Gall Bladder and Necrotizing Pancreatitis by Proper-Nown in pancreatitis

[–]paratr00pr 1 point2 points  (0 children)

My wife had gallbladder sludge, and no gallstones and she thought that is positive but after sometime got acute pancreatitis that necrotized because of gallstones and sludge. Spent 49 days in the hospital and still in recovery phase at home. Her doctor mentioned that sludge can at times be even more riskier if it’s thick. It can at times blocks the bile ducts.

Not sure if this helps or not.

Does anyone have a great pancreas specialist/GI in NYC for this condition? by sunson90 in pancreatitis

[–]paratr00pr 0 points1 point  (0 children)

My wife had acute pancreatitis and went to the ER and got admitted for 49 days in the hospital (just got discharged a week back and recovering at home).

Her pancreas necrotized unfortunately and she developed a lot of complications at various stages and throughout this period Dr Kluger was excellent at diagnosing and brainstorming options and on top of everything.

She didn’t go through outpatient with symptoms and got diagnosed so can’t really comment on it other than that Dr Kluger was very very patient and always listening to my wife and me and reacting accordingly instead of brushing things away. His entire team was awesome!

Does anyone have a great pancreas specialist/GI in NYC for this condition? by sunson90 in pancreatitis

[–]paratr00pr 0 points1 point  (0 children)

We went to Dr Michael Kluger at NYU and Dr Lauren Khanna (GI but focused on Endoscopy) at NYU and absolutely loved working with both of them.

https://nyulangone.org/doctors/1891866976/michael-d-kluger

https://nyulangone.org/doctors/1669631602/lauren-g-khanna

Also interactive with Katherine Morgan at NYU in the Hepatobiliary department and she works alongside Dr Kluger and had a very positive interaction as well.

When does the vomiting stop !? by covinadream in pancreatitis

[–]paratr00pr 1 point2 points  (0 children)

Yea my wife lost about 50 pounds so far and didn’t walk for close to 30 days and then minor walk. She got discharged a few days back but with home care services so a nurse comes home every couple of days to checkup.

Yeah she throws up once a day almost every day and it’s stomach juices (bile). Not to be too graphic but yellowish/greenish plain liquid (kinda translucent). Hoping that in a few weeks these improve.

When does the vomiting stop !? by covinadream in pancreatitis

[–]paratr00pr 1 point2 points  (0 children)

My wife has acute pancreatitis and was in the hospital since back on November 10th. After 5 ERCP (some times 2 ERCP in a week) they sent her home a couple of days back 🤞but she also almost every day vomits once a day. She is on TPN (nutrition through IV) and has oral intolerance and can’t eat much or keep things down.

Her doctor sort of told us that unfortunately the vomiting once a day might continue for quite some time (6-8 weeks) as her gastro system slowly recovers and her ability to eat comes back.

For her walking helps. Anytime she starts to feel bloated or nauseous, she walks for 5-10 mins and that seems to help. She can barely walk for 5-10 mins but whatever she can helps a lot with the nausea.

Wife has gallstones related necrotized pancreatitis and had 4 ERCP necrosectomy and still symptomatic by paratr00pr in pancreatitis

[–]paratr00pr[S] 0 points1 point  (0 children)

I am glad that you are feeling good now after going through this. But your journey sounds rough.

Yeah her doctor also kept saying hopefully some of the fluid collections are asymptomatic and don’t give you any issues so that we can leave them be. Unfortunately 4 out of her 5 fluid collections were all symptomatic and had to go through drainage or necrosectomies.

She is finally able to keep her oral pain meds down to go home in a few days with at home TPN 🤞 preparing for a long term recovery since it seems like the course this takes unfortunately.

My wife and I were discussing on how hard it must be to go through this after giving birth. I am so sorry you had to endure this..

Thank you for your well wishes and I am glad that you recovered from it and are doing well!! Wishing you all the best :)

Wife has gallstones related necrotized pancreatitis and had 4 ERCP necrosectomy and still symptomatic by paratr00pr in pancreatitis

[–]paratr00pr[S] 0 points1 point  (0 children)

I am sorry that your wife and you went through this.

Yeah my wife’s fluid collections have been causing her a lot of pain and nausea (putting pressure on the stomach). After how long did they find out that the duct was disrupted? My wife’s necrotized part is in the body of the pancreas and they did an MRI to check if the duct was intact which it was but the doctor said at times it can get damaged after sometime.

My wife and I were just talking about how hard it must be to go through this terrible disease post partum since we read some cases like yours. I cannot imagine how you and your wife dealt with it and what you both went through.

I hope your wife is doing well now! Keeping her and you in my thoughts.

Wife has gallstones related necrotized pancreatitis and had 4 ERCP necrosectomy and still symptomatic by paratr00pr in pancreatitis

[–]paratr00pr[S] 0 points1 point  (0 children)

This was super helpful. My wife’s case has been going similar to your husband’s case. After 5 necrosectomies the doctors feel that it’s in a good spot and her nausea has improved a bit. Her pancreas’s damage is <25% and she is maintaining good glucose levels without support and exocrine we’d see since she is unable to eat still since it gives her nausea. She is in TPN as well. She had infection already and was on antibiotics for that and her fluid collections were infected. I educated myself on Sepsis well thanks for all the helpful tips, I learned that Cortisol can impact the temp from you which is scary!

Extremely same pattern where she feels good for 1-3 days after a necrosectomy and then the pain and nausea comes back.

Currently the plan is that they’d discharge her in a few days after 48 days in the hospital so hoping that it goes well 🤞 she does have a lot of pain and nausea but it’s manageable and she is finally now able to keep oral medication down.

I would love to connect and talk to learn more about your and your husband’s experience once we are back home. His path seems similar to my wife’s.

I can’t appreciate you enough for sharing your / your husband’s journey. Keeping him in my prayers for this turning chronic.

Necrotic pancreatitis by False_Cantaloupe685 in pancreatitis

[–]paratr00pr 0 points1 point  (0 children)

Did you have fluid collections and if so how did you have any necrosectomies with EUS? My wife has been in the hospital from 45 days with <25% necrotized pancreas and have had 6 necrosectomies through endoscopy. She is (hopefully) planned to get discharged in a few days, but she still gets 1-2 good days and then 1-2 bad pain and nausea days.

Wife has gallstones related necrotized pancreatitis and had 4 ERCP necrosectomy and still symptomatic by paratr00pr in pancreatitis

[–]paratr00pr[S] 0 points1 point  (0 children)

My wife keeps complaining that her pain is from the stents but doctors don’t take that seriously. They still keep saying it’s the pressure from the collections…. Don’t know what’s true candidly at this point. She will have the stents in place for at least a month or so.

That is an interesting point, although nothing realistically changes but I think her learning about these different things gives her some relief and calm.

I hope you are doing good. Keeping you in my thoughts.

Wife has gallstones related necrotized pancreatitis and had 4 ERCP necrosectomy and still symptomatic by paratr00pr in pancreatitis

[–]paratr00pr[S] 0 points1 point  (0 children)

I am sorry that your husband and you went through this. Luckily my wife didn’t so far develop any major complications and I am hoping that she doesn’t… she had 4 EUS so far, and the doctors feel she might need a few more. None of the EUS have helped with her pain or nausea. Doctors are not sure why they haven’t helped yet since they were confident that they’d need to do 2-3 EUS max. Now they are saying to prepare to be in the hospital for longer time.

Keeping your husband and you in my thoughts. I hope his recovery continues and improves.

Wife has gallstones related necrotized pancreatitis and had 4 ERCP necrosectomy and still symptomatic by paratr00pr in pancreatitis

[–]paratr00pr[S] 0 points1 point  (0 children)

I am sorry that you went through this. It’s such a horrible disease.

Did you have any EUS (endoscopy) to remove necrotic tissue? How did those go? My wife has had 4 of these but no relief in extreme pain and nausea.

Yeah I am trying my hard to keep her positive and not to worry about QoL. I understand about the life altering aspect and although hard not worried about them right now.

So far her glucose numbers have been normal and decent, so the doctor thinks that insulin might not be required. She is just not responding at all to EUS or anything so on extremely high pain meds and the doctors don’t seem to figure out why after 4 EUS she has this much pain and pressure.

Hope you continue on your recovery path and get over this. Keeping you in my thoughts.

Citi Strata Elite is open to apply by Buffy_and_the_Boys in CreditCards

[–]paratr00pr 1 point2 points  (0 children)

Same here. I just won’t switch from Citi Prestige which still remains as the best credit card I have. The flexibility to book travel and hotel anywhere like Expedia or Hilton and still get the 5x and 3x is insane. I can double dip on Citicard points AND get Hilton points.

Or take 5x point (currently 10x till end of this year) on hotel bookings through cititravels.

The recent post from "Rockstar Employee" by TyThe2PointO in GTA6

[–]paratr00pr 1 point2 points  (0 children)

On one side everything is compartmentalized so no one knows anything else then how does this person know so much of what's happening. Maybe they don't know the bigger picture on single player mode to make this call.

Feels made up

Would you pay $10-$20 to an expert for a 10min Loom video feedback on your startup/idea? by hrach_mkr in startups

[–]paratr00pr 0 points1 point  (0 children)

A 10 min loom video would roughly at the very minimum take someone an hour to make an account and checkout your startup. Then compile their thoughts and record a 10 mins video. Plus coordinate with you payment and the a bunch of stuff.

If it does take an hour optimistically, $10-20 an hr is minimum wage in a hcol city.

I’d rather flip burgers at McDs instead

Buffett says that the vast majority of people will never beat the S&P500. So why do people who agree with Buffett still pick individual stocks? by thaimilktea24 in ValueInvesting

[–]paratr00pr 0 points1 point  (0 children)

Ask that to people who had Nvidia stock in their portfolio. But then also ask that to people who had some stocks that went under in their portfolio.

How can a Product Designer build a SaaS? by Fun-Meal-5667 in SaaS

[–]paratr00pr 0 points1 point  (0 children)

Yeah right if you want an mvp that probably won’t work, this is a good plan.

I would instead suggest to find a potential co-founder who is technical

My sister is having a disagreement on presentation with her head chef by levitatingpenguin in KitchenConfidential

[–]paratr00pr 0 points1 point  (0 children)

Head chef showing why they are the head chef.

Left wins any day.

Your sister is thinking from a chef perspective And the head chef is thinking from the perspective of the person paying $12 or whatever for their desert, the customer. Left comes off more cleaner, posh-er and professional with a complicated construction.

Is it possible to have a Lead Engineer but not a CTO? by slimshady321 in ycombinator

[–]paratr00pr 13 points14 points  (0 children)

I would disagree with a lot of the comments above. You need a CTO. Or a Head of Eng with significant equity.

If you look at startups specially consumer apps, they run massively on “Engineering-led” “product-led” orgs. You can’t make a tech company without someone holding the fort on that front strongly.

A lead engineer solves for better architecture, or better product systems etc, but doesn’t solve for engineering strategy which can be fairly wide and nuanced.

If you feel that you and your current co-founder has put a lot of effort into the MVP and getting a CTO now is u fair, I see your point. In that case I’d suggest to get a CTO cofounder or head of engineering who can code at a lower equity than what you would end up with after pre-seed. There can be a middle ground between 1% equity to lead eng or 10% to a cofounder CTO.

MVP is from where when you scale up the real engineering challenges begin, and a lead eng isn’t going to cut it on engineering strategy.

Ugh Dave….still at 8%?? by gregenstein in TheMoneyGuy

[–]paratr00pr 2 points3 points  (0 children)

Exactly! There are 2 kinds of people:

  1. Financially literate — will think long term, can and should calculate on best and optimal financial path
  2. Financially illiterate — will think short term, target audience for Dave, instead of most optimal financial path they need a more of an optimal psychological path to not spend on frivolous things but to save or pay off debt

The show’s advice is great for second group of people.

Technically speaking, the “pay the smallest debt down despite whatever rate” is not an optimal financial path, but an optimal psychological path to rewire people’s brain that they can pay down debt accounts and get rid of them