Herpes pictures more condition_symptoms

All things leopard geckos!

2011.06.30 05:53 romanjetfighter All things leopard geckos!

A subreddit dedicated to love of leopard geckos. If you're interested in owning leopard geckos or want to better your care, you should check out our guides or our discord server, https://discord.gg/leos
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2012.08.17 02:15 WinWolfz Home of all things gastroparesis.

Gastroparesis is a condition that affects the ability of muscular contractions to effectively propel food through your digestive tract, resulting in delayed gastric emptying. Gastroparesis is typically diagnosed via a gastric emptying study (GES) and is thought to be a condition belonging on a spectrum shared with functional dyspepsia (FD) rather than being a totally separate disease. See the Megathread for more info and join our Discord today (link in comments).
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2010.01.26 06:19 dgillz Alcoholism

Information and support for those affected by alcoholism/Alcohol Use Disorder. If you are concerned about alcohol's effect on your life or a loved one's life, please feel welcome.
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2024.05.20 01:14 AmoebaNormal2758 Swollen lymph nodes in groin?

I’ve tested negative for all bacterial STI’s, Syphilis, UTI, & HIV… I haven’t tested for Herpes since I have tested negative for HSV-2 in the past and I OHSV-1 and haven’t had an outbreak in my genitals.
I went to Planned Parenthood since I figured they would know more about Herpes, since a lot of doctors seem to know so little and they said they don’t think it’s Herpes. This was 6 weeks ago.
I’ve had some symptoms that could all be anxiety induced (this has happened before with herpes and other medical conditions). But what I’m starting to worry about is my lymph nodes. For 7 weeks I’ve had swollen, hard, and/or pain in my lymph nodes in my groin. Is it normal to have swollen lymph nodes for almost 2 months with no outbreak?
submitted by AmoebaNormal2758 to Herpes [link] [comments]


2024.05.20 00:39 Chen_Geller Season Two and The Great Weta Conundrum

Season Two and The Great Weta Conundrum

Why I don't THINK Weta Workshop Worked on Season Two

Around July 2022, Sir Richard Taylor had this to say about The Lord of the Rings: The Rings of Power: "Our company worked on the first series, we're very proud of the fact that we did." This use of the past tense does seem to imply working only on the first season, but its by no means a definitive reading of the interview. This was shortly BEFORE the show's move to the UK, which we know came to the Kiwi crew by complete surprise, although it remains possible that by that point the showrunners had made the decision, and told Weta that their services will not be required for season two without necessarily going into details.
Again, I want to stress that Sir Richard's choice of words by no means guarentees that Weta sat season two out. Then again, we know many of the Kiwi contractors have either stopped working for the show - costumier Kate Hawley and the music ensemble Plan 9, for instance - or radically downscaled their involvement, like caligrapher Daniel Reeve. Where crew from season one stayed on - like John Howe and dialect coach Leith McPherson - they were usually based in Europe or the UK to begin with. Its thus only reasonable to assume Weta will do the same.
Weta were good sports to share the lead-up to the Season Two teaser on their Twitter handle, but hadn't commented nor shared the teaser itself, suggesting that they were merely (and characteristically) being gracious to a project they HAD worked on previously, rather than setting-up their own involvement, as they had done in their steadfast embracing of Season One.
One of the two major departments Weta worked on for the show in Season One - that being prosthetics - had perforce been put out of their hands for Season Two, with the prosthetics supervisor Barrie Gower replacing Weta's Jamie Wilson. Its unrealistic to expect to ship prosthetics - which have a limited shelf life - from halfway around the world, and ideally you'd want the same studio to be responsible for design, fabrication and on-set application.
Although they also worked on Celebrimbor's pressure forge and some of the Numenorean and Elven symbols - including the High-Elven star, practically lifted from their version of Gil-galad's emblem for the New Line films - Weta's other main prerogative was the weapons (but NOT the armour). This included bows, quivers, arrows, shields (including straps) and some props that aren't really used as weapons like Feanor's hammer.
The High-Elven Star: essentially a homage Weta's Daniel Falconer snuck into the show
While it remains possible that they had kept that department under their belt - at least in terms of concept design rather than fabrication - I find it unlikely. Its true that Weta does provide concept art, without fabrication, for off-shore productions: see their erstwhile work for Denis Villenueve's Dune: Part One as an example.
However, the recent teaser shows High-Elven swords and bows that are a notable departure from Weta's High-Elven weapons from Season One. It, of course, remains entirely permissible that the showrunners commissioned new designs from the workshop, and in fact the new, more katana-like Elven swords are closer to Weta's previous iterations of Elven swords (cf. Hadhafang or Thranduil's twin swords) than to their High-Elven weapons for Season One, although they're admittedly not too far off Arondir's sword.
Having said that, elsewhere in the trailer we see the same Hawley costumes and armour retained, as well as the same Weta-made weapons from Season One: Arondir is still sporting his daggers, quiver and bow, Pharazon draws his gorgeous, bejewelled sword before the Eagle of Manwe, flanked by guards carrying the same ol' spears. We see Lindon guards with their Battersea-esque shields and spears, Durin III with his ax, Durin IV with his dagger, Adar with his Zweihander, and Isildur still with the confusingly-Rohan-like Numenorean cavalry sword.
The similarities would thus make it unlikely to expect for new designs - for the same culture and from the same studio - to be such an aesthetic departure from Season One, especially something as insignificant as a quiver. My educated guess - and that's all it is, a guess - is that its a local workshop emulating the Weta style of old.
This emulation can also be seen in other departments, like the new Elven shields - with the same hourglass-like shape as Weta's High-Elven shields for the New Line films, but NOT for the show - and the helmets with the more overt blade-like crests, again in the style of Weta's work for New Line rather than Hawley's more subtle nod to that style in Season One. Not to mention the seemingly greater prevalence of Elves with long manes.
Galadriel and company, and their quivers: a design unlikely to be revised from Weta's Season One design (below) unless a new, local Workshop entered the fray. The company's bows, seen elsewhere, are also different to this, more closely resembling Tauriel's bow.
https://preview.redd.it/w8da7widcg1d1.png?width=3840&format=png&auto=webp&s=ff7a19e093a8008fbae7a0977a2e52617c18bec9

The OTHER Weta

Here it is important to distinguish between Weta Workshop, and WetaFX (nee Weta Digital). Although founded by the same people - Sir Peter Jackson, Sir Richard Taylor and Jamie Selkirk - they're two separate companies: Roughly speaking, Weta Workshop does practical effects, WetaFX does digital effects. While they do some projects - notably Tolkien films - together, its by no means a condition sine qua non that the involvement of the one entails that of the other.
In the context of the Tolkien projects, Workshop mostly did weapons, armour and creatures, so not too far off of what they did in the show. Set, props and character designs usually fell to another Jackson company, Six-Foot-Seven, but even then Weta did the bigatures and shared the costume design credit with Ngilla Dickson, Bob Buck and Ann Maskrey (Hawley is credited, too, being that she was the costume designer for the aborted Del Toro Hobbit).
WetaFX are working on Season Two, in a capacity at least as big as they did in Season One, where they were the main VFX vendor alongside ILM. Moreso than the Workshop, WetaFX (being one the leading VFX houses in the world), provides services for films and shows all over the world, and frankly a show with the VFX requirements of The Rings of Power couldn't avoid WetaFX if they tried, although "giving them point" so to speak is definitely a meaningful gesture.
Strictly speaking, WetaFX is not a design studio: previously in Tolkien pictures, creature design tended to be provided by Weta Workshop, and then rendered by WetaFx. However, sometime before The Rings of Power went into production, one of the Workshop's designers, Nick Keller, became WetaFX' in-house designer, and for Season One had worked on (among other things) Durin's Bane, and so WetaFX' continued involvement in Season Two is meaningful to the look of the show.
An (unused) Nick Keller-Weta FX design for Season One: all that remains of it in the show are the spear and the Fell Beast
The showrunners entrusted to WetaFX in Season One mostly with places and creatures that had been depicted in the live-action films: Khazad dum as Moria, the view of the Southlands from Ostirith as Mordor, as well as Durin's Bane and the Fell Beasts: its therefore reasonable to assume that the design of Shelob will again be entrusted to WetaFX, although since New Line became stricter with their copyright she's unlikely to resemble the previous depiction of Shelob, no doubt to be excused away by the fact that she's younger.

My thought

So, where does this leave us? I've long written about the show's audiovisual identity crisis: it would be wrong to assume that, going to New Zealand, the showrunners were compelled to hire Weta and thus fell headlong into a similar aesthetic: rather, there was a concerted effort - the filming in New Zealand and the hiring of Weta being two of its symptoms rather than its causes - to model the show on the live-action films. Nevertheless, dispensing with Weta for Season Two COULD keep this issue at bay.
All the same, its clear that if Weta was indeed substituted by another studio, as is likely the case, that studio did their darndest to emulate Weta's style, and in some respects harkened even more heavy-handedly to the style of the New Line films. Perhaps it is a case of, having moved out of New Zealand, wanting to still show they "got it" and overdoing it? The same trend is evident in the digital splicing of Kiwi landscapes into the British countryside, and in the trailer's shameless appropriation of beats (but not lines, presumably with New Line cracking the whip on that end) from the live-action films.
All the same, Season Two and on could have been another noteworthy "notch" in Weta's enviable Tolkien belt, which only in this year also entails Tales of the Shire and The War of the Rohirrim. It would have been a good preparation for their forthcoming involvement in The Lord of the Rings: The Hunt for Gollum. I do regret, specifically, that they probably didn't get a crack at the weapons of the Eregion Elves: a new Elven culture they had not touched before, unless some of the designs we see were made for Season One and not shown therein.
Beyond that, its useful to keep the same team in place in the interest of season-to-season continuity. Nevertheless, the teaser shows a greater emphasis on such continuity that I had previously believed they would go for. Some early scenes seem to be picking up immediately from the end of Season One, with Galadriel and Elrond - still in the same costumes - catch up to Gil-galad's convoy back on the same Lindon set. Even in other scenes, many of the Numenorean extras seem to be in the same clothes, and while the green Eregion guards got a lot of attention in the teaser, they actually already appeared in season one.
A tale of two Narsils, both by Weta but for different companies.
As a side-note, it may well be that the Weta designers felt limited by the lega situation surrounding Season One, which required them to recreate different versions of some of their most celebrated props, namely a new, subtly redesigned Narsil. Sir Richard Taylor, in the above interview, said he didn't work on the series because he "didn't feel I had anything new to contribute to the television series." This is curious since he had by then already jumped onboard The Lord of the Rings: The War of the Rohirrim, and in an appearance only shortly thereafter, said of the project that "there's so much that's fresh and exciting." This in spite of the fact that, at first blush, Rohirrim would seem to offer far less by way of new design opportunities than did Rings of Power.
In truth, not all of Weta's work on Season One was up to their otherwise-inimitable standards: I'm reminded of a making-of featurette about the making of Orcrist, which required a lot of back and forth between the Weta designers and Sir Peter Jackson. Says designer Paul Tobin: "A lot of our designs were falling into 'I've seen it with Glamdring, I've seen it with Sting." An even more egregious example is for Shadow of Mordor, where a design of an armoured Celebrimbor is almost one-for-one of a design for an armoured Thranduil, a year or two prior by the same artist, although in fairness both designs went unused.
I don't want to imply that the showrunners weren't equally forthright in their design process: from listening to John Howe, there was certainly a lot of back-and-forth with his concept art. Even in examing Weta's work its clear that in the case of some of the designs - namely, the Elven Zweihanders, which previously appeared in some Howe concept art - the showrunners came to Weta with their own ideas, rather than just giving them free reign.
Nevertheless, it does seem that in a couple of instances, Weta were allowed (perhaps on purpose?) to essentially recycle some old designs: almost all the Dwarven and many of the Silvan and Orc designs are like this. Its cool that Weta got to imagine what Durin's legendary Ax looked like, but they basically took a design for an ax that Dwalin finds in the Erebor armoury and made a subtle variation on it. The Mystics' weapons also betray a similarity, but rather to Weta's work on James Cameron's Avatar!
Even less appropriately, a spear designed for the Lindon Elves but not seen in Season One, seems derivative not of previous High-Elven designs, but off of the designs for the Woodland Realm, which would have been the freshest in the memory of the Weta designers. The main difference is the Woodland design abstracts the tree-branch shapes to avoid them seeming, to quote Keller, "too fairytale." Worst still, the Numenorean cutlasses (seen briefly at Elendil's side prior to his promotion) are inappropriately akin to the Laketown swords (again, a design surely fresh on the designers' minds) of all things!
Corporate needs you to find the differences between this picture, and this picture...[aside]: They're the same picture.
In other cases, the similarities are more abstract and work quite well: both Aranruth and the Elven broadswords - wielded by Galadriel to the Battle of the Southlands and carried by Theo into Season Two but also also brandished by the prologue Elves - feature a similar leaf-like profile to the blade: they would be more-or-less contemporaries of Glamdring, which has a similar shape. Medhor carries (but sadly doesn't get to use) a Silvan version of the Elven Great-sword from the Fellowship prologue.
Elsewhere in the film industry, of course, companies like Lucasfilm had turned this kind "reuse, reduce, recycle" mentality into a usual practice, although usually with unused designs, a-la the Shadow of Mordor example: discarded McQuarrie and Cantwell artwork from the 1975 thus ended-up in Star Was projects all the way between 1978 and 2023, where it started feeling increasingly like someone picking through the carcass of a dead movie.
In a limited extent, however, it is a useful device in terms of "tapping" into the same, initial sensibility, and as such its been used in Tolkien projects before: The White Council chamber was part of some early Rivendell designs, and similar practices are deployed in Rohirrim and are sure to be used in The Hunt for Gollum. In all these examples, however, it didn't normally involve jumping through the legal hoops that The Rings of Power had to leap through.
Neverthelss, there are a great many illustrious designs - from Elendil's Captain sword and Finrod's Dagger, through Feanor's Hammer and Dramborleg (the first Elven hammer and axe in Weta's output) to Aranruth and Medhor's Silvan Great-Sword - all represent wortwhile entries in Weta's oeuvre, and some of the best designs in the whole of the show thus far. Still, it wasn't in vain, being that several such key props are going to stay the distance in the show.
submitted by Chen_Geller to LOTR_on_Prime [link] [comments]


2024.05.19 12:01 AutoModerator Introduction and Daily Picture Thread

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submitted by AutoModerator to BabyBumps [link] [comments]


2024.05.19 10:01 MarvSee Aizen Power Male Review

Are you looking to boost your testosterone levels, enhance your libido, and improve your sexual performance? Look no further than Aizen Power Supplement!
In this article, we will delve into the ingredients of Aizen Power, how it works, its benefits, potential side effects, dosage recommendations, customer reviews, where to buy it, and whether there is a money-back guarantee.
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Key Takeaways:

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Frequently Asked Questions

1. What is Aizen Power Supplement?

Aizen Power Supplement is a dietary supplement designed to support men's sexual health and performance. It is made with natural ingredients that work together to enhance testosterone levels, improve libido, and combat common sexual health issues.

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submitted by MarvSee to ReviewsAndTools [link] [comments]


2024.05.19 07:39 AdInteresting2401 hEDS, POTS, MCAS, Leaky gut, Candida, SIBO, gut microbiome - How people trick you into a diagnosis and how they profit from it

Epidemic of creating non-excisting diseases based on excisting diseases (hEDS, POTS, MCAS, Leaky gut, Candida, SIBO, gut microbiome...). Criticism towards Afrin, Molderings, Mücke, Weinstock and various other physicians and "non-profit organizations".
Certain internet blogs, social media accounts, physicians and other health care providers give out information that does not play along with scientific studies, not even the ones themself do. They base their sayings of smart wording "could","maybe" or of studies that rather speak out a theory than any fact.
"Covid-19 hyperinflammation and post-Covid-19 illness may be rooted in mast cell activation syndrome"
"Mast cell activation symptoms are prevalent in Long-COVID"
Someone might think, oh that means mast cells are involved, but no, it only says, that symptoms are alike, but a connection between these two is not shown. Yet, still many believe so and give those studies as proof for their sayings.
A GP might be very aware of the fact, that the claims that e.g. Afrin does, is not proofed by his work. For example while reading his book. (It seems books and advisers are a lucrative business as well.)
But a layperson, especially a desperate one searching for a solution for his/her own issues, maybe will not be able to tell. Especially not with the sheer amount of one sided content that is produced. If you google MCAS, you will most likely only find information supporting the unspecific definitions of MCAS but only rarely the information done by the AIM and/or ECMM.
.
If you look up Afrin, you will encounter this website Dr. Tania Dempsey. This is where you can consult for MCAS, functional medicine, vitamine therapies, hormone therapies and many more. Noticeable, the link to a high pricing supplement store. The first conflict of interest someone should keep in mind. Not that the consultations themselfs wouldn't pay off. Reportedly (a MCAS consultation with Afrin) 2000$ for the first two appointments of 2 hours and then every appointment about 650$ payed upfront.
Afrin is also the advisor in a certain company that is co-founded by Gerhard J. Molderings. He is a physician in pharmacology and toxicology. The company named "MC-Science" is in active search for investors, due to their claim to create new mast cell therapies.
https://www.mcsciences.com/investors/
For an investor to be interested, there has to be a garrant, that it is paying of.
"SIGNIFICANT MARKET POTENTIAL
Multi-product-in-a-pipeline in several disease indications with high unmet need."
The mechanism, is here the same as described by
-prevalance of mcas
-mcas dying to liste
-sibo prevalance
The reason for that may be, that giving people an easy explanation gives them much attention (for their blog sites, social media channels), more consultations and also money of pharmacy/brand deals or just them believing in the fake information as it is so wide spread. It would be also interesting to see who finances certain studies and "specialists" or organizations. Who has an interest in keeping pseudodiseases alive and make profit of supplements and medication. Many of those studies without a specific result and irritating statements, are financed by certain organizations.
https://www.mcsciences.com/disease-areas/
For investors to be interested, a success in selling must be granted. The more people believe in the false picture of MCAS and it's pathology in other diseases and the more unspecific they can form it, the more likely he can sell his medication to more and more people.
"SIGNIFICANT MARKET POTENTIAL
Multi-product-in-a-pipeline in several disease indications with high unmet need."
https://www.mcsciences.com/value-proposition/
.
Leonard B Weinstock is a GP and the reason why so many people say that LDN would be a therapy. He know also does SIBO studies, of course also in it's involvement in many pathologies, like restless leg, roscae (these studies are of course financed by the National Rosacea Society), pain syndromes and EDS, MCAS and even claim cancer and more. Then certain statements come up, like 70 per cent of IBS patients have SIBO. If you read the study, it actually says, 4-70 per cent may have SIBO in IBS. Of course his studies end with "this product has helped in treatment", resulting in people wanting their doctors to prescribe rifaximin, and certain doctors do, and patients dr. shop and tell each other who does. That this is unhealthy and may result in more health risks than before and them really damaging their gut.
LDN research is done with the LDN Research trust. His study findings to not play along with his other statements.
LDN in SIBO/IBS
Of the 74/121 (61.2%) patients who had side effects, 58 had one or more neurological complaints, and 32 had one or more gastrointestinal side effects. In the patients with side effects, 24/74 (32.4%) had short lived symptoms.
"The SIBO SOS® Podcast: Dr. Leonard Weinstock on Restless Legs, LDN, the Brain-Gut Connection and SIBO as an Autoimmune Condition"
https://sibosos.com/supplement/
Advertising memeberships, finding a pharmacy who prescribes it, study programs and books. The more diseases, the better. Even with shown above, questionable study findings. Showing that it is not about what you find, but how you word it.
.
Conflict of interest in the healthcare industry
Possibilities and Pitfalls of Social Media for Translational Medicine
Mass psychogenic illness
submitted by AdInteresting2401 to MCAS_ [link] [comments]


2024.05.19 06:08 kagura_143 Sudden Digestive Issues, what is happening to me?

Age: 22
Sex: F
Height: 5’1”
Weight: 164 lbs
Race: hispanic
Duration of complaint: 3 months
Location: abdomen
Currently have high cholesterol. bad cholesterol count of 103 according to my primary care.
Current medications: metoclopramide 5mg. sertraline 25mg, pantoprazole 40mg
i’ll include pictures of some tests that i’ve had done in the comments if i can.
Gonna try to include as best of a description of my symptoms as i can, i’ll also try to edit anything if it makes my description better.
this all started 2 months ago. literally the last week of february. at the time i wasn’t on any type of medication. nothing changed in my eating habits, except for the fact that i’d had panda express for the 1st time ever starting in february.
i became constipated suddenly one afternoon and this continued for a week. went to the doctor and i was sent to get a ct scan. but obviously, i’m not familiar with medical terms. from what i understand, there’s evidence of slow transit through my small bowel, but don’t know where or why exactly.
symptoms include: constipation accompanied by side and abdominal discomfort/aches/ pains. my upper abdominal area aches a lot some days. it feels as if the area right under the breast bones wants to cramp up. i feel burning in my stomach and abdomen too. gas is hard to pass somedays and feels trapped. i also have upper back aches. doctor told me it’s because of my small intestine. i also have lower back aches as well, but was told it could be because of kidney stones i didn’t even know i had, but just thought i’d mention this. i have diarrhea (once i went and it was very watery,) loose stools, stools with mucus and pieces of undigested food, mainly meat, of varying shapes and consistencies. the mucus on my stool is clear and white and appears like strings on my stool. sometimes i’ll have a semi normal movement, but with mucus. sometimes my stool will be thin, in small pieces, or just very loose even after a “normal” bowel movement. other times i’ll go but it’s just mucus. all my stools are also slimey in texture from what i can tell. also, everytime i wipe my stool it’s yellow in color with mucus and/or clear fluid. sometimes i’ll have this urgency to go despite being constipated.
also, not sure if this has to do with my current condition but have been wiping light red blood after i go, both with my more solid stools and loose ones. in one instance i even wiped only blood. there’s also been times where i’ve seen streaks of blood on my stool too. clear fluid also seems to be leaking out of my anal area…. clear mucus sometimes too. this causes my anal area and the inside of it to itch and sting. it feels like that sometimes after a bowel movement, even if it’s soft, other times it just feels itchy throughout the day, even if there is no anal leakage or if i don’t go to the bathroom. the mucus that comes out sometimes has pieces of stool/liquid that is the color of my stool. even with the supplements and meds i’ve been given, i’m lucky if I go even once a day now, but constipation is getting worse in my opinion.
in late march/early april i started to experience nausea, heartburn, acid reflux, and severe loss of appetite. all of these symptoms have persisted since. i no longer eat any of the food i used to. i can’t eat fast food or meat any more. i’m sticking to fruit, no citrusy fruits, crackers, soups, and cereal with almond or lactose free milk. even with these changes in diet my symptoms have persisted.
i eat very little because i just don’t feel hunger like i used to at all. even if i do i find that i get full very easily. i’m bloated after i eat as well. also, like i said i’m constipated so my bowel movement are little to none.
also, not sure if this is relevant but during these last 3 months i’ve also started to urinate more frequently at night. i have to wake up and go. i can feel a burning discomfort if i don’t near my bladder area. i was diagnosed with bacterial vaginosis for the first time ever earlier this month. previously the only symptoms id had of this was white, thicker, and more than usual discharge. some itching and a burning pain not when i’d urinate but on my sides at my sides, on my back, and the pain wrapped around to my upper abdomen sometimes. urinating a bit of blood while also wiping light pink and seeing visible bright res streaks of blood when i wipes as well. i was given metronidazole 500mg for a week to treat it. Now, i’ve been experiencing a slightly weaker urine stream & that same burning discomfort, mainly around my left back side, but still feel it on my right. i also wiped bright pink and noticed blood in my urine as well as a bright red streak when i wiped again. i also still have to wake up at night or early in the morning to urinate, but only saw blood today in the afternoon. i’m unsure if this has to do with a reaccuring infection, i read that this could happen, or if it’s another issue entirely. i included pictures of an ultra sound i got, but my doctor did tell me that nothing abnormal was seen when it came to my pelvis, bladder, kidneys, and all of the other organs in my abdomen. they did find 2 cysts, one on my left ovary during the ct scan, and one on my right ovary during the ultrasound. interestingly, the cyst on my left ovary was gone by the time they found the cyst on the right ovary.
i currently still have all of the symptoms above and they don’t seem to be improving.
in a addition to a ct scan i’ve gotten tested for a blood infection, negative. celiac disease blood test came back negative. stool test for h pylori came back negative. a test to find if there was any blood digested and present in my stool came back negative. a stool test that was done to measure levels of fat in my stool came back indicating normal levels of fat in my stool. i also got an ultra sound for lumps that appeared on my abdomen but it was found that they were just fatty lumps. i also got an endoscopy in late april where 3 tissue biospies were taken. apparently, the 3 things they tested for all came back negative. other than a bacterial infection, i have no idea what else they ruled out. i’m not even quite sure what bacterial infections they ruled out.
honestly, i’m getting more questions than answers at the moment and just want to know if there’s any more testing that i should ask for. what could possibly be happening to me and why?
submitted by kagura_143 to AskDocs [link] [comments]


2024.05.19 06:01 AutoModerator Weekly Suspected Lupus Thread - Week Of May 19, 2024

This is a weekly thread for those who haven't been diagnosed, but still have questions about the diagnostic process. Please read the posting guidelines and rules! Everyone is welcome to contribute, and this is a safe space.
QUESTIONS ARE LIMITED TO 400 WORDS
____________________________________________
Please read this before posting as it may answer some of your questions:
If you use the search bar at the top of Reddit and make sure it’s set to lupus, it will search just the subreddit for your keywords. That way you can get the full breadth of questions and answers. This isn’t to say that you can’t ask questions in the general forum.

ANA tests

Positive ANA does not equal lupus! While more of a rule out screening (negative ANA = very unlikely to have SLE). Upwards of 15-20% of healthy individuals in the population at large will have a positive ANA. Only about 10-15% of people who have a positive ANA will later be diagnosed with SLE.

Tests used in diagnosing lupus

Also, if you suspect you have a rash, getting a biopsy of it done at a dermatologist’s office can be helpful as the pathologist can identify histological evidence of lupus.

Diagnostic Process

ACR Diagnostic Criteria on lupus wiki
The rheumatologist/PCP will take a detailed history. I highly recommend writing down as many of your symptoms as possible, especially focusing on the symptoms you have that are in the American College of Rheumatology diagnostic criteria for lupus - see link above.
Include all your symptoms, but I would make those at the top of the list. Write down how long they’ve been going on, anything that makes them better or worse, and how much they impact your life. Do they prevent you from dressing yourself, eating/cooking, bathing yourself, doing hobbies, meeting your obligations?
ANA varies from person to person and doesn’t necessarily correlate with disease activity. Anti-dsDNA is more indicative of disease activity and can be elevated prior to and during a flare. Symptoms can also come and go, and over time you may develop additional symptoms. If you scroll through the last week of posts or so, there are a few posts that will have pretty detailed answers to your questions from multiple community members so you can get a better sense of just how full on fickle lupus can be.
Here are some good posts, one is other people experiences in general, the others are rashes (warning: some are particularly severe):
User community diagnosis experiences
This is a malar rash
Photosensitive Lupus Rash
SLE Malar rash
QUESTIONS ARE LIMITED TO 400 WORDS
submitted by AutoModerator to lupus [link] [comments]


2024.05.19 01:13 Gildedfilth My experience with a Calyceal Diverticulum

I am in recovery from my ureteroscopy on a calyceal diverticulum, and while I found some journal articles and a few stray posts on here about them, I want to paint a bigger picture about my actual experience and what I felt.
This is a very long post because I wanted to err on the side of more information so that others may feel much less alone than I have felt. I have included subheadings so you can read only what is useful to you.
To start, I am a 31-year-old female with endometriosis (I explain the implications of that in one of my subsections.). I live in New York City and was operated on by a surgeon at Smith Institute for Urology at Lenox Hill Hospital, which specializes in “complex anatomy” and kidney stones.
TL;DR Calyceal diverticula are pockets on the kidneys affecting 0.5% of the population. Stones can form and get trapped due to their narrow opening (infundibulum). As a result, their pain pattern is different and diagnosis can be delayed. To resolve the problem, you will need a surgeon to remove stones and expand the opening and/or ablate the lining of the diverticulum via ureteroscopy or percutaneous nephrolithotomy.
What is a calyceal diverticulum?
For a good scientific review of what calyceal (kay-luh-SEE-uhl) diverticula are, there is a review study from 2014 with primary author Nikhil Waingankar. In short, these are pockets within the kidneys that have much narrower entry points (“infundibula”) than a normal calyx, and they are theorized to only occur in 0.5% of the human population, with an estimated 96% of those who have them forming stones inside them.
They are often found incidentally on imaging because many people remain asymptomatic. In my case, we saw “a cyst requiring further imaging to rule out neoplasm” (cancer) when I was having my appendectomy in 2022 and had a CT scan in the ER.
They will look like cysts until you either get a radiologist who knows what to look for and sees a stone inside, or until you do a CT urogram, which is a more involved CT scan where you can see if the urinary system communicates with the “cyst.” Simple cysts and neoplasms will not show urine entering the mass; a calyceal diverticulum will, because it has an entrance.
Important stipulation in my experience: endometriosis and its surgeries
My story is complicated by the fact that I have endometriosis, which is a disease wherein cells resembling uterine cells occur outside the uterus. This is an extraordinarily painful condition that causes widespread inflammation due to the uterus-like cells’ having “menstrual periods” outside the uterus. It that can occur anywhere in the body; while most people’s disease presents primarily in the ovaries, uterus, and Fallopian tubes, the disease has been found in every organ in the body. In my case, my disease was confirmed to be extrapelvic as soon as my appendix pathology report revealed that my appendix had endometriosis on it; the cells existed beyond the typical pelvic organs.
I have already had two laparoscopies for endometriosis, and while these were immensely helpful in restoring my quality of life, every abdominal surgery comes with the risk of adhesions. Adhesions are bands of tissue that the body forms when it experiences inflammation or trauma. Endometriosis forms adhesions by itself, and surgery to remove it risks further adhesions. In 2020, when I had my radical excision surgery, my surgeon had to perform ureterolysis to cut my ureters free: whether from previous surgery in 2016 or the disease, my ureters were stuck to my uterus due to adhesions.
I share this because having endometriosis and its surgeries in my history affected my path to diagnosis and probably my pain pattern. (Endometriosis forms its own nerve endings, too!) But for the record, the kidney stones and the kidney surgery in my case were more painful than endometriosis…probably because they freaked out any remaining endometriosis.
(Sorry for no source on this endometriosis information. I am unfortunately very well-read on the disease! If you want to learn more, I recommend The Center for Endometriosis Care website and the book Beating Endo.)
What did the calyceal diverticulum feel like at first?
On a Tuesday in January 2024, I was trialing prazosin, an alpha blocker related to Flomax (tamsulosin) due to PTSD nightmares.
One day after taking this drug, I woke up with 8/10 pain muscle spasms in my “iliac crest,” which is the top edge of my pelvis, on the right side. I thought I had “slept funny” and the pain subsided after about 3 hours. I tried to roll around on a lacrosse ball, thinking it was a muscle spasm.
I took the prazosin for two more days. By that Thursday, the pain lasted more like 6 hours and did not go away; I had the muscle spasms as well as a feeling that there was “trapped gas” right at my waist, right on the side of my body. Because the pain stayed at 8/10, nothing would calm it down, and I couldn’t focus on work, I went to the ER. We did a CT scan and saw nothing different from my last CT for my appendectomy. They decided it was probably a kidney infection with strange presentation due to my endometriosis and sent me home with cefpodoxime, an antibiotic.
I finished the course of the antibiotic over 7 days and felt better.
But then the “trapped gas” feeling returned and lasted 18 hours. I went back to the ER, mostly concerned that I had failed antibiotics and the “infection” was getting worse. I made a urologist appointment while I was waiting in the ER because I suspected this might be beyond their mandate of ruling out anything life-threatening. We did another CT, and this time I really carefully read the results: inside what we had identified as a calyceal diverticulum in 2022 during my appendectomy CT scan were two kidney stones, each about 0.2mm. Because there was not much change from my last ER visit, the doctor at the ER did not think this explained how I was feeling. He did not want to send me home with antibiotics because he thought his colleagues were too cavalier with testing, but he did send for a urine culture and sent me home at least assured there was no emergency.
The culture came back, and I did test positive for E. Faecalis, which is a rarer bacteria to have, so the doctor at the ER urged me to get on Levaquin, an antibiotic, as soon as possible. (My endourologist later theorized this bacterium was an incidental finding; he thinks I just happened to be colonized with it and it was not causing symptoms. Regardless, it was not present in my culture before surgery.)
Again, I took almost the full course of the antibiotic and was feeling better and safer. I also saw a urologist, and she was skeptical it was an infection but told me to continue the course. She was pretty sure it was endometriosis-related but saw that I had seen my gynecologist, who has been treating me for 5 years, days prior who was pretty sure this was NOT consistent with what she had seen when we operated in 2020. The urologist said she felt this might be beyond her skills and referred me to one of her medical school colleagues who is a specialist in “complex anatomy” like calyceal diverticula as an endourologist professor at Lenox Hill in NYC.
But before I could see the endourologist, only one week after my last ER visit, I was in 9/10 pain for 7 hours overnight. I really did not want to go to the ER again, but I was vomiting, sweating, using the bathroom (both ways) constantly. After 7 hours not being able to get it to calm down, I went back to the ER.
The first thing they did was test me for sepsis, because I was being treated for an infection. They also did a CT scan again and then we saw it: one of the kidney stones had left the calyceal diverticulum and was stuck in the ureterovesicular junction (“UVJ”). By the time I was diagnosed, I was in 9/10 pain for 18 hours, so what we now know to be the renal colic phase lasted for 18 hours. They admitted me overnight to the hospital to observe and had me on ketorolac (Toradol) and oxycodone/acetaminophen (Percocet) every 6 hours alternating. The pain subsided the next morning.
Confirmation and surgery
Luckily, I had the endourologist appointment on the books already, and I got all of my images from the ER to bring to this doctor, letting him know I was confirmed to have passed the stone.
What he was able to do for me I will never forget: he showed me exactly why I was in enough pain for the ER each of the three weeks I went. Unlike a normal stone situation, a stone in a calyceal diverticulum has far more opportunities to get stuck. Also unlike a normal stone, you can feel the stone passing before it reaches the ureter because it has to leave via the narrow opening of the diverticulum. This means the pain can feel different and, due to its location within the kidney is more prone to being referred pain (pain you feel in a place other than where it originates). This is why I did not feel the pain in the classic place and why it felt much more like trapped gas. Furthermore, most radiologists do not have the same training as he did to identify where in the opening the stone was, which explained why they believed the stone was in the same place each time.
We wanted to take a “wait and see” approach on the second stone, but my body did not want to wait. As I was falling asleep one night in early March 2024, I felt that familiar “trapped gas” feeling, way too far right to be my intestines. This is 6/10 pain, so I could go to work for an important meeting, but I called to get an ultrasound and appointment right away. (We have since found that for my specific diverticulum, ultrasounds are not useful. I will need a CT urogram any time we want to visualize the kidney post-op.)
My doctor said that he wanted to attempt ureteroscopy before percutaneous nephrolithotomy because it is a less-invasive modality and we were worried about impacting any endometriosis. He had me sign paperwork consenting to either method, and it was a “game time” decision based on what he saw with the camera.
In the two-and-half week wait til surgery, his hypothesis gained traction: I would have days “on” with the pain and “off,” suggesting the stone was able to enter the diverticular opening and then flow back into the diverticulum. When I was in pain this time, I would also feel a lot of fatigue and brain fog that made it hard to work. This could be consistent with a kidney blockage, but it is hard to say for sure with an area so small.
The surgery, the stent, and the pain after the stent
The surgery itself went pretty well and only lasted 1.5 hours. The surgeon let me know that it was not easy to get into the diverticulum because the opening was not straight, as expected. He was, however, able to complete the surgery with only ureteroscopy. He removed a 0.2mm stone and observed that the stone was exactly the width of the opening, meaning it could absolutely flow into and out of it and get stuck for days. He widened the opening with laser to be “wider than a normal calyx” to allow for scarring, and, at my request to avoid further operations, ablated as much of the lining of the diverticulum as he could, encouraging it to close up.
While the surgery was uneventful, I am one of the unlucky ones who cannot tolerate a stent. This is probably due to my endometriosis, which leaves me in a heightened baseline of inflammation and nerve arousal, as well as the fact that, for me, the stent had to go into the diverticulum, which had been lasered and burned, in order for it to heal. I spent four hours in the recovery room while we tried to get my pain down to my goal of 7, which meant we needed to dose me, as we did in the ER, with ketorolac (Toradol) and oxycodone every 6 hours with no gaps in between.
I only had the stent in for 3 full days, and unfortunately, due to my specific circumstances, that was the worst pain I have ever been in. I was agnostic about 10/10 pain until this time, in which I felt like I was passing a stone and experiencing my worst endometriosis cramps at the same time. I was in 8-10/10 pain despite the painkiller regimen, and since we found that dilaudid does not work for me, this was good as they could do for me.
Thankfully, my surgeon listened to my experience and agreed to take the stent out as soon as was responsible: 72 hours later. The actual removal was uncomfortable but not painful beyond a “scrape” sensation in the urethra, and as soon as it was out, my husband noticed I could move as normal and was talking more like myself.
However, 1 out of 4 people will experience pain after the stent is removed, and risk factors include female anatomy, being “younger” (I am 31.) and having a stent in for less than or equal to 7 days.
The day of the removal I had some muscle spasms but was mostly so relieved that I slept all day.
34 hours after the removal, I experienced a feeling like I was passing a kidney stone. I was in 9/10 pain for 6 hours, feeling like I needed to move my bowels (which was not easy after opioids!) and having unrelenting spasms above my right iliac crest (top of pelvis). I was on ketorolac (Toradol) during this and knew what it was, but I otherwise may have gone back to the ER. I refused to take more opioids because my bowel was upset as well.
Today, I have had one episode of the iliac crest muscle spasms lasting an hour. I have found that crouching on the floor, against a wall, and/or going into “reclined butterfly pose” may help. It may just make me feel like I have more control over the situation.
I will update this post if I feel more pain in the coming days.
What’s next?
My endourologist/surgeon thinks it is very unlikely that I am “a stone-former” because the stones were only in the diverticulum and likely formed due to the urine reflux of that structure.
We will follow up in 3 weeks to see if the sensation I felt in March of the “trapped gas” recurs. If it does, only then would we do a CT urogram to see if the diverticular opening closes up to anywhere near its former width of 0.2mm.
This is unlikely because the surgeon lasered the opening very wide, “wider than a normal calyx,” to allow for scarring to take place. The ablation of the lining of the diverticulum should also take care of its tendency to collect urine.
I am not expected to have further stones or need for surgery, but he has seen cases of recurrence, so we need to manage my expectations.
Despite the extreme pain of the stent, I am content with my decision and hope that I do not have to go through this again. The one blessing in my case is, if this surgery succeeds, I should not have any further kidney stones.
submitted by Gildedfilth to KidneyStones [link] [comments]


2024.05.19 00:59 GoAheadMMDay UPDATE 3: Torment Techniques Used by Canadian and US Militaries

UPDATE 3: Torment Techniques Used by Canadian and US Militaries
Update #3 appears at the bottom.
Due to numerous disparaging comments by multiple individuals, I have reposted my article.
Heckling does not change what occurred. People need to know these truths, especially those who have experienced the same. They need to know they are sane, that such things are indeed being perpetrated, and the perpetrators use shame to silence them and protect their activities.
I write to encourage them not to listen to disparaging people who speak without knowledge.
February 10, 2024
I am Joseph Cafariello, a Canadian citizen and ex-member of the Canadian military. Of sound mind, not on medication, not a drug user, not a marijuana smoker, not an alcohol drinker, with no mental disorders.
I recently posted to this Liberty subreddit experiences of harassment by Vancouver's police and fire departments (Vancouver, BC, Canada). I’m the fellow who was repeatedly ordered by police to stay out of Vancouver’s Stanley Park, and was continually harassed whenever I visited the park (which I do every second day on my early morning walks).
Immediately following that post, they changed some of the techniques they use in my case. They were either informed of my post or found it themselves, seeing as my internet activity, and phone activity for that matter, are under continuous surveillance (plenty of proof which I will not include here to avoid running off-topic).
In this post, I would like to shed some light on other harassment which is still ongoing, since it occurs in private, away from potential observers. It involves the Canadian and US militaries.
Havana Syndrome
In 2016, numerous employees of the Canadian and US embassies in Havana, Cuba, started experiencing head injuries ranging from mild headaches to concussions. It happened in their sleep, and came to be called Havana Syndrome.
Wikipedia explains (https://en.wikipedia.org/wiki/Havana\_syndrome):
“Havana syndrome is a cluster of idiopathic symptoms experienced mostly abroad by U.S. government officials and military personnel. The symptoms range in severity from pain and ringing in the ears to cognitive dysfunction and were first reported in 2016 by U.S. and Canadian embassy staff in Havana, Cuba. Beginning in 2017, more people, including U.S. intelligence and military personnel and their families, reported having these symptoms in other places, such as China, India, Europe, and Washington, D.C. The U.S. Department of State, Department of Defense, and other federal entities have called the events "Anomalous Health Incidents" (AHI). Of over a thousand purported cases, the majority of US investigative bodies found only a few dozen cases to be suspicious.”
Ladies and gentlemen, I can tell you exactly what happens, because I have been experiencing this since I first joined the Canadian military back in 2002, and am still experiencing these “torments” (as I call them) to this day, already 3 years after leaving the military.
I go to bed. In about 15 minutes, just as I am on the cusp of falling asleep, a hear and feel a heavy thud reverberate and ultimately strike my skull. My body releases a sharp burst of adrenalin, my heart starts racing, and my blood’s circulation speeds up significantly. Depending on the severity of the blow, it can take me anywhere from 30 minutes to an hour to fall asleep again. Though there have been times I could not return to sleep for more than 2 hours.
A strong headache is felt immediately, and lasts for hours. There have been times when my heart felt like it was going to burst, having been startled as such.
The pulse to the head sometimes reverberates through the wall and my bed’s headboard. I distinctly feel as though I have been hit on the top of my skull. At other times, it feels as though the pulse has come through the air, striking the side of my skull.
This is not a sleep disorder, for it does not occur regularly. At times, my sleep is disturbed in this manner 3 or 4 days in a row. At other times, there is no disturbance for up to a week. But they never let me go more than a week without such interruptions to my sleep.
Neither is it sleep apnea, as I do not awaken gasping for breath. The pounding headaches, sudden release of adrenaline, and heart palpitations I experience are caused by external impacts of sound waves or air bursts.
Sonic Weapons
How these pulses are produced is not easy to identify. As Wikipedia explains:
“Once the story became public, various U.S. government representatives attributed the incidents to attacks by unidentified foreign actors, and various U.S. officials blamed the reported symptoms on a variety of unidentified and unknown technologies, including ultrasound and microwave weapons.”
Sonic weapons have been in use for many years by militaries, and by police in crowd control. As Wikipedia explains (https://en.wikipedia.org/wiki/Sonic\_weapon):
“Some sonic weapons make a focused beam of sound or of ultrasound; others produce an area field of sound. As of 2023 military and police forces make some limited use of sonic weapons.”
(Do not believe the 2023 timeline. The Canadian military has been using these weapons since the early 2000’s at the latest.)
Wikipedia continues:
“Extremely high-power sound waves can disrupt or destroy the eardrums of a target and cause severe pain or disorientation. This is usually sufficient to incapacitate a person. Less powerful sound waves can cause humans to experience nausea or discomfort.”
The users of these technologies must also be using thermal detection equipment to monitor the target’s sleep. As I mentioned, I most often feel these blows the moment I am falling asleep. Body temperature drops when we sleep, and brain activity slows. Heat-detection equipment is likely being used to identify the point at which the target is falling asleep.
Why they prefer to strike at the start of someone’s sleep as opposed to the middle of their sleep, I do not know. Perhaps their intent is to deprive the body of early sleep, limiting the amount of deep sleep available to the person before their alarm rings in the morning.
Ordinary Hammers
Not all such “torments” (as I call them) are caused by high-tech equipment. I have heard and felt distinct hammer strikes running along the 2x4 beams inside my walls. These strikes can be a single hard strike, or several strikes in a row. It is definitely caused by a person with a hammer because the intervals between strikes are equidistant in time; that is, the time spacing between strikes is not random and does not change from strike to strike, but is constant between strikes, exactly as when someone is hammering. And no, it is not someone hanging pictures at 1:30 am, multiple times a week, for years.
On one occasion, when I was standing at my kitchen sink, I felt the floor-board directly under my feet pulse so sharply it felt like a brick had struck the soles of my feet. In this case, my military neighbour likely used a hammer to strike the floorboard on his side of the wall. It is the only plausible explanation.
Surveillance
This leads to surveillance of one’s activities at home. I have plenty of proofs of that. They seem insignificant on an individual basis. But when you put them all together, they present a clear picture of home surveillance.
My laptop computer’s lid cracked one night, at the bottom left corner of the screen. The next day at work, I heard my military supervisor relate to another co-worker that the night before, his laptop computer’s lid cracked at the bottom left corner. I swear to the Lord in Heaven, I am being truthful.
I tested my suspicion of being surveilled. At home one night, I blurted out-loud, “VW Passat. What an ugly sounding word, ‘Passat’”, I said. A few days later, my military colleagues at work started playing a card game at lunch, invented by one of them. The name he gave his game was “Passat”, and when he spoke it, he looked at me for a reaction. If you ever contact the Halifax military base, ask for the Claims Department and ask them if they are still playing Passat.
On another occasion, at a time when I frequented the gym every second day for a few years, I suspected my van had been fitted with a listening device. I suspected so because a number of things I had spoken with people about on my phone while in my van (nothing illegal) were repeated by people at the gym in conversations among themselves. Too many times, parts of other people's conversations matched parts of conversations I had had with others while I was in my van.
I already knew my phone was being tapped, but I also suspected my van was bugged. So one evening while driving in my van, I blurted out-loud a number of things I said I hated. "I hate (this or that)"; "I hate it when...". One of them was, "I hate when people chew gum with their mouths open." I then vocalized an exaggerated gnawing sound, "Gnaw. Gnaw. Gnaw."
The very next time I went to the gym, 2 days later, while I was at an exercise, a fellow sat at an exercise directly behind me. And sure enough, he started chewing with his mouth open, vocalizing that gnawing sound, "Gnaw. Gnaw. Gnaw." I didn't look behind at him, because I knew what was going on, and I wanted to avoid playing into his hand. So he repeated himself again and again until I was done and moved to a different station. Now, honestly, who chews gum at the gym? You can't. Or you run the risk of choking for the heavy breathing, not to mention when laying down on benches. And with precisely the same exaggerated vocalized gnawing sound I had made in my van just 2 days prior.
Their whole intent is to let you know you are being surveilled. They want you to know, as both a warning and a provocation. They want you to say something, to launch accusations, which they would readily deny, making you look paranoid. If you react too strongly, they could even have you diagnosed with some kind of disorder, and put you on medication, which further plays into their hand. (More regarding medications in the last section of this post.)
This is why, as I mentioned in my previous post, they would park their cars shining their high beams on me as I walked past them during my morning walk. And why on some occasions, a group of 3 or 4 would exit their cars and stand on my path just as I approached, forcing me to go around them. They would then remain standing on the path until my return trip through, and after I had passed by the second time, then would then return to their cars - making it absolutely clear I was their interest.
Their intent is not only to make me aware, but also to present themselves in close proximity to me, within easy reach, in the hope I would confront them, resulting in an altercation that could land me in a lot of hot water - 4 witnesses against me, all pleading innocence.
Again, it is all designed to make you look bad, and to warrant some kind of legal measure against you - preferably a medical diagnosis, discrediting you in everything you say about them. If they can't refute your claims, their only remaining option is to discredit you. That's what all of these tricks are designed to accomplish. Who would believe anything you say, once you have been diagnosed with a disorder?
There are plenty more examples. But who would really believe them? I’ll save them for the future.
Home Invasion
Both during and after my military service, I have had my apartments entered without any signs of break-ins. How? Lock-picking and duplicate keys. Indications? Missing objects; ie: money, phone adaptor, etc. Nothing major. Just something to make us understand we are being watched, and to make us understand what they can do.
But it is always something small, something for which you would be ridiculed for divulging.
Two more examples: I found my razor, which I always lay-down razor-end to the wall, turned around, razor-end toward me. Also, in one of my house slippers I found a small shoe sticker on the up-side of the heel. I had those slipper for years, and never had any shoe stickers on them. Yet there it was, clearly visible on the top surface of my slipper, not the bottom. Could I have stepped on a shoe sticker when barefoot in my apartment, only to have the sticker transfer itself to my slipper when I wore it? How many shoe stickers do you have laying around your apartment that you can accidentally step onto?
If I had stepped onto a sticker in my apartment and had it stick to my heel, that means the sticky side was up against my skin. This means the sticker would have had to flip upside down such that the sticky side would then be down, allowing the sticker to stick to the slipper. Do you really think that happened? That sticker was not there when I left my apartment, but it was there when I returned. And it was the wrong sticker, wrong brand, wrong size.
Again, what is their intent? To make someone look ridiculous so no one will believe them should they speak of other more sensitive things.
Staged Incidents
The above incidents clearly point to coordinated and staged events (at my work, my home, on my walks, etc). This is so frequently met with incredulity. "But that would require coordination on the part of so many people," the public dismisses. "They wouldn't do that."
Oh yes they would, and they have, as explained in https://fightgangstalking.com/. Note the documented cases involving the Canadian Security Intelligence Service (CSIS, Canada's equivalent to the US' CIA) and the Royal Canadian Mounted Police (RCMP, Canada's national police force), which were reported in national newspapers.
From https://fightgangstalking.com/ :
“Disruption operations often involve tactics which are illegal, but difficult to prove. These tactics include – but are not limited to – overt surveillance (stalking), slander, blacklisting, “mobbing” (intense, organized harassment in the workplace), “black bag jobs” [home invasions], abusive phone calls, computer hacking, framing, threats, blackmail, vandalism, “street theater” (staged physical and verbal interactions with minions of the people who orchestrate the stalking), harassment by noises, and other forms of bullying. Many of these tactics were used by the FBI during its illegal COINTELPRO operations, as documented by stolen official documents and subsequent Congressional investigations.
"Although the general public is mostly unfamiliar with the practice, references to “disruption” operations – described as such – do occasionally appear in the news media, even though that fact would apparently be news to the editors of The New York Times. In May 2006, for example, an article in The Globe and Mail, a Canadian national newspaper, reported that the Canadian Security Intelligence Service (CSIS) and the Royal Canadian Mounted Police (RCMP) used “Diffuse and Disrupt” tactics against suspects for whom they lacked sufficient evidence to prosecute. A criminal defense attorney stated that many of her clients complained of harassment by authorities, although they were never arrested."
She can add me to that list too.
For the Benefit of Others
The experiences I have recounted here seem so trivial, so insignificant, they make you look ridiculous if you talk about them. But if we don’t talk about such things, no one will ever know about them. Other people have experienced the same, and are forced to endure such torments in silence. They need encouragement to talk about their own experiences, and so I write about mine in the hope they will talk about theirs, even if I do look ridiculous. The perpetrators are more ridiculous for doing them.
I remember a military colleague being hauled away by military police one morning, as she was struggling and having a violent fit. A fellow on her floor told me she was throwing chairs at her walls screaming, “Stop it! Stop it! Stop it!”. When he mentioned that, I knew exactly what they had done to her. She was considered unruly, and was being watched intently. They wanted her out, and that is how they accomplished it. Through wall tapping and sleep deprivation, they push you to the breaking point. And when you finally lose control and do something rash, they pounce on you, and you’re out. Now she has a criminal record, considered a criminal when in reality she was a victim. Welcome to the Canadian military, and other militaries besides, I am sure.
There are dozens upon dozens of experiences I could present. But who will really read them? Worse still, who will really believe them? I overheard my military supervisor in Halifax whisper to another, “Do you think he knows?”, after I had mentioned one of the many “coincidences” I experienced, but with a tone of my being aware it was not a mere coincidence. As I turned my face to my computer screen, I whispered under my breath, but still loud enough for him to hear, “Yes, (rank) (name), I know.” A few minutes later, as he walked past my desk, he leaned in by my ear and whispered, “We’re trying to help you.” I should have pressed him for answers right then and there, but you just don’t know how much trouble you can get into when making such accusations in the military. So I let it go. But I will never forget.
Should anyone reading this ever decide to launch some kind of inquiry, I can mention names of over 100 people to contact, including military personnel, family members, neighbours, building managers, and others who have been contacted by military personnel with false narratives about me. They flash their ID’s and other credentials, and people believe anything they say. They turn family, friends, co-workers and neighbours against you, even recruiting their participation. Your acquaintances not only participate, but actually feel justified and emboldened playing tricks on you. It isn't their fault, though; they have been misled. I would reference them solely for corroboration.
As a final thought, here are explanations of two military programs in which certain persons (sometimes military, sometimes civilian) are kept under constant surveillance, and are in some cases subjected to conditioning in an attempt to turn them into what is called a “sleeper agent”. Almost all of the tactics presented below have been experience by me, including constant surveillance (ie: my previous post here regarding being harassed on my morning walks) and sleep deprivation (as per the top portion of this post, which other military members in Cuba and elsewhere around the world have also experienced).
Pentagon’s Signature Reduction Program
See Newsweek’s article: https://www.newsweek.com/exclusive-inside-militarys-secret-undercover-army-1591881
Some excerpts from that Newsweek article, plus more background information on the Pentagon’s Signature Reduction Program, can be found here: https://fightgangstalking.com/
“The largest undercover force the world has ever known is the one created by the Pentagon over the past decade. Some 60,000 people now belong to this secret army, many working under masked identities and in low profile, all part of a broad program called “signature reduction.” The force, more than ten times the size of the clandestine elements of the CIA, carries out domestic and foreign assignments, both in military uniforms and under civilian cover, in real life and online, sometimes hiding in private businesses and consultancies, some of them household name companies.
“…a little-known sector of the American military, but also a completely unregulated practice. No one knows the program’s total size, and the explosion of signature reduction has never been examined for its impact on military policies and culture. Congress has never held a hearing on the subject. And yet the military developing this gigantic clandestine force challenges U.S. laws, the Geneva Conventions, the code of military conduct and basic accountability.
“…The signature reduction effort engages some 130 private companies to administer the new clandestine world. Dozens of little known and secret government organizations support the program, doling out classified contracts and overseeing publicly unacknowledged operations.
"Federal spy agencies are using Americans to spy on their fellow citizens – the same approach to governance famously employed by communist East Germany."
How to Develop a Hypnotic Sleeper Agent
By Dantalion Jones / Masters of Mind Control
The following “was” on the web, but has been removed. Surprise, surprise. But I saved its web files to my computer years ago, knowing that sooner or later it would be removed. I made a jpeg image of the web page as it once appeared, attached here.
Note that I have experienced almost all of the tactics described below, including the stalking I mentioned in my previous post here (regular walks in the park), the sleep deprivation noted at the top of this post, and the surveillance and intrusions described here as well.
Quoting the now-removed webpage: “How to Develop a Hypnotic Sleeper Agent” (from here to end of post):
Amid all the conspiracy theories one of the most feared is that there exist "sleeper agents" in our society who are programmed to come into service when they are triggered by a phone call or key word.
These alleged sleeper agents don't even know they are programmed to become saboteurs, soldiers, suicide bomber, etc because of the thoroughness of their programming. They are the feared "Manchurian Candidate" that the movies portray.
The question is "Are they real?"
If they are true sleeper agents there is no way of telling until they are activated. One can however theorize exactly how they are made.
Indoctrination
Using indoctrination a person can be made to embrace a religious or philosophical belief that would make becoming a sleeper agent possible.
This would be a person so committed to an ideal they would be willing to wait patiently as a member of society until they are called into action. These people would know their mission and consciously hold it secret while interacting with the rest of society.
Conditioning
Conditioning is a repetitive process where the desired responses are enforced and rewarded and unwanted responses are punished. This can be done consciously as part of training drill and it can be done subconsciously using hypnosis or drugs to create amnesia.
Hypnosis
It has been demonstrated that hypnosis can create "amnesia walls" in which the subject has no conscious memory of what happened in the hypnosis session. It has further been demonstrated that hypnosis can give post hypnotic instruction to be carried out automatically in the waking state without the subject knowing it or questioning the behavior.
What follows is conjecture and theory based on testimonials of people who were alleged to be sleeper agents and soldiers.
Continuous Supervisions
Continuous supervision doesn't mean that the subject is cut off completely from society. It means that they are constantly overseen and every aspect of their lives are managed (without their knowledge or consent) to support their hypnotic programming.
This would include:
• Repeated reinforcement of all hypnotic conditioning.
• Handlers. Handlers are people who help maintain the subjects environment to maintain all the programming. They can play the role of family, friends, lovers, psychologists, coaches or any roll the subject perceives as supportive. The truth is the handlers are their to support the successful fulfillment of the programming and not the subject as a person.
• Minimal sleep so that the mind/brain does not process all the sleeper conditioning during sleep.
• Creating constant environmental challenges like unemployment or poverty. This gives the subject something other than their programming to focus on.
• Frequent hospitalization. This gives overt opportunity to sedate the subject for conditioning. If the subject has a history of hospitalizations for mental disturbances all the better. No one will take them seriously.
Joseph Cafariello
PS... Today is the second day after this post (February 12, 2024). A garbage truck just slammed into my parked car.
PPS... I finish writing this post because I am satisfied with its shape and content; not because of what happened to my car.
It is similar to when you are reaching for your coat, and someone tells you, "Take your coat." Since you have to take your coat, your brain tells you it's ok to obey them, and you comply. They just created an instance where they led you, and you followed them. And your brain accepted it.
It's a technique the military uses all the time. It trains you to accept instructions from that person or group. Done enough times, you become comfortable obeying them.
I just say, "I take my coat because I choose to, not because you tell me to." It's important to make that clear, to block the conditioning and affirm our self-governance; not just to them, but to ourselves as well. Now our brain realizes we took our coat by our own choice; we are still in command.
So too, I say regarding today's event. "Thanks for the warning, but I had already finished writing my post. I finished by my own choosing."
UPDATES 1 & 2: February 26 & March 07, 2024:
My apartment was once again entered while I was out. Either a key was used or the lock was picked. This may or may not have included assistance from building staff. Home invasions are included in the list of their techniques noted above, referred to as "black bag jobs".
All tenants on my floor received new fridges a couple of weeks ago. I removed the tape securing the bins inside my new fridge, and also removed all styrofoam pads from the corners of the glass shelves when I repositioned them.
The person(s) who have been invading my living space on a regular basis have struck again. As you can see in the photo below, the styrofoam pads on the corners of my fridge's shelves were restored when I was out of my apartment. I had removed all pads when I repositioned the shelves. Yet now they are back.
It is a tactic used to undermine our observational awareness in an attempt to make us second-guess and doubt ourselves. The aim is to cause people to feel less sure not only of the things we have done, but also feel less sure of the things others have done. They want us to question the accuracy of our observations and memory.
The idea is to train you to dismiss any anomalies you may observe as being your own misperception of things. Once they convince you not to trust your own judgement, they are free to do whatever they want to you, and you will simply accept it without questioning.
UPDATE 3: May 18, 2024:
Confrontations with individuals keep occurring, at times potentially violent. Following are just 3 such encounters as of late.
1 - Kick-boxer in the park:
As I parked my car in one of the parking lots in Vancouver's Stanley Park one night, another vehicle drove up behind me and parked several spots away. A tall man exited that vehicle, and walked hastily along the path I always walk, down some steps to the water's sea wall path. I took my time and followed my usual walk, also down the steps down to the sea wall. The man knew my routine, and was in a hurry to get ahead of me.
As I walked along the sea wall, I saw the same man sitting on a bench, playing a loud religious sermon in a foreign language on a device I did not clearly see. As I walked past him, he called out to me to stop and chat. I ignored him and continued walking past. He rose and started walking behind me.
I opened my umbrella, turned, and walked past him the other way, returning to the stairs back to the parking lot. He also turned and continued following me. I started running. He also started running. I ran up the steps, as did he.
Being taller than I am, his legs are longer than mine, and he quickly caught up to me on a grassy patch at the top of the steps. I turned to him and asked, "Why are you following me?" He did not reply, but stood profile to me, the same stance a kick-boxer uses when ready to kick someone. He was tall, thin, and in excellent physical shape as you would see in a kick-boxer.
He did not speak at all, but was just waiting for me to make a move. I turned, entered my vehicle and left. The encounter continued with a chase through the park in our cars. Yes, that is correct. He chased me out of the park in his car.
2 - Told to keep quiet:
The perpetrators need to operate with as little detection as possible, and they repeatedly warn their subjects to keep their mouths shut about their experiences.
On another of my recent nightly walks, a man stood on the sidewalk ahead of me about half a block away, looked at me, and shouted into the sky at nobody, giving the appearance of being a homeless person shouting for no reason. He then started walking in my direction. I continued walking straight. As he passed me, he leaned into my face and shouted into my ear, "Shut the f_ck up!" I continued walking in my direction, and he resumed walking in his.
The idea is to make it seem as though he is just a deranged man wandering the streets at night, shouting at nothing, so that when he shouts at me, any observer would simply dismiss his actions. But in reality, he was sent to send me a message to stop publishing posts like this, which I had done many times on many sites, and continue to. They don't like it when we reveal their methods. But the truth must be known.
3 - You'll be sorry:
On another occasion, while returning from grocery shopping one afternoon, I walked past a man sitting by a storefront. He was clean-cut, wearing clean clothes, without any carts or wagons or any belongings of any kind. As I passed him, he asked me for some spare change. I replied, "I'm sorry," and continued walking past. He replied, "You will be."
There are numerous other experiences, like two seemingly unassociated men standing on the sea wall about 100 meters away from each other, each of them spitting just as I walked past each one.
There are too many experiences to mention. Looking at each experience individually, one would easily dismiss them as being unrelated and simply coincidental. But put them all together and a picture starts to form, like putting together the pieces of a puzzle.
As I hand you each piece of the puzzle one by one, you dismiss each piece, saying, "This could be anything." And you discard it. You keep discarding each piece as I hand it to you. By the end of it, you look down at the table and say, "You have nothing." That's because you looked at each piece as a separate item and threw it away. But if you leave the pieces on the table as I hand them to you and do not hastily discard them, you will see they form a clear picture when put all together.
We must look at all these events as a whole. Individually, each one could be anything. But when all of these experiences are put together and considered as a whole, they form an undeniable picture. Do not be quick to dismiss each piece. Leave the pieces on the table and look at the whole. The picture I present is sound. Remember, I have all the pieces; you do not. I see the picture more clearly than you do.
https://preview.redd.it/we31ymcsm91d1.jpg?width=966&format=pjpg&auto=webp&s=3d56ac3dd3558a60d477ba9315104d1b66b139f8
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2024.05.18 11:55 littlemoonbeem Herpes?

Herpes?
I'm 24 and have been experiencing sores on my lips which started out as very tiny and not noticeable. That occurred twice in 3 years. Recently, it seems to have spread across my lips and is extremely uncomfortable to the point where I can't eat or talk or brush my teeth and am completely bed ridden. This is now happening 5 times in 2 months regardless of 3 grams of valtrex, 3000mg lysine, 500mg monolaurin, and oregano oil. I have been avoiding arginine in food. I feel constant tingling, itching, zapping, burning. my tests have all come back negative and nobody can tell me what it is. It starts out like the 2nd and 5th picture where the tiny bumps are everywhere and then they start to leak fluid like the 1st, 3rd, 4th photos. I have been seen by many doctors, dermatologists, and allergists, they say that it can't be herpes. I am desperate for answers. No allergies, no history of eczema or even dry skin, not immunocompromised, no health conditions. Nobody in my family has ever had a cold sore, none of my friends have ever had a cold sore, my boyfriend (the only person I kiss or share anything with) has never had any kind of herpes symptoms and tested negative for herpes twice. They began to appear a few months after we started dating, 4 years ago I specify that my friends and family are either not carriers or asymptomatic since it’s not possible to contract without kissing passionately with no sores present. I know that I could contract it from my boyfriend if he were asymptomatic since I kiss him passionately but he has also tested negative twice.
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2024.05.18 07:38 atpaftmombilyatinf herpes ??!

ok, so recently I had unprotected sex with someone for the first time in like 6 months and 2 days after I kind of started noticing some weird things I'd never had before.
First, I began feeling this sharp pain in this very specific spot (below the clit w/In the labia). I had thought I was just experiencing clitoris pain bc he had kind of rubbed it hard... but yesterday I found the source. Pretty hidden, but I noticed like a white sore, kind of like a blister and very very painful to the touch. I also noticed one other bump on my labia, this one not painful and not open, but still there where there hadn't been one before.
I've had pimples on and around my vulva before but this didn't really seem like that. It's a very specific pain, like touching a raw, opened blister. I'm kind of freaking out thinking it could be genital herpes, but every picture I've looked up or seen hasn't really closely resembled what I have. But idk.
It's only those two spots that have appeared, and it's been about 5 days now, so I don't think any more will appear. They're also not clustered together or anything.
I am going to get it checked out, but I guess I'm asking: does a sore automatically equal herpes or could it be something else?
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2024.05.18 04:50 Super-Pirate1847 bad dream turned nightmare.

(long post.) Hi. My name is Nick. I posted my rare disease day story involving some of the findings that I had been detected back in 2021 & 2022. but that was a mere snapshot of what was going on. I had posted that story in january of last year & there have been a few new developments since then. For example I have a laryngocele. My geneticist has diagnosed a slew of conditions from craniofacial abnormalities to torticollis & there's a history of significant vomitting illnesses in childhood that changed into lower digestive issues later on. My most recent illness was the worst one I had yet & it took d3+k2 & b12 supplementation to calm it down after a year & a half of fatigue, diarrhea, that was preceeded by sore throat, coughing (this led to the laryngocele.) & sinus congestion. My geneticist has effectively given up because standard test like emg & blood work are underwhelming & is going to put me through WGS testing because Exome sequencing was unspecific. . .I feel like I should be ashamed of myself for putting myself through this. On top of this there's no support from family whatsoever. I feel like everyone's mistake child. :'(
Below is everything that I've dealt with up to this point form birth to now. . .
27 year old male 6 foot 3 inch between 160-170lbs & skinny male. Active male with a stored history of medical issues both physical & psychological stemming from birth. I was born with a stroke w/thrombocytopenia & minor complications including laryngomalacia, mild weight restriction at 2189 grams, undescended testicle, 2 small holes in the heart that healed w/out surgery, & being put on a home apnea monitor with nursing visits for a time. In childhood I would always have a head tilt. I also couldn’t fully turn my neck to the left for whatever reason. History of puking illnesses as a child that evolved into severe ibs (bile acid malabsorption) in late childhood, History of hives in childhood that would occur on the back, history of right arm jerks in childhood followed by jaw spasms in adolescence that lead to arthralgia. Grew pretty quickly & had speech delay until around 9 years of age.
Fast forward to the summer of 2019 there was a basement flood that turned out to be asbestos contaminated water. We got everything in my bathroom replaced along with carpet.
All was good for a while until I started getting repeated sore throat/coughing up yellow/green phlegm every spring starting in 2019 along with fatigue not getting better with rest & naps. I had developed cognitive issues at the time. This had gone on for at least 2 years. Got a pinched nerve in the neck along with swallowing challenges mostly with water before we moved in late 2021 & I had to address this somehow.
I saw a geneticist in august 2021. They noted some distinct facial features including “Small triangular face & jaw, small mouth, slightly arched palate, & teeth on lower jaw are a bit pointed.” with in the after visit summary an aortic hypoplasia due to heart murmur detection
(Most people would assume mold exposure but I urge you to keep reading because it gets weird & fast.)
I know this next part is highly controversial but it did give me relief from my pinched nerve. I had seeked care from a chiropractor. Everything was fine initially & then I developed a posture lean probably due to whatever I was fighting. I left him when it had stopped working. I also had cervical neck dystonia during this time (transient) I seeked the opinion of my gp at the time & he said it was pots & got some blood work done. All he told me to do was to take vitamin D3.
The abnormal results are as follows: Hematocrit: 51.4, BUN: 22, sodium: 145, carbon dioxide: 19, a/g: 2.3, vitamin D hydroxy-25: 26.3.
I started on vitamin D3+K2 immediately! I sadly would not get over the diarrhea & fatigue issue for another 17 months. I don’t know how I managed to drag myself to work during this awful time. I was experiencing chronic confusion & acute irritability for about a year. I got a different gp because the previous one hid the rest of my test results, on top of this he was pretty rude. After a simple exam she sent me in for imaging regarding concerns on my coordination/confusion. We ran b1 & it was fine. She also got me in with an ent about 6 months apart with follow up from a neurologist who gave his own opinion piece.
The results from my scan in December 2022 involving the brain w/out contrast were as follows:
“Impression: The cystic region in the right parietal lobe is consistent with a porencephalic cyst. There is hemosiderin deposition along the anterior margin of this, and this finding is associated with a perinatal hemorrhagic infarct or maybe associated with perinatal congenital hemorrhage.”
There were also small choroid plexus cyst but I assume everyone has those & they're harmless. This stroke was misdiagnosed for 26 years.
I also got spinal imaging done with results as follows: Impressions from first series of scans:
“Impression: moderate degenerative changes including multi level moderate severe neural foraminal narrowing. Mild accentuated kyphosis and leftward curvature of the upper thoracic spine.”
The second series of spinal findings were more accurate as follows:
“Dextroscoliotic curvature of the thoracic spine measured 26 degrees from the superior endplate of T1 to the inferior endplate of T12, additional levoscoliotic curvature of the cervical spine which measures approximately 13 degrees from C2 to T1, marked coronal imbalance with 18.1cm leftward coronal imbalance, & Accentuation of normal thoracic kyphosis.”
I did a second round of blood work in august 2023 after the original in july 2022 & the metabolic panel showed the following:
Creatinine serum: 1.42, potassium: 3.4, carbon dioxide: 16, Albumin serum: 5.3, A/G ratio 2.3.
In may of 2023 after an uneventful echogram they did a larynx mri with iv contrast with the following result:
“Imaging findings suggest a right anterior laryngocele versus laryngeal diverticular enlargement.”
Got in with a neurologist in June of 2023. We ran blood work & did a test for autoimmune encephalitis & paraneoplastic syndromes. All negative except for b12 at 210. He diagnosed a conjugate gaze palsy, unspecified ataxia, & cerebral ischemia. All he could conclude was that my b12 was causing my arm issues at rest & suggested b12 supplements. He suggested going to a spine surgeon which I turned down. He also said my stroke is an enlarged ventricle that puts me at risk for dementia.
To clarify the arm issue at rest, I’ll wake up with my arm in a different position than when I fell asleep & find it in positions that cause the arm to be numb. Even with putting a cushion between the arm & chest I still find it in arm numbing positions. So I reposition the cushion to prevent it from happening. But I still find the arm in different positions. During the day it’s mobile but there is an underlying grip problem.
A Gastro noted arthralgia in my jaw joints with unspecified esophagitis & childhood ibs that was thought to be celiac but that's not the case. I’ve been having arthralgia since moving states in 2017. It has gotten better with d3k2 & b12 especially supplementation.
Other symptoms are occasional feeling of brief difficulty in breathing; this issue also dates back to childhood, bier spots on hands as well as small tan raised spots on fingers. The bier spots will seem dilated in hot weather & I’ll feel a mild skin sensation. (I will have pictures for these.) I do get a heavy feeling in the head when standing up from squatting at work. History of hives in childhood that would occur on the back, history of right arm jerks in childhood followed by jaw spasms in adolescence that lead to arthralgia.
Saw my geneticist again & we noted quite a few new things like torticollis, history of puking illnesses from childhood, skull asymmetry(plagiocephaly?), deviated septum, mandible bump, & enophthalmos. He thinks hemifacial microsomia but I would be unopposed to alternatives.
Miscellaneous Carrier for cep290 mutation (maternal), small microduplication on 4th chromosome (paternal) but both have little to do with what's going on. We also did targeted testing for marfan & that was negative in 2019.
maybe I just need support through this-
submitted by Super-Pirate1847 to rarediseases [link] [comments]


2024.05.17 18:33 agnelchettiar Exploring Symptoms of Alopecia Areata Understanding the Puzzle of Patchy Hair Loss Coimbatore Hair Loss Treatment

Imagine waking up one day to discover a smooth, round bald spot on your head. It’s not just a bad hair day; it’s alopecia areata — a condition affecting millions worldwide. But what exactly is alopecia areata, and how does it unfold? Let’s look into the intricate web of symptoms, causes, and treatments that define this mysterious condition.

Decode the Symptoms

Alopecia areata can come out of nowhere, usually affecting hair follicles but sometimes involving nail beds too. At the outset, it shows up as round or oval patches of hair loss on the scalp, leaving behind bare spots without any signs of rash or redness. Some folks even feel tingling, burning, or itching sensations before the hair starts to fall out.
As the condition progresses, the story unfolds in different ways. Hair may regrow within months, offering hope amidst the barren patches, or new patches may emerge, expanding the canvas of hair loss. In rare cases, it evolves into more severe forms — alopecia totalis and alopecia universalis — where hair loss extends to the entire scalp and body.

Decoding the Symptoms

Beyond what you can see, there are more subtle clues, like itching, changes in colour, and unusual hairs — thicker at the top, narrowing like an exclamation mark — that give a clear picture of how the disease is moving forward. In the middle of all the not-knowing, there’s a pattern. Hair grows, then it falls out again, and it can feel like a ride with ups and downs — moments of hope and moments of feeling let down.

A Visual Journey Through Alopecia Areata

Looking at pictures helps you see what people with alopecia areata go through. Each picture — from when they first lose a patch of hair to when they lose a lot — shows how strong they are. The loss of eyebrows, eyelashes, and body hair marks pivotal moments, showing just how deeply this condition can affect someone’s sense of self.

The Mystery Behind Alopecia Areata

What sets off this autoimmune reaction, causing the body to turn against its follicles? Alopecia areata is like solving a puzzle with many pieces. It involves your genes, environmental factors, and sometimes just chance. But it’s not just about what’s happening physically; it’s also about dealing with feelings and social challenges. It’s like walking through a maze where stress, worry, and feeling sad are all part of the journey.

Hope in Treatment and Management

Even though there’s a lot of uncertainty, there are rays of hope in different treatment avenues, ranging from corticosteroids to phototherapy. When regular treatments don’t work as well as we hope, getting creative with hairstyles can be a fantastic way to show off our unique style and beauty. It’s a reminder that even when we face challenges, we can still celebrate our individuality and look amazing doing it.

The Journey

Alopecia areata isn’t just a medical condition; it’s a journey filled with highs and lows, victories and challenges. It serves as a powerful reminder of the incredible resilience within each of us, the capacity to find beauty even amid chaos. To all those walking this path, remember: you’re not alone. Your story, your journey, is a testament to the strength of the human spirit — a masterpiece in its own right.
When it comes to managing alopecia areata, having a reliable ally can be a game-changer. That’s where Keva Hair Care steps in. With our deep knowledge of hair care and our commitment to tailor-made treatment strategies, we provide a ray of hope for individuals like me who are dealing with this condition.
For those ready to embark on a transformative journey to restore their crowning glory, Keva Hair Care awaits. With a promise of unparalleled excellence, it is the beacon of hope for many.
Keva Hair Care Best Hair Transplant in Coimbatore Address: No 424K 3rd Floor, Harmony Complex, Diwan Bahadur Rd, above ICICI Bank, above Pandiyan Medicals, R.S. Puram, Coimbatore, Tamil Nadu 641002
submitted by agnelchettiar to u/agnelchettiar [link] [comments]


2024.05.17 12:01 AutoModerator Introduction and Daily Picture Thread

Are you pregnant, supporting someone who is pregnant, or planning on getting pregnant in the future? Then welcome to BabyBumps! This is a daily post where you can introduce yourself and share any photos that you want to share. This is the ONLY place where photos are allowed, please do not make a standalone post with your bump or ultrasound.
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2024.05.17 08:13 drambikachestclinic What are the treatment options for different types of chest pain?

Treatment options for chest pain depend on the underlying cause. Here’s an overview of various types of chest pain and their corresponding treatment strategies:

1. Cardiac-Related Chest Pain (e.g., Angina, Heart Attack)

2. Gastroesophageal Reflux Disease (GERD)

3. Musculoskeletal Chest Pain (e.g., Costochondritis, Muscle Strain)

4. Pulmonary Conditions (e.g., Pulmonary Embolism, Pleuritis, Pneumonia)

5. Panic Attack or Anxiety-Related Chest Pain

6. Pericarditis

7. Aortic Dissection

8. Other Gastrointestinal Causes (e.g., Peptic Ulcer)

9. Herpes Zoster (Shingles)

Each type of chest pain requires a specific approach to diagnosis and treatment, and it is crucial to consult with a healthcare professional to determine the exact cause and appropriate treatment plan.
submitted by drambikachestclinic to u/drambikachestclinic [link] [comments]


2024.05.17 06:57 CureEZ_Healthtech Decoding Thyroid Disorders: CureEZ's Innovative Solutions

Thyroid disorders, such as hypothyroidism, hyperthyroidism, thyroid nodules, and thyroid cancer, impact millions globally. Despite being common, these conditions often go undiagnosed or misdiagnosed due to their subtle symptoms and complex causes. In today's fast-paced world, the need for effective thyroid wellness solutions is more critical than ever. This blog will explore the necessity for improved thyroid care, the available alternatives, why CureEZ stands out, and real-life examples of how CureEZ has transformed lives.

The Urgency for Thyroid Wellness Today
The Growing Prevalence of Thyroid Disorders
Thyroid disorders are increasingly prevalent, with millions of new cases diagnosed annually. For example, hypothyroidism, where the thyroid gland is underactive, affects approximately 5% of the population, with a higher incidence in women and the elderly. Hyperthyroidism, where the thyroid is overactive, affects about 1-2% of the population.
Several factors contribute to this growing prevalence. Environmental pollutants, dietary factors, and increased autoimmune diseases play significant roles. The impact of stress and lifestyle changes in modern society also exacerbates these conditions.
The Challenges of Diagnosis
One of the primary challenges in managing thyroid disorders is accurate diagnosis. Symptoms such as fatigue, weight changes, and mood swings often overlap with other conditions, leading to misdiagnosis or delayed diagnosis. Traditional diagnostic methods, primarily reliant on blood tests measuring thyroid hormone levels, may not always provide a comprehensive picture.
Moreover, subclinical thyroid disorders, where symptoms are present but hormone levels appear normal, complicate diagnosis further. Patients often face frustration and anxiety due to the uncertainty and inconsistency in their diagnosis and treatment plans.
The Impact on Quality of Life
Untreated or poorly managed thyroid disorders can lead to severe health complications. For instance, hypothyroidism can result in heart disease, mental health issues, and infertility. Hyperthyroidism can lead to severe complications like atrial fibrillation, osteoporosis, and thyrotoxic crisis if left untreated.
The physical symptoms are only part of the story. The mental and emotional toll of thyroid disorders can be profound, leading to depression, anxiety, and cognitive issues. This multifaceted impact underscores the need for comprehensive, accurate, and accessible thyroid care.

Current Approaches to Thyroid Wellness

Conventional Medical Treatments
  1. Medication: The standard treatment for hypothyroidism is synthetic thyroid hormone replacement therapy, such as levothyroxine. This treatment aims to normalize hormone levels, but finding the correct dosage can be challenging and requires regular monitoring. For hyperthyroidism, antithyroid medications like methimazole or propylthiouracil are used to reduce hormone production.
  2. Radioactive Iodine Therapy: Used primarily for hyperthyroidism and thyroid cancer, this treatment involves taking radioactive iodine orally to destroy overactive thyroid cells. While effective, it requires careful monitoring and can lead to hypothyroidism.
  3. Surgery: In cases of large goiters, thyroid nodules, or thyroid cancer, surgical removal of part or all of the thyroid gland may be necessary. This option is usually considered when other treatments fail or when there is a suspicion of malignancy.

Natural and Holistic Approaches
  1. Dietary Changes: Incorporating foods rich in iodine, selenium, and zinc can support thyroid health. For hypothyroidism, iodine-rich foods like seaweed, fish, and dairy are beneficial. For hyperthyroidism, a balanced diet avoiding excessive iodine and goitrogenic foods like soy and cruciferous vegetables is recommended.
  2. Supplements: Nutritional supplements, such as iodine, selenium, and vitamin D, can help address deficiencies that impact thyroid function. However, supplementation should be approached cautiously and under medical supervision to avoid adverse effects.
  3. Lifestyle Modifications: Stress reduction techniques, regular exercise, and adequate sleep are crucial for maintaining overall health and supporting thyroid function. Mindfulness practices, yoga, and other stress management strategies can be particularly beneficial.

Alternative Therapies
  1. Acupuncture: Some studies suggest acupuncture can help alleviate symptoms associated with thyroid disorders. It is believed to balance energy flow in the body, potentially improving thyroid function and overall well-being.
  2. Herbal Remedies: Certain herbs, like ashwagandha and guggul, are believed to support thyroid health. Ashwagandha, an adaptogen, may help regulate hormone levels and reduce stress, while guggul is thought to stimulate thyroid function. However, more research is needed to confirm their efficacy and safety.

Why CureEZ is the Superior Choice

Advanced Diagnostic Tools
CureEZ utilizes state-of-the-art diagnostic tools that go beyond traditional methods. Our AI-powered screening technology analyzes a comprehensive array of data, including medical history, symptoms, and lab results, to provide a more accurate and timely diagnosis. This approach addresses the limitations of conventional blood tests by considering a broader spectrum of indicators.
Personalized Treatment Plans
At CureEZ, we believe that no two thyroid conditions are the same. Our approach is tailored to each patient's unique needs, ensuring that they receive the most effective treatment. This includes personalized medication regimens, dietary guidance, and holistic care strategies. Our genetic testing capabilities allow us to identify specific predispositions, enabling early intervention and more precise treatment.
Innovative Therapies
CureEZ is at the forefront of medical innovation, offering cutting-edge treatments like Radiofrequency Ablation (RFA) for benign thyroid nodules and targeted molecular therapies for thyroid cancer. RFA is a minimally invasive procedure that uses heat to shrink nodules, reducing recovery time and complications compared to surgery. Our targeted molecular therapies focus on specific genetic mutations within cancer cells, providing more effective and less toxic treatment options.
Continuous Monitoring and Support
Our commitment to patient care extends beyond the clinic. CureEZ integrates wearable technology to monitor vital signs and hormone levels in real-time, providing continuous data to adjust treatments promptly. Our telemedicine platform ensures that patients can consult with specialists conveniently, no matter where they are. This approach offers flexibility and continuity of care, crucial for managing chronic conditions like thyroid disorders.
Patient Education and Community Support
We understand the importance of informed patients and a supportive community. CureEZ offers extensive resources and support groups to help individuals understand their condition, share experiences, and stay motivated throughout their treatment journey. Educational materials, webinars, and community forums are available to empower patients with the knowledge they need to manage their health proactively.

Real-Life Transformations with CureEZ
Mamatha's Journey to Recovery
Mamatha, a 35-year-old teacher, had been struggling with unexplained fatigue, weight gain, and depression for years. Despite numerous visits to different doctors, her symptoms persisted. Frustrated and desperate for answers, Mamatha turned to CureEZ.
Diagnosis and Treatment
Using our advanced screening, we quickly identified that Mamatha had hypothyroidism. Our team developed a personalized treatment plan, including the right dosage of levothyroxine, dietary adjustments, and stress management techniques.
The Transformation
Within a few months, Mamatha's energy levels improved, and she began to lose weight. Her mood stabilized, and she felt more in control of her life. Mamatha regularly uses CureEZ's telemedicine platform to check in with her specialist, ensuring her treatment remains effective.

Dilip's Battle with Hyperthyroidism
Dilip, a 42-year-old software engineer, was diagnosed with hyperthyroidism after experiencing rapid weight loss, anxiety, and heart palpitations. Conventional treatments had only provided temporary relief, and he was concerned about the long-term effects on his health.
Diagnosis and Treatment
CureEZ's comprehensive approach included a detailed analysis of Dilip's condition. We opted for a combination of antithyroid medication and Radiofrequency Ablation (RFA) to target the overactive thyroid cells.
The Transformation
Mark noticed a significant improvement within weeks. His heart palpitations decreased, anxiety levels dropped, and he regained a healthy weight. Continuous monitoring through wearable technology helped fine-tune his treatment, ensuring sustained progress. Mark now enjoys a better quality of life and peace of mind.

Conclusion
CureEZ stands out in the field of thyroid care by combining advanced diagnostics, personalized treatment plans, innovative therapies, and continuous support. Our approach ensures that patients receive the most accurate diagnosis and effective treatment, leading to better outcomes and improved quality of life.
If you're struggling with thyroid issues, consider CureEZ for a comprehensive, patient-centered solution. We're here to help you decode your thyroid disorder and transform your life.

References
  1. https://www.liebertpub.com/doi/full/10.1089/thy.2016.0457
  2. https://www.sciencedirect.com/science/article/abs/pii/S0025619611623896
  3. https://www.webmd.com/women/thyroid-disease
  4. https://www.healthline.com/health/hypothyroidism/symptoms-treatments-more
  5. https://my.clevelandclinic.org/health/body/23188-thyroid#:~:text=Your%20nervous%20system%3A%20When%20your,and%20hyperthyroidism%20can%20cause%20anxiety.
submitted by CureEZ_Healthtech to u/CureEZ_Healthtech [link] [comments]


2024.05.17 06:01 YearStrong26 Genital HSV-1

Throwaway on which I’d previously asked (a now deleted) question in a different sub.
This is my first outbreak. I can’t find this answer anywhere, and I am not sure how to ask it, so apologies in advance. I have sores everywhere on a woman where herpes are found except for my face. I would guess there are 50 sores, and this is a modest guess.
Is this weird? All the literature I can find says “cluster,” and there may be more than one cluster, but cluster is never defined, and neither is “more than one,” but this at least feels excessive. Also, I have read some other posts and see that it is most likely to come back in the first year after you get it/ first show symptoms. If so, does it come back with the same level of intensity? Is there a way to prevent it from doing so? I genuinely cannot live a normal life under current conditions.
Any help you can provide would be greatly appreciated!
submitted by YearStrong26 to Herpes [link] [comments]


2024.05.17 05:13 livvvjh Why did my testosterone go up on Spironolactone?

Dutch Test
Female 27 aprox 125lbs 5'2, Medications: 15mg adderall, conditions: Ehlers-Danlos hypermobility type, PCOS, POTs, and Craniocervical Instability
I have been struggling with my PCOS for the past 3 years. My PCOS symptoms include polycystic ovaries, hair loss, Acne (face and body), weight gain, a little more than normal body hair, rapid body hair growth, brain fog, fatigue, and severe depression. Might be worth it to mention that I had none of these symptoms, apart from depression, before 3 years ago, I never even got a single zit before the age of 21. I had a progesterone IUD from 20-25 if that helps. I have been treated with Spironolactone in the past. It was honestly life changing. My depression vanished, I lost 30lbs in 2 months, and all of my symptoms either went away or got significantly better. Only down side was that I was constantly bleeding on Spironolactone, nothing too major but I need a panty liner everyday.
After 3 months on 100mg of Spironolactone, I noticed my fatigue started coming back and my mood started getting a little worse. My dose was increased to 200mg and immediately felt better.
Another 3 months and the same thing started. They tested my free testosterone and it had literally doubled while taking it.
Cut to January of this year, my doctor wants to discontinue the Spironolactone because of the chronic bleeding. She wants to use this opportunity to get a clearer picture of my hormones and their metabolites. So I wait an excruciating 4 months and take the Dutch hormone test. I am a little confused by my results.
My 5a-Reductase Activity is pretty low, but all research I've looked into shows that it is usually high in PCOS patients. My DHEA-S is actually on the low end and my testosterone is high. I'm having trouble interpreting these results. I'm wondering if this is an expected result for someone with PCOS and hyperandrogenism. Should I be asking my doctors to look into anything else? Does anything here explain why my Spironolactone would stop working/not lower my testosterone? Dutch Test
submitted by livvvjh to endocrinology [link] [comments]


2024.05.17 04:14 adorabletapeworm Orion Pest Control: Don't Ask To Speak To My Manager

Previous case
We're back to business as usual at Orion. Sort of. I'll get into that in a minute. But first, I just need to put it out there that sometimes the clients drive me nuts. As much as I have an apparently irresistible desire to help everyone, some people really push it. Push it right off of a fucking cliff, that is.
I’m going to stop myself before I go off on an unhinged rant about the woes of dealing with the public. Instead, I’ll let yinz see for yourselves what I've been putting up with.
(If you're not familiar with what Orion Pest Control's services are, it may help to start here.)
We received a call from a client about mosquitoes running amok in her home. Since we had a few others to take care of that day, I informed her that the earliest that one of us could investigate the matter was in the afternoon. But because this woman is clearly so much more important than everyone else, her royal highness threw a hissy fit about having to wait like a common peasant.
I tried to be as nice as possible, “Ma’am, I understand that it’s frustrating, but there are others that called ahead of you, so we have to take care of their problems before we can take care of yours.”
The client huffed, “Okay, you clearly aren’t hearing me. There are mosquitoes in my house!
“Yes, ma’am, I heard you. However, you are not our only client, so we ask that you please be patient and we will be there as soon as we can.”
I should also mention that this client talked out of the back of her nose, if that helps to paint a picture of how her cadence was equally as grating as her personality. “Okay, but do those people have mosquitoes? Like in their house, biting them and their kid over and over? My son could have Zika virus right now!”
Jesus Fucking Christ. I rubbed my temple with my free hand as I did my damndest to keep my customer service persona in place, “Again, ma’am, I understand that this is frustrating, but we have a wasp infestation and termites to deal with before you and those families want their kids to be safe, just like you. In the meantime, I recommend wearing bug spray or burning a citronella candle until we can get to you. We will be there as soon as we can.”
“You better be! And you really need to work on your customer service, sweetie!”
The client hung up on me.
I had to pace around the office after that one. Sweetie? Shove it up your ass, you entitled, snotty… You know what? Nevermind. I have many words to describe clients like that and none of them are pleasant. I hoped that she’d get mosquito bites in all of the most private areas of her anatomy.
It probably didn't help that I was saddled with some bitterness after the ‘dogging’ incident. I knew that there wasn't anything I could do about the mechanic other than stay out of his way going forward. And boy, did that eat me up.
On that note, I know what the mechanic is, however, even whispering the official title of these Neighbors is enough to draw them to you. I'm not sure if writing it counts and I'm not about to find that out the hard way.
Just know that if you hear wings beating from the west at night, hide and pray that you'll be passed by. Placing a line of salt on all of the doors and windows facing the west keeps them from coming inside. Once they set their sights on you, they'll never stop hunting you. Even death itself fears them. You'll still be running long after your heart stops beating.
But I promise, I’ll elaborate more on that later. I’m getting ahead of myself. Back to the case.
Reyna was at the point in her training where she could be trusted to deal with termites on her own. After I had the wasp nests taken care of, I set out to her royal highness’ home, and earlier than I’d told her, might I add. I will admit that I was tempted to dally a bit just to piss her off, but then I figured that it would be better and more professional to just get it over with.
She looked exactly like how I pictured her to look, complete with a weasley sneer that only the most unlikable of human beings are able to master.
“It’s about time.” She snapped.
I resisted the urge to roll my eyes. “Where have you noticed the mosquitoes the most?”
“Everywhere.” She said unhelpfully,
Her husband stepped in. “In the kitchen and basement, mostly.”
To make this call even better, the husband decided to take it upon himself to follow me around as I did my inspection, asking me pointless questions and giving me advice that I didn't ask for.
It got to a point where his hot breath wheezed into my ear as I shined my flashlight under their sink.
Stiffly, but politely, I asked, “Sir, can you please keep your distance?”
His wife chipped in, “Will you let her do her job, Curtis? It took her long enough to get here, and if you keep pestering her, it's going to take even longer!”
The husband puffed up and snapped, “Well, it's my house! I need to know that the person working in it knows what they're doing!”
They began screaming at each other. As obnoxious and uncomfortable as it was to have to bear witness to it, at least they weren't focused on me anymore. I shook my head and kept searching for the source of the infestation.
What I was looking for was standing water, which is essential for a mosquito's life cycle; you eliminate the standing water, you eliminate the infestation. The space beneath the sink was completely dry.
With the argument going on, I almost didn't hear it. An odd little sound. The easiest way to describe it was that it sounded like, ‘Kudo! Kudo!’
My head turned to follow it. That's when I noticed that one of the floorboards was slightly raised up from the rest.
I interrupted their marital problems, “You said that your son was sick earlier? Would he happen to have chills and a high fever?”
The client spat, “Yes, because some people-
Not in the mood for her nonsense anymore, I cut in, “Ma'am, please just answer the question. I am trying to help you, I really am, but I'm going to need some more information in order to do that.”
She looked taken aback, her face bright red. While she balked, her husband answered instead, “Our son said he was feeling under the weather, but he does that whenever he wants to get out of something. You know how kids are.”
Good lord. Parents of the year.
“Have you noticed your salt going missing?”
The wife blinked at me, “How did you know that?”
I told them that I'd be right back and went to retrieve a cage from the truck. This critter is an odd one in that not only is salt not a suitable repellent for it, but it actually loves the stuff. It can consume as much as ten grams of salt per day. So if you find that the salt in your home has gone missing, it could mean that a False Egg has made a nest.
I returned with the cage and advised the couple to either move into another room or wait outside. Would it surprise yinz when I say that they refused? Not in the mood to argue, I just shrugged. Okay. Suit yourselves.
I set the cage up next to the lifted floorboard, took my salt off of my toolbelt, and sprinkled some inside the cage. It would placate the False Egg once I got it inside.
Using my knife, I pried the floorboard up. From behind me, the husband began to protest, but his wife snapped at him to keep still.
Meanwhile, my eyes met the beady gaze of a False Egg from where it hid under their floorboard.
At first glance, it looks like a white chicken's egg. If consumed, it causes the host to lay more False Eggs. That's how it reproduces. The telltale signs that you're looking at a False Egg include two dark spots on the shell near the pointed top of the ovoid. Those are the eyes, which they can leave closed to camouflage themselves. You may also notice two small holes at the bottom of the shell, which is where its legs can retract in and out. Mosquitoes follow False Eggs wherever they nest, though it's unclear why.
Generally, they're more of an annoyance than anything. However, they can cause flu-like symptoms in those that they feel threatened by, so they do pose a slight danger to those with compromised immune systems.
To my surprise, the False Egg leapt out of its nest and into the cage, tucking its legs back into its shell comfortably. Even though it didn't seem to have any intentions of moving, I quickly shut the door of its cage.
For the first time since I arrived, the clients were speechless. The woman had a hand over her open mouth while the man stared at the False Egg in a mixture of horror and disgust.
It wasn't until I stood up with the cage that the man asked, “What the hell is that?”
“The source of the infestation.” I replied. “I’ll take this guy out to the truck. The mosquitoes should follow him, but just to be sure, I'm going to ask that you all leave the house for a few hours so that I can apply a chemical treatment that'll kill off any stragglers. And your son’s condition should improve in a day or two.”
The couple didn't give me any trouble. They quietly collected their sick teenaged son, saying something about getting ice cream, then fucked off to do whatever while I dealt with the rest of the mosquitoes.
Once I was done, I drove off to release the False Egg somewhere where it could complete its life cycle away from humans. It is able to reproduce in any mammal. While forcing other organisms to lay eggs is bizarre and can be alarming for the affected individual, it doesn't appear to hurt the hosts, other than causing some mild abdominal discomfort. Once the False Egg is laid, the host goes back to normal, which is why we generally don't feel the need to kill them.
Unexpectedly, the False Egg talked to me.
It had a small, soft, mousy voice. “Thanks for getting me out of there.”
I glanced at the False Egg. I had its cage on the passenger's seat. Its eyes were visible, along with its little white legs as it sat on the bottom of its cage. It looked up at me as it wiggled its small feet absent-mindedly.
Whenever it spoke, a small crack that resembled a toothy mouth appeared in its shell. That was something to add to our records: not only are False Eggs capable of speech, but their mouths are located below their eye spots.
Stunned, I said, “You're welcome.”
The False Egg continued, “Oh, those humans are vile! I hadn't realized it when I first made my nest. Do you want to know why I made the boy sick?”
“Why?”
So that's how I learned every aspect of this family's lives. I'm sure yinz care even less than I do about some suburbanites’ interfamily drama, so I'll just say that it wasn't bad enough to warrant a call to social services, but enough that I can see why that kid probably couldn't wait to turn 18. Overbearing mother, father trying to use his son to relive his glory days as a high school athlete. The False Egg had done the boy a solid, giving him just enough of a fever to excuse him from lacrosse tryouts.
“Where are we going?” The False Egg asked after telling me all that information that I didn't know what to do with.
“Back to the forest.”
The False Egg kept swinging its little feet, “Can you take me somewhere nice? If it's not any trouble?”
Why not? Maybe some scenery would improve my mood.
So me and my little egg buddy took a little drive to the pond. It was a picturesque area as well as a nice environment for a False Egg. They prefer caves, but as long as they're near water, they'll be fine. When I opened its cage, the False Egg hopped out, its little eyes and shelled body swiveling to take in the peaceful sight.
“Oh, this is wonderful! Thank you!” Before it skipped off, it paused. “I think it would only be right if I told you something that could help, since you brought me here.”
It turned, its shell splitting to form a mouth as it hesitated before speaking, “If you hear whispers in the woods, even if it sounds like someone you care about, don't listen. The louder they are, the safer you are. They get quieter as they get closer to confuse you.”
Hold on. That didn't make any sense. The whispers had gotten louder and more urgent as I approached the mechanic's clearing.
Unless I was wrong and he wasn't the one doing it.
I asked, “Is the whispering thing disguising itself as a mechanic?”
The False Egg tilted to the side thoughtfully, “I'm afraid not. It doesn’t like to pretend to be human.”
So there was something else out there with me when I went looking for Victor. I remembered then that the whispers had stopped once I got close to the mechanic's clearing. When I unintentionally allowed them to lead me astray, they took me in the opposite direction of where he'd been waiting. Interesting.
With the False Egg wandering off to establish a new nest that was far away from humans, I headed back to the office, unsure of how to feel about the information it had given me.
Victor looked annoyed when I came in. The clients had called to complain about my ‘poor customer service.’ Wow. Okay.
“Next time, just leave the False Egg there.” Victor said, rubbing the bridge of his nose. “They want to complain about poor customer service? We can show them bad service!”
“It's fine, Vic.” I replied. “Just let them leave their one star Google review and move on.”
“These fucking people…” He grumbled.
Victor's headspace hasn't been much better than mine. He's been pretty much stuck waiting by the phone for those ominous calls that the mechanic mentioned in the woods. They don't happen often, but when they do, he gets grim. Quiet. He hasn't told me in detail what has been requested of him. I don't know if he simply doesn't want to talk about it or if he's sworn to secrecy.
We'd had a long, uncomfortable talk during one of my days off while recovering from getting dogged. Victor stopped by with coffee and a box of donut holes. He drank the coffee, but left the donut holes untouched. We sat in my small kitchen, him staring intently into his black coffee, me quietly adding more sugar to my mocha.
I broke the silence. “What did you want me to see the other day?”
“I couldn't outright tell anyone that I was dead. Not without the mechanic finding out.” He continued after some hesitation. “It feels selfish saying it now, but… I just wanted someone to know what happened to me.”
Victor pulled the bandana aside with a finger, revealing that a jagged, red grin had been carved across his throat. I shuddered, being forcefully reminded once again how thin skin truly is.
He quickly pulled it back into place.
That prompted me to ask, “Is the mechanic the one that…?” I pointed to my neck.
Victor shook his head. I asked him who did.
His expression darkened, “Someone I used to use with. He didn't believe me when I told him that I was still clean and couldn't help him get his next hit. Everything happened so fast after that. Before I knew it, I woke up in his trunk. My chest felt empty. It's strange, you know? You don't notice your own heartbeat until it's not there anymore.”
I shook my head slowly, a knot in my stomach as I whispered, “Jesus, Vic. Where is he now?”
“He can't hurt anyone else. We'll leave it at that.” Victor muttered.
I took in a shaky breath. I couldn't believe that he'd been keeping all of this in. It was a lot to take in at once, so I could only imagine how much worse it was to be the one experiencing it.
Like I said, I don't blame him for what happened. He must've felt so alone.
After I regained my composure, I asked, “So… what does the mechanic have to do with this?”
Victor hesitated again, eventually saying, “He couldn't touch me while I was alive, so he made sure that death couldn’t get to me before he could. That's why I was trying to keep my condition quiet; I was hoping that I could outlast him long enough for the Reaper to catch up. Unfortunately, the fucker is good at what he does and knew that I’d drag someone else into my bullshit eventually.”
I shook my head, “I dragged myself into it. I could've just minded my own business, but I didn't. I chose to go out there, even though I didn't know what I was dealing with. And I chose to say the wrong thing to the mechanic to set him off.”
“You wouldn't have been in that position if I hadn't said anything.”
“So what happens now? You're just… forced to do these calls?”
Victor sighed, “It's either that, or I join the ones in the trees.”
The skulls. Grimly, I wondered if those trapped souls were still aware. If they knew what had happened to them.
I slumped down in my seat. “Is there anything we can do?”
“As of right now, no. We just go to work, keep our heads down, do what we have to do. And from now on, I'll deal with the mechanic, even if it's for something as trivial as changing a tire. He's my problem, no one else's.”
So that's where we're at. Victor's technically not alive or dead, but a secret third, worse thing.
Speaking of worse things, we got an emergency call in the middle of the night.
After we close for the day, Victor routes calls to his phone in case there is something that can't wait until the next day. Thankfully, this is an extremely rare occurrence; up until this incident, it's only happened twice since I've been with Orion. I joined Victor for one of those two emergency calls. Even though it's been two years since that night, I still hear the crunching of bones in my dreams.
Something yinz need to know about the farmers around here is that they know how to take care of themselves. They have more encounters with the atypical than anyone else and for the most part, they know how to live amongst things like the Neighbors in relative peace. They know about leaving cream out to appease them. They know about what measures to take to defend themselves and their animals. They're a tough bunch and they usually prefer to take care of things themselves. It's highly unusual for them to reach out to us.
So when Victor told me over the phone that the emergency call was at one of the farms, I knew it was going to be bad.
When he first described what the farmers were contending with, my stomach dropped. The client's brother was found on the porch with his chest entirely deflated, deliberately placed into a chair that was moved in front of the door where the family could see him.
The farmers were holed up in their home. The woman of the house was pregnant, due within the next few days, which made moving her extremely difficult. They could hear whatever killed the brother giggling and tapping on the windows, mocking them. Victor was already on his way there.
I arrived with my toolbelt along with a shotgun and shells filled with rock salt. This may sound ridiculous, but I also donned a collar that I'd made last summer by hammering long ass carpenter nails into the leather, then coating their pointed tips with silver. I looked a bit like a goth club reject, but when dealing with things that like to go for the throat, you gotta put your pride aside.
Victor's truck was in the driveway, but he was nowhere in sight. Shotgun at the ready, I glanced around as I approached the house. The body was still on the porch, untouched after the poor man had been posed there. It looked far worse than what Victor had described. His chest had caved in, like everything inside of him had been sucked clean out. His face was frozen in surprise rather than horror or pain. He'd been caught off guard and was dead long before he could react.
Wings. I turned, pulling the trigger just in time as the pest tormenting this family dove at me. It tumbled to the ground with an enraged shriek.
It appeared to be a woman. Well… half of one. Her legs were gone, brown entrails dangling sickeningly from her gray torso. Her leathery, hooked wings trembled as she used her bony arms to raise herself up to snarl at me, curling her lips to reveal doglike fangs. I shot at her again. She jolted as the shell took a chunk out of her skull.
That wouldn't kill her. Both her and I knew it. She skittered like a cockroach, an elongated tongue shooting out of her mouth, quick as a whip. I flinched, turning my head so she couldn't reach my face, grateful for the collar as I felt the proboscis slam into its spikes. The impact knocked me off balance, causing me to stumble. I leaned into it, hitting the ground and out of reach of the next swipe of her tongue.
I took aim again, knocking her back a few feet. A dark shape suddenly appeared from the barn, a glint of metal shining in the figure’s hand. Victor.
“I can't find the lower half.” He hissed when I was in earshot.
That meant we were going to have to keep her from rejoining the lower half of her body until sunrise. It was three in the morning.
Because nothing can ever be easy.
Victor had found chains and a padlock in the barn. They should be heavy enough to restrain her. We’d just have to get close. Without her sucking our insides out, preferably.
She was back in the air. I took another shot. I'd have to reload soon. I hoped that I'd have enough shells to last the next two hours. At the rate I was going, I'd burn through them in the next ten minutes.
Unfortunately, I missed as she soared towards the house. I used my last shot and thankfully knocked her out of the air. As I hurriedly reloaded, Victor rushed towards the fallen creature, kneeling on her chest to keep her from taking off again as he fought to get the chain around her.
I heard him make a terrible choking sound, followed by her retching. She'd gotten her proboscis down his throat, but had withdrawn it even quicker than she had gotten it down. I guess undead viscera doesn't taste very good.
As she gagged, Victor pressed his forearm against her throat, pinning her so that she couldn't sink her fangs into him. I raced over, setting the shotgun on the ground next to me so that I could help him restrain her. While he held her, I coiled the chain around her squirming torso.
She began to laugh. When she spoke, it sounded like an old woman and a young girl speaking in unison, “Do you think a chain will be enough to stop me?”
I kept going. She wiggled one wing out from beneath her, jabbing the hook into the hollow of my shoulder. I gasped as it pressed deeper into my skin. Victor roughly pushed her wing back down, the violent withdrawal of the hook making me see stars. Through all of that, I still kept going.
We turned her onto her side so that Victor could pin her wings against her back. She screeched the entire time, the proboscis shooting back to slap him in the cheek.
We almost had her. Then we heard a wail from inside the house. What now?!
The pest abruptly paused in her struggles to leer at us, then she sang, “The baby's coming!”
You've got to be kidding me.
Her fighting resumed with far more force than before. That man that she'd killed had merely been an appetizer for her. The baby was her true prize. Her eyes were wild with excitement, saliva dripping off of her fangs as she watched the front door open.
Shitshitshit!
“Go back inside!” Victor shouted as we both used all that we had to try to keep the pest in place.
The farmer yelled back, distress making his voice higher, “Something's wrong! I have to get her to the hospital!”
I risked a glance. The woman was white as a sheet, holding onto her husband for dear life as he half led half dragged her to his truck. Blood stained the inside of the woman's legs.
At the sight of it, Victor froze. I didn't like the way he looked at the woman then. Oh no. The creature went into a complete frenzy. She managed to get her fangs into Victor's arm, wrenching a cry of agony from him as she ripped a sizable chunk of flesh out. His hold on her loosened just enough that she could wriggle a wing out.
I screamed as I felt her beginning to slip away, frantically reaching for the nearest part of her, which was unfortunately her dangling intestines. It was like trying to hold onto oversized wet noodles, my hands slipping in her chunky blood as I struggled to slow her down.
They just needed to reach the truck. We just had to keep her here just long enough for them to get a head start.
I just hoped that I wouldn't end up having to protect them from my boss, too.
She roared as she turned and slashed me across the brow with one of her clawed fingers. My vision went dark in my right eye. Numbly, I wondered if she ripped my eye out, or if it was just from the pain. By some miracle, I didn't let go.
Fortunately, the bite seemed to snap Victor out of whatever had happened to him when he saw the woman’s blood. At least for the moment. He scrambled across the ground, seizing my shotgun. His first shot missed. The second one hit her left wing. The farmer had the truck's passenger side door open as he helped his wife inside. The pest reached a talon towards them, trying to drag herself closer. Victor was back on his feet and marched over to shoot her in the head. Once. Twice.
The truck's engine roared to life. With it, the pest screeched in rage, the sound warped by the damage done to her mouth after Victor had unloaded on her. She flailed as she watched her prize speed down the road.
But it wasn't over. The gunshot wound in her wing was already closing up. It wouldn't take her long to catch up to them if we lost her.
My cheek was wet. Turns out, I didn't lose an eye. I just had blood in it. Thank God. I crawled over her, trying the chains again as Victor went back to holding her wings against her body.
She called him every foul name in the book, words slurring from her destroyed jaw. One of them touched a nerve: “Bitch of the Wild Hunt.” He wordlessly snatched the salt from my belt and poured it over her face, holding her jaw to shove the container into her mouth. She gurgled and started to convulse as the salt was forced down her throat. That shut her up.
With the chain pinning her arms and wings against her body, Victor dug the padlock out of his pocket, using it to secure the links.
“I’m going to try to get her to the barn.” He yelled over the sound of her agitated howls.
I retrieved the shotgun and followed him as he carried the squirming, shrieking pest towards the barn. I pressed the palm of my hand to the cut on my brow. A flutter of unease went through my gut as it occurred to me that I could be in danger from Victor as well.
It didn't help that the pest had noticed it, too. She was goading him, “That girl smells sweet, doesn't she?”
“You want more salt in your mouth?” He threatened flatly. “We got plenty and we have some time until sunrise.”
She cackled, “You can't tell me that your mouth isn't watering thinking of her soft flesh between your teeth. Her blood warming your tongue. You long to feel warm again, don't you, dead man?”
The borderline pornographic way that she spoke about devouring me made me intensely uncomfortable.
“Keep it up and I'll pack the salt up your nose, too.” Victor retorted.
Once we got to the barn, we found an empty stall, which he tossed her into. I didn't follow him into the stall. My gut was telling me that something was off.
He drew a circle of salt around her. As long as it wasn't broken, it would trap her until sunrise.
I didn't think the boss would ever intentionally hurt me. But the way he looked at that woman…
What if he couldn't control himself?
Victor shut the stall door behind him, leaving the pest to wail and swear at us from her prison.
His eyes went to my forehead, “That looks like it hurts.”
I swallowed back the lump in my throat. There it was again. That look.
“Stay back, Vic.” I said calmly, my unease growing.
He took a deep breath, his eyes closing. I took a small step away from him, towards the exit to the barn.
I kept my voice even, “Vic, be honest with me. Is it safe to be around you right now?”
Victor stayed where he was, still not looking at me. He eventually answered, “Probably not.”
I took another step towards the door. “I'm going to leave.”
He nodded, eyes still shut, “I think that would be best. I'll make sure that she stays in the stall.”
As I backed towards the door, afraid to turn my back on him, I said, “I'll uh… see you at work tomorrow.”
“Yeah. See ya.”
I didn't dare turn my back on him until I'd left the barn. He didn't move a muscle the entire time. As I made my way back to my G6, I kept looking over my shoulder. Victor didn't follow me. I made it back to my car without incident.
I thought back to when I'd found him in the butcher shed. Looking back, I'm pretty sure that he'd been eating it.
Once I was in my apartment, I quickly drew lines of salt in front of all my doors and windows. It made me feel somewhat safer. I inspected the injuries on my forehead and shoulder. After cleaning them both up, I determined that I should probably see a doctor in the morning. In the meantime, I covered them both with gauze.
I painfully settled down onto my bed, my entire body aching. Even though I felt like a dish towel that had been wrung out over and over again, I knew that I wasn't going to be getting much sleep. My mind was racing too much.
Against my better judgment, I ended up texting Victor, ‘Are you a draugr?’
His response was, ‘i think so’
Draugr are known for their grotesque appetites. The joke Reyna and I had been making about him being a ‘high-functioning zombie’ wasn't all that far off, after all.
I reminded myself that Victor wasn't a complete monster. He'd at least had enough control over himself not to hurt me or either of the farmers. But the temptation had clearly been there. That begged the question of what his limits were.
Was it safe to work with him? Injuries aren't exactly uncommon at Orion. Maybe that's why he's been sending Reyna and I together for two person jobs rather than going on calls with us.
I received another message from him, ‘if you want to quit I understand’
I didn't, though. As stressful as working here can be, I do enjoy my job, weirdly enough. I've been treated better here than by any other employer and I like having only two other coworkers to worry about, especially since I get along well with both of them. But the biggest reason why quitting hasn't occurred to me is that I wouldn't be able to just walk away from all that I'd learned about the atypical cases. There was no way I could live a normal life after working at Orion.
I also wanted to keep an eye on Victor. Between whatever the mechanic was forcing him to do and his transformation, there was a lot that I was concerned about. As much as I didn't want to think about having to trap or kill Victor, if it came down to it... I'd do what needed to be done.
I sent back, ‘hazard pay? 👀’
His reply was, ‘😒’
A moment later, I received, ‘we'll discuss it when I don't have a manananggal mf'ing me’
Yinz see why I kept calling her a ‘pest’ rather than trying to type that long name out each time? I guarantee I would have misspelled it several different ways.
When the sun rose, I received another message from Victor, ‘it's over. thanks for your help’
We found out later in the afternoon that the hospital had been able to save the farmers’ baby. She was going to have to stay longer in the hospital, but otherwise, she and their newborn daughter were alright.
What was alarming was that the dead man's body had been desecrated at some point after I left. It was believed that the pest had been the one to take chunks out of his neck, shoulder, and chest. I wasn't going to be the one to tell the family the truth. They'd been through enough already without the news that the one they'd relied on for protection had gotten hungry.
I wondered if being exposed to so much blood had been the trigger. I suppose I should just be glad that Victor had eaten a man who was already dead instead of me or another living person.
Like I said, I'm going to have to keep an eye on him. In the meantime… maybe don't demand to speak to the manager.
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2024.05.17 02:11 MirkWorks Excerpts from Adventures in the Orgasmatron: How the Sexual Revolution Came to America by Christopher Turner (Beats & Gestalt therapy)

Seven
...
In 1945, Allen Ginsberg and Jack Kerouac were students at Columbia University and were lodging in Joan Vollmer’s apartment on West 115th Street. Kerouac, a Catholic who had gotten in on a football scholarship described Ginsberg as “this spindly Jewish kid with horn-rimmed glasses and tremendous ears sticking out…burning black eyes”; the two men had a brief, awkward affair. Their friend William Burroughs was living nearby, on Riverside Drive, and after Kerouac and Ginsberg set him up with their landlady, he moved in, too. The gaunt and lanky Burroughs was more than a decade older than Ginsberg and Kerouac, and already seemed, Ginsberg recalled, to have the “ashen gray of an old-age cheek.” The younger pair admired him, Ginsberg wrote, like “ambassadors to a Chinese emperor.” Kerouac hailed him as “the last of the Faustian men.” Burroughs returned the compliment by introducing the other members of the “libertine circle,” as they dubbed themselves, to drugs, sailors, porn, bathhouses, and Wilhelm Reich.

After leaving Harvard in 1936, Burroughs had enrolled at the University of Vienna’s medical schools, Reich’s alma mater, with vague plans of becoming a psychoanalyst, but his stay was dominated by the administration of arsenic shots for the syphilis he had contracted in America, which left him feeling nauseated and depressed. He left after a semester. Back in New York, Burroughs was analyzed by Paul Federn, who had been Reich’s first therapist but whom Reich came to consider his nemesis. Burroughs was institutionalized in 1940 after he chopped off the tip of his finger in a Van Gogh - like gesture of unrequited love (Bellevue psychiatrists diagnosed him as a paranoid schizophrenic). Burroughs’s parents gave him an allowance of two hundred dollars a month on the condition that he seek further help, and in 1946 Burroughs was undergoing narco-analysis with Dr. Lewis Wolberg, who used nitrous oxide and hypnosis to stimulated the unconscious.
Burroughs would return from his sessions with Wolberg to practice “wild analysis” on his friends, interpreting their dreams from the comfort of a wing chair. He also played a game that parodied the Reichian character analysis that he’d become interested in. The group would play an adaption of charades to facilitate the exploration of the onion layers of their personality armor. Burroughs referred to these exercises in amateur dramatics as “routines.” For example, underneath Burroughs’s public persona as the distinguished heir of an important St. Louis family lurked a prissy, lesbian English governess (“My dear, you’re just in time for tea. Don’t say those dirty words in front of everybody!”). Scratch the governess surface and you reached Old Luke, a gun-toting, tobacco-chewing sharecropper from the Deep South (“Ever gut a catfish?”). The last stratum, at his very core, held a silent Chinaman, a contemplative, impassive character who sat meditating on the banks of the Yangtse. Ginsberg’s hidden self was “the well-groomed Hungarian,” and Kerouac liked to play the naïve American lost in the sophistications of Paris.
Alfred Kinsey met Burroughs, Ginsberg, and Kerouac on one of their nocturnal trips to Time Square through their friend Herbert Huncke, the male prostitute who coined the term “beat” and introduced Burroughs to recreational drugs. Kinsey paid Huncke
Taking advantage of the proximity of Cott’s office to his father’s home, and still buzzing in the mouth, Ginsberg chose to come out during a posttherapeutic visit. “You mean you like to take men’s penises in your mouth?” his father said unsympathetically. But Cott thought homosexuality a perversion, as Reich did, and was working toward establishing heterosexual primacy rather than trying to persuade Ginsberg to come to terms with his queerness. “Frankly I won’t trust that kind of straight genital Reichian,” Burroughs wrote in disgust at this dogmatism. “Feller say, when a man gets too straight he’s just a god damned prick.”
Cott terminated Ginsberg’s therapy after three months because he continued to smoke pot against the doctor’s advice. Ginsberg though cannabis an integral part of his aesthetic education; Cott feared that it would lead to a psychotic episode. The summer he quit therapy, Ginsberg began experiencing auditory hallucinations. “It was like God had a human voice,” Ginsberg wrote of his transcendental experience, in which he discovered his calling as a poet, “with all the infinite tenderness and mortal gravity of a living Creator speaking to his son.” Consumed by a desire to share his amazing experience, Ginsberg crawled out onto his fire escape and tapped on the next-door neighbor’s windows, declaring to the two frightened girls inside, “I’ve seen God!”
His father, still reeling from the discovery of his son’s sexuality, feared that he was suffering from the paranoid schizophrenia that had caused his mother to be institutionalized in Pilgrim State, a mental hospital on Long Island. She also heard voices, feared her husband was trying to poison her, hallucinated Hitler’s mustache in the sink, and thought spies were following her. When Ginsberg entered Reichian analysis, she was reportedly banging her head against the wall so ferociously that the doctors recommended a lobotomy.
Ginsberg phoned up Dr. Cott, his former therapist, and told him, “It happened, I had some kind of breakthrough or psychotic experience.” Cott, who followed Reich in rejecting the talking cure, and who was obviously still angry at Ginsberg for choosing pot over therapy, said, “I’m afraid any discussion would have no value” and hung up on him. Soon afterward, when Ginsberg was involved in a car chase in a stolen vehicle that ended in a dramatic crash, he was encouraged by a law professor at Columbia, where he was still a student, to plead insanity. Dr. Cott appeared in court to testify to his mental instability, and two months later Ginsberg was admitted to the Columbia Presbyterian Psychiatric institute, where he stayed for eight months.
During Ginsberg’s hospitalization, Burroughs wrote to Jack Kerouac to ask him to find out from Ginsberg what the “gadget made by Reichians” looked like. “I want especially to know its shape and if there is a window, and how one gets into it.” Kerouac doesn’t seem to have been much help in providing a blueprint. Burroughs built his first accumulator in the spring of 1949 when he was living on a rented farm in Pharr, Texas, with Kells Elvins, a friend from his Harvard days. They were both enthusiastically reading Reich’s The Cancer Biopathy and decided to build an accumulator in the orange grove Kells owned in the Rio Grande Valley. Built without recourse to any plans, the resulting device included some curious innovations. “Inside was an old icebox,” Burroughs explained, “which you could get inside and pull on a contrivance so that another box of sheet steel descended over you, so that the effect was presumably heightened.” It took them a few days to construct the box. The result was eight feet high, much taller than the ones Reich manufactured: “It was a regular townhouse,” Burroughs recalled.
The pair took turns sitting in the accumulator and obtained, Burroughs wrote, “unmistakable results.” Burroughs wondered what the Mexican farm laborers thought of this strange box that they entered “wrapped in old towels,” and came out of feeling “much sexier and healthier,” “with hard-ons.” Burroughs and Kells also made one of Reich’s smaller shooter boxes, with a funnel, which they used as a supplement to the big box. Their DIY was, Burroughs admitted, “a very sloppy job,” but it still have a powerful “sexual kick.”
"I have just been reading Wilhelm Reich’s latest book The Cancer Biopathy,” Burroughs wrote excitedly to Kerouac. “I tell you Jack, he is the only man in the analysis line who is on that beam. After reading the book I built an orgone accumulator and the gimmick really works. The man is not crazy, he’s a fucking genius.” Kerouac described Burroughs enthusiastically promoting the box in On the Road (1955). According to Kerouac, Burroughs said, “Say, why don’t you fellows try my orgone accumulator? Put some juice in your bones. I always rush up and take off ninety miles an hour for the nearest whorehouse, hor-hor-hor!”
Burroughs used an orgone box on and off for the rest of his life. (There is a picture of the rock star Kurt Cobain waving through the port-hole of Burrough’s last box, a scruffy, patched-up shed that he kept in the garden behind his house in Lawrence, Kansas.) In the 1970s he wrote an article for Oui magazine entitled “All the accumulators I have owned” in which he boasted, “Your intrepid reporter, at age thirty-seven, achieved spontaneous orgasm, no hands, in an orgone accumulator built in an orange grove in Pharr, Texas. It was the small, direct-application accumulator that did the trick.”
….
Perls concluded that any positive claims for the orgone box were attributable to the placebo effect. “I invariably found a fallacy,” he said of the orgone box users he met, “a suggestibility that could be directed in any way that I wanted.” Reich, Perls thought, had made a major contribution in giving Freud’s notion of resistance a body, but he erred in trying to make a verifiable reality out of the libido. “Now resistances do exist, there is no doubt about it,” Perls explained, “but libido was and is a hypothesized energy, invented by Freud himself to explain his model of man.” He thought Reich had hypnotized himself and his patients into the belief of the existence of the orgone as the physical and visible equivalent of libido.
Perls found that users of orgone boxes usually exhibited some paranoid symptoms. “Then I had another look at the armor theory,” Perls went on, “and I realized that the idea of the armor itself was a paranoid form. It supposes an attack from, and defense against, the environment.” Perls criticized vegetotherapy for encouraging the formation of paranoid features by encouraging the patient to “externalize, disown, and project material that could be assimilated and become part of the self.” Orgone energy, Perls concluded from his investigations into the orgone box, was “an invention of Reich’s fantasy which by then had gone astray.” The realization that the Reich he had met in New York was different from the one he had known in Europe, and that orgone mysticism was at the crackpot end of science, was tinged with melancholy. “The enfant terrible of the Vienna Institute turned out to be a genius,” Perls wrote in his autobiography, “only to eclipse himself as a ‘mad scientist.’”
In his own elaboration of character analysis, which he called Gestalt therapy, Perls turned the idea of armor around: where Reich had come to see character armor as a defense against a hostile external world, Perls saw that same layer of self as a shield for one’s own true drives - a straitjacket designed to safeguard against explosions of excitement from within. Thus, it wasn’t a shell to be crushed but something integral, to be owned. (Laura Perls said they tried to convince Rosenfeld to give up his box, that he could increase his physical vitality and mental agility “entirely on his own, without external devices.”) He wanted his patients to be aware of their bodies, to feel the present vividly in the “here and now,” to be “authentic,” to act on their desires.
Perls got his patients to act out their feelings so that they could assimilate and take responsibility for them. He had originally wanted to be a theater director - he’d been a student of Max Reinhardt’s when he was growing up in Berlin, and he’d become closely associated with the avant-garde Living Theatre troupe in New York. Julian Beck, a founder of the Living Theatre, explained to Perls’s biographer, Martin Shepard, of Gestalt therapy, “[Perls] had something in mind that was halfway between the kind of performance we were doing [direct spectacle, aimed at challenging the moral complacency of the audience] and therapeutic sessions.”
“You are my client,” Perls told one female patient. “I care for you like an artist, I bring something out that is hidden in you.” He described therapy as if it were a magic trick; the rabbit he claimed to pull out of the hat was a person shorn of the “neurosis of normalcy” and all the bourgeois niceties associated with it. This person, he hypothesized, was confident enough to be selfish, to act on rather than repress all her desires, whatever the social consequences. All the energy that others wasted on repression and concealment, Perls thought, should be available for creative self-expression. Another of Perls’s patients recalled, “Fritz loved some types - open bastard-bitch - open defenses, that type. He didn’t like anyone who would placate him or be too good to him or used good-girl or good-boy defenses - that drove him up the wall.”

Perls’s views ,and some of his methods, were much indebted to those pioneered by Reich in the thirties: Perls would habitually accuse his patients of being “phony” and was deliberately aggressive, much as Reich had been with him. Yet, his observations about the paranoid deviations in Reich’s terminology and thinking were painfully perceptive, precisely because he had built on those very ideas.
In 1951, Perls, Paul Goodman, and a Columbia professor of psychology named Ralph Hefferline published Gestalt Therapy: Excitement and Growth in the Human Personality. Rewritten by Goodman, and bearing all the hallmarks of Goodman’s exasperating style, the book blends Reich’s ideas about energy blocks and flows with Sartre’s cafe philosophy to create an American brand of existentialism turned therapy. The authors intended their self-help book to provide the reader with the tools for revolution: “In recommending [these experiments] to you,” they warned of their mass-market therapy, “we commit an aggressive act aimed at your present status quo and whatever complacency it affords.” They promised immediate liberation, without the hard grind of political struggle; all you had to do was unleash your “authentic” self.
The “excitement” to which the subtitle of the book refers is a generalized libido, an elan vital that is seeking various outlets, not all of them sexual. Life, for Perls, was a series of “unfinished” or “undigested” situation, frustrations that were all waiting their turn for satisfactory closure. “After the available excitement has been fully transformed and experienced, then we have good closure, satisfaction, temporary peace and nirvana,” Perls summarized his position. “A [mere] discharge will barely bring about the feeling of exhaustion and being spent.”
It sounded very like the Reichian orgasm. But for Perls, excitement was no longer exclusively genital, as it was for Reich, and this shift only served to open up numerous other slipways to pleasure. In Reich’s view, the libido theory was an inviolable article of faith. In broadening its range to celebrate oral and anal pleasures, Perls heralded a polymorphously perverse and heretical vision - one that, ironically, would prove particularly amenable to exploitation under capitalism.
In 1952, Perls, his wife, Goodman, Isidore From, Elliott Shapiro, and two others founded the New York Institute for Gestalt Therapy, headquartered in the Perleses’ apartment and with treatment rooms at 315 Central Park West. The seven founding members met on a weekly basis for group therapy. There was no bureaucratic hierarchy and everyone, including Perls, was subject to the honest criticism that was seen as the key to self-discovery. It was a very public form of character analysis: members of the group would draw one another’s attention to every repression or hang-up, none of which was to be tolerated.
Elliot Shapiro, an ex-boxer and the head of a psychiatric school attached to Kings County Hospital in Brooklyn, brought a friend to one session; Shapiro’s friend said he “had never witnessed the aggressive and profound battling that went on in those groups. Nobody, virtually nobody, was safe at any time.” Shapiro recalled, “We hammered at each other, and hammered, and hammered - every week. And it was the most vigorous hammering you can image….If you could live through these groups and take the corrections, the insults, the remarks…” Not all the participants had sufficiently thick skins to take such brutal candor. The psychotherapist Jim Simkin left the group because he felt that everyone was “loading elephant shit on him,” as did Ralph Hefferline, a coauthor of Gestalt Therapy.
To promote this new school, Perls traveled from city to city, introducing an audience of psychiatrists, social workers, and other interested parties to his “here and now” philosophy. He taught groups in Cleveland, Detroit, Toronto, and Miami how to be sensitive to their bodily needs and to follow their impulses, to be honest and unalienated. He’d be sharp and confrontational as he pushed his awareness techniques on the participants: What are you doing now? What are you experiencing? What are you feeling? Isadore From, who was part of the original New York group, remembers that these occasions were often very dramatic, with “a lot of shaking, trembling, anxiety” - effects that he thought were the result of the audiences’ hyperventilating under the strain of Perls’s relentless goading and questioning.
The New York Institute of Gestalt Therapy also ran public seminars, including one by Goodman, “The Psychology of Sex” (“What you can’t do, teach,” he said with a laugh). Following Reich, it was thought that neurosis could be treated by exposure to sexual pleasure. Goodman made this his area of expertise and people with sexual problems were often referred to him. One was a man who was worried about the quality of his orgasms after prostate surgery. Another thought he might be homosexual; the bisexual Goodman got his penis out and demanded that the patient touch it to help him make a diagnosis. In so doing he was no doubt influenced by Hitschmann, the Viennese analyst who once asked Perls, then tormented by sexual inadequacy, to show him his penis .
In one of Goodman’s group sessions, when someone complained of the lack of sexual companionship, Goodman went around the circle and set up a week’s worth of dates. “See, that wasn’t so difficult,” he reassured her. He was not beyond offering his own neurosis-busting services to patients of either sex, and once agreed to accompany a patient who invited him on an all-expenses-paid trip to Europe. He joked about setting up a College of Sex so as to put his vast experience to educational use. “I’m a sociopath,” he wanted a potential client. In a diary entry written in 1957, Goodman looked back on the previous decade and concluded that he’s made a “false cultus-religion (an obsession)” of sex: “The sexual act itself had just about the meaning of a ritual communion sacrifice.”
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2024.05.17 01:50 livvvjh Walks, Talks, and Acts like PCOS. Is it?

Dutch Test
Female 27 aprox 125lbs 5'2, Medications: 15mg adderall, 1.5mg naltrexone (for pain), conditions: Ehlers-Danlos hypermobility type, PCOS, POTs, and Craniocervical Instability
I have been struggling with my PCOS for the past 3 years. My PCOS symptoms include polycystic ovaries, hair loss, Acne (face and body), weight gain, a little more than normal body hair, rapid body hair growth, brain fog, fatigue, and severe depression. Might be worth it to mention that I had none of these symptoms, apart from depression, before 3 years ago, I never even got a single zit before the age of 21. I had a progesterone IUD from 20-25 if that helps. I have been treated with Spironolactone in the past. It was honestly life changing. My depression vanished, I lost 30lbs in 2 months, and all of my symptoms either went away or got significantly better. Only down side was that I was constantly bleeding on Spironolactone, nothing too major but I need a panty liner everyday.
After 3 months on 100mg of Spironolactone, I noticed my fatigue started coming back and my mood started getting a little worse. My dose was increased to 200mg and immediately felt better.
Another 3 months and the same thing started. They tested my free testosterone and it had literally doubled while taking it.
Cut to January of this year, my doctor wants to discontinue the Spironolactone because of the chronic bleeding. She wants to use this opportunity to get a clearer picture of my hormones and their metabolites. So I wait an excruciating 4 months and take the Dutch hormone test. I am a little confused by my results.
My 5a-Reductase Activity is pretty low, but all research I've looked into shows that it is usually high in PCOS patients. My DHEA-S is actually on the low end and my testosterone is high. I'm having trouble interpreting these results. I'm wondering if this is an expected result for someone with PCOS and hyperandrogenism. Should I be asking my doctors to look into anything else? Does anything here explain why my Spironolactone would stop working/not lower my testosterone? Dutch Test
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