medgremlin

joined 9 months ago
[–] medgremlin@midwest.social 1 points 2 months ago

Typically, the things I disagree with are the things like bad faith arguments, lies, rudeness, or bigoted ideals that purport that not all humans deserve equal rights, etc.

[–] medgremlin@midwest.social 3 points 2 months ago (2 children)

Usually, when I disagree with something, it is because it is incorrect, lying, or particularly mean-spirited. I disagree with people that do not think that every human deserves the same rights. I disagree with people that push for ideologies that would strip other humans of their rights, or that would inflict needless suffering. I don't downvote people when I disagree with what media they think is good or something. I downvote those that express ideas that are antithetical to what I see as basic human decency or that are factually incorrect.

[–] medgremlin@midwest.social 2 points 2 months ago

The added benefit is that when there are few enough cats that there are loving homes for most of them, then the percentage of kitties with humans to take care of them increases drastically.

[–] medgremlin@midwest.social 7 points 2 months ago (9 children)

Personally, I use downvotes to say "I disagree with this and/or it is a stupid/bad/bigoted/etc take, but I do not wish to spend the time and effort to respond and get dragged into a text-based mudfight with someone who is unlikely to speak to me politely, no matter how polite I try to be in my rebuttal."

I like having a way to say "no, bad, stop that" without having to spend time trying to explain things or engage with someone who I think is beyond convincing anyways.

[–] medgremlin@midwest.social 1 points 2 months ago

Oof. Tell me about it. I went to a Gen pop hospital after working in a level 1 peds ER and the other ER folks gave me "the look" when I talked about some of the stuff at the peds hospital. Non-accidental trauma cases are a special kind of PTSD.

[–] medgremlin@midwest.social 20 points 2 months ago

Then support your local trap/spay/neuter charities. This is a miserable and painful way for them to die and likely wouldn't kill enough of them to get the effect you're hoping for. All you're wishing for here is needless suffering.

[–] medgremlin@midwest.social 1 points 2 months ago

I have never heard of that association.

[–] medgremlin@midwest.social 10 points 2 months ago

That's the only time I think it's acceptable. Ambulances are kind of a venn diagram of healthcare and couriers, so the 2 snakes on the star of life makes sense.

[–] medgremlin@midwest.social 109 points 2 months ago (22 children)

The medical symbol of the staff with the snake is only supposed to have 1 (one) snake on it. A staff with 1 snake is the Rod of Asclepius (the son of Apollo and Greek demigod of medicine), a staff with 2 snakes is a Caduceus which is carried by Hermes as a messenger or herald.

Physicians get 1 snake. Couriers and heralds get 2 snakes. Any medical professional or organization that uses 2 snakes is wrong and needs to go study the humanities and classics for a bit.

[–] medgremlin@midwest.social 2 points 2 months ago (1 children)

Yeah, caffeine is a good vasoconstrictor, so it can help with headaches that are not from something like high blood pressure. Paracetamol/acetaminophen is really good for headaches on its own because it gets into the brain better.

[–] medgremlin@midwest.social 2 points 2 months ago* (last edited 2 months ago) (1 children)

I was following along with some of your other comments and whatnot, but this diatribe tells me a lot about your intentions behind this post.

I have ADHD, and I'm a medical student. I suppose in your mind that makes me one of the "dumbest motherfuckers" in training, but I will speak from the education and authority that I do have. There are many health conditions and comorbidities that can make stimulants a bigger risk than they're worth. Personally, I have idiopathic sinus tachycardia, so my psychiatrist had me get a consultation with Cardiology before she would prescribe a stimulant because one of the major risks of stimulant medications is Sudden Cardiac Death Syndrome (which is exactly what it sounds like) and if you have a high heart rate or other cardiac or electrophysiological abnormalities, it drastically increases your risk.

I get that getting by without medication is extremely difficult for some people. I had to do my first semester of medical school on hard mode while I got my official diagnosis and medical clearance for treatment sorted out. Healthcare access, particularly mental healthcare access in America (and pretty much everywhere else for mental health) is criminally abysmal, but that is not an excuse to encourage people to ignore medical advice and consensus regarding medication safety.

(And as a side note: Surgeons are really good....at anatomy. Most of the surgeons I have worked with would really prefer it if the primary care/family med/internal med/literally-anyone-else doctors did the pre- and post-op medication management. Anesthesiologists are the ones that are intimately acquainted with pharmacology when considering physicians in the OR)

[–] medgremlin@midwest.social 13 points 2 months ago* (last edited 2 months ago) (3 children)

Alternating the paracetamol and ibuprofen on a schedule is the best recommendation I can give. Severe pain, especially post-operative pain, is best managed by taking the pain meds before the pain sets in. The ibuprofen is also an NSAID and the swelling and inflammation are big contributors to pain.

The schedule that I always recommend is:

  • 0800: 650-1000mg paracetamol (acetaminophen)
  • 1200: 600-800mg ibuprofen
  • 1600: 650-1000mg paracetamol (acetaminophen)
  • 2000: 600-800mg ibuprofen
  • (and in the first day or two after surgery, set alarms to wake up and take pain meds at 0000 and 0400 on the same pattern if the pain is really bad.)

This pattern keeps you covered on pain control, and you can shorten the intervals to every 3 hours if this isn't enough without exceeding daily dose limits on either medication. If you are an American reading this and you're also taking something like Norco, make sure to account for the acetaminophen/tylenol/paracetamol that's in those because exceeding the recommended dose on that one is bad news for your liver.

Like some other folks have said, warm saline (salt water) rinses and soft or liquid foods are going to help as well.

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