2021.12.04 15:09 skekMit Pokemon: Legends Yveltal
2021.12.04 15:09 scrbt Sign up for Coinbase $10 when you spend $100, invest in your future now! Click on the link to get started.
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2021.12.04 15:09 TheSWEnthusiast66 Making a meme of every line of the ROTS comic: post 530
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2021.12.04 15:09 JonnyBpokemon Hey everyone, I just uploaded a new Pokémon TCG opening video! (I upload a new full video every week)
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2021.12.04 15:09 spacekitty04 Seeking advice on prescribed medication for mild HS & PCOS [Long Post]
Hi everyone, firstly I’d like to say that this subreddit has helped me so much in figuring out that what I had all this while was HS, and further encouraging me to get diagnosed. Thank you to everyone on here who has shared their journey with HS, and to all who take the time to provide advice, reassurance and support.
I have some questions about the medications I was prescribed and would like your advice on whether I should proceed to take them or seek a second opinion, or just deal with this on my own for as long as possible. I apologise for the long post.
So here it goes. I [23F] saw a Consultant Dermatologist last month about my health issues – this time specifically for my skin problems. This senior dermatologist that I saw was recommended to me by my mother, it was an outpatient consultation at a hospital my family and I have gone to for years, and she was present in the room alongside two nurses and one junior doctor who was helping out with admin stuff (These details may be relevant for some things I mention below).
So, I went in for the consultation and explained to the doctor that based on my observation and research, I believe I have HS and it’s only under my arms. After brief inspection, he confirmed I have HS under my arms, stating that it was mild. I also have mild eczema (I believe, he was not clear about this) on my legs and hands caused by allergies to things like dish washing soap, shaving blades etc.
During the consultation, I told him that I had done research on HS and that I also have PCOS which was clinically diagnosed by two gynaes in the past. He continued with a physical exam in a private section of the room with one nurse present – he was professional overall but lacked bedside manners; he sort of yanked my bra down without telling me he was going to check my breasts, though luckily I knew from my research he was doing that to check if I had signs of HS in those areas so I was able to prevent a panic attack. Shortly after, he gave me an injection on my bum without even telling me first – I just so happened to glance back thinking he was checking my thighs etc for HS but then found him injecting me with something…)
Following this, we went back to the main consultation area where my mom and the other nurse and doctor were waiting. My doctor told us he’ll be prescribing me some medication, and that I should not shave/wax anywhere at all and not wear any form of deodorant or antiperspirant, or even tight clothing – all of which I feel is quite unrealistic for me and that I am personally not comfortable with doing.
These are the medications he prescribed and the name of the injection I was given when I later asked the nurse what it was:
- Triamcinolone (injection)
- Metformin HCL
- Betamethasone cream
- Betamethasone ointment
- Emulsifying ointment for bath
He warned me that I should not get pregnant while I’m on Acitretin as it causes birth deformities, but since I am not married, he said that shouldn’t be a concern (cough). He warned that my lips could get very dry when I'm on the medication and said he’ll provide an ointment for that. That’s about all he said otherwise.
He did briefly mention that Acitretin falls under the Roaccutane family but only when we asked about what type of medication it is. I then asked if there were any other side-effects for Acitretin such as depression or weight gain that those on Roaccutane often experience. He chuckled and said I’ve been reading too much, and that Acitretin does not have those side effects. When my mom asked if we could do a full-blood test before I start any medication, he said he will do it later on, and I was to have a follow up appointment in two weeks.
I opted to get the prescribed meds from a pharmacy outside of the hospital instead, in effort to save money, and the pharmacist I went to told me that here in Malaysia, Acitretin can only be given out by a dermatologist clinic/ hospital directly. She looked quite sympathetically at me when reading the prescription, even asking why I need Metformin since that’s for diabetic patients. I told her I have PCOS and maybe that was why it was prescribed and she understood, going on to then explain to me that Metformin is often prescribed to PCOS patients to help with insulin resistance. This is something I feel my consultant dermatologist should have told me, right? This pharmacist then said that since Acitretin has many side effects and is a strong medication, I’d have to go back to the hospital and get it from them.
I went home, and immediately did more research on Acitretin and my heart dropped when I read the list of side-effects listed by the British Association of Dermatologists. My doctor never told me that I won’t be able to donate blood when I’m on it, and for THREE years after that until it’s completely out of my system. Neither did he tell me that I can’t drink alcohol, or that it may cause weight gain and even Alopecia – which immediately triggered me because I suffer from hair loss and weight gain already thanks to PCOS – which he was aware of. It is even advised by the Association to get a blood test done BEFORE starting the medication to ensure that the kidney and liver etc are functioning well. Instead, my doctor told me he’ll do a blood test later on. Being overwhelmed by all of this I decided to not go for my follow up – giving an excuse that I was busy and will reschedule when I am available. It’s been about a month since and I have not touched any of the other meds.
I’ve got a bunch of other health issues, like constantly falling sick, low blood pressure, anemia etc which I feel all need to be considered before I start taking such a heavy medication such as Acitretin, or anything similar. I’ve been admitted to the hospital four to five times since I was a kid, each time for possible viral infection – no confirm diagnosis. The most recent time being when I was 17, and I kept fainting for some unknown reason. I had a bunch of tests done and they all came back clear. Besides that, I once had a severe allergic reaction to horseradish supplements and needed an emergency jab, and I also did not get a couple of vaccines as a child since my elder brother had a major reaction to the triple vaccine as a baby. Basically, I’m pretty sensitive to medication and fall sick quite easily.
I was previously on Diane (birth control) when I was first diagnosed with PCOS a few years ago, but it did not agree with me at all and I stopped it after the first day. I’m anxious about going on a course of medication now (Acitretin) that is even stronger and with so many potential side effects, and especially at a time when I’m about to start a new job as a fresh graduate. I don’t think I can mentally and emotionally handle it – at least my HS is somewhat under control for now. I’ve managed to lessen my PCOS symptoms and anemia by taking supplements such as Evening Primrose Oil and iron tablets which has really worked wonders for me.
I’m doing more research on Metformin now, and I’m considering taking that since it does help quite a bit with PCOS – its side effects do not seem as harsh as Acitretin. Since my HS is mild, and only appears when there’s ingrown hair most of the time, I feel like I should just save up for electrolysis (not laser hair removal, since it’s not recommended for those with PCOS despite the consultant dermatologist saying he wants me to undergo laser later on), and start taking Metformin to help with my hormonal imbalance. I feel like this would keep things at bay, and solve my other skin issues too.
Do you guys think I should get a second opinion? And if so, should I see my Gynae instead? Or maybe an Endocrinologist? Should I just get a full blood screening first and consult a Physician?
Or…should I just go for a follow up with the same dermatologist and voice all my concerns? Am I being overly sensitive about my experience with him? I feel like there were quite a few red flags from the consultation. But a part of me does not want to offend this doctor, yes - silly of me I know, and maybe I should just trust him since he’s been doing this for decades after all…
If you’ve made it this far, thank you for reading all of the above. I’m sorry if it was a bit of a mess. I am still quite overwhelmed, evidently, and trying to piece everything together gives me a headache every time.
I’d really appreciate any advice you may have, or even just reading your experience being on Acitretin, or Metformin if you have been prescribed them as well would be really helpful. Thanks so much in advance for your insight.
submitted by spacekitty04 to Hidradenitis [link] [comments]
2021.12.04 15:09 Ryu_Shadow Lady Katrana Prestor Prywinko
2021.12.04 15:09 PuffLaser Can anyone explain what's so special about Jessica Rabbit besides her sex appeal?
People make it seem like she's more than just an incredibly sexy cartoon. But that's all I see. When and where did she do anything to make anyone think there was more to her? Was it her "I'm not bad. I was just drawn that way" quote? No offense, but that doesn't exactly shatter my perception of the character.
submitted by PuffLaser to NoStupidQuestions [link] [comments]
2021.12.04 15:09 Lsweany11 FANTASY FOOTBALL IN MADDEN? - Falcons Franchise Fantasy Football Details!
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2021.12.04 15:09 Kazril Eating the cracker gave this blind bird sight! Sigmar protects...
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2021.12.04 15:09 afriganprince ELI5:Do other animals have different conceptions of maths from a human?
If some other sentient specie were to do math,would they do it as humans do,or does it depend on species characteristics?In the question I include animals on earth,and any feasible aliens
*It is claimed in various maths texts humans found decimal easy due to toes and fingers.
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2021.12.04 15:09 MathematicianAny9091 One argument believers cannot handle
Hoping some believers happen across this post and try to explain.
Often times we atheists hear that DNA, for example, is too complex to NOT have been created. It just couldn’t happen on its own.
We are also told that God has always existed and he was NOT created. He just “is”.
But imagine how complex a God must be in order to creat DNA. More complex than DNA itself perhaps? Hmmm.
So if God wasn’t created and just “is and always has been.” How was someone so complex not created and just always was?
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2021.12.04 15:09 BlueDefendr HELP! My ski fences are melting... how do I fix?
2021.12.04 15:09 Myrilebb Hi, for those who had their driver license test lately, do they request a v@ccine p@ss?
2021.12.04 15:09 Superhans97 Oooft
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2021.12.04 15:09 grimdark_advanturer Erkek adam önc icraat yapar sonra meclislerde icraatini destanlaştırarak anlatır
2021.12.04 15:09 unsupervisedprize Warning to not move in with your friends
This is a warning to most people that think that moving in with your friend is a good idea. Now I'm not saying this for all friends, but it's a good way to be more selective about who you trust when it comes to sharing your space. I won't get into specifics in fear of him finding this, but let's just say my previous living situation wasn't favorable in the slightest and I moved out of there and into his space. I was grateful for the opportunity because it was either that or being homeless and now that I am (still) living with this person I can't shake the feeling of wanting the latter instead. He's gay so that was a major plus because I'm ace. The only reason why we know each other is through a mutual connection to my older sibling. I will reiterate though, I'm grateful for the roof over my head and the food that he provided while getting a job for myself. Yet I could never shake the feeling like he was trying to sabotage that. I even tried to apply to jobs that were close enough to walk to so that he didn't have to drive me anywhere. But especially the first few months of living with him it really settled in how toxic he was. He drank everyday, barely cleaned up after himself and I didn't mind doing his dishes but it became a hassle the more careless he became about it. He would ask for my opinion about financial matters when he's at least 5 years my senior, but completely ignore them anyway. His right, but I don't want to waste my time and energy to someone who asks for that feedback and never listens to it. I'm on my 5th month of eating ramen and I gotta say I miss real food. Most of the things he bought from the store I'm allergic to. It doesn't really feel like I have a right to say anything though because I don't pay for anything and I contribute when I can. It's just the downwards spiral I see himself in everytime I'm there. Day in and day out I see him spending money on booze (and I mean big bottles of them) only to go back out to get more every 3 to 5 days after. He would go in between fits of crying and then laughing and crying again for hours on end. He's extremely loud at night until the early hours of the morning talking with friends and that cost me a lot of opportunities to get to interviews on time (I sleep on a couch). I try to tell him 'hello', 'I love you' and 'rawr' aren't real conversations and that if he wants to talk about something with real substance that I'm there. I try to give him the same courtesy that I only want in return. I just want to be treated like a human being, and I personally don't think that money should be the reason to overshadow that. Yet that's my own personal opinion. I'm honestly worried about him and I told him this, but he doesn't really seem to care. He just seems too absorbed in his own personal wants and needs which is fine. I suggested that he should go see a therapist about his symptoms and self esteem issues and all he's done was make every excuse in the book not to go. He finally put it on not having insurance until next year but again, I don't think that he'll actually go. I want to move out by next year but I just have this feeling that he doesn't want me to leave because I'm someone there that's keeping him off the edge. He's expressed that to me and I feel guilty for wanting to find my own happiness through the excessive negative energy he brings around. I want him so be happy, I just don't want to be the sacrifice for that. It pains me to think when I finally watched BoJack Horseman upon his request that I felt for Todd. I felt like Todd really. Only to be his friend when it's convenient. Trying to be his moral compass when he asks, just for him to take it at face value and see him slowly but surely reck his own life and blow away all of his money in the process. I barely ask for anything because I know that it's hard for him. But my limit is my soap. Guys I didn't think I needed to say this, but don't use the same soap bar that your roommate is using. Just don't. It's really weird. Back to my point though on BoJack, and like I've expressed before, I just have this feeling that deep down that he doesn't want me to get a job so that I can have the proper funds to leave. I don't want to tell him this because I don't know what that would do to our relationship. In a way though, I'm in the process of distancing myself emotionally from the situation, because I don't believe letting someone into your home gives you the right to treat them like trash. I'm sorry that this post was so long I just needed to get this off my chest. TL,DR: I'm the Todd to my roommates BoJack and honestly don't think that he wants me to have a job for the sake of keeping me as company while he ignores my existence completely.
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2021.12.04 15:09 muraisama Ein anfang.
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2021.12.04 15:09 Negative-Hunt8283 Crazy Dream, thought I would share
Like many of you, I have been having a crazy last few years of my life. I offer help when I can but rarely share my experiences. Here is one I had this morning.
I woke up early this morning around 5:45 by my alarm. Forgot to silence it on a Saturday. Filled with extreme anxiety for what ever reason. I’ve learned to let the random feelings come and go but it doesn’t make it any better to feel these things. I forced myself back to sleep only to have a lucid dream.
I was “up”, in my dream, and for what ever reason heard a loud noise from the backyard, from the garage. I called the police, grabbed my gun as where I live this is pretty normal occurrence, and went outside. I don’t remember much else other than the garage door being completely destroyed.
I woke up later. Went downstairs, let the dogs out. Only to find my back gate open. I put some clothes on and quickly ran outside as I have two dogs that wouldn’t mind taking a mile long sprint out that gate. I wasn’t thinking of my dream, as Ive learned to, as I have meaningless dreams too. Only later to find the garage door open as well. Nothing was missing. The camera inside of the garage only caught the sound of heavy footsteps and loud thumps, but not the door opening. Nothing was destroyed or happened like in my dream, but I am thankful, my dreams don’t “exactly” tell the future. Now I’m left to have other than just living, but my life is strange.
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2021.12.04 15:09 Zewen_Senpai Bikini
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2021.12.04 15:09 bbonsai3321 what a cursed and deathly day it will be when the cheese ceaseth to be shredd
2021.12.04 15:09 SNDWVE This is the first time I have ever wanted something a customer brought in for me to frame.
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2021.12.04 15:09 h0neyfr0g Oenn character art from the game LUCID, by MatteBlackStudio
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2021.12.04 15:09 99throwaway99_sdfh Any good opener recommendations?
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2021.12.04 15:09 EverretEvolved Steam reviews be like
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2021.12.04 15:09 apricior anyone else had doubts pre-op?
so. i get top surgery this month, the 28th. it has been something i have been looking forward to since i was 16 (i'm 22 now), and i have wanted it every day of the past six years. when i visited my surgeon last october and we set a definitive date it didn't feel real, but now that there's less than a month i feel conflicted about it. i don't know. i feel like i haven't enjoyed having a chest, and in a few days i will never know this feeling ever again. i am mourning something i've always hated and that i still have. maybe this is because i have finally made peace with my chest, which is a good thing i guess, but it would have been so much easier if i had just... kept feeling the same way. don't get me wrong, i am still dysphoric, but i am feeling very conflicted about this.
i'm not going to cancel my surgery because i have already paid for a part of it and i won't get my money back (and also, objectively, i know that my body won't handle another summer binding), i just wanted to see if this has also happened to any of you and if you have any tips about what to do
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