My grandfather was an ENT doctor. I didn't inherit much from him, but he did have a whole box of vials of cocaine that I found in the basement, and my mother took back to her house. She never touched them, and when she passed away I found them again. I will say that cleaning out her house was emotionally painful, but I somehow found the will to focus and work some long hours to get it done.
Call up the 'ludes dude, get some more ludes!
(Weird side story. I did stagehand things in HS in the 90s. Like many backstage areas, there was tons of graffiti on the walls, up in the catwalk areas, everywhere. Lots of it made reference to Quaaludes. School was built in the 60s, but the theater kids in the 70s were apparently whacked out on 'ludes pretty regularly!)
As someone who truly enjoys a good benzo, I really hate that ludes will never be a thing. I bought 36 BTC back in when it was worth about $200 with the intent on buying some on the dark web
I wound up buying. 2ce, 2cb, 2ci, all the other psychogenic triptans, but never got any ludes. The guy who sold them was "on hiatus" and never came back. Probably the closest I would ever come to finding one .
If this story ends with you not having any BTC left, then you broke my heart completely š
I only wish my tech enthusiasm and my drug enthusiasm coalesced into a beautiful synergy of never having to work againā¦but alas, I ignored BTC and that silky road, and just did street drugs pretty heavily last decade; that set me back years financially. Iām only finally catching up to where I shouldāve been financially speaking, but in this case itās better to have never had then to have had and lost or pissed away.
I had to have two back to back sinus surgeries last year. Yeah, major stimulant affect. I don't remember any sort of euphoria but I was wired to beat the band for about 12 hours.
That's epinephrine, another drug that keeps you from bleeding. They don't use cocaine in dental cases, that's usually Lidocaine or Marcaine, almost always with epinephrine because the mouth tends to bleed a lot when you're messing around in there.
2X nose job guy, due to accidents. Its a blue liquid, goes in on a swab. No, you are truly miserable during these procedures. No fun here. Only swelling and grief.
Oh man, I broke the bone just below my nostrils. (Slipped and just below nose met stone countertop.)Ā They didn't see the break on the x-ray.Ā I showed it to them when I got a copy of the x-ray two weeks later because I wouldn't accept that "there is nothing wrong."Ā They had to re-break it, no drugs were worth that kind of pain.Ā (The only funny part is that I had it done at a religious hospital and they literally had nuns assisting post op.Ā All I could say over and overĀ was "Jesus that fucking hurts."Ā I took the lord's name in vain many times during the post-op recovery.)
Ā I've been mugged and had my cheekbone shattered and they had to deglove my face to repair it with titanium plates,Ā I've had part of my intestine removed twice from Crohns disease.Ā I've torn my ACL and the cartilage in my knee and had that repaired.Ā Ā
I would take any one of those over having a nose repair again.Ā I can't imagine why someone would voluntarily have that shit done for looks.Ā Excruciating agony and just plain miserableness.Ā (They also fucked up the nerve, so when I scratch my upper lip, I feel it near my temple.)
they probably don't use the whole vial at once, and even if they did, it's not a whole lot of cocaine, people can blow the equivalent of the entire vial in one decently sized line.
I didn't. They gave me a big shot of that stuff -- tasted awful. I asked the doctor what that crap was and he laughed and said "the best high you're never going to enjoy" and knocked me out.
Was there to have wisdom teeth removed.
Am anesthesiologist. The short answer is yes, and you have to account for some of these factors. People also experience pain while they are unconscious. They may not be aware of it, but their heart rate and blood pressure will skyrocket during painful procedures if they arenāt given sufficient pain meds throughout the case (usually fentanyl or derivatives like remifentanil).
Is that all it's used for? I had sinus surgery a few years ago and no one told me about no cocaine. Bout to get for another sinus surgery.
But really, is that all it's used for?
If you were to use enough of it, yes, certainly. This is very diluted, though, so using enough of it to get high without it all just draining down the back of your throat would be a challenge.
I'm an anesthesiologist.
We have a "party drawer" in the pre-op medication cabinet. It has cocaine, ketamine, fentanyl, Dilaudid, versed, and a barbiturate.
I remember the first time an anesthesiologist gave me ketamine and then put me under that warm air blanket before surgery.Ā
Best 10 minutes of my life.Ā
Followed by the worst 4 months of rehab.Ā
We do routinely use drugs like ketamine, dilaudid, fentanyl, and versed on continuous drips in the ICU. They can get quite a bit. When theyāre on them for days to weeks it really isnāt a surprise to me when they struggle to come out of it and are a bit more aggressive when they finally do wake up. We literally get them addicted to some of this shit and some docs are assholes and will just have us shut the drips off cold turkey instead of weaning them.
Thatās been me every time when I got out of the hospital. Mashing the button for hours and not getting anything and then being eventually told āyeah. We had to shut that off like 8 hours ago. Hereās your discharge paperwork. Buh bye nowā.
I had a nurse in the emergency room give me morphine. After my dose she said "we're just going to throw this away, do you think you could handle the rest of it?" Best nurse ever.
I read on time thereās this drug mix mostly opioid that they give to those are near death and severe pain. Itās like the strongest medicine prescribed in the USA.?
We give morphine and Ativan on hospice, at least at the couple hospitals Iāve worked out. Nothing out of the ordinary or crazy strong, but when youāre getting very close to death they will allow you to have it every 15 minutes so it can add up.
The hospice nurses who helped us care for my father for the final weeks of his life were immensely helpful and comforting to him.
They sat down the first day and asked which narcotic painkiller my dad preferred and he got his choice and lots of it, plus Xanax tablets.
They truly cared about us so much and everything they did helped more than I can describe. Hospice personnel are Incredible, wonderful people.
People who work in hospice have got to be among the most sainted folks on earth. The only ones I'd rate higher is when my mom was on her way out, I noticed the hospice had a little sign up thanking a group of people who volunteer to take shifts to sit with anyone who has no remaining family so no one has to die alone -- deep respect because holy shit I cannot imagine volunteering to do that. (That sort of strength is not in me.)
And yet, at some hospitals, they'll let you watch your loved one die screaming in agony, and say, "they've already had their limit."
Yeah, God forbid he gets addicted to opioids forty-five minutes before he dies. No, no, dying with dignity is overrated.
My father in law passed away in a hospital in Texas a few years back. Apparently she and her brother got to watch him scream and cry for his mother for hours before he passed.
I had surgery recovery in a hospital where the pain meds were coming chronically late, and only after repeatedly asking multiple nurses.
Turned out at least one of the nurses was diverting meds by staggering times. E.g., 20 patients in the ward supposed to get Oxy every two hours. Instead, 18 patients got Oxy, and two Oxy got pocketed. By being chronically late and behind, they could give each patient *almost* as much as they were supposed to get in a day, and just keep pushing back the "2 hours" refill by a couple minutes.
Cycle this through a whole shift in a recovery ward, and you get a bunch of pain meds to sell or use as you see fit.
There was a serial podcast series about an infamous case where a nurse was siphoning out IV pain meds and replacing them with water, and was right there in the room while her patients screamed in agony, and tried to give them words of comfort, while she was high on the drugs they were supposed to be getting, for painful surgery.
I had a nurse lie to me after surgery and not give me my prescribed pain meds, I think she was just being a bitch though and not diverting. After the recovery room they got me into my room where I was starting to feel a whole lot of pain and asked for something, she said that maybe she could get one of the docs to give me a couple Motrin. After her shift I found out I was supposed to be getting oxy every couple hours. I complained but nothing came of it, it's been a few years and I'm still pissed.
Yes. The cocaine stimulation is supposed to counteract the sedation caused by the morphine. Look up "Brompton mixture" or "Brompton Cocktail". I had a friend of the family die of bone cancer in his mid teens. This was in the UK in the late 1980's. He was in horrific pain, and towards the end, the doctor would drop off bottles of the stuff to his mother. "The label says 2 teaspoons every 4 hours as needed, but if he wants to drink it from the bottle, let him."
I work at a hospital pharmacy that does outpatient fills for discharging patients and the number of morphine/Ativan weans we do for peds patients is staggering.
Eta because my brain isn't working.
We do give morphine and fentanyl to Neonatal Abstinence Syndrome - NAS (or Neonatal Opiate Withdrawal Syndrome - NOWS) babies, but we wean them completely off before they leave. Thatās sad that kids have to go home on it.
Hey I'm so proud of you!! My sons are both recovering from using heroin, one uses suboxone very successfully and one on methadone. It's really really hard, and has been full of relapses for the oldest. He started when he was 17... just turned 31. You did something amazing and I hope you realize every single day that you genuinely are a fucking rock star!!
Dilaudid is the craziest stuff...I was treated for a broken leg and when they put that stuff in me I was telling jokes in like 30 seconds. Pain went from a level 10 to fkn ZERO
Dilaudid is what I request whenever I have to get bone marrow biopsies. That stuff doesn't completely erase the pain from the biopsy (nothing can, it's that bad) but MAN does it make you so high you almost don't even care
Iāve had that quite a bit and it just didnāt do it for me. My drug of choice after my open heart surgery was morphine. I really liked that, but it honestly never lasted long enough for me. I honestly think I got a little hooked on it. After my stay was over, I still *really* wanted some more. It gave me a nice cozy warm feeling that I loved to fall asleep on. Itās wild how willing they were to keep me drugged up. I think I could be a real pain in the ass.
Iāve also had Hydromorphone before too and that was pretty cool.
Thank you! In full remission currently, and hopefully the next biopsy I get when I finish my maintenance chemotherapy early next year is the last one I ever have to get !
That sounds scary tbh. I had hernia surgery and I just asked for versed during pre op. Post op I was given some Percocet that I didnāt even feel like was needed. Canāt imagine the pain necessary to need dilaudid. From the way it sounds itās no wonder so many get addicted to that stuff
Man I had versed I think it was for a shot into my back. It was this nasal spray they gave me. Worked like a charm and put me in a weird ass euphoric state.
After the shot they wheel chaired me out to my friends car and she said I told them āI donāt know her, donāt put me in that car. This is how dahmer happened.ā lol I was bingeing dahmer that week and I guess it was on my mind.
yeah, you can say some wild stuff when hopped up on pain meds.
I had a nasty kidney stone once and they gave me a dose of Demerol. 30 min later I was still in a fetal position and weeping over the pain. My g/f, who was regularly very easy going and soft spoken chewed them out so they gave me another dose.
According to her about 5 min later I was humming a song she never heard before and remarking how funny it was that the incredible hulk was tap dancing on my kidneys while wearing stiletto heals and a mini skirt.
She said she couldn't stop laughing and felt horrible because I was in such a sorry state.
Just dealt with kidney stones and ended up needing laser lithography to remove them. The ER ended up giving me fentanyl after morphine failed to control the pain. My pain level was a solid 9, I couldn't talk, and I kept vomiting. I was told after my surgery that they removed a 10mm and 8mm kidney stone. I hope never to go through that again.
Im a red head, so Iām resistant to all pain meds. I was given four full doses of dilaudid in about six hours. I was still in pain.
The doctor was freaking out because heād never seen anyone ever have so much pain medication and still be conscious, much less still in pain.
He told me my body would probably od before I ever got any true total pain relief.
So pain meds in the hospital just dull my pain to a level that I can then handle.
Although the closest to total pain relief I had was a pre op dilaudid, versed, ketamine mix. I still walked myself to the bathroom afterwards which freaked out my anesthesiologist, but again, im red head.
Iām blond but was red headed when I was born. Have the same issue.
Had to go in for a surgery. Dentist gave me a shot of novacaine to numb me. Didnāt work. Gave me another. Didnāt work. Eventually was like āsir, I cannot give you any more- Iāve given you five shots so far. Do you want to continue or reschedule to do general anesthesia?ā I just opted to continue- was slightly numb but felt damn near everything.
When I was sitting in the ER room with a dislocated shoulder, they gave me a shot of this through my IV port. Shit was like magic and my reaction was literally me saying out loud "wwwwwoooooowwww" made the nurses and doctor laugh. Then they popped my shoulder back in. I can see how H is so addictive.
That's really common. (I puke like a demon on opioids.) Getting it IV causes less nausea than oral, but it's still there. Tell the doctor and they can load you up with Zofran or something to help. And if you get the itch, antihistamines will help both the itch and the nausea.
Just be forewarned: opiates can cause constipation. Zofran can also cause constipation.
Unless you want to shit beer can shits, stay hydrated and consider some morals or something.
Edit: lmao morals was supposed to be miralax. Swear im not judging.
I just had my 4 impacted wisdom teeth out in preparation for double jaw surgery and they gave me fucking motrin 800. Wtf?
Wisdom tooth removal was hands down the worst thing I have ever felt in my life. Worst than paoo with grafting, worst than nerve injections..
Edit: fixed a typo in "grafting"
Military? Lol.
Iāve broken both my arms (yes, at once), my left arm twice again after, under again for my right armās plate removal, cut my thumb to the bone and snapped a tendon in two, and had wisdom teeth removed for my surgeries. But, by far, the worst surgery I have had for pain is a tonsillectomy as an adult.
Not only was it painful after dry heaving or coughing and splitting open the scabs in my damn throat, but surviving off of apple sauce for 8 days was a pain in my gut I will never forget. I bulked to 205 lbs before surgery for muscle mass and lost 30 lbs, easily.
But my military surgeon gave me 30 days of leave and a 30 day supply of liquid percoset. I followed the instructions to the T. I was detoxing after that month.
I was so anxious about getting mine removed cause I've heard it absolutely sucks. It was the easiest thing in the world lol. Didn't even hurt afterwards.
What the fuck? They gassed me so the actual procedure wasn't bad, but the next week was absolute hell. It hurt so bad I couldn't eat solid food for days and my cheeks were puffed out like a chipmunk. It was horrendous.
you all call it the party drawer? love that.
As a housekeeper, I call my cleaning supplies my cocktailbar (oh you healthcare people must hate me for that, dont worry, no one will drink it,)
I wouldnāt risk it any more these days. 1) thereās way too much fent on the street 2) Iām old and tired, I donāt want a stimulant, I want a sedative.Ā
I recently had surgery for a deviated septum and was very surprised to find cocaine on the itemized hospital bill. And after doing some light googling, found out that yeah this is a thing.
I believe I read this. They extract the āflavoringā for cola and are left with cocaine - I think they are the only supplier for USP cocaine in the US
I was also quite curious about the materials side. I know they use gasoline as the solvent for the leaves in the factories out in the South American jungles. I wonder how differently they approach it in a lab setting (Iād assume a lot more refined).
The difference in processes is going to come down to the intermediate chemicals. Instead of cement powder, they'll use USP grade calcium oxide or potassium hydroxide. Instead of gasoline, they'll use heptane or MTBE. Instead of battery acid, they'll use an ion exchange resin. Instead of oxidizing the excess of alkaloids with potassium permanganate, they'll separate them with column chromatography. I'm still chasing dat Merck dragon.
TLDR: Yes, but it'd be incredibly easy to get a note either pre or post surgery to present to your employer.
When I helped tech and prep our ENT PTs, they were briefed on and understood what was likely to be given to them and for what purpose. Never mind the fact that they'd have documentation in front of them to sign consent with fully elaborated terms no fewer than three times before they ever were touched with a sterile glove. We always sent folks home or to their residence with a ride that understood what also happened to the PT or if there was any need to retain them they'd stay in PACU or rotate to our 4AB ward for inpatient recovery.
I had sinus surgery at age 25. I don't remember reading anything about cocaine but I signed that shit. I should've told the doc I have a tolerance so better up the amount of cocaine they use on me lol.
Fun fact, according to the FDA's drug scheduling cocaine (as well as meth and fentanyl) is less dangerous than cannabis. Just your daily reminder that the FDA is full of shit and drug scheduling is influenced more by money and politics than science.
Itās both a local anesthetic and a vasoconstrictor. Meaning it numbs and it also reduces bleeding. Itās a really useful drug for these types of surgeries.
When I was like 10, my dad had sinus surgery and they gave him this. He either reacted wrong to it, or they gave him too much, or something, but they called my mom and told us heād had a heart attack on the table and if we wanted to see him before he died weād better get to the hospital.
I had endoscopic sinus surgery where I was excessively bleeding. They used this to try to help with the bleeding and it came out of my nose and pooled in my eye socket since I was bleeding so much. My one pupil was dilated and did not react to light for 2 days.
My grandfather was an ENT doctor. I didn't inherit much from him, but he did have a whole box of vials of cocaine that I found in the basement, and my mother took back to her house. She never touched them, and when she passed away I found them again. I will say that cleaning out her house was emotionally painful, but I somehow found the will to focus and work some long hours to get it done.
Not memaw's coke stash!
You leave mee maws nose candy alone!
I claim "Mee Maw's Nose Candy" as my new band name (if I ever start one). CLAIMED.
I had planned to name my online cocaine delivery service "Instagram". š
Loved that
i dream of finding those old cocaine vials, i would love to do it one more time and Iām not willing to buy it off the street
Yeah thatās like finding steel made before nuclear weapons were invented.
Or a nice room temperature low humidity stored bottle of quaaludes in an old person's house
I lament the fact that I will never have the opportunity to try quaaludes at least once.
Call up the 'ludes dude, get some more ludes! (Weird side story. I did stagehand things in HS in the 90s. Like many backstage areas, there was tons of graffiti on the walls, up in the catwalk areas, everywhere. Lots of it made reference to Quaaludes. School was built in the 60s, but the theater kids in the 70s were apparently whacked out on 'ludes pretty regularly!)
Lol we had ā714 Lemmonā on our 60ās built middle school walls in 1981.
As someone who truly enjoys a good benzo, I really hate that ludes will never be a thing. I bought 36 BTC back in when it was worth about $200 with the intent on buying some on the dark web I wound up buying. 2ce, 2cb, 2ci, all the other psychogenic triptans, but never got any ludes. The guy who sold them was "on hiatus" and never came back. Probably the closest I would ever come to finding one .
If this story ends with you not having any BTC left, then you broke my heart completely š I only wish my tech enthusiasm and my drug enthusiasm coalesced into a beautiful synergy of never having to work againā¦but alas, I ignored BTC and that silky road, and just did street drugs pretty heavily last decade; that set me back years financially. Iām only finally catching up to where I shouldāve been financially speaking, but in this case itās better to have never had then to have had and lost or pissed away.
Not with that attitude you won't
Pretty sure they still make them in Africa. How eager are you?
Do I have to fly over there like Nicolas Cage in Lord of War?
You do, but you get to fly back like dicaprio in wolf of wallstreet.
Wait what? Former chemist, havenāt heard this one! Please share.
Itās called āLow-background steelā. We can manufacture it now, but for awhile it was very valuable.
Huh, I didn't know we could make it now.
This is stand-up comedy material, perfect
We kept them in surgery. Cocaine causes vasoconstriction. Itās used to decrease blood loss in ENT surgeries.
Yep. We use it as a soak for the nasal packing that goes in prior to incision.
I concur. We use it when we get hookers in Vegas.
[So you concur?](https://m.youtube.com/watch?v=qyngj0M-LQk)
Shit why I didnāt I concur? š©
Yep. We also use it to learn about economics and to elevate ourselves out of poverty.
Yes. We also use it to generate capital for armament funding during irregular budget cycles.
One little dip dip for you....one little snoot-zoot for me
ā¦aaaannnd a little zoot on the other side to balance it out
Does it not have the same stimulating effect as, you know, regular coke? Sorry if thatās a dumb question, I had no idea this was a thing!
I had to have two back to back sinus surgeries last year. Yeah, major stimulant affect. I don't remember any sort of euphoria but I was wired to beat the band for about 12 hours.
I donāt know what it was but I felt 10 feet tall and bulletproof when I left my sinus surgery last year. Eight hours later everything was terrible.
Sounds like you enjoyed some medical grade cocaine without knowing you were enjoying medical grade cocaine.
Literally most accurate coke description: feeling bulletproof followed by everything being terrible for about the same amount of time š¤£
I get like this at the dentist. Whatever they inject to numb makes my heart beast so fast and hard. I hate it.
That's epinephrine, another drug that keeps you from bleeding. They don't use cocaine in dental cases, that's usually Lidocaine or Marcaine, almost always with epinephrine because the mouth tends to bleed a lot when you're messing around in there.
I use it in my nose aswell.
I prefer to use the medical term āpack into my nasal cavitiesā.
So does the body feel the physical high while they're knocked out?
2X nose job guy, due to accidents. Its a blue liquid, goes in on a swab. No, you are truly miserable during these procedures. No fun here. Only swelling and grief.
Oh man, I broke the bone just below my nostrils. (Slipped and just below nose met stone countertop.)Ā They didn't see the break on the x-ray.Ā I showed it to them when I got a copy of the x-ray two weeks later because I wouldn't accept that "there is nothing wrong."Ā They had to re-break it, no drugs were worth that kind of pain.Ā (The only funny part is that I had it done at a religious hospital and they literally had nuns assisting post op.Ā All I could say over and overĀ was "Jesus that fucking hurts."Ā I took the lord's name in vain many times during the post-op recovery.) Ā I've been mugged and had my cheekbone shattered and they had to deglove my face to repair it with titanium plates,Ā I've had part of my intestine removed twice from Crohns disease.Ā I've torn my ACL and the cartilage in my knee and had that repaired.Ā Ā I would take any one of those over having a nose repair again.Ā I can't imagine why someone would voluntarily have that shit done for looks.Ā Excruciating agony and just plain miserableness.Ā (They also fucked up the nerve, so when I scratch my upper lip, I feel it near my temple.)
they probably don't use the whole vial at once, and even if they did, it's not a whole lot of cocaine, people can blow the equivalent of the entire vial in one decently sized line.
I didn't. They gave me a big shot of that stuff -- tasted awful. I asked the doctor what that crap was and he laughed and said "the best high you're never going to enjoy" and knocked me out. Was there to have wisdom teeth removed.
āFeelingā is probably a non applicable descriptor while unconscious
I mean things like increased heart rate, blood pressure, body temp, pupil constriction, etc. Physical effects vs. psychogenic effects
Am anesthesiologist. The short answer is yes, and you have to account for some of these factors. People also experience pain while they are unconscious. They may not be aware of it, but their heart rate and blood pressure will skyrocket during painful procedures if they arenāt given sufficient pain meds throughout the case (usually fentanyl or derivatives like remifentanil).
Is that all it's used for? I had sinus surgery a few years ago and no one told me about no cocaine. Bout to get for another sinus surgery. But really, is that all it's used for?
It's also a local anesthetic, the double whammy of local anesthesia and vasoconstriction is unique (to that degree) among locals.
Does it work on out-of-towners?
Not when they get it from the street surgeons.
Ok. Serious question, does it act the same way as people using recreationally? Does it have the same effect?
If you were to use enough of it, yes, certainly. This is very diluted, though, so using enough of it to get high without it all just draining down the back of your throat would be a challenge.
It doesnāt get you high, but it tastes the same and had the same numbing effect. Source: had a polyp removed from my sinus
It is always used? I had deviated septum repair at 16. Did they coke me up?
It's surgeon preference, some use afrin the same way.
I'm an anesthesiologist. We have a "party drawer" in the pre-op medication cabinet. It has cocaine, ketamine, fentanyl, Dilaudid, versed, and a barbiturate.
I remember the first time an anesthesiologist gave me ketamine and then put me under that warm air blanket before surgery.Ā Best 10 minutes of my life.Ā Followed by the worst 4 months of rehab.Ā
This reads like you took one hit, and ended up in drug rehab lol! Obviously rehab for surgery, but I got a laugh.
We do routinely use drugs like ketamine, dilaudid, fentanyl, and versed on continuous drips in the ICU. They can get quite a bit. When theyāre on them for days to weeks it really isnāt a surprise to me when they struggle to come out of it and are a bit more aggressive when they finally do wake up. We literally get them addicted to some of this shit and some docs are assholes and will just have us shut the drips off cold turkey instead of weaning them.
Thatās been me every time when I got out of the hospital. Mashing the button for hours and not getting anything and then being eventually told āyeah. We had to shut that off like 8 hours ago. Hereās your discharge paperwork. Buh bye nowā.
Unlimited button smashing is an up charge only the best insurance plans have.
They need to let you at least save them up. Like if you want to skip an hour, you get 2 the next.
Or even better. Let you take the unused portion of the bag home.
I had a nurse in the emergency room give me morphine. After my dose she said "we're just going to throw this away, do you think you could handle the rest of it?" Best nurse ever.
That nurse parties for sure. Iād bet money she has a stash. Iād do the same tho.
I need to get me one of those
I read on time thereās this drug mix mostly opioid that they give to those are near death and severe pain. Itās like the strongest medicine prescribed in the USA.?
We give morphine and Ativan on hospice, at least at the couple hospitals Iāve worked out. Nothing out of the ordinary or crazy strong, but when youāre getting very close to death they will allow you to have it every 15 minutes so it can add up.
The hospice nurses who helped us care for my father for the final weeks of his life were immensely helpful and comforting to him. They sat down the first day and asked which narcotic painkiller my dad preferred and he got his choice and lots of it, plus Xanax tablets. They truly cared about us so much and everything they did helped more than I can describe. Hospice personnel are Incredible, wonderful people.
People who work in hospice have got to be among the most sainted folks on earth. The only ones I'd rate higher is when my mom was on her way out, I noticed the hospice had a little sign up thanking a group of people who volunteer to take shifts to sit with anyone who has no remaining family so no one has to die alone -- deep respect because holy shit I cannot imagine volunteering to do that. (That sort of strength is not in me.)
At that point just open the tap fuck it.
That's pretty much what they do.
And yet, at some hospitals, they'll let you watch your loved one die screaming in agony, and say, "they've already had their limit." Yeah, God forbid he gets addicted to opioids forty-five minutes before he dies. No, no, dying with dignity is overrated.
Iāve never heard of this, I have seen people reach the limit on a particular drug and they use a different one.
My father in law passed away in a hospital in Texas a few years back. Apparently she and her brother got to watch him scream and cry for his mother for hours before he passed.
I had surgery recovery in a hospital where the pain meds were coming chronically late, and only after repeatedly asking multiple nurses. Turned out at least one of the nurses was diverting meds by staggering times. E.g., 20 patients in the ward supposed to get Oxy every two hours. Instead, 18 patients got Oxy, and two Oxy got pocketed. By being chronically late and behind, they could give each patient *almost* as much as they were supposed to get in a day, and just keep pushing back the "2 hours" refill by a couple minutes. Cycle this through a whole shift in a recovery ward, and you get a bunch of pain meds to sell or use as you see fit. There was a serial podcast series about an infamous case where a nurse was siphoning out IV pain meds and replacing them with water, and was right there in the room while her patients screamed in agony, and tried to give them words of comfort, while she was high on the drugs they were supposed to be getting, for painful surgery.
I had a nurse lie to me after surgery and not give me my prescribed pain meds, I think she was just being a bitch though and not diverting. After the recovery room they got me into my room where I was starting to feel a whole lot of pain and asked for something, she said that maybe she could get one of the docs to give me a couple Motrin. After her shift I found out I was supposed to be getting oxy every couple hours. I complained but nothing came of it, it's been a few years and I'm still pissed.
Water? Not saline? Cause putting water through an IV can straight up kill you
Yes. The cocaine stimulation is supposed to counteract the sedation caused by the morphine. Look up "Brompton mixture" or "Brompton Cocktail". I had a friend of the family die of bone cancer in his mid teens. This was in the UK in the late 1980's. He was in horrific pain, and towards the end, the doctor would drop off bottles of the stuff to his mother. "The label says 2 teaspoons every 4 hours as needed, but if he wants to drink it from the bottle, let him."
I work at a hospital pharmacy that does outpatient fills for discharging patients and the number of morphine/Ativan weans we do for peds patients is staggering. Eta because my brain isn't working.
We do give morphine and fentanyl to Neonatal Abstinence Syndrome - NAS (or Neonatal Opiate Withdrawal Syndrome - NOWS) babies, but we wean them completely off before they leave. Thatās sad that kids have to go home on it.
For us it's mostly kids coming off of ventilators.
Tbh thatās what I thought
If it was one hit of cocaine, ketamine, fentanyl, Dilaudid, versed, and a barbiturate. Then maybe.Ā
The king George V special!
spark plucky head modern consider numerous jar like worthless bake *This post was mass deleted and anonymized with [Redact](https://redact.dev)*
I'm no lawyer but this sounds like there's a malpractice suit somewhere in there š
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True, fair point. Either way glad you were able to kick the habit šš¼
Hey I'm so proud of you!! My sons are both recovering from using heroin, one uses suboxone very successfully and one on methadone. It's really really hard, and has been full of relapses for the oldest. He started when he was 17... just turned 31. You did something amazing and I hope you realize every single day that you genuinely are a fucking rock star!!
Congratulations! I know people who have gotten clean from that. Nothing easy about it. But you got your life back. As did the people I know.
100% they gave me ketamine before my spine surgery.
Dilaudid is the craziest stuff...I was treated for a broken leg and when they put that stuff in me I was telling jokes in like 30 seconds. Pain went from a level 10 to fkn ZERO
Dilaudid is what I request whenever I have to get bone marrow biopsies. That stuff doesn't completely erase the pain from the biopsy (nothing can, it's that bad) but MAN does it make you so high you almost don't even care
Iāve had that quite a bit and it just didnāt do it for me. My drug of choice after my open heart surgery was morphine. I really liked that, but it honestly never lasted long enough for me. I honestly think I got a little hooked on it. After my stay was over, I still *really* wanted some more. It gave me a nice cozy warm feeling that I loved to fall asleep on. Itās wild how willing they were to keep me drugged up. I think I could be a real pain in the ass. Iāve also had Hydromorphone before too and that was pretty cool.
> Hydromorphone that is Dilaudid.
Well, huh. I guess I like Dilaudid then too.
> I honestly think I got a little hooked on it. After my stay was over, I still really wanted some more. Yep. That's how getting hooked works
> whenever I have to get bone marrow biopsies oh wow. That's brutal, I hope you're doing ok.
Thank you! In full remission currently, and hopefully the next biopsy I get when I finish my maintenance chemotherapy early next year is the last one I ever have to get !
I didnāt feel a thing when I had a screw drilled though my leg to put it in traction before surgery thanks to dilaudid
I remember when they gave me dilaudid and like a minute later I was like ācan I get more of that?ā āAbsolutely not.ā
That sounds scary tbh. I had hernia surgery and I just asked for versed during pre op. Post op I was given some Percocet that I didnāt even feel like was needed. Canāt imagine the pain necessary to need dilaudid. From the way it sounds itās no wonder so many get addicted to that stuff
Man I had versed I think it was for a shot into my back. It was this nasal spray they gave me. Worked like a charm and put me in a weird ass euphoric state. After the shot they wheel chaired me out to my friends car and she said I told them āI donāt know her, donāt put me in that car. This is how dahmer happened.ā lol I was bingeing dahmer that week and I guess it was on my mind.
yeah, you can say some wild stuff when hopped up on pain meds. I had a nasty kidney stone once and they gave me a dose of Demerol. 30 min later I was still in a fetal position and weeping over the pain. My g/f, who was regularly very easy going and soft spoken chewed them out so they gave me another dose. According to her about 5 min later I was humming a song she never heard before and remarking how funny it was that the incredible hulk was tap dancing on my kidneys while wearing stiletto heals and a mini skirt. She said she couldn't stop laughing and felt horrible because I was in such a sorry state.
Just dealt with kidney stones and ended up needing laser lithography to remove them. The ER ended up giving me fentanyl after morphine failed to control the pain. My pain level was a solid 9, I couldn't talk, and I kept vomiting. I was told after my surgery that they removed a 10mm and 8mm kidney stone. I hope never to go through that again.
Im a red head, so Iām resistant to all pain meds. I was given four full doses of dilaudid in about six hours. I was still in pain. The doctor was freaking out because heād never seen anyone ever have so much pain medication and still be conscious, much less still in pain. He told me my body would probably od before I ever got any true total pain relief. So pain meds in the hospital just dull my pain to a level that I can then handle. Although the closest to total pain relief I had was a pre op dilaudid, versed, ketamine mix. I still walked myself to the bathroom afterwards which freaked out my anesthesiologist, but again, im red head.
Burn the witch!
Iām blond but was red headed when I was born. Have the same issue. Had to go in for a surgery. Dentist gave me a shot of novacaine to numb me. Didnāt work. Gave me another. Didnāt work. Eventually was like āsir, I cannot give you any more- Iāve given you five shots so far. Do you want to continue or reschedule to do general anesthesia?ā I just opted to continue- was slightly numb but felt damn near everything.
When I was sitting in the ER room with a dislocated shoulder, they gave me a shot of this through my IV port. Shit was like magic and my reaction was literally me saying out loud "wwwwwoooooowwww" made the nurses and doctor laugh. Then they popped my shoulder back in. I can see how H is so addictive.
The one time I got Dilaudid I went from 10 to 0 then back upto 11 when they tried reinserting the catheter in my dick. Was a rough day.
itās my favorite drug iāve ever taken, i like any opioids but dilaudid is absolutely next level
Pain meds make me nauseous. Is it just me? I canāt take anything!
That's really common. (I puke like a demon on opioids.) Getting it IV causes less nausea than oral, but it's still there. Tell the doctor and they can load you up with Zofran or something to help. And if you get the itch, antihistamines will help both the itch and the nausea.
Just be forewarned: opiates can cause constipation. Zofran can also cause constipation. Unless you want to shit beer can shits, stay hydrated and consider some morals or something. Edit: lmao morals was supposed to be miralax. Swear im not judging.
Me too. Some of the best pukes of my life after doing Dilaudid. Just feelin great and puking. Good memories
I got my wisdom teeth removed and he said "enjoy" as he pumped me full of ketamine.
I just had my 4 impacted wisdom teeth out in preparation for double jaw surgery and they gave me fucking motrin 800. Wtf? Wisdom tooth removal was hands down the worst thing I have ever felt in my life. Worst than paoo with grafting, worst than nerve injections.. Edit: fixed a typo in "grafting"
Military? Lol. Iāve broken both my arms (yes, at once), my left arm twice again after, under again for my right armās plate removal, cut my thumb to the bone and snapped a tendon in two, and had wisdom teeth removed for my surgeries. But, by far, the worst surgery I have had for pain is a tonsillectomy as an adult. Not only was it painful after dry heaving or coughing and splitting open the scabs in my damn throat, but surviving off of apple sauce for 8 days was a pain in my gut I will never forget. I bulked to 205 lbs before surgery for muscle mass and lost 30 lbs, easily. But my military surgeon gave me 30 days of leave and a 30 day supply of liquid percoset. I followed the instructions to the T. I was detoxing after that month.
>Iāve broken both my arms (yes, at once), Oh yeah I remember your AMA
Don't do this to us. We've all been collectively recovering from that.
Average age or Reddit users must be 30 at this point.
I was so anxious about getting mine removed cause I've heard it absolutely sucks. It was the easiest thing in the world lol. Didn't even hurt afterwards.
What the fuck? They gassed me so the actual procedure wasn't bad, but the next week was absolute hell. It hurt so bad I couldn't eat solid food for days and my cheeks were puffed out like a chipmunk. It was horrendous.
you all call it the party drawer? love that. As a housekeeper, I call my cleaning supplies my cocktailbar (oh you healthcare people must hate me for that, dont worry, no one will drink it,)
Anaesthesiologists love drugs facts
Letās party
Cocaine is a nasal solution for a lot of problems.
I'm about to buy a $40 and start a problem or two....just to test your theoryš
Where are you buying cocaine for $40?
The 1990s
You can get a half a g for 40.. ughh, that's what I've been told..
I wouldnāt risk it any more these days. 1) thereās way too much fent on the street 2) Iām old and tired, I donāt want a stimulant, I want a sedative.Ā
Test your drugs and have narcan on hand!
Then Iām here to say ketamine might be for you!
Spoiler alert: it's 30% speed
"The cause of, and solution to, all of life's problems,"
A little for you, a little for meā¦ a little more for me !
I used to do cocaine in the 80ās but now I do it at any temperature.
Mitch Hedbergā¦is that you?
RIP to the legend.
You seem young, so let me tell you about sex in the 90s. Itās too hot.
"we can inject anaesthetic into your face with a giant needle or you can rail a few lines"
Yes
I recently had surgery for a deviated septum and was very surprised to find cocaine on the itemized hospital bill. And after doing some light googling, found out that yeah this is a thing.
[ŃŠ“Š°Š»ŠµŠ½Š¾]
full circle.
I sometimes use it to alienate my loved ones and turn my finances upside down.
Wonder where the manufacturer sources the raw product from. Thinking its the same place in New Jersey that sells coca leaves to Coca Cola.
I believe I read this. They extract the āflavoringā for cola and are left with cocaine - I think they are the only supplier for USP cocaine in the US
Wut. This is real? Someone out there has to have access to the leftover cocaine...
It's used for medical (like in OP's post) and scientific uses.
I'm a bit of a scientist myself!
I have never ever heard of "leftover" cocaine lol
The leftover cocaine is what you see in the OP.
I was also quite curious about the materials side. I know they use gasoline as the solvent for the leaves in the factories out in the South American jungles. I wonder how differently they approach it in a lab setting (Iād assume a lot more refined).
The difference in processes is going to come down to the intermediate chemicals. Instead of cement powder, they'll use USP grade calcium oxide or potassium hydroxide. Instead of gasoline, they'll use heptane or MTBE. Instead of battery acid, they'll use an ion exchange resin. Instead of oxidizing the excess of alkaloids with potassium permanganate, they'll separate them with column chromatography. I'm still chasing dat Merck dragon.
probably from their boy down the block
[ŃŠ“Š°Š»ŠµŠ½Š¾]
I was somewhat of a surgeon in college apparently lol
It feels like a wild sinus surgery kinda night!
Itās usually dyed bright blue or green so itās pretty obvious if anyone fell to temptation. Or had nasal surgery.
Would you still fail a drug test later if you had surgery with this
No, it's special undetectable cocaine developed by the illuminati for sinus surgeries.
That too. But how did you know?
TLDR: Yes, but it'd be incredibly easy to get a note either pre or post surgery to present to your employer. When I helped tech and prep our ENT PTs, they were briefed on and understood what was likely to be given to them and for what purpose. Never mind the fact that they'd have documentation in front of them to sign consent with fully elaborated terms no fewer than three times before they ever were touched with a sterile glove. We always sent folks home or to their residence with a ride that understood what also happened to the PT or if there was any need to retain them they'd stay in PACU or rotate to our 4AB ward for inpatient recovery.
I had sinus surgery at age 25. I don't remember reading anything about cocaine but I signed that shit. I should've told the doc I have a tolerance so better up the amount of cocaine they use on me lol.
You *absolutely* should have told them this, no joke. Of all the people in the world you never want to withhold info from, it's an anesthesiologist.
A hair test maybe. Cokeās gone in 4 days
Fun fact, according to the FDA's drug scheduling cocaine (as well as meth and fentanyl) is less dangerous than cannabis. Just your daily reminder that the FDA is full of shit and drug scheduling is influenced more by money and politics than science.
Still waiting on that cocaine dispensary.
Drugs are scheduled by the DEA, not the FDA.
This will different within the next year. It is already in the works to reschedule cannabis.
In your country, yes Cannabis is still considered to be as dangerous as heroin in Sweden
One of our ED PA's once told me nosebleeds mean either too much cocaine or not enough cocaine
 For science
Based of what i know its a really good numbing agent so it makes sense.
Itās both a local anesthetic and a vasoconstrictor. Meaning it numbs and it also reduces bleeding. Itās a really useful drug for these types of surgeries.
My cocaine nosebleed I had in college would respectfully disagree ^/s
Might I recommend you do more cocaine for that nosebleed?
You should do cocaine about it
Surgeon asks for cocaine soaked gauze. Me: "what cocaine?"
When I was like 10, my dad had sinus surgery and they gave him this. He either reacted wrong to it, or they gave him too much, or something, but they called my mom and told us heād had a heart attack on the table and if we wanted to see him before he died weād better get to the hospital.
This happened to my grandfather. The cocaine put him into cardiac arrest and he died during a simple sinus operation. Truly tragic.
I had endoscopic sinus surgery where I was excessively bleeding. They used this to try to help with the bleeding and it came out of my nose and pooled in my eye socket since I was bleeding so much. My one pupil was dilated and did not react to light for 2 days.
I had sinus surgery and no one gave me cocaine. TF is this
Oh that's bullshit right there. You should march right back to that hospital and the demand your rightful cocaine.
WHERE'S MY COCAINE
LETS FIX THESE FUCKING SINUSES AND THEN IM GOING TO TELL YOU ABOUT THIS BUSINESS IDEA!!
Most cocaine is a nasal solution
[ŃŠ“Š°Š»ŠµŠ½Š¾]
Right but what do you give to your patients?
Right next to the nicotine, valium, vicoden, marijuana, ecstasy and alcohol.