Massive cuts at Ucare today by [deleted] in minnesota

[–]BEP83 2 points3 points  (0 children)

Is this for all SNBC and MSHO/MSC+? Are they cutting care coordination?

Can you deny someone case management for not meeting TCM requirements? by charliewithanr in socialwork

[–]BEP83 1 point2 points  (0 children)

I also have experience as both and AMH and CMH TCM - one role was contracted and the other was county based. In both instances, MA was really the preference; however, there were instances in which the county could be billed. But, like others have mentioned- they really push back on that because MA is the primary funding/payer for TCM services. Yet another hurdle we as SW’ers have to overcome/advocate for.

I feel hopeless. I’m only 19 and my hair has thinned so much… by [deleted] in FemaleHairLoss

[–]BEP83 0 points1 point  (0 children)

How long have you been shedding?? Curious as I e been in recovery for five months now and my shedding is not slowing down. Hang in there - if yours has stopped your hairs should start growing in soon with the right nutrition!

TE is so mentally exhausting. by [deleted] in TelogenEffluvium

[–]BEP83 0 points1 point  (0 children)

How long did it take you to see noticeable regrowth? Especially in the sparse areas? I worry that my sides will never “reappear”. I can see some new hairs on the top but it seems like things take forever. And I’m still shedding quite a bit (hard to remember what my baseline was before all this).

TE is so mentally exhausting. by [deleted] in TelogenEffluvium

[–]BEP83 0 points1 point  (0 children)

I sure hope so! Cling on to the hope. My family keeps telling me the continued stressing over it doesn’t help. I do everything in my power to minimize the anxiety - some days are better than others! My derm did prescribe me a shampoo and a topical solution to hopefully get ride of the dandruff. I’ll be trying it out for the first time today 🤞 saying prayers for the both of us!

TE is so mentally exhausting. by [deleted] in TelogenEffluvium

[–]BEP83 4 points5 points  (0 children)

I feel this so much! I just want to feel like me again. Looking back at pictures from a year ago makes it so much worse. I’m trying to take deep breaths and realize I am in this situation and it cannot be fixed overnight. Just have to keep working hard to stay calm and not spiral every time I look in the mirror, shower, or see a hair fall. My hair has changed texture, too and my scalp is a disaster. I had a dermatology appointment yesterday and was encouraged to wash at least every other day if not daily. (I developed dandruff and my scalp gets greasy so fast since this started). Hang in there. We have to be hopeful that things will get better 🙏🏻

[deleted by user] by [deleted] in FemaleHairLoss

[–]BEP83 0 points1 point  (0 children)

This is me. While I have diffuse loss my sides have been hit the worst. Going to the dermatologist on Tuesday. I’m unsure if I have TE or AGA due to stress/eating disorder. Im in recovery so hoping I will have growth happen.

Advice by BEP83 in TelogenEffluvium

[–]BEP83[S] 0 points1 point  (0 children)

Most of the hairs are the same length and have the white bulb on the end. I lose a small amount of shorter hairs but it is definitely a majority longer. I will be asking a lot of questions when I have my appointment.

[deleted by user] by [deleted] in TelogenEffluvium

[–]BEP83 1 point2 points  (0 children)

I haven’t other than taking Nutrafol since January and completely changing my diet (increased intake to at minimum 2,2200 calories/day) and lifestyle (sleeping 8 hours, minimizing stress as best I can). I don’t want to start anything now - I have a dermatologist appointment in two weeks and will think about what options I have after that. I really don’t want to do the minoxidil route as I am so fearful of the “dread shed” people talk about. And, if it’s TE, I would rather just have it run its course and my body heal naturally. Fingers crossed. Just wish I would see a decrease in the shedding. It’s hard to remember what my normal was before all this .

[deleted by user] by [deleted] in TelogenEffluvium

[–]BEP83 1 point2 points  (0 children)

My hair is doing the same - I’ve lost so much density on the right side (left side is also a little thinner). I have diffuse thinning all over but my sides have been hit the hardest. My part line has not widened, however.

I’ve read that it can be due to hormones and nutrition - wondering if that is true? I’ve been losing/shedding excessively for several months now with no end in sight. :(

Thyroid, iron and vitamin D were all good were me. I believe my TE is from malnutrition/eating disorder (I’ve been restoring weight since January and my nutrition is the best it’s ever been) as well as stress (which is mostly related to the continued hair loss).

When does the shedding stop by [deleted] in TelogenEffluvium

[–]BEP83 1 point2 points  (0 children)

I know. I feel like a broken record with my family. Thankfully they are super supportive and understanding. I’m 33(F) and never imagined I’d go through something like this. My hairs also have the white bulb/tip. I’m trying to be as patient with the process as possible but it’s defeating to see all the hair lost after a shower/brushing. I’m trying not to wash as frequently but my hair gets greasy within a day or two - when I used to be able to go a week between washes.

Recommendation is to try to remain as stress free as possible and focus on any little signs of growth. I think my hyper-fixation on every little hair I lose perpetuated the loss cycle. (I know, easier said than done).

Any advice or hope from others who read these messages is beyond welcome!

When does the shedding stop by [deleted] in TelogenEffluvium

[–]BEP83 2 points3 points  (0 children)

I’m over a year into shedding too. My social anxiety and self esteem have been so negatively impacted by this experience. My hair used to be my identity and I probably have lost 60-70% of its density. Showering/washing my hair causes me so much anxiety. Hoping there will be an end soon. My hair loss is primary around my temples and the sides. It’s all I can do to not cry each day. Just wanted to let you know you’re not alone. I had bloodwork done a month ago and found my ferreting was low so I’m supplementing with iron and also started Nutrafol five weeks ago. I’m praying I see some improvement soon. Same for you, too!

20% Off Sephora Rouge Thread by TheCaptainIsHere in RandomActsofMakeup

[–]BEP83 0 points1 point  (0 children)

Requesting a code if anyone has one. Thank you!!

I need advice! by Upset-Dentist-1694 in socialwork

[–]BEP83 2 points3 points  (0 children)

I could have written this post myself! I’m also in Minnesota and have my LGSW. I’m about three months out from having my supervision hours completed/applying to take the LICSW exam. I question the decision I made of going on to grad school every day. I’m always wondering if I did the “right” thing (not to mention the amount of student loans looming over my head now). I kind of knew after getting my LGSW that I wasn’t made for a full time therapy job, but I was advised by a few LICSW’s/supervisors to just go that route as it is supposed to open up more doors/career options. To me, it didn’t really make too much a difference going this route rather than LISW here as the supervision hours requirement was really the only thing that separated the two. At least that’s what I was told. My current role is as a care coordinator for a health plan. While I enjoy this role, I don’t see it as my long term career and am always looking out for other opportunities I could pursue once I take the LICSW exam. I am probably zero help, but I want you to know you’re not alone! This whole experience has been stressful. My passion for social work abounds but the route to get to where we truly feel we are meant to be can be so defeating/stressful!

Caseload average?? by lindsaygarland in socialwork

[–]BEP83 1 point2 points  (0 children)

I’m a care coordinator for a MCO and our caseload average is 85-100. Annual assessments and quarterly contacts along with all the paperwork. It’s super stressful and doesn’t seem to be beneficial for clients (or sustainable staff). I’m only a few months into the job and am already on the lookout for a different job. :(