I need alternatives...I need help!

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2021.12.03 03:45 NinaDaFrog I need alternatives...I need help!

This is...WAAY longer than I meant it to be...TL;DR: I'm not sure what to do about my doctoclinic & I'm not, currently, able to function as an independent person...I'm miserable & there's no end in sight.
Against the CDC guidance for chronic pain patients, ...some policies and practices that cite the Guideline are inconsistent with, and go beyond, its recommendations. In the NEJM commentary, the authors outline examples of misapplication of the Guideline, and highlight advice from the Guideline that is sometimes overlooked but is critical for safe and effective implementation of the recommendations.
*Misapplication of the Guideline’s dosage recommendation that results in hard limits or “cutting off” opioids. The Guideline states, “When opioids are started, clinicians should prescribe the lowest effective dosage. Clinicians should… avoid increasing dosage to ≥90 MME/day or carefully justify a decision to titrate dosage to ≥90 MME/day.” The recommendation statement does not suggest discontinuation of opioids already prescribed at higher dosages.
policies that mandate hard limits conflict with the Guideline’s emphasis on individualized assessment of the benefits and risks of opioids given the specific circumstances and unique needs of each patient.*
My pain clinic has decided to go with a hard limit of 50MME/day...and they are trying to justify it that "it's the research" and "the CDC recommended guidelines" and, in the case of one doctor: "I don't care...I'm not going to lose my license because of this"...
I had a horrible year, shoulder surgery Dec 21st, 2020 followed 2.5 weeks later by jaw surgery (in the ER, without pain medication or knocking me out) (local meds were ineffective due to the severity of the infection in my jawbone), resulting in medical PTSD, more jaw surgery: root canals and pulling all my molars on one side, & then a long & slow recovery.
I got a ketamine infusion in late July that literally cured the PTSD (it's still holding!) Can't even say enough about how much it helped me...100% cured it.
But, ever since about late March/April, my pain management doctor has been tapering my dosing from 90mme to their new goal of 50mme. I have no issues with tapering down, I successfully tapered myself, completely, off the long acting opioid I was on a few years ago...in about 8-10 weeks. I managed the withdrawal without incident and without intervention & I have had no long lasting symptoms of addiction or dependency. I am considered a VERY LOW RISK for addiction/overdose.
When I got to about 65mme/day a couple of months ago, I told my doctor that I am seriously concerned about having adequate pain control (not even like a "comfortable" level of pain control...we were already past that level...merely adequate to be considering getting a part time job) if we continue tapering.
She said that the goal is 50mme.
I asked if there was a medical reason to do that in my specific case...when I was reporting that my pain was pretty much at a constant level of "moderate concern"...rather than "mostly background noise" (which is kinda how I define my limits of "adequate control")
She said it's the recommended dosing maximum & that the clinic is tapering everyone to the same dose.
I was kinda surprised, honestly...it seemed like a strange thing to say & do...because I was under the impression, due to prior conversations, that the goal was "minimum effective dose" ideally under the CDC recommended 70 mme.
I was at, what I considered to be, the "minimum effective dose" when we got to 65mme...which, you'll notice, is under 70mme.
That was in August.
Anyhow, I'm now at about 52mme, with no guidance on alternatives to help me manage my pain. Doctor literally said "I don't know how to help you".
My hair is falling out (I have around half as much hair as I had in August)...not exactly sure why...could be meds...could be stress...could be uncontrolled pain...dunno?
I am either outright allergic, have an ineffective response, or join some kinda wacky .0002% chance of having serious side effects from basically all of the non-opioids I've tried.
Despite my symptoms explicitly not following the accepted morphology for fibromyalgia, that's my "diagnosis". I fall into the horrifying pocket world of "diagnosis of exclusion"...so I am ineligible to even try some of the autoimmune medication (that might actually help) AND I don't appear to qualify for disability or SSDI (because it's not considered a legitimate diagnosis).
My pain is like a constant state of "flu-like achiness" with the added joy of the constant sensation of ground glass in my larger joints (hips, shoulders, knees, elbows). My bloodwork is all over the place, but "inconsistent with any one diagnosis", so..."fibromyalgia" but, not really.
I find it extremely difficult to do anything...for weeks I have been...existing. Just getting dressed & going to the living room wears me out for hours...& when I go to the bathroom and back I'm wiped out until the next visit to the bathroom.
My hair keeps getting matted (because so much is falling out) & my daughter has to untangle it because I can't. I had hair down past my waist/upper hips...just had to cut off 7+ inches because of how bad it is tangling & breaking. It took me years to get my hair that long!
Thanks for reading...most advice is welcome (please don't tell me to "just feel better" or anything like that...I'm in a bad place tonight).
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2021.12.03 03:45 Equal-Violinist5956 Help!!

I had an unexpected Christmas trip come up. My aunt already paid $2000 for me to go, as a surprise. I wouldn’t be able to work from the 17th-27th. How likely is it that all my shifts from the 17th-27th get picked up? Idk what to do. Should I tell the ppl who do my scheduling the truth?? I was honestly thinking of telling them I got covid or something
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2021.12.03 03:45 StryfeSixx What sort of crazy things do you think/know happen in hotel rooms?

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2021.12.03 03:45 223am New input system - how to set one inputaction to have the same bindings as another in script

playerControls.Podium.Jump = playerControls.Gameplay.Bomb;
I get the error : 'Property 'Podium' access returns temporary value. Cannot modify struct member when accessed struct is not classified as a variable'
Is there another way that I can do this so that jump can be set to whatever bomb is at runtime?
The reason I need to do this at runtime is that I remap the bomb key at runtime, but want to change that to the same be the same key as the jump key. I haven't figured out a way to rebind both at the same time so am thinking to just set the jump to whatever the bomb is afterwards.
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2021.12.03 03:45 Ok_Entertainment8094 Let’s make that money

Getting in early. 620 billion coins. See what’s happens
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2021.12.03 03:45 MeasurementInner2647 Top 3 weapons season 10 1. Persistence. 2. type 25. 3. M13.

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2021.12.03 03:45 ResponsibilityNo374 I am tracking the crypto market on CoinMarketCap. Click on my referral link to sign up and get rewarded when you accumulate 100 diamonds.

I am tracking the crypto market on CoinMarketCap. Click on my referral link to sign up and get rewarded when you accumulate 100 diamonds. submitted by ResponsibilityNo374 to CoinMarketCap [link] [comments]


2021.12.03 03:45 erer1243 Currently, it's December 3, 2021 at 01:45AM

Currently, it's December 3, 2021 at 01:45AM
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2021.12.03 03:44 Hongg3318 Map rotations have been really weird recently...

Does anyone feel the same? I always get repeated maps recently, especially Favelas, Skyfell, and Wanted.
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2021.12.03 03:44 Mechanized_Man_01 Dw, I finished it.

Dw, I finished it. submitted by Mechanized_Man_01 to memes [link] [comments]


2021.12.03 03:44 jocelynff Idk if this is a repost. Come on, we can all be who we want

Idk if this is a repost. Come on, we can all be who we want submitted by jocelynff to notliketheothergirls [link] [comments]


2021.12.03 03:44 AsingleMiitopian46 My Snurp Fanfiction

What if the Boss Snurp has magical powers and mind controlled all the snurps and forced them to fight? What if snurps are in reality harmless creatures & when you defeat the Boss Snurp the snurps are let free from their grasp.
Also I feel like all snurps live in colonies and have certain jobs. Here are some ideas
Water,Green,Black : Are still babies get a job when grown up
Rich/Gold: Protect Snurp loot
Tasty/Delicious: Grow Snurp Radishes
Rare/Very Rare: Teleport around to look for threats.
What do you think? (Also yes I know this is dumb as f***)
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2021.12.03 03:44 LeWilmon Day in the Life of a Computer Science Student at USC

Day in the Life of a Computer Science Student at USC submitted by LeWilmon to YouTube_startups [link] [comments]


2021.12.03 03:44 Ohboyreddit1242 Shitposting 🗿

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2021.12.03 03:44 RedPulse Prepare to not trust ANY TooL fans...

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2021.12.03 03:44 Conscious-Shoulder71 Oioioi wtf???

Oioioi wtf??? submitted by Conscious-Shoulder71 to Animemes [link] [comments]


2021.12.03 03:44 suzukisinclair1810 My 2 year olds behavior.

He still hasn’t been assessed but we are waiting for the appointment to be made. In the mean time his behavior has been really hard to deal with. He is crying 90 percent of the time he gets so angry and upset. He doesn’t like being consoled. We try everything to calm him down. The only thing that helps is putting him in his room. Are these signs of him being autistic? He is nonverbal. It’s been really hard and I’m so sad.
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2021.12.03 03:44 dinosaur_decay Looking in your direction Iceland

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2021.12.03 03:44 yourmomissoseggsy ladies and gentlemen may i present to you the king harry styles with a lesbian flag

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2021.12.03 03:44 AutoNewspaperAdmin [PH] - Going green: DAR promotes organic farming in Cebu | Manila Bulletin

[PH] - Going green: DAR promotes organic farming in Cebu | Manila Bulletin submitted by AutoNewspaperAdmin to AutoNewspaper [link] [comments]


2021.12.03 03:44 RiooYoo Fanfic (printing) help

Hi everyone,
I'm pretty new to larry fanfics and thid was the first time printing with Lulu. Which made me overlook the books size , so i accidentally ordered it in the a4 size. That isn't really a problem, but I don't know where I can find the a5 pdfs, or how I can make sure it will be in a5 size. Does someone know how to do this?
Thanks TPWK
(I hope this makes sense, English isn't my first language)
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2021.12.03 03:44 AutoNewspaperAdmin [PH] - RTC allows prosecutors to present additional evidence in the junked case vs Julian Ongpin | Manila Bulletin

[PH] - RTC allows prosecutors to present additional evidence in the junked case vs Julian Ongpin | Manila Bulletin submitted by AutoNewspaperAdmin to AutoNewspaper [link] [comments]


2021.12.03 03:44 CyanScarves I don’t know what’s going on in FTM_irl, anyone care to explain?

The sub itself: Hey, nbs are super banned, okay thanks.
Me: Of course I won’t look it up, I subconsciously prefer making a spectacle out of my own unawareness on the issues that don’t directly relate to me, over putting any effort into finding out about the issues themselves.
Literally every second post before and after this one, forever, in perpetuity: I don’t know what’s going on in FTM_irl, anyone care to explain?
We live in a society.
Fin.
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2021.12.03 03:44 Prestigious_Cause_71 Addition to 2-fam

Im hiring an architect and attorneys to submit to town to build a unit on top of my 2 fam. Im getting a heloc so that i can pay for construction costs and pay off the heloc. Currently have 25% equity and getting a heloc that gives up to 100% and im expecting my property value to increase about 1.5x cost of construction/lawyearchitect based on neighbor who did same thing w same style property. This should allow me to refi and pull out enough to pay off heloc then have some left over for down payment on another house. Are the any unforeseen costs doing this. Im currently anticipating costs for lawyer, architect, loss of tenants during construction, and hefty price for contractor to add a unit on top just want to make sure theres no critical flaws with my plan before proceeding and im aware i run the risk of market not being as hot/ interst rates rising by the time i refi but i dont anticipate it to be a dramatic change over the next 8 months to The point where this wouldnt make sense moving forward. Mortgage will go up but rent and cash flow will increase and will be netting more every month as well as building equity in a house worth much more. Any thoughts?
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2021.12.03 03:44 AutoNewspaperAdmin [PH] - Valenzuela City to reimplement truck ban starting Dec.6 | Manila Bulletin

[PH] - Valenzuela City to reimplement truck ban starting Dec.6 | Manila Bulletin submitted by AutoNewspaperAdmin to AutoNewspaper [link] [comments]


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