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Wellness Wednesday for May 3, 2023

The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:

  • Requests for advice and / or encouragement. On basically any topic and for any scale of problem.

  • Updates to let us know how you are doing. This provides valuable feedback on past advice / encouragement and will hopefully make people feel a little more motivated to follow through. If you want to be reminded to post your update, see the post titled 'update reminders', below.

  • Advice. This can be in response to a request for advice or just something that you think could be generally useful for many people here.

  • Encouragement. Probably best directed at specific users, but if you feel like just encouraging people in general I don't think anyone is going to object. I don't think I really need to say this, but just to be clear; encouragement should have a generally positive tone and not shame people (if people feel that shame might be an effective tool for motivating people, please discuss this so we can form a group consensus on how to use it rather than just trying it).

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I feel as if I am extremely unattractive due to autism and subpar physical appearance; while I have friends, dating has been almost impossible for me. While I have solid career prospects as a medical student, I believe that it is very unlikely that I will ever have an average partner. I do not think that any remotely "good" outcome is remotely realistic; at this point, it is about picking the least bad option, rather than a nonexistent and fundamentally unrealistic "good" option...at the end of the day, it has become abundantly clear to me that it is about deciding where I want the ambulances, or the lights and sirens: what institution will my partner be in and out of?

Given this: is there any set of skills that I might benefit from learning in order to be not only a good father and husband but nurse and caretaker for a partner? I know that my medical education will give me the technical skills to handle it, but medical school does not teach how to merge the roles of partner and caregiver. She might be 400 pounds and a sprained ankle away from immobility - and that is honestly one of the better things that could happen. It beats things like looking the other way at alcoholism or drug addiction. Yes, I am aware that there is "a hell of a lot of 'average' out there between prom queen and obese drug addict" but average is deeply unrealistic for me. That ain't happening any more than I'm going to discover some hidden, great athletic talent and start playing baseball for the Yankees, or compete in the Olympics.

How might I plan for things like 'my wife needs home health aides at age 45 because she can't take care of herself' or how to deal with my kids' (justifiable) disappointment at or anger at their mom because she literally ate up their college fund, or because there were a lot of experiences that they simply could not have because of their mother's size? It'd be the same way with anything else...if it was drug addiction, you've got the same problems plus or minus issues with law enforcement. If it was something like mental illness that manifested itself through terrible life choices and abuse, that'd be even worse.

In addition: how might I advertise that I am willing to go on this journey with someone: to sit by their side in the hospital because they've had a pulmonary embolism at 29. To look at wheelchairs and walkers with them in their thirties. To be their nurse and caretaker - or to work hard at medicine to earn enough to pay home health aides. How might I signal that I am not only able but willing to be that kind of caretaker?

Have you considered that physical appearance is one of the most malleable things about a person, particularly for a person with a high income? I have no specific knowledge of what about you is unattractive, but you have the following options open to you:

  1. plastic surgery if it's an unattractive face or jawline or your ears stick out or whatever

  2. weight loss drugs if you're overweight

  3. testosterone replacement therapy + personal training if you have a severe lack of muscle mass. (Girls mostly really like muscle mass.)

  4. that leg-lengthening procedure if your problem is height

  5. wigs or medical hair replacement (dunno the clinical term) if you are balding.

This is an entirely serious comment. Western society has a stigma against trying to change your appearance in these ways, but if your appearance is an impediment to you living your best life, you should change it if you have the money, which it sounds like you will.

Do these have side effects? Yeah, probably. Life is full of tradeoffs. Still, given current medical tech the OP reads a bit like a (more expensive) version of "i am worried that no woman will ever love me because all of my clothes are ugly. Should i resign myself to dying alone, or just really go hard on settling?" My dude! Just buy some new clothes!

Self-acceptance is bunk. Engineer that shit away.

  • plastic surgery if it's an unattractive face or jawline or your ears stick out or whatever

Will get this the minute I can afford it.

  • weight loss drugs if you're overweight

I'm 5'6 and 160.

  • testosterone replacement therapy + personal training if you have a severe lack of muscle mass. (Girls mostly really like muscle mass.)

Hmm. I'm no slouch in the weight room: bench 225, squat 315, deadlift 345.

  • that leg-lengthening procedure if your problem is height

Maybe when I'm an attending; the recovery period is long and you never fully recover your athletic potential.

  • wigs or medical hair replacement (dunno the clinical term) if you are balding.

As soon as I can afford it!

Hell yeah, dude. Remake yourself as someone hotter! Nobody can stop you! FUCK THE NATURAL ORDER.