u/VermicelliNew2784

Hi Dentists,

I have periodontal disease and recently developed exfloitative chelitis (a chronic lip condition, peeling and swelling and burning etc). It has put me in a really complicated pickle that seems to have confused the heck out of my dentist.

I was going through regular periodontal cleanings, still had 3 more scheduled (had 3 done so far). But my situation was already complicated since most of the inflammation is around a 15 year old bridge in the lower front, and it hasn't responded well to the treatment at all despite both my dentists & hygenists and my best efforts. But the dentists have been avoiding changing the bridge due to how complicated that spot is and we decided that we would try to save it with these 6 round of periodontal cleanings first. But it was already looking like we have to change the bridge anyways. And then I got lucky enough to develop a chronic lip condition, damaged lip barrier with constant peeling, burning, raw lip skin, responding painfully and weirdly to everything from water to air to movement to speech. It is called exfloitative chelitis, and it is chronic, I am trying different medications with two dermatologists but since it is a very rare condition, all doctors are puzzled and not that helpful or impactful.

Moving onto my last appointment with my dentists, she was very puzzled and even reacted saying "oh my god, this is so weird, i have never seen or heard of anything like this" - which of course did not help me. But it is typical for Berlin doctors to have poor bed side manners, lol. she even went so far as to suggest I see a "healer". Both the dermatologist and the dentist think I should avoid dental treatments unless absolutely urgent or necessary. So we postponed the periodontal cleaning. But here is the thing, I had to change to a more sensitive toothpaste, more gentle brushes and brushing techniques, and combined with using steroids on lips and the general stress on the lips, my gum inflammation has gotten a lot worse. I have pain, and the gums around teeth that were never red are now red. 

 So yeah, I feel very much in a pickle since doctors seem more confused than me by this condition and situation. I don't know what to do. 

Have you ever dealt with a patient in a similar situation? How did you handle it? Maybe you have some tips and tricks I could share with my dentists and hygienist at least because they are  really uninformed (despite being in Berlin, so this is not doctors in a tiny village in some forgotten country with bad medical education). 

I would really appreciate any help, info as I feel very helpless, with no resource to find help from atm with these two conditions. They have negative impact one another, so it is like a viscious cycle and I get more inflammation both on my lips and my gums as they go. 

As a side note: I got tested for candida and bacterial infections by a dermatologist, with an inner mouth swab and they came out negative.

Hi Dentists,

I have periodontal disease and recently developed exfloitative chelitis (a chronic lip condition, peeling and swelling and burning etc). It has put me in a really complicated pickle that seems to have confused the heck out of my dentist.

I was going through regular periodontal cleanings, still had 3 more scheduled (had 3 done so far). But my situation was already complicated since most of the inflammation is around a 15 year old bridge in the lower front, and it hasn't responded well to the treatment at all despite both my dentists & hygenists and my best efforts. But the dentists have been avoiding changing the bridge due to how complicated that spot is and we decided that we would try to save it with these 6 round of periodontal cleanings first. But it was already looking like we have to change the bridge anyways. And then I got lucky enough to develop a chronic lip condition, damaged lip barrier with constant peeling, burning, raw lip skin, responding painfully and weirdly to everything from water to air to movement to speech. It is called exfloitative chelitis, and it is chronic, I am trying different medications with two dermatologists but since it is a very rare condition, all doctors are puzzled and not that helpful or impactful.

Moving onto my last appointment with my dentists, she was very puzzled and even reacted saying "oh my god, this is so weird, i have never seen or heard of anything like this" - which of course did not help me. But it is typical for Berlin doctors to have poor bed side manners, lol. she even went so far as to suggest I see a "healer". Both the dermatologist and the dentist think I should avoid dental treatments unless absolutely urgent or necessary. So we postponed the periodontal cleaning. But here is the thing, I had to change to a more sensitive toothpaste, more gentle brushes and brushing techniques, and combined with using steroids on lips and the general stress on the lips, my gum inflammation has gotten a lot worse. I have pain, and the gums around teeth that were never red are now red. 

 So yeah, I feel very much in a pickle since doctors seem more confused than me by this condition and situation. I don't know what to do. 

Have you ever dealt with a patient in a similar situation? How did you handle it? Maybe you have some tips and tricks I could share with my dentists and hygienist at least because they are  really uninformed (despite being in Berlin, so this is not doctors in a tiny village in some forgotten country with bad medical education). 

I would really appreciate any help, info as I feel very helpless, with no resource to find help from atm with these two conditions. They have negative impact one another, so it is like a viscious cycle and I get more inflammation both on my lips and my gums as they go. 

As a side note: I got tested for candida and bacterial infections by a dermatologist, with an inner mouth swab and they came out negative.

How does everything in this game feel so intuitive? Nothing ever frustrates me in this game and I tend to get frustrated easily, could be because I am an older gamer who got into modern games only like 5-6 years ago - not sure but Ghost of Yotei really surprised me.

I don't understand why other games are not more like this in terms of UI, easing the player into game mechanics and the world. I struggle to find games that feel this intuitive, "cozy" and logical - I ended up doing every little thing in the game without ever feeling frustrated. Ghost of Tsushima is of course the closest example, but Ghost of Yotei is like an improved version (except for the story).

Granted it is not the most groundbreaking, or most fun game ever but it is so well designed overall that even if you are not a completionist normally, you end up doing every single thing in the game (at least in my case).

Just wanted to share my appreciation and admiration for how well designed this game is, and hear suggestions that you think are close to GOY in terms of intuitiveness, and lack of frustration for the player.

has anyone been able to get a more basic job after learning b2? especially those who used to have a tech career but ended up long term unemployed due to circumstances.

im talking about jobs like working in sales at Mediamarkt, or Lidl or whatever basic job one can get to survive in this economy. isit even doable with b2? to me c1 feels overkill, let alone very expensive for jobs like this but employers and coworkers might think otherwise since Germans are not very open to people butchering their language like native English speakers are.

any suggestions?

I’m struggling to find any.

I enjoy the typical nerdy things like games, sci-fi, fantasy anything plus I appreciate comedy in all forms. I love to hear countries criticize themselves sarcastically as well when it comes to political content (political satire).

Degister first and then factory reset? Factory reset first and then Deregister?

Does it matter?

And if you are selling it, how do you prove the buyer that it works?

I am interested in finding out which E-readers work smoothly with borrowing e-books in English from German libraries.

Unfortunately I have found only conflicting/unclear info online so I hope to hear from people who have direct experience.

I am in Berlin, not sure if all German libraries use the same e-book apps but I would guess so?

In that case, it looks like there are a few apps they use, and some of them have books only in German while others include both German and English books.

But it is unclear if they work with Kobo, or if you have to get the German e-reader Tolino or if Tolino works only with the German language books e-book app etc.

Does anyone have any direct experience with this?