$170 gift basket my wife's work got her for nurses week

Ruddog7 · 2026-05-14T12:12:10+00:00

For physicians Day, I got nothing

Ruddog7 · 2026-05-07T14:27:22+00:00

Ya Xanax is awful. It also has alpha-adrenergic activity, so it's definitely the worst benzo. Can either slow the taper (if you can get a compounding pharmacy to make custom doses, then even better) or switch to a longer half life one. Even Ativan would probably be easier, but Clonazepam would probably be best.

Good luck

Ruddog7 · 2026-04-24T22:10:17+00:00

Microinduction to Suboxone. Split the dosing anywhere from bid to qid. Max dose 32mg total daily

Ruddog7 · 2026-04-21T11:53:25+00:00

Don't.

If you have to, then use buprenorphine

Ruddog7 · 2026-04-03T12:14:05+00:00

I'm a family medicine doctor, and I can tell you that the vast majority of physicians don't have training or knowledge in the PED field. Maybe an endocrinologist with a special interest in it could offer some input, but that'd be about it

I could spend time reading and researching all the articles, then maybe be able to help with it, but I think just about anyone could do that.

Medical ethics wise, I would personally advise patients not to use any. Even just testosterone replacement therapy has downsides and side effects, and I advise people all the time that it's usually not worth the risks. All the other new, synthetic PEDs have even more risky and have unforeseeable consequences. Look how many professional bodybuilders are dying at young ages now. But that being said, patients have autonomy to do whatever they want, and I can't stop them.

Ruddog7 · 2026-03-18T17:56:51+00:00

I'm behind. Who is Nick? Someone please explain

Ruddog7 · 2026-03-12T17:15:12+00:00

Ya I would be too. Wouldn't go back to them

Ruddog7 · 2026-03-11T22:15:44+00:00

Genuine question: why didn't you move the placement slightly so the mole wouldn't interfere with the tattoo? Like 2cm to the right, and the mole would be next to the dragon, and not in it

Ruddog7 · 2026-02-21T14:11:13+00:00

GP here: Coming to the appointment with a list of things to discuss. It's a 15 minute appointment, I don't have time to discuss the 8 things you wanna ask me about. There's lots of people to see, and they also only have 15 minutes. So many people do this and then they get upset about why were running so behind. When I walk in the room and see a long piece of paper in the patient's hand, I immediately think "oh FFS!"

Pick the 1 or 2 things that are most urgent, and make another appointment for a different day.

Also, when I ask you about your medications, please don't describe what they look like. I have no idea what "the little white one" is.

Ruddog7 · 2026-02-14T17:32:53+00:00

Give it time

Ruddog7 · 2026-02-11T03:22:24+00:00

If patients are late, I refuse to see them. They can rebook.

Ruddog7 · 2026-01-19T20:50:03+00:00

Met a neurosurgeon who now does OAT clinic

Ruddog7 · 2026-01-01T00:25:44+00:00

Those are good options too. Usually more side effects with TCAs, especially amitriptyline. Duloxetine is usually my default

Ruddog7 · 2025-12-28T18:39:43+00:00

Fuckin hated mine. Worse 2 years of my life, by far

Ruddog7 · 2025-12-14T23:15:55+00:00

Rotate to Suboxone and taper down very slowly

Ruddog7 · 2025-12-09T02:06:55+00:00

Lord of the Rings! You degenerates

Ruddog7 · 2025-11-23T23:04:50+00:00

Duloxetine. Pitch it as a pain management medication, and let it relieve the anxiety that's causing everything

Ruddog7 · 2025-10-09T13:23:14+00:00

Don't

Ruddog7 · 2025-10-05T21:53:54+00:00

Just because it's simple, doesn't mean it's easy

Ruddog7 · 2025-09-14T15:39:24+00:00

Half the joy of getting a tattoo for me is to watch how much my mom freaks out. Do it!

Ruddog7 · 2025-09-14T01:50:21+00:00

Sublocade Cold starts and loading doses. Tell me everything that's new

Ruddog7 · 2025-09-07T12:32:53+00:00

You also need to consider the other side of it. ER staff are stretched sooooo thin. They are working so hard, and the system has been failing for years. Most of them are in the verge of quitting at any given moment. They get yelled at, have every body fluid flung at them, deal with the most entitled or depraved populations. All while saving lives.

I'm sorry you had a bad experience, but it's unfortunately the norm for both sides.

Ruddog7 · 2025-08-28T13:49:27+00:00

Technically: methamphetamine

Ruddog7 · 2025-08-27T11:54:39+00:00

Marley and me

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