1. Stelara treats AS as well. As does remicade. So u have two more options regardless!

  2. Yes, it all sucks. The recurrent iritis, back pain so bad I can’t bend over in the morning to put on my pants. Or, abdominal pain and bloody stools. Can’t get a break lol.

  3. I have been thinking about this a lot lately myself. It seems no matter what I do, my parents and family will always have the same assessment of me. This has made me realize it’s not me, it’s them. And that many of my behaviors, emotions, mental health issues I’ve exhibited throughout my life have been because when I was a kid I was conditioned to believe that I had to please them in order to have love and recognition.

  4. But, I've also been contemplating going 40 miles just to see a new one...this office wouldn't call me back and make an appointment when this flare started, I had to go see my PCP and he called them, and THEN they called me to schedule.

  5. That would be too far...I did have a wonderful Dr in Grand Rapids when I first started, but now I live in the tip o the mitt, and really, there are just a lack of GI docs up here, unless you want to drive crazy far.

  6. I see. I just mentioned them because they do video visits and so technically I have never even stepped foot in their office and have gotten treatment.

  7. When I was an RBT, they came at the end of my session and interviewed me. I don’t have much advice, it was fine. They basically just took me into another room privately and asked about the family.

  8. Mediators, TRUE mediators, are neutral parties and anything said in mediation is typically confidential. So anything a party admits to during mediation can’t be used in court or anything like that.

  9. There’s still room for you in the field, do not despair! We need passionate people like you. I would just be upfront with supervisor about needing accommodations due to your medical conditions and if they give you a hard time I would just find another place. But be upfront when interviewing about toilet training or diaper changing being necessary.

  10. That is so freaking awesome. Reading your comment just made me realize how I have never had anything close to that and how that would seal the deal for me too.

  11. Dual relationship, best thing you can do is give them readings that they can use to help. I usually throw my hands up and say I would love to help but my hands are tied due to my ethics. Its not worth either one of you becoming an Sd for punishment or ill feelings because you both likely genuinely like one another.

  12. Lol, I like that one. And yea you make a good point, that’s why I usually do end up just stopping and just listening and saying stuff like “yes I see what you’re saying, I should try that.” But inside I’m just slowly dying because I feel like all I ever do in my work or relationships is just quell other peoples’ fires with my own hands.

  13. What’s the function of their behavior, what’s maintaining their behavior, etc. could help you look at the entire situation more objectively

  14. Oh yes, I have done a little bit of that already and while it does offer some objectivity, it also just adds to the frustration of the situation because it always seems to come down to the antecedent being that another person made a negative comment to them which then gets dumped on me/my fault, or they have some kind of thought about the situation so therefore they must share with me like it is the reality of the situation. Trying to not be too specific but I think you get what I’m saying.

  15. The reason we are together today is because I called to reconnect a couple years after we broke up….I thought I was calling someone else

  16. I’ve had this issue. How long are you trying to increase sitting to? I would only do up to like 10 minutes. I worked on pairing the potty and child got to read fun books or play iPad while he sat (fully clothed). We were able to pair and move up in time pretty quickly. Then we discussed that we would be getting rid of diapers and followed Cisneros potty training. Similar to Azrin and Fox but no punishment and we reinforced accidents turned success in the potty. We collected data to only schedule him to sit when we knew he’d probably have to go, so about every hour or 2 depending on how much liquid he had that day. He was requesting on his own after a week!

  17. Thank you!! What was target behavior for DRO that you mention? Also, I should try screen time, I was actually worried at first to use any screens because I had read studies saying screen time can make it harder for kids to know when they need to go potty but maybe I should add them in and see if it helps lol

  18. Key words here being “if he learns well without it.” This should be about what the kid needs, not what makes the parent feel good.

  19. I think you’re misconstruing OPs words. She didn’t say avoiding HOH makes her feel good; she said it’s aversive for her son.

  20. No doubt HOH is aversive when it’s done unethically. But HOH in general is not something you can just opt out of when it’s in the child’s best interest bc you don’t like it. Parent seems uncomfortable with the approach so she shouldn’t consent to it.

  21. Unethical practice also include implementation of harmful technologies or treatments, which could be HOH if it is aversive and/or harmful to the child emotionally. Therefore you couldn’t argue that it’s in child’s best interest in that case at all. Hard disagree.

  22. SATURN AQUA 6TH HOUSE HERE: I am NOT OKAY these last couple of years but I can see the light at the end!!! Hopefully lol

  23. Hmm my kid isn’t old enough for this kind of stuff so I don’t have experience. On the one hand I wouldn’t wanna make kid think they can’t talk to other parent when they are with me, but I see how this is most likely just the coparent being controlling/nosy while it’s your time.

  24. Sounds like whoever their lawyer is just wanted their money lmao. Not sure how any decent lawyer would allow their client to write that crap. But I’m not a lawyer so idk

  25. Lol not in my experience. That would be way more interesting and less annoying.

  26. Yeah same. IME, it just means “I do random shit to avoid the long list of emotions and responsibilities I have.”

  27. Bios are the first sense that we get of how much effort someone is willing to put forth. Some of my instant left swipe criteria:

  28. The “patriot” one LMAO. Like, we get it, you tried to take over the capitol building last year, smh.

  29. I've met someone who did mention these statistics only to use it as proof that women then can be super shallow and there's no hope for "regular nice guys" because they can be a 5 and bag a man better than them.

  30. Ahhhh yes, the old “I tear women down for not realizing what a great guy I am and how I respect women so much” fallacy. Love that one.

  31. It is sometimes the case that a parent will try to “escape” making payments by working under the table, not telling the court change of job, not filing taxes, etc. But most states have severe consequences when someone doesn’t pay including tax return garnishments, liens, jail time, license suspension, credit reports, etc. If the parent doesn’t pay, there are consequences for sure. They can’t run forever although you may not see any money for a long time. And there’s also arrears which the parent will always have to owe the other parent which can also be garnished from taxes, paychecks, etc. I wouldn’t worry too much but be ready to pay for everything on your own in case he’s a runner.

  32. I’ve been paying on my own from the day she was born so that’s not an issue. It’s just upsetting that he’s not willing to look after his child financially.

  33. It is for sure. Make sure you are taking care of yourself emotionally.

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