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Unexpected Billing for MinuteClinic Visit

2024.05.21 20:49 ocatx512 Unexpected Billing for MinuteClinic Visit

Greetings, While I understand that this subreddit is mainly for employees, I was hoping someone with some experience with MinuteClinic could give me some insight or help.
So about 2.5 weeks ago, I went to MinuteClinic after the semester ended to get treatment for my swollen tonsil. Ended up getting the antibiotic prescription I needed. I was told by the Physician Assistant multiple times that the insurance (Aetna) would cover the cost of the visit and that I would have no pay.
Flash-forward to now, I woke up just now and find that I have a payment due of $160 after being told that I wouldn't have anything to pay. Can someone help me with this or help me understand what is going on with this billing? It makes no sense to me.

submitted by ocatx512 to CVS [link] [comments]

2024.05.21 15:06 Potential_Help_5296 My zoloft experience vs my prozac experience

I started taking zoloft at the age of of 16 from constant over stimulation that had started once i hit puberty at 11 years old. The first few months on zoloft i felt happier than i had ever felt before to a pretty extreme extent. I didnt know this was an odd reaction to ssri’s especially since up to the age of 16 i had never done any drugs. I hadn’t ever even had caffeine before besides the low amount in soda which I rarely ever had. The reason im saying this is because there were nothing in my life i had experienced that was mind altering. This is why i didnt know at the time that i was really, really high on zoloft. Apparently it was obvious to my family who have said it was very obvious something was wrong once I started. I became the most extreme extrovert anyone could ever become. This all lead to me going from a normal 3.0 gpa to graduating with a 1.8 gpa. I became a drug addict in the worst way possible. I had become so impulsive. I went from being a kid who never lies or does anything bad to the guy who lies for no reason. I became a poly addict within months of starting zoloft. I became completely disconnected from not only friends but to my parents as well. This continued for 2 years until i finally stopped taking it at 18. Once i stopped taking zoloft i did a complete 180, well sort of. The addictions i picked up on zoloft for the most part stopped, except for one drug which i still struggle with. That being adderall and vyvanse. Thank the lord i never met anyone with meth during this time. There were other drugs i was addicted too as well while on zoloft like oxycodone, hydrocodone, weed, nicotine, xanax, Klonopin, alcohol and even more. I was addicted to all of these. I couldnt stop thinking about getting high. Its all i thought about. Always thinking of ways to get drugs. My parents had to buy a safe specifically for there prescriptions to keep me from stealing them. Even my own zoloft was in there safe because i would take 4 a day when i was prescribed to take one 50mg. I even abused tylenal(acetaminophen). My parents also couldn’t keep alcohol anywhere in the house since everynight after they went to bed i would search the whole house for it.

 Like i said though once I turned 18 i stopped taking zoloft and just like that all of my hyper focused drug cravings went away, all of them except for amphetamines which i still struggle with today. Also this isnt really related but when i was 19 i tried molly(mdma) with a friend which i had only had gotten because i started abusing amphetamines again which for some reason amphetamines also make me impulsive, but not to the same level as Zoloft though. Anyways when i took the molly, guess what it felt like?! It was literally the exact same head space and just over all feeling i had during the first 6 moths on Zoloft. It felt exactly the same, just it only lasted for a few hourse and made me very umm aroused, and a bit hyped.

Im about to turn 21 in 7 days so it really hasnt been to long since my manic days.
Second time on ssri’s
Right around when i had turned 20 i began getting my first ever panic attacks. Most of them were the normal panic attacks, well normal probably isn’t the right word. I mean most of the attacks i had i could deal with on my own since they all happened at night when i was alone. One night though that changed. This particular night i felt that dreadful anxiety which i had been feeling for the past couple weeks already but it had never gotten to the point where it was too overwhelming for me deal with on my own. I was just laying in bed going to sleep, then it just happened in less than a second i knew i was gonna die. I knew this was it. I couldn’t breathe or i guess i could breathe but for some reason every time i would inhale it was just like i wasn’t idk. That immediate overwhelming feeling of death is the worst pain i hade ever felt. Worse than any physical pain id ever had, well i guess its the worst thing i’ve ever felt period at least at this point in my life. Because of this i went to the doctor. I refused to take ssri’s for it while also really trying to stay away from benzodiazepines for obvious reasons. So i perscribed Buspiron which is kinda in its on catargory. It’s non addictive and its not an antidepressant. So I took it for just about a month. Made me lowkey feel like shit. Constant headaches along with being really hot which is kinda problem since i work physical labor pretty much only outside all while it’s july. So unfortunately the only other option was ssri’s since im still on my parents health insurance my mom would never in a million years allow me take benzodiazepine which is obviously understandable. So i get a script for prozac cause it’s not Zoloft so maybe it’ll be a little different. Boy oh boy was it different. So basically the prozac ended up doing exactly the opposite of what the Zoloft did. I became more depressed than i had ever been by a landslide. Legit would fantasize killing myself. The first two weeks on prozac i would do nothing. Like straight up nothing but think about how amazing it would be to get relief by meeting up with my favorite tree. Eventually it went away for the most part. Then i stopped taking it 3 moths ago, so i was on it for 9 months total. I just felt normal on it for the most part. The only other thing it did that was bothersome was make me a little short tempered.
Ive just been curious if anyone else has experienced something similar to me.

submitted by Potential_Help_5296 to depression [link] [comments]

2024.05.21 15:04 Potential_Help_5296 My zoloft experience vs my prozac experience

 Like i said though once I turned 18 i stopped taking zoloft and just like that all of my hyper focused drug cravings went away, all of them except for amphetamines which i still struggle with today. Also this isnt really related but when i was 19 i tried molly(mdma) with a friend which i had only had gotten because i started abusing amphetamines again which for some reason amphetamines also make me impulsive, but not to the same level as Zoloft though. Anyways when i took the molly, guess what it felt like?! It was literally the exact same head space and just over all feeling i had during the first 6 moths on Zoloft. It felt exactly the same, just it only lasted for a few hourse and made me very umm aroused, and a bit hyped.

submitted by Potential_Help_5296 to antidepressants [link] [comments]

2024.05.21 15:01 Potential_Help_5296 My zoloft experience vs my prozac experience

 Like i said though once I turned 18 i stopped taking zoloft and just like that all of my hyper focused drug cravings went away, all of them except for amphetamines which i still struggle with today. Also this isnt really related but when i was 19 i tried molly(mdma) with a friend which i had only had gotten because i started abusing amphetamines again which for some reason amphetamines also make me impulsive, but not to the same level as Zoloft though. Anyways when i took the molly, guess what it felt like?! It was literally the exact same head space and just over all feeling i had during the first 6 moths on Zoloft. It felt exactly the same, just it only lasted for a few hourse and made me very umm aroused, and a bit hyped.

submitted by Potential_Help_5296 to zoloft [link] [comments]

2024.05.21 14:21 Prestigious-Lion-858 The Best Remedies for Athlete's Foot: Say Goodbye to Itchy Feet

Athlete’s foot, a common fungal infection, can be a real nuisance for anyone, not just athletes. Characterized by itchy, burning, and peeling skin, it often affects the areas between the toes. If you’re dealing with this irritating condition, you’re likely searching for the best remedies to clear it up quickly and effectively. Here’s a comprehensive guide on the best treatments for athlete’s foot.

1. Over-the-Counter Antifungal Creams and Sprays

One of the most effective and readily available treatments for athlete’s foot is over-the-counter (OTC) antifungal creams and sprays. Products containing clotrimazole, miconazole, or terbinafine are particularly effective. These medications work by targeting the fungus directly, helping to alleviate symptoms and eradicate the infection.
How to Use:

Clean and dry the affected area thoroughly.
Apply the cream or spray as directed, usually twice daily.
Continue treatment for the full duration recommended, even if symptoms improve before completion.

2. Home Remedies

Several home remedies can help alleviate the symptoms of athlete’s foot and support the healing process. Here are a few popular options:
Tea Tree Oil: Known for its antifungal and antiseptic properties, tea tree oil can be an effective natural remedy.
How to Use:

Dilute tea tree oil with a carrier oil (like coconut oil) in a 1:1 ratio.
Apply the mixture to the affected area twice daily.

Vinegar Soaks: Vinegar creates an acidic environment that can inhibit fungal growth.
How to Use:

Mix one part vinegar with two parts water.
Soak your feet in the solution for 15-20 minutes daily.

Baking Soda: Baking soda can help neutralize odor and provide relief from itching.
How to Use:

Create a paste with baking soda and a little water.
Apply it to the affected areas, let it sit for 10 minutes, then rinse off and dry your feet thoroughly.

3. Prescription Medications

For more severe or persistent cases of athlete’s foot, a visit to your healthcare provider might be necessary. They can prescribe stronger antifungal medications, including oral antifungals like fluconazole or itraconazole, or more potent topical treatments.

4. Proper Foot Hygiene

Maintaining good foot hygiene is crucial in treating and preventing athlete’s foot. Here are some key tips:

Keep Feet Clean and Dry: Wash your feet daily with soap and water, and dry them thoroughly, especially between the toes.
Change Socks Regularly: Wear clean socks made of breathable materials like cotton or moisture-wicking fabrics, and change them at least once a day or whenever they become damp.
Use Antifungal Powder: Sprinkle antifungal powder on your feet and inside your shoes to keep the area dry and reduce fungal growth.

5. Avoid Contaminated Areas

Athlete’s foot is highly contagious. Avoid walking barefoot in communal areas such as locker rooms, showers, and swimming pools. Wear flip-flops or shower shoes to protect your feet from contact with potentially contaminated surfaces.

6. Proper Footwear

Choose shoes that are breathable and provide good ventilation. Avoid wearing tight, closed-toe shoes for extended periods, as they create a warm, moist environment conducive to fungal growth. Rotate your shoes regularly to allow them to air out between uses.

Conclusion

Dealing with athlete’s foot can be frustrating, but with the right treatment and preventive measures, you can effectively manage and overcome this condition. Whether you opt for OTC antifungal products, natural home remedies, or prescription medications, the key is consistency and good foot hygiene. By following these tips, you’ll be on your way to healthy, itch-free feet in no time. If you need further assistance, consider consulting a podiatrist athlete's foot specialist for professional advice.

submitted by Prestigious-Lion-858 to u/Prestigious-Lion-858 [link] [comments]

2024.05.21 07:24 alice999307 Situational Q&A: NHI (National Health Insurance) and Medical Services-1

Situation 1: Michelle, an international student, will be studying in Hualien County to obtain her degree and hopes to gain a better understanding of the National Health Insurance.
Q1: How and when can I obtain the NHI (National Health Insurance) card? A1: NHI stands for National Health Insurance, which is necessary for all individuals living in Taiwan. Of course, the process of obtaining NHI depends on your residency status as a foreigner living in Taiwan. Let's break down how and when you can get NHI!
Foreign Students If you've come to Taiwan to study at a university, getting NHI is quite straightforward. It's important to remember that foreigners can obtain NHI only after living continuously in Taiwan for six months on an ARC (Alien Resident Certificate), but you are allowed to leave the country once for up to 30 days during this 6-month period. After these six months, your university will collect insurance fees for each semester upon registration. As a student, you'll only need to pay the insurance fee, which is 826 NTD as of 2024, and then wait for notification from the university that your card is ready for collection. Insurance fees are collected from September to February in the first semester and from March to August in the second semester.
International students can be employed part-time in Taiwan. In this case, students with a steady part-time job should be registered in the program as employees through their employers. Don't forget to inform your university about this. The university will reimburse you a portion of the insurance fee you've already paid.
If you are seasonally employed, meaning you are a full-time student who only works during summer and winter vacations for fewer than 3 months and returns to school when classes resume, you do not need to change your enrollment status during the period of employment.
Foreign Workers A foreign worker must be registered in the National Health Insurance Program from the first day of employment. Therefore, those working in Taiwan are not subject to the six-month waiting period. Your employer should register you and be responsible for paying your insurance (formerly known as the "insurance registration organization").
If you're a company chairperson or owner, you need to set up your own insurance registration unit. If you have another primary job, you can be insured through that company or agency without enrolling as a responsible person.
If you're employed but don't have a fixed employer, like being a member of an occupational union, a farmers' or fishermen's association, or are actively involved in farming or fishing, you should enroll in the National Health Insurance through your respective union or association.
If you are working two jobs at the same time, then you should be registered in the NHI program through your main employer. Your main employer is the one where you work more hours; if the hours are similar, then income can be the deciding factor.
Unemployed foreigners If you are unemployed and qualify as a dependent, you should be registered in the NHI program through your employed spouse or direct blood relatives.
If you cannot be enrolled through your spouse or direct blood relatives, you are required to enroll in the program at the local administrative office where your household is registered, under the identity of a "regional citizen."
If you are an unemployed veteran or a dependent of a deceased veteran, then you can enroll in the program through the administrative office where your household is registered under the identity of "veteran."
For more information, please feel free to ask or refer to the NHI handbook (click the specific link below).
Q2: What medical services are covered by the NHI? A2: The National Health Insurance (NHI) in Taiwan covers a wide range of medical services, such as: Outpatient services Inpatient services Emergency care Surgery Laboratory tests Prescription drugs Dental care Mental health services Traditional Chinese Medicine Rehabilitation services The medical payments include diagnosis, assessment, laboratory tests, consultations, surgical procedures, anesthesia, prescriptions, supplies, therapies, nursing care, and covered hospital accommodations. Essentially, all essential healthcare services are included in the system.
Q3: How can I understand the cost of services under NHI in advance? A3: Under Taiwan's National Health Insurance (NHI), patients are required to make co-payments for medical services, including hospital visits, outpatient care, prescription drugs, and various medical procedures.
Let's see a breakdown of typical co-payments for various medical services under NHI! Visiting a hospital or clinic with a referral: Co-payment for Medical Center with referral is fixed at 170 NTD. For Regional Hospital it is 100 NTD. For District Hospital it is 50 NTD. And for Clinic it is 50 NTD. Visiting a hospital directly without a referral costs more: Co-payment for Medical Center without referral is fixed at 420 NTD. For Regional Hospital it is 240 NTD. For District Hospital it is 80 NTD. And for Clinic co-payment remains fixed at 50 NTD. For visiting dentist and traditional Chinese clinics, the co-payment is fixed at 50 NTD regardless of the level of medical institution.
Important to know For patients with a disability identification, the basic co-payment is charged at the Clinic rate (NT$50) regardless of the level of medical institution visited by the patient.
The following situations are regarded as visits with referral: Follow-up visits within one month of a medical visit with a referral sheet, limited to a maximum of four times. The first follow-up visit after outpatient surgery, emergency surgery, or discharge from the hospital. The first follow-up visit within six weeks after childbirth. Therefore, the co-payment for such visits is charged according to the standards of medical visits with referral, and hospitals may issue relevant certificates for patients. During a course of treatment, patients only need to pay the co-payment for their initial visit (excluding rehabilitative physical therapy and Traditional Chinese Medicine traumatology).
Emergency Care Co-payment Standard: Medical Center: 740 NTD Regional Hospital: 400 NTD District Hospital: 150 NTD Clinic: 150 NTD Near-poor Households/Individuals with Disabilities: Medical Center: 550 NTD Regional Hospital: 300 NTD District Hospital: 150 NTD Clinic: 150 NTD
Co-payment cost for outpatient prescribed drugs
Regular prescriptions: If the cost of the medication is equal to or less than 100 NTD: In Clinics and District Hospitals: Patients are exempt from co-payment (no co-payment). In Regional Hospitals and Medical Centers: The co-payment is 10 NTD. If the cost of the medication is equal to or greater than 101 NTD:
In all levels of medical institutions, an additional 20% will be charged for every 100 NTD. For example, if the price of medication is in the 101-200 NTD range, then the co-payment is 20 NTD; if in the 201-300 NTD range, then the co-payment is 40 NTD. In Clinics and District Hospitals: If the medication cost starts from 1001 NTD, the upper limit for co-payment is reached, and the co-payment is fixed at 200 NTD. In Regional Hospitals and Medical Centers: If the medication cost is in the range from 1001-1500 NTD, the co-payment is fixed at 200 NTD.If the medication cost starts from 1501 NTD, the upper limit of co-payment is reached at 300 NTD.
Refillable prescriptions: In Clinics: Patients are exempted from the co-payment. In District Hospitals, Regional Hospitals, and Medical Centers: The first time filling a refillable prescription follows the same rules as outlined above for regular prescriptions. From the second refill onwards, patients are exempted from the co-payment.
Important to know For Traditional Chinese medication co-payment, the same system as that of Clinics is used. Costs under 100 NTD are exempt; for costs equal to or greater than 101 NTD, an additional 20% will be charged for every 100 NTD. At Dental Clinics, outpatient prescription drug expenses are exempted from co-payment. Emergency Care Prescription: For Clinics and District Hospitals: 150 NTD For Regional Hospitals: 400 NTD. For Medical Centers: 750 NTD. I hope now you have a better understanding of how to calculate the cost of medical services under NHI. Feel free to ask more questions or refer to this webpage (click the specific link below).
Q4: What services are completely free under NHI? A4: With NHI, you can access a wide range of medical services at very affordable prices, and some services are fully covered! However, it's always a good idea to ask your doctor or a consultant at the hospital/clinic about which services will be covered.
Let's break down what kind of services can be fully covered under NHI: Basic Medical Examinations: These are routine tests to check your health, like measuring blood pressure, checking cholesterol levels, and assessing kidney function through urine tests. Preventive Services like Vaccinations and Screenings: This includes vaccines to protect against diseases like measles, mumps, and rubella, as well as screenings for diseases like cancer or diabetes. These screenings aim to catch health problems early for easier treatment. Essential Surgeries: These surgeries are necessary to treat a medical condition and improve health or save lives. For example, removing an appendix, fixing a broken bone, or treating a serious infection. Hospital Stays in General Rooms: This means staying in a hospital room shared with other patients (one room with 3 beds or more) and having basic facilities. General rooms provide standard care for conditions that don't require intensive monitoring or specialized equipment. Some Prescription Medications: Certain medicines prescribed by doctors are fully covered by NHI, so patients can get them from the pharmacy without paying anything. These often include essential medications for common conditions like high blood pressure, diabetes, and infections. Medications with a cost below 100 NTD will be fully covered or will require a 10 NTD co-payment. Dental care: Most medications prescribed by dentists are fully covered by the National Health Insurance (NHI). However, it's important to note that full-mouth anesthesia is not covered. Also, you have the right to receive two dental cleanings per year fully covered, allowing the general public to get dental calculus removal. People with tooth decay may be eligible, depending on a dentist's evaluation, for fluoride varnish treatment. As long as the cavity does not reach the pulp (where the tooth's nerves and blood vessels are located), it can be fully covered by the National Health Insurance (NHI). Generally, the National Health Insurance (NHI) will cover the extraction of wisdom teeth, supernumerary teeth, and impacted teeth. However, extractions for corrective purposes (teeth that are intact and without decay problems) will not be covered by NHI.
Medical expenses in Taiwan are relatively inexpensive, so don't worry about spending a lot of money when seeing a doctor. Therefore, don't be afraid to go to the hospital.
Q5: In which hospitals can I utilize NHI services, specifically at Hualien hospitals? A5: Here is the list of hospitals in Hualien in Chinese (the English version will be posted and updated later). But if we talk about the most popular hospitals in Hualien where you can definitely get assistance in English, then we can list these hospitals: Mennonite Christian Hospital Hualien Tzu Chi Hospital Hualien Hospital Smiles-Dental
Q6: Is it possible to receive NHI consultation in English? A6: Yes! It is possible to receive NHI consultation in English! The back of the NHI card has a hotline number for inquiries: 0800-030-598, or by mobile phone call 02-412-8678. Calling the number is free of charge.

submitted by alice999307 to LivableHualienFriends [link] [comments]

2024.05.21 05:16 Weary-Indication4841 Please help!!!

I would greatly appreciate if anyone can give me tips on my resume and potentially tell me why I’m getting rejected? I think I applied to nearly 80 jobs so far and I’ve been rejected or ghosted. I’ve fixed up my resume but no luck. Maybe a fresh (better) set of eyes might help. PLZ AND THANK YOU just blocked out some identifying things

submitted by Weary-Indication4841 to resumes [link] [comments]

2024.05.21 04:26 Winter_Abalone3159 My partner has been stealing my medication for years and i'm just so beyond done

For years my partner has been stealing my Adderall prescription and just directly lying to my face about it.
I've caught them multiple times and for as long as i can remember its been to the point where when I am able to get a prescription, I just start having to hide it around the house. In my model kits, hidden behind the dresser, inside of my allergy pill bottle in a random backpack, hidden inside of an empty makeup container in the corner of a closet, a fucking dead space in the wall I accidentally discovered. Doesn't matter where its hidden, it will be found and 90+% stolen within a day or two.
I've bought fingerprint safes multiple times. Ive screamed. Ive cried. Ive threatened (emptily). Ive tried to explain to them that stealing this because you want to lose weight by doing nothing after eating an entire bag of brownie brittle the night before is not a valid reason to harm my ability to perform my job.
Ive tried giving them some of my prescription, even half of it a month but its not enough. They need all of it and then just lie to my face like im a fucking idiot. We're the only ones that live in this home and they are a literal recluse aside from going to work once in a while. Who the fuck else stole it? The dog???
Ive spent literal years trying to get them to see a doctor to get their own prescription and nothing I do gets them to do it. It doesnt matter even if I make the appointments they wont go.
Im just done with it and being treated like im an idiot. I dont feel anything about it anymore but regretting wasting so much time with someone so fucking selfish. I wish this was the only thing I was upset about them with, but its just the cherry on the disappointment sunday.
I cant wait till I am in a position to tell them to leave and never come back and start living my life again.

submitted by Winter_Abalone3159 to TrueOffMyChest [link] [comments]

2024.05.21 02:17 Shortyz5776 I love this frame.

submitted by Shortyz5776 to h3h3productions [link] [comments]

2024.05.21 01:15 -343-Guilty-Spark- HCS Major London, hosted by Quadrant (May 31 – June 2)

https://www.halowaypoint.com/news/quadrant2024
Header Image ^{^[Imgur]}
Next weekend, Halo esports is taking over London!
Team Quadrant will be hosting the first-ever Halo Infinite EU Major at the Twickenham Stadium from May 31st to June 2nd. Join us as the world's best teams throw down for their share of $250,000 and a paid trip to the HCS Atlanta Major this summer!
The action kicks off Friday May 31st at 7a ET / 12p BST - Watch live on Twitch and YouTube!

Key Info
Tickets
Pool Play
$5K FFA
Side Events
Travel
FAQ

Halo Championship Series Major London 2024, hosted by team Quadrant. ^{^[Imgur]}

Key Info

Date: May 31 - June 2 Location: London UK Venue: Twickenham Stadium	Tickets: Available Now! Team Pass: Available Now! Watch: Twitch + YouTube	4v4 Prize Pool: $250,000 FFA Prize Pool: $5,000 Side Events: $5,000

Tickets & Team Pass

Join us live from London - Grab your tickets now!

GA 3-Day Tickets

Buy Tickets

- Price: £30.00 - Entry into the venue for the entirety of the event. - Free Access to compete in FFA and Side Tournaments. - GA will receive a Halo Waypoint token that unlocks all in-game Twitch Drops offered during the event.

Discount Codes

In order to provide extra value to fans and also allow fans to support their favorite teams directly, you can use any of the codes below at check out to receive a 10% discount on your tickets. When you save 10%, the Teams receive 10%!

CLOUD9 COMPLEXITY FAZE OPTIC SENTINELS SPACESTATION QUADRANT

Support your favorite team and get a discount on spectator tickets. If you use a team's code, be sure to share on Twitter and tag the teams so they know you've supported them!
Halo players competing in the Open Bracket at the H C S Arlington Major 2024 ^{^[Imgur]}

Team Pass

Team passes are available now - Assemble your squad and throw down live in London!
Buy Team Pass
If you plan on competing at any HCS events, be sure to check out the links below!

- 2024 HCS Major Event Rules - 2024 HCS Player HandBook - 2024 HCS Code of Conduct

Tournament Format

HCS Major tournament structure for 2024 will be similar to the tried-and-true format we used in Year 2.

- 64-Team Open Bracket - 16-Team Pool Play - 12-Team Champ Bracket

Open Bracket

It wouldn't be a proper HCS Major without a bustling passion pit.

- Open Bracket will start and end on Friday May 31st - Top 4 teams will advance to Pool Play

Congratulations to the following teams on earning Travel Coverage to compete through the London Major Open Bracket!

NA Native Gaming - aPG - Barcode - Gilkey - Mikwen	EU Mamma Mia - i7948 - Mqse - Phlux - Shad	MX SWAT Esports - Acid - Drift - Noblc - Tapping Buttons	ANZ MindFreak - Plasma - Scoobmeistr - Swayz - Wryce

Pool Play

Pool Play at the London Major will feature 12 Auto-Qualified teams and 4 teams from the Open Bracket.

- 4 Pools of 4 - Single Round Robin - 1st/2nd in Pools go to Winners Round 1 - 3rd in Pools go to Lower Round 1 - 4th in Pools is eliminated

Pool Play Qualified Teams
HCS London Major - Pool Play Teams ^{^[Imgur]}

CHAMPIONSHIP BRACKET

The Championship Bracket is where the best of the best will clash for their share of $250,000 and a paid trip to the HCS Atlanta Major!

- 12-Team Double Elimination - Top 6 teams will lock in those seeds at the HCS Atlanta Major

$250K 4V4 PRIZE BREAKDOWN

1st: $100,000 2nd: $60,000 3rd: $30,000 4th: $17,500 5-6: $8,000 7-8: $5,000 9-12: $2,500 13-16: $1,625

Team Quadrant celebrating with a fist bump on the H C S mainstage ^{^[Imgur]}

$5,000 FFA Tournament

As with every Major, HCS London will feature a $5,000 FFA tournament open to all event attendees!
Registration will take place on site!
FFA PRIZE BREAKDOWN

1st: $2,000 2nd: $1,200 3rd: $800 4th: $425 5th: $200 6th: $150 7th: $125 8th: $100

HCS Side Events

Attendees will have the chance to compete in side tournaments featuring various Halo titles! Registration will take place on site and will be first come, first served - see the schedule below!
HCS London Major - Side Events ^{^[Imgur]}

FRIDAY, MAY 31 MCC Halo 3 2v2 - Prize: 1st. $600 / 2nd. $250 - Capacity: 16 Teams - Sign-ups: 3:45p BST - Start: 5:15p BST Halo 5 2v2 - Prize: 1st. $600 / 2nd. $250 - Capacity: 16 Teams - Sign-ups: 4:45p BST - Start: 6:15p BST	SATURDAY, JUNE 1 Halo Infinite 2v2 - Prize: 1st. $1,200 / 2nd. $500 - Capacity: 64 Teams - Sign-ups: 12:00p BST - Start: 2:15p BST MCC Halo 3 4v4 - Prize: 1st. $1,200 / 2nd. $400 - Capacity: 16 Teams - Sign-ups: 4:30p BST - Start: 5:45p BST

Spartan Cosplayer enjoying Halo Infinite matches in the crowd at an HCS event ^{^[Imgur]}

Where To Watch

Catch all the action live May 31 - June 2.

A Stream: Twitch.tv/Halo B Stream: Twitch.tv/HCS C Stream: Twitch.tv/HCS_Red D Stream: Twitch.tv/HCS_Blue All Streams: YouTube.com/@HCS Co-Streamers: Halo Infinite Live Streams

Twitch Drops

Tune into the HCS London Major all weekend and you will unlock exclusive Twitch Drops!
Stay tuned to @HCS on socials for more info on which Drops will be available!

Travel

Airport: London Heathrow (LHR) Ground Transportation : Uber Hotels: Click here for a list of nearby hotels.

Image ^{^[Imgur]}

FAQ

Event FAQ

When will the HCS Major London 2024 take place?	The HCS Major London 2024 will take place May 31-June 2, 2024.
Where is the event taking place?	The HCS Major London 2024 will take place at the Twickenham Stadium. Twickenham Stadium, 200 Whitton Rd, Twickenham TW2 7BA, United Kingdom
Where can I purchase tickets?	You can purchase Spectator passes here.
I am with the press and would like to cover the event. Who should I reach out to for information?	Please contact events@quadrant.gg and xboxpress@assemblyinc.com.
I can't attend the event, but want to watch online. Where can I tune in?	You can tune into these links to watch the action: Twitch A stream - twitch.tv/halo B stream - twitch.tv/hcs C stream - twitch.tv/hcs_red D stream - twitch.tv/hcs_blue YouTube All Streams - YouTube.com/@HCS
Is there an age limit?	All 4v4 and FFA Players must be 13 years of age or older to compete at HCS Major London. Players 13 years of age or older require a signed parental consent form if under the age of 18. Spectators 13 years of age or older require a signed parental consent form if under the age of 18. Spectators under 13 years of age will need to be accompanied by guardian. Children ages 3 and under will not require a ticket, but will require a completed parental consent form and be accompanied by a guardian at all times. Download the Parental Consent Form . Please bring the completed form to the event and have ready to hand in at the ticketing desk.
What if I am under the age limit at the time of qualification but meet the age requirements by the event date? Can I still participate?	Players will need to be of age by May 22, 2024 to compete.
What time do the doors open?	Doors open at 10:00 AM BST
Where should I park and is parking free?	Please refer to the Twickenham Website for Parking Info. https://www.twickenhamstadium.com/getting-here
Do you have appropriate seating and parking for individuals with medical conditions?	The event is ADA compliant and accessible.
Are pets allowed?	Only service animals are allowed at the event.
What is your bag policy?	Spectators: All Bags must be clear and under 12in x 12in x 6in to be allowed in the venue, and are subject to wanding and searches as needed. Wallets and wristlets no larger than 5in x 8in x 1in are permitted - Anything larger must follow the clear bag guidelines.
Are there any prohibited items?	Halo Championship Series Prohibited Items ACCEPTABLE: - Cosplay and other costumes determined to be safe by security - Prop/Replica weapons as part of cosplay or other costumes: Must be submitted to security for review. Cannot contain a functioning bolt mechanism or fire a projectile of any kind. Any bow-type weapons must be unstrung or strung with a low-tensile thread. All prop arrows must have soft, non-metal, blunted tips made out of foam or cardboard only. Cannot be pointed at any individual in such a way to cause fear of harm or distress. Cosplay firearms must have brightly colored safety tips. Must be visibly tagged and visually identified as “safe” or “peace bonded”. - Cell Phones - Action cameras, such as GoPro’s - Prescription medication (you must have the prescription/label in your name with you) PROHIBITED ITEMS* (below list is a guide, not all inclusive): - Illegal or illicit substances, drugs, or drug paraphernalia - Weapons of any kind including, but not limited to, guns, ammo, pocket knives, sharp-edge blades, self-defense sprays, or any item deemed as unsafe by security staff. - Flammable items or liquids including aerosols and fireworks - Bags lager than 12″ x 12″ x 6″ max - Coolers, sleeping bags, tents, and chairs: An exception will be made for medically necessary items after thorough inspection. - Outside alcohol - Outside food and beverage - Bicycles, skateboards, hover-boards, scooters, or personal motorized vehicles - Drones or unmanned aerial vehicles - Animals except for service animals assisting an individual with a disability. “Comfort,” “therapy” or “emotional support” animals do not meet the ADA definition of a service animal. Security may permit working dogs or other animals as required. - Laser pens, laser pointers, or similar focused light devices - Noisemakers such as megaphones, air horns, sirens, whistles, or other devices which may interfere with others’ experience - Any item that is not lawfully permitted to be carried in the locality or City of Seattle - Additional items may be prohibited at the discretion of Microsoft staff or security *Note: Prohibited items and items determined to not be appropriate for entry into Halo Championship Series will be the responsibility of the attendee and cannot be accepted, stored, or checked by Microsoft or Convention Center.
What are the closest hotels to the event venue?	Please use this link to find nearby hotels options and rates.
I have other questions – where’s the best place to ask them?	For London specific questions, email us at events@quadrant.gg For HCS program and eligibility questions, email us at HCS@ee.gg

Player FAQ

Where can I find the Event Rules?	Click Here: HCS London Major 2024 Rules
Where can I find the Handbook & Code of Conduct?	Click Below: - HCS Handbook ** - Code of Conduct**
Will there be a Free-For-All (FFA) competition at this event?	Yes! The event will feature a free-to-enter Halo Infinite FFA tournament, which will be open for up to 512 players and spectators. Best of luck to those competing for their share of $5,000! Must have a Spectator ticket to participate. Registration will take place on site!
I don't live in the UK. Can I still compete in this tournament?	To check your specific country’s eligibility, please see the list of eligible countries as listed in the Handbook here .
Is there a limit to the number of teams eligible to compete in this tournament?	Yes. The 4v4 tournament open bracket has a max capacity of 48 teams.
When do rosters lock?	For Pool Play and Travel Coverage teams: 6:00 PM EST on Monday, May 13th. If teams earned travel coverage via the Major #2 Online Qualifier they must retain that same roster. For all other teams, roster lock is Monday, May 27th at 10:00a EST / 3:00p BST.
What equipment should I bring if I'm competing?	All players competing must bring: - Your preferred wired peripheral (Xbox wired Controller or Mouse and Keyboard) - USB cord required for your preferred peripheral - Headset with no power outlet and a 3.5 mm plug - Wired Earbuds (needed for Feature Station and Main Stage play) - If you plan on competing with Keyboard & Mouse, you must submit your model number for each device to hcs@ee.gg ahead of the event. Mixamps will be provided. Bringing backup equipment is recommended.
Which monitors will be used for the tournament?	All tournament and warmup monitors will be the Zowie XL2540K model.
How do I earn travel coverage?	Lodging and travel coverage will be offered to 12 pool play teams based on previous Major placement, placement in the Major #2 Qualifier, and HCS Points. Additionally, 1 NA team& 1 EU team will be granted travel coverage based on aggregate points after the Major #2 Qualifier. 1 ANZ team & 1 MX team will be granted travel coverage based on placing 1st in their respective Open Championships. NA Players may qualify through: Top two (2) placement in the Major #2 Online Qualifier. Top two (2) in HCS points after the Major #2 Online Qualifier EU Players may qualify through: 1st place in the Major #2 Online Qualifier. Highest team aggregate HCS points after the Major #2 Online Qualifier MX Players may qualify through: 1st place in the Major #1 Open Championship. ANZ Players may qualify through: 1st place in the Major #1 Open Championship. For further information including complete tournament format and seeding , please review the Event Rules. Note: Teams who earn travel coverage for the HCS London Major 2024 via the Major #2 Online Qualifier must compete with the same roster.
How does travel coverage work?	More information on how to use earned travel coverage will be delivered to qualified teams after the completion of the Major #2 Online Qualifier.
What is the Prizing Breakdown?	HCS Major 4v4 - $250,000 prize pool 1st: $100,000 2nd: $60,000 3rd: $30,000 4th: $17,500 5th/6th: $8,000 7th/8th: $5,000 9th - 12th: $2,500 13th - 16th: $1,625 HCS Major Free-For-All - $5,000 prize pool 1st: $2,000 2nd: $1,200 3rd: $800 4th: $425 5th: $200 6th: $150 7th: $125 8th: $100
What is the Pro Point Breakdown?	Pro Points Breakdown - HCS Major 4v4 (Team Total) 1st - 25,000 2nd - 15,000 3rd - 11,000 4th - 9,000 5th - 6th 8,000 7th - 8th 7,000 9th - 12th 5,500 13th - 16th 4,500 17th - 20th 3,000 21st - 24th 2,000 25th - 32nd 1,800 33rd - 40th 1,600 41st - 56th 1,400 57th - 72nd 1,000 Pro Points Breakdown - HCS Major Free-For-All 1st: 15,000 2nd: 13,500 3rd: 12,750 4th: 12,000 5th: 11,250 6th: 10,500 7th: 9,750 8th: 9,000 9th - 10th: 6,000 11th - 12th: 5,250 13th - 14th: 4,500 15th - 16th: 3,750 17th - 20th: 2,800 21st - 24th: 2,450 25th - 28th: 2,000 29th - 32nd: 1,650 33rd - 40th: 1,300 41st - 48th: 1,125 49th - 56th: 950 57th - 64th: 750 65th - 128th: 375
I have other questions – where’s the best place to ask them?	For London specific questions, email us at events@quadrant.gg For HCS program and eligibility questions, email us at HCS@ee.gg

Ticket FAQ

What types of payment do you accept? Online and onsite?	All major credit cards are accepted. Cash payments will not be accepted at the event.
How will I get my tickets if I buy them online?	You will receive a confirmation email from Eventbrite with a QR code and printable tickets. Digital or print tickets will be accepted and scanned at the door at the event.
What if my tickets are lost or stolen?	Please contact events@quadrant.gg for more info.
Do you offer refunds?	We offer refunds up till 7 days before the event. Note: Eventbrite's fee is nonrefundable.
What if the event is cancelled?	If the event is cancelled all tickets purchased will be refunded in full.
Can I show my tickets on my phone at the door or do I need to have the physical tickets with me?	Digital or print tickets will be accepted and QR codes scanned upon entry. You must have all members of the parties accounted for with multiple tickets present to check in at the same time. Tickets are only scanned once. Fans will receive a wristband that corresponds with their ticket type.
Do you offer military or senior citizen discounts?	If you are purchasing a ticket online - please use the code MILITARY or SENIOR to receive 10% off your ticket. For the Military discount, please be prepared to present your Military ID. For a senior discount, you must be 55+ years of age. Any questions about codes or eligibility please email HCSeventsNA@ee.gg.
What does general admission mean?	General Admission (GA) refers to seating or standing areas that are not assigned or reserved.
Will my seats be together?	Seating or standing areas are occupied on a first-come, first-served basis.
What should I do if I don't receive my tickets?	Please contact events@quadrant.gg for more info.
Is my multi-day ticket good for either or both days?	3 Day GA tickets are acceptable for all days of the event. You will receive a wristband or credentials that you must keep with you for all of the days to re-enter.
The name on the ticket doesn't match the attendee’s name. Is that okay?	This is allowed, however you must have all members of the parties accounted for with multiple tickets present to check in at the same time. Tickets are only scanned once.

This post was made by a script written and maintained by the Halo mod team to automatically post blogs from Halo Waypoint. If you notice any issues with the text output or think this was posted by mistake, please message the mods.

submitted by -343-Guilty-Spark- to halo [link] [comments]

2024.05.21 00:14 malevolentbread Switching olanzapine from as-needed to daily

I was diagnosed with bipolar 2 in 2018-ish and have been taking Lamictal 200mg with 2.5mg of Olanzapine as needed (when I’m hypo manic) since then. I have ended up taking the olanzapine 4-6 times a year when I’ve have hypomanic episodes and it has always worked well. I also have GAD + ADHD which I take meds for. I’ve taken various meds, but right now I take 100mg sertraline, 200mg Lamictal and 10mg of Adderall daily. Over the past three months - coming off of a long time Gabapentin prescription as well - I’ve had much more energy but I’ve had a few deep yawning depressive episodes come out of nowhere that were awful. I met with my psychiatrist today, and she recommended I start taking the olanzapine daily (2.5mg) to help.
Bottom line: I’m worried about weight gain. A lot. And it’s superficial, but I still am. When I started taking SSRIs almost 10 years ago I started gaining weight I never had before and then it simply never stopped. My metabolism is slow as hell and I pack on pounds like a bear preparing for winter by breathing. I’ve lost ~35ish pounds in the last year and a half after starting Adderall which has been huge for me - finally feeling like my body is reacting normally to food - but I haven’t had to really work at it. I’m scared to get back to where I was before.
Questions: if you didn’t have significant weight gain, what did you do? If you gained weight taking olanzapine, did you feel that it was more related to increased food cravings or not?
Appreciate your help peeps - long time lurker and first time poster since I was first diagnosed 🙏

submitted by malevolentbread to bipolar2 [link] [comments]

2024.05.20 23:11 Bright_Date_2678 Adderall 30 mg

Adderall 30 mg shipping all over the usa, great price straight from prescription lmk

submitted by Bright_Date_2678 to AdderallAddiction [link] [comments]

2024.05.20 21:40 maidofvenus hollyhock and her coffee

okay i may be stupid but is what beatrice drugged hollyhock with like an amphetamine or something of the sorts because hollyhock wasn’t hungry, was weirdly focused on random stuff (the coins, the tv channels, etc.), and kind of jumpy/antsy when she wasn’t using it….. i realized this just now because the way she was acting reminds me of myself when i take my adderall prescription :’)

submitted by maidofvenus to BoJackHorseman [link] [comments]

2024.05.20 21:33 Greedy_Structure_538 Need advice and to vent

Back in April my three year old son fell while running outside. The area was on our patio and clear of furniture, but he ended up with a gaping wound, possibly from hitting a pebble or stick. I'm not totally sure, he was bleeding everywhere and I was panicking. He had a fall last year that was bad and this wound looked much worse. It was next to his eye and appeared to be pushed or indented in.
I took him to urgent care, waited two hours to be seen. It was after closing time, I was told that he needed stitches and they referred us to a nearby pediatric emergency room. They didn't wash the wound or do anything so that I wouldn't be charged for the visit.
I spent almost six hours collectively at the urgent care and emergency room only to be told that my son didn't need stitches at all. The doctors at the ER were condescending and I was frustrated and extremely anxious. They made me feel like a moron for taking him there, and kept questioning how the injury occurred and didn't seem to believe that it looked different before. The wound had changed shape and dried considerably by then and looked much different at the ER then it looked at the urgent care and at home. There was a chunk of skin missing so stitches weren't recommended. Yet when they presented the options for care, stitches were still presented to me as an option? As if I would want to put my son through that if it wasn't necessary and could cause extra pain and issues. We ended up deciding to glue the wound and my son didn't have any other tests.
I told them that urgent care didn't wash the wound, and I had only used water at home. A nurse came in to wash his wound and essentially patted it with wet gauze and that was it. I'm so angry with myself looking back, I should have demanded they clean it again/better. The last injury my son had last year the urgent care I took him to had flushed it out with water and saline, so I guess that's what I expected them to do at the ER too. I did make a comment to the doctor about the so called cleaning but he ignored it. (He asked if someone had come to clean it and I was snarky and said 'I guess so? The nurse came in here and patted it with wet guaze for a few seconds and left') he left to check something and then came back and glued it and sent us home.
A few days later it started oozing thick smelly yellow pus and it was crusty and red and gross. I took him back to his pediatrician and they examined it. She said it was likely from not being cleaned properly before the glue was put on. She couldn't do anything besides give us a prescription for antibiotics without doing more damage.
I got the bill for our ER visit and it's over $700. Plus I paid a $50 copay and another one for taking him to the pediatrician. The bill before insurance was 8k.
I am so pissed off. I expected to have to pay something, but I didn't think it would be that much. I had done a survey and mentioned all the stuff that happened and never heard back. I want to call and see if there's a way to get it reduced somehow. I don't want a payment plan. $700 is obscene for wet gauze and a poor glue job and an infection. I expected to have to pay something since it's the emergency room, but not this much. And maybe $700 isn't that much money but I'm sick over it. We have one income. My husband has been working himself ragged working two jobs for the last year and was about to quit his second job and now he can't.
I was going to ask for an itemized bill so I can see the supplies and everything they charged for, but I don't know if there's anything I can really do about it. I checked to see if we could get assistance but I think we're just above the cut off for income.
I'm just pissed off. At myself, I feel like a bad mom for not advocating for my son well enough. I'm pissed at the urgent care for sending us to the ER for no reason. I'm pissed at the condescending doctors at the hospital and it makes me so mad how expensive medical care is. I had to fight with the urgent care to undo the charge on my card for that $80 copay and despite being told it was taken care of I still got a bill and had to call again.

submitted by Greedy_Structure_538 to breakingmom [link] [comments]

2024.05.20 21:30 AnnularTearsSuck Aetna and Prudent RX

Have a a speciality prescription, required to use CVS Speciality/Caremark
Received a call from Prudent RX (Came up as SCAM so didn't answer)
Looks like Company added Prudent RX as a benefit 2 years go, can't find any documents whether this is Required or Voluntary
Per Benefit Overview
"Your cost share for specialty prescription drugs, under the copayment assistance program, will not count toward your deductible or maximum out-of-pocket limit. This includes cost shares that you, the plan or the program pay."
Co-Pay would be 30% around ~$800/mo without assistance. $0 with assistance.
In-Network Deductible ~$600 mostly met, In-Network Out of Pocket Maximum ~$2500, have about $1000 left
I'm reading a lot of shady stuff about these cost accumulators/maximizers on Reddit.
But given my low deductible plan, I'm assuming this isn't a concern, once my in-network deductible and out of pocket maximum is met, I wouldn't owe anything else for the rest of the year for this prescription. Is that correct?

submitted by AnnularTearsSuck to HealthInsurance [link] [comments]

2024.05.20 20:46 Revolver-Knight Dads and Drugs

I’m in a predicament
My doctor prescribed me Adderall to help me with binge eating and aid me in weight loss
Me and my dad have the same doctor
I use it as directed on the bottle with the except of Saturday because that’s my day of rest I don’t workout I treat my self a lil bit
With diet and exercise so far I’ve lost 30lbs since January
Good things
Now my last check up the doc offered to up the dosage if needed. I told him I’d think about it
Now my dad, and I love him dearly I feel for him but the dude is very depressed, like he’s told me about his childhood a lot of abuse and he uses substances to cope.
He was given whisky at age 8 after his nana died
His main one is alcohol which to be fair he’s gotten way better he goes into work on Mondays there’s not 40 beer cans on the coffee table when I visit him.
He doesn’t drink till after lunch.
his other big problem is his sleep
He says he can’t sleep because his brain won’t quiet down.
I get it.
He can’t get his own prescription cause in our state it’s illegal with his heart condition
To sleep he takes Xanax but sometimes he just fucking blacks out doesn’t remember anything
He’s also a pot head both of my parents are
My mom definitely is able to limit herself way better than he can
Now here’s my issue basically I’m taking up the offer of my doctor to up my dosage and I’m also gonna pick up my normal dose and give that to him
The reason for that and the reason I agreed is that
Couple of years ago my Dad borrowed money from me to so he can get his legal weed card
Hunky dory he paid me back.
A week later I visited and he was in shock and I was like what was wrong
He told me he nearly got shot and arrested
Basically he went to this shitty part of town to buy a specific type of weed and the guy he was buying it from used him and his car to do some drop offs and they there stalked by the cops and this guy had a gun on him.
The woman he normally swaps Xanax for Adderall isn’t going to take it any more
So at work we took a break and talked it out.
My logic is look this fucking sucks but I rather try this then him risk getting arrested or shot.
Cause he’s gonna try if I don’t.
Now my victory was that I agreed to do it only if he finally grows up and go to the fucking sleep center get a sleep study done.
I feel bad I feel like I’m enabling him but also I don’t want him to risk getting involved with shitty people. I’ve tried getting him into therapy I’ve offered to go with him to AA meetings and stuff like that.

submitted by Revolver-Knight to Advice [link] [comments]

2024.05.20 20:05 ADHD_Avenger A letter to the candidates in the Virginia 10th District Democratic Primary

To the candidates in the Virginia Democratic Primary for Virginia 07:
Voting is underway already, campaign funds are greatly varied, and endorsements are split - though Mr. Vindman with the largest war chest has also secured the endorsement of the Washington Post. As I look about, it is difficult for anyone to know much of substance dividing the field, except to see that Mr. Vindman has made a national name for himself, while he does not have the local roots in practical government that the rest of the field has. If this was a one on one race, perhaps that would be sufficient separation, but the field is crowded and most people do not have intimate familiarity with local candidates. I ask first for each of you - how do you feel constituents should separate you from the other candidates you likely respect, when there is an absence of coverage on individual records in local news as local coverage is generally eclipsed by national news and local news has increasingly lost funding? Most constituents wish to have more efficient means of comparing positions and records. If constituents wish, how can they know you will not only win, but hold on to this district long enough to make an impact via advancing seniority? Are any of the candidates making efforts to make themselves more available to the public via either public media debate or online forums? In the modern era, most people will not have a willingness to vote outside of party preference in November, so much depends on the primaries.
Secondly, I have a more specific issue of concern.
I represent the group ADHD Advocacy which exists primarily online, but was founded where I live in the NOVA suburbs and where I am most familiar with local Virginia disability organizations. I'm a former prosecutor for the Florida Department of Health with ADHD, type 1 diabetes, and various other health issues which are either comorbid with ADHD, or can result from ADHD, such as the complications I have from an automobile accident, which people with ADHD have at a rate about thirty percent higher than people without ADHD, and which via traumatic brain injury can worsen all symptoms. I am also a former House of Representatives legal intern and the grandson of a representative and speaker pro tempore in the Florida legislature, who passed away at an early age due to a car accident.
A little less than a year ago, Representative Spanberger, the incumbent for Virginia district 07, was asked in Roll Call how the Adderall shortage ended up on her radar, and she said that it "hasn't been top of mind, because frankly, it's not a lifesaving medication" and then compared it to what she felt were greater concerns like infant formula and heart medication and insulin. As a person who has both diabetes and ADHD, I can say this is plain ignorance - one of the most cited experts in ADHD is the retired professor from Virginia Commonwealth University, Russell Barkley, PhD, and one of the ways he became most noted in research was his finding that ADHD lessened life spans on average by about a decade. There are plenty of other studies to back this since that time, noting how ADHD when unmedicated leads to more hospitalizations both for mental issues and for other concerns, such as accidents involving inattention and physical trauma, all of which I can help you in locating if needed, but the website ADHDevidence.org hosted by Professor Stephen Faraone also goes into the details of the International Consensus Statement on ADHD that covers the most repeatedly studied adverse effects.
For myself, as a type 1 diabetic, which is a comorbid issue, I have to rely upon my executive function to make sure I take insulin as needed and to monitor my blood glucose accordingly. It is hardly appropriate to dismiss these concerns.
Even more discoveries are happening continuously, such as recent studies suggesting that adult diagnosed ADHD is linked to a threefold increase in dementia as a senior, but that prompt treatment with a stimulant makes these people have no greater risk than the rest of the population - a neuroprotective state that could lessen many approaching national healthcare costs along with less tangible, but more valuable, reductions in family suffering. Numerous studies have long existed showing that proper ADHD care lessens numerous societal burdens, such as the needs for government benefits of those with ADHD brought on by unstable employment.
The stimulant shortage has been going on for the entire term of Congress that is currently ending. At the end of the year, it is expected to be more severe than it is now. Even if the medication was not life saving, this seems like an egregious example of the current incompetency of the Congress in addressing anything of importance. Fortunately for those of us with ADHD, the worsening of the stimulant shortage and ADHD awareness month will directly be accompanied by the general election, which provides an avenue to have our voices heard.
This year, a study by the Veteran's Administration found that veterans with ADHD who were treated with stimulant medication had a notably lower rate of suicide and other related deaths. This lines up with many other studies that show ADHD medications lower significant suicidal behavior - in some cases more effectively than antidepressants or mood stabilizers. However, an OIG report in April shows the greatest concern of the OIG is whether too many diagnoses are occurring and critique regarding the steps taken in ADHD diagnoses and care (but not parallel concern about properness of elimination of ADHD from diagnostic consideration or adverse events of lack of care) citing anonymous "primary care leaders" and not addressing the VA's own studies.
I cannot understand how the suicide epidemic, an epidemic which has been most notable in veterans is of such little concern - honestly I do not know how the Veteran's Administration has not been brought under fire for their mental care more often this term considering the largest mass shooting of 2023 was committed by a veteran preceding a suicide and shortly after VA discharge - a discharge that occurred despite continuous paranoid delusions brought on by white matter damage in his brain from his work in explosives training. That man did not have ADHD, from my knowledge, but it illustrates the quality of current "primary care leaders" and the mental health coverage they are providing for veterans. This is after a long string of veteran suicides in VA parking lots after inability to get care, if any have forgotten those veterans already.
An act to memorialize Rosalynn Carter that sought to improve mental health in this country, and one that acknowledges mental health is not a dichotomy, but a general state of human and societal fitness would be a welcome method of addressing this.
One of the causes of the stimulant shortage appears to be the shutdown of generic stimulant manufacturers in an attempt by the DEA to look tough after failures in addressing or preventing the opioid epidemic - in the case of the FDA signing off on Sackler claims of non-addictiveness, I could actually say (as someone who was involved in Florida's crackdown on pill mills) government agency failures and a revolving door with the pharmaceutical industry caused the first eras of the current opioid epidemic.
This is not to say that stimulants do not need government control - but the Nixon schedules that exist seem to downplay the problems of medications like benzodiazepines, involved in the deaths of Prince, Tom Petty, Chris Cornell, Kurt Cobain, Heath Ledger and hundreds of thousands more who were noted only as statistics. These medications which affect long term executive function and impulse control were also the drug of choice for the mass shooter in the Las Vegas shooting of 2017 - a Trump era shooting that shattered all records - and as well for the incel ideologist in the 2014 UCSB Isla Vista school shootings. Benzodiazepines, I believe, were the route of the initial Sackler fortune, which may have influenced the current Nixonian schedules. Because oversight for psychiatric care outside of schedule II prescription regulations is low to nil, I would encourage a general task force to evaluate both the state of healthcare in this country and the legend drug schedules, though I have been told this requires more political will than any current politician could address - similar to regularly passing budgets without continuing resolutions.
An FTC investigation is currently attempting to investigate the causes of the various medication shortages, and numerous comments are those of people with ADHD, or who have a loved one with ADHD. Have you as a candidate submitted a comment for this investigation? Ten days remain for commentary.
What role do you intend to take to address these issues? Do you feel either party is more responsible for the shortage or for extending it and why? A similar question will be extended to those Republicans who seem to have a realistic possibility of taking back Virginia 07. If you feel you need more information regarding these issues, who will you look to for more information regarding these issues? Does your current knowledge or method by which you plan to address lack of knowledge indicate something about your capability to serve in Congress? Which fellow politicians would you look to in order to address this issue, and do you think it, or anything, can be done in a divided Congress?
This letter and all responses will be shared online (after certain elements of anonymization) via ADHD, veteran, and Virginia interest groups.
Sincerely,
ADHD Avenger, Esq.
"Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it's the only thing that ever has."

Margaret Mead

submitted by ADHD_Avenger to adhd_advocacy [link] [comments]

2024.05.20 20:01 mossimoto11 34F possible herniated disc, how do I minimize pain?

This has been a saga that started in mid January and I am at my wits end dealing with pain and insurance…
34F dealing with debilitating lower back/hip/leg pain. I have ADHD (Adderall 30mg 2x/day) and IBS with gastritis. I also suspect I may have POTS and some form of hyper mobility or EDS but haven’t seen the rheumatologist yet. I am also in the maintenance phase of allergy shots going every other week.
In mid January I did something, probably trying to pick up my 100 lb lab and my back started bothering me. I ignored it until early March when I went on a weekend camping trip that required me to sit in a car for hours. The pain skyrocketed. The following weekend I had a wedding to travel to so I made a virtual appt with my doc where I told her I thought it may be proximal hamstring tendinopathy since my hamstring was bothering me the most and felt tight to my foot and she prescribed me cyclobenzaprine (I think 10mg) to survive the weekend and sent me to physical therapy as well as a lumbar spine X-ray.
The X-ray report comes back as unremarkable and I start pt at the end of March. My spring break was first week of April and I can barely get out of bed. I end up taking two weeks off work after that so I basically miss three weeks of work (I’m a teacher) and pt is not helping with pain. I was also switching back and forth between Tylenol and Advil but I have gastritis caused by NSAIDS and my stomach was starting to ache to I stopped the Advil. Also doing the stretching at home and ice and heat. I got an in person appt with another doc in my docs office April 10 and she puts in a request for a lumbar spine MRI and gives me a work note for a week.
I try to work on April 17th and pain is so severe I barely make it through the day. After pt I went to urgent care and they give me a Toradol shot and Valium and a new prescription of cyclobenzaprine. That was the first night I was pain free. On the 19th insurance denies MRI request because I had only done 5 weeks of pt and not 6… I see another doc in my docs office on the 19th and she prescribes me hydrocodone-acetaminophen 5-325mg to help with pain and says I can try a cane for mobility support. She also sends me to get a hip X-ray since my hip and butt is where I feel most of the pain and it comes back unremarkable as well. She also prescribed diclofenac sodium 1% gel as a topical cream for pain but insurance still hasn’t approved it.
I continue pt and did about 5 days of hydrocodone but the constipation was awful so I stopped taking it and saved it for bad moments. After the 6 weeks of pt was up they added on 8 more visits but it’s not helping anything. May 7th I’m back at urgent care with severe pain and they give me Valium and start me on 5 days of prednisone 40mg/day.
May 13 I see orthopaedic surgeon and he’s confident it’s a herniated disc. He puts me on 300mg of gabapentin (one week just at night and now I’m on it twice a day) and ordered another MRI. He’s said since I’ve done all the other things I’m probably looking at an epidural shot or surgery to shave off the bulging disc. I was reading that laying down too long is bad for herniated discs but idk what else to do. Sitting is the worst and I had two wedding events this weekend that caused me so much pain I can barely walk. I also read that gabapentin can take awhile to start working. Is there anything else I can be doing to help the pain?
It’s been 16 weeks now and I’m having anxiety attacks because of the level of pain I’m in. I’ve been taking Tylenol with the gabapentin because the pharmacist said to try not to mix the hydrocodone with it. I also have a trip at the end of June to Hawaii with my family and I’m worried about sitting on a plane for 6 hrs and then I have a cruise for a bachelorette weekend for my best friend and 11 hr flights to Ireland in July/august. I’m even willing to try unconventional treatments if they can help. The pain is absolutely horrific at times and I have never experienced an injury like this so I felt very lost navigating our messed up healthcare system. I will post xray pics in the comments and can include visit summary’s from the ortho surgeon and urgent care if necessary. If anyone has any tips or advice to help me that would be amazing.

submitted by mossimoto11 to AskDocs [link] [comments]

2024.05.20 18:24 Plenty_Kangaroo9817 I left my husband

Don’t really know where to begin. I just had it. I’m a 26F. My husband (41M) started abusing pain meds, norcos and oxy, since our son was born 7 months ago. He was buying it from people at first and then was able to get a prescription along with cortisone shots claiming he had back pain which then turned into back and leg pain.
Biggest problem was that he would drink on the weekends, or socially during the week and then take extra pills while drinking, black out, and go crazy. He gets mentally, verbally, and emotionally abusive, leaves the house, either on foot if I get to his keys on time or drives, and recently has gotten violent and aggressive; engaging in property destruction and a month ago after our sons baptism was punching me in the shoulder while I was driving us all home.
After these instances he apologizes and claims he doesn’t remember anything and says i antagonize him while he’s in that state and that I should leave him alone.
He has admitted he is addicted and that he takes the pills while drinking because he likes the way it feels.
A month ago after the baptism and the shoulder punching incident. He also punched holes in our closet doors because he wanted me to get him more pills. The next day I threatened to leave and take the baby and stay with my parents, but he convinced me he would call the doctor and come off the pills and promised it would never happen again.
I then found out a few weeks ago I’m pregnant again, 8 weeks.
And it happened again on Friday. This time I was just trying to go to sleep after we came home from a concert and was laying in bed pretending to sleep when he came on and demanded I stop ignoring him. Called me names and trying to get me angry enough to respond and fight with him. I finally got up, crying, begging him to please go to bed, but he started getting dressed saying he would leave and that he would take me to court and that im a bi**** and and a c***.
He got in his car so I ran out and stood in front of the car begging him to get out because he had been drinking and can’t drive. He finally got out and went inside, gave me his keys and then left on foot.
I started packing my things and the baby’s things into my car. He saw me doing this on the doorbell camera and came back. He continued to call me names and demanded I gave him his keys back. I was ignoring him at first saying I gave the keys to his mom (his parents came to stay with us and they were sleeping upstairs since it was 2am by this point). He then took the baby’s strollecar seat which i had put outside and threw it at my car leaving a huge scratch on my hood.
He also locked me out of the house at one point and would not let me in until I can called the police but hung up after they said “how can I assist you” Police never showed.
I eventually gave him his keys because he was grabbing for me and the baby and he drove off falling asleep in some parking lot.
I finished packing the car and left with my baby and dog.
The next day he called his mom confused thinking I was still at the house and told his mom that he was “set off” because I gave him a dirty look before bed, but doesn’t remember anything else. His mom knows he’s a master manipulator and told me to stay safe after I explained everything to her.
The next day, while my son and I are in another state staying with my parents, his sister snapchats that they went out with a mutual girl friend of ours to a bar to drink and gamble.
He was texting me and asked if I was going to be home for his nieces graduation Sunday and I lost it. I just don’t understand how someone goes out and drinks and has a great time the day after their wife and child leaves them.
He’s texting me know that he loves me and misses us and says he would stop.
But it’s the same story over and over again and I don’t know what to do.
Tl;Dr: Husband (41M) abuses pain meds while drinking and gets verbally, mentally, emotionally abusive and recently has also become aggressive. I am 8 weeks pregnant and we have a 7 month old son and I’ve had it. I’m staying at my parents house but he’s asking me to come home and telling me he will stop and that he misses us.

submitted by Plenty_Kangaroo9817 to Marriage [link] [comments]

2024.05.20 17:00 Mel0diousFunk REMINDER TO CALL YOUR STATE SENATORS OFFICE TODAY PLEASE

Every week we are calling our state senators offices and ask to speak with them or their Director of Constituent Services and ask what is being done to address and most importantly RESOLVE this serious situation.

Particularly with phone calls, quantity is critical. Leaders pay attention to an issue when they believe that many people care about that issue.

Here a phone call guide on how to handle this phone call for the first time you call and then below this is an example of a follow up call

Ask to speak with state senator and if you cannot get them, leave a voicemail with this message below
And then ask to speak with the Director of Constituent Services or ask simply who can you speak with to leave a message with your concerns.
Hello [Senator's Name],
My name is [Your Name], and I am a constituent from [Your City, State]. I am reaching out to you today to discuss an urgent time sensitive matter of dire importance to me and many others in our community and our country.
The DEA's recent and consistent cuts to opiates have had a significant and harmful life altering impact on chronically ill and disabled chronic pain patients like myself. Despite the DEA's claims to prioritize patient safety and access to medications, we are unable to fill our legitimate prescriptions each month and as a result we are now unable to maintain a decent quality of life.
The DEA's focus on reducing access to prescription opioids is misguided, as statistics indicate that legitimate chronic pain patients are not the primary cause of the overdose crisis. Instead, it is the illicit and street drugs that pose the real threat to public health. The DEA claims to protect chronic pain patients, yet the reality is that their actions are exacerbating an already extremely dire situation. The false narrative surrounding the opioid epidemic is causing undue hardship and, in some cases, jeopardizing lives. Compounding this issue, our doctors are struggling to find pharmacies that are able to fill legitimately required and much needed prescriptions. The impact on doctors, nurses, physician assistants, pharmacies and distributors is severe, making it increasingly difficult for patients to obtain essential medications for managing chronic pain.
I kindly request your assistance in reaching out to the DEA and advocating for a more balanced approach that considers the needs of chronic pain patients while addressing the issues related to illicit drugs. It is crucial that we work together to ensure that the DEA's policies do not further harm those who rely on these medications for their well-being.
Thank you for your attention to this matter, and I would greatly appreciate any support or guidance you can provide.

Here is another example
Introduction: Hello [Senator's Name or their Director of Constituent Services],
I hope you're doing well. My name is [Your Name], and I'm a constituent from [Your City/Town]. I'm reaching out today because I'm facing a critical issue that requires urgent attention.
Explanation of the Issue:
On January 3rd of this year the DEA has implemented even more significant cuts to chronic pain medications, and it's affecting individuals like me who are legitimate patients that require these medications to manage our severe chronic pain. Part of the issue is that pharmacies are struggling to order and stock these essential medications. As a result, my medical care is being greatly impacted and my doctor is finding it challenging to treat my chronic pain adequately.
Request for Assistance:
I and so many other chronically ill and disabled chronic pain citizens are in dire need of your attention to this situation and your help in getting this extremely dire situation resolve by brining it to the federal level to the DEA. So please understand that I am reaching out because I know that with your support we can make a difference in making necessary changes to stop this discrimination against chronically ill and disabled patients that require chronic pain management medication. I kindly ask for your assistance in addressing this matter to ensure that individuals like myself can continue to access the vital medication we need for our health so that we can return to having our quality of life.
Another example phone call dialog guide is below
How to address the Director of Constituent Services
Introduction: Hello [Director of Constituent Services],
My name is [Your Name], a concerned constituent seeking your assistance on a critical matter. As the Director of Constituent Services, I believe your involvement could make a significant difference in addressing an extremely dire situation that is greatly affecting many individuals, including myself.
Explanation of the Issue: I'm reaching out due to the profound challenges faced by legitimate chronic pain patients, like myself, following the recent increased DEA cuts on opioid medications. The impact on pharmacies and distributors is severe, making it increasingly difficult for patients to obtain essential medications for managing chronic pain.
Pharmacy Struggles and DEA Narrative: Compounding this issue, our doctors are struggling to find pharmacies that are able to fill our prescriptions. The DEA claims to protect chronic pain patients, yet the reality is that their actions are exacerbating an already extremely dire situation. The false narrative surrounding the opioid epidemic is causing undue hardship and, in some cases, jeopardizing lives.
Request for Assistance: I am seeking your assistance in facilitating communication with the DEA. It is crucial to convey the struggles patients, doctors, and pharmacies are facing due to these cuts. The DEA's claims of protecting patients seem disconnected from the harsh reality many of us are experiencing.
Closing: I appreciate your time and consideration in addressing this matter. Your advocacy on behalf of legitimate chronic pain patients in navigating these challenges is invaluable. If there are specific avenues or information you require from me to move forward, please let me know.
Thank you for your attention, help and support.

HERE IS AN EXAMPLE WHAT TO SAY ON THE PHONE WHEN YOU CALL AGAIN LATER THIS WEEK OR NEXT WEEK TO FOLLOW UP

SEE BELOW FOR THE GUIDED PHONE CALL SCRIPT

Introduction: Hello [Director's Name],
I hope this message finds you well. Following up on our previous communication, I wanted to check in with you to reiterate the urgency of the matter I discussed regarding the DEA's impact on legitimate chronic pain patients, including myself. Patients are chronically ill and disabled with chronic pain that is unable to be managed. Patients with terminal illness are also suffering needlessly. We are all unable to manage our chronic pain due to being unable to obtain our much needed legitimate prescriptions because pharmacies are struggling to fill even a partial prescription.
Brief Recap: As we discussed earlier, the recent DEA cuts on opioid medications have created significant challenges in accessing essential medications. Doctors are finding it increasingly difficult to locate pharmacies that are able to fill prescriptions, adding to the burdens faced by legitimate chronic pain patients.
Pharmacy Struggles and DEA Narrative: I want to emphasize the difficulties patients and doctors are encountering in finding pharmacies that can fill prescriptions. Despite the DEA's claim to protect chronic pain patients, the current situation reflects a stark contradiction. The false narrative surrounding the opioid epidemic is compounding the challenges we face.
Follow-up Request: I appreciate your understanding of this complex issue and the potential impact your involvement can have. I am hopeful that, with your assistance, we can continue to advocate for a more balanced approach that considers the needs of chronic pain patients so that we no longer are suffering needlessly. This DEA is discriminating against the chronic pain community. We are chronically ill and terminally ill patients with disabilities and chronic pain. I hope that together we can stop the harm that is being done.
Closing: Thank you for your continued attention to this matter. If there are any updates or additional information required from my end, please let me know. Your support in navigating these challenges is crucial, and I'm grateful for your efforts on behalf of chronic pain patients like myself.
Looking forward to your guidance,
[Your Name]

So you want to follow up and ask each week the following from them
WHAT has been done since you last reached out (i.e. ask how they have progressed with reaching out to the DEA regarding our inability to procure our medications.)
HOW are they helping their chronically ill and terminally ill and disabled chronic pain patient citizens
WHEN and WHAT exactly are the efforts they have made thus far and are working on
And do they need any other information from you and how are they making efforts to get this matter resolved by the DEA asap
Also ask who else can help us.
Thank you for making this a regular consistent part of your week. We need these calls to be frequent and consistent and in DROVES so that we CANNOT BE IGNORED and we RESOLVE THIS ISSUE ASAP

CALLS WORK
EMAILS WORK
LETTERS WORK

so today please call and either follow up on your emails and see what they have been doing to help OR get started and make this the day you start your advocacy to help us all.

Thanks so much for your help everyone

Mel and the Mods

submitted by Mel0diousFunk to ChronicallyillUnite [link] [comments]

2024.05.20 16:55 PossumPicturesPlease General issues getting meds, any advice?

I was on Adderall and about 6 months ago changed to Vyvanse to avoid a 3pm crash I was experiencing after work. I found it so hard to get generic scripts filled I eventually just started getting name brand, which was $60 dollars instead of covered by insurance, which wasn't ideal, but better than worrying about getting the meds when I needed them.
Cut to this month, my insurance denied the claim for name brand and said they would only cover generic. Well the pharmacy is out of generic of course, so they said they could push through my prescription for name brand, but I would have to pay the difference. Which I believe would be 300 dollars.
My question is, is there any way (aside from calling individual pharmacies to ask them if they can fill a generic prescription? The drugs have helped me immensely but every time I get to that time of the month I worry how many days I will have to go without.
Edit: Found available chewables that I can get this month, I'll start my phone bank a few days earlier to give myself a buffer next month, see if I can find a non chain to start going to. (Narrator: he forgot immediately and didn't remember until he was out.) Thanks everyone.

submitted by PossumPicturesPlease to VyvanseADHD [link] [comments]

2024.05.20 16:21 Jamie_Pajamas Can your PCP take over as medication manager?

So I initially got diagnosed with ADHD and prescribed Adderall (along with sertraline & Wellbutrin) through a psychologist/medication manager. My current insurance doesn't cover mental health services until the deductible is reached, and because of the adderall, I have to have a monthly check in with my psychologist/medication manager to renew the prescription each month. The check in takes 5-10 minutes every 4 weeks, and costs just under $200/ea.
The medication is really helping me and is affordable with my insurance, but the cost of the appointments is becoming a bit much. Is it a thing / is it possible to have my primary care physician take over my prescriptions? If it is possible, how does one go about it? Thanks!

submitted by Jamie_Pajamas to ADHD [link] [comments]

http://rodzice.org/