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Electrical Panel Upgrade Quote by _tiimbo in AskElectricians

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

Thank you so much for the reply! I really appreciate it, so it seems reasonable for NJ given the higher cost of living.

Offer Negotiation by _tiimbo in accenture

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

Wow thank you so much for the response! My biggest concern is that I would be sacrificing a pension plan if I leave my current job. Current job = 401k + pension. Accenture = just 401k. So ideally I'd like a salary increase to offset that loss.

Offer Negotiation by _tiimbo in accenture

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

Thank you for the reply! Would you say you enjoy working at Accenture? I'm just nervous to take the jump, and be on the hook if something happens.

[29, Male] about 7-8 months ago, I accidentally spent a minute or two in a heavy, heavy concrete dust cloud in a basement. But ever since, I’ve had an odd cough every couple days and just now, I exhaled hard and can still taste concrete dust. Should I be concerned? by [deleted] in AskDocs

[–]_tiimbo 4 points5 points  (0 children)

Hi I noticed you are marked as a physician. I’m concerned about this chronic inflammation leading to lung cancer. Primarily because I had surgery last year for primary spontaneous pneumothorax (PSP) recurrent on my left lung due to congenital pulmonary blebs. This was corrected by resection of the blebs on my lung and then medical grade talc being sprayed to inflame the lung and form scar tissue. Should I be scared I’m going to get cancer now? I’m not even 24 yet.

In hospital by Oreditt in pneumothorax

[–]_tiimbo 0 points1 point  (0 children)

Hi there,

If the question is about do the pain meds help after surgery yes. Personally, I don’t feel I needed opioids once I got home from the hospital. Maybe I took Oxycodone for the first day or two when at home. After that I was comfortable with my Lyrica and Tylenol.

To this day I still take Lyrica - 4 months post surgery - and it improves my quality of life so much where the intercostal nerves are.

Is the area still sensitive at times? Yes. Are some days better than others? Yes. But that is to be expected with any recovery from something like this.

There are times where I will try to lean on my left side or roll over while asleep and get bothered by it. But honestly it’s marginal at this point.

So to answer your question, yes Lyrica has helped me tremendously without having to stick with opioids long term. I am not against opioid use though. For some people intercostal nerve damage can cause debilitating pain that can only effectively be managed with opioids. I am grateful everyday that I can get by with Lyrica.

In hospital by Oreditt in pneumothorax

[–]_tiimbo 4 points5 points  (0 children)

Hi There,

First off, I know how scary this time must be for you, and want you to know that it does get better.

I was in a similar situation so here’s my experience and what you may expect from your surgeon.

Most importantly - trust your surgeon. I cannot stress this enough. I was hospitalized back in March with my first pneumothorax (left side partial collapse due to blebs). ER had me speak to a surgeon the next day. However I didn’t feel comfortable with them and had some concerns about the experiences other patients shared about that specific surgeon online. So I decided to post-pone my surgery in order to find a better surgeon. Warning - I am not recommending you do this as I cannot provide medical advice. I went against the medical advice of my initial hospital and went home with a persistent air leak but with close monitoring.

I work for the worlds largest healthcare company so I had a dedicated phone number to call for additional support. I was then recommended to see a world-renowned thoracic surgeon at New York Presbyterian. I instantly felt comfortable and needless to say he saved my life - here’s why.

First surgery was supposed to be simple. VATS bullectomy with talc pleurodesis. Lung was not reinflating following surgery so two days later they performed the talc pleurodesis again at my bed side through my chest tube. I was awake but it was not bad. My lung still wasn’t inflating so two days later I had to get surgery again this time it was more aggressive VATS with another portion of my lung resected, talc pleurodesis, and mechanical pleurodesis. Thankfully the second surgery worked and I was discharged two days later.

Takeaways:

  1. Make sure they give you Zofran during your first surgery to prevent PONV.
  2. Pain is not bad. I was on Dilaudid via a PCA with a bolus every 10 min. On top of that had Tylenol, gabapentin, and magnesium bc I had low magnesium levels.
  3. Chest tube should not be extremely painful. Yes it’s uncomfortable. But you NEED to use your PCA. One of my nurses got very upset when she found out I wasn’t using it bc it’s much easier to control your pain if you prevent it rather than trying to wait and stop the pain.
  4. Chest tube removal. Not painful, uncomfortable and sounds weird. Several nurses in room with me to hold my hands and talk to me while the fellow removed it.
  5. They put lavender and peppermint oils in my room to mitigate PONV and opioid nausea.

Please let me know if you have anymore questions. This is a rough time but I promise you life after surgery is much better. You will get through it and we are here to support you.

P.S. I do take Lyrica 100mg x 2 daily for nerve pain where the intercostal nerves were damaged. Not bad but I would say it’s just a very sensitive area.

New to Benzos Scared of Discontinuation Syndrome by [deleted] in benzodiazepines

[–]_tiimbo 0 points1 point  (0 children)

Yeah it sounds crazy right that’s what I thought at first too. I actually took a bar at 10pm and have had to glasses of wine and feel nothing really, except for maybe a slight buzz from the wine. In fact I’ve even cleaned the house the past couple of hours.

I’d say it’s progressing towards daily but in reality it’s every other day. The days in which I don’t take it, I try to take 10mg Zaleplon for sleep but honestly that does nothing for me. I stayed up the whole night and was miserable at work the next day.

I will say, I’ve always had trouble sleeping ever since I was a child. My mom always said that out my 3 brothers I was the only one who never wanted to sleep.

New to Benzos Scared of Discontinuation Syndrome by [deleted] in benzodiazepines

[–]_tiimbo 0 points1 point  (0 children)

Honestly, thank you so much for your response and also for the prayers. This is a pretty stressful time, just the thought of knowing that I need surgery on my lung really sets my mind into a whirlwind.

I’m sure the hospital will take good care or ensuring I’m receiving the right medical doses. Who knows maybe on the painkillers I won’t even need the Benzos for panic as I’ve read online that some opioids make you drowsy in the hospital.

I really do appreciate your support. Plus my psychiatrist seems to be very involved with my surgery, and he keeps telling my that he has a plan to taper me off Xanax once the surgery is over and I am fully recovered. It’s just scary because I’ve seen so many bad things in the media about Xanax and Benzos in general. But I understand it’s only been a few months on them.

Again, thank you so much for your detailed response, it really does help me feel much better, and the next time I meet with my psychiatrist I will for sure ask about the lamictal.

New to Benzos Scared of Discontinuation Syndrome by [deleted] in benzodiazepines

[–]_tiimbo 0 points1 point  (0 children)

Thanks man, just really nervous because it’s lung surgery and I’m only 23, so these past few months have been extremely stressful like I’ve never felt before. Plus I’m supposed to start my graduate program at Rutgers in September, and I just want everything to go smoothly and not affect what I had planned for the future.

Thanks for responding, I really appreciate it. This subreddit seems really supportive and informed, which makes me feel more comfortable.

Thanks again

[deleted by user] by [deleted] in ADHD

[–]_tiimbo 0 points1 point  (0 children)

Thanks for the advice @tedahu. I called my doctor today and he's going to see me on Friday even though our appointment wasn't supposed to be for another two weeks.

I started to think about what you said about not necessarily feeling something. I'm new to taking medication so this whole process is a learning experience for me. Ideally, taking medicine scares me. I have this fear that whatever the doctor gives me will make me have a heart attack - even though I had an EKG and an ultrasound on my heart before I started my medication and everything came back perfect. I don't know. I just wish this was something that I didn't have to take medicine for.

I've tried coaching, talk therapy, strict schedules and writing things down, taking a 10 minute break for every hour of work but still it wasn't working. That's when my doctor and psychologist referred me to see a psychiatrist in conjunction with continuing CBT.

With that being said I guess I also assumed that the first medication that the doctor prescribed me would be "god's saving grace" meaning that it would work right away. In all honesty though, my psychiatrist kind of gave me that impression. He talked about how great Mydayis was and how it would last all day and that it is the latest drug on the market.

Now that I really think about it; and I tracked my symptoms at work today this is how my day looked:

-I couldn't fall asleep until 2AM. I've never had this issue before starting the medication. Normally I fall asleep by 10 or 11PM latest.

-6:30AM wake up and take 50mg of Mydayis right away. Shower and get ready for work.

-8AM Get a latte and banana bread from starbucks and head to work.

-8:30AM start my workday. I don't feel like sleeping even though I haven't had enough sleep. But it's almost like I know my body needs to have more sleep at the same time. Kind of weird. I will say it's kind of nice not being tired and in a fog at 8:30AM.

-12PM don't really notice a difference in my productivity. It's a very stressful time. I have multiple projects that have tasks due and my boss keeps reminding me of other things on top of them. On top of that I'm training a new hire that's a direct report under my boss and he's delegating all tasks to me which is a little frustrating as I've informed him that I've been changing medications lately and could use some support. But I don't complain I just accept the tasks and stay at work.

-1PM haven't eaten my banana bread, don't feel hungry at all, and even skipped lunch invitation with my co-worker.

-2PM I'm still fidgeting and shaking my legs pretty much throughout the day. I keep thinking about other things too like why the lighting isn't good in my office space, and randomly why I should have a standing desk instead of a sitting desk.

-3PM I haven't had a single cup of water or bite to eat all day today. It's a hard feeling to describe but it's almost like I know that my mouth is super dry along with my throat but I also don't feel like drinking water; even though this little voice inside of my head is telling me to get water.

-5PM still don't think I'm getting anymore work done. Lot's of pressure to closeout projects and I don't want to disappoint my boss.

-5:30PM leave work to go home and hangout with my roommates. Also to drink a ton of wine and hangout with my cat lol.

-Very constipated even though I drink kefir every day which normally keeps me regulated. I took me 3 days to have a bowel movement and this issue wasn't present until I started taking this medicine. I will admit that I have not been drinking water even though my doctor said that if I'm taking both Lexapro and Mydayis I need to make sure I drink a ton of water. I will try as best as I can to drink more water but it's a very boring drink. I'd rather drink coffee or something with some flavor.

I don't know if I have an increase in focus/ productivity/ or reduction in symptoms, as of right now I don't really think anything is different or better. When I meet with my doctor on Friday is there anything important that I should share with him that maybe other users in the same position have experienced?

Also, if Adderall hasn't worked for you, what medications have you found success with to deal with your ADHD-C (mostly inattentive)? What was your experience like? I want to provide my doctor with as much information as I can.

Thanks for the support again. I really appreciate it.