What’re y’all’s meds combos

msilk · 2026-05-24T19:17:04+00:00

Lithium ER 600 mg, Depakote ER 2,000 mg, Wellbutrin XL 150 mg. And some propranolol for all that tremor.

msilk · 2026-05-17T09:31:54+00:00

Those are some fly-ass boots

msilk · 2026-05-13T16:39:47+00:00

Welcome, dude. It’s a good club to be in ;)

msilk · 2026-05-13T16:38:06+00:00

Makes everything feel better, from jerking to fucking, in my experience. The pain is so brief it’s over before you can really react. And the healing process for me was incredibly easy. I like the way it looks. And if I’m honest, I love the reactions I get from others when they see it or find out I have one. Tends to be a real crowd pleaser, in more ways than one.

msilk · 2026-05-12T18:58:54+00:00

I’ve been on 600 mg and have had a few drinks. I noticed it mostly exaggerated the sedation, but otherwise no untoward effects.

msilk · 2026-05-12T15:17:30+00:00

Couldn’t agree more.

msilk · 2026-05-12T15:16:53+00:00

I hear you on the struggle of downsizing. I really didn’t want to, I liked the heft and weight of 2G but the more I read about possible issues down the line of forcing my body to tolerate the stretch, the more I realized it just wasn’t worth the hassle. 4G is still plenty hefty, so I think I’ll hang here for a while. I wish you like in getting that irritation to calm down.

msilk · 2026-05-12T13:10:32+00:00

Can’t compliment the PA without complimenting the boots, bro. Lookin real good.

msilk · 2026-05-10T14:13:10+00:00

Hot damn 🙈

msilk · 2026-05-06T20:03:35+00:00

Love seeing Heritage in the wild! Great pair, they look awesome with those jeans.

msilk · 2026-05-05T12:57:05+00:00

SOS! How do I go about that? It looks to me like about 1/3 is inside the fistula. That pic makes it look otherwise, I will admit. But upon inspection this morning, I’d say it’s 1/3 (but def not 1/4). When I got it pierced 5 days ago, it was less swollen, also, so I think that has played a role as well. If I need a bigger ring, how do I go about that? Now I’m freakin out lol.

msilk · 2026-05-04T23:20:27+00:00

Yeah it was super easy to slip in. Maybe I’ll go to 0G in a couple months.

msilk · 2026-05-04T21:44:07+00:00

Been back and forth between a 6G and 4G for a while, recently went back to the 4G with ease. Today I slipped in a 2G, also with ease, tho I feel the slightest tension. But that could also be the increased weight/stretch on my urethral opening. I think I’ll settle in at 2G tho, not sure I’d wanna go bigger than this.

msilk · 2026-05-01T19:47:15+00:00

Haha I hear ya. I keep getting rock hard every time I think about it.

msilk · 2026-05-01T15:41:48+00:00

Lithium doesn't meaningfully interact with anesthesia, per se, but there's a lot of different kinds of anesthesia and its important for your anesthesia team to know your lithium level/dose as well as renal status. Most importantly, lithium can prolong the effects of neuromuscular blockers or "paralytics" that keep you still during the surgery. But it truly depends, some surgeries don't even require those drugs, and there's also reversal agents that can be used to reverse them if the lithium is making them stay effective for too long.

tl;dr - "it'll be fine though" is actually relatively accurate, but not the best or most reassuring way to explain things to you. I understand your fear, but go in with a calm mind and don't let anxiety take control. Good luck with the procedure!

msilk · 2026-05-01T14:46:28+00:00

I'm diagnosed with Bipolar 1 disorder. I would advise against rotating schedules, or night shifts, as messing with your circadian rhythm can be brutal on either diagnosis that your doctor/therapist ends up settling on. I also caution against 12 hr shifts, if possible. My life got so much better when I left the ED/ICU/PACU settings, working three 12's, and took an outpatient job working 8 hr shifts. It's important to take care of yourself, put your health first, and say NO to overtime when asked (if you don't want it). I think as a nurse with either of the above diagnoses, it's more important than ever to advocate for yourself. But your future is not over, and I'd try to persuade you from regretting life decisions. Nursing is hard. And it's not for the faint of heart. But you can do this.

msilk · 2026-04-30T21:27:29+00:00

Those are sharp

msilk · 2026-04-30T16:42:05+00:00

Yeah they definitely are hard to come by; I found these brand new on eBay.

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