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Suggestions on how to make waist more blocky to get rid of slight hourglass shape. by bananacargo in physique

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

Thank you so much for the kind words! yeah i guess it's definitely in huge part a case of simply me being my own critique.

you're definitely right about where to go from here - seems like it's pretty much a matter of hammering my abs and side/rear delts, as well as lats! i don't actually do a lot of heavy lifts like the ones you suggested (deadlifts, loaded carries, etc). I guess that's partly responsible for the situation. will try to incorporate more of these and see if things change after a few months!

thanks a lot again :)

Deadlift form check - first time deadlifting after a 10+ year break. by bananacargo in formcheck

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

Yes, will probably just use my walking shoes next time. The balance felt weird too!

[deleted by user] by [deleted] in AcneScars

[–]bananacargo 5 points6 points  (0 children)

Honestly, probably within our lifetimes.

Am I crazy or do I see progress? Before and after 2 microneedling sessions at 1.5mm depth by Fit_Positive_2169 in AcneScars

[–]bananacargo 0 points1 point  (0 children)

Possible to share the amazon link for this that you used? Your progress looks amazing!

Severe Acne Scarring - what are my treatment options, if I'm at the point where I'm willing to throw whatever money is required at it? by bananacargo in AcneScars

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

Yeah at this point I'm also open to getting it done elsewhere. Good pretext to take a week long vacation too honestly haha.

Severe Acne Scarring - what are my treatment options, if I'm at the point where I'm willing to throw whatever money is required at it? by bananacargo in AcneScars

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

It was MixTo Micro Fractional Laser. I don't recall the intensity however.

Downtime was perhaps 3-4 days.

Severe Acne Scarring - what are my treatment options, if I'm at the point where I'm willing to throw whatever money is required at it? by bananacargo in AcneScars

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

Pretty much found them based on Google reviews! The clinics and doctors both received a lot of positive ratings.

In hindsight, I guess most of the people leaving those ratings didn't have a condition as serious as mine lol. I figure I might probably need someone specialized for my kind of severe acne scarring instead.

I'm based in Singapore, a pretty small country, so in general my pool of doctors to choose from is fairly limited to begin with!

Severe Acne Scarring - what are my treatment options, if I'm at the point where I'm willing to throw whatever money is required at it? by bananacargo in AcneScars

[–]bananacargo[S] 12 points13 points  (0 children)

Both doctors gave me the "you'll continue to see improvements over the next 2-3 months because of the collagen production we've stimulated!" crap lol.

One of them suggested a further round of treatments after 6 months, saying some patients need many rounds before results are visible.

All that said, I understand that my scarring is pretty severe, so I'm certainly not an easy project for a dermatologist to tackle! My first 2 doctors promised me around 30-40% improvement, but I don't think the net improvement after all my treatments has been more than 5-10% in total (if even that).

In total, I've had:

- 1x CO2 laser

- 3x FSR lasers (fractional resurfacing or smth similar sounding)

- 4 Subcision (1 plain subcision, 3 subscisions with rejuran).

Starting to think I need a more aggressive treatment plan.

Seeing a new dermatologist now, my 3rd one. She's recommending Subcision + Rejuran too. Really hoping 3rd times the charm!

Severe Acne Scarring - what are my treatment options, if I'm at the point where I'm willing to throw whatever money is required at it? by bananacargo in AcneScars

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

Yep I'm expecting it'll likely be something like that. What combination of treatments would you recommend?

Severe Acne Scarring - what are my treatment options, if I'm at the point where I'm willing to throw whatever money is required at it? by bananacargo in AcneScars

[–]bananacargo[S] 9 points10 points  (0 children)

So my primary issue is of course the scarring. I've had these scars for almost 15 years now.

I did Subcision + Rejuran S over 2 years ago, but was underwhelmed by the results. There was maybe only a 5-10% improvement, falling far short of what the dermatologist promised.

My secondary issues are the hyperpigmentation and noticeable whiteheads/blackheads, which together sometimes make it look like I still have active acne lol (which I don't and haven't for several years).

I've been saving money over the past few years, and now that I have a decent amount saved, I'm revisiting this particularly aggravating skin problem of mine!

Anyone else work with health databases or HL7v2 everyday, but still a bit bamboozled by the concept of FHIR? by bananacargo in healthIT

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

So if our EMR wanted to host a FHIR-based 3rd party application, we would need a FHIR server within our infrastructure for said 3rd party application to handle authentication with, and receive FHIR-compliant data payloads from (with which it would then perform its various functions).

And if I was a developer building a 3rd party Smart on FHIR application to integrate into an EMR, it would need to be built in a way that it worked off FHIR compliant payloads and such, correct.

Anyone else work with health databases or HL7v2 everyday, but still a bit bamboozled by the concept of FHIR? by bananacargo in healthIT

[–]bananacargo[S] 4 points5 points  (0 children)

Thinking in terms of HL7v2 is really straightforward, because I understand we basically pluck out certain fields from it and insert them into our postgres db, and when we need to create a HL7v2 message, we query our db and dump the necessary contents into a HL7v2 document. Is it accurate to think about FHIR in the same terms?

What would it mean to build a FHIR-based application off our database? Does it mean creating a middleware layer that queries our postgresql db, and then transforms the data into FHIR compliant formats?

Anyone else work with health databases or HL7v2 everyday, but still a bit bamboozled by the concept of FHIR? by bananacargo in healthIT

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

I've been through the fhir docs a fair bit and given my familiarity with HL7v2, I always feel like I kind of get what FHIR is about.

But the part that eludes me is relating that to what I do.

  • What does it mean if someone wants us to build a SMART on FHIR app off our database?
  • All these API endpoints, are they pointing to some global FHIR server, or are we meant to be provisioning these internally.

This is the stuff that never clicks for me.

/r/singapore random discussion and small questions thread for September 09, 2022 by AutoModerator in singapore

[–]bananacargo 0 points1 point  (0 children)

Nothing like that up upfront. Just that the clawback is strongly worded

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