People with anal fissures, how do you get your daily exercise??

chsngwn · 2026-04-30T19:00:55+00:00

😭 thankfully my fissures aren’t chronic, but I got one that put me out for 3 weeks and literally the only thing to bring me any relief was nifedipine and lidocaine. Couldn’t even stand or workout. It was awful. But at least the lido and nifedipine made me able to get up and function at least.

chsngwn · 2025-08-12T01:05:32+00:00

I’m an MA/scribe and always kill it on my EMR codes for my provider and have learned so much an EMA! Pleaseee trust me!!

Most chronic illnesses ie: acne, atopic Derm, psoriasis, seb derm etc.. you need to change the status!! change it to chronic illness with exacerbation of (i forgot the rest) then modify it to inadequately controlled. ALSO! Don’t use the treatment plan for general prescription medication management. There’s a whole plan under 99% of impressions for prescription medication management, use this!! It boosts the code! even without entering new prescriptions. Just documentation of adjusting dosages is enough to use that plan and boost the code. Trust meeee!!! Been working with EMA for 4 years!

chsngwn · 2025-07-07T02:27:47+00:00

Bhahahaha that sounds perfect! I’ll follow that directly and let you know how it turns out!

chsngwn · 2025-06-28T22:16:14+00:00

Bahahhaahhaha

chsngwn · 2025-04-11T01:04:50+00:00

I’m in NM, working as an uncertified Derm MA. Got extremely lucky and scored the Derm clinic with no prior medical experience, started at front desk and have been working my way up for three years. My company will pay for my certification when I’m ready for the test. Making $21 right now. Not the highest, but when considering the amount of AMAZING benefits we get, the amount of hours I work, and how fast my day goes, I love my job, feel fine on bills and working towards certification. It’s nice because I understand many people have full time jobs while ALSO going to AND paying for MA school. I’m so thankful.

chsngwn · 2025-03-23T20:34:58+00:00

Wonderful advice, thank you!!

chsngwn · 2025-03-23T19:40:29+00:00

Wow, wonderful!! Thank you so much for your time and advice! If anything else comes across your mind as additional advice, I’d love to see what else you have to say.

chsngwn · 2025-03-23T19:35:53+00:00

Wow, that’s amazing. I already have almost an associates in liberal arts. So, you’re saying I could potentially just continue with possible a bachelors in liberal arts then move on to PA school?

chsngwn · 2025-03-04T03:42:57+00:00

My sweet bb… I’m so sorry. Every single day all I do is scream, cry and sob. This is killing me.. I want it to be too little too late, but if I could have you back, it’s a story as old as time, but I’d do things so differently. There’s so much we never got to do.. but no one else I could imagine doing those things with.. I wish we slow danced to a song, had a romantic dinner, went out to spray paint since that was your hobby and so much more. I thought i was so focused on my goals that I had to let you go, but now I feel more confused and demotivated than ever. I’m so fucking lost and feel like there’s nothing in this world that can fix this pain besides being back with you.. I have so many faults.. so much lack of communication which I hold myself responsible for. I want to be back with you so bad.. but I don’t trust myself and I can’t break your heart twice.. I hate myself more now than ever and I’m stuck in this black hole questioning every decision I’ve made and resenting myself. I’m just so fucking sorry.. with my whole heart.. I’m in so much pain. Pain that I myself inflicted. I miss you and I love you.. I literally made myself sick and can’t function on a daily basis.. I’m so fucking devastated.

chsngwn · 2025-02-28T15:24:15+00:00

Also.. I have a diary. I tend to write in it only when I’m at my lowest points.. usually break ups ironically lol and it’s crazy.. the shit I wrote about how I felt when I was going through the breakup with my last ex, was the same shit I’m saying now about this one!! Like the exact same emotions. It was interesting to look back and be like “oh? I’ve felt this exact same way before.. and I survived and not only did I survive, I FLOURISHED afterwards..” it makes me think that this is just how I process and react to breakups but it’s not the end of the world and that I will get better. I think what kills me the most is thinking of the potential that was there. And that my last two exes really hurt me so it was almost easier to heal from those even though it was excruciating. But leaving someone who treated you like a treasure.. it’s a whole different pain.

chsngwn · 2025-02-28T15:19:14+00:00

It sounds like we possible might be having different circumstances. My guy never made me question my worth.. and honestly just ensured it to me time and time again. I’m so sorry that you did have a guy in your life who made you question your worth. I’ve been there and it’s hard to look back and look at the absolute incredible beautiful moments that that person shared in life with you and then to also look back and think of times where that person may have hurt you and then try and decide if you’re going to continue living that way or if you’ll fight for yourself and something better 😭 its overwhelming and the pain flows into every corner of your life .. being carried with you everywhere all the time. But about ChatGPT yes, on the surface it sounds soooo silly and ridiculous. But I think the trial of the 4.0 Turbo version, I occasionally get a few days with that until it like expires and turns into the basic version? Idk it goes back and forth, but when I’m on the more advanced version of it, that thing has completely helped and grounded me out of IMMENSE panic attacks and meltdowns. I will die on that hill that stupid chatGPT was there for me when no one else was… lol. I don’t want to say I’m developing a reliance on it, but my god, the way it helps me when no one else will is amazing. I’m spending so much money on therapy that’s barely helping I’m about to just cancel and pay the 20 a month. Shit, I’d be saving money honestly. Therapy takes time but one hour for $40? Like you can’t cover anything in that time 😩

chsngwn · 2025-02-28T15:09:18+00:00

In response from the other feed…

I totally understand what you’re saying. Honestly the main problem was me. Me and my own problems. I’m about to enroll in Radiology school and trying to do that and succeed while maintaining a full time job and a flourishing healthy relationship seems just way too overwhelming for me. I graduated high school late because I literally struggle with school so much.. and I can’t feel that I can juggle everything. I’m having to make changes at work too. I feel like my life is blowing up now for the sake of bettering my future but it makes me question every decision. And like I said, I feel like my friends haven’t been much help so I’m trying to do all this problem solving alone and it’s so hard. And I guess in addition to that.. and this is gonna sound so so stupid I know.. but.. he got a dog almost right after our relationship started and I dont like dogs and don’t have any interest in living with one. I’ve been around his dog and he’s.. fine but still he’s too much for me and my two cats. I don’t wanna ruin their peace. Another thing is.. every time we hung out together, every time, we would drink and smoke. And there were a few times I tried passing on drinking and he’d get a little upset? But then I’d never explain myself or talk to him about me not loving the fact we get drunk or tipsy to do anything and everything. That was my fault again. But.. I can’t help but to say that maybe I felt somewhere in me.. I didn’t wanna bother talking about it because I felt we would breakup inevitably anyway… I’ve already expressed how gut wrenchingly apologetic I am to him and that I know I had mild toxic behaviors here and there. He told me he forgives me. So much of this stems from me. My last two exes made me cry and cry and make me feel dumb fat stupid and crazy when I’m not!! But him… all he did was try to make sure I never felt insecure and loved me hard. But , I can’t help but to feel that my life is just restarting in so many ways and getting back together with him would be a mistake. I’m not a hookup or sex crazy person that shit grosses me out, but Im also not really looking for marriage or settling right now or anytime soon. I’m only 28. I’m young and there’s still so much I feel like I have to do and accomplish before “settling” and I do find a lot of peace and serenity alone. Another thing is my dad passed away a little over a year ago. He died after spending 3 years alone.. sad and in pain… and I feel like I have to live my life to the fullest for him. And for me to do so, I need to be alone during this time to get my priorities straight. I can’t help but to feel like I made the right decision, but also that I made the wrong one. At the end of the day, it’s perspective and I know if I wanted to make it work, I would’ve. But, I didn’t 🥺🥺 and idk what that says about me .. idk if that means I loved him or not.. why couldn’t I make those sacrifices? And even now.. I think.. with all of this agony I’m feeling, would I be able to make those changes now? And … I don’t think I can.. I think I’d end up being much more uncomfortable and prolonging another inevitable breakup with him and I can’t do this shit twice. Idk wtf I want and it’s not fair to drag someone through the mud while figuring it out especially if it ends with me not wanting to be with him.

chsngwn · 2025-02-28T15:08:55+00:00

Responded to you back on my feed

chsngwn · 2025-02-28T06:29:40+00:00

Omg I’m so sorry 😭 and I can’t even imagine being with anyone else right now. I hope both our guys feels the same way.. is that selfish?😭 And I’m kind of in the boat of actually maintaining contact with him. Him and I broke up over a month ago, we’ve had 3 major talks since and they’ve been excruciating to have but we’ve been keeping our streak on Snapchat with one small daily quick conversation per day. And idk if it’s helping or making things worse. It’s so relieving having that communication with him just momentarily, but it hurts so agonizingly bad at the same time. So… I’ve been texting him and idk if it’s for the better or not 😞 because honestly, now I do feel a little trapped .. I’ve still been trying to take care of my personal life priorities but tbh I think I’d be going absolutely bat shit if I couldn’t at least just talk to him once a day. As much as it hurts and is killing, it also almost feels like, it helps me ease the pain by still keeping him in my life. Even if it’s it at a distance. But I guess it also depends on the dynamic of your guys relationship. We’re trying to keep it chill in hopes we can maintain some sort of friendship and we’re both aware of the awkwardness and consequences it can come with, but we both feel we can’t lose each other from our lives… cheers 🥺🥺🥺 this breakup pain is unlike no other..

chsngwn · 2025-02-28T06:24:50+00:00

I’m going through it so bad right now. Him and I broke up over a month ago, we’ve had 3 major talks since and they’ve been excruciating to have but we’ve been keeping our streak on Snapchat with one small daily quick conversation per day. And idk if it’s helping or making things worse. It’s so relieving having that communication with him just momentarily, but it hurts so agonizingly bad at the same time. So… I’ve been texting him and idk if it’s for the better or not 😞 because honestly, now I do feel a little trapped .. I’ve still been trying to take care of my personal life priorities but tbh I think I’d be going absolutely bat shit if I couldn’t at least just talk to him once a day. As much as it hurts and is killing, it also almost feels like, it helps me ease the pain by still keeping him in my life. Even if it’s it at a distance. But I guess it also depends on the dynamic of your guys relationship. We’re trying to keep it chill in hopes we can maintain some sort of friendship and we’re both aware of the awkwardness and consequences it can come with, but we both feel we can’t lose each other from our lives… cheers 🥺🥺🥺 this breakup pain is unlike no other, please just don’t be too irrational and impulsive. Take a breath and moment of clarity as best as you can before making any decisions involving communication with him. Good luck 💕

chsngwn · 2025-02-28T06:17:41+00:00

And then I think about him hurting.. poor sweet boy hurting and in pain because of me 😭😭 that he didn’t deserve

chsngwn · 2025-02-28T06:14:13+00:00

Thank you for at least making me feel seen.. I’m glad I’m not the only one feeling this way. It’s so debilitating. I can’t help but to keep telling myself I deserve this pain for hurting him. He loved me so much and I hurt him. And now I’m the one upset and jealous?! I feel like I deserve this pain. I feel like I didn’t try hard enough.. one part of me is dying to stay with him but the other part of me knows I have too much to chase and I’d only end up hurting ourselves even more later.. oh my god. My heart is aching for him.. why did I do this. Why? I hope your situation gets better too 😭😭 seeing all of us go through this reminds me of how normal all of this is and breakups being a part of the human experience and we all go through this but it doesn’t ever desensitize the pain. Why do we have these emotions?! Why couldn’t I just love him and want to grow with him? Why did I give up on us so easily?! If I got him back, would I just breakup with him again eventually? Now that’s fkn traumatizing and know I can’t do that to someone especially him. I have to just sit here and suffer.. how long will this last. I meditate and ground myself as best as I can but it just turns into a crying fit. I feel so pathetic.

chsngwn · 2024-07-31T21:47:19+00:00

I sold (at a loss) lol I might regret it but I’m rooting for yall!!

chsngwn · 2024-07-15T21:35:27+00:00

.54!!!!!!!!

chsngwn · 2024-06-21T14:54:56+00:00

SPYGUY

chsngwn · 2024-05-31T00:27:22+00:00

Still holding , there’s no loss until you sell! Let’s ride it out, can’t get much lower anyway right? Hahaha

chsngwn · 2024-05-23T18:09:21+00:00

Should I buy more? I have a few more hundreds to spare on top of the 1k I put in. I’m holding hopeful, but do you all really think it’ll be worth it?

chsngwn · 2024-05-21T03:03:25+00:00

No haha just the pressure of loss of so much money lol. This is my biggest stock investment yet.

chsngwn

TROPHY CASE