Shout out to everyone who said we already survived Trump's first term, how bad could a second one be?
Shout out to everyone who said we already survived Trump's first term, how bad could a second one be?
Pumpkin Spice Lipitor
It's amazing people will claim "Canada and the USA have the same culture" and then on something as fundamental as "do you trust your fellow citizens to be good" we are further apart than any other two countries
HELP his lil hands too short for his sleeves 🥹🥹🥹 A TINY FIGHTY ANGEL
A brown penguin chick of some kind. It looks very much like a man in a suit. It is bedraggled and miserable
Made it to Friday but at what cost
The thing is that I distinctly remember opponents of gay marriage crying and kicking their heels and claiming to be oppressed by the mean censorious gays all the time.
As I get older I'm coming to increasingly radical views like "you have to do things to get good at them" and "you have to think about problems to solve them"
Harper to the judge: "Your driver's license doesn't list your height and weight at birth. It doesn't list where you used to live. It identifies who you are now."
if you would like a classic pair of 100% wool dress pants you should probably go to any thrift store in an aging community
like definitely a lot less visibly stained or ripped stuff than your average thrift store and a great place to go if you want H&M slim fit stuff
went to the ~curated Value Village on Stephen Avenue after work and my review is it is ~almost as good as the Goodwill in Missoula
There is not much to say besides the fact that I'm still struggling right now whatever you all can spare I would appreciate it
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PayPal.me/AugustMcMullen
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They say lightning never strikes the same place twice. They’re liars. Earth is a place and it’s been hit by lightning at least eleven times, maybe even more, I have to check.
👀 her reaction was joint pain which isn't really an ACEI thing but that definitely makes ~more sense
and the thing that sucks is the best case scenario SHOULD be that they find nothing wrong but with MECFS going to the ER is such a shitshow that going for nothing is almost worse but nevertheless if it were my brain I would want time-sensitive things ruled out at this point
yeah okay so "this is absolutely nothing like my migraine symptoms" is the biggest red flag yet
Also, totally reasonable to go to the ER for a migraine, especially a first migraine with ocular symptoms when you don't know what it is yet, precisely BECAUSE migraines can mimic other bad brain shit
I'd say something like "I'm having the worst pressure in my head of my life, it started very suddenly and I'm having vision changes and tingling in my arms" and if they're competent they'll at least rule out everything that requires immediate treatment
"sudden" and "not like anything you've experiences before" and "vision changes" and "altered sensations" are all red flags IMO
it's giving intercranial hypertension or migraine
I don't love telling MECFS patients to go to the ER but,,,
right and my guess is the two pharmacies might use different wholesalers
yeah I tried to explain "that's just a software choice precisely because the two are perfectly synonymous" and it wasn't clicking
in fairness though I am given to understand that life with celiac disease is just saying "no that still counts" over and over until you die so like. I can understand not trusting someone confidently explaining you'll be fine.
there's no particular ~logic to "which strengths of what opioids come solo and which only come with tylenol" but it's an incredibly inflexible system in practice
yeah see in this case obviously it would be physically possible to make a plain hydrocodone pill but they just don't. like it only comes in extended release and the DEA really discourages prescribing extended release opioids and so most pharmacy wholesalers just don't stock it so you can't order it.
pill binder allergy makes sense if you've had a similar reaction to multiple pills!
oh absolutely, I assume her weird reaction was physiologically real, there was just no evidence it was the besylate and seeing as ALL amlodipine is amlodipine besylate and based on her story of the appointment I did not get "good faith attempt at rare allergen detection" vibes
anyways the moral of a story is your patients' concerns are real to them and if you try to trick them like you're hiding the pill inside some cheese you're just making things worse actually
for context this is like going to a grocery store and asking to purchase a potassium-free banana and then calling the manager over to proclaim you'll be taking your business elsewhere, to a competent grocery store that sells potassium-free bananas
Penicillin comes from bread mold, maybe?