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FizFashizzle posted:I had a young guy wednesday night who admitted to taking an entire box who was loving wired. BP was 170/100. Oof, drat. I don't usually get to see that end of things from behind the retail counter. I did have a patient sweating and complaining that she left her beta blocker at home today, so I tested her and the auto reader came back 230/110. I told her to sit still while I got her a bottle of water and a dose of what was on her profile while we called 911 and she just.... disappeared by the time we turned around. Couldn't find her, no idea what happened. I hope she took my advice and went to the ER.
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Oct 6, 2019 03:02
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Dr. Red Ranger posted:
Neurontin is the number 2 drug now for people doctor shopping in the ER. The first? Antibiotics. Injection site MRSA has become so prevalent ABx are worth their weight in gold.
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Oct 6, 2019 03:02
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Perhaps we should do something about a society that is apparently so intolerable to live in that countless people are attempting to abuse whatever they can possibly get their hands onto to get a high.
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Oct 6, 2019 03:04
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FizFashizzle posted:Neurontin is the number 2 drug now for people doctor shopping in the ER. Man I can believe that about neurontin. I never would have guessed antibiotics though. So is this people shooting up, noticing suspicious activity at their injection sites and coming to the ER with an abx in mind?
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Oct 6, 2019 03:05
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FizFashizzle posted:Neurontin is the number 2 drug now for people doctor shopping in the ER. Yet another thing to add to the list of utterly terrifying poo poo in today's society.
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Oct 6, 2019 03:09
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King of Foolians posted:Ok so when the Ukraine call transcript was first released it was kind of important that there wasn’t an explicit quid pro quo (that Trump specifically outlined on the call). However, everyone could see that there was an implied threat in Trump’s classic mob shakedown. i mean pompeo is a dead eyed evangelical who probaly knows trump is hosed deep down, so now he can jerk off to being a martyr for a terrible cause, like most evangelicals.
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Oct 6, 2019 03:11
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Dr. Red Ranger posted:Man I can believe that about neurontin. I never would have guessed antibiotics though. So is this people shooting up, noticing suspicious activity at their injection sites and coming to the ER with an abx in mind? It's two things. The first is people that have serious need that are pocketing and selling them. Every homeless person in east tennessee has endocarditis from shooting up drugs. patients who are just like, dealing with endocarditis will get their prescription and flip it for drugs, because someone on the street knows they need it. everyone has smart phones, they can all research what their symptoms are and what they need. The other is people with whatever hoping they can get a serious ABx prescription. So like someone has whatever, usually an abscess or something and comes in asking for a 5th gen ceph, because they're valuable.
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Oct 6, 2019 03:11
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Huh, well that's equally interesting and awful. I'm trying to land a hospital job over here at site I earned all my intern hours, and I know the local patient population is rife with HiV. We're also poor as hell up here in Northeastern Louisiana and something insane like 40% of our city of ~39k live below the poverty line. Makes me wonder what our "drugs of abuse" are.
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Oct 6, 2019 03:17
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the drugs derail kicks rear end
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Oct 6, 2019 03:17
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Sandtrout Catsuit posted:I've had patients who snorted splenda, salt, powdered drywall, and of course any pharmaceutical they could cheek. Had a guy who was selling crushed melatonin for $200. People will snort anything. There was some weird kid back in high school who smoked a literal fern he found along the side of a road, and that kid still isn't as dumb as a dude who blasts drywall dust up his nose willingly. 
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Oct 6, 2019 03:18
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Dr. Red Ranger posted:Huh, well that's equally interesting and awful. I'm trying to land a hospital job over here at site I earned all my intern hours, and I know the local patient population is rife with HiV. We're also poor as hell up here in Northeastern Louisiana and something insane like 40% of our city of ~39k live below the poverty line. Makes me wonder what our "drugs of abuse" are. Oh my god you're a saint. What's the STD rate like there? What's your specialty?
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Oct 6, 2019 03:20
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EwokEntourage posted:There’s nothing in the Sudafed pictured that you couldn’t get in the us. Here is what is pictured https://www.sudafed.co.uk/products/mucus-relief-day-night-capsules#how-to-use here is a similar American versions https://www.sudafed.com/products/sudafed-pe-head-congestion-mucus. The UK Version has caffeine while the American one has the generic ingredient in mucinex. Whether pooping a bunch of Sudafed explains his symptoms or not, there’d be no reason to have people stock up on in England and smuggle it back so he is basicaly hitler who was constantly on uppers. so his brains breaking because of age and narssism and he is perpetually high.
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Oct 6, 2019 03:22
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All of this to protect Donald loving Trump. lol
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Oct 6, 2019 03:22
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1glitch0 posted:All of this to protect Donald loving Trump. lol like i know its because he is an oppertunist but jesus, i feel like this is really bad road to go down on. maybe trump does have poo poo on him.
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Oct 6, 2019 03:24
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Dr. Red Ranger posted:I can, unfortunately, second this. Adderall is, in broad strokes, methyamphetamine but tempered by delivery as a series of salts. But people can and do abuse it because like any other psychoaffective medication, the objective is functional normalcy and not a high. So people who want a high take more than they need, badaboom. Is Gabapentin not supposed to give you a high? I had to stop taking it because it feels exactly like when I take too strong an opiate or when I have to take one on an empty stomach. Which is to say it still feels like I'm high but I'm too fuzzyheaded and nauseated.
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Oct 6, 2019 03:25
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Strange Poon posted:Is Gabapentin not supposed to give you a high? I had to stop taking it because it feels exactly like when I take too strong an opiate or when I have to take one on an empty stomach. Which is to say it still feels like I'm high but I'm too fuzzyheaded and nauseated. Take enough of it, you'll get high. In Ohio it's more prescribed than oxy.
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Oct 6, 2019 03:27
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In Canada you can order weed online and it comes in the mail like an Amazon package.
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Oct 6, 2019 03:30
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FFT posted:It's basically meth, so, Maybe there is some sort of event horizon that you cross and it comes out feeling great or the difference between having ADHD or not, but a double dose just made me feel like utter poo poo until it wore off. It was too much coffee unpleasantness x1000. It had been years and I still remember it negatively. And I know people will abuse anything given the chance. A local ice cream maker had all their inventory wrecked by someone huffing the entire refrigerant charge of their industrial freezers.
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Oct 6, 2019 03:41
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Slowpoke! posted:In Canada you can order weed online and it comes in the mail like an Amazon package. Yeah or just go to the store like California, Colorado and other states. Before it was legal there were (and still are) black market MOMs that had pretty good service, from what I hear from a friend.
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Oct 6, 2019 03:49
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Shimrra Jamaane posted:I honestly wonder how well the question “would you support the President just shutting the gently caress up” would Poll.  https://www.google.com/amp/s/amp.usatoday.com/amp/660434002
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Oct 6, 2019 03:51
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Lmao I want to hear more opinions from the 2% who think he should use Twitter more.
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Oct 6, 2019 03:52
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Arglebargle III posted:WRT both Laure Engels Wilder and Climate Change the settlers on the American Great Plains have been victims of junk science cooked up to benefit industry from day 1. The aridity of the Great Plains was a known problem to basically anyone with an education, but railroads published junk science that claimed that plowing and settling land caused rain. This was sort of seen as a quasi-scientific, quasi-divine phenomenon that rewarded good Christian cultivation of the land. This did not save anyone from the droughts but it did give them the psychological cover to furiously deny their farming practices had anything to do with their failed farms. So wait a sec; people go on about Lysenkoism in the former USSR and how socialism is why agriculture wasn't as successful it could've been, but the US had their own version of failed agricultural practices based on wishful thinking this entire time? And largely because of capitalist motivations?!
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Oct 6, 2019 03:56
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Delthalaz posted:Lmao I want to hear more opinions from the 2% who think he should use Twitter more. I'm amused that the percentage of people that think he should tweet more is the errorbar itself.
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Oct 6, 2019 03:58
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Delthalaz posted:Lmao I want to hear more opinions from the 2% who think he should use Twitter more. It's basically the C-Spam trump thread.
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Oct 6, 2019 03:59
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It’s pretty much this guy https://twitter.com/papapishu/status/746803108949409793?s=21
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Oct 6, 2019 04:03
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Delthalaz posted:Lmao I want to hear more opinions from the 2% who think he should use Twitter more. i think he uses it too much and should use it more, those aren't necessarily answers to the same question  it's not like he can do that much more damage to the fabric of our society with tweets, and they're a great way to keep his nonsense visible which appears to hurt GOP approval
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Oct 6, 2019 04:07
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The people who lick his boots every tweet are part of the 2%
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Oct 6, 2019 04:07
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Tayter Swift posted:Might say this doesn’t pass the smell test the *SNNIFFFFFF* test
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Oct 6, 2019 04:10
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Strange Poon posted:he probably stockpiles it because he's dumb enough to think it works and/or someone he normally got his psuedo from was able to get UK cold medicine in bulk cheaper and is ripping Trump off. i mean there are a number of explanations but whatever it is i think we can all agree: trump's at least trying to get high and he's an idiot I'm just amazed people are only noticing that in the photo *now*.
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Oct 6, 2019 04:11
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Delthalaz posted:Lmao I want to hear more opinions from the 2% who think he should use Twitter more.
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Oct 6, 2019 04:13
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https://twitter.com/politico/status/1180680397904068609?s=19
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Oct 6, 2019 04:16
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FizFashizzle posted:Take enough of it, you'll get high. Gabapentin is easy to get, relative to other drugs that can get you high, and has very few long term side effects. It’s basically alcohol in pill form. The best way I can describe long term use of gaba is to say it’s like constantly being inebriated. You’re kinda dumb, forgetful, and mistake-prone...but you feel really good about it.
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Oct 6, 2019 04:17
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i mean, he can't get rid of it anyway since alot of its on those computers.
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Oct 6, 2019 04:18
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Raenir Salazar posted:So wait a sec; people go on about Lysenkoism in the former USSR and how socialism is why agriculture wasn't as successful it could've been, but the US had their own version of failed agricultural practices based on wishful thinking this entire time? And largely because of capitalist motivations?! https://en.m.wikipedia.org/wiki/Rain_follows_the_plow
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Oct 6, 2019 04:19
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KILLARY ACID WASHED IT SO I CAN TOO!!
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Oct 6, 2019 04:21
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Raenir Salazar posted:So wait a sec; people go on about Lysenkoism in the former USSR and how socialism is why agriculture wasn't as successful it could've been, but the US had their own version of failed agricultural practices based on wishful thinking this entire time? And largely because of capitalist motivations?! sorta different types of bullshit because the soviet scientists knew better by lysenko got in deep with stalin and that was that until kruschev and than mao adopted parts of it because he liked stalin and believed the various bullshit. but yeah pretty much. there is a great behind the bastards on lysenkoism and its effects in russia and china.
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Oct 6, 2019 04:25
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In SWIM's experience, the biggest drawback to gabapentin abuse is that you build up a tolerance insanely fast.Delthalaz posted:Lmao I want to hear more opinions from the 2% who think he should use Twitter more. I think it's 1) funny, 2) politically useful, 3) historically useful, and 4) insanely loving funny to know when and why the president is pissed off
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Oct 6, 2019 04:28
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FizFashizzle posted:Oh my god you're a saint. What's the STD rate like there? What's your specialty? Nothing cool; just a generic PharmD that couldn't get a residency. The job market is in freefall and everything's on fire so I'm trying to at least get my student loans paid off before pharmacist pay drops too much more. Either way, I wanted to work hospital, completed all my intern hours at one and .... the opportunity never came. Then Ocshner bought them out, fired the CEO, consolidated management between it and the sister hospital two hours away, and the new pharmacy manager is a new guy my age who graduated a couple years before I did when jobs were still available so he has ~experience~. I don't expect to get the job because it seems like they're getting statewide applications but I have to try. As for STD's I don't have the local data but Louisiana's been topping the charts for years.
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Oct 6, 2019 04:39
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I am the 2% who thinks Trump should tweet more. This poo poo we are seeing deserves its own section at the Smithsonian. Just blow the tweets up and hang them on the wall.
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Oct 6, 2019 04:40
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Shifty Pony posted:Maybe there is some sort of event horizon that you cross and it comes out feeling great or the difference between having ADHD or not, but a double dose just made me feel like utter poo poo until it wore off. It was too much coffee unpleasantness x1000. It had been years and I still remember it negatively. Keep in mind that everyone has different brain chemistry so a dose that gets you vibrating through the floor gets another person sky-high. I’ve noticed this with opiates as the few times I’ve been prescribed them I found them insanely pleasurable and totally understood how people could get addicted to them while most of my friends can’t stand them as they make them sick. Meat computers are weird.
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Oct 6, 2019 04:44
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