Mixing dilaudid and hydrocodone

Collapsed Trachea - Enlarged Heart/Murmur - Maltese/Chihuahua Mix

2024.05.07 13:03 clabern Collapsed Trachea - Enlarged Heart/Murmur - Maltese/Chihuahua Mix

Hey everyone. Going through some high stress with my sweet Malchi, Khaleesi, and wanted to get some input from you all.
She's a 9 years old maltese/chihuhua mix we got as a pup at around 6 months old. She's been an amazing family member but things started going downhill with her health about 6-7 months ago.
TL;DR: Malchi has collapsed trachea, with heart murmur, and enlarged heart. Has been fine for a few months now with little to no coughing episodes. We just spent a week at the beach where she had a blast and no issues. On Sunday we played a little game of run around the couch and when I realized she was out of breath she started wheezing and passed out. Last night at 1:30AM, while sleeping in bed with us, she woke up, coughed a bit, and passed out again. Seeking vet assistance today, but wanted community input.
She was diagnosed with a heart murmur over a year ago which progressed pretty rapidly and she was put on pimobendan (1.25mg twice a day) and has been on it ever sense. In September 2023 she developed a tooth abscess which broke through on her face and took some time to diagnose as an abscess, but she eventually had dental surgery to extract the tooth and all healed up without issue.
On December 26th, 2023 she began coughing/hacking/wheezing/honking almost non-stop. Emergency vet x-rayed and basically told us she had collapsed trachea, enlarged heart, and probably congestive heart failure. They recommended she start additional heart meds, and gave us hydrocodone for cough. We got in to normal Vet ASAP who, at the time, assumed the emergency vet was correct and prescribed additional heart meds, but advised us to seek heart experts at local university vet. At one point in between all this she had a coughing fit while laying on couch with my partner and then collapsed/feinted/pass out.
We immediately decided to seek attention at the uni vet via their emergency services first who prescribed theophylline which seemed to work well. We then visited their cardio team and had an ECG done. They ruled out congestive heart failure, but confirmed slight tracheal collapse and enlarged heart. Recommended staying on pimobendan, but no other meds. Giving hydrocodone as necessary. They actually thought the coughing was possibly a respiratory issue. She slowly recovered from cough and had been mostly issue free (outside of what we assume is an allergic reaction to something outside a month or so ago which caused some swollen area under her chin).
We spent the last week at the beach on vacation and she had a blast, no issues at all. Few walks on the beach (nothing fast paced) and she loved it (I carried her for some walks too, just in case).
We got home Saturday and everything was fine. Sunday while in the basement she got the zoomies and I chased her around the couch a bit, quickly realized she was out of breath so I stopped and sat down with her on floor and she started coughing. Within a minute she went off balance and fell over. She moaned a bit, legs stretched out, eyes rolled back, and let out the most gut-wrenching cry I've ever heard and was out. I swear I couldn't feel a heart beat. I freaked out, grabbed her up and started compressing a bit on her chest while running to get my partner. She came to within a few minutes and was obviously distraught but eventually seemed fine. I didn't immediately seek medical attention because I knew of the collapsed trachea and passing out, and felt it was my fault for letting her get so worked up/out of breath playing.
Then last night at 1:30AM we woke up to a cough and immediately realized she was passing out again. Same situation, but concerning since she had been resting/sleeping in bed with no intense exercise/etc.
I haven't noticed any blue gums/etc to indicate severe oxygen loss ( so far, I also didn't immediately look for it).
I'm just stressed to the max since we love her so much. Hoping the vet can help. I'm going to ask about theophylline again in hopes it's just oxygen loss and it can help.
Any advice/words of wisdom are greatly appreciated, and sorry for the wall of text!
submitted by clabern to Chihuahua [link] [comments]


2024.05.04 21:33 hecka-tea Which episode does Mark talk about not getting the proper painkillers after surgery?

It’s not “We Got Screwed” or “Oh Sh*t Moments” but basically he had surgery and the doctors mixed up the IV meds do he wasn’t getting proper painkillers. Mark told a nurse that he didn’t want to die, and then when a nurse checked with the pharmacy she realized the mistake. They gave him dilaudid afterward.
I’m like 80% sure he talked about this on the podcast at some point…but maybe I’m getting this confused with a video of his (I know in a different video he mentioned that Tyler’s mom was the nurse who caught the mistake).
TIA!!
submitted by hecka-tea to distractible [link] [comments]


2024.05.04 10:59 Golanth_425 Chronic pain vs constant pain

So I've been prescribed ldn for chronic pain, inflammation and immune support. I'm down for all the benefits if in the long run it's going to be worth it. I have recently been diagnosed with hEDS, I know I have POTS with an occasional mix of orthostatic hypotension, and I most likely have MCAS though not officially diagnosed, but seems extremely likely given response to steroids, benadryl, monteleukast and famotidine. So my big question is related to pain. I have been on Lyrica for years for various neurophathies, brachial plexitis being the most profound (my shoulders are hypermobile). I've also been on Tramadol scheduled and hydrocodone for breakthrough pain. I have scoliosis with hypermobility in my lumbar spine which causes sciatica, sacroiliac joint dysfunction which is just pure pain but that comes and goes. I do get headaches, especially tension headaches (my C-spine is also hypermobile). Now these pains have been for years, so they are chronic but not constant as I imagine in fibromyalgia. I am completely off opiates, and started LDN only about two weeks ago and I stated as prescribed 1.5mg TID and really can't say that there were side effects. But what do you do if you have acute exacerbations of pain? I recently had an acute kidney injury related to NSAIDS, though that was completely my fault with combining those with other meds that are hard on the kidneys, but it served its purpose and I've backed off the ibuprofen. So that pretty much leaves Tylenol, but with the risk of liver damage (I only drink alcohol once every week to two weeks socially with friends). But is it safe in the long run and taking with Naltrexone which is also processed through the liver? I also take Turmeric, ginger, fish oil, glutamine, serrapeptase, apricot kernels, probiotics with prebiotics, eat a low carb diet, and drink occasional green tea. What's left? I've been doing PT for 7 months now but there's always still the flair up of pain, some of it is modifiable and some of it is not. Will LDN ultimately block all pain at some point? I do make use of heat and ice, use a TENS and have icy hot with lidocaine for the back and shoulders, and peppermint essential oil for the headaches. Any advice is welcome as I sit here writing this on the couch with the very old Mastiff who isn't helping the back pain at all.
submitted by Golanth_425 to LowDoseNaltrexone [link] [comments]


2024.05.01 22:44 youlooksofine82 Narcotic drip bolus dual sign off

I've worked critical care for many years. We have dual sign off for high risk drugs. When it comes to changing the rate of a narcotic infusion we must have a dual sign off. We never had to do it for a narcotic bolus, like Fentanyl or Dilaudid. Recently, there was a change to the narcotic drips in our health record and with that change the boluses not require to 2 RN sign off like a change in rate. It is insane to me that we have to do this now, especially if we don't have staff and with transports to CT. I'm getting mixed messages from leadership, APN and pharmacist regarding whether it's staying or just an error. Just for reference I work in California incase there is some sort of unique regulations.
What does other facilities do with these drips and boluses?
submitted by youlooksofine82 to nursing [link] [comments]


2024.05.01 17:50 Dishy22 End stage cancer - home or facility

My father was diagnosed with lung cancer in early April which is in both lungs and his ribs. This has caused him immense pain.
At this time he's on a 50mg fentonyl patch, and 6mg Dilaudid every two hours or so with a dash of lorazapam as needed.
We are to the point where dad barely eats or drinks and awakes in significant agitation and confusion. My brother and I are primary caregivers with some outside help.
We are finding our hospice team to be slow to respond (even for just an estimated time to expect the nurse to arrive) and they have failed to provide timely medications 3 times in the last two weeks we've been doing this.
While my brother and I both want to care for our dad we are unsure if the care we are providing is adequate. We are wondering if finding a facility will provide him better care and possibly less stress on him. His physical care as toileting becomes more difficult is also a concern as he's frequently denied help with cleanups from accidents.
My heart is breaking, this is all happening very quickly (something I have very mixed feelings on.) I don't know the right call.
submitted by Dishy22 to hospice [link] [comments]


2024.05.01 07:55 OfficialMilk80 Does Kratom show up on 5-panel drug tests?

I’m asking for a friend - I found this per Department of transportation’s official government website:
“The DOT testing at HHS-certified laboratories is a 5-panel drug test regimen. As of January 1, 2018, the ‘Opiates’ category was renamed ‘Opioids’:
Marijuana (THC) Cocaine Amphetamines Opioids Phencyclidine (PCP) Under ‘Opioids’, previously ‘Opiates’, DOT testing will continue to include confirmatory testing, when appropriate, for Codeine, Morphine, and 6-AM (heroin). We added initial and confirmatory testing for the semi-synthetic opioids Hydrocodone, Hydromorphone, Oxycodone, and Oxymorphone to this Opioids group. Some brand names for the semi-synthetic opioids include OxyContin®, Percodan®, Percocet®, Vicodin®, Lortab®, Norco®, Dilaudid®, Exalgo®.”
All that in short to ask, does kratom fall under one of these or qualify as any of these? Specifically the Opioids part? I know Mitragynine/7-HO-Mitragynine is molecularly different than all the other opioids.
Has anyone been tested with a 5-panel drug test who uses kratom? Have you ever had a false positive for any other opioid from using kratom?
Thanks in advance for any info 🙏
submitted by OfficialMilk80 to KratomKorner [link] [comments]


2024.04.29 08:21 cjwack Talking Cats, Hearing Voices, Animated Tapestries, and More Tripping Acid with a Family History of Schizophrenia

Proof read, edited, and formatted to hopefully be easy for The Trip Keeper to read on YouTube.
A lil about me: I have a family history of schizophrenia with two people in my family being diagnosed. I think that's why psychedelics hit me like a train. I know I'm one of the folks they say shouldn't tripping but I've already done it and I am not stopping anytime soon. I'm quite the spiritual hippie type. I live for the esoteric, bizarre, and werid side of tripping. I'm also quite experienced with psychedelics and drugs in general having tried alcohol, cigarettes, vapes, kava, Kratom, weed, oxycodone, hydrocodone, percocet, Hospital Morphine, Adderall, Ritalin, Vyvanse, Conserta, Nitrous, Acid, Shrooms, n-BOMEs, Synthetic shrooms, random Acid non n-BOME RCs, Hydroxyzine (only snorted while drunk), Phenibut, Promethazine w/o codeine, blue lotus, and a bunch of random herbs and nootropics.
A little context to story, I had got some liquid Acid dropped on Bottle Caps Candy from a family member we'll call R. R had called me up informing me he had liquid LSD and to bring a chalky candy when I came to pick it up. He dosed the candy in another room when I picked them up. When he brought them back there was a thick layer of liquid struggling to absorb into each hit so we smooshed another piece on top of each one, 3 tabs altogether. He told me each one was an equivalent of 2 to 3 hits of high quality LSD. I also hadn't tripped in 6 months at this point but that's a story for another sub. Though the reason why didn't have much to do with tripping itself nor anything fun like psychosis.
A couple days later I found myself with my bills caught up, a slow night on Doordash so no work, extra money, weed, some cigarettes, and my roommate was out visiting Family. I had showered and ate some Chinese before taking a short nap. When I woke up it was around 9pm, obviously already dark outside. I was in a good mood, had nothing to do, and didn't want to go back to sleep so I slapped an LSD bottle cap on my tongue and went for a walk.
One of the pieces dissolved really quickly, like less than a minute quick, while the other piece took atleast 15 to 20 minutes fully dissolve. I was slightly nervous about tripping the days prior and was even a lil scared before placing it on my tongue; but, that fear was completely annihilated when 5 to 7 minutes in I felt this electric tingle that started in the back of my head go down my spine. I started smiling, feeling super happy, and chilled out when the tingle reached the base of my spine. I thought to myself, "Wow, I can't believe I was scared to trip again, I feel amazing right now!!" I lit a cigarette and enjoyed my walk for awhile until I started coming to the end of a col-de-sac, the street I was on was on a downward slope I think this affected things but the end of the col-de-sac and the houses started stretching super tall and became super thin kind of like a fun house mirror. I was completely mesmerized by it till I was interrupted by this electric beeping that made my skeleton nearly jump out of my skin. I had looked over and saw this gray box with 2 pink lights on it sticking out of the ground and assumed that's where the beeping came from. I then straight sprinted home cause I wasn't sure if it was hallucination or not. I did go back a few days later and couldn't find the box.
After opening my front door the night is hard to remember linearly but I will try my best. I don't have the texts anymore from this night since I got a new phone. Once I got back home, I had to use the bathroom so I went did my business but while washing my hands I looked in the mirror and noticed my pupils are starting to look a lot like bowling balls. It was then, I noticed the reflection of the SpongeBob, Sandy, and Patrick on ketamine meme my roommate printed out and pinned on the wall. Their eyes were dilating more than normal and they were all swaying back and forth. I texted R to tell him I finally tried the acid and it's strong. It's roughly 10:40p.m. by this point, even though it had been 1 hour 40 minutes since dropping it had only felt like 30 or 40 minutes ago at the most. I was about to sit down and do a dab but I got a almost telepathic sense I was about to throw up rather than a physical feeling I was about to. After throwing up I texted R freaking out questioning if it was acid since it's not supposed to make you nauseous. He just told me "too much too fast" "calm down put your phone down and be safe". I didn't put my phone down.
I started finally doing some dabs after 2 or 3 big rips I looked over and saw 2 shadow people. One was a little girl with blonde hair, a yellow sun dress, no face, instead was an empty void. It was as if her head was an empty shell and her face was the hole. The other one was a middle aged man with short blackish gray balding hair dressed in overalls, no shirt, work boots, also no face. The second shadow person looked a lot like one of my deceased uncles. They didn't feel menacing or demonic nor even holy as one would expect an encounter of this type. I got up and walked to my kitchen probably to get water but I got distracted by a third shadow person who was a woman but I didn't get too good of a look before being distracted by my thoughts. I started stretching and thinking to myself, "well atleast the dark isn't so scary anymore compared to being schizophrenic" at the time it did feel very profound aswell as I am now genuinely less scared of the dark. There's also cardboard cut outs of the Elysian Full Haze and Full Contact IPA cans hung up in my kitchen. People were walking in and out of the giant head on the Full Haze poster, I thought they were sacrificing themselves to the massive head. Thought the dude on the Full Contact poster was holding my brain aswell.
I remember it was around this time the body load and vasoconstriction was getting so intense that my arms and legs felt lankier than normal and my jaw felt like it was wired shut. I drank some water and brought a glass back to my room. When I came back the ocean thunderstorm tapestry above bed had the clouds and ocean actually moving with the lightning striking. I have string lights behind that tapestry that wrap around to the conjoining wall. The string lights looked like technicolor rainbow stars forming beautiful constellations. Normally, they are only blue, yellow, green, red and twinkle but during the trip some were changing colors to pink, purple, violet, orange, and more colors that don't exist. While the tapestry was animated, it had no sound. There's a framed painting of a deer in a forest during the sunrise on the same wall. The light in the painting was actually coming through the painting as if it was a window with sunlight shining through. The deer even had his head down grazing when normally he has his head turned towards the viewer of the painting. I layed down and decided to throw on some music. I couldn't decide on a song, I hit skip on Spotify at least 30 times before settling on Pink Floyd's Comfortably Numb, cliche I know, but they're one of my favorite bands and usually seem to find me when things start getting intense on psychedelics. I couldn't actually read anymore so I only knew it was Comfortably Numb by the hook and album art.
As I layed in bed I started stretching out and looking around the room. I finally started to relax a lil and calm down from thinking these were possibly nBOMes. I started to really lose myself in the trip. The slight movement of my air mattress made feel like I was floating on the ocean sea, which gave way to a euphoric sense of oneness and that I am an ocean of pure consciousness. The string lights above my bed were twinkling and reflecting slightly off the ceiling. The reflections were blending with the moving geometry on the ceiling. Next, I looked up at my Pokémon 20th anniversary poster. It was a bunch of black and white silhouettes of starter Pokémon from the first five or six gens with the ones in the middle being colored and shaped like Pikachu's head. Every silhouette was pulsating and almost bubbling.
At one point, I watched this abstract splatter colored tapestry for what felt like two hours, in reality it was probably only 30 or 40 minutes at the most. There were rotating hexagonal and octagonal pillars shooting out of the tapestry between the pillars it appeared to boil, the bursting bubbles had sparks flying off of them.
I can't remember exactly when this happened in the night so might as well stick it here. While hanging out in my bedroom, I got up to do what else but smoke more dabs. I did multiple in a row where I would do the whole ritual and forgot I had done so and follow it up with another. While sitting there, I light a cigarette to pass time and to just smoke more while conserving a lil on the wax. On my second or third cigarette in a row I started thinking to myself out loud that, "Ya know, Family Guy is right!! Vaping does look pretty fucking goofy. My twin flame out there probably thinks vaping looks goofy as fuck!! And smoking might look cool to some bitches but they give you cancer and shorten your life. It's less money for weed and psychedelics. I think after tonight I'm done smoking forever." I chain smoked a few cigarettes.
I think this is when I started hearing voices in my head. I was hearing random YouTubers, friends, celebrities, family members, and other random voices saying random words over over again. I truly thought I was hearing my sleeping neighbors' thoughts. I genuinely believed I had Telepathy. The only words I could make out vividly; however, was The Trip Keeper saying, "Gassid" over over like it was a soundbyte looping. At the time I took this as a sign to do Nitrous with Acid and that there was something spiritual I needed to see/experience from it. I was right, however this wasn't the night I did that combo as I had no nitrous at the time and it's an equally crazy experience but shorter story. I'm planning on posting that experience soon, also DO NOT huff nitrous it actually KILLS your brain cells.
Thoroughly freaking out again about hearing voices. I start frantically texting R, however I can't remember what for though. I even vividly remember asking R what would happen if I took more phrasing it "will things get more colorful or last longer?" He never responded. Since I couldn't read I was using speech to text to text R. I also had got up to pace through the house. Ordinarly, I would've left to go on another walk but I had convinced myself if that I had left again one of my cats would get out of the house and somehow I'd get arrested. I look up from my phone to notice a swirling florescent neon colored vortex of geomtry in the middle of my living room. The vortex started swirling towards me and started to suck the words out of my mouth. I saw the phrase ,"The only words that make sense are the ones I say out loud" get sucked out of my mouth by the vortex in bubble letters that distorted and mixed with geometry. As the bubble letters got closer to center of the vortex they would distort super cartoonishly, individual patterns and a mix of colors appeared over each letter. The vortex itself had a wigwag shape to it. At the time I thought in my head, "Damn this is what Jerry Garcia probably ment by "Steal your face right off your head"". I actually attempted to draw this out later on. See the drawing here if I can get imgur to work. I don't really remember turning the lights on all through my house but I vividly remember all the lights being off when the vortex stole my words. I don't remember how the vortex incident ended just that next all I know is all the lights are on suddenly and I'm walking out of my bedroom. It's probably 3 or 4am at this point cause I started hearing my neighbor cough and going in and out for cigarettes the rest of the night. I had laid my recliner, the voices had stopped but that was replaced with an intense loud buzzing inside of my head. I had my head on one of armrests, legs hanging off the other armrest, chair reclined, facing the wall. I was watching the logo on my clawhammer wall flag drip like white blood. My cats, of which I had 10 at the time, 5 being kittens still nursing, were running back and forth and playing with each other. Below the wall flag is a table with a wooden CD tower, my cats Cinderella and Oreo had jumped on the table at the same time. Completely in sync and as one fluid motion they stood up, turned to look at me, arched their backs, and sat down. Their coats were flowing and Cinderella had extra golden stripes in her fur. They stared deep into my eyes for a long time and were trying to ask me telepathically if I was doing okay. I more or less alternated between laying on the floor and my recliner for the next couple hours.
Every now and then I'd hear my neighbor out front coughing. I was debating whether or not to go talk him and wait for the sun to come up. Normally, I would've put on a show from myself at various points through the night but I had no internet at the time.
As the sun was starting to really come up and I was starting to really come down, I went outside and talked with my neighbor for awhile. Told him about my night, he's actually a little bit of a hippie too. I walked to the gas station to get some food. I felt like a zombie the whole way there and back. The light made my eyes sizzle like bacon on the Texas pavement in the middle of July. It felt like my brain was a steaming bowl of scrambled eggs. My jaw felt like I got my shit rocked by Mike Tyson. I came home, ate my powdered donuts despite only being able to taste it's texture which was low-key wigging me out, and watched either Space Ghost Coast to Coast or The Trip Keeper on my phone till I passed out.
The next morning (afternoon), my dad picked me up and we hung the whole day while I recovered and slowly returned to feeling human again. I bummed a cigarette off my dad and decided while smoking it that it was my last cigarette. I actually quit all nicotine for a month and half after this night. I started back up purely because of a bad (tested real) Acid/Nitrous Trip.
I do wanna add while not using nicotine I had vivid dreams about smoking cigarettes and vaping. Keep posted for the follow up stories about my bad Acid/Nitrous Trip, Smoking Dreams, and Snorting Hydroxyzine with Alcohol cause I bet The Trip Keeper wants to hear that last one.
submitted by cjwack to tripkeepercirclejerk [link] [comments]


2024.04.27 03:57 tigerheart267 Pain control for different conditions?

Hi there emergency docs, pharmacology needs, and any experienced drug givers!
I’m a paramedic and have been for a little over two years now. I’ve recently moved services where I have access to different pain meds. I used to have fentanyl and ketamine. Now I have dilaudid added to the mix.
My question is what in your experience and hopefully backed by some pharmacology raining, are your choices for different types of conditions?
Fentanyl has been my go to. Never really got a chance to try ketamine though I really wanted to. One time I think I should have, though my partner wanted to just not go through with it was on a nerve pain call, patient recently had back surgery Had pain going down both legs and was likely a disc issue. Fentanyl did not help when I figured ketamine would be the better choice due to it being a nerve pain and ketamine hits more receptors as well as it’s a dissociate anesthetic. I am guessing it still has somewhat of a dissociative type effect, though not noticeable even in its lower pain control. I was always described to me that ketamine essentially separates the person from pain in away while fentanyl just makes the pain smaller. But with nerve pain I feel like fentanyl just would not cut it as well.
I’ve seen people diss Toradol, even though I’ve used it and seen it work very well in a clavicle fracture in a 10-year-old, whose mother was not keen on the idea of fentanyl.
And the rest is more trial and error I assume, but I would like to have a greater understanding going into situations rather than just trying different meds. Looking such things up, has proven to be difficult.
For example, would ketamine be better for burns or does fentanyl work?
Is muscular skeletal pain have a preferred drug in most peoples experience, or does anything really work and it just depends on the patient?
What about Organ pain like bowel obstruction or other things going on in the abdomen?
How about the Dilaudid? How does that compare? It’s still an opiate so I assume it has similar effects to fentanyl?
This also brings up the question of using an opiate as well as a benzodiazepine for things like intense back, spasms with pain. My current service does not have Ativan or Valium, only Versed.
I had a doctor told me diazepam is better for muscle spasms anyway well, Ativan is better for anxiety and sedation. What’s the science behind that?
Any links are pharmacological, explanations and experiences are greatly appreciated! This is to help my future clinical skills.
submitted by tigerheart267 to emergencymedicine [link] [comments]


2024.04.23 04:41 Organic_Anteater_926 Can I take post surgical hydrocodone after previous opioid dependency?

TLDR: Can I take hydrocodone for an upcoming surgery if I had a dependency 10 years ago?
33 trans man, 170 lbs.
Current medications: cellcept, celixicob, duloxetine, plaquenil.
When I was a freshman in college, I got sick and one of the main symptoms was chronic pain. My rheumatologist at the time couldn’t figure out what was going on, and had genuinely good intentions of wanting me to be able to live a normal life, so he prescribed me twice daily hydrocodone-acetaminophen at 5-325 (eventually upped to 10-325). This was also at the height of the opioid epidemic, ofc.
When I moved out of my small college town into an actual city at 22, my new doctor was super alarmed and stopped my prescription, but gave me no guidance on stopping taking the meds, so I didn’t know how to wean off and stopped overnight. I wouldn’t have classified myself as an addict- I didn’t ever take a pill that wasn’t prescribed - but I was definitely dependent. I experienced a full blown opioid withdrawal that lasted several days, but got thru it. With that same city doctor, I was finally diagnosed with Mixed Connective Tissue Disease, and a regimen of disease controlling meds brought my symptoms under control.
Two years after that, I was prescribed hydrocodone-acetaminophen for recovery from the excision of a peripheral nerve sheath tumor on my spine. I took it for about 10 days before the script ran out, and experienced a full withdrawal again. That withdrawal/post nerve surgery recovery was the single worst experience of my life and I never want to deal with that again. I had two surgeries since then, with just a rotation of ibuprofen and acetaminophen for pain management (and gabapentin briefly for one.)
This brings me to today: in October, I broke my humerus and had orthopedic surgery to repair it with a plate. Again, I only had ibuprofen and acetaminophen, and the pain was very very poorly controlled - it was honestly pretty damn hellish. It’s not healing, so I’m going to have to have follow up surgery to rebreak it, add in a bone graft and replace the plate with a longer one. I’m really scared of the pain, since it was so bad with the first humerus surgery. My doctor suggested opioids for post surgical pain, but I’m not willing to risk another withdrawal.
I’m not finding much research or other experiences like mine. Any specialists have thoughts?
submitted by Organic_Anteater_926 to AskDocs [link] [comments]


2024.04.22 15:05 MultiVerseAll Anything safe to take for anxiety for ex addict?

So some back story. I am type 1 diabetic and bi polar and with both of those things i get low energy at times, anxiety at others. And sometimes just the feeling of my sugar dropping, anxiety mixed with caffeine makes me jittery. I use to be able to drink 2 to 3 bangs a day and not get very jittery, but I also use to take 6 to 10 mg of klonopin a day, sometimes with ativan, sometimes with xanax, promethazine, codeine, hydrocodone, dxm. I was a poly drug user for years. Opiates from age 13 to 28 Benzos from 22 to 28.. I started to get clean in the start of the pandemic. Idk if its age, or years of abuse. But im almost always tired, I barely touch caffeine ( only matcha or yerba mate) or else the only effect i get is jitters, stomach pains And my anxiety flares up in certain situations ( like high blood sugar and having to drive a car with my reactions feeling slower) I'm wondering if there is anything safe I can take with my history. I dont like taking kava because it makes my appetite even lower and makes me feel not present. I cant smoke weed anymore, so I use edibles for sleep I sometimes get anxiety relief from lions mane, amanita muscaria , golden teachers I take some adaptogens ( ginseng with ginko, ashwaganda ) I take turmeric, magnesium , creatine , d3, zinc I eat raw honey, I exercise daily.. I dont really know what else I can do to try to feel less anxiety, less pain, more energy.
Sorry if this is hard to read, im unfocused and anxious
submitted by MultiVerseAll to NooTopics [link] [comments]


2024.04.21 22:56 NocinoCappuccino In the Throes of Terror

TL;DR at the end
Firstly, let me just say that y'all were right. I came across this subreddit when researching lion's mane for its ability to promote neurogenesis and brushed off the reports I read as psychosomatic or the result of adulterated extracts. I thought how could a mushroom that doesn't contain psilocybin and is available in grocery stores possibly cause such profound effects? So, I ended up ordering about a month's supply of organically grown, American lion's mane tincture made solely from the fruiting bodies to see if I would notice any benefits.
My goal was to try Paul Stamet's stack without microdosing (I hate how microdosing makes me feel) thinking there might be unrepaired damage resulting from the severe concussions I received as a teen that might need addressing. I had high hopes for the stack, having using psilocybin mushrooms on and off for the past ten years to cure the prominent issues I had from my concussions. Well, that wasn't my intention for using shrooms to begin with but I noticed after about a dozen trips that my verbal fluency greatly improved and after many more trips I no longer stammered at all.
Anyway, fast forward a few days and I received the tincture and immediately took a dose. The bottle stated that 1ml contained 50mg of LM extract and to take 1ml twice daily which is the protocol I followed. I didn't have any shrooms at the time so I figured I'd just trial LM on its own and add shrooms to the mix once I had some. I felt no effects for the first two days. On the third day, I noted a slight spacey feeling along with a dampened mood but thought nothing of it. The spaciness did not grow but my mood continued to worsen over the next two days. I had no reason to feel down other than perhaps the gloomy spring weather. Based on my life circumstances, I should have felt the opposite.
Feeling uncharacteristically down, I reasoned that the mescaline I had been planning on doing that Saturday would lift my spirits and restore me to a state of gratitude. Well, Saturday morning arrived and the spaciness had grown stronger and my mood had not really improved despite the now sunny skies. I proceeded to down a cup of San Pedro tea and took my dog for a long walk as I waited for the mental clarity and mood lift from the mescaline to kick in. It never came. I've had cactus tea probably around 100 times and even weak doses will reliably brighten my mood. Or perhaps it did brighten my mood but was counteracted by LM as I wasn't feeling depressed, anxious, or any other negative state. I guess the best description would be emotionlessness/emptiness which is highly abnormal for me sober much less while on mescaline. At the time I had not even considered that LM was a factor in how I was feeling.
It was over 5 hours post dosing when the most terrifying experience of my life began. I was cleaning up my kitchen counter when all of a sudden my heart rate more than doubled and I became dizzy, nauseated, shaky, and lightheaded. Cold sweat started to bead on my forehead as my vision began to fade white. The first thing that came to my mind was "OMG am I having a heart attack?" I didn't experience any pain at this point so I thought it must be hypoglycemia instead (my father was a type 1 diabetic so I'm well aware of the symptoms). I downed two tablespoons of honey and went to lay down. I no longer felt like I was going to pass out or die but my heart rate would not decrease and I had this awful sense of impending doom.
The feeling of dread continued to persist no matter what I did and I reasoned that I was losing my mind since I couldn't pinpoint a cause. Usually with a bad trip there's a catalyst whether it's one's own negative thoughts, something askew with the surroundings, or ego death from a high dose. None of the above were present in my case. I hadn't even taken a heavy dose. I kept reassuring myself that it would pass by evening. A few hours later the intense fear was gone though the rapid pulse remained. I could not for the life of me figure out what had gone wrong but was relieved that I didn't seem to have suffered any lasting damage. The mescaline had worn off around sunset and I felt back to normal save for the elevated heartrate. Sleep eventually came to me that night though it was cut short as I spontaneously awoke two hours earlier than my alarm which is abnormal for me.
Sunday morning greeted me with a pounding headache, dull chest pain, and dizziness. My heart was still racing despite being exhausted from the previous day's experience. I pondered what I had done differently and the only thing that I could think of was lion's mane. I never had a bad trip cause lingering physical effects like this so it couldn't have been the mescaline. I came to this conclusion after already having taken that morning's LM tincture and consuming fresh, roasted LM for lunch. Apparently what I had experienced was similar to a panic attack. I've never had a panic attack before in my life and I don't have an anxious personality. I'm certain that the mescaline amplified what I experienced but I have no doubt that the LM caused it, especially given what followed afterwards.
That night I was awakened at 2am by a racing heart, sweating, strobing white light behind my eyelids, and feeling of impending doom. I walked around a bit trying to convince myself it was all in my head and managed to briefly fall asleep 30 minutes later only to be interrupted by the most intense nightmares. The feeling of doom persisted into Monday morning as I forced myself to go about my routine life. The elevated pulse, dizziness, headache, and chest pain were still present while the spacey feeling that began days prior had grown to the point where everything seemed on the verge of being unreal. It was like I was stuck in a state of fight or flight but while being shrouded in a fog at the same time. Somehow I managed to fake my way through the day. I couldn't believe this was happening to me. Unfortunately, sleep would not provide any solace.
Vivid nightmares along with the random light flashes prevented me from sleeping for more than an hour between awakenings. Tuesday morning provided a glimpse of hope in that my pulse had returned to normal. The chest pain and headache were still there but the spaciness had decreased to a more manageable level. This improvement was contrasted by that night's panic attack at 2am along with continued vivid nightmares and frequent awakenings. Fortunately, the next morning the spaciness and dizziness cleared up further though the headache and chest pain still lingered. At this point, I knew what I could expect come nightfall. Wednesday night did not fail to deliver another panic attack at 2am though its severity was mercifully weaker. The vivid dreams of course persisted.
Thursday morning saw the welcome disappearance of both my headache and chest pain. This would be the last day I experienced any dizziness as well though the gradually dissipating spaciness would last through Friday. I felt 100 percent back to normal the following Monday with no more interrupted sleep. I continued to have vivid yet not unpleasant dreams for another two weeks after that. The only supplement I took was thiamine hcl but I'm uncertain if this played any role in my rapid recovery. Hitting the gym also provided marked relief for hours afterwards.
If I had discovered that LM contains a kappa opioid receptor agonist I would have never tried it in the first place. Its neurogenesis-promoting properties are inferior to that of psilocybin's in my opinion. The only positives I noticed were an increase in memory recall of childhood events though this could have been placebo. I thought LM side effects could never happen to me. It's one thing to read other's reports but going through the hell that LM can cause is beyond harrowing. When people say it made their life a living hell they are not exagerating. This was easily the most terrifying experience of my life, testing the boundaries of my resolve. I urge anyone considering LM to weigh the risks against the paltry benefits.
TL;DR:
Took high quality Lion's Mane extract for 7 days. Experienced low mood later followed by panic attack-like symptoms, interrupted sleep, tachycardia, chest pain, and mild derealization precipitated by a moderate dose of mescaline on day 6. Negative effects gradually resolved over the course of a week resulting in a full recovery. Took strong dose of mescaline a month later with zero side effects.
***Edit 4/30: Three days ago I took a strong dose of mescaline. I just had to prove that LM was the culprit for my last experience and that my brain had made a complete recovery. Besides, it was my birthday and I wanted to make it one to remember. Admittedly, I was a bit nervous, especially once a feeling of unease crept in 30 minutes after dosing. I couldn't help but think "what if I'm suddenly catapulted back into a state of panic without any warning or trigger like last time?"
Fortunately, my fears were unfounded as the anxiety I felt vanished, never to reemerge, even after the effects grew to the point where I was forced to lay down. I had a fantastic time, with the experience being on par with all my previous trips on mescaline. None of the disturbing physical side effects from the previous experience made an appearance. My sleep since then has been deep and sound while my mood and sense of well being is slightly elevated. There's no shadow of a doubt in my mind now that LM was the catalyst for my previous bad experience and was the sole agent responsible for the effects that followed it.
One element that I neglected to mention that may explain why I had such rough time with LM is my idiosyncratic experience with opioids. I'll try to keep it brief. The first time was when I was prescribed hydrocodone in high school for a horrible cough from the flu. The first night I took it I felt warm and fuzzy but the second night I felt cold and depressed. I discontinued it as a result. My second experience came when I tried kratom out of curiosity in college. I think I took 2 or 3 grams. I felt warm and fuzzy for about ten minutes. After that, I somehow blacked out and woke up on the floor with intense nausea and dysphoria that lasted all night. I never tried it again nor will I. It's the only thing that has ever made me faint/black out, which I understand is basically unheard of for kratom.
submitted by NocinoCappuccino to LionsManeRecovery [link] [comments]


2024.04.18 20:01 BigPharmaHeiress Persistent Sickness - Looking for Advice / Experience

Persistent Sickness - Looking for Advice / Experience
My 11 year old Chihuahua/ Yorkie mix Gemma has been sick for almost 2 months now. It began with coughing/honking episodes, sneezing, reverse sneezing and excessive licking. She’s shaking more than normal, which makes me think she’s in pain. At the very beginning of her honking episodes, she threw up bile a handful of times in about an hour span. Since then, there’s been no vomiting, but all of the other symptoms have progressed.
The vet initially diagnosed a collapsing trachea along with allergies. She’s never showed similar signs of environmental allergies before and at 11 I was skeptical that they would appear out of the blue, but the vet recommended a cytopoint shot, as well as hydrocodone for the honking/coughing.
After a week, the honking/coughing was lots better, but the sneezing was persistent. She will have whole body sneezing fits and was expelling lots of smelly, green discharge from her nose. I took her back to the vet, and they recommended broad spectrum antibiotics, and I put her on clavomax for the following 12 days. She seemed to improve, however the sneezing was never entirely gone.
A handful of days after the antibiotic was done (Monday), I took her back to the vet. She’s willing to eat, but takes some coaxing (putting cheese in her food, standing and watching her eat). She’s almost constantly shaking while resting, which is unlike her. In addition to the green snot, I’m finding some small amounts of blood when she sneezes. Despite all of this, she’s having normal moments, wagging her tail to go outside, running to greet guests at the door. The vet recommended running a PCR panel to find any source of infection. We are still waiting on the results.
Looking for any similar stories or suggestions during this hard time. I was so badly for her to get better, and feel like we’re in a never ending guessing game.
submitted by BigPharmaHeiress to DogAdvice [link] [comments]


2024.04.18 09:14 Sleepy-conbon Currently on sustanon 250. Had an injury and was prescribed hydrocodone for pain. Is it dangerous to mix the two?

Currently on sustanon 250. Had an injury and was prescribed hydrocodone for pain. Is it dangerous to mix the two?
submitted by Sleepy-conbon to Testosterone [link] [comments]


2024.04.16 22:30 whatnowbaby What more can we do for our dogs' severe tracheobronchomalacia?

Our rescue Shih Tzu/Pug mix is having an extra hard time this week and it is freaking me out. My heart is breaking for him. He was with a friend for the last 10 days while we were away, and that friend didn't give him the cough medicine I provided. I also don't think he prevented him from playing when his cough was bad (part of his care instructions) because he has never been this irritated.
For those who've dealt with this, do you have any tricks or tips to recommend? Some way to help soothe his irritated trachea.
He won't eat right now, I imagine from a sore throat. Simply getting up to walk sends him into a cough/hack fit. If I pick him up and hold him vertically he stops coughing. I just feel so bad for him. The cough syrup from our vet honestly seems useless, but it's all we have for treatment.
I called his vet clinic today but his usual vet is now on mat leave and the other vet is not in until Thursday.
Species: Dog
Age: 6 (guessing)
Sex/Neuter status: Male, Neutered
Breed: Shih Tzu/Pug mix (guessing)
Body weight: 15lbs
History: rescued from a bad situation in Mexico Nov 1, 2023 (tied up tight on a chain outside his entire life). Has been diagnosed with severe tracheobronchomalacia, hip dysplasia, bladder stones.
Clinical signs: dry hacking/honking cough
Duration: since Nov 2023 (likely preexisting)
General location: Canada
Diagnostics performed: Fluoroscopy (airway): Severe tracheobronchomalacia characterized by: moderate to marked narrowing of the intrathoracic trachea; marked narrowing to complete collapse of the carina and both mainstem bronchi; and marked cranial lung lobe herniation
Treatments:
Current - a cough suppressant liquid hydrocodone
Previously
- cartrophen shots completely stopped his cough. This worked for 3 months (Nov-Jan) and then stopped working.
- Tracheal elixir for 1 month that didn't help at all:
Potassium Iodide 10mg/ml
Anhydrous Theophylline 3mg/ml
Ephedrine 0.83mg/ml
Phenobarbital 0.4mg/ml
Isoproterenol 0.004mg/ml
Absolute Ethyl Alcohol 3.3%
submitted by whatnowbaby to AskVet [link] [comments]


2024.04.15 10:32 hehbshhxj *WARNING* Promethazine and hydrocodone mixed gave me a mini heart attack

I was prescribed hydro for pain and promethazine for pain/nausea. Mind you tolerance to drugs is decently high (4ml morphine is a normal/small dose for me) However… mixing hydro and promethazine (not taking more than prescribed) put me in the hospital with a mini heart attack. Just didn’t want anyone else going through this… I never physically felt as if I OD’d just got some good sleep and painless relaxation finally. So yeah be safe out there yall. Maybe im dumb for not knowing that prior but…..
submitted by hehbshhxj to UlcerativeColitis [link] [comments]


2024.04.12 15:33 imnotarobotareyou can someone be realistic on laparoscopy recovery because my DR wasn't please!!

This is probably a weird post, and I’m upset I got myself into this situation to begin with. For starters at 18 I had a cystoscopy to see what was occurring and why I was having so much pain, (I’m 32 now) and was diagnosed with interstitial cystitis… a chronic pain/ auto immune disease and I’ve lived the last 14 years with little relief after multiple surgeries and treatment plans. Beginning of the year I changed obgyns and this Dr suggested she thought I had endo on top of it and that’s why nothing has worked. She then suggested a laparoscopy.
This is where I effed up. I asked her about recovery time and didn’t do much research outside of what she said. She told me after 3 days I’d basically be fine… I asked her when I can play basketball again (my form of exercise is pick up bball) and she legitimately said within 5 days. That statement sold me. Tbh I’ve had so many surgeries and have a high pain tolerance so even thought I knew she’d be making incisions I more so pictured baby cuts that were more eyesores than anything.
For the purpose of this post I’ll include that my mom passed away unexpectedly at the beginning of this year. Because it was so unexpected and everyone was reeling we decided to wait until spring to have her funeral, or celebration of life. It’s occurring next Saturday where I will be speaking. I say all of this to explain my mind frame right now. I had my surgery last Friday and woke up in excruciating pain. My Dr was not there when I woke up, had already gone home for the day and the surgery went 2 hours longer than expected. Because of how she had explained the ease of recovery my dad dropped me off at home and I’ve had to recover on my own because I didn’t plan to be in this much pain. She even had to Call in an additional prescription of Dilaudid after my hydrocodone was not sufficing. The reason I brought up my mom and basketball was to explain that that is how I get rid of my anxiety and how I keep my mind clear. With my mom‘s funeral approaching I am totally losing my marbles and out of my depth here. I would have never scheduled this surgery if she had been honest with me and I’m trying to understand if something is completely wrong or if she sold me a recovery that would occur with maybe 1% of the population. Im currently laying on my couch still in pain and have no strength to do anything more than a slow walk… let alone be able to jump or run like you would in basketball.
I also only took 3 days off work (I’m a bartender) which she said made total sense. I have had to go back to work because I had no other choice and you guessed it, I’m miserable.
I can’t even button my jeans.
I’m starting to wake up in the mornings, look at my stomach which used to be abs and spiral into thinking I’ll never play basketball or have muscle definition again. While I know that’s delusional it’s hard for me not to spiral given my mental state and all the things I’m dealing with. It's also very sad for me not to have my mom taking care of me right now, or to ask dumb questions to. I'm not doing well not being able to do the things that I do to destress and keep my life balanced.
Can yall reassure me that I’ll be back to normal at some point please…. For those of you who work out and run/do core exercises when were you able to do so? When did all the swelling go down?
I even am entered into a half marathon in two weeks because like I said, she reassured me I would be fine and I had already done so before scheduling my surgery . And next month I start an intermural flag football season. I should just suck it up and start telling myself none of this will happen huh
Thank yall-
Signed a dumbass who didn’t do her research
submitted by imnotarobotareyou to Endo [link] [comments]


2024.04.09 22:14 Kitan76 Why do most medications quickly stop working?

Age: 21 Sex: AMAB Height: 5"7" Weight: 150lbs Geographic location: USA Pre-existing medical issues: Diagnosed anxiety, depression/bipolar mood disorder, ADHD, IBS, loss of motor function and sensation in the lower extremities Meds: Vyvanse60mg(currently on adderal 30mg bc of shortage), Gabapentin 600mg, Robaxin 500mg, Aspirin, Dicyclomine, nortriptyline
I've always had issues with medicine not working/only working for a few days/barely working/working but the side effects are much worse. When it came to antidepressants, I went through a plethora of prescriptions trying to find one that worked. If it worked, it would only work for maybe a month max, or I would be messed up by what are supposed to be small side effects(nausea=>vomiting every day, headache=> crippling migraine, drowsiness=> falling asleep standing up, etc). The only med thats ever helped for a long period of time has been Vyvanse.
A bit of tldr context for this next part: my legs began to exponentially weaken and and lose sensation, and an MRI found that I had L4-S1 disk herniation with damage normally seen in senior citizens(explained the back pain Ive had since I was 14). Surgery(laminectomy and discectomy) was performed hoping that decompressing the nerves would help my legs. We're a bit over a month out from the operation (spent 20 days in acute rehab), and Im only really able to move my big toe and get some muscle spasms in the thighs. I have constant pain in my legs + knee/hip joints, and thats where the medication issues come in.
Whilst in post-op recovery, I had Dilaudid IV injections for pain, which worked. When they took me off it to prep for inpatient rehab, they put me on oxycodone. It worked for 1 day, then didnt do anything. Same happened with tramadol and some other muscle relaxants we tried. Last time Tylenol/over-the-counter pain meds helped me, I was a little kid. We finally found that gabapentin and robaxin together can help with preventative pain, but doesnt do much when I'm already in pain. I'm always around a level 6 pain level (according to the charts and accounting for the fact that I pushed through the pain of herniated disks for a few years probably). When I would take gabapentin and robaxin together, itd bring me to a level 5 and make it take longer for the pain to ramp up during PT (moving my legs/putting weight in them makes the pain ramp up to an 8).I'm discharged at home now and I can feel that the meds are started to not work.
Does anyone know why it is that my body seems to build resistances to medicine super fast and/or why it gets hit with side effects way worse than normal? I dont mix my meds with any substances and have never abused any drugs either, so I don't know why every painkiller I've tried stops working so fast. Does my body just build resistance abnormally fast?
submitted by Kitan76 to DiagnoseMe [link] [comments]


2024.04.08 07:27 Cy-Guy 1 month post-op Update, no immediates & what I've been eating.

Hey all, wanted to give an update on my situation so far, because I'm one of the few people who went the route of not getting immediate dentures when I had my extractions, and I couldn't find a lot of posts about what to expect--or the posts were very varied. So I wanted to provide my experience so far.
A quick rundown: I'm 32, had my procedure on March 6th to remove all of my uppers and 2 of my lowers, leaving 6 teeth remaining on my lower that were still in good health that my dentist wanted to keep as an anchor for my partial. I had my procedure done at a hospital by an oral and craniofacial surgeon with general anesthesia, no complications. Was sent home with stitches and antibiotics, antibacterial mouth wash, anti-nausea meds, and pain meds (hydrocodone) for breakthrough pain. Took tylenol and ibuprofen as needed for pain, gauze for the first 2-3 days for blood and oozing, and iced the swelling for the first week or so.
First week went by okay. Pain was managed, bleeding stopped after the first 3 days or so. I ate pudding, jello, tomato soup and mashed potatoes only. Second week I got a bit braver and tried some scrambled eggs, that went by well enough. Mac and cheese, other such pastas. I also saw my denturists office, and they removed my stitches, which felt great. Said I was healing well. I tried some more solid soups like chicken noodle, chicken and stars, I also tried chili with varying success. I also started drinking with straws again by the end of the second week into the third.
Third week I was dying for some more substance. I was getting a bit sick of just pudding, jello, pasta and mashed potatoes. I was also healing a lot better, and decided to try things like a PB&J sandwich with the crust cut off and cut into quarters. That went well! I also tried things like soft grilled cheese (quartered) and even light toast with scrambled eggs and did just fine tearing it into bite sized pieces. One of my favorite breakfast combos was scrambled eggs, crumbled sausage and potatoes o'brien mixed together in a bowl.
This past week, I've even managed to handle hamburgers cut into pieces, and chili dogs cut into slices as well. I've done simple cheese quesadillas if they're cooked soft enough, and even meatloaf patties that aren't too well done. Canned veggies work well, and any kind of soup vegetables were great. A local bakery does a wonderful rosemary and bacon gnocchi soup with lots of veg--kale, carrots, onion, celery etc. and that went great.
So despite not having much to chew with, as long as I'm mindful and careful, I've been able to gum a lot of this food and mush it with my tongue and the remaining teeth I do have against my healing gum tissue and the roof of my mouth. I've lost a couple of bone shards along the way as well, they sort of came out on their own. It started as some sensitivity and irritation and I'd say within a day or two they worked their way out. Tiny little things but annoying nonetheless.
It's been...a pleasure to be able to eat without much pain, and actually enjoy food again. My gums do sometimes get raw, and I do notice when I've overdone it. But it's nowhere near the pain and suffering I was experiencing before my extractions. Before, every bite was a struggle. I had to be careful and mindful of how and where I was chewing, and if I chewed at just the wrong angle I'd get shooting pains and electric jolts in my mouth... it was horrible. Even laughing, talking was painful. Air would be too cold, or drinking would be painful I'd have to sip on the side of my mouth. I'm sure many can relate in their own way.
I've still got a month left before I see my denturist again for my check-up and to hopefully begin the process of my dentures. Appt is May 2nd. I'm crossing my fingers they begin the impressions that day and I can get the ball rolling! I'm on Medicaid insurance but I started the approval process last year so I'm all good to go, we're just waiting on my healing.
I'm excited and looking forward to my dentures. I'll be getting normal uppers and a partial lower. I'm curious about people who went down a similar path: if you didn't get immediates, what was your journey like? How long did you wait before you got your dentures? Also, people with Medicaid insurance, what was your experience like?
submitted by Cy-Guy to dentures [link] [comments]


2024.04.05 15:15 feelin_abstract (26M) Burn on foot might be infected?

(26M) Caucasian, ~220lb, 6'5"
I got a foot burn a week ago (Mar 29) from a coffee accident. I put in cool water immediately and went to an urgent care place were they put antibiotic cream and bandaged it up.
They prescribed me Hydrocodone (not taking), Mupirocin (anti-biotic cream), and oral antibiotics (4x a day). I've been changing the bandages daily, showering every other day, using a soapy wash cloth to dab at the wound. I've been careful to sanitize my hands before re-dressing, putting on the anti-biotic cream liberally. I've also been taking Advil Dual Action every morning and night (2x a day).
As of the last two days, my foot and big toe have seem to swell up and become warm (off and on), making it painful to lower from an elevated position and try to put weight on it. I read that inflammation may be normal, as that can mean it's healing (but could also mean infection). Not much discoloration, no green pus but some yellowish-brown mixed with blood coloring on the pads. I chalked the yellowish-brown parts to be dried blood, the cream hardening, and natural healing juices. No fever at this time, as far as I can tell.
Mostly looking for an opinion to whether I should go back to a medical professional or give it more time. I would've expected the wound to at least be sealed up by now, but it's still lightly bloody when changing bandages.
Should I keep it elevated or flat on the floor? Which helps more with healing?
Should I take it somewhere to get the skin off? The urgent care place said it was fine to leave it.
Any advice would be appreciated.
submitted by feelin_abstract to AskDocs [link] [comments]


2024.04.04 18:07 VexedRedSiren Experience with Balloon Sinusplasty

I just had a balloon sinusplasty on April 2nd and wanted to share my experience to help those that are considering it know what to expect. Mine was a little different than others that have posted on here so I just wanted to share what happened during mine. A little background - I usually have 2 major sinus infections a year. They are severe to the point where the right side of my face is swollen and my eye leaks horribly. Throughout the year, I have a lot of minor ones too but the severe ones last at least a week. When I had my CT scans done, I was told the right side of my sinuses were completely blocked to where nothing is properly draining. The left side was also severe but not as bad as the right. Now onto the procedure -
Like with most surgeries, I could not eat or drink anything 8 hours prior to surgery. I was given a Phenergan to take one hour prior to surgery and had to spray Afrin in each nostril 5 times 30 minutes prior. They did not give me any type of anti-anxiety pill, only the Phenergan, which I thought was odd. The Phenergan literally did nothing for me. I had to take a pregnancy test. When I first got back into the room, the anesthesiologist stuck my hand with a needle to start the IV. So I just have this needle sticking out of my hand while this other lady comes in there and starts asking questions, such as "are you diabetic" and things like that. And I had to sign a bunch of papers (with the hand that had a needle sticking out of it which made it hard). They gave me a shirt to wear to wear over mine "not get anything" on me. Another lady sprayed this nasty lidocaine mix spray 4 times in each nostril. This will go down your throat and it's so gross. Then she shoved what looks like very thinly slice tampons up my nose. This was to help with the bleeding and to numb me more. She put two of these in each nose. This felt similar to a COVID test at the doctor. Wasn't terrible - mainly uncomfortable and hurts a little when it goes in. They laid me down and put a sheet under my back and had me put both arms by my side so they could then "strap" me down with the sheet to prevent me from accidentally raising my arms and hitting the instruments during the surgery (I have never heard of anyone experiencing this part). Not long after that, I was out. They fully sedated me. I don't remember anything about the actual procedure after that or even leaving the place. I slept a lot after. I was able to eat regular food the same day. I didn't have a sore throat. I did experience bleeding, but it honestly was very little. I only bled on day 1. Lots of drainage. I was given a nasal rinse mix, antibiotics, and hydrocodone (which I've only taken 1 of just as a precautionary).
My pain level has been a 1 or 2. It feels like a very mild sinus infection and it just annoying more than anything. I've had quite a bit of facial pressure, but nothing too bad. It feels like I can breathe better but I think it's still too early to tell and will update my progress if anyone is interested. I know this isn't for everyone, but all the people I've talked to who has had it done has had great results.
submitted by VexedRedSiren to Sinusitis [link] [comments]


2024.03.27 06:20 Ill_Remove_5042 A Thank you... of sorts Update1

The original post for reference can be found here.
https://www.reddit.com/Infidelity/s/kEPKwKh679
What can I say? I'm so weary.
Struggling here. She trickle truthed and minimized more... a couple " new" discoveries.
Willingly gave up the lies, the online EAs and hotchats.
But the PAs? I can't remember... stall.
I made the appt with the Lawyer and let her know she had until today for full disclosure. Zero BS tolerated, I'm making a fucking choice staying and you refuse to disclose now that PA is in the mix.
I went to bed last night with no answer.
This morning she got up before me. Made coffee for me, tea for herself. I went to the basement halfway through my cup. Mainly to grab a first cigarette in the laundry room, scope news while on the toilet there.
Then my PTSD lizard brain SCREAMS "DANGER!!!!"
I see it... my hydrocodone bottle. It's half an inch out of place and empty...
OMFG ! Half of the bottle of muscle relaxers is gone too... and its a BIG fuxxoring bottle... 90 day supply from the VA.
I rush upstairs and asked her point blank... did you take pills?
Her answer with a fucking grin on her face...
"A whole lot! Two handfuls!"
WHEN ?!? (As I dial Emergency)
"About an hour ago..."
My kids saw the whole fucking shitshow, heard shit they should never have heard. Seen Mom go "dopey/sleepy" before the Ambulance got there. Being ushered upstairs while they took Mom.
I wrapped them up and got them to thier Grandparents house. Damn SUV was dead dry on gas and had a low oil light. Took care of it then drove the 45 minutes to the hospital.
It was far too late to pump her stomach or give her activated charcoal. So they gave her an IV and just watched.
She was eventually admitted. I held her unconscious hand for 8 hours until she woke up.
I made small talk and held her hand until the hospital kicked me out.
72 hour psych hold, DE exam for involuntary tomorrow morning.
I am finally home tonight to update this after checking on and tucking in kids. My poor 16 month old is being suddenly weaned and my oldest (B,6) asked me why Mommy wants to kill herself and leave us forever.
I held him close and told him Mommy is sick but is getting the help she needs.
I cannot even begin to process my unhappy right now, I feel like I'm the surprise guest on a combination Twilight Zone/Jerry Springer episode.
Please stop this ride, I want off thank you.
submitted by Ill_Remove_5042 to Infidelity [link] [comments]


2024.03.24 20:17 squidsateme Finally rec’d a referral,

I’ve suspected that I’ve had MCAS for roughly three years. I’ve done all the research that I can do, or could do, for my own doctor, but for years she’s said the same thing: it’s psychosomatic, or it’s anxiety.
I had surgery recently and with surgery came hydrocodone, and with hydrocodone came a reaction, and a big one. This is to say, when I went to see my doctor I was in the middle of a flare up, and for me that means if I even touch my skin gently, it turns into red welts. Sometimes it looks like anaphylactic symptoms as well, but for the most part, this time around didn’t include anaphylaxis. However, for the first time ever she was able to see how my skin responds, and finally, she agreed that I should see an allergist first, and then if that doesn’t illuminate anything, she’d send me to an MCAS specialist.
Admittedly I have mixed feelings. I was so excited that she actually HEARD me, but then I also felt a lot of frustration and heartache because for 3 years I’ve had these symptoms and I’ve been begging for help, and she’d chalk it up to anxiety.
If it had been possible I would have sought another opinion, but I live in a rural area, and there aren’t many doctors so I’ve just done my best to manage on my own, and hope she’d come around. I suspect that her change in attitude has much less to do with finally seeing my physical symptoms, and more to do with the fact that I believe more folks are experiencing MCAS. She mentioned that she’d seen a couple of other patients recently that suspected they were have issues with histamine and/or MCAS.
Anyway, it feels nice to be heard; better late than never.
submitted by squidsateme to MCAS [link] [comments]


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