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Joined 10 months ago
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Cake day: September 5th, 2023

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  • Started on Friday… still coming in waves. I had a breakdown a few weeks ago… just pushed myself too hard for too long…it was probably building up for at least a year. Went to the VA (veterans affairs, for those not in the US, the VA is the sole source of health care for many veterans in the US), and they started making adjustments to my anxiety and depression medications which eventually precipitated into a ER visit. A few days later, they got me hooked up with the mental health clinic where I talked to a provider about going on short-term disability while we’re messing with my medication doses until I feel normal again. He says something along the lines “sounds like a good plan, sned me the paperwork.”

    Queue up to Friday, I get a call from the insurance company saying they got the paperwork from the provider, and it recommends I go back to work. Now I’m out of PTO, disability is denied, and I’m trying to decide whether I lose my job or go back to work on while tettering between “extreme anxiety” and “drug-induced haze” from all the new prescriptions.





  • Sorry that you’re going through something OP. Everything I say after this is probably something you don’t want to hear, so read on at your peril.

    The reason people tell you to go to your doctor when you ask for medical advice online is because the question itself implies you want good or useful advice and nobody besides you’re medical team can give you that. You can find some general stuff online or ask to speak to a different doctor if there’s trust issues with your current provider, but nobody without access to your personal medical history is able to advise you accurately. It takes at least 8 years of constant study to be a newbie doctor. Human bodies are extremely complex, and we still don’t know how everything works. Even if we did, not all bodies work the same way. On top of that, humans are shit at statistics, and we heavily bias anecdotal evidence, especially when it is our own anecdote or from someone we know.

    Here’s a simple example.

    Say I get an upset stomach after eating meals and I complain about it to a friend. Trying to be helpful, they told me they used to get that too, so they tried switching to a vegetarian diet, and they got better. Sounds innocent enough, right? I know what vegetarian means (it’s “common sense”, right?) so I stop eating meat and start getting salads or fruit for lunch instead. After about a week, I fell asleep while driving home. Turns out, I’m anemic. I was getting just enough iron on my old diet to keep the worst symptoms that would have scared me enough to see a doctor at bay, but when I cut out meat I went from iron deficient to anemic. Had I gone to the doctor, they’d have easily seen my iron deficiency and put me on a supplement or advised me how to change my diet, and the nausea would have gone away. Instead, I end up imaking my condition worse and landing in the ER after an auto crash.

    That didn’t actually happen, but I think it’s a good example for several reasons. It’s a common side effect (nausea) of a common problem (iron deficiency) that you’re likely to think doesn’t warrant a doctor, but you’d still mention to a friend. It’s a super common symptom associated with lots of conditions. The friend even gave good advice (for most people, changing their diet wouldn’t have been an issue, but because of an underlying medical condition specific to our protagonist, it was bad advice FOR THEM). The friend had no way of knowing or even suspecting it could be dangerous advice because most people don’t spend a decade learning about the body and disease more generally and they didn’t know about the specific issues related to the specific case. It’s the same reason you shouldn’t get legal advice online… It’s a super complex system, and every case is literally different.




  • Nothing. It’s a pretty fantasy. Best I think we can hope for is a few monopolies busted up so some little guys can break into the market. That’ll buy us about 20 years until those little guys have become the new Googles and Microsofts and Apples, and then we start over. We need to entirely rewrite how we do antitrust assessments to account for both vertical and horizontal monopolistic behaviors (a vertical monopoly is a company that controls the entire supply chain where a horizontal one controls the market and customer base. Historically, the US has been more concerned with horizontal monopolies.) It’d be great if we could come up with a better measure of consumer choice that we currently use. If you have the choice between 2 ISPs but they both charge the same amount for the same service, you don’t really have a choice there…at least not a meaningful one.