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Had a patient who showed up for fent and amphetamines after doing his 48 hour fentanyl hold, he did 3 doses of his suboxone taper, then ran out in 0 degree weather, jumped a fence, and ran to the gas station at roughly 2PM. Because our census is low (lol) he was allowed to come back after being picked up by his gf. He showed back up SIX hours later, and his urine still had fentanyl (48-72 hours), amphetamines (72 hours ish) and methadone for some reason. Methadone is a 72 hour hold before using Suboxone so he was informed of this. Day 2 since he's been back, still not on suboxone, still not showing withdrawal symptoms, still just hanging out in his room by himself. So I do a repeat urinalysis on him and he's STILL got fentanyl and meth in it. So one of the techs decides to test his vape oil which was positive for fentanyl, cocaine, meth, amphetamines, opioids. Dude's just been sitting in his room this whole time at detox, vaping his balls off. When confronted with this and being told he was being discharged, he just said "drat that's crazy" packed up and left. Merry Christmas!
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Dec 25, 2022 20:57
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FizFashizzle posted:I get an extra 8 hours PTO per holiday shift, but I alternate 7s with another provider and it's just how it fell. Plus she has a young kid and I'm just a degenerate in my late thirties without a family As someone who was the mid thirties degenerate that now has a young family, thank you for showing up so your coworker can be with their kid. That stuff matters a lot.
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Dec 25, 2022 21:33
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Its Rinaldo posted:Happy Xmas from Panda, my fellow goons. merry xmas, panda 
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Dec 25, 2022 22:18
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My in-laws got my son a large, loud, annoying train for Christmas. It’s pretty much the ideal grandparent gift that the kid will love and annoy this poo poo out of my wife and I. My cat is also visibly annoyed, but that’s her normal state anyway. Other than that, all the gifts were well received. Now we’re back home and attempting to relax.
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Dec 25, 2022 22:22
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FizFashizzle posted:
I agree with that guy vaping fentanyl, cocaine, meth and opioids while in detox: vaping fentanyl, cocaine, meth and opioids while in detox is crazy.
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Dec 25, 2022 22:24
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Merry Christmas to all of you, your families and pets!
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Dec 25, 2022 23:11
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My parents got my son a Yamaha 50cc dirt bike for Christmas and I think he's the happiest kid on earth.
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Dec 25, 2022 23:14
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Quiet Feet posted:"Meowy Christmas" was right there dude. I prefer Meowy Christmouse but ok.
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Dec 25, 2022 23:27
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wandler20 posted:My parents got my son a Yamaha 50cc dirt bike for Christmas and I think he's the happiest kid on earth. I got my cousin a skateboard when she was 10 but unfortunately her mom was a family practice doctor so that "disappeared"
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Dec 25, 2022 23:30
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One of my brothers got a bow and arrow set from some dumb but well meaning extended relatives because he's half Siletz and they thought it would help him get in touch with his Native American culture. He immediately used it to shoot at his friends in dumb Jackass style stunts because there's nothing else to do in rural Eastern Washington in the winter as a teen boy when you get bored with video games.
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Dec 25, 2022 23:51
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I burned the Mignon  but at least the scalloped potato’s came out perfect.
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Dec 25, 2022 23:55
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FizFashizzle posted:Had a patient who showed up for fent and amphetamines
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Dec 25, 2022 23:55
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Tulalip Tulips posted:One of my brothers got a bow and arrow set from some dumb but well meaning extended relatives because he's half Siletz and they thought it would help him get in touch with his Native American culture. He immediately used it to shoot at his friends in dumb Jackass style stunts because there's nothing else to do in rural Eastern Washington in the winter as a teen boy when you get bored with video games. It brought me some joy if that helps
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Dec 26, 2022 00:01
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 Porterhouses are in. See y'all in an hour.
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Dec 26, 2022 00:07
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Braksgirl posted:I prefer Meowy Christmouse but ok. I'm uncomfortable with the idea of Christmouse and the implications it has for Easter.
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Dec 26, 2022 00:14
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How the gently caress is that in a vape?
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Dec 26, 2022 00:18
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https://store.epicgames.com/en-US/p/death-stranding Free on Epic Merry Christmas!
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Dec 26, 2022 00:26
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 Sister baked chocolate chip & walnut cookies. These finished before dinner so the temptation is real.
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Dec 26, 2022 00:27
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No Butt Stuff posted:How the gently caress is that in a vape? I have no idea. I hope it comes with a side of Narcan.
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Dec 26, 2022 01:02
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I guess I'm really naive. How are people in a detox program allowed to vape at all?
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Dec 26, 2022 01:04
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Because when you try to take away nicotine from someone quitting other substances its a god damned nightmare.
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Dec 26, 2022 01:08
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Warm and have electricity in Texas, Merry Christmas
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Dec 26, 2022 01:47
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Merry Christmas you numbskulls.
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Dec 26, 2022 01:51
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Ain't no way all that was in a vape
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Dec 26, 2022 01:53
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Android Apocalypse posted:
Good lawd those look good.
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Dec 26, 2022 01:55
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saintonan posted:I guess I'm really naive. How are people in a detox program allowed to vape at all? Around here they aren't but cigarettes are allowed at scheduled smoke times.
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Dec 26, 2022 01:56
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Android Apocalypse posted:
Another Baker having a good night I see!
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Dec 26, 2022 02:03
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Pretty sure that was intentional but I think AA is incapable of taking a picture without wings in it somehow.
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Dec 26, 2022 02:04
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Christmas dinner main-- pepper crusted tenderloin 
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Dec 26, 2022 02:11
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Amy Pole Her posted:I couldn’t keep interest. Made it like 3 episodes in after thinking I’d love it The Peripheral is based on a William Gibson novel of the same name and TBH as much as I'm liking the show (and it definitely took some time to get going) I think the book is far better.
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Dec 26, 2022 02:14
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Qwijib0 posted:Christmas dinner main-- pepper crusted tenderloin gently caress that looks good
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Dec 26, 2022 02:20
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I'm not normally a black coffee guy but after having a bunch of cookies and sweets there's something really nice about the bitterness.
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Dec 26, 2022 02:25
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BrownThunder posted:Ain't no way all that was in a vape Never doubt the ingenuity of vice
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Dec 26, 2022 03:19
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  8 and 12 pound boneless ribeye roasts done with a sous vide for 9 and 11 hours respectively at about 135, then each seared in an oven at 550 convect for about 15 minutes. I'm going to die from meat belly
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Dec 26, 2022 03:22
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BrownThunder posted:Ain't no way all that was in a vape you can vape anything https://www.youtube.com/watch?v=-ayzC8Z6KlU&t=305s
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Dec 26, 2022 04:38
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If you need to heat to activate, and you can condense into a liquid that fits in a cartridge, you can vape it. You fuckin SHOULDN'T but that's not logistically that hard (before you begin interacting with volatile chemicals).
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Dec 26, 2022 04:52
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Silly Burrito posted:Ours did the same thing. No idea why they like being under the tree so much. I had my tree up since the beginning of December, but no tree skirt because I don’t have one, and the cats didn’t give a poo poo. Girlfriend brought one of her tree skirts over last week because she has like four, and both of the cats immediately went and loafed under the tree all day.
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Dec 26, 2022 05:08
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T-Square posted:I had my tree up since the beginning of December, but no tree skirt because I don’t have one, and the cats didn’t give a poo poo. Girlfriend brought one of her tree skirts over last week because she has like four, and both of the cats immediately went and loafed under the tree all day. my roommate bought a really nice tree skirt and one of the cats has made it his mission to destroy it by making GBS threads on it at least twice a week since she laid it out
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Dec 26, 2022 05:26
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My cats are both plant eaters so we didn't even try with a tree or wreath to avoid them eating anything poisonous. In particular Lena loves eating roses and thankfully those are fine for cats though. Now that my folks are gone we're not really doing Christmas anymore and I'm pretty okay with it. Just relaxing with my cats and eventually breaking out the Switch to finish up Pokemon Shield.
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Dec 26, 2022 05:46
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Silly Burrito posted:Pretty sure that was intentional but I think AA is incapable of taking a picture without wings in it somehow.  I didn't notice the wing rub pack until after I posted.  Sister & her husband went in on part of a cow, so tonight I sous vide some porterhouse steaks while she made broccoli casserole & sweet potato fries. Alas my sister convinced me to not pan sear the steaks since it would've smoked out the house so I tried using her broiler with  results.Also finally watched Knives Out. I see why people enjoyed it!
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Dec 26, 2022 06:08
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