Posts by Gary Garcia10

I need to send out an invoice for a job I just finished, but the client won't be paying me for another 90 days.
What should I put on the invoice instead of the standard line:
"Billing based on paid fees."

Given the temperature, it might be something else entirely. There are different types of Asthma—some are triggered by psychological factors, like stress for example. In that regard, you should look into taking something to calm down; it actually helps, and I know because I've tried it myself. I'd love if there was a "healthier" option that didn't cost an arm and a leg like Normabell, but there isn't. All those herbal teas are pricey, and natural supplements are even worse...
One more thing: learn about this yourself. Educate yourself, even if it's just online. My Pulmonologist didn't help me one bit; went to see him a few times and it was a total waste of time. I hope your pulmonologist is better. A lot of doctors here tend to be old-school and refuse to accept any kind of medical progress.

Here's an example: about 10 years ago, a friend of mine had this type of migraine, and she realized on her own that oxygen therapy helped her. Her neurologist told her she was talking nonsense, yet today, neurologists are actually recommending oxygen for headaches. So, take charge of your own education. You're your own best doctor, unless you want to wait 10 years for the medical field to catch up. :-)

I'd give you some more advice, but shoot me a DM.

Patrick Thomas29 said:Current meds: Seretide two puffs twice a day, Spiriva one inhalation daily, Alvesco once a day, and Ventolin as needed. My asthma is definitely getting worse.
I feel like this combo is pretty rare—hitting almost every major asthma med at once. Has anyone else ever been on all of this simultaneously?
Is it even normal for my asthma to be flaring up like this when I’m actually sticking to such a heavy regimen?
I've had to use my Ventolin five times just in the last 24 hours.

Maybe try taking something to relax, like Xanax or something similar. Anti-anxiety meds help loosen my muscles, which actually made a difference for my asthma.

@Raymond Castillo5 great post!

Here’s the deal: my primary pulmonologist told me I have Asthma, but the tests they ran were absolute garbage—completely unreliable. For instance, during a spirometry test, nobody bothers to tell you to straighten your body out, even though they're watching you; instead, they just leave you in the exact same breathing position as the previous patient. And that’s just the tip of the iceberg when it comes to how poorly they handle these tests.

So, based on that flawed spirometry, they concluded I had Asthma. Later, I did some digging online and found out that GERD (acid reflux) can actually mimic asthma symptoms, effectively masking the real issue. You might not have Asthma at all; you might just have GERD.

Even though the doctor won't even look me in the eye during an appointment (so much for bedside manner and the doctor-patient relationship), I've told him multiple times that certain foods trigger acid reflux for me—things like chocolate, soda, and so on.

If you know how to use the internet, you can find a PDF book by a doctor from San Francisco who linked GERD and Asthma. There are also endless English articles online about it.
A lot of people don't actually have Asthma.

On another note, when I get an "attack," I deal with it using a sedative tablet because it relaxes my muscles and nerves, and it works every single time. Ventolin has never helped me, not even once.

Do your own research and educate yourself. Most doctors here are stuck in the past and are pretty resistant to new information.
Yoga (and even Reiki) can be really helpful for your breathing. Even though I don't practice either, I've seen plenty of Yoga classes specifically designed around breathing techniques for Asthma.

Look at Novak Djokovic—he managed his Asthma through a nutritionist and cutting out gluten.

Learn things on your own. Don't just wait around for doctors who will struggle to help you unless you're paying for a private specialist.

The situation at the Pulmonology department at the Mercy Hospital in New York City is absolutely terrible. Every single time I go, they schedule all the patients for 10:00 AM, and then you just sit there waiting three to five hours for an appointment. Nobody ever bothers to explain anything to you. Just once, I sat in that waiting room with everyone else for five straight hours.

And when you finally get inside, the doctor doesn't even look at you. He literally won't even make eye contact during the entire exam, and then he just sends you out. So much for medical care! I’ve also seen the chief physician and a couple of others—same exact attitude.
The nurses are constantly bickering right in front of us, too. We all have to listen to it; it’s a total disaster. I’ve been going there for a few years now, and nothing has changed.
It looks like this department never learned what "bedside manner" actually means.

Is there any other pulmonology clinic in New York City that’s more approachable and actually acts normal? I need somewhere where I can actually show up when I'm scheduled instead of waiting five damn hours without a word. People who work for a living don't have time to deal with their internal drama.

I'm wondering if Hemero protect is actually a solid solution for hemorrhoids?
I know Pilex is an option too, but since they're both more than $100 it's honestly a bit tough to decide which one to go with...

How are you guys even getting that stuff shipped from the UK? What's stopping customs from hitting you with extra fees when you order it here?

What kind of Whey are you guys using? Stick to Elite? Or just grab those big 5lb tubs?

Is the Whey from Optimum Nutrition basically the gold standard, even if it's pricey?
Where do you guys usually pick yours up?

Also, is there an actual formula to figure out daily protein intake in grams based on height?