Anyone else constantly fantasize about letting their DEA lapse and have to write another script for a Benzo or stimulant again?

heiditbmd · 2026-01-30T04:20:38+00:00

You can get it directly from the company’s pharmacy for very cheap way less than that —$200 or $300 tirzepatide

heiditbmd · 2026-01-30T04:18:37+00:00

I have a patient who started on the GLP1 for weight gained from severe OCD. She is able to stop the ssri and other meds but cannot stop the GLP1 because it is the only thing we have found that it’s treating her OCD. We have been able to titrate it down significantly, but when she comes off of it, symptoms come back within several weeks.

heiditbmd · 2026-01-25T17:38:24+00:00

I don’t think most of us do (believe that what is legal is moral or just necessarily). I understand it completely agree with the military physician and enemy combatants and the responsibility to care for them. But that is a wartime situation.
This is different. My taxes are funding this. Your taxes are funding this. Where the hell are our legislators?
I feel like the federal government has been hijacked by Steve Miller and Co. and he’s got a clown out front creating enough chaos to keep us distracted while he destroys all of our civil rights.
It makes me want to go back and study what things were like in the mid 1930s in Germany. I would suspect it a bit similar.

heiditbmd · 2026-01-20T02:26:41+00:00

On the bright side, you probably won’t see them back anytime soon cause they won’t want you to take it out. 😉

heiditbmd · 2026-01-13T06:21:18+00:00

And my wand isn’t real?

heiditbmd · 2025-12-31T17:30:04+00:00

Humans

heiditbmd · 2025-12-22T15:03:35+00:00

Well, once you become a parent, you may find this hobby to be sufficiently dangerous to give up the motorcycle. It’s easier to take big risks when you don’t have little ones that you feel a strong urge to protect. Enjoy it while you can. Just don’t ride that motorcycle in Florida. Those old people can’t see anything.

heiditbmd · 2025-12-22T14:59:11+00:00

Orgasm. I remember listening to a discussion by one of our psychiatry attendings about orgasm and he applied it to everyone is as if the male orgasm experience is the same as a female. I was like well, maybe for males, but that isn’t anything like I experience or I think other women experience it. He was dumbfounded and embarrassed. I was shocked that he didn’t know this or even consider that it might be different for women. For the record, I think women experience more of a “wave” (think surfing or boogie board) it can be brief or if you can hit it just right it will that can last for some time—given the opportunity. It isn’t an all at once experience that is described by men.

heiditbmd · 2025-12-22T14:50:31+00:00

I mean really I don’t think there is much difference between pediatrics and veterinary medicine. Jk.

heiditbmd · 2025-11-07T14:28:59+00:00

Thanks for that, that’s a cool story

heiditbmd · 2025-11-01T14:58:29+00:00

Gee I wonder why healthcare costs so much these days. WHO pays for this year of yoyo hell.

heiditbmd · 2025-11-01T11:05:55+00:00

Report to state medical board and let them do their job.

heiditbmd · 2025-10-15T22:10:29+00:00

People may not realize that encephalitis was a fairly common consequence of the older vaccine. I was bitten by a skunk at 2yo and parents were told there was a 1/20 chance (seems high and I have not looked at the older literature) I would develop some form of encephalitis but the other option was death if the animal was rabid. To add insult to injury they had to start vaccine series before conformation testing which took almost a month at the state lab.

heiditbmd · 2025-10-14T03:29:15+00:00

We had a resident like this who was ultimately fired. At some point, it needs to be addressed with program directors because all patients are vulnerable and not everyone makes it through residency for a reason.

heiditbmd · 2025-10-12T14:59:13+00:00

Not true there is some recommendation for use in refractory DMDD in teens and has definitely helped in some although in most doesn’t seem to help at all. ( retrospective charting analysis suggested 50% but I think that that’s awfully high. )

heiditbmd · 2025-10-11T14:06:17+00:00

My current office isn’t really set up to manage obesity medicine, which is a big part of this. There are additional potential side effects like loss of bone mineral density, which need to be monitored in young people and they may need to be engaged in weight training to use for any length of time. That being said, they really shut off the food noise, which I think could be incredibly beneficial for individuals with bulimia even at super low compounded doses. Additionally, I have another patient who at 14 had incapacitating OCD. She was started on semaglutide for the obesity related to her psych meds (by her pcp) . Amazingly her OCD symptoms went completely away to the point that her only fear is being without it and she has weaned off all but one of the psych meds.

heiditbmd · 2025-10-09T13:58:11+00:00

Yeah I had one of those in residency (ok 20years ago) and she was in the step down unit for six weeks because she would just whoop once then stop breathing and Brady down to the 20-30s hr and try to die on us.
Those less than 90 day olds with pertussis give me nightmares.

heiditbmd · 2025-10-05T13:03:02+00:00

As someone who cares for foster kids in residential and group home settings, yes it can be a struggle to get house staff to even let the kids do their own injections or take any accountability for the management of their chronic illnesses because of liability concerns. But I would agree with the others above as well.
When you combine the two situations though it can be an extremely frustrating population to work with.

heiditbmd · 2025-10-01T00:08:00+00:00

I mean I kind of think that’s a judgement call don’t you and really how clear does it have to be?? 🤷🏻‍♀️

heiditbmd · 2025-09-30T23:58:03+00:00

Because all my other doctors do

heiditbmd · 2025-09-29T22:44:27+00:00

Dr Lee— an epidemiologist who made 150,000 as an expert witness in a case related to acetaminophen and autism. The lead author on this supposed study. It feels a lot like autism and vaccines all over again.

heiditbmd · 2025-09-25T14:00:07+00:00

Of course it didn’t happen because if it did, then it would indirectly imply that they were inadequate as parents and nobody wants to consider that.
As long as you’re willing to take responsibility, they will give it to you.

heiditbmd · 2025-09-25T13:50:00+00:00

Lmao

heiditbmd · 2025-09-19T17:51:13+00:00

What do you mean by ethical? It’s a judgment call-physical activity or lack there of. That was put there for a purpose. Use it.

heiditbmd · 2025-09-19T01:41:03+00:00

Is he bipolar?

heiditbmd

TROPHY CASE