About to turn 50 and am too tired to continue

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Originally Posted by Huskier

I've been struggling recently, hard. It got to the point where my wife connected me with a private family MD that I have to pay cash to manage my meds. No therapy or insight, just meds.

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That's essentially all we can offer you in the primary care setting, and a referral to mental health professional with zero guarantee on timeliness of appointment or availability. It's not the fault of the PCP, there is just a horrible lack of mental health practitioners and counselors what seems like nationwide. It's as frustrating for us, as it is for our patients.

FWIW telemed psychiatry/counseling is an accepted format and frequently utilized. Our psychiatrist at our facility does all cases for use remotely, via telemed. Same for our integrated behavioral health program.

Yeah, occasionally you can "research" providers but that's somewhat rare. Referrals from people you trust are obviously good, but this is such a taboo subject that it is often hard to go that route. Sometimes you just have to start somewhere, find someone taking new patients that you can afford (either because they take your insurance or are relatively affordable). So, you try that person out and see if they work for you. It's horribly inefficient but what are the options?

Also, don't be afraid to ask about sliding scale rates if you are paying out of pocket and the cost is too high.

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Originally Posted by Huskier

I'm having trouble with this too. In my area no one qualified is taking new patients, instead there are a million "Mental health companies" that farm you out to a telehealth "Doctor " nurse practitioner with an online degree. And it was my PCP who sold me out to these assembly lines.

I've been struggling recently, hard. It got to the point where my wife connected me with a private family MD that I have to pay cash to manage my meds. No therapy or insight, just meds.

If anyone knows anyone in the wet far upper left they can recommend PM me.

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Im sending you a pm with the name of a psychologist that my wife worked with for years here in SLC. She’s now in Seabeck. Maybe she can help.

Yes my wife is a psychologist. And for me, that presents its own challenges. Its a tough one as I’ve met many of the professionals here over the last 20 years and I can’t see them due to a conflict of interest.

Thank you for also asking for help. It’s so damn difficult to do. I know that hurt and I’m pulling for you too.

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Originally Posted by Buzzworthy

Yes my wife is a psychologist. And for me, that presents its own challenges. Its a tough one as I’ve met many of the professionals here over the last 20 years and I can’t see them due to a conflict of interest.

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That seems odd. What is the conflict? Standard patient confidentiality obviously should supersede any "conflict of interest".

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Originally Posted by Trackhead

That seems odd. What is the conflict? Standard patient confidentiality obviously should supersede any "conflict of interest".

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Dude, seriously? Do you want to talk about deeply personal issues with someone you've shared drinks with at the Christmas party? Fuck no.

I don’t know, that’s just what I hear being said. Maybe they just don’t want to see me.

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Originally Posted by Touring_Sedan

Dude, seriously? Do you want to talk about deeply personal issues with someone you've shared drinks with at the Christmas party? Fuck no.

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It’s Intermountain. There are no drinks. Budget was spent on new colors. Don’t get me started.

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Originally Posted by Buzzworthy

It’s Intermountain. There are no drinks. Budget was spent on new colors. Don’t get me started.

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Their new logo looks like a party clowns attempt at a shitty balloon giraffe.

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Originally Posted by Touring_Sedan

Dude, seriously? Do you want to talk about deeply personal issues with someone you've shared drinks with at the Christmas party? Fuck no.

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I work in healthcare, and "share drinks" with providers who have treated me in the past and present. In small towns, this is unavoidable. "Personal issues" are implicit in healthcare, and any healthcare professional is obligated to listen, treat, maintain professionalism, and patient privacy by law.

If I'm covering ER and someone I "share drinks with" comes in with a rectal foreign body. I take it out, discharge them, and say nothing. Professional obligation.

I take care of coworkers and hear their personal stories all the time. It doesn't influence my relationship with them at all. I live in a small town and have seen most of the town in the ER or clinic at one time or another. Some are friends. I don't refuse to treat them.

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Originally Posted by Buzzworthy

It’s Intermountain. There are no drinks. Budget was spent on new colors. Don’t get me started.

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Their new logo is so dumb......as is their marketing campaign. They are infiltrating Montana now.

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Originally Posted by Touring_Sedan

Their new logo looks like a party clowns attempt at a shitty balloon giraffe.

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I said, DONT GET ME STARTED! :biggrin:

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Originally Posted by Trackhead

It doesn't influence my relationship with them at all.

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That's really easy to say as the doctor, a lot harder to convince yourself of as the patient.

Huskier, let us know how things go. Pulling for ya from down here.

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Originally Posted by Trackhead

If I'm covering ER and someone I "share drinks with" comes in with a rectal foreign body. I take it out, discharge them, and say nothing. Professional obligation.

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Ok. I’ve had the little black dog following my whole life

But
Butt
I’ve never had a foreign rectal body.
Yet.
There’s a great story somewhere inside that story.
Should I start shoving things up my ass?

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Originally Posted by Core Shot

Should I start shoving things up my ass?

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Yes, you should. However, put a string on whatever you shove up your ass, wrap the string around your ankle tightly. If you go too deep, just straighten your leg out and said foreign body will rip right out, saving you an embarrassing (for you) visit to me. I will be happy to treat you either way to the best of my ability.

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Originally Posted by Touring_Sedan

That's really easy to say as the doctor, a lot harder to convince yourself of as the patient.

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Sure, I agree, but it's still not a conflict of interest or a professional barrier. Is it ideal, probably not, but probably better than seeking care on an online ski forum in a public setting.

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Originally Posted by Trackhead

Yes, you should. However, put a string on whatever you shove up your ass, wrap the string around your ankle tightly. If you go too deep, just straighten your leg out and said foreign body will rip right out, saving you an embarrassing (for you) visit to me. I will be happy to treat you either way to the best of my ability.

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But I swear. I slipped in the shower and it damn near rectum’d me.

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Originally Posted by Core Shot

But I swear. I slipped in the shower and it damn near rectum’d me.

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Not uncommon, watch out for long cylindrical objects hiding on the couch that punch right through demin jeans and go deep. See it all the time. Couches are dangerous.

There is a massive difference between pulling something out of someone’s ass and doing mental health counseling. Not even sure how you could compare them.

And yeah if you live in butt-fuck nowhere you might have to get your therapy from your wife’s maid of honor. But with telehealth that is less and less of a situation these days.

But if you live in a bigger center I can 100% understand why a patient and/or a therapist doesn’t feel comfortable doing therapy if there is also a social connection.

And yeah - you can’t refuse to treat someone who comes into your ER in an emergency* - but there isn’t some duty to care for all comers in non emergency situations where there are multiple providers available.

This is in a general sense - Buzz I’m not directing this at your situation specifically - your wife being in the business is a complicating factor - you likely now know all these great therapists but that adds a potential barrier to you accessing their help.

I can see both points on small town familiarity. Here there are only two (possibly available, but probably not) psychiatrists. They are a married couple that we have know for 25 years, and don’t particularly enjoy talking to socially (which we do a few times a year). Wife also shares a board position with one. Awkward.
Currently I am looking for a very highly qualified person that is licensed in WY, and actually is a Dr.
There are tons and tons of RN’s, etc, but I would like the diplomas for my own needs.
Keep keepin’ on everyone!

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Originally Posted by bennymac

There is a massive difference between pulling something out of someone’s ass and doing mental health counseling. Not even sure how you could compare them.

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You don't understand cynicism, which is fine. Buzz was clearly in crisis mode, surely some professional could have helped him in his wife's "inner circle". I doubt he's eating dinner with them all frequently enough to have any meaningful, significant professional boundary issues to help him navigate when HE'S IN CRISIS MODE POSTING ON THE INTERNET FOR HELP.

Dude had history of pretty valid suicide attempt in 2020, essentially seems hopeless on his post with a lot of language suggesting repeat suicidal ideation, high risk age group/gender.

But yeah, lets not suggest he get immediate consultation from a mental health professional who might know his wife professionally. THAT is a stupid barrier to potentially life saving care.

Navigate the nuances after the crisis has resolved.

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Originally Posted by Trackhead

Yes, you should. However, put a string on whatever you shove up your ass, wrap the string around your ankle tightly. If you go too deep, just straighten your leg out and said foreign body will rip right out, saving you an embarrassing (for you) visit to me. I will be happy to treat you either way to the best of my ability.

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an MD bud told me about a patient at VGH who kept putting a shave cream can up his ass and needed to visit Emerg for extraction. This happened more than once and the last time when the Cap came off in there it caused some serious medical complications

I think Coreshot should find a foreign object that is more butt hole friendly

Attachment 490365

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Originally Posted by Trackhead

Yes, you should. However, put a string on whatever you shove up your ass, wrap the string around your ankle tightly. If you go too deep, just straighten your leg out and said foreign body will rip right out, saving you an embarrassing (for you) visit to me. I will be happy to treat you either way to the best of my ability.

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Voice of experience, I see.

https://youtu.be/ZU853rcwk44?si=Wv5hIEYcZXDc4AY9

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Originally Posted by riser4

Voice of experience, I see.

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Voice of experience from the retrieval end, not the receiving end. That internal anal sphincter has a tendency to not let go of said foreign body and has a tendency to "ingest" said foreign body deeper into the rectum.

Every ER worker knows about the "ankle strap" protocol.

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Originally Posted by bennymac

There is a massive difference between pulling something out of someone’s ass and doing mental health counseling. Not even sure how you could compare them.

And yeah if you live in butt-fuck nowhere you might have to get your therapy from your wife’s maid of honor. But with telehealth that is less and less of a situation these days.

But if you live in a bigger center I can 100% understand why a patient and/or a therapist doesn’t feel comfortable doing therapy if there is also a social connection.

And yeah - you can’t refuse to treat someone who comes into your ER in an emergency* - but there isn’t some duty to care for all comers in non emergency situations where there are multiple providers available.

This is in a general sense - Buzz I’m not directing this at your situation specifically - your wife being in the business is a complicating factor - you likely now know all these great therapists but that adds a potential barrier to you accessing their help.

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There was a full episode on this season's Curb Your Enthusiasm related to therapy from someone in your social circle. Funny and can easily see why this would be a conflict.

Page 10 before becoming typical TGR, record?

As far as professional help, “get in where you fit in” is what I apply to myself. I have worked with three people in the last 8 years. I shopped a lot. I really like my current person. They are in person and tele depending on what works for me for that time. They don’t take my insurance, but my HRA Visa works there.

I would get started with someone in my social circle and then be upfront that I wanted recommendations for someone outside. Just an idea.

I think this maybe fits here?

Article about an NHL player who quit due to anxiety and what sounds like depression, even if they don’t use the word anywhere.

https://theathletic.com/5152309/2024...ement-anxiety/

A bit of thread drift and adding some levity, I once helped a surgeon remove a Costco sized bottle of acetaminophen from some dude’s asshole. It took some wrangling and general anesthesia but we got it out. He handed to me once it was retrieved and I looked at it and it was still sealed, I gave it a shake and said “Should we give it back to him”.


Sent from my iPhone using TGR Forums

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Originally Posted by Trackhead

Yes, you should. However, put a string on whatever you shove up your ass, wrap the string around your ankle tightly. If you go too deep, just straighten your leg out and said foreign body will rip right out, saving you an embarrassing (for you) visit to me. I will be happy to treat you either way to the best of my ability.

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https://i.ytimg.com/vi/cwhulve-HK8/maxresdefault.jpg

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Originally Posted by MagnificentUnicorn

A bit of thread drift and adding some levity

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Yes. We’re all old teenagers. The thread drift and levity is what keeps us going.


Excuse me while I (shove something up my anus?)
Kiss this guy
Kiss the sky?

Pm dunfree on various anal ingestion. Dude has his shit on lock.

Good recs all, thx

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Originally Posted by MagnificentUnicorn

A bit of thread drift and adding some levity, I once helped a surgeon remove a Costco sized bottle of acetaminophen from some dude’s asshole. It took some wrangling and general anesthesia but we got it out. He handed to me once it was retrieved and I looked at it and it was still sealed, I gave it a shake and said “Should we give it back to him”.


Sent from my iPhone using TGR Forums

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Long ago, a medical director, prior to removing a vibrating battery operated device from a rectum, asked the patient "should I take it out, or just change the batteries?"

I'm completely serious. I think I experience a double hernia from trying to hold back laughter.

Thread drift is more fun.

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Originally Posted by Trackhead

Thread drift is more fun.

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In a thread full of folks trying to better themselves and figure shit out you sure like to hear yourself talk.

375$ midweek Beaver pass. Cheap pow insurance for next year. Good vibes at the Beav.

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Originally Posted by Touring_Sedan

In a thread full of folks trying to better themselves and figure shit out you sure like to hear yourself talk.

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If anyone struggling can’t laugh. It’s fubar.

Did it kill him? Damn near wrecked him.

PS. Yes. We all need help. Not just removing foreign objects.

I dunno why I exhumed this fossilized account.

Well, I do, it's for you, Buzz, because I remember you, but there's nothing actually useful that I can say, and others already said it better.

You know that saying "if you gaze long enough into an abyss, the abyss will gaze back into you"?

He got bored.
Fucking abyss. Got bored. Looking into me.
Wandered off into the dark.

Not a bad fellow, actually.

It's not as icy cold or inky black down here as it first looked. Dim, cool, dry. Like a slot canyon on a moonlit night in October.

I sleep better these days. That helps, fwiw.