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2 yr. ago
  • In medicine we are taught that the first line treatment for insomnia is treating the underlying illness—in your case, potentially depression— otherwise, CBT-i (cognitive behavioral therapy - insomnia).

    So my first recommendation is to seek care from your physician for your depression.

    Otherwise, there are well described self taught classes for CBT-i. I have told patients to check out the VA's website for this: https://mobile.va.gov/app/cbt-i-coach

    It is a lot of the sleep hygeine described in another excellent post hew.

  • The long and short of it is that Google has well documented instances of bribing/paying companies to not offer their apps on other stores, and Apple simply runs their walled-garden. Google deleted evidence of them doing this, which looks very shady. Also, the judge in the Apple case took an incredibly narrow view, something like "digital mobile gaming transactions". So Apple's 30% cut seemed to be in line with competitors.

    Of course, I don't think either should be allowed to do this, but the legal argument against Google is stronger imo.

  • Depending on your needs, if you want the most effective filtering for the price (though at the cost of noise) you could make your own https://en.wikipedia.org/wiki/Corsi%E2%80%93Rosenthal_Box . I built one and found it to be great, but I did end up buying a commercial one through Costco years later.

  • Someone with a uterus and a history of ovarian cancer likely isn't a candidate for estradiol, but there are other treatments. Maybe estrogen + progestin to prevent unopposed endometrial proliferation. Though I hope OP can find a doctor who can help with hormone replacement if that is what his partner wants.

  • At the hospital I worked at there were no transmissions of COVID from known infected patients to providers wearing N95 masks (at least in the first 2 years, I didn't keep up with it after that). So if you are wearing N95s you should feel quite confident that you are protecting yourselves without requiring behavior modifications from anyone else.

  • I do not think it is appropriate to talk about any details, but something somewhat adjacent to this is that a lot of my colleagues didn't go into pediatrics because they hate dealing with parents.

  • When I lived in Seattle I met a few good running friends by joining a Green Lake running group. I lived in the Greenwood/Fremont area and found a group through the Super Jock and Jill or Fleet Feet. I would go to the running gear stores and ask about a weekly running group.

  • This is a quite delayed response, but it was essentially your second question. I went with friends who watched a lot of the MCU movies and they were trying to explain everything to me in real time. I eventually just asked them to save their breath because the backstory was so long. I did enjoy the spectacle of the movie, though the impact was lost on me.