#so now one (1) specialist and my GP accept this as just a thing and will factor in accordingly | Explore Tumblr posts and blogs

justanothersyscourse · 3 years ago

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Hello! I hope this question isn't too difficult, or one that's been answered before, but do you have any advice on what to look for when researching a therapist before a first appointment? I've been questioning whether or not I have OSDD for a while now and I'm finally able to look for someone to get a diagnosis, but I have no idea what kinds of things are important to know before the first meeting (like what kinds of therapy would be best to look for and things like that)

(this turned out so much longer than expected, I'm sorry)

This REALLY depends on what you're looking for.

So, if you're looking for a diagnosis, the very first thing to do is find out what kind of practitioners and clinicians can diagnose mental disorders where you live. So, for example, in Canada, only GPs, psychiatrists, and psychologists with (specifically) an MD or higher can diagnose you (and you really don't want your GP to diagnose you, they don't have any specialized training in mental health, so you're specifically looking for the other two).

Below those, we have therapists, counsellors, social workers and social service workers, coaches-- all of these can treat, but can't diagnose, but they're the easiest to find and most numerous. Many psychiatrists here in Canada will diagnose, but not treat-- few will have a practice where they provide both counselling and diagnosis. If you can find one with a practice specializing in what you think you have, you're golden, but it's rare. Literally, it's a needle in a haystack. They usually work for hospitals and you only see them for one or two sessions to get a diagnosis. Treatment is usually left to psychologists and all the other labels below them.

Find out how things work where you're living, and go from there.

Once you've figured that out, come up with a game plan. For us, it was a combination of a psychologist, and a referral to a psychiatrist for diagnosis. Once we had the diagnosis, treatment with the psychologist became more specific, but the psychologist we'd chosen didn't specialize in dissociative disorders, so it was a learning experience for both of us. We were in therapy for several months before we moved, and it was another few years before we started looking again for a new therapist (of any title).

This time, we knew what we were looking for, though finding it was harder than we'd thought.

First, you want to look for someone specializing in dissociation and dissociative disorders. The chances of you finding "DID specialist" in a therapist's bio is slim. I'm sure they're out there, but... I mean, that technically wouldn't be the correct title?? I'm just saying, you're not likely to find anything by googling that specifically (though definitely try, why not, can't hurt).

For us, we weren't able to find a dissociative specialist near us, unfortunately, so the next thing to look for is a therapist that specializes in (C)PTSD and trauma, and/or abuse. This we found pretty easily. She also had experience with some of our other problems, so that's a fantastic bonus. Look through their bios carefully, find one that will give you the most support for the most amount of issues.

My OCD and anxiety cause me an extreme amount of distress-- like more than anything else, so the fact that she also had experience in treating that was... Amazing. Two for one? Sweet. There were also concerns about BPD, which she also had experience with. 3 for 1. The list goes on.

Next, find one that fits your lifestyle. Anyone treating me would need to be LGBT positive and would need to accept that I have multiple partners. That was important, and she specifically stated she accepted clients of that orientation.

Next, find out their educational background and how long they've been working. It would usually be right there in your bio, but once you've found all the other points, you've likely narrowed it down to a couple of potential therapists. Don't be afraid to email them and ask questions.

For us, because she didn't specialize in dissociation, we emailed, explaining our situation (gay, poly, recently traumatized, dissociative-- I didn't say DID/OSDD yet), and asking what her experience with dissociative disorders was. She responded with her educational and work background, and how many dissociative patients she had worked with (3 DID cases, specifically, and several dissociative clients), and reassured me that there would be zero judgment over my lifestyle (I really needed that reassurance).

With that, it was set. We made the first appointment.

The first appointment should not be an actual session. The first appointment is for you both to meet and see if it's a good fit. It's as important to the therapist as it is for you to make sure you're both compatible. If a therapist can't help you, they don't want you. They can do a lot of damage trying to treat something they don't have experience with, and most are cognizant of that. It's in both of your interests to make sure you'll both be successful. We discussed our histories, we talked frankly and honestly, and we clicked. If you get any funny feelings or aren't comfortable, drop them. Ask questions-- test them. Ask what they think the best treatment for DID is (fusion or healthy multiplicity), do they support healthy multiplicity, if that's what you're looking for. Make sure their answers fall in line with what you want and believe.

THIS IS LONG ENOUGH, I HOPE THIS HELPS.

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thedivinefish · 4 years ago

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TGIWednesday and support for mental focus on work/job/career

TGIWednesday News

Well well well, mental health awareness for the whole month? Yep and after all we’ve been through with financial ups and downs, a pandemic with a hot side of greasy politics - we’re going to need this month just to get back to smooth! There is an old Janet Jackson song entitled, “What have you done for me lately?” and I would rephrase that to, “What have you done for YOU lately? Long walk on the beach? Massage? Planning a margarita for May 5th? Let’s at least consider pampering you for a change. I am proclaiming as you read this now, “I am open to receive better treatment for myself, I realize I deserve it and I am most worthy of it! So stay tuned as we delve into mental health awareness this whole month including our live Zoom event the last Wednesday May 26th and we're also highlighting 20% off the MyBeliefWorks for Healing Mental and Emotional Stressors MP3/PDF.

TGIWednesday Download

~ CLEARING MENTAL HEALTH ~ I believe, think, know and feel that my mental health is clearing now. I am ready, willing and able to make subtle long term changes to improve my mental balance. I know, when here how and why to accept help and contributions from others thereby promoting mental inner peace. I am asking in all languages and throughout all time lines and so it is.

FREE Live Show Appearances

YOU WEALTH REVOLUTION hosted by Darius Barazandeh New Energy, New You™! LIVE INTERVIEW NEXT THURSDAY MAY 13th at 4pm ET/1pm PT Taking LIVE callers! >>> Sign Up Here! New Season Happening Now! It's the biggest energy healing event of the year - best of all it’s FREE from your home!

FREE TO REGISTER and Grab Your Gift ($67 Value) The incredible new Soul Spa 2.0™ and 741 Hz download which works to cleanse your aura and release toxic stress, worry and old anchors.

As you know by now, I will not be returning to our weekly Jimmy Mack Healing Radio show in 2021. We will of course be guest or co-hosting on other shows on occasion. So stay tuned to this section of TGIW as a variety of future show line ups will be posted!

Watch and listen to hundreds of Radio Show replays for FREE here in the archives: https://thejimmymackhealingshow.com/

May MySwitchWorks Zoom Event

This month’s Zoom event will be all about Mental Health. So prepare to join us on Wednesday May 26th at 7:30pm ET Stay tuned to this section for more details and links, in the meantime, check out our library of offerings from a long list of past Zoom events by clicking here. It's all SO worth it each month when we get emails like this one: "Hi Jimmy & team, I just wanted to express my gratitude for this recent Family healing zoom/audio. I have noticed powerful healing within, especially my emotional & mental bodies maturing. I had previously worked on my inner self so much that I thought I was healed, but this audio showed me it was buried deep & now healing rapidly. Many thanks." - Caroline D.

From the Fish Box

"Hi Jimmy I am grateful for being divinely guided to connect with you. I love the simplicity yet powerful effects of the fish symbol that you received from divine. When I saw you on the Practical Magic Season 2 interview I was very interested in the healings you do as it was from divine. That particular night I saw the fish symbol on my kitchen bench as I was cleaning up so I felt divinely guided to work with you. I am in the process of working through many of your wonderful YouTube meditations & most grateful for these. I have been working on my inner self for a while now & still waiting for my money to change for the better. So unable to purchase any sessions just yet." - Caroline /Australia

Book A Session in Tampa

SWANN HOLISTIC HEALTH SOLUTIONS

Jimmy Mack will be offering sessions at Dr. Charla Tempone’s office at Swann Holistic Health Solutions The next opportunity to see Jimmy at Charla's Tampa office is: FRIDAY MAY 21st from 10-4pm NOTE: previous April date was rescheduled and moved to May

403 S. Habana Ave. Tampa, FL 33609 Just south of Azeele next to Skin Savvy http://www.ctholisticsolutions.com

Please call their office directly at ☎️ (813) 873-7773 in order to get on the schedule for 15-minutes $38 or 30-minutes $68. If you’re new to working with me, I suggest you schedule 30 minutes.

Fish Food

The Daily Bread To Feed The Fish

Tell the Fish - 365 Daily Inspirations and Affirmations - by Jimmy Mack MAY 5th "Today I will recognize the stillness, comfort, grace and ease in that which is unusual. I will remember that we are a part of the one; that all people, places and things are blended into one and I will endure."

Receive 24/7 Prayers from Jimmy

Nightly prayers include COVID-19. Each night we work on scrambling the frequency for everyone on the prayer list. Your name will be added to a special VIP Prayer list where Jimmy will use his intelligent computer software, src4you which runs 24/7, to delete the negative and increase the strength of the positive creating a higher probability of favorable outcomes for you.

In addition, throughout the full 30-days, Jimmy will be dialing into your energetic signature each day upon rising and make certain that you are a clear yes, unclear to no and running forward before you start your day. He is doing the heavy lifting for you around 3am NY time while most of you are asleep in order to smooth out your way and increase your most favorable life outcomes.

The 30-day service is now being offered exclusively and you also have the option of selecting an ongoing subscription ($95/month) which is managed through PayPal only.

Upon written email request, for each new order we offer a one-time email analysis via the intelligent healing software that Jimmy uses on your behalf. Most clients have had amazing results and outcomes!

You can add yourself and those living in your immediate household and yes you can include pets! Merely include everyone’s names and Jimmy will add them to his daily prayers.

You can run this monthly and stop at any time after the 30 days is up, you will have the opportunity to renew and update your list each month but are under no obligation. I believe you will experience magical transformations and make progress every day!

For those who aren't familiar, below is a list of the 30+ audios in the MyBeliefWorks series.... Find a topic that addresses your issue(s), click on the link to read more. We had a lot of help downloading & channeling these over the years & they keep getting better. Don't forget... you can share these with your immediate friends and family.

Receiving Abundance Freedom from Abuse Overcoming Addiction Body Scan: Head to Toe Healing Experiencing Bountiful Harvest Igniting Creative Spark *NEW* Discovering Your Destiny Daily GPS Reset Releasing Dark Energies/Fears Crossroads -Decision Making Diet & Exercise Support Education & Learning Support Healing Family Relationships Attracting a Financial Windfall Gold Coin: More Money in All Forms

Healing Body Disorders *20% OFF* Mental Stress Relieving Holiday Stress Increasing Intuition Easing IRS Stress & Taxes Finding Love & Romance Positive Money Mindset Moving Forward from Past Chronic Pain Relief Pet Healing Support Improving Sales & Success Improving Sex Improving Sleep Traveling with Ease Work & Career Success Weight Loss Support Restoring Youth & Vitality

**Can't See The Full Email? Click Here to View Online**

Go deep sea "fishing" with Jimmy!

Level 1 is open to ANYONE at anytime! Click here to watch the Mastery video playlist

The Certificate of Mastery Program includes 2 best-selling ebooks and 2 clearing audios plus written & video instructions, AND one-on-one time with Jimmy ALL for about the cost of a single 1-hr session! This online course is for anyone who is familiar with OR new to "fishing" and is ready to dive into the deep end & get results that are beyond the ordinary! It includes The Tackle Box & The Dowser's Handbook ebooks PLUS 2 MP3s "Clearing Dark Energies" & "Increasing Your Intuition" to help clear, strengthen and prepare your energy field for optimal “fishing” results. This is a work-at-your-own-pace curriculum that will TEACH & CLEAR you at the same time! In under 2wks you will be finished with the program and ready to fish on your own with greater results! Level II offers Practitioner Certification for those who qualify.

LEARN ABOUT CERTIFICATION HERE

TGIFunny

Forward

Jimmy Mack | Appointments Skype: Jimmy.Mack55 Clearwater Florida USA Book a 15 minute session Book a 30 minute session Book a 60 minute session Transformational Healing of Body, Mind & Spirit, People, Places, Pets & Situations! Access the My Liquid Fish™ Starter Kit (*Updated December 2020) Audio MP3 Downloads and books to improve your life! Get Certified in My Liquid Fish™Change Made Simple™ Watch Free Videos on YouTube Radio Show Archives Shop for Supplements http://www.jimmymackhealingshop.com www.jimmymackhealing.com Copyright ©1998-2021 All Rights Reserved

-------------------------------------------------- TGIW newsletter managed by: Sandy Bidinger Digital Marketing Specialist at SMBeConnected Solutions www.smbeconnected.com

Our mailing address is:

TGIWednesday News

Nothing feels more like stress than trading your time for money (unless it’s a lot of money!) If you’re doing great and making great money - then good for you! If you’re underemployed or unemployed, I am saying prayers that money in all forms finds you as you read this now. Your mental health is so vastly important, that it cannot be overlooked. Are you eating clean? Drinking over 50 oz of quality H2O each day? (think of Adam Sandler in the movie "The Water Boy" carrying that huge bucket of water) How about exercise? Hopefully Yoga, Thai Chi, Qi Gong and any other class that gets you moving! All of these have great impacts on your whole being especially your mental focus and can make a difference in how you handle work/job/career stress, kids, significant others, and bad or good fortune!. Treat yourself like you would a best friend and you won’t just survive through the latest pandemic/economic issue or political foible, you can and will thrive. Remember as I like to say, “make the rest of your life. the best of your life and make progress every day!” As we are delving into mental health awareness this whole month that includes our live Zoom event the last Wednesday May 26th and we're also highlighting 20% off the MyBeliefWorks for Healing Mental and Emotional Stressors MP3/PDF.

TGIWednesday Download

~ MENTAL STRESS & FOCUS~ I believe, think, know and feel that as I release the stress from my work/job/career, I reinvigorate mental focus. I know, when, where, how and why to treat myself like I would a friend and in so doing my mind sharpens. I am ready, willing and able to be fully present in the moment and when I am working, I am all in and the same goes for family, exercise and play! I am asking for all of this in all languages and throughout all time lines and so it is.

FREE Live Show Appearances

TOMORROW MAY 13th at 4pm ET/1pm PT Taking LIVE callers! YOU WEALTH REVOLUTION hosted by Darius Barazandeh New Energy, New You™! LIVE INTERVIEW Topic: Magical Mystical Atlantean Technology: Energetic Support to Discover Your Destiny It's the biggest energy healing event of the year - best of all it’s FREE from your home!

FREE TO REGISTER and Grab Your Gift ($67 Value) The incredible new Soul Spa 2.0™ and 741 Hz download which works to cleanse your aura and release toxic stress, worry and old anchors.

Free to Sign Up Here

Watch and listen to hundreds of Radio Show replays for FREE here in the archives: https://thejimmymackhealingshow.com/

May MySwitchWorks Zoom Event

This month’s Zoom event will be all about Mental Health. In this call we will release any and all blocks preventing you from having sound mental health. We have all suffered chaos, drama, upsets in childhood, relationships and abuse in many forms our whole lives and there is no time like the present to release these and download and shift switches for mental stability, balanced moods, brain chemistry, motivation enough to get the F@#%$^ off the couch! And the clarity to release any and all obsessions like the sky falling, the pandemic, political and religious judgement that’s keeping us stuck and circular. Now is the time to release the negative and download more positive and together by us being on a 30 minute call we can actually improve the next phase of our lives!!! Join us on Wednesday May 26th at 7:30pm ET Register Here for $22 https://calendly.com/jmh-calls/may-switches-event Includes live call access & replay.

REGISTRATION INSTRUCTIONS: Click on the date circled in BLUE. Look for the event time shown in YOUR time zone. SELECT THAT TIME & then click on the BLUE CONFIRM BUTTON then follow through & complete your payment.

From the Fish Box

"Last week’s clearing work on ‘family’ was exceptionally deep and powerful. The group felt like familiar souls coming together in a spirit of oneness to work on deep wounds of family and ancestral patterns. I’ve come to trust the content of the group’s introspective and insightful requests. It takes the pressure off covering all my bases for my own requests. It’s now a week later. I can feel the healing still in process and have a feeling this will continue, possibly until all these lifelong and past-life wounds are intrinsically healed. Immeasurable appreciation, gratitude, and love to Jimmy and team, and all of us participating in these monthly Wednesday healings." - Diane Linn

Book A Session in Tampa

SWANN HOLISTIC HEALTH SOLUTIONS

Jimmy Mack will be offering sessions at Dr. Charla Tempone’s office at Swann Holistic Health Solutions The next opportunity to see Jimmy at Charla's Tampa office is: NEXT FRIDAY MAY 21st from 10-4pm NOTE: previous April date was rescheduled and moved to May

403 S. Habana Ave. Tampa, FL 33609 Just south of Azeele next to Skin Savvy http://www.ctholisticsolutions.com

Please call their office directly at ☎️ (813) 873-7773 in order to get on the schedule for 15-minutes $38 or 30-minutes $68. If you’re new to working with me, I suggest you schedule 30 minutes.

Fish Food

The Daily Bread To Feed The Fish

Tell the Fish - 365 Daily Inspirations and Affirmations - by Jimmy Mack MAY 12th "Today I will remember that there can be a spider web effect on everything as I work on myself, my family, friends and peers can experience the profound. I will endeavor to be the best that I can working and making progress on myself so that I may be of a greater service to others."

Receive 24/7 Prayers from Jimmy

The 30-day service is now being offered exclusively and you also have the option of selecting an ongoing subscription ($95/month) which is managed through PayPal only.

You can add yourself and those living in your immediate household and yes you can include pets! Merely include everyone’s names and Jimmy will add them to his daily prayers.

**Can't See The Full Email? Click Here to View Online**

Go deep sea "fishing" with Jimmy!

Level 1 is open to ANYONE at anytime! Click here to watch the Mastery video playlist

LEARN ABOUT CERTIFICATION HERE

TGIFunny

Forward

-------------------------------------------------- TGIW newsletter managed by: Sandy Bidinger Digital Marketing Specialist at SMBeConnected Solutions www.smbeconnected.com

Our mailing address is: Clearwater Florida 33756 USA

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divinefishingtips · 4 years ago

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TGIWednesday and support for mental focus on work/job/career

TGIWednesday News

TGIWednesday Download

FREE Live Show Appearances

FREE TO REGISTER and Grab Your Gift ($67 Value) The incredible new Soul Spa 2.0™ and 741 Hz download which works to cleanse your aura and release toxic stress, worry and old anchors.

Watch and listen to hundreds of Radio Show replays for FREE here in the archives: https://thejimmymackhealingshow.com/

May MySwitchWorks Zoom Event

From the Fish Box

Book A Session in Tampa

SWANN HOLISTIC HEALTH SOLUTIONS

403 S. Habana Ave. Tampa, FL 33609 Just south of Azeele next to Skin Savvy http://www.ctholisticsolutions.com

Please call their office directly at ☎️ (813) 873-7773 in order to get on the schedule for 15-minutes $38 or 30-minutes $68. If you’re new to working with me, I suggest you schedule 30 minutes.

Fish Food

The Daily Bread To Feed The Fish

Receive 24/7 Prayers from Jimmy

The 30-day service is now being offered exclusively and you also have the option of selecting an ongoing subscription ($95/month) which is managed through PayPal only.

You can add yourself and those living in your immediate household and yes you can include pets! Merely include everyone’s names and Jimmy will add them to his daily prayers.

**Can't See The Full Email? Click Here to View Online**

Go deep sea "fishing" with Jimmy!

Level 1 is open to ANYONE at anytime! Click here to watch the Mastery video playlist

LEARN ABOUT CERTIFICATION HERE

TGIFunny

Forward

-------------------------------------------------- TGIW newsletter managed by: Sandy Bidinger Digital Marketing Specialist at SMBeConnected Solutions www.smbeconnected.com

Our mailing address is:

TGIWednesday News

TGIWednesday Download

FREE Live Show Appearances

FREE TO REGISTER and Grab Your Gift ($67 Value) The incredible new Soul Spa 2.0™ and 741 Hz download which works to cleanse your aura and release toxic stress, worry and old anchors.

Free to Sign Up Here

Watch and listen to hundreds of Radio Show replays for FREE here in the archives: https://thejimmymackhealingshow.com/

May MySwitchWorks Zoom Event

From the Fish Box

Book A Session in Tampa

SWANN HOLISTIC HEALTH SOLUTIONS

403 S. Habana Ave. Tampa, FL 33609 Just south of Azeele next to Skin Savvy http://www.ctholisticsolutions.com

Please call their office directly at ☎️ (813) 873-7773 in order to get on the schedule for 15-minutes $38 or 30-minutes $68. If you’re new to working with me, I suggest you schedule 30 minutes.

Fish Food

The Daily Bread To Feed The Fish

Receive 24/7 Prayers from Jimmy

The 30-day service is now being offered exclusively and you also have the option of selecting an ongoing subscription ($95/month) which is managed through PayPal only.

You can add yourself and those living in your immediate household and yes you can include pets! Merely include everyone’s names and Jimmy will add them to his daily prayers.

**Can't See The Full Email? Click Here to View Online**

Go deep sea "fishing" with Jimmy!

Level 1 is open to ANYONE at anytime! Click here to watch the Mastery video playlist

LEARN ABOUT CERTIFICATION HERE

TGIFunny

Forward

-------------------------------------------------- TGIW newsletter managed by: Sandy Bidinger Digital Marketing Specialist at SMBeConnected Solutions www.smbeconnected.com

Our mailing address is: Clearwater Florida 33756 USA

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365dailyaffirmations · 4 years ago

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TGIWednesday and support for mental focus on work/job/career

TGIWednesday News

TGIWednesday Download

FREE Live Show Appearances

FREE TO REGISTER and Grab Your Gift ($67 Value) The incredible new Soul Spa 2.0™ and 741 Hz download which works to cleanse your aura and release toxic stress, worry and old anchors.

Watch and listen to hundreds of Radio Show replays for FREE here in the archives: https://thejimmymackhealingshow.com/

May MySwitchWorks Zoom Event

From the Fish Box

Book A Session in Tampa

SWANN HOLISTIC HEALTH SOLUTIONS

403 S. Habana Ave. Tampa, FL 33609 Just south of Azeele next to Skin Savvy http://www.ctholisticsolutions.com

Please call their office directly at ☎️ (813) 873-7773 in order to get on the schedule for 15-minutes $38 or 30-minutes $68. If you’re new to working with me, I suggest you schedule 30 minutes.

Fish Food

The Daily Bread To Feed The Fish

Receive 24/7 Prayers from Jimmy

The 30-day service is now being offered exclusively and you also have the option of selecting an ongoing subscription ($95/month) which is managed through PayPal only.

You can add yourself and those living in your immediate household and yes you can include pets! Merely include everyone’s names and Jimmy will add them to his daily prayers.

**Can't See The Full Email? Click Here to View Online**

Go deep sea "fishing" with Jimmy!

Level 1 is open to ANYONE at anytime! Click here to watch the Mastery video playlist

LEARN ABOUT CERTIFICATION HERE

TGIFunny

Forward

-------------------------------------------------- TGIW newsletter managed by: Sandy Bidinger Digital Marketing Specialist at SMBeConnected Solutions www.smbeconnected.com

Our mailing address is:

TGIWednesday News

TGIWednesday Download

FREE Live Show Appearances

FREE TO REGISTER and Grab Your Gift ($67 Value) The incredible new Soul Spa 2.0™ and 741 Hz download which works to cleanse your aura and release toxic stress, worry and old anchors.

Free to Sign Up Here

Watch and listen to hundreds of Radio Show replays for FREE here in the archives: https://thejimmymackhealingshow.com/

May MySwitchWorks Zoom Event

From the Fish Box

Book A Session in Tampa

SWANN HOLISTIC HEALTH SOLUTIONS

403 S. Habana Ave. Tampa, FL 33609 Just south of Azeele next to Skin Savvy http://www.ctholisticsolutions.com

Please call their office directly at ☎️ (813) 873-7773 in order to get on the schedule for 15-minutes $38 or 30-minutes $68. If you’re new to working with me, I suggest you schedule 30 minutes.

Fish Food

The Daily Bread To Feed The Fish

Receive 24/7 Prayers from Jimmy

The 30-day service is now being offered exclusively and you also have the option of selecting an ongoing subscription ($95/month) which is managed through PayPal only.

You can add yourself and those living in your immediate household and yes you can include pets! Merely include everyone’s names and Jimmy will add them to his daily prayers.

**Can't See The Full Email? Click Here to View Online**

Go deep sea "fishing" with Jimmy!

Level 1 is open to ANYONE at anytime! Click here to watch the Mastery video playlist

LEARN ABOUT CERTIFICATION HERE

TGIFunny

Forward

-------------------------------------------------- TGIW newsletter managed by: Sandy Bidinger Digital Marketing Specialist at SMBeConnected Solutions www.smbeconnected.com

Our mailing address is: Clearwater Florida 33756 USA

0 notes

advancedthetapractitioner · 4 years ago

Text

TGIWednesday and support for mental focus on work/job/career

TGIWednesday News

TGIWednesday Download

FREE Live Show Appearances

FREE TO REGISTER and Grab Your Gift ($67 Value) The incredible new Soul Spa 2.0™ and 741 Hz download which works to cleanse your aura and release toxic stress, worry and old anchors.

Watch and listen to hundreds of Radio Show replays for FREE here in the archives: https://thejimmymackhealingshow.com/

May MySwitchWorks Zoom Event

From the Fish Box

Book A Session in Tampa

SWANN HOLISTIC HEALTH SOLUTIONS

403 S. Habana Ave. Tampa, FL 33609 Just south of Azeele next to Skin Savvy http://www.ctholisticsolutions.com

Please call their office directly at ☎️ (813) 873-7773 in order to get on the schedule for 15-minutes $38 or 30-minutes $68. If you’re new to working with me, I suggest you schedule 30 minutes.

Fish Food

The Daily Bread To Feed The Fish

Receive 24/7 Prayers from Jimmy

The 30-day service is now being offered exclusively and you also have the option of selecting an ongoing subscription ($95/month) which is managed through PayPal only.

You can add yourself and those living in your immediate household and yes you can include pets! Merely include everyone’s names and Jimmy will add them to his daily prayers.

**Can't See The Full Email? Click Here to View Online**

Go deep sea "fishing" with Jimmy!

Level 1 is open to ANYONE at anytime! Click here to watch the Mastery video playlist

LEARN ABOUT CERTIFICATION HERE

TGIFunny

Forward

-------------------------------------------------- TGIW newsletter managed by: Sandy Bidinger Digital Marketing Specialist at SMBeConnected Solutions www.smbeconnected.com

Our mailing address is:

TGIWednesday News

TGIWednesday Download

FREE Live Show Appearances

FREE TO REGISTER and Grab Your Gift ($67 Value) The incredible new Soul Spa 2.0™ and 741 Hz download which works to cleanse your aura and release toxic stress, worry and old anchors.

Free to Sign Up Here

Watch and listen to hundreds of Radio Show replays for FREE here in the archives: https://thejimmymackhealingshow.com/

May MySwitchWorks Zoom Event

From the Fish Box

Book A Session in Tampa

SWANN HOLISTIC HEALTH SOLUTIONS

403 S. Habana Ave. Tampa, FL 33609 Just south of Azeele next to Skin Savvy http://www.ctholisticsolutions.com

Please call their office directly at ☎️ (813) 873-7773 in order to get on the schedule for 15-minutes $38 or 30-minutes $68. If you’re new to working with me, I suggest you schedule 30 minutes.

Fish Food

The Daily Bread To Feed The Fish

Receive 24/7 Prayers from Jimmy

The 30-day service is now being offered exclusively and you also have the option of selecting an ongoing subscription ($95/month) which is managed through PayPal only.

You can add yourself and those living in your immediate household and yes you can include pets! Merely include everyone’s names and Jimmy will add them to his daily prayers.

**Can't See The Full Email? Click Here to View Online**

Go deep sea "fishing" with Jimmy!

Level 1 is open to ANYONE at anytime! Click here to watch the Mastery video playlist

LEARN ABOUT CERTIFICATION HERE

TGIFunny

Forward

-------------------------------------------------- TGIW newsletter managed by: Sandy Bidinger Digital Marketing Specialist at SMBeConnected Solutions www.smbeconnected.com

Our mailing address is: Clearwater Florida 33756 USA

0 notes

wesleybates · 4 years ago

Text

Google Maps Marketing: A Definitive Guide

With all the cool apps that Google puts out each year, everyone is bound to have a few in their list of favourites. For me, Google Maps tops that list. Of course, there are tough contenders for that spot. Especially these days when Google’s apps are backed by their extraordinary machine learning expertise. Still, nothing beats the results that Maps offers thanks to the countless hours spent by Google on refining and improving it.

Imagine what we all would do if we didn’t have Google’s omnipresent GPS data to guide us. Probably drive off route for hours because the huge folding paper map showed a road which clearly turned out to lead to a cliff edge. Hands down, Maps is the best tool Google has given to the world. It can even tell you how to avoid paying tolls, remember where you parked, check out ski runs and much more. For the people who get lost easily, stop it, use a map: Google Maps.

Despite my obvious admiration for Maps, it is not just a tool that is a substitute for primitive atlases or paper maps. In fact, Google Maps has become one of the mightiest marketing tools for business. A lot of you might be wondering, Wait what? How?.

Yes, it is true and it is called Google Maps Marketing. This guide goes in detail through the whats and hows of Google Maps Marketing. For marketers new to the concept, you’ll get to find out all the tips and tricks related to Google Maps marketing, while seasoned marketing specialists might also learn a thing or two. Let’s start off with the basic question:

What Is Google Maps Marketing?

For a layman, Google Maps Marketing means making your business easier to find when someone searches for you or businesses similar to yours. In a broader sense, Google Maps Marketing involves the understanding of proximity-based Maps results, local SEO marketing, optimizing Google My Business listings and so on, to rank a business higher than its competitors in a geographical area. As with every other marketing strategy, the aim of Google Maps Marketing is to bring more customers to your business.

While it can work wonders for large businesses, it is almost indispensable for smaller businesses. And, it’s not just about visibility. If you are careful and precise, then it can become an integral part of your digital marketing strategy.

Why Market On Google Maps?

This is an easy question to answer. It is estimated that Google processes nearly 70,000 search queries every second. That adds up to 2 trillion searches per year.

There are more than 1 billion active monthly users of Google Maps, with more than half of them being mobile users.

Here is something equally astounding, 76% of the people that search for a local business on Maps, end up visiting their store or website.

To top it all off, when the correct procedures for Google Maps Marketing are adhered to, Google pushes your businesses to thousands of potential customers through Google Maps. On the flip side, your chance of being found is exponentially lower if you haven’t employed Google Maps Marketing or have a weak strategy.

Conclusively, it is absolutely essential to market your business on Google Maps.

Ranking On Google Maps

If you are familiar with SEO, ranking in Google Maps refers to your position in the Google Maps results page. As already discussed, the highest rank on Google Maps is the ultimate goal for a business exploring Google Maps Marketing.

There are two types of search results where your business can rank. Here is a brief introduction to both.

Proximity-based Search Results

Proximity-based search results show up when a user searches for a specific type of business on Google Maps. Naturally, these results identify businesses that are closer to you or hold prominence due to a variety of ranking factors;, more on that later.

These searches are more common on mobile phones with location data enabled for efficient proximity-based results. Here is a screenshot of what this looks like.

You may also have noticed that while typing your search, Google Suggest prompts you with the search term ‘near me’ at the end of your specified search. Here is a screenshot of the suggestion and the search results that are obtained after accepting the suggestion.

To an imaginative person, it would seem like Google is almost pushing nearby businesses. On the other hand, it also shows the importance of getting ranked in proximity search results.

Ranked Locational Search Results

If you are like me, you might not always have location data enabled or you might want to find a business by a location in some other part of the world. Let’s suppose you were searching for the best steak joints in New York City. Here are the results you will get.

Notice how certain businesses will be ranked better than the others despite proximity not being the prime variable. These are what I call ranked locational Google Maps results and the factors that determine this ranking form the basis of ‘marketing’ in Google Maps Marketing.

So, you might be wondering what variables determine Google Maps to rank one business higher than the other in proximity-based or locational based results. Well, the answer lies primarily in the optimisation of your Google My Business listing and a few other criteria.

Google My Business

Google My Business, formerly known as Google Places is a free online tool that lets you create a business listing that appears in Google search results. Creating this list serves two purposes. Firstly, it lets Google know that your business exists. Secondly, it enables searchers to find the information they are looking for like business addresses, operating hours, and customer ratings and reviews.

For local business owners, a Google My Business listing will play a crucial part in driving customers through your doors. Listing your business in Google My Business is essential if you want customers to find you online. Below are some of the ways that customers will be able to find you.

Google My Business Panel

The Google Maps Pack

The Generic Google Maps Results

Creation And Optimisation Of Google My Business Listing

This section will cover a step-by-step guide on how to create a Google My Business Listing and optimise it from the start so that customers can easily find you when they search for your services or products. So, let’s jump right into it.

Step #1: Create A Google Account

This step is super quick and it is free. If you already have a Google account, just log in. If you don’t have a Google account, you are going to need to create one to manage your listing. For that, go to Google.com and click on the ‘Sign In’ button on the top right-hand side. Then click on the ‘Create Account’ link. In the drop-down, choose the ‘To manage my business’ option.

Now you will be required to enter your personal details. You can opt to create a completely new email address for your business or if you already have an address, you can use that. To use an existing email address, click on ‘Use my current email address instead’ and paste in the address. I suggest you use this option to avoid the hassle of having multiple email addresses. Finally, create a password and click ‘Next’.

Now you will be required to verify your email address to move forward. Then, you will be required to add some more personal information like your phone number, date of birth and gender. After filling this information click on ‘Next’. On the new page, click on the check boxes at the bottom of the page to agree to Google’s Terms and Conditions and then click on ‘Confirm’ and you are done.

Step #2: Check If Your Business Already Exists On Google

Even if you haven’t created a Google My Business listing, there is a possibility that your business already exists in Google. This is highly possible if you have been operating for many years. It is important to check if this is the case, otherwise, there is a risk that you might end up with two listings for the same business which could be problematic later on. The easiest way to do this is go to Google and search for the following combinations:

Your business name and your location, as can be seen below

Your business address

Your business phone number.

Try these combinations in both Google search and Google Maps. After searching these combinations, there are three scenarios that you will be faced with.

1. No Listing

This is the ideal scenario where no results come up for your business i.e., your listing has not been created yet and you can safely create the listing.

2. Listing Unclaimed

Your business is already listed, but is unclaimed as shown in the image below. You can tell if the business is unclaimed if you see a link that says ‘Own this business?’ under its details. You can claim this business easily by clicking on this link and following the same procedure that is used for creating a new listing, which we will cover in step #3.

3. Listing Already Claimed

Your business has already been claimed, let’s say by a former employee. In this case, try reaching out to them and ask them to transfer the ownership of that listing to you. If that fails, you can go through the Google My Business ownership request as described on this page.

Step #3: Create Your Listing

Now it’s time to create your listing. If your business is not already listed on Google, go over to this link and click on the blue button ‘Manage now’. Click on ‘Add your business to Google’ and follow the steps as described in the following chart. For more information, contact our Local SEO agency.

Step #4: Optimise Your Listing

While you are waiting for your postcard verification to turn up, I strongly suggest you optimise your listing to hit the ground running as soon as your listing is published on Google. Here is how you can do that.

Sign in to your Google My Business account using this link. On the dashboard, click the ‘Info’ option on the left-hand side menu. Here you will get a recap of the information you added while creating your listing. You can modify any section by clicking on the pencil icon next to an option. Now follow this checklist.

Make sure you are using the correct name for your business without any additional information like keywords, business location etc.

Make sure your primary category is correct. Use additional secondary categories that you think are relevant to your business.

If you deliver to customers, make sure you have added your service areas.

Add your business hours and don’t forget to add what Google calls ‘Special Hours’ which cover holidays or days where your operating hours might change.

If you haven’t added a website, add one now. If your business relies on appointments, make sure to add the link to your contacts page or your calendar.

In the services option, describe what services you offer in detail up to 1000 characters. This option will only display in Google Maps app.

If you offer things like wheelchair access, restroom etc, be sure to select them in the attributes section.

Make sure to add a business description of up to 750 characters. Don’t use this space to add a lot of keywords, links or hashtags as it will not help you rank. Instead, use this space to tell people about your business and why they should consider visiting you.

Add the date your business opened.

A picture is worth a thousand words and that is so true for your Google My Business listing. Bring your listing to life by adding photos consisting of your logo, the interior and exterior design and your team members. I also recommend that you add relevant videos to your listing.

After following this checklist, your profile will be 100% complete. Now all that remains is the postcard verification. Congratulations, your business listing is complete and optimised.

Some Additional Tips For An Efficient Business Listing

Have The Right Business Name

Make sure that your business name is a true representation of how your business is seen in the real world. Many local businesses add keywords to their business names to rank higher in Google Maps. This does not work.

As an example, if your business name is Pam’s beauty salon and you are located in Nottingham, then you should add ‘Pam’s beauty salon’ in the listing rather than ‘Pam’s beauty salon Nottingham’. Google’s guidelines also prohibit including unnecessary information which could result in your listing getting suspended.

Optimise Your Business Address

A correct business address is necessary for ranking on Google Maps. Many businesses do this wrongly. Make sure that your business address is the one used by your local postal service.

This includes the room, floor, office number or anything that makes your business easier to find. Be sure to correct errors in formatting or extra spaces, as these will interfere with your ranking.

Specify Service Areas

While selecting your service areas, be sure to specify each area as fully and as clearly as you can. Specify nearby cities or towns that you serve. Also include geographic radius.

Optimise Your Business Categories

Selecting the right primary category for your business is a really crucial step. Google Business categories are very important ranking factors when it comes to showing your business in Google search results. It tells Google exactly what your business is about and it will be visible on your listing.

There are many categories to choose from and picking the wrong one will be detrimental to the traffic your site will get in Google search results. So, choose wisely.

Get A Free Website

If you don’t have a business website, Google also gives you the ability to create a free business one, based on your information, which you can access and modify through Google My Business later on.

Complete Your Business Profile

From the dashboard, you can see how complete your profile is. The more complete your profile, the easier it will be for searchers to find you. A completed profile also ranks higher than a half-completed profile.

What Can Advertising Do For You?

In addition to creating an optimised business listing, Google also gives you the ability to run local search ads.

This paid service can help you appear at the top of Google search page whenever someone searches for a service that is relevant to yours.

For businesses that can’t wait for organic traffic to come in, local search ads are a fast way to bring in customers. If you need help with running these ads, try Website Developers in Silverthorne, CO.

Many businesses have found success through efficient local search ads on Google; they complement organic ranking efforts.

How To Track Your Google Maps Marketing Performance

You can always track how well you are doing on Google Maps by taking a look at the analytics offered by your Google My Business account. Following are the metrics that you should pay close attention to or optimise for better performance.

Pay close attention to the type of searches that direct customers to your website. This will give you information on how users are finding your business i.e either via your business name or keywords relevant to your brand, services or location.

It is also important to know where customers view your business on Google. Is it through general search or map listings? Focusing on getting traction for one of these two will help with better customer response.

The ‘customer actions’ graph will show you what actions customers take when they come across your business listing i.e., visit your website, call your number or message you. For successful business performance, do work on customer engagements and interactions.

You will also get to know how well your photos and videos are doing, see how many times they have been viewed compared to your competitors.

Final Words

Google Maps marketing is a continuous process. You can just create a listing and forget about it. If you do that, you will start receiving negative reviews within a couple of months.

If you keep your information up to date, your reviews will be positive.

And do remain patient while the Google genies weave their magic on your behalf. If you are looking for help with your Local SEO, contact our team of experts.

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caraelii-blog · 7 years ago

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Ask Dr. NerdLove: Help, My Girlfriend Is An Alcoholic

Hello all you interweb heartbubbles of desire, and welcome to Ask Dr. NerdLove, the official dating advice column of The New Donk Times.

This week, we’re going to be talking about handling the hard questions in a relationship. When your partner is struggling with an addiction that’s out of their control, how long can you continue to support them? At what point are you just enabling their addictions? And when do you reach the point where you have to accept that you have to save yourself first?

It’s time to dig in for some radical self-care.

Let’s do this.

Hey Doc,

First, just want to thank you for all that you do and have written. You provide solid advice and even though I’ve generally not been in similar situations, I’ve gotten a good read and had some introspection from your articles. That’s the only reason I even feel remotely okay about giving this a shot.

I have been dating my current girlfriend just over one year now. We met on a dating site, but things generally moved very fast. Two months into our relationship, and on Christmas night no less, my girlfriend was diagnosed with stage one cervical cancer. It was detected very early and was treatable with a procedure and a little bit of chemo. She moved in about a month and half after the diagnosis, as we were originally about 2 hours apart with me making frequent trips to see her. The cancer definitely sped things up.

I am not normally a fast moving person with relationships, but what can I say... I love the girl.

I’ve always considered myself to be “good” at relationships. Far from being a serial monogamist, I’ve only been in 3 serious relationships in my 32 years and fewer flings or other not-serious things. I value communication, do my best to be very open and honest about things and put a priority on the ‘us’. I hold my temper to make sure that when I speak, it’s not out of anger or bitterness but to always benefit and reach a positive outcome. I consider myself understanding and forgiving and patient, knowing things aren’t going to fix themselves overnight and without work and effort.

Our relationship is great. Except for one glaring problem that threatens everything. She’s an alcoholic.

I didn’t realize it immediately. One day, just after her diagnosis, I picked up on it as she had - and I don’t blame her - got pretty drunk. When I visited, the same conversation happened 6 or 7 times as she kept going in a circle. All things considered, I paid little note of it at the time.

Fast forward, and I see more of it. We go out for our first Valentine’s and she gets trashed at a bar, stumbling through the place, slurred words, unable to stand.

Another night of heavy drinking for her results in some rather harsh and nasty comments and a fight that I bite my tongue through. We talk about it in the morning, she’s apologetic, but doesn’t remember the details but says she’ll do better.

There are two or three more of these, each time we talk in the morning and I bring up the problem of her drinking. She says it’s better than what she used to do. It’s better than what she could be doing. She admits to being an alcoholic. Promises to work on it.

One night she comes home drunk. Falls more than once. Trips going up the stairs. Falls off the toilet. Falls off the bed. Wets the bed.

We talk in the morning. It’s more productive. She works on it more, trying to balance alcohol without it just taking over. Her job is bad - bartender. But she tries. Still usually a drink after work on the house. Sometimes at 2pm.

She gets a better job. She’s happier. I start a new schedule, working early mornings at 5 AM. We’re each in the food industry. She closes.

Fast forward, she keeps working on it. Yet, after work her habit is to stop at the 711 and pick up 2 or 3 19-22oz beers. They’ll be gone that night. If she’s having a bad day, a ‘tall boy’ is the solution. 10am? Sure.

I’ve pointed all this out - she just wants a beer or two to relax, yet the bad memories of the past fights keep coming back and then the more present issue: at least twice a month she wets the bed. Originally she blamed it on the cancer and the procedure - I understood. I accepted it somehow. But the more it went on the more it became clear that it’s related to drinking. It’s... hard to talk about, to not embarrass her about it when I know she wakes up equally frustrated as I do.

When drinking, she snores hard, frequently waking me up and making it very hard to go back to sleep, even after I go to the couch. This affects my work in the morning, and as a tipped employee it can be noticeable. Ask Girls Questions And then I can’t even nap when I get home because the bed has piss in it. If I were bringing in two or three times the amount of money she does it wouldn’t be as much of an issue but I’m essentially supporting us right now. I don’t even know how much she spends on beer for herself a month.

She says it’s not as bad as months ago when it lead to fights and her stumbling and falling around. But less than a month ago she, at 1am, was out walking in a not good part a neighborhood that is already riddled with crime and drugs. She saw no problem with this when she was drunk and was offended when I came and found her.

When we’ve talked, I’ve told her how it makes me feel - how it makes me worry, not just when she’s out drinking with friends - but for her legitimate health and safety. I’ve done my best to not be a hypocrite - I love a good drink and would say that I drink above average. I may on occasion drink a beer right after work at 1 or 2pm, so when she does it I end up not saying anything because I don’t want to be a hypocritical jackass. I have both a higher tolerance and a disdain for ever getting drunk.

What I do know is that her drinking puts me off. It turns me off, and the numerous sleepless nights and the worries and stresses associated with it have beaten me down. When she starts day drinking I usually end up not saying anything and just defaulting to a defensive mode where I distance myself. We have talked about that and I’ve been working on my reaction to her drinking. But this last month has hit me very emotionally hard with a death in the family and I’ve been having my own struggles.

With her drinking so much I can’t even find it in me to talk to her about my shit let alone her shit, and now there is a noticeable distance forming. I was going to push to talk with her last night but ... Lo and behold, 11:30pm she gets home from work and at 11:31 she has a beer. 3am she comes to bed. Before 5 it’s wet for the 4th time this month.

I don’t know how to communicate to her that she is poisoning both herself and everything in her life. The worst part is that she thinks she’s doing better. But I don’t understand how 60oz of beer 4 or 5 times a week is better. There’s just no fighting now.

I love her. When she’s sober and inspired she shines in a rare and beautiful way. But when she drinks it’s like some mimic has taken her place. I’m angered, tired, frustrated, worried and just not sure how to proceed. I’m afraid that I’m just going to end up doing something bitter or spiteful or mean out of just being so tired and stressed upon her cracking a beer open before I talk to her about it. I don’t want to be bitter towards her. I don’t want this relationship to end because of an addiction. And I don’t want to wake up in her piss anymore.

Sincerely,Getting Pissy

Alright, it’s time for some hard truths, GP. Your relationship isn’t great. Your relationship is, quite frankly, going down hill at a breakneck pace and the only question that’s left is whether someone’s going to hit the emergency brakes or it’s going to go careening into a wall… and whether you’re going to be there when it does.

You set yourself up for dating on nightmare mode difficulty, GP, even before the alcohol came into play. Being in a relationship with someone while they’re dealing with a potentially life-threatening illness, even when it’s been caught early, is going to test even the strongest relationships. But this cropped up when you two had just barely started dating… and that’s where the trouble began. Relationships that begin in dramatic situations are rarely the most stable, and yours began in one of the most dramatic situations possible.

As a result: you and your sweetie rushed through things into commitment and… well, quite frankly, under different circumstances I think this relationship might never have happened at all. If the cancer diagnosis hadn’t cropped up, I suspect that you would’ve discovered her alcoholism far sooner. And if you had? Well, something tells me the result would’ve been hey, peace out cub scout, have a nice life, call me after you get sober.

But you didn’t. And to be quite honest, I think the “my girlfriend had cancer” issue is part of why you’re sticking around, in its way.

At first, it’s an understandable thing: she’s going through an insanely difficult time and yeah, I’d probably drink too. I’ve got several friends who dealt with cancer diagnoses in the last few years and there’s not a one of them I’d begrudge a liquid opportunity to just not think about it for a while.

But then, as you said, you can’t pretend it’s cancer any more. It’s a different disease entirely. But you helped nurse her through cancer. There’s almost certainly that part of you that thinks you can help her through this too. But here’s the thing: you can’t. You aren’t qualified to help her, not in the way she needs. You’re not an addiction specialist. You’re not trained in counseling or recovery assistance. And, to be perfectly blunt, she doesn’t want to get help yet.

I’m not the biggest fan of Alcoholics Anonymous for a multitude of reasons, but there’s one thing that they say that I (kind of) agree with: you can’t force someone to get help before they’re ready. I don’t think she needs to hit rock bottom (and I’d think regularly-drunk-to-the-point-of-incontinence would be near as dammit) but I definitely don’t think she’s ready to admit that this is a problem she needs to deal with.

But then again… neither are you. It’s admirable that you care so much for her. It says a lot about you as a person that you’ve held on this long. But it’s an inescapable fact that she’s not your girlfriend, she’s your anchor and she’s dragging you down with her.

Now, I get it. You love her and when she’s sober, things are great. But not only is she almost never sober from what you’re telling me, but you’re so busy dealing with her messes that your own life is falling apart. You’re the only thing keeping the two of you afloat financially right now; how long can you maintain that with the way things are going?

How many more sleepless nights, how much more unprocessed emotional stress, how many more weeks of not being able to deal with the death in your family can you make it through before you lose that last finger-grip that’s holding everything together? Because that day is coming.

There’s a reason why we’re told to adjust our own oxygen masks before helping others with theirs.

Don’t get me wrong: I know damn good and well how hard it is to acknowledge that your relationship is fucked. I know you don’t want to be the guy who left his Girlfriend With Cancer, his Girlfriend With the Alcohol Problem. You want to hold on to the belief that you can beat this, that you can pull her to sobriety and bring back that amazing, shining woman you catch glimpses of. But you can’t. Only she can do that. And she. Does. Not. Want. To.

She’s sinking, man. And she’s going to take her with you if you don’t let go.

I know. I know already that you don’t want to hear this and that you’re not going to let go yet. I know you’re going to try again. And if you’re going to do that, then you can make it an ultimatum. You can tell her that if she doesn’t go to rehab or get into addiction counseling that you’re breaking up. And she may very well go. For a while.

And then she’s going to be “recovered”. Until the first drink again because hey, she’s got this under control. And then the second because come on, she’s had a bad day. And then the third because well she’s a bartender, she’s got to, you know? And then you’re going to wake up in a bed full of piss again.

Find a support group for spouses and loved ones of alcoholics, because you’re going to need that support. You’re going to need people who can tell you that you can’t be responsible for someone else’s sobriety and recovery.

But I’m not going to sugar-coat it. You need to get out. You can’t save her, dude. What you need to do right now is save yourself. And who knows. Maybe knowing that her drinking drove you away will be the kick in the ass that she needs to get sober.

This doesn’t have to be forever. You can circle back around when she reaches her one year or two year sobriety anniversary. But right now? You need to get the fuck out. To quote the sage: you may love her, yeah. But you need to love you more.

Good luck. And write back to let us know how you’re doing.

Hello Mr. O’Malley,

I really enjoy your love advice and it has helped me through a bunch of heartache. I also have been to one of your seminars in Austin and you were amazing. If I come across a puzzling problem in my relationship I usually turn to your advice and it helps a great deal.

Recently though I have hit a wall with my current boyfriend. We have been dating for two years and things have been going great, he is a very ambitious, supportive and we make a good team. But earlier this year he had to experience the trauma of one of his siblings passing away in a tragic way. Understandably he became distant and tried as I might I could not comfort him. He told me that there wasn’t any way I could understand him and he was right, what could I do?

Any kind of positive talks from me only made him upset, so I left him alone for a while. Not long after he became close with a former “friend” (they used to mess around before we dated) and they started hanging out quite a bit. I don’t have a problem with him hanging with his female friends and I’m usually involved, but he would seem to go out of his way to exclude me when they hung out which isn’t like him, and it rubbed me the wrong way.

When I confronted him about it he admitted that she had a similar incident happen recently and he feels that she can actually relate to him. He doesn’t tell me about their meetings because he knows I’ll be uncomfortable. Hearing this felt awful.

I feel the problem is me and my insecurities ,which I am working through,are getting the better of me, she gives him comfort where I have failed. He says he loves me and loves her also but only as a friend and that he can be trusted. He now lets me know if they are hanging out when I ask but still sketchy things happen from time to time. The grieving process is a long painful journey and I can’t imagine what he is going through, but I am afraid of something more than a friendship blossoming between them. I love him but is there nothing more I can do? Or am I hurting our relationship by looking way too much into their intentions?

-Anxious and Uncertain

One of the things that nobody tells you about death is how much it fucks with the living. When someone you love dies, it completely upends your life in ways you never expected. Things that were important to you are suddenly meaningless and things that you neglected become the most important thing in your world. I’ve had two relationships self-destruct because my girlfriend had a death in the family that made her reprioritize how badly she wanted to be in a relationship at that moment.

Grief is a motherfucker too. You will find yourself thinking and feeling the most fucked up thoughts in the lead up to someone dying and in the aftermath. You will get unbelievably pissed at people for the most innocuous and innocent of reasons. You will get fed up with the condolences, the “I’m so sorries”, the “you’re in my prayers” and “sending healing thoughts your way”. You will yell at people who really just want to try to comfort you but they can’t because we as a culture are so uncomfortable with death that we hide it away and don’t know how to handle it.

Here’s what’s going on with your boyfriend: he’s grieving. And there really is no roadmap for grief because nobody will ever be honest with you about just how much it’s going to fuck you over. Nobody warns you that you that the only truly honest moment about grief comes from a 20 year old television show about goddamn vampires. He’s frustrated and he’s angry with God and the universe and there is literally nowhere for his anger to go right now because there’s nothing to be done about it but let it pass in it’s own time. And as soon as he thinks he’s feeling ok, the loss of his sibling is going to hit him like a hammer and it’s all going to start over again.

And as much as you want to comfort him, you can’t. Not because of anything you’re doing wrong, but because there is no comfort to be had here. There’s just commiseration at how fucking unfair it is. And that’s where his ex-fuckbuddy comes in. She’s been there. She knows just how much this sucks and how he can’t really express how he’s feeling because how the in pluperfect hell are you supposed to tell your girlfriend about all the fucked up thoughts and emotions you’re feeling right now when you don’t fully understand them and you feel like the worst person in the world?

So yeah. He’s spending time with her because they’ve got this shared trauma and right now, he needs someone who gets it. There’s something akin to comfort to be had there, that knowledge of just how unfair the universe is now that it has this hole in it where their loved one used to be.

You can’t prevent him from developing feelings for someone - even if grief wasn’t a factor right now - but trying to monitor and regulate his relationships? That’s going to be a great way to blow up the relationship while you’re trying to save it.

If you love your boyfriend and you trust him, then you need to trust him. It sounds like he’s been pretty up and up with you, especially after you told him your concerns.

Just as importantly: be there. You may not have the same understanding he’s looking for but that doesn’t mean that you can’t be there for him. Be the person he can go to without needing to say anything because I can tell you from experience: there will be many, many times when the last thing he wants is more words.

He’s going to need someone who can just hold him and who he can finally just let it all out when he’s ready. He’s going to need someone who can listen when all that grief comes pouring out of him and who, without saying a word, can wrap him in her arms until the sobbing stops.

That’s what you can do for him right now. Good luck.

Dear Dr. NerdLove,

Long time follower of your column here. You’re the love expert in my book, so maybe you can help me figure out my non-existent love life.

You see, I’m a girl and ever since I was a kid, I figured I was gay. As a 6-year-old, I loved to be dressed as a boy, I was a tomboy and I wanted to hold hands with girls and hang out with the other guys. At that age, you might file it under ‘just a tomboy phase’ and I certainly didn’t think much of it as a young person because I didn’t understand the technicalities of being gay back then and it certainly didn’t affect my life, what with being in school and stuff.

As I got older, I realized I was physically attracted to girls. I am ok looking, I’d say, so whenever I got some sort of attention from guys, I felt repulsed and a bit offended. I always figured I’d be interested in a guy if he was incredibly good looking and incredibly interesting. Super shallow stuff, I know.

But in the meantime, I kept ogling girls in secret. My mother has low-key commented that being gay is not something she’d be absolutely fine with but she’d understand. My father, though, would absolutely hate it with a deep passion. So I’ve been “in the closet” my entire life.

I’m entering my 30s now and I’ve never kissed, dated or interacted with another human being in a romantic way. Mostly because I’m insecure as to what I want and how it would affect my life and mostly my family. I do get lonely from time to time but I think as of today, I am perfectly comfortable being alone and I’m used to it to the point where I NEED to be by myself at least for a few hours of the day to feel ok.

Here’s my dilemma though: As of late, I have trouble differentiating between attraction and friendship with girls. I hate to ruin the way I interact with a friend because I can’t tell the difference.

Guys? I see them as equals and while, hate to admit it, I would love to get laid, I’m not sure if be comfortable with a guy because I’ve never ever been attracted to one! And how would it work with a girl? I mean, I know HOW but I’m not sure if that’s the route I want to take?

I’m very confused, if you haven’t gathered, and I don’t know what to do. This causes me to go into depressive moods every now and then but I’ve learned to live with them. I guess I do need help but I don’t know what kind of help if be looking for. Help me, please?

Sincerely,No Love, No life

On occasion, I’ll get a question that isn’t quite in my wheelhouse and I like to get advice from some friends of mine. In this case, I reached out to my friend and actual doctor, coach and psychologist Dr. Liz Powell of Sex-Positive Psych.

Here’s what she had to say:

It seems like there are a couple distinct issues here - insecurity/costs of being closeted and how to do dating/read signals. As to the former, it sounds like part of what might have been getting in the way of you dating, NLNL, is that part of you knows that serious dating will likely lead to a situation where you either a) pull the classic “she’s my roommate and best friend” trick or b) come clean and possibly have a big family blow up.

Being in the closet is really really taxing on the brain and heart because in essence, it requires that you pretend to be someone you’re not. That’s unlikely to ever get easier and as long as the possible family blow up is in the back of your mind it’s going to make opening yourself up to someone and sharing your heart with them much much harder. I would ask you to consider what it is that’s leading you to continue being closeted at this point in your life. Are you reliant on your dad for financial support? Could his anger/upset with you lead to violence or serious harm? Is there something significant that makes coming out unsafe for you?

I’m asking these questions because I know how scary this kind of situation can be. I first came out as bisexual/queer when I was 17. I told my mother shortly after I started the process of coming out and she threw a big screaming crying fit and then, the next day, it was like nothing had happened. I came out to her several times over the next few years before it finally stuck. The time it stuck, my mom threatened to disown me AND to divorce my dad if he didn’t do the same. 13 years later, my mom wished me a happy pride when I marched in the parade with my then partner who was genderqueer and AFAB. All this to say that people change. Even people who throw big fits and ask you if you have sex with trees or animals. So is staying closeted worth the stress it’s causing you?

As to the latter portion of your question, of COURSE it’s easier to interact with guys - there’s nothing at risk there. You talk about how to figure out if someone is a friend or if they want to date you, and I have a really challenging thing to recommend: ask. The thing I’ve noticed in communities of queer women (or people socialized as women) is that lots of people want to date, but no one wants to make the first move. I’ve heard this referred to as “lesbian sheep syndrome,” based off of the fable that when actual literal sheep are lesbians, they just stand there presenting themselves to each other and expecting the other to mount them. I’ve been back on OKCupid a week and while every cisgender guy and masculine of center person I’ve talked to has asked me for a meetup, none of the women or femme of center folks have. None. And I haven’t asked them for a meetup. We’re just chatting and flirting and waiting for someone else to broach the subject.

If what you want is to date, at some point you’re going to have to let the person you want to date KNOW that you want to date them. In a way, that involves coming out, at least to them, because otherwise all the queer hotties you’re talking to will have no idea that you want to date them. Sometimes we can’t know whether we want to date someone or be their friend until we give the dating a shot, so I would recommend that you go the route of just asking someone out. In the worst case scenario, they say no, you thank them, and then you go back to hanging out. If they say yes, then you can go on some dates with them. It sounds like you already have some important self-knowledge about what you need in a relationship when it comes to space and alone time, so keep that in mind if/when dating becomes more serious, but right now, you’re just going on a date. I know that the joke is that a lesbian brings a U-Haul to her second date, but really your relationship can move at whatever pace and with whatever kinds of commitment and time fits for you.

So go out there! Take some chances!

There you go, NLNL. Best thing you can do when it comes to figuring out if someone’s into you and wants a date: take your shot and see.

Good luck.

Have you had a relationship with someone with an addiction? Have you helped a partner going through a major loss or trauma? Share your thoughts and experiences in the comments. We’ll be back with more of your questions in two weeks.

Ask Dr. Nerdlove is Kotaku’s bi-weekly dating column, hosted by the one and only Harris O’Malley, AKA Dr. NerdLove. Got a question you’d like answered? [email protected] and put “Kotaku” in the subject line.

Harris O’Malley is a writer and dating coach who provides geek dating advice at his blogPaging Dr. NerdLove and the Dr. NerdLove podcast. His new dating guide New Game+: The Geek’s Guide to Love, Sex and Dating is out now from Amazon, iTunes and everywhere fine books are sold He is also a regular guest at One Of Us

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larrytcamp · 5 years ago

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‘My energy is back’: how testosterone replacement therapy is changing men’s lives

Men who feel tired or drained are often told it’s just a fact of life. But in some cases low testosterone is to blame, and there are treatments available

Dr Stefaan Vossen is the founder and clinical director of the Core clinic, an integrative health and wellness centre in Warwickshire. Aged 41, with five children and running a business employing 27 people, he found himself struggling with fatigue, weight gain, bursts of unexplained emotion and decreased libido for more than a year before seeking help.

“Despite my medical training, I bought into the cultural narrative that with a busy lifestyle, these symptoms are nothing more than normal ageing,” he says. A GP wrongly concluded that Vossen’s symptoms were just part and parcel of normal life. It was only after spending seven months fruitlessly doing more exercise, improving his diet and getting more sleep that Vossen sought a second opinion. “I had severely low testosterone,” he says. “I was producing about half the level I should have been.” Within three to four months of taking testosterone replacement therapy (TRT), Vossen was back to his old self.

“Clinical awareness of low testosterone is terrible,” he says. Once diagnosed, however, treatment is quick and simple: in the UK, TRT comes in the form of a cream or an injection, but it is not cheap, costing up to £28 a month.

Testosterone – often called the male sex hormone (although women also produce it in lower levels) – plays an important role in men’s physical and emotional wellbeing. It helps men maintain muscle and bone strength, sperm production and the desire to have sex.

Robbie Williams is probably the best-known case of low testosterone, after his wife, Ayda Field, revealed last year that when the singer had depression in his 30s, doctors found he had the testosterone levels of an 80-year-old man. TRT, apparently, made an instant difference to his energy levels, giving him a “new lease of life”.

But it is older men who are more commonly affected. With men, testosterone production peaks in their late 20s and, when they hit 30, it begins to decline by about 1% a year. As many as 10% of men aged 40 to 60 have low testosterone, increasing to one in five among those aged between 60 and 80. It increases again to 35% for those aged over 80.

Diagnosing low testosterone should be easy. It can be identified with a simple blood test, but the condition cannot be inferred from other tests: men have to know to ask for it or GPs need to suggest it. When 71-year-old Jim Morgan’s concentration started failing, his motivational drive began to wane and his interest in social situations drifted, he feared he was developing dementia – and so he did nothing. “I just wasn’t the same person, but what could I do, if it really was dementia?” he says. “My wife, Zoe, was pretty worried.” Then Morgan visited a doctor for an unrelated issue who thought to give him a blood test to check for low testosterone. To Morgan’s amazement, the test came back with a score of 7nmol/l. A normal testosterone range begins at 10nmol/l.

Morgan was prescribed TRT last summer, and says the effect was immediate. “My energy is back, my attention to detail, my drive,” he adds. “Zoe and I run two property businesses in two countries, and I’m back to working seven days a week on full throttle.”

Zoe is equally astonished by the ease of the test and the efficacy of the treatment. “But the extraordinary thing is that no one seems to know about low testosterone,” she says. “I now tell every man over 50 I meet that they should have their testosterone tested.”

Even when low testosterone does get picked up, there is the added problem that there is no national agreement about the level at which GPs or endocrinologists should start treatment. Dr Jeff Foster, who works at an NHS practice in Warwickshire as well as running private GP services and specialist men’s health clinics at Nuffield Health Warwickshire hospital, says the symptoms of low testosterone appear if the test shows less than 15nmol/l, but individual clinical commissioning groups, laboratories and endocrinologists often won’t treat men unless their level is below 6nmol/l. Treating anything over that, it is often thought, is a lifestyle choice.

“So we have got thousands of men walking round feeling rubbish who, even if they get their testosterone tested, are told they’re in the normal zone and can’t be treated,” he says. This matters because, if it is left untreated, low testosterone can result in osteoporosis, high cholesterol, raised blood pressure and mental health issues.

While age-related decline is the biggest cause of the condition, younger men can be affected, too: there is up to a 60% prevalence among obese men, a 47% prevalence among those with metabolic syndrome and a 45% prevalence among men with type 2 diabetes.

Men who are naturally at the upper range of normal testosterone production and who eat a healthy diet, exercise, limit their intake of alcohol, opiates and other prescribed medicines may never notice any symptoms of age-related testosterone decline. Those already at the lower end of normal, however, or who have other medical problems that reduce their testosterone production, will slowly begin to notice an onset of symptoms. Over months or years, these men have symptoms including decreased energy and strength, poorer concentration and memory, low mood, reduced sex drive and poorer erection quality. It can be harder to make gains in exercise, and they get fatter despite eating well. Many experience facial- or body-hair loss, and have night sweats or flushing.

The similarities with the symptoms of women’s menopause have triggered some discussion about whether men can have an equivalent “andropause”. This has been largely discredited because the female menopause happens when a woman’s body suddenly produces far less oestrogen; more like a cliff-edge. A man, on the other hand, gradually produces less testosterone.

Men with low testosterone can be misdiagnosed as having chronic fatigue, depression, chronic infections, low thyroid, anaemia, liver disease, heart failure, thyroid disease, diabetes, autoimmune disease, insomnia or stress. Those with night sweats are sometimes told they have lymphoma.

Foster adds that TRT is not a miracle drug that can solve all men’s physical ills. “While low testosterone is certainly undertested and underdiagnosed in the UK, that does not mean TRT is the answer to all our male health problems,” he says. And not everyone with low testosterone needs treatment. The cause of the imbalance may be something that, if stopped or reversed, would lead to the body producing its own testosterone again without medical help: stopping taking pain medication, for example, or losing weight. If, however, the low testosterone has a nonreversible cause, men can require lifelong replacement therapy.

The US Food and Drug Administration (FDA) issued a warning in 2014 about a possible increased risk of heart attacks and strokes with the use of testosterone replacement, although other studies have not come to the same conclusion, and further research has been requested by the FDA. In the meantime, it recommends that testosterone is prescribed for men who do not produce testosterone or who have low levels as a result of a medical condition that requires treatment, such as chemotherapy. In the UK, there are no official NHS guidelines. .

Foster’s patients tend to come to his clinic after months, if not years, of health problems. “It takes so long because it’s a slow-onset disease, and many people are told: ‘You’re just working too hard’, ‘It’s normal … you’re just getting older’ or ‘You shouldn’t have sex much now you’re in your 50s’,” he says. This means that many take action only when they have specific symptoms, such as night sweats or severe erectile dysfunction, or they break a bone from osteoporosis.

Foster warns against home testing kits. “There’s almost no way for a nonprofessional to use a home testing kit safely or effectively,” he says. He has devised an online questionnaire to help determine whether low testosterone could be affecting you. “It is not an exhaustive tool,” he says, “but it can be helpful in diagnosis. If you’re concerned, go to your GP.”

Vossen says all men who are concerned about their energy levels should get tested. “A drop in men’s vitality is brushed under the carpet in our society as an inevitable part of ageing,” he says. “But from my experience, men don’t have to accept the loss of their vitality. They can do something about it.”

The post “ ‘My energy is back’: how testosterone replacement therapy is changing men’s lives “ was originally seen on The Guardian by Amelia Hill

Boost your overall health and disease prevention with the help of naturopathic medicine. Contact your nearest naturopathic doctor - Dr. Amauri Caversan.

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dxmedstudent · 7 years ago

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Hi Dx, could you explain to me how the application and the training process of FY1/2 doctors work in the UK? E.g. if I graduated with a medical degree from the UK and I wanted to train only in London (by applying for hospitals/clinics in London), would that be possible? Are training places more competitive pertaining to geographic location in the UK? Also, if at the point of graduation, a junior doctor was set on becoming a particular doctor e.g. GP, could they work in solely GP rotations?

Hello! Well done on making your way through med school, whatever stage you are currently at.I'm going to limit my reply to foundation training applications for UK grads as per your question. When we apply via FPAS (or whatever they call it these days), we effectively have to rank ALL the deaneries in the UK, from the ones we most want tp the ones we least want. Which means we are effectively applying for a foundation job anywhere in the UK. Now, the places you rank top are going to consider you first. And how seriously they take you will depend on your score, which depends on your SJT, your university ranking score, your previous qualifications, papers etc. We don't usually have interviews for foundation years, so it's generally mostly down to not doing terribly in your SJT. In your case, you'd probably do something similar to what I did (rank the London foundation deaneries first then rank the rest depending on geographic proximity to where you want to be). But I'll warn you that even getting into a 'London deanery' doesn't guarantee a job in London, as many of their hospitals will also ve in the surrounding towns! As you suspect, the area in and around London is really competitive! And actually, certain cities up North or in Scotland are almost as bad (people who grew up there usually want to stay there, too!). So it's usually the isolated, obscure places (and midlands, which sre not obscure at all) that are the least competitive. That said, although London is popular, it's also busy and stressful, whereas a lot of the less popular places are friendlier, less busy or chaotic, and pay higher rates for locum shifts, and have much lower living costs. Some of my friends did terribly in their SJT exam and ended up in obscure bits of the Scottish Highlands, but they actually loved their jobs much more than my 'successful' friends who were miserable in large London hospitals. You genuinely cannot predict where you will be happy. So if you don't get in and around London, you'll still be OK. You might even have a nicer time!The next step after being accepted by a foundation deanery involves ranking the jobs they will offer you. Many Londonish places ask you to request whether you want to be in or out of london for your placements. And after that they will ask you to rank every FY1/FY2 combination job in order of combinations of rotations and hospitals you most want down to the ones you least want.Now, this is not a 'pick and mix' situation. You get to pick the job and its six to eight rotations as a *whole*. So for example, you might think about whether you preferred FY1at RLH for geris, gastro, surgery FY2 at WHX for paeds, A&E and GP, compared to FY1at WHX for acute med, resp, surgery FY2 at RLH for GP, Psych and ENT. But you won't be able to pick the jobs that make up thr rotations. Sometimes hospitals let ypu swap FY2 years or individual rotations with people, but it's not given. Though just like before, at each stage there is absolutely no guarantee that you will get what you want; you're likely to get a surgical placement, medical placement and either GP or psych, but everything else is down to luck, so if you wanted a rotation that there aren't many jobs out there for, you might not get it. So don't feel too bad if you don't get your top combination or hospital, it's not the end of the world.Even if you know you want to do GP, you can't just pick training that will be just GP jobs. But that's actually a good thing, and it's really important to understand why. Firstly, GP jobs are /were unbanded, so you'd be broke without any on-calls! But also, more importantly, you cannot learn how to be a good doctor from one speciality alone. A good GP is the way they are precisely because of the wide array of specialities they have experienced! Even GP trainees only spend about 1/2 of their 3 year training in GP placements in surgeries, the rest of that time is spent in hospital. So it means that by the time they become a fully qualified GP, they will have spent at least 3 1/3 years of their 5 years as a doctor in hospital, rotating around different specialities and learning from those specialists. That said you CAN pick placements which will give you a good grounding in specialities which are useful in GP, such as: A&E or acute medicine Psych ENTObs and Gynae Paeds GeriatricsDerm or Ophthalmology (rare)and GP.You won't necessarily get a chance to experience all of these in foundation or GP training, but having as many as you can get would give you a good grounding in the kinds of thing you see every day as a GP, and give you confidence in separating out the emergencies that you need to refer, versus the things you can deal with. Arguably, all specialities, even more general medical or surgical ones round you out as a person, but I feel the above can make up more of what you see and might feel less confident about as a new GP. We all learn a basic level of medicine and surgery, but I notice that people feel a LIT less confident with the specialities they never covered. But it's not insurmountable; with study and experience we could all become well-rounded medics or GPs.Think about the specialities you are considering, then ask yourself 'which jobs would give me the most relevant knowledge for this?'. And work from there. It doesn't matter if you don't get every placement you want, either. Sometimes trying something different can show us that we live things we never expected to...Good luck, and let me know how you get on.

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thedivinefish · 4 years ago

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divinefishingtips · 4 years ago

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365dailyaffirmations · 4 years ago

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advancedthetapractitioner · 4 years ago

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May MySwitchWorks Zoom Event

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Please call their office directly at ☎️ (813) 873-7773 in order to get on the schedule for 15-minutes $38 or 30-minutes $68. If you’re new to working with me, I suggest you schedule 30 minutes.

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The 30-day service is now being offered exclusively and you also have the option of selecting an ongoing subscription ($95/month) which is managed through PayPal only.

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survivingsusac · 5 years ago

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Adulting Update

Vitamins

We’re going to start today off on a weird note. I go to a Curves gym because fitness is important. I may be not the most mobile person anymore (thanks a TON Susac) but still, health is important. At the gym a person tells me about this vitamin supplement that has changed her health and has improved her quality of life. She’s like, let’s set up a call and you can learn all about it and get some and be healthier. I found out the name of it and do some research (that’s Adulting 101) and find out the stuff is absurdly expensive and less bioavailable (read: your body can’t use but 18% of the nutrients in the pills) than the liquid vitamin that I have access to that are half the cost (which are 98% bioavailable). I let the lady know that while I appreciate her sentiment, I will let the professionals and specialists in Susac Syndrome be the ones to guide me through whether nutrient supplements will heal my autoimmune disorder. Spoiler: they won’t. I will take my liquid vitamins, though. Be healthy, y’all.

Welcome home, Link!

On another note, I am still totally hyped about the awesomeness of my local bike shop.

The guys never fail to be friendly and welcoming when I walk in. Ken greets me by name today and says you’re here to pick up Link, yes? Why yes, Ken, yes I am. You’re going to let me pay you guys today right? Recall, they have (1) replaced my saddle, (2) patched my flat rear tire, (3) ordered me two new tire tubes, (4) installed the correct tire tube, (5) replaced my saddle post. All at no charge so far. And today Ken let me pay him today, a whopping…drum roll please… $37.55.

These guys are like legit superstars.

Baclofen

We’re changing subject to include stuff about badass doctor Egan who can no longer be my doctor because he got a new job (remember him? He hasn’t been brought up in a minute).

So my UCD neuro immunologist who is supposed to replace him (PYSCH, because no one could ever adequately do that) began me on a new drug (Rx), Baclofen. It’s a CNS suppressant that was intended to help my wacky gait (it’s a spastic gait). Well, long story short, it did not. It made me super sleepy which I don’t have time for in my life, and a fall risk. It was the complete opposite of what she lead me to believe it would accomplish for me.

I send her literally three messages over a month requesting responses to my concerns. No response, nothing. So I do some research and safely and successfully wean myself off the Rx. I finally get an appointment with her to follow up and she tells me that based on the increase in symptoms, I am experiencing a relapse.

She asks me what I did last time I had a relapse. I let her know that I’ve never had one before, that my immune systems’ response to this Rx that it’s never encountered before seems to have sent me into my very first one. She sets me up with a five day pulse of this infusion called Solumedrol, AKA methylprednisolone. Today is my last day of that. Tomorrow she has me taking oral prednisone for 18 days.

My thoughts are, “This had better work.”

Now, circle back to Egan.

My mom/rock and I go out to dinner with him Monday night. We’re just chilling eating cheese burgers and of course, he can’t take off his doctor hat. He's watching me walk through the restaurant, asking me questions about my alleged relapse, and doctoring me between my complaints to him about his decline in Pokemon Go activity. He’s seriously been slacking lately.

Anyway, apparently, relapses can’t be confirmed without quantitative data. Relying only on reports of increases in symptoms is qualitative. NOW we’re talking; speak science to me.

MRI

So about a month ago, this new UCD neuro immunologist who Rxed me Baclofen had ordered a series of MRIs. Brain, C-spine, and T-spine. Here’s our qualitative data.

I never acted on those things because UCD charges things like facility fees, technical fees, and procedural fees that aren’t covered by the copay that I pay already at each appointment. Heads up, they also don’t dislose the estimate of the cost of these things unless you specifically ask for it. When you do, everyone points fingers and transfers your calls for days. By the time you finish doing their jobs for them you find out that it will be something like $2k for your care. And why does the hospital charge for things like facility fees (rent for the room the appointment takes place in), technical fees (that’s the computer the doctor charts your notes on during the appointment), and professional fees (that’s the other radiologist or doctor who reads the imagery or test the doctor orders)? Because hospitals are a business at heart and need money to survive. Patient's money.

Your girl can’t afford thousands of dollars for the hospital to just make money off of patients. Go charge someone with expendable cash, not someone trying to live off of $400 a month.

But now I’m searching for the least expensive way to get these MRIs done for this quantitative data for bad ass Egan. ‘Cuz we all know that he’s going to ask me about the images once they’re done. I couldn’t get rid of him now, probably not even if I wanted to. Eventually, thanks mostly to my GP at Sutter, I found a place that will save me $500 so I’ll only have $1.5K to pay. I’ll be paying the bill until the end of the year. But eh, such is life.

Speaking of money

I signed up for my own dental insurance coverage. So far in my life I’ve been covered by my mom because I was a minor and then by my husband because I was married to the useless pile of flesh and asked for coverage for myself and our daughter. She was five by the time he got around to it. Useless. Pile. Of. Flesh. But now I am not a minor and I am cutting free from the useless pile of flesh! So I get to adult and get my own dental insurance! So I want to keep my dentist because I love him tons (medically speaking) and Lee’s been my dentist since I was like 10. First I talk to his office about the type of insurance he accepts. Then I call the insurance company and talk to Gilbert (no, not Gilbert Blithe) and we talk about options and financial commitment and the types of procedures covered. Within the day I have chosen the best coverage for myself! I call my dentist and let Kathy know that I have been adulting and I am pumped to announce that as of October 1 I will have my own new dental insurance! She gives me a metaphorical high five. Again, she’s known me since I was 10.

The Moral of the Story

Adulting is hard work.

Beware pyramid schemes that want you to commit to costs and promises without bonafide science. Do your research. It may take a minute but knowing what people are trying to get you into, whether because they are honestly trying to help or because they are unaware of what they are presenting you with, is crucial to making wise decisions. Picking up Link now that he is up to 100% after the battle he has unexpectedly given me was relieving, especially given how awesome the bike shop has been. That bike shop was a happy accident but I am SO GRATEFUL that it has worked out so well!

Don’t let up on doctors when they stop making contact with you. I’m looking at you, UCD. Hold them accountable for the oath they took when they began school.

Also, keep those hospitals in check. Be thorough about your bill, regardless of if it’s itemized when you see it. When doctors order tests or imagery ask questions and get things in writing, when possible. Make yourself familiar with your health insurance policy and its limitations and expectations. Do your due diligence when you’re after answers. Take notes, record that names of the people you speak to. And keep track of phone numbers you’re given.

Guys, if it sounds like a full time job, that’s because it IS. I can’t tell you how often I’ve had to bow out of tutoring sessions for school for five minutes, take calls while in the car and someone else is driving. If you know you’ve got adulting drama coming I suggest you keep a pencil and paper with you for notes at all times. I think the only things I haven’t interrupted are classes and doctor appointments. It’s a commitment, for sure.

And please, have your own back when it comes to insurance. Check out your options, compare them to your needs, and make wise choices. This is something I’m going to have to do next week when I explore health insurance opportunities. As per usual, I’ll keep you updated!

Surviving Susac,

Aurora

#adulting #susac syndrome #alinker #dental insurance #health insurance

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