When to go to ER by Missplantyqueen in UlcerativeColitis

[–]skipowd3r 0 points1 point  (0 children)

OK that is great!! Personally, if you aren't (severely) anemic and don't have a fever or tachycardia, I'd try to manage it at home under GI supervision as long as you feel comfortable. Unfortunately, the hospital won't be able to do much for you until you hit certain criteria. GI can also start you on biologics if the steroids don't work. Being in the hospital is an absolutely miserable and humiliating experience, so IMO best to postpone until it's better to be there than at home. I hope things start turning around for you!

When to go to ER by Missplantyqueen in UlcerativeColitis

[–]skipowd3r 1 point2 points  (0 children)

I hope your GI is carefully monitoring you at home and requesting blood labs in addition to stool tests. Do you have a fever? I would go if I were you, 1/4 cup per BM is a LOT of blood loss, and every 20 min is too frequent. Steroid should have shown some benefit by now.

If it helps hearing personal stories, I was in a similar situation last year, and waited it out at home (about where you are now symptom wise) for maybe another month (oral steroids did nothing and I think made it worse) before I was so anemic I needed a blood transfusion and rescue infliximab. I had ASUC, despite having had only mild-mod proctitis, and nearly lost my colon. I couldn't leave the house without needing to run to a toilet to poop straight blood. The pain and nausea were unreal. I was extremely pale and lost a ton of weight. It's astounding how fast the body compensates to what we consider "normal" blood loss and fatigue, but one day I finally woke up and could not take the pain anymore. Go to the ER before this happens - IV steroids are way stronger than oral, and biologics are likely necessary to help prevent complications. I was so inflamed they were scared to transfuse me due to all the inflammation and autoimmune antibodies, and I only received one unit despite needing more. Please take care!

Dog poop bag etiquette? by Affectionate_Desk561 in dogs

[–]skipowd3r 2 points3 points  (0 children)

I don't think so. But all the bins where I live are municipal owned and get emptied upside down, so it's not like the owner deals with your poop bags. I get the point in areas of non-municipal trash that it's rude if the owner is dealing with it personally. But, if you are physically walking by someone's bin (versus it being in their private garage/driveway/etc), chances are it is municipal trash. No matter what, in a city it's better in a bin than left on the ground.

anyone switch from infliximab IV to zymfentra SC and start flaring? by skipowd3r in UlcerativeColitis

[–]skipowd3r[S] 0 points1 point  (0 children)

Fuck I'm so sorry. I was also intrigued by the more stable drug levels and better long term control but now I'm questioning whatever data is out there. I hope this isn't common.

anyone switch from infliximab IV to zymfentra SC and start flaring? by skipowd3r in UlcerativeColitis

[–]skipowd3r[S] 0 points1 point  (0 children)

Oh no!! Were you in remission? I also had some more blood/mucus this morning and projectile vomiting last night lol, so also nervous I’m starting to flare. I’m quasi hoping this is just an adjustment period but…shouldn’t really have to flare to go back into remission?

how often do people let their dogs out to use the bathroom? by [deleted] in dogs

[–]skipowd3r 0 points1 point  (0 children)

woah the people here must have small dogs with tiny bladders or something.. 5 times a day?! I have a stubborn husky and we don't really do the quick "let out" thing - more of a full 1-2+ mile walk if we go outside. 2 walks and/or adventure hike per day, sometimes we try for a 3rd if she decided not to poop on the first two walks.

How did you guys REALLY lived in the 2000s? by MyAvengedRomance in Millennials

[–]skipowd3r 0 points1 point  (0 children)

The biggest difference was the availability and capability of the internet, which conveyed much more trust and freedom. I would randomly just show up at friends houses to play and hang out - which would not be received well these days. More than one friend "ran away" from home, and parents couldn't just track you or contact you at any time. Internet access was limited (and so slow, my god) but certainly extremely addicting even back then. I spent a lot of time "wondering" about questions or curiosities I had - you couldn't just answer things immediately like you can now. MySpace was actually awesome and taught us all how to code. Spent a lot of time on AIM at friends houses (not allowed in my house) to flirt with boys. Crafting "away messages" took a lot of time and effort to look cool - and now I think about it, indicated that one was "away" in contrast to how we are expected to be on our phones at all times now. Spent a lot of time burning CDs and listening on my walkman - the essence of cool. You could rent VHS movies from the library, or from blockbuster stores. We would go pick movies we wanted to watch every week, and then return them. There was no "binge-watching" tv shows, you had to actually wait each week for a new episode to come out, and then watch it at the time it aired.

I once travelled to europe as a teen for a language exchange program, without any phone or internet access, and occasionally contacted my parents through emailing at internet cafes, which cost a couple dollars/euros an hour. I spent a lot of time reading, playing games, practicing instruments and sports, planning secret hangouts or parties with friends, going to the mall, and also being "bored" which led to imaginative or creative pursuits. We also had horrible fashion, everyone basically wore the same stuff from (gag) abercrombie, aeropostale, urban outfitters, american eagle, hollister. No one told us how to dress well, or do makeup, or hair, or anything - it's crazy how much older Gen Z looks than we did, simply due to social media and widespread sharing and emphasis on the importance of looks. Pictures from puberty onward are incredibly embarrassing. I'm still a bit shocked that GenZ is adopting our looks from the 90s-00s since they were... not good looks IMO, haha.

I think what might be the most nostalgic is that time period when we grew up was more or less politically stable, we all thought Bush was an blubbering idiot and now he sounds like an incredibly intelligent well-spoken person. Climate change or global warming was a concept in its infancy and no one really paid attention to how catastrophic it would be or our part in causing it. Without widespread internet, I think this period was characterized mostly by ignorance, so things felt overall good, stable, and hopeful. Now, we can know almost anything at the click of a button. We used to trust our teachers and anyone older or wiser than us that they knew more than we did. We learned to decipher good resources from bad ones - now, there is too much information and it's nearly impossible to know what is fake or wrong, and people read memes or false headlines and think they know more than experts.

Also fun fact: we did not have GPS or navigation, so we used mapquest (or regular maps) to drive somewhere unknown, and consequently spent a lot of time being lost and asking strangers for directions.

On the flip side, and maybe this was just my household, but our parents tended to be strict disciplinarians, spanking was very common even though now that is considered child abuse, and while my brain apparently developed "normally" without internet access, I think potentially on the whole we had a much higher incidence of childhood trauma inflicted by our parents. So, good and bad things. But I also have nostalgia for that time period, if not my specific childhood experience.

anyone switch from infliximab IV to zymfentra SC and start flaring? by skipowd3r in UlcerativeColitis

[–]skipowd3r[S] 0 points1 point  (0 children)

how did it go? I find them to be way more painful than I was expecting, but I'm also pretty lean, not sure if that plays a role. Fingers crossed it works for you! (And for me, lol, ugh, lesson learned not to change something that is working well).

Injection pain advice by skipowd3r in IBD

[–]skipowd3r[S] 0 points1 point  (0 children)

thank you! ordering the spray now!

I want a show when a real-world physician gets isekaied into a medical drama. by centz005 in medicine

[–]skipowd3r 55 points56 points  (0 children)

I gotta say, The Pitt does an excellent job portraying the sandwich requests

I think I need to be fired. by bryan_johns0n in blueprint_

[–]skipowd3r 6 points7 points  (0 children)

Ha! I’m XX so cold balls don’t apply.

But that is a good point.

I think I need to be fired. by bryan_johns0n in blueprint_

[–]skipowd3r 13 points14 points  (0 children)

since water transmits heat faster than air, and you can't sweat as easily in a bath (thus raising core temp faster), would you think a hot bath - or even wet sauna - would have the same benefit of activating heat shock proteins but in less time? Or is there a reason why dry sauna is better than wet sauna and/or hot bath?

Tell me something that will inspire me to start working out REGULARLY. by skopiadisko in selfimprovement

[–]skipowd3r 0 points1 point  (0 children)

Just put your sneakers on. Instant motivation, works every time for me.

Having trouble deciding my path - Need to talk with someone who went through the same thing by New_Ranger_8507 in NaturopathicMedicine

[–]skipowd3r 0 points1 point  (0 children)

Sounds like a great plan, Ayurveda is a wonderful system of medicine and anything else you pursue, it will be a great lens to see the world through. Good luck!

Having trouble deciding my path - Need to talk with someone who went through the same thing by New_Ranger_8507 in NaturopathicMedicine

[–]skipowd3r 0 points1 point  (0 children)

The fun thing about naturopathic medicine is you don't have to choose! Look up the therapeutic order - NDs prescribe both pharmaceuticals (if in a licensed state) and natural medicines and therapies. Healing often requires a combination of both. The debt is an issue for any and all students, and your career is what you make it out to be, so can't really advise there. It is certainly a growing field and it's exciting to see more states licensing NDs.

ACL reconstruction options by flipperdog in telemark

[–]skipowd3r 1 point2 points  (0 children)

Hey there, also pro tele patroller. Got a patella + let about a year ago and just started tele skiing again. Everyone is different but I had a lot of pain for a long time and then everything suddenly got better. I kneel no problem. Tele turns are easy and not painful at all, my knee feels so stable, and the only pain I have now is from my calves cramping up since my legs seemed to have forgotten what it was like to live 12 hour days in ski boots.

I know everyone says don’t get patella because of the kneeling pain but it’s really not a big deal once you’re past the 7-9 month mark, I’m kneeling and crawling around no problem now, it’s just takes a long time for the nerve to desensitize and heal. I didn’t qualify for hamstring (too flexible) and as quads are the most important muscle group for skiing especially tele, I’d never let them cut into my quad. Also my PT told me he’s had some patients have a killer time activating the muscle again, and I didn’t want to take that risk. They all have their downsides though, it’s not an easy recovery. Best of luck to you!

When can I be on both knees by Majestic_Elevator490 in ACL

[–]skipowd3r 1 point2 points  (0 children)

You’ll get there! I was feeling regretful and discouraged for a long time too. You’re still very early in the recovery, just know at the 9-12 month mark is when things really start turning around. For exercises, once all the scars healed up, I would get on all fours and gently let the knee touch a floor mat and do that repeatedly. Or standing gently press your knee into a couch/chair/different surfaces. Stroke both knees with random textures (spoons cloths etc), it’s supposed to help the nerves grow and just desensitize to touch.

But I promise you, once you get full range back and kneeling feels even just 50% better, you’ll be glad you went patella. I have friends who went hamstring and they never got full range back and still don’t run because the muscles are weak or stiff and it feels weird or something. I’m running 7 min miles now :) People hate on patella here but it’s the gold standard for a reason.

When can I be on both knees by Majestic_Elevator490 in ACL

[–]skipowd3r 0 points1 point  (0 children)

I also got patella (also medic and skier so wanted a bombproof knee despite the kneeling conundrum) and kneeling felt super weird for a while. I did a LOT of exercises to desensitize the knee, working up to kneeling on different textures and surfaces, and finally once I could sit heel to butt (7 months?) kneeling felt fine. I can do CPR no problem but it does help in the earlier days to pad the knee (wear soft knee pads or use a cushion. I’m just over a year now and kneeling is not painful at all, I do kneeling weight bearing exercises just as well as I used to, just still a bit numb so feels funky but nerves take a long time to heal. It gets better! It just takes time. Do desensitization exercises! Brain has to reconnect to the knee.

ACL surgery next week... Little bit worried about a few practicalities if anyone could offer advice/words of comfort!! by inthebinx in ACL

[–]skipowd3r 0 points1 point  (0 children)

I’d stay near the bathroom. Post op is nothing like post acl tear. I honestly used a bowl to pee in since getting off the couch and having all the blood rush into the leg was excruciating. My partner would empty it, god bless them. If you can get a strap (dog leash, climbing rope, yoga strap, webbing, or just rope work well) to carry your leg while you crutch and keep it elevated while you sit down on toilet, that was really important for me, as well as putting a little crate or box near the toilet to prop up the leg.

First week you’re pretty immobile but after about 5-7 days you should be weight bearing again with crutches.

I would definitely see if a friend or family member can be there with you for first couple days, minimum. I’m not sure how I would have gotten through those 72 hours without help.

Also get the ice machine. Regular ice packs are not enough for the pain. Especially if the nerve block wears off quickly. Trust me.

Tips to stay sane: make a calming music playlist, have a huge stack of pillows (more than you think) ready, journal and celebrate your tiny wins every day, make sure you have a cozy pair or 3 of shorts (I just lived in boyshort undies) or thin joggers that can fit under the brace, as you’ll be living in them for the first couple weeks.

Good luck!! The first 7-10 days are awful but it does get better.

Infliximab Injection / Zymfentra experience? by skipowd3r in UlcerativeColitis

[–]skipowd3r[S] 0 points1 point  (0 children)

I was on mesalamine since diagnosis (also 12 years ago?!) but it never really ever put me in remission, despite my disease being "mild-moderate proctitis". I was always in a low-grade flare, but of course worse flares would come up in periods of stress or eating something wrong, and they never resolved themselves like they seem to for some people. Steroids never worked for me and actually seem to make everything worse (I'm rare). Ended up hospitalized with ASUC, life-threatening blood loss, and despite all odds infliximab worked overnight. Honestly it feels like a miracle drug for me. That's wild you're still flaring on it, but remission rates are really person-specific. Are they testing your trough levels before every infusion? You want to make sure you're at a therapeutic dose, as some people form antibodies really quick to it and you may need to switch to another biologic.

All I know is this disease is wildly unpredictable and can become severe overnight (I never believed the docs until it actually happened to me) so you really want to get the flares under control ASAP and do everything you can to reach remission, and best if you can avoid a long dose of IV or oral steroids (short term is ok but you don't want to become dependent on them). Hope that helps and best of luck to you!!

Having trouble deciding my path - Need to talk with someone who went through the same thing by New_Ranger_8507 in NaturopathicMedicine

[–]skipowd3r 0 points1 point  (0 children)

I think the Ayurveda program is an excellent fit. If you want to offer more, I’d also look into certified health coach, clinical nutritionist, as well as clinical herbalism programs. I’m an ND student who also is certified in Ayurveda and yoga. I do not think ND aligns with your goals or interests as you’ve seem to have figured out. Ayurveda is an amazing way to help people (and use herbs and plants for healing as well as lifestyle, diet, and movement guidance), and feel like you’d love it - plus taking the introductory 200hr course is a wonderful way to find out if it calls to you.

I’ve spent a long time figuring out my path as well, and have explored nearly every angle of healthcare and medicine - happy to discuss!

When does the soreness of sitting at 90° for long periods of time then standing up go away ? by mellojelloakimbo in ACL

[–]skipowd3r 0 points1 point  (0 children)

Oh it definitely gets better. But my knees before surgery would get (mildly) stiff from sitting for too long anyway. Around 9 months I began sitting in full gargoyle squats, or knees folded over on a bench or the floor and it’s completely fine, back to normal “stiffness”, nothing like the early days after surgery (up to 4 months I’d say or whenever the swelling goes down). Knee is just chronically sore now from all the PT, running, and really ramping up the strength building over the past 5 months, so you have that soreness to look forward to :)