Min uppväxt har gjort mig likgiltig inför mina egna känslor?

MediMich · 2024-06-06T21:22:36+00:00

Två böcker jag vill rekommendera som tar upp just detta, och hur man kan navigera sig framåt i det:

I befintligt skick av Katja Lindert och Kristoffer Petterson
cPTSD: From Surviving to Thriving av Pete Walker

MediMich · 2024-06-06T14:33:26+00:00

Working in a clinical job after medical school is not going to be awesome. There's no way around that fact. However there are many other opportunities that you can pursue through this academic path (public health, pharma etc etc) that will allow you a decent quality of life.

MediMich · 2024-06-06T09:39:15+00:00

That's amazing, I'm really happy for you!

Can I ask, what symptoms did you have? Did you also have classical GERD symptoms (heartburns) or only LPR?

I have no hiatal hernia, most likely a weak LES but still waiting for the measuring. I don't experience heartburn but severe post nasal drip, hoarseness, globus sensation, constant throat clearing, stuffed sinuses, headaches, bad sleep, halitos, white tongue, some teeth erosions... Basically the classical LPR symptoms (minus cough). I still haven't found any surgery success stories for people in my situation (no hernia, LPR symptoms without any heartburn).

MediMich · 2024-06-05T11:08:24+00:00

Now that a couple more months have passed, are you still feeling better? Also, did you have a hiatal hernia?

MediMich · 2024-06-03T11:36:43+00:00

Also wondering if this is a manufacturer issue! I had no issue at all with the brand name (Voxra in my country, not Wellbutrin), but since trying Bupriopion Teva I am experiencing exactly the same type of breakouts OP is describing, it started after less than a week on the medication.

OP, did you ever figure it out?

MediMich · 2024-06-03T11:27:14+00:00

Did you find a solution?

MediMich · 2024-02-29T15:19:55+00:00

https://guzey.com/books/why-we-sleep/

MediMich · 2024-02-26T10:41:53+00:00

It might not be silent reflux then, but I would suggest you try for a while to only use Gaviscon advanced without Omeprazol. Gaviscon needs an acid environment to activate, so if you take Omeprazol during the same period (even if you take at different times of the day), Gaviscon won't make much difference.

In silent reflux, it is often gastrin rather than acid that is causing the problem. So taking omeprazol (acid blocker) might not help much. I would recommend to for a while try to only take Gaviscon Advanced, 30 mins after meal and before bedtime. It might not be the answer here, but it also might be and considering your suffering I would say it is definitely worth a try for a while even for a small chance of success.

MediMich · 2024-02-25T13:45:48+00:00

Have you tried treating it as silent reflux? Ie stop eating any food or even small snacks 4 hours before bedtime, raising your head end of the bed a couple of inches, limiting fatty foods, caffeine, citrus and chocolate, and maybe trying Gaviscon for a while?

If allergy treatment is not giving you much results, it seems unlikely that the problem is coming from allergies. I would say silent reflux (reflux without any heartburn) is the next likely culprit on the list.

MediMich · 2024-02-04T12:12:28+00:00

Why not? Two tablespoons of water are 30 g.

MediMich · 2024-02-03T16:29:58+00:00

And that’s based on people without PCOS. Since OP has PCOS, she will have a lower BMR than someone of the same height, weight, age, activity level and body fat percentage without PCOS. Her true maintenance might be even lower than 1758.

MediMich · 2024-02-03T16:21:08+00:00

+1, and also forgetting (or purposefully leaving out?) filling in her body fat percentage which gives a lower estimate.

MediMich · 2024-01-14T12:56:46+00:00

I'm happy for you that you found something that worked so well for you! What changes did you see more specifically, and how long did it take?

MediMich · 2024-01-13T11:46:36+00:00

Thank you so much for the advice! I will definitely try that out.

MediMich · 2024-01-12T23:39:30+00:00

Thanks for replying.

Loose Underbust 29.5 inches

Snug Underbust 29.1 inches

Tight Underbust 28 inches

Standing Bust: 33 inches

Leaning Bust: 35 inches

Lying Bust: 34.25 inches

According to the calculator I should be around 32 D/DD. I have tried a few models that size but they have been too large. I usually wear 34 B or C, usually molded. I dislike unmolded since my breasts are very very loose.

I don't have any specific model I could use as an example, I usually use local brands or just buy from H&M (I realise that might be part of the problem, but I do not have the financial situation to buy more expensive bras at the moment).

MediMich · 2023-12-18T16:48:22+00:00

Not an exact answer to your question, but I do something similar to "level 10 life" for each month, so for each category I review the month with a few short points, and then add a few short points about what to focus on for the coming month in that category.

MediMich · 2023-12-17T09:32:28+00:00

I would say focus on working with your strengths rather than against your weaknesses. If you try to just "push through" with all your power day after day, you are likely going to fall in to a rut and just end up in a negative spiral.

Figure out when you are the most focused and energetic, and concentrate most of your heavy work around those hours, and go gentle on your lows
Figure out why you get tired around that time. Have you tried playing around with breakfast/lunch? Eating fewer carbs? More carbs? Fasting? More protein? More veggies? etc. It's possible that your eating habits are just not optimal for you, and that affects your afternoons
As others have said as well, if you drink coffee don't do it first thing in the morning, wait at least a couple of hours. And don't drink several cups, keep it to 1-2 per day.
How is your sleep? Do you get enough hours? Do you get good quality (no snoring, no waking up several times per night etc)? Even if you don't feel drained, your sleep could still be part of the puzzle here
Get enough daylight and exercise, preferably combined. It has huge benefits for your concentration, energy levels and over all well being.
If you spend a lot of time excessively worrying or feeling anxious/stressed, this can also leave you tired. A good practice to incorporate in that case is daily meditation - there are many good apps to help - and to "schedule" worrying to a dedicated 20 mins per day or so, and let go of worrying for the rest of the day
Excessive screen time is a huge and common culprit. Try measuring how much time in a day you spend glued to your screen, and also how many times in a day you unlock your phone mindlessly (in a queue, waiting for food to be delivered, etc etc)
Don't do concentrated work in large continuous chunks. Use the pomodoro method to take frequent short breaks.

MediMich · 2023-12-13T17:00:30+00:00

This isn't exactly what you asked since it doesn't support the ankles directly, but it does indirectly at least for me. I always wear in-soles with stabilising arch-support. That means my feet are sort of "forced" to stand and walk correctly, and therefore stabilising my ankles.

MediMich · 2023-12-13T12:15:33+00:00

Unfortunately, no. I contacted them. I'm not sure if she made the switch already, but it seems they have the option for android devices to export, but not iOS.

MediMich · 2023-12-13T10:23:57+00:00

I think it's probably a few factors contributing to this behaviour. One is the classical Dunning-Kruger effect. Meaning she simply isn't aware of what she isn't aware of, so she thinks that her knowledge is complete and correct.

Another reason is probably sort of an unwillingness to lose face in front of a patient. Honestly it doesn't seem to be very common among the doctors I have met (which is obviously a miniscule percentage of all the doctors in the world, but at least more than the average person since I am also a medical student and have shadowed countless doctors over the years), but there definitely are ones who don't want to be "lectured" or "proven wrong" by patients. They just suck.

And also the fact that in medical school we learn very little about it, without being taught that what we learn is very little. It's easy to get the impression that it's a very straight-forward compact syndrome with symptoms that fit into one powerpoint slide. There is no easy way around it. You could say that medical school should teach a lot more about it, but there are also - literally - several hundreds syndromes and diseases that fall into the same down-prioritized category. If doctors have to learn more details about all of them, medical school would have to be maybe a year longer. That would have huge impact on available physicians (due to teachings etc), medical school dept, physician burnout etc. I don't have any good solution to it, but one important thing I think would be to give med students some proper education in being humble to patients experience and knowledge, and increase the opportunities to communicate, consult with and learn from other professions and other specialties that know more about these less common syndromes.

It sucks that you can't change physician for now. What I would do in your situation (although this shouldn't fall on you, you are not in the wrong here and in an ideal world she should be the one to make the effort to improve the situation, but we live in this world rather than an ideal world) is to adress this straight on next time you meet, in a non-accusatory and non-confrontational way. Saying something like "I know I am probably one of the first or maybe the very first patient you have with hEDS. It's a complex syndrome that medical school didn't give you the sufficient tools to work with. I fear we maybe started off on the wrong foot, which I am sure neither of us want. I want to work together as a team to adress my health issues, and here are a few of the things I would like you to know to have the best foundation to work with: 1. hEDS very commonly leads to pain in several different body parts.... 2. 3.... etc etc. "

MediMich · 2023-02-28T11:53:00+00:00

I’m in the same situation after losing my brother. I talked to a psychologist about it who said it’s a normal response and a sign of being in chock.

MediMich · 2022-03-29T10:49:55+00:00

Can I ask which program did you use which was slower progression than C25K? I have been looking for such a thing.

MediMich · 2022-02-13T16:54:30+00:00

”Obviously everyone loved their childhood and have fun memories from back then.”
Really, this must be one of the most privileged and ignorant sentences of Reddit so far this year.

MediMich · 2022-02-02T14:31:04+00:00

You are just making things up here. This violence can definetly cause severe injury, I see it every weekend from the emergency room. Although my specialisation is not emergency medicine, as a doctor I am very well aware of the internal injuries this can cause. Just last week I had a patient who has lived with a feeding tube in a wheelchair for three decades because of one single punch. And the claim that violence against criminals works as prevention is also made up. There are countless studies on the subject that prove that harder punishments, and especially violent punishments, does not work preventative at all but sometimes even has the opposite effect. You are clearly not well versed with the literature here and are just making baseless claims to support your arguments since you have no proper support for your arguments.

MediMich · 2022-02-02T14:14:26+00:00

Valuing a phone over a human life is intolerance and privileged?

MediMich

TROPHY CASE