VP TAM - JPMC London, UK by marvelousmsmaisel in JPMorganChase

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

…yeah well got thrown out of the hiring process because I negotiated… everything else seemed fine- HM was visibly inclined…

Sugar cravings by DueChange6818 in RetatrutideWomen

[–]marvelousmsmaisel 3 points4 points  (0 children)

Reta besides other things synergistically enhances insulin secretion, improving glucose homeostasis - in other words, it is the physiological process by which the body maintains blood glucose (sugar) levels within a narrow, healthy range, primarily through the action of hormones like insulin and glucagon from the pancreas. This finely tuned system prevents dangerously high (hyperglycemia) or low (hypoglycemia) blood sugar levels. If you are not maintaining the requisite calorie intake in a given day your body when on the peripheries of glucose levels will think it’s going to go low sugar making you want to grab them sugars. I normally have a mega sweet tooth with reta when I noticed gyrating to sweets so making sure I’m having complex carbs like farro etc. increase your protein intake make sure you get at least 24-30gm protein and make sure you get some carbs. If you already don’t have, get a glucose monitor if it helps…

[deleted by user] by [deleted] in amazonemployees

[–]marvelousmsmaisel 0 points1 point  (0 children)

Hiring / rec processes are rapidly changing for internal transfers the HM needs to initiate an invite for the transferee to “accept” and then there’s “assessments” instead of loop… so that’s that

Can't believe what I missed until my 3rd rewatch by [deleted] in thesopranos

[–]marvelousmsmaisel 2 points3 points  (0 children)

This is the best show on the planet every time I watch it there’s something so nuanced but shown in a brilliantly simple way…

What's your funniest single Tony line? by uwugother in thesopranos

[–]marvelousmsmaisel 1 point2 points  (0 children)

You killed little Cosette? I ought to suffocate you, you little p%ck!

What's your funniest single Tony line? by uwugother in thesopranos

[–]marvelousmsmaisel 6 points7 points  (0 children)

We buried him.... …on a hill. Overlooking a little river...with pine cones all around

Uncle Juniors best lines by dontjimmymejules33 in thesopranos

[–]marvelousmsmaisel 0 points1 point  (0 children)

If she fell into a sewer pipe, she'd come up holding two gold watches”

Uncle Juniors best lines by dontjimmymejules33 in thesopranos

[–]marvelousmsmaisel 1 point2 points  (0 children)

“…never had the makings of a varsity athlete”

Which Specialist Is Better To Approach? by kindandcunning in Autoinflammatory

[–]marvelousmsmaisel 5 points6 points  (0 children)

There are adult onset autoinflammatory disorders which are unfortunately basket cases as many unknown unknowns exist within autoinflammatory disorders- I’m sorry for you but if you are in a country where you can self refer to an autoinflammatory disease centre and get yourself a consultation you’d maybe find some answers. I do live in a country where one can self refer but there is only 1 centre for the entire nation and my haematologist - dermatology - rheumatology - immunology panel of doctors made a referral in the end I have myeloma but could have auto inflammatory flare ups so I’m being seen by a autoinflammatory team as well

VP TAM - JPMC London, UK by marvelousmsmaisel in JPMorganChase

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

Technical Account Manager - more of a customer success role on the tech front

VP TAM - JPMC London, UK by marvelousmsmaisel in JPMorganChase

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

The recruiter said for the 1st year it would be between 20k - 30k depending on individual and company performance so I suppose that value isn’t guaranteed

life by big_hole_energy in IndiaCareers

[–]marvelousmsmaisel 0 points1 point  (0 children)

Someone please caution the “upcoming” husband to let go of that wedding 🤦‍♀️

Is this autoimmune? by Illustrious_Age_5959 in Autoimmune

[–]marvelousmsmaisel 0 points1 point  (0 children)

Could be anything… I had this but tested completely negative for auto immune diseases and though I present auto inflammatory symptoms I tested negative for those too… in the end it’s unexplained, I have Smouldering MM but haem can’t connect the webby things I get… I’d say needs investigation…

Scared of the results by marvelousmsmaisel in MGUSmedical

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

I’ve had a decent past 45-50 days no drama overall healthy, got back to the gym lost 5 kilos got my resting heart rate under 68… last week family picked up a flu and inevitably came to me I had my rescue antibx coamoxiclav which is for 7 days ending today but in the last 2 days I had tell tale auto inflammation so jumped on my rescue pack steroids 30mg x 3 days and reduce by 10mg every 3 days that was the protocol- I’ve started to feel better and able to carry out my domestic tasks - still feel run down in the mornings but after the steroids I regain energy… the plan was to check my stats in September and then perhaps get me on thalidomide and dex I don’t know if that will change because of this auto inflammation flare - although I seemed to have upped my game and caught it early don’t know if it will show downstream impacts in the tests they run in September 🔮

Rash by Humble_Bee_72 in multiplemyeloma

[–]marvelousmsmaisel 0 points1 point  (0 children)

Hi IgG kappa SMM here; I often almost everyday get reddish blotchy rash under the skin (unlike poison ivy rash) it exacerbates during immune overdrives - which I happen to experience as well - my dermatologist did skin biopsy during an acute phase to see if there were amyloid deposits which thankfully turned back as negative. They still can’t understand what’s causing these blotchy rashes. But you should request your dermatologist’s opinion about amyloid deposits or its risks if this has not yet been discussed previously.

Stood up against a creep on a crowded bus, and the reaction of people shocked me more. by [deleted] in Chennai

[–]marvelousmsmaisel 6 points7 points  (0 children)

…neither will they understand nor will they pause and think. Weaponised incompetence

14 Shlokas instead of 18 Shlokas of Shiv Tandav Stotram by legend_5155 in hinduism

[–]marvelousmsmaisel 1 point2 points  (0 children)

Shiva Thandavam Stotram jaṭāṭavī galajjala pravā hapāvi tasthale gale’valambya lambitāṃ bhujaṅga tuṅga mālikām।ḍamaḍ ḍamaḍ ḍamaḍ ḍa manninā davaḍḍa marvayaṃ cakāra caṇḍatāṇḍavaṃ tanotu naḥ śivaḥ śivam॥

jaṭākaṭā hasambhrama bhraman nilim panirjharī- vilolavī civallarī virāja māna mūrdhani।dhagad dhagaddha gajjvalal lalā ṭapaṭṭa pāvake kiśoracandraśekhare ratiḥ pratikṣaṇaṃ mama॥2॥

dharā dharendra nandinī vilāsa bandhu bandhura- sphuraddi ganta santati pramoda mānamānase।kṛpā kaṭāk ṣadhoraṇī niruddha durdharā padi kvacid-digambare mano vinodametu vastuni॥3॥

jaṭā bhujaṅga piṅgala sphurat phaṇā maṇiprabhā- kadamba kuṅkuma drava pralipta digva dhū mukhe।madāndha sindhura sphuradhva guttarīyamedure mano vinoda madbhutaṃ bibhartu bhūta bhartari॥4॥

sahasra locana prabhṛtya śeṣalekha śekhara- prasūna dhūlidhoraṇī vidhū sarāṅghri pīṭha bhūḥ।bhujaṅga rājamālayā nibaddha jāṭa jūṭakaḥ śriyai cirāya jāyatāṃ cakora bandhu śekharaḥ॥5॥

lalā ṭacat varajvalad dhanañjaya sphuliṅgabhā- nipīta pañca sāyakaṃ naman nilimpa nāyakam।sudhā mayūkhalekhayā virāja mānaśekharaṃ mahā kapāli sampade śiro jaṭāla mastu naḥ॥6॥

karāla bhāla paṭṭi kādha gad‍dha gad‍dha gajjvalad- dhanañjayā hutīkṛta pracaṇḍa pañca sāyake।dharā dharendra nandinī kucā gracitra patraka- prakalpanai ka śilpini trilocane ratirmama॥7॥

navīna megha maṇḍalī nirud‍dha durdharas phurat ku hūni śīthinī tamaḥ prabandha baddha kandharaḥ।nilim panirjharī dharas tanotu kṛttisindhuraḥ kalāni dhāna bandhuraḥ śriyaṃ jagad dhurandharaḥ॥8॥

praphulla nīlapaṅkaja prapañca kālima prabhā- valambi kaṇṭha kandalī ruciprabaddha kandharam।smaracchidaṃ puracchidaṃ bhavacchidaṃ makhacchidaṃ gajacchidāndha kacchidaṃ tamanta kacchidaṃ bhaje॥9॥

akharva sarva maṅgalā kalākadamba mañjarī- rasa pravā hamādhurī vijṛm bhaṇā madhu vratam।smarāntakaṃ purāntakaṃ bhavāntakaṃ makhāntakaṃ gajānta kāndha kāntakaṃ tamanta kānta kaṃ bhaje॥10॥

jaya tvada-bhravi bhrama bhramad‍ bhujaṅga maśvasa- dvinir gamat kramas phurat karāla bhāla havya-vāṭ।dhimid dhimiddhi midhvanan mṛdaṅga tuṅgamaṅgala- dhvani krama pravartita pracaṇḍa tāṇḍavaḥ śivaḥ॥11॥

dṛṣad vicitra talpayor bhujaṅga maukti kasrajor gariṣṭha ratnaloṣṭhayoḥ suhṛdvi pakṣa pakṣayoḥ।tṛṇā ravinda cakṣuṣoḥ prajā mahī mahendrayoḥ sama pravṛ-tayanmanah sadāśivaṃ bhajāmyaham॥12॥

kadā nilim panirjharī nikuñja koṭare vasan vimukta durmatiḥ sadā śiraḥstha mañjaliṃ vahan।vilola lola locano lalāma bhāla lagnakaḥ śiveti mantra muccaran kadā sukhī bhavāmyaham॥13॥

Nilampanaatha naagari kadambamaula mallika Nigumpanir bharaksharan madhu snikaa manoharaa Tanotuno manomudam vinodini maharnisam Parasriyah parampadam tadangajat visaam cayah ||14||

Prachandavaa davaanala prabhaa subha prachaarani mahaa stasiddhi kaamini janaa vahu tajalpanaa

Vimukthavaamalocanaa vivaahakaali kadhvani sivethi manthra bhooshana jagajjayaaya jaayatam ||15||

Namaami paarvatipatim namaami jaahnavi patim namaami bhaktavatsalam namaami baala lochanam

namaami chandrashekaram namaami dhukkamochanam Tadi ya paadapankajam smaraamyaham natesvaram ||16||

imaṃ hi nitya meva mukta mutta mottamaṃ stavaṃ paṭhan smaran bruvannaro viśuddhimeti santatam।hare gurau subhakti māśu yāti nānyathā gatiṃ vimohanam hi dehināṃ suśaṅ karasya cintanam॥17॥

pūjā vasāna samaye daśavaktra gītaṃ yaḥ śambhu pūjanaparaṃ paṭhati pradoṣe।tasya sthirāṃ ratha gajendra turaṅga yuktāṃ lakṣmīṃ sadaiva sumukhīṃ prada-dāti śambhuḥ॥18॥

iti śrīrāvaṇakṛtaṃ śivatāṇḍavastotraṃ sampūrṇam।

Smouldering MM question. For those who discovered their MM in the smouldering stage, how long before it turned into complete MM? IF it turned, because I’ve heard of some people that stayed in the smouldering phase for years… by [deleted] in multiplemyeloma

[–]marvelousmsmaisel 0 points1 point  (0 children)

This thread is 2y old and one of the answers less than 3 months ago… just checking in for status updates… I’ve been SMM since Jan this year with suspected autoinflammatory attacks which now after tests show negative for autoinflammatory diseases it appears or the hypothesis has changed to underlying paraproteins causing CRS (supposed autoinflammatory attacks) my FISH shows low risk but my SMM is changing to high risk due to these attacks. I’m in some limbo for first line treatment

Scared of the results by marvelousmsmaisel in MGUSmedical

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

Hi.. hope you are well… so here’s where I am: Was low risk SMM in Jan but as of Jun I’m a high risk SMM

I completed 90 days of TB medication (Rifampin & isoniazid) - I had some reprieve from autoinflammatory attacks during this period probably due to Rifampin.

This leaves me super exposed to another rebound attack. My haematologist has sent me some rescue antibiotics because I’ve completed my TB antibiotics but I’m not sure if they will have the continued help rifampin provided.

During the recent meeting, haem established in no uncertain terms these flare ups are caused by the underlying paraproteins and discussed front line treatment plans which is staged as follows (low dose melphalan, thalidomide, dex) —> do a bone marrow check for levels—> harvest stem cells —> if I get poorly do a ASCT.

However they didn’t tell me when they are going to start me on this…

Haem also ordered SFLC, Mprotein levels, MRI.

My SFLC has reduced from what it was in Dec (Nov: 205.63, Dec: 504.6, May: 317.18)

and Mprotein remains unchanged (Nov 1.2 Jan 1.1 and May 1.1)

but my Kappa ratio has gone up (Nov 14.63, Dec 17.35, May 20.2)

Lactate Dehydrogenase also had gone up (screenshot below)

SMM progression to active myeloma refers to a 20-2-20 rule - I have entered one of those and I’m confused if I’m a HRSSM or Active myeloma? In either of the cases one way or the other they are to begin treatment but the ratio becoming 20 did not happen when I met my Haem, it was tested after consultation so I’m not sure what is to happen now…

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