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Harm Reduction Injection Complications FAQ and Mega Thread

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Hey huys!
Thank you SO much for your help.
The lump went away after a few hours and though it's the least bit sore I'm not worried now.
The few times I have shot has been high does of morphine and it was ok.But as I think to myself as to what I could've done to myself last night I feel like a total dumbass.
It's hard to say how many lives and limbs this site has saved.
THANKS FOR ALL YOUR HELP GANG!
 
Please help!!

I have been shooting H on and off for years now. I had 9 months clean and relapsed and Ive been shooting about 2 bags a day in the same spot on my left forearm.

Well about a week ago i stuck the needle in and i think i hit a tendon or something, i kinda just brushed it off. the next day when i woke up i couldnt bend my wrist up and down, i had no control over my wrist.

Its been a week now and its gotten alittle better but it still is very difficult to raise my left wrist. what could i possibly have done? what might happen, my left arm now kinda hurts....has anyone experienced something similiar, what can happen from overshooting or hitting a tendon? Could this be permanant?

Thanks
Alec
 
Is the spot getting swollen?
My hand did the same thing when it get infected after shooting dope in it one time. I could barely move it, swelled up in size, etc.
 
It all depends what you hit. Ligament/Tendon, typically it'll be the same result (if no infection occurs), rest and rehab.

Depending along the way you hit the spot, if you did, it is all conjoined to a point that is responsible to move a precise muscle or whatever.... Keep us updated and if you need further info, please feel free PM me...

I hope all the best man.... P
 
no thats the wierd thing....its not swollen or it doesnt hurt. I can lift with the palm of my hand i guess using my bicept muscle, but if i take the back of my hand and apply pressure its almost as if I have no muscle at all i cant lift the lightest things.....

"It all depends what you hit. Ligament/Tendon, typically it'll be the same result (if no infection occurs), rest and rehab." it sounds like I did that, and its gonna take a lot of rehab to gain it back? i hope its not permanant
 
This is going to get merged into the IV complications mega thread.

I am rather sorry that you are experiencing this Alec, and I hope it's not permanent.

I do not think I've experienced anything like this though, so I'm not sure how I can help you.
 
A bit random...

I received an IV, in the hospital, with the thickest needle imaginable. The nurse used my cubital vein.

Ever since this, which happened July 2nd, I have had pain (both when pressure applied and when I bend my arm) in a 4 inch long, straight line going up onto my bicep. It feels like the pain is directly on the vein.

I have not IV'd anything since March. But I am worried that my arm has been damaged. Did she stab into something? Rip open my vein? Is my vein just recovering from being fucked by a 20 gauge needle? Should I go to a doctor? :(
 
adventurer - can't say without looking at it (and even then I'm not a doctor) but it sounds like they might have damaged the vein. I have a lot of junkie friends (being one myself) and the only collapsed vein I've ever seen was in a friend who was improperly hit by a nurse in a doctor's office, so even they fuck up sometimes. I believe that the process can take a few weeks for a vein to completely collapse and the circulatory system to reroute the blood flow, so the timeline would fit if I'm correct about that, and since it's been so long I don't think it could just be the usual tenderness/bruising sometimes associated with large-gauge needles.

I was told by my friend that the collapse of his vein was the most painful experience of his life, but he was told that there was nothing they could do about the damage (his father is a doctor - helpful). I wish you the best of luck.
 
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IThe lump is about the size of a quarter.
The needle I used says U-100 1CC.Is this ok for IV?
I don't think I plan to IV anytime soon unless in hands of someone WELL trusted.

If you don't know whether or not it's OK for IV use, I would have refrained from using it for IV use.

What gauge was it? 1CC is a standard size a lot of people use, but the gauge is more important than the volume.

Thanks for the super fast replies.
Any chance it may move up my forearm?
Yes it's a little sore but nothing crazy.

What you should be worried about is that there is an infection, and the infection will spread via your circulatory system.

A "quarter size lump" is a little large, how many units did you use?

I'm glad that the swelling went away. Next time, your idea of not doing it again unless having a trusted friend is a good idea.

I received an IV, in the hospital, with the thickest needle imaginable. The nurse used my cubital vein.

Ever since this, which happened July 2nd, I have had pain (both when pressure applied and when I bend my arm) in a 4 inch long, straight line going up onto my bicep. It feels like the pain is directly on the vein.

I have not IV'd anything since March. But I am worried that my arm has been damaged. Did she stab into something? Rip open my vein? Is my vein just recovering from being fucked by a 20 gauge needle? Should I go to a doctor? :(

No offense, but if I was in anyone's shoes who complains of a doctor/hospital worker using a huge gauge, why didn't you speak up?

You can say "I need something of a smaller gauge", they're going to have them: they're a hospital.

I would've spoken up before they even came close.

adventurer - can't say without looking at it (and even then I'm not a doctor) but it sounds like they might have damaged the vein. I have a lot of junkie friends (being one myself) and the only collapsed vein I've ever seen was in a friend who was improperly hit by a nurse in a doctor's office, so even they fuck up sometimes. I believe that the process can take a few weeks for a vein to completely collapse and the circulatory system to reroute the blood flow, so the timeline would fit if I'm correct about that, and since it's been so long I don't think it could just be the usual tenderness/bruising sometimes associated with large-gauge needles.

I was told by my friend that the collapse of his vein was the most painful experience of his life, but he was told that there was nothing they could do about the damage (his father is a doctor - helpful). I wish you the best of luck.

Really? And he thinks there's nothing he can do? He can't get his vein back but he can get compensation from the medical system.

I don't see why people like being ignorant about injecting themselves with drugs - does it make you happy to rely on people who don't know much about it either, and passed nursing school by the skin of their teeth? It would feel a lot better if you knew how to not even do it yourself but knew how to request a smaller gauge, and for someone who knows what they are doing to do it (a doctor who's done it thousands of times correctly, not a nurse who just got her first nursing job within the last week or two and you're her first human to practice on).

If you all had major surgery, would it be cool with you if a first timer surgeon did it, instead of someone who's been at it for decades and has already learned the basic skills needed to perform the operation?
 
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Captain.Heroin - this happened to him a long time ago during some routine bloodwork. He probably wasn't even 18 yet, and I'm sure pursuing legal action wouldn't have occurred to him.

I agree about requesting smaller gauge needles. My veins are fucked up enough, I'm not letting anyone near me with some log of a point.
 
I got in a car accident, I am 19. I just ASSUMED as she was a nurse, she knew best. The first nurse could not find a vein, so she specifically called over another. Who gave me the IV, glove-less... I wish I did say something, but I couldn't say why I didn't. 8o
I went back to the same hospital some 3 days later, for my mother, and it seems they just use this gauge standard.
 
I got in a car accident, I am 19. I just ASSUMED as she was a nurse, she knew best. The first nurse could not find a vein, so she specifically called over another. Who gave me the IV, glove-less... I wish I did say something, but I couldn't say why I didn't. 8o
I went back to the same hospital some 3 days later, for my mother, and it seems they just use this gauge standard.

it's impossible for anyone to say anything definite without examining your arm.
if you're worried about your arm, return to the er and have them look at it.

i did pass nursing school by more than the skin of my teeth and though i'm just a lowly rn, i thought i'd give your question a shot... no pun intended.
-izzy
 
I missed a shot a couple days ago. i was using heroin acidified with vinegar then diluted prior to injecting. the spot has a minor abcess which is being stubborn. Ive tried all warm water, messaging. its still here after day 5. there is also numbness above the site. is this nerve damage? my hand and arm can move fine. has anyone else had this? does it go away. I can live with a little numb patch, but I'd still like to know, its in my nature
 
Well, if you remember some of my posts from a couple weeks ago, I'm the guy with hard-to-see veins that has been fucking around with an IV solution of hydromorphone that I made from crushing and micron filtering 25 8 mg pills dissolved in ~20 mL bacteriostatic water (10 mg/mL).

I say hard-to-see instead of hard-to-find now, because I've actually gotten pretty good at finding the damn things based on touch. I can now hit (as in register) both antecubitals and cephalics on the first try. My problem is that I still seem to be missing the actual shot about 25% of the time.

What happens is I'll insert the needle, get my register, and then as I'm repositioning my hand and releasing the tourniquet (I use a BP cuff inflated to around 60 mmHg and just release the valve), the needle must move or something because I inject and don't get a rush. It's hard to tell in the antecubital region because as I'm injecting, I don't see a lump forming or feel any pain (as I would in the hand for example)... But the rush wasn't there. Hell, maybe the very tip of the bevel was inside, but the entirety of the beveled portion was half-in/half-out so that it was a partial miss?

Does anyone have suggestions for keeping the needle inside the vein during the process of releasing the tourniquet, repositioning the hand to where you can depress the plunger, etc.? At the moment, I'm having to actually let go of the syringe completely for a second (I gently leave it resting against the arm). If the needle is actually in the vein when I rest the syringe like that, and it goes from say a 30 degree angle to a zero degree angle, I always figured that would simply lift the vein towards the surface a bit and not hurt anything.

Also, I'm still having trouble getting a feel for how deep the needle should typically be in order to be inside a vein. Like obviously in the hands, cephalic and antecubital region if you're working with a 1/2" needle then there's no reason for it to be completely under the surface of the skin. But halfway? A quarter of the way? I'm afraid that I've gone from sticking it in too far and going practically straight through a vein, to the opposite extreme and not going far enough, so that I get a register, but then during my repositioning it just barely slips out.

One last question --- In the situation I mentioned above where I missed or partially missed in the antecubital region, how much of that drug is absorbed? Would that count as subcutaneous administration? Is that still 100% bioavailability except minus the rush? Obviously it's not something I ever want to do intentionally, and now that I know what it feels like, I'll never let it happen again (if I'm not feeling a rush I'll pull out), but I'm curious how much of that drug was "wasted." I did another shot immediately afterwards in the other arm and hit that one first try, so it's hard to know how much of the other shot I'm feeling.

Thanks.
 
Injected heroin into a vein in my wrist

Last night I injected heroin into my wrist. I put the needle in and I registered blood several times throughout the shot. I had hit this same vein a few times previously that day but the last shot caused some swelling and pain around the injection site. I do not think that I injected into an artery because it did not hurt while I was injecting but the injection site was sore after. Right now there is still swelling and pain around the injection site and I am kind of worried. There is no discoloration or redness and my hand is not numb at all. I can also move my hand just fine. The site is just sore and slightly swollen. Anyone have any idea what could have caused this and if I will be ok?
 
Sounds like your vein is just not happy about being stabbed multiple times a day. Keep a warm compress on it to keep the swelling down and you should be fine.

In the future be sure to switch injection spots.


Also, did you shoot closer to your heart or further away from your shots earlier in the day?
 
Yeah, in the future always rotate injection sites, and if you have to...use a spot CLOSER to your heart than the previous shot.

Think about a hose...if there is a hole half way down the hose, wouldn't it make more sense to have the water enter the hose earlier than the location of the hole to avoid leaking?

It also has to do with healing time.
 
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