SHORT : I am 4 weeks post emergency surgery to remove my left fallopian tube with an unruptured pregnancy. I have ulcerative colitis but I am well in remission. Before the surgery I was told they will look at all my organs to find what risk factors I might have that caused the ectopic. But after the surgery the surgeon visited and said all my organs are very healthy and so was the tube they removed. In the surgeons own words, what happened to me was "pure bad luck" and this has left me so sad and for the lack of a better word "unsatisfied" with that conclusion. My mind is not at peace and I spend hours on google/reddit to figure out what could have caused it. It was a planned pregnancy so I have been taking a very good care of my diet and routine and taking the supplements needed. So.. what went wrong? :( Everyone takes their own time to heal but I dont want my family to feel I am dwelling in the trauma.. but I really cant get past this... please help <3
LONG: At 5 weeks pregnant I experienced a very sharp pain on m y left side and spotting. I went to doctor to get my Hcg levels checked. It was 310 , and after two days it was 479. I was only having brown dischage and no fresh bleeding so we did another Hcg and it was 645. My doctor said it seems something is not good since Hcg is not doubling and sent me to the ER to check for an ectopic pregnancy. The ER diagnosed me with Pregnancy of Unknown location as there was nothing in my uterus but they saw a mass on the left side which was too small to conclude for it to be an ectopic. At the hospital my Hcg came out to be 1294 which was double of the last test (Within 2 days) and kind of surprising and a way of hope..? But the hospital said to come back in 4 days for another ultrasound, When we came back the hcg was only 1807 and again nothing in the uterus so they said again to come back after one week as its too early. At 6 weeks 3 days for the next ultrasound, Hcg was 7000 and they found the fetal pole in the left fallopian tube with a heartbeat. I heard the heartbeat on the ultrasound.. and was told to get admitted right away and they performed the surgery after 12 hours of being admitted in the hospital. We have been trying since last year but took a break after my last pregnancy was chemical. We were excited to be pregnant again but this whole episode and how it lasted so long and going through the surgery and being told your tube needs to be removed.. it was all so traumatic.. How does one even cope when its just your luck.. and now you are 10% more likely to have another ectopic! Our summer has so many events, weddings, 1st birthdays, family gatherings..and you have sit there, hide your pain... smile and hold other babies.. My husband has been so so supportive and stayed close to me when i was writhing in pain after the post surgery period cramps (which honestly I felt like I would die in pain, excruciating!) I am finding it hard and very difficult to get over.

Hi I have a few questions but first I'll give some necessary background. My mom (49) lived/died in Ohio; that's where her will + trusts were drawn up as well. I live in Texas (irrelevant). My sister (21) and I (29 m) are executors and the only beneficiaries.

1. My deadbeat dad owes my mom 23k in child support arrears. He has been making payments of $35 sporadically while my mom was battling cancer for the past couple years. Is that now owed to my mom's estate, owed to the state or forgiven?
   
2. My mom was kind enough to co-sign a car loan for her terrible ex-fiance. When he left her, he moved to Chicago with the car and continued making payments. Here's the issue: late last year he went to prison and left his car with his mom and sister. The women would give my mom money to make the payments for him but those payments have stop coming. Does the ex-fiance now take full responsibility for the loan/debt of the car or will my mom's estate be on the hook for the balance. Does the car belong to my mom's estate since the primary signer is in prison and abandoned the vehicle? The balance of the loan is like 3k and the value of the vehicle is likely 10k - 15k for private sale but we have no clue the location of the vehicle.
   
3. My mom's pension has a death benefit but they only allowed her to name one primary beneficiary which was my sister. My sister is obviously okay splitting it with me but I'm confused about what he do after she sends me a lump sum (90k). With there be like a gift tax? Will the entire amount be considered income for my sister, or do we just declare half as income? Or is a pension payout considered just an inheritance and not taxed as income?
   

Questions one and two are the most important. Thanks!

Hi guys! I am done with Day 2 yesterday and here are summary thoughts for that day.
I sat for day 2 three days after day 1 based on previous redditor experiences and I did not want to keep the anxiety. That was a good choice for me. There were: - no biostats Q, no Drugs ads, no drugs MOA. - few histology images and derm images - a couple of ethics questions - most questions (80%) were clinical like step2ck type of questions.
I felt comfortable doing 30 questions in 45mn block. I consistently finished with 5-7mn remaining. The strategy used was to skip tied-up questions to the end. I found that about 30% of questions were not covered in either UW or AMBOSS Qbanks. We had to do educated guesses.
About CCS cases, ccs cases.com is a must. INKA protocol (ABCD-POT-MRT-PEDAL) helped me a lot. Age/Gender Brainstorm Consult Diff Diagnosis Pregnancy test Others (ABG, TSH, Pulse Ox, ) Treatment before diagnosis (pain med, Oxygen, normal saline) Monitor (cardiac, blood pressure) Routine (BMP, LFT) Treatment after diagnosis Prevention (vax) Exercise Diet Avoid Location
I found that the 10mn cases were really short for me but I was comfortable finishing the 20mn cases in 9-10mn. I could not get to the diagnosis on time in 3 cases. Got negative updates in 3-4 cases.
Overall, I studied for 2.5months with no dedicated. I did UW 100% complete with 65% of correct answers . Did also AMBOSS about 150Q overall 70% correct answers. I also did Free 137 with overall 72%, UWSA1 offline 65%. The exam is lengthy I think.I am happy to be done with the whole USMLE exams. This is so traumatizing ! We all get PTSD waiting for the results lol.
You can ask me anything… Good luck everyone!

Hi everyone! I've commented a few times about rib flare being corrected at the Cleveland clinic (Cleveland, Oh location) by Dr. John Difiore. A lot of people had questions and I didn't really have any way to answer those questions because I barely know about it other then it's being done to me during my Nuss Procedure in August.
I reached out to the Cleveland clinic regarding people having a lot of questions and received a call from Dr. Difiore himself about the rib flare correction. He explained to me that he went to study it from Dr. Park in Korea and that he really is the only person in the states doing this procedure and has been for about 2 years now. He explained that the hardware he brought back from Dr. Park in simple terms is metal string that is used to cinch the ribs back in, he said on average people typically need at least 3 of these strings to correct their rib flare.
He also told me next month is a workshop where him and Dr. Park will be hosting around 20 other pectus excavatum surgeons (I believe a surgeon in this sub spoke of it) though I can't play back in my head if this procedure is a highlighted part of that workshop or not. I mentioned how Dr. J at the mayo clinic is a very sought out surgeon and if she does this procedure as well and he stated she did not do the rib flare correction. He said Dr. J is truly one of the surgeons that pioneer adult cases of PE correction in the states, most of her clients are around there late 30s to 50s and the rib flare correction mostly likely wouldn't be optimal in those cases due to the body becoming less malleable as we age. So as of this time she does not correct rib flare.
He stated he would love for people to reach out and ask their questions, he gave me permission to post his email to this sub so any of you that are interested in more information can contact him yourselves. His email is Difiorj@ccf.org. I hope this is useful for some of yall.
to add I said in a few comments that I heard there may of been an issue with my lower rib being an issue causing removal if it, I wasnt exactly sure on this info cause my brain is dumb so I asked for clarification and he told me no ribby removal, so no one should have to worry about losing ribs if you've seen my other comments on this sub, I misheard while at my original meeting with him- I apologize for that

Female, age 24, 5’7”, obese Medications: Lexapro, Wellbutrin, Vitamin D, Levothyroxine, B-12, Meclizine, Metformin I live in Ohio, USA Illnesses: PCOS, anxiety, depression, hypothyroidism, vertigo
Hi everyone, a few days ago these bumps appeared out of nowhere and they haven’t gone away. Some info; I haven’t changed my diet or anything I use in the shower, they don’t itch or hurt, all medicine is the same as usual, and if I try to pop them I don’t notice anything come out? They spread from the front of my neck and across the top of my chest. I just hate how it looks, any idea as to what this is or possible treatment?
Please check my Reddit page for the pics since I can’t attach them here, thank you in advance!

My very old Hyundai Tucson is just about dead and its time for me to bite the bullet and get a new (used) car. My plan regardless is to put 10,000 down and finance the rest. I’ve looked around and one test drives and there are two options I’m really considering. Both have clean car fax and have all the features I want. This my first car I am buying myself and I am trying to make a decisiom that both is sensible and will make my inner child happy.
1) Certified Pre-Owned 2021 Hyundai Sonata SEL in Red. Listed for around 20K
Pros: Cheaper by 5kish, Certified and still has a lot of the original warranty left, only 30,000 miles on it, marginally better fuel efficiency, different temperature settings for different sides of the car, my favorite vehicle that I tried and a very good looking vehicle in my opinion.
Cons: I live in Northeast Ohio and spend a decent amount of time in Cleveland. I am worried that this car could become a victim of the “Kia boys” trend. It has a push start and wasn’t effected by the original issues that Hyundai’s faced. Its no easier to steal than a normal car, but still I am worried thiefs won’t know that and will damage my car attempting to steal it anyways. This is the only real con I have so I need to know how much this should matter. I was able to get a quote from progressive for comprehensive insurance on this vehicle.
2) 2023 Used Subaru Crosstrek in Plasma Yellow Pearl. Listed at 25,800
Pros: Not as likely to be broken into, slightly bigger interior, leather seats, all weather floor liners, only 32k miles on it, sunroof, upgraded stereo, remote start, bigger trunk
Cons: 5.5k(25%) more expensive which would come out to $110/month, not certified as its not at a Subaru dealer and doesn’t have as much of a manufacterer warranty left, currently smells like it was smoked in and not sure if we can get that smell out, no area based temperatures, previously a corporate fleet vehicle(not sure if it matters)

Invasive Callery pear trees crowd out our native tree species and wildflowers.

Left unchecked they can dominate forest understories. Their rapid spread also endangers the food source of native birds. Ohio has gone as far as banning them. In Bloomington, they are disallowed in new developments by the City's Unified Development Ordinance (UDO).

Identifying Callery Pear

Cultivars of Callery pear trees go by many common names such as Cleveland Select, Autumn Blaze among others. All are invasive.
Learn to identify them and watch a video from WTIU about why they are such a problem in Monroe County. The video thumbnail is worth the click alone 🤪: https://www.mc-iris.org/callery-pear-aka-bradford-pear.html

Free Replacement Tree

MC-IRIS offers a free replacement tree when you remove a Callery pear from your landscape.

"Remove a Callery pear that's over 2" diameter from your landscaping and you can choose from one of six native trees".

Upload a picture of the removed tree to qualify. Apply here: https://www.mc-iris.org/reduce-invasive-species-challenge.html
As of this writing, the replacement trees offered are:

• Allegheny serviceberry
• American hornbeam
• Redbud
• Pagoda dogwood
• Black gum
• Shumard oak

Discounts for Callery Pear Removals

Bluestone Tree offers increasing discounts based on the number of Callery pear trees removed. https://bluestonetree.com
1 tree - save 15% 2-5 trees - save 25% 6-10 trees - save 30% 11-30 trees - save 35% Over 30 trees - save 40%

FINISH HIM!!

In this Kombat with invasives, the job isn't done until the stump is dealt with. Callery pear regrows vigorously from cut stems and stumps, so it's important to use a cut stump herbicide before striking that flawless victory pose.

FTM here hoping that the experts can give me tips to help me stop my milk production. My LO is 10 weeks old and had exclusively breast milk until about 8 weeks. I was essentially exclusively pumping (only nursing like once a day—he was a NICU preemie so did much better with a bottle). Baby was incredibly colicky, gassy, had reflux, and basically cried all waking hours. After lots of back and forth with the pediatrician, we figured out that he has CMPA. I tried to cut dairy from my diet with no changes, so we suspect he has some other sensitivities, too. We switched him to a hypoallergenic formula (Nutramigen) at about 8 weeks, and the difference is truly night and day. He’s a completely different baby—happy, cooing, smiley, sleeps well, etc. I only wish we had done it sooner.
So, with that, I’m trying to wean from pumping. I’ve been weaning for about two weeks but am still producing a lot. I had worked really hard to get my supply up, so I’m sure my body is confused. Currently, I’m pumping every 6-7 hours to relieve discomfort for about 8-10 minutes. I was previously pumping every 3 hours for 15-18 minutes. Even cutting pumps in half, I’m still producing a lot when I pump and leaking like crazy in between. I sometimes have to hand express to relieve discomfort in between pumps. I’ve also been using ice and cold compresses. I ordered the “No More Milk” tea from Amazon to give that a try. Otherwise, I’m looking for more tips to try to stop my production and not have it take a ton of time…if that’s possible! Note that I can’t take Sudafed because I have high blood pressure.
Along the same lines, I’m also looking for ideas/thoughts about how to donate my frozen milk from the past 10 weeks and what I’m continuing to freeze as I wean. It all contains dairy, so LO can’t have it (and the pediatrician confirmed that we won’t be reintroducing dairy within the timeframe that the frozen milk will still be good). I’ve contacted a couple of milk banks (I’m in Ohio in the U.S.), and they don’t accept milk that contains blood pressure medication. I’ve been on blood pressure pills for my entire postpartum/pumping timeline because I had severe preeclampsia. Any other ideas about how I can make sure that the milk goes to a baby who can benefit from it? Being that I had a preemie (and probably a dash of postpartum anxiety…), my cleaning, sterilizing, labeling, etc. was really stringent.
Thank you in advance!
ETA: I also had a blood transfusion after my c-section (TLDR: things went completely off the rails, and I had a very traumatic birth). I understand that disqualifies me from donating, too. But I'm just wondering if there's some use for these hundreds of ounces of frozen milk. It feels so sad to throw them out.

Okay, so here's how it goes;
I recently learned that, despite my family having lived and settled over 200-some odd years ago in one area in Ohio, prior to that they had arrived and settled where I currently live now, in Maryland. Their last name was Sparrow, and they are the only fanily of original colonists that still has their name on the land here (Sparrow's Point). It began with a guy named Thomas Sparrow, and after about three more Thomas Sparrow's (the last of whom died in 1718 and became a pirate, briefly 😂), his grandson split after the revolutionary war and went to Ohio. Supposedly, the burials of the three Thomas Sparrow's took place in a church named All Hallows Parish, in birdsville, MD.
However, when I went to the cemetery while I was able to find a ton of more recent burials (between 1820-2004, and Col. William Burgess' grave, there was not one single Sparrow plot there; in fact, there was a huge break in headstone dates between 1732-1821. Only one grave I found dated back to 1732, and after that nothing until 1821. I asked the church for a burial map, or plot map, but so far, nothing.
I can not believe an entire fam plot would disappear. Any advice on how to locate their graves? The records I found say they should be there, but nothing. Any help is appreciated. Thanks!

Age: 13 Sex/Neuter status: Male, neutered Breed: Beagle/Pit Bull mix Body weight: 34 lbs History: Very healthy guy, recently had some teeth pulled- details below. Clinical signs: Some food weirdness has turned into refusing most food Duration: 6ish weeks Your general location: Ohio
Hi vets! My dog has always been a food gobbler, not a grazer. He will eat his meals as fast as you can set them down. We adopted him when he was 6 and have been feeding him mostly the same food for the last 7 years- 4health chicken and vegetable kibble, plus canned wet food (the brand we’ve used for wet food has changed a few times over the years, currently use a Kirkland stew-style). About 6 weeks ago we noticed some odd food behaviors starting, like leaving half of his meal in his bowl, taking hours to finish, spitting pieces of food on the floor, and especially some loud crunching of his kibble when he used to just gobble it up whole.
After about a week of these odd behaviors I took a look at his teeth and noticed one of his front teeth was broken! No wonder he was being weird with his food! Took him to the vet and he ended up having 3 loose teeth pulled, the broken one (top front tooth) and two bottom front teeth. He was on about 10 days of antibiotics and pain pills, which I expected to mess with his appetite.
It’s been 4.5 weeks since his teeth were pulled and he is still exhibiting all the same odd food behaviors. We have tried EVERYTHING. Adding broth, adding a sprinkle of shredded cheese, softening his kibble in broth or water well before mealtimes, transitioning to new wet food, trying a new flavor of dry food, prepping a few different bland diet combinations. He will eat the new thing for a few meals, then completely lose interest. He’s still hungry, licking his lips and watching us prepare his meals, but when we set his bowl down he’s likely to sniff it for a few moments and walk away. There seems to be no rhyme or reason at all and I’m pretty stressed about it. He has also vastly increased the amount of water he’s drinking.
We took him for a vet visit last week (Friday) and our vet said there didn’t seem to be anything medically wrong and that he’s “just weird.” Literally two days after our visit he started having crazy poops- he’ll have a very squishy stool, walk a few feet, get into pooping position again, and only clear liquid/gel/mucus (?) comes out. He expels ONLY clear mucus several times. It looks like he’d be having wild diarrhea with how many poop squats he does, but after the first poop it’s just clear gel.
The pooping clear mucus and this morning’s refusal of the bland diet food is what prompted this post. I’m worried. Up to this point he had been pooping fairly normally (just a little soft, but not surprising with all the diet changes) so I was able to calm my nerves about it, but now that his poops are so bizarre, I can’t convince myself it’s okay.
Sorry for the egregious detail and length of post, I just really hope someone can offer some guidance. Thanks for anything!

Click here to read my full article on niacin and heart disease, including how to use your raw genetic data to determine if you have niacin-related variants.
A new study in the journal Nature Medicine shows that higher levels of niacin consumption may increase the risk of heart disease, especially in people with certain genetic variants. The study was conducted by a team of researchers and physicians at the Cleveland Clinic, which is a top hospital in the US for cardiology.
The results showed that circulating levels of 2PY and 4PY, which are metabolites formed from excess niacin, were associated with increased major cardiovascular events. Importantly, some people have genetic variants that increase the niacin metabolites. Thus there is a gene X diet interaction, with high niacin intake combined with genetic susceptibility to increase the risk of major cardiovascular events.
Additionally, the researchers used cell lines and genetically modified animals to determine the causation and mechanism of action.
2PY and 4PY levels: Niacin is metabolized into several products, including nicotinamide mononucleotide (NMN), nicotinamide riboside (NR), and methylated forms such as 4PY (N1-methyl-4-pyridone-3-carboxamide) and 2PY (N1-methyl-2-pyridone-5-carboxamide).
Increased Risk of Cardiovascular Events: Individuals in the highest quartile for circulating levels of 4PY have more than double the risk of major adverse cardiovascular events, but when adjusted for kidney function, the risk increase for 4PY was reduced to about a 65% increase.
Genetic Interaction and Enzyme Involvement: The ACMSD genetic variants rs10496731 and rs6430553 were identified as being significantly associated with 2PY and 4PY levels. The identified variants are common, with more than half of the population carrying them. Animal studies show that reduction of the ACMSD enzyme leads to increased levels of 2PY and 4PY. Therefore, it makes sense that variants that reduce ACMSD levels would make more niacin available to be added to the pool that is converted to metabolites such as 2PY and 4PY.
​

Hi all, hoping somebody can steer me into the right direction. Here are some demographics about myself first!

• 5’8
• 170 lb
• Blood pressure stays around 108/68
• A little bit elevated cholesterol according to my lipid panel test done this year but have changed my diet dramatically since then.
• No family history of cardiac events
• Yes family history to elevated cholesterol and blood pressure

I am a 24 y/o male who has been experiencing chest pain particularly in the sternum location just in the middle of the chest for months, on and off not constantly. The pain is usually best described as if somebody is pushing their thumb into my sternum. Sometimes it’s sharp, but that’s rarely. The pain sometimes also branches out to the side of the sternum both left and right side usually not at the same time usually one side or the other.
I’ve mentioned this to multiple doctors before and of course since it’s pain in the chest they ran lots of tests (thankfully) I’ve gotten EKGs, blood tests to check for troponin, and D-Deimer, x-rays, I was then referred to a cardiologist who’s done multiple tests too. He’s done am echo, stress test, stress echo, holter, and even did a calcium CT scan. All came back unremarkable, he’s mentioned time he has no worries about my heart. I’ve had all these tests done within the last few months. Which I am extremely grateful for. It subsided for a few weeks probably even a month or two but now the pain comes back. it started back up three days ago. And I’m just confused what can be causing this?
I’ve gotten hit by a car when I was riding my bike back in 2019 so I was given a diagnosis of costochondritis but some physicians seems to butt heads about it and say it doesn’t last that long, and some say it can be chronic and come intermittently and have “flare ups” due to certain factors. I’ve received differential diagnosis of GI related issues as well. I’m just confused on what’s going on, I don’t want to keep being the boy who cries wolf and run for help every time I get these chest pains.
I work a desk job sadly so I feel like my posture could be a little bad? I try my best to get up and move around though, and to stretch as well.

Background: my boyfriend has had back pain for years, and he uses a cane for this sometimes. He's been to the doctor for it many times, but all they've noted for it is mild scoliosis. Location is Ohio.
My boyfriend got a new job recently, working at the front of the store at a pharmacy chain. The job duties are what you would expect for that; register, stocking, helping customers, and I think some paperwork stuff on the computer? All tasks he can do while using a cane.
He's only recently started working there, but has evidently been told he can't use his cane while working on the floor. I'm disabled as well and know how the ADA protects me, but I'm not sure what information to give my boyfriend so that he can navigate this situation.
Advice?

Ive never so so scared, lonely, and insecure in my entire life. All i do all day is either be alone and have constant negative thoughts about myself swarming me to the point where i cant even stay still or think straight or I distract myself with pointless shit.
Im finishing up Junior year and before the start of the year my mother said "try your hardest this year, Junior year is really important for colleges, if you get all As I'll be happy". Like everything she said that was a lie. I finished with all As and twice the amount of classes i normal take and our relationship has never been more horrible
Rn im looking at my college application and im genuinely scared for the future. During my Freshman and Sophmore years i was really immature. I was loud, attention seeker, never shut up, and mostly importantly didnt take school seriously. Because of that, my College resume is dogshit for any college i want to attend. For one i got shit grades in both my science classes (bio and chem) during Freshman and Sophmroe year. Im going into college as a PRE MED student majoring in BIOLOGY.
Thats not the worst of it, i basically slacked off all year for extracurriculars and my application is dry AF. No leadership positions, hardly any volunteering hours, barely participation in clubs. I also quit soccer due to stress reasons. Im doing the same for archery too. Ive done archery up until this year but like soccer it stressed me tf out and put me in another depression so im yet again quitting another activity. Another knock for applications.
And again that's not even the fucking worst part about it all. My STUPID. FUCKING. LAZY. ass hardly studied for the ACT. I just blew off the ACT classes my mom gave me during Junior year because im lazy and now my ACT scores are shit. I got a 25 the first time, second time i was feeling confident but only got a 26. Both scores not even in the ranges of the colleges i am expected to go to.
"Actually taking school seriously this year", what a fucking joke. Im still the same pathetic mf i was during underclassmen. So now ACTs off the table since im so shit at it. I took an SAT however it was right in the middle of finals, midterms, and AP test for all my classes so i could barely study. I got a 1290 on it which is about 27 on the ACT. My mom was fucking furious at me. I have basically one more chance to not fuck it up. The only dates left for the SAT is Aug and Oct. Oct way too close to the application deadline so i really only have one more chance. One more chance to study my ass off after the worst year of my life to get at least a 1400 on the SAT, and it's all my fault. Because i was lazy like always.
I dont know, rn im lying in bed alone after making myself depressed again with my thoughts with tears on my face and i just dont know what to do. I got really emotional suddenly and typed this up. I was gonna type about a bunch more stuff but the college thing took me so long and now the emotions gone.
I just feel so shameful about my entire status rn. I feel like some lazy, pathetic, skinny, ugly bitch rn and not like a talented, hardworking, academically successful, attractive child like my mom clearly wants. We're Asian so im basically a tool. Her bare minimum college is University of Pittsburgh, Ohio State, and UIUC, all of which are clearly not 'match' colleges for me. Downsizing and going to anything lesser just feels like failing to me.
I look at other kids in my grade who got like 30s first try on the ACT, have better GPAs, do extracurriculars, have leadership roles, etc and they're hardworking, honest, have friends, better looking, etc, etc, etc. Theyre just good people and im literally NOT. Everytime im in class i sit alone while they are all in groups chatting, and just being better i feel like dying. That's why im not gonna get together with my crush, shes literally infinitely better than me.
Again i dont know, im just so lost in thought and emotion, I have so much shit rn. College, being alone, start powerlifting, new gym routine, i wanna start calisthenics, i need a new diet, i want a different haircut, i need a new skincare routine, day and night study for the SAT, i need to get a job, i need to start making money this year, i have to do college classes this summer, i have to fix my eyebrows, i need a new clothes style, my body dsymorphia is getting really bad, my instrusive thoughts are getting really bad, i CLEARLY have an inferiority complex i REALLY need to fix, learning about college resumes, planning out college applications, college essays, colleges letters of rec,......
Like im so fucking confused and angry all the time and NOBODY is helping me. EVERYONE in my life either tells me im useless and wrong or just doesnt talk to me at all. Its always something new. Before this archery stress put me in depression for like a month, before that it was loneliness, before that it was more body dysmorphia, and more, and more, and more.
Im so confused and angry and i dont know what to do. I didnt even scratch the surface. Im mad again and so i just wanna conclude this. All in all i guess ill just keep on going.

I need some advice here.
My mom has been feeling sick for more than 2 years. She has hypothyroidism, is extra weight, and has swellings in her legs and arms almost all the time. She does not have any energy, feels like she has a fever which does not show on thermometer, and her stomach keeps growing out despite a very simple and Spartan diet and too much daily work for her to be lazy.
She's 49, has 2 businesses, is in and out for work all day, handles household chores as well. She does light exercises and meditation in mornings as well. She's having uneven periods.
Yet all doctors she has seen cannot find anything wrong with her at all. They tell her to reduce weight, prescribe multivitamins and gas tablets and refuse to entertain further. Same was the case with gynaecologist. Occasionally, they prescribe her arrythmia/anxiety/arthritis meds, with no actual diagnosis. 1 doctor even put her on steroids without informing her about it whatsoever.
We have to go to doctors quite occasionally, and this cycle keeps repeating.
I request you to suggest some good doctors in/near UP who take such cases seriously and stop dismissing her issues due to weight and calling her lazy. We have spent so much money on this with no outcome at all. I am concerned about her.
Note: I will not be disclosing the location in the post for several reasons.