#Affordable Hospital Accepting Health Insurance

[advancedneuro0121]

best neurology doctor in Patna

Managing Chronic Pain with Physiotherapy: Techniques and Strategies"

"Managing Chronic Pain with Physiotherapy: Techniques and Strategies" is an insightful blog that explores the effective utilization of physiotherapy in the management of chronic pain (Neurologist near me).

[freebooter4ever]

i think the toughest part for me during all this is how fast it's been. going from being totally normal but with gas/bloating/farting....to suddenly having no gas/bloating/farting but experiencing difficulty breathing and high heartrate one time when i ate too much. then during the week having that happen more and more every time i ate. and then having it happen even if i ate hardly anything. and then starting the probiotics the next week and having that solve the difficulty breathing issue but introduce other side effects. and eventually getting to the point where that nerve pain and extreme reduced ability to move my legs/arms and mental confusion was a constant rather than just when i ate. i have felt so helpless through this whole thing and the doctors kept saying 'wait a week for your appointment and get a referral' while the ER was saying 'you need to see a specialist NOW'. and every day i was waiting it got worse. its just so frustrating because if i had been able to see a real doctor on the 27th of july when i ended up in the ER the first time, so much of this pain might have been slowed or prevented. im sitting here being dizzy and unable to do basic things like clean my house or move around much and am looking forward to spending the next four days just trying to survive till i can see a doctor.

my lovely neighbor went out and bought me these drinks called 'orgain' so im drinking that now and just hoping desperately its not going to trigger anything

[coral-skeleton]

Help me afford top surgery

Hi y'all, for those who don't know me, I'm a disbled, neurodivergent, trans man living in Cape Town, South Africa. I'm also a gradstudent in Astronomy currently finishing up my MSc, an artist and a poet.

In South Africa we don't really have many options to pursue transition, our private medical aids and insurance don't cover any of it, not even hospital costs as they classify gender affirming care as a cosmetic process instead of the life saving medical care we all know it is. Going through the public health sector is also not really an option as the waitlist is over 26 years long due to our national government again seeing gender affirming care as purely cosmetic and only giving one spot for any gender affirming surgery per year.

In South Africa there's also still alot of stigma around being trans and trans people face violence and discrimination on a daily basis, so in addition to the usual benefits of getting top surgery, it will also greatly improve my safety

This is however very expensive, being a student I am on a very tight budget, living paycheck to paycheck already, trying to save up for a procedure that costs nearly my entire yearly income is next to impossible, I also can't turn to my family in this instance as they are extremely transphobic

So the only option I have left is to try and crowdfund it. As I am South African I unfortunately can't use go fund me, so I'm using the South African croudfunding service, backabuddy, it does accept paypall and I-Pay

Any and all help will be greatly appreciated

So far I have raised:

R11 111.00/R120 000.00

$590.13/$6 374.00

(usd for convenience, conversion rate on 6 march 2024, $1 = R18.83)

[imaginedreamwrite]

Like No One Does

Part 3: Take Me By The Hand

The pitiful image was burned into your mind, the statement that was such an anxiety producing point in your life. The account number that was on the top of the statement might have well been ash and dust—there was no need for it to be as mocking as it was. The bare bones of your bank account had rendered a familiar feeling of you struggling to comprehend and take care of your parent's house.

At least when you weren’t in the hospital, or when you weren’t in Danah’s house pretending like you weren’t one additional bill away from being flat broke. Your parent’s terminal sickness had already been the starting point of anxiety for you, but then to add insult to injury was your extended family’s inability to care.

If it wasn’t for the Levinson’s you would’ve been homeless at 16. You were already an orphan at 16, with no extended family who cared. And adding homelessness to your decrepit standing wouldn’t have been a far fetch. But the Levinson’s, they saved your life. Danah was your best friend, Mrs. Levinson was your second mother, Mr. Levinson your second father.

And Ari…

Ari Levinson was a stronghold you didn’t know you needed, he was a stalwart support system that you didn’t deserve but received anyway.

Maybe that’s why you were so nervous as you waited for him to pick you up. You’d accepted a job offer from him to become his new assistant/secretary, and you had quit your jobs like he wanted you to. You had completely freed yourself to be his assistant and accepted a job that paid enough for you to not just survive, but thrive. This job would give you incredible benefits and health insurance that you wouldn’t have been able to afford otherwise.

Of course, Ari insisted that you required more or better clothes for this job. And you couldn’t have even pretended to argue with him because you knew it was true. You had no appropriate clothes for this job, even if you hadn’t been struggling as you were, there was a certain expectation he had. Or likely had.

“Empty bank account would be better than this.” You crumbled the paper in your hands and tossed it aside, the wrinkled and discarded statement landing somewhere in your dismal place.

With it departing you by your hand, you had turned your attention to the window on your right. You had been watching the window for Ari’s vehicle, not only not wanting to keep him waiting, but knowing that this neighbourhood wasn’t the greatest. And Ari’s didn’t deserve to spend more time in this hellhole than necessary.

“You should move in with my sister, princess. Or move in with me, I’d be a good roommate.” Ari had brought up that particular argument many times over when you would talk, and every time you would let your stubbornness get in the way.

“Danah has her dance studio, and even if she didn't, I’ll be fine.” You denied Ari and you denied Danah, as often as you could.

Your bank account may have been in the red, but at least you had paid rent, insurance, and utilities for your apartment. You might not have had any money, currently, to your name, but you had necessities in your place to eat and not go hungry. However, there was the increasing desire to want more, and that desire pushed you to accept Ari’s offer.

At the very least, you would be able to pay off your parent’s medical bills easier, you’d have good health insurance, and you could save enough to move to a new place. You could potentially afford to get a newer car that didn’t seem like it was running on it’s last rusted bolts. At the very least, this job would be able to give you more of a financial pillow.

“Princess, let’s get going!” Ari’s voice filtered from the street below, and it was a look out the thin glass that made your heart race at the sight of him.

Wearing a plain white v-neck shirt with a leather jacket and a pair of dark wash jeans, he looked like a massive yet ethereally gorgeous runway model. It was unjust how attractive Ari Levinson was, and how easy you could get irritated at him—for seemingly just being beautiful.

“Don’t make me come up there!” He had leaned against the side of his car, something sleek and black, with his arms crossed over his chest. Covering his eyes was a pair of mirrored aviators, which you wouldn’t have liked on anyone else, but on him, they looked good.

Through the thin glass you waved, once, and then stepped back. You grabbed your cheap second hand purse and your phone, on the verge of breaking and couldn’t hold a charge. Once you had your things, you slipped your shoes on and left your apartment, locking the door behind you, before you headed down the stairs.

You pushed on the main door to the building and stepped onto the sidewalk, watching him watching you from across the street. Your feet carried you with purpose, and your fingers tapped against your palm in a rhythmic dance to quell your nerves.

“Baby,” Ari spoke to you, his voice deep and husky, and his blue eyes fixated on you with wholehearted anticipation, “I was about to come up and grab you. Get in the car, hertzeleh.”

You paused and looked at Ari when you were just a foot away, your neck craned to be able to look into his eyes. With his casual yet striking clothing choice and his endearing smile, it was almost impossible to understand why he was currently single. The women he had spent time with and slept with in the past had all been flings, by his account and his claims, yet none had managed to win the bachelor over.

“What does that mean?” You asked him with a soft voice, walking around the front of the vehicle to the other side and as you got into the passenger seat, you took notice of the box on the centre console.

The food distracts you from Ari not telling you what he called you, although given his track record, it must be something sweet.

“Food, sweetheart. For you.” Ari climbed into the driver’s seat and lifted the glasses from his face to set them on the dashboard. “Ma sent your favourite and I picked up coffee for you.”

“Ari, you didn’t have to.” The iced coffee sitting in the cupholder came from one of his parent’s Jewish bakeries, and it was your absolute favourite combination.

The hazelnut blend mixed with a dash of cinnamon and whipped cream was your go-to whenever you and Danah went. And as for the breakfast, you could only imagine what food Mrs. Levinson made Ari bring you.

“We have a full day ahead of us.” His cordial smile and pleasant tone were nothing new to you, nothing you hadn’t expected from him. It was only natural for Ari to be the kind of man who was firm and levelheaded, yet tough when it came to business, and a giant teddy bear when it came to family and friends.

“A full day? How long can it take to go clothes shopping?” You scoff and turn away, biting into the delicious flaky Jewish pastry. As you get a few pieces of the sugared crispy top stuck to your lips, Ari’s laugh fills the void—and his thumb brushing the pieces off sends shivers down your spine.

“Princess, your ass is mine from right now until I drop you off at your new apartment.” The sudden bombshell announcement nearly makes you choke on your food, and you find yourself sputtering to catch your breath.

You turn your head and stare at him, eyes wide and lips parted in shock. You seemed completely mind blown by this revelation, although to your shock, Ari simply cups your chin and closes your mouth.

“Buckle up, hertzeleh. I mean it.” He leans away from you and his broad shoulders touch the driver's seat, and then he winks at you. “Your sass-pot ass isn’t dying today.”

“You don’t get to slide by the fact that you said new apartment, Ari Levinson.” You set the pastry down and wipe your hands, steeling your gaze.

He’s ignorant to you, or maybe just ignoring your stare and your tone. Whatever he’s doing, it doesn’t bother him and more than that he seems to smirk. Even though he’s not looking at you, and he's slipping a pair of aviator sunglasses on, you can tell he’s rather pleased with himself.

“Ari Levinson—“

“Cut the attitude, baby girl.” His smirk only grows, and he reaches out to tap your knee. “You eat first, and then we’ll talk.”

“No, we’ll talk now.” You shift in the seat to face him more head on, as far as the buckle allows, and then you tuck your chin to your chest. “What the hell are you talking about? New apartment?”

He doesn’t answer you immediately, though you doubt he’s at a loss for words. Rather, it's all part of his ploy, of his plan to control the conversation, simply because he can. After a moment, Ari finally speaks and when he does, he tips his head, conveniently stopped at a red light.

“It’s part of the contract, sweetheart.” He flashes you a grin, one that’s convinced countless women to fall into his bed—but it just annoys you.

“I didn’t sign a contract, Ari.” You enunciate his name with force, your jaw ticking as you briefly grind your teeth. “And I don’t need a new apartment.”

“It’s part of your benefits, Y/N. You don’t need to be so stubborn all the time, little bug.” Damn him and damn the way his voice eases you, regardless of how much you want to smack him. “It’s got everything you want.”

“Oh yeah? Like what? What does this new apartment have that mine doesn’t?” You want to challenge him, you want to fight with him because if he thinks he can tell you what to do with your place…

“For one, honey….” Ari’s hand reaches for yours, and he squeezes lightly, drawing out a soft huff from you. “…no one’s been shot in the building. Or stabbed.”

You roll your eyes and almost wish you could have defended the building, but you couldn’t. Truthfully, it felt like every time you went into that place, or even near it, you were risking something. You knew it yourself that you needed a new apartment, but the fact that you couldn’t afford one was holding you back.

“Ari—“ you start to protest again, finding yourself unable to raise much of an argument when his hand touches your leg. His fingers spread above your knee as he squeezes lightly—telling you nonverbally that you don’t need to be so stubborn and let him do this for you.

After a minute of silence, he speaks, like what he says would be the final nail in the coffin. “It’s in the Lexington, sweetheart.”

And you suppose it is. The Lexington was a building you’d always wanted to live in, a place inside the city that seemed to be so improper. The building itself was brick and mortar, but there were these marble-esque pillars that stood outside the front entrance. They were like guards over the building, and it had given it such an aged yet fresh feel to the place.

The apartments inside were just as beautiful as the exterior with rich dark hardwood floors, private balconies that overlooked the park. Each apartment had onsite laundry, which would’ve been a selling point on its own; however, the bathroom would’ve been your convincer.

You’d seen pictures of the bathrooms on the rental site, and you’d been amazed from the beginning. Each apartment had a large two-person soaker tub with clawfoot details and had a seamless view to the outside world. The window let in natural light that made the whole room seem otherworldly. It was a big draw to why you’d only wished to live there, meanwhile the causality of being unable to always boiled down to money.

The rent alone was more than you’d make in 6 months, and it never seemed to be in the realm of possibilities for you. The Lexington was always unreachable, it felt as far from you as the castle you’d dreamed of as a child. It was a noble or even tender dream, but it was never within any realm of reality.

“Ari, you can’t just get me an apartment, or pay for an entire new wardrobe. Or…” you wanted to continue listing off reasons why he didn’t have to spend all this money on you, or why he didn’t have to put in the effort.

You were a grown woman, and he was your best friend’s brother. He didn’t owe you anything, and you weren’t going to take advantage of his time or money. You knew the entire Levinson family was generous, they’d taken you in when you had nothing, when you had nowhere to go. But that was over now, yes Ari had offered you a job, but he didn’t owe you more.

The job was enough. The job would make you capable of paying off the debts from your parents' hospital bills and funerals. You’d be able to pay it off on your own, you didn’t need him to do anything for you.

“Ketzeleh,” he squeezes your knee again, briefly splitting his attention between the road and yourself, “I’m not asking, I’m telling.”

“I’m not sleeping with you.” It slips from your mouth before you can stop it, the irrevocable sentence unable to be retracted. You feel stupid for a minute, like a fool for saying what you had. At least until you hear Ari’s deep rumble, the husky laugh that fills any minute slip of silence.

“Ari, I mean it, I’m not sleeping with you.” You cross your arms over your chest, your lips pressed firmly together. “I’m not going to be one of those girls that falls into your bed.”

“Of course not, baby.” He removes his hand from your knee and rests it on your cheek. “You’re too strong for that, right?”

You roll your eyes and smack his hand away, huffing poignantly. You retain the silence and draw your attention back toward the pastry Ari’s mother sent for you. It remained half-unfinished during the conversation, and you pick it up again to finish it. You shift away from him back to your original position and sink your teeth into the flaky dessert, ripping a piece off.

Ari has leagues of women falling at his feet. He’s Boston’s most eligible bachelor, and no one woman has been able to hold him down. Although they’ve tried, all he seems to want to do is sleep around and have everything be temporary. You’d seen some of the women he’s messed around with, all of them beautiful and striking and modelesque.

You, on the other hand, had few relationships. You didn’t have an opportunity to have relationships, not when you were made an orphan. Not when you were saddled with a suffocating amount of debt that you had to pay off.

“Ketzeleh, look at me.” Ari had finally stopped the car, parking in a private and gated lot for a series of expensive boutiques he was taking you to. “Ketzeleh…”

You raised your head and looked his way, your eyes searching his blues. He had unbuckled and turned to face you, the car still running and the faint sound of the radio in the background. Once you had faced him, Ari had reached out and brushed a piece of the fine sugar from the pastry off your cheek. His thumb grazed your skin and his eyes were solely on you. His voice was quieter than expected yet no less husky.

“You don’t need to ask, you don’t need to feel like this is an IOU situation. This is a gift, there is nothing you have to pay back.” His husky Boston accent had drawn an illicit shiver down your spine as he slowly leaned in and kissed your forehead. The moment was tender, and you were easily distracted by the feel of his plush lips on your skin.

It felt like you were 16 again, sitting in your dark room with nothing but candlelight. It was as if Ari were comforting you again, whispering to you that everything would be okay. You felt like that 16-year-old, scared and frightened for the future.

“You’re okay,” one hand wove into your hair at your nape while the other cupped your cheek, “you’ll be okay.”

[bebsibby]

The Top Surgery Log

Hello! I got top surgery yesterday! I want to catalogue my experience so I can remember it and provide some insight for people who want it but haven't gotten it yet. I will continue to update this post as my healing goes on. Everything under the read more!

Leading Up

My insurance is with Kaiser which has been an AWESOME experience so far. They do require a therapist letter, so no informed consent, but the process was very simple and there were a lot of people dedicated to getting me what I needed.

I had about 3 therapist meetings where she just asked me questions about my experience with gender and how my transition has gone so far, my support network, can I afford it, etc. Then she wrote my letter, sent it off to the surgical team, and I was approved within a few days!

After that I had my very first consult with the surgeon. He took pictures, did a breast exam, asked about general health and family health history, then gave me a little presentation of the process. It had post up photos of prior patients, a lot of explanations of the types of surgeries available that he does, and a lot of good information in general. He answered a lot of my questions and made me feel fully confident and prepared for the experience.

Also important to note: I told him the surgery I had been wanting ever since I started doing top surgery research was Inverted-T and I was curious of he knew of it/why that WASN'T an option they offered. He explained everything to me and showed me what he expected my results to look like if I DID want to go to a different surgeon outside of Kaiser. Said surgeon does NOT accept insurance, but would work with the insurance side of things to make sure they would reimburse for the expenses. I really appreciate that because it showed me they wanted to do get exactly what I wanted.

Based on all of that, I decided to just opt for Double Incision both to save me time and get a result that was aesthetically more pleasing to me. Loss of nipple sensation is unfortunate, but apparently IT only has the potential to bring a little sensation back, which wasn't worth all the extra hoop jumping for me.

After this consult, my surgeon told me to think about everything then email him a few days later with my decision. I did and then a few days later got my call to schedule. I got to pick my date but not the time of day, as I would later learn that's decided by the hospital and not me. Once my surgery was scheduled, another pre-op appointment was scheduled about a month before the surgery date. That appointment was very short, as it was just signing consent forms and confirming everything I wanted. He also gave me a packet of supplies I needed to get before the surgery.

After that, I'd occasionally receive emails with more pre-op instructions, like when to stop eating and drinking, showering instructions, when to stop certain medication, and how to care for my drains.

The Surgery

The day before surgery I had initially planned to do all of the last minute housework and leave for the surgery the next morning. HOWEVER, when I got my call to tell me the time, it turns I had to be there by 6 AM! The surgery center is over an hour away from me and the bus my wife and I were going to take didn't run that early, so we had to scramble to make other plans. Luckily the friend who was going to drive us back home was cool with us crashing on his floor for the night, so we were able to do the most important things at home then take the bus down the day before.

Once we were all set up for the night, I did the first cleaning routine that I was required to do, set my alarm, then tried to sleep. I didn't get much due to Hard Floor and also excited but that wasn't a biggie because I'd be sleeping again soon LOL.

Next morning I woke up, did my second skin cleansing, and we headed out! I checked in, waited a little in the waiting room, then got called back to start.

Everyone who was working with me was SUPER funny and kind. I got asked more questions, signed another form, took some pre-med tylenol, them stripped to switch into my gown, bonnet, and grippy socks (Got to keep those btw :>) My IV got put in my wrist which REALLY fucking hurt!!!!!! It never stopped aching. After that, the surgeon popped in to check on me and see if I had any questions, then they wheeled me in to the operating room.

I had gotten another premed via IV that was already making me tired, and I remember the last thing being the surgeon saying what to do with my removed tissue once he was done and I was gone!

The surgery itself lasted around four hours, but all I remember is waking up and seeing my wife and friend sitting at the foot of the bed. I said hi to them and that was apparently third time I had said it. I had been up and talking to them for awhile all loopy but also becoming suddenly very serious when talking with the nurses. I've had a few surgeries but I've NEVER been this way after so that was funny. The nurse had also been giving ME all of the postop discharge info and I don't remember it so thats unfortunate! I only remember her talking about the drains. I had to read it all again when I got home but it was all good.

Once I was awake enough, they wheel-chaired me down to my friends car, packed us all up and we headed back home. I napped about half the time but still kept my eyes closed when i was awake and talking bc my vision was still FUCKED and it was so bright out. We got home, I was lead inside, and that was that pretty much! I napped several more times, nibbled on some roast beef, emptied my drains (which made me very woozy, mostly due to the standing) and went to bed!

After Surgery

Day one! I woke up a few times in the night mainly to go to the bathroom, but slept REAL deep otherwise. It rained all night which was awesome. I woke up feeling very achy but not painful except for my throat. Those ET tubes are NOT easy on your body. Took all my meds, got out of bed eventually, and had cup ramen for breakfast. Now I'm just sitting on the couch with all my computer stuff moved from my desk to where I'm sitting. I got a long hdmi cable so I can just watch stuff on the big TV so I'm pretty set up!

My wife just brought me some cookies and overall I'm just feeling really good. Not really excited or emotional about it. Its just a very warm contented feeling.

I don't know what my chest looks like yet since my post-op binder got put on while i was still out, but everything gets removed next week! I'll probably update again after that appointment.

Feel free to ask specific questions! I'll be resting most of the time so I'll just be around!

[texasobserver]

From “Millions of Texans are About to Lose Their Health Insurance” by TXO Winter/Spring Editorial Fellow Sara Hutchinson:

Last November, Tiayana Hardy gave birth to her first child, a baby girl named Laylani. 

“She came a week before her due date, but I can’t complain about that,” said Hardy. “She was born healthy, she’s an easy baby, and motherhood is amazing.”

But Hardy has concerns about her future. She is still experiencing bleeding related to the delivery as well as continuing postpartum anxiety. And now the Garland resident is about to lose the Medicaid coverage that got her through her pregnancy.

Hardy is far from alone. An estimated 2.7 million Texans—mostly children and new moms— are expected to lose their Medicaid insurance in the next few months, some as early as June. That’s almost half of all Texans now on the Medicaid rolls. Most of those affected had had their earlier coverage extended by the public health declaration that came during the COVID-19 pandemic. The declaration expires at the end of March. 

Now the state must begin a federally mandated review of its entire 5.9 million-member Medicaid caseload. Texans who no longer qualify will lose their coverage, but so could current eligible recipients who fail to complete required paperwork for recertification.

“Advocates are very, very concerned right now,” said Jana Eubank, CEO of the Texas Association of Community Health Centers. “Families aren’t even going to know what’s going on, and they’re just going to lose coverage and show up at a doctor or a health center, and they’re going to be told, ‘Oh, you’re not on Medicaid anymore.’”

For over a year, public health advocates have raised concerns about Texas Health and Human Services’ (HHSC) ability to handle this recertification process, which begins April 1 and is expected to be finished within 12 months. State officials are apparently worried, too: HHSC recently requested an additional $143 million to cover more staff to process the approaching onslaught.  

“It’s probably the largest enrollment event, if not the largest enrollment event since the ACA [federal Affordable Care Act],” Eubank said. 

Parents Tiayana Hardy and Desmond Gentle pose with their baby, Laylani, born Nov. 30, 2022. Hardy has relied on Medicaid to cover her health care needs since she became pregnant last year, but she’ll lose that coverage once the public health emergency expires.  

Medicaid, a federal entitlement program administered by states, provides health insurance for low-income residents who cannot afford private insurance. Nearly half of Texas children depend on the program, as do 51 percent of moms, whose prenatal care and hospital bills are covered.

In this, the most underinsured state in the country, millions of people fall outside of Medicaid coverage due to Texas’ strict eligibility criteria and Republican leaders’ refusal to accept billions of federal dollars to expand the program. The state’s requirements around income eligibility mean the vast majority of working poor Texans make too much to qualify for coverage. 

A single mother of two would need to earn less than $4,000 per year to be eligible for Texas Medicaid insurance, while childless adults are ineligible no matter how poor they are. Eligibility requirements ease for single pregnant women, who may make up to $2,243 a month, but that coverage cuts off two months after birth regardless of their care needs. 

Despite Republican leaders’ past opposition to any expansion of Medicaid, Texas Speaker of the House Dade Phelan and Governor Greg Abbott both have named postpartum Medicaid expansion as a top priority for this session. But even if it passes, it won’t come soon enough to prevent confusion and distress for low-income families. 

Under the national public health emergency initiated by the federal government in March 2020, no Texan who qualified and was enrolled in Medicaid could be dropped from the program. That meant Texas moms like Hardy who would have ordinarily lost their insurance two-months postpartum have been able to maintain their coverage for the duration of the pandemic. The same is true for Texas children who would have aged out of the program.

As a result, the state’s Medicaid rolls grew from 3.5 million before the pandemic to 5.9 million today. Federal dollars provided the financing for this temporary expansion.

But with the public health emergency set to expire, advocates say, families are now scrambling to find new coverage options and navigate a complicated and bureaucratic reenrollment process. 

Of particular concern are the millions of Texas children currently enrolled in Medicaid who could miss prescription refills or have to forgo doctor’s visits if their parents are unable to complete the upcoming recertification process. According to state data, 4.2 million Texas children currently rely on Medicaid to access healthcare, up from 2.8 million prior to the pandemic. 

“You’re going to go to your pharmacy to get your prescription renewed and they’re going to say, ‘Oh, you don’t have coverage anymore.’ Or you’re going to take your kids for their scheduled well-child visit to get vaccinations for school. And they’re going to say, ‘Oh, you don’t have coverage.’ That’s when they’re going to find out,” said Diana Forester, who oversees health policy at the children’s advocacy nonprofit Texans Care for Children. The organization recently launched a website to help Texans navigate the end of continuous coverage.

[multiplicity-positivity]

Here’s some positivity for systems with weak or fragile bones!

Whether your system has osteogenesis imperfecta/brittle bones disease, osteomalacia, osteoporosis, a calcium or vitamin D deficiency, or any other problems or disorders that cause weak, soft, brittle, or fragile bones, this one’s for you!!

We wish for you a future full of health, rest, and healing! We hope those who surround you will treat you with kindness, and that you are able to access the accommodations you need in order to live your best lives.

To those who have to practice extreme caution or avoid doing activities they love due to their weak bones, we want you to know that your heartache is valid and worth expressing! It’s not fair that some folks end up or are born with disabilities that prevent them from achieving their dreams or pursuing their passions. We want to support and uplift you however we can, and encourage you to try and live a full and happy life despite your limitations!

To those who have broken bones more than once in the past and live in fear of breaking another bone in the future, our heart and thoughts go out to you! Breaking or fracturing a bone can be a terrifying, incredibly painful experience. If you are currently healing from a broken bone, we wish you a swift, painless recovery! Please don’t push yourself, and try to take it easy!

To those who are unable to afford treatment for their weak bones, we genuinely feel for you! It is becoming more and more expensive to be disabled, and working with insurance and hospital billing departments is often a nightmare. We hope that your situation will change in the future, and that soon you will be able to access the care you need in order to take care of yourself properly!

To those whose system formed due to trauma from their weak bones, be it from breaks or fractures, facing harassment and bullying, or dealing with medical trauma/abuse, we want you to know that yes, your trauma is valid and it was enough. No one should have to go through what you’ve been through, and you deserve to recover with plenty of love, self-compassion, and self-acceptance along the way!

This disability pride month, remember that if you have weak or fragile bones, you are a welcome, integral, and cherished part of the disabled community! You are allowed to take up space here, and are encouraged to be vocal about your experiences and what you need in order to live your best lives! Thank you so much for reading, and have an absolutely stellar day!

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[bookishfeylin]

“The way things are going I’ve kind of accepted that we are NEVER getting universal healthcare”

We can’t even AFFORD that or any of the other things you listed. Stop whining and acting entitled

I wrote that vent post weeks ago what--

Firstly I have great insurance MYSELF through my hospital, but I want my patients to have good health coverage. Wanting my patients to not have to worry about bills during and after discharge is not entitlement, actually. And secondly: we absolutely can afford healthcare, and free college, and everything else other developed countries offer their citizens.

I’ll start with healthcare first. Estimates for how much universal healthcare would cost vary WILDLY, with some estimates putting it closer to 32 trillion over ten years (so around 3.2 trillion a year) with others putting it at 50 trillion over ten years (~5 trillion a year). Admittedly, most sources I’ve seen place it around the lower number, but I have seen a few naysayers argue that it’ll cost the highest amount, around 5.2 trillion a year, so for the sake of argument, let’s pretend that’s what it costs. Let’s say we fumble the ball so horrifically it costs a total of 5.2 trillion a year. But guess what? We can still afford it.

In 2021 the government spent 901 billion on Medicare, 756 billion on Medicaid, and 150 billion on military related healthcare spending for a total of 1.8 trillion. i'm using 2021 numbers for consistency

Some have suggested a return to Eisenhower's 91% tax, at least for the billionaires kudos to a @qqueenofhades for explaining how that works, and if I've done the math right, then a 91% tax for billionaires alone, not millionaires or upper middle class but just billionaires, would raise 2.184 trillion. 1.8 trillion + 2.184 trillion= 3.984 trillion

We could then reduce the Bush tax cuts to raise 488 billion, the Trump tax cuts to raise 164 billion, take 300 billion from the US military budget, and completely pull out of Iraq (as ending the Iraq and Afghanistan wars raises 127 billion). If you add in a Carbon tax (180 billion) you raise 1.259 trillion. 1.259 trillion + 3.984 trillion= a total of 5.243 trillion raised for healthcare. And just like that, we've raised all of the money needed in the most expensive, wasteful scenario.

Now for college: I mentioned earlier that part of paying for healthcare could involve cutting the US military budget by 300 billion (that would look life reducing its current 816 billion to 516 billion). If we cut a further 100 billion from the budget (taking it down to 416 billion) and put that 100 billion towards college, there's more than enough money to pay for free college.

Likewise, if we end fossil fuel subsidies (saving 26 billion, or at least that was how much was subsidized as of 2018), that would pay for 12 weeks of paid parental leave.

We are more than capable of achieving universal healthcare, free college, and paid parental leave. We simply opt not to because our whole political apparatus is trash :)

[tewz]

I think it's such a shame that no one can get mental help in Upper Michigan, USA. I had to take "getting help" into my own hands and read into psychiatry/different therapies and teach myself how to be less depressed/anxious on my own because my survival instinct kicked in and I can't just go without help. I literally had to help myself as a last resort. It was really difficult but I somehow pulled through. I'm still not able to function like a proper adult (can't work or drive), but I'm no longer s**c*dal and planning my own death like I did between the ages of 14-28. My 30's have actually been great so far. I have a lot less episodes and they are shorter and less intense. I haven't self-harmed in about 5 years or so too. Some people can't conquer such a thing though, and I am really concerned for several of my friends. You wouldn't believe the amount of people who live in my area who come to me crying about how they can't take it anymore. A couple of them jumped through hoops to get online therapy (tele-health, but it's very pricey and inconvenient). It's pretty much all of my friends at this point. Like my advice and compassion can only do so much and it doesn't ever seem to help them. It's become a little tiring in a way.

Same with getting a dentist with cheap insurance. The greedy conservatives (which is 2/3 of the population here) won't allow it. We all have to travel downstate or to Wisconsin to get basic work done (it takes 3.5 hours of driving to get downstate and 2.5 hours to get anywhere good in Wisconsin + no one drives or can afford cars anymore so we're all doomed). I'm gonna have to start getting to the abscess stage again to have to energy/drive to seek another dentist willing to help and that is not fair. I shouldn't have to look like I do hard drugs just because no one will fix my teeth + depression never helped with that equation either.

Everyone's life up here is a disaster. I live in a corner of the world that is sickeningly resource-less. The nearest psychiatric hospital is 1.5 hours away and doesn't usually accept people unless they've committed a crime or something drastic. The 2nd closest one is a double drive down to Wisconsin, unless you have Michigan-only insurance, then you're driving 6 hours downstate.

Another thing that drives me up the wall is the lack of basic ANYTHING. My friend from New York wants to come visit, but there's little to no AirBnB's up here unless you find a cabin in the woods with no phone/internet service, T-Mobile doesn't reach up here, no Uber drivers of any kind (2 expensive taxi companies that are overbooked all the time is the only way to get anywhere), no basic stores to find anything you're looking for so we all have to order stuff off the internet, no records stores in the entire U.P. except for a couple run-down multi-media stores that have maybe a bin or two of 60's country and Christmas music on vinyl, etc, etc. Also, my town has always been living about 10-15 years in the past. You can't find online reviews or even websites for most stores because the boomers and bootlicking assholes around here don't know what the fuck computers are. And if there's a fashion trend that I find on the internet (like crop tops of example), they won't hit our stores until 5 years later when the trend slows down. The end. Rant over. I don't wanna upset myself but like... lol...

[coochiequeens]

After a couple find a woman to buy eggs from for up to $250,000 they have to “find a surrogate, the uterus-bearing person who will carry your baby.” Meaning a Woman to build a baby in her womb for 9 months then give birth to it.

By NICK WOLNY

MAY 20 2023 10:04 AM EST

Let’s have a baby together. It’ll only set you back $250,000.

To become a gay dad with a biological child, you’ll first need some eggs (human ones). You can buy some from an egg bank or try to find a donor who will cycle just for you. If doing the latter, it’s good to have contracts, so you’ll need a lawyer too.

Then you need to get your eggs to a fertility clinic. If you have a donor, you’ll be paying for their travel and appointments. If you’ve got the eggs, a freezer truck transportation service will do. Embryologists at the clinic do their thing with the eggs and your sperm, and voilà — you have embryos on ice. If embryologists sound expensive, it’s because they are.

We’re done with the “less hard” part. Now you need to find a surrogate, the uterus-bearing person who will carry your baby. You’ll either pay a surrogacy agency, which can be pricey, or find a surrogate of your own, which “sounds hard because it is,” says Janene Oleaga, attorney and founder of Oleaga Law, a family formation law firm. “Then there’s the actual embryo transfer, which may or may not be covered by insurance. You’ve also been paying this whole time to keep the embryos cryogenically preserved,” Oleaga says.

Feeling the cash crunch yet? There’s another cost to consider. The stigma against gay parenthood runs deeper than rhetoric alone. It’s woven into the very fabric of our health care system. 

As LGBTQ+ acceptance makes hard-fought progress, today’s young people are coming out earlier than previous generations. In a 2018 survey conducted by the Family Planning Council, respondents over the age of 60 said they came out at an average age of 37; for respondents in their 30s, the average age was 21, and for respondents ages 18 to 24, the average age was 17.

When Obergefell v. Hodges granted federal marriage equality protections in 2015, LGBTQ+ interest in family planning spiked, with solutions like assisted reproductive technology (ART), foster parenthood, and private adoption leading the way. Nearly half of LGBTQ+ millennials are actively planning to grow their families, a difference of just 7 percentage points from non-LGBTQ+ millennials, and a marked difference from previous generations.

If queer intended parents (IPs) take the ART route, financial challenges loom. The average cost of in vitro fertilization (IVF) hovers around $12,400 per cycle, according to the American Society for Reproductive Medicine. But the chances of success are less than 50 percent, according to ART data from the CDC, adding considerably to the financial pressure. Subsequently, an entire boutique industry has emerged to help intended parents navigate the medical, legal, and emotional terrain of the process.

“To be very frank and honest with you, a lot of this is a mega, mega business,” says Harout Cracchiolo, who together with his husband became a first-time father last year. “We went with a friend who donated her eggs and paid for all her treatments. Then we went with a family member who ended up carrying the baby for us and got a separate surrogacy insurance for her. We still had to pay all the hospital bills, anesthesia, and doctor’s visits [out of pocket], because insurance wouldn’t cover it. We ended up at around $175,000.”

(In other words they had a baby by taking eggs from one woman then exposing another women to the dangers of a pregnancy with heightened risks just to create a baby that neither the egg donor or the woman who gave birth will feel a connection to and will have a harder time in court if they sue for custody or visitation)

Cracchiolo says he and his husband were lucky, “because we did our IVF and got pregnant the first time.” He partially attributed this success to the care he and his husband received from their chosen fertility center, and he called some agencies “a scam.”

“One quote included a $60,000 agency fee,” Cracchiolo says. “Then it’s about another 20 or 30 grand for the egg donor, another 70 or 80 grand for the surrogate, and all the attorney’s fees.” Cracchiolo also says he and his husband calculated another quote’s projected total cost to be over $250,000, with the agency wanting most of that money in escrow upfront.

Family planning professionals said the $60,000 agency fee figure sounded high and noted that every industry has its bad actors. For many intended parents, finding and working with a good agency to mitigate the risks of surrogacy will be worth the investment. “There are a number of reputable agencies protecting both intended parents and surrogates alike,” Oleaga says in a follow-up email. “An ethical, knowledgeable agency provides valuable guidance and support throughout the surrogacy journey.”

Oleaga adds that many lawyers offer to review agency agreements with both intended parents and surrogates to ensure individuals understand what they are agreeing to, along with what services the agency will and will not provide.

Nevertheless, for gay male couples, the fertility financial benefits that come with health insurance are often stunted, since they may only apply when policy holders themselves are the ones who are pregnant. “The majority of gay men,” says Oleaga, “should expect a six-figure bill.”

(So it’s gay males and egg donors and uterus bearing persons)

The unpredictable costs of fertility have led some intended parents to seek out agencies whose financial safeguards help keep their family planning hopes alive, says Taylor Frey, who with his husband Kyle Dean Massey opened Elevate, an egg donation and surrogacy agency, after their own decade-long fatherhood journey.

“When Kyle and I went through the process, we were both working in Broadway shows, and we started a savings account to create embryos with an egg donor,” Frey says. “I was 25 at the time. We created embryos, then put them on ice for eight years so we could replenish funds.”

Frey and Massey say they founded Elevate to innovate on industry setback and cancellation policies. “If you do not end up with what you need to transfer to a surrogate, your recycle fees are on us,” says Frey, referring to fertility fees incurred when eggs turn out to be unviable.

“The reason why [surrogacy] is so expensive is that, from deciding you want to be a parent to having a baby, hundreds of people will touch your case,” Massey says. “All the attorneys, and psychologists, and counselors, and lab technicians, and nurses, and physicians, and monitoring clinics, and labs — it’s a lot of people.”

Oleaga agreed with the idea of meeting with several prospective fertility service providers as a best practice. “I always advise intended parents and potential surrogates to meet with multiple agencies and review their agency agreements before signing on,” she says.

For female same-sex couples, the dynamics are different, albeit no less demeaning.

“We knew we wanted to have kids. My only stipulation was that we be married first because we’re gay,” says Samantha Davis, who with her wife Leni had their son via intrauterine insemination (IUI) on their second attempt in 2019. “I just didn’t want the government to feel like we weren’t both equally the parent.”

If heterosexual couples have unexplained infertility, they need to have been trying to conceive for at least a year (or six months if over the age of 35) before a doctor will make the diagnosis official, a declaration that unlocks health insurance benefits for some fertility services. But for same-sex couples, the waiting period is waived. “Because we’re gay, I wanted to make sure that I was automatically considered infertile [from the start] so that the insurance would cover some of the stuff we would be going through,” Samantha says.

The couple’s infertile status unlocked an allowance of $16,000. “That’s not per child, or per year,” Leni says. “That’s for life.” The Davises’ expenses included storage for sperm and paying to have embryos created and tested, all of which quickly burned through the stipend. They also say they had to pay out of pocket for psychiatric evaluations and blood work.

“The first time, we weren’t in a great financial place,” Samantha says. “We were scraping every time we needed to pay for something.” Samantha touched her belly. She’s pregnant again, this time through IVF.

“After our son, I really wanted to have a girl,” she says. The couple decided to do IVF to produce a female embryo, but after two attempts, the only remaining healthy embryos were males. “We could have tried again to see if we could get that girl, but financially it wasn’t feasible.”

(And there it is once enough money is spent it’s not just about having a baby, it’s about having a certain type of baby)

The path to biological parenthood shouldn’t be this expensive for anyone. For LGBTQ+ people, however, the journey remains especially taxing as we navigate systems ill-suited to our family planning interests.

“A lot of LGBTQ+ people don’t have children, so it’s not such a big movement,” Cracchiolo notes. “But it needs to be. You want to feel included. You’re having a baby — you don’t want to feel strange when you go to the hospital.”

Horror stories aside, the parents agree their journey was worth every step.

“It’s the coolest thing to wake up and know that every day you’re working towards making this child’s life something you didn’t have,” Cracchiolo says. “It’s just the best thing ever.”

The Davises echo this sentiment. “It’s rewarding in so many ways,” Samantha says. “I think I’ve learned so much about myself, my upbringing, things that I hope to do differently.”

Queer people deserve to become biological parents regardless of socioeconomic status. But reform is needed to make LGBTQ+ parenthood more financially accessible.

(No one is entitled to biological offspring. And how do they reform it to make it “financially accessible” without fairly compensating the women going through the egg donation process or the birth mother who will be carrying a pregnancy with a greater risk of complications?)

In the interim, anticipating the future cost of parenthood might influence how you spend and save your money today. 

Oh, and if people start to give you shit for tightening the budget to fund your legacy — “Fuck ‘em,” Samantha says. “Don’t worry about what anyone says. Find what works for you and your family.”

Leni laughs. “You can quote her on that.”

Nick Wolny is a journalist, speaker, and entrepreneur. He writes about the intersection of LGBTQ+ life and personal finance, and has previously contributed to CNET, Entrepreneur, and Business Insider. Join his newsletter at NickWolny.com.

This article is part of the Out May/June issue, available on newsstands May 30. Support queer media and subscribe -- or download the issue through Amazon, Kindle, Nook, or Apple News.

I wonder how many women have received requests to be surrogates for family members and the rest of the family piled on over the hope of more grandkids for the family? Women need to learn the side effects and risks associated with egg donation and surrogacy so they can back up their “NO”.

[fuck-your-proana-blog]

i just wanted to thank you.

i discovered your blog last night and it gave me the last push i needed to accept recovery. thank you for making me realize i have ednos and should stop striving for anorexia or bulimia as the superior disorder, that romantisizing in the pro anorexia community is problematic, that i don't need to be sicker to recover, that if i struggle to recover for myself i can recover for others (this one thing literally pushed me so much i have a few months old nephew i carry his photo in my phone case so everytime i feel suicidal i think of how he would eventualy have to be told he has dead aunt so now i have to eat so i can play with him and be the aunt he deserves) that i was in fact miserable during my ED, i wasn't happy and even if i got skinny i wouldn't be, that I'm gonna either recover or die and lastly for giving me safe space on tumblr that isn't "pro recovery just not for me" kind of stuff

i just wanted you to know you saved a life

I'm so glad to hear this! Every ED is hell, we all suffer no matter what our weight is. I'm so proud of you for choosing recovery and turning your back on the pro ana community, and you can always talk to me if you feel alone or need to be reminded that recovery is always the right choice, because no one EVER thinks they're sick enough- trust me on this. You are worth recovery NOW, and your nephew and the rest of your loved ones will be so grateful every time you choose life over the torture and death caused by your ED. I recommend seeing an ED specialist therapist and maybe a psychiatrist if you need one, or finding a hospital program near you for support if you have insurance or can afford it (don't know if you're in the US where health care is shit). Try to find a support system of friends, family and healthcare professionals so you have the best chance at recovery as possible. It will be scary telling people and even going inpatient if you or your team feels you need to, but it's the best choice to let go of the disordered behavior and be monitored as you do so- especially since you suffer from suicidal ideation and recovery often brings our troubling feelings out since we've been numbing them with behaviors for so long. I have lived for my husband ever since we met, and having people (or even pets) to live for when you don't feel you can live for yourself is so important when the self harm thoughts come around. Best of luck, my inbox is always open! ❤️

[advancedneuro0121]

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[rainofaugustsith]

About that Medicare for All slogan

So I've been seeing 'Medicare for All' slogans again, and while I fully believe in universal health care I think they need to revise that slogan. Right now I also see a lot of people sneering because older Americans aren't glomming onto that slogan. 

They really should, IMHO, be making that slogan "EXPANDED or REFORMED Medicare for all" to get people on board. Because as it is, it can be really costly, and many seniors and disabled people are not able to afford healthcare even with it. Those thinking it's a panacea as it is, without reform? Well, let's have a peek and see.  

1. Background: Medicare is a program mostly for seniors and disabled people receiving SSDI. 

There are two basic ways to get Medicare: be over a certain age (right now 67) and receive Social Security Retirement. OR, be younger than 67, disabled and receive Social Security Disability Insurance (SSDI). Disabled people who receive only SSI are not eligible for Medicare. 

Original Medicare functions like a PPO. For those outside the States, you can go to any doctor that accepts Medicare and there are little to no prior authorizations required. This makes it easier for people to obtain quality care because they can go anywhere, more or less, and aren't trapped in a narrow provider network. 

BUT: 

2. Medicare is fucking confusing. 

There's Part A (hospital), Part B (outpatient), Part D (drug coverage), Part C (Advantage plans) and several other moving parts, each with their own fee schedules and rules. 

3. Medicare isn't free. 

Part A is free for most, but if you don't qualify for that, it can cost up to $506/month. 

Part A also has a deductible of $1600 every single inpatient hospital stay. For those outside the USA, the deductible is the amount you have to pay out of pocket before the insurance will pay anything at all. 

If someone is in the hospital for a while, they start paying copayments that begin at $400/day, starting on the 61st day. If they need to be in skilled nursing facilities for surgery/injury recovery, copayments of $200/day kick in after the 20th day.

Part B (outpatient) has a premium which, as of 2023, is $164.90 per month, as well as a once-yearly deductible of $226. 

Medicare is an 80/20 scheme, which means they cover 80% of the bill and you get the rest. That might not sound too bad until you look at what medical care in the USA costs. A simple MRI might be billed at $3000. 20% of that is yours. Still sound reasonably priced? 4. Medicare doesn't cover everything. 

Dental, optical and many other things are notoriously not covered by Medicare. That's why you will find people on Medicare buying separate coverage for these things - which means they're paying additional premiums every month. 

5. We haven't even gotten to prescriptions yet. 

So prescription coverage for Medicare is under Part D. You have to choose a prescription drug plan to administer your benefits and they are all different. Some might cost you nothing. Some might cost you a lot every month, so if you're keeping count, that's your fourth monthly premium after Part B, vision and dental. Some change their formulary every year. Those commercials about Medicare open enrollment? That's the period in the fall when people on Medicare have to sift through the formularies and see if their PDP is going to cover their meds next year. Some people do qualify for Extra Help from Medicare which covers the premiums and brings down the coinsurance for meds, but not everyone. 

Oh, and the meds are tiered. Tier 1 are the most basic/common meds that will cost you nothing or very little. Tier 4 are meds that are barely covered, perhaps 30%. 

Wait, there's more! There's a 'donut hole' or coverage cap built into plans. Essentially, when your med costs reach $4660 for the year, the coverage gap begins. Right now you pay no more than 25% of the drug costs, but it used to be a complete gap. This continues until you reach $7400 in drug costs, at which time you enter the 'catastrophic' tier where meds usually cost a lot less. And it resets annually. 

Think this is a hard cap to reach? Remember, common meds for things like cardiac conditions and headaches can cost $1000 each per month. Take a few of them and you're up to that $4460 real quick. 

This is why you may have read or heard stories about seniors taking bus trips to Canada to buy meds. It's honestly cheaper sometimes to take a trip across the border than navigate this shit. 

6. This is why a lot of people get pressed into an HMO. 

In order to navigate a lot of the above, a lot of people get pressed into optional Medicare Advantage plans, technically Part C. These are mostly HMOs run by major insurance companies. They offer the promise of consolidating benefits, eliminating the copays and drug coverage web - at the cost of pressing you back into an HMO with referrals and prior authorizations, as well as their limited network.  OR people get a 'Medigap' supplement that covers the costs that Medicare doesn't, while allowing them to remain with original (PPO style) Medicare. Those typically cost more than the Part C plans.

7. Some people do get help, but it may be hard to navigate. 

Some people have secondary insurance they can keep through a job or spouse. That might have premiums attached to it.  Some states have Medicare Savings Programs to help people pay the costs. But not all.

Some people earn little enough for SSDI or retirement that they also qualify for Medicaid as a secondary insurance. Medicaid generally picks up that which Medicare doesn't - such as that 20% coinsurance and the deductible. Medi-Medis are often pressured into joining HMOs as well, which really don't benefit them. 

Medicare also has some programs like Extra Help and such, which they can help you apply for. But this is a lot for people to navigate.  So- this is why Medicare for All might not thrill people the way you think it might. REFORMED Medicare for All on the other hand might make the same people jump right on board.

[bethanydelleman]

Difficulties Part 1

I usually keep pretty well to Austen or British literature of the last century, but as Jane Austen is very concerned with the plight of women, I wanted to share two small things that happened to me, that impress upon me the difficulty living in the world as a woman.

I had a job that I really loved at a university in Canada. I was unionized, had unlimited sick days, medical benefits, paid time off, a pension, and reasonable compensation. After about two years at this job I left for maternity leave, which in my country was 1 year at half pay. I was worried however, because my department had a nasty habit of laying off women during mat leave. This would usually be illegal, but research work is all based on grants and contracts, so it can happen more easily in my field than in others.

I was anxious about going back to work, but at the 10 month mark my boss emailed and asked if I could come back early. I agreed, partially because I was bored but also because I was worried I might lose my position if I didn’t go back. So I went back 3 days a week (I had actually started at this job 3 days a week and moved to five over time) and my son went to a great little home daycare. I made it clear to my manager that as I had a 2 hours a day commute, I didn’t want to work more days. I thought she would understand as she had also worked part time when she had young children.

2 months in, I was laid off. I was only 2 months away from my contract becoming permanent, something that happened automatically after 3 years. I also had worked so few hours that it was impossible for me to collect employment insurance. It turned out they just wanted me to cover a three month leave of another staff member.

Now I feel I must justify myself, I was good at my job. When the news got around, I was approached by several people I had worked with who offered themselves as references. One person even swore when she realized she’d have to train someone new on the complicated medical software that I had mastered (just ask a nurse or doctor how user friendly their medical records program is...). Even though they were not required to, many of the doctors I worked with still included my name on their published research papers.

Anyway, we were in a terrible position as a family. My husband and I had just purchased a new house, since my job had seemed secure. I fortunately had about a month’s vacation pay as a buffer, but that was it. My daycare graciously let me take my son out until I found another job, if I had lost my space it would have been worse. I desperately applied for jobs and eventually accepted one with the same employer that was not unionized.

I lost my pension, sick days, medical benefits, and paid vacation and was only given about 2 dollars more an hour in this new job. I never would have accepted it if I hadn’t been so desperate. 

And the worst part is, the people who did this to me were all women. My manager and supervisor were both women. And they didn’t care. The one even seemed surprised that I was angry at the final meeting. She said it was best for the projects. I highly doubt it.

Anyway, this is my little proof that having a uterus and being a mother who wants to spend time with her child still can destroy your career and that you can’t rely on the compassion or humanity of your superiors.

Note: Why do I need medical benefits? I live in Canada, but we have a strange form of universal healthcare that covers all hospital and doctor visits, but not eye, dental, most therapy/mental health care or most medication. So for a person my age at the time, the most commonly covered would be things like birth control, glasses, dental visits, and physiotherapy.

And yes, this creates problems were someone with say, type two diabetes can’t afford their very cheap meds and instead ends up in the ER frequently which is super expensive. We have plans where if you are poor enough you get free medication but it’s a mess and honestly they need to fix it.

[some-eldritch-bats]

I think part of the problem stems from health practitioner mental laziness regarding who they see WITH eating disorders.

Where I work, it's extremely difficult for someone with an eating disorder to access public healthcare. They're perceived as being relatively difficult to treat and also relatively resistant to treatment, and the number of psychiatric beds available in in-patient care are quite limited so they end up not really being able to accept most people with eating disorders because if they did, nobody else would get treatment. The requirements for getting an inpatient bed in hospital for management of an eating disorder is that you have a diagnosis of a recognised disorder that isn't ED-NOS, AND that your BMI is 14 or lower, AND that you have deranged electrolyte levels. People who meet those criteria are generally quite close to death, so most people with anorexia will never actually qualify for a bed.

Instead, you're directed to access the private psychiatric in-patient system. 99% of all eating disorders are managed entirely though the private healthcare system, and those systems are INCREDIBLY expensive. It costs tens of thousands of dollars to get help through them, and almost nobody can afford that.

So... They use insurance.

And if they don't have insurance... They simply do not get treated until they are close to death.

On top of that... PRIVATE PSYCHIATRIC HOSPITALS DON'T ACCEPT ANYONE FOR TREATMENT WHO IS MEDICALLY SICK. EVER.

If you are even a little bit physically sick when they first examine you for potential admission? They tell you to go to the public hospital - you know, the one that wouldn't accept you as a patient. So, now NOBODY will treat you as an inpatient. At all. Anywhere.

As a result, almost every doctor who sees a patient with an eating disorder is seeing either one of two kinds of patient:

A cachexic borderline-corpse who is legitimately days or even hours away from death by starvation or dehydration. These people make up approximately 1 in 100 patients.

A wealthy young woman from a family who does not, on initial inspection, actually look at all sick. These people make up 99 in 100 patients.

You can see, then, how this would bias a doctor. They see almost everyone looking healthy, wealthy, and often relatively image-obsessed (because, like their eating behaviours, it's one of the few things they can control), and they see that these patients often have concomitant diagnoses of BPD ("you know, the crazy bitch disease!") and are therefore desperate for validation but act aloof in their panic not to drive people away...

...And they go, "oh, these patients are all just attention-seeking little girls. They have no problems because they're so rich, so they invent fake problems. Huh, typical."

It's mental laziness. It's a failure to consider the REASONS behind WHY the system looks that way and instead simply falling back on their biases against women, against young people, against people with mental illness, and especially against women diagnosed with BPD, who are now labelled forever as Women With Crazy Bitch Disease.

This problem is partly human, partly economic, and partly cultural. We simply do not have a cultural appetite for increasing public funding for mental health treatment and so the majority of ED patients either have to fall back on insurance, which will still cost them thousands, or simply go untreated entirely. Add to that the simple fact that doctors are humans too and aren't like... Uniquely discompassionate, but are simply reflecting the cultural attitudes to EDs?

It isn't good.

ppl rly hate girls with eating disorders tbh. did anyone else notice this

[anandmultispecialityhospital]

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The team of experienced gynaecologists at Anand Multispeciality Hospital is dedicated to providing compassionate care tailored to each patient's unique needs. They are equipped to handle both routine and complex cases, ensuring that every patient receives the best possible treatment.

The Importance of Choosing the Right Gynecologist

A gynaecologist is a medical professional who specialises in the diagnosis, treatment, and management of various conditions related to the female reproductive system, including the uterus, ovaries, and cervix.

The choice of a gynaecologist can have a profound impact on a woman's overall health and well-being, as they play a crucial role in providing routine check-ups, preventive care, and addressing any reproductive or sexual health concerns.

Factors to Consider When Selecting a Gynaecologist in Pune

When it comes to choosing the best gynaecologist in India, there are several key factors to consider:

Qualifications and Experience:

Ensure the gynaecologist is board-certified or has a recognized degree in obstetrics and gynaecology.

Look for gynaecologists with extensive experience, particularly in the areas of expertise that are relevant to your specific needs.

Consider the gynaecologist's training, including any specialised fellowships or additional certifications they may have.

Reputation and Patient Feedback:

Research the gynaecologist's reputation within the medical community and among their patients.

Look for positive reviews and testimonials from previous patients, focusing on factors such as bedside manner, communication skills, and overall satisfaction with the care received.

Check if the gynaecologist has any awards or recognitions for their exceptional service or contributions to the field.

Approach to Patient Care:

Evaluate the gynaecologist's approach to patient care, including their communication style, empathy, and ability to address your concerns.

Assess whether the gynaecologist takes the time to listen to your questions and concerns, and provides thorough explanations of treatment options.

Consider the gynaecologist's commitment to preventive care and their willingness to collaborate with you in maintaining your overall health.

Specialisation and Expertise:

Identify the gynaecologist's areas of specialisation, such as fertility, high-risk pregnancies, or gynaecological oncology, if you have specific healthcare needs in those areas.

Determine if the gynaecologist has experience and expertise in handling complex or rare gynaecological conditions.

Accessibility and Convenience:

Consider the location of the gynaecologist's practice and its proximity to your home or workplace.

Evaluate the clinic's hours and availability for appointments, as well as the ease of scheduling and communication with the staff.

Assess the availability of advanced diagnostic and treatment technologies at the gynaecologist's practice.

Insurance and Cost Considerations:

Verify whether the gynaecologist accepts your health insurance plan and understand the coverage and out-of-pocket costs associated with their services.

Compare the fees and payment options offered by different gynaecologists to ensure you are getting the best value for your healthcare investment.

Anand Multispeciality Hospital stands out as a trusted provider of gynaecological in Moshi. Our highly trained and dynamic team of medical and paramedical professionals is dedicated to managing and operating the hospital efficiently. We prioritize the well-being and comfort of our patients, ensuring their complete satisfaction and positive treatment outcomes.