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Medical Questions

2013.07.10 22:21 Dvdrummer360 Medical Questions

Having a medical issue? Ask a doctor or medical professional on Reddit! All flaired medical professionals on this subreddit are verified by the mods.
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2009.08.05 23:30 lencioni Microscopy

In science class, you always wished you could play with the microscope a little bit longer. Now that you are an adult, you actually can. Cooler and with more bang for your buck than telescopes, microscopy lets you do real science!
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2010.08.29 17:11 Popping Cysts and Pimples

Subreddit for popping addicts and the pop-curious. Blackheads, pimples, cysts, abscesses, and more.
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2024.05.21 15:24 FuturisticW [23M] Concerned About Chest Pain and Increased Heart Rate After Breakfast

Hi askdocs,
I'm a 23-year-old runner with no significant medical history. Today, after eating breakfast (oatmeal with a bit of salt and some cake), I experienced an increased heart rate (from my usual 55 bpm to around 85-95 bpm) and chest pain on the left side. This was unusual and concerning for me, and I'm wondering if it could have been due to a panic attack.
I went to the emergency room, where they conducted four EKGs and blood tests. Both came back normal, including my calcium levels. The doctor suggested that my chest pain might be due to a nerve issue in my back, possibly nerve pressure, but I didn’t get much detailed advice.
For context:
Currently, I’m worried about how to manage my condition until I can see my family doctor. Specifically:
Thank you for your help and guidance!
submitted by FuturisticW to AskDocs [link] [comments]


2024.05.21 15:21 unavngiven My mom died... [Very long post]

This is my first reddit post, although I have been a long time lurker of many subreddits. I am 23 years old and an only child. I am not a native english speaker, so please forgive any weird formatting or any spelling/grammar mistakes.
As the title states, my mom died ... and I am currently writing this to try and process this whole situation. I've tried to section all the paragraphs in chronological order, to make reading easier. Sorry for the extremely long post - I just needed to get it all out.
We only just celebrated her 60th birthday back in february. She did all the cooking, cleaning and planning without any trouble - even down to picking out the perfect napkins and flowers for her white and gold theme.
My mother was without a job. She had been jobless for almost 2 years now, after she was fired from her old cleaning job due to frequent sick days because of stomach cramps and pain. She was seen by a doctor back in 2022 for her stomach aches, and they found no physical cause - hence why we concluded it must've been due to stress. The stress and stomach pains subsided after she'd been fired. So we thought no more of it.
In march she was doing a 4-week internship in a local supermarket to see if she might've been a good fit for a permanent paid position. This is common practice for unemployeed people here in Denmark.
My mother started having stomach pains again during this internship, soon followed by back pains as well. She figured this was due to her spending most of the day sitting as a cashier in an uncomfortable position. My mother wasn't very tall, so she had trouble reaching the floor pedals that control the cashier conveyer belt.
In the beginning of april, she went to the doctor. Her stomach and back pains hadn't gone away although the internship was over. Her doctor also concluded it was most likely due to her uncomfortable working position, and that it would pass in a few weeks time. The doctor did some bloodwork, and found that she was severely lacking vitamin D, but nothing else seemed concerning at the time.
In the middle of april, her pains had only gotten worse, and she went to the doctor again. Her doctor did more bloodwork, and did a phisycal exam of my mothers stomach. Her doctor ordered a CT scan to check for anything serious.
19th of april. I accompany my mother to the hospital for her CT scan. We get told that we'll have the results in a week or so. My mother is not looking good when I pick her up at the bus station. She is more pale than usual, and has trouble walking at her usual pace.
23th of april. My mother received a referral to a meeting at the hospital with a doctor and nurse, to discuss the results of the CT scan. This referral is sent from the hospitals cancer department. My mother and I speak on the phone, she is concerned, but I tell her that this type of referral must just be standard pratice, and that she shouldn't worry untill we have spoken with the doctor. I cried that night.
25th of april. The day before her meeting with the doctor, I received a phone call from my mother. She tells me that she had fallen while at home, but that I shouldn't worry. I, of course, worry.
I pack my things and leave for my mothers house, I live an hour away by bus. When I finally arrive my mother seems okay-ish, but the house is another story. My mother is normally known for being a clean freak, and her house has always been clean and organized, But it wasn't anymore.
Her kitchen was a mess, and the dishwasher hadn't been empited or loaded for at least two weeks. Her bathroom is even worse, and I won't even begin to describe the state of the toilet it self. It is a sight that will horrify me for the rest of my life. I cleaned everything, while my mother rested.
My mother had also started sleeping on the guest bed, saying her own was too uncomfortable for her.
While cleaning the bathroom, my mother wakes up. Despite her state, she says she wants to help. But before I can even tell her no, my mother has another fall. Her legs essentially just crumble beneath her, and she falls backwards and lands head first on the floor. We argue back and forth about calling an ambulance, but she refuses to let me - so I don't, even though I should have. I guess I still respected my moms authority too much.
My mother lives alone, as my parents are divorced (they are very good friends though). My mother refuses to let me call my dad and tell him about this whole situation. She is stubborn and too proud to admit defeat.
26th of april. We take a taxi to the hospital. The taxi driver has a help my mother into the car. During the carride my mother says very little, but seems slightly delirious and very tired. When we arrive at the hospital, I quickly borrow a hospital wheelchair for my mother. She is almost unable to walk unassisted at this point.
After waiting for a while in the waiting area, a nurse comes and guides us to a meeting room. My mother is very tired at this point, and still delirious, and I have to handle most of the conversation with the doctor.
The CT scan results showed Pancreatic cancer. The cancer had already spread to her liver and abdomial cavity.
I had read about this cancer a few days prior, trying to figure out what was wrong with my mother. I knew what this meant, and I knew that it was effectively a death sentence. The doctor told us that an operation was out of the question, since the cancer had already spread. And due to the clearly weak state of my mothers health, chemo would also not be offered, as it would finish her.
I told the doctor of her two falls and the state of her home, and that she would not be safe on her own. The doctor had her admitted to a nearby bed department for stomach- and gastrointestinal surgery patients.
The hospital did a ton of bloodwork on my mother when she got admitted, and everything was off. All numbers were either too high or dangerously low. My mothers health was in fact so bad, that I was told she was a heart attack risk. I was also told that if a heart attack happened, she would not be brought back - as it would only prolong a very short and painful life.
I called my dad.
27th of april. My mother slept most of the day.
28th of april. My mother had another fall during the night, trying to get to the bathroom.
29th of april. My dad shows up to the hospital. He wasn't able to get off work until now, as he works in the other end of the country. He is shocked to see my mother in this state. We are told once again by a different doctor that nothing can be done. They are looking into getting her a spot at a nearby hospice.
The rest of the remaining week is spent in hospital. My dad and I are by my mothers side every day. She doesn't leave her hospital room, apart from a few times a day for a smoke break outside. My dad and I take her outside in a wheelchair, which she needs help to get in and out of.
Her bloodwork is showing some slight improvements, but she is still having trouble with infections and receives a lot of antibiotics. She eats like a mouse, but drinks a lot of fluids.
My mother is often very confused or tired most days. She gets referred for an MR scan, to see if the cancer has spread to her brain, or if one of her falls has caused permanent damage. Lucikly the MR scan shows that nothing is wrong with her brain.
She gets confused about her diagnosis a few times, thinking that she had brain cancer instead due to the MR scan. I have to remind her a couple times about what the doctor actually said.
6th of may. My mother seems to have stabilized somewhat so my dad has gone back to work.
7th of may. I get told by the hospital staff that my mother is to be transferred to a different hospital, which is one hour away. I become very upset by this news, and unfortunately yell at one of my mothers nurses in frustration. I yell at her that It'll be harder for me to get to my mother in time if something were to happen. I am ashamed of this childish behavior, as the transfer was the best desicion for my mother in hindsight.
I leave with my mother as we get transferred to the new hospital and their department of palliative care.
I am very ashamed by my behavior to my mothers old nurse, as this department for palliative care was truly the best place for my mother. She seemed very satisfied and happy to have been transferred. They have a large garden with wild flowers, and lovely staff. And my mother got a much bigger room all to herself. She also meets with their physical therapist, who helps my mother relieve some of her pain.
My mother and I have dinner together in the evening in her hospital room. My mom is her old self, although with some delayed speaking. I unfortunately have to rush a bit when leaving, as to not miss my bus home, so I quickly say goodbye to her and leave.
8th of may. In the morning on my way to the new hospital, I received a phone call from her new doctor. My mothers liver has suddenly started to fail due to the cancer. When I arrive, she is asleep. I am told she wont wake up again.
I called my dad, but he wont arrive until the evening, due to the distance from his workplace.
I spend most of the day in my mothers hospital room, listening to her sleep. She occasionally attempts to cough in her sleep, but it mainly just sounds like yells. It is terrifying. The nurses give her pain medication and some sleep medication to help her body relax.
My dad arrives in the late evening. We drive to my mothers house and stay the night there. We spend most of the late evening looking at pictures and scrapbooks of my mother, and packing a bag with clothes for her, for when she passes.
When prepareing the guest bed for my dad, we find a blanket that my mother slept on. It is stained, matching the previous state of the bathroom. We throw the blanket out.
9th of may. Mom is sleeping. Dad and I spend the day at the hospital, but we don't sit in her hospital room. It is too eerie and uncomfortable. We check on her occassionally. Towards the evening, her breathing becomes slightly more rapid and quick. But the nurses tell us to go home. There is no reason for us to sit by her side during the night - as it'll only make it worse for us.
10th of may. I wake at 6.12 am to my phone ringing. It is a nurse. My mother has passed away in her sleep at 6.05 that morning due to liver failure. My dad and I drive to the hospital. I am the first to see her body after the nurses prepared and dressed it in the clothing we picked.
(warning: the following paragraph may be slightly upsetting to some readers)
It it eerie and uncomfortable to see my mother like this. A symptom of pancreatic and liver cancers is that your skin will yellow. Something that I hadn't noticed in my mother till now. I cant help but think that she looks like a wax doll, although I feel horrible for thinking it. I finally touch her hand, after gathering the courage to, almost like I am afraid to distrub her. Her hands are cold, and only get colder as I sit by her side. I am supposed to say my goodbyes to her, and tell her how much she means to me, but in this moment I am speechless. I can't say anything, even on my mothers deathbed. I feels wrong to speak to a corpse. I should've said those things while she could hear them instead. I kiss her forehead before I leave the room.
17th of may. Funeral. The church and casket was beautifully decorated with colorful flowers, like my mother had requested. She didn't want anything white or depressing. I cried all the way through the funeral service, stopping only when it was time to carry the casket out. My dad on the left side, and me on the right, and some other family members behind us. Purple rain by Prince was played on the church piano as we carried the casket. I knew the casket would be heavy, but nothing prepared me for the sheer weight of that thing.
21th of may. Today. I don't really know what to think of my mothers death. Some days I almost forget that shes gone or that all this has been happening, until something reminds me of it.
In a way, I am thankful. Of course I didn't want my mother to die, but I'm glad that her suffering wasn't prolonged for months while she slowly withered away to cancer. And I'm thankful that my mother didn't live to suffer from alzheimers, like her own mother. And I am glad that if anything, my mothers death has brought my dad and I closer.
But at the same time, I am angry that she didn't get to live more of her life. She was only 60 years old, and should have had 20 more years at least. If she at least was 70, it might've been easier to lose her but I doubt it.
I think mostly of all the things she will miss out on, which saddens me the most. I am 23 and my mother wont get to see most of my life or my achivements. If I have kids, she'll never meet them, and she I get married, she'll never see it. My 24th birthday is coming up soon, and I don't know how I'll handle that day without my mother for the first time - or christmas for that matter.
I want my mom.
submitted by unavngiven to GriefSupport [link] [comments]


2024.05.21 15:20 GreedyPersonality390 The Divine Blessings of Ayat Karima Wazifa for Marriage

The Divine Blessings of Ayat Karima Wazifa for Marriage
Ayat Karima Wazifa for Marriage It is a type of verse in the holy Quran, also called Ayat shifa or those reciting which are believed to have blessings and healing power. According to traditions, if a person recites this verse he should have belief in his heart that what he is saying is true, he should have got true intention to say what he is saying, and if he recites this verse constantly, then his desires are sure to come through.
Ayat Karima Wazifa for Marriage
Some of the most common uses of Ayat al Karima include marriage situations, single individuals wanting a partner and those intending to get a partner will pray using the Ayat al Karima so that they can be given a righteous partner and to clear any obstructions preventing them to find a good partner.
The ayat karima for marriage is in al Quran, verse number is 255 this ayat found in al Baqarah chapter no. 2. The verse is as follows:The verse is as follows :
“He does not want nor does he sleep; everything in the heavens and everything on earth belongs to Him; he who is in a loop of his (control) cannot approach Him unless through his permission; He knows what is in their claw and what is behind them; and they do not elude from the knowledge of their Lord except what He intends; the domain of his empire is the heavens and the earth; and to Him
Allah is the Creator, the only only God that deserves to be worshipped; He is eternal, the Lord of existence, the Self-Sufficient. There is no dominion of sleep to Him and no matter what, one cannot make Him to sleep. All the years in the skies above and all the things on the earth below belong to Him. Who shall declare it?
Ayat Karima Wazifa for Marriage And who is he that can call to him, or speak a word in his ear, save by permission merely?He knows the disparities before them and the disparities behind them; nothing is hidden from Him unless He chooses to hide it. His seat is of heavens and of earth so also He who cares for them does not grow faint. And he is the Most High, the Most Great. ’ There are some explanations for this name, which can be stated as follows:
This verse is a testimony to the greatness of Allah, and the following says that no one has the right to create anything besides Him. It reechoes the fact that it solely rests on Him who determines the outcome of all that He has created from marriage included. Thus, recitation entails an endorsement of a chance for marriage as all aspects of life are in the hands of Allah.
The Procedure of Ayat Karima Wazifa for Marriage : Marriage is one of the most important aspects of human life and everyone, especially Muslims, wants to have a good spouse and happy family life.
The procedure to perform this wazifa is relatively simple, but requires discipline and consistency: As for the procedure of this wazifa, basically it is not very complicated, but there is certain strictness and daily routine:
  1. The more you select a calm environment and a hygienically clean space in your home to perform this waziga continually, the more effective outcomes you will experience if you seek Allah’s assistance. When you are praying make sure you make use of a clean carpet or a clean sheet to sit on. It would be advantageous if one carried a lighter or match box to light up incense or oil lamps for lighting at the prayer areas to enhance a serene atmosphere.
  2. It is advisable to begin with the washing of hands and face before you start with the amal. This means that keep clean and be certain that you are smartly dressed before going to any event.
  3. It is preferable to recite Durood Sharif or Salawat (invocation of blessings upon the Prophet PBUH) at least 11 times before and after the verse out of respect for barakat.
  4. The recommended recitation of Ayat-al-Kursi: For 351 times daily after each of the compulsory prayers. If so, then be sure to repeat it 2100 times in total in a single day.
  5. According to the scholars, in order to feel the impact of the wazifa, one is expected to say anything to Allah in any language with lot of passion after the wazifa is said. To achieve this you should compose a prayer in your own words in order to pray for a good life companion. Of course you need to pray the following prayers: You can ask for forgiveness for the sins you have committed. In case one has time engage in nafl prayers.
  6. These prayers should be said daily at the agreed prayer place, at the same time as others to harmonise the times. However in this process also one should act disciplined; have faith that God will provide for the best at some time.
Benefits of Ayat Karima Wazifa:Some of the various advantages of Ayat Karima Wazifa are:
  • Triumphs over barriers to marriage like family issues, naqsh bandi and other such forms which may hinder marriage to happen, etc Helps people in selection of a proper life partner.
    • Convey auspiciousness or act as a charm to create fortune in the lifestyle of the individual who will own the item. Today it is possible to see good proposals for singles as well as for those who have divorced or their spouse is deceased.
    • Preserves that which is before marriage with love and understanding, while only after marriage is consummated. This goes a long way in avoiding serious fights and, at times, divorce.
  • It assists in increasing fertility rates and childbirth among those couples who are willing but unable to bear children. May help people who use children in their medical treatment procedures.
  • For this purpose, it is enacted so that people can be happy in this life and in the life after death. Those who use these things are blessed with the succor and the rizq (provisions) that Allah provides together with barakah (blessings).
Key Notes for the Wazifa:It is essential to focus on the following points when performing the Wazifa:
  • Do not do things which may deny you Allah’s help – they range from telling lies to back biting, being untruthful or any other wrong which you know is prohibited – do not indulge in such acts; and if you have done so in the past, repent and say TARATTA.
    • If possible one should observe mon days and Thursday as fasting days to gain even better results on the parts of the Qur’an used in the amal.
  • Consistency in the activities that are performed in the course of a day is key and one should have patience as well. This is the reason why you cannot see the result in short time period, do not get disheartened. It is important to realize that in some cases the marital blocks created are stronger than others. But go on with faith in Allah anyway.
Conclusion About Ayat Karima Wazifa for Marriage
Hence, Allah’s grace and mercy shall be sought alongside the recitation of Ayat Karima and people shall be able to get their life partners soon. Such persons should be able to look forward to a hitch free marriage in their future marriage. But ask for goodness for your Akhirah or life after death and also for goodness in this world or your life-in-this-world.
Online Free Consultation With Maulana Ji Please Visit:
https://www.onlinemaulana.com/

AyatKarima #WazifaForMarriage #IslamicPrayers #MarriageBlessings #QuranicRemedies #DuaForMarriage #IslamicGuidance #LoveandMarriage #DivineBlessings #SpiritualHealing #PiousWazifa #IslamicVerses #SacredTexts #MarriageSolutions #PowerofFaith #MuslimCommunity #BlessingsFromAllah #BeautifulJourney #DivineIntervention #CommitmentandLove

submitted by GreedyPersonality390 to u/GreedyPersonality390 [link] [comments]


2024.05.21 15:16 MathematicianTime475 I’m going to find answers I will never accept the unknown

Howdy I am not selling nor promoting anything simply stating to give comfort that someone is doing something nor will I share any thing on here about where to find said nonprofits and what not then I’m about to mention
Having my career taken away from me and disability insurance. Will live a nice stress-free life. I get three days into accepting I build scaffolding in the carpenters union and no job site. Will let anyone with cataplexy be able to be just out of liability alone
So I know we’ll be the poster boy for my nonprofit of narcolepsy awareness and hope to create multiple others such as research and help people through the process of testing and after due to not working and maybe still having a family like myself did thru this.
As well as appeal company that donates percentage of profits back and be the only place that I make money because everything else. Will go as it should, and I will be different in the sense of a nonprofit and show where all the money goes without being asked, just simply presented on the platforms of my nonprofit page and how much we’ve invested into.
The only thing I will here is my term for us if you guys like it cause I do plural is narcalites
As well as I do believe being on amphetamines and or methylphenidate hydrochloride such as ADHD meds caused narcolepsy and many others
There should be more restrictions put on for kids not to be on and I feel can be proven already For restrictions. In the matter of a dopamine deficiency, considering the only study I can find which was provided to me by a doctor because they have access to more. 1 year on 2 years off to take dopamine to get back to the same level you are ignorant to think that this isn’t messing with kids, brain chemistry, and Greatly can give us an answer on the Unknown. And at the end of the day, they’re creating drug addict considering it’s already titled highly addictive and they restrictions put in place allow people like myself to be on 60 mg a day as a fifth grader without any say.
Simply look at when this medication came out and the increase in narcolepsy diagnosis from those kids growing into adults. It’s a huge peak as well as just keeps getting bigger every year. Hmmmmmmmm wonder y why And how is it a dumb carpenter figured this out.
I’ll tell you, I am not against the medication I think if properly put out there such as 18 years old and minimum of 15 years old anything other than that extreme cases and I mean extreme such as narcolepsy in a child not ADHD. A hugely ADD. Myself obviously yes it will be hard. However, I wish I learned to cope with them at 18. Decide for myself if I wanted to help. I need the help. For a while I was accused of being a drug addict till I found out actually it’s narcolepsy that’s why I needed more or it wasn’t because it not being treated properly now I’m proper treatment. I’m sorry but I just can’t ask why. Not a yes man. Never have been never will.
And reason for me being poster boy is because you tell me a better one than a division one wrestler winning multiple state titles throughout the childhood working double shifts in the carpenters union all the time out of sheer will power and adrenaline. to when finding out pregnant really feeling the first actual stress of my life that stress not bad to have it comes with life although causing my narcolepsy to be so so bad
And I know you guys can understand the statement of it’s very hard to tell going through life if something happened in a dream or didn’t or just déjà vu well I’ve learned not to just go with and I’m not insaneb I’m a vivid dream Think about that with normal sleep to distress, causing me to only sleep in and out without medication for longest period of time a month and a half able to stay up for four hours so yes I do believe awareness needs to be out there, especially when it’s the last thing on the list they test for at least causing two years of hell
And if I have done anything wrong in this post I do not want to change any of what it is about but the creators of this platform please when blocking my post from being seen inform me what to change. Because I feel I’m doing nothing but good for us the narcalites And only bettering us as a whole because I fear for the next case like mine to give up or the ones that I’ve already have and maybe ended up dead from her car wreck or resulted to drugs, I refused
submitted by MathematicianTime475 to Narcolepsy [link] [comments]


2024.05.21 15:12 ComicalChinchilla Is this legal? Should I contact DODD?

So I work for a facility that has over 80 kids, all mentally challenged. We have many who are non speaking. My job consist of me taking these kids to doctor appointments, emergency visits, or taking them to visit county/family/foster in their lives. At times I have to drive far places. I even discharge residents /pick up new residents. I’ve noticed our nursing department gets to bill every time a resident is on any medical visit. But I’m the one sitting there with them the entire time, signing them in, communicating with the doctors, even setting up follow ups. Sometime last year all of our DSP got bonuses on their checks for working with the residents during Covid a lot of these bonuses consisted of 1,000+ and my team got nothing, when we asked we were told we aren’t considered DSP but yet when I am 6 hours away from town, taking a resident to a visit, some wear diapers, I have had to change them plenty of times, I have to feed them, and I have to give them their medications. So we aren’t considered DSP or medical staff therefore we do not get this bonus money, instead they give us an extra 125 every few weeks. That’s nothing compared to what everyone else makes. And our boss got a brand new 2024 car on the company? I’m starting to think they took our money and lied to our faces but we have one of the hardest jobs in this facility.
I want to speak up but I don’t know where to go? The DSP here have the luxury of putting a resident in the shower when they poop all over themselves, we have to take them in a bathroom and spend 30+ minutes trying to clean them up the best we can. And nursing just sits up there making appointments, canceling them, and half the time we drive far distances just for them to have canceled or reschedule and didn’t communicate that with our team. So the kid was out of programming and we just wasted a lot of time and gas just to come back and actually do the appointment in the near future.
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2024.05.21 15:09 theabominableslowman Advice on convincing psych of inner aka

Hi all,
Looking for some advice ☺️ From the UK here.
Background: Suffered with panic disorder, GAD and anxiety induced depression for ten years but was medicated well with SSRI Sertraline. Unfortunately, somebody spiked my drink last march and I suffered from mild serotonin syndrome (SS). I had to cold turkey the Sertraline to save my life and when I reinstated a week later after I recovered from SS it never worked the same way again. I have tried 6 SSRIs/SNRIs/pregablin since and they work for a week or two and then I have a serotonin toxicity reaction and get pulled off them cold turkey. This was all done by my general doctor and not a psychiatrist. Unfortunately I ended up in the emergency department a month ago due to the awful side effects and SI I had after a bad reaction to cymbalta. This was stopped cold turkey again after taking it for a week.
I believe this is where my aka started. It’s more mental that physical as I do not need to pace but I have the severe sense of dread and terror X10000 compared to the anxiety and panic I used to deal with. I am also incredibly irritable with dark obsessive thoughts which has led me to want to jump out my skin and I can relate to a lot of you on here.
I was assigned a consultant psychiatrist who prescribed me quetiapine. I was taking this at night to help me sleep and in the day to manage my anxiety and sense of dread. It worked to a certain extent as it just sedated and zombified me. I suffered with extrapyramidal symptoms such as tremor and urinary retention/bloating so my dose is down to just 50XR release at night to help me sleep and I will be coming off this soon (I am wanting to go down to 25mg to wean myself off but consultant doesn’t believe that’s needed). I am now on Lamictal {Lamotrigine and have been taking 25mg for 6 days now. I feel like it’s made my anxiety worse and I’m taking small amount of diazepam (max 2mg bd) to help me through.
It’s obvious that I have been completely polydrugged and have had severe reactions to serotonin re uptake inhibitors which I have been pulled off cold turkey which has made everything a lot worse. My CNS is now in haywire and I am having constant adrenaline dumps creating terror and fear which has led me to be petrified of being alone or going to the shops etc where I am now a hermit living back with my parents. I’m grateful I have a supportive network.
I am now really struggling with the inner aka and it is completely debilitating. However, I am thankful that I don’t have the physical symptoms as I can’t begin to imagine the pain some of you are going through with that.
I have a meeting with the psychiatrist on Friday and want to explain that I believe I have inner aka and want to be treated for this and come off the quetiapine and lamictal. I’m afraid they will gaslight me and want to prescribe more drugs (his next option was ablify which is a huge no go after reading on here and doing my research). What I want to know is:
I’m planning on writing down how I’m feeling today to have as notes in the meeting but I’m terrified that they will just say it’s anxiety and want to prescribe me ablify which I will refuse.
Any help or guidance on how to engage with psychs about this inner aka would be much appreciated.
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2024.05.21 15:09 starrr333 Growing up expected to be a miracle

I just wanted to rant for a bit. I am 17 now, gonna be 18 in less than 6 months and I am honestly very average academically. As a child I had a traumatic brain injury (meningitis) and then after that an auto immune disorder that gave me extreme ocd type symptoms and other general craziness that made me need to be homeschooled for most of my childhood (PANDAS). After the meningitis I had to relearn how to walk, speak, write, basically everything. I was able to become "normal" again relatively fast and many doctors and my parents would say things about how I was gifted and blessed and whatever else you say to a previously brain-dead child. I was considered gifted for much of my life (once I stopped being crazy) and it's made me have a very fragile ego when it comes to academics. I am in my junior year and am doing pretty good (nearly straight As, one B). But I got a low score on the sat and I have a friend who actually is gifted who I constantly compare myself to. He got a 1500 on the sat and is taking some crazy senior year ap calculus class at 16 and also plays like 4 instruments and is an amazing artist etc etc. We are very close but every time he talks about these things it just feels like a knife in my chest. I know its selfish to be so preoccupied with things like this but it's hard not to. I grew up with the expectation that I'd become like a female Stephen hawking and now the only thing I'm like noticeably good at is art which is the one thing that will benefit me the least. I want to do something medical as a career, hopefully neurology/psychology related due to my own personal experiences with strange brain disorders. But I fear that I won't be able to survive med school surrounded by people who breeze past all the test and assignments while I flounder around studying for hours knowing I will forget all of it in a day from my memory issues cased by epilepsy. I know I am doing pretty good for having these issues but that's exactly it, I'm only good with the context of my problems. I know all of this sounds very woe is me my life is so horrible and I sound rather selfish, I know I am privileged to have a family who (mostly) can afford to help me with these problems but sometimes you just need to complain
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2024.05.21 15:08 Real_Neighborhood240 Uncovering Solutions and Embracing Optimism: Your Journey with The Best Infertility Doctor in Thane.

Uncovering Solutions and Embracing Optimism: Your Journey with The Best Infertility Doctor in Thane.
https://preview.redd.it/bl6uyjhx2s1d1.jpg?width=5583&format=pjpg&auto=webp&s=3723ca69662ebd5b1fd5f31316716c0358c0f284

Introduction

Step into a realm of hope and endless potential, guided by none other than the best infertility doctor in Thane. In the face of infertility's hurdles, Dr. Rita Modi's profound expertise and steadfast support offer a beacon of hope. As your reliable companion on the path to parenthood, Dr. Modi is devoted to transforming your dreams into tangible joys. Whether you're on the lookout for infertility doctors in nearby or in search of best fertility doctor in Thane, Dr. Rita Modi's unmatched proficiency and dedication position her as the prime selection for those seeking infertility solutions in Thane.

Deciphering Infertility:

Infertility, a condition where couples struggle to conceive after a year of consistent, unprotected intercourse, impacts both genders. Amidst this journey, turning to the best infertility doctor in Thane is paramount. These proficient specialists provide tailored care and individualized treatment strategies, accompanied by empathetic support, to navigate couples through their path to parenthood. Dr. Rita Modi, distinguished as the best fertility doctor, offers holistic care and invaluable guidance to individuals seeking resolution for their fertility challenges.

Diving into the Different Facets of Infertility:

  • Infertility exhibits diverse presentations, including male infertility, female infertility, and unexplained infertility.
  • Male infertility arises from challenges associated with sperm production, motility, or morphology, prompting focused assessment and intervention.
  • Female infertility may stem from disruptions in ovulation, hormonal imbalances, or structural abnormalities in the reproductive system, necessitating meticulous evaluation and treatment planning.
  • Unexplained infertility presents a conundrum, with no apparent cause despite thorough diagnostic investigations.
  • Each variant of infertility mandates personalized care from skilled specialists proficient in addressing the unique needs of individuals or couples.
  • Understanding the specific characteristics of each type of infertility enables healthcare providers to tailor treatment modalities accordingly.
  • These tailored interventions aim to optimize the prospects of successful conception, guiding individuals or couples towards their aspiration of parenthood with empathy and expertise.

Is Infertility Limited to Women?

Infertility transcends gender boundaries; it impacts both men and women in equal measure. Couples are urged to approach evaluation and treatment together, recognizing that fertility hurdles can arise from various factors affecting either individual. By viewing infertility as a mutual challenge, couples unlock access to personalized care and encouragement, fostering unity in their pursuit of parenthood aspirations. Engaging both partners actively in the evaluation and treatment journey ensures comprehensive care, maximizing the chances of achieving successful conception.

Exploring the Origins of Infertility:

https://preview.redd.it/sqkfczja3s1d1.jpg?width=7990&format=pjpg&auto=webp&s=35f43008547facfb9dc9db2991eafcb6f0b36fce
  • Hormonal Imbalances: Fluctuations in hormone levels can disrupt the intricate workings of the reproductive system, impending ovulation in women and sperm production in men.
  • Structural Anomalies: Irregularities in the structure of reproductive organs, such as blockages in fallopian tubes or abnormalities in sperm ducts, can pose hindrances to fertility.
  • Genetic Factors: Inherited genetic conditions or chromosomal variations may play a role in infertility, impacting reproductive function in both males and females.
  • Lifestyle Influences: Age, weight, and smoking habits are significant determinants of fertility. Advanced maternal or paternal age, obesity, and smoking can all contribute to decreased fertility potential.
Identifying the primary cause of infertility is essential for formulating a customized treatment plan. By pinpointing the underlying issue, healthcare providers can tailor interventions to address specific challenges, thereby increasing the chances of successful conception. This personalized approach optimizes the effectiveness of treatments, providing individuals and couples with a greater opportunity to achieve their desired parenthood

Can Infertility Prevent You from Having Children?

While infertility may present obstacles, it does not signify the end of the road to parenthood. Thanks to the advancements in reproductive medicine and the specialized knowledge of Thane's top infertility doctor, numerous treatment options are accessible. Guided by their expertise, couples can embark on a journey of exploration, discovering various avenues to realize their dream of starting a family.

Diving into Fertility Treatment Possibilities:

  • Ovulation Induction (OI): This approach employs medication to stimulate egg production in the ovaries, particularly beneficial for women experiencing irregular ovulation cycles.
  • Intrauterine Insemination (IUI): IUI entails the direct placement of concentrated sperm into the uterus during ovulation, increasing the likelihood of successful fertilization. It offers a less invasive and cost-effective option for couples grappling with mild male factor infertility or unexplained fertility challenges.
  • In Vitro Fertilization (IVF): IVF involves the retrieval of eggs from the ovaries, fertilization with sperm in a laboratory setting, and subsequent transfer of embryos into the uterus. It addresses a spectrum of fertility issues, including tubal obstructions, male factor infertility, and advanced maternal age.
  • Intracytoplasmic Sperm Injection (ICSI): ICSI is a specialized IVF technique wherein a single sperm is directly injected into the egg to facilitate fertilization. It is commonly recommended for couples confronting severe male factor infertility or previous IVF failures.
  • Donor Egg/Sperm Solutions: In instances where egg or sperm quality poses concerns, the option of donor gametes alongside IVF may be considered. This avenue enables individuals or couples to achieve pregnancy using donor genetic material.
Each fertility treatment avenue presents distinct advantages and considerations, and the optimal choice hinges on factors such as the underlying cause of infertility, age, medical background, and personal preferences. Consulting with a seasoned fertility specialist is indispensable to explore your options comprehensively and craft a tailored treatment plan tailored to your specific needs.

Treatment Options for Male Infertility:

Addressing male infertility involves a comprehensive approach facilitated by expert male fertility doctors. This encompasses a spectrum of solutions ranging from medication and surgical interventions to advanced Assisted Reproductive Technology (ART) procedures like Intrauterine Insemination (IUI) or In Vitro Fertilization (IVF). Consulting these specialists equips individuals with the tools to tackle male infertility challenges effectively, optimizing reproductive wellness and elevating the prospects of conception. Backed by their profound expertise, male infertility doctors provide empathetic care, guiding patients through the complexities of their journey towards parenthood."

Female Infertility Treatment:

Expert female infertility doctors lead the charge in providing comprehensive treatment for female infertility, offering a range of tailored interventions including medication, surgical procedures, and advanced Assisted Reproductive Technology (ART) options like Intrauterine Insemination (IUI) or In Vitro Fertilization (IVF). Collaborating with these specialists allows individuals to navigate effective solutions, optimizing reproductive health and enhancing the prospects of conception. Renowned for their proficiency, female fertility doctors extend compassionate support, guiding patients through the intricate journey towards parenthood.

Why Choose Our Services?

Selecting the right fertility specialist is paramount as you embark on your journey towards parenthood. Dr. Rita Modi emerges as the undisputed choice for those seeking the best fertility doctor in Thane. Renowned for her unmatched expertise, compassionate approach, and tailor-made treatment plans, Dr. Modi embodies a commitment to patient-centric care and excellence in every facet of treatment. With an unwavering dedication to guiding patients through their fertility challenges, Dr. Modi ensures a seamless and triumphant journey. As Thane's foremost fertility doctor, she extends unwavering support and mentorship, empowering individuals to confront infertility with confidence and positivity. By entrusting your fertility aspirations to Dr. Rita Modi, you align yourself with a dedicated professional devoted to your well-being and the realization of your dreams of parenthood.

Pinnacle Fertility Care

Under the devoted care of Dr. Rita Modi, you gain access to top-tier fertility treatments meticulously tailored to align with your individual needs and aspirations. Through meticulous diagnostic evaluations and state-of-the-art assisted reproductive technologies, we deliver comprehensive solutions to support your path towards parenthood. Dr. Modi's expertise ensures that each treatment protocol is precisely calibrated, maximizing the likelihood of success. With a compassionate ethos and unwavering dedication to excellence, we strive to navigate your fertility journey with utmost efficiency and success. Whether you require advanced interventions like in vitro fertilization (IVF) or simpler modalities such as ovulation induction, Dr. Rita Modi's clinic offers a comprehensive range of options tailored to suit your specific circumstances. Entrust yourself to Dr. Modi's care as you embark on this transformative voyage towards realizing your family dreams.

Accessibility and Location

Conveniently nestled amidst the bustling thoroughfares of Thane, Dr. Rita Modi Fertility Centre ensures effortless access to healthcare amenities for residents of prominent areas including Waghabil Road, Patlipada, Dongripada, Anand Nagar, Kasarvadavali, and Bramhand. With seamless connectivity to medical centers and clinics, individuals residing in these neighborhoods enjoy prompt and convenient access to top-notch healthcare services. Whether in pursuit of routine check-ups, specialized treatments, or urgent medical attention, patients can swiftly navigate to Dr. Rita Modi Fertility Clinic from these well-connected locales, fostering a sense of ease and accessibility for all seeking medical aid.

Conclusion

Embark on the journey towards parenthood with assurance, guided by the expertise of Dr. Rita Modi, acknowledged as the foremost infertility specialist in Thane. With Dr. Modi's compassionate guidance, traversing the obstacles of infertility evolves into a journey imbued with hope and resilience. Entrust in her esteemed proficiency and unwavering commitment to realizing your aspirations of family hood. Schedule a consultation today and set forth on this transformative trajectory towards establishing your cherished family legacy.
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2024.05.21 15:06 wordsfromghost Is it normal it works this fast???

I am on day 5 of taking Lexapro. The first two days I would have horrible shakes and headaches. Third day was fatigue, but at night I am way more active than normal.
Now I am not feeling any side effects. I still woke up super early yesterday (some days I wake up at 3 AM or 4 AM). But the triggers I normally get from work are not even bothering me. I have been able to be more present and not delve into something as much.
I am in the low dosage of 5 mg once a day. I am surprised the side effects passed this fast. My doctor and all the websites I have been reading say it could be weeks of side effects. I think maybe one thing I do have today is being tired. But not sure if that's because of the medication or because I had to move things in the heat yesterday.
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2024.05.21 15:05 throwitaway11777 Is it safe to take a single 10mg Valium when on Diltiazem and Omeprazole

29F, 5’4” and 195lbs/ SVT, Asthma, Acid Reflux issues, RA/ 10mg Montelukast, 120 mg Diltiazem CD, 20mg Omeprazole 2x day, 200mg Plaquenil 2x day, Albuterol Inhaler as needed.
I was given a script for a single dose of 10mg Valium to help my anxiety for a permanent toe nail removal that’s scheduled in a few weeks. You know how people pass out from stuff like needles, blood, etc. ? My thing that causes this is injured feet/toes and obviously the doctor doesn’t want a needle in my toe and me passing out. This is the only thing I’m a damn wuss about.
I went home and looked up drug interaction, I always do for new medications to make sure there’s no foods or things to avoid and know about, and seen it can cause issues breathing due to my Diltiazem and Omeprazole increasing the effects. Now I’m worried and don’t feel it’s safe to take it and I’m second guessing this doctor. Am I right to feel this way?
Just thinking about the procedure makes me nauseous and sweat so I need some way to get through the removal. I was barely able to ask questions at the appointment because of how scared I was, they wanted to remove it that day but decided not to cause of my anxiety about this.
Also would appreciate anyone sharing the process/experience, especially if I’m overreacting because knowing those things helps my anxiety tremendously…
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2024.05.21 15:04 L0k1blaze Body isn't feeling right, multiple unusual feelings (aches, icy water flashes, pains, body feeling like it's sick) across my body.

28 year old male, 6'1, 185 lbs, no known medical issues, non-smoker, VERY light drinker, no recreational drugs.
My primary complaint is that my body isn't feeling normal. Over the past several months I've noticed these unusual feelings (aches, pains, ice-hot flashes) spreading throughout my body. It started in my thighs with icy water flashes (like someone dropping ice cold water on my nerves) and eventually it graduated to small aches and pains in my thighs, arms, feet, hands and abdomen (nothing in my face, back, neck etc.)
The feelings vary on type, but two things they all have in common is they cover a small area (ranging from the size of a circle with 1in diameter to the length of my finger) and they last a few seconds. It started off light (maybe once every several days), but now I get these feelings constantly. My abdomen is mostly soreness like aches that remind me of after I workout, but occasionally I get the icy-cold feeling. My hands, arms, and legs are mostly aches now (they last a few seconds).
I've had pains in my chest too, sometimes around my heart. Yesterday I had a tightness in my chest that felt like somebody was squeezing the inside of my chest.
I've also recently started feeling sick. I was talking to someone about this last night and right then I started feeling like I had a cold and I woke up feeling like that today (still do).
I also have this weird pounding sensation in my left ear sometimes. I don't believe it's related, but it feels like there's something in there because I can feel my blood pumping through it for a few seconds.
FYI, I'm pretty sure this isn't stress. I know what stress does to my body and this isn't it.
Other info that I believe is relevant.
  1. I got the Pfizer vaccine (yes, I know what this subreddit's policies are on vaccine misinformation, but I believe it's important).
  2. I've been to the ER twice now (earliest was last year), specifically for chest-related issues, self-admitted. Both times I had chest x-rays done, blood work, the latest one I had a d-dimer test. Both times they gave me a clean bill of health.
I had some blood work done that was ordered by my doctor, I haven't gotten the results back yet.
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2024.05.21 15:01 FelicitySmoak_ Tuesday, May 21, 2013 - Jackson v. AEG Live Day 15

Tuesday, May 21, 2013 - Jackson v. AEG Live Day 15
Trial Day 15
Katherine, Rebbie and Trent Jackson are at court.
LA Times reported that the Jacksons offered a settlement.
Kevin Boyle , a lawyer for Katherine Jackson and Michael's kids , said they offered to settle the lawsuit against AEG, but that they never got an answer. Kevin Boyle said the family made the offers in January & March. Boyle would not provide details but said AEG's insurance would have paid, which means they could have settled the case without them paying a dime of their money. He said AEG has never offered to settle & they haven't apologized.
Marvin Putnam, an attorney for AEG, said it was inappropriate to discuss settlement discussions:
"We don't settle matters that are utterly baseless. We believe that is the case in this matter. I can't see why we would consider a settlement as anything other than a shakedown"
CNN Reports there was a snack controversy during trial: AEG lawyers gave a bag of peppermint candy to the bailiff to hand out to the jury this week. Even Katherine Jackson enjoyed the treat but Jackson's lawyer raised an objection, suggesting jurors might be influenced if they realized the source of the sweets. A compromise was reached. Each side can provide snacks for jurors, but they'll be placed at the bailiff's desk before jurors enter court so they have no clue who brought it.
Shawn Trell Testimony
Jackson direct
AEG Live General Counsel, Shawn Trell, told jurors that he had forgotten that Kenny Ortega was working under a signed contract.
Trell said he met with his attorneys last night and reviewed one doc -- Kenny Ortega's contract.
"He had a written contract," Trell said. "I remember the email dynamic. I'm not too proud to admit that I didn't recall the cover contract," Trell said he was changing his previous testimony to add that Ortega had a written contract, not only emails between him and AEG
Next topic was Insurance: Cancellation/Non-Appearance/Sickness. Trell said he started working on insurance for the tour in November of 2008. Panish showed several chains of emails where the parties talked about the insurance for the tour
Email from Bob Taylor insurance broker to Trell on 1/7/09:
"Prior to speaking with carriers we ask the artist to attend medical with a doctor...A full medical with both blood/urine tests. The doctor also wants to review the medical records over the last 5 years to ensure full disclosure. Insurers require further medical examination to be carried out by their nominated doctor. They may restrict illness coverage or death from illness coverage until this examination has taken place"
Email from 4/30/09 - Wooley to Trell :
"We have no coverage against Michael sickness unless and until he submits to another medical in London
Email from 5/28/09 - Trell to Taylor:
"We really need to get that medical done"
Email from 6/23/09 - Trell to Taylor :
"Any update on the availability of Term insurance?" (life insurance)
Trell said if they secured life insurance, they would get money if Michael died.
"We would get the money owed to us, yes," Trell testified.
Trell also said he continued discussions with an insurance broker about additional coverage to recoup AEG Live's investment if the tour had to be canceled.
Email from 6/24/09 -Taylor to Trell :
"Insurers have refused to move on this. Huge amount of speculation in the media regarding artist's health. They feel if they're to consider providing illness to cover this particular artist, they must have very through medical report"
Email from 6/25/09 - Gongaware to Taylor :
"If we don't get sickness coverage, we are dropping this policy"
Email from 6/25/09 - Taylor to Gongaware :
"The consultation in London is critical. The doctor is holding the afternoon of the 6th July open at Harley St. But keep in mind the visit could take 2 hours plus"
Next topic: Budget/Costs. Panish showed an email from AEG's Rick Webking to Michael's estate with 1st report of artist advances/expenses. This was a letter sent to the estate containing the expenses incurred, Trell said.
"It seems to me we submitted this report for their review, I don't see any request for payment," Trell said.
Trell said he spoke with Randy Phillips and Paul Gongaware about Michael's physical condition prior to coming to testify.
"I had heard about rehearsals in which Mr. Jackson was fantastic," Trell said
Trell said he's aware of email from Ortega saying doctor was not allowing Michael to attend rehearsal on June 14, 2009.
"I was aware of the doctor not allowing him to attend rehearsal," Trell said
Email from 6/17/09 from Phillips:
"...Ortega, Gongaware, Dileo, and his doctor Conrad from Vegas and I have an intervention with him to get him to focus and come to rehearsal"
Email from 6/17/09 from Gongaware to Phillip's assistant:
"We need a physical therapist and a nutritionist"
Email from Production Manager - Gongaware/Phillips on 6/19/09 :
"Paul/Randy I'm not bring a drama queen here. Kenny asked me to notify you both Michael was sent home without stepping foot on stage. He was a basket case and Kenny was concerned he would embarrass himself on stage, or worse yet, be hurt. The company is rehearsing right now, but the DOUBT is pervasive"
Email from Randy Phillips to Tim Leiweke on 6/19/09 :
"We have a huge problem here."
"I think he recognized there was a problem on the 19th," Trell said. "I would take it seriously, as I believe Mr. Phillips did."
Trell agreed with a statement by plaintiff's attorney, Brian Panish, that company executives knew by then there was a "deep issue" with Jackson
Does Trell consider that exchange a "red flag" that AEG Live should have noticed, Panish asked.
"I would take it seriously, as I believe Mr. Phillips did," Trell answered. "I don't know I would use the word 'red flag'
One of the emails shown to the jury was from Jackson estate co-executor John Branca, sent 5 days before Jackson's death & marked 'confidential':
"I have the right therapist/spiritual advisosubstance abuse counselor who could help (recently helped Mike Tyson get sober and paroled) Do we know whether there is a substance issue involved (perhaps better discussed on the phone)
The email was sent the same day that a meeting was held at Jackson's home with Murray. No further info given to jury.
Trell said Mr. Phillips never told him about this email
Email from Ortega to Randy Phillips on 6/20/09: (chain of emails)
"I honestly don't think he is ready for this based on his continued physical weakening and deepening emotional state"
Trell said he didn't see these emails. He said he spoke with Randy Phillips about Phillips' perception of Michael, in order to prepare for testifying, but not about specific emails. Trell has been designated as the most qualified person to speak on behalf of AEG
Email from Phillips to Gongaware on 6/20/09 at 1:52 am :
"Tim and I are going to see him tomorrow, however, I'm not sure what the problem is Chemical or Physiological?"
From Gongaware to Phillips, on 6/20/09 at 5:59 am :
"Take the doctor with you. Why wasn't he there last night?"
From Phillips to Gongaware, on 6/20/09 at 2:01 pm :
"He is not a psychiatrist so I'm not sure how effective he can be at this point obviously, getting him there is not the issue. It is much deeper"
Trell said Randy Phillips went to a handful of rehearsals, three at the Forum and two at Staples Center. The head of the marketing department attended rehearsal on June 23, 2009.
"She was blown away by it," Trell testified.
He said he was unaware of issues with Jackson at rehearsals.
"I knew of no problems with Michael Jackson at all",Trell testified.
Trell said he never saw the emails from Phillips directing people to exclude images from This Is It of Michael looking "skeletal" while rehearsing.
"What were his observations of Michael's physical condition during rehearsal," Trell said. "I asked for his (Phillips) personal opinion."
Next line of questioning is about human resources and background checks. Trell said they can be valuable and useful tools when hiring. Background check costs around $40 to $125. Trell said AEG Live could afford this fee. "We don't do background checks on independent contractors," Trell said. Trell said he was involved in the hiring by AEG Live for the This Is It tour. His department was responsible for retaining independent contractors. Trell said he is not familiar with background check process for hiring.
"I am not familiar with the process of doing background checks," Trell said. "No training."

Panish: "There was no hiring criteria for the This Is It tour, correct?"
Trell: "Not to my knowledge"
Trell testified that when it comes to independent contractors, they have either worked with the artists, AEG or known in the industry. Trell agreed that no background check was done on anyone working on the This Is It tour. AEG Live General Counsel Shawn Trell told jurors that no legal or financial checks were done involving Conrad Murray or anyone else who worked as an independent contractor on the This Is It shows.
Depending on the nature of the position, a background could be done, Trell said, like for potential employees in the financial area. Trell said he thought a background check would be appropriate for people working in financial roles, but not tour personnel who weren't employees of AEG
As to independent contractors, Trell said there's no supervision and monitoring like there's for employees
Panish: "You don't do anything to check into background, supervise or protect the artist?"
Trell: "No, safety is a concern"
Trell said that AEG did not hire Murray, that the doctor was like many independent contractors,
"When they leave the environment, what they do on their own time is their own business"
Trell testified he doesn't believe the artist is more at risk because AEG Live doesn't do background checks
"We did nothing to monitor Dr. Murray," Trell said. "We did not monitor whatever it was that he was doing, no."
"It called for Michael Jackson being able to terminate Dr. Murray at will," Trell said about the contract. "If the concerts didn't go forward, and he was terminated under this provision, Dr. Murray would not be paid going forward," Trell explained
As to Dr Murray being under dire financial straits, Trell said that he doesn't know if he agrees with it, everyone's perception is different
Trell: "I certainly wasn't aware of it at the time"
Panish: "Because you didn't check, right?"
Trell: "That's right"
"I don't think conflict of interests are a good thing, and we would want to prevent it," Trell said
Email from Kathy Jorie to Shawn Trell on 6/24/09 at 12:54 am:
Subject: Revised agreement with GCA Holdings/Dr. MurrayIt had two attachments Attachments: Revised Michael Jackson -AEG GCA Holdings Murray Agreement 6-18-09 Final MJ -- AEG GCA Holdings Agreement (Dr. Murray) 6-23-09
Email chain from 6/23/09, 5:39pm from Jorrie to Wooley, Murray
Subject: RE: Michael Jackson - Revised Agreement with GCA Holdings/Dr. Murray Email:
"I have redlined the Word version so that you can see all of the revisions. In addition, I've attached clean PDF version for execution" (The email says that if Dr. Murray approved it, he was to print it, sign and send it back to Jorrie)

Panish: "Did Ms. Jorrie call this contract a draft?"
Trell: "She called it a Final Version"
"Every document is a draft until it is executed," Trell said.
Panish showed emails exchanged among AEG executives that contained drafts of Murray's contract. Although Murray had signed a contract with the company, neither Jackson nor anyone from AEG had added their signatures. Trell testified that a copy of the contract had never been sent to Jackson
With Trell on the stand, Panish played part of an interview that AEG Live President Randy Phillips gave to Sky News television soon after Michael's death.
"This guy was willing to leave his practice for a very large sum of money, so we hired him," Phillips said.
Panish also showed jurors an e-mail between AEG lawyers suggesting that Phillips told other interviewers AEG Live "hired" Murray.
Panish: "Isn't it true that Randy Phillips made numerous comments that AEG Live hired Dr. Murray?"
Trell: "I know he has made that statement"
Panish said AEG higher-ups became concerned after Phillips made such admission. Trell said he didn't know if that was true. Bruce Black is the General Counsel for parent company of AEG and AEG Live. Michael Roth is AEG's media relations
Email from Kathy Jorrie to Bruce Black and Michael Roth on 8/25/09:
Subject: AEG Live president says AEG Live hired Dr. Conrad Murray
Panish shows Trell a deposition, under oath, given by insurance broker Bob Taylor on another case. Trell said he has never seen or read it. Trell denied having a telephone conversation with Mr. Taylor where Trell asked him if a doctor's compensation was covered in the insurance.
Panish: "Does that refresh your recollection that AEG was employing Dr. Murray?"
Trell: "Mr. Taylor has this completely wrong"
After lunch break, Brian Panish asked if Shawn Trell wanted to change anything else in his testimony, to which he said "No"
Bruce Black, attorney for Anschutz, was present in the meeting with LAPD. Trell met with the police on 1/12/10. Trell told the police that day that Dr. Murray would receive $150,000 compensation per month. Trell also said that Dr. Murray requested and AEG would provide necessary medical equipment and a nurse. More than five months after Jackson's death, Trell said, he informed LAPD detectives that Murray initially requested $5 million to join the tour but eventually agreed to a salary of $150,000 a month for 10 months.
Panish: "As far as you know, all the agreements written for TII tour was done under AEG Live Productions, right?"
Trell: "Yes"
Panish: "Was Dr. Murray trying to help AEG get insurance?"
Trell: "The policy was in both names, so he was helping both parties"
Trell said Dennis Hawk, who represented Michael, was in touch with Taylor regarding the insurance
Panish: "As of June 2009, you don't even know whether Mr. Jackson had a personal manager
working for him, right?"
Trell: "Well, my understanding at the time there were a couple of people acting in that capacity"
Email on 6/2/09 from Randy Phillips to Jeff Wald:
"Jeff, remember getting Michael to focus is not the easiest thing in the world and we still have no lawyer, business manager, or, even real manager in place. It is a nightmare!"
Trell said the only time he saw an artist's signature required to retain an independent contractor was for Dr. Murray. Trell said his understanding was that Dr. Murray worked for Michael for 3 years; didn't know how many times MJ saw Dr. Murray.
"I've never spoken with Dr. Murray ever. And I met/spoke with Mr. Jackson once," Trell said.

"He was a significant expense," Trell testified about Dr. Murray.
Trell said AEG Live didn't do anything to check Dr. Murray's competency as doctor, other than checking his physician license. Trell said AEG didn't do anything to determine Dr. Murray's financial conditions in 2009.
Jury was shown an email that Phillips sent to Kenny Ortega on night of June 20, 2009. It was email urging Ortega to stand down.
Email on 6/20/09 Phillips to Ortega :
"Kenny it's critical that neither you, me, anyone around this show become amateur psychiatrist/physicians. I had a lengthy conversation with Dr. Murray, who I am gaining immense respect for as I get to deal with him more. He said that Michael is not only physically equipped to perform & discouraging him to will hasten his decline instead of stopping it. Dr. Murray also reiterated that he is mentally able to and was speaking to me from the house where he had spent the morning with Michael. This doctor is extremely successful (we check everyone out) and does not need this gig so he is totally unbiased and ethical"
Panish asked Trell whether Phillips "characterization to Ortega, given no background check was done, was a lie". Trell responded that he didn't know what Phillips knew or was thinking when he wrote that email to Ortega. Trell also said he expected Randy Phillips to testify at some point during the trial, so he could address the email himself
Panish then asked Trell, "Sir, you never checked out one single thing about Dr. Murray -- you've already told me that, correct?"
"As of the date of the email, that would've been correct",Trell said.
When pressed by Panish, Trell said that Phillips' statement that Murray had been checked out, along with the executive's claim that the doctor 'does not need this gig' were inaccurate.
"I don't know where Randy's understanding or impression comes from", Trell said.
Trell testified that Phillips might have been "misinformed" or simply was stating his impression of the Las Vegas cardiologist
Panish: "But no one at AEG checked Dr. Murray to see if he was successful or not, isn't that true?"
Trell: "Yes"
Panish then asked several pointed questions about whether Shawn Trell agreed with Phillips telling Ortega they'd checked Murray out. One of Panish's questions was whether Trell thought Phillips' email was 'acceptable conduct'
Panish called Phillips' statement "a flat out lie" and asked Trell whether he agreed with it or if it signified how AEG did business. Trell said he didn't know what Phillips thought he knew when he wrote the message.
"I know this statement is not accurate, but you'd have to speak with Mr. Phillips about what he thought or meant in saying it," Trell said.

Panish: "That's a flat out lie, isn't it sir?"
Trell: "I don't know what Mr. Phillips intended to say, this should be a question to him"
Panish: "You don't know if he was successful or facing bankruptcy, did you?"
Trell: "No"
Trell: "I know the statement is not accurate. You have to speak with Mr. Phillips about what he meant to say"
Panish: "Do you agree with the CEO of your company making untrue statements?"
Trell: "I don't know that he didn't know it wasn't true when he said it"
Trell said Phillips never told him that he checked Dr. Murray out. As to reference in Phillips' email about Dr. Murray being unbiased, ethical, not needing this gig, Trell said it was Phillips' impressions. He said AEG typically only runs background checks on candidates applying for full-time jobs with AEG, not independent contractors.
Panish: "Isn't it true AEG Live does not do background check on independent contractors?"
Trell: "That's true"
Trell said that no one from AEG interviewed Dr. Murray because he was an independent contractor.
"Did anyone from AEG ever at any time interview Dr. Murray", asked Brian Panish
"No", Trell replied.
Panish showed a document used by AEG entitled "Disclosure and Authorization to Conduct Background Check". Doc is used for employment, promotion, retention, contingent or the rate staffing, consulting, sub-contract work, or volunteer work. Panish asked if there was any reason why Dr. Murray was not given a background check.
"He wasn't an employee, he wasn't applying for a full time position with the company," Trell explained.
Trell said theoretically they could've asked to check Dr. Murray's background and credit.
AEG Cross
Jessica Bina began her examination by showing the letter submitted by AEG's CFO to the Estate of Michael Jackson for their review. She asked Shawn Trell about the estimate presented to Jackson's estate that included Murray's $300k fees. She asked why it was prepared. Shawn Trell said it was done at the request of the estate. He said Jackson's estate wanted to know state of tour finances when Jackson died. Trell said the report was requested by the Estate after a series of meetings after Michael's death.
"The purpose of the meeting was to wind up the business affairs of the tour due to Michael's death", Trell said. "It was my understating in June Tohme was back in the picture in some capacity. I'm not sure which, Mr. DiLeo was in it too," Trell said
Bina: "Is there any request for payment?"
Trell: "No, there's no demand for payment, it's for review"
Stebbins Bina asked about the inclusion of Murray's fee in the document. Bina showed the report that was attached to the letter. Murray's fee on the document had a footnote. Trell read what that footnote said, and explained why estate wasn't asked for Murray's fee. Next to "Management Medical" there's a reference to footnote 3.
Note 3: 'Contract is not signed by Michael Jackson and such signature was condition precedent to any payment obligation' - Footnote on Murray fee.
Trell testified Webking, the CFO for AEG, did not ask Michael's Estate for payment of Dr. Murray's salary
"You testified you were somewhat confused (by the inclusion of the $300,000)?", Bina asked Trell as she projected the list, dated July 17, 2009, on a screen for jurors.
"Do you see there's something in parentheses?', Stebbins Bina asked, zooming in to blow up a footnote from AEG CFO Frederick Webking that stated Michael Jackson never signed Murray's contract, so its terms were not enforceable.
"Is Mr. Webking asking the estate to pay?", Stebbins Bina asked Trell. "No", he replied, explaining that upon reflection he believed Mr. Webking was just being 'thorough' by including the $300,000 as a budgeted cost.
"Did Mr. Webking make a mistake as you thought yesterday?",she asked.
"No, he did not", Trell answered
Second report made to the Estate on 9/18/09, there was no amount next to management medical. Stebbins Bina then showed a Sept. 2009 report of This Is It's finances to Michael Jackson's estate. Murray's fee is not listed in that document
Trell went through his job description with AEG. He said he has five lawyers in his department and has worked on thousands of agreements. Trell explained what PMK is -- Person Most Knowledgeable, identified by the company to testify on its behalf. Trell said he didn't know about all the topics he was designated, so he had to do some studying and interviews with people
As to Ortega's contract, Trell said he was aware of a string of emails being at least a part of the original agreement with Kenny.
"When we were done here yesterday, I looked at Kenny Ortega's original agreement," Trell said.
Trell noted he hadn't looked at Ortega's agreement since it was entered into in 2009. Before the afternoon break, Trell and jury were shown Kenny Ortega's tour agreement. It was signed in April 2009. The agreement was three pages of legalese, with several pages of emails attached that confirmed the terms. The first three pages included some paragraphs that described who owned the rights to This Is It content. A large number of emails are part of the agreement as exhibits. Trell said he recalled the emails exchange and admitted again not being proud of forgetting the cover contract portion. Bina showed Ortega's executed contract with everyone's signature on it. Trell said Kenny Ortega was paid after his contract was signed.
Trell, Phillips and Kathy Jorrie were involved in drafting and negotiating the contract with Michael Jackson. For MJ, Trell said Dr. Tohme Tohme and attorneys Dennis Hawk and Peter Lopez represented him. He said there were multiple drafts.
"It's my understanding they were talking to, or at least receiving offers from, a competitive of ours, Live Nation," Trell said.
Trell also said that before signing an agreement with AEG, Jackson had been considering a tour offer from its main competitor, Live Nation.
Bina showed the jury the final tour agreement. Trell said he went to MJ's home at Carolwood to sign it. Upon arrival, Trell said Mr. Jackson got up from where he was seated, and said 'Hi, welcome, I'm Michael." Trell said it was pretty funny, since he was a very distinct person. Trell said they shook hands, he had a good firm handshake and his voice was not what people think
"He popped up, came over, introduced himself, was very cordial, there was a real positive energy, good vibe in the room," Trell said. "He seemed genuinely enthused," Trell added. "He had the contract in front of him, said he read every page, seemed very enthused." Trell said they all signed it and Mr. Jackson was really keen on the 3-D stuff, that he was already down the road in his mind. "I was probably there just a little less than an hour. And that was the only time I met him," Trell recalled.
Bina discussed the contract for the tour agreement:
A first class performance by Artist at each show on each of the approved itineraries. Contract:
Artist shall perform no less than 80 minutes at each show, and the maximum show length for each show shall be 3.5 hours. Artist shall approve a sufficient number of shows on itineraries proposed by promoter or producer as to recoup the advances made.
Trell said compensation was agreed on 90-10 split. Artist received 90% of what's defined contingent compensation.
Trell explained to jury how concerts get paid for. One scenario is artist pays for production up front. A second scenario is that the promoter gives artist an advance, and then they use the money to put together the show. The third option, Trell said, is the artist pays someone like AEG Live to produce and promote the show, with costs to come out of their pay. Trell called the second and third option like an interest-free loan. In Jackson's case, AEG agreed to a 90/10 split of show's proceeds. Jackson would have received the 90% portion, Trell said. Jackson was also on the hook for a 5% production fee
AEG Live was promoter & producer.
"We advanced the money necessary to mount the tour," Trell explained. "It's interest free money".
Trell testified that Jackson's advance, which covered his $100,000-a-month rent on his mansion and a $3-million payment to settle a lawsuit that would free up his performance rights, was considered a loan to be paid back to AEG.
Part of the advance was to pay off the settlement agreement of $3 million in London court. The underlying dispute was that a company owned the rights for Jackson's live performance.
"The rights needed to be freed up," Trell said.
The advances were to be paid back to AEG Live before the split of revenue. Production Advances were capped to $7.5 million. Contract:
Artist was responsible for all the production costs in excess of the cap and had to reimburse promoter.
"Michael Jackson was known to have very elaborate productions," Trell said. "Production values can get significant, for lack of a better word, it really depends on how many bells and whistles they want," Trell said.
Trell said AEG would not advance money without the artist requesting it.
Trell said it's not only typical and customary, but standard and artist needs to secure either non-appearance or cancellation insurance. Their interest in the policy, Trell said, was to cover the advances and production costs incurred with the production of the show.
"If the were no obligations to AEG, the payout would go back to the artist", Trell explained, "It just recoups our loan made to the artist."
Trell was also asked about elements of tour insurance policies and an agreement with former manager Tohme Tohme. Jackson's contract called for him to represent to AEG that he didn't have any health conditions that would keep him from performing.
Contract:
Artistco hereby represents and warrants that artist does not possess any known health conditions, injuries or ailments that would reasonable be expected to interfere with Artist's first class performance at each of the shows during the term
Oh Tohme's $100k per month agreement, Trell was shown a January contract that Jackson signed to pay that amount. However, Trell said Tohme's agreement was predicated on Jackson getting tour cancellation insurance by a certain date. Deadline passed and by that point Tohme was no longer Jackson's manager, so he wasn't entitled to be paid his monthly fee.
January 24, 2009 -- agreement entered with Dr. Tohme Tohme. Trell said Michael was involved and signed this agreement. "This agreement was entered into January 26, Trell testified.
"There are conditions that needed to be met before any payment could be made."
One of the the conditions was placement of non-appearance insurance, Trell said. That placement was done in late April, early May. In May, AEG received letter from MJ saying Tohme didn't rep him anymore.
"No payments were ever made under this agreement," Trell explained.
Court Transcript
Rebbie Jackson attending court
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submitted by FelicitySmoak_ to WhereWasMJToday [link] [comments]


2024.05.21 14:59 WeekendDense1916 The Helicobacter Pylori medication has only made it worse.

Keep in mind that I live in a country with a good universal health care system, but in my opinion the administrative part works poorly, and as I think this is taking too long, I have come here to ask for help. Also, they have changed my doctor in the middle of the process, which has slowed everything down. (English is my third language, I'm sorry for my mistakes, or if my expressions are not correct).
28F, 1,61m (5'3''), 57kg (125lbs), I take one pill a month of vitamin D, I don't smoke, I drink very very rarely and I don't do drugs.
I first went to the doctor in mid-January for digestive problems. I have always been prone to diarrhea, but the last few weeks it had been worse than usual. A week later I had blood drawn and gave a stool sample. The blood was fine, but I tested positive for Helicobacter Pylori.
10 days of Pylera medication (120 pills) and 2 gastric protectors per day. I had some discomfort but within normal side effects. I was told that I had to wait a month from the end of the treatment until I was tested again to see if we had killed the bacteria. Two weeks after finishing the treatment I started bleeding every time I went to the bathroom. It wasn't red blood, but it wasn't black either. A dark maroon maybe (?) and with small clots. I called the clinic and they told me that unless it got worse I should wait and that at the test they would do at the end of the one month period they would also do a stool blood test. I bled for a week and a half and by the time the test came back it stopped. Obviously I was negative for blood in stool. Also negative for Helicobacter. But less than a week later I bled intermittently again for a couple of weeks.
Since then I have not bled anymore, but my digestion is bad, different from when I first arrived, but bad. I have the feeling that the medication has spoiled me more than helped.
I have a lot of gas. I have never burped unless it was from drinking a lot of carbonated drinks, but now I am burping a lot every day. My stomach is making noises almost every day. I wake up in the middle of the night with a very sore stomach and when I go to the bathroom it's just to fart, I can sit for half an hour waiting for it to pass. I can't go for a run, a quarter of the times I would go to the gym I cancel because I don't feel well or I do an exercise and I feel dizzy. I don't do abdominal exercises because I feel like everything gets too shaken up. Going out with friends has also reduced. I haven't found an eating pattern that feels bad for me, but I have a very varied diet. It's like until I eat I don't know how I'm going to feel that day.
After many appointments with my family doctor I have finally been given an appointment with the specialist, but it is for a month and a bit from now. June 28th (the appointment request was made on May 1st). I started with this in January, I know I don't need to go to the ER, but I'm tired and I want to get back to normal life without worrying if my stomach will react well that day.
Any help would be appreciated.
submitted by WeekendDense1916 to AskDocs [link] [comments]


2024.05.21 14:55 semi-surrender Differences between Elecare and PurAmino?

I'm sorry for posting what I'm sure has been posted about before.
My daughter is 8 weeks old and is still struggling with a diagnosed cows milk protein allergy.
Long story very short, we went through a variety of formulas trying to figure out what was going on. She wound up on Nutramigen until she pooped blood. We brought the diaper to the doctor and they tested it, confirming her CMPA.
They gave us some samples of PurAmino and put in a prescription for it. Because of a nationwide shortage, we were not able to get the PurAmino and they switched her to Elecare. We did use the sample cans of PurAmino though.
We were also given a prescription for famotidine (pepcid) because she was vomiting. We were told to do a week of it, followed by a week without it, to see if we noticed a difference. My spouse and I agreed that we thought those meds actually made the vomiting worse - possibly because it allowed her to drink more at once, which resulted in more vomiting. We decided, and the doctor agreed, not to use it anymore.
About a week ago, my daughter pooped mucus on the Elecare. We brought the diaper into the doctor again, and it tested positive for blood again. Our ped diagnosed her with infant colitis and said since she's already on amino acid formula, there's nothing else more sensitive to switch her to. She did say that if we thought she did better on the PurAmino, we could try switching back to that since there are slightly different ingredients in the elemental formulas, and the shortage is apparently over. At the time, we didn't see a need to switch "back" and decided to keep her on the Elecare.
Well, this past week has been awful. My daughter is pooping straight liquid now and is vomiting about 5x per day, which is more than she was. I called yesterday and they're putting in a prescription for the PurAmino instead.
I also put in a refill for the famotidine because I figure it's worth trying again.
My questions are: Has anyone had improvement by switching from one amino acid formula to another? Has anyone's baby had these kinds of symptoms and have any other suggestions for us?
It's killing me as her mom to watch her struggle.
submitted by semi-surrender to MSPI [link] [comments]


2024.05.21 14:49 New_Tiles5 I miss my mum

My mum has an illness but don't want to get it checked. Rather than medical treatment, she wants to go through traditional medicine more. I'm a medical student. What I'm seeing from her, the symptoms that she is manifesting, I couldn't help but to think of the worst disease possible. After all, that's how I was taught in my class.
At first, I tell myself to give her time. Then, I'll coax her to see doctor again but she won't budge. She said I'm stressing her out but I'm stuck between letting her know what I knew from my studies or making her more stress when she what I knew about my suspected diagnosis.
Now, she is always irritable because she is in pain. Previously for 3 year straight since I've been away from home, I'll facetime her every night or maybe once every 2 night if I'm busy. She is my therapy. My stress reliever. Now, she's cranky all the time because of the pain. She's lethargic, couldn't spend time with me if I'm home. Now, she sleeps early because she's too tired to do anything. I couldn't even hear her voice.
Fuck me because I miss my mum. I want to talk to her, about my day or my university or my friends. I don't know. Anything silly but I want her to be my friend again. I don't want to tell my friends this and other than my mum, I have no one to talk about this. I'm so sad tonight.
submitted by New_Tiles5 to TrueOffMyChest [link] [comments]


2024.05.21 14:47 According_Prune_8763 Anterior hyaloid/vitreous detachment

Fellow medics,
I can find very little information about the significance of an anterior hyaloid detachment/vitreous detachment from posterior lens capsule, besides the increased risk of capsule rupture during phaco. Considering that the hyaloid membrane plays a role in lens physiology it seem likely that it may predispose to cataract formation in the future?
Anyone perhaps with more knowledge about this condition?
Kind regards
Edit: I'm a medical doctor with an interest in aerospace/flight medicine.
submitted by According_Prune_8763 to Ophthalmology [link] [comments]


2024.05.21 14:46 Pigeon_Goes_Coo Dieting when sick?

Hi loseit,
I've previously been making great progress thanks to this subreddit. I am down from 83.7kgn-> 75.8kg today (155cm). The problem is that my immune system is bad because I am on immunosuppressants for my eczema, so I fall sick extremely often. 5 days ago, I caught COVID. Before that, I got a flu vaccine and was completely knocked out by it. I got ALL the bad side effects. Today, I got diagnosed by my doctor with a returning migraine.
All of the recent sicknesses have been playing havoc on my body and the signals that it is sending to me. I usually keep to 1300 a day, but I have been finding that for the past weeks or so, I have ended up eating basically 1600 (maintenance) all the way up to 2200 cals some days. I just feel hungrier than usual and when I'm sick and miserable I also have less willpower to resist.
Right now I am lying in bed hating COVID (still have a ton of post effects) and hating myself. I know that I am not keeping to my goals. What do you do regarding your diet when you are sick? And for those who are in the same situation, what do you do when you are basically sick with something ALL the time? I am a whole magazine of medical issues and I just feel like giving up. Why try to lose weight when my body is so broken anyway? It won't matter.
Looking forward to advice. Thank you so much.
submitted by Pigeon_Goes_Coo to loseit [link] [comments]


2024.05.21 14:42 Professional-Map-762 Let's Analyze the Inmendham vs Vegan Gains Debate: whether Value-realism is True (How 2 best argue defending it, going forward?)

How can we stop going around in circles with these corrupted nihilists? (basically an extreme religious-nut but in reverse; no meaning, no value, no good/bad, nothing matters) I've compiled some of my thoughts/comments.

But first If you are not caught up yet:
1 Re: Vegan Gains ...The Militant Vegan Raffaela Interview - (May 12, 2024)
2 Vegan Gains is a sub-Jerkivest [5/11/24]
3 Moral Realism Debate w/ Inmendham - (May 16, 2024)
4 WTF #899: The vegan gains debate ... Value realism - (May 19, 2024)
5 Vegan Gains ...Denialism is the only nihilism [5/19/24]
also saw this Controversial Topics with Vegan Gains (Horse Riding, Bivalves, Depression, and much more!) - (May 11, 2024) ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ (he thinks in terms of some dogmatic religious brain-rot morality source of right/wrong, but a kind of reversed/opposite conclusion of it's absence, nihilism)
the very reason religion was invented in the first place was because humans by nature had a value-engine driving them & NEED for meaning, that's the irony. value gave rise to religion, religion never needed to grant value. The fact people can't grasp this. 🤦 ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎

Now onto the various arguments, sorry how long and out of order it is But the idea is to provoke you coming up with better ideas/arguments, and if you can critic and strenghen my and ultimately inmendham's arguments. The GOAL should be to Create a formal argument AKA a syllogism, modus ponens. Something clear and concise that can't be taken out of context or misinterpreted, as happened with the debate...

On the subject of Efilism, tread lightly, the philosophy and argument extends beyond merely focusing on suffering; it also includes the critical issue of consent violation. Its proponent and creator, Inmendham, argues for value realism, which contrasts starkly with the notion of subjective morality which I find illogical. While objective morality is full of baggage... often linked to outdated religious doctrine so on face value it's not fun or easy subject to broach... many contemporary non-religious ethicists ground it in realism. Personally me, inmendham and others see no use for the term "morality" as it's tainted. value-realism is the subject. Is it a value-laden universe or not?
it is not necessary to call TRUE/REAL right or wrong Objective, because if objective is defined as mind-independent than without minds there's nothing right/wrong to happen to, therefore THE discussion should be just regarding what is TRUE or NOT, subjective doesn't necessarily mean mere contrived opinion or preference but can be logical conclusion, e.g. you can conclude 2 + 2 = 4 as we understand these concepts of numbers to model reality but can you call it objective or mind-independent 2 + 2 = 4, or that math exists? Not really. As you require a modeler to model reality, an observer to make the observation, a mind to come to such accurate conclusions. To me, claiming there is no real right or wrong is akin to asserting that moral standards and ultimately the subject of Ethics is as fictitious as religion or Santa Claus, you just believe it cause you want to or have preference to. Why maintain this pretense if it's all a mere fabrication / contrivance?
Regarding subjective judgments such as determining "What's the tastiest potato chip or the most beautiful painting?", these are not factual assessments about the things themselves, The question itself is misleading, because the thing itself has none of those qualities objectively, Instead, such qualities are OUTPUTs generated by the interaction of our bodies and minds with these INPUT items, the input is quite arbitrary/irrelevant, unlike the highly meaningful & distinct output generated of positive or negative experiences. You might get off more on certain female body part than another, it doesn't matter, the output positives & negatives is more or less same among individuals and that's what's relevant... not what specific fun or hobby gets you or them off or pushes their buttons.
It can be TRUE that a certain food item is the tastiest to that personal individual, or gross to another, and we can talk about intersubjective truths with averages overall. But one's experience of what is tastiest for them doesn't contradict another's, they can both be true for them individually, as you are likely not even sharing the same exact experiences to judge differently. And one's very perception or framing of the experience changes the experience itself, no way around this truth. Some people find bricks tasty or edible, just how their brain is wired.
It's important to recognize that differing opinions of personal taste do not inherently conflict in the way ethical contradictions do. With ethical matters, asserting that two diametrically opposed views are equally valid is problematic, either one is right and the other wrong, or both might be based on flawed reasoning. Pretending 2 opposing ethical views can be both equally right/true/correct is utter contradictory mush, either one of them must be right / wrong, or both are contrived meaningless nothing opinions, just made up. you wouldn't say whether one believes in god or not IS mere personal opinion/preference and such 2 opposing views can be equally right at same time, that's utter contradictory nonsense, by saying 2 opinions that gRAPE is both good & bad at same time are equally right opinons, right loses all meaning and you might as well say neither is right and both are wrong, they each have their own contrived fairytale delusion.
Now with Ethics of right / wrong, it does not depend on one single individual's preference or opinion, but taken as the whole, if you violate one without consent you still have to account for that since you are seemingly putting the weight on the preference otherwise preferences are utterly meaningless and irrelevant.
ALSO, Do you call whatever you prefer what's right, or do you prefer to try to do what is right?
Do you prefer to seek out what is the right most accurate conclusion given all the facts of reality, or contrive right to be what's in your preference/interest or personal gain?
I don't think VG or most these talking heads understand value-realism (problematic events within subjectivity/a non-physical but REAL reality of the mind). Obviously there's no objective divine or otherwise prime-directive moral-rules we must follow. Unfortunately Religion has poisened the conversation so much with archaic ideas and mushy terms like 'Morality'. Understand there is no 'moral truth', let alone an objective one, ofc if you pigeon-hole me or all realists into defending such nonsense it's easy to refute them. What I'm interested in is subject of Ethics, and to start whether or not value/problematic events exist or do not exist.
Here's a silly question by nihilists: "why is suffering bad?"
Response: How do you identify suffering? Based on the fact that it feels bad. (Yes subjectively) Just as we can subjectively understand 2+2 = 4
Or this: "prove suffering bad, objectively"
Also question-begging, obviously it is subjective. If such badness cannot exist mind-independently by definition.
"Prove suffering is bad, objectively"
is begging the question, because...
It strawmans / assumes the badness must be bad mind-independently, it isn't therefore, it isn't bad.
Answer this, evolutionarily do animals PERCEIVE being tortured skinned alive nail in the eye as BAD, or does it impose torture which we RECOGNIZE and define as Bad by definition?
If true PAIN/torture isn't bad then why does it exist evolutionarily? Answer: (problem -> solution) mechanism which functions as ability to learn & improved survival, this mechanism was reinforced over time as it worked.
inmendham & realists like myself argue: it is the case Descriptively, Objectively evolution IMPOSED Prescriptive-value-judgements onto animals which function as a learning/problem solving mechanism. Fact is, the invention of 'PROBLEM' is something I/we/animals had nothing to do with... (no-free-will-choice) but are simply byproduct in observation of this fact.
If real PROBLEM(s) didn't truly exist then Arguably the word and conceptual understanding it points 👉 to wouldn't exist either. As if beings could be truly blind never seeing colors/vision yet pulling the idea out of thin air and conceiving of such a thing, how preposterous, that'd be giving human creativity/imagination way too much credit. The only nihilist argument then is that by evolution we & all feeling organisms are somehow ultimately deluded or have illusion of problem where there is none, which I find deeply implausible. Run the torture study/experiment a million times putting people's arm in the fire "yep still bad". Filtering out people who lack ability to feel pain of course.
As evolutionary biologists even states pain is a message to the animal "don't do that again". Can't get descriptively prescriptive more than that.
Are You Getting It?
The Ought is literally baked in as an IS. The is-ought gap to be bridged is a complete Red-Herring, yes you can't derive an Ought from an IS, because if you oughtn't do something, then it can never be BAD... problematic/BAD/torture can't mean anything if it doesn't scream OUGHT-not.
All you have to agree to is due to evolution it created torture which is decidedly negative/ inherently BAD, by definition. Otherwise it wouldn't feel bad or be torturous at all... THEN ask yourself, how can something be BAD yet it's not BAD to create that BAD?
This is Checkmate. These are irrefutable Facts & Logical deductions.
So much for it all being false-perception, the very fact placebo patients perceive an otherwise harmless laser as BAD/painful makes it so. It's the TRUE reality in their mind and you can't deny that fact. It's also a fact believing a pain isn't really all that bad can make it so, but this doesn't make these value-laden experiences NOT real/true.
As per evolution, your body/brain's mechanisms must generate & impose a prescriptive-value-judgement / problematic event within your mind,
It's nagging, complaining, telling you keeping your hand on the hot stove is a mistake/problematic/bad. (not in itself but as a consequence)
I believe this brain making me write all this... is making an accurate assessment when it observe certain events to be problematic/bad where it's happening which is within subjectivity, where's your evidence my perceptions are fooling me or I'm somehow deluded? I witnessed the crime take place and you were nowhere near the crime scene yet you have the authority to claim otherwise as fact? (You are not simply agnostic to my problem suffering but a De-nihilist)
Once one accepts this evolutionary fact we can move on to more complicated questions regarding ethics, like how do weigh the good & the bad, conflicting preferences, etc. Otherwise, it's all pointless & futile, like arguing bivalves or wild-suffering with a non-vegan. They're just not on that level yet and it's a waste of time.
revised version of my other comment: I believe that many discussions around morality miss a crucial point about value-realism, which acknowledges problematic events within subjectivity, a non-physical but real reality of the mind. It is evident that there are no objective, divine, or prime-directive moral rules we must follow. Unfortunately, religion has muddied the conversation with archaic ideas and terms like 'morality'.
There is no 'moral truth,' especially not an objective one. If critics pigeonhole realists into defending such notions, it becomes easy to refute them. My interest lies in ethics and whether value/problematic events exist.
Consider this question by nihilists: "Why is suffering bad?"
Response: Suffering is identified because it feels bad, subjectively. Just as we subjectively understand 2+2=4, we can recognize suffering through its unpleasant experience.
When asked to "prove suffering is bad, objectively," this is question-begging, as the question assumes that the badness must exist independently of minds, which it does not by definition. This question straw-mans the issue by requiring mind-independent badness, ignoring the subjective nature of suffering. As if the quality of it being BAD must be granted by something outside the experience itself.
Evolutionary Perspective: Animals perceive and react to torture (e.g., being skinned alive) as bad because evolution has imposed mechanisms that signal harm. Pain serves as a problem-solving mechanism, reinforcing behaviors that enhance survival. If pain and suffering weren't inherently problematic, they wouldn’t exist in the form they do.
Realists like myself argue that evolution has objectively imposed prescriptive-value judgments on animals. The concept of 'problem' or 'bad' arises from these evolutionary mechanisms, not from free will. The existence of these concepts indicates the reality of these problematic experiences.
If real problems didn’t exist, neither would the concepts describing them. This is akin to how beings blind from birth wouldn’t conceive of color. Suggesting that evolutionary processes have universally deluded all feeling organisms into perceiving problems where there are none is implausible.
As evolutionary biologists state, pain signals to the animal, "don't do that again," which is descriptively prescriptive. The 'ought' is embedded within the 'is.' Thus, the is-ought gap is a red herring because prescriptive judgments are evolutionarily ingrained.
Again, How do you identify suffering? Based on the fact that it feels bad. (Yes subjectively) Just as we can subjectively understand 2+2 = 4
All you have to agree to is due to evolution it created torture which is decidedly negative/ inherently BAD, by definition. Otherwise it wouldn't feel bad or be torturous at all... THEN ask yourself, how can something be BAD yet it's not BAD to create that BAD?
Conclusion: By acknowledging that evolution created inherently negative experiences like torture, we accept that these experiences are bad by definition. Denying the badness of creating bad experiences is contradictory. Therefore, once recognizing the true reality of subjective experiences, only then we can move on to complex ethical questions about weighing good and bad and addressing conflicting preferences.
playing devil's advocate let's try Steelman their position and then arrive at the logical conclusions of it and then perhaps refute it. If they say: "veganism = right" realize there is no contradiction IF by 'right' they just mean it's literally nothing but their preference...
There's no goal to prefer to know/do what's right, RATHER what's right is whatever matches our personal preferences, so unlike flat earther vs round earth beliefs/CLAIMs which can contradict/conflict with each other since either 1 is right or both are wrong. Individual tastes don't.
Whereas if VG says 9 people gRAPE the 1 kid for fun is WRONG because he's a threshold-deontologist but Also RIGHT to a hedonistic utilitarian, Those views only contradict/conflict if they are making VALUE-claims or recognizing a problematic event take place. However, with VG apparently he would have to say he's not claiming or labelling anything as TRULY problematic at all but merely describing his preferences like flavor of ice cream...
Now, of course, as the realist, I find such a view more deplorable/worse than if they were merely agnostic on right/wrong. Cause it's one thing to say there's a right answer to questions of Ethics but we have no objective scientific basis to determine it yet or lack knowledge VS saying they have knowledge there is absolutely no right or wrong.
Under Anti-realism nihilism, what they mean by wrong/right, is just their preference, if I understand correctly (which I'm quite sure) Anti-realism nihilism reduces the Subject of Ethics down to nothing but you or someone else pontificating/opining (i.e "me no like torture") . It defends some sort of expressivism, emotivism, normative, prescriptive reduction of Ethics. Which I find lubricious and has to be a mistake,
I don't see anyone playing any different game even the nihilists invest their money and plan ahead for self-interest, no one truly signs up for torture for fun like it's no problem, and runs away from pleasure happiness as bad. Further, it stands to reason... since we can recognize objectively evolution created a punishment mechanism to enforce learning and survival, BAD/PROBLEM as a concept is something I/WE/Animals had nothing to do with. We didn't invent it, we recognize it and respond accordingly. Even evolutionary biologist Richard Dawkins stated that pain is a message to the organism 'don't do that again!'
We must address further the flawed logic of VG and other nihilists reducing Ethics down to mere arbitrary preferences like potato chip flavor, or how much salt you prefer in the soup. As it is completely disanalogous & dishonest upon reflection. QUOTE: "There's no arguing against Efilism, it's just personal opinion. Like arguing what tastes better... ice-cream or potato chips?"
Say if you believe that the mona-lisa is beautiful, and I personally find it ugly, this conflicts/contradicts nothing because it claims nothing in terms about that object or reality outside of our own minds.
such qualities are OUTPUTs generated by body/mind from these INPUTs, the input is quite arbitrary/irrelevant, unlike the highly meaningful & distinct output generated of positive or negative experiences.
it doesn't matter what specific fun or hobby gets them off or pushes their buttons in order for it MATTER, those differences don't make it any less real OR all mere subjective opinion. the output positives & negatives is more or less same among individuals and that's what's relevant...
It can be TRUE that a certain food item is the tastiest to some personal individual, or gross to another, one's experience of what is tastiest for them doesn't contradict another's, they can both be true for them individually because it is the reality in their mind, Some people find bricks tasty or edible, just how their brain is wired.
while one person may find a certain food delicious, another may find it repulsive, without invalidating each other's experiences because they are true for them individually. both experiences are valid/correct.
However, actions that disregard another's negative experience invalidate their reality. if you find being boiled alive problematic and I do it anyway believing it's ok, I am invalidating your experience as either not real, relevant, doesn't matter, or my preferences are more important (carry more weight) than yours. Or simply believe it's ALL equal or arbitrary and I just prefer to exploit you so I do that.
Positive or negative experiences are largely consistent among people, making them relevant, regardless of the specific stimuli. Individual truths about taste or preference coexist without contradiction, reflecting each person's value-generated reality.
This cannot honestly be applied to one's mere opinion it's fine to boil kids alive, as you are invalidating the fact that it matters to those victims. You saying it doesn't matter or your gain of pleasure outweighs their loss of pain, is a claim about the reality of events going on in their mind, so there is room for conflict/contradiction. They can't both be right/wrong at the exact same time.
A strong non-intuition argument/claim & facts presented render value-nihilism implausible:
It is Descriptively the case, that Evolution IMPOSED Prescriptive-ought statements... of 'PROBLEMATIC sensation/event' on organisms which functioned as a learning mechanism and improved survival.
Therefore, BAD/PROBLEM isn't mere subjective opinion but something I/we/animals had nothing to do with and are mere by-product reacting to an observation.
This is pretty much the only base-axiom needed to ground my own torture as mattering as the original actual value-currency at stake. That paired with the fact I sampled consciousness and know it matters to me whether or not I am tortured, the fact that I personally observe it as problematic makes it the true reality for my own mind...
...AND it's not mere opinion/proclamation / or idea humans creatively invented out of thin air... as if like everyone could be truly blind yet conceptualizing colovision, makes no sense. plus that's giving humanity way too much credit of imagination.
Can't really have thoughts about information that you don't have. The concept of bad/problem arguably wouldn't even exist if it never was so.
Yes, I agree very semantics. I am attempting to shed clarity on this topic. Looking at the word "BAD" purely in a descriptive sense (e.g., that which can be categorically applied to extreme suffering) it loses all meaning if it's not truly consequential (i.e., it matters whether one experiences bad or not). If it doesn't actually matter ("no problemo") then it can't be bad, only an illusion/delusion of it, yet it's an effective one evolution imposed on organisms as a learning/problem-solving mechanism. The value-realists like myself have every reason to believe evolution created the real thing, not some contrived pseudo-problem organisms feel compelled/obligated to solve.
One only requires the axiom of a Descriptive Bad to ground Ethics. Why? Because it can be argued that a descriptive statement of BAD/problem is prescriptive by it's very nature in the meaning the of word/language.(otherwise its psuedo-bad/fake langauge, redefines bad as aversion/mere preference against) Otherwise, it can't mean anything to be bad, torturously obnoxious, unwanted experiential events couldn't mean anything. Evolutionary biologist Richard Dawkins even state pain is a punishment signal/message to the animal: "Don't do that again!" If those aren't prescriptions imposed, then I don't know what is. The animal doesn't simply decide/prefer to avoid the event and finds it bad, it's told/finds it bad and so prefers to avoid the event/problem. If god or there were some logically or physically possible way it were to be invented how else would it exist?, or what you think evolution's reward & punishment mechanism accomplished? If it didn't synthesize problematic sensations to force organisms to solve?
Evolution prescribes Needs/wants, at the same time imposes a PAIN/PROBLEM of starvation/hunger which by it's very nature is a prescription for solution (i.e. sustenance/relief/comfort.)
By the very nature of "PROBLEM" it prescribes -> "SOLUTION" not merely a contrived or trivial-like on paper math problem, but the origin of why the word even exists: the problem of pain, a true whip/punishment mechanism, real currency to play with, real loss. Idk how you can describe something categorically as a PROBLEM in the true sense of the word if it doesn't come with it a necessary prescription for its solution. Because if there is no NEED for a solution, then it turns into no longer a problem again...
I don't see how it could be any other way because if there's no real game to be playing with value baked into it, then money would be worthless/not even exist, animals wouldn't bother evade standing in the fire, etc.
Saying It is Descriptively the case, that Evolution IMPOSED Prescriptive-ought statements... of 'PROBLEMATIC sensation/event' on organisms which functioned as a learning mechanism and improved survival.
Is the same as saying Evolution IMPOSED torture/BAD, as that's what torture/bad is... a prescribed need for solution to a problem which is some form of relief/comfort.
The prescription arises as a result of accepting step 1. (which nihilists reject/deny) problem solution. The latter does not follow/exist without the former. basic 2+2 = 4 logic. There's no point figuring out the answer to the math equation, if we don't agree first and foremost a problem exists. Nor how to solve a disease, if we don't first and foremost recognize a disease exists. And so, Any debate with nihilists on step 2: of determining what is the most likely solution / right answer becomes irrelevent and a waste of time. Arguing about whether x or y IS the right answer to fixing/preventing diabetes is pointless when they don't even agree the really disease exists. They don't believe an actual real BAD / Problem exists.
VG reduces it down to mere preferences, his reasonings that even if universally sentience prefers not suffebe tortured... Well, just because it is the case descriptively we prefer to avoid suffering doesn't mean we ought/should prevent suffering. He hasn't bridged the IS-OUGHT gap. But he got it backwards,
the claim/argument... ISN'T that because descriptively, sentience universally has a preference to avoid suffering, it is therefore bad,
the claim/argument... IS that it's descriptively bad/problematic, therefore universally there's a deductively logically assigned preference to avoid it,
Again you can't classify/label something as a problem if it's inconsequential whether it is solved or not. The word loses all meaning. If something NEEDs solving/fixing it means there's a problem, if there's a problem it means there's something NEED solving/fixing. Evolution manufactures these needy problems in organisms to manipulate and control them.
Merely what our preferences are IS NOT relevant, preference "frustration" arguably IS. (if preferences couldn't be frustrated "i.e., no value" than it wouldn't matter which way things turned out)
You can have a preference for some art style over another, if we were just programmed non-feeling robots that preferred to avoid standing in the fire, but there was no real kernel of value/bad, then it wouldn't matter.
Let's imagine something was Objectively PROBLEMATIC, an IS statement. What would a real problem look like? something in NEED of a solution. Again, why? because If it doesn't matter whether or not it exists or is Solved or not, it could never be a problem in the first place. So either this problem exists or it doesn't. (NOTE: it doesn't need to be an objective problem to be REAL, "i.e mind-independent")
Next, if ASI or sentient beings were to sample this "problem", would it not be the case they would logically deduce it's in need of a solution? And assign their preferences accordingly to solving it? Cause again otherwise then you just see it as "no-problemo" again.
"If Inmendham's argument is that sentient beings create value, and that the universe has no value without the presence of a sentient being generating it, would it not follow that the ought is inherently built into sensation?" yes but the way VG unfairly reframes it is that we subjectively place value on it, THAT it's entirely subjective, like you prefer salty or sweet, or certain ice cream flavor. emphasizing that it's entirely subjective opinion. Take a look at his unfair silly example: "we can't say pineapple on pizza is objectively tasty or not..." this shows a complete ineptitude in grasping the subject and misrepresenting the argument like crazy, no one is arguing whether Mona Lisa is objectively beautiful or some such thing.
What is being argued: the positive or negative mind-dependent event produced in response to the sensual or perceptual stimuli, the input (object) is irrelevant, only the output (experience) matters and what the value-engine (BRAIN) produced. What pushes your buttons so to speak, blue jelly beans or green jelly beans, could differ between 2 individuals but the shared experience is the same more or less. Whether you wired to find pineapple on pizza tasty or gross is irrelevant, some people find bricks edible.
Main issue is they talking past each other: what inmendham is arguing for was either not expressed as best it could be, and/or VG does not quite comprehend what is being argued... inmendham claims/argues evolution created the real bad/PROBLEM and we respond in recognition of this fact/truth with preferences that follow accordingly, Logic cannot be escaped, once you know 2+2 = 4, you can't will or believe it to be 79. If you know the right answer "torture be Bad M'kay?" obviously you won't act or behave otherwise and say you love it. What could it mean to have a preference against experiencing torture... does such a statement even make any sense? All that is required is a real BAD to exist... and then the preference to avoid it logically follows, an inescapable truth. Unless he thinks I also choose or prefer to believe 2+2 = 4 ?
Essentially VG keeps counter-arguing that: "yes we want to avoid torture, but that's just your preference... just cause universally sentience has a preference against torture (a Descriptive / IS statement) doesn't logically follow some Normative/Prescriptive claim/statement. That just because something IS the case it doesn't follow that we OUGHT / should do X, like help others, prevent suffering, etc. That's a non-sequitur he says. Ultimately it's just a preference." sure but...
His argument only applies/counters a strawman position in his head: Because of this I and other realists can account for / side-step it completely, we aren't attempting to derive an OUGHT from an IS. e.g strawman: "we ALL have preference against torture, Therefore it's BAD." Or "we ALL have preference against torture, Therefore we OUGHT prevent it"
The actual argument is that it's Truly Bad/Problematic by the very nature of the word, Therefore first-hand observation follows universally a deductively logically assigned preference to avoid it. Not the other way around.
"If the only thing that can have meaning in the universe is the experience of a sentient being, ought we not maximize its value just by nature of its experience being the only thing that can matter?" yes the ought is a further logical extension of recognizing it to be a problem, which denotes/demands a solution, otherwise if it doesn't matter to solve it or not then you've turned it into a non-problem again. So it can only be categorically one or the other.
Issue of semantics, different terminology and definitions: as long as VG defines objective as "mind-independent" and sets the goal-post to the realist to find a mind-independent "wrong/bad" as if somehow we need some divine-command or absolute rule in the universe that declares it so... then there is no fruit to the discussion. suffering/bad takes place in the mind/experience, so of course it's unfair to ask one to present a mind-independent suffering/bad in the universe, it is begging the question. To be fair inmendham uses the term objective and could have done better job with defining/pushing his terms "e.g. objective as truth/real/fact" and not let VG impose in his own. However, I don't ascribe a requirement to demonstrate an Objective BAD to ground a BAD as real, valid, and true; it can be entirely based on Subjectivist grounds/axiomatic foundations.
Just because the BAD takes place within subjectivity doesn't make it any less real (non-physical/immaterial sure... but not unreal). VG and nihilists can't understand this. 2+2 = 4 is subjective as is all science ultimately as a root axiomatic-fact... as an observation requires an observer. This doesn't mean realism can't be proven/grounded, it can just like we can know 2+2=4 and the moon exists. If anti-realism is gonna deny subjective truths because it's subjective, then one can't know much of anything and reduces to solipsism. I am more certain I exist and the reality of "perceived" BAD I experience is actually a real BAD... THAN that the moon even exists or any other scientific empirical claim.
PROBLEM is something I/we/animals had Nothing to do with, we didn't invent it.
If Anti-realism nihilism was True and Real "PROBLEMS" didn't exist the word wouldn't exist. It is like being born never knowing or seeing or experiencing vision & color, it's impossible to contrive or imagine it. Some knowledge & information is only accessible through experience.
Even Richard Dawkins stated, "pain is a message to the animal Don't do that again!"
If the ought exists within subjectivity, as preferences, why would them being Subjective vs Objective determine whether or not their violation matters? If one experiences disgust looking at something AND another finds beauty... both are true realities for them, they don't conflict or contradict like empirical or fact claims, but instead both are correct and relevant, not one or the other, BECAUSE when someone says the mona Lisa is beautiful they are just saying it arises in them a sense of beauty, the thing/input is irrelevant whereas the output in mind is what is relevant and true for their reality.
Subjective =/= not true, I don't understand the dichotomy between objective vs subjective ethics, as if there isn't facts to glean about subjectivity.
There's also definition or semantic problems:
objective (mind-independent) vs subjective (mind-dependent)
Under such definition does it make sense to say Objectively evolution created feeling experiencing organisms having sense of taste, smell, sound, hunger, pain, to survive. So can we apply word objective to mind-dependent experiences or not?
And of course under such definition there is no objective mind-independent ethics as without minds there is no feeling subject of concern to even talk about in first place. So how silly...
Yet they take objective to mean True & Subjective made up or mere contrived opinion.
For me these are semantic word games that distract, I just care about what's fact/true. What many don't get is Even science, math is subjective invention, byproduct of subjective tool of language, doesn't mean we can't create an accurate model and picture of reality.
I believe the Is-Ought gap is a red-herring, sure it's true you can't contrive an Ought from just what IS, but with evolution the OUGHT statement is built-in, it's descriptively a prescriptive value statement imposed on me, I/we/animals literally have nothing to do with it, I'm just by-product an observer. This is key understanding.
There exists no objective or divine commandment "you OUGHT do X" written into the fabric of reality, and therefore if you don't that's Bad, No. That's nonsense/impossible logically.
Rather an Descriptive IS statement of X is a real bad/PROBLEM, denotes/demands a solution by it's very nature of the word, otherwise if it doesn't need solving then it becomes into a non-problem again, so either x categorically IS a PROBLEM or it's not.
The claim/argument... Is that it's Descriptively BAD/Problematic, therefore universally there's a deductively logically assigned preference to avoid it. Not the other way around. Our personal preference against torture forever doesn't make it therefore bad. The prescription is built in, forced onto us.
It's like "STOP!" & "GO" What do you say to a dog? "BAD dog!" This is saying it should or shouldn't do something. basically = "No!" "Stop!" That's a prescriptive statement/signal/conveyed message.
Or simply, alls required is Descriptively diagnose Torture as Problematic. Which implies Problem Solution Without necessity of solution there is no problem at all, likewise without problem solution means nothing.
​So you essentially boiled my position down to: "Evolution programmed preference to avoid torture." or "we evolved preference to avoid torture" Does that sound incoherent or what... as if I would make such a silly claim. Keep straw-manning.
Do you think animals have PREFERENCE by default to avoid being tortured burned alive and have sex, or logically preferences are born out of observing problematic negative / positive assigned accordingly through punishment & reward mechanisms aka prescriptions, think long and hard about this one...
This is why value or ethical nihilism is incoherent to me. IF torture be bad, how can it be NOT-bad/neutral to create BAD?
It either is truly BAD or it isn't. It's either real or it's an illusion/delusion and false perception.
Their position must reduce to there is no MEANINGFUL difference between Torture & Bliss. And evolution didn't create any problematic sensation or true punishment whatsoever. Instead, were somehow deluded to view being boiling alive as problematic sensation/BAD, and relief as good, we can't tell the difference or label which is which...
Vegan Gains or any anti-realist needs to substantiate these anti-realist nihilist claims & concede if he agrees with the statements below:
"The value-laden problematic BAD experience of being tortured boiled alive in a vat of acid indefinitely... isn't really bad, evolution didn't successfully impose a real negative punishment mechanism on animals, torture isn't something I/we/animals had nothing to do with and are just byproduct observing the imposition, NO! Instead our opinion has everything to do with it... what's problematic torture, one is merely subjectively interpreting/inventing/proclaiming it to be so! Evolution failed!"
"Animals run from fire cause they irrationally unreasonably subjectively interpret it to be bad/problematic sensation or experience, not cause DNA molecule made it so objectively for evolutionary reasons"
"It is all subjective preference like flavor of potato chips, problematic torturous experience isn't bad you just think it's bad or have preference against it."
"You don't logically recognize intrinsic problematic torturous experience then logically assign solution to problem which is preference to avoid that experience, No, you merely have subjective delusional preference against a nail in your eye and there is no logic to it"
"Good is Bad, and Bad is Good depending on opinion, no right or wrong, all subjective tho"
value anti-realism nihilism. INSANE! WORSE than a flat-earth theory!
submitted by Professional-Map-762 to Efilism [link] [comments]


2024.05.21 14:42 Shadow_Dancer87 someone's vss theory on vss facebook group.. give a read..want to know what you think ratzor24

I spend a lot of time researching how our nervous system works and what may contribute to the development of Visual Snow and other symptoms. Remember that there is a lot of vital information that I do not know, and may greatly benefit our understanding of this condition. Visual snow is described as an "epileptic" firing in the visual system in the brain. (Tinnitus behaves very similarly but it is occurring in the auditory nerves) NMDA glutamate receptors, which are overexpressed after excitotoxic injury may well be the trigger of an increased spontaneous firing in the nerves. In turn, the brain would decode this increased firing as "visual snow" The idea is that remaining nerve endings have been damaged enough to overexpress NMDA Glutamate receptors, thus increasing their spontaneous firing.There are various factors that contribute to the development of this condition. Everybody first had an initial trigger, and this varies from person to person. Common causes include stress, trauma, recreational and prescription drugs, Lyme, mold, heavy metals, and other toxic exposures. But what they all result in is brain injury and neuronal damage. The severity varies from person to person. The consequences of such injury doesn't just cause break in communication between healthy neurons, but a cascade of events that can lead to further neuronal degeneration and cell death. That is where visual snow comes in. Think of a broken radio or a TV where it isn't able to receive and process incoming signals so the outcome is a lot of visual/auditory noise. Our brains behave in a similar manner when there is an interference with proper neuron function and communication.Another good example is a type of neuropathic pain called paresthesia where you experience tingling and pricking sensations in various parts of your body. When nerves are damaged, they can't communicate properly and that miscommunication causes symptoms such as pain, tingling or numbness.Medical researchers searching for new medications for visual snow often look to the connection between the nerve cells in the brain and the various agents that act as neurotransmitters, such as the central nervous system's primary excitatory neurotransmitter glutamate. Visual snow can be caused when damaged brain cells emit an excess of glutamate. Many treatments use ingredients that work as glutamate antagonists, or inhibitors. Communication between nerve cells in the brain is accomplished through the use of neurotransmitters. There are many compounds that act as neurotransmitters including acetylcholine, serotonin, GABA, glutamate, aspartate, epinephrine, norpinephrine and dopamine. These chemicals attach to nerve cells at specific receptors that allow for only one type of neurotransmitter to attach.Some of the neurotransmitters are excitatory; leading to increased electrical transmission between nerve cells. Others are inhibitory and reduce electrical activity. The most common excitatory neurotransmitters are glutamate and aspartate while the primary inhibitory neurotransmitter is GABA. It is necessary for excitatory and inhibitory neurotransmitters to be in balance for proper brain function to occur.Communication over synapses between neurons are controlled by glutamate. When brain cells are damaged, excessive glutamate is released. Glutamate is well known to have neurotoxic properties when excessively released or incompletely recycled. This is known as excitotoxicity and leads to neuronal death.Excess glutamate opens the sodium channel in the neuron and causes it to fire. Sodium continues to flow into the neuron causing it to continue firing. This continuous firing of the neuron results in a rapid buildup of free radicals and inflammatory compounds. These compounds attack the mitochondria, the energy producing elements in the core of the neuron cell. The mitochondria become depleted and the neuron withers and dies.Excitotoxicity has been involved in a number of acute and/or degenerative forms of neuropathology such as epilepsy, autism, ALS, Parkinson’s, schizophrenia, migraines, restless leg syndrome, tourettes, pandas, fibromyalgia, multiple sclerosis, Huntington's, seizures, insomnia, hyperactivity, OCD, bipolar disorder and anxiety disorders.(Doctors use two basic ways to correct this imbalance. The first is to activate GABA receptors that will inhibit the continuous firing caused by glutamate. The second way to correct the imbalance is use antogonists to glutamate and its receptor N-methyl-d-aspartate (NMDA). These are termed glutamate or NMDA antagonists. By binding with these receptors, the antagonist medication reduces glutamate-induced continuous firing of the neuron. This explains why some drugs like clonazepam and lamictal are able to help relieve symptoms in some patients. They help reduce excitatory action in the brain temporarily)Anxiety, depression, brain fog, depersonalization, visual disturbances (including visual snow, palinopsia, blue field entoptic phenomenon, photophobia, photopsia) headaches, tinnitus, are all common symptoms associated with increased excitatory activity in the brain. Excessive glutamate is the primary villain in visual snow.I strongly believe there are some genetic components that play a huge role in the development of Visual Snow and makes some individuals more susceptible to developing it. Normally, glutamate concentration is tightly controlled in the brain by various mechanisms at the synapse. There are at least 30 proteins that are membrane-bound receptor or transporter proteins at, or near, the glutamate synapse that control or modulate neuronal excitability. But in Visual Snow sufferers, my hypothesis is that we carry a faulty gene that results in dysregulation of the proteins that control and regulate glutamate excitability. They are unknown as more research will be needed.We live in a society where we are stressed emotionally, financially, physically and exposed to a range of toxins in our environment. Combining underlying genetic susceptibility with these other factors creates all the ingredients for a perfect storm.Stress + Infectious Agents (if any) + Toxins + Genetic Susceptibility = Health ConditionIncluded below is a list of things that can lead to excitotoxicity. The list includes trauma, drugs, environmental, chemicals and miscellaneous causes of brain cell damage. (Keep in mind everybody's bodies behave and react differently to various substances)-Severe Stress (Most people that are stressed out don’t realize that once the fight-or-flight response gets activated it can release things like cortisol and epinephrine into the body. Although these boost alertness, in major concentrations, the elevated levels of cortisol over an extended period of time can damage brain functioning and kill brain cells)-Free Radicals – Free radicals are highly-reactive forms of oxygen that can kill brain cells and cause brain damage. If the free radicals in your brain run rampant, your neurons will be damaged at a quicker rate than they can be repaired. This leads to brain cell death as well as cognitive decline if not corrected. (Common causes are unhealthy diet, lifestyle and toxic exposure)-Head Trauma (like concussion or contusion) MRI can detect damaged brain tissue BUT not damaged neurons. -Dehydration (severe)-Cerebal Hypoxia-Lyme disease-Narcolepsy-Sleep Apnea-Stroke-Drugs (recreational or prescription) -Amphetamine abuse-Methamphetamines-Antipsychotics-Benzodiazepine abuse-Cocaine-Esctasy -LSD-Cannabis-Tobacco-Inhalants-Nitrous Oxide-PCP-Steroids-Air Pollution-Carbon Monoxide-Heavy Metal Exposure (such as lead, copper and mercury)-Mold Exposure-Welding fumes-Formaldehyde-Solvents-Pesticides-Anesthesia-Aspartame-MSG (Monosodium Glutamate is found in most processed foods and is hidden under many various names)-Solvents-Chemotherapy-Radiation-Other toxic exposuresInside the Glutamate StormBy: Vivian Teichberg, and Luba Vikhanski"The amino acid glutamate is the major signaling chemical in nature. All invertebrates (worms, insects, and the like) use glutamate for conveying messages from nerve to muscle. In mammals, glutamate is mainly present in the central nervous system, brain, and spinal cord, where it plays the role of a neuronal messenger, or neurotransmitter. In fact, almost all brain cells use glutamate to exchange messages. Moreover, glutamate can serve as a source of energy for the brain cells when their regular energy supplier, glucose, is lacking. However, when its levels rise too high in the spaces between cells—known as extracellular spaces—glutamate turns its coat to become a toxin that kills neurons.As befits a potentially hazardous substance, glutamate is kept safely sealed within the brain cells. A healthy neuron releases glutamate only when it needs to convey a message, then immediately sucks the messenger back inside. Glutamate concentration inside the cells is 10,000 times greater than outside them. If we follow the dam analogy, that would be equivalent to holding 10,000 cubic feet of glutamate behind the dam and letting only a trickle of one cubic foot flow freely outside. A clever pumping mechanism makes sure this trickle never gets out of hand: When a neuron senses the presence of too much glutamate in the vicinity—the extracellular space—it switches on special pumps on its membrane and siphons the maverick glutamate back in.This protective pumping process works beautifully as long as glutamate levels stay within the normal range. But the levels can rise sharply if a damaged cell spills out its glutamate. In such a case, the pumps on the cellular membranes can no longer cope with the situation, and glutamate reveals its destructive powers. It doesn’t kill the neuron directly. Rather, it overly excites the cell, causing it to open its pores excessively and let in large quantities of substances that are normally allowed to enter only in limited amounts.One of these substances is sodium, which leads to cell swelling because its entry is accompanied by an inrush of water, needed to dilute the surplus sodium. The swelling squeezes the neighboring blood vessels, preventing normal blood flow and interrupting the supply of oxygen and glucose, which ultimately leads to cell death. Cell swelling, however, is reversible; the cells will shrink back once glutamate is removed from brain fluids. More dangerous than sodium is calcium, which is harmless under normal conditions but not when it rushes inside through excessively opened pores. An overload of calcium destroys the neuron’s vital structures and eventually kills it.Regardless of what killed it, the dead cell spills out its glutamate, all the vast quantities of it that were supposed to be held back by the dam. The spill overly excites more cells, and these die in turn, spilling yet more glutamate. The destructive process repeats itself over and over, engulfing brain areas until the protective pumping mechanism finally manages to stop the spread of glutamate."Recent research has confirmed that hypermetabolism has been primarily found in the right lingual gyrus and left cerebellar anterior lobe of the brain in individuals suffering from visual snow. The definition of hypermetabolism is described as "the physiological state of increased rate of metabolic activity and is characterized by an abnormal increase in metabolic rate." Hypermetabolism typically occurs after significant injury to the body. It serves as one of the body's strongest defence against illness and injury. This means that the brain is trying to compensate for the injured areas in the brain by increasing metabolism to meet it's high energy demands. It is trying to function to the best of it's ability under the circumstances. Normally the body can heal itself and regenerate under the right circumstances. But it is extremely difficult for the central nervous system - which includes the spinal cord and brain to be able to do so, due to it's inhibitory environment which prevents new neurons from forming. That is where stem cells come in. Stem cells are an exciting new discovery, because they can become literally any cell in the body including neurons. This is an amazing scientific breakthrough and has the potential to treat a whole host of conditions. Scientists are currently doing research and conducting trials.Excitotoxicity can trigger your "fight or flight" response, as this is the body's primary response to illness, injury or infection. If the brain and the body remain in the sympathetic fight or flight state for too long and too often, it is degenerative; it breaks us down. If this cycle continues, then eventually the system burns out. It is this cycle that results in autonomic nervous system dysfunction. The results are disastrous, digestion is shut down, metabolism, immune function and the detoxification system is impaired, blood pressure and heart rate are increased, circulation is impaired, sleep is disrupted, memory and cognitive function may be impaired, neurotransmitters are drained, our sense of smell, taste and sound are amplified, high levels of norepinephrine are released in the brain and the adrenal glands release a variety of hormones like adrenaline and cortisol.I believe in order to find a treatment or cure for VS and it's accompanying symptoms, we need to address the underlying cause, reduce the excess excitatory activity in the brain, repair the damaged neurons, regain proper communication between neurons, rebalance the autonomic nervous system and prevent further cellular damage. We also need to figure out what genes, if any come into play. There is still a lot we don't know about the brain because it is such an remarkably complex organ.FAQsWon't lowering the levels of glutamate solve the problem? Well, not necessarily. That is just one piece of the puzzle. You have to remember that Visual Snow is a multifactorial and complex condition in which it stems from a number of different causes and influences. Based on my knowledge and the information I have gathered, I can conclude that the overstimulation of glutamate plays a huge role in VS and some other symptoms we experience. But there is still so much we don't know. That's why more research will be needed.Why is my condition worsening over time?That is a very good question. It is because the physiology, biology and chemistry of your brain and nervous system has been altered and has become dysfunctional since the initial trigger set off a domino of effects that leads to further degradation in the body. This puts a huge strain on your body and is constantly activating your stress response system. This will wreak havoc on your entire body. The stress response system was designed to deal with brief emergencies that threaten survival. It isn't supposed to last very long because the body cannot sustain itself for very long in this state. When you remain in "fight or flight" sympathetic state for too long, it becomes degenerative and breaks our bodies down. This affects every system in the body. When you are constantly under stress, the stress response system never turns off resulting in an ongoing destructive cycle. Stress can also exacerbate all your symptoms and makes you susceptible to developing other chronic health conditions. How is the gut related to VS?Having increased intestinal permeability is very common in this modern world because we are constantly being bombarded by toxins and stress. Our bodies weren't designed to handle such a huge burden. So we end up getting sick and become susceptible to kinds of diseases. Common causes include:-Poor diet (from excessive consumption of foods such as grains, legumes, sugars, alcohol)-Chronic stress-Toxin overload-Gut dysbiosis (It means you have a lack of beneficial bacteria in your gastrointestinal (GI) tract. They are overpowered and outnumbered by pathogens such as pathogenic bacteria, yeast, viruses, parasites)-Overuse of antibiotics When you have increased intestinal permeability, the epithelium on the villi of the small intestine becomes inflamed and irritated, which allows metabolic, microbial and environmental toxins and undigested food particles to flood into the blood stream. This event compromises the liver, the lymphatic system, and the immune response including the endocrine system. It is often the primary cause of the following common conditions: asthma, food allergies, chronic sinusitis, eczema, urticaria, migraine, irritable bowel, fungal disorders, fibromyalgia, and inflammatory joint disorders including rheumatoid arthritis are just a few of the diseases that can originate from having poor gut health.This sets the stage for chronic systemic inflammation, oxidative stress, mitochondrial dysfunction, impaired detoxification, gastrointestinal dysfunction and immune system dysregulation.Some toxins have the ability to damage and destroy neurons, myelin sheaths, synapses and even DNA. An overload of toxins that the immune system is not able to get rid of disrupts normal brain function. This eventually initiates an autoimmune response where the immune system attacks the brain and nerve cells as it tries it’s best to eliminate the toxins.The mitochondria are the energy producing section of your cells. When they are damaged by the toxic overload in the brain cells and are not able to produce energy to fuel the cell, the cell dies.In order to stop this vicious cycle, the underlying biological mechanisms of VS needs to be understood. That is the first step that needs to be taken. Any other stressors also needs to be addressed in order to reduce the overall stress load.It is important to know that VS is just a symptom of underlying physiological stress in the brain. Symptoms are your body's way of communicating with you, letting you know something is wrong in the body.I've come across some research indicating that microglial activation and elevated nitric oxide is involved in some neurological conditions. Basically the microglial cells are our brain's immune cells and when something triggers an inflammatory response, they activate and release harmful neurotoxic compounds (such as nitric oxide and pro-inflammatory cytokines) which results in neuronal injury/death. Microglial activation can also result in a loss of synaptic connections in different regions of the brain. It's basically an autoimmune response in the brain. The neuroinflammatory process appears to be an ongoing and chronic cycle of central nervous system dysfunction. This can deplete glutathione levels in the body. Glutathione is the body’s most important antioxidant which is capable of preventing oxidative damage caused by reactive oxygen species such as free radicals, peroxides, lipid peroxides, and heavy metals. This only further exaggerates the problem, which only leads to a cascade of increased inflammation.Nitric oxide plays a vital role in this process. Elevated nitric oxide levels reduces and impair natural killer cells which leads to a vulnerable immune system that is susceptible to a variety of systemic infections. -Phobe Zhang
submitted by Shadow_Dancer87 to visualsnow [link] [comments]


2024.05.21 14:41 mneathery Newlife Fertility Clinic

Trigger warning- miscarriage
Long story short- my journey to a fertility clinic is due to my husband. He chose to get on Testosterone replacement therapy shortly after we started trying and miscarried. We also moved to a new state, Alabama, a month or so after we started trying. It’s officially been 2 years since our miscarriage. Last October we found out his sperm was extremely low count- he then got on all these supplements and his sperm count in January for up to a “normal count” but 24 ML compared to 135ml that he had before TRT is still upsetting to me. Anyway we live in an extremely small town and our only option is Newlife Fertility, they have a satellite office in our town of Dothan Alabama but their main office is in Pensacola. Met with the doctor after months of testing in February and he thinks we will be pregnant in 6 months and doesn’t even think we need to do IUI. I chose for us to do IUI. During the two IUI’s I noticed they have a schedule I need to go off of, not my own personal cycle. For example if a cycle for them starts on May 20th and my period starts May 16th I have to get on birth control from May 16th-20th to control my cycle to fit their needs since they are such a small office. They have also done IUI 12 hours after trigger and 60 hours after trigger shot. They also do not take progesterone sample day 21 or do any ultrasound AFTER IUI. After doing all my research and talking with friends in bigger cities I felt like something was off. I also recently found a new OB that I love and got a second opinion from her. She absolutely got upset and was like what are they doing here it sounds all wrong. They shouldn’t be putting me on BC and IUI should be done the day after trigger. I already paid for my third IUI and my OB wants me to come in on day 21 which is also tricky we don’t even really know when my day 21 is! Since I started my period but then had to get on Bc for 5 days? Anyway she said she can do two IUI’s with me after this round with Newlife but that’s it and then I need to move onto IVF.
My husband has a stressful job and refuses to get off TRT but is working with a urologist to adjust medication to up his count.
Has anyone had success with Newlife Fertility clinic if we have to go to the IvF route or success with a stubborn husband who needs to be on TRT? Any advice appreciated.
submitted by mneathery to IVF [link] [comments]


2024.05.21 14:37 glowsquare213 Serkan Aygin, Aggressive , Rude ,Arrogant

Just sharing my opinion with Dr Serkan. Other people may had positive experiences but not for me:
I wasn’t happy with the hairline, messaged eda. 20th march 2024 eda gets back to me, serkan invites for restrotation for the frontal line, 800 graphs to be precise. eda confirms on whats app “you can kindly request if you are not happy in the middle of the operation when they draw the line for the second time”, “ it is not an issue for us”
You guys are a “big brand” and your so called doctor serkin walks in draws the line and back out in a rush few moments later, ok i questioned him at this point saying politely this is not what i have mentioned on whats app, he said no if you want hairline then you need to pay, your hair is good and we have not invited you for this. Then whats the point in me coming? I’ve travelled 4 hours with my brother who has always taken time off.
Dr Serkin goes ballasitic says we will not be doing the hairline again, it wasnt done first time as the top crown would not be done, his attitude changed and becomes super aggressive as we want answers to why, seems like no one has ever question “dr serkan aygin”, and said we already giving you free treatment, 1100 graphs, im doing you a favour, this is where we tell him to calm down as his voice raised, i am so suprised and shocked to even witness it, how can so called “dr serkagin” saying its about money, pay more then can do, then what did i pay for in the first place/ want? words suddenly came out like “you should thank me”, “you want a piece of the whole cake” as he passevely aggressive feels my hair i told dr serhan i even took second opinions from different hair transplant companies ,he touched me on the shoulder aggresstively and said show me and he slammed the laptop in front of me and told me to put a zoom call on!! his cs told him to calm down, and he walks out saying if u dont want it leave, like he wanted to physically assult, i was freigneted enough, and even told his CS to leave us and dont convience us and told us to leave consultation room.
So I have travelled all the way to Turkey to be spoken in a unworthy unhuman manor, it just goes to show and suggests Doku Medical has no care for patients like myself as demonstrated by your Owner who treated me like made me feel small, embarrassed, felt like i did something wrong and he is status wise better than me, threatening behaviour i had to tell him to calm down, has zero respect. I felt so frightened the next day to go into the surgery and wondering what could happen, cemeal was great in ensuring us and had to defend your doctor, i should have never been treated like this “they can go” “you should respect me” you should thank me”…. you would of assumed he is the customer, not once did i disrespect or raise my voice unlike him… worst experience ever, i even regret choosing doku medical as i feel let down, and i have changed my opinion.
submitted by glowsquare213 to HairTransplants [link] [comments]


2024.05.21 14:37 throwaway24242411 Paranoid I have pancreatitis

Hi there 👋
I'm curious if I have pancreatitis at the moment. About 2 weeks ago I done a mud run and over done it on my left side so had a bit of strain on my left abdomen side below my ribcage but not enough to worry me per say.
The following day I had a leaving do for two of my best friends who were leaving the country. To say the least it got a bit messy drinks wise, I had beers and a few shots by the end of the night, from the end I ended up being sick from exhaustion on the Saturday and thus vomited the drink up that night.
The hangover was nothing unusual, Pain still there but worse which I thought from both overdoing the vomit and the abdomen side from Saturday. I went to the doctors the Friday and they checked me over and think I've just over done my side and that my pee sample shows nothing out of the ordinary, they didn't warrant a blood test.
Pain has subsided but comes back in small bursts especially at night time lately. I really dunno if I over done it and just have a intercostal muscle strain which the doctor says I have vs pancreatitis. Btw I'm an occasional drinker (2-3 beers every 2 months) and that the leaving do was probably the biggest binge I've had since my early 20s (I'm 30).
It's wrecking my head as I have no other symptoms and the pain was about a 1-3.
submitted by throwaway24242411 to pancreatitis [link] [comments]


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