u/Sharkie-21

CW: ABA therapy

Hey all, quick question for those familiar with the DSM IV. I (24F) was diagnosed with Pervasive Developmental Disorder - Not Otherwise Specified (PDD-NOS) when I was 2 years old due to rarely speaking and repetitive movements (spinning, flapping hands). After watching old childhood videos of myself as a toddler, I definitely recognize a lot of stereotypically autistic traits.

At age 3, I started ABA therapy. I don't remember much of it on account of my age, but it helped tremendously with my speaking ability, and I am now fully verbal. I was able to attend school without any sort of special education assistance, and I wasn't told about my diagnosis until I was 15. I was (and still am) a bit socially awkward, but I had real, close friends and was capable of following a conversation. I did well in school up through high school, and participated in lots of sports, clubs, and work after school.

Nowadays I am capable of living by myself (I struggle with keeping it clean and making food, but don't we all) and have a full time job. I'll even be going back to college to get my degree. I have had my driver's license for 6 years, and I have a boyfriend who I love a whole lot. To me, none of these things indicate that I meet diagnostic criteria for ASD, as I'm not experiencing any sort of impairment (at least, I don't think I am)

I struggle with eye contact and have other unrelated mental health issues, but do I really have autism? I guess I'm just a little confused on how that's possible.

TL;DR - got diagnosed with PDD-NOS at a young age, now not experiencing notable social or sensory difficulties. Not sure how I can still be diagnosed with autism.

Really curious what the exchange rate on this is. If I were a healthy, 75-kilo AMAB person who wanted to transition to a woman, how many birth control tablets would I have to take in a day? For the sake of the question, let's focus on specifically estrogen. We'll use Loestrin 1/20, since it's the one I'm most familiar with.

DISCLAIMER: I am an AFAB woman and am not planning to supply anyone or attempt to help anyone transition with this. I'm just curious to get some perspective on how much estradiol they take vs. what I take.

PLEASE DO NOT USE BIRTH CONTROL FOR TRANSITIONING. THERE ARE MANY OTHER RESOURCES TO HELP WITH THIS.

To get ahead of any unhelpful comments, I'm not looking for anyone's unsolicited opinion of transgender people overall. I'm just trying to learn so I can improve my patient care.

Hey all, I'm a fairly new EMT in an area that is not what I would call progressive and accepting toward queer people. Because of this, I really haven't had much exposure to transgender patients, although I do know some transgender people personally.

For example, let's take one of my paramedic partners, "Alex". Alex is in their thirties and identifies as nonbinary. Obviously I don't know their whole life story or medical history, but I do know that they were assigned female at birth and have been on masculinizing HRT for some time, and have also had top surgery. Unless they had told me, I genuinely wouldn't be sure what gender they were assigned at birth.

Recently, Alex and I were working together on a call where a patient pulled a weapon on them. Luckily no one was seriously hurt and the patient was quickly disarmed by PD, but it did get me thinking about how the situation would've been handled if things had gone differently.

I guess my main question is this, when calling in a report to the hospital, how are other EMS personnel referring to their transgender patients? How would nurses receiving report like us to refer to them? Is it generally better to wait until handoff to disclose transgender status?

Thank you all for the advice, I really appreciate it! Sorry if I said anything that was hurtful or inaccurate, I'm just looking to become better educated on something I don't really get to talk about or see much in the field.

The full memorandum from the county attorney is attached to the article. It includes a detailed timeline of the events leading up to the shooting.

CW: gun violence, death, homicidal ideation

Hi, not really sure where to go with this but I figured I'd try posting here and seeing what happens. I am a paramedic and was attempting to help a patient having a psychotic episode when he stole a police officer's gun and fired shots at us, causing the patient to be shot and killed on scene by police in front of me. We attempted lifesaving measures but he died on scene.

This all happened back in March, and while my partner struggled with it a lot right away, I didn't really have too bad of a reaction initially. Since then, though, things have been getting worse. I've been having nightmares, hallucinations, flashbacks, and even GI issues that my psychiatrist says are all connected to PTSD. Prazosin isn't an option for me for medical reasons.

Recently, I was told that our department may be rethinking its decision to issue ballistic ("bulletproof") vests to paramedics. While logically I understand the reasoning for the policy change, emotionally I was a mess. I had thoughts of bringing a firearm to work to show them why ballistic vests are necessary.

Of course, I don't want to act on this. I have no real anger towards anyone there, and they've been nothing but supportive of me. My boyfriend has taken away my gun at my request, and I have no plan or desire to hurt myself or others. I'm just really concerned at the rate at which my mental state seems to be deteriorating. I've just started talking to a counselor, but we've only had one session together and I don't see him again for a couple weeks.

The general advice I keep hearing is to give it time and to talk to people about it, but everyone in my circle has heard plenty about the shooting by now except for the stuff that I legally can't talk about anyways. I worry that if things keep going the way they are now, I might not have all that much time left.

I love my job and my coworkers, and I don't want to give it up, but I honestly don't know what to do anymore. I'm not in crisis, but I'm definitely not where I want to be, and I don't know how to get better from here.

In the past few years, I've noticed a massive trend in people saying they've been yelled at by authority figures or peers over minor mistakes. As a survivor of relationship abuse, I found this trend troubling until I realized that the vast majority of people who say they've been "yelled at" were instead simply being chastised calmly.

If the other party did not raise the volume or intensity of their voice, or did so in a relatively minor way, you were not "yelled at". That's not what yelling means. There's so many other ways to express that you were told off that don't denote abusive behavior. Doing so is lazy at best and attention-seeking at worst.

If being yelled at simply becomes another way to say scolded, people who actually are being genuinely yelled at will be told they are "just being sensitive" instead of being recognized as potentially victims of verbal abuse.

Maybe I'm the sensitive one here, but this really grinds my gears.

In the past few years, I've noticed a massive trend in people saying they've been yelled at by authority figures or peers over minor mistakes. As a survivor of relationship abuse, I found this trend troubling until I realized that the vast majority of people who say they've been "yelled at" were instead simply being chastised calmly.

If the other party did not raise the volume or intensity of their voice, or did so in a relatively minor way, you were not "yelled at". That's not what yelling means. There's so many other ways to express that you were told off that don't denote abusive behavior. Doing so is lazy at best and attention-seeking at worst.

If being yelled at simply becomes another way to say scolded, people who actually are being genuinely yelled at will be told they are "just being sensitive" instead of being recognized as potentially victims of verbal abuse.

Maybe I'm the sensitive one here, but this really grinds my gears.

(24F, no bleeding disorders or other applicable health issues)

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Got T-boned by another car who struck my driver's side door about 6 hours ago and wasn't in any major pain at the time. Both vehicles were traveling below 30 mph (sorry, I'm American). For the last 3ish hours, I have been experiencing numbness and tingling in my limbs, mostly my arms but a bit in my legs as well. I didn't hit my head on anything and have no other severe pain or injuries. Any ideas on what could be causing this and if I should be worried?

Hey friends, I (24F) am getting my very first colonoscopy tomorrow morning and I am convinced I'm doing something wrong. I cannot drink more than a tiny sip of prep before I end up vomiting it back up. I am absolutely not a picky eater, but something about the prep mixture just activated my gag reflex and I cannot for the life of me keep it down.

I've tried all the advice people usually give: I drank it cold, with a straw, with broth on standby for afterwards. I just cannot get it to stay in my system.

The good news is, I am "coming out clear" so apparently some of it has gotten into my system, but there's only a cup or two of solution missing from the jug, and most of that has ended up being thrown up in the sink.

Has this happened to anyone else? What should I do about it? My colonoscopy is in 9 hours and I'm getting a little panicked.