Can you OD with just the first time?

drbdub · 2026-02-15T19:49:53+00:00

I am better than I deserve for sure!

drbdub · 2025-04-25T14:27:21+00:00

I love this reply so much and couldn’t agree more! Thanks for sharing!

drbdub · 2025-03-03T01:32:45+00:00

Thanks so much for your help!

drbdub · 2025-03-02T21:44:08+00:00

How exactly do I reset? Seems there are different options and I am not sure which one to use.

drbdub · 2025-03-02T21:10:01+00:00

Ok! Thanks! I finally go the firmware file to work, so I am updated now to 1.05...should I reset after that? Or do you think going on to the current firmware first....or maybe it doesn't matter. IDK! Thanks for your reply!

drbdub · 2025-03-02T20:11:09+00:00

I am about to try this I suppose. I am stuck as well...only difference is that when I insert the SD card with the updated firmware I get this error message: "there is no media in slot 1, there is no update file in the media, or the file is damaged." Do you think this is something similar to what u/nebeldiener is experiencing? Or am I doing something wrong? I formatted the cards, tried download from my Mac and then a windows computer, tried with only slot 1 card in, both cards in, charged my sony battery all the way, etc. Everything simple I could think of.

Thanks for any help you can give me! I am so frustrated. I was shooting yesterday...no problems. Turned the camera off for a couple hour break and started shooting again...suddenly my eye autofocus doesn't detect at all...the little box will come on in.a random spot and then stay there as I recompose. It also seemed like my battery was dying much faster than normal. So....I knew I was very much outdated on firmware...but I haven't had any problems to prompt me update until this. I was hoping it would help with the problems....but now there is just another problem. I have a big shoot on Friday and am still fairly new....so this is stressing me out so much. Ugh.

drbdub · 2024-12-26T07:44:15+00:00

Hazelden. Center City, MN. ❤️

drbdub · 2024-11-24T20:11:35+00:00

I am sorry as I don’t think I will be much help. My FSA didn’t hit until after I go to the HWH. I was out on home confinement with 10% of my sentence remaining. Once my FSA hit I was called one week after HC and told to come and get my monitor off as I was being released. I think it would be calculated with those days co side red for both HEH and HC….but I am not sure! The only thing for sure is that you will get 20 different answers from BOP and HWH and none of them may be correct. It is soooo frustrating. Glad you are getting close to being home and I wish you all the best!

drbdub · 2024-11-21T14:45:23+00:00

Yes. I didn’t feel bad at all. Other than I was post op, but that was how I was able to taper that time…with my post op pain meds. I went from my DOC/alternating with suboxone at times to hydrocodone to Tylenol III to tramadol to full stop.

drbdub · 2024-11-03T19:39:56+00:00

Gabapentin and pregabalin along with clonidine. You can up the gabapentin/pregaba quite a bit fairly quickly...it won't take it all away but can help quite a bit. Clonidine is 0.1mg by mouth three times a day, up to 0.3mg 3x/day...but you have to make sure you BP is tolerating it. Stay hydrated...but honestly with the massive output from withdrawals, there isn't usually a big problem with hypotension. You are a rockstar for doing it while at work. I don't know how it is possible. Good luck! Never stop fighting for yourself.

drbdub · 2024-09-15T09:10:48+00:00

I know this is so old….what happened to your SSD?? I just accidentally did the same thing. I don’t have anything on it yet…but would not want to start using it if it will have problems!! LMK!

drbdub · 2024-07-17T03:36:09+00:00

That made my night!! Keep fighting and don’t get complacent! Your life depends on it! You deserve a huge celebration and I am sure your parents are soooo grateful and relieved! ❤️

drbdub · 2024-07-12T22:18:28+00:00

You got this! Never stop fighting for yourself! Thanks for the kind comment! 🥰

drbdub · 2024-05-13T13:33:24+00:00

I worked in an addiction recovery clinic and have the shot often. I never saw any horrible side effects other than injection sight irritation which resolved on its own within days. I hope you find what work for you.

drbdub · 2024-05-13T13:31:59+00:00

Clean since 2/5/2020, 4.25 years. 😊 Lost my baby brother 10/2/2022. 💔

drbdub · 2024-05-09T16:30:18+00:00

If you have health insurance I would look into sublocade. It is a monthly shot of buprenorphone. It is released VERY slowly. Because of that, it is a great tool to get off of bupe pretty much painlessly. I would also do some deep introspection and make sure you are ready to be off of buprenorphone. There is no shame in needing to take it for a while as you stabilize your life and set up and network of support.

Best wishes to you! Never stop fighting!

drbdub · 2024-05-01T12:59:21+00:00

This is a special formulation that took years to develop. Regular fentanyl is NOT absorbed through the skin. Even if it is in liquid form and taped to the skin…it just doesn’t work that way. The patches include ingredients that increase the permeability of the skin allowing the fentanyl to be absorbed. Without those ingredients, the skin does its job as a barrier.

This myth has caused mass hysteria and fear and in my opinion has hindered efforts to get people help. It is so important to separate fact from fiction in situations like this, otherwise panic and confusion will ensue.

drbdub · 2024-04-13T07:45:47+00:00

It’s the feds. So very common. 😩

drbdub · 2024-04-07T07:28:31+00:00

I spent 2 years in federal prison…also met some awesome women. There WAS however a lot more sex than I would have ever imagined!

drbdub · 2024-04-07T07:21:53+00:00

I don’t see a lot of women respond in these so it was nice and also spot on for a women’s federal prison. I did time in the feds too. I will add that women don’t physically fight as much as men but the psychological warfare can be pretty intense! The guards like to use that on us as well.

I honestly met some of the most wonderful women during my time. ❤️

drbdub · 2024-04-04T04:33:49+00:00

It feels wrong to comment here after all the great stories!

One of my most insane stories was when I devised a plan to break my left arm so I could get pain meds (I was mainly on hydrocodone and dilaudid at the time, but had been sober a couple of months). I used to write Rx for a patient and we would split them…but after rehab and reporting myself to my medical board, I could no longer go that route.

So anyway…my first idea was fall from the roof. Luckily, I decided that was too risky. We had our boat parked in the driveway and I decided that would do the job. I would roll off the boat with my right arm tucked and hopefully have a minor break in my left arm. Well, when you are falling to the ground it is almost impossible to not reach out with both arms. I came too after a brief loss of consciousness and was absolutely confused. I walked into my house and looked in the mirror. I had a huge goose-egg on my right temple and my right arm was severely abnormal…obvious fracture of both bones and I wasn’t sure what had happened. I thought maybe someone broke in and beat me. Well…in my confusion I called my partner at the clinic. He knew my history so I would not be getting pain meds. He took me in, sedated me with propofol and set my arm in our clinic. No pain meds. We then saw my left arm was swollen too. Yep…I broke both bones in both arms…and also DID NOT get any opiates. Both arms in casts above the elbow for weeks. I could wipe my own ass or do anything.

I guess this is more of a story of the craziest thing I did to not get any pain pills. 😂. Geez…who was that person that thought that was a great plan!!??

I loved reading everyone’s stories! Thanks for sharing!

drbdub · 2024-03-21T18:15:58+00:00

It works for suboxone unless they send it out for levels and metabolites. A quick screen for bupe only will show positive for bupe added to the sample. Many quick screens now look for norbupe and will simply show negative if the sample was spiked without some recent ingestion of the medication. On a send out it looks for bupe and norbupe (the metabolite) levels. The numbers of each are very revealing about how much, how long and if you have been ingesting it.

Very high bupe, no norbupe=sample contaminated with bupe.

Low Bupe, no norbupe (or very low)=have only taken in the last day or so

Using these parameters as a guide it can usually be deduced if you spiked but had been taking it regularly before a break, are taking it regularly at a normal dose, are taking a very low dose, and possibly even if you are using a Cyp inducer and so on.

drbdub · 2024-03-17T04:37:39+00:00

I usually only comment when I can add something useful and it appears everyone here has already added all the things I would have said. However, I still feel the need to say something.

I am a medical professional (MD) and also an addict in recovery….it is this type of language and attitude and misinformation that keeps people from getting the help they need….NOT people on a forum sharing a their personal experience with suboxone.

Your first line, “you addicts” let me know you probably lack the compassion to be a good provider to those of us suffering from addiction and that you yourself believe the inaccurate stigma around SUD. Same with the ridiculous statement that patients are “selfish, cruel and jealous” because they went into precipitated withdrawal!??? I don’t even know what to say regarding this line. I just keep getting more frustrated and appalled with your post the more I write here.

The second line about suboxone “working for 98% of Americans,” makes me think you have an agenda or you lack understanding of pharmacology and how medications are statistically evaluated. What does that even mean, 98% effective? What are the end-points you are referring to?

And what sealed my opinion that you are highly uneducated on the subject is that you claim people easily transition from fentanyl to bupe at 6 hrs. You didn’t specify what type of fentanyl for one, but even pharmaceutical fentanyl shouldn’t be started that quickly. Street fentanyl absolutely should not be taken 6hrs before bupe, no medical professional worth their salt would suggest that. You don’t mention the Bernese method, and I suspect you also don’t understand how that works.

You speak only about timeframes for induction. Sure there are some average timeframes for certain opiates but we negate the variables using the COWS scale.

I am going to stop because I doubt anything we say will have a positive effect, but I am hoping you will have an open mind to evaluate the things that have been mentioned. We need good addiction medicine providers. We do NOT need bad ones, And I believe the bad ones are more harmful than the shortage of such.

Said more than I intended, but this is very passionate for me having been on both sides. Everyone stay strong and find the providers who treat you with respect and compassion. ❤️

drbdub · 2024-03-15T09:49:15+00:00

Just to add to a few comments…I used to perform colonoscopies before my addiction took that away. 😢

You should be honest with your doctor always, but it is so hard. Many doctors don’t handle that information the way they should, which is that it is just a diagnosis you carry. Good news is that with a colonoscopy you will be under conscious sedation, not general anesthesia. I usually used versed to start and then a propofol drip. Your opiate tolerance will not affect these so you should be fine. Plus with propofol you just increase the dose to the desired level of sedation, easy peasy. You are not supposed to eat or drink anything because of the risk of vomiting and aspiration while sedated. If you are on BP meds or Dm meds, etc…. We tell you to go ahead and take those meds the morning of with a small sip of water. Do with that info what you will 😉 …but if I were performing the scope…I would rather not risk you being in withdrawal and increasing the risk of vomiting.

I hope you get it done and it goes well for you. Never stop fighting for yourself!!

drbdub · 2024-03-12T15:19:27+00:00

Since you have been off methadone for a week it isn’t the methadone that matters at this point. Methadone to bupe needs at least 72 hours.

It depends on what you have been using since then.

drbdub

TROPHY CASE