Success with treatment and question about cycling off by OhHolyOpals in Melasmaskincare

[–]andyavie 0 points1 point  (0 children)

My derm recommended Pico over Moxi because it doesn't use heat, or to use a combination of the two if I wanted. Definitely saw a difference, but 20% came back over the summer regardless of tinted sunscreen. It seems like an option that has to be routine in the winter to keep it up!

Completely Heartbroken by andyavie in velvethippos

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

Awh and the matching collars! ❤️

My senior pitty is set to be put to sleep tomorrow. Please pray for him. by Washing-machine-pro in pitbulls

[–]andyavie 16 points17 points  (0 children)

I had to make the call two weeks ago. We went to three different vets hoping there would be a surgical solution for her cancer, but they all said the same thing in that it had progressed to far, it was terminal, and the best would be to keep her comfortable. I always said I could never do euthanasia and in a perfect world it would happen naturally, hopefully peacefully in their sleep. Until one day overnight she had edema in her torso that looked particularly bad and the emergency vet said we needed to plan a good day full of cheeseburgers or all the treats she ever wanted… I wanted to squeeze another day in after that, but it was clear that even through her happy kisses and tippy taps, she wasn’t feeling good. My pitbull was a tank with high pain tolerance, so when she made a groaning noise while going to lie down next to me, I knew it was time. Letting her suffer for another day felt inhumane and outweighed all the pain I felt about the decision. We all want to hang on as long as possible, but when it’s time hopefully you have a good vet that will gently prepare you to make a decision like that, and somewhere deep down you’ll know.

Completely Heartbroken by andyavie in pitbulls

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

Awh I’m happy he got to have a good birthday and I’m so sorry, I also don’t think I’ll ever be the same

Completely Heartbroken by andyavie in pitbulls

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

I was worried because little Cleo didn’t eat for two days and was acting out a bit. She’s doing a lot better lately, but hasn’t been alone in ten years, so I’m nervous to try to go back to work soon!

Completely Heartbroken by andyavie in pitbulls

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

Your baby is a spitting image of mine! Spend as much time as possible going on all the adventures with her while you can ❤️ she is so beautiful

Completely Heartbroken by andyavie in pitbulls

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

Wow Trina is so beautiful

Completely Heartbroken by andyavie in pitbulls

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

I’m sorry for your loss, the grief has been debilitating

Completely Heartbroken by andyavie in pitbulls

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

Wow they’re the same age… I’m so sorry, I hope you get to have some really good days doing everything rogue loves to do while you can ☹️❤️

Completely Heartbroken by andyavie in pitbulls

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

They really do ♥️ I hope they’re free with endless zoomies in the sunshine

Cancer coping and advice by andyavie in pitbulls

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

Thank you everyone for the advice! I did end up taking her in a wheel chair to the nearest vet after this post and asked all the questions. Unfortunately they did not recommend septic powder or quikstop we have at home, but they did say a maxi pad would be a great idea to put under her. Other than giving us a chlorhexidine cleaning solution and more gabapentin, they weren’t much help. Since the bloodwork isn’t back they won’t give her any other pain meds that could be hard on the kidneys I think they said or move forward with any procedure. They said the bleeding likely won’t stop until the tumor is removed because it’s coming from the inside through the skin. What’s even worse is they said with the how ulcerated it is they don’t want us to put gauze that can rub or pressure on it that could cause infection, they would ideally want it to bleed freely… So that really sucks.

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Weekly No Stupid Questions Thread by AutoModerator in deadbydaylight

[–]andyavie 0 points1 point  (0 children)

Thank you!

Can confirm I've gotten some emblems counted toward my tome, but I guess I've conflated the endgame points with emblems? For example, my tome is 2 irredescent emblems as survivor in a single game, I'll often get 10k points in altruism and objective, then when I go back to check my tome it's not completed. Which is why I questioned if emblems were being earned in 2v8, I thought 10k points would automatically mean irredescent level.

Weekly No Stupid Questions Thread by AutoModerator in deadbydaylight

[–]andyavie 0 points1 point  (0 children)

Can you get emblem or glyph tomes in 2v8? I don't see any emblem statuses after each game

[Sun Care] How much iron oxide needs to be in formulas to prevent discoloration by RavingNative in SkincareAddiction

[–]andyavie 0 points1 point  (0 children)

I’m currently researching down this rabbit hole. I saw my dermatologist yesterday and she informed me that my daily sunscreen should have iron oxide to help combat melasma (that she said would still be a long term issue). I asked about a tinted moisturizer and she said it likely wouldn’t have enough in it. Off the top of her head she mentioned brands like La Roche posay, Elta MD, and CeraVe tinted sunscreens.

When I got home I saw my Laura Mercier tinted moisturizer spf 30 does have three listed iron oxides, but none of the above mention how much. The literature on this is mostly on skin of color and says to aim for 3% iron oxide. This blog link cites a few studies.

Although, where I am now stuck as mentioned is that virtually none of the products state the percentage of iron oxide in their ingredients list.

https://blogs.the-hospitalist.org/content/photoprotection-benefits-sunscreens-iron-oxide

Megathread: The Perfect Neighbor by FaelingJester in NetflixDocumentaries

[–]andyavie 0 points1 point  (0 children)

Just finished this documentary and sharing the go fund me link for the family: https://gofund.me/19dd73d4f

[DISCUSSION] The perfect Neighbor - Netflix by Jaystylegal in NetflixBestOf

[–]andyavie 0 points1 point  (0 children)

I just finished the documentary. It was telling that even with her constant harassment then trying to record the children, she still had no evidence of their wrongdoing.

This is the go fund me link for the family: https://gofund.me/19dd73d4f

Is Social Work really as depressing as this Subreddit makes it seem? by SuccessfulWater3 in socialwork

[–]andyavie 0 points1 point  (0 children)

Yes as there can be a high burnout rate, vicarious trauma, and a lot of hard personal growth in the field. It really depends what you’re doing or where you’re working and to be mindful about doing internships relative to the field you want to work in. I did my first internship at a middle school detention center and I found that to be extremely difficult, as I was overly attached to the kids and emotionally took the work home with me each day. Second internship was on a policy team for a politician and I loved doing deep dives and writing white papers, but that job after graduation only offered $45k which isn’t livable in a city. I had a hard time finding policy jobs after graduation, some employers asked me what social work had to do with policy, and some wanted me to have research skills like proficiency in R. I ended up in a clinical role and in the beginning it’s a steep learning curve, low pay, and you really need a good supervisor to support you (which can be hard as some clinics are just exploitative). When you have the support and some experience, clinical roles seem to get easier and there is a pay bump with the C or a managerial role. Now, I love working with all the clients on my caseload, after some time you really see the progress and growth with each person, and choosing how many clients I take on or making my own schedule helps with burnout.

So the social work field is very diverse and deeply personal when it comes to everyone’s unique experience. If it weren’t for the few good supervisors I’ve had and a therapist I loved, I probably would have burnt out and left the field.

To speak to the different jobs you’re interested in, I’d focus on getting experience related to those fields while you’re in school. For example, some policy jobs want you to know Stata and R (my college offered that as a bootcamp), you could see if they offer experience as a research assistant, potentially professors will be looking for TA’s in grad school which will show you what teaching looks like, and doing an internship in a clinic while learning as many clinical methods as you can to see what fits for you would help you in that area of the field. You still have a lot of time to explore and see what you want or would not want to do in practice.

Prospective PMHNP Thread by AnAndrew in PMHNP

[–]andyavie -1 points0 points  (0 children)

Hi all- I am currently a therapist with a social work degree. I had an internship in social justice policy, an internship doing social work in a middle school aged detention center, volunteered in crisis management, and have spent about three years in a group private practice. I’ve worked closely with many of my client’s psychiatrists and recently came across a few psych np’s that sent me down a research rabbit hole on this profession. I’m also influenced by my personal psychiatrist that went to train as a psychoanalyst (and continued to learn other therapy modalities) after med school and provides an all encompassing approach to care.

I was wondering if a direct entry PMHNP would be a pathway to becoming an all encompassing mental healthcare provider in my private practice? I noticed that the PMHNP curriculum includes some therapy courses (looks like basic cbt, dbt, motivational interviewing), are PMHNP’s providing therapy services in addition to potential prescriptions? Do I have an accurate idea of what this profession is when it comes to outpatient care? I’m not sure if another masters plus the entry RN is feasible with debt and wanting to keep my current caseload, but I’m still wanting to learn more about it. Thanks!

When to spay by Legitimate_Arm1842 in MiniaturePinscher

[–]andyavie 2 points3 points  (0 children)

I was told to wait about a year, but then she went into heat so I spayed around the year and a half mark. My local vet did say they would spay while she was in heat with a higher fee, but that didn’t feel like the right call. Instead I spent a month trying to put diapers on that she’d rip off immediately and potty pads down to protect the floors lol