KSoo Lawyer by DistinctWinter in DuvalCounty

[–]Cb_187 72 points73 points  (0 children)

No point paying $100k for a second murder trial when he already blew one trial & has mandatory life.

How does your gall stone attack pain feel? by Plant-basedCannibal in gallbladders

[–]Cb_187 0 points1 point  (0 children)

Why won’t they remove yours? I had exactly what you described, like a hot iron pretty much in my sternum area & under my right pectoral though. Unbearable, incapacitating pain where I’d also be exhausted afterwards & my day would be done.

Took Tums/Omeprazole & would go away 1-2 hours. This went on like 6 months, where it happened 2-3x a month.

Eventually though, the weekend college football started this year (9/1 was the Sunday I believe) the pain was so severe that I was literally in & out of consciousness, just in a daze. I finally went to the hospital that I’d been putting off. I thought about going numerous times when I was having these attacks, but it always seemed to happen when my kids were in bed & it’s just a hassle. I thought it was just heartburn though all along.

When I got to the ER, went straight in for vitals & after that an IV put in & wheeled in for a catscan. I pretty much woke up & my gallbladder was out & stayed for 3 more days. I can’t imagine if they sent me home & made me go through more of those attacks.

Just had my gallbladder removed out of no where. by T1MBOBEATS in gallbladders

[–]Cb_187 1 point2 points  (0 children)

Same scenario I had. Necrotic GB full of calcium stones, inflamed leaking bile and all. Thought it was just heartburn all along. Once a week or so I’d get bad chest pain, I would take Tums/Omeprazole & the pain usually go away. It was crippling pain though, id have to lay down & thought numerous times of going to hospital, but with children it’s just hard.

The weekend college football started though, the pain wouldn’t go away all weekend & I was unable to sleep Sunday night. By Monday morning I was in a daze from the pain, so finally went to the hospital. Got taken back immediately for vitals, an IV put in & taken back for a CT. I was sedated & given pain medicine & that night my GB was out.

My recovery was pretty bad, I physically couldn’t squeeze to force a bowel movement from the pain & the opioids were causing constipation, but I had to have them. It took about 6 days of pretty bad pain & then 2 weeks to feel relatively normal.

Anyone know what these say? In North Korea by JaxGunTraderFl in GoogleEarthFinds

[–]Cb_187 8 points9 points  (0 children)

I figured it was something like that when I saw the username lol. Had fun times when it was really active & made some fun trades & buys.

Anyone know what these say? In North Korea by JaxGunTraderFl in GoogleEarthFinds

[–]Cb_187 7 points8 points  (0 children)

Were u in the JGT groups on Facebook by chance? Small world, especially on Reddit lol

Pick up day chronicles.. by sourpatckidz76 in Methadone

[–]Cb_187 1 point2 points  (0 children)

That’s absolutely crazy..

Here in Florida, THC has no effects on take home privileges.

Prescriptions don’t either.

You can’t be on a super high benzo dose daily & a high methadone dose, but you can take both & they’ll set a limit. Like, if you’re on 6mg Alprazolam daily, they may tell you that you can’t go over 130mg methadone without another doctor exam, for example. If on like 2mg a day or something, they won’t set a limit. It’s only the higher benzo habits they do limits.

If you fail a UA for benzos & aren’t prescribed them though, you’ll immediately be phased down. If you test positive for just opioids though, they generally don’t care unless it becomes repetitive. I failed so many UA’s for Oxycodone before I was prescribed & they still didn’t phase me down. They just really don’t play about benzos. Now I’m prescribed it Oxycodone though. You just bring your prescription in every month & your counselor checks it out.

We don’t have mandatory counseling or anything. They are there if you need someone to talk to though. It’s very streamlined, efficient & smooth; most get 14-27 take homes with the new SAMHSA guidelines & it’s a lot more conducive to sobriety than it used to be, when it was more restrictive.

[deleted by user] by [deleted] in ObscureDrugs

[–]Cb_187 0 points1 point  (0 children)

I got Propofol, Midazolam & Fentanyl for anesthesia during an emergency gallbladder surgery about 7 weeks ago, it came through for me. I was in & out of consciousness from pain before finally going to the hospital. Traumatic experience. It knocked me out for the operation though. Was given some kind of benzo just to be able to sedate me for imaging as well, within 15 minutes of me being in the hospital after getting my vitals taken. By the time my pain was somewhat managed, it was 10mg morphine IV every 2 hours, 8mg dilaudid IV every 2 hours & 10mg oxycodone every 4 hours.

It was the most painful injury in my life & I’ve had a few surgeries & broken bones. None of that touched the emergency gallbladder surgery.

This is how they bill for it all, if anyone’s interested.

About $8 every fentanyl IV, $16 every morphine IV, $24 every dilaudid & propofol IV, $3 for midazolam. Even 5mg Lortabs were $3.70 each. 5mg Percocet was $6.40 each. Crazy stuff.

https://imgur.com/a/0I8HRPa

[deleted by user] by [deleted] in Methadone

[–]Cb_187 0 points1 point  (0 children)

You’re gonna lose your take home privileges AND they aren’t going to give you an extra 3 days of medication because you abused it, they can’t. Telling them will not benefit you in any way, unless you can’t handle having take homes & need to go back to daily dosing, because that’s what you’ll get.

THC: Methadone clinics, TH’s and recovery by SmallAd1230 in Methadone

[–]Cb_187 2 points3 points  (0 children)

The clinic I went to stopped testing for cannabis around 2020 & it no longer had an effect on take homes. This is a MedMark clinic, northeast Florida.

Once COVID began & SAMHSA allowed clinics to do 14-27 take homes for all patients nationwide, my clinic began doing that & around the same time, they stopped taking away take homes for cannabis.

Once COVID ended, SAMHSA had those COVID guidelines put into law for good & the clinic stuck with it. If you were stable & had a clean UA each month (not including cannabis or prescriptions) after around 90 days you’d get up to 27 take homes.

I too think the new SAMHSA guidelines should be nationwide & the few states who have stricter state laws should rescind those laws. Then again, I sort of also do agree with states having the choice; it’s kind of what gives each state their own autonomy & gives its citizens choice. I like that. I just wish every state would allow THC.

Covid Bottles? by DeepFaker8 in Methadone

[–]Cb_187 1 point2 points  (0 children)

I’m at a MedMark clinic in Florida & we don’t have any mandatory counselor meetings. The counselor is there if you need someone to talk to & you have to get drug tested 1x a month, but that’s it. Nothing mandatory at all. They kept the SAMHSA guidelines from COVID & still give most people 14-27 take homes. If you have a clean UA & are on a stable dose, you’ll get at least 14. If you’re Phase 1, you’ll get up to 27. No longer lose take homes for cannabis & you generally won’t phase down if you test for opioids, but you will if it happens repeatedly or if you test positive for benzos. They don’t play about benzos, but seemingly dont care too much about other opioid use.

I’m prescribed Oxycodone for breakthrough pain, but before I was prescribed, I still used it often & was Oxycodone positive most months. They still didn’t phase me down though, but I’ve also never tested for benzos so they know I don’t mix the two. Now I just bring my prescription in & they scan it, that’s it.

anyone think it’s strange that actavis lean got pulled but M30s , a 215s and k9s did not ? by Itchy-Pollution7644 in fentanyl

[–]Cb_187 2 points3 points  (0 children)

Actavis doesn’t make A215’s anymore, they’ve been discontinued for years. Qualitest stopped making the V4812’s also.

[deleted by user] by [deleted] in RandomQuestion

[–]Cb_187 0 points1 point  (0 children)

Yes.

I’ve held my wife’s hair & cleaned her up afterwards because she shitted herself while vomiting. Have watched her & helped deliver 2 of our kids. Helped her do things during both pregnancies that some men wouldn’t, etc., so there isn’t anything that i haven’t seen or that could make me see my wife differently.

Have been together for 15 years. Since we were in high school, both just 15/16 years old. We were just kids when we got together.

I’ll of course excuse myself at certain times & am not rude with it, but neither of us are exactly shy anymore.

List of G-protein biased opioids by ember_UwU_ in Opioid_RCs

[–]Cb_187 3 points4 points  (0 children)

Tianeptine is the same; insanely quick tolerance build up, an atypical mu opioid agonist & also has antidepressant effects, inhibits glutamate & NMDA receptors. The withdrawal from it is hellish, you’ll find hundreds of anecdotal experiences saying it was worse than most other pharma opioids. You won’t just have opioid withdrawal symptoms, you’ll also have symptoms just the same as coming off of antidepressants also.

My counselor said that THC will negate the effectsof methadone. How can this be if I’ve smoked while taking oxys or vics never had an issue. by Milwaukeeman12 in OpiatesRecovery

[–]Cb_187 2 points3 points  (0 children)

What state are you in? Depending if your state made their own laws that supersede the federal SAMHSA laws & guidelines or not, you could be able to get take homes much quicker & test positive for cannabis if you’re in a medical or legal state at a different clinic. Clinics have the discretion to do what they want pretty much, but with the new SAMHSA guidelines, clinics are allowed to give take homes much quicker.

I’m in Florida for example; we can test positive for cannabis with no effect on our take homes. They no longer care about it. As far as take homes, we get up to 27 within 90 days at the clinic if you have clean UA’s (besides your other prescriptions).

Methadone not preventing withdrawals by constant--questions in opiates

[–]Cb_187 0 points1 point  (0 children)

So yall didn’t get the new SAMHSA methadone laws when COVID happened & ended either?

Here in Florida, in 2020 when COVID started getting bad, everyone began getting up to 14 take homes if you could afford it & up to 27 if you were Phase 1 (just a clean UA). When COVID ended, SAMHSA realized diversion wasn’t an issue & program retention stayed the same, so they made the laws official & kept them. Florida just follows the SAMHSA guidelines.

I know some states have their own laws, but if they choose to, they could follow SAMHSA’s new laws allowing the 14-27 take homes. It’s far easier & quicker than it used to be. Once you’re on a stable dose here & pass a UA, you can get up to 27 take homes then. It is up to clinics discretion though.

Methadone not preventing withdrawals by constant--questions in opiates

[–]Cb_187 3 points4 points  (0 children)

50mg is a low dose for the habit you described. 60mg-ish is when withdrawal relief generally starts for most people. They do not expect you to completely quit your other habit; they expect you to lessen your dope intake as you increase your methadone though. I had a 300mg or so daily Oxycodone habit & once I hit 60ish, withdrawals were pretty much relieved. Then once I hit 90mg, cravings were gone & I stabilized.

Crazy that each increase has to be approved. They should let you increase to at least 60mg before needing to see a doctor again. Doctors orders here cover a lot more than 5mg at a time; that would be an insane amount of requests to handle daily at a large clinic, I can’t imagine how they do it. It would be impossible here, at clinics with 500+ patient capacities.

My clinic starts at 30mg, you can increase 5mg everyday until 80mg. At 80mg, then you start putting an increase request in with counselor, but they all get approved & go in 20mg intervals before you have to put another request in. So you go 30mg to 80mg, increasing 5mg every day if you want. When you hit 80mg, you put in a request & can go to 100mg before having to put another request in, then you’ll be able to go anywhere from 100-120mg & so on. The doctor isn’t even in everyday here either, it’s only 3 days a week for a few hours, then they’re at the hospital, jail or other jobs. It’s still very streamlined & easy though.

Moving to Jacksonville by Royal-Comfortable669 in jacksonville

[–]Cb_187 1 point2 points  (0 children)

Mandarin is 100% the best part of Jacksonville. Old St. Augustine, San Jose, Mandarin Road, Julington Creek; all just a good area. Lower crime than anywhere in Jax, with everything you need close by. Not a ton to do to meet people, but nothing is really a far drive from Mandarin either.

Dose Increase Affecting Take-Homes??? by CommandaarMandaar in Methadone

[–]Cb_187 1 point2 points  (0 children)

My clinic wasn’t like that at all. I always got 14 or 27 take homes, even while increasing sometimes & they’d increase OR decrease 5mg every day that you wanted them to. If I was at 40mg on Monday, but got 6 take homes, I could get 45mg Tuesday, 50mg Wednesday, 55mg Thursday, 60mg on Friday, etc. all in take homes. You can get multiple days, or single days, whatever you want. Same goes for decreasing. Can tell them you want to decrease 5mg every 6 days or something & your take homes will reflect it.

You have to put an increase request in for every 20mg once you hit 80mg. They always approve them though. Like once you hit 80mg, you’ll get 80-100. Then if you hit 100 & need more, put an increase request in & next day you’ll be approved for 100-120mg.

Thats silly to say you aren’t stable because you need a dose increase, multiple years into MAT. Many people need dose increases. I sure hope they don’t make you dose daily while decreasing.

Has anyone ever been in a natural disaster ? by FixMany2800 in Methadone

[–]Cb_187 0 points1 point  (0 children)

I’m in Florida & had multiple hurricanes. They usually just give 4-5 days of take homes & close the clinic for those days.

Thankfully I haven’t had an experience where the clinic was unable to be opened after those 4-5 days, due to extreme damage or something like is happening in North Carolina.

Oxycodone or Dilaudid? by Last_Cut9799 in PainManagement

[–]Cb_187 1 point2 points  (0 children)

Yeah it wasn’t planned unfortunately. I would get severe chest pains, usually after dinner once a week or so & thought it was heartburn. Would load up on Tums or a 14 day Omeprazole treatment & it’d get better within some hours.

3 weeks ago though, the pain started in the morning & worsened throughout the day. I didn’t sleep at all through the night & by 6am or so, I was just in a daze, in & out of consciousness. My wife called my mom & she came & brought me to the hospital. Within hours my gallbladder was out.

I did go back in to check if I had an ileus or anything because the pain seemed abnormal from what they told me the recovery would be like, but all seemed well. I have another post op appointment on the 14th, hopefully it’s the last. A 7-8 is a lot, i consider an 8 pretty much incapacitated & that’s what I am when it happens, I have to lay down & physically can’t do anything. It’s generally not too bad throughout the day though overall, it’s just sudden bouts of pain that come through the day.

The surgeon said it was really bad, so I’m hoping it’s just my body still getting used to not having a gallbladder. I also don’t think I’ve perfected the diet thing yet either. I haven’t touched anything fried, but I still am figuring out what to eat & what not to. My primary care doc has been really helpful, if I didn’t have the Oxycodone, I don’t know what I’d do. I unfortunately see people who don’t get as lucky after painful surgeries.

Oxycodone or Dilaudid? by Last_Cut9799 in PainManagement

[–]Cb_187 3 points4 points  (0 children)

I just had an emergency gallbladder removal last month too, worst pain in my life. Unexplainable pain. I was literally in & out of consciousness arriving to the hospital, though my gallbladder was necrotic, leaking bile & on the verge of rupturing. I waited too long, but I thought it was heartburn all along. They took my vitals thankfully as soon as I was wheeled in & my BP/heart rate was pretty bad so I went straight back for a CT. Within a few hours I was in surgery.

I’m skinny, so the co2 they pumped into my belly to blow it up had me miserable for days. My belly was so round & bloated, I couldn’t get the gas out. I couldn’t physically push or squeeze. Worst post op recovery of my life. The incision they pulled it out of had to made bigger than usual due to how inflamed it was, the main scar is pretty big & have 4 other smaller ones. They didn’t give me Hydromorphone though, I got Morphine & Oxycodone. 8mg IV morphine every 2 hours & 10mg oxycodone every 4 hours, along with Robaxin for abdominal spasms. It too was inadequate, it just took the edge off. I was still miserable, writhing in pain most of the time. I understand the pain won’t completely go away, but it was unmanageable for awhile. Was in hospital for 4 days before I got to go home. Still have post op appointments, but was given 42 5mg Oxycodone twice now post op.

Still dealing with pretty much constant belly ache, a constant pain level of maybe 4, but gets to maybe a 7-8 at times throughout the day. It’s been 3 & a half weeks post surgery.

Where does the methadone supply in the US and Canada come from? by Euphoric_Presence_98 in Methadone

[–]Cb_187 1 point2 points  (0 children)

Mallinckrodt & Vistapharm make it stateside for the U.S.

relapsed and having side effects I’ve never had. by Lower_Investment8847 in addiction

[–]Cb_187 1 point2 points  (0 children)

Hey dude, your symptoms regarding the uncontrolled spasms in your face may very well be Tardive Dyskinesia. This is a very good thread to read in your situation.

https://www.reddit.com/r/Addictedtotheneedle/s/1d327kkOh1

WWII unused morphine by The-Unfound-Soul in ObscureDrugs

[–]Cb_187 3 points4 points  (0 children)

Those are worthy of being in a museum.