• Hello Graphic
    NEW MEMBER'S GUIDE
    INTRODUCE YOURSELF
    YOUR FAVORITE DRUGS?
    WHERE ARE YOU FROM?

  • NMI Moderators: Coffeeshroom

Ask a doctor anything ;-)

M

medicus

Greenlighter
Joined
Dec 15, 2010
Messages
4
Hey guys,

I used to spend a great deal of time chasing the dragon and a few other things. Nowadays, after a few lifestyle adjustments and a considerable amount of time at university, I'm balls deep in the medical profession.

I was always interested in the biomedical aspects of drug use and I still am. These days its more in regards to my patients than myself, although... :)

I'm also passionate about legalization, harm minimization and personal freedom. Unlike most people in healthcare, I don't have anything against people who use drugs. I think it can be anything from a legitimate defining lifestyle to a Friday night joint, and that anything and everything can be okay as long as you aren't hurting others and you know the risks (the real ones, not the kind on anti-drug posters :p ). So don't worry, you won't get the same old proselytizing from me.

As such I'm here to:
- learn about whats out there in order to better help people if it goes wrong.

- provide advice and discussion where I can, to help people have fun/get high/have mind expanding experiences in the best way for them.

Hopefully I can contribute something unique as a medical professional as well as a past enthusiast and I'm sure you guys can teach me plenty.

Cheers,

Medicus.
 
proselytizing means converting or trying to convert people to another way of thinking, usually christianity.

ANYWAY what do you think about assisted suicide? In oregon its legal. I think we should all be allowed to do it..

And i like how you brought up anti-drug posters cuz now that i think back, in all the stupid anti-drug programs i had to sit through in my formative years i NEVER was educated about heroin. by the time they started showing anything about it i was already addicted to it...
 
Whatever000 said:
proselytizing means converting or trying to convert people to another way of thinking, usually christianity.
Click to expand...

LOL!

You'd better brush up on your sarcasm or this place is going to chew you up and spit you out. I'm glad you also know the definition of "proselytizing" though. Words r gud. We english good toogethar.

Also...it's not like I put a big winking smiley at the top of my post...I should have been more clear.

<3
jj
 
welcome
:)


heh~
i definitely believe in assisted suicide...
doesnt seem humane to me otherwise.

ask a doc?

well,, really ive been asking docs or anyone with an educated guess or reference; if Enbrel, is more safe then Humira or Remicade..?
 
You are most welcome on this board and I wish that some of your colleagues could be as intelligent and forward thinking as to join a community group dedicated to Harm Reduction for drugs users..

In school (high-school/university) I was surrounded by doctors to be, they tended to be some of the most conservative and detail-oriented people I'd met. Not looking for the big picture; in fact, scared of the big picture.

Which is why I welcome you with especial warmth. I wish there were more out there like you.

So again, glad you're here. We really need a few more medical professionals on the board. Another forum I frequent that's made up more or less of CP patients and opiate-addicted people, has a few RNs and Docs who are active in that community and it has certainly added value to that community, while saving quite a number of lives.
 
Glad to see you here doc.
i am new here as well, at least as a posting member and not just a lurking info-harvester.
i was just brushing my teeth, in absolute calm, enjoying my first day on subutex and thinking about writing my doctor a little christmas card thanking him for his part in my therapy and perhaps suggesting that he take a peak around here to be as well informed as i felt i was going into our meeting today.
look forward to seeing you on the boards!
heather
:)
 
junglejuice said:
LOL!

You'd better brush up on your sarcasm or this place is going to chew you up and spit you out. I'm glad you also know the definition of "proselytizing" though. Words r gud. We english good toogethar.
Click to expand...

I was aware of the sarcasm but i'm also a definitions nerd...
I knew you were being sarcastic and your false misunderstanding between proselytize and prostate exam is very good. 8/10
 
In the interests of avoiding an awkward discussion in the future, I should say this that I've changed/will be changing/straight up lying about a lot of details about myself to protect my identity. I live in a small world. A small world full of controlled substances, people who hate junkies and suspicious nurses who gossip incessantly. So I'd very much prefer anyone I work with doesn't get wind of some of the more illicit aspects of my past. Hence my prodigious use of the "colorful metaphor", as Kirk might put it.

junglejuice said:
So you throw in a reacharound or something?
Click to expand...

If I can. Just makes the whole process a bit smoother.

Whatever000 said:
ANYWAY what do you think about assisted suicide? In oregon its legal. I think we should all be allowed to do it..

And i like how you brought up anti-drug posters cuz now that i think back, in all the stupid anti-drug programs i had to sit through in my formative years i NEVER was educated about heroin. by the time they started showing anything about it i was already addicted to it...
Click to expand...

Definitely in favour of it. You only need to spend a couple of days in an ED to realize its the right choice. It could be any ward really, but the ED is the biggest shock because of all those preconceptions built up by tv shows. You imagine lots of injuries, car accidents, heart attacks, people of all ages.

In reality, EDs are stacked full of semi-aware shells of human beings, with uninteresting complaints that either happened because they are too old, or need admission because of their age. Trauma makes up less than 15% of the case load. Even then, its mostly minor injuries that could probably have been better served by a bandaid than an ED, but I digress. Three quarters of people seen are over 65 and it feels like more than that. The rest all seem to be 64 :p There is a copy of a chart on my desk at the moment for a 73 year old female who happens to be on 16 medications. This isn't at all unusual and there is nothing spectacular going on with her health, just the standard "getting old" complaints. I reckon we can get her to 20 by 75 ;)

The worst thing is turning up to nursing facilities and finding, for example, an unresponsive (normal for him), quadruple amputee (diabetes), wearing a diaper, lying in a bed next to a photo of his younger self proudly dressed in his military dress uniform.

When my first patient died, I was shocked at how natural it felt (probably unusual given that he'd be run over by a tractor, but he was 89 it was a good death). There is nothing upsetting about a timely death, especially one that happens before you start rotting in a nursing facility. Death is nothing to be afraid of and nor is life. Its being caught in between that scares the shit out of me.

Modern medicine is all quantity and no quality. Nowhere is this more evident than our confusing inability to accept that a terminally ill patient IS going to die. You may as well avoid the pain in between.

Don't even get me started on drug "education".


panic in paradise said:
well,, really ive been asking docs or anyone with an educated guess or reference; if Enbrel, is more safe then Humira or Remicade..?
Click to expand...

Firstly, a Rheumatologist I am not (so the short answer is I don't know).

Secondly, I'm not that comfortable handing out legit medical advice. Its unethical without a proper consultation. I here more to lend a medical perspective on illicit drug use.

No immunosuppressant is going to be side affect free, but my understanding is that Enbrel is supposed to be a little better. Safety wise, I don't know. Prescribing information (including safety info) similar to the kind a doctor might have is available on drugs.com. Its a pretty good resource, but you might have to read it with a medical dictionary open in another window ;-)

oxyfugazi said:
Glad to see you here doc.
i am new here as well, at least as a posting member and not just a lurking info-harvester.
i was just brushing my teeth, in absolute calm, enjoying my first day on subutex and thinking about writing my doctor a little christmas card thanking him for his part in my therapy and perhaps suggesting that he take a peak around here to be as well informed as i felt i was going into our meeting today.
look forward to seeing you on the boards!
heather
:)
Click to expand...

Cheers :-)

I saw a guy recently who crushed and shot his suboxone tablets to try and kill the pain of a tooth ache. Almost lost his arm and it didn't fix the tooth ache either =D
 
medicus said:
In reality, EDs are stacked full of semi-aware shells of human beings, with uninteresting complaints that either happened because they are too old, or need admission because of their age. Trauma makes up less than 15% of the case load. Even then, its mostly minor injuries that could probably have been better served by a bandaid than an ED, but I digress. Three quarters of people seen are over 65 and it feels like more than that. The rest all seem to be 64 :p There is a copy of a chart on my desk at the moment for a 73 year old female who happens to be on 16 medications. This isn't at all unusual and there is nothing spectacular going on with her health, just the standard "getting old" complaints. I reckon we can get her to 20 by 75 ;)

The worst thing is turning up to nursing facilities and finding, for example, an unresponsive (normal for him), quadruple amputee (diabetes), wearing a diaper, lying in a bed next to a photo of his younger self proudly dressed in his military dress uniform.

When my first patient died, I was shocked at how natural it felt (probably unusual given that he'd be run over by a tractor, but he was 89 it was a good death). There is nothing upsetting about a timely death, especially one that happens before you start rotting in a nursing facility. Death is nothing to be afraid of and nor is life. Its being caught in between that scares the shit out of me.

Modern medicine is all quantity and no quality. Nowhere is this more evident than our confusing inability to accept that a terminally ill patient IS going to die. You may as well avoid the pain in between.

Don't even get me started on drug "education".
Click to expand...
i didn't mean just for the terminally ill but yeah...fear of death is what drives almost all societies to be as stupid and fucked up as possible.

i honestly am somewhere in between the two as you fear..or at least that's how i feel. life just seems like such a waste of molecules and death looks like it really hurts.. but i guess you mean in terms of like, the vegetables and other nursing home horrors...

i really don't like the fact that all doctors do is throw pills at people. its almost exactly the same thing as the guy who sells you the more expensive tv to get the commission check.. most doctors don't give a crap about people's health when its all said and done.

your ED stories reminded me of an article i read/idea for a movie i had... a man apparently tried to kill himself with a shotgun and managed to blow his face off and live.. the debate was about whether or not a suicide note was a legally binding document and whether or not to "pull the plug" on someone who obviously wanted to be dead anyway.
it'd make a disturbing movie and i'd be all over it, but i'm more of a writer/musician than a director..


I saw a guy recently who crushed and shot his suboxone tablets to try and kill the pain of a tooth ache. Almost lost his arm and it didn't fix the tooth ache either =D
Click to expand...

Anyone worth their track marks knows they designed suboxone to make you SICK if you decide to shoot it... maybe that should be in the movie too :P
 
Hello, nice to meet you. Great to have someone who understands medicine so well here =). Maybe you can answer some questions I have sometime, and I can tell you about some of my many many experiences haha. Anyway, welcome to Bluelight!=)
 
Whatever000 said:
Anyone worth their track marks knows they designed suboxone to make you SICK if you decide to shoot it... maybe that should be in the movie too :P
Click to expand...

This is actually not true. Just because the makers of Suboxone decided to make some elaborate lie about what naloxone can do (no drug can take effect if the binding affinity is not great enough), doesn't mean everyone needs to blindly believe what they are told.

From the Suboxone Mega Thread....

Captain.Heroin said:
Q: How come you can IV Suboxone? Isn't naloxone going to put you into withdrawal?
A: No, naloxone will not put you into withdrawal. If you are using heroin or a full agonist, and then use Suboxone, you will go into precipitated withdrawal if you don't wait for regular withdrawal first. If you are otherwise already on buprenorphine, IVing Suboxone will not put you into withdrawal. This is because buprenorphine has greater receptor affinity than naloxone does
http://www.bluelight.ru/vb/showthread.php?t=541906
. There is no functional reason why naloxone is in Suboxone, and for all intensive purposes, Suboxone and Subutex are the same thing - both can be used with any route of administration.
Click to expand...
 
i understand, as i have to use the same language in TDS often, i wouldn't take your, or any ones word as fact when it comes to that.
my rheumatologist says what ever she wants to hear, hehe.
im just gathering comments and compiling them to try and balance out later. most say what you have said in so many words. i tried remicade; worse decision of my life, and ive been taking humira for a couple years, and have developed precancerous adenomas, at 32.

im just ttying/am to take this in stride, and gather information , & knowledge from people, rather then all the standard TEXT watered down info.
which i have, many times at the beginning.

now i see humira and remicade are being re-evaluated...
im playing with the thought of starting an auto immune support group, for people suffering from one of these awful and odd "d/o's", the side effects from meds, and the families who get tossed around in their wake.


i was going for a career in medicine, before this.
now, later in life, if possible i neeed to volunteer in hospice; children hopefully.
:)

have you poked around in The Dark Side?
it should suit most of your goals.

<3
 
Hello doc I think you would be lots of help in the drug discussion boards. Lots of users in need of good answers. Welcome! !! :)
 
You must log in or register to reply here.
Top