u/cookie_cat_82

I got my 2nd cryotherapy / injection session done today for a pretty hefty wart on my big toe (on top on the side next to my nail). I’ve had it for years now and to the point where it’s like a callused spot on my toe.

The first session I got done, I didn’t feel much pain at all after, if any. This time, I’m feeling some of the most intense and excruciating throbbing pain I’ve ever felt in my whole toe. I tried ibuprofen twice now and it’s done pretty much nothing. Now I’m trying to ice it instead.

Is this normal? Should I be concerned? Or does this just mean it’s working? I was reading in other threads how some people’s pain didn’t go away, how cryotherapy doesn’t really work, etc. At what point do I call my dermatologist? Is there anything they can even do? Really scared it’s only gonna get worse / not go away.

Really trying to not freak out right now. Could use any input from anyone who experienced something similar. Please tell me this pain goes away. (for reference, I got the treatment done about 12 hours ago as of this post being made)

Maybe this is obvious and/or it was intentional or maybe tons of people already pointed it out LOL but apart from the “head over heels” message on the album cover, I also see it as her smiling super hard but hence her being upside down on the swing, a smile turned upside down is a frown. And therefore, you seem pretty SAD for a girl so in love

feel free to laugh if i’m just late to the game on this one LOL just liked that little aspect, whether it was intentional or not :)

I’m a COTA and work in OP peds. I have a client who is 5 years old, on the spectrum, nonverbal, and is totally blind. I hate to say it, but he’s a client I DREAD seeing. He has some behavior stuff going on (it’s not just sensory related at this point). He is physically aggressive with his behaviors. He has bit me and drawn blood before, pulled out pieces of my hair, hit me, scratched me, kicked me, banged his head into me while walking, etc.

I am completely burnt out and exhausted. Even the OTR who had him before me didn’t know much of what to do with him. It was a lot of sensory and tactile play…that’s it. He finally got an IEP for school so I’ve been working on those goals (fine motor, bilateral coordination, etc), but it really depends on his mood and how much he’ll tolerate. Our session consists of him arriving already irritated and upset and exhibiting behaviors, trying to get him back to the gym, and then he needs about 10-15 minutes of “cool down” and self regulation time in the crash pad before I can attempt any directives / “work” with him. Mind you, it’s a 30 minute session.

I feel defeated. I’m tired of seeing him. I’m tired of dreading every week where I have to see him. I’ve gone to my supervising OT before. He still isn’t off my caseload. It’s just been “maybe he’s out of routine because of summertime” “he might have a hard time transitioning from fun playtime at home to here” “let’s try different things to help him calm down before giving any directives”

Am I terrible for thinking this way and just wanting it to stop? i’m at a loss. it’s these types of cases that just wanna steer me away from this field. I do have empathy, but there comes a point where I’m completely burnt out and fully dysrsegulated myself :(

I’ve bought plenty of bikini / swim tops from resale sites like depop and thrift shops, but how do you guys feel about buying swim bottoms from resellers? do you only buy brand new bottoms or are you fine with buying them secondhand?

I should have no reason to feel this way because my current boss is very very nice and understanding and a great OTR. But I worry because, given that I’m almost 3 years into the field, I feel like I shouldn’t have these silly questions. I feel like I don’t know anything. I’ve only been in peds my entire career so far, and I still find myself struggling with common goals. For example, executive functioning is a tough one for me because it covers so many areas and I never know what to look for / where to start. I started with a client who was evaluated by another one of our OTRs, and his report said he’s coming to OT to work on executive functioning, fine motor, etc.

I’ve gone to my boss before to ask her questions, but I always feel like she’ll think I’m bad at my job for not knowing how to go about these, since I’ve been in peds this long already. Now I know I shouldn’t know everything yet and I don’t expect to, but I just get weary about asking questions in fear of sounding dumb, incompetent, etc.

**This clinic I’m at has been an adjustment because I work for a small privately owned clinic, and all the OTRs here do very different reports / evals compared to my last clinic. There’s no statement goals to go off of, it’s more like “working on fine motor, working on bilateral coordination, working on executive functioning,” etc. It’s like, where do I even start?? I’m used to having short and long term objective goals like “client will string 10 beads in X amount of time in 4/5 trials.”

So not only am I not super comfortable with an area like executive functioning, but idk where to begin because there’s no specifics.

Do you ever think badly about the COTAs you supervise when they come to you with questions they maybe *should* know or goal areas they should know what they mean / how to tackle?

can anyone attest to either of these services and how it worked for your HS? for me specifically, my HS affects me on my groin / bikini area, and shaving aggravates it and causes flare ups for me.

it sounds like insurance won’t cover it since it’d be a “cosmetic” thing (eye roll), but I still might consider paying out of pocket, I just don’t know which one is best for HS.

what were the prices like? how many sessions did it take? did it work for you? if so, which one (electrolysis or laser hair removal)

I just wonder if anyone feels the same: I’m personally a super emotional and sensitive person, and another thing about me is I grieve heavily and suffer anticipatory grief badly lol this can be over anything, whether it be anticipatory grief of something much deeper and sadder like a pet / family member, but I also grieve the end of books, movies, and TV shows before they’re even over. I do have a hard time living in the present in my life and enjoying the good things without thinking that the “good things” will inevitably end.

Currently feeling that way rn with HR. Idk if it’s because I started it a little late after the hype had already begun and I feel like too much time passed, or if I’m just already upset thinking about how this show will eventually come to an end. I know that’s ABSURD considering we haven’t even gotten S2 yet LOL but idk I sometimes can’t cope with the anxiety and sadness over these things. I think I’m afraid one day it’ll end and then that part of me that was so happy all the time because of it will be gone and it’ll be another one of my favorite tv shows that gets kind of lost in the memories?

sorry if that was way too deep LOL looking to see if any of my fellow HR friends relate!!

I genuinely feel such a bittersweet feeling every time I finish the series. how many times did you start back over in a row? what’s acceptable? LOL

I don’t remember the last time a book / tv series affected me so hard. I genuinely am so in love with these characters and watching them on my screen. I was SUPER late to the game and just watched for the first time about a month ago, and then I read the book after watching which I finished in like a 2 day read (I love to read and am usually a book first kinda girl so DEFINITELY gonna make sure to read TLG first before it comes out)

Is it acceptable to start over yet again? I would be on full rewatch #3 or 4 lol I just can’t get enough of them, this series genuinely brings tears to my eyes as dramatic as that may sound and I honestly don’t know if i’ll ever get over it lol

I’ve been dealing with HS for a few years now but just recently got diagnosed. I have my first flare up since starting my antibiotics / topical treatments. I notice it’s one of the big sac like boils, almost like a big squishy bubble. it doesn’t feel super soft but also not super hard I guess? idk, it’s honestly hard for me to tell. are you supposed to pop / drain them? or do I just let it go away? my derm prescribed me another mini round of doxycycline to start tomorrow, and then I also just use Clindamycin and Benzoyl Peroxide wash daily.

I’ve read on some posts that Vicks Vapo Rub helps to make it drain but that you shouldn’t use it if the boil is open. My HS affects me on the groin so it’s in a spot where I can’t tell — how do you know if it’s open or not?

any suggestions on what I should do / need to do?

Open to a top 3 because who can choose just one LOL

I’m a COTA in an outpatient peds clinic, and I’m getting a new client soon who saw the same OTR for a few years but now she is retiring (feeling nervous / pressure because they really liked her and made a lot of progress with her)

Her main concerns are mostly sensory, behaviors, and feeding (lots of food play therapy, exposure to different texture activities, etc)

Mom says she has a hard time socially and with making friends because she likes to be in control and comes across as bossy to other kids (likes to make decisions for other people, tell them what to do, etc)

Sounds like she also has some fight or flight she experiences a lot; shuts down; has a lot of sensory needs

Has a hard time with impulse control (and again, always needing to be in control)

I guess I’m not sure where to start / how to approach it. How would you handle a kid who lacks impulse control and is “bossy” with other kids + adults?

What types of food play activities do you like to do?

Any other general tips? Like I said, I feel a lot of pressure with them coming to me when they’ve been seeing this heavily experienced OTR for quite some time, and I just wanna make sure i’m doing all I can but need some ideas and tips

I used to use Sally Hansen cream for my upper lip, but felt like most of the time it didn’t do a great job at removing all the hair, and sometimes caused irritation. I’ve heard some people use an eyebrow razor / facial razor for their lip; anyone here tried this?

Or any other suggestions that works best for you?

I used to use Sally Hansen hair removal cream for my upper lip, but felt like most of the time it didn’t even do a great job at removing all the hair, and sometimes it would cause irritation. I’ve heard some people use an eyebrow razor / facial razor for their upper lip.

Any you’d recommend?

my dermatologist said laser hair removal is a great option / treatment for HS and i’m just wondering if anyone has gone forth with this process. Is it painful? Is it worth it in the long run? How many sessions do you have to do?

have you gotten insurance to cover it?

Trying to consider if it’ll be a good option for me since shaving (at least with a manual razor) causes flare ups

has anyone had any luck with a good electric razor? something that does a decent job at getting most of the hair off? I’m looking for one for my bikini area. I have a chronic skin condition that causes these painful ingrown hair like bumps/cysts, and unfortunately shaving (at least with a normal razor as far as I know) makes it worse :( so I’m gonna try out an electric one instead

hoping to see if anyone has a good suggestion of one! thank you!