Urgent! I have just started with my agency and I’m looking for a facebook ads and google ads media buyer specialized in local lead gen ads for plastic/cosmetic surgeons
• must have real time results/case studies to show in the cosmetic/plastic surgeons niche
• experienced
• Can develop and optimize ad campaigns
• Can communicate results on a regular basis
• Managing different aspects of the campaign such as the creative and ad copy
• Salary will be paid at the end of each month on a per client basis.
•. $350 per client
Comment “Interested” and let’s hop on a quick meeting! Thank you and God Bless! Contact: [email protected]

Urgent! I have just started with my agency and I’m looking for a facebook ads and google ads media buyer specialized in local lead gen ads for plastic/cosmetic surgeons
• must have real time results/case studies to show in the cosmetic/plastic surgeons niche
• experienced
• Can develop and optimize ad campaigns
• Can communicate results on a regular basis
• Managing different aspects of the campaign such as the creative and ad copy
• Salary will be paid at the end of each month on a per client basis.
•. $350 per client
Comment “Interested” and let’s hop on a quick meeting! Thank you and God Bless!

Hello. I've been diagnosed with spondylolisthesis for about 25 years. I'm at the point of needing surgery. Met with orthopedic surgeon this week and he recommends Reverse Bohlman procedure. I'm thinking I need 2nd opinion from neurosurgeon. So my question is, what type of doctor do/did choose for performing your surgery? Ortho or Neuro? Thanks

I am gonna apply to PM&R as a advanced program. But Prelim IM is too competitive for me. Anyone who knows about this, give me some advice.
Thanks

35F. Have had back issues off and on for almost 9 years (really ever since I carried and birthed my twins) but recently experienced my first bout of sciatica which was not a fun experience. Anxious about my back issues and how they may affect my future since I have young kids and am a group exercise instructor. My entire social life and pretty much all of my hobbies revolve around being super active.
Hoping for some thoughts on these MRI results and personal experiences with similar situations. I'm familiar with disc bulges and herniations, but not much else. Currently in PT and scheduled to see an orthopedic surgeon in a couple weeks.
"MRI lumbar spine without contrast INDICATION: Low back pain TECHNIQUE: Axial and sagittal images FINDINGS: Alignment appears normal. No marrow replacement process is seen
L1-L2: Normal
L2-L3: Facet change without spinal canal narrowing or neuroforaminal narrowing
L3-L4: Facet hypertrophy without spinal canal narrowing or neuroforaminal narrowing
L4-L5: Disc desiccation posterior disc bulge. Facet hypertrophy with ligamentum flavum hypertrophy. No significant neuroforaminal narrowing
L5-S1: There is a posterior central disc protrusion/herniation with annular tear. There is effacement and abutment of the S1 nerve roots within the thecal sac just as they are exiting the thecal sac. There is mild bilateral lateral recess narrowing and neuroforaminal narrowing.
IMPRESSION:
Discogenic degenerative change most significant at L5-S1. Please see above."

I apologize if this has been brought up. I only casually follow this topic here. Ive been on Mounjaro since Dec. Currently on 7.5 mg. Probably go to 10 next box. Ive lost 70 pounds but thats not what this post is about.
I have a really bad hip and saw an orthopedic surgeon about a replacement. He said I had to be smoke free for 6 weeks. I said ok, walked away from them, and haven't had one in 10 days. The really interesting part of this is I have had zero cravings for smokes. Ive been 1/2 ppd x 15 yrs. I can't really say quitting has been any harder than deciding not to wear a pair of shoes.
Anyone experienced this, heard of this? Its interesting to me, but Im just glad to get this hip replaced!

I'm in my late 40s and work as a senior leader at a nonprofit organization. My role is largely based on some very specific and somewhat esoteric subject matter expertise I have (rather than, say, generic management experience). Although far from wealthy I'm able to meet my expenses and save some for retirement on the roughly $150k I make.
My wife and I are trying to get our financial house in order and recently started working with some "financial advisors" whom we are belatedly realizing are basically just salesmen (they tried to sell us on whole life which after researching, and with thanks to this sub, we realized really isn't a good fit). That said, we do think we need supplemental life and disability insurance beyond the coverage we get at work and I'm hoping to clarify what we actually need and don't need.
The LTD policy I have through work covers up to 60% of salary to a max of $10k/month and I assume is taxable. It doesn't say anything about occupation, so I assume it is an "any occupation" policy.
Our advisor is currently submitting an application for disability insurance for me to MassMutual (with which he's associated). I asked him whether it was "own occupation" and he said "Own occupation usually applies to highly specialized professions with specific skills like surgeons, dentists, etc. This doesn't apply in your case."
I always hear surgeon as the classic example of "own occupation" but are these policies really only for medical professionals? As mentioned, my work focus is esoteric and there are actually far fewer people who do what I do than there are surgeons.
To be clear, if I were to be somehow disabled to the point that I couldn't do my current job but I could still do some sort of executive/consulting role--okay, fine, I could live with that and wouldn't need a payout. But if I were disabled such that I was unable to do my job but I could be a telemarketer, or bag groceries, would that mean I'd get zero payout? Because if so, I'm questioning the value of such a policy. The key differentiator I suppose is that for my job (and with no disrespect to others) I need to have very sharp critical thinking skills. My nightmare scenario is a case of Long Covid where brain fog would keep me from doing executive/consulting work but wouldn't be so bad that I couldn't do some other kinds of much less interesting and lower paid work.
Or maybe I'm overthinking this and disability insurance is really for the sort of thing where I couldn't do any of those?

This is going to be pretty long but please please bear with me. I really need some help.
One year ago, I lifted a box and felt something pop under my right rib cage and my life has been absolute hell since then. The entire right side of my back, especially in my ribcage is in constant and agonizing pain, preventing me from truly living my life. I haven’t been able to take a breath without pain for a year.
I’m looking for someone to provide suggestions for where I should turn. Every doctor says something different. Here are the diagnoses…

• thoracic radiculopathy
• myofascial pain syndrome
• slipping rib syndrome
• disc protrusion
• QL injury
• scar tissue from an unidentified muscle tear
• its all in my head!!

For background, I had NEVER had back pain before this. I’m a 30yr old female.
There are the things I’ve tried that haven’t helped…
-7 different medications from Opioids to musicale relaxers. - 3 epidural steroid injections - trigger point injections - physical therapy for 8 months - accupuncture - chiropractor - massage therapy - intercostal nerve blocks
There are the doctors I’ve seen in one year…

• 2 primary care physicians
• 1 sports medicine doctor
• 6 pain management specialists, two of them from Rush University a highly rated facility (side eye)
• 2 orthopedic doctors
• 1 spine surgeon
• 1 neurosurgeon
• 1 rheumatologist
• 4 different physical therapists

There are probably more that I’m forgetting. I’ve spent so much money and have truly gotten nowhere. Mayo Clinic denied my request for appointment, but I dont even have confidence that would help.
What am I supposed to do? Where do I turn? Who else should I see?
Any advice would be appreciated.

Knee pain and discomfort can be a debilitating condition that can limit your mobility and decrease your quality of life. If conservative treatments such as physiotherapy and medication have failed to alleviate your symptoms, then knee replacement surgery may be an option for you. In this article, we will discuss the best knee replacement surgeon in Begumpet, Dr. Srinivas Kasha, and why he is the right choice for your knee replacement surgery.

Who is Dr. Srinivas Kasha?

Dr. Srinivas Kasha is a highly skilled and experienced orthopedic surgeon who specializes in knee replacement surgery. He has been practicing in Begumpet for over a decade and has gained a reputation as one of the best knee replacement surgeons in the region. Dr. Kasha has performed thousands of successful knee replacement surgeries, helping his patients regain their mobility and improve their quality of life.
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Table of Contents

• Introduction
• Who is Dr. Srinivas Kasha?
• Why Choose Dr. Srinivas Kasha for Knee Replacement Surgery?
• Dr. Srinivas Kasha's Experience and Training
• Dr. Srinivas Kasha's Approach to Knee Replacement Surgery
• Dr. Srinivas Kasha's Patient Care Philosophy
• The Knee Replacement Surgery Procedure
• The Benefits of Knee Replacement Surgery
• The Risks of Knee Replacement Surgery
• Preparing for Knee Replacement Surgery
• The Recovery Process After Knee Replacement Surgery
• Conclusion
• Location Details

Why Choose Dr. Srinivas Kasha for Knee Replacement Surgery?

Choosing the right surgeon for your Knee Replacement Surgery is essential for ensuring a successful outcome. Dr. Srinivas Kasha has a proven track record of delivering exceptional results for his patients, and there are several reasons why he is the best choice for your knee replacement surgery.

Dr. Srinivas Kasha's Experience and Training

Dr. Srinivas Kasha has received extensive training in knee replacement surgery and has completed several fellowships in the field. He has also been awarded several prestigious awards and honors for his contributions to orthopedic surgery. With over a decade of experience in performing knee replacement surgeries, Dr. Kasha has the skills and expertise necessary to deliver the best possible results for his patients.

Dr. Srinivas Kasha's Approach to Knee Replacement Surgery

Dr. Srinivas Kasha believes in a personalized approach to knee replacement surgery. He takes the time to understand each patient's unique needs and develops a treatment plan that is tailored to their specific situation. Dr. Kasha uses the latest techniques and technology to ensure that his patients receive the best possible care.

Dr. Srinivas Kasha's Patient Care Philosophy

Dr. Srinivas Kasha is committed to providing his patients with compassionate, personalized care. He understands that knee replacement surgery can be a daunting experience for many patients and takes steps to ensure that they are comfortable and well-informed throughout the process. Dr. Kasha works closely with his patients to ensure that they have a smooth and successful recovery.

The Knee Replacement Surgery Procedure

Knee replacement surgery is a complex procedure that involves replacing damaged or diseased knee joints with artificial joints. The surgery typically takes between 1-3 hours to complete and is performed under general anesthesia. During the surgery, Dr. Srinivas Kasha will make an incision in the knee and remove the damaged joint. He will then replace it with a prosthetic joint that is designed to mimic the movement of a natural knee joint.
Benefits of Knee Replacement Surgery

1. Reduced pain: One of the primary benefits of knee replacement surgery is a significant reduction in knee pain, which can improve mobility and allow for a more active lifestyle.
2. Improved mobility: Knee replacement surgery can improve mobility and flexibility by repairing damaged joint tissue and restoring function to the knee joint.
3. Increased quality of life: Many patients report an improvement in their overall quality of life after knee replacement surgery due to the reduction in pain and improved mobility.

Risks of Knee Replacement Surgery

1. Infection: As with any surgery, there is a risk of infection following knee replacement surgery. Proper pre- and post-operative care can minimize this risk.
2. Blood clots: Blood clots can form after surgery, which can be potentially life-threatening. However, preventative measures such as blood thinners and early mobilization can reduce this risk.
3. Implant failure: In rare cases, knee replacement implants can fail or loosen over time, requiring additional surgery.

Preparing for Knee Replacement Surgery

1. Consult with a surgeon: Before undergoing knee replacement surgery, it is important to consult with an experienced orthopedic surgeon who can evaluate your individual needs and provide personalized recommendations.
2. Preoperative testing: Your surgeon may require several pre-operative tests, such as blood work and imaging, to assess your overall health and determine if you are a suitable candidate for surgery.
3. Lifestyle adjustments: Prior to surgery, it may be necessary to make adjustments to your lifestyle, such as losing weight or quitting smoking, to minimize the risk of complications.

The Recovery Process After Knee Replacement Surgery

1. Hospital stay: Patients typically spend several days in the hospital following knee replacement surgery to monitor for complications and begin physical therapy.
2. Pain management: Pain management is a crucial aspect of the recovery process, and patients may receive a combination of medication, physical therapy, and cold therapy to manage pain and swelling.
3. Physical therapy: Following surgery, physical therapy is an essential component of the recovery process to help patients regain mobility and strength in the affected knee joint.
4. Gradual return to normal activities: It may take several weeks to months to fully recover from knee replacement surgery, and patients should follow their surgeon's instructions regarding returning to normal activities such as driving and work.

Conclusion
If you are suffering from Knee replacement surgery in Hyderabad, Dr. Srinivas Kasha is the best orthopedic surgeon to turn to. With his extensive experience, expertise, and patient-focused approach to care, he can help you get back on your Knee replacement surgery to your normal activities as quickly as possible. Schedule an appointment with Dr. Kasha.

Location Details

Mon - Sat: 10:00 AM - 5:00 PM
Kims Hospital 1-8-31/1, Minister Road, Krishna Nagar Colony, Begumpet, Secunderabad, Telangana 500003.
+91-9948047649

Ligament surgery without an MRI? 33F
Hi, I broke my foot 8 weeks ago, the diagnosis was a spiraloidal fracture through the distal and middle 1/3 of the diaphysis of metatarsal 5. The fracture has healed up. However today I went to an orthopedic surgeon for a follow up x ray and he examined the ligaments and said I need ligament surgery for impinged ligaments. I’ve had the feeling the past week that my foot is wobblier and that there’s a blocked nerve. I was so shocked I’d need surgery it was only when I’d left I realized I never had a CT or an MRI. Wouldn’t this be best practice? Should I wait with surgery until I’ve done a scan and receive a second opinion? Also how common is doing this surgery after a fracture?

Cerebral palsy is a group of neurological disorders that affect movement and posture. It is the most common motor disability in childhood and affects about 3 in every 1,000 children in India. While there is no cure for cerebral palsy, there are treatments and care options available that can help manage symptoms and improve quality of life. In this article, we will discuss pediatric cerebral palsy treatment and care.
Diagnosis and Early Intervention:
Early diagnosis and intervention are critical in managing cerebral palsy. If you suspect that your child may have cerebral palsy, it is important to speak with a healthcare professional as soon as possible. A pediatrician, neurologist, or developmental pediatrician can perform a physical examination and order tests such as magnetic resonance imaging (MRI) or a computed tomography (CT) scan to diagnose cerebral palsy.
Once a diagnosis is made, early intervention services can be provided. These may include physical therapy, occupational therapy, speech therapy, and assistive technology services. These services can help children with cerebral palsy develop new skills, improve muscle strength and mobility, and manage symptoms.
Medications:
In some cases, medications may be prescribed to help manage symptoms of cerebral palsy. For example, muscle relaxants can help reduce muscle spasms and improve range of motion. Anticonvulsant medications may be prescribed to control seizures, which can sometimes occur in children with cerebral palsy. Botulinum toxin injections may also be used to reduce muscle stiffness and spasticity.
Surgery:
In some cases, surgery may be recommended to improve mobility and reduce pain in children with cerebral palsy. Surgery may be used to lengthen or shorten muscles, improve joint alignment, or correct scoliosis. It is important to discuss the potential risks and benefits of surgery with a healthcare professional and to carefully consider all options before making a decision.
Care and Support:
In addition to medical treatments, care and support are important for children with cerebral palsy. This may include physical therapy, occupational therapy, and speech therapy, as well as psychological support and counseling for both the child and their family. Assistive devices such as wheelchairs, braces, and communication devices can also help improve quality of life.
It is important for families to work closely with healthcare professionals to develop a care plan that meets the individual needs of the child with cerebral palsy. This may involve coordinating care between multiple specialists, such as neurologists, physical therapists, and orthopedic surgeons.
Conclusion:
Pediatric cerebral palsy treatment and care require a multidisciplinary approach that involves a range of healthcare professionals and support services. While there is no cure for cerebral palsy, early diagnosis and intervention, medications, surgery, and care and support can help manage symptoms and improve quality of life. It is important for families to work closely with healthcare professionals and to be aware of all available options in order to provide the best possible care for their child with cerebral palsy.

Being a specialized Orthopedic doctor, the doctor offers several medical services. These include Bone Fracture Treatment, Trauma, Joint Replacement, spine & spondylosis, and Bone Tumor Treatment.
Dr. Pritam Pawar is a specialist bone fracture surgeon in Nashik. He has wide years of experience in orthopedics.
A fracture is defined as a split in the bone. When a broken bone punctures the epidermis, it causes an open or compound fracture. Other reasons of bone weakness include low bone density and osteoporosis. A bone will split or break if it is subjected to more force than it can endure. A fracture is any type of crack.
A stress fracture is a bone break produced by repeated or prolonged pressure on the bone. The repeated stress weakens the bone, ultimately causing it to fracture.
The following are typical causes of fractures:
· Car accidents
· Falls
· Sports injuries
Classification of Fractures:
• An open (compound) fracture; •
A closed fracture; and
• An intra-articular fracture.
Awareness:
It is challenging to tell the difference between a dislocated joint and a broken bone. Both are emergencies, and the fundamental first aid procedures are the same in both cases.
Source:
Some of the most common causes of fractured bones are as follows:
• Falling from a high height
• Trauma
• Car accidents
• Direct blow
• Child abuse running, for example, can result in stress fractures of the foot, ankle, shin, or hip.
Symptoms:
• Swelling, bruising, or bleeding
• Intense pain
• Numbness and tingling
• Broken skin with bone protruding
• Limited movement or inability to move a limb or place weight on the leg
Care:
Some first aid steps are as follows:
• Examine the person's airway and breathing. The local emergency number if necessary, and begin rescue breathing, CPR, or bleeding control.
• Maintain the person’s stillness and serenity.
• Inspect the person carefully for other injuries.
• Allow medical personnel to take further action in most cases if medical assistance comes quickly.
• If the skin is broken, it should be treated as soon as possible to prevent infection.
Precautions:
• Immediately ask for emergency help.
• Avoid breathing on or probing the incision.
• Try to conceal the wound to prevent further contamination. Cover with germ-free dressings if accessible.
• Do not try to align the fracture if you are not a medical professional.
• Avoid being shocked by taking measures.
• Lay the individual down on their back, raise their feet about 12 inches above their heads, and cover them with a coat or blanket.
• However, if a head, neck, or back injury is feared, the individual must not be moved.
Steps to follow in Critical Condition:
# Examine the blood stream.
Examine the person's blood stream. Apply firm pressure to the skin beyond the fracture location. (For example, if the fracture is in the leg, apply pressure to the foot). It should be white for approximately 2 seconds before going pink.
# Poor circulation symptoms:
• Pale or blue skin tone
• Tingling or numbness.
• A pulse failure.
If circulation is poor and trained personnel are not immediately accessible, readjust the limb into a normal resting position. This will alleviate swelling, pain, and tissue damage produced by a blood shortage.
# Control and monitoring Bleeding
• Cover the incision with a dry, clean cloth to dress it.
• Apply direct pressure to the wound if the bleeding intensifies.
• Do not apply a compression bandage to the extreme spot if the bleeding is not life threatening.
• Tissue can only live for a limited time after a bandage is applied.
When You Should Consult a Doctor:
• A suspected broken bone in the head, neck, or back; or the individual is not reacting or is losing consciousness.
• There is a possibility of a fractured bone in the hip, pelvis, or upper leg.
• The injury cannot be completely incapacitated at the spot.
• There is significant hemorrhaging.
• A pale, clammy, cold, or blue region beneath the damaged joint.
• A bone is visible through the epidermis.
Even if other broken bones are not medical crises, they must be treated. Contact your Orthopedic to find out where and when you can be seen.
If a child refuses to place weight on an arm or leg after an accident, refuses to move the arm or leg, or has a visible deformity, assume the child has a fractured bone and seek medical attention.
Prevention:
To decrease your chances of breaking a bone, take the following precautions:
• Wear protective equipment when skiing, biking, roller blading, or engaging in competitive sports. Wearing a helmet, elbow, knee, wrist, and shin protection are all required.
• Keep a watch on children. There is no substitute for supervision, no matter how safe the environment or circumstance appears to be.
Purchase the Proper Shoes:
Consider more than just fashion when buying sneakers. The incorrect footwear can raise your risk of falling.
Maintain Adequate Lighting in Your Home
Make sure your home has sufficient lighting to help avoid falls.
'Fall-Proof' Your Home
Making your house safer is an essential part of fracture prevention because you probably spend the majority of your time there.
Treat Medical Issues
Some chronic medical conditions can reduce your strength and raise your risk of falling. Arthritis, for example, can make it difficult to move, and vision problems can increase the probability of tripping.
Dr. Pritam Pawar working with Nims Hospital Nashik, Nims Hospital has a well-equipped Hospital with all the modern equipment. The Hospital has separate waiting and consultation areas which allow enough space for patients to wait conveniently at the clinic.

My friend says I must have pissed off a witch.
2021 Dec - partner rushed to er, waits 5 hours in crippling pain, vomiting. Finally get her back. CT finds a 17mm kidney stone in her ureter. She's rushed into surgery to get a Stent put in. Her kidney is the size of a grapefruit, so they tell her they can't remove it right away. So she waits two weeks, blinding pain, they refuse to give her any pain medication. They schedule her for a followup to see the doctor two weeks later. At that appointment they say no pain meds and three more weeks before they can get her in. She basically screams at them until they get her in the following week.
Feb 2 - partner gets cut off while driving thru an icy patch, loses control, slams into highway divider, totals her car completely. 25lb bag of grout hits her in the back of the head, hard. She refuses the hospital, but starts losing consciousness when she gets home. Can't recall that weekend at all.
Feb 14 - partner stuffers a serious of grandmal seizures at work. Barely manges to call me from her car and tell me somethings wrong, then says she can't move and she's scared. I call her boss, they find her unconscious in the front seat and call an ambulance. Silence for two hours. I'm freaking the fuck out. Finally a nurse answers her phone and tells me where she is. I grab an Uber and rush down. Apparently the ambulance idiots missed the fact that she had a head injury and they tell me they think she overdosed. I explain the wreck. Situation changes completely. She's unconscious for several hours, they confirm the seizures, she's sent home.
April - smashes her hand trying to get a tire off a rim. Shockingly doesn't break anything, but to this day can barely use it (musician/mechanic)
May - company I've been with for a while loses contract. New company... Is... Just... Well, wait for it.
June - depression finally becomes intolerable for me. Attempt IOP. Does not help. Get signed up for ketamine therapy.
August - finally catch covid. Sick as death for two weeks but no pto because of new company. Partner catches covid from me, then gets pneumonia. She leaves her job.
September - attempt nerve block to solve increasing endo pain to avoid another surgery. Wake up next morning in the worst pain I've ever been in, can't twist and lower back is insanely painful. Try to call doctor. Dismissed as a pulled muscle and unrelated to block. Jump to Sunday, my leg is now blue and I can't move it. Rush to er. Have blood clot from belly to knee. Put in icu immediately. Have abcess near my spine from the block. Super rare complication. Hospitalized for 6 days. Pulled off birth control, put on orilissa for endo.
Oct-Nov Iv antibiotics, tons of appointments, shots in the belly twice a day.
Partner has nervous breakdown and stops working. Goes to stay with family for two weeks.
Dec - Stent put in. Endo growing quickly, end up having a suuuuuuper heavy bleed (on blood thinners and anti platelets). New employer replaces a senior developer with a guy who can't send an email. They start accusing me of being the problem. Sigh.
Jan 2023 - this will be our year, right? Healing from the clot, ketamine worked, feeling stable. Partner still highly depressed and anxious but I think I can handle it. Work starts getting worse. More seniors leave, more unqualified staff replace them.
Feb - harassment becoming intolerable from a client. Now doing the work of 4 people while training 1.was hoping to get a good hire. Manager again hires most unqualified staff. I find out they're paying him my salary. Tell my boss that's not okay. She shuts down the conversation. Now doing job of 4 people and training 2 while being harassed daily by client.
Then I start bleeding again. This time so heavy I get anemic and pass out and throw up from pain. Dr finally approves me for hysto. Get hysto on 23rd. They find my spleen is scarred completely to surrounding tissue and tear it on accident trying to remove adhesions. End up in hospital longer than expected.
Get home. Unexpected nervous breakdown when seeing my employer claims to pay people with my job 70k more than I make. Lost my shit and wrote anonymous review about shitty working conditions and hiring. Later remove. Boss already saw it. Still off next day, call from coworker on behalf of harasser asking me to do something for them. Quickly remove myself from call. Proceed to mental crisis.
Next day go in, immediately call both managers and request std because something isn't right. Tell them about harassment and workload. Supervisor from new company schedules disciplinary meeting next day with coo and makes me continue to work. While I am in crisis. Says just turn on do not disturb.
They remove me from my team and my title, put me on another team as a subordinate or tell me I can quit. Give me a weekend to think about it. I see surgeon and psych first. Both confirm surgical menopause caused nervous breakdown and I have acute stress disorder. Reluctantly agree to be moved to different team. THEN I'm allowed to go on disability leave.
HR fucks up my next check and doesn't do the paperwork to keep my fsa open. Spend all month trying to fix the shit.
I'm out of my fucking mind most of the month so I post shit that makes me sound like a raving lunatic. Somewhat stabilizing now with pristiq and Ativan. Can't take hrt because clot. Scheduled to see specialist at the end of the month.
Catch pneumonia. Pneumonia and panic attacks make a person very miserable...
Partner and old friend get into huge fight. Partner struggling heavily. Unable to help because I'm unstable and sounds crazy.
I go back to work Monday. I don't want to fucking be there.
I swear to god when will it end. I wish this was some kind of joke.
/vent