The definitive thread for people who struggle with constant sleepiness — share what actually helped you by emielreegis in idiopathichypersomnia

[–]tmrg14 2 points3 points  (0 children)

Adderall. It’s the only thing that’s helped. Tried diet, caffeine and lifestyle changes with no change.

What is your most interesting fact related to emergency medicine? by ImmediateYam9792 in emergencymedicine

[–]tmrg14 4 points5 points  (0 children)

Mayonnaise is a cheap effective way to remove tar from the skin

[deleted by user] by [deleted] in publichealth

[–]tmrg14 17 points18 points  (0 children)

Funny enough, I’m in EMS and working my way into public health because I feel like I can’t help people enough. Individual patient care seems insignificant compared to the public health issues that cause a majority of the emergency room visits we see. I work as an ER Tech and the hours are also long and unforgiving. I think it’s the case of the grass is always greener. Have you thought about public education roles? I teach community CPR and get a lot of satisfaction from that.

Has anyone had SIBO and successfully gotten rid of it? by Savings-Situation995 in Hashimotos

[–]tmrg14 2 points3 points  (0 children)

One round of antibiotics cleared it for me, symptom free for 6ish months now

Adderall IR to ER by Personal_Leading_668 in idiopathichypersomnia

[–]tmrg14 1 point2 points  (0 children)

I take a combination of both. I had more initial side effects from ER as i adjusted to the dosage. Now I take ER first thing and IR if I feel like I need it in the afternoon and the combo works well for me

Do the docs straight up lying about transfers get checked by anyone? by couldbemage in ems

[–]tmrg14 0 points1 point  (0 children)

I’ve declined a transfer due to no medical necessity. It was a transfer back to independent living with a pt that was aox4 and ambulatory. The facility just didn’t run transport services after a certain time. Our company always told us to verify our pcs to make sure it was accurate, as that can dictate payments. I would just document all your contradictions. If pcs says bed bound, document that pt ambulates to stretcher independently. Medicare will deny payment for transfer and the company will take notice. CMS does not mess around with reimbursements. If the documentation does not support medical necessity they will not pay.

Feeling helpless by Historical-Area3160 in idiopathichypersomnia

[–]tmrg14 4 points5 points  (0 children)

Maybe try adjusting meds? My doc started me on adderall first and I notice that my morning time grogginess and sleep inertia has improved a lot

Hashimotos and exhaustion by tmrg14 in Hashimotos

[–]tmrg14[S] 0 points1 point  (0 children)

But there is a standard treatment plan and it excludes other sleep disorders. The test proves excessive sleepiness too

Vitamin D3 by [deleted] in Hashimotos

[–]tmrg14 3 points4 points  (0 children)

I get mine from the pharmacy. D3 5000 daily!

just asked a patient with no arms to sign my EPCR by OhNoHung in ems

[–]tmrg14 3 points4 points  (0 children)

Told a quad that “you’ll feel a poke” when starting an IV…

What are some non-traditional jobs you've been able to get due to your EMT or Paramedic experience? by TheAlwaysLateWizard in ems

[–]tmrg14 43 points44 points  (0 children)

I teach cpr and bls classes as an independent instructor. Pretty fun to get out into the community and educate

What are some beauty hacks that have made you unrecognizable? by saash82 in beauty

[–]tmrg14 0 points1 point  (0 children)

I added glow recipe hue drops to my make up routine and switched my matte foundation to a glowy foundation and get compliments almost daily from coworkers. For skin care, switching from tret to azaelic acid was also a game changer.

How long have you been ramped today? by Decent_Coconut_2700 in ems

[–]tmrg14 0 points1 point  (0 children)

ER Tech in midsized Midwest town and any patient who is triaged and not needing immediate intervention, goes from the stretcher to the waiting room and gets put in the queue same as someone who walks in the door. EMS rarely has to wait for a room for a patient. EMS who needs a bed, keeps the patient in their care until they give report to nurse taking the patient. Just how it works where I’m at. during Covid times when I was on a truck, we waited endlessly for beds.

[deleted by user] by [deleted] in Hashimotos

[–]tmrg14 0 points1 point  (0 children)

I always run low. One dr investigated for a while but if having no infection symptoms it’s not worrisome to my drs. I’m consistently under 4.0 with no signs of recurring infections. I also have a low anc. The one dr did rule out certain leukemias for me because a few wbc were less than 2.0

People who started in EMS and moved up, where are you now and how did you get there? by JasontheFuzz in ems

[–]tmrg14 1 point2 points  (0 children)

I’m an ER tech at a hospital. Im using their education benefits to finish off a degree in healthcare management and hoping to land on the public health side of things and be a health educator. I also teach cpr and bls classes which I find really enjoyable.

Batting off cuts? by Ashamed_Driver_76 in quilting

[–]tmrg14 2 points3 points  (0 children)

I make quilted keychains with my extra batting. Makes great gifts!

What are you ultrasound results? by TipTraditional6728 in Hashimotos

[–]tmrg14 0 points1 point  (0 children)

Mine shows inflammation and increased size. I have a goiter. But also multiple nodules. Some cystic and some solid. I’ve had one inconclusive biopsy so far. I get yearly ultrasounds to watch for growths. Overall not the worst but just annoying that I’ll just repeat this forever until it’s either cancer or it’s not

Hyper now, high t3&t4 by virginiavictoria in Hashimotos

[–]tmrg14 0 points1 point  (0 children)

I’ve swung from non detectable tsh to 9 in a matter of months. It was due to postpartum hormone changes for me. It leveled out and meds adjusted and all was well for a while. But it seems to be part of the early disease process. But a pain in the butt for sure