- Видео 118
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Its Nikki Autumn
Добавлен 8 июл 2022
Hi! My name is Nikki, I have hEDS, POTs, Endometriosis and who knows what else. Join my journey as I look to spread joy and fulfillment in the midst of living with chronic illnesses.
Getting Ready For Surgery | Surgery Prep & Christmas Haul
#chronicillness #feedingtube #ehlersdanlossyndrome #eds #posturalorthostatictachycardiasyndrome #pots #endometriosis #surgery
Het ready with me for surgery!
I also give you a mini Christmas haul.
Het ready with me for surgery!
I also give you a mini Christmas haul.
Просмотров: 26
Видео
What’s In My Feeding Tube Backpack | Appointments & Bad Weather
Просмотров 9316 часов назад
#chronicillness #feedingtube #whatsinmybag #ehlersdanlossyndrome #eds #posturalorthostatictachycardiasyndrome #pots #endometriosis #surgery #winter #badweather Here is what it looks like to battle bad Canadian winters in order to get to appointments. I also share what’s in my feeding tube backpack, and some surgery updates. Backpack: www.etsy.com/ca/listing/1257895488/aki-mini-canvas-backpack-b...
Getting Ready For Christmas | Decorating, Wrapping Gifts, Pre Op Call
Просмотров 4314 дней назад
#feedingtube #chronicillness #eds #ehlersdanlossyndrome #pots #posturalorthostatictachycardiasyndrome #endometriosis #christmastree #christmas It’s time!!!! Get ready for Christmas with me, we decorate our home and wrap gifts. I also have a phone call with my surgeon for endometriosis excision surgery. Enjoy! Etsy: autumnandburlap.etsy.com Instagram: autumnandburlapprofilecard/?i...
My First Etsy Launch! | Shipping Packages During A Strike
Просмотров 12521 день назад
#eds #ehlersdanlossyndrome #pots #posturalorthostatictachycardiasyndrome #endometriosis #feedingtube #tubie #etsyseller #chronicillness Here is behind the scenes of my first Etsy launch! I now have to figure out how to ship things during a strike. Etsy: www.etsy.com/your/shops/me/dashboard?ref=hdr-mcpa Instagram: autumnandburlapprofilecard/?igsh=MXZtdGtlY21vdDR1eA Facebook: faceb...
Getting Ready For My First Launch | Sewing & Lucy’s First Time Seeing Snow
Просмотров 6828 дней назад
#feedingtube #ehlersdanlossyndrome #eds #posturalorthostatictachycardiasyndrome #pots #endometriosis #chronicillness #etsyseller #tubie #tubiepads #winter #puppylife Behind the scenes of getting ready for my first Etsy launch. Also, it finally snowed and I got Lucy’s reaction to it. Follow Autumn and Burlap! Etsy: www.etsy.com/shop/AutumnandBurlap?ref=dashboard-header Instagram: a...
Etsy Launch Date Announcement! | Christmas/Winter Themed Tubie Sets
Просмотров 77Месяц назад
#feedingtube #etsyseller #tubie #tubiepads #tubieclips #portcovers #chronicillness Here it is! I will be launching my Christmas/winter themed tubie sets next Sunday December 1st at 3:00pm CST! Click the link below to go to my Etsy, you can already follow it so you are ready! Also, follow Autumn & Burlap on Facebook and Instagram for behind the scenes and previews on the patterns for this launch...
Struggling To Get Supplies | How The Strike Affects Those With Chronic Illness
Просмотров 81Месяц назад
#ehlersdanlossyndrome #eds #posturalorthostatictachycardiasyndrome #pots #endometriosis #feedingtube #chronicillness #etsyseller Here is the struggle I had getting feeding tube supplies during a postal worker strike. Etsy www.etsy.com/shop/AutumnandBurlap?ref=dashboard-header Facebook share/p/15NJi1MGHd/?mibextid=WC7FNe Instagram autumnandburlapprofilecard/?igsh=MXZt...
Pacing Myself During A Busy Season | Balancing Work Life, Etsy Prep & Appointments
Просмотров 81Месяц назад
#ehlersdanlossyndrome #eds #posturalorthostatictachycardiasyndrome #pots #endometriosis #feedingtube #tubie #etsyseller #chronicillness Here’s how I pace myself when life gets busy. Follow My Etsy! www.etsy.com/your/shops/me/dashboard?ref=hdr-mcpa share/p/1WN6jfsFqM/?mibextid=WC7FNe autumnandburlapprofilecard/?igsh=MXZtdGtlY21vdDR1eA
The News You’ve All Been Waiting For | I’m Launching An Etsy Store
Просмотров 127Месяц назад
The News You’ve All Been Waiting For | I’m Launching An Etsy Store
I Can’t Believe It’s Finally Happening! | Endo Surgery & We Had A Mouse…
Просмотров 121Месяц назад
I Can’t Believe It’s Finally Happening! | Endo Surgery & We Had A Mouse…
Feeding Tube Supply Restock | Day in my life with a feeding tube
Просмотров 792 месяца назад
Feeding Tube Supply Restock | Day in my life with a feeding tube
Getting Back Into My Hobbies | Work Life & Sewing Projects
Просмотров 1232 месяца назад
Getting Back Into My Hobbies | Work Life & Sewing Projects
My POTS Diagnosis Story| I Was Labeled Treatment Resistant
Просмотров 1402 месяца назад
My POTS Diagnosis Story| I Was Labeled Treatment Resistant
Getting Casted For AFO’s | Feeding Tube Mishap & HomeSense Haul!
Просмотров 1102 месяца назад
Getting Casted For AFO’s | Feeding Tube Mishap & HomeSense Haul!
Starting To Feel Like Myself | Haircut, Appointments & Adjusting To Tube Life
Просмотров 1523 месяца назад
Starting To Feel Like Myself | Haircut, Appointments & Adjusting To Tube Life
Setting Up Feeds For The First Time | Figuring Out A New Routine
Просмотров 1783 месяца назад
Setting Up Feeds For The First Time | Figuring Out A New Routine
Finding Tube Friendly Pants | Fall & Winter Edition
Просмотров 673 месяца назад
Finding Tube Friendly Pants | Fall & Winter Edition
Taking Things Slow | Recovery, IVIG & Supplies Haul
Просмотров 1243 месяца назад
Taking Things Slow | Recovery, IVIG & Supplies Haul
I’ve Waited So Long For This | Feeding Tube Surgery & Recovery Vlog
Просмотров 5923 месяца назад
I’ve Waited So Long For This | Feeding Tube Surgery & Recovery Vlog
It’s Finally Time! | Preparing To Get A Feeding Tube
Просмотров 1414 месяца назад
It’s Finally Time! | Preparing To Get A Feeding Tube
Morning’s With POTs & A 4 Month Old Puppy | Lucy’s Morning Routine
Просмотров 1084 месяца назад
Morning’s With POTs & A 4 Month Old Puppy | Lucy’s Morning Routine
Lucy’s First Month Recap | Get to Know Our Puppy!
Просмотров 414 месяца назад
Lucy’s First Month Recap | Get to Know Our Puppy!
When One Chapter Closes | IVIG, Cleaning the Apartment, Updates
Просмотров 614 месяца назад
When One Chapter Closes | IVIG, Cleaning the Apartment, Updates
We Finally Have A Plan! | Lucy’s First Pup Cup & Plan For My Care
Просмотров 1065 месяцев назад
We Finally Have A Plan! | Lucy’s First Pup Cup & Plan For My Care
Moving Into Our New Home! | Moving Day & Renovating the Bedroom
Просмотров 3515 месяцев назад
Moving Into Our New Home! | Moving Day & Renovating the Bedroom
Picking Up Our Puppy! | First Week & Name Reveal
Просмотров 1005 месяцев назад
Picking Up Our Puppy! | First Week & Name Reveal
New Treatment Ventures | Round 1 & 2 of IVIG
Просмотров 1105 месяцев назад
New Treatment Ventures | Round 1 & 2 of IVIG
A Crazy, Chaotic Season Of Life | Packing, Baking and a UTI?
Просмотров 555 месяцев назад
A Crazy, Chaotic Season Of Life | Packing, Baking and a UTI?
It’s Time To Catch Up | Tornadoes & Feeding Tubes
Просмотров 1076 месяцев назад
It’s Time To Catch Up | Tornadoes & Feeding Tubes
We’ve Been Keeping Secrets | Exciting Life Updates
Просмотров 2576 месяцев назад
We’ve Been Keeping Secrets | Exciting Life Updates
What is your Etsy name called so I can see your work and buy
@@candaceberman1448 the name is Autumn & Burlap, I have the shop linked in the video description 😊
@itsnikkiautumn I found it but it doesn't ship to USA you have some really cute ones to I'm happy for you ☺️ 💗 well done 👏 👍
@ thanks! I decided to stay in Canada for my first launch to give me time to figure Etsy out 😊 I’d love to open it up to the US in the future!
@itsnikkiautumn awe ok that sounds great hun I will definitely wait till it comes to USA 🇺🇸 😊
Are the 10 bags supposed to last you an entire month? Do you use your tube daily for feeds?
@@kristenadolph1416 yes I do use my tube every day, and they are meant to last me the entire month. Here in my province we are told to use the bags for 3-5 days before disposing, so I wash them everyday.
Glad your getting proper health care 😊
Also do you have a website for sets for tubie friend here
@@candaceberman1448 I’ll be posting about this in next weeks vlog 😊
@itsnikkiautumn awesome I'll keep a look out till then 😉 👌
Im happy your scheduled for surgery for your endometriosis i had mine along with total hysterectomy surgery in August of this year i also have chronic illnesses as well so bless you girly prayers you have a great birthday 🎂 🥳 mine is in November 10th
❤
Your dog is so sweet!!!!!
I clicked because of the dog ❤
Hello Nikki how are you doing tonight I like your videos so far I don’t have a feeding tube but I enjoy watching you I have cerebral palsy and few other health issues
@@shauntayecooper9489 I’m so glad to have you here, and that you’re enjoying my videos! I find great joy in seeing your comments 😊
@@itsnikkiautumn your welcome I can’t wait to see the next video
I love this. Good job
Everything about you and your channel is so cozy 🍂 I did two holters and an echo many one minute ECGs you know.. I have Tachycardia so bad but still under investigation, I don't know if I have it bcz I read the criteria but I don't know.. 2:30 booooi yes yes all of this esp showers sigh My cardiologist appointment is near my numbers range on my oximeter rates from 100 to 250 BPM I don't know Hope you're doing well Nikki❤
I’m so happy you are responding to treatments!! I’m going to get an Apple Watch again for Christmas and might get that app because I have Mcas and it gives me pots symptoms even though my tilt test was negative a few years ago. I still go up to 140 just applying my make up and it jumps up and down due to the dysautonomia. It was so much worse when it started . I would wake up with a pounding chest and heart rate of 180 and it would cause dizziness and nausea and fatigue. It calmed down over time as I treated my dysautonomia but still enough to really throw me off. Thank you for the recommendation!
you are so beautiful 🎉❤
Where did you get the bedroom shoes
@@shauntayecooper9489 I got them at a shoe store called Quarks, but they are the Sorel brand so they can probably be found online as well 😊
@@itsnikkiautumn thank you
Hello I am new to your channel 😀
I stayed in the hospital for 2 weeks
I had PEG GJ TUBE the beings of the year and then I just got my AMT low profile TUBE button with extensions for j and g mine works well but it was very traumatizing lots of complications due to other chronic illnesses it was horrible but I'm out of the woods now yay I'm happy you have everything now
I had my PEG placed on April 9 and switched to a low profile Mic-Key on August 21. I also have a Kangaroo Flush/Feed and only found 1 backpack big enough for both 1000 mL bags and the pump but I have the older style pump. On Etsy, some people will modify backpacks, but again it’s hard to find one that fits the flush/feed system. I wish I could run mine more of the day, but I am not permitted to run my feed at work, so I run it for 12 hours overnight. I am on the wait list for a neuro gastrointestinal and motility clinic who can hopefully help tweak my feed but I’m definitely more nourished than I have been in years. I wish you the best of luck!
Hi! I wanted to tell you that your audio is quite quiet but the music is normal volume! :) A great vlog and so interesting to see the process of healing etc
@@Alluska yeah I realized that 🙈 sometimes I don’t have the energy to go back and fix it, but I’m working on balancing it out 😊
@@itsnikkiautumn No worries tho! I just thought that I would tell you if you didn't know! Have a great day! :)
I haveSomething to say Kenna K make tubie botton
@@shauntayecooper9489 She makes great stuff! It’s just more affordable shipping wise to find something within Canada 😊
@@itsnikkiautumn I understand totally I love your channel so far I have hemi cerebral palsy
Humm 5:49 so how fast do they tell you?
@@FullTimePatient37 At this particular hospital, they only keep patients for 2 hours instead of the full 4 if their results are “looking normal”. Which I personally don’t agree with, because the test could still be abnormal at the end. And with the Canadian system, I didn’t find out for a few months, but it all depends on your doctor and their office 😊
I'm getting this soon.. also endoscopy and gastropy, swallow study and orher tests.. It's a lot 😢 but I hope I'll find answers soon
Hi! I stumbled to your RUclips by accident so I apologize for asking questions you may have already answered :D Did you have a nasal tube before this? And what is the IVIG for? Have a great day!
@@Alluska Hi welcome here! My doctors decided to skip the nasal tube and jump straight to a surgical one. I’m not quite sure why, as I’ve needed one for months. But from what I’m guessing they chose the surgical tube because it’s a more permanent option, and here in Canada the nasal tubes are only for short term use. I do IVIG for POTs. I have tried many things for it and my body wasn’t responding. So my neurologist decided that IVIG might help my body start responding to medications that are meant to keep my POTs under control. Hope that makes sense! 😊
@@itsnikkiautumn Did they try IV fluids? :) Has the IVIG been working? Sorry for the amount of questions I have
@@Alluska Yes, I do IV fluids separate from IVIG. It’s hard to say whether the IVIG is working because the effects feel pretty short lived. But I’m going to keep at it for a bit and see 😌
My gas pains from gj tube surgery were in my shoulder blade and up my neck it was so painful!
I’m only half way through the video but my gastroparesis and mast cell activation syndrome and my dysautonomia all together cause a combination of symptoms that are similar to yours and these are linked to Ed’s and endometriosis. I don’t have EDS but I did have pots in the beginning of my symptoms 5years ago. And I hand severe endometriosis from my teens until 39 when I had hysterectomy for it. Just wanted to share for insight. They did try me on amitriptyline to calm my abdominal pain because it talks to the nerve In the gut to calm it down and I was finally able to eat. It helped for a year then i was in and out of flares of gastroparesis instead of daily and stuck on fluids and yogurt and soup.
@@AprilLeighchronicallyme it’s definitely a journey, we still haven’t put all the pieces together or figured out what suits my body best. I’m also on Amitriptyline, it helps me sleep but I haven’t had any change in abdominal symptoms. My weight is at a dangerous point, so my gynaecologists are afraid to do surgery. But soon, I’m hoping we will figure things out 😊
So exciting! Great job on the bedroom reno. It looks amazing!
@@elisewiebe8044 thanks! Can’t wait to tackle the rest!
One reason I’ve found to be a reason among every single person who is looking into EDS as a diagnosis or has finally gotten diagnosed, is the prevention of a permanent decline in your long-term health. If we were diagnosed as children instead of told it was because we were teenage girls or because we have “growing pains,” we likely never would’ve ended up as debilitated as we are. The broken medical systems are what make EDS progress at the rate that it does, at least, if we had medical systems that were set up for disabled/chronically ill people which is really who they should be set up for considering we are the ones who need access to good medical care because we are the ones who have the health issues..I have a feeling a lot more of us would have much less severe health complications down the line. Yes, we would still have problems. Even with a good healthcare system but the problems would be much smaller. I live in the US for context, healthcare everywhere is just trash.
@@HannahMcNabb-k4v agreed, I think it would help a lot of people if the healthcare system was better set up for the chronically ill. I fought so hard to not get to this place, but unfortunately for my doctors to take me seriously I had to decline drastically. I wish this wasn’t the case for so many people, we shouldn’t have to get to this place before doctors can do something.
I’m really praying this works for you!!!! I started conspire for mcas and I have no major side effects and it’s helping my condition. It’s such a good feeling when something actually helps.
I know you live in Canada so it’s basically impossible to access a (correct) second opinion, but if your hips are still really bothering you, if I were you I’d try to get your own medical records eventually and try to learn to read them yourself OR get a qualified 2nd opinion, and I know it may be impossible because of what I’ve heard you say and what I’ve heard in general about the Canadian healthcare system but I just wanted to give my suggestion. Sorry if it gives off complete United States 2nd opinion privilege vibes, I’m trying to help not trying to do that just so you know because I don’t wanna seem like I’m totally oblivious to the state of things there. I just know doctors (and radiologists) miss stuff all the time.
@@HannahMcNabb-2024 I totally agree, they miss things all the time! This doctor was my second opinion, and I really love him as my doctor (one of my only good ones that understands EDS). He’s actually written a prescription for me to get a wheelchair to use, which will help my hips a lot!
@@itsnikkiautumn oh that’s good! I’m glad he listened to you, that’s hard to find even here, even where we can access second opinions, it still depends on whether or not they’ll listen and whether or not they’ll have the knowledge. It’s always nice when a Dr turns out to be a good one finally.
awesome news about the feeding tube! Been so worried about you ❤
@@linneanelsonvlogs I’ve been thinking of you lots, I hope you’re doing ok!
I'm so glad you finally got a doctor who would approve you for a feeding tube. I hope it works out. I know how discouraging it is to be medically gaslight constantly, I've seen probably 11+ doctors in 4 years, I still have so many undiagnosed conditions that I know for a fact I have because I have done my research, but doctors just dismiss me and mistreat me. I get anxious before every dr appt now because I'm always afraid they'll just dismiss me and even if they don't dismiss me, they do like lite dismissiveness, lol, like they just don't try to help. There's only 2 medical providers I've met that I fully trust to try to help me and to believe me, and that is the nurse practitioner at my neurologist's office and the 2nd hematologist/oncologist I saw. Going to make appts with both of them soon and get the ball rolling because I've been told vaguely randomly before I got really sick that I clot too much, and the neurologist there's a lot going on there, i have idiopathic intracranial hypertension (and the main neurologist, not the np) put in my icd-10 code wrong so gotta address that, and im gonna ask them for a 3 day ambulatory eeg bc the neurologist barely even looked at my eeg, so i feel like there's some things he missed in it, he said i had like small seizures or something so i do have epilepsy but like from what ive noticed of my own seizures. THEY'RE NOT THAT SMALL. i only had a 1 hour eeg, so. this isn't even the half of the gaslighting ive had as im sure what you mentioned isnt even half of it either. all of this NOVEL here, is to say, I relate so heavily to your struggles about medical gaslighting. I hope the tube works out for you. Good luck.
@@HannahMcNabb-2024 I’m sorry you’ve had to endure so much gaslighting. It’s frustrating how hard we have to work to get properly diagnosed. I hope you can find some answers soon!
@@itsnikkiautumn I know it really is. I hope you can get more answers as well, for all of the issues you’re having to deal with as well. Thank you.
Thank you for sharing all of this. My heart goes out to you with all that you go through 💜 I’ve been looking for a new book to read, if you have any suggestions 🙂
I’m always happy to help 😊 I’m not sure what your favourite genre is, but mine is fantasy/dystopian! I really loved fourth wing, it is definitely worth the hype! One of my other favourite series is the iron fey 😊
💜💜💜💜
I too can not eat much.
such a relaxing vlog to watch!! love the skincare products ;)
Was just thinking Nikki has a moustache and beard lol
🎉🎉❤
I’m glad to hear you have some direction. I appreciate all the updates. I hope you and your GI can make the call about medication/tube feeding soon. I know it’s tough, but I also understand wanting nutrition ❤ Will be looking forward to hearing more and thinking positive thoughts for you.
I love Simple Mills crackers! The chocolate mint are my favorite. Go Lytley is so awful. I could hardly keep it down during my colonoscopy prep. I’m glad they were kind about how much you had to drink! I hope you get the results soon ❤
I was very grateful I only had to do 2 cups! And I haven’t tried the chocolate mint, I might have to try those sometime!
Really enjoy your videos. You’re such a classic beauty. Hoping you get some answers soon❤
Cute jeans! I have been meaning to buy some jeans. I haven’t owned jeans in years.
Love your new haircut. Did your stylist wash and blow out your hair or just cut it dry? xo Sarah
Thanks! She just cut it dry and then styled it 😊
If you don’t follow Maddison strong you should check her out. She’s 25 and so sweet and does chronic illnesses vlogs ,shopping hauls and book reviews and she’s a sweet Christian too. I did an interview with her where she shares about her conditions she has gastroparesis and pots abscess as well.
Thanks, I’ll check her out!
Besides you being half my age we have so much in common lol I lead worship for years until my symptoms got worse and my husband plays guitar on the worship team and we love Jesus. My heart goes out to you and I really pray that you get a good medicine and supplement routine that helps you feel better. The lord has literally guided my every step that has helped me improve or get diagnosis correctly. Still praying for healing but until then listening closely to him for how to feel my best while encouraged others.
Thank you so much for this encouragement, it was so needed 💕 My husband and I lead worship for our young adult group but that’s all the energy I have to lead, so he plays bass on other worship teams for Sunday mornings. My health has definitely been a journey, and without Jesus I could not manage any of it! I’m very thankful that we have found some answers but I am hoping and praying that the Lord guides us to some kind and knowledgeable doctors soon 😊
@@itsnikkiautumn he will! I was basically told I was nuts but I went to 3 of my drs with what the lord said I had and I tested positive for all 3 and they are rare. It’s so mentally difficult sometimes but the fact that I can say sometimes is a miracle in itself.
@@AprilLeighchronicallyme this makes me feel less alone, thank you!
@@itsnikkiautumn you are welcome. That’s why I started vlogging. It helps me cope while helping others and watching other vloggers as well.
You need more subscribers! You are so sweet and sharing helpful Information. I just subscribed ❤
Awe! Thanks so much 🥰
When I say help I say help narrow down a diagnosis to possible take to your dr. I’ve been living with chronic conditions for over 12 years and I’ve learned so much and had to fight to get answers and better
I don’t know if this will help you feel a little better or not about all of this, but this video makes me feel so much less alone. I have some GI issues but nothing to your level, most of my symptoms are neurological, cardiological, and other types of symptoms. Tons of pain and fatigue, the pain is pretty much untreated, used to take meds for it but they took me off of those and I had no choice in the matter.. I live in the US, our medical system is total crap as well. I have a neurology appointment on the 2nd and I have an mri showing one brain lesion but I’m so afraid since it’s only one and not more that they’ll say it’s mild and send me on my way, and I had multiple messed up (mildly) valves on my echo but they said it’s no issue because it’s mild, all of my elevated or low labs are mild, not enough for any dr to pay attention to, and I’m 23, I feel like logically a 23 yr old should not have any messed up valves let alone five or six like I do even if they’re mild.. I have hEDS too. I am still fighting for that diagnosis and others but I know for a fact I have it my dad has all the same issues and I’ve ran through the diagnostic criteria on my own and I meet the criteria it’s just a matter of getting to a doctor who knows about hEDS and listens to their patients.. it’s so hard to find doctors who listen and validate what you’re going through.
Hi Hannah, I’m so sorry to hear that your struggling too. It’s so hard living with that feeling of “I’m not sick enough” for a doctor to take you seriously, while being too sick to function 😣 I hope you get a good doctor and answers soon!
I love the Christmas decorations! The hip brace looks so intricate. I’m glad it helps. I put starchy vegetables & lots of olive oil in my soups to help with calories. High calorie drinks like hot cocoa & mocktails also help. In addition to pudding and nut butters.
Thanks for the suggestions! My dietitian has said the same things, I just get tired of eating the same thing all the time, so I need to get better at that! The hip brace has been great! It’s surprisingly low profile so people don’t even notice it under my clothes 😁
I’m sorry your results are taking so long! Nice tips about dealing with disappointment. I totally get what you mean about test results and worry about not getting an answer. I hope your results come soon. I hope they can get your new referral to go through more quickly. Waiting for specialists is so frustrating.
Thank you!
I hope you get your results soon. I’m sorry they cut it short! Thanks for sharing :)
Thanks for all of your encouragement! It helps a lot 😊
I just want to say thank you foor your discussion about finding a doctor that cares. I recently found a specialist who is more holistic and felt more understood and cared for than the five other traditional specialist doctors over the course of 9 months or so of waiting for referrals and waiting and not having a plan to having a holistic specialist who had a literal diet plan, supplement plan, hair and blood tests ordered, have her personal phone number if I have any questions and that 1 hour appointment. Felt so relieving and just cried because I felt listened to. It's such an important topic so thank you.
I’m so glad you’ve found someone who listens and makes you feel cared for! It’s so important, and so sad that finding someone like this in the medical field is so hard. I felt like crying happy tears after this appointment as well!