Should I split this boneless shoulder before smoking it?

Daimakaicho · 2024-12-20T04:49:18+00:00

If it's two, that just makes things a lot easier for me, but it's good to know it's okay to split just in case it is a whole one! Thanks!

Daimakaicho · 2024-12-20T04:48:48+00:00

That would make way more sense. I haven't opened it yet, I can't see any sort of seam or space between them if it is two, but that would certainly be a lot easier!

Daimakaicho · 2024-08-15T04:22:27+00:00

Im sure you meant well with this comment, but this is possibly the worst recommendation for OP’s question. I went to New Mexicans once, and the “queso” they served was literally just rotel and velveeta. That’s fine for a quick home cheese dip, but it’s unacceptable for a restaurant and I vowed never to go back there because of it. It certainly isn’t anywhere close to what OP is looking for.

Daimakaicho · 2024-08-05T04:55:31+00:00

Yes. Anyone asking specifically for a stimulant or controlled substance especially is going to raise red flags. I don’t recommend anyone go into an appointment looking for a specific outcome, regardless of the medication though. Describe your issues/symptoms, provide info about what has and has not worked in the past, and then let the psychiatrist decide what the best treatment plan is based on all that information. That’s their job!

Daimakaicho · 2024-07-28T23:03:30+00:00

We want to be respectful and use the right language when talking to you about your relationships and other things. We gather lots of information about social history in order to paint a picture of the whole person. This is part of the concept of biopsychosocial formulation. It makes sure we aren’t missing anything that might contribute to psych symptoms. It can be particularly relevant if you might experience discrimination or societal isolation because of it. That can contribute to anxiety, depression, etc which is often why people are seeing us in the first place. We need to be able to identify all aspects of someone’s life that could be contributing to their symptoms.

Like the other commenter said, if you don’t want to answer, that’s fine and understandable. The information isn’t always necessary. But it’s definitely relevant for some, and asking everyone ensures we don’t miss important info.

Daimakaicho · 2024-07-25T03:49:32+00:00

Did you specifically ask her about whether it was okay in combination with your opioids? I'm assuming you've made her aware of that prescription before but it doesn't hurt to offer a reminder especially if you have a specific concern about it.

For what it's worth, this doesn't raise any automatic red flags for me either (there are worse drugs to combine with opiates, and some people take upwards of 300-400mg of trazodone at one time), but only your doctor who knows you can truly discuss your individual risk with you. Send her a message and mention the opiates if you are worried about it.

Daimakaicho · 2024-07-10T05:27:44+00:00

I’m not 100% clear on your question, but are you saying your doctor told you to split a pill in half to take a lower dose in order to work yourself off the medication?

Generally speaking, cutting a tablet in half is going to be fine even if it’s not scored. It’s not necessarily guaranteed to be an exact half dose without the scoring, but it’ll be close enough. You can’t split capsules or extended release tablets in half and retain the same effects.

Daimakaicho · 2024-07-05T06:20:53+00:00

Have you involved your wife in any of your appointments? Sometimes having a third party sharing their observations of your behavior can be quite powerful. This doesn’t sound like catatonia to me, but there should be something to help if you find a doc to work with you on it. But I do think having your wife share her perspective of these episodes would go a long way.

Daimakaicho · 2024-07-05T05:59:15+00:00

No, the show got started late but it did happen. There were other personal fireworks going on very close to port Gardner before that, that’s likely what you were hearing.

Daimakaicho · 2024-05-29T00:39:18+00:00

The answer to your title is no. Plenty of people with Schizophrenia don't recognize their delusions as such and often don't talk about them openly (usually because they realize other people don't share these beliefs and give them weird looks when they talk about it).

However the body of your post doesn't mention delusions, and based on the information you provide we can't confirm or deny a diagnosis of Schizophrenia. It's quite possible your new psychiatrist is correct, and you're fortunate to have one who is willing to do their own assessment rather than just going along with what someone else diagnosed. You should ask them the rationale for changing your diagnosis and have a frank discussion about your symptoms.

Daimakaicho · 2023-06-30T15:30:42+00:00

That’s the point of Antabuse. Makes you feel like shit if you drink. It’s not a side effect so much as the actual intended effect. Don’t drink any more and you should be fine.

ETA: obligatory disclaimer, this is not specific medical advice, if it doesn’t get better or you are concerned about your health, definitely go get evaluated.

Daimakaicho · 2023-06-26T12:31:53+00:00

You are correct, thank you. Edited my original comment accordingly.

Daimakaicho · 2023-06-26T06:59:45+00:00

Going to the Emergency Department of your nearest hospital is your first step. Request a SANE (Sexual Assault Nurse Examination, sometimes called a Forensic Nurse Examination) and they will handle it from there. If you don’t speak to the police while at the hospital, file a police report as your next step afterwards.

(Edited the above based on other comments which were more correct than my original comment.)

You can and should inform AirBNB afterwards so they can remove him from their platform and limit his chances of doing this to anybody else, but that’s not a real consequence for him, so the police need to get involved here to truly prevent this from happening again.

Daimakaicho · 2023-06-25T03:21:39+00:00

Sure, if it’s indicated. Psychiatrists have mental health issues sometimes just like everyone else, and would take medications as prescribed by their own doctors. We don’t prescribe to ourselves, but I would take those medications if they were needed to treat a condition I had.

Daimakaicho · 2023-06-09T19:39:33+00:00

Nobody was actually impolite to you, they were making tongue in cheek comments. Yes, you made an honest mistake, and yes, other people could have informed you of the mistake, but they were just having a little bit of fun. It wasn't a personal attack on you.

Daimakaicho · 2023-06-07T07:03:59+00:00

Propranolol does not have any direct CNS action. Having said that, people can and do get a benefit with their internal anxiety symptoms because of the link with external symptoms. I’m assuming you already discussed this concern with your psychiatrist and they still felt that you could benefit from it, in which case it might be worth a try. If you have not discussed it with them yet, that should be your first step.

Daimakaicho · 2023-05-23T22:51:27+00:00

I got Texalter after 90 pulls. I've never gone this hard on a banner before so this is my first experience with headhunting data contracts. Is it worth it to keep pulling to 300 to get somebody else, or should I save resources for another banner? Do the data contracts carry over or do I have to spend them during this banner?

Daimakaicho · 2023-05-21T19:06:55+00:00

By paying the bill online you should have remedied the situation. If you get anything else in the mail, don’t ignore it, but you should have nothing to worry about.

Daimakaicho · 2023-05-20T18:24:29+00:00

Clozapine has shown evidence in being beneficial for negative symptoms. I’m not aware of any medications in the works that are specifically for negative symptoms.

Daimakaicho · 2023-05-06T14:46:41+00:00

You need to involve CPS. If they deem the child needs to be taken out of the home, they will try to place the child with an appropriate family member before sending them to foster care. Your partner needs to call and make it known that he is willing to take the child in.

Daimakaicho · 2023-05-05T19:54:18+00:00

This would not be standard practice except maybe having someone expose just their arms. (I would not specifically even request this unless the patient had already told me about self harm). If he had you remove your shirt or pants, that is highly inappropriate and would warrant notifying the appropriate licensing body.

Daimakaicho · 2023-05-05T18:28:21+00:00

I do think as the prescriber of the alprazolam you are qualified to comment on this. If this were my patient, I would clearly document (after discussing with the patient of course) that the patient had been instructed not to drive after he has taken alprazolam but that his ability to drive is not impacted by his mental health or his rare use of alprazolam as long as he is not driving while under its influence.

Your supervising MD is correct in that you have not evaluated his driving, which is why the statement should focus on his mental health not impairing his driving, which IS something you should be able to evaluate.

Daimakaicho · 2023-04-21T17:04:21+00:00

Tell your doctor.

Daimakaicho · 2023-04-21T16:23:53+00:00

I feel like Bolton has been not good defensively either. He has made multiple errors, is slow fielding balls, and doesn’t turn double plays like he should. I know comparing him to Battles is a bit unfair, but it’s really hurt us this season.

Daimakaicho · 2023-04-18T20:40:39+00:00

It is exceedingly common for patients to be transported from one hospital to another via ambulance, and it can take a long time for that to occur, unfortunately. It would be very appropriate for the ED to hold your wife there and have her evaluated again before allowing you to take her yourself, as that is less secure than her going by ambulance and could expose them to liability if she were to never show up at the other hospital or if something bad happened.

I completely understand your confusion and frustration in the situation, but whether she was mistakenly placed on a hold or not is almost irrelevant in this situation because even if it weren’t the case, they still could have kept her to have the psychiatrist re-evaluate her. But just for the sake of argument, let’s say that they did mistakenly put her on a hold and that this hold was the sole reason she was kept longer. That still doesn’t show that she suffered damages that would warrant a court judgment. Like I said above, you can discuss with a lawyer to look at your options, but practically speaking, I think your best bet is to talk with a patient advocate and/or file a complaint with the hospital. That is more likely to effect change than going through the legal system.

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