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Perimenopause Symptoms: What's Actually Happening to Your Body (And What to Do About It)

  If you've been feeling off lately — not sleeping well, snapping at people you love, skipping periods or having them more often than you'd like — you might be wondering if this is just stress, or something more. For a lot of women in their late 30s and 40s, the answer is perimenopause. And the frustrating part? Most of us were never told it was coming. Let's change that. What Is Perimenopause, Exactly? Per imenopause is the transition phase before menopause — and it can last anywhere from 2 to 10 years. It starts when your ovaries begin producing less estrogen, and it ends 12 months after your last period (that's when you officially reach menopause). The average age it starts is around 47, but it's not uncommon to see signs in your late 30s. And because the symptoms can look like so many other things — burnout, thyroid issues, anxiety, depression — it often goes unrecognized for years. The Most Common Perimenopause Symptoms Every woman experiences this transition...

Seeing the Barriers Up Close: What Underserved Care Taught Me as a New NP in Edmonton

Seeing the Barriers Up Close Beginning work with an underserved population can be shocking — not because the challenges are unknown, but because of how constant and layered they are. It quickly becomes clear that illness is often only one part of the story. Many patients are not just managing depression, anxiety, chronic pain, diabetes, addiction, disability, or trauma. They are also trying to survive unstable housing, poverty, food insecurity, limited transportation, gaps in medication coverage, and systems that are difficult to understand even for those of us working within health care. As a health care provider, it can be jarring to realize how much of the work extends beyond diagnosis and treatment. A patient may need a prescription, but first they need coverage. They may need counselling, but first they need transportation. They may need rest and stability, but first they need housing. They may qualify for AISH, Income Support, OAS, or other supports, but the process of applying c...

From Registered Nurse to Family Nurse Practitioner: A Personal Journey to Primary Care in Edmonton, Alberta

 People sometimes ask me when I knew I'd become a Nurse Practitioner. The honest answer is that I didn't know — not for a long time. My name is Kari Scinski, and I'm a new Nurse Practitioner working in primary care in Edmonton, Alberta. My path here wasn't a straight line. It was a slow accumulation of moments at the bedside that, eventually, made the next step feel inevitable. Why I Chose Nursing in the First Place Long before I was thinking about Nurse Practitioner programs in Alberta, I was a Registered Nurse trying to understand what good care actually looked like. The textbook answers were one thing. The hallway answers — the ones you only learn by being present with patients and families — were another. Nursing rewards anyone willing to slow down, ask the next question, and stay in a difficult conversation a few seconds longer than feels comfortable. That's the part of the work I fell in love with, and that's the part I refuse to leave behind as my scope...