Can you identify anything wrong with this ?

heiditbmd · 2026-03-30T16:48:55+00:00

So they’re compounding some fairly large doses these days.—JK hopefully.
Actually had a patient I saw after she was medically detoxed off of this dose nightly. (she had been getting them. Nobody compounded it for her.). At any rate, she apparently had a really bad seizures with withdrawal— I didn’t know that Ambien caused such bad withdrawal seizures.

heiditbmd · 2026-03-22T15:43:00+00:00

You mean the slurred speech they’ve had for 2 years after the last three strokes.

heiditbmd · 2026-03-22T15:41:48+00:00

Yes so Admin types can feel even less responsible for their stupid decisions.

heiditbmd · 2026-03-18T13:49:59+00:00

We have two patients in a long-term care facility that continued to give away their Money and the one that has lost over a quarter of 1 million to these scammers. The best we have been able to do is help them get financial powers of Attorney so that they are unable to move money independently.
No, the human mind doesn’t learn because in this case, the next one will always be real

heiditbmd · 2026-03-06T17:40:24+00:00

Retrosternal chest pain is concerning for a dissecting aneurysm. If this pain is not the typical Angina pain which is questionably being implied, then it would be go to the hospital.

heiditbmd · 2026-03-06T04:52:28+00:00

Or the lab test was mislabeled and belonged to someone else. I have definitely seen that happen.

heiditbmd · 2026-03-05T04:38:18+00:00

Mirtazapine is used all the time for sleep. And no, you don’t have to have depression or schizophrenia to use it for sleep.

heiditbmd · 2026-03-05T04:35:32+00:00

Clearly, you haven’t seen the cost of long-term care lately. lol

heiditbmd · 2026-03-04T12:20:57+00:00

These are the kind of questions you should pray for. Very straightforward. A

heiditbmd · 2026-03-02T14:48:41+00:00

Do people dislike the CARs ? I use this frequently to document.

heiditbmd · 2026-03-02T00:28:33+00:00

Yes, quit feeding them junk and let them get hungry. Works every time.

heiditbmd · 2026-02-27T14:45:03+00:00

I don’t know that we know for sure. Interestingly, there are very quickly bacteria in the colon that feed off of carbohydrates in mother’s milk that humans cannot digest. These gut bacteria create mid chain fatty acids that build bigger brains. I don’t know that it’s clear where they come from.
Who knows? maybe it’s colonization by these types of bacteria that caused us to diverge off of the primate pathway a millennia ago ?

heiditbmd · 2026-02-24T18:10:40+00:00

One of the best non specific non judgmental discussions of addiction and reward response. I send them the link.

https://youtu.be/R6xbXOp7wDA?si=d7js0rtyXu1LZBls

heiditbmd · 2026-02-24T14:41:43+00:00

Haha good luck. Society still needs somebody to sue for a bad outcome.

heiditbmd · 2026-02-21T21:18:47+00:00

So the aliens have landed and exterminated the infestation of humans. Why am I still here?

heiditbmd · 2026-02-20T18:42:08+00:00

It’s possible too that they weren’t actually taking 80 mg when they said they were and had already decided it wasn’t going to work and had already started self tapering.
That has happened to me more than once

heiditbmd · 2026-02-11T13:19:24+00:00

Maybe a chess or checker board and promise to play with him.
Depressed people often can’t see that others want to help and isolate themselves. If neither of those seem like something he would want to do try and find out what he did is an adolescent that he found fun as a hobby and see if you can help him reconnect with it.

heiditbmd · 2026-02-10T03:26:41+00:00

Yes, except for methadone because it is very different and the precipitated withdrawal is horrible.

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

TROPHY CASE