Symptoms from my diagnoses of bipolar 2 and social anxiety disorder kept me from working, socializing, forming relationships, and living independently for more than a decade.

I worked my ass off to improve my wellness, and for the past 6 years I have worked as a Peer Support Specialist for 2 different public agencies. I tell my story to other people with mental health and substance issues as part of my work. If anyone’s interested, I’d love to share it here too.

I've done a large amount of research and got a consultation a few months ago, my doctor said I could get PRK as SMILE and LASIK weren't good options for my cornea. As I understand it the results should be very similar, just a longer/more painful recovery time. I've got family who is going to come into town for a week to help me with anything, but I wanted to know if any of you have gone through PRK and had advice or an experience to share.

https://kffhealthnews.org/news/article/nonprofit-hospitals-tax-breaks-community-benefit/

POTTSTOWN, Pa. — The public school system here had to scramble in 2018 when the local hospital, newly purchased, was converted to a tax-exempt nonprofit entity.

The takeover by Tower Health meant the 219-bed Pottstown Hospital no longer had to pay federal and state taxes. It also no longer had to pay local property taxes, taking away more than $900,000 a year from the already underfunded Pottstown School District, school officials said.

The district, about an hour’s drive from Philadelphia, had no choice but to trim expenses. It cut teacher aide positions and eliminated middle school foreign language classes.

“We have less curriculum, less coaches, less transportation,” said Superintendent Stephen Rodriguez.

The school system appealed Pottstown Hospital’s new nonprofit status, and earlier this year a state court struck down the facility’s property tax break. It cited the “eye-popping” compensation for multiple Tower Health executives as contrary to how Pennsylvania law defines a charity.

The court decision, which Tower Health is appealing, stunned the nonprofit hospital industry, which includes roughly 3,000 nongovernment tax-exempt hospitals nationwide.

“The ruling sent a warning shot to all nonprofit hospitals, highlighting that their state and local tax exemptions, which are often greater than their federal income tax exemptions, can be challenged by state and local courts,” said Ge Bai, a health policy expert at Johns Hopkins University.

The Pottstown case reflects the growing scrutiny of how much the nation’s nonprofit hospitals spend — and on what — to justify billions in state and federal tax breaks. In exchange for these savings, hospitals are supposed to provide community benefits, like care for those who can’t afford it and free health screenings.

More than a dozen states have considered or passed legislation to better define charity care, to increase transparency about the benefits hospitals provide, or, in some cases, to set minimum financial thresholds for charitable help to their communities.

The growing interest in how tax-exempt hospitals operate — from lawmakers, the public, and the media — has coincided with a stubborn increase in consumers’ medical debt. KFF Health News reported last year that more than 100 million Americans are saddled with medical bills they can’t pay, and has documented aggressive bill-collection practices by hospitals, many of them nonprofits.

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What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

About a year ago I was approaching 200 lbs. I work from home since pre-pandemic. I used to bike to an office but since then, I’ve moved somewhere less biking friendly. My strategy to tackle weight was intermittent fasting. And it was generally working for ~10 lbs and I stopped weighing myself for a year. And shirts were not fitting me, and then I learned the weight had come all back and more.
I knew enough that the fasting was going to do nothing if I was not telling my body to really use anything it stored up. Serendipitously I read about someone with a recumbent bike under their standing desk, and gaming, they’d wrack up the miles. I realized I needed that setup. I’m someone who just hates to go out of my way for working out.

Found one that was literally a desk chair with a bike under it and ordered it. I went from ultra sedentary to light exercise for ~4 hours a day. I’ve had it for about 2 weeks, and this thing is great. I’m listening to my body and not trying to do it too hard (for those who are concerned). Without every really trying to sprint I’ve been doing 40 miles a week-day. On the 4th of July I tried to see how far I could go biking all day. When I started I could not go anymore at 80 miles. Last weekend I easily knocked out 70 miles. The big thing is breaks. I’m not on a real bike, so there is no problem in taking a 5 minute break to knockout dishes or something. I don’t know if I trust the machine telling me I’m burning ~1,000 cals on my 40 miles, but I know what I am doing is healthy and I’m curious how my body will feel in 6 months or a year.

How do my legs feel? Oddly enough, during the day or after the work out, they’re beat. They seem to feel better by the time I’m ready to ride in the evening so no rest days yet. I’m shocked how much the leg fatigue really goes away once I start riding and focus on whatever is on my PC. Most of the discomfort is really from my bum. It has gone away generally though.
An odd risk I had to solve for myself was that upon pushing away from my desk while on my bike, I nearly topped my standing desk over. This was solved by well-placed PVC pipes and padding locked between the desk and the wall.

What bike do I recommend?
The budget version: https://www.amazon.com/dp/B004O6TXVS/
The one I have: https://www.amazon.com/dp/B0C8MVYLLT (but from their original website)
A cushion that the I book marked when I was doing research: https://www.amazon.com/dp/B01EBDV9BU

When I look up recumbent biking exercises, it’s kind of funny. It’s often recommended for the elderly because it’s potentially such a low intense workout. It’s great in a long duration. I would actually feel guilty spending this much time at the gym, but this method rocks. I have not worked out for this long since playing a Highschool sport. I won’t ever be shaped like a teenager again, but I can work towards it.

https://theappeal.org/dc-police-mental-health-crisis-response-aclu-lawsuit/

The American Civil Liberties Union of Washington, D.C., filed a lawsuit in federal court Thursday alleging that the district’s practice of sending police officers—instead of mental health specialists—to mental health emergencies violates the Americans with Disabilities Act.

“Someone who calls 911 for a physical health emergency gets trained medical providers who can treat and stabilize them,” said Susan Mizner, director of the ACLU’s Disability Rights Program, in a press release. “But someone who calls 911 for a mental health emergency gets a police officer with handcuffs and a gun.”

According to the lawsuit, these differing responses constitute a breach of the Americans with Disabilities Act, which prohibits government entities from denying people with disabilities equal access to government services and programs. The ACLU is suing on behalf of Bread for the City, a local nonprofit that provides healthcare and social services to lower-income and unhoused communities.

I figured I would help kick off this new subgroup by starting a discussion on how people with ADHD try to manage it.

I had a late diagnosis a couple years ago as an adult, and I have been working with a counselor to develop some behavioral techniques (in addition to medication). Not all of them stick, which in my experiences is the primary challenge of this disorder, but I've had good results when I do use them.

Primarily, I have a calendar where I put reminders and plan things out. If I have parts of a project I need to get done, I lay those out and assign them to certain days of the week. Working in academia, I live my life a semester at a time and this helps me reevaluate certain goals and it feels reasonable to me to plan out a few months at a time.

One thing I struggle with when it comes to planning is coming up with accurate estimates of how much time it might take to spend something. This was always a big obstacle in my way when it came to planning things out before - I wanted to know the exact time on how long it took to do something so that my schedule would be perfect. My counselor suggested that I come up with an initial estimate of how long something should take based off my intuition, and then double it (e.g. if I think a task should take 30 minutes, plot it out for 60 minutes of my day). This has been great for me because usually it's a win-win. Often, my initial assessment is underestimating how long something takes, so by accounting for slippage in time I can better chunk out my day. On the other hand, if I do get it done sooner I can pat myself on the back and I now have extra time in the day to get other things done.

I wanna find better ways of trying to stay on track with habits. I've tried some different apps and none are working too well. Recently I picked up Sunsama which has helped in terms of reviewing the day and looking at subtasks, but as I've gotten busy with experiments I've kind of lost track of that. What are some things that you do to accommodate the way your brains works?

The past few years I have been gradually starting to use ASMR to relax. I have had increasing bouts of anxiety and can't take too many kinds of medications since I am on blood thinners. So I rely on different relaxation methods to get me through.
I am fond of shoe and purse tapping but can't take mouth noises. Actually most tapping sounds seem to be the best fit for my ears. Maybe the occasional crinkling here and there. Perhaps even some whispered talking but I prefer just the sounds.
Some of these folks really go out in their productions. It's been amazing watching the evolution over the years.

What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

Traumatic brain injury multiplies the risk of major depression eightfold. While the emotional trauma of whatever caused such deep damage may be understandable, from a blast in a war zone to a blow on the playing field, there’s a physiological component, too, that neuroscientists have long suspected but have been unable to identify.

“As clinicians, a lot of us had a gut feeling that [TBI-associated depression] is a different disease,” said Shan Siddiqi, a Harvard Medical School assistant professor of psychiatry and a clinical neuropsychiatrist at Brigham and Women’s Hospital in Boston. “Why did nobody detect it before? I think the reason is because unlike other psychiatric disorders, TBI caused a sort of structural reorganization of the brain.”

https://www.statnews.com/2023/07/06/depression-after-traumatic-brain-injury/

I have taken supplements, but they are not very effective. Honestly, I don't want to rely on medication when our bodies are perfectly suitable with enough sunlight exposure.

I've been researching this for a while and can't find sources that show the difference according to latitude. I stupidly didn't bookmark what I read so what I say is based on what I've read but can't link to any of it :(.

• I gather there is research that around noon time sun exposure (e.g. 11am-3pm) results in greater production. The skin's processes are optimised for that time.
• I am very aware of the risks of skin cancer.
• I read in the UK about 13 minutes for 3 days a week, just between April and September is adequate for vitamin D levels year round.
• I live on the tropic of cancer so I'm expecting perhaps 7-10 minutes. Anything specific to that sub-tropical latitude would be greatly appreciated.

All advice is welcome, but links that I can read, compare and digest myself especially for different latitudes round the world would be perfect.

What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

So it is 80 degrees fahrenheit here today which usually would not be an issue for me but today I was too hot and sweaty. I am perimenopausal (49 years old) and I knew that could mess with heat tolerance. What I had not realized until today is that heat intolerance is also a side effect of many blood pressure medicines, antidepressants and allergy meds. And I am on all of those now.

I have just ordered some gadget that is a fan that goes around my neck and can be recharged via USB which seemed worth trying. And of course I will drink plenty of water, and try to stay in air conditioning whenever I can. Any other advice on how to deal with increased sensitivity to heat / higher heat intolerance? It is still early enough in the summer that the worst summer heat here is yet to come, so having some more tips might help me. Thanks!

Hey all, my partner is newly paraplegic post spine surgery and while he's been disabled through our ten years together this is new. He's using a power wheelchair and has to transfer by Hoyer lift. And in the six days since he was discharged from the rehab (PT and OT) hospital he's been to the ER twice. We have home health set up. But all of a sudden my life is a lot more... Stressful is understating it. He's going through his own emotional journey and getting support so I was hoping to find some connections, suggestions and the like here.

Right now I'm feeling a ton of pressure not to let any of the various balls I'm juggling drop. Something that feels unsustainable, particularly with my ADHD. I feel like I'm only getting this far due to stress compensating for my lack of medication (it's packed from our recent move, I'll find it or get a new script I just haven't yet). My partner's in a rush to get a wheelchair van and I don't know if we're making a good purchase and it feels like everything has to be handled right now but also for the rest of our lives.

Are there devices that are must haves? Things I need to know about wheelchair vans? Empathy from fellow caretakers?

I have been running for 10 years. Since October 2019 I have run everyday without missing a single day. During the week I have little time and run 2-3 miles but on the weekends I try for 5-6 miles. I have made the occasional 10+ mile runs and find that at some point around mile 7 it becomes "How far can I really go today if I get through this mile." The only motivator I have is not breaking my daily run streak, nothing fancy. I know others have motivators to get into shape for a marathon or other event. What's your running motivation?

Ironmaster has well regarded adjustable weight dumbbells, among other equipment. They are pricey so I've been eagerly awaiting this sale. If you have a home gym it's definitely worth checking out.

It's not advertised on their website, but I got a marketing email about it. Anyone know of any other fitness retailer that will have any sales this weekend?

https://www.ironmaster.com/