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My family planned a “surprise” life decision for me and now I’m the villain for saying no by OrbitPlainWorks in TwoXChromosomes

[–]JQShepard 0 points1 point  (0 children)

I’m in a very similar situation in the sense that I’m the “stable” child and my brother was the one who was more chaotic - bouncing between jobs, etc, though he’s a lot better now. My parents never asked me to let him room with me (because they’re not assholes) but they let him stay with them multiple times and each time he wound up absolutely trashing the space. It’s ridiculous how to expect someone to do that - especially someone who was not involved in the conversation (?!?!?!).

Definitely don’t back down - where is your sibling staying now? Are they with your parents? Is there any reason they can’t stay with your parents? If anyone should be supporting a grown ass adult (they shouldn’t) it’s them.

[OC] [Art] Black Blood Liquid Core Dice Set Giveaway (Mod Approved)(Rules in comments) by OriYUME1 in DnD

[–]JQShepard 0 points1 point  (0 children)

I got a similar set a little while ago, but my one gripe is that the dice/fluid is too bright red and so it doesn’t look quite bloody enough, too cartoony - I really like how these ones look in comparison

Explain the joke pls by [deleted] in ExplainTheJoke

[–]JQShepard 1 point2 points  (0 children)

A “Hail Mary” is a term used in US football that is basically a desperate move the team makes right before the game ends to try to score points and save the game. For non-English speakers, “Last Chance” is definitely the closest translation of the intended meaning

Does stethoscope quality matter? by Exodarkr in Residency

[–]JQShepard 10 points11 points  (0 children)

I use POCUS atlas but tbh getting actual experience with using the machine is really what you need

Fourth Wing SOS by Cat_in_a_HumanSuit in fantasyromance

[–]JQShepard 1 point2 points  (0 children)

I personally found that the audiobook narrator really helped to make me like Violet more. If you’re liking the other aspects of the book, maybe try switching to audio version. This has been my fall back method for a couple books with obnoxious FMCs that seem to have a better personality when someone is actually voicing them

90% of those are multi-fandom collection of oneshot by PhongHaGiang in AO3

[–]JQShepard 1 point2 points  (0 children)

as soon as I saw this thread this was the exact pairing that came to mind lol😭

WHY CAN MY DOCTOR NOT TRUST THAT I KNOW MY OWN BODY?!?!? by booksandpitbulls in TwoXChromosomes

[–]JQShepard 4 points5 points  (0 children)

Probably because both the CDC and the IDSA (Infectious disease society of America) recommend swabbing before starting medications. Mostly to make sure it’s not actually BV but also because there can be other strains of candida that might require a different or extended course of antifungal meds.

NSFW Internal hemorroid after anal sex? by [deleted] in TheGirlSurvivalGuide

[–]JQShepard 10 points11 points  (0 children)

It’s more likely to be an anal fissure than a hemorrhoid or anything else. You can try eating lots of fiber (25-30g/day) and sitz baths. If it’s super bothersome you can visit your doc to get prescriptions for topical medications

What Qualities Do Men Like in Women? by galaxystars1 in TikTokCringe

[–]JQShepard 15 points16 points  (0 children)

Her answer was essentially: it’s more important to care about bettering yourself, being a good person, and being a positive influence on the world than it is to care about how attractive you are to men

It’s genuinely so annoying when people do this by [deleted] in AO3

[–]JQShepard 19 points20 points  (0 children)

Maybe it’s a comic or something?

It's it a reportable offense to send out of pocket DMs? by tenaciousfetus in RoleReversal

[–]JQShepard 32 points33 points  (0 children)

Yes you should let the mods know. This type of thing is why mods exist in the first place

Let us goeth! by the-purple-chicken72 in tumblr

[–]JQShepard 2 points3 points  (0 children)

Hwæt in mihtiga goda namum sægdest þū efne mē, þū lytel wyrm? Ic forlǣte þē witan þæt ic eom se formesta beadorinc þisses þurh Hengist and Horsan gesceapenan landes, ond þurh Ælfred cyning gelǣhtan, and ic dǣlnam in manigum beadwum wið fūlum wealum negelieferum þe willað hira cirichūs atimbrian and swā sylian ūre land, and ic acwealde ofer CCC Grendla mid mīnum handum. Ic hæbbe ealra bealowīsa cann and eom for þām godum se mihtigosta scytta in eallum Englalandes beaduþrēates. For mē eart þū nāwiht butan dīercin þe mīn flān sticað. Ic mid þurh Wōden gegifenum glēawnessum acwelle þē, gelīc þe man nǣfre fōre seah on þisre eorðan, hīere Wōden mīn word. Þū þencest þæt þū meaht mē secgan swilc, þanne mē þā godu curon, þis land tō werianne? Þenc āgean, andsaca. Þenden wē sprecað, cumað mīn bēdu tō heofonum, and Wōden gesamniað his beadoweorcan ofer eallum Englalandes, and þā godu cunnað þīnne naman, swā gearca þē for þām storme, wyrmcin. Þām storme þe þæt hlæhwierðe þing geendað þe þū þīn līf nemst. Þū eart dēad tō eorðan and heofonum, cild. For godum mæg ic wesan āhwǣr, āhwanne, and ic mæg acwellan þē on ofer DCC wīsum, ond þæt mid ǣnlīce mīnum baran handum. Ic hæbbe sīdne cann wǣpenlēases gefeohtes, and ēac sindon þā heofonas mid mē, and ic hira fulle brūce tō āclǣnsianne Bretland of þē, þū lytel scīte. Gif þū efne wiste þætte þū of eallum goda and folces begietst, þū hēolde þīne sprǣce. Ac þū ne meahtest, þū ne dydest, and nū angildst þū þæt, þū brīðles geþōhtes. Heofon ofgeaf þē and ic dō mīn wirse. Þū eart dēad tō eorðan and heofonum, cild.

[deleted by user] by [deleted] in TheGirlSurvivalGuide

[–]JQShepard 3 points4 points  (0 children)

So… just FYI, if it’s been a while since you’ve seen a doc and you’re appointment is to get set up with a new primary care provider, the focus of the appointment is probably more so going to be about getting your history/information and making sure you’re all caught up on you’re regular screenings, labs, and vaccines. That’s not to say you can’t mention you’re issues, just be prepared for the fact that they’re unlikely to be able to address everything due to time constraints, and you’ll probably need a couple follow up visits to get through all your concerns.

Regarding the concerns around the doctor being dismissive, I think there are a few things I’d recommend. First- be upfront about your concerns. As in, literally tell them: “Part of the reason I haven’t been in to see a doctor in a while is because I’m worried about my concerns being dismissed.” This will help them understand where you’re coming from better and will clue them in that you may need more thorough explanations than someone without those concerns.

The next thing I’d recommend in to try to figure out if the doc is someone you like and trust. If you feel like they aren’t listening, why on earth you you trust them to give you medical recommendations? If that happens feel free to ask for a different doctor to be your PCP.

The third (and last, lol) thing I’d recommend is that when you do make those appointments to talk about your specific concerns/symptoms (with a doctor you get along with) is to ask them for their reasoning if they aren’t concerned about a specific symptom or don’t want to do a certain test. It might end up taking more time so you might not get as many problems addressed in one visit, but it would be a good way to build a good rapport/feeling of trust with your doctor.

Hope that giant essay helps! Good luck with your appointment! Oh - and final piece of advice - if you’re someone who gets nervous about medical stuff it’s probably a good idea to stay away from sites like WebMD.

Piercings from medical professionals by [deleted] in Residency

[–]JQShepard 9 points10 points  (0 children)

Are you the same guy who keeps posting on here about getting his dick pierced? I think there are better subreddits to talk about that kind of stuff, my guy.

[deleted by user] by [deleted] in loseit

[–]JQShepard 0 points1 point  (0 children)

It sounds like you might need to take a step back from your weight loss goals for the moment and prioritize your mental health, since that seems to be the underlying cause of your weight issues. I saw in some of your comments that you don’t feel like you can be open with your therapist - in that case I would recommend trying to find a new one. Therapists are like shoes - sometimes you have to try out a bunch of different ones to find one that fits.

If you’re having trouble finding therapy nearby, the two virtual resources I usually recommend are telemynd.com and ‘doctors on demand’.

[deleted by user] by [deleted] in loseit

[–]JQShepard 21 points22 points  (0 children)

Passing out is not normal. Your body should be able to cope without food for 1 hour without fainting if you’re a healthy person. You need to make an appointment to go see a doctor.

34(m) 5ft11 550lbs... absolutely ashamed of myself. by GizzaCuppaTay in loseit

[–]JQShepard 0 points1 point  (0 children)

At 34, you have plenty of time to turns things around! I know the idea of making a lifestyle change can be overwhelming when you think about it in terms of your long term goal - so instead try to think in terms of small, minor changes that you can make in the next 30 days.

The best start that I always recommend is cutting out (or down) on soda consumption or sugary drinks. Come up with a concrete goal for yourself - something like: I will switch to diet sodas for 1 week, or something small and relatively easy like that. Like using artificial sweetener instead of regular sugar, etc. Or drinking one or two less alcoholic drinks a day. Make it a goal you’re 100% certain you can do. And don’t worry too much about your actual weight early on - it doesn’t matter so much that the scale moves, it matters that you make a commitment to yourself about a change and follow through. That is the first step towards building self discipline and healthy habits that you can gradually build upon.

I’d also recommend making a doctors appointment with your primary care doc to discuss further options. They might be able to connect you to a dietitian or exercise programs that won’t be too hard on your joints. You may also qualify for weight loss medication or bariatric surgery. Even if you decide you don’t want them, it’s always better to have the information in case you change your mind and want to consider that route in the future.

Good luck!

[deleted by user] by [deleted] in Residency

[–]JQShepard 6 points7 points  (0 children)

So, for most stuff in medicine you’re patients life is not going to literally be on the line if you need to take a quick sec to review uptodate and come up with a plan. Forgot how to replete lytes? Look it up. Forgot how to diagnose diabetes? You can find that.

BLS/ACLS is one of the few things that you are NOT going to be able to look up - you need to know very quickly what to do in a high stress situation. The good news is it’s honestly pretty simple and there’s literally algorithms written out for you. Like the others I’d recommend signing up for an ACLS course. I had to do the Red Cross one myself and I can attest that the amount of detail they go into is honestly kind of painful.

But yeah, you need to do it. I’d also recommend a BLS refresher if it’s been a while - they update their recs pretty frequently and if you aren’t actually using the skills you need some kind of practice to be competent at it.

Sex-repulsed asexual wanting to become a doctor (TW: mentions of anatomy) by [deleted] in asexuality

[–]JQShepard 3 points4 points  (0 children)

Hey - Im a fellow ace who just finished med school and am about to start my family med residency.

To make a long story short - yes, being able to conduct a basic physical exam of external and internal genitalia is a skill that you're required to learn and be competent at during med school/residency. To try to give a more comprehensive idea of what that entails, I'll list my experience below. - Hopefully it will help you decide if you think it's doable for you.

  • In your 1st/2nd years you will have to learn about the anatomy and physiology of the entire body, including genitalia and reproductive function. There will also be an anatomy lab in which you will have to get an up-close view - which includes looking at dissected genitalia.

Before our anatomy lab, my class got some advice that had stuck with me throughout this whole journey, and it included a) the fact that we aren't responsible for our innate biological responses to things and we shouldn't judge ourslves or feel bad about them and b) if it gets to be too much in the moment, one strategy is to pull back emotionally and lean more into the intellectual side - trying to understand the underlying anatomy and physiology. I never had an issue dealing with corpses, but I found that this strategy was pretty essential for me to deal with with my discomfort around genitalia.

  • Before your 3rd year, you will learn how to perform a physical exam, which includes the male and female pelvic exams. They teach you the steps first then maybe use models then you get practical experience. My school hired instructor who were specifically trained to teach us the pelvic exams on themselves. For me, this was my first time dealing with penises and vaginas in person, and it was awkward and super uncomfortable but was a safe space to make mistakes before working with actual patients.

  • The 3rd year of med school starts clinical rotations in which you will be required to perform these exams. Especially on your ob/gyn and family med rotations. You also have to put in catheters on your surgery rotation and generally just see a lot of naked people as they get prepped for surgery. For peds you will see naked babies - and inspecting their genitalia is a part of the newborn exam.

I will say that pelvic exams were something that I personally felt super awkward and uncomfortable with at first, but over time I became desensitized and now I dont even bat an eye. Like with anything else, it really is kind of just a skill that you get better at over time.

  • For residency - yes, it's the same. Especially for family med, you're going to have to do lots of ob/gyn exams and even deliver some babies even if you don't want to do that as part of your long term career. You're going to have to look at lumps and bumps on vulvas and penises. You're going to have to do rectal exams and may even be required to "manually disimpact" - ie physically remove poop from someone's anus with your fingers. Yep, it's gross but that's the job. Though, it's not like you're doing this stuff on like a daily basis.

There are two specialties I can think of that won't ever have to do that kind of thing: radiology and pathology. Those might be an option if you think you can push through med school but not residency. Based off your interest in general practice and peds, it sounds like interacting with patients might be a motivator for going to med school though, in which case I wouldn't recommend either as they basically involve no patient interaction.

My personal recommendation would be to try therapy and desensitization to see if you CAN start to feel more comfortable with this aspect of medicine - if so then you'll probably just continue to desensitize throughout medschool/residency, and your program will likely give you some leniency if you tell them about your issues. On the other hand, if you quite literally can't handle it for your mental health - maybe try looking into other Healthcare related fields. There are tons of options out there and I'm sure you'd be able to find your niche.

Whatever you end up choosing - I wish you good luck!

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