u/hghlvldvl

Hi all! 29F here and I’ve been on Corlanor since 2019, when I was first diagnosed with POTS. I have been thrilled with it all these years and find it very helpful. I am very fortunate that my prescription insurance covers it 100%. I went to refill it and it was out of stock at every single pharmacy nearby except one. I refilled it and instead of showing Corlanor, it showed the generic, Ivabradine. I spoke with the pharmacist and she told me they will order Corlanor for me. I got an alert that it’s ready for pickup but it says Ivabradine and not Corlanor. I know Amgen discontinued it or something, so I’m wondering if it’s just not available anymore. I’ve heard horror stories about the generic not working as well. I’m wondering if anyone has any positive stories? I will not be able to function if my medication doesn’t work properly and I work an active job, and it’s very hot in Southern California right now. Unfortunately, I can’t afford it from a Canadian pharmacy especially because I take two different dosages for AM and PM. I’m having the worst anxiety over this.

I go to the eye doctor every year but for some reason I only have a copy of my 2023 prescription. I think probably, it hasn’t changed since then and that’s why I don’t have an updated version. I always thought I was nearsighted, but it’s been my astigmatism making things look blurry. I was just diagnosed with mild myopia yesterday. I’m not great at wearing my glasses, though I’m trying to wear them more often. Would it be worth updating my lenses, or should I not even worry about it?

2023:

R Sph: 0.00, Cyl: -1.50, Axis: 167
L Sph: 0.00, Cyl: -0.75, Axis: 016

2026:

R Sph: -0.50, Cyl: -1.50, Axis: 171
L: Sph: -0.50, Cyl: -0.50, Axis: 011

Thank you!

A couple of weeks ago, I was sent an invitation to try a sunscreen I’ve really been wanting to try, so I signed up. I never heard anything back. Today I received it in the mail! It’s not showing up under my campaigns. Has this happened to anyone before? What should I do?

I don’t know where to begin. I had an app idea years ago, but was so flustered with trying to learn that I gave up on the idea.

I don’t know much about coding, only very basic things like being able to edit my Tumblr theme, lol. Definitely not how to develop an app.

Yesterday, a new, though pretty niche idea popped into my head and I hopped on my MacBook Pro to see what I could do. I used Codex to help me create a Swift UI in Xcode. Sorry, I don’t even know if this is the proper way to explain it.

The prototype is actually pretty cool. It needs some work for sure, and obviously I have a long way to go before actually submitting it to the App Store.

Since I don’t know how to code, would it even be advisable for me to release an app? I don’t know if Codex would be able to help me with any bugs that pop up. I want to reasonably manage my expectations.

28F, with underlying chronic health conditions such as Ehlers-Danlos Syndrome - Hypermobility Type and Postural Orthostatic Tachycardia Syndrome (POTS).

I got very sick in January with Flu A, took a test and it was glaringly positive. I woke up sick on a Thursday and by that Friday morning, I woke up with 104.2°F. I couldn’t tell you the last time I had a fever that high. I felt like death so I had my mom take me to urgent care for IV fluids because I was having a really hard time eating and drinking.

I reviewed my notes today for some reason and found all this. Does this sound like it was truly sepsis? I was also feeling very out of it and disoriented but don’t know if I just got woozy from their struggle to draw blood as I was dehydrated. How could they not verbally say anything? Though I was out of it, my mom was there with me and for sure would’ve heard them say sepsis. This is terrifying, I lost a friend my same age a year ago who had the flu, turned into sepsis, and she passed. I told my mom I felt like I was going to die when I woke up with that fever.

Sepsis

High fever and clinical concern for sepsis in the setting of acute influenza infection and dehydration.
Initiated IV fluids, 1 liter.
Ordered CBC to assess for leukocytosis or other abnormalities.
Administered IV Toradol for antipyretic and anti-inflammatory effect.
Provided instructions to combine Tylenol and Motrin if fever remains high, as they are metabolized differently and can be taken together.

Influenza A

Positive influenza A test with acute onset of high fever and systemic symptoms.
Offered prescription for Xofluza; patient to research and decide whether to fill and take the medication.

Dehydration

See plan under Sepsis

Acute upper respiratory infection

See plan under Influenza A
CRITICAL CARE

Patient presented as a Code Sepsis activation with SIRS criteria and suspected sepsis, secondary to viral infection at high risk for cardiovascular collapse and other life threatening deterioration.

I spent a total of 35 minutes evaluating, managing, and providing care to the critical patient. Total critical care time documented does not include time spent on separately billed procedures or the services of residents, students, nurses or physician assistants.

Critical care time includes: high priority workup, time spent at bedside, reviewing test results and imaging, time spent discussing patient care, therapeutic intervention with fluid resuscitation and empiric IV antibiotics, continuous monitoring, serial evaluations.

Encounter Diagnosis
Sepsis (Discharge Diagnosis) - 1/30/26
Dehydration (Discharge Diagnosis) - 1/30/26
Acute respiratory infection (Discharge Diagnosis) - 1/30/26
Influenza A (Discharge Diagnosis) - 1/30/26

28F, debilitating anxiety, ADHD, and numerous chronic health issues/pain. My sleep latency is great, but I can’t stay asleep. My alarm is set for 6 AM and I tend to wake up around 4 AM or so, and then have trouble getting back to sleep. I wear an Oura ring and my sleep scores are pretty bad.

My sleep doctor put me on Trazodone which worked beautifully. Seriously it was amazing. Unfortunately, I experienced terrible effects in my bladder such as incomplete urination, frequency, and UTI-adjacent discomfort. I was actually diagnosed with a UTI three days into starting it and then my symptoms went away with antibiotics. I discontinued the Trazodone. I tried it one more time last night and when I woke up, I felt the same discomfort in my bladder. My sleep doctor said it’s not an effect of it, but I believe it is for me for some reason.

He said I can try either low dose Doxepin or Ramelteon. My main concern as far as side effects go is weight gain - I experienced terrible weight gain due to medication in the past and I worked very very hard to lose that weight and keep it off for many years. I don’t love the reviews of either of these, but I’m completely unfamiliar. Anyone have some insight?