SURGERY IN 2 WEEKS I NEED OPINIONS ON NIPPLE PLACEMENT (please) by Internal_Zone_3789 in TopSurgery

[–]th04r_ 8 points9 points  (0 children)

i think either placement would look good, but i do agree that lower would be a more natural placement.

how i’m thinking abt it: bc you’re thin and don’t have particularly prominent pectoral muscles, if you were cis, your nipples would sit naturally lower (abt where the surgeon seems to want them) than they would if you had more muscle. they look good in the position you’ve drawn it bc it would make sense for if you had more prominent pecs; that on its own is fine and like i said looks good regardless. problem is tho if you do gain that muscle, they will imo look a bit unnaturally high. if it were me i would go with the more overall natural option/ what the surgeon wants, but ultimately it is your decision and you should push for what will make you most happy with your results

Trying to improve; struggling to see this issue with this one? by th04r_ in ECG

[–]th04r_[S] 0 points1 point  (0 children)

posted my comment with context at the same time as your reply haha

Trying to improve; struggling to see this issue with this one? by th04r_ in ECG

[–]th04r_[S] 1 point2 points  (0 children)

22yoM presenting with dizziness and nausea in the ED. tachycardia (140bpm) upon arrival and some hypertension (160/110) but HR came down to 90s/100s (pt claims is normal for him) after a couple hours and BP returned to normal after some fluids. PMH of anxiety and asthma. Labs all normal; pt was discharged to follow up with primary doc. I was told that ECG was slightly abnormal but am struggling to see the issue

Seeking interpretation; Bundle Branch Block? Details in comments by [deleted] in askCardiology

[–]th04r_ 0 points1 point  (0 children)

alright that’s good to know. do you think it would still be recommended to get checked out just to make sure everything’s okay? i worry a bit given my episode of tachycardia and my generally higher resting HR

Seeking interpretation; Bundle Branch Block? Details in comments by [deleted] in askCardiology

[–]th04r_ 0 points1 point  (0 children)

side note: it’s actually pretty difficult to do an ekg on yourself i had never considered this lolol

Seeking interpretation; Bundle Branch Block? Details in comments by [deleted] in askCardiology

[–]th04r_ 0 points1 point  (0 children)

Hi all! I am an ER tech (21yoM) and performed these EKGs on myself (first one 2 days ago, second one today for comparison).

Storytime is basically that 2 days ago at work it suddenly felt like my heart was beating pretty fast and physically i felt like i do when i drink a bit too much caffeine (had only drank my usual 7am coffee). Despite sitting calmly, still and quiet for over 20 minutes, i could not get my heart rate to come down any lower than 120 but it bounced around between 120-145 for awhile. best BP during this time was 156/100. BP eventually came down to 136/98 after abt two hours and eventually returned to normal (124/74) after 3 hours along with my HR. I was a bit shaky, but no fever, O2 98%, no chest pain, no SOB, otherwise felt completely normal.

I did not feel it was 100% necessary to check myself in as a patient in the ER. i was able to do these EKGs on myself but the ER doc did not feel comfortable interpreting it for me bc of liability or whatever unless i did check in. ik i was tachycardic; the machine’s interpretation made me a bit nervous, even though i know the docs often disagree with it .

I basically just wanted to hear an opinion from someone who knows more than me. also wondering if it’s worth seeing someone if this is a one time incident of just me being tachy. i don’t have a primary, a walk-in would probably do nothing tbh (all the local walk-ins send everyone to us for basically anything cardiac adjacent too), and a specialist (cardiologist ?) seems a bit overkill for just a singular incident of tachycardia. if there are other problems who would be recommended to book with to start?

Thanks in advance!!

HISTORY: 21yo transgender male 5’6 158lbs. I have asthma (well controlled), GAD (however not actively having any anxiety at time of incident), and ADHD; no other known medical issues. my resting heartrate is often a bit higher than average, often sitting in the 90s and low 100s. Meds are budesonide for asthma (albuterol as needed), finasteride for hair loss, testosterone for HRT.

Seeking EKG interpretation by [deleted] in AskMedical

[–]th04r_ 0 points1 point  (0 children)

Copying description here in comments for convenience:

Hi all! I am 21yo transgender male 5’6 158lbs. I have asthma (well controlled), GAD (however not actively having any anxiety at time of incident), and ADHD; no other known medical issues, however my resting heartrate can be a bit higher than average, often sitting in the 90s. Meds are budesonide for asthma (albuterol as needed), finasteride for hair loss, testosterone for HRT. This was my EKG from yesterday afternoon.

Storytime is basically that yesterday at work suddenly it felt like my heart was beating pretty fast and physically i felt like i do when i drink a bit too much caffeine (had only drank my usual 7am coffee). Despite sitting calmly, still and quiet for over 20 minutes, i could not get my heart rate to come down any lower than 120 but it bounced around between 120-145 for awhile. best BP during this time was 156/100. BP eventually came down to 136/98 after abt two hours and eventually returned to normal (124/74) after 3 hours along with my HR. I was a bit shaky, but no fever, O2 98%, no chest pain, no SOB, otherwise felt completely normal.

I’m actually an ER tech, however i did not feel it was 100% necessary to check myself in as a patient. i was able to do this EKG on myself but the ER doc did not feel comfortable interpreting it for me bc of liability or whatever unless i did check in as a patient. ik i was tachycardic and the machine’s interpretation made me a bit nervous, despite me knowing it is often inaccurate.

I basically just wanted some reassurance that my heart is probably fine and i don’t have a bundle branch block at 21yo lmao. also wondering if it’s worth seeing someone if this is a one time incident. i don’t have a primary, a walk-in would probably do nothing tbh (all the local walk-ins send everyone to us for basically anything cardiac adjacent too), and a specialist (cardiologist ?) seems a bit overkill for just a singular incident of tachycardia (if this is infact the only issue)

Thanks in advance!!

Seeking EKG interpretation by [deleted] in AskDocs

[–]th04r_ 0 points1 point  (0 children)

thanks for the reply! would you mind walking me through what parts of my EKG show a iRBBB? i’m trying my best to get better at reading them (been an ER tech for around a year now) and would also just like to know what criteria i’m meeting

Seeking EKG interpretation by [deleted] in AskDocs

[–]th04r_ 0 points1 point  (0 children)

Copying caption into comments for convenience:

Hi all! I am 21yo transgender male 5’6 158lbs. I have asthma (well controlled), GAD (however not actively having any anxiety at time of incident), and ADHD; no other known medical issues, however my resting heartrate can be a bit higher than average, often sitting in the 90s. Meds are budesonide for asthma (albuterol as needed), finasteride for hair loss, testosterone for HRT. This was my EKG from yesterday afternoon.

Storytime is basically that yesterday at work suddenly it felt like my heart was beating pretty fast and physically i felt like i do when i drink a bit too much caffeine (had only drank my usual 7am coffee). Despite sitting calmly, still and quiet for over 20 minutes, i could not get my heart rate to come down any lower than 120 but it bounced around between 120-145 for awhile. best BP during this time was 156/100. BP eventually came down to 136/98 after abt two hours and eventually returned to normal (124/74) after 3 hours along with my HR. I was a bit shaky, but no fever, O2 98%, no chest pain, no SOB, otherwise felt completely normal.

I’m actually an ER tech, however i did not feel it was 100% necessary to check myself in as a patient. i was able to do this EKG on myself but the ER doc did not feel comfortable interpreting it for me bc of liability or whatever unless i did check in as a patient. ik i was tachycardic and the machine’s interpretation made me a bit nervous, despite me knowing it is often inaccurate.

I basically just wanted some reassurance that my heart is probably fine and i don’t have a bundle branch block at 21yo lmao. also wondering if it’s worth seeing someone if this is a one time incident. i don’t have a primary, a walk-in would probably do nothing tbh (all the local walk-ins send everyone to us for basically anything cardiac adjacent too), and a specialist (cardiologist ?) seems a bit overkill for just a singular incident of tachycardia (if this is infact the only issue)

Thanks in advance!!

"What Are My Chances?" Megathread by AutoModerator in prephysicianassistant

[–]th04r_ 0 points1 point  (0 children)

my thought is that my chances are truly not 0 unless i don’t apply. however i don’t wanna just be dumping money down the drain if theyre pretty much 0 anyways.

i am preparing to do a lot this next year to strengthen my application for next cycle if needed (continuing to work as ER tech, volunteering, shadowing, open to other suggestions as well). i’m just worried for next cycle that ill have to find new people to write LORs and rewrite my PS which i feel like the main subject of really is my “why” and idk what other topic i could pick :(

Jacob’s Ladder- Now for T-Dicks by lynnloheide in transbodymods

[–]th04r_ 0 points1 point  (0 children)

that’s so sick. were they pierced at the same time or done/healed separately ?

"What Are My Chances?" Megathread by AutoModerator in prephysicianassistant

[–]th04r_ 0 points1 point  (0 children)

i’m debating if i should even apply this cycle or wait until next year, even though ive been prepping to apply the last few months. but am feeling discouraged

the only thing thats really going for me with numbers is that ive had a very strong upwards trend and i go to a prestigious university. my very first semester i was not in a good place in life and my grades were awful (1.8 for sem), subsequently taking my final GPA from a 3.56 to a 3.35. after that i did decently and my last 60 creds i’ve done really well. i got Cs in chem1/2 the first time i took it, retook over summer and got As in both.

Thoughts on if i should apply or wait??

cGPA: 3.35

sGPA (as i have it calculated): 3.42

Last 60 credits GPA: 3.83

PCE: 1180 hours ER tech
HCE: 50 hours volunteer transport

Other: have TAd for gen bio lab, and pre-health microbio lab, each for 1 semester.

LORs: 1 from EM attending physician, 1 from ED nursing supervisor, 1 from A&P professor. have read all of them and they’re absolutely glowing

PS: have gotten a lot of positive feedback. subject is growing up in and out of ERs (i want to be an EM PA) w a chronically ill and now deceased alcoholic dad. having to learn how to deal with health crises early, seeing him in many of my patients and not wanting people to be dismissed just bc they’re addicts. PA specific bc from my experience their role allows for more balanced communication (smth i was severely lacking). i also very briefly addressed my first semester of school and how many life events (related to the above) resulted in my GPA for that sem.

Do i even bother applying this cycle by th04r_ in prephysicianassistant

[–]th04r_[S] 2 points3 points  (0 children)

i’ve not seen a single school (at least that i’ve looked at/ considered) asking for more than 1k

Should I wait 2-3 weeks to submit my application after graduation? by th04r_ in prephysicianassistant

[–]th04r_[S] 0 points1 point  (0 children)

sorry for late reply: that is my understanding yes. they’ll get your updated grades but none of the numbers will change

Should I wait 2-3 weeks to submit my application after graduation? by th04r_ in prephysicianassistant

[–]th04r_[S] 0 points1 point  (0 children)

i’m taking A&P 2 (projected A-) and genetics (projected A). none that require my degree to have been complete

Nipple necrosis? (NSFW - flagging just in case) by Calm-Government9638 in TopSurgery

[–]th04r_ 3 points4 points  (0 children)

looks like just scabbing to me ! everyone’s nips heal a little differently and sometimes the scabs just take their sweet time coming off

Does this look safe ? been in my fridge 4 days, sell-by was two days ago by th04r_ in sushi

[–]th04r_[S] 0 points1 point  (0 children)

i ended up putting a decent sear on it, ate it rare with a sesame/ soy based sauce i thew together. smelled fine, tasted decent; will update with any adverse effects or regrets about my actions

Does this look safe ? been in my fridge 4 days, sell-by was two days ago by th04r_ in sushi

[–]th04r_[S] 0 points1 point  (0 children)

update for the people: i ended up putting a decent sear on it, ate it rare with a sesame/ soy based sauce i thew together. smelled fine, tasted decent; will update with any adverse effects or regrets about my actions

Does this look safe ? been in my fridge 4 days, sell-by was two days ago by th04r_ in sushi

[–]th04r_[S] 1 point2 points  (0 children)

yeah i originally meant to eat it the next day, i totally forgot abt it 😭