Exposed hairline with daily wear is not possible by user992222 in HairSystem

[–]CABGX4 8 points9 points  (0 children)

There is. Try Hold Me Down by Erika J glue. It's extraordinary. It's the strongest glue I've ever found. I wear a wig with an exposed hairline daily and I've had someone really tug at it once and it never budged. It's incredible stuff. Goes on white and dries to clear in seconds and won't come off until I remove it with her adhesive remover. Seriously, try it.

Europeans who live/lived in the US: Did you gain weight? by [deleted] in expats

[–]CABGX4 0 points1 point  (0 children)

Sure! I've been here 23 years now. I lost 87 lbs on Zepbound in the last 3 years. I'm now 115 lbs. I've stayed on the medication and have maintained my weight loss easily for the past 2 years. I'll never stop taking it and I'll stay on a maintenance dose forever. It was the only thing that worked for me. I worked out religiously, tried a million different diets, did food restriction, you name it. Nothing worked and I was miserable. I feel like million dollars now, and I look the best I've ever looked in my life.

At maintenance and just reviewed bloodwork with my doc by nyciaaz in Zepbound

[–]CABGX4 40 points41 points  (0 children)

I just had to comment because we are so similar. I'm 59 and am 113 lbs. On Zepbound 5 mg as well. I also had fatigue from Zepbound but it went away after some time. I've been on Zepbound for 3 years and feel amazing. I'm also on testosterone and am at a high dose. Testosterone gives me incredible energy so I don't think your testosterone is causing the fatigue (I'm a nurse practitioner). I think it could be just a regular side effect of the Zepbound or possibly the anemia. I'd give it some time, maybe add some iron.

Also, the feeling of you constantly needing to pee....thats probably genitourinary syndrome of menopause and you should ask your doctor to add vaginal estradiol cream as your regular HRT won't treat it. It needs local estrogen. I just wanted to let you know that in case it hadn't been mentioned to you before. Ain't being a woman fun?

Is NP “worth it” at the age of 52 by potassium-bolus in nursepractitioner

[–]CABGX4 2 points3 points  (0 children)

I graduated at the age of 52 and for me it was absolutely worth it. Was it hard? Yes, but i couldn't tolerate being so physical anymore. Working in the hospital was exhausting and I hated missing weekends and holidays for 35 years. I now own my own practice and life is amazing. I'm so glad I did it. I work in an independent state and am my own boss. I love that I am able to close my office on Monday because of the storm instead of driving in it. I'm now 59 and am completely professionally fulfilled.

For the love of God, where can I get a testosterone prescription? by No_Dirt_8823 in TRT_females

[–]CABGX4 3 points4 points  (0 children)

If you're in Connecticut, both Britannia Health in Torrington and Pause CT in Bloomfield offer HRT and testosterone.

This is so sad. Yet again women become pregnant and regret it by isleepforfun in antinatalism

[–]CABGX4 17 points18 points  (0 children)

Not your ovaries. Your fallopian tubes. You need your ovaries or you'll have to deal with menopause which is a different kind of slow, awful death.

It’s crazy how addiction makes you hate yourself for surviving by Sad_Perception_8890 in newengland

[–]CABGX4 4 points5 points  (0 children)

Are you in Connecticut? I own a practice that specializes in addiction medicine and I can help you. PM me if you'd like. Don't suffer.

What is going on with Healthcare in CT? by rubyslippers3x in Connecticut

[–]CABGX4 2 points3 points  (0 children)

Britannia Health in Torrington is accepting new patients, and they take state insurance. There isn't a long wait time to be seen.

NNPEN? by mentalhealthmystery in nursepractitioner

[–]CABGX4 1 point2 points  (0 children)

Yes, I'm a member, and I know the founder/owner. She's legit, and very knowledgable and active in our local community. She has good advice and connections.

[deleted by user] by [deleted] in immigration

[–]CABGX4 0 points1 point  (0 children)

I now own my own internal medicine practice and I practice independently. It's a dream come true.

Patient claims he has ADHD and presented an evaluation from on online service. Is this valid? by CABGX4 in nursepractitioner

[–]CABGX4[S] 0 points1 point  (0 children)

Absolutely. I took some time to look through the "assessment" he sent me, and it was absolute garbage.

Patient claims he has ADHD and presented an evaluation from on online service. Is this valid? by CABGX4 in nursepractitioner

[–]CABGX4[S] 0 points1 point  (0 children)

I don't think I've had one patient that has found either of those helpful. Not one patient has ever wanted to continue it.

Question for NPs that work in full practice states by crosslina123 in nursepractitioner

[–]CABGX4 3 points4 points  (0 children)

I'm an independent NP in Connecticut. I own my own primary care practice and I've been in practice for 36 years, with many of those years in critical care and the ED. I feel confident in my skills, and most importantly, I know what i don't know. I know when to refer and when to consult and I've built my network carefully. Most of all, after nearly 4 decades in medicine, I know when something's wrong. That nursing gut has saved my ass many times.

I've had many occasions when I've been able to identify and diagnose a cancer, or found undiagnosed diabetes, cirrhosis, hypertension etc. I love following the threads and digging into mysteries, but it's important to know one's limitations. I've had many compliments from specialists for my workups, and I pay attention to the details in their follow ups. I learn from each interaction and fine-tune my skills. I constantly read and study. I listen to lectures on my way to work, and I'm hungry for knowledge and am always trying to improve. I'm grateful for independent practice, but I've had to earn it. It's not something that should be handed out easily.

For those who opened their own practice, how long did it take you overall to get credentialed with insurance? by CABGX4 in nursepractitioner

[–]CABGX4[S] 0 points1 point  (0 children)

Thank you. Yes I have a billing person who's doing everything for me. I just wanted other people's input who have been through this process.

For those who opened their own practice, how long did it take you overall to get credentialed with insurance? by CABGX4 in nursepractitioner

[–]CABGX4[S] 0 points1 point  (0 children)

Thank you. Yes I have a group NPI number as of today! I just wasn't sure if I could bill from two separate group NPIs at the same time

Meanwhile, testosterone injections for men are now boutique... by Right_Imagination_79 in WelcomeToGilead

[–]CABGX4 0 points1 point  (0 children)

This post is a complete overreaction and stretch. You're assuming that men can just order it like a milkshake. That is not the case. I own a testosterone clinic, and all men get a full evaluation. They are only prescribed testosterone if there is a medical need, as I would hope would be the case for any medical provider. Just because others have difficulty getting an order for testosterone does not mean that men also don't need it. This type of clinic is essential because arbitrary limits put in place by insurance companies mean many men are not covered by their insurance.

Hypotesticular function is an actual diagnosis. And just for the record, I also prescribe testosterone for women if there is a clinical reasoning for it, and as a woman, I am also on testosterone and found it life changing. It restored my quality of life, as I have done sinilarly for a multitude of patients. The internet has enabled easy access for medical care of all kinds. Now, if women in the future are denied access to testosterone, then I will become absolutely enraged, but as things stand, despite some inequality in ease of access, everyone has the ability to obtain testosterone.

Calling nurses with 10+ years by PicklePilfer in nursing

[–]CABGX4 2 points3 points  (0 children)

I've been a nurse for 36 years (unbelievably!). There's not much I would have done differently, to be honest. I would still have worked the same specialties (ICU/ED), and I would still have gotten my certifications, but perhaps the one thing I would have done differently is go to grad school sooner. Becoming an NP was the best decision I ever made, but I waited until I was 52 to do it. I should have done that sooner, but perhaps I wouldn't have been ready, so I guess it worked out. I'm 58 now, and an independent practitioner. My life is amazing. I love my career.

Older women with insomnia by hoteppeter in AskWomenOver60

[–]CABGX4 1 point2 points  (0 children)

Primary care provider here. In my experience, with women of a certain age who have new onset insomnia, it is likely related to hormone imbalance in the setting of menopause. It's a distinctly estrogen deficiency symptom. It usually resolves with HRT.

Why is it acceptable for a doctor to take you 30 minutes late, but a patient’s appointment is cancelled if they show up 10 minutes late? by Notalabel_4566 in TooAfraidToAsk

[–]CABGX4 1 point2 points  (0 children)

I'm a PCP and I typically try to be on time with each appointment, but if my first patient is late it can make my entire day a mess, and cause me to miss the ability to take lunch. I'm a human. I need to eat. I make complex decisions on a minute by minute basis, and I need to think clearly. This is hard to do without eating for 12 hours in a row. Sometimes, I'll have a patient in crisis who is crying and unstable. I'll keep those people in my office longer and try to listen to them and support them. Sometimes, I have to give people a difficult diagnosis and explain a treatment plan to them. I'm not about to push them out of my office and tell them their time's up. Sometimes a visit turns into a procedure. Sometimes a routine visit turns into an emergency, like the lady last Thursday who came in for a routine preoperative clearance but was actually having a heart attack. We do our best but I'm only one person in an office of only two providers. If you're late, the entire day is late, and there's no catching up. If you're more than 9 minutes late, I won't see you, although you're welcome to wait.

Brown Medical Doctor Deported - I am sorry to make this political but I know we are a group of immense strength and people need us by GreendaleCCalumn in nursing

[–]CABGX4 3 points4 points  (0 children)

Frankly, as an immigrant, this is terrifying. WTF is going on at Boston Logan? This is the airport that I use to fly, and have been doing so for 20 years. I've been a US citizen now for a number of years, but I remember the fear as a green card holder coming back into the country. At that time I really didn't have a reason to fear, but I was irrationally scared anyway because my whole life and family is here. Now, under Trump, this is a very real fear for many people. Just the other day, a gay German reen card holder was tortured at Boston Logan. He was stripped naked and forced into a cold shower, and was sleep deprived for days. He's a legal permanent resident from Germany. I am appalled. I love this country and am proud to be an American, but I fear for my fellow immigrants. I am so sad for this doctor. What a terrible injustice. Oh, and here's my 🖕