Life in your 30s is absolutely bonkers. Companies ask you to fly to other countries for job interviews on a two days' notice without offering to pay for the tickets or hotels while other companies expect you to do a "little exercise" as a part of their recruitment process which turns out to be a whole fucking campaign concept from the creative idea to the strategy, concurrently men who have been desperately asking you out for weeks turn out being married with kids and somehow everyone is mad at you about this, and you also realize you take a ridiculous amount of supplements every single day just to keep going somewhat alive, and also you somehow still have no fucking idea how to be a proper adult despite the work and the married men and the fact your knees and your back are hurting like hell because just today you ate dino nuggets with ketchup and cried because you had no idea where to take a broken clothing rack.
I must say this is not what I expected my life to be at this point.
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Me at 28: I've got my whole life under control, everything is mapped out, my wedding is planned to a tee, my career is going just like I've always wanted, I've got great hobbies, I've got a perfect life, everything is just great great great
Me five year later at 33: I have no clue who I am or what am I supposed to do with my life or what I like what the fuck happened send help someone please what am I even doing here
ohheytherehi replied to your photo: Treasure Hunt II: Croatoan John Carter An Amazon...
hide treasures in allll the obscure places :p that tag with the n#’s looks like when u save a pic from facebook lol
Don't you read the NEWS? *clue alert clue alert*
30somethingcrisis replied to your photo: Treasure Hunt II: Croatoan John Carter An Amazon...
Okay, Croatoans lives on what is Now Roanoke Island…in NC, my current abode. But John Carter… Died in Richmond, Va. per the Internet. I haven’t seen the movie… so, um… I got nothin.
You have more than nothin. You have somethin. And if you figured out the #'s tag, you'd have everythin.
Well hey, if I can't make it to Philly, at least I can soften the blow by winning the fast lane reply. ;)
I have a question regarding my 7 year old son. He recently began complaining about a pain in his heart that felt like a "flickering flame". When we had him point to the location of the pain, it was actually at or just below his sternum. My husband and I both came to the same conclusion that it was probably heartburn.
He continued having this sensation frequently over the next month, so we tried giving him the generic version of Pepcid Complete, and the first day his symptoms went away completely. It's been a week that he's taken it daily, and the "flickering flame" is back, but much milder when he takes the acid reducer/antacid. As far as I can tell, it isn't improved or worsened by what he eats.... although his diet doesn't include a lot or any of most typical heartburn triggers, such as fruit juice, fried foods, spicy food, soda, caffeine, and, obviously, no alcohol. Also, according to him, it isn't there when he first wakes up, but usually begins shortly thereafter, before he eats breakfast. Since we have been using the acid reducer/antacid for a week now, and really it has been at least a month that he's been experiencing this, I am wondering a few things: is our initial suspicion correct? Or, is it GERD? Or, could it be something completely different? I need to schedule a yearly check up in about 4 months when he turns 8, so we could address it then if it lingers; but I wonder if this is something that warrants bringing him in now? As far as I can tell, the types of food he eats doesn't seem to make it worse or better....but, his diet doesn't include common heartburn triggers on a regular basis (juices, spicy food, fried food, soda, caffeine... And obviously no alcohol).
[Submitted later] Because I forgot to mention it, and you’d probably ask: no, I know of no changes, such as in diet or physical activity, for my son before his burning pain/ possible heartburn started a month or so ago. And I promise, I’m not concealing something like starting him on a diet of nothing but fried oranges covered in hot sauce, like in many of your “TSK” posts. ;)
Ha! Thanks for clearing up the "hidden dietary clue", that would've obviously been my first question. ;) Ok, here's your Fast Lane Reply for winning the Facebook Fan Page contest.
At this point, I don't think you need to go rushing in to the doctor earlier than his upcoming visit in 4 months, especially if he's not having vomiting, weight-loss, black stools, or crippling pain. What I would do if this was my son would be:
Make sure the dosing of Pepcid is twice a day, since famotidine doesn't last very long in the body.
Keep some calcium carbonate (Tums, Maalox) on hand for as-needed relief -- but use it sparingly, because it can lead to constipation.
Keep it up for a month. If still having frequent "break-through" symptoms, call doctor's office and notify them; the doc may want to see him sooner, or try a stronger prescription med first.
Good luck! Oh, and I forgot to ask: is he drinking any alcohol? (just kidding!) ;)
I missed the open Cranquis-Mail inbox the last go-around, so I'm glad I won!
I have a question regarding being a living kidney donor. Someone I know is currently on dialysis awaiting a kidney transplant. I do not know thatI am compatible, and before I would even broach the subject with them, I would want to know if it would even be medically advisable for me to donate. Is it a contraindication to donate a kidney if you are on Metformin for PCOS? I have scoured the National Kidney Foundation's Living Donor website, and found that those who are taking Metformin for diabetes can't donate, but that is due to the diabetes, not the medication. I can't find anything related to PCOS and Metformin. I know the if you have kidney issues, doctors generally won't prescribe it to you. My kidney function is obviously good right now, but would having one less kidney possibly impede function enough that I would need to be taken off Metformin? Currently this is working very well to control my PCOS symptoms, so I would rather not do something to necessitate changing or stopping my current treatment plan.
Well congratulations on winning the first-ever Fast Lane Cranquis-Mail reply by participating in the Facebook Fan Page Weekly Theme contest! Your question gets jumped to the head of the line. Here's my reply:
It's nice to hear from you again, and I'm glad the metformin is helping your PolyCystic Ovary Syndrome (PCOS) symptoms. You obviously did a lot of "scouring" of the NKF's website, because I couldn't find any specific mention there about metformin + kidney donor qualifications. But I did read that even donors with diabetes can still be considered for kidney donation, depending on a number of factors. So I don't see why metformin use alone would exclude you from being a living kidney donor!
In short: as a lowly Urgent Care doc, I honestly can't say whether you are "medically qualified" to donate, but Living Donor programs often have a screening questionnaire which can help figure that out. You should contact your friend's Kidney Transplant Coordinator and ask for a "donor screening questionnaire" (no need to even mention the specific patient/friend you're referring to yet!), and go from there.
As for "would having only 1 kidney make me less able to tolerate metformin?" -- Well, doctors usually avoid giving metformin to patients with low creatinine clearance, which is a calculated measurement of kidney function. Does the creatinine clearance drop significantly in people who have donated a kidney? This 2006 article from a Nephrology journal hems and haws a bit, but appears to indicate that various studies have not shown significant impact on renal function in living kidney donors (Try slogging through the "Summary of Risk Factors: Renal Failure" for more details.)
So, this URGENT CARE doctor's opinion is: you'd probably still be able to take metformin after donating. But again, this is an excellent question to ask the transplant team. I hope everything works out for both you and your friend! :)
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Hey there! I just wanted to get back to you, after my previous question a couple months ago and follow-up responses. As a reminder, I had the unexplained weight gain, acne, irregular menses, and tiredness, and my new doctor only found low ferritin levels and low vitamin D levels, and found nothing when she did a testosterone test to check for PCOS.
Well, she referred me to an endocrinologist, and after 2 appointments and some more comprehensive hormone tests, she determined I have mild PCOS and prescribed metformin. Apparently my DHEA and estradiol levels were off. So, anyway-- since you originally suggested it might be PCOS, I wanted to let you know you were correct!
She also did an ultrasound of my thyroid, since it seemed large on physical examination. Everything looked normal (and my thyroid levels were all in a good range and no antibodies), EXCEPT she did find a very small nodule on the left side. So, we will be watching that periodically to make sure it doesn't increase in size.
Anyway, thanks again! Your original response helped legitimize my concerns, which I think kept me from giving up and throwing in the towel over the last 2 months of tests.
Wow! I'm thrilled that I was able to help. Thanks for the update.
The moral of your story, from my point of view, is: No doctor can possibly know/diagnose everything (despite what House MD would have you believe). 2nd opinions exist for a reason, and there is nothing wrong with getting another medical opinion (or 2, or 3) if your first doctor doesn't find an answer. Sounds like you have a knowledgeable endocrinologist on your team, so that's great!
