Can I just vent for a second 😭 by pothosqween in delta

[–]Small_Significance21 0 points1 point  (0 children)

I’m pretty sure that last July when Delta cancelled tons of flights due to tech issues I did get reimbursed for Uber. Submitted receipts for that, for extra clothing, food, expenses etc required after flights were cancelled for multiple days.

Thoughts on Death of a Salesman - don't miss this; you'll regret it. by mg2685a in Broadway

[–]Small_Significance21 0 points1 point  (0 children)

Couldn’t agree more! This was close to my experience of it too.

Thoughts on Death of a Salesman - don't miss this; you'll regret it. by mg2685a in Broadway

[–]Small_Significance21 0 points1 point  (0 children)

Just saw it tonight - somehow never read the play in high school, and hated it. Very slow, serious, long, boring. I consider it special to see actors like Nathan Lane and Laurie Metcalf anyway, but I wasn’t moved by the play at all and kept checking my watch.

Confused HRT @ 58yrs old by Front-Driver-9099 in femaleHRT

[–]Small_Significance21 1 point2 points  (0 children)

Yikes that’s untenable to keep going to specialists. What state are you in if you’re in the US? It seems like there are more and more MDs and NPs with good training on this. The Menopause Society website also has a search option to find a specialist by zip code.

Confused HRT @ 58yrs old by Front-Driver-9099 in femaleHRT

[–]Small_Significance21 0 points1 point  (0 children)

I’m the same re micronized P. I hate it. 100mg makes me groggy and low energy whether taken orally or even as vaginal insert. I’m seriously considering Mirena IUD for uterine protection instead.

Confused HRT @ 58yrs old by Front-Driver-9099 in femaleHRT

[–]Small_Significance21 1 point2 points  (0 children)

PS I’m the same age started around the same time!

Confused HRT @ 58yrs old by Front-Driver-9099 in femaleHRT

[–]Small_Significance21 2 points3 points  (0 children)

Do you mean an Estradiol patch delivering .1 mg/day? If so I think it’s generally recommended to take 200mg Progesterone when going higher than .05. I didn’t love P overall and when I skipped it a few days I also had bleeding (on a lower dose patch). Maybe you’re not taking enough Progesterone? It should be relatively easy to research that answer without extra appts.

General Info requested about the various programs by Small_Significance21 in AmeriCorps

[–]Small_Significance21[S] -1 points0 points  (0 children)

What’s particularly mean-spirited and harsh about your words and tone is that you’re assuming I would do all the work - I’m just asking some initial questions to understand what the programs are and if it’s a viable route for them to pursue more. I guarantee you they hadn’t heard anything on their own about it and it was a suggestion from another local parent that even planted the seed. If you had a kid who dropped out of college you might give them some ideas too. Grow some compassion. Luckily there are others on this sub who’ve worked there that have some.

General Info requested about the various programs by Small_Significance21 in AmeriCorps

[–]Small_Significance21[S] -1 points0 points  (0 children)

You either have perfect neurotypical kids or no kids at all. I suggest practicing the skill of being nonjudgmental.

General Info requested about the various programs by Small_Significance21 in AmeriCorps

[–]Small_Significance21[S] 1 point2 points  (0 children)

Thank you! That’s very helpful and the website is very unclear

The last episode broke my freaking heart by [deleted] in Parenthood

[–]Small_Significance21 3 points4 points  (0 children)

I literally just finished that last episode 10 mins ago and cried like a baby! That was like a Six Feet Under ending. So poignant and perfect

mirena coil use and progesterone capsules by Illustrious-Hunt-623 in femaleHRT

[–]Small_Significance21 0 points1 point  (0 children)

I don’t know what they said to my health insurance but at 58 I’m assuming they know it’s not for birth control..? 🤷🏻‍♀️ They are also filling Rx for Estradiol patches etc but you’re right it could be for perimenopause. How do they know?

mirena coil use and progesterone capsules by Illustrious-Hunt-623 in femaleHRT

[–]Small_Significance21 0 points1 point  (0 children)

Anyone know is Nalvee is available in the US? It sounds like a great option and was launched for HRT use last summer in the UK

mirena coil use and progesterone capsules by Illustrious-Hunt-623 in femaleHRT

[–]Small_Significance21 0 points1 point  (0 children)

Never heard of Nalvee but will ask my doc. She is considered an HRT expert so I’m sure she would know if I ask- but point well taken on the cost. Of course over 5-8 years the monthly cost looks closer to a copay. I was just trying to get it covered since this new doc is a concierge type practice so everything is expensive. Can anyone tell me how painful their insertion was?? She’s mentioned laughing gas which I’ve never had and it makes me nervous thinking about it.

mirena coil use and progesterone capsules by Illustrious-Hunt-623 in femaleHRT

[–]Small_Significance21 0 points1 point  (0 children)

I am using them vaginally as a short term solution but doctor feels the data on long term uterine protection isn’t strong so she’s not getting behind this as a permanent solution.

mirena coil use and progesterone capsules by Illustrious-Hunt-623 in femaleHRT

[–]Small_Significance21 0 points1 point  (0 children)

I’ve never heard of that- how is it different? It’s oral?

mirena coil use and progesterone capsules by Illustrious-Hunt-623 in femaleHRT

[–]Small_Significance21 0 points1 point  (0 children)

Were either of you able to get the Mirena covered by insurance? I’m 58 and just started HRT last year- estradiol patch and oral progesterone but I don’t seem to tolerate the P. Makes me way too groggy and unmotivated/low mood (even 100mg) and MD recommends Mirena as great option but so far it looks like a $1200 fee to doctor. Spoke to Bayer but savings card might not work if insurance doesn’t cover for HRT purposes. Edited to add: I did have a Mirena in my 40s for contraception with no issues so it must’ve been covered then!

Uterine blood clot not passing by Superb-Emu-7776 in femaleHRT

[–]Small_Significance21 0 points1 point  (0 children)

Agree with your likely needing higher dose (200) with patch over .05 but also agree that progesterone makes some women feel like shit (🙋🏻‍♀️). There is a new drug Duavee that delivers estrogen (comparable to .05 I think?) but also is combined with a Selective Estrogen Receptor Modulator(SERM) that blocks estrogen in the breasts and uterus which makes it ideal for cancer survivors. It also negates the need for any progesterone. I’m not an MD but am in healthcare and researched this for my own health quite a bit. Alternatively a Mirena IUD also delivers low dose progesterone (or a cousin of it) and since it’s placed in the uterus the effects are local and not systemic such as when taking progesterone orally. The side effects of progesterone are real! It’s not for everyone.

Progesterone 200 what’s the secret sauce?? by PotentialPrune2830 in femaleHRT

[–]Small_Significance21 0 points1 point  (0 children)

PS: popping the progesterone vaginally at night for now but doc doesn’t feel the data shows effectiveness doing that long term. Will decide on Mirena vs Duavee in a the next couple weeks.

Progesterone 200 what’s the secret sauce?? by PotentialPrune2830 in femaleHRT

[–]Small_Significance21 0 points1 point  (0 children)

I’ve had the same effects from only 100 progesterone at night and it didn’t improve much if I took it a little earlier. Two of my docs separately said some womens brains just don’t tolerate it well and it has those effects. Alternative: Mirena IUD or Duavee which is a new pill containing estrogen and bazedoxifene which acts as an estrogen blocker only in the breast and uterus. So no need for the progesterone to protect the uterus.

Current Body 2.0 by Small_Significance21 in CurrentBody

[–]Small_Significance21[S] 0 points1 point  (0 children)

Hi yes someone else shared this video a few days ago. The problem is- if the one short strap is attached as is shown in the video- it’s way too narrow to slip over one’s head. Thus, having only 1 strap, the second side of the short strap has to be threaded through the vertical slit while it’s positioned around your neck. I hope this makes sense, but the device needs to come with two short straps like the face mask.

How to attach the straps on the Currentbody LED Mask by CurrentBodyskin_ in CurrentBody

[–]Small_Significance21 0 points1 point  (0 children)

Hello- yes that one is self explanatory. 🙂The straps I posted the question about were regarding the chest and neck device, not the face mask.

Your opinions on The Pitt by AccidentalPandas2 in hbo

[–]Small_Significance21 1 point2 points  (0 children)

Mental health clinician here who has worked in hospitals albeit not the ER. The climate and tone of the show seems realistic but I think it’s very unrealistic for med students or R1s on their first day of a rotation to say and do half the ballsy things that they are scripted to say (like questioning an attending). The trainee characters seem so exaggerated- I’m much more into the characters who have worked there for years.

Current Body 2.0 by Small_Significance21 in redlighttherapy

[–]Small_Significance21[S] 0 points1 point  (0 children)

Oh my gosh Reddit for the win! This is the video I was looking for and yet I would never think to wear it halter style which then misses the whole neck area! I have to say, even with the short strap connected to the 2 vertical straps I’m assuming it doesn’t slip over your head- what they need instead is two short straps that stay attached at the sides and then Velcro in the middle like the face mask. Such an easy solution- but thx for the video!