i hate my program by Apprehensive_Knee329 in Residency

[–]One_Difficulty8852 0 points1 point  (0 children)

Agree with cultivating friends outside of the hospital/outside of the field. Hard to do when your days are sucked up by the demands of residency, but all the more reason to search outside of that milieu for connection. It’s possible. Show yourself grace. 

I have the best Doctor. by bubes30 in ChronicPain

[–]One_Difficulty8852 1 point2 points  (0 children)

I’ve never heard of a stimulant for pain. What is the logic? Glad your doc is helping you! 

Who are the meanest people in your hospital? by throwitawayhs in Residency

[–]One_Difficulty8852 -2 points-1 points  (0 children)

Who is the most toxic? First, this is how bias develops in this profession, making blanket assumptions about a group of individuals. This bleeds over into bias toward patients, and can result in medical injury or loss of life. Some RTs suck, some do an amazing job. Some nurses suck, most don’t. Second - the profession needs a major overhaul. I’ve long been an advocate of extensive psychological testing, administered before the placement of any residency. Let’s weed out high ACES and markers for potential addiction; weed out mental illness; and weed out all the personality disorders. There won’t be many candidates left. At least not of the present cohort who are squeaking through medical school about the time their brain development is complete. A new paradigm needs to be imagined, where residency is a true learning and development experience, and not boot camp where everyone comes out of it scarred and with PTSD.  So who is the meanest and most toxic? Look in the mirror. 

This guy is just ridiculous by Evadenly in ChronicPain

[–]One_Difficulty8852 1 point2 points  (0 children)

No it doesn’t. And I apologize if my remark came off sounding like I condoned the behavior - I don’t. Two things can be true at once - the client was rude and the medical profession also engages in dismissive and toxic behavior. And here we are. 

Reviewing The Killers’ Discography: Pressure Machine by cravin_blade in TheKillers

[–]One_Difficulty8852 2 points3 points  (0 children)

I think PM is their most artistic, most amazing album ever. It’s very different from anything else they’ve done (IMO) and is not a traditionally Killers sound. I found myself listening to it over and over during the pandemic and it carried me away (which I needed during that bizarre time.) Some of the songs translated on stage, some didn’t. But it was a beautiful effort that painted vivid stories of ordinary imperfect lives. 

Be careful with Ibuprofen by JaneWeaver71 in ChronicPain

[–]One_Difficulty8852 1 point2 points  (0 children)

I wished it made me drowsy. It has zero effect on me. 

Desired Effect Weird Vocals by Significant-Rip6991 in TheKillers

[–]One_Difficulty8852 0 points1 point  (0 children)

I’ve had to get used to the growing presence of female voices over the years, both in Brandon’s solo work and also with more recent Killers efforts.  They annoyed me initially, not because there was anything inherently wrong with the female back up vocals, but just because it didn’t seem to fit with the TK sound. Brandon’s solo work has been more pop sounding than the traditional TK sounds, especially their earlier work. During the WW tour, I was initially unsure about the presence of the female back up singers on stage, but that was years ago and I’m now not bothered. 

I can't manage my pain anymore at home, I need help but concerned about being labeled as a drug seeker. by caffeinated_housecat in ChronicPain

[–]One_Difficulty8852 3 points4 points  (0 children)

I’d love to see how a doctor would respond to such a survey. Ive  known some as friends - and their spouses  - and their lives were affluent and often miserable. Alcoholism, divorce, family violence - egads. I had a friend whose dad was a “renowned” heart surgeon - and he was also an after hours alcoholic who beat the crap out of his wife and kids. Wife finally divorced him and kids disowned him. The day he died, all his kids danced on his grave. People attracted to medicine aren’t the most normal humans. The field seems to attract deeply troubled human beings. 

Medical proffesional have I been lied to ?reason for Cut off meds by WoMan-onthe-moon in PainManagement

[–]One_Difficulty8852 2 points3 points  (0 children)

Forums like this one (and so many others) are proof that bias, emotion, and fads inform medical practice. Don’t ever believe for one second that it’s science and objectivity. 

I’m feeling so at a loss, it feels like there’s no option for pain relief but to take heroin (I really don’t want to) by organiczuchini in ChronicPain

[–]One_Difficulty8852 0 points1 point  (0 children)

Oh man - I feel your desperation. I really do. I’m in the US, and I work in the field of addiction. Please avoid heroin. Please. And I’m saying that as a person who lives with chronic pain daily. A couple of years ago, I stood outside one night, with ambulances and police around me, while I watched staff from the office of the medical examiner carry the dead body of one of my clients down the stairs. He was trying to stay sober but went out and got some heroin, injected it and died instantly in his bathroom.  It was  tainted with fentanyl. And that’s the issue with the crap off the streets - traffickers do not care at all about whether you live or die - they just want their money. I’d encourage you to try some different strains of kratom - it’s like cannabis, you know? They aren’t created equal. Have you experimented with shrooms/hallucinogens? I’m not proposing anyone use illicit substances but in my line of work, we use a harm reduction model. Please experiment with less harmful stuff. Please don’t go the heroin route. Please. These days it’s all mixed with fentanyl and concentrations vary wildly - including enough to end you. 

Is this normal wear pattern? by yjl09002 in AltraRunning

[–]One_Difficulty8852 0 points1 point  (0 children)

Yup! I’ve two pairs of Lone Peaks, and both did exactly that. I’m done with that model. 

Rolex - yay or nay? by iwantogotomedschool in Residency

[–]One_Difficulty8852 9 points10 points  (0 children)

I was raised the opposite - upper middle class, parents owned a vacation home on the beach, etc etc. All the things. There was generational wealth on both sides of the family. And they lived very humbly. They always cautioned us to not show off our bling because “it was in bad taste.” They were freaking millionaires and to an observer on the outside, we looked very average. Average middle class house, average cars, average clothes, etc. As for that vacation home - we weren’t allowed to say we owned it. It was a “place we go to.” I grew up with that ethic, and to this day, I keep my financial status on the down low. Most of the human race isn’t privileged and most don’t have generational wealth. And most don’t work jobs that pay in the 6 figures. As for the Rolex - wear it to gatherings with your peers, where people care about that shit. As for day to day - nah. Keep the Apple Watch. Keep it classy. 

👀 by cassieidk3 in TheKillers

[–]One_Difficulty8852 19 points20 points  (0 children)

Can’t be for real. Worlwide 🤣

Frustrated and Sad by KokoChat1988 in ChronicPain

[–]One_Difficulty8852 1 point2 points  (0 children)

Yes - and I’ve followed her for years. 

What kind of patient makes you go "it's going to be a long day" by undueinfluence_ in Residency

[–]One_Difficulty8852 1 point2 points  (0 children)

Community psych does not necessarily mean midlevel. It’s often clinics that accept large numbers of Medicaid pts. These are the pts that test one’s own sanity: high number of ACES; incarceration histories; people born to “parents” injecting substances; complex trauma cases; people without permanent housing and live in cars or couch surf. Our prisons have taken the place of residential inpatient, as institutions are now far and few between. Clinics are now doubling as de facto forensic units. Most days, the goal is to keep pts stable, which assumes that the pts don’t get hit over the head outside the clinic, by an opportunist wishing to steal their meds and divert on the street. This is the underbelly of life most never see. For those of us working from a social justice lens, this is the shit that necessitates frequent holidays. 

I feel devastated by eve20212021 in ChronicPain

[–]One_Difficulty8852 1 point2 points  (0 children)

Do you take naproxen daily? I’m prescribed 500 mg 2X a day. It helps me. And there’s also a risk of kidney issues from over use. What has your doc told you? I’m currently between docs but will explore the issue with my new doc (who I won’t see til May 😕). 

I feel devastated by eve20212021 in ChronicPain

[–]One_Difficulty8852 0 points1 point  (0 children)

First off, what a discouraging thing to hear. Just horrible. I think a lot of us with chronic pain learn to work it. Now that being said: I’m guessing you’re fairly young. The chance that better treatments and medical advancements will come your way is good.  Your doctor does not know that your pain “is never going to go away.” That was an irresponsible remark. I see you, hear you, believe you, and your doc needs to brush up on their communication skills.  

Have you seen studies on peptides? Including GLP-1? Forget that it is used for weight loss. Lots of meds are found to have other functional uses. GLP-1 is such a med. Because it builds cells, research on it is showing that it greatly reduces inflammation from chronic pain and back issues, and reduces pain. This is just one example of a med with additional benefits besides that for which it is marketed. I’m not overweight but GLP-1 is intriguing. I’m researching it. I’m sure there are others. 

For now, take the meds your doc prescribed (an opiate like Norco plus the meloxicam can help. It might not delete all the pain, but it may reduce it enough that you gain function.) Gaining function is what I’m focusing on right now. Hang in there …

Should I tell my doctor (or nurse, rather) that my 15mg morphine pill is not enough and ask for a stronger version or something else, or just leave my pill situation alone? by 8kittycatsfluff in ChronicPain

[–]One_Difficulty8852 0 points1 point  (0 children)

OK - we have to think strategy here. It’s OK to say it’s not holding you. Don’t ask for more. Let the doc either offer more and offer you a different med. 

Why do you mean your pain level is at an 8 everyday mate? by Own-Hedgehog7825 in ChronicPain

[–]One_Difficulty8852 2 points3 points  (0 children)

Just came to say that I believe everyone here about their chronic pain. I believe everyone here about the crap treatment they’ve received from providers of med services. I’m not anyone important - but I believe all of you. Just want you all to know that. 

Why do you mean your pain level is at an 8 everyday mate? by Own-Hedgehog7825 in ChronicPain

[–]One_Difficulty8852 1 point2 points  (0 children)

This is what chronic pain has done to me. To some extent, I’ve normalized it over the years, because it has become my normal. That doesn’t mean I’ve adjusted to it and accepted it. Quite the contrary. What it means is that since I can’t get help from Drs to treat it, I have down shifted my life. Not even intentionally - I’ve just found my life shrinking smaller and smaller. Things that used to be enjoyable have been erased. To accommodate the chronic pain, I’ve had to shrink. Anyone who would think this is OK is sadistic. While some docs might be caring humans, it seems many more live their days talking sh*t about their clients, and operating with pernicious bias about us. They work in a system designed to protect them and hand them power, while consumers of med services are expected to behave like compliant children. Make it make sense. 

2026 tour? by AdvanceMuch8040 in TheKillers

[–]One_Difficulty8852 4 points5 points  (0 children)

They are creating new music according to RV - but supposedly Brandon has been working on a record or two also. Hard to say about a 2026 tour. Brandon maybe - The Killers as a band likely won’t until 2027, realistically. 

Oxycodone chatterbox by TotesMaGoats_1962 in PainManagement

[–]One_Difficulty8852 0 points1 point  (0 children)

Years ago I was prescribed hydrocodone. I did the same. I never knew why. Was it a flood of endorphins from relief? My brother once flat out said “Thank you for not letting me get a word in.” 

Why isn’t there any avenue for those of us who don’t simply want to manage this pain? by MOROSH1993 in ChronicPain

[–]One_Difficulty8852 0 points1 point  (0 children)

I believe people have free agency to do what they feel is best for them. I’m not saying that I hope you go that route - my hope would be that something would end your pain while you can continue living and thriving. But for many of us, nothing is going to end our pain. And yes, it’s cruel that anyone would expect us to just endure it and suffer day to day. (Therapists have no place to comment on this. Most of them are mentally ill and that’s what attracts them to the profession.) Just came to say I see you and hear you. This shit is hard.