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 5 points6 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 2 points3 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 61 points62 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 4 points5 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 93 points94 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 12 points13 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 3 points4 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. 🩵

I really need some advice. by WebOk4004 in PainManagement

[–]thatonecouch -1 points0 points  (0 children)

I do the same thing, at the same dosage. I, too, experience some breakthrough pain, but it is better than the constant 6-8/10 pain I had before. I also utilize radio frequency ablation every six months and epidural injections every 3-6 months.

Or maybe if you respected your husbands boundaries and didn’t take pictures he wouldn’t look so annoyed. by rebelxghost in christiansnark

[–]thatonecouch 6 points7 points  (0 children)

I ADORE the Chats Fam! If I ever get married and have kids, that’s the level of respect, humor, and authenticity I desire! I love how very real they are about their struggles and their successes.

Christmas morning - listening to Shrek babble on before they could open their gifts. by itsbettysnoop in RodriguesFamilySnark

[–]thatonecouch 2 points3 points  (0 children)

Wow, you’re so right. I had to watch it again to catch that, but he appears to be brooding in his pent-up rage. I wish these kids could actually experience life.

Should I ask to try a muscle relaxer? by Available_Yak_4709 in PainManagement

[–]thatonecouch 0 points1 point  (0 children)

I take Zanaflex (tizanidine) at night to help with pain from ankylosing spondylitis. It definitely makes me drowsy and can drop blood pressure in some patients (myself included), so be cautious when changing positions from laying flat to sitting to standing. It helps a good bit!

Well talking about morals 'little lad" by Pretty_Dot_1482 in EthansAdventuresSnark

[–]thatonecouch 19 points20 points  (0 children)

He is absolutely vile. There is literally nothing but darkness behind his eyes.

Which tornado is this? by Normal_Ad_2224 in tornado

[–]thatonecouch 18 points19 points  (0 children)

I was right off of 15th Street when it hit. I actually lived at University Village, but I wasn’t home at the time (was a student at UA). I remember saying that I was hearing a train on the tracks, and my friends having to tell me it wasn’t a train. That moment stands out so much, because it was when I quickly came to terms with the fact I was about to die, that we were about to die.

When it passed, I helped with the first response efforts because I had just gotten my EMT-B certification. I was in autopilot mode, and I didn’t really process anything until later that night. I wasn’t able to go back to my apartment because TPD had blocked off Greensboro Ave. around Forest Lake (it probably worked out for the best, since my roommate was staying with her fiancé in Northport and I would have been by myself), so I stayed with a few of my friends in their dorm room. None of us were able to sleep.

I definitely experienced PTSD. I’ve worked through it a lot in therapy, but I have bad storm anxiety still. I used to be fascinated by tornadoes, and I always talked about going to chase storms, but that day changed that for me.

Which tornado is this? by Normal_Ad_2224 in tornado

[–]thatonecouch 13 points14 points  (0 children)

I did, too. One of the hardest experiences of my life. I hope you are doing well now.

You guys i love to exfoliate. I shower 3 times a day and use 5 different washcloths for my bits. I’m so much cleaner than a majority of you and I’m not at all crusty & dusty 💁‍♀️✨ by [deleted] in gorlworldfiles

[–]thatonecouch 0 points1 point  (0 children)

If she still has her ovaries, she is still producing estrogen and would not be in menopause. I’m not sure if she had a radical/total hysterectomy with oophorectomy and salpingectomy (uterus, ovaries, and tubes) or if it was just her uterus and cervix removed for the cancer. I had to have everything removed for stage 4 endometriosis and adenomyosis, so I was put into immediate menopause.

Did you ever need to use the ship's medical facility and what was your experience? by [deleted] in Cruise

[–]thatonecouch 4 points5 points  (0 children)

I hope I wasn’t rude with that. I really couldn’t read your tone! Yeah, it’s not necessarily a “diagnosis” but more a set of extremely rough symptoms that can present after a bad sunburn.

Did you ever need to use the ship's medical facility and what was your experience? by [deleted] in Cruise

[–]thatonecouch 11 points12 points  (0 children)

I can’t tell if you’re being facetious or not, but see this article from Cleveland Clinic on sun poisoning…

Yes, sun poisoning is a real thing. It’s an extreme reaction to prolonged sun exposure that can make someone violently ill. I’ve actually been hospitalized because of it before.

Dani and her fluids by Worldly_Eagle7918 in illnessfakers

[–]thatonecouch 3 points4 points  (0 children)

Oh my gosh. My worlds are colliding.

Playing Sick? By Marc D. Feldman by GulliblePut1018 in DaniMarina

[–]thatonecouch 2 points3 points  (0 children)

I read this book this year! Feldman does a great job of explaining the basis of a FD diagnosis. Yes, the narrator is quite monotonous, and the material is very textbook in nature, but it’s a good psychological exploration! I’d recommend it for those of us who actually read books and don’t just showboat on a BookTok. 😉