Deztroamphetamine



Henry. A change.

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Carly. Value.

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Chronicles of Dr. Karen NP, Part X

A smol, delicate danger noodle.

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An amazing showing.

Keep the community and yourself healthy and happy.






Patients you will never forget

This goes a long way to restore my faith in the people of Earth

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  1. I do this even with medication, which concerns me as most people tell me they don't have this reaction while on stimulants. :/

  2. Don’t feel alone in this. I went through the same thing on stims, which is why I finally caved and asked for Xyrem.

  3. I honestly really appreciate you posting this, thank you. It is reassuring that I'm not a unique case. I'd be interested to hear how Xyrem works for you, please!! I'm hoping you get helpful results!

  4. I’m sure they’re just being non-antagonistic.

  5. when Blue Cross pays you 30% more for using less opioids-this is what you end up with

  6. The copay card only covers 16 pills at a time, which is enough for one month. IDK if you spend any, but they will reimburse you. It will take a while but money is money. I can DM you the info they'd need tomorrow if you want. I just called last week to ask about it.

  7. When my mom worked ER, a lady brought her daughter in. Daughter had been having abdominal cramps for about a day.

  8. I cannot even imagine being able to poker-face through that comment if I was in the room!!

  9. Beautifully written, as always—if not to blunt the sting of our reality.

  10. Keep shouting ... we hear you. You have support, and you're not alone.

  11. the docs always say something like it will “make them more confused” or “muddy the neuro assessment” as if they actually assess or give a rat’s ass about the patient.

  12. bury the lede. (I agree with everything you said but I learned the difference recently and wanted to share with others)

  13. I'm so terribly sorry for your loss. I cannot fathom how excruciating this must be—you have my deepest and most sincere condolences.

  14. Your patient was very fortunate to have such a wholeheartedly compassionate and caring physician such as yourself.

  15. I'm so terribly sorry, my friend. I'm sure you've heard this advice repeatedly -- you haven't sought therapy already, please do so. You've had a long journey the last 17 months.

  16. https://www.dropbox.com/s/p7az6xsa9e2wqvj/Ridenour%20-%20From%20Fragmentation%20to%20Coherence%20%282020%29.pdf?dl=0

  17. I, too, boast the HODL, ADHD qualifications - what's my scope of practice?

  18. To answer some of your questions…

  19. No answers to your questions, I apologize - more that, I just wanted to comment to share my appreciation for your post. Your passion for for patients is evident, they're very lucky - I'm glad therapy is a service you're looking to offer.

  20. his angry yelling while randomly being on his bike is just the worst. I can't believe people think Deacon was well written. His personality was all over the place.

  21. Behaviourist here; his rapid cycling is pretty symptomatic of heavy trauma and unchecked, excruciatingly-relentless stress. Deacon is suffering from acute PTSD and struggles to maintain control over his anxiety whilst actively facing the dangerous creatures directly related to his fears. It's why he'll deliver one sentence with a snarl and the next nearly hyperventilating.

  22. That’s interesting, I had never considered that. On the one hand, maybe that is what they were going for and that would be super interesting, but it doesn’t feel like they ever bring it up in a way that would make the player reflect on it.

  23. Believe me, I hear you, my friend! It seemed especially worse when Deacon would be growling with fury over some event in his environment then suddenly he'd receive one of his frequent radio calls and hold a completely pleasant conversation devoid of any of the previous anger.

  24. I honestly sympathize with your plight. There's that fine line between being a responsible physician that is receptive to their patient's very real concerns to dismissing what could possibly be a legitimate issue.

  25. Idk man I didn’t match and I still want to fucking blow my brains out

  26. I'm so sorry, my friends - I'm only a nobody on the internet, but I want you both to know that I hear you, and my heart hurts for you two.

  27. I am both chronically tired and unable to fall asleep

  28. I had a very withdrawn patient who was conscious but wouldn’t talk to me. For a few days I’d just chat one sided, let them know how the weather was, stuff like that. One day I didn’t start out chatty, maybe I was having a bad day, I can’t remember why. I started doing whatever I had to do, and he looked at me and asked, how’s the weather today? It just warmed my heart because I wasn’t sure if I was irritating him all those days.

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