Can you recommend a decent psychiatrist in DC, within a 1-mile radius of either Farragut North or Farragut West (i.e., near K Street NW)? I have Cigna, however I am willing to go out of network. Thank you in advance. [more inside]
I have a tendency to automatically dissociate from/"forget" things that are stressful or anxiety-provoking. How can I better focus on these scary things so that I can better address and resolve them? [more inside]
I am totally paralyzed with indecision about the health insurance options I have at work this coming year. Halp! High deductible plan with an HSA vs tried-and-true HMO. [more inside]
Hi Mefites. I'll be starting an online medical coding and billing course in January ( given by the AAPC), after graduating from a relatively well respected state school with a psychology BA in May and finding out far too late in the game that it would leave me with nil in terms of job prospects. After building up quite a bit of credit card debt and deciding that man cannot live on Hulu and Facebook alone, as I've been doing for six months, I decided to look into opportunities that required relatively little training to get started with, and happened upon medical billing, something that seems to fit me quite well. I'm tempering my enthusiasm however, because no amount of Googling seems to give me a clear sense of my path once the course is over. Help? [more inside]
I am a grown-ass woman who fails utterly at hydrating herself. I would love any and all suggestions to help me drink more water regularly. [more inside]
I am on the hunt for a review, overview, listing of, or any other compilation of sorts that you may find explaining all the different American quality indicator systems in health care, specifically nursing if you're that good. AHRQ, ANA, NDNQI, .... but a more inclusive list and description of all their individual quality outcome management recommendations. I've been searching for days and haven't really found exactly what I need or want. Thanks!
Should I be concerned about my recent lab results? [more inside]
I have had quite a lot of medical expenses this year - much of it not covered by insurance. I will speak to my accountant about tax write offs. Is there anyway to get reimbursed for any of the following out of network: blood tests (expensive tests) phone consultations dr visits vitamins travel time Thank you in advance
How do I get better at not ignoring all the positive emotional work I've done when suddenly being triggered in a high-stress low-functioning situation? [more inside]
One of my oldest friends just died and I'm feeling serious Crohn's pain starting to creep up again, threatening my remission. Everything in my life right now is stressful and exhausting, and I know that if I do nothing I will have a full-bore flair on my hands by thanksgiving. I need help finding a health resort/ wellness retreat on the East Coast - optimally between DC and Boston. My wealthy uncle says money is no object, so my only real stipulation is somewhere that isn't too scary/isolated for a young woman alone. [more inside]
Basically, complete the following sentence: “Now that you’re exercising all the time, you should_______________________.” [more inside]
After a nightmare MRI experience sometime in 2011 I found out that I have a cervical disc herniation on c3, c4, c5, c6. The pain was so severe that I was unable to move my neck to right side without feeling like I was going to pass out. Now that I've gotten my first coritsone shot and feel alive, I would love to work at gym on strentheting my cervical discs so I can beat this problem and avoid having to marry cortisone shots for the rest of my life. What are some excercise machines and workouts I can safely use to strengthen my neck without damaging it further? [more inside]
I watch many people who I care a lot about suffer from depression. I would sincerely do anything to help them, and do whatever I can think of: conversations, little notes and random texts, hanging out, offering help with thinking through options if they want it, etc. But, as someone who is lucky to not have 'been there', it's hard to know when I'm crossing a line and what's really needed. In fact, I think most of my efforts translate to "I know you mean well, but..." even though I'm also one of the few people these friends go to when things get bad. On top of worrying and trying to help, I also spend (probably too much) time thinking about what they're going through and what would be most helpful. It's exhausting for me and stressful, but it's personally not an option not to care. I end up internalizing this stuff and it affects my normal activities, even though at the end of the day, I'm not the one suffering. I want to be as good a friend and resource as possible to these people I truly care about and also want to avoid falling victim to anxiety or depression myself because of it. Any tips from either the 'been there' - depressed and knows what's helpful - perspective or the sincerly-caring-friend side of this equation would be much appreciated. Thanks.
I posted this question back in May, about my father's strange (and awful) behaviour that seems to be driven by some kind of illness. Things have not improved. Part of me says, "you should be there for him, it's your dad and he's obviously ill"; another part says "he's behaving like a monster, cut him out of your life." How do I determine which part to listen to? [more inside]
My son dislocated his shoulder and may require surgery. I am looking for an excellent surgeon in Manhattan. [more inside]
We get a lot of kale from our CSA, and we pretty much know it's headed for the compost. Have tried many recipes that turn out nasty -- kale chips that won't dry, sauteed kale that's too bitter to choke down, etc. -- and have yet to find anything that gets us excited to use this vegetable, no matter how healthy. (Yes, I do make some green shakes, but one bunch in the freezer can fuel me for a year on that front! We have 3-4 bunches in the fridge right now.) I should say that the one exception was a recipe called "Carolina kale," which involves some stewed tomatoes and cumin, but our experience after making it a few times is that we love it on day 1 but then never want to touch the leftovers, so then that feels like a waste too. So, metafites, convince me that kale is fit for human consumption! wow me with your best, genuinely delicious, kale recipes, before it's compost time again!
I'm a 35-year-old, gay male (in Silicon Valley) who is looking to jump back into the dating pool after a long absence. A bit after reading this post on Truvada for pre-exposure prophylaxis (PrEP) I thought I might be a candidate for it. I talked to my primary care doctor and although he though it as worth looking into, he didn't have any experience with Truvada and referred me to an infectious disease specialist. Unfortunately my experience with the specialist wasn't great; I felt like he dismissed the idea of PrEP almost out of hand and without really discussing my concerns or possible HIV risk factors. ... [more inside]
My 19 yr old son has decided to drop out of college after this semester to find himself. The problem is he is without a plan and I believe very depressed. He has been to a therapist in the past and has an appt to see the therapist next week. In the meantime he has called us sometimes crying and saying he doesn’t understand why he is in college. snowflake inside [more inside]
For the first time, I have a choice of health insurance plans at a new job. I sort of understand the differences and benefits of each, but am feeling some serious choice paralysis. [more inside]
I'm constantly tired to the point of not being able to get out of bed until early afternoon, napping frequently and generally feeling lethargic, apathetic and kind of nauseous. I finished a contract job 5 weeks ago & assumed my tiredness was a result of wrapping up the project. Then I went on a very chilled 3 week holiday and put the exhaustion on return down to jet lag. I've seen my doctor and my bloodwork is fine. My diet is decent, minimal alcohol, one coffee a day, so I'm fairly sure this is a psychological thing. I take an SSRI for anxiety but was actually talking to my doctor about tapering off as I've been really well for the past year. Physically, it feels like the bout of depression I had four years ago, but my mood isn't low (more flat) and I don't feel hopeless, just like everything's a massive effort, even helpful things like exercise and socialising. Obviously, YANMD, but has anyone else been there? What can I do to shake this?
The fact I never liked the "traditional" forms of exercise never bothered me before. That is, until it recently dawned on me activities like going to the gym or running might be the only options I have left. But, with sensitive knees and shins from growing quickly and the residual effects of childhood asthma still occasionally inhibiting my ability to do cardio, these activities seem more foreign than ever. What can I do? [more inside]
What other options are there besides pre-med? [more inside]
I am quitting coffee; too intense on my stomach. Is it the caffeine? Does caffeine in tea operate differently? Looking for some good alternatives, besides the usual Green Tea. But getting a health benefit is always good.
Testosterone helps my fatigue, but I have difficulty with the side effects. Explain to me the mechanism by which testosterone increases energy levels so that I can think sensibly about options and understand what this tells me about the cause of my problem. [more inside]
Would I be penalized for not having health insurance in the US for three months while changing jobs? [more inside]
For the past few years I have been giving myself tendon injuries in quite a few of my joints... elbow's, knee's, and achilles mostly. I'm been slowly becoming more active for several years now, following an achilles injury that didn't quite heal up for 4 or 5 years. In my late 30's... I know, I'm shedding quite a bit of my invincibility at a steady rate now. As I said, I keep hurting myself. Mostly when I ramp-up the rigor, or try something slightly different at the gym. I have a pretty long and gentle warm-up and stretching routine, I don't think I really go for an increase too quickly, and only work out every other day or so... but various tendons disagree, at different times, and for different reasons. Based on the frequency and degree of pain/discomfort/etc, and how careful I am about not doing too much too quickly, I think frequency of injuries are out of the norm. Here's the nut of what I really want to know: What’s the best kind of doctor (already tried my GP) to see about this? It's hampering some of my hobbies and reasonable ambitions quite a lot, so I want to start finding more aggressive help/tests/advise. Who can help from a whole body perspective? Yes to yoga, and learning all kinds of stretches. Looking for more than a PT at this point. Thanks all!
I recently started on adderall for ADD-type issues, and I've got some questions about the effects it's having. I intend to bring them up with my psychiatrist when I see him next, but that won't be for a few weeks and I think it would still be valuable to get some outside perspective, especially from people with first-hand experience. A lot of this has to do with sexuality. Questions and details within. A bit long-winded. [more inside]
The fan above my stove broke. I cook on the stovetop often, I've heard that the smoke from cooking could cause health problems down the road - but it's all anecdotal evidence. I've tried looking up some concrete information online, but what I can find is sparse. I'm opening the windows at the moment, but it's going to be too cold to do that soon. Is a fan necessary, or is cooking smoke not as bad as it's cracked up to be? Anyone else not using fans?
I have had a recurring bacterial vaginosis and yeast infection for over a year. I treat it, it goes away, and a few months later, it's back. To make matters more complicated, I don't have the typical symptoms. What originally lead me to think something was up is that I have to pee constantly, so I thought I had a UTI (which I have never had before). Turns out, I had a vaginal infection, and no UTI. It's been a year of this and I'm getting really frustrated. I'm seeing my ob/gyn next week about this, so I am not looking to metafilter as a substitute for medical advice. I want to know if there's anything I should be discussing with my doctor that I haven't already, or if I should be pushing for a referral to a specialist. More details and TMI below. [more inside]
My friend took their child to the ER for a psych evaluation. There are mistakes in the report from the hospital. Should they bother to address them? [more inside]
Is there a way to make my brain more "fuel" efficient? [more inside]
I run a program that directs people with HIV and at risk for HIV infection to research they might qualify for. We are co-sponsoring an event for providers in the HIV field. We would like to hand out swag mugs, but we have no idea what to say in such a small space. [more inside]
I don't enjoy eating meat, but I am worried about getting enough b12. I eat b12 enriched nutritional yeast a few times a week, but I don't know if that's really enough. [more inside]
Lingering ankle/foot pain after suspected overuse injury. What should I do? [more inside]
I'm struggling with a lack of self-confidence and undercurrent of doubt, and hoping that I might be able to shift my attention more towards what I hope for the future than what I fear from it. What are some simple techniques that I can use to gradually move the spotlight over to the positive? Looking for very concrete exercises or practices. Something like: “start each morning writing a vision of what you want.” Would that actually work? I'd think it might just freak me out more, make me feel guilty that I'm not there yet. But something concrete like that. Thanks. [more inside]
I use the computer for 16-18 hours a day becasue I have a online business and I have noticed my vision worsening since doing this. I really don't want glasses and have seen a eye doctor who said I don't absolutely need glasses my vision is 20/25 I think he said. I used to have better vision before I spent so much time on the computer. I'm wondering if there any any "techniques" used by OSHA or anything to prevent eyestrain or vision deterioration from excessive computer use .
Ok probably sounds disgusting, but I just have a theoretical interest in this ever since I moved to my new apt with a balcony frequent by the flying rat kind. I don't have time in the morning but I frequently spray some bleach water solution on the pigeon feces to scrape off later, and then I was wondering what chemically happens to the feces (or well, anything organic that contains pathogens and bacteria) when soaked in bleach. Are the soaked feces on the railing theoretically "clean" and sanitized? What happens??? What is left over? I don't intend to leave them there, just curious. BTW: any tips to keep pigeons away while at it? We covered all the balcony railings in reflective tape. It looks like a camp, silver palace now, but they still like it.
My cat has been walking in counterclockwise circles pretty much constantly for an hour and a half. He seems a little agitated but basically okay, not shaking or crying or hyperventilating or anything like that. An hour ago he ate his normal dinner, circling between bites. From time to time he lies down, but even lying down he keeps looking over his shoulder to the left, then after a minute or so he rolls over (always in the same direction) and resumes circling. This kitty is 9 1/2 years old and was diagnosed with diabetes about a year and a half ago; I give him insulin shots twice daily. I thought this circling business might be hypoglycemia and mixed some syrup in with his food, but it doesn't seem to have helped much if at all. Google suggests everything from vestibular disease to an abscessed tooth to a stroke. What's going on? What should I do? Can I wait until my vet reopens at 8:00 tomorrow morning, or should I try to find an all-night animal hospital? [more inside]
About a year ago, my wife and daughter leased a house in a new housing complex. We didn't realize it at the time, but The House* next door has large holes in the roof (only visible from the side), and my wife is worried about mold/health issues. I'm also not quite sure how to google this as details (which may or may not be pertinent) abound. *I am told by my wife it must be referred to as "The House" [more inside]
YANMD. You may not even be a doctor. I was out on a 10 mile run this morning; at the end of the run, I realized that I had blood dripping down both my legs, stemming from a mole on my inner left thigh. [more inside]
I've been off work for a number of months with severe depression. My spouse is allowing and encouraging me to go away for a month to get away from daily family life. How can I best make use of this time? [more inside]
Is it possible my moldy unit pushing my already run-down self over the edge? How much mold is too much? For how long? [more inside]
I've been feeling a little out of sorts since the weekend. Should I go bug my GP or am I being a hypochondriac? [more inside]
I'm looking for therapists in San Francisco and I just found out that I'm covered under United Behavioral Health. I'm wondering if people've had any experience seeing a therapist or a psychiatrist through them, and how I might go about finding someone in their provider directory who'd a good match for me. I'd also really appreciate any recommendations for therapists in SF who take UBH. [more inside]
Looking for recommendations or suggestions on how to continue intermittent fasting with my schedule and my desire to keep going to the gym 5 times a week. Also looking for help with doing intermittent fasting properly. [more inside]
I broke my iPhone's screen, continued to use it, and then picked my nose without thinking. I feel like there might have been some glass particles on my finger. Did I breathe in glass dust? Is there any risk of developing silicosis or other health problems? [more inside]
Unfortunately we did not win Powerball last night but it sparked an interesting conversation. Do wealthy (US) people have health insurance? I would think that once you hit a certain amount of wealth you could go ahead and drop it, right? Like $50 million or so? Which made us discuss how someone like Sunny von Bulow could be kept in luxurious surroundings for most of her comatose life. Would her family have paid out of pocket or are rich people dealing with same health insurance BS that the rest of us do? I mean she was in a coma for years, it had to have cost a small fortune.
A family member with ongoing back and neck issues finds monthly massages from a masseuse quite effective at maintaining their functionality. Recently, they tried a demo of one of the high-end "robotic" massage chairs (Panasonic MA-70) at a trade fair and were quite impressed with it. Has anyone had experience with owning and using one of these chairs over a longer period of time? If so, what are your recommendations? [more inside]
My original proposed topic for a publication I'm writing in was about printing organs and bone marrow but it may be rejected because someone else proposed the same idea. I'm currently brainstorming ideas before tomorrow. Currently I'm thinking of writing of genetically engineered humans. Any other ideas?
I am currently living about 5 miles from a coal-fired power plant. The smoke plume is obvious and seems somewhat ominous. Should I be worried about adverse health impacts? [more inside]