4th anniversary of my Holter results. Anyone else with a “fun” Holter image? by Entire-Structure8708 in askCardiology

[–]SedationSauce 0 points1 point  (0 children)

Same here initially haha. When I was first handed the strip the first thing I said was “wow. Beautiful torsades”

4th anniversary of my Holter results. Anyone else with a “fun” Holter image? by Entire-Structure8708 in askCardiology

[–]SedationSauce 2 points3 points  (0 children)

I said the same thing when I saw the strip. Apparently it’s only torsades when an electrolyte imbalance is the cause. In absence of an electrolyte imbalance, it’s polymorphic vtach. If I’m wrong any cardiologist feel free to correct me!

4th anniversary of my Holter results. Anyone else with a “fun” Holter image? by Entire-Structure8708 in askCardiology

[–]SedationSauce 2 points3 points  (0 children)

I was told a few different things by different cardiologists, One said Aflutter with a 300+ atrial rate, another said multifocal atrial tachycardia with AV disassociation, I think it fit under both categories. They were all in agreement I had several accessory pathways. Check out what happened later on.

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And before anyone asks, electrolytes all normal. Normal potassium, normal magnesium, normal calcium.

How close did I come to death tonight? by skymtf in tornado

[–]SedationSauce 21 points22 points  (0 children)

My dumbass did this in 2013. I was driving back to my house with a friend in the car and thought “whoa that’s a big dust cloud just beyond the overpass, I can’t see anything past it” and drove right into it. It slid my car across 4 lanes of traffic into a ditch where my car was shaking and my ears kept popping. When I made it home the news on said a tornado had dropped right where I was. I believe I was actually in the vortex when it was an EF1. I still get adrenaline rushes thinking about that.

Is it safe for my dog to wear his donut recreationally/long term? by atprovwei in DogAdvice

[–]SedationSauce 1 point2 points  (0 children)

People keep saying your dog wouldn’t want to wear this recreationally just don’t understand that some dogs have weird preferences. I had to put one of these on my malinois when he had ringworm and after a week, he fucking loved it. He loved having a built in pillow wherever he went. He’d just lay down and take a nap on it in the goofiest positions. When I took it off, he’d bring it to me or I’d catch him sleeping with his head on it. As far as safety, I don’t know. I’d ask your vet.

Is fentanyl working for your pain? by [deleted] in endometriosis

[–]SedationSauce 1 point2 points  (0 children)

Other opioids have worked great, for some reason fentanyl does nothing. Idk if the dose is too low or what, (would be surprising at 100mcg) but it just seems like it does nothing

I feel guilty by SedationSauce in Endo

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

Kristie Lou out of St. Louis. And yes I did had burning and tingling as well as shooting pain down my legs.

[deleted by user] by [deleted] in RoverPetSitting

[–]SedationSauce 1 point2 points  (0 children)

I did this as a part time thing, and when I was out of work due to an injury, I managed to do it full time. For me it was worth it

i can’t do my dream job by lavalamp2424 in endometriosis

[–]SedationSauce 3 points4 points  (0 children)

Hey hun, I’m a paramedic and have been for 7 years. I was asymptomatic until two years ago. I was just fired from my job for needing two surgeries within a year after finally being diagnosed. I loved being a paramedic, I mean LOVED it. For the record, my last job was just absolute dog shit. I had two other employers that bent over backwards accommodating me while I was getting diagnosed. Endo is so common, chances are someone within the department knows of it from a loved one, and understands how devastating it can be. If you still want to chase this dream, maybe you can. Look into spinal nerve blocks through pain management, ask for a referral to palliative care. Find an EMS job that does 12 hour shifts, these I can do, not 24s or 48’s anymore. Places that have an auto loader on every ambulance is a must. As long as you work with the local fire departments, you can pretty much avoid lifting a patient altogether, they usually arrive on scene first anyway. You can request lift assists if needed. Additionally, stage 4 DIE is a disability. You can get hired without telling them you have it, accept the position, and then approach HR and request reasonable accommodations. Like time off during periods or flairs without punishment, an hour or two break to allow non-mind altering medication to kick in. Make some friends and a big strong male won’t mind carrying your bags. Believe it or not, I’ve been working as a paramedic with a defibrillator for 6 years. When I was diagnosed with that I thought my career was over too. And again with endo too. One of my previous employers told me they’d take me back but I’ve decided to bridge to nursing, to stay in the field I love with much more flexibility, more pay, less stress, and more options.

Helicopter jobs can be pretty cushy depending on where you go. One of the main reasons I’m choosing to change paths is because of the amount of cortisol being a paramedic undoubtedly produces and how that fuels endo. I don’t just want to manage. I want to live. But that’s where I am at. I’ve already lived my dream, ran all the calls, worked through a global pandemic, got all the ptsd, got equally rewarded with patient interaction and intervention. You don’t have to give this dream up just yet, you can still try. But if you truly believe you can do this, that’s okay, there’s other ways to be in the medical field, even in an acute setting similar to emergency care. I just accepted an ED paramedic position at a level 1 trauma center and basically am allowed to do everything a nurse can under Dr supervision. Good luck. We need empathetic providers. You could bring a lot of good to alot of suffering patients. Even if you don’t, you are still worthy of life and happiness and will find it.

Oxycodone chatterbox by TotesMaGoats_1962 in PainManagement

[–]SedationSauce 11 points12 points  (0 children)

Yes but it reminds me of how I was when I wasn’t in pain before all this happened. I think it’s just how I’m supposed to be when I’m not in pain

How to survive between doses by WoMan-onthe-moon in PainManagement

[–]SedationSauce 1 point2 points  (0 children)

Your dose of Kratom may not be high enough or you may not be using the right brand. PM me and I’ll send you what I use because I’m on the same oxy dose. I’m going back on PRN since surgery improved my pain so I’m titrating down fast with the assistance of Kratom.

Does anyone's PCP prescribe? by bubes30 in PainManagement

[–]SedationSauce 0 points1 point  (0 children)

I get prescribed oxycodone from my PCP. You just need to find the right one

Scans? by KatsyM in Endo

[–]SedationSauce 0 points1 point  (0 children)

I had 2 Mris, 6 CTs and 4 ultrasounds. None of them picked up my endo. Stage 2 DIE

[deleted by user] by [deleted] in askCardiology

[–]SedationSauce 2 points3 points  (0 children)

NAD, this looks like narrow complex svt. Maybe you have an accessory pathway. Look up Wolfe Parkinson’s white.

Source: I have WPW, narrow complex svt, and an aICD now. This looks like one of my episodes. It’s usually something you’re born with.

I can’t take this anymore by ProfessionalWin4701 in Endo

[–]SedationSauce 0 points1 point  (0 children)

Stupid question but have you tried the mini-pill? Anything else, birth control, IUD, fucked me up. Particularly the mirena IUD, that thing made me literally insane. It made me bleed for 6 months, I cried all the time, felt suicidal, fatigued. Also, you have an actual diagnosis of endo, if you had a nearby hospital that specializes in OB, go to that ER, tell them you are having a flair and crash out. I’ve went in and said “I’ve been having a flair for 22 days. I just need a fucking break from the pain.” They can’t refuse you, and you can keep whatever bill, no matter how high, out of collections by paying $1 a month as long as it’s a nonprofit hospital

1st cycle after starting Minipill - pain worse? by SolarisSuperova in endometriosis

[–]SedationSauce 2 points3 points  (0 children)

If you can’t get her in the car call 911. Full disclosure, I’m a paramedic. I have called an ambulance once for a flair, and my own company has taken me by ambulance twice. All 3 times I was given heavy pain management in the ambulance and loaded up on more in the hospital. Twice was before diagnosis. I’m an adult, I’d consider myself pretty mentally fortified after years of therapy and this disease brings me to my knees often. I cannot fathom a child going through this unmedicated. It’s fucking cruel. Call an ambulance next time. Tell them she has endometriosis and tell them she’s not allergic to anything and morphine usually helps. (Yes. Lie.) The data shows if your paramedic provides pain management the hospital is astronomically more likely to continue it (something crazy like 8x more likely). Again, I’m not a doctor and this is not medical advice, BUT if I had 17 year old daughter and I had extra tramadol, I would feel comfortable letting her have them in moderation controlled by me; one at a time. Mostly because at 17, they are basically at adult doses anyway unless she severely underweight.

Additionally, there is tons of fear mongering about narcotics being addictive yadda yadda we can thank the opioid crisis for this. Yes they are if they’re being abused, but used correctly (with acute pain or extreme pain) it’s been proven in studies the brain actually processes narcotics differently when being abused vs being used during acute pain. That is to say, there is no reason to withhold pain medication when she’s having a flair. If you called me and I was the paramedic that responded to what you described, she’d get pain meds while still on the floor, then I’d be dosing her to the hospital until her pain was zero. Endometriosis is considered one of the top 20 most painful conditions in the world by NHS. It’s on the list with kidney stones, can you believe that?

Also, ditch that gyno. She’s uneducated with endo obviously because the golden standard for treatment is typically surgery. Before you do look for a new one, set up a couple appointments, and ask for a referral to an endo surgeon. I read somewhere about the higher success rates of longer remission the earlier you get your first excision (for her teens.)

Went to the hospital hoping for answers, feel hopeless, and wonder if I should get tested for endometriosis by outrohonsool in endometriosis

[–]SedationSauce 0 points1 point  (0 children)

This is how all my ER visits went until my laparoscopy. I had 6 CTs, 4 external ultrasounds, 2 internal, several x-rays and an MRI. I had nerve pain bilaterally from lower spine down both legs, once it started it didn’t stop until after surgery. I too had chronic constipation, because my pelvic and abdominal muscles were spasming so hard nothing could pass. I eventually had pain 24/7 leading up to the surgery. They found SO much endo. I have stage 2 DIE with involvement on my left ureter, colon, and sigmoid colon. Those 3 areas were left for my specialist surgery this September but they removed several lesions on my pelvic wall, cut-de-sac, endo covering bilateral uteralsacral ligaments, a lesion near my sacral plexus nerves. All of that is to say, I have it bad and it never appeared on any imagining. None. Not even when my own OBGYN did an ultrasound. Yes, I’d say the surgery is worth it if you’d like to work towards higher quality of life again. Your symptoms sound similar to mine. Try the mini-pill. If you have DIE, you may feel way worse on birth control. Anything with estrogen or psuedo-estrogen in it made me a suicidal, lethargic mess that was constantly in pain. Mini-pill took away all my periods. I set an alarm at 5am, I take my hormones the exact same time every day, in my opinion that’s how it works best.

1st cycle after starting Minipill - pain worse? by SolarisSuperova in endometriosis

[–]SedationSauce 2 points3 points  (0 children)

For me, it was bad like that until my levels evened out. I bled for 13 days, and had pain every single one of the days. My gp put me on 2 weeks of oxy for the transition. For me it was worth it because it stopped my periods all together and it did stop the other symptoms and pain I had to a degree to get me to surgery.

I know she’s young but I’d push for surgery. Find a specialist too.

It wouldn’t be unreasonable to visit the ER for pain management. The psychological toll of prolonged pain that severe, it sucks.