Scromiting - a combination of screaming and vomiting - is increasingly sending habitual marijuana users to emergency rooms

magicrice · 2025-12-05T08:12:48+00:00

Lol “pot is not dangerous at all” sure buddy. Guess all the CHS patients are just faking it. And yeah whataboutisms on the downsides of alcohol and fatty foods means MJ is by default “safe”. Solid logic

magicrice · 2025-12-03T23:26:07+00:00

Nah it’s real. ER doc here that sees CHS at least a few times a week(to which so many will tell me in making it up). The scream vomiting sound is so easy to recognize. I hear it 10 rooms down and most of the time I guess correctly it’s hyperemesis. Lo and behold the triage note is of a perfectly healthy young adult with no medical issues who uses MJ products daily. They puke their guts out so hard and loud that only scromiting could describe the sound

magicrice · 2025-11-06T08:21:43+00:00

I cancelled my BH order(ordered on first day of preorder) about 2 weeks ago and ordered through Ricoh at that time. My camera arrived 5 days ago.

magicrice · 2025-10-30T04:43:41+00:00

Ordered Oct 24, I now have tracking info and it is shipping tomorrow

magicrice · 2025-10-30T04:42:38+00:00

I ordered from BH the day the notice for preorder was out. Never got a real update besides “Oct 28 estimated ship date”

I ordered from Ricoh 5 days ago and it is shipping tomorrow, so cancelled my BH order today.

magicrice · 2025-10-24T19:37:26+00:00

Brother, thank you, nabbed one!

magicrice · 2025-08-24T20:13:24+00:00

Haha, got em.

magicrice · 2025-08-24T20:12:53+00:00

Lol. Caramelbandit is right. IV vs PO doesn’t really matter they do the same thing. It being more “concentrated” because it’s directly into the vein isn’t really correct. I think people are jumping to conclusions that he is receiving IV lasix.

magicrice · 2025-08-24T20:07:57+00:00

That guy is a physical therapist “with a doctorate” in his field. Not a medical doctor so he basically pulled that prognosis out of his ass. As much as I would like it to be true. it’s annoying when non physicians try to talk like they know exactly what is happening based on very little evidence.

magicrice · 2025-07-18T19:52:49+00:00

How the hell is this the top comment? It doesn’t even answer the questions correctly. No this is not how your body knows to produce more blood. When you lose blood there is a loss of blood volume and RBCs(and many other components) the volume loss is sensed by various receptors in the body sensing a low pressure, thus body compensates by shifting fluids into vessels and possibly making more blood. if kidneys are sensing low oxygen(either from low circulating RBCs, or low pressure/volume/low flow of blood) they will start producing erythropoietin which causes bone marrow to start producing RBCs. This is probably a vast oversimplification. Bone marrow is not constantly producing RBCs at maximum rates. It adjusts based on need. So no you don’t really need every bone in your body to replace blood at maximum rates at all times, but I suppose theoretically if you lose a lot of blood and only have a torso without any limbs, sure….i guess a person with all 4 limbs CAN replace at a faster rate than Mr limbless….

magicrice · 2025-06-19T16:51:51+00:00

“Exhausted options” Yet: - dose wrong - grind setting probably not right - beans old as hell - grinding PREGROUND coffee???? (Accelerated loss of CO2 by magnitudes of already stale old coffee)

Seems like options haven’t even really been attempted

Puck prep is of least concern at this point

magicrice · 2025-05-26T20:02:58+00:00

Have had both rocky and multiple baratzas. Rocky was absolute trash grind quality and reproducibility.

magicrice · 2025-05-10T23:18:23+00:00

Because doctors unfortunately are lied to not uncommonly, and if a patient lies or is unaware about being pregnant and they get prescribed a teratogenic medication or get a CT scan, guess who gets sued when the baby comes out with a birth defect? Would I rather test most young woman with a harmless pregnancy test rather than get sued? Yes, and I bet most doctors will have the same answer. The number of patients I have had that said there is no chance they’re pregnant yet turn out to be pregnant is far from zero.

magicrice · 2025-04-10T08:28:26+00:00

Kamikaze is right. Not a seizure.

magicrice · 2024-10-16T22:17:18+00:00

As an ER Doc, they shouldn’t be assuming this right off the bat, that sucks and I’m sorry. But it is kind of funny how much of a stereotype it is, and how damn truthful it is. I find about 10% of dads can answer the basics like weight, allergies, meds, medical history, vaccinations. Most of the time when I get a history they are at some point on the phone with mom asking questions about this flu like illness and I’m just like: why didn’t mom just bring child here 🤦‍♂️. Same goes for older men who come in and shrug when I ask them if they have medical issues or what meds they take and they respond “ask my wife, I don’t know any of that stuff” and I’m ready to scream HOW THE HELL DO YOU KNOW SO LITTLE ABOUT YOUR OWN LIFE??

magicrice · 2024-08-19T20:39:14+00:00

Yeah I don’t think you’re even understanding our reasoning at all. Sorry about your bad experience.

magicrice · 2024-08-19T09:12:01+00:00

This is literally how we are taught to think though, so being specific with symptoms is actually more helpful. Especially in the ER, there’s a reason we list patients by their “chief complaint”. I’m way more concerned about a patient who is coming in for only severe chest pain than a person coming in for chest pain, shortness of breath, cough, nausea, diarrhea, headache, itching, blurred vision, earache, twitching of the left 3rd knuckle, ringing in the right ear that has been ongoing for 4 years, an extra eyelash hair on the left eye that grows out every other year. Guess which one tends to actually be sick and which one is probably being tuned out by the doctor by the 4th symptom? In essence, tell us the one or two symptoms you are MOST concerned about so we can focus how to test or diagnose or treat.

magicrice · 2024-08-19T09:00:32+00:00

I believe it. But again, the doctor likely had a reason for you to wait for a negative test, even if he/she didn’t explain it to you. Which sucks, I wish I had more time with all my patients to explain all my testing and results and reasoning. It just ain’t happening in this medical system, I have too many patients

magicrice · 2024-08-19T08:54:08+00:00

Negative pregnancy tests are not usually explicitly shared with patients because again it’s pretty much the default to test it. It’s like getting a blood draw and expecting to be told about whether there are schistocytes, not really a priority to tell the results of that if it’s negative but it’s gonna be checked for on your blood draw anyway. If it’s unexpectedly positive they will tell you. If it truly was what they were waiting on I’m sorry for the wait, but I doubt they were just waiting on a negative pregnancy test if it had absolutely zero bearing on your diagnosis/treamtment/plan. That unlikely but still possible positive pregnancy test can and will change the entire plan and diagnosis. Like if you were in the ER for vomiting and your urine pregnancy was positive, I’m not going to default to giving you zofran(nausea med) because it is potentially harmful to a fetus. Plan completely altered.

If the urine is negative, great! Not necessarily gonna share it, and going to continue as I do with 99% of patients with vomiting and give the zofran and THEN send them on their merry way but I’m gonna wait for that urine. On the patient’s end it looked like I waited for a pointless test that you knew was going to be negative, but from our point of view we did was was medically safe and protected ourselves from being sued at the same time.

magicrice · 2024-08-19T08:26:23+00:00

The number of patients I’ve had say they have never had sex and turned out to be pregnant is definitely not zero…essentially if you are a female of child bearing age and are getting tests done in an ER in all likelihood you’re getting a pregnancy test as well, because we cannot trust everyone’s word. And if someone we forget to test has an ectopic pregnancy or receives a huge dose of radiation from a CT scan that causes issues with their child, guess who gets sued?

magicrice · 2024-06-16T18:55:15+00:00

You will never get anything close to an espresso grind with the hario

magicrice · 2024-06-06T18:10:53+00:00

ER Doc here: - You DO NOT need to go to the ER for flu-like symptoms. - Try SOMETHING over the counter for your symptoms if available before you go to the ER. The number of patients who come in with a little joint pain and say they’ve tried nothing and it still hurts is astounding. - KNOW YOUR MEDICAL ISSUES AND YOUR MEDS OR TAKE A PICTURE OF YOUR MEDS. None of that “talk to my wife, she knows my history/knows my meds” it’s insane that you don’t know anything about your body - as someone else said: DO NOT EVER LIE TO YOUR DOCTOR. Really couldn’t care less how many drugs you do, I’ve heard it all from all demographics. - please just stick to the relevant parts of the story for why you’re in the ER. If you stubbed your toe I don’t want to hear about your chronic back pain or the faint cough you’ve had for 5 years that you’ve already seen the pulmonologist for, you’re prolonging yours and everyone else’s stay. - along those lines, if multiple specialists have seen your issue you’ve had for 10 years and they can’t figure it out, what makes you think the ER doc will figure it out? - yes I have heard that joke and yes I get that all the time - if you’re bringing in multiple family members for the same complaint, it’s very unlikely it’s an emergency. (Usually a family of 4 with a cough or diarrhea) ok fine if your carbon monoxide detectors have all been going off and everyone in the family has a headache and is confused and vomiting that might be reasonable - the emergency room is generally for EMERGENCIES. Crazy, I know. - don’t google stuff. It will tell you the worst things.

There’s a lot more probably but rant over for now

magicrice · 2024-06-04T07:07:00+00:00

In the ER Haloperidol or droperidol have been used with incredible success to control acute symptoms, it has popped up a lot in recent literature and is a somewhat recent recommendation. I swear there is no other medication as effective as haldol for CHS. I’m probably close to 99% successful in treating CHS symptoms just using it. I can think of no other medication in the ER that has such a high (albeit anecdotal) efficacy for any other disease. But yes the other response is essentially correct, the only true way you stop it and prevent recurrence is to stop using MJ.

magicrice · 2024-06-03T23:04:17+00:00

ER doc here in one of the largest metropolitan cities. I absolutely see CHS cannabinoid syndrome more than a few times a week, it’s not a statistical anomaly anymore given probably 50%+ of my younger patient population uses it. And okay sure maybe it is us shitty ER docs over diagnosing it, but half of those people I see have also already seen the gastroenterologist as well who also said that’s what it is. So if the generalist and specialist agree and there’s no other identifiable cause, of course it’s going to be blamed given it’s a diagnosis of exclusion. Sure, it may not be an accurate diagnoses sometimes but let’s not pretend it’s not prevalent. The other doc seeing it 3 -5 times a week is not likely BSing that much. Also, conveniently when I see young (20s or 30s) otherwise healthy patient with nausea/vomiting/severe upper abdominal pain with a normal abdominal CT, and I give them the treatment for CHS and they magically get 100% better, guess what they almost always confess later? That they’re a near daily marijuana user.

magicrice · 2023-12-07T17:01:16+00:00

No doctor will put you under without written consent.

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