House md is such a trip because House and Wilson are standing cock to cock, tip to tip, packer to packer, emotionally and physically. House's employees have a polyamorous codependent relationship while also being at each other's throats constantly. Foreman's so represssed they think he's gay, Chase is so sexually active that he can't possibly be straight, Taub and Kutner scissored, Cameron's probably gay but she has a job to do so she isn't going to think about it too hard, Thirteen is bisexual and went to jail once. Everyone has used drugs recreationally at least once. They break into everyone's home then insult the state of their home and then diagnose the patient based on a "That's so Raven" vision that House has. They shouldn't have been doctors, they would all thrive better as Waffle house employees that leap over the counter to fight customers.
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, NYC’s 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 “overdose” of narcan, you can effectively drown somebody if you give a large dose. the “drowning” 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 don’t 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:
- Person’s skin might look blueish or greyish, depending on skin tone
- Skin might feel cold or clammy
- Might hear “agonal breathing” - 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
Acetaminophen/paracetamol has a hard stop upper dose limit, above which it becomes extremely toxic.
That limit is 4g (8 “extra strength” (500mg) tablets) in 24 hours (about 2 tablets every 6 hours).
A single dose of 22 extra strength tablets can kill you.
Taking 12 or more tablets per day for more than a week can also kill you (this is about 3 tablets every 6 hours).
Symptoms of overdose take up to 24 hours to manifest, and are fairly difficult to distinguish from other problems. They include abdominal pain (especially right upper quadrant), nausea, malaise, and confusion.
The antidote (n-acetylcystine) must be given within 8hours of ingestion in order to be useful.
After 10 hours the only thing that will work is a liver transplant.
You might think “why would I ever accidentally take so much?”
Well, acetaminophen is in almost everything in the cold/flu/pain aisle. Migraine combos like Excedrin, cold and flu combos like NyQuil, basically anything that says “non-aspirin pain relief”, and anything that’s branded as a fever reducer. It’s all probably acetaminophen/paracetamol.
So the goal of this post is to get you to read the labels on your medications. Because taking taking Tylenol and NyQuil together for a week (like you might if you had the flu) could kill you.
Please don't forget this shit, after it happened to a family member, he died 8 years later because of the continuing health complications even though he survived the initial overdose
I didn't know this for years, and I took so many pills, sometimes 4 at one go, every four hours, like 16 a day, because of endometriosis and migraines. It took a migraine specialist to explain rebound headaches and overdoses when I was in my 40s. Then I went cold turkey on all OTC drugs to get off the cycle. Please, please, if a couple tylenol aren't working for you, talk to your doctor or find one who will listen to you if you can.
saw your tags @did-sm1-say-catfish and yes, that link is broken! I looked into it, and it's because there are now multiple maps, including a map of India—
you may think misogyny is good because it is made up of miso, which is delicious, and gyny, which is woman. and girl miso sounds great. but 👆 it is not girl miso
you may think homicide is good because it is made up of homo, which is gay, and cider, which is delicious. And gay cider sounds great. but 👆 it is not gay cider
For these who don’t know: The restaurant she worked at closed down but she left before that and opened her own bakery, that’s apparently very successful!
She has a youtube channel where she shares recipes and cooking advice!
I’m proud to identify as morosexual. I’m attracted to dumbasses and dumbasses exclusively. A guy asked me what the Spanish word for tortilla was once and now I dream of kissing him under the moonlight
Do Eridians know they are different colours. I bet Grace's alien kids love finding out what colour they are. It means absolutely nothing to them but they're like :O :O
Some of them think he's making this whole 'colour' thing up to mess with them and try to catch him out by asking again on a different day to prove he's just saying random noises but he's like you are still blue buddy and they're like :O :O
Like if we met an alien species who had extra senses & they said that some humans felt spingly and some humans felt spoingly I bet we'd all want to know if we were spingly or spoingly humans
Callum !! @sacrificialfoxes14 - Tumblr Blog | Tumgag