#otc ed meds

[macgyvermedical]

Getting to Monday Morning: How Not to Go to the Emergency Department if You Don't Super Freaking Have To

Listen, I've re-written this intro a dozen times. I've talked about staffing in US hospitals (bad), I've touched on how the system backs up when staffing is bad (no staff on floors means ED stays full means new patients wait for hours or days to get a bed), I've even considered sharing my own experiences as a bedside nurse.

But the bottom line of all of it is that if your life or at least one limb doesn't absolutely depend on it, stay the heck out of the emergency department. And this post is here to help give you some tips for staying home until you can be seen by your primary care doctor or an urgent care.

Everything in this post (except an albuterol inhaler) is something you can find at a pharmacy without a prescription in the USA.

Officially, the following information is for educational use only.

What Conditions Are Life or Limb?

Lack of breathing or pulse

Blue or grey skin due to respiratory problems after taking prescribed rescue medications

An obvious hole in the chest wall

A sudden change in mental status that doesn't resolve within a few mins, especially if you don't know why

A head injury with worsening confusion or profuse vomiting

Abdominal pain that gets better when you press on the abdomen, or gets worse when you release pressure suddenly

Severe abdominal pain and not passing any gas

A musculoskeletal injury (fracture, sprain, etc...) with numbness, tingling, severe weakness, or very pale skin below the site of injury

Spurting bleeding that you can't stop, or numbness, severe weakness, or very pale skin below the site of injury once the bleeding is stopped, or if the bleeding required a tourniquet to stop

Red streaks spreading from a wound

Seizure that has lasted longer than 5 minutes without stopping, or which stops and starts without the person coming back to baseline in between

Chest pain without a known cause or with symptoms like nausea, weakness, sweating, or confusion

Any of the above, you want to call 911 or go to the hospital and explain exactly why you are there to the first person with a hospital badge you come across.

BUT

If it's pain or nausea or not-absolute-emergency respiratory problems from a known source or wounds or fever or skin infections, maybe consider some alternatives first.

PAIN:

OTC Meds: if you can take both acetaminophen (paracetamol/Tylenol) and an NSAID like ibuprofen, consider staggering them. For example, take 650mg acetaminophen at 0000, then 400mg ibuprofen at 0200, then acetaminophen at 0400, then ibuprofen at 0600, etc... This helps make sure one or the other medication is at it's peak effectiveness at all times (one study found pain control similar to 5mg oxycodone from a similar regimen). If it's night time consider OTC doxalamine (unisom) or diphenhydramine (benadryl) if you know they make you sleepy.

Acetaminophen works significantly better as a suppository. Sorry to tell you.

If it's muscle pain (back, neck, shoulder, menstrual cramps, broken bone more than a few days old) or arthritis pain, heat helps relax muscles and decrease stiffness. Try to get it as hot as you can without burning and wrap in something light like a pillow case. A hot water bottle or wheat pillow is great for this.

If it's an acute injury like a sprain or break that happened today, cold works better at decreasing pain, if not for helping the injury to heal. But pain is what we're dealing with here. You want several ice packs wrapped in a pillowcase or hand towel and wrapped all around the injury.

If the pain is an injury that is in a spot where you can elevate it (like a limb), elevate above the heart- this will significantly decrease throbbing.

Splinting an injury or recent surgery site decreases movement in that area, which decreases pain. If the injury is on a limb you can wrap a pillow around it and tape it in place. If it's abdominal (like a surgical incision) or in the chest area (like a cracked rib) you can hold a folded blanket against the site when you cough or move.

Abdominal pain can sometimes be partially relieved by bending the legs or laying on one side or the other.

For young children, sugar is an excellent distraction and is used in medical environments to relieve pain from short procedures.

NAUSEA/VOMITING/DIARRHEA/CONSTIPATION:

Nausea/Vomiting:

Any antihistamine that produces drowsiness will work on nausea. These include diphenhydramine, doxalamine, and dimehydrinate.

If unable to take by mouth, any of the above can be crushed, mixed with a small amount of softened coca butter or coconut oil, and frozen in the tip of a finger of a glove to make a suppository.

Once you stop vomiting, you can also take bismuth subsalicylate on top of an antihistamine.

Smelling mint or unscented isopropyl alcohol

Starting with an hour of trying to drink nothing at all, then 1oz of a clear liquid (water, electrolyte drink, peppermint tea, etc..) every half hour for an hour, then 1oz every 15 mins for an hour and slowly build up from there.

Sipping regular coca cola (I hate to mention a brand name, but coca cola has phosphoric acid in it (most off brands don't or have less), which is the same active ingredient as a lot of anti-nausea medications, and is a lot cheaper (and tastier) for the amount. It only works for about 20 minutes by slowing down your stomach's squishing your food around, but that's long enough to be able to drink other clear liquids in between).

Sipping soda water reduces stomach acidity and helps you burp, which often helps you feel better.

Cool wash cloths on the forehead or neck.

If someone has severe nausea that is causing worsening dehydration but no diarrhea, a slow tap water enema can be absorbed by the colon (up to 2 liters per day), which can often relieve some of the dehydration and help get someone to business hours.

Diarrhea:

Loperamide- for diarrhea not caused by antibiotics, loperamide is your friend. Read and follow the instructions. You need to take twice as much on the first poop as the rest of them. You do not need to "clear out" an infection. The infection itself is in the wall of the intestine, all you're doing by pooping a lot is spreading it around.

You can take bismuth subsalicylate with loperamide

One of the most dangerous parts of diarrhea is dehydration. A good electrolyte drink can be made by mixing 1/4 tsp table salt and 1/8 tsp potassium chloride salt replacer with a favorite drink mix and 8oz of water. Drink water too, but alternate with electrolyte drinks.

BRAT (banana, rice, applesauce, and toast), if eaten exclusively, will help reduce frequency.

Constipation:

A whole head of iceberg lettuce or a couple grapefruit or like half a thing of prunes all work. But you have to drink a lot of water with them or they'll just make it worse.

Docusate sodium. If that doesn't work add senna. If that doesn't work add milk of mag. If that doesn't work add mag citrate. If that doesn't work try a soap sud enema. I would wait 12 hours in between each, but to each their own.

Basically any stimulation of the rectum can help things move along.

FEVER:

First, don't try to get rid of a fever unless it is over 103F or the person is really, really uncomfortable.

OTC meds like acetaminophen, ibuprofen, aspirin, and naproxen all reduce fevers. If you need to you can stagger them (see instructions under "PAIN")

Cool wash cloths on the forehead or neck make things a little more comfortable

Loose-fitting, light clothing

Don't try to force a fever down with cold water or ice packs. If it is 105F or above and acetaminophen or an NSAID hasn't worked, that's something to go to a hospital about.

Prevent most of the problems with fevers by keeping the person very well hydrated (see Diarrhea above for instructions on hydration)

Calories are super important because the body is using a ton of them to keep the temp up. If the person isn't eating, 8oz whole chocolate milk with about a third of a flintstones vitamin (on the side) has essentially the same nutritional profile as an Ensure. And it tastes better. And it's way cheaper.

A brief seizure in a kid with a fever that happens once is fairly common and something to call a doctor about, a long seizure (more than 5 mins) is something to go to the hospital about.

RESPIRATORY PROBLEMS

If you have an albuterol inhaler but no spacer, you can make a kinda crappy one from a plastic bottle. Make a hole in the side just slightly larger than your inhaler mouthpiece. Stick the mouthpiece in, put your mouth on the mouth of the bottle, puff the inhaler, and breathe the medication in through the mouth.

Coffee and chocolate have caffeine and theobromine in them, both of which are bronchodilators

Breathing steam from a shower or a pot of boiling water can help loosen mucous in the lungs

Good hydration can help loosen mucous

Having the person lay at about a 45 degree angle gives the best range for the lungs to open fully

Sitting in "tripod position," a sitting position with the torso leaning forward and both arms pushing on knees

"Pursed lip breathing" you will probably have to look up a video on this, but it essentially creates some additional positive pressure in the airways that helps hold them open.

CUTS/OPEN WOUNDS/SKIN INFECTIONS:

Cuts/Open Wounds:

Stop the bleeding with pressure. This is literally just pushing on the cut, which pinches shut tiny blood vessels and allows them to clot off. If someone needs a tourniquet they need to go to the ED.

Clean the cut really well with plain water (if you would be comfortable drinking it, it's safe to wash wounds with). You want to get all visible particles of dirt or foreign material out

If water from the tap isn't enough pressure to do this, take a disposable water bottle and punch a small hole in the lid. Squeeze the bottle to put a pressurized stream of water into the cut to clean it.

If the wound isn't more than a half inch deep, you can close it yourself without stitches. Thin strips of very sticky cloth tape, dots of super glue, or even tying the wound together with the person's hair (if on the scalp) is great. If you have commercial closures those are great too. You just want to leave some open space to let the wound drain.

If the wound is deeper than that, pack it by taking clean gauze (kerlix is perfect for this) or in a pinch clean strips of long-fiber cloth, wetting them with water, and packing them in the wound. Put something on top of this to hold everything in place. Every 12-24 hours pull it all out and put clean stuff in. Note: any wound caused by an animal needs to be packed and seen by someone at the health department, usually within 48 hours for rabies prevention.

If it's really pulling at things in the wound, use some water to wet the fabric and loosen it up a bit. But you want some stuff to come out with the

Really shallow scrapes you can clean in a similar way but then just cover in petroleum jelly.

There is virtually no use for isopropyl alcohol, hydrogen peroxide, or triple antibiotic ointment. The former two may do more harm to healthy cells than to bacterial cells, the latter the antibiotics only last a few minutes and a lot of people are allergic to them. Just use water to clean and petroleum jelly if you have to cover something.

Skin or Wound Infections:

If you have a scrape or cut and a red, hot, painful area begins to creep outward around it, know you need to do something.

Start by drawing a line around the outside edge of the red area. This will help you track if it is getting bigger or smaller.

If it's bigger a few hours later, you need to do something quickly

Get a pot of water and 3 wash cloths

Boil the wash cloths in the water

Let the water cool to the point where it's really hot but won't burn the patient

Pull one of them out, wring the water out of it (it should be pretty uncomfortable to do this), and press it against the infected area. It will hurt.

When that wash cloth cools even a little, pull the next one out and do the same thing. Over time it will get less and less uncomfortable as the skin heats up to the temp of the wash cloths.

Rotate your wash cloths like this for 20-30 mins. If there is an abscess, it may burst during this process. That is a good thing. If there is a big opening, pack it (as described above), otherwise put a clean dressing over it and just let it drain.

Repeat this several times per day

If the site is getting bigger despite this, especially if this is happening quickly or there are streaks coming from the wound, go to the ED.

[carmillatism]

hello! i hope this ask finds you well <3

i’m just looking for a bit of advice and i saw one of your posts about being disabled so i figured i might ask;

(to preface: i am not disabled) but sometimes my right hip does a weird thing and hurts for a bit on and off and i can’t really walk (my hips have always been weird - they pop really easily and hurt if i lay down on them for too long) and i was curious if you might have advice on how to deal with that? (though granted i don’t actually know what kind of physical disability you have so this might just be headed out into the aether)

(sorry if this is the wrong blog to ask!)

hello! sorry for getting back so late; i had school! and yes, you came to the right place! want to preface this with a disclaimer by saying i'm not a professional, and i recommend you talk with a doctor if possible. i also recommend doing your own research as i don't know you like you know you!

that aside, i have pots and hsd, both which cause me chronic pain. hsd, or hypermobikity spectrum disorder, causes me chronic joint pain. and good for you, my most common place of pain is in my hips, so i have a lot of experience with what your describing.

my biggest recommendation, other than talking with a doctor, is for you to try and stay off of it when it hurts. you can also apply heat or cold (with an ice pack, heating pad, etc.) to the area that hurts. that usually makes me feel better. i also recommend taking otc (over-the-counter) pain meds. take the dose it tells you to take, and that will usually help soothe the pain!

i also recommend that you keep your mind open to the idea that you could be disabled. if this pain is pretty common for you (as in it happens a couple times a week) and has lasted for at least 3 months with common occurrences, then it's considered chronic pain. if you have chronic pain, you are disabled. ofc i don't know you and can't say for certain! but keeping your mind open to the idea can help you more easily make that transition in the future if you are diagnosed with a disability or your symptoms become disabilitating.

i also recommend getting a cane if possible! canes help a lot with getting weight off of the leg that's hurting, thus allowing the pain to decrease. do not worry about "faking" being disabled. if you need a cane to lessen the pain you feel whilst walking or to support your walking, then use it! you would use your left (opposite of hurt leg) hand for the cane. you don't have to get one, of course, but they are a pretty cheap investment if you get them at a pharmacy or online, and they are extremely helpful.

but again, i can't recommend it anymore for you to see a medical professional. what you are describing sounds similar to my experiences with chronic pain, plus having pain flareups for seemingly no reason pretty consistently along with your hip feeling out of place or popping out of place, sounds like something to bring up to your doctor. based on the limited symptoms you gave, i recommend looking into heds, hypermobile ehlers-danlos syndromes (plus the other versions of eds), or hsd (which is what i have. both are hypermobility from a connective tissue disorder that causes a slew of symptoms, but a major one is joint instability and chronic pain. hsd is sort of a different part of the spectrum of eds, or just a different but similar disorder (scientists really don't know)).

some good medical websites that i use a lot for info on my own health as well as my medical science interst are the cleveland clinic, the nhs website, and mayo clinic. these have digestible pages of information about many different disorders and problems.

i also recommend keeping a list of your symptoms that don't seem entirely normal or healthy. also, keeping a journal of your pain flares and describing when and why it happens can help you track it and see if it worsens or gets better. i also recommend using these to look into possible disorders that you may have. advice given for any type of similar disorders with symptoms similar to yours (or that you might have) can greatly benefit you if you want more advice!

if you have any more questions you can dm me, use my ask box again, or ask someone else for another point of view! talking about it with many different people can give you many different and helpful perspectives that can help you figure out what's going on. i wish you all the best!

[himbos-hotline]

Sometimes I hate being chronically ill. I hate that my nan doesn't understand that hospitals won't help me. That there's nothing an ER or A&E can do for me. That every referral I've had has gone to shit because there's nothing they can do. I keep trying to explain things to them but neither her or my grandpa listen. I don't need to go to hospital because they're just gonna turn us away after spending 8 hours in a waiting room. I won't get pain meds for my EDS because I can't take shit like codine or anything stronger than OTC medications. They can't send me home with morphine or fentynal because they're addicted substance. I won't magically get better from my PCOS or my POTS because the hospitals don't know how to treat it, all they can give me is a bag of fluids and send me on my way. The only way I'll get treated is WHEN something serious happens. When I do collapse and crack my skull open or my EDS causes me to have to have soke kinda bone surgery. But my nan and grandad are getting so angry at me. So mad at me. Guilt tripping me and saying they don't care when something bad happens because I don't wanna go to hospital. I just want them to listen. I just want them to understand that no this isn't NORMAL but it is what IM DEALING WITH.

[something-about-sunflowers]

Modern Izzy would carry around a little purse (which he would insist is a ‘satchel’ or even a ‘messenger bag’) and, if you shake it, it rattles like a mfer cause its got all his OTC stomach meds in it (lactaid, gas-x, tums, pepto bismol, etc). Its also got ibuprofen and tylenol in it (the tylenol is for Ed, Izzy’s not gonna risk upsetting his stomach even more), hell probably midol too (transmasc Izzy, my beloved). And Ed’s ADHD meds, since Ed would lose/forget them. And probably an epipen and an inhaler, cause I think its funny, he’s already got tummy troubles and (I’ve decided) chronic migraines, may as well give him allergies and asthma too.

. . . Probably also carries bandaids too. Man’s a walking pharmacy is what I’m saying.

[paleinc]

I really hope my pcp takes my concern about having eds or a hypermobility disorder seriously

using a coccyx cushion has helped with the tailbone/lower back pain, but now my neck pain and stiffness are a constant occurrence even with otc pain meds and a muscle relaxer

hope I don't get dismissed but we'll see

still kind of mad that she didn't react to my MRI. or maybe I'm dumb for thinking "moderate to severe central spinal canal stenosis" should require more than just "idk keep using your muscle relaxer and do PT" and i get that surgery is one of the last options. but idk. it took a coworker mentioning i should try seeking out pain management for me to wonder if maybe my actual pain is not being taken seriously

both the OT I went to for hand/finger pain years ago + the two PTs for my leg/lower back pain pointed out that my fingers, hands, and legs are hypermobile.

like, that diagnosis clicks in my head, but my family has zero care or knowledge about their medical history. is it genetic? maybe. is it normal that my dad had both of his hips replaced in his 40s since they were so stiff and he was constantly in pain while working a retail job? I don't know. was my dad serious when he told me out of the blue that my hips were weird right from birth and to keep that in mind? hmmmm.

or will i be considered a sedentary fatass who isn't trying hard enough to lose the weight that will ~magically cure~ all of my fucking health issues?

[jirai-kaye]

Kaye !

❄️ He/it, xenogendered salmacian trans man, omnisexual aromantic

🍼 16, speaks ENG and a small amount of JPN (learning), menhera / jirai boy

🩻 ASD (prof dxd), PDA (prof dxd), DCD (prof dxd), OCD (assessing for), chronic GAD (prof dxd), C-PTSD (prof dxd), DID (assessing for), a joint hyper mobility condition of sorts, EDNOS/OSFED (assessing for)

🦴 Cane user, I slit, abuse OTC meds, jump between ⭐️ving and b^ngeing (i). Recovered alcoholic

🧠 TW for pretty much everything under the sun.

🌨️ Not purely an sh/ed blog, I’ll be posting other things too! But this will mainly be a vent blog. Pro recovery just not for myself.

🩹 DNI: basic criteria, endo/demo systems, use disabled/trans/PoC fat people as f^tspo(a), use fat people who are actively trying to lose weight as f^tspo(a)

[catastrfy]

i could use help gettng the otc meds that my health depends on. i'm severely disabled with eds/pots/mcas and multiple brain injuries, and i've been completely housebound since about 2010 (including zero access to medical care) these are all helping to keep me alive as long as possible (although my body is slowly failing) sharing helps SO MUCH, too. https://www.amazon.com/hz/wishlist/ls/20JECTZMP7V0T?ref_=wl_share thank you xx chris

[eroticcannibal]

Considering otc ED meds because the fact my tdick doesn't work anymore is frustrating and I cant even get the gp to sort my T they aint gonna sort my dick

[for-the-love-of-coffee-and-anna]

This is just a whole bunch of super mentally ill babbling

Tw: drvg abu$3, ⭐ ed mention, parental abu$3.

I think my anxiety might be one of the only things that has prevented me from becoming a full blown juπkle. Instead I just abu$3 OTC meds while alternating between getting pass out during and ⭐ving all while pretending that my organs are somehow invulnerable to the damage I'm causing them.

Maybe my bio parents were right. Maybe I'm just destined to end up an unloved failure in a jail cell by the time I'm 30 just like they always told me I would be. Or maybe they created a self fulfilling prophecy by drilling it into me so much when I was young.

I think about how much potential I had when I was younger. I excelled in school, gifted and talented classes, honors and AP classes and long detailed research projects just for fun. I was a good mostly well behaved kid (mostly because I had crippling anxiety that prevented me from doing anything that would draw negative attention towards me) I never fought or got in trouble, i never dated, i never went to parties, i didnt smoke or drink underage.

I should have been successful I had all the potential and I just threw it away, or maybe they beat it out of me with a wooden paddle. IDK and really it doesn't matter whose fault it is.

Fault isn't going to change the fact I sleep on a blanket pallet on the floor in a disgusting roach filled depression nest in an apartment I really can't afford. Traveling two hours each direction for a job that doesn't pay me nearly enough because dispite having 8 years of restaurant experience and an absolute love of the restaurant industry I can't get anyone to hire me.

I would love to go to therapy but not only do I not have any money but the crippling fucking anxiety that is the root of most my issues also actively prevents me from reaching out for help.

[promeds]

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[jamesmartinjs12]

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[thebibliosphere]

I'm starting to wonder if I have some degree of mild to moderate MCAS to go with the POTS and maybe-HSD. (I want to get another tattoo but since my last one I've developed severe dermatographia, so I researched mast cell dysfunction and was like ...okay a LOT of these symptoms sound familiar. Thankfully not anaphylaxis, though.) Unfortunately due to medical trauma & ignorant doctors, will probably end up self-managing. Do you or any of your followers know why first-generation antihistamines (ex: benadryl) seem to be the drug of choice for MCADs rather than second-generation (loratidine, cetirizine, etc)? To my knowledge they both target H1 receptors with a similar mechanism of action, but second-generation have fewer side effects because of greater selectivity. Benadryl makes me very drowsy and I already have enough problems with fatigue so I'd like to avoid it if possible. And if so, is there research on dosing for MCAS? I've searched Pubmed but no luck so far.

Hey friend, sorry to hear you're dealing with that.

And first-generation antihistamines are not the drug of choice for MCAS/D! I don't know where you read that, but it's wrong.

Benadryl is for emergency use only and is good to have on hand for severe reactions but should not be the primary form of symptom management. The first line of treatment for MCAS are type 1 and type 2 histamine blockers, such as cetirizine and famotidine, or Zyrtec and Pepcid if you want to use their otc brand names.

Patients usually find a combination of these two things helpful as it targets both the respiratory system and the esophagus/gut, which has a high concentration level of histamine receptors.

We also often take anywhere from 2-4x the daily recommended dose. However, I will stress that you really need to talk to a doctor before doing so, as it is possible to overdose on antihistamines, and you need to figure out the lowest dose that will provide symptom relief. I started out taking 4x the daily recommended amount and am now down to the daily recommended dose for "normal" people as I've gone into a sort of mini-remission that I'm able to manage with diet and lifestyle, though I always have my meds on hand if necessary.

After that, other drugs can be prescribed, ranging from steroids to prescription-strength supplements.

For example, Vitamin D deficiency has been linked to worsening allergies (link) and will actually make mast cells prone to destabilizing, so it is vital if you have any sort of Vitamin D deficiency to get on top of it and get your numbers to the top of the healthy range if possible.

In fact, any sort of deficiency that puts strain on your body can potentially lead to mast cells going a bit wonky (link-- a study done on rats, but it also seems to be backed up anecdotally in humans as well), so it's v. essential to make sure you're getting enough micronutrients, which a lot of people with conditions like MCAS/connective tissue disorders like HSD/EDS tend to be low on because our bodies don't quite work right. We also tend to have dietary restrictions, which doesn't help.

Another supplement that some people have found helpful is quercetin, which has been shown to help suppress allergic response (link). Some folks find Vitamin C useful, while others find it triggering as citrus can be a histamine liberator.

This brings us to lifestyle and dietary changes.

Many people with MCAS struggle with high histamine foods and find a low histamine diet helpful. The Swiss Interest Group for Histamine Intolerance provides the most comprehensive breakdown of high and low histamine foods to date. Going through all their links and downloads is well worth reading. They provide info on the histamine elimination diet (link), what foods are and are not histamine safe (link), and a helpful rundown of what medications may cause issues, though you need a login to view it.

They also have a new website for people with MCAS/D (link), which provides more helpful information beyond basic histamine intolerance.

Other factors you may need to look at include hormonal shifts (estrogen liberates histamine, so if you're someone who menstruates, you may find yourself more reactive before or during your menstrual cycle), reducing stress, and working through any trauma.

My MCAS is severe enough that a prolonged stress response or a traumatic event can send me into anaphylaxis. When you have any form of MCAD, stress is basically the hormonal equivalent of dumping a Molotov cocktail onto a housefire. Getting treatment for my c-PTSD is an ongoing process, but one I've found helpful in calming down my body's flight/fight/freeze response, which in turn helps my body relearn when and when is not an appropriate time to liberate certain chemicals that can lead to a mast cell degranulation event. I've found EMDR more helpful than CBT, as CBT left me triggered and often in a heightened state of panic afterward, but your mileage may vary.

Anyway, that is a very basic 101 introduction. I know you didn't ask for all this, but I figure it might be helpful! Good luck, and please do consider trying to find a doctor able to prescribe certain things if you need them. I know the medical trauma is hard, it's a huge root cause of my own c-PTSD, but if you're able to find a health care provider to help you with this, it'll be much, much more manageable.

Best of luck.

[justtogetthrough]

I spent 6 hours in the ER tonight to be diagnosed with food borne illness and offered no pain management for the first 5 of those hours despite me being balled up and crying in pain bc literally nobody came to check on me for 4 hours. At the 1 hour mark upon arrival is when I got put in a room from the triage/waiting area and I was like hey nurse I'm doing real bad bc x and y and she was like you're going straight to a room so I'm sure you'll be seen quickly. And then I saw no one for 4 hours except when I pressed the call button at hour 4 crying and having a panic attack and asking if I should just leave cuz apparently there's no medical reason anyone feels I should be there and she's like no no the doctor will come and I mean... he did... but not for another hour and a quarter and I was in 9 out of 10 pain alone in a hospital room crying for hours and literally nobody gave a shit. Adulthood sucks. I had just gotten up to grab my coat and leave when the doctor walked in to draw blood. And they have the gall to post signs in the rooms saying nurses will check in every hour during the day to check on pain, potty, position, and personal belongings "its called the 4 p rounding in the ED". I want to file a complaint and be like TELL ME WHY NO ONE CHECKED ON ME FOR 4 HOURS, AND WHY IT TOOK 5 HOURS TO GET PAIN RELIEF WHEN MY LITERAL PRESENTING COMPLAINT WAS PAIN ALL DAY FLUCTUATING BETEEEN 6 AND 10 OUT OF 10. As soon as they injected the antiinflammatory into my arm at hour 5.25 since arriva to triage the improvement was significant and the crying stopped and its like wow. I could have had this hours ago. I wasn't drug seeking. Fucking toradol is all it took, its not a narcotic, and it worked and I was satisfied and I want to know why a doctor didn't check in on my pain within the first hour of getting a room to see what I needed to function. That toradol injection at hour 2 not hour 5 would have made this night a lot less hellish and spared my neighbours from listening to me cry and hyperventilate for 30-40 minutes straight.

I am much happier to be crying in my own bed now than in the fucking hospital where everyone just ignored the sounds of a person in extreme suffering.

At this point I would rather die from some random medical misfortune slowly and painfully at home then ever voluntarily attend my local hospital man. It's literal hell on earth.

I'll go there for stitches when I'm not in medical need besides sewing up a wound and I can bring a book. But if I'm suffering in any way, the hospital is the last place to go. I need to restock my home pharmacy with OTC and illicit drugs and I'm self medicating from here on out. If I could stitch myself I would and trust me I've checked Amazon for suture kits. They seem suspect. Once I find a real kit with real tools, I will never step foot in a hospital again.

Ps, med students link me up with suture kits, I'll pay you for them. Amazon sells practice kits and idk if theyre truly skinsafe. I need what you use and I have 2 decades experience watching it done and am probably autistic and would research the fuck out of it and do it 100% properly minus the med school qualification. Hook me up please. This is a serious request.

This post is written on xanax and zopiclone and will form the basics of my complaint I will be losing with the hospital thanks. I need to ask my kid if he still wants to lodge a complaint about his mistreatment in November. We can navigate that process together. It's a life skill. Reporting concerns is not the same as complaining but the complaint process is necessary and it needs to be used when services are harmful and negligent and both of our situations warrant formal complaints and apology letters for mishandling our medical needs.

So that could be a tomorrow thing given I refuse to work after this week I've had so yep. Day off, boss can't convince me otherwise and likely won't. So reading up on hospital complaint procedures and connecting with my kid about whether he wants to do his too. His complaint was way more violating so I suspect he won't, but I think he should. Up to him though. People, institutions, etc all need to be held accountable and if they dont know we're unhappy or the whack shit their employees are doing, we are failing our responsibility to take part in social democracy.

That's my drugged up rant for tonight. I am upset.

[junibugs]

Can you share your treatment methods though, like if you need physical therapy or specific medications. The first things I could think of are pain relievers and blood pressure stabilizers but I'm curious if there are any specific meds

(Sorry if this makes you uncomfortable, it's just I'm a pharmacy student so I like to get as much information as I can about different disorders, especially the rare ones)

yes i can !!!

tw: mentions of medication, mentions of medicinal dependency

right now i'm in exercise therapy to help with regulating blood flow. and medication wise, currently, i'm on beta blockers (help reduce heart rate), florinef (helps raise blood pressure) and regonol (muscle strengtheners). i also take so many otc supplements like calcium, potassium, all the vitamins, u know... the works hehe

in the past i did physical therapy to help with problems from eds, and i also was on a few muscle relaxers but i since stopped because i felt myself growing unhealthily dependent on them. a few years ago i had a couple on-site steroid injections in muscles when they would act up but that's about all !!

i also use compression socks to prevent blood from pooling in my feet, i take salt supplements to help with blood volume, and wear a holter or monitor that checks my heart rate and blood pressure

[chicago-geniza]

congrats, you beat the pain back with codeine & edibles & OTC analgesics & did not get drunk about it! Porgress! now you gotta:

- shave head / psoriasis treatment

- brush teeth / moisturize ✅

- op-ed thread / edit op-ed!!!!!!

- take another edible ✅

- check in with exotics vet re: rugal's leg swelling

- email S back

- email yr mom

- email H ***

- clean rugal's tank ***

- give rugal his meds

- prepare & refrigerate rugal's greens *****

- look over E’s translation, give feedback???

- journalism jobbe cover letter 💀💀💀

- translation fellowship app :/// girl help

- text N ✅

- text A back

- text R back ✅

- clean kitchen

- hang up clothes

- wash dishes!!!!!!! roommate has a job & full-time school, it is Your Job to do the hausfrau shit, you literally just sit there UPD: lol they did it :(

- make list of neglected & abandoned writing projects you need to Resume. also you owe V like $60 :///

[clatterbane]

Among those prescription issues: Even the pregabalin/Lyrica for nerve/phantom limb pain vanished off the last request form, along with the tramadol--when I'm 95% sure they were both previously showing refills available. So yeah, I've been feeling great day to day. 👿

I don't think you're supposed to go off any anticonvulsant (the pregabalin) suddenly either, never mind the tramadol. Though thankfully I haven't noticed any issues besides basically untreated pain for the first time since the surgery. (I have needed to fill in with some OTC co-codamol, which is better than nothing but yeah.)

Not quite there yet, but looks like the pregabalin was doing more than I thought! 🙃

Really hoping that was "just" some kind of glitch. They really are not nearly as goofy about pain meds here. Even if they were? It makes even less sense that the new GP would just suddenly with absolutely no communication decide to yank me off the anticonvulsant for nerve pain with basically no abuse potential, unless you really really like feeling sleepy and stupid. And only a few months after a freaking amputation. ¯\_(ツ)_/¯

There's just enough medical PTSD anxiety there to have helped me put off getting onto eConsult to try and get it straightened out, though. If I don't ask about it, they can't tell me no! 🙄😵

(So now I can also get worried about a reaction along the lines of "See! If you really needed That Poison, you would have been on the phone immediately!!!")

Anyway, another issue was that they for whatever reason decided to prescribe little enough insulin per month that the pharmacist expressed "surely this is wrong!" surprise when Mr. C went in to pick up the last batch.

AFAICT, usually it just gets prescribed in multiples of a full box of 5 pens. And pharmacies prefer not to split boxes. I've been prescribed a whole two (2) pens a month. 🤔

At least at the current dosage requirements, that's been enough of the long-acting Lantus. Though it's always a good idea to have at least one extra (unexpired, perishable) insulin pen on hand, just in case. Sometimes they're faulty, sometimes they break, sometimes you lose them.

The shorter-acting Novorapid to use with food, though? Toward the end of the month, that started running low enough that I had to ration insulin like I was back in the US, and of course also what I was eating. 👿 And I had to try and get the repeat prescription request in as early as I dared.

I would have run completely out of fast-acting insulin the day that the pharmacy did finally get and fill the prescription. Before the whole month was up. ETA: And after about a week of rationing already.

(We hadn't heard from them yet, but Mr. C decided to check there, just in case, before going on an emergency run to raise hell at the GP's office. They had apparently just filled it, and hadn't even had time to bag it up yet.)

Besides that close a call being a Very Bad Thing? Maybe especially dealing with someone who was just recently in the hospital with DKA? (A.k.a. potentially very deadly insulin deficiency. 😩)

Needing to ration the insulin, and restrict food, is just about the last thing I need in my life. Especially with all the ED baggage. I barely escaped a serious relapse, by the skin of my proverbial teeth. And things were already dicey enough for months on end now, with all the ongoing triggers I can't do much about.

(Including "just" skating on the edge of clinically underweight. May well be over it by now. Plus, hello swallowing bullshit making it hard/unpleasant/kinda scary to eat. 🙄 Which damage AFAICT did indeed come straight from the DKA episode, but probably more on that later.)

Plus, you know, diabulimia is also an unfortunately common thing. And I can well imagine that actually needing to ration insulin could be a contributing triggering factor there, especially for someone who already had existing ED issues. Some others are actually mentioned through the link.

So many aspects of just dealing with diabetes day to day seem like they couldn't have been designed better to trigger/exacerbate disordered eating if someone had tried on purpose. And that's besides the fucked up attitudes around T2 in particular, with medical professionals definitely not exempt. 😬

(To make it clear: I really, really DO NOT want to go down any road like that. At all. Even if I hadn't already come within a hair of dying from consequences of badly treated diabetes--and lack of insulin!--just a few months back )

And of course I don't feel like I can say a word about EDs--much less in the context of personal triggers--to any medical professionals. 😑 We finally seem to be at least largely out of All In Your Head Land, and I really DO NOT want to risk getting sent back there.

(Oh yeah, I also need to get both lancets and needles changed to a more appropriate type. Plus more test strips a month, which thankfully we have been able to supplement out of pocket no problem.

They've been prescribing painfully long insulin needles, along with the same awful painful disposable single use lancing devices the hospital was using. Instead of the lancets to go with my meter lancing device?

Only really anticipate any problems with getting enough strips out of them for free, though. Assuming I'm not dealing with a complete butthead like the last couple of GPs. 😵)

I suspect the main problem with most of this is--other than the pain meds--is that they've just been automatically prescribing exactly the same that the hospital pharmacy sent with me when I got kicked out to that nursing home. I did attach a note to the last physical repeat prescription form that got turned into the doctor's, so not sure what's up with that. No changes or communication.

Anyway, apparently I really needed to bundle several vents together, which have been building up for a while! They are kinda connected.

But, here's hoping that this new GP will actually listen to (polite, reasonable, very basic!) concerns and requests regarding my prescriptions. And not be that kind of asshole to deal with right off the bat, before I've even had an appointment! (Because Pandemic Time.) That prospect has got me kind of concerned, though.