12th was not my Saturday so I weighed again today, May 18th and I'm up another 4.0lbs! How!
I'm indulging in some comfort foods. Yes. But also cold cut things, veggie tray stuff, meat tray things (family brought in stuff for ease of eating for my family since I'm out for now). Even at my highest weight I wasn't gaining 5 pounds in 6 days!
I know I just had surgery, and some of it is my PMS (hasn't started but the effects come rolling in and last a week or two before falling off), but not to this degree. I've never gained weight this fast. Reviews even coming off of a weight loss medicafjon doesn't even reflect something THAT rapid. I'm 10 days post op. If it's due to surgery would I not still be going up in weight by now? Wouldn't it have subsided and evened off by now?
I need guidance on this. Is this normal? To fluctuate this much, thos upwards, 10 days post still? After all I've been through, and done as well, that I'm terrified I'm gaining this all back. It took my a year to lose 60 pounds and In 10 days I've gained 1/6 of that back!
Is this normal? To still see weight be going up like this? Does it stop? How long does it last if so?
I havemt been the most sedentary. Doing things more than I probably should be already but I've been moving around a lot. Not just sitting. Taking diuretic medication to help fluid. I had twins in November 2020. In 8 months time I only gained 30 with them. So this is absolutely insane to me.
Help?

Back in February I decided to homeschool for the remainder of the year due to personal stress unrelated to school. My plan was to come back to public school in August for my freshman year. When I was discussing my plan with registrar before homeschooling, I made sure to ask questions to make sure I was making the right decision. She told me, with my mother as a witness, that I would not have to take any exams or partake in any long process, and as long as I had the transcript it would transfer smoothly. Now, I have recently found out that I will have to take an exam for every single subject. This wouldn’t usually be a problem, but I have to have a 90 minimum to even receive credit. In subjects such as Algebra, Spanish, and Biology, which I am not that strong in, I am screwed. (maybe even english or geography considering how high the bar is) What should I do? (I need 7 credits to be promoted)
Here are my options if I am not promoted to Sophomore (there may be more that I am unaware of) A - Take credit recovery classes at my high school, most likely will take me another 4 years to graduate B - Attend the local credit recovery charter school, no extracurriculars (which I don’t need as I’m enrolled in a school unaffiliated theatre studio) but I can graduate in just 2 years. C - Enroll in K12 online school, pretty much the same outcome as A. D - Keep on homeschooling and get my GED, which will be a lot faster for me to finish than all other options besides B.
I want to avoid homeschooling again, as I like the in-person environment, but if I need to I am willing to. I know a lot of people don’t like charter schools, but I have enrolled in one before and it is honestly the exact same in my experience as a non-charter public school. I was also considering Penn Foster online but I know someone who had a bad experience with them. Again, any help would be appreciated. <3

I can't seem to be finding the ones that are actual jobs.
I even go so far as to researching these companies just to make sure.
I've been applying for nearly 8 months. My resume is straightforward, my cover letter explains my strengths, plus I have plenty of experience with customer service.
So far the one job I considered promising returned and email and when I watched the video they added (at this point I already had doubts) it turned out to be a training center to help people obtain an insurance license, with no intention to hire the result.
I even filter what I am looking for with no luck. Maybe I'm searching wrong? As this is the first time I've had to work remotely because of a disability.

The diagnosis of borderline personality disorder (BPD) is predicated upon the notion that those who suffer from it have aspects of their personalities which are problematic, self-defeating and dysfunctional so, in the first instance, it is useful to explain what is meant by personality.
In fact, there are several theories which attempt to describe what personality is rather than one, definitive theory and one of the best-known theories is called the five-factor model of personality.
The 5 factor model of personality proposes that personality comprises 5 main factors/traits/characteristics, represented by the acronym OCEAN.
These 5 factors are shown and elucidated upon below :
Openness To Experience (inventive/curious versus consistent / cautious). Conscientiousness (efficient/organized versus easy-going / careless). Extraversion (outgoing/energetic versus solitary/reserved). Agreeableness (friendly/compassionate versus challenging/detached). Stability/Neuroticism (sensitive/nervous versus secure/confident).
Because, as already stated, a diagnosis of BPD is based on the idea that aspects of the diagnosed person's personality are disturbed we would expect there to be some relationship between this model of personality and the personalities of those suffering from BPD.
In relation to this, researchers have posed the question: to what degree can a diagnosis of BPD be predicted from a description of a person's personality based upon the 5-factor model?
One study (Distel et al., 2009) that sought to answer this question, involving over 10,000 participants in total, found that, in terms of the 5-factor model, the traits that best predicted BPD were :
High Neuroticism combined with Low Conscientiousness
Another study (Kendler et al., 2011) came up with similar results, finding that the three factors which correlated most highly with BPD were :
High Neuroticism Low Conscientiousness Low Agreeableness
A third study (Terr, 1991) found that individuals who had suffered significant childhood trauma (extremely common among BPD sufferers) scored more highly than controls on :
Neuroticism Openness to new experience.
Research carried out by Gutierrez et al. (2000) suggested that seven fundamental aspects of personality that, when they become disturbed, dysfunctional and maladaptive (e.g. due to childhood trauma), make up the foundations on which personality disorders may develop. (though, of course, to be diagnosed with any one particular personality disorder not all seven aspects of personality need to be functionally impaired. However, which of the seven aspects are impaired, and in which combinations, will contribute to the determination of the particular personality disorder).
Antagonism Compulsivity Detachment Disinhibition Negative affect Psychoticism Submissiveness
The above is of particular interest as there is a growing feeling within certain sectors of the medical profession that, rather than labelling people with potentially stigmatizing labels (such as borderline personality disorder) it may be better from a patient's point for the therapist to describe his/her difficulties with reference to the above seven personality aspects. This also has the benefit of providing the patient with specific personality traits and behaviours that s/he may benefit from working on and giving him/her greater insight into the source of his/her difficulties.
Studies suggest there is a genetic component that contributes to an individual's chances of developing BPD during adulthood. This, in turn, suggests (but does not prove) that certain behavioural aspects/traits of BPD may well have been adaptive for our ancestors (i.e. helped them to cope with their environment, to survive, and, ultimately, therefore, to reproduce in certain situations). Let's look at examples of why this may have been the case.
EXAMPLE 1: SOCIAL AVOIDANCE:
One aspect of personality pathology can be social avoidance e.g socially avoidant personality disorder and BPD (during phases of withdrawal) This trait could have helped our ancestors survive if they lived in an environment in which there existed many dangerous strangers.
EXAMPLE 2: IMPULSIVE BEHAVIOUR:
Many individuals suffering from BPD are highly impulsive. If a person is impulsive, it means s/he tends to react very quickly to an array of stimuli. Thus, in environments in which danger could suddenly come out of nowhere (like being unexpectedly attacked by a predator), lighting fast reactions would help to increase the individual's chances of survival.
EXAMPLE 3: AGGRESSION
One main symptom of BPD is a propensity to fly into intense rages and become (usually verbally) aggressive. Again, for our ancestors, aggression helped them to survive and reproduce. Indeed, violence was necessary as there was no police force to protect people and food and resources could sometimes only be gained by the means of fighting. Even during the last century, anthropologists studied a tribe of very violent hunter-gatherers and found that those who had committed homicide lived longer and reproduced more than less violent members of the tribe.
It stands to reason that individuals who both inherit traits relevant to BPD AND grow up in a dysfunctional environment (constituting a ''double-whammy) are at especially increased risk of developing BPD compared to both those who inherit similar traits but experience a stable and loving childhood and those who do not inherit BPD-related traits but experience a traumatic and stressful childhood.
It follows, of course, that if a parent has BPD, the child is at significantly increased risk of developing BPD him/herself as s/he may both inherit predisposing personality traits and grow up in a harmful environment.

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📌 - Here in Insomnia we focus on quality of roleplay. We offer player owned businesses, Many MLO hangout locations, working arcades and trained emergency services.
🎭 - For criminal activity, we believe in interactions and roleplay before ending a scene in handcuffs and jail. Story and well thought plans deserve to be recognized. Our development team plans to expand criminal activities for many possibilities
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Insomnia RP — https://discord.gg/mBTcpUgkny
NEW 18+ FiveM server. No whitelist application! A place with many opportunities for criminals, police, medical, civilians and car enthusiasts! We opened Friday, May 17th to a fresh start!
✨ Features 🎉 - We are newly developed, up to date, with a fresh start to all. Looking for Police, mechanics, and medics!
📊 - Launch day we averaged 20 people, little to no issues. Over 100 discord members within a month. We care, and will continue to grow.
🚗 - Affordable starter vehicles, and many opportunities for car enthusiasts like customizations, car shows, and the ability to one of one a vehicle.
📌 - Here in Insomnia we focus on quality of roleplay. We offer player owned businesses, Many MLO hangout locations, working arcades and trained emergency services.
🎭 - For criminal activity, we believe in interactions and roleplay before ending a scene in handcuffs and jail. Story and well thought plans deserve to be recognized. Our development team plans to expand criminal activities for many possibilities
🌳 - Cherry blossom trees, and large forest trees that makes a unique and beautiful city truly a see for your self experience.
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Insomnia RP — https://discord.gg/mBTcpUgkny
NEW 18+ FiveM server. No whitelist application! A place with many opportunities for criminals, police, medical, civilians and car enthusiasts! We opened Friday, May 17th to a fresh start!
✨ Features 🎉 - We are newly developed, up to date, with a fresh start to all. Looking for Police, mechanics, and medics!
📊 - Launch day we averaged 20 people, little to no issues. Over 100 discord members within a month. We care, and will continue to grow.
🚗 - Affordable starter vehicles, and many opportunities for car enthusiasts like customizations, car shows, and the ability to one of one a vehicle.
📌 - Here in Insomnia we focus on quality of roleplay. We offer player owned businesses, Many MLO hangout locations, working arcades and trained emergency services.
🎭 - For criminal activity, we believe in interactions and roleplay before ending a scene in handcuffs and jail. Story and well thought plans deserve to be recognized. Our development team plans to expand criminal activities for many possibilities
🌳 - Cherry blossom trees, and large forest trees that makes a unique and beautiful city truly a see for your self experience.
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Insomnia RP — https://discord.gg/mBTcpUgkny
NEW 18+ FiveM server. No whitelist application! A place with many opportunities for criminals, police, medical, civilians and car enthusiasts! We opened Friday, May 17th to a fresh start!
✨ Features 🎉 - We are newly developed, up to date, with a fresh start to all. Looking for Police, mechanics, and medics!
📊 - Launch day we averaged 20 people, little to no issues. Over 100 discord members within a month. We care, and will continue to grow.
🚗 - Affordable starter vehicles, and many opportunities for car enthusiasts like customizations, car shows, and the ability to one of one a vehicle.
📌 - Here in Insomnia we focus on quality of roleplay. We offer player owned businesses, Many MLO hangout locations, working arcades and trained emergency services.
🎭 - For criminal activity, we believe in interactions and roleplay before ending a scene in handcuffs and jail. Story and well thought plans deserve to be recognized. Our development team plans to expand criminal activities for many possibilities
🌳 - Cherry blossom trees, and large forest trees that makes a unique and beautiful city truly a see for your self experience.
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Insomnia RP — https://discord.gg/mBTcpUgkny
NEW 18+ FiveM server. No whitelist application! A place with many opportunities for criminals, police, medical, civilians and car enthusiasts! We opened Friday, May 17th to a fresh start!
✨ Features 🎉 - We are newly developed, up to date, with a fresh start to all. Looking for Police, mechanics, and medics!
📊 - Launch day we averaged 20 people, little to no issues. Over 100 discord members within a month. We care, and will continue to grow.
🚗 - Affordable starter vehicles, and many opportunities for car enthusiasts like customizations, car shows, and the ability to one of one a vehicle.
📌 - Here in Insomnia we focus on quality of roleplay. We offer player owned businesses, Many MLO hangout locations, working arcades and trained emergency services.
🎭 - For criminal activity, we believe in interactions and roleplay before ending a scene in handcuffs and jail. Story and well thought plans deserve to be recognized. Our development team plans to expand criminal activities for many possibilities
🌳 - Cherry blossom trees, and large forest trees that makes a unique and beautiful city truly a see for your self experience.
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Vital Environmental Factors That Can Prevent Recovery From BPD:
If, as a result of childhood trauma, we have developed post-traumatic stress disorder (PTSD) or borderline personality disorder (BPD) our post-traumatic environment can have an extremely strong impact upon our chances of recovery. I list some particularly important factors below :
LACK OF SUPPORT FROM FRIENDS, FAMILY AND THE WIDER COMMUNITY / SOCIETY
If we are not provided with such support, but, instead, are shunned and ignored, it is highly likely that our feelings of worthlessness, vulnerability and isolation will be intensified.
Support needs to be non-judgmental, empathic and validating both of our emotional pain and also of our interpretation of how our adverse experiences have affected us.
Also, those providing the support need to be 'emotionally literate' (i.e. able and willing to discuss feelings and emotions in a compassionate and understanding manner)
NOT BEING BELIEVED
Obviously, if people we talk to about our traumatic experiences don't believe what we are saying or believe we are exaggerating the seriousness of what happened to us (or the seriousness of the effect it has had upon us) our psychological condition is likely to be severely aggravated: our lack of self-esteem, sense of despair, sense of worthlessness, sense of unlovability, feelings of isolation and any feelings of anger, bitterness and resentment we may have are all likely to be severely intensified.
SECONDARY VICTIMIZATION
We need to avoid those who would cause us secondary victimization. Secondary victimization occurs when those who ought to be helping us instead harm us further. Indeed, the example of not being believed (see above) is one such form of secondary victimization.
Other examples of secondary victimization include :

• having a doctor who minimizes/trivializes the seriousness of what has occurred to us and its effects
  
• being stigmatized by society for having developed a psychiatric condition
  
• being shunned and ostracized by friends/family due to our condition
  
• being made to feel ashamed in connection with what has happened to us and its effects
  
• having the vulnerable nature we have developed as a result of our mental condition exploited by an intimate partner (the risk of this is especially high as those who have suffered significant abuse in their early lives are frequently (on an unconscious level) driven to seek out intimate partners who are likely to abuse them further (this is sometimes referred to as a repetition compulsion).
  

On top of these problems, it can, too, be difficult to get professional support:
A recent study carried out by Proctor et al., 2020, has produced further evidence that BPD sufferers frequently find it highly problematic gaining access to effective treatment such as dialectical behaviour therapy, or DBT. (In relation to this problem, you may wish to read my previously published articles: How Malignant Alienation May Impoverish Care BPD Patients Receive.)
Whilst many professional used to believe BPD was typically unresponsive to treatment, this can no longer operate as a feasible excuse as there now exists an increasingly large and growing body of evidence that a substantial proportion of those who have been diagnosed with this extremely serious condition (which is closely linked to severe and protracted, interpersonal, childhood trauma) can be treated effectively, at least to the degree that they no longer fulfil the requisite criteria necessary for the diagnosis of BPD to continue to be applicable.
The authors of the study suggest that difficulty obtaining proper treatment is linked to the continued stigma attaching itself to a BPD diagnosis. However, as sufferers of the condition become increasingly knowledgeable about the illness and of the existence of evidence base therapies like DBT (see above), so too should their confidence assertively to request the opportunity to access such treatment. After all, about one in ten BPD sufferers eventually die by suicide, so the need for such individuals to be offered compassionate, non-judgmental, empathetic and non-discriminatory treatment can hardly be overstated. The treatment of extreme mental pain is just as much of an ethical imperative as is the treatment of extreme physical pain.
The Australian study surveyed 500 patients between 2011 and 2017 and found that those offered appropriate help often waited between a year and a year-and-a-half to receive it. The author of the study pointed out that this not only resulted in unnecessary suffering for the BPD sufferer but also placed extra strain on hospital emergency services (i.e. due to more BPD sufferers reaching crisis point, attempting suicide, self-medicating with dangerous levels of alcohol and/or narcotics, extreme self-harm such as self-cutting and self-burning etc.).
The researchers concluded by emphasizing the importance of health professionals applying NHMRC BPD guidelines in order to support front line services responsible for the welfare of BPD sufferers.

Thanks in advance to everyone who spends their time reading through my post. I believe my situation is unique and can't find straight answers after hours of research.
Turned 65 in October 2023. Went to apply for Medicare (both Part A and Part B) the first week of January 2024 (during the initial enrollment period). Had a phone interview with the SSA office in March 2024. Medicare finally approved in mid-April 2024 EXCEPT the SSA messed it up and only approved Part B. Visited the SSA again to understand what happened - they said a mistake happened and that my Part A will become available very soon. Part A finally became available in mid- May 2024. But my Medicare card now says the following:
Part A - effective date 10/01/2023 (they used my birth month when in reality I didn't receive part A until May of 2024)
Part B - effective date 02/01/2024 (again, this is misleading as I didn't receive part B until April of 2024)
I recently worked with a local broker to enroll in Part c. I explained what happened and he said it was not an issue to have me enrolled in their plan. I now have Part c and only intend to hold it for 6 months. I am planning to switch to Original Medicare plus Part G + Part D in the fall. My questions are following:

1. The SSA is asking me to pay the Part B premium for the months in which I did NOT have access to medicare. The bill covers February through June when medicare wasn't approved until mid-April. Is this normal??
   
2. Does the trial period right under the guaranteed issue right apply for me when I try to switch to Original Medicare in December 2024? The rule says it only applies if I enrolled in Part C as a 65 year old who first became eligible for Medicare. This sounds like they are referring folks who enrolled in Part C during the initial enrollment period. I obviously couldn't enroll in Part C as early as I wanted because of the SSA messing up my case.
   
3. If the answer to my question #2 is NO, do I have to worry about any premium increase based on the medical underwriting when I try to join Part G in the fall? I am currently healthy with no underlying conditions or medications.
   
4. Do I have to pay the late enrollment penalty for Part D starting next year? The rule says I have to if I went without the drug coverage for 63 days or longer in a row post the initial enrollment period. Even if I wanted to apply for a separate Part D within that 63 day window, I wouldn't have been able to do so because the SSA didn't approve my Part B until mid-April.
   
5. Now that I look into things further, I am realizing that the broker signed me up for Part C during what's called the special enrollment period. He didn't explain anything to me but there is no other way that He was able to get me signed up for Part C outside the initial enrollment period or the annual open enrollment period. No idea what he gave as the reason to the insurance company for me enrolling during the SEP. Is this going to cause any issue down the road as far as switching to Medigap concerns?
   
6. I am planning to stick to Part C for about 6 months starting June 1st. Will the insurance comany allow me to use the dental and vision related benefits up to the annual limit during this period? I am wondering if they typically prorate the annual limit based on the number of months that the beneficiary is enrolled in their plan (when they are enrolled for less than a year).
   

Thanks so much to everyone who can share their perspective/insights on any of the questions.

Looking for some advice and this seemed like a great place to ask!
We own a small independent pizza shop, and are working on opening up a coffee shop for my wife. Not on the restaurant Equipment business.
I recently saw the Red Lobster Auctions and while I didn't need 90% of the stuff, I saw a great opportunity to get a full POS, lots of plates, smallwares, etc, for a deal.
We actually were outbid but the winner failed to pay so it was offered to us. Awesome! Except then the trouble started.
The auctions were listed as Entire Restaurant Contents. There was a "Sample" inventory list but it was noted that items would vary by location. In the photos on the auction were two items of great interest: A large Ice Maker and a Conveyor Dish Washer.
Thursday evening I contacted two movers who specialized in restaurants (which actually cost significantly more than the auction itself), due to all the stuff being listed as having to be our by end of day Friday. Then I was told the pickup window was actually only 6 hours (9 AM to 3 PM), no big deal though, hired one more mover.
Next bit of trouble came after paying for the auction, which is when they sent an exclusions list. On it there were two exclusions of concern: Dishwashers (if Eco Lab Branded) and Ice Makers in some locations. I verified the pictures of the Dishwasher, no Eco Lab branding, phew. Verified that the ice maker was not only in the list of items but also in the pictures. Figure my location must not exclude it, otherwise why show 5 pictures detailing it.
Then my team arrives. Everything is gone except for the big equipment. The televisions at the bar, the pots, pans, cleaning supplies, smallwares, blenders, mixer. The only things left was the large equipment, most of which was connected, and tables / booths.
For reference on this next parts, my bid on live auction was on Monday, this was now Friday. Two representatives were on site: The old General Manager representating Red Lobster, and a sub contractor representing the interests of the auction company.
When asked about all the missing equipment, the General Manager said they bought a large dumpster on Wednesday and all her team came in and threw everything away in the dumpster, which was already gone. Extremely unlikely, as I doubt Red Lobster would spend the money to throw away items that they're auctioning off. It got even weirder when "employees" showed up and were overheard talking about picking up items from the restaurant.
While my team leader tried to sort all of that out, the rest of my guys went to work on disassembling items. Except, Everytime they touched something (undercounter bar cooler, bar taps, booths, etc) they were told, "Oh no, that's not included," or, "Someone else already bought that."
After about 2 hours of back and forth, the on site representation finally conceded to let us take MOST of the stuff that was still there (which wasn't much). Because of the now reduced time of only 4 hours, most of the valuable stuff being gone already, and the high end items like the dishwasher and ice machine now being excluded, we only filled 2 of the 3 trucks.
I have called the auction company and apparently they said that my experience was not alone, and they were currently having a warroom on what to do next because of all the issues. They said they will likely have some solutions in how to make it right on Monday. The representative on site tried to get my team to sign a waiver of liability before leaving, but we refused.
What can I expect from this process now, and do I have any legal recourse? I would have thought that the buildings would have been secured to prevent theft while the auction was going on but obviously not. My biggest concern is that, while my costs weren't horrible at 15k, only $5500 was to the actual auction, the rest was to transportation. I certainly have concerns now that I won't be able to make my money back, let alone a profit. I know that it's a gamble, but I feel like this experience was borderline fraudulent. Any suggestions?
ETA:
If nothing else, I feel like the auction violates the law in my state (Florida), as there is a statute that covers misrepresenting facts. Specifically FSS 468.388 Subsection 11b 1 through 3 which reads:
No licensed auctioneer, apprentice, or auction business may disseminate or cause to be disseminated any advertisement or advertising which is false, deceptive, misleading, or untruthful. Any advertisement or advertising shall be deemed to be false, deceptive, misleading, or untruthful if it:
1. Contains misrepresentations of facts.
2. Is misleading or deceptive because, in its content or in the context in which it is presented, it makes only a partial disclosure of relevant facts.
3. Creates false or unjustified expectations of the services to be performed.
The auctions were listed as Entire contents, with the only exclusions listed on the auction in the terms being "Photos may show items that are not included in auction (e.g., infrastructure, HVAC, plumbing, etc."
Here's the link for anyone interested in how it was presented
https://bid.restaurantequipment.bid/Public/Auction/AuctionItemDetail?AuctionItemId=NZQh8wj3FOYwR439WdiUvw%3d%3d&AuctionId=S5YS%2bHqu8A9zcHp0d1tyMg%3d%3d&pageNumber=WddRnDis30ojx01x46RicQ%3d%3d&pageSize=WddRnDis30ojx01x46RicQ%3d%3d