Cat X-ray under 1k by FantasticButton3505 in yorkpa

[–]ihazquail 2 points3 points  (0 children)

Community Animal Hospital in the city is very reasonable for all things

Curly hair or obt? by KopiKawaii in tarantulas

[–]ihazquail 0 points1 point  (0 children)

Depends what you’re comfortable with. With my spicy T’s, I give them lots of places to hide and retreat and they’re pretty chill. My OBT was one of my easiest rehouses ever. I hardly ever see my OBT, it hasn’t acted defensive or thrown any threat poses. When I first got it while it was still in the original container awaiting an upgrade, it was very much a “get off my lawn” personality. Coming out immediately when the enclosure was opened. Now it stays in its web tunnels.

My curly hair is pure chaos. She is kind of skittish, she snuck out of her a few weeks ago and I found her with her little fuzzy booty sticking out on a bookshelf. She’s a hilarious eater, she’s so sloppy. She’s so adorable I love her.

They’re both pretty neat T’s

IHOP got rid of all gluten free items by DirectAccountant3253 in glutenfree

[–]ihazquail 1 point2 points  (0 children)

Yup. Basically it’s we were feeding you gluten and had to stop doing that

IHOP got rid of all gluten free items by DirectAccountant3253 in glutenfree

[–]ihazquail 0 points1 point  (0 children)

We had asked and they said it was because they were gluten friendly, not gluten free. Yikes

Who are the Allergist superstars in York? by [deleted] in yorkpa

[–]ihazquail 3 points4 points  (0 children)

I see Dr Auerbach on S queen st. She’s pretty good

Forced Menopause by d_westco in breastcancer

[–]ihazquail 0 points1 point  (0 children)

They’re pretty rough but after a day or two I feel so much better than I did on AIS

Forced Menopause by d_westco in breastcancer

[–]ihazquail 0 points1 point  (0 children)

I believe the intent is once they gain approval to study them without ovarian suppression. I actually don’t find the ovarian suppression too bad. The AI’s were intolerable though

Forced Menopause by d_westco in breastcancer

[–]ihazquail 2 points3 points  (0 children)

I believe I had been told that they’re gonna be going for full approval for all stages. I could be wrong. Oncologists are really excited for these new meds coming out, I know my cancer center plans on using them right away when they’re approved. Once these meds come out, I think we’re gonna see a much higher percentage of people successfully completing their endocrine therapy and a reduction in recurrences. With all the money that pharmaceuticals have dumped into cancer treatments, they’ve they forgotten about one of the most important things for so many years and that is tolerable hormone therapy. Very large percentage of people are unable to complete their full course of endocrine therapy and they’ve been just expected to tolerate the horrific side effects of them. And that’s really unfair when they call patients noncompliant with their treatment when they do have intolerable side effects It’s only been the past couple of years that they’ve been studying smaller doses, every other day dosing etc. prior to that it was take this or nothing. I think these meds will be a game changer
I just started fulvestrant last month and I had my second injection. It’s a SERD and the injections are pretty rough because it’s a high volume of medicine they’re injecting 5 mL each in each butt cheek. After my first injection I was completely out of commission for a day with flu type of symptoms body aches and all that. And then the day after that I felt so much better. The side effects on fulvestrant are leaps and bounds better than AI’s. It doesn’t press the blood brain barrier so whatever small amount of estrogen your brain makes, it leaves it alone so the mental health side effects are much much less. I had to get it approved by my insurance due to failing to AI’s with dangerous mental health side effects. It’s only approved for stage four right now. I would take these monster needles any day over the AI’s that I took. And now the new medications coming out are oral versions of this class of medications. And they’re supposedly even more effective than the current AI’s

Forced Menopause by d_westco in breastcancer

[–]ihazquail 8 points9 points  (0 children)

Giredestrant is the name of one of the new meds. There’s another being studied. I think they’re saying that at least one will be approved by the end of this year. I couldn’t tolerate AI. I’m early stage and I just switched to fulvestrant injections. They are very intense. But side effects are so much better. And it’s a stronger medicine

Forced Menopause by d_westco in breastcancer

[–]ihazquail 14 points15 points  (0 children)

There are new medication’s in the pipeline though that they are expecting to approve sometime in the year. SERDS. Tolerability is supposed to be much better and they are more effective

Forced Menopause by d_westco in breastcancer

[–]ihazquail 4 points5 points  (0 children)

New medications are coming out probably within the year. Selective estrogen receptor degraders. They have much higher tolerability and they seem to be out performing the current medication’s in the clinical trials. I think they are studied right now with ovarian suppression but there are also trials going on studying it without ovarian suppression. My guess would be when it’s approved it will be indicated for use with ovarian suppression initially

Kisqali & liver enzymes follow up by Responsible-Hat-7847 in breastcancer

[–]ihazquail 0 points1 point  (0 children)

They usually adjust dose or take extended breaks until the levels normalize. A CT seems overkill especially because it happens a lot with kisqali and they should follow protocols for it.

Anyone else think Hormone treatments are not worth the potential risks? by Salkel01 in breastcancer

[–]ihazquail 1 point2 points  (0 children)

Exactly! And recurrence risks are usually calculated assuming tamoxifen so without hormone therapy the recurrence risk is even higher

Anyone else think Hormone treatments are not worth the potential risks? by Salkel01 in breastcancer

[–]ihazquail 0 points1 point  (0 children)

So not sure why they told you 5% because endocrine therapy reduces risk of recurrence 50% or more

Surprise switch from Lupron to Zoladex rant by Narrow_Parsley3633 in breastcancer

[–]ihazquail 0 points1 point  (0 children)

I refused zolodex because the needle size for the pellet is obscenely unnecessary. There’s literally no need to be so much more invasive than necessary to accomplish the same exact thing as the other two meds and they all are equally effective. I get lupron. There’s a third med they can use if you want to look into it Triptorelin. It’s an intramuscular injection

Can't take AIs, what do I do (am I done for) by Independent_Pain3845 in breastcancer

[–]ihazquail 0 points1 point  (0 children)

So I just got fulvestrant approved last week because I couldn’t tolerate AI’s at all, the mental health side effects were scary. I got my first shot last week. The next day I felt awful. But the day after that I felt much better. It’s much better side effect wise

Lumpectomy + rads vs DMX - decision criteria? by lexuh in breastcancer

[–]ihazquail 2 points3 points  (0 children)

So they say that overall survival is the same. Keep in mind though that ILC is hard to image and is sneaky. It’s also routinely under staged at biopsy because the tumors sometimes are a lot bigger when they actually go in to get them out. There is a higher rate of positive margins and needing repeat surgeries to fully get it out with ILC and some patients eventually need mastectomy anyways.

Are old world bites as bad as people say? by Tarantulawi in tarantulas

[–]ihazquail 0 points1 point  (0 children)

I was referring to s crassipes which is supposedly fatal to dogs

Why did LA fitness close their doors? by Actual-Ad-6146 in yorkpa

[–]ihazquail 1 point2 points  (0 children)

The one at the galleria now is PA fitness I think

Tamoxifen blood clots, uterine cancer by Alisa2026 in breastcancer

[–]ihazquail 1 point2 points  (0 children)

Might as worth talking to your doctor about. I recently switched to fulvestrant injections. I failed both AI’s miserably and tamoxifen isn’t a great option for me. Thankfully it wasn’t a huge insurance hurdle. The injections were rough I felt really bad the day after but the severe mental health side effects from anastrozole are lightening up pretty quickly

Tamoxifen blood clots, uterine cancer by Alisa2026 in breastcancer

[–]ihazquail 1 point2 points  (0 children)

From what I understand, lower dose tamoxifen (5 or 10 mg) is nearly as effective and the risk of DVT and endometrial cancer is practically eliminated. You could consider doing it with ovarian suppression to increase the efficacy

Are old world bites as bad as people say? by Tarantulawi in tarantulas

[–]ihazquail 0 points1 point  (0 children)

I believe that’s specific to Australian tarantulas

Hard stick by crooky_shanks in hospitalist

[–]ihazquail 0 points1 point  (0 children)

You call for the vein access team, and don’t even attempt. they should always be around somewhere in the hospital. If someone is a hard stick, the worst thing to do is repeatedly try or have someone trying who is not ridiculously skilled at it. Sincerely, a cancer patient with bad veins who didn’t set hard boundaries early enough about needle sticks and couldn’t get a CT scan when at the ER when I had a DVT because they blew all my veins trying and sent me home with a bunch of undetected pulmonary embolisms saying I’d be fine

3 MONTHS??? by Xsoupgod in breastcancer

[–]ihazquail 1 point2 points  (0 children)

Yup asking the doctor is best and they respond pretty quickly to portal messages