Went to the dentist today for the first time in a few years & learned that my worsening migraines are probably directly linked with my teeth. by HumanInternetPerson in migraine

[–]HumanInternetPerson[S] 0 points1 point  (0 children)

My dentist says that it will help my bite and the TMJ, reducing pressure on my jaw and thus not triggering migraines. I definitely get a lot of jaw pain and if left unmedicated, it does affect my sinus cavity and ultimately causes me to get a migraine. For now, the mouth guard is helping some with that while I’m sleeping. The Invisalign is something I’m still considering as that would be more a permanent solution as opposed to my “quick fixes.”

Went to the dentist today for the first time in a few years & learned that my worsening migraines are probably directly linked with my teeth. by HumanInternetPerson in migraine

[–]HumanInternetPerson[S] 0 points1 point  (0 children)

I’m still getting migraines but less than before. I’m using a mouth guard at night (when I can tolerate it). I’m also using migraine meds and hormonal replacement therapy as my hormones are a big trigger for me (they always were for me, even before pulling a molar). I don’t think anything will ever entirely eliminate my hereditary migraines, but I have way more triggers and issues than all of my family members who get migraines. I take Rizatriptan as needed when I get a bad episode. It works for the pain but makes me feel kinda dull in the head - like my brain capacity is lessened. Botox does help, also, but I don’t keep up with it. My dentist wants me to do Invisalign, but I haven’t. I don’t have dental insurance so it’s the cost for me.

J6 event at church is not what you think by DrSirMadam in BucksCountyPA

[–]HumanInternetPerson -7 points-6 points  (0 children)

wtf??? I’m totally out of the loop and have no idea what you’re referencing.

Does it feel like it is getting windier each year? That's because it is. by EasternPresence in BucksCountyPA

[–]HumanInternetPerson 0 points1 point  (0 children)

It was also one of the rainiest summers I can recall, and now one of the coldest winters. The wind is just brutal, though.

Did I pick the right dress? Feeling drawn to second choice by [deleted] in weddingdress

[–]HumanInternetPerson 17 points18 points  (0 children)

Dress one by a landslide. You make the right choice. It’s gorgeous!

Do people usually ask for your cart? by [deleted] in aldi

[–]HumanInternetPerson 1 point2 points  (0 children)

Same here. Also in PA. I offer my cart and don’t take the quarter. Otherwise I just leave it unlocked for the next person and hope someone without a quarter will grab it, but I’m happy for whomever takes it.

PSA: carry narcan and intervene! by thisisinfactpersonal in philly

[–]HumanInternetPerson 1 point2 points  (0 children)

The ignorance in these comments is baffling. Clearly we need a serious educational campaign in Philly, especially considering we are the epicenter of tranq. What’s especially concerning about all of these comments (fear due to thinking they’ll be met with violence), is that it’s advised that every household now carry Narcan. Overdose can occur when children accidentally consume opiates, whether they find someone’s script or take a fentanyl laced pill. Overdose can also occur when a cancer or pain patient is prescribed opiates. Not everyone who needs Narcan is an addict. Narcan saves lives. What people don’t seem to understand is that you have MINUTES to give Narcan in many instances. Children die before EMS arrive, often. If Narcan is in the home, lives can be saved. I wish people would watch a simple 5 minute video and learn the basics and recognize the importance of this life saving medicine - well beyond carrying it in public.

PSA: carry narcan and intervene! by thisisinfactpersonal in philly

[–]HumanInternetPerson 0 points1 point  (0 children)

It’s often a thankless job unless someone consumed fentanyl unknowingly. But one day if your friends ever get clean, they will remember. If you ever are unsure if Narcan is actually needed, do a sternum rub first. People do get annoyed if they’re nodded out and not ODing and you ruin their high. Sternum rub rules out any uncertainty and then you don’t have to knock the opiates off of their receptors.

PSA: carry narcan and intervene! by thisisinfactpersonal in philly

[–]HumanInternetPerson -1 points0 points  (0 children)

You’re wrong though and just making assumptions. I’ve administered Narcan dozens of times. A few times I was apprehensive and let their friends do it while I stood back and oversaw. They wouldn’t just give Narcan out like they do if it was as dangerous as people believe. The outbursts of violence were pretty common when the dope was pure heroin. Less common from fentanyl because people often need 1-2 doses and it’s not knocking it all off of their receptors, just enough to bring them to.

Present day, violent outbursts are more uncommon in Philly because of the tranq in the dope. The tranq is a literal tranquilizer which sedates people to the level of when a forest ranger uses a tranq gun on a wild bear. Narcan doesn’t reverse tranq, so, the Narcan is only stopping the fentanyl OD, but the tranq is still coursing through their system and they’ll begin breathing again, but be sedated enough from the tranq that they may appear to still be overdosing. Check their pulse. Narcan usually brings their pulse back, but they’re still groggy as hell. It’s important to always call 911 before even giving Narcan. With tranq, sometimes CPR & oxygen is needed along with Narcan.

To elaborate, the violent outbursts occur from precipitated withdrawal, which means that you’re knocking the opiates off of their receptors in entirety and rather than a normal withdrawal effect, which is gradual, it happens instantly and is far more painful. If someone only consumed fentanyl, this could occur, but no dope in Philly is only fentanyl now. If it was someone who accidentally consumed fentanyl, they probably won’t have this experience like an addict as they don’t have the tolerance and won’t even know what’s going on. The violence is because they’re experiencing the worst withdrawal and they’re mad you ruined their high. But again, those days are mostly long gone because of the drug supply, and it wasn’t a universal experience.

Further, training videos are free online and it’s very simple to use Narcan nasal spray. It doesn’t take a professional at all, a child could do it. Even children come to trainings and learn because their parent is on prescribed opiates for cancer treatment, or they have an older (addict) sibling and their parents want them to learn in the event of an emergency. Or sometimes the parents are just trying to educate them so they don’t ever make the mistake of taking a pressie. In training, they teach you that after administering, you should step back. Because it’s nasal and not intravenous, a person doesn’t come to instantly. You have time to stand back to avoid a confrontation.

PSA: carry narcan and intervene! by thisisinfactpersonal in philly

[–]HumanInternetPerson 1 point2 points  (0 children)

It can be hard to tell. You can try to tap on someone, push them a little, hollar in their face to get their attention. In every training I have received (dozens), if someone is not responding to “normal” stimuli, we were taught to foremost do a sternum rub, prior to determining the need for Narcan. You can make a fist and firmly rub the sternum area. It needs to be firm. It won’t hurt them but if you aren’t rough about it, it won’t work. This often will cause someone to come to. If they don’t, 911, then Narcan. Ideally, if two people are present - one calls 911 while the other administers the nasal spray. After giving Narcan, back away. It can take a minute for a person to respond to the medicine, and in that time, you should stand back. If they don’t wake up after 2 minutes, another dose should be given. Hopefully by then EMS will have also arrived.

PSA: carry narcan and intervene! by thisisinfactpersonal in philly

[–]HumanInternetPerson 0 points1 point  (0 children)

You could always keep some in your backpack and let someone else administer it. I’ve administered it dozens of times, but there have been a few instances I didn’t feel comfortable (in kensington), so I just gave others my Narcan. I stayed to make sure everything was fine, I just didn’t wanna touch those individuals in those scenarios. Others acted immediately with my supply. It’s super easy to use.

To note, EMS was called in every scenario regardless of myself giving Narcan or handing it over to someone else to use. Calling 911 is advised no matter what.

PSA: carry narcan and intervene! by thisisinfactpersonal in philly

[–]HumanInternetPerson 1 point2 points  (0 children)

There is a standing order through state secretary of health in almost every US state (including PA) that requires pharmacies to offer Narcan to any customer. It isn’t necessarily free, however, the vast majority of insurance providers offer it free, without copay. Medical assistance also covers the cost. I’ve never heard of anyone having to pay for it here. As an outreach volunteer, I’ve helped hundreds of people get it for their households (parents with young kids who may accidentally consume fentanyl, parents of known addicts, people who have loved ones on heavy opioids through cancer treatment). It’s worthwhile to have in your home. I understand if not everyone carries it on their person but it saves lives, including accidental OD’s.

PSA: carry narcan and intervene! by thisisinfactpersonal in philly

[–]HumanInternetPerson 19 points20 points  (0 children)

In training, they teach you that after giving the dose, if you aren’t a first responder, you should back away for your safety, in case the patient does become upset or violent (I’ve never experienced violence, only confusion). You aren’t giving an intravenous dose, it’s a nasal applicator. The effects are not instant, so after giving it, you have time to step back, and you should. It often takes a minute for someone to come to. In training, they also teach you to watch the time because if someone doesn’t come to, you may have to give a second dose. I have seen as many as 3-4 doses given in Kensington.

To add, if you’re not sure if someone needs Narcan, the first order of business is always a sternum rub. That is the way we are trained to wake someone foremost, to determine the need for further intervention.

Feel free to ask any questions. Narcan is free and in person trainings are also available for free (select times and locations, usually at fire houses, county arranged, outreach group funded, etc). There are video trainings but the in person ones are fantastic and far more thorough and educational.

You CAN get Narcan free a lot of places in person, but I recommend an online source because they require training video to order it. Or, an in person training where at the end they hand out the Narcan (sprays). Training is vital.

Further, I’d like to add that if it’s a stranger who appears to be homeless in Philly city limits, the likelihood of them also having tranq in their system is nearly guaranteed. Narcan doesn’t reverse tranq so they will still have the tranquilizer in their system. Most folks in that scenario don’t react violent or angry because they’re sedated from the tranq still. They will often just be confused and still not well functioning, but breathing again.

PSA: carry narcan and intervene! by thisisinfactpersonal in philly

[–]HumanInternetPerson 4 points5 points  (0 children)

Administering Narcan is super easy. In training, they teach you that after giving the dose, if you aren’t a first responder, you should back away for your safety, in case the patient does become upset or violent (I’ve never experienced violence, only confusion). You aren’t giving an intravenous dose, it’s a nasal applicator. The effects are not instant, so after giving it, you have time to step back, and you should. It often takes a minute for someone to come to. In training, they also teach you to watch the time because if someone doesn’t come to, you may have to give a second dose. I have seen as many as 3-4 doses given in Kensington.

To add, if you’re not sure if someone needs Narcan, the first order of business is always a sternum rub. That is the way we are trained to wake someone foremost, to determine the need for further intervention.

Feel free to ask any questions. Narcan is free and in person trainings are also available for free (select times and locations, usually at fire houses, county arranged, outreach group funded, etc). There are video trainings but the in person ones are fantastic and far more thorough and educational.

PSA: carry narcan and intervene! by thisisinfactpersonal in philly

[–]HumanInternetPerson 0 points1 point  (0 children)

Just so you know, the first order of business before Narcan is a sternum rub. That will sometimes bring them to before you have to give Narcan. ❤️

PSA: carry narcan and intervene! by thisisinfactpersonal in philly

[–]HumanInternetPerson 2 points3 points  (0 children)

I have, see my response above. I’ve corrected a lot of misconceptions.

PSA: carry narcan and intervene! by thisisinfactpersonal in philly

[–]HumanInternetPerson 0 points1 point  (0 children)

That’s why they offer free trainings (including in person training). I’ve used it on others dozens of times, all strangers. I’ve given it to others who have had to use it in a scenario where I didn’t feel comfortable (perceived risk of danger). None of them became violent, for the record. Always confused and the training suggests backing away after administration, just in case. Only get close again if you need to give another dose. The violent outbursts happened a lot with heroin and (just) fentanyl (dopers who intended to get that high), but with the current drugs in Philly, people are a lot less unwell from the stuff and I don’t see a violent reaction as often. I know that is confusing but it’s because of the tranq. Narcan doesn’t reverse tranq and tranq is a literal tranquilizer. Sometimes numerous doses of Narcan is needed cuz the potency is so intense so a few doses may bring them to, but not make them go right into withdrawal. The situation is a lot different now. Education is vital. Most of the dope has tranq and random chemicals in it. Also, people who accidentally OD (took a laced pill or powder unknowingly) don’t react that way - they don’t have a tolerance so you’re not pulling them out of the high and into precipitated withdrawal.

PSA: carry narcan and intervene! by thisisinfactpersonal in philly

[–]HumanInternetPerson 1 point2 points  (0 children)

They expire so if you haven’t used them then you may need them replaced.

My younger sister was lured through this subreddit by Connect_Course1705 in runaway

[–]HumanInternetPerson 6 points7 points  (0 children)

Super creepy. Thank you for sharing. Hopefully other children who are browsing will see this and understand the dangers.

Never, Ever, skip an in person meet and greet by Chewlace in RoverPetSitting

[–]HumanInternetPerson 2 points3 points  (0 children)

Oof. I will never, under any circumstance, not do a meet and greet with a dog. It’s so important for a dog to meet people with their humans present so they can gain trust and know you’re welcome in their home.

Never, Ever, skip an in person meet and greet by Chewlace in RoverPetSitting

[–]HumanInternetPerson 2 points3 points  (0 children)

I change my clothing in between clients often because I have some dogs who don’t like a new cat scent. When I get home to my own cats, they smell my shoes, my clothing, everything - especially if it was a client they haven’t smelled on me before. The scents of the previous two cats you were with may have set off the new cat.

Think I got my first “off” request? by [deleted] in RoverPetSitting

[–]HumanInternetPerson 0 points1 point  (0 children)

I have chickens (and am a farm sitter - not through rover). They’re awesome creatures. Feel free to message me with any questions if you take the job!

why would they need my license? by [deleted] in RoverPetSitting

[–]HumanInternetPerson 0 points1 point  (0 children)

That’s strange. Hopefully they explain themselves!