some update:
i’ve fully resigned myself to the fact that i have als. even though i got two clean EMGs from two different neuros, the symptoms are just too much to count. i have a lot of UMN issues, including bilateral clonus— my legs bounce when my heels are angled in a certain way. i also have atrophy, twitches, stiffness on my left side, and my thumb curls in.
this past april i had issues swallowing but they resolved. i can do everything normally and my grip strength/ motor issues are fine. i just feel stiffness and pain occasionally but all the UMN issues along with atrophy and twitches make me think i’m just gonna be waiting for the other shoe to drop. im sad because i have so much to live for and this could be a covid induced nerve damage thing but i’m not holding out hope

Back in 2016, I got into vape building (spinning coils, dripping the cotton, etc). This lead to a roughly 2.5-3 year addiction to vaping that I eventually kicked. I was clean off nicotine for roughly 2 years after (cold turkey again), but eventually found my way back to the occasional cigar as an evening treat on some nights. No more than once or twice a week.
Long story short, I bought a vape again after 3+ years of not touching a vape because I had to bring someone close to me to a "mental health retreat" where they stayed, involuntarily, for over a week. That, paired with moving and family drama kept nicotine and me close. I decided to give zyns a try on a whim, and enjoyed the buzz for the first few times. It didn't become a regular habit until early 2023 when most of the stress was compounding. Essentially, all the shit that was already percolating in the air decided hit the fan at the same time, and Zyns felt like they were the only thing keeping me sane.
At peak use, I was at 3 cans a week, which doesn't sound like much, but that was averaging NINE pouches a day, which is a lot.
The stress in my life calmed down coming into 2024, but nicotine still hit the spot. I didn't consider quitting until I began to really take notice of the effects on my body, most notably was the chest pain I'd read other users describe on here. That shit was scary, plus the overall reduced cardio capacity. I also had tension in my jaw that caused me a perpetual jaw ache for the two weeks leading up to when I finally quit.
In short, I'm a very active and athletic person. I workout 5-6 days out of the week and hike regularlly. Zyns absolutely FUCKED my cardio. The deal breaker was when I tried to go for a run and experienced sharp, shooting chest pain after a short distance. That wasn't something I was going to tolerate anymore.
So I quit. The chest pain went away in a few days, along with the aching jaw. My cardio is better, my dick gets harder, and I'm pretty much spared of any big withdrawl effects. The only thing I noticed was powerful was the cravings for the first 1-2 days. I was maybe a bit irritable with some anxiety, but exercise quelled just about all of that.
As a side note, I'm very pro-drug and experimenting. The only factor that keeps me away from drugs is their relative physical harm and addiction potential. Nicotine seemed mostly safe until it became an obvious factor in my physical decline, so it had to go.

In the middle of my third time with Hells Itch, and in so much pain. Saw some posts saying to take a hot shower and thank god I saw that. Finally some relief from the unrelenting itching.

Hi everyone,
For the last month my discharge has had an unusual odor, somewhat fishy/rubbery, but overall not normal. I had no other symptoms so I chalked it up to diet, not drinking enough water, etc., but in recent weeks I’ve had little to no discharge, and what I do have is very thin and white. In the last three days I’ve started having some burning and an itch/tickle that can feel like a stabbing pain. I went to urgent care yesterday and was prescribed 500mg of Flagyl (they think it’s BV) but I’m four doses in and have had no relief. They had me do a swab test and I don’t have results yet, but I’m slowly going crazy trying to figure out what this could be. All OTC feminine kits are showing normal pH levels too.
Please help :(

Random had stood and made his case Before The Northern Court of the Arch Fae and it had gone... well?
He had dealed and bargained, tricked and charmed, willed and won a place for human nature among the spirits of the frozen top of the world. At one point, he'd used a small trick he'd learned from a game to create tiny auroras and used his knowledge of the cosmos to convince the arch fey of the north that he was the regent of Polaris, come to bridge the elemental metals of the deep Earth with the stars. It had technically been a lie, but they'd bought it.
Still, there was a feeling deep in the pit of his stomach that told him that this was not over yet, and almost as soon as he had the thought, he woke in the mountain cave he'd wandered to in order to seek out the Fay, with a splitting headache, short of breath. By the faint embers left in the dark cave, he could see the snow had pilled up in front of the cave entrance and the room had filled with smoke from the fire while he meditated.
*crap*
He tried standing up to get over to the entrance as fast as possible. Immediately, his vision blossomed into blooms of pain and he had to still himself.
Ok. Bad idea. That was absolutely horrible.
Slowly then.
On hands and knees he struggled forward, low to the ground, trying to control his increasingly urge-driven gasping breathing, as if through a house on fire. Reaching the snow-covered entrance, he tried to melt it with a simple thermal spell from his fingers... to find that nothing at all had happened. His magic was simply gone. Without breath, he could neither maintain concentration nor incant words of power upon the world.
But he could dig.
And crawl.
And try to tunnel with his arms outstretched.
Utill a numb purple hand, and then an arm, and a shoulder and a head and a body emerged into the freezing dark night air, which cut into his lungs like shards of ice. But he was alive.
And as breath slowly returned to him, after an hour or so of lying exhausted, completely spent in his vaguely warm cloak on the terribly cold, empty snowy plain, he realized something strange...
But he wasn't really sure what it was at first.
And then he noticed:
He was looking up at the sky.
And the strange thing was that the sky seemed to be looking down at him, Polaris ever so slightly above the center of his vision.
And just as he noticed this, as if in answer, it burst into aurora brighter than any he had ever seen.
And then he noticed something else, perhaps the oddest thing of all:
His own arm, outstretched, the five points of his fingers reaching out on their own and casting the colors into the sky.
"huh... that's... really cool."
And then he fell unconscious.
...
A day later, a search party that had set out to find him and followed the aurora to the mountains north of cosmopolis found his body, cold and frostbitten, but alive. They brought him back and placed him in a hot spring to recover.

Disclaimer: I know Rylee did say and do some problematic things in the past. I’m not referring to that.
Rylee went out of her way to WARN Liv. Was really trying to save her from all the toxicity Sedona would put Liv through. And what did Liv do? “Love will always win.” Making it seem like R is talking bs, that it will be different because S and Ls love is strong enough (and S and Rs wasn’t?!?!). Therefore also making R look like a crazy ex?
All the transphobia problems that came up at the same time and also Zain shooting against R just played into their cards tbh. S now had “proof” that R is a bad person, not S. That R was the issue not S.
I still think L is going through so much pain, is probably traumatized by this relationship especially when she was literally doing the most to make it look perfect from the outside. reality and online presence being so different from each other really fucks with you. She is probably still SO in love with S, which makes this a hell of a rollercoaster ride. Then having to see your ex claiming that she didn’t post you because you posted them too much?? That’s so hurtful.
But; R told her. And they made a fool of R.

I am in so much mental pain and I can’t stop crying. Psychosis and schizophrenia ruined my life and I feel so desperately ashamed and embarrassed. I’m considering self harming because I need a distraction from the awful thoughts in my head. Is anyone out there to chat? I don’t wanna feel like this anymore :(

When I'm at work I'm okay. I'm a gardener and grounds maintenance so it's very rewarding and puts me in a good mood but I dread going home. I have friends but they're all on different schedules and some of them are flakey and my best mates live 2 hours away. I went and got some food on my own today just so I didn't have to go home. I did a bit of DJing earlier which was fun but I got bored and now I'm just sat here, I don't even like watching things because we used to watch so many things together.
When I do manage to meet some friends it's so good but 90% of the time I'm on my own and it's just hard to keep myself busy. It's been 2 months, she left me on text, ghosted me and I found out she's seeing someone else even though she said she would meet me for clarity regarding the situation. She have some half assed reasons but it was so one way and I never got to ask any questions. I did no contact but had to message her when I found out she's seeing someone else to get my things back. Honestly it's just painful and dealing with the pain in the evenings is so hard, I end up just getting in bed super early.
On the weekends I try to see friends, this Friday/Saturday I'm going to a dnb rave on my own as it seems so much effort to get my friends to meet and they always flake on me, honestly I don't know if I'll go, I live in a really isolating village so it's so much effort to get anywhere to do anything.
I've also booked a boxing class as it's something I did as a kid and something i always wanted to do when I was with her but just never committed.
I'm doing all the things I can to heal but it just feels hopeless and I just feel so lonely. My mum is serverly mentally ill and there trauma revolving that, my sister lives 4 hours away and my nan is not very well either so I help her when I can but we don't have a very loving relationship either and she is depressed and lonely from getting cheated on by my step grandad 10 years ago, my dad is no where to be seen and my grandad abandoned everyone and never sees us and he has no interest in me. It's just so hard when you don't have support and as a man. I've been thinking about therapy but not something that is at the top of my list as of yet but I will down the line, I'm already very self aware and I've done a bunch of reflection and trying to improve In the areas where I fell short in the relationship.
I guess I'm just struggling in general. I grew so much in that relationship, I used to suffer from depression but since my gardening job I feel so much better, but this is really weighing me down. I know I'll get through it, but the betrayal i experienced has brought back my trauma a little bit and it fucking hurts that she didn't even think for two seconds how this could affect me.
I needed to rant, thanks to anyone taking the time to read.

Hi all! First off, so glad this sub reddit exists because it was a life saver when I was making decisions on my own ACLr and knowing what to expect from surgery. I'm a 2x cancer surviver, Paramedic, Rugby player, and now have been a caregiver to my partner who just celebrated 3 months from her own ACLr. I collected a bunch of advice and tips and tricks that I have used both during cancer treatment, my own experience with ACLr, and now through care taking my partner through hers. I know there have been guides before, but mine is a bit different and aimed at caregivers so I thought I'd post it here since ya'll helped me so much instead of it just circulating the rugby community every time a teammate or friend has to have ACLr or some other reconstruction. Hope it's allowed and helps!
A Cancer Patients Guide To Knee Reconstruction Recovery
A Comprehensive Guide To Surviving and Thriving In the Pre and Post-op Period Built From The Perspective of Caretaker and Patient.
Before The Date
__/__/____

Preparation

It is important to adequately prepare for surgery in the weeks and days leading up to the procedure. A significant period of immobility and reliance on support can be expected immediately post-op and will vary by procedure and personal experience. Physical modification of living space and thorough preparation allows for the immediate post-op period to be free of emergency store runs and the small inconveniences that can add up to big frustration. Not having food and drink nearby as well as other essentials may be a small deal now, but can turn into a big deal when you can no longer get those things for yourself. While physical preparation (home modifications, adaptive tools, meal prepping, etc.) are important, mental preparation is crucial to the long term success of the repair. Making small, achievable goals in the immediate post-op period and maintaining a long sighted view of recovery will make the pain and immobility that is initially experienced more bearable. Additionally, social support through a partner, family members, or friends is an essential part of recovery, as is maintaining contact with sports teams or other social groups during rehabilitation.

General PEARLs

• Pre-surgical rehab is an essential part of recovery and can improve immediate outcome so if it is a resource available to you- use it!
• Learn the basics of your procedure such as reconstruction technique, graft type, surgeons recovery timeline, where you will do your rehab, and what you should expect going into and coming out of surgery. Knowledge is power and can give a sense of control and set reasonable expectations in a situation that is otherwise out of your control.
• Seek out positive experiences and recovery stories from other people who have had your procedure and gather as much advice as possible from resources such as ACL. Know that some people will have negative experiences, everyone is an individual, and that much of your long term recovery is in your control.
• Expect and learn to advocate for yourself or the person you are taking care of. Be vocal and honest with any needs you may have and understand that issues may come up in the immediate post-operative time that you as a patient or caregiver may have to contact your surgeon to resolve. Familiarize yourself with who to call and when *before* you leave after surgery, as well as being quick to call with any questions or problems that arise. It is better to be told that what you are experiencing is normal than to sit with the anxiety of the unknown.
• Create a folder with all relevant information: Surgeons name, procedure information, follow-up appointment dates and times, phone numbers, emergency contacts, facility of choice in an emergency situation, and any other important information. Maintain this folder throughout your recovery and add paperwork as it comes.

Days Leading Up To Surgery

• Contact support people and confirm any arrangements that have been made including but not limited to: Who is taking you to/from surgery, child or pet care, transportation to first PT appointments, meals, etc.
• Recommended Items we found essential:
  • Ice Machine (Polarcube, etc) if at all possible
    • Recommend checking facebook marketplace or other second hand options, as they cost hundreds new but can be found for $40 or so used.
    • Studies have shown these do actually reduce pain and lend to earlier mobilisation and our experience has shown this to be essential not just immediately post-op but in the weeks and months afterwards so if you *can* obtain one you absolutely should.
  • Large sweatshirt and oversized shorts for surgery day, especially if you wear a bra, as putting clothes on after surgery can be a struggle and it’s easiest to just throw on a sweatshirt and shorts that fit over your post-op bandages and brace.
    • In particular, we found a blanket hoodie to be very useful both for going home and the first few days as it could stay on when moving around/when napping.
  • Neck Pillow
    • Helps with reading or other activities during long hours spent in bed or on the couch and really helped in the first two days to prevent neck strain and provide head positioning during napping.
  • Large pillows for body positioning and elevation of the leg
    • We found cheap, giant, dog beds from places like TJ Max or Marshalls to be more affordable than specialty products
    • A large, thin, dog bed (or blanket) rolled into a tube and secured with stretch bandage or tape around the surgical leg and brace helped significantly with comfort during sleep so that the leg was padded, comfortable, and the other leg didn’t get roughed up from the brace.
  • A shower chair
    • Can be found used at second hand stores like Goodwill, or cheap online
    • Easy substitute is a chair covered in a trash bag
    • Allowed showering the second day post-op which was a huge mental boost and relieved physical discomfort and achy muscles
  • Extra large leg cast cover
    • Can be found cheap online
    • Placed around outside of brace covering the entire leg initially, we then found it easier to place on the leg and place the brace outside of the cover for the remaining healing period for the incisions: We did this after the first PT appointment when it was safe to take off the brace for short periods while laying down. We acquired a second post op brace from a friend (you can find on eBay for cheap) and it was amazing to have, as we could let it dry after showering and immediately put her post op brace back on.
  • Foldable stool
    • Great for elevating the leg during transfers, while on the toilet, etc.
  • Lap Desk
    • Great for eating on the couch or in bed, but we also found it useful as a side table for holding drinks/meds/remotes/books that could be taken to whatever room they landed in at the time
    • A small table works as well, really just anything that can be used to set things on within arms reach
  • Assortment of sodas, water, seltzers, snacks, etc.
    • There is no way to know what you will want and when, but when you want it it’s nice to *have* it available
    • Appetite often decreases after surgery so make sure to have favourites on hand so that when you *are* hungry you have it immediately before your body changes its mind
  • A big bucket
    • We used a soft plastic beach type bucket from the dollar store, it was extremely useful to have to put small items in, a small towel, a spare water bottle, extra meds, baby wipes, etc.
    • Also doubled as an emergency puke bucket, as you never know when a sudden bout of nausea might hit in the first day or two after surgery
  • Extra reusable ice packs and bags of ice
    • Your home ice maker will not be able to keep up with the demands of constant icing the first week or so
    • Reusable ones are great for ‘hot spots’ and short trips where you can’t take the ice machine
  • Extra steri-strips and assortment of bandages
    • Sometimes there’s extra leakage, sometimes your steri-strips come off and you need to slap a new one on, sometimes you’re allergic to the ones they put on you at the hospital. Always consult a medical professional, but it’s handy to have these on hand just in case.
    • We also used a bulky padded bandaid to keep the brace off the healing incisions once the large post-op dressing was taken off which helped immensely.
  • Compression sleeves
    • Aside from helping with swelling these also provided a layer of protection under the post-op brace
    • We found cheap ones at Wal-Mart (copper brand) but also just bought a cheap pair of leggings a size down and cut off one of the legs to use before getting a more expensive one once swelling had fully subsided after a few weeks. Your leg will change so cheap works great at first, then you can get something a bit more substantial when you know what you’ll need long term. Now she wears high compression socks to sleep 3 months out.
  • Slide on shoes
    • Self explanatory, bending down to put on shoes becomes a chore after surgery. Avoid flip flops or other styles that can become a trip hazard.
  • Baby Wipes/Dude Wipes/etc.
    • Wiping down after you get home from surgery can help prevent that icky feeling and restore some sense of normalcy, then can be used over the next few days before you can shower more normally
  • Lotion and chapstick
    • Hospitals dry out your skin big time, and lips are often cracked post surgery from intubation/LMA placement
  • Small, easily labelled tupperware containers
    • Regular pill containers are too small to hold pain meds, OTC pain meds, anticoagulants such as aspirin, supplements, and edibles or other small things you take with your medication. We got small tupperware boxes with lids from the dollar store.
    • We found it very convenient to have six sets of meds set up and labelled with times which meant we never missed doses and could leave the next dose of meds at bedside, take them with us when going to appointments, and keep up with what had been given and when.
  • Small notebook to record med times and other important information
  • Two extra changes of clothes already setup and ready to go
  • Compression device
    • We are athletes so we already had leg compression sleeves but these days off brand versions can be bought online cheap. Studies have shown these lead to reduced pain, increased mobilisation, reduced the chance of blood clots, and there is even some evidence they help with bone healing.
    • We used it 3 days post op and beyond and her range of motion was significantly improved after the first time.
  • A yoga strap
    • Excellent for strapping to the brace and moving the surgical leg
• If possible, pick up post-op medications prior to surgery to prevent any unexpected delay in obtaining them. If this is not possible, verify that the prescription can be filled the day of the surgery by your selected pharmacy and that it has been filled prior to leaving after your surgery. Controlled substances cannot be transferred to another pharmacy without a new prescription sent directly from the provider. You do not want to be trying to get in contact with a physician in the hours after surgery, unable to manage pain, before the pharmacies close for the night.
• Do a thorough clean of your living area, it will make the time after surgery when you cannot independently do normal activities more bearable and a neat organised space is easier to function in when your body is not cooperating. Take special attention to removing tripping hazards and clearing a wide path from wherever you plan to spend your recovery and the bathroom.
• Plan to spend the first couple of days in one spot and on one floor and set up that area the day before surgery. If you have a downstairs bathroom a floor mattress or well setup couch can be your landing pad until you are more mobile and is the easiest during the immediate post-op period. That being said, if you don’t, it’s easier to get upstairs by sliding up on your bum immediately post-op when your pain is still well controlled than realise that you have no bathroom downstairs a few hours later when the pain has started to set in. Wherever you intend to land, plan on staying there at least a couple of days and bring all your supplies to that area. Plan to lay with your surgical leg on the outside of what you are laying on, this makes transferring easier.
• Have your recovery bed setup the day before surgery and prepared for when you return before you leave the day of, including blankets and your supply table setup.
• Meal prep, whether that means cooking or getting easy to make microwave meals is up to you. You won’t feel like cooking and neither will your caretaker the first few days. High protein, easy to eat meals are key! We had chicken and broccoli casserole, egg and sausage frittata, and lots of applesauce the first few days and it was a lifesaver not to have to think about meals.
• Spend some time mentally preparing for the long haul of recovery and make long term plans that fit within your timeline. For example, we planned to attend a rugby game five days after surgery *but* planned nothing else for that day and the next day. We also planned hiking trips the next fall, and other events appropriate for her timeline along the way that could be looked forward to and keep up morale. Remember that this is temporary and that it is okay to be recovering and resting, expect hard moments and days but keep things planned so you don’t get stuck in those down places.
• Eat your favourite meal and eat well the day before surgery. Your body needs fuel to recover and fasting the day of surgery sucks. As weird as it sounds, after multiple surgeries, the pre-surgery night meal of whatever I want is one shiny thing in a crappy situation to hold on to.
• Plan for what you want your first meal to be and consider making a playlist for the ride to and from surgery. Small things, again, help maintain a sense of control and comfort in a situation where you are largely out of control and these things can be done with friends or support people in the days leading up to reduce anxiety and pass time.
• Hit the gym, take a walk, do a hike, visit places or do things you enjoy but won’t be able to do in immediate recovery! We took my partners knee to one last tournament before her surgery, it helped pass time and kept spirits high.

Day Of And Immediate Post-Surgery Phase

• Maintain fasting starting at whatever hour you are told. Some people can drink clear liquids up to a certain point, others are completely nothing by mouth. Your instructions will guide you on this.
• Before leaving home double check that everything is set up how you need it and place a blanket, pillow, drink, and snack of choice in the car. You may or may not need it but if you do it is important to have. Make sure your ice packs are in the freezer ready to go!
• Bring your own post-op snack if you are picky or have food allergies, otherwise you’re stuck with whatever graham cracker and applesauce combo the facility gives you.
• Go with the flow, or as I always say “surrender”. Feel what you feel, have a cry in the car before you go in, listen to your playlist, bring your blanket or other comfort items into pre-op, tell your support person what’s going through your mind, tell your pre-op staff how you’re doing, ask all the questions, and most importantly just do what you have to do. For some people surgery can be overwhelming and the loss of control frightening, but fighting only makes it worse, so whatever you are just be it. I’m pre-op pacer myself, but some people just snuggle up under some warm blankets and wait. Either way, just let the waves take you where they go and know you’re along for the ride. Remember that future you with a healthy joint thanks you for what you’re doing today.
• Speak frankly with your anesthesiologist and utilise any pain control or anxiety control options given to you. There is no award for least meds taken or toughest patient of the day. If a nerve block is available, know that you can request sedation for its placement, and utilise that option if at all possible.
• Caregivers should bring something to keep them entertained and be prepared for a long period without update once surgery has started. Honour your feelings as well, it can be tough to watch someone you care about go through this! Consider having someone to act as a support person for you as well through text or phone, that way you can divert your own worries or struggles to them and away from the person having surgery while still making sure you are also taken care of.
• Make sure that pain is well controlled before leaving after surgery. You have more options there than you will at home and getting things under control once pain has become unbearable can be very difficult.
• Make sure you note when the next dose of medication is due, what medication they should be taking, and write it down.
• Double check contacts from your surgeons office and add any post op paperwork to your folder in case you need the information later.
• If your post-op meal requires picking up, or your prescription, try and do that immediately after leaving surgery even if you are not hungry yet. This is the most comfortable you will be for a while and your support person will be unable to leave for at least that day and night. I have been known to peruse the big gas station after surgery in search of snacks, my partner however simply waved to the nice people at the drive through and napped the rest of the way home before eating some hours later.
• Once you get home crash wherever you plan on spending the rest of the time. Don’t have friends or family over that first day. Just go ahead and sleep through the rest of the anaesthesia and get comfortable.
• Try and keep your home cool, and consider keeping the room dim for the first few hours if not days. Sleep is precious and pain meds can make you hot, and getting hot can lead to nausea. It is better to have the home cool and the person snuggled under blankets and comfortable than be trying to cool someone down who just had surgery and got too hot and is now dizzy, nauseous, and miserable. The least stimulation for the first little while the better, and naps will happen throughout the rest of the day and over the next few days. A cool, dim place lets this happen much easier than a bright, warm place where they might be overstimulated or awakened by noise or activity.
• If allowed, try and activate the quad muscle immediately after returning home and once every few hours by having them squeeze it and feeling for contraction while in the brace. Some people will be able to begin range of motion exercises immediately and if so, make sure to do them as soon as allowed even if that means just helping them by doing gentle manual range of motion movements in the brace.
• If it’s not already on, begin continuous icing as soon as you come out of surgery either by meticulously timing the replacement of ice packs or with the ice machine. Make sure to check the ice machine, replace ice as often as needed, and keep it on *continuously* for the next few days. For us this meant I checked it at every medication dose throughout the night and added ice during that time as well. We went through frozen mini water bottles and bags of ice like crazy the first week.
• Elevate the surgical leg as high as possible, placing support under the heel and calf but not directly under the knee to promote extension and prevent more headaches with gaining range of motion later on.
  • We found that icepacks directly under the knee helped tremendously with the discomfort associated with this.
• Anticipate that bathroom trips will not be fun or easy and take them extremely slow. As a caregiver allow the person to guide you on what they need and don’t need your help with and avoid grabbing or moving someone unexpectedly. Standing, acclimating to being upright, and then proceeding to the bathroom is the best way to do things and rushing will only result in frustration for both of you. A rolling chair or wheelchair can be helpful, but for some people standing up and sitting down is harder than just moving on to the bathroom. Pay attention as a caregiver and know that it is possible they may need your help getting off the toilet or back from the bathroom so be close by and available should that happen. For the first few days do not lock the bathroom door in case of an emergency.
• Place chairs or things to sit on around your path to the bathroom, kitchen, etc. And consider a small backpack or using a rolling chair to carry items around the house.
• Once you know when your next dose is, set alarms for each time your doses are due. If using the med boxes this makes doing meds and keeping track very easy, as they are each labelled with a time and all we had to do was open the box and take the meds instead of finding each bottle and dosing each med individually each time. As the days went on we were able to re-label and time the boxes as needed and remove meds as needed or adapt to what was needed when sleeping or up during the day.
  • For example day 1 would look like:
    • First post-op doses at 4pm box: 250mg tylenol, 10mg oxycodone, 5mg edible.
    • 8pm box: 250mg tylenol, 10mg oxycodone, 800mg ibuprofen, 10mg edible, 12.5mg diphenhydramine (itching and sleep), stool softener, and regular night time meds.
    • Midnight box: 250mg tylenol, 5mg oxycodone, 5mg edible.
    • 4AM: 250mg tylenol, 5mg oxycodone, 800mg ibuprofen, edible (if nauseas or restless).
    • 8AM box (preparing to get up): 250mg tylenol, 10mg oxycodone, 5mg edible, aspirin, stool softener, normal morning meds.
    • 12pm: 250mg tylenol, 10mg oxycodone, 5mg edible, 800mg ibuprofen.
    • Repeated on time, reducing pain med dose as tolerable, and refilling boxes 1x a day.
• If possible do scheduled tylenol (paracetamol) and ibuprofen (or another NSAID), alternating them on the dosing schedule, and take them religiously even through the night. This also goes for additional pain medications, which you will also need to wake to take through the night if you are prescribed for at least the first night.
• Staying on schedule might mean waking up in the night, but it’s better to be awoken to take meds than to wake up in pain and spend several hours trying to get it under control. You may find you seldom need them if your nerve block is in place, or you may just not need very much at all during your recovery. It is easier to trial run this after the first day by stretching out the time between doses from 4 to 6 to 8 and then potentially off entirely, but everyone will have their preferences.
• Eat a small snack with every med dose and keep emergency meds (extra pain med doses, nausea meds, etc.) at bedside as well as the next set of meds due so they can be taken when it is time.
• We found that edibles were a great addition to pain and nausea control after surgery. There are medication options available and having at least one option for nausea is advisable for the first few days after surgery when anaesthesia and medication can really make you want to puke.
• Expect absolutely nothing in the first few days post-op. Some people will feel well enough to move around, others will not be able to do anything but get up to use the bathroom. Expecting nothing is better than expecting more and being disappointed or frustrated. I would highly suggest not making plans until your first follow up 7 or so days after surgery.
• Be obsessive about icing, meds, any PT you have been given, and keeping track of appointments. Give yourself the best start to your recovery that you can and you will thank yourself later!

When I released web-view 6 months ago, I said I was "weeks" away from releasing a framework for interactive web apps built on top of it. Well it's been 26 weeks, and it's finally ready!
Hyperbole makes it easy to create fully interactive HTML applications with type-safe serverside Haskell. It's inspired by HTMX, Elm, and Phoenix LiveView

• Hackage
• Github

Motivation
I've been a web developer since before "Ajax". I rode the wave of Single Page Applications (SPAs) and loved how interactive we could make things. I've written fancy apps in React and Elm. But ultimately SPAs mean writing two applications, a Javascript client and a server, plus an API between them. They're a huge pain to write and maintain. I missed serverside web apps.
Instead of an SPA, Hyperbole allows us instead to write a single Haskell program which runs exclusively on the server. All user interactions are sent to the server for processing, and a sub-section of the page is updated with the resulting HTML.
There are frameworks that support this in different ways, including HTMX, Phoenix LiveView, and others. Hyperbole has the following advantages

1. 100% Haskell
2. Type safe views, actions, routes, and forms
3. Elegant interface with little boilerplate
4. VirtualDOM updates over sockets, fallback to HTTP
5. Easy to use

Like HTMX, Hyperbole extends the capability of UI elements, but it uses Haskell's type-system to prevent common errors and provide default functionality. Specifically, a page has multiple update targets called [HyperView](Web-Hyperbole.html#t:HyperView)s. These are automatically targeted by any UI element that triggers an action inside them. The compiler makes sure that actions and targets match.
Like Phoenix LiveView, it upgrades the page to a WebSocket connection and uses VirtualDOM for live updates
Like Elm, it relies on an update function to [handle](Web-Hyperbole.html#v:handle) actions, but greatly simplifies the Elm Architecture by handling state with extensible effects. [form](Web-Hyperbole.html#v:form)s are easy to use with minimal boilerplate
Depends heavily on the following frameworks

• Effectful
• Web View

Simple Example

{-# LANGUAGE DeriveAnyClass #-} {-# LANGUAGE OverloadedStrings #-} {-# LANGUAGE TypeFamilies #-} import Web.Hyperbole main = do run 3000 $ do liveApp (basicDocument "Example") (page mainPage) mainPage = do handle message load $ do pure $ do el bold "My Page" hyper (Message 1) $ messageView "Hello" hyper (Message 2) $ messageView "World!" data Message = Message Int deriving (Generic, Param) data MessageAction = Louder Text deriving (Generic, Param) instance HyperView Message where type Action Message = MessageAction message :: Message -> MessageAction -> Eff es (View Message ()) message _ (Louder m) = do let new = m <> "!" pure $ messageView new messageView :: Text -> View Message () messageView m = do el_ $ text m button (Louder m) id "Louder" 

Learn More
Hackage has a better intro and good docs
The repo has a bunch of examples demonstrating different features
Feedback
Any questions and comments appreciated! Please let me know if anything isn't clear from the docs.

My postpartum hair loss EXTREME. I am telling you I have to empty my brush about 3-5 times while brushing. My hair texture has completely changed from being soft/manageable to brittle and will tangle up like mice have been living in it all winter. Today it was so horrendous I couldn’t do anything but cry. My length is about to my nipples - I don’t look great with shorter hair but I have been debating cutting it… I think even if I did I would need to get extensions because it has thinned out SO much. But I would like to avoid extensions because they seem like such a pain in the ass and are $$$. A sheer window curtain lets in less light than my hair now. I had an extremely traumatic birth that ended in an emergency C-Section and 8 bags of blood/transfusion so I’m thinking that might have something to do with it? I’ve continued to take my prenatals and additional supplements (iron/Vitamin D) because of the amount of blood I lost. Any advice? Should I go speak to my doctor about the amount of hair I’m losing? 😭

Danna stopped recording and lowered the phone.
"Daniel Levi, we practiced this!"
"Sorry, Mom. I'm just kinda tired and..."
"Well if you would GET THIS RIGHT, you could go and have a rest!"
Shaking her head, she deleted the clip and raised the phone again, thumb tapping the screen to restart recording.
"Again," she said, watching the boys scramble to get back to their starting positions.
Daniel had been very obstinate and whiny lately, feigning pain and tiredness to try and get out of working. No matter how she explained to him that the videos were how the family made money, no matter how long she made Derick paddle him—and her oh-so-strong husband kept trying to puss out on that—the child's will would not be tamed.
Finally, after another take, they got the shots she wanted for the day's big video. All that was left now was to edit this was to edit this with the footage of herself from earlier, play with the filters and everything, and post.
Children were a test. They were, of course, sent by the Lord to refine the spirit, to challenge dreams and delay goals so as to make the parents into stronger vessels.
But Danna Orson was certain that her second son went beyond the usual testing intended by God.
Daniel had been needier at birth than the others, and had a stronger will as he grew than the others. Danna simply did not know how to break the boy. She almost wished her mother were around. Peggy Lynn Sooks knew how to bring anyone in line: children, pets, employees. Maybe, if the Lord compelled them to turn around and pass back through Iowa at some point, Danna could prevail on Derick to allow a stop-off to visit Peggy Lynn. All the boys would benefit from some of their grandma's order and discipline.
Derick would benefit from being reminded too that while the man might be the headship, the woman ruled the roost.
Making her way back to the RV, Danna plopped down in her favourite chair and started editing. Occasionally she considered turning this mundanity over to one of the older children, after some training of course, but she knew none of them would truly understand how things worked.
Men were all muscle and no mind. Women were little enough mind as it was, but men had none at all, particularly not for things that were important—things that mattered.
Derick stepped out of the RV and moved behind her chair, resting a hand on her shoulder.
"Hi, sugar," he said.
"I'm all sweaty," she responded, "so don't touch me with your cold hands."
She felt her husband pull away.
"Sorry."
Men had to be discreetly kept in line. They had to know that a wife was available to them physically, but you never could let them sense any deeper emotional bond. That led to problems later. Danna knew it well enough by now.
She had been gentler with Derick when they met, and ever-sweet, and emotionally available because, as a dumb college girl, she thought men cared about emotional investment too.
All it had earned her was a husband she had to cajole and weedle to get sex when she was ready for another baby. Even then, they did not always conceive easily, and she blamed herself on some level. She had no physical impediment, of course, but she had been tender toward what she perceived as Derick's emotional needs when they met.
Treating men as emotional creatures and responding to their feigned feelings in kind—and their feelings were feigned, as part of how the Lord helped them win a woman—was emasculating. It could even make them faggots. Danna was pretty sure, as little as he seemed to want sex, that Derick would immediately go the faggot route if she did not keep close tabs on him.
She could see hints of it in the way he walked so carefully aboard the RV, letting the kids run all around him and never pushing past to assert himself as the dominant male. It was visible in how he treated the kids too, hugging on them when they were whining because of some little cut or bruise, helping them up if they tripped or fell or anything in proximity to him.
She would just have to keep working on it.
5 Table of Contents

Sorry it’s my first time on Reddit Me (23M) and my gf (22F have been together for 2 1/2 years. For context, my girlfriend we will call her Amy does a lot of hunting, fishing etc. Amy’s family goes out to the woods every year and does a big fishing event with the whole family. Lots of her family I have not fully met, like her aunt and her cousin who I will call John. Now for the story; I was at Amy’s house and we had a disagreement, we do not argue much but we figured everything out together. This disagreement was about her not wanting to do stuff for me like a back massage or something along those lines. She used the term “manipulation,” to describe how showing I was in pain instead of just asking her for a massage, we discussed it all and she eventually apologized. I was about to leave her house when she asked to come with to my house to stay the night. On the way back she seemed off, I asked her what was wrong and she told me about last Summer when she was at camp. She said that she had been intoxicated and sat in John’s car (her cousin). They talked and overtime he began to pressure her into kissing him, they kissed and she got very uncomfortable and left the car. After that I kept asking her questions about it and the story began to change. First, it was she got out of the car right after it happened, next she froze and didn’t know what to do then left and eventually it ended at her waiting until he fell asleep to leave the car. All of these changes made me insanely suspicious that there was more to this story. I still had her over to stay the night, while here I said I would text John to get his side of the story if something did not align with what Amy told me I told her we would have to to break up because she lied more than once. I asked her what she thought he would say. She replied “ I don’t know how he will see it, it seemed different to him I don’t think he got the message I was uncomfortable very well,” again I had more concerns. If she had made it abundantly clear that what he did was not okay, why did he not leave her alone? I also asked why he was still on all her socials, she answered, “ we are family it would be weird,” I’m sitting in my room completely shaken, I have been with this woman for over two years and we had our ups and downs but I have done everything I can to make her feel as special and treasured as I could. She said she wouldn’t have told me if we couldn’t move passed it and I don’t know what to do.

Hello Everyone,
I'm 33 (m) and have no history of migraines or headaches or anxiety but about a month ago I was driving home from work & suddenly out of no where I felt a cool rush starting from my feet and arms going to my head followed by horrible pain in my head and neck then my heart beat skyrocketed and I started to feel like I was gonna pass out. Called ambulance and went to the hospital. They ran tests and said they didn't find anything wrong at that time but that I should still see a cardiologist. This happened on a Thursday afternoon. Woke up the next day feeling fine and back to normal. A week passed and again while I was driving home the same thing happened, this time I was close the a hospital and managed to drive myself to hospital. This time i had horrible pressure to my head and neck. Heart beat was still feeling really high. They had me there for a while hooked up to a EKG but at the end of the night they said they didn't find anything wrong. They said I was having some heart palpitations and suggested the same thing, to see a cardiologist. The next 2 days weren't good, had horrible pressure to my neck and head, Heart would sometimes feel like it would rise but wasn't as bad as before. I used some Icy/Hot patches to my neck and those helped so much with the pressure in my neck and head but wouldn't stop the heart palpitations.
I have seen my PCP and a cardiologist, I got a 7 day heart monitor but was told that they didn't find any issue while I had the monitor on. I'm scheduled to have more tests done but everything is so backed up right now and these symptoms aren't getting better. I was ok for 3 days. Felt like I was almost back to normal but then suddenly on Thursday it hit me again. I've noticed that I start feeling bad in the afternoons between 3pm and 6pm for some reason. The pressure to my head and neck is still there but it's not as bad and can deal with it without pain medication. I feel anxious/scared all the time because I'm worried to get another episode again. I'm now waiting to see a Neurologist but that's not until July.
Is this what anxiety can cause or do? Is this normal from migraines? Has anyone had something similar happen?

I love playing sports with all of my friends, but I have problems with my toe joints in pain for several days after playing. I have 4E wide feet and it first started when I wore Alta running shoes. I loved those shoes, I had an amazing performance and I don't think I've ever played better, but after about the second day of using them, my toe joints started to hurt, all of them, on both feet. I'm trying to become more active, but this is really holding me back and I don't know what to do. This problem now happens with all the shoes I wear, and my doctor gave me a boot to stretch my foot out, saying my toes hit the ground early, but it's not helping and I feel like they're trying to sell me stuff.

ahhh. i’ve had a pain in my chest , on n off for 2-3 days. it hurts and i hate it. diagnosed with panic disorder, but my anxiety is almost fully subconscious. i have a lexapro prescription but i haven’t taken it in some time. should i restart? i need an actual effective method to get this pain to go away. i’ve tried breathing and i have health anxiety so i’m, of course, losing my mind.

Hello community,
This is the second time I have caught myself eating meat (cow) and having nightmares. The first one was seeing the cow itself in pain and the second one was seeing a starving crowd of people. I eat dinner no later than 8 pm and sleep no later than midnight so it is not like I am going to sleep with a full stomach, which could be a reason for having nightmares. I want to hold this connection as "floating" since I have not received a full inner knowing.
By the way, it was horrible to see those people starve in my dream. I sensed a sense of guilt for having food on my plate every night. I was born in Afghanistan and this dream took place there. Left as a two-year old and I recall feeling sad for the people who were still living there while I got away growing up in a stable and safe Scandinavian country. Ok, that is another topic in itself that I will leave for now.
Sincerely,
Your fellow human being
​
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I leased a GMC denali canyon three years ago and loved it, the payment was $410/month and it was super comfortable. When the lease was up in January, I called to see what the rates were on the new GMCs and it increased to $780/month which is far out of my price range. I talked to a Toyota dealer who got me into a tacoma SR5 for $470/month and after test driving it, I reluctantly signed the lease- disappointed to make sacrifices in comfort (at still a 15% price increase) on the leather interior, heated/cooled seats, built in nav, better back up cam, etc.
Here I am a few months later and I am enjoying driving the vehicle and coping with losing some amenities but my biggest gripe is that I don't fit into the driver's seat well and it is almost painful getting in and out of the seat. I am 6'3" and have an athletic build. The steering wheel is as high as I can set it and the seat is as low as it will go. Getting into the truck, I have to put my legs jammed up under the dash near the pedals, bend my knees almost backwards hyper-extended, and then swing them under the steering wheel as I get into the seat. I guess I did not notice it the first few times, but recently had to rent other vehicles for work (mid size SUVs) and realized how much easier it is to get in and out and how much more comfortable my seated position is while driving. It has now become glaring that it is a problem and even slightly painful.
I guess my question is has anyone had the same experience? If I bring it to a Toyota shop is there any chance they can increase the steering wheel height furthelower the seat more? Not sure if I just have to deal with it for three years. I am sorry if this is the wrong place for this post as I am sure most people here are fans- just looking for any useful advice or input, thanks!