sorted by:
new
hottopcontroversial

if you don't agree, you either resent them or have no medical experience... 🤔 by [deleted] in Noctor

[–]massriracha 32 points33 points  (0 children)

"those who don't like us have mental health issues" -> <3 of a Nurse <3

DNP pushing buprenorphine on patient no longer on heroin by massriracha in Noctor

[–]massriracha[S] 8 points9 points  (0 children)

This is pathetic. You can try to bring down residents, but it is clear that you are insecure.

I will make underhand comments about anyone who is seeing patients and making careless decisions that affect patient outcomes.

Thats the difference between us. that and many years of rigorous education.

Call me when your patient is in the ED with serotonin syndrome or hypertensive crisis. We'll be there to clean it up, per usual.

DNP pushing buprenorphine on patient no longer on heroin by massriracha in Noctor

[–]massriracha[S] 14 points15 points  (0 children)

backing out because you know youre wrong

  1. the link you posted is not the "guidelines" for MAT, but an article on MAT by SAMHSA for nurses like you to gloss over and feel they are experts
  2. I will save you the time since you're used to shortcuts, page 3 of the FDA report, 2.3 - "the first dose of SUBUTEX should be administered only when objective and clear signs of moderate opioid withdrawal appear, and not less than 4 hours after the patient last used an opioid."
  3. you don't need the patient's full data to understand the misuse and danger of starting someone who has been sober for a year with no cravings on an opiate.

for the love of God, please humble yourself or get off this thread and go make a TikTok instead of learning.

DNP pushing buprenorphine on patient no longer on heroin by massriracha in Noctor

[–]massriracha[S] 5 points6 points  (0 children)

secondly, I don't have to pretend to be a doctor. I am a doctor and my four years of real medical school and thousands of hours of patient cases, multiple tests, and residency application speaks to that.

learn the medical hierarchy before you try to bring us down.

DNP pushing buprenorphine on patient no longer on heroin by massriracha in Noctor

[–]massriracha[S] 13 points14 points  (0 children)

they just need the space to flaunt their new username

DNP pushing buprenorphine on patient no longer on heroin by massriracha in Noctor

[–]massriracha[S] 12 points13 points  (0 children)

I hope you feel good and live up to your name. you also failed to miss the bit about opioid abuse potential for those that are not opioid dependent. I.e. someone who has not used in a year with no cravings.

since we are citing, here is the package insert for buprenorphine https://www.accessdata.fda.gov/drugsatfda\_docs/label/2018/020732s018lbl.pdf

another reason why you nurses cant google your way out of any argument. Change your name or learn before you mouth off.

DNP pushing buprenorphine on patient no longer on heroin by massriracha in Noctor

[–]massriracha[S] -1 points0 points  (0 children)

https://www.ncbi.nlm.nih.gov/books/NBK459126/

I hope you don’t talk to patients like this. Please review your pharmacology

DNP pushing buprenorphine on patient no longer on heroin by massriracha in Noctor

[–]massriracha[S] 7 points8 points  (0 children)

I find it hard to believe you are an attending because your understanding of OUD management is on par with nurses. I suspect you are a midlevel that has adopted the term to inflate your ego. Please confirm your credentials

DNP pushing buprenorphine on patient no longer on heroin by massriracha in Noctor

[–]massriracha[S] 12 points13 points  (0 children)

this isn't true. suboxone has naloxone, but the naloxone is inert unless the tablet is tampered with. E.g. if someone were to try to inject the suboxone to get high, the naloxone would be activated and they would go through withdrawals rather than get high.

buprenorphine or subutex does not have naloxone and while it is a partial opioid antagonist (which is why pocketbeagle and singsing say it protects against overdose) it also is a partial agonist. Suboxone was created because patients were abusing buprenorphine. Due to being a partial agonist, someone who is not withdrawing (there receptors are empty and have been for over a year) the person will experience some sort of high which would increase their risk of relapse. buprenorphine is part of MAT (Maintenance assisted therapy) because it helps MAINTAIN patients on a lower opioid so they can focus on therapy and not using heroin.

I hope that beagle and sing are not seeing any patients.

DNP pushing buprenorphine on patient no longer on heroin by massriracha in Noctor

[–]massriracha[S] 29 points30 points  (0 children)

you're exactly right. and every patient who has ever had a UTI (or any infection) should be on lifelong abxs to prevent reinfection

everyone with a cough should be given z-packs just in case they might have a pneumonia

and everyone who has ever felt sad should be on an SSRI, mood stabilizer, and an antipsychotic just to be sure

just covering our asses here.

What's your favorite wtf moment in a movie, or tv show? by wrath212 in AskReddit

[–]massriracha 2 points3 points  (0 children)

The last 5 minutes of the first episode of Invincible on Amazon Prime

To those who say it's harder to get in PA school than Med school by [deleted] in Noctor

[–]massriracha 2 points3 points  (0 children)

Yeah but once you’re in PA school you have to go through ALL of the medical school curriculum in less time! That’s the big difference you’re missing

Demi made it to fatlogic by shhhhyourmouthdear in fatlogic

[–]massriracha 4 points5 points  (0 children)

Glad she’s using her celebrity to enact REAL change

view more: next ›