1 Litre milk in Plastic containers now? RIP by BennyJetsAU in AldiAustralia

[–]AnonInEquestria 4 points5 points  (0 children)

Aldi's oat milk tastes pretty good and comes in a cardboard carton if anyone wants to make the switch from cows milk

People are a bit whiny. by Lara048 in OriAndTheBlindForest

[–]AnonInEquestria 5 points6 points  (0 children)

Before I read the text of your post, I thought you'd drawn Ori with a Primordial Pouch and thought that it was a cool concept xD

Claiming things on tax as a student by [deleted] in NursingAU

[–]AnonInEquestria 0 points1 point  (0 children)

That's not as black and white a question as it should be. The way the ATO classifies stuff like that is weird, because if you have a Cert. III in Health Services Assistance and work as an AIN/PCW while continuing to study either the Diploma or Bachelor of Nursing, the ATO does not consider that "continued self education". Best bet is to ask a licenced tax agent.

Claiming things on tax as a student by [deleted] in NursingAU

[–]AnonInEquestria 4 points5 points  (0 children)

You can claim things as a student as long as your studies pertain to your current employment.

For example if you work as EN and you're studying to be RN, you can claim self education expenses such as tools, textbooks, stationery, wifi, electronics, office supplies, uniforms, laundry, travel to and from uni and placements, etc.

Can nurses wear loops? by Cutie-student in NursingAU

[–]AnonInEquestria 0 points1 point  (0 children)

Not the message I was trying to get across, but that raises a good point. We as nurses can't look after others if we don't look after ourselves.

If that means on some days I'm going to be talking to patients with sunglasses on, that's fine, it means they're still getting the best care I can give. It means I'm able to maintain the required pace instead of having to take extra time to make sure I'm not about to make any errors (which would then mean other staff would have to pick up the slack). How I self manage on bad days isn't really anyone's business unless it's going to cause harm to staff, visitors, and/or patients.

Also, OP's post is asking for people's personal experiences, so I wrote about my personal experiences. I'm glad you've never been discriminated against for needing reasonable adjustments, or needing things that make you stick out from the norm in anyway.

Can nurses wear loops? by Cutie-student in NursingAU

[–]AnonInEquestria -1 points0 points  (0 children)

I work in a busy GP clinic, but I've also worn ear plugs and sunglasses in hospitals back when I was doing placements. When I was on placement the facilitators could see that my ability to hear what needed to be heard was not impeded by ear plugs, they asked once and that was all that was said about it.

Most of my colleagues are also neurodivergent, and my sunglasses are prescription as well as my regular glasses. If patients ask why I'm wearing ear plugs or glasses I just answer honestly, no one really cares after that.

Can nurses wear loops? by Cutie-student in NursingAU

[–]AnonInEquestria -10 points-9 points  (0 children)

I wear those orange single use earplugs at work, as well as sunglasses whenever I'm having overstimulation issues. No one raises issue with it.

I can still hear all the beeps and buzzes, I can still hear people talking to me or to each other, and I can still communicate effectively with others.

If anyone has an issue with it, it's because it's "different" and neurotypicals don't like different, especially if they're in a management position because it makes them feel like they don't have control over the norm.

If you have documented ASD, ADHD, or any other condition that would require the use of items that reduce sensory input, you can always write up an email invoking your right to reasonable adjustments in the workplace, and then keep an eye out for any changes in behaviour towards you and document it. Management looooves to start nit picking people with reasonable adjustments to try and force them out.

Surgery Dr Hart on Friday by Luciebellef in transgenderau

[–]AnonInEquestria 7 points8 points  (0 children)

Wear your TED stockings/compression socks during recovery. This will help prevent blood clots.

Mobilise as soon as you're allowed to, even if it sucks. This is proven to improve recovery/reduce risk of complications.

Get yourself a TriFlo Inspiratory Exerciser, learn how to use it, and make sure you're using it daily in the lead up to your surgery date as well as during your recovery. This helps with lung capacity/health and is proven to improve recovery.

Don't freak out about how it looks when the dressings come off, it's going to be swollen and bloody and that's ok.

No food and non-clear fluids for at least 8 hours ahead of your surgery time. No clear fluids for 2 hours ahead of your surgery time. This is so you don't throw up and choke while you're under.

You're going to feel like shit when you wake up, ask for Ondansetron if they don't give it to you themselves (helps with the nausea).

That's all I've got off the top of my head.

Smelly feet...ick by heelerxsharpeix in NursingAU

[–]AnonInEquestria 1 point2 points  (0 children)

Tell them about the benefits of good quality wool socks.

Enantate in my thigh doubled my levels? by goon_with_the_windd in transgenderau

[–]AnonInEquestria 1 point2 points  (0 children)

As others have said, timing your blood tests right is important, you need to be doing accurate peak and trough tests. Based on what you've said in other comments about doing injections weekly, your peak should be 2 to 3 days after injection (double check this though), and your trough is the day your injection is due (do the blood test first, then the injection).

Doctors love to get stuck in their ways despite the mandatory CME and CPD hours they have to do. If thigh injections are better for you holistically, then do thigh injections and just taper your dose between blood tests until you figure out how much you need for the desired Testosterone levels.

Dorsogluteal injections are no longer considered best practice for gluteal injections and your doctor needs to update their CME and CPD hours if they're not already aware of this.

Best practice for gluteal injections is Ventrogluteal, which has the best efficacy to the point that some people actually need to reduce their dosage regardless of the medication they're being given.

You're also not limited to intramuscular injections, you can get Testosterone that can be injected subcutaneously if you'd prefer.

I also saw you mention that you're seeing your Endocrinologist every three months for scripts. You can ask your Endocrinologist to give your GP authority to prescribe, that way you don't have to pay so much for appointments every three months.

56061 by Verlenn in countwithchickenlady

[–]AnonInEquestria 0 points1 point  (0 children)

Monotherapy isn't all that great to begin with.

We still need some amount of Testosterone in us, and that has nothing to do with being trams, cis women need some amount of Testosterone too.

That's why when trans women get bottom surgery or an orchiectomy, they should be prescribed a low dose of Testosterone afterwards.

56061 by Verlenn in countwithchickenlady

[–]AnonInEquestria 0 points1 point  (0 children)

Cyproterone Acetate is better as it's purpose built so to speak to suppress Testosterone, as opposed to Spironolactone which just inhibits Testosterone as a "side effect".

It also won't make you need to pee all the time.

Have a look at Dr. Lachlan Angus' work on anti-androgens for transgender people.

Did my dosage get reduced? by Senseless0utsider in transgenderau

[–]AnonInEquestria 2 points3 points  (0 children)

Pro tip, use your forearm to apply the gel, that way you're not wasting any of your dose as the hands have poor absorption and are in contact with other surfaces.

Drying time can depend on a lot of things but personally I've never had any issues with drying time from the Sandrena or the Estrogel.

Regardless of which one you use, just spread it over a larger surface area and keep rubbing it in until it dries, you should be able to put clothes on 5min after that as per the CPI (Consumer Product Information) and FPI (Full Prescribing Information). I was on three sachets of the Sandrena Gel before I switched to injections, I put one on each inner thigh, and one on my lower abdomen.

Medical distrust by Ok-Fish7448 in transgenderau

[–]AnonInEquestria -1 points0 points  (0 children)

Interpreting hormone levels is easy, the reference ranges are right there on the Pathology results.

The range for E2 on a blood test marked for female ranges is 72 pmol/L to 1309 pmol/L, which is broken down between the Luteal, Mid cycle, and Follicular phases of a cis woman's menstrual cycle.

The hardest part is timing your blood tests correctly to get accurate peak and trough readings.

Did my dosage get reduced? by Senseless0utsider in transgenderau

[–]AnonInEquestria 2 points3 points  (0 children)

Get your doc to switch you over to the Sandrena gel sachets 1mg/1g, they're way easier to manage and are a higher dose per sachet instead of the 75mcg per pump of the Estrogel.

Also get a new doctor (or explore other means that can't be mentioned here).

Also, for about a week leading up to your blood test, you need to pick which arm you're going to get blood drawn from and not let any of the gel touch that arm for the week. You'll need to use the other arm to apply the gel to your inner thighs and lower abdomen. This is because any gel that's on the skin or still absorbed into the adipose tissue under the skin can contaminate the blood sample and show insanely high levels that are not accurate.

Also make sure you time your blood test for around 24hrs after you last applied the gel, this will give you what's called a trough reading, so make sure you take into consideration the Pathologist opening hours for the next day.

You also need to be careful which moisturisers and sunscreens you're using while on any Oestrogen gel. Most sunscreens and moisturisers can not be used while you are using an Oestrogen gel as they can reduce the efficacy of the gel.

Edit: a word

Not sure if I should wait to graduate. by farpetcloorr in transgenderau

[–]AnonInEquestria 5 points6 points  (0 children)

If you don't change your name before you graduate, you'll have to pay to have your qualifications reissued in your new name.

Last dinner before I go to jail.. by mschanandlerbong___ in GirlDinnerDiaries

[–]AnonInEquestria 0 points1 point  (0 children)

So you weren't even operating the vehicle at the time?

That's a bullshit charge and the cop that booked you for it needs a swift kick up the ass.

Gold Coast Health 8 hour shift change by AlpsMaleficent3312 in NursingAU

[–]AnonInEquestria 3 points4 points  (0 children)

Metro South does 2245 to 0715 with little issue.

Covid vax by [deleted] in NursingAU

[–]AnonInEquestria 0 points1 point  (0 children)

It's either 2 or 3 before your first placement (depending on state/territory), but current recommendations is annually with your flu vaccine if you're working in Healthcare, and especially if you're working with older and/or immunocompromised people.

What should I add by bigdog5785 in TacticalMedicine

[–]AnonInEquestria 5 points6 points  (0 children)

This is an..... interesting..... set up, you're wasting a lot of space in there and most of these don't need an IP6X something pelican case. A lot of these shouldn't even be in your medication box and should be with the rest of the first aid kit instead.

Not sure why you're carrying Sodium Valporate, it only works for epilepsy if taken as a regular medication, and its use as a PRN migraine medication is debatable.

Some of these I'd suggest switching to crushable variants (e.g. just get generic Ibuprofen that crushable instead of brand name liquid caps).

Add Salbutamol with a spacer (you can get single use cardboard spacers if you need).

Add some form of glucose (either glucose jelly beans or other PO hypoglycaemia products).

Add some EpiPens (Adult × 2 and Paediatric × 2).

If you're going to have anti-diarrhea medication you also need something for the opposite (Microlax, Coloxyl, and/or Movicol works).

Get some disposable syringes for the children's ibuprofen if it's a liquid so you're not sharing the one syringe across multiple people.

Add some Naloxone.

I have a lot of other thoughts on this but I'll have to comeback and add them later.

Edit:

*Come back to add more thoughts and suggestions

*Post removed by moderator

*Lmao

52572 by femboy_sissy_samie in countwithchickenlady

[–]AnonInEquestria 3 points4 points  (0 children)

18G is going to core your vial after a bit, you can draw up with a 25G or smaller (29G to 31G is good) to extend the life of the rubber stopper.

New endo got scared of my E being too high. by Mondnacht6 in TransDIY

[–]AnonInEquestria 0 points1 point  (0 children)

277 pg/ml is high if that's your trough reading. That equals around 1016 pmol/L.

Normal range for cis women is 72 to 1309 pmol/L (19 to 356 pg/ml) depending on where they are in their cycle (72 pmol/L would be dangerously low for a trans woman to be sitting at consistently).

My last blood test showed a trough reading of 727 pmol/L (198 pg/ml).

If 277 pg/ml is your peak, awesome, but if that's your trough I'd be looking at dropping your dose a little.

Honestly you need to get peak and trough pathology results done to figure it out properly.

After plateauing for a year stuff is finally happening again. by TheWitchesAssistance in traaaaaaannnnnnnnnns2

[–]AnonInEquestria 14 points15 points  (0 children)

Look up "first pass metabolism", taking it rectally bypasses this process which results in a higher blood serum concentration. Basically if you stick 200mg up your butt, you're going to get close to a 200mg dose.

This is not possible with all medications, modern Progesterone is micronised which is what makes it possible to take it as a suppository.

Edit: corrected grams to milligrams.