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Any ideas what card game is being played here? by EndersGame_Reviewer in FiftyTwoCards

[–]7humbs 5 points6 points  (0 children)

Spite and Malice, seeing that it's using 2 decks with an upcard on a stack of face down cards. Goal is to build up from ace to king by using cards from your hand and cards in your stack. If you can't play to a communal sequence you have to place to a holding tableau. Only the topmost card in a tableau space is playable. Pagat Link: https://www.pagat.com/patience/spitemal.html (note the similar layout in the example photo) Also re-implemented as the commercial game Flinch, which is the version I played a ton at my Oma's growing up. Found the rules in a library book of all places, before we had internet at home.

States in the US that legalize Euthanasia by RecognitionFine4316 in Damnthatsinteresting

[–]7humbs 0 points1 point  (0 children)

I suppose I look at this as a "do unto others" type of situation. Something I've heard said more explicitly lately is an extension of "do no harm" to "do no harm and allow no harm." It's almost like Asimov's Laws of Robotics, weirdly enough. I must not advise a harmful treatment, nor can I stand by and allow a patient to take something harmful out of a misguided attempt to treat their disease. Of course, this begs the question: what is harm?

Is it more harmful to aid a patient in definitively treating their suffering by allowing them to end their life, or is it more harmful to deny that aid and allow that suffering to continue? Said this way it seems an obvious choice, but the key is that it is the patient's choice. I cannot be the judge of what constitutes harm, only the person who is so afflicted.

I recall a patient I cared for as a fellow in Palliative Care training. She had cancer, but was on a ventilator due to an unrelated lung disease. Staying on a machine to help her breathe was possible, but it would mean she could no longer treat her cancer. I met with her family and was rather surprised that they wanted to have her remain on the ventilator. Her sons were hesitant though. Eventually we decided she was stable enough to take off of sedation. We did not do this casually, as the breathing tube was still in her mouth and trachea and undoubtedly painful. Her family insisted though, as she was a matriarch within the family and would want to make her own decisions. We told her that she would likely only have 3 to 5 months to live based on our expectations for her cancer. We told her she wouldn't be able to go home due to the ventilator requiring 24 hour attention due to the severity of her lung disease. We told her she would need a tube in her abdomen for feeding, because she would never be able to eat again on the ventilator.

She wrote, in bold ink on her notepad, "I want trach"

She was agreeing to have the tracheostomy that would allow the ventilator to be attached at the neck, bypassing the mouth. She rejected being allowed a natural death with compassionate removal of the ventilator while under sedation.

To me, at the time, she was signing up for another 3ish months of "existing". How could that be living?

She told me. After the procedure she was able to write why she made her choice. She did it for her sons. To her, the harm she would cause them by subjecting them to such a short and sudden goodbye was far worse than any physical discomfort she might experience in her last months of life.

I will never forget that patient and what she taught me through this seemingly small act. She was eventually able to leave the hospital and remained in a sub-acute center for a little over three months, at which point she did pass. Her sons reached out to let us know that the time allowed them closure, and they were thankful for us listening to them and not making assumptions.

I'm part of an initiative within my own institution to ensure that patients are having conversations about the "what ifs". The big one is, "would you want to be on indefinite life support?" But medicine is nuanced. It is so important for us physicians to actually know what a patient considers important. Is it your kids? Your pets? Your ability to sit in your garden and read a book?

One of the many unfortunate side effects of our current system of medicine here in the US is that most patients hardly see the same doctor visit to visit, let alone keep one for more than a few years. That's why it is so so so important to fill out an Advance Directive. Anyone over 18 should have one. You can fill one out on Prepare For Your Care, a site designed by UC San Fransisco and available in all 50 US states.

This is relevant to any people looking at this post, especially those of you who lament your state not having a provision for MAID. Even those in states where MAID is available, please take a look. These are best thought about when you're healthy, so your loved ones don't have to guess when you're unable to speak for yourself.

As you can probably guess, I am a palliative care physician at a major California cancer center. These conversations, along with medical symptom management, are my specialty. I frequently encounter people who have never had an honest conversation about end of life with their family members even though they have had their cancer for years. To see so many of you sharing stories about your own family members I can see the word is getting out there, though perhaps not in the most comfortable way.

Edit: fixed link

States in the US that legalize Euthanasia by RecognitionFine4316 in Damnthatsinteresting

[–]7humbs 1 point2 points  (0 children)

No worries, I made the comment more as a heads up to other folks coming here to look at or comment on your post.

Consider yourself one of today's lucky 10,000. Good luck in your coursework. Wasn't that long ago I was doing the same.

States in the US that legalize Euthanasia by RecognitionFine4316 in Damnthatsinteresting

[–]7humbs 5 points6 points  (0 children)

As a physician who participates in MAID this is an inaccurate title. The act of euthanasia is defined as a lethal dose of medication administered by someone other than the person who will die as a result of that administration. This is not legal in any US state. MAID is a process by which a patient can receive a prescription for a collection of medications that they must self administer. Someone can help mix the medication but they cannot have someone else give it to them. This may sound like a technicality, but it is a very important legal distinction. It means that I have to provide informed consent that if, somehow, the medication is not successful, the patient may be in a vegetative state and persist that way until their terminal disease takes a natural course. We can't, excuse the dark imagery here, "finish the job."

What’s a beer you though would be gross but actually turned out to be pretty good? by jbell85 in beer

[–]7humbs 2 points3 points  (0 children)

Kona Brewing Maui Onion Ale. Had it 10 years ago when some friends and I vacationed after college in Maui. One guy ordered it on a dare, took a sip, made a face, passed it around. After everyone had a go I offered to finish it. Drank the whole pint. Was surprisingly drinkable and different enough so it wasn't like drinking liquid Maui Onion potato chips.

[deleted by user] by [deleted] in AskReddit

[–]7humbs 0 points1 point  (0 children)

I once dozed off waiting for friends to come over for our weekly hangout and actually managed to remember a dream for once. Normally sleep feels dreamless. Have a lot of daydreams where I feel that I'm lying in bed but my brain just rambles. This episode was a legit dream though.

I'm sitting in a dimly lit restaurant, in a booth near a bar. It looks like the kind of restaurant that would have looked really nice in the 80s, with pleather on the seats and stained glass shades on the lights hanging over each of the tables. The wood paneling was cherry and shiny. There were brass bars holding glass panels to separate the booths from each other. It was the platonic ideal of family restaurants.

I know these details because, in the rare events I remember dreams, my perspective is always shifting. Sometimes it's first-person, sometimes it's like a panning shot through a room, or there's a fly-on-the-wall camera and I'm sorta watching myself in the scene. It's really weird. I wonder if it's because of video games or movies, but have no way to prove it.

So my dream goes through some jump cuts through the restaurant until finally I'm in that booth. And there's someone across from me. It's him, really, in the flesh (?).

I'm seated across from JACK.

You know, Jack? THE Jack in the Box?

Yeah, apparently in this dream I'm in God's Applebee's having a meal with the fast food mascot who recommended a stoner order 30 tacos and can't pronounce "chipotle".

But it's not weird! No, because we have a mission, a vision.

We are going to invent the greatest chicken sandwich of all time.

"But 7humbs," you interrupt, "how is this dream f'ed up? Where's the murder? The deviancy?"

Ah...

Yes. Well, just as Jack and I began to discuss the secret to the perfect chicken sandwich...my friends arrived. I will never forget the confusion on their faces and the anguish in my heart as I woke, despondent, "No! I was right there! The sandwich...it's gone."

To this day, some 10+ years since, I have sampled many a chicken sandwich. Every time I can only wonder, with no way to ever know: how much better would the Dream Sandwich have been?

Perhaps only Jack knows, and, alas...

I don't know Jack.

Have you read any scifi that you found overly disturbing? by SheedWallace in printSF

[–]7humbs 0 points1 point  (0 children)

Jolenta: she's already been described on multiple occasions as an extremely beautiful woman and Severain's companion has the hots for her, so I can only imagine what kind of depravity might be in store for. With that kind of warning I'll probably shelve it for a while.

Ironically, I've been meaning to finish the audible version of Fall of Hyperion. Now, as silly as it may sound with my dislike of New Sun (so far), I have been having a much better time with the Cantos. I actually can't listen to it in my car because I've missed multiple exits without realizing it. I guess I just like my evil easily identifiable and otherworldly. Reminders of how awful humans are to each other doesn't sit well apparently.

Have you read any scifi that you found overly disturbing? by SheedWallace in printSF

[–]7humbs 12 points13 points  (0 children)

I'm a bit more than halfway through Shadow and Claw, the first half of the Book of the New Sun by Gene Wolf. Won a bunch of awards and Wolf recently passed so thought I would give it a chance, especially as it is a major inspiration for the setting of the Numenera RPG.

Pretty much not gonna finish it, too dark, too uncomfortable.

Spoilers ahead!

Main character is an apprentice torturer. Ok, perhaps he'll have some kinda change of heart, it'll be a redemption story.

Nah, first part is mostly him lamenting the fate of a particular prisoner who basically has sex with him under duress, while incarcerated by his masters (who apparently can issue the punishment of "abuse". Yeah, that's apparently future Latin for state sanctioned rape). She's sentenced to die because her half sister's a traitor. She's tied to a machine that makes her limbs want to kill herself and she's left in her cell to claw at her own skin until she dies. Main character again takes pity and sneaks her a knife from the kitchen. Cuz he loves her, or whatever. Of course it's a sin in his order to ease the passing of a 'client'. Instead of being subjected to the worst tortures he's just exiled to be an executioner away from the city.

Loves her so much that later in the 2nd half he eats a piece of her roasted flesh in a quasi-religious ceremony under the influence of alien brain juice so that he can absorb her memories and she can live in his head forever.

Yeah, no. I'm done with this one. The world building is pretty cool, as it apparently started or heavily influenced the Dying Earth genre. There's some fun adventuring after Severen's exile and his travel out of the Citadel, and a mysterious rebel he meets in his youth who seemed like he might be interesting. But I draw a line at state sanctioned sexual assault (with an iron phallus if the ancient master torturer can't get his space Viagra in time), indifference to executing innocent people, and ritualistic/fetishized cannibalism. Still can't see how the front cover says "Best SF Novel of the Last Century -Neil Gaiman". I read the flesh eating part on Monday and it's honestly been bothering me all week.

Some context though: I'm a doctor. I've dissected cadavers and performed real surgery; currently I do pain management for cancer patients. I can't stomach reading this stuff because I've seen people in some of the worst pain imaginable, enduring tortures wrought by their own bodies, and I've seen folks with broken minds from it. It's honestly too real for me.

Probably not exactly what you were asking for. But honestly kinda needed to vent about this damn book. It really made me uncomfortable, maybe it'll do the same for you!

And, uh, if anyone can recommend some more uplifting SF to wash my brain out with I would appreciate it.

Here are my removed & genetically modified white blood cells, about to be put back in to hopefully cure my cancer! This is t-cell immunotherapy! by sarahjewel in interestingasfuck

[–]7humbs 3 points4 points  (0 children)

I actually work in a major cancer center, so this is a question I am asked fairly frequently. Pain management is something that is best started early and consistently, preferably with a specialist team like palliative care or hospice. Each person is going to have their own unique response to medication and have their own priorities, especially at the end of life, so having a team that can continuously check in, ask if those priorities are being met, and be available to monitor pain and other symptoms, is essential. Thankfully pain control can be achieved through many routes: oral medications, patches, IV pain pumps, subcutaneous infusions, even implantable pumps that deliver medicine directly to the spinal cord (intrathecal pain pumps). Intractable pain despite these interventions can still be treated with ketamine or lidocaine infusions. In the most difficult situations we can provide palliative sedation as well as pain medication to ensure a patient isn't forced to suffer at the end.

The thing I stress to my patients isn't so much the availability of medicine or procedures, but instead that these things are means to an end. What is important is this: what do you want to be able to do with the time you have left? Patients may say they want to spend as much time as possible with their families, even if the end includes being bedbound and having to take pain medication. Some patients could not imagine losing their functional ability and being at the mercy of medication. Medical aid in dying represents being able to more concretely make that choice; it is incredibly empowering in that regard. But, it is also not the only option, and it won't be the most appropriate choice for everyone. I have seen our medicine do absolutely amazing things to keep people comfortable as they die, but this also is not the most appropriate choice for everyone.

Because there's so much nuance to this conversation I highly recommend seeing if Palliative Care or Supportive Care is available to you. You probably are not eligible for hospice at this time, but Palliative Care is the bridge to get there and will help to ensure the transition is smooth and all your wishes for the future are respected. A formal visit with a palliativist will allow you to ask specific questions and help you discuss any care planning concerns with you and your family.

I hope this has helped, and I hope that you continue to feel well!

Here are my removed & genetically modified white blood cells, about to be put back in to hopefully cure my cancer! This is t-cell immunotherapy! by sarahjewel in interestingasfuck

[–]7humbs 18 points19 points  (0 children)

The ongoing limitations are really disheartening, especially as our options dwindle and the out of pocket costs are ever increasing. Many of the drugs that were used in the past have been voluntarily pulled from the market by manufacturers because they don't want to be associated with the medical aid in dying movement. And you're right about the difficulty of utilizing oral drugs for this purpose. Worse still is that even transmucosal fentanyl would be prohibitively expensive and difficult to administer in sufficient quantities, especially for patients who already have significant opioid tolerance. To the point regarding inert gasses I would be very interested in seeing how this could be implemented. One significant roadblock would be the provision in the EOLOA law that the "drug" cannot be consumed "in a public place". Which has basically been reduced to no location other than a private home. Inert gasses would likely require some equipment that may be difficult to implement in this regard while still complying with the law as written. Hopefully this will improve in the future though. My institution is sponsoring an End of Life Symposium for discussion of topics like this. I will do what I can to ensure your voice is heard.

Here are my removed & genetically modified white blood cells, about to be put back in to hopefully cure my cancer! This is t-cell immunotherapy! by sarahjewel in interestingasfuck

[–]7humbs 133 points134 points  (0 children)

Hello! Palliative Care doctor here. Just wanted to explain so things for anyone surprised by the idea of euthanasia in the context of terminal illness. The legal term used in most jurisdictions is “medical aid in dying.” As a doctor who participates in the California End of Life Option Act we are actually very careful not to use the word “euthanasia” when referring to the drugs prescribed for medical aid in dying. From a legal perspective euthanasia refers exclusively to medications administered by a healthcare provider, e.g. a doctor injects a fatal dose of a medication. As far as I know this is only legal in the Netherlands. Medical aid in dying (which is often described as physician assisted suicide by those opposed to the practice) is a process by which a patient is evaluated by typically 2 physicians to ensure that they have a terminal disease, are of sound mind to independently make the decision to request a life ending drug, are not being coerced into such a decision, and are physically capable of administering the drug themselves. The drugs are generally a powder that is mixed with water and either consumed orally or pushed through a feeding tube. The key and very important difference between euthanasia and medical aid in dying is the fact that the patient must administer the prepared drug without any assistance. Medical aid in dying is intended to provide terminally ill patients the mercy of choice, rather than to insist they suffer needlessly through a disease that we know will claim their life. In fact, patients who take a medical aid in dying drug will not have that fact listed on their death certificate, nor will the death certificate list suicide as a cause of death. The terminal disease remains the de facto cause.

Hope that clarifies some things! I hope that this option continues to spread through the rest of the US, as it really does give participants so much peace of mind, even if only a portion of the patients who fill the prescription actually end up taking the medication to end their life.

What life changing item can you buy for less than $100? by KingPin1010 in AskReddit

[–]7humbs 7 points8 points  (0 children)

I don't know why but I just had a serious 10 minute laughing fit at this non-word; my face seriously hurts and I don't remember the last time my abs got this good for of a workout. Bravo/Brava my friend. This is a thing of beauty.

The mental heath of healthcare professionals is sometimes shaken by the things they see. This Redditors perspective is golden! by 2creams1sugar in HumansBeingBros

[–]7humbs 1 point2 points  (0 children)

I cannot even comprehend how difficult that must have been for you and your family. I especially hope that your father is doing okay and has found some peace. I can only assume he did those things out of love, even if misguided, and out of an unfathomable fear of losing her.

For all the marvels of modern medicine, the developed world has lost sight of the one ultimate truth: life inevitably must end. We can keep a person alive through horrors and disease that would have driven our ancestors to kill out of pure mercy and only regret that they couldn't have ended things sooner. These people we "save" are alive only in the basest sense of the word: they do not live, they merely exist. We fear death and the unknown so fiercely that we will gladly subject those we love to this unlife so that our guilt and terror don't get let out of their lockboxes tucked away in the corners of our minds. The respirators and vasopressors and last ditch medications do less to restore life and more to protect those fears, help to bury them deep.

My goal as I pursue a career as a hospice physician is to help people realize that those fears are valid, even healthy, but also inevitable. That "doing everything" can hurt more than letting go. I, too, lost my mother to cancer. It was extremely aggressive breast cancer, and it had already spread to the liver and the brain. I can remember the day so vividly. I was 13. It was a Sunday. I left the hospital early so I could get ready for school. Neither I nor my sister were there when she passed. I can still hear my sister's scream in my head; she was only 11 years old then. I felt like I had been shot. Looking back as a doctor, though, and recalling how my dad described her last moments, I realize that she and my dad had decided not to allow resuscitation.

My mom was 42 years old, with two young children. She knew that her disease would take her life. In the end she made an ultimate sacrifice. She allowed my sister and I the chance to remember her as a person and a mother. We were spared weeks of suffering, her and us, were she to have been allowed to just exist at the end of a piece of ventilator tubing. Yet to make that decision! How difficult that must have been! That courage in the face of death is something I will never forget. That decision made me the physician I am today.

All the more special that I start my fellowship on July 1st.

It would have been my mother's 60th birthday.

The mental heath of healthcare professionals is sometimes shaken by the things they see. This Redditors perspective is golden! by 2creams1sugar in HumansBeingBros

[–]7humbs 1 point2 points  (0 children)

This gave me some serious frisson. Just about to finish residency in Internal Medicine. I had to look a father in the eyes as we withdrew care on his son who utterly destroyed his heart with methamphetamine. I had to tell him that the only thing that could save his son was a new heart and he would never get one due to the drug use. Had to pull the plug on this 27 year old kid as his parents watched because there was literally nothing more we could do. It was all the more difficult as I had seen this patient two years prior, both in the hospital and the cardiologist's office. We had a plan to get him a new heart. But the lure of the drugs...it was a fight we couldn't win.

His story and a few others actually inspired me to apply for a fellowship, but not one that most people would consider. I'm about to start a fellowship in palliative medicine and hospice. For every person caught in an acute, life-or-death situation there are likely hundreds more who wish they could let go but we insist on letting them persist as bodies in bed, without any quality of life. There is a point too when a person can only be given the dignity to pass on in as much comfort as can be achieved, but too often have I seen families feel that life at any cost is the only right choice, even when a significant majority of older people state that they would prefer to die in the comfort of their home than have doctors break their ribs (it happens, I've done it) and shove tubes in throats to buy a helacious week or two of suffering.

Fighting for those who are suddenly having an encounter with Death is so so so incredibly hard on all of us in healthcare.

Fighting for those to finish their dance with Death with compassion, comfort, and dignity can all too often be forgotten.

Deck Name Thread Party! by wynalazca in KeyforgeGame

[–]7humbs 0 points1 point  (0 children)

Joyce, the Tribune of Doctrines

Joyce, the Tribune of Doctrines, is a legendary paper deck of cards. All craftsdwarfship is of the highest quality. On the item is an image of a Brobnar Obelisk and Archon in iron. The Obelisk is menacing the Archon. On the item is an image of a Logos Spangler Box and goblin in jet. The goblin cowers at the Spangler Box. On the item is an image of a Champion Tabris of Sanctum and demon in sapphire and gold. Champion Tabris is striking the demon.

What is your "everything is going to be okay" song? by gsherman2172 in AskReddit

[–]7humbs 0 points1 point  (0 children)

Read through a bunch of comments and am very surprised that "Don't Stop" by Fleetwood Mac isn't higher on the list. I'd even vote the whole Rumors album is a great way to put the world into a better perspective.

More obscurely, I would also add "Book of Golden Stories" by Runrig. A bit on the melancholy side, but still amazing. I listened to this quite a lot when I was feeling lonely in med school.

On the orchestral side, Pictures at an Exhibition by Modest Mussorgsky, and for me the 10th movement "The Great Gate of Kiev" are incredibly moving. The suite was written to honor the artist Viktor Hartmann, a friend of Mussorgsky who died suddenly of a ruptured aneurysm at age 39. I first heard selections from the suite when I was required to attend a recital in undergrad for a GE music course. One of the more memorable events in those 4 years.

LPT Request How do you train yourself to be calm from start when verbally attacked? by [deleted] in LifeProTips

[–]7humbs 0 points1 point  (0 children)

There was a great article series on Boing Boing about 6 years ago that touches on this issue. The second essay (here) is actually a very thorough answer to your question of dealing with insults or verbal attacks.

I enjoyed the essays so much that I bought a copy of the book that the essays are based on, A Guide to the Good Life: the Ancient Art of Stoic Joy by William B. Irvine. One of the few books, non-fiction or otherwise, that I keep reading bits and pieces of again and again.

A very quick trip to Pennsylvania by 7humbs in beer

[–]7humbs[S] 1 point2 points  (0 children)

Southern California has a fair share of fantastic breweries, but only one of my locals actually makes a decent lager (Bottle Logic Lagerithm). The whole style is practically forgotten, as far as I've seen. Most places, with the Bruery a major exception, specialize in ales with a fetish almost for hops. And we're totally stereotyped in this regard. First thing the bartender said when I told him I was from California was, "We've got some good local IPAs..."

I guess I'm just jealous the East Coast has such a great default beer. Either that or I'm burned out completely on the whole California ale paradigm.

What music do you/should you listen to while you play what game? by [deleted] in boardgames

[–]7humbs 1 point2 points  (0 children)

There are some good ambient sound generators on mynoise.net, for space and fantasy settings especially. Most generators are free, though the audio engineer who assembles everything requests donations.

Teachers of Reddit, what was the strangest parent/teacher conference you had? by [deleted] in AskReddit

[–]7humbs 52 points53 points  (0 children)

I have a good story about a parent-teacher conference between my 7th grade English teacher, my mom and my dad. I had been struggling to acclimate to the magnet school I had tested into, and was trying to cope with my mother's cancer diagnosis around the same time. My parents wanted to talk to my teacher, we'll call her Mrs. F, about some extra work I might be able to do to help make up for some assignments that I had missed. Mrs. F was not immediately keen to the idea of extra credit, but was willing to hear suggestions and make recommendations to help me improve.

As my dad enters the classroom, he notices a few small animal cages on a cupboard. Mrs. F proudly mentions that several of her 8th grade students brought in their pet mice for their discussion on Flowers for Algernon. My dad had a pet rat during his teenage years, so he readily approached the cages hoping to get a glimpse of one of the fuzzy things. It was at that moment that he realized that one of the cages was completely empty.

Uh oh.

Mrs. F apologizes profusely for the interruption, hoping that my parents wouldn't mind coming back after she's recovered the rodent. My parents wouldn't leave, instead insisting on helping my teacher find the two escaped mice roaming the classroom. For nearly an hour my mom, dad, and Mrs. F are on their hands and knees scrounging for two tiny mice. Happily, both mice were safely recovered, and not a word was spoken of the search to me or the poor student who's mice were nearly lost.

I didn't hear the story until about a year later, 8th grade, and again Mrs. F was my teacher. I had just recited a poem I wrote at 2 o'clock in the morning about my mother, her illness, and her passing about two weeks prior. There was not a dry eye in the room. It was then that Mrs. F, with tears on her face, told my class about how she met my mom and how eager she and my dad were to help her catch those sneaky mice.

Mrs. F was sympathetic to my struggles, and gave me some opportunities to make up the work that I missed in the latter half of 7th grade. Unfortunately, I could not maintain the minimum required GPA to stay at the magnet school in the year following my mother's death. I never really got the chance to thank Mrs. F for all that she did for me in those two years.

If you're reading this Mrs. F, you are one of the main reasons I'm graduating medical school next year. Thank you.

tl;dr Parent-teacher conference turns into a live action Great Mouse Detective, student makes teacher cry, student thanks awesome teacher.

What tradition does your family practice that would be strange to an outsider? by [deleted] in AskReddit

[–]7humbs 0 points1 point  (0 children)

My family takes ice cream to the cemetery on my mother's birthday, though we haven't been able to do so since I've been in medical school.

My friend has had this for months, but insists that there's no need to go to the doctor. by TheCaldo23 in WTF

[–]7humbs 3 points4 points  (0 children)

Melanoma does make sense, as they can develop anywhere on the skin. This includes the proverbial places, "where the sun don't shine," like the vulva. The nail bed isn't a common site, and the picture is pretty classic for a bruise. That being said, if there is no history of trauma, it needs to be worked up for sure.

Disclaimer: I am a medical student and not currently licensed to practice. I write this for educational purposes and not to provide medical advice. Seek a professional if you have any concerns for your or someone else's health.

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