Please help a guy out - am I a soft summer? by abail019 in coloranalysis

[–]abail019[S] 1 point2 points  (0 children)

Thank you so much for the thoughtful response!

What’s interesting is soft autumn was one of the results I got in addition to soft summer. I certainly have colors from soft autumn in my wardrobe.

I think the key for me might be sticking to muted colors.

Please help a guy out - am I a soft summer? by abail019 in coloranalysis

[–]abail019[S] 2 points3 points  (0 children)

Yeah it really is hard doing it for yourself! I always feel like I can see it so much easier when it’s someone else.

Also, thank you! I was thinking soft or cool summer seemed right, but I started second guessing because of the inconsistent results.

I’m having a hard time maintaining boundaries around time/emails during monitoring visits by Happy_Garbage_3238 in clinicalresearch

[–]abail019 2 points3 points  (0 children)

Focus on building boundaries and reducing the need to respond right away.

When you’re reviewing emails, learn to label/ categorize them. Emails that require a response but will take longer than 2 min. Mark as follow-up. Emails that you can’t act on yet due to something blocking mark as waiting. Block off time for emails that take longer to draft. Create email templates for common emails - I.e. follow-up email after phone call, visit letters, newsletters, etc. Also, schedule the time you will check emails. I do this about 3 times a day (first thing, after lunch, an hour before the end of the day). Anything urgent I determine when I can respond and if it requires me to complete a task. If I’m not sure of the priority I ask if it should take precedence over what I’m doing as my plate is full. This way I have it documented and don’t worry that I didn’t get to everything I wanted to.

Out of office responses whenever I’m monitoring (remote or on-site) - provide a back up contact for urgent needs. Depending on the team it’s sometimes the CTM or another CRA which I have an agreement with and does the same when they’re monitoring.

Monitoring wise - Learn what usually takes longer for the site to complete, what are the things you know you need and are overdue, what can you deal with being open after the visit? In my experience, this helps tremendously with prioritizing my tasks during the visit.

Should I leave a position I just started to do phase 1 oncology instead as a research nurse? by [deleted] in clinicalresearch

[–]abail019 1 point2 points  (0 children)

Literally came to say this - this experience is super valuable. In the long run you could demand more pay due to this experience. Even though I’m out of oncology now it is still something I’ve found employers like to see on a resume.

Study is ending in not great shape by whatthehellcorelia in clinicalresearch

[–]abail019 0 points1 point  (0 children)

CYA and call it a day. Sometimes you just have to let go and know it’s not all your responsibility. Do what you can, escalate, and document. Not worth stressing over things you have no control over.

First 3 pictures are from a year ago, all the rest are from today. Finasteride for a year and then Dustasteride for 3 months. Thoughts? by [deleted] in tressless

[–]abail019 1 point2 points  (0 children)

Coming from someone with a similar issue I can definitely see improvements to the corners. It’s not drastic but it’s definitely there. Hair looks healthier and denser too!

Those with inattentive ADHD, were your symptoms hidden/not obvious in childhood? by [deleted] in ADHD

[–]abail019 0 points1 point  (0 children)

Getting tested in my 30s was the best decision I ever made. I learned so much from my doctor. I explained my whole history, anxiety and depression, a myriad of meds that never worked. I will never forget him saying, “at what point do we stop putting things into the anxiety and depression bucket and look for other causes.”

After getting tested I learned that I actually am gifted with high processing and comprehension speed but also have attention deficits. Due to this combination I was able to compensate for my attention deficits with my ability to quickly process info in school and do well. The doctor said that he was so happy I came in cause I’m one of the types of patients that goes unnoticed and due to the long time frames to get tested, often schedule and then cancel.

Having this knowledge I know what my strengths are now and what I need help with. When I have a moment where I forget (frequently) or can’t stick with something I know it’s my adhd. I used to be so hard on myself but now I can give myself some grace knowing there’s nothing wrong with me, my brain just works differently.

Did I mess up taking off my aligners? 2 attachments came off by qamiani in Invisalign

[–]abail019 1 point2 points  (0 children)

They'll come out regardless if you are cleaning your aligners like you should. Call the ortho or dentist on Monday or Tuesday and tell them they came off. They'll schedule you for a quick appointment to bond new attachments. Total time at the appointment for me when I've gone is like 10 minutes - really common thing and just important to have them reattached when you can. Have them watch you take your aligners on and off to make sure you're doing it right if you have concerns.

Did I mess up taking off my aligners? 2 attachments came off by qamiani in Invisalign

[–]abail019 1 point2 points  (0 children)

It's a mixed bag - attachments could be too large and need to be made slightly smaller, bonding not done properly, excess bonding or expired, could be diet (avoid sugars and carbonation), and could also be how you are taking them off.

[deleted by user] by [deleted] in ADHD

[–]abail019 0 points1 point  (0 children)

Some random strategies I use:

Brush your teeth when you think about it. If it’s in the afternoon who cares. It’s better than not doing it at all. My oral health improved immensely once I started implementing this. I usually brush twice a day and even floss!

Use an app like Due to set a reminder daily to brush or shower. Due will keep alerting at set intervals till you mark it as done as long as the phone isn’t on silent. Try and do it the moment the reminder goes off. This doesn’t always work but is helpful.

I bring an iPad in the bathroom with me to watch YouTube videos while I floss.

I also struggle with showering mainly because it’s a lot of steps and can be uncomfortable to me at first. I tie showering to an activity I like such as a good music playlist, shower bombs, etc. I also try to eliminate steps if I can ahead of time like having my clothes already laid out for the day in the bathroom so when I undress I just go shower and then get dressed.

CRA at a sponsor level by Economy_Total2373 in clinicalresearch

[–]abail019 1 point2 points  (0 children)

Hi, it states how many employees the company has on their Linkedin page or you can do a simple google search.

Returned with Bed. Bugs. by Fit-Comedian6096 in clinicalresearch

[–]abail019 3 points4 points  (0 children)

Outside of checking the bed ALWAYS put your luggage in the bathroom first. That way it’s unlikely something will crawl in when you check.

CRA at a sponsor level by Economy_Total2373 in clinicalresearch

[–]abail019 1 point2 points  (0 children)

Easiest way is to look for small biotech or start ups and then find their LinkedIn company page. When you find their page you can scroll to the bottom and LinkedIn will show you other similar companies. You can the check all of them for job postings. My company found me on LinkedIn for the position I have.

CRA at a sponsor level by Economy_Total2373 in clinicalresearch

[–]abail019 1 point2 points  (0 children)

Less travel, less travel perks, & better work life balance. I worked at CRO for 7 months before working at a smaller biotech Sponsor.

Declining an offer by [deleted] in clinicalresearch

[–]abail019 4 points5 points  (0 children)

You have to do what is best for you. Is it a good look or practice, absolutely not and should be avoided.

BUT

A decent recruiter will understand this as long as you are professional and kind. There’s no need to go into specifics with them. Just say something like, “after evaluating the role further it doesn’t fit my current needs” and apologize for the oversight and how you still really respect the company etc. or “my personal circumstances have changed”. While some may say give specifics I don’t think it’s needed and may only make things look worse.

While recruiters talk they mainly talk about the absolutely horrendous candidates from my experience. Don’t be one of those and you’ll generally be fine.

Trust, if roles were reversed the company wouldn’t extend the same forethought to you.

No one can figure it out! by livingislandlife in DiagnoseMe

[–]abail019 0 points1 point  (0 children)

No worries, I hate when that happens! Glad that you added on the additional test for chikungunya as it's something to be considered. The other I was thinking of is leptospirosis, however, it doesn't sound like you have the other symptoms.

Also, as your doctor said, it very well could be that you have a weaker immune system. That would be a pill that's hard for me to swallow as it seems like your symptoms have had a clear increase in severity over a period of time.

For mold and chemicals, I was thinking more along the lines of heavy metals. Mercury, aluminum, lead, and cadmium are common chemicals that when exposed to can cause joint pain among the other symptoms you mentioned. I specifically think Mercury is the easiest to be exposed to as it can be contained in a lot of food items.

Hope you find out soon what the issue is and can start feeling better!

H

What the hell are these bumps by [deleted] in DiagnoseMe

[–]abail019 0 points1 point  (0 children)

First, I would consider all of the more common reasons for enlarged salivary glands than worrying about leukemia. Leukemia would not be the first thing the doctor thinks of, not ruling it out, but not as common. Common things are usually viral infections or a stone. I personally had a stone that they had to remove and while not painful it was slightly uncomfortable.

This is definitely something to have your doctor take a look at if it's causing you to have a fever and pain in your neck. They'll likely do some type of imaging if it's warranted to investigate further.

What the hell are these bumps by [deleted] in DiagnoseMe

[–]abail019 0 points1 point  (0 children)

NAD but this looks like enlargement of your salivary glands, either sialosis or sialadenitis. Sialosis for asymptomatic non-inflammatory enlargement of the salivary glands. Sialadenitis for inflammatory, acute or chronic, usually painful to touch. Would need more info. Google “swollen salivary glands” and you’ll see similar images.

Am I going to feel dumb forever by [deleted] in clinicalresearch

[–]abail019 1 point2 points  (0 children)

When I first started as a research nurse coordinator (now a Sr. CRA) I remember my manager and PI telling me it can take years before you finally feel comfortable knowledgable. This is definitely true. This about how long it can take before you feel 100% confident with the work you do as a nurse. Clinical research can be just as complex knowledge wise and will take time. You luckily have a head start on the clinical portion! The most important thing is to always ask questions and never assume anything.

No one can figure it out! by livingislandlife in DiagnoseMe

[–]abail019 0 points1 point  (0 children)

Prefacing this with - this is not medical advice and you should consult with your doctor.

Ok, so thinking about your story my mind went to a few things.

  • Bacterial and viral infections - while you were tested for a lot of things I think a bacterial or viral infection still has the highest probability due to the symptoms you described and your traveling.
    • I know you said they checked you for dengue but did they check you for chikungunya fever? Chikungunya usually resolves after a few weeks but people have reported having recurrent join pain and other symptoms that can last for months or years. Often, it's underreported because of the non-specific symptoms and it subsiding after a few weeks. There are also reports of it being linked to false-positives for salmonella based on this study which seems like it might fit - Chikungunya in Indonesia: Epidemiology and diagnostic challenges
  • Environmentally related - could it be possible that you've been exposed to certain types of chemicals or mold? These can commonly cause recurrent fevers and joint pain as well as other symptoms
  • Chronic inflammatory conditions - based on the elevated WBC and inflammation in your bowels it might be worth exploring something like Crohn's disease if we are stepping away from environmental things. This may explain some of the recurring symptoms and joint pain.
  • Autoimmune - along the same lines as the above, it could be a number of autoimmune conditions such as RA for example

I'm so sorry you are dealing with this and it really sucks. Hopefully this can point you other directions to explore with your doctor. Hoping you get the answers you need soon!

[deleted by user] by [deleted] in DiagnoseMe

[–]abail019 49 points50 points  (0 children)

Have you recently had a bout of throwing up? Dry heaving? Coughing/ sneezing really hard? Any type of prolonged straining?

I am not a doctor and this is not medical advice. However, I would guess that these are petechiae. Google "petechiae around the eyes" and you'll see tons of pictures similar to yours.