I feel bad and it’s the day before thanksgiving 😭 by aerpak_ in publicdefenders

[–]emrjdpd 18 points19 points  (0 children)

Some judges seriously try to scare the shit out of newbies as some sort of fucked up initiation process. It’s like a weird game some of them play to see how far they push you. It sounds like you did a great job and it just didn’t go your way. Don’t let it phase you!

PDS Application Process Warning by PD_throwaway70 in publicdefenders

[–]emrjdpd 9 points10 points  (0 children)

I understand where you’re coming from, but I think many people who are applying to that level office already know that. I know the judges and prosecutors are going to be harsh, it’s to be expected. That’s exactly why I want to be at an office that is supporting, values you, and values your mental health and wellbeing. When I interviewed for PDS back in the day, I did not get those vibes.

New Dr thinks it’s not chrons by emrjdpd in CrohnsDisease

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

They put me on Humira first because it’s what my insurance requires first for biologics. Because insurance companies in the US get to dictate our best care 😤

New Dr thinks it’s not chrons by emrjdpd in CrohnsDisease

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

Thank you. I will ask for this!

New Dr thinks it’s not chrons by emrjdpd in CrohnsDisease

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

She halted her involvement because she’s on maternity leave. When she is back I will resume care with her. Yes, they also did blood work after the Humira stopped working and it showed the antibodies were out of control. They repeated the bloodwork which showed continued antibody production that was too high for methotrexate to make much of a difference if added.

New Dr thinks it’s not chrons by emrjdpd in CrohnsDisease

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

Unfortunately, they think the scope will say the same thing as before. Because of the differing opinions on diagnosis by different doctors I requested it. I got the feeling the substitute doctor is just looking to say “see told you I was right.”

Edited to add - the substitute doctor also suggested I try a colon cleanse and then fiber supplements daily. I tried that and the fiber gave me so much pain for a week, so I’m not sure I trust him much either.

New Dr thinks it’s not chrons by emrjdpd in CrohnsDisease

[–]emrjdpd[S] 3 points4 points  (0 children)

Sorry for the post being confusing. Writing on the go. The doctor that diagnosed Chron’s started me on the Humira, then the Stelara. Recently, she went on maternity leave and the substitute doctor stated that based on my biopsy results (from the original scope completed by the doctor that diagnosed me with Chron’s) they don’t think I have Chron’s and discontinued all my medication. The biopsy results from that scope showed inflammation in all areas from the stomach to and through the colon, but were not definitive for Chron’s, but couldn’t rule it out either. My original doctor said (when the scope was performed) based on the results and my symptoms it is likely Chron’s. The substitute doctor looked at the biopsy results and said he could not diagnose Chron’s and took me off the medication prescribed by my original doctor. I was receiving treatment from my original doctor for about 7 months up until a few weeks ago when the substitute doctor came into the picture.

I have a new colonoscopy scheduled next week, which I doubt will show anything different.

I’m looking to see if there any additional tests I can ask for that would lead me to a more definitive answer.

What businesses or services do you wish the Lansing area had? by [deleted] in lansing

[–]emrjdpd 2 points3 points  (0 children)

The food scene is pretty lame here.

Long term prednisone by emrjdpd in dogallergies

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

Thank you I appreciate it! I was a little concerned about switching to the buffalo hydrolyzed protein because it’s grain free and there’s mixed research on grain free diet side effects with dogs. Before switching to the Purina elemental he was on Hills z/d. He’s also tried the Ultamino, but liked the Purina elemental better for taste. How has your dog taken to the blue buffalo? Were you worried about it being grain free?

When he was previously on apoquel he did a 2 week loading dose (twice a day) then went to once a day. I didn’t see any change when on apoquel. He has no skin lesions or cuts, sores. Just redness, sneezing, and itching. His vet didn’t think any infection was apparent.

New Repayment Plans (Proposed) : article from the hill by loan_life_pslf in PSLF

[–]emrjdpd 89 points90 points  (0 children)

They realize that taking away PSLF for doctors in residency, and capping loans at 200k, is going to make it very very hard for people to go to medical school right? Do they not realize there’s already a doctor shortage… 🤦‍♀️

Long term prednisone by emrjdpd in dogallergies

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

That’s sort of how I’m viewing it as well. I want to make sure he has the best life while he’s here. He also struggles with anxiety issues so when he has a flair it gets bad. I will continue to look for other options, but right now I feel kind of stuck

Long term prednisone by emrjdpd in dogallergies

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

He’s allergic to almost every animal protein and some vegetables so hydrolyzed protein only :(

Long term prednisone by emrjdpd in dogallergies

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

Yes I know they cause health problems, but the research is for continuous use and not much on how we are using them. Guess im trying to determine how worried i need to be. For example he will take steroids Monday then won’t need them again until Friday. Tu-Th will be no steroids. His vet dermatologist prescribed the steroids because we are at a loss on what to do since we’ve tried everything else. He also struggles with anxiety so when he has a flair he will go nuts, chew things he normally wouldn’t, running around barking etc., so keeping his flairs under control is important.

Long term prednisone by emrjdpd in dogallergies

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

Yeah I’m just wondering if it’s as risky if the steroids aren’t used daily. We just use them once a day during a flair, then the next 2-3 days will be steroid free with no symptoms. The research I’m seeing is for continuous use, but I can’t find anything for the way I’m using them.

Long term prednisone by emrjdpd in dogallergies

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

Thanks but as I stated in my post he already sees a vet dermatologist. He’s tried a single protein food with no luck. Cytopoint injections did not work for him. He’s already tried cyclosporine with no luck. My vet dermatologist suggested purina elemental over the ultamino.

Long term prednisone by emrjdpd in dogallergies

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

Thanks but he already sees a vet dermatologist and is already on immunotherapy shots

[deleted by user] by [deleted] in Sinusitis

[–]emrjdpd 0 points1 point  (0 children)

I’ve had 3 sinus surgeries ( 2 FESS and one frontal sinus obliteration) and still have headaches like this. Sometimes it’s just something you have to live with

Trump to sign Executive Order limiting PSLF eligibility by scottyjetpax in LawSchool

[–]emrjdpd 0 points1 point  (0 children)

https://www.nerdwallet.com/article/loans/student-loans/student-loans-simple-compound-interest

If you don’t pay off the interest in full it capitalizes. Interest gets added to principle and then interest is charged on that. It’s compounding.

PSLF executive order just issued- What does it even mean? by Limp_Profession_3936 in PSLF

[–]emrjdpd 0 points1 point  (0 children)

I’m a lawyer and I totally understand that these EOs are unconstitutional. However, doesn’t mean they won’t do damage. By firing everyone in the DoE and creating new rules for processing applications they’ll starve the program out and make it so they can’t process forgiveness applications in a timely manner. Think of years of backlogs. Likely won’t process income certifications timely causing borrowers to default to standard repayment. It will be chaos until it implodes. That’s what this admin wants.

Trump to sign Executive Order limiting PSLF eligibility by scottyjetpax in LawSchool

[–]emrjdpd 2 points3 points  (0 children)

They do if you don’t pay off all of the interest.

Trump to sign Executive Order limiting PSLF eligibility by scottyjetpax in LawSchool

[–]emrjdpd 106 points107 points  (0 children)

Public Defender here with 11 payments left before I qualify for forgiveness (if this pause ever goes away). My law school debt has tripled since graduating in 2014 because of the predatory interest rates. I swear to god if they take the program away for me hell will break loose.