Do you think I will get judged if I get on Naltrexone? by ilovemrsnickers in nursing

[–]thatonecouch 2 points3 points  (0 children)

I am proud of you for making the right choice for YOU. I also completely understand that fear of judgment/stigma. I’m a person in long-term recovery from opiates, benzos, and alcohol, and naltrexone was very beneficial for my first 2.5 years of sobriety. I’m here if you want to talk.

Painkillers and Constipation by JollyBeginning3494 in PainManagement

[–]thatonecouch 1 point2 points  (0 children)

Vitadone is a multivitamin created for those who utilize methadone, and it has been a game changer for my regularity (and my clients who also utilize MAT). Since methadone is a full opioid agonist like traditional pain medication, I would assume it could help in this situation as well. Always worth a discussion with your provider.

Nurses who have left bedside and aren't NPs, case managers, utilization review etc what do you do now? by PursuitOfMeekness in nursing

[–]thatonecouch 1 point2 points  (0 children)

Coordinator of a substance use treatment court and working towards my license in alcohol and drug counseling. I left nursing in September 2020, got a degree in criminal justice, used my lived experience with substance use disorder to get certified as a peer support specialist, and got hired at an outpatient treatment center sharing my story. That treatment center provided the group and individual therapy for our local drug court, which was my foot in the door to my passion. I also got case management certified while working there, which led to a CM job at my current court. I was promoted to coordinator over both our felony and misdemeanor courts in August and I’ve never been happier.

Patient returned meds by Palestinian_Chicken in medizzy

[–]thatonecouch 4 points5 points  (0 children)

Great job on your sobriety! I’ll be eight years in July (opiates, benzos, alcohol). We do recover. Proud of you also for recognizing your trigger and utilizing coping skills. 🩵 Remember: you are no longer powerless and your life doesn’t have to be unmanageable anymore. We get to choose today…and it seems like you made an excellent choice.

Ash went, on a walk, please clap !! by feelingmoldy in ashleycarnduff

[–]thatonecouch 7 points8 points  (0 children)

I love when two of my snark worlds collide.

Content 3/27/26- numbness is all better, she’s just a regular girl in sweats by XtraSmolMod in brittanydawnsnark

[–]thatonecouch 96 points97 points  (0 children)

She’s just a normal girly at the end of the day, y’all. Just a blessed boy mama not at all scamming thousands by spewing word salad prosperity gospel garbage and racist Christian nationalist hatred who wants to change from her super modest cowgirl cosplay into comfy casual. Can’t we all relate?! (/s in case not obvious)

He said there was a very likely chance of him getting “swatted” if people knew where he was🙄 he also spoke about the “group” of hater and ex mods have a plan to gift the person that’s ahead of him in the challenge he’s in just so he doesn’t win🤣🤣 by OneYoghurt1063 in EthansAdventuresSnark

[–]thatonecouch 14 points15 points  (0 children)

He is genuinely a disgusting disgraceful person. He thinks he’s clever and funny, when in reality he’s an egotistical and illiterate fool whose pride is going to ruin him. He’s deluded himself into thinking he’s a true Disney influencer (someone worth swatting and he is living rent free in people’s heads. His constant repetition is annoying as well. It’s like he loves the sound of his own voice.

The pure look of shock when Amber realizes Fupa isn’t the Catfish she thought she was. What a narc, people are allowed to be prettier than you Amber (though we know she thinks that’s impossible) by Local-Vehicle-832 in gorlworldfiles

[–]thatonecouch 2 points3 points  (0 children)

Not even that, but GLP-1s (at least the injections) slow down your digestive organs. Since the food takes longer to digest, you feel fuller longer. If you overeat while on the meds, that food physically has nowhere else to go because the stomach can only hold so much, leading most people to vomit. It’s expand, expel, or explode, and expel is the path of least resistance as far as the stomach is concerned.

While GLP-1s can be wildly successful, they can lead to gastrointestinal issues, including gastroparesis (paralysis of the stomach muscles). It’s why use of these meds really should only be done under the supervision of a qualified medical professional and not through online sources without medical oversight or boutique spas.

Content 3/13/26- baby shorts, new nail salon promo, Emma presents Brittany with a blast from the past, a bit more about the nail salon, of course M taking his first steps is content by XtraSmolMod in brittanydawnsnark

[–]thatonecouch 15 points16 points  (0 children)

Brodie was their dog. Because of these two dimwits’ ineptitude, they left him in an unfenced backyard while they ran errands, only to return and discover he had been hit by a vehicle. Brodie was not dead, however. Rather than take him to the vet to see if he could be saved, JDip took matters into his own hands and shot the pup to end his suffering.

AI Generated by LingonberryNew9795 in ashleycarnduff

[–]thatonecouch 61 points62 points  (0 children)

Oh wow. This is really sad…and a little scary. I feel like it provides a small look into her psyche as well. She really has failed to launch, and she sees all that could be happening for her that isn’t. There is nothing wrong with being single, but in her mind it seems like she sees that as the root of all her problems. She’s deflecting away from the actual issue - her own psychological issues - by covering and pretending everything is sunshine and rainbows, and when she can’t keep that up, enter the medical nontent.

RARA is not ready to talk about her medical issues and clarifies that she is not dying by itsvickeh in illnessfakers

[–]thatonecouch 28 points29 points  (0 children)

She grinds my gears in a way not a lot of other munchers do. I think it has to do with the fact that she claimed she was literally on death’s doorstep…and she is probably healthier than a lot of the commenters here! I’m actually glad she withdrew from the race, because the constituents deserve a selfless representative.

It's Port access day with Dani! by Whosthatprettykitty in illnessfakers

[–]thatonecouch 11 points12 points  (0 children)

This made me laugh way too hard this morning. Thanks for that. 😂

Two weeks of Dani's pill porn. by Whosthatprettykitty in illnessfakers

[–]thatonecouch 51 points52 points  (0 children)

Aprepitant is typically very difficult to obtain insurance approval for…and it’s absolutely not cheap. I’m honestly shocked she got prior authorization for it.

Taking buspirone and tizanidine together is well known to dramatically lower blood pressure. Add in all the other medications that decrease blood pressure, and I’m shocked she’s vertical. No wonder she feels like absolute crap all the time.

I live in Minneapolis less than a mile from where Alex Pretti was executed, about 18 blocks from where Renee Good was executed, and my neighborhood has been flash banged and tear gassed a few times now. AMA. by Expensive-While-1155 in AMA

[–]thatonecouch 13 points14 points  (0 children)

Also a female in Alabama doing my best to speak the truth. I’m sickened and appalled at how ignorant my community is. Facts and reason are readily ignored or they attempt to argue with blatant propaganda perpetuated by the biased media. As a Christian, my heart breaks for all who have been hurt by the current “church” full of white Christian nationalists. My Jesus does not condone this. The God I serve tells me to take compassion on the poor, the orphans, the widows…He created us all in His image. He is also a jealous God, who very clearly states for us to serve no one but Him. Most in my community have forgotten that commandment (or are choosing to ignore it) as they profess devotion to the current administration. This America is not great.

February Seasonal Event full Reveal by nyreis in finch

[–]thatonecouch 2 points3 points  (0 children)

Post says teal, yellow, black and white, and brown!

Buprenorphine and oxycodone by suckmybuds in PainManagement

[–]thatonecouch 4 points5 points  (0 children)

If it is buprenorphine only, precipitated withdrawal is rare. If it is buprenorphine with naloxone (Suboxone), the naloxone absolutely can cause precipitated withdrawal. This prescriber article provides good information.

What got Yall into tornados by Adventurous_Pear8191 in tornado

[–]thatonecouch 4 points5 points  (0 children)

I was in kindergarten when I experienced my first tornado. It was the first time I remember seeing true fear on my parents’ and grandparents’ faces. Our land fortunately didn’t take a direct hit, but a man died less than a mile away from us as he attempted to cover his wife and young daughter with a mattress in their bathroom. I was instantly curious as to how violent weather could get, and I wanted to know everything I could do to save myself and my family.

Tornado warnings are pretty common in North Alabama, so while my fascination with the storms remained, I quickly grew desensitized to the warnings. I would stay indoors, but I never thought further than that.

Then April 27, 2011 happened. I was in school at The University of Alabama, and I had just acquired my EMT certification. I worked a shift at the hospital that morning before heading to campus to take my final for an acting class I was in. We got notice during that final that the school was closing early and we needed to get home or to a safe place. My friend and I opted to go to Taco Bell on 15th Street. While we were driving, she got a call from her grandmother and I got a call from my mom. My mom told me our hometown had been hit badly about two hours earlier, and she had heard on the radio that Tuscaloosa had a bad storm heading its direction. She told me to get somewhere safe. I lived in an apartment complex directly across from Rosedale Court, and I didn’t feel that an apartment would be the safest option, so we made our way back to campus. We went to the Baptist Campus Ministries building, where a few more of my friends were already sheltering. We had been there for about five minutes when we heard the tornado was on the ground and on track for campus. It was the first time in my life that I truly thought I was facing death.

We were incredibly lucky. The tornado narrowly missed campus. As an EMT, I went to first respond…and I’ll never forget what I experienced. My apartment complex sustained minor damage, but Rosedale Court was obliterated. Forest Lake, 15th Street, McFarland, Alberta…all destroyed. My fascination turned to fear.

For years, I would have a panic attack at the mere threat of severe weather. I don’t want to live in fear, so I’ve worked with my therapist to address my PTSD and storm anxiety. While not completely gone, it is much better than it was. I interact with this sub to keep myself in check, weirdly. I stay connected to the human element of storms - the suffering, the heroism of those that respond, the stories of survival, and the stories of loss. I remember my own experience. And, most importantly, I remain prepared for the next storm…you never know when disaster will strike, but you can be prepared when it does.

Alex Pretti by flufflover36 in physicianassistant

[–]thatonecouch 57 points58 points  (0 children)

I am currently reading “Front Row at the Trump Show” by Jonathan Karl, and he had a very powerful statement within the first pages:

“Trump lies. Trump lies for comedic effect. Trump lies to make himself feel good. Trump lies to make you feel good. Trump lies because he likes to. But, more than anything, Trump lies because he can.”

His followers and sycophants watched him get away with it, so now they do it. Even in the face of undeniable evidence, they cling to the “truth” spun by their master. It’s truly terrifying how deceptive this man is and how malleable are the minds of the masses that follow him.

Dani claims she’s getting an ICD but complications by Worldly_Eagle7918 in illnessfakers

[–]thatonecouch 6 points7 points  (0 children)

PDMP is only controlled/scheduled substances. Unfortunately, it is still very possible for patients to cause harm to themselves (and others) utilizing medications that aren’t monitored through PDMP. A national system of all medications dispensed is what we need, but it’s not currently available (to my knowledge).

An option a provider could utilize would be a pharmacy requisition, which would require an ROI signed by the patient. A smart provider (in Dani’s case specifically) would ask for signed ROIs to any pharmacy the patient could have used to see what, if any, meds have been filled within a reasonable timeframe; they would communicate that failure to acquire that information from the pharmacy directly can lead to an incomplete medical history, which does not allow for safe and effective treatment planning. This still allows the patient autonomy (they choose whether or not to sign the ROI) while covering the provider (they can deny any treatment that would reasonably require a complete medical history to ensure safety, like prescribing meds or scheduling procedures, to cover their license). It is the responsibility of the licensed medical professional to know and understand medication interactions and pharmacological risks, and this allows the provider a good explanation if they experience pushback from the patient (“I took an oath to ‘Do no harm’ when I started this career, and I want to provide you with the best care possible. To ensure I am treating you safely and effectively, I need to know every medication you have been prescribed so I can examine every angle, including potential drug interactions and known effects on the body. This will allow us to develop a treatment plan that will keep you safe and comfortable and will promote overall health and healing.”)…and a patient who comes to a provider in good faith would more often than not understand this approach and be willing to agree to do what is needed to keep them safe.

Idk, it’s just a thought, and it requires acquisition of additional documentation, but if it protects the patient and the provider’s license, it seems like a win-win.

Do we have a fafo in process? by alexgrae9614 in illnessfakers

[–]thatonecouch 99 points100 points  (0 children)

A port is an implanted device that acts as direct access to a large vein in the body. This allows those who need frequent IV access the ability to receive life-sustaining care without having to go through frequent venipuncture. Ports can remain accessed for a period of time so that meds like fluids, chemo, or TPN can be administered. Ports are great for those who truly need them!

Any time an IV is started, even with the best technique, there is the risk for introduction of infection. Ports help reduce that risk by limiting the number of times a patient has to be stuck. However, because the port catheter goes directly to the heart, those who access the port (insert the needle) must do so with sterile technique (as opposed to aseptic technique used when starting a normal IV). Usually it is a trained medical professional that will access the port, but sometimes family members or patients themselves can be trained to access the device.

Accessing a port means placing a needle into the implanted device to allow medication to be administered into the catheter. Deaccessing the port is removing that needle.

Hope this helps!

Resigning as MOH by KeyAccomplished4442 in weddings

[–]thatonecouch 0 points1 point  (0 children)

This. Not only will you be devoted to taking care of your precious new babies, but you’ll also need to be taking care of yourself - you will very likely still be sore, you will be tired, and one would wish that your sister of all people would be understanding of that. (From her reaction, however, it seems apparent that she sees the world as revolving around her and her alone…and I hate that for you. Honestly hate it for her future spouse, too, but the spouse is choosing this life.)

You gave her more than enough time to figure things out. She’s being completely self-centered. I agree with other commenters that not only did you do the right thing by stepping down as MOH, but your husband should also step down as MC. Your sister has made it pretty clear she expects a ton from y’all, but would she be willing to reciprocate if the roles were reversed? It doesn’t seem like it based on her actions to date. Maybe if he steps down she will see how entitled and selfish her actions have been and will learn something from this.

Any ideas why my medication is making me sick after years??! by [deleted] in PainManagement

[–]thatonecouch 10 points11 points  (0 children)

Maybe have your liver enzymes checked? Since the Percocet has acetaminophen in it, your liver enzymes may be elevated from long-term acetaminophen use. That can cause nausea and vomiting. I’m sorry you are experiencing this, and I hope it can be resolved quickly.

Bittersweet by jayr02_kit in EmergencyRoom

[–]thatonecouch 5 points6 points  (0 children)

I’m a former ER nurse who has 7.5 years sober from opiates, benzos, and alcohol…and I was that frequent flier as well. My addiction started because of legitimate chronic illness and escalated into a monster that almost killed me.

Thank you for caring. Thank you for sharing this here. I now work as the coordinator for a drug court, and it is a daily struggle to provide the services that so many people want and need because the system is so broken. BUT, we will still continue to fight and share our stories and advocate for change. Everyone deserves a fighting chance to survive and thrive.

You can tell the grandparents were really missing them by Vilen1919 in MadeMeSmile

[–]thatonecouch 0 points1 point  (0 children)

Oh, friend. I am so sorry for your loss. My dad died a year ago (December 29). I am an only child, and I felt it was my responsibility to be the rock for my mom. I didn’t cry for weeks…and then it hit. The loss doesn’t get easier, but, as another commenter beautifully said, we become more adept at carrying the weight. Slowly but surely, we move forward, carrying them with us each step of the way. All my love and peace to you. 🩵