Transgender queer enby living with DID | collectively zie/zir | Dog trainer and service dog handler (waiting to get my new prospect, hopefully will be next year) ๐๐๐ Currently living with Nico, a rescued hairless toy xolo Gotcha date: 1/29/24 Birthday: 1/22/23 ๐โ๐ฆบ๐โ๐ฆบ๐โ๐ฆบ Forever my best friend, SD Besitos Tzapo, intermediate hairless xolo, forever the bestest boy
Just moved into a new house and Nico is a huge fan
New house has carpeting in the bedrooms which us humans aren't as big a fan of (upkeep and sensitive to the off-gassing of the new carpet) but he loves and clearly we got this house with carpeted rooms just for him
One day soon I'll have to get a video - he gets zoomies and does donuts and wriggles all over the carpet
Otherwise I'm just doing my best to keep up with everything - life has been extremely stressful lately with various body and brain things. Nico is a good little disservice dog through it all though. Can't be too miserable when there's a cute little gremlin screaming at you because he still struggles with emotional regulation ๐
Such a pretty coated xolo! A lot of people wouldn't recognize tethe coated variety because to most they just look like some funky generic mixed breed. I haven't seen one in this color yet. ๐ฉต
My notifications seem stuck in a weird limbo where on my posts I see all the likes, reblogs, etc
But the notifications I'm receiving are only for likes and then for reblogs with added tags. I'm not receiving notifications for reblogs without tags added to the reblogged post.
"this post has only 20 notes" factoid actualy just statistical error. post has 10020 notes. Reblogs Georg, who reblogged the original post and got 10000 notes on their reblog, is not an outlier adn should absolutely be fucking counted
Please read the whole post before voting. Please only vote with a number if you are NOT using an un-updated version of the app.
Please vote and reblog but please do not reblog with a comment in the text of your reblog
When you reblog please tag with the same FIRST tag as the person you're reblogging from
Feel free to reply that's not what I'm looking at and I feel like we need somewhere to yell.
Again, you're going to vote in the poll (answer with the count closest to the bottom of the post you're seeing), you're going to reblog without any text or comments to avoid making a new reblog thread but still check the spread of the post, you're going to tag the post with the same FIRST tag as the person you're reblogging from (feel free to add other tags if you want, but the first one should be exactly the same as the person you're reblogging from).
Vote for the reblog count closest to the bottom of the post you see
Reblog with no text in the body of the reblog
Tag with the same first tag as prev
Thank you for your participation in this experiment!
How many reblogs are there at the bottom of this post?
Nico is very glad to have the return of sunshine and warmth. These months he spends hours sunning himself in front of the front door as the morning sunshine streams in
Happy DID Awareness Day to all my fellow CDD systems/collectives/however you like to refer to yourselves. Whether you see this day as a day to feel joy, pride, frustration, anger, shame, whatever... I see you and parts of my system are feeling that way too. The emotions about this are complex (pun slightly intended) and all of you have a right to experience that complexity of feeling. ๐ฉต
For most who follow me here, it's not something I talk a lot about on this blog. Most of y'all are here to see my dogs. Most of you came because of Tzapo, my former service dog. I didn't know it at the time that I had DID. I didn't know how much support he truly gave just by being in my life because he was a constant anchor to the present for me. So to honor his purpose in my life and the day, I'll probably be doing some info posting/reblogging as a heads up to followers.
My physical health has been incredibly bad with an autoimmune condition that started really flaring up last July. I have had pretty severe pain and joint inflammation with loss of mobility in my hands and destruction to my hand tendons
Recently now I'm having widespread food allergies. So far they have been relatively mild and haven't been fullblown anaphylaxis but one was on its way before I took some antihistamines. It still left me with nausea, a headache, and an intolerably itchy throat with a cough for hours.
On top of that I'm now experiencing dizziness, chest pain, a racing heart, and low blood pressure after eating. I spent over an hour stuck at the table unwilling to stand up because I was worried I'd be a fall risk.
The autoimmune condition has currently been diagnosed as rheumatoid arthritis. Unsure what the rest is about so now I've gotta figure that out I guess
So yeah not having the best of times but still kicking
Pain, loss of mobility and strength, fatigue and exercise intolerance have been growing since July. Finally saw a rheumatologist and he very quickly diagnosed me with rheumatoid arthritis and sent me home with steroids and methotrexate prescription
Then had extremely bad tooth pain that same night and saw a dentist today and now I'm slated for wisdom teeth removal under sedation at whatever oral surgeon I can find. Until that's scheduled over been given amoxicillin to prevent infection due to the tooth decay in my one wisdom tooth so I will probably have to wait to start methotrexate until all this tooth stuff is done
I'm extremely sick and fatigued and in pain and struggling
If anyone wants their own little bald bossy snuggle bug please consider adopting this little gal. She'll be the best little heater through the winter months
semi-regular psa that depending on where you live, getting a few doses of narcan might literally be as quick, easy, and free as pouring river water in your socks. it's small, light, and easy to carry around in any kind of bag bigger than a wallet; it's simple to administer; it doesn't become hazardous after its expiry date, just very slowly less effective but still okay to use; it's safe to give multiple doses of it in succession; and it won't cause any harm even if given to someone not experiencing an opioid overdose. (due to the nature of how it works it is a potion of instant withdrawal and might make someone very sick very quickly for that reason, but you can't give someone a hazardous overdose of narcan.) even if you don't think anyone in your life licitly or illicitly uses opioids it's still worth it to pick some up just in case. if you are the Purse Bitch of your friend group and have ever said something like "well what if we do need two full boxes of bandaids all of a sudden" then you simply owe it to yourself to see if a public health center near you has a free narcan distribution service.
For those curious on how to respond to an overdose using Narcan/naloxone, NYCโs health department has a good video on the subject. For those in NYC, their website also has information on how to obtain it.
always great to carry narcan, and while you CANNOT give an โoverdoseโ of narcan, you can effectively drown somebody if you give a large dose. the โdrowningโ is flash pulmonary edema, and is associated with larger amounts of narcan being administered to somebody who is overdosing.
so absolutely please get some and carry it with you, and remember that you donโt need 20+ mg of narcan to reverse an od!
Adding onto the last rb as someone who works in harm reduction and has given overdose reversal trainings.
First want to say that OP your post is great but it's important to mention that you NEED to wait 2-3 minutes before administer a second dose of naloxone (the generic and frankly better version of Narcan, Narcan is a for-profit brand so if you can it's better to get the generic from your local SSP or HD), for folks who are dependent upon or otherwise regular users of opioids naloxone can precipitate pretty nasty symptoms of withdrawal, no one is gonna feel *great* after an overdose, but acute withdrawal can lead to vomiting, shakes, and a whole slurry of symptoms ranging from unpleasant to medically dangerous.
While were here, here is a quick runddown of symptoms of an opioid OD to look out for:
- Personโs skin might look blueish or greyish, depending on skin tone
- Skin might feel cold or clammy
- Might hear โagonal breathingโ - a gasping/gulping/grunting sound sometimes mistaken for snoring
- Sometimes you might not see or hear any of these obvious signs. The person might just seem like they are sleeping or in a heavy nod.
You can check for responsiveness by verbally calling for them and doing a sternum rub (running your knuckles up and down the center of their chest), but don't spend a bunch of time trying to get them up-- every secound counts.
Second major point: when reversing an OD you are looking for a return to regular breathing, NOT for the person to wake up. Adulterants like xylazine (tranq) and medetomidine are fairly common in the US fent supply, and given that these are sedatives they can put folks out for hours at a time. Make sure to give rescue breaths and monitor breathing continuously until emergency service providers arrive (or if you are unable to call 911/999/etc, have someone stay with the person for at least 90 min). The biggest mistake I see people make is, since they're in a panic, they continuously administer naloxone without waiting and without watching for breathing bc they're worried about the person not coming to. I get that it's really scary, but it's vital that you're focusing on the correct tells.
Like last rb said too, you don't need a crazy mg amount to reverse an OD, in fact you don't need more than 4mg max (6mg if the person REALLY isn't breathing) for nasal naloxone and 0.8mg/ml max for intramuscular naloxone. This is about 2 doses for each type, and often one dose is enough to stabilize someone (when the medicine wears off any opioids left in the system will rebind to opioid receptors, though, so keeping a dose on hand is vital especially if they can't get to the hospital for monitoring). There is no evidence that high dose naloxone such as Kloxxado is more effective in reversing overdoses, and actually poses a greater danger due to its ability to quickly lead to acute withdrawal. These products are produced by for-profit companies co-opting panic surrounding the present street opioid supply, and are not recommended by anyone with experience in the field.
If you want to find free naloxone near you but aren't sure where, NextDistro is a great resource for those in the US
If you ever call 911 for suspected overdose please DO NOT tell the dispatcher that you think it's an overdose as that will often cause law enforcement to be sent as well. Please report it as someone being "unconscious and unresponsive" to lessen the chance of law enforcement coming. It won't guarantee it but it does reduce the likelihood. You can always let the paramedics know you administered naloxone and how much when they arrive.
If someone wakes up after you administer naloxone, please don't be surprised if they feel like shit or are upset. If they took any opioids then they are now in withdrawal and that feels awful. If you called 911 please let them know so they can make an informed decision on whether or not they want to wait or clear out because of the risk of police accompanying the ambulance.
Intramuscular naloxone is as effective as nasal naloxone and much cheaper for most organizations to obtain. Like an EpiPen it gets injected into a large muscle like the thigh or shoulder. Unlike an EpiPen you have to draw it up from a vial first and then inject. One vial = one dose. Typically an IM naloxone kit comes with two vials and two syringes for a total of two doses. Please don't be nervous about using it as this version is increasingly commonly provided due to how cost effective it is.
Please advocate for more naloxone mailboxes - these are newspaper boxes where people can grab naloxone (and sometimes other supplies) after agencies close so they have access all night and weekend long. They also don't require any direct interactions so people who are too scared of judgement or have other reasons to avoid agencies have less barriers to access naloxone.
Please continue to let people know about warmlines like Never Use Alone where people can get phone support from people who use/used drugs and who will contact medical assistance only if someone stops responding.
As OP said, expired naloxone or naloxone left in the heat is better than no naloxone. While naloxone isn't the only harm reduction tool for preventing overdose it is an important one.
