theluckyfrog

theluckyfrog t1_jdr4lca wrote

All wounds have bacteria in them, but unless you've got certain comorbidities, your body is really good at using its own mechanisms to handle that, as long as all the waste products (dead white blood cells, dead tissue cells, loose bacterial cells) have someplace to go. When a wound is "open" like this, they get sloughed off the surface and absorbed by the bandages. No big deal (from your body's perspective). But if the wound is closed, all that stuff just collects in it, and you get an abscess which prevents further healing, causes pain and inflammation, and can lead to sepsis if the bacteria gets into adjacent blood vessels. It's like the difference between taking your trash out on a regular basis or keeping all of that trash in your kitchen as it rots.

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theluckyfrog t1_jbxt95w wrote

A very sheltered friend of mine (white American) often acted like a little kid in her early 20s because she grew up with Christian media as her only entertainment, and youth groups as her only social outlet. One day we were commuting by train and she started singing a kids' rhyme about llamas that ended with "President Obama Llama!". Then suddenly she looked stricken and was very quiet until we got off the train half an hour later.

I ended up asking her if she was okay, and it turns out she saw a black couple a few rows over from us right after finishing her song, and she was terrified that she offended them by "being disrespectful about Obama". I asked her if she meant to be disrespectful about Obama, and she said of course not. I'm not sure that she bought my reassurances that it was very unlikely that that couple gave a damn about a phonics song for elementary schoolers. They probably just wondered why a 23 year old was singing about llamas on a train. A whole other time that we were out, she asked me if I thought she offended a black McDonald's cashier by asking for a vanilla milkshake, and she was 100% serious although at least she believed me when I said "no" that time.

These are some very random memories I just had unearthed by a reference to Obama llamas.

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theluckyfrog t1_jaajdab wrote

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theluckyfrog t1_j9yes1a wrote

Well, in order I had a small bowel resection, a total colectomy w/ ostomy, and a relocation of said ostomy w/ a proctectomy and a separate small bowel resection. Thankfully, I did not need the big abdominal incision I was afraid of having for the procectomy--they did everything through the anal incision. I know they did some local anaesthesia to the abdomen with that last surgery but I was still shocked that neither it nor my previous ostomy hurt ANY. I assume all the credit goes to the continued advancement of surgery techniques--each of my surgeries was 8-10 years apart.

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theluckyfrog t1_j9wnslx wrote

After my first laparoscopic abdominal surgery, the only pain was from the single longer incision that they pulled stuff out of. After my second laparoscopic abdominal surgery, the only pain was the CO2 shoulder pain. After my third laparoscopic abdominal surgery, there was no pain at all. Weird how even the same body can have such different repeat results.

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theluckyfrog t1_j6dzh1z wrote

It really sounds like you're self-medicating depression and anxiety. (I realize you are also on actual medication for these two issues.) It feels to me like you need more proper support for those two conditions--maybe a different combo of meds, or someone to talk to, or a hobby you find more motivating than exercise to distract you from your workday.

I'd like to say change jobs if yours is literally driving you to drink, but I know that that is likely not an option. I'm guessing you're internalizing sone things about your work that you need to externalize. If you have anxieties about your performance that are honestly due to you underperforming, try to work on that so that you feel better about yourself and your contribution. But if you have anxieties that are due to factors that are largely or wholly outside your control, try to remember that it's not your sole job to make everything perfect. Practice "acting your wage" mentally. Don't give the job mental time that it is not paying you for.

(I know that last part is easier said than done. But it takes a kind of mental discipline. Unless you NEED to think about something for work in your off hours, tell yourself a firm "no" when you start to think about it, and forcibly find something else to think about. Even if you literally have to make something up. After a while it becomes more natural.)

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theluckyfrog t1_j34t6e4 wrote

All this time and the medical community still struggles with antibiotic stewardship.

If a secondary infection actually exists, by all means treat it with the appropriate antibiotics. But prophylactically, absent other indications? Knowing how many ways that could go wrong?

On a more anecdotal note, in the last 10 years I have been offered oral antibiotics for, that I can remember, 1) mild acne that was not causing pain, distress or scarring, 2) an uncomplicated skin abscess (sounds like abx might be indicated, but they're typically not), 3) red itchy eyes the cause of which was not determined, 4) a small cut on my thumb that was kind of infected looking but which quickly healed with just soaking in salt water, 4) an uncomplicated outer ear infection (again, sounds like abx might be indicated, but they often aren't), and 5) a sore throat for which no testing was performed.

(If you're wondering why I was at the doctor with such minor ailments if I didn't want them to treat me, it's because I have a couple chronic issues I have regular visits for and they ask general constitutional questions. But some of the antibiotics they've tried to have me take are actually extra contraindicated for a person with my condition. It was a pharmacist who had to tell me that.)

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theluckyfrog t1_j27xedk wrote

Because people are brainwashed, that's why. They see everything natural as a "problem" and something to eradicate rather than encourage.

I'm in the process of putting together an educational event for my city to educate people on the cooling benefits of trees (and to varying degrees, other plants). It's for the private citizens, but if I get an opening I'm going to try to convince the city council that they would benefit from planting trees along the south/west sides of city buildings and lining parking lots, because I feel like urban heat control is an issue people can get behind.

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theluckyfrog t1_iy4cgkq wrote

I have severe ADHD, like it's hard for me to fill out forms and walk through doors due to how distractible I am, let alone drive, do my job, etc. This is still the way to go. It's not like I don't know how to clean; what I had to develop was the motivation to do it and just get it done. Of course, the main thing that helped me do that was buying a house that I like. When I was living with my parents, my comorbid depression was what stopped me from overcoming the ADHD inclinations.

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