So, Torecan is back on the market here in the States in suppository form. The big plus is definitely that even if someone starts throwing up, this version can still get to work, which usually means skipping that whole frantic trip to the ER. Anyone who’s ever had to drive someone to the hospital in the middle of the night knows how much of a grind it is—if you don't meet those high-priority triage criteria, you're just sitting there waiting forever, and honestly, watching someone who's already feeling miserable wait in a crowded waiting room is just exhausting for everyone involved.
It kind of gives you a sense of autonomy and convenience, you know? Just being able to handle things without everything turning into a massive ordeal...
Brian King3 said:Sorry to jump in out of nowhere, but I have a question if anyone can help me out. What does "bolus" actually mean? Like, giving a drug as a bolus... which drugs are given that way and why?
I'm asking for someone close to me who’s curious because they have to head into the hospital for a procedure soon. Sorry for the intrusion.
Basically, it means delivering a dose within a pretty short window of time, usually straight through an IV.
Think of it this way ( keeping it super simple here!)—it's done so the medication hits the system fast, and sometimes it's used to make the effect wear off quickly, too. Of course, it really depends on what you're using. For instance, if you're giving Dormicum (Midazolam) as a bolus, it kicks in incredibly fast—which is why it’s often used as pre-medication before someone goes under for surgery.
vividdrifter26 said:Can Perineva mess with someone's mental edge? My wife's been on it for about 10 months now, and she keeps claiming that Perineva is killing her focus—like her sharpness is just slipping away. Is there actually a link there?
It’s pretty rare, but yeah, it can happen.
Then again, it might just be that she was stuck dealing with high blood pressure for so long that her body is still trying to find its footing, and now her pressure is effectively too low for her usual baseline (though honestly, 10 months should have been plenty of time for her system to adjust 🤔).
What dose of Perineva is she taking, and what kind of readings are we talking about?
She really needs to be checking her pressure regularly and jotting down those numbers at least three times a day 😒
George Sanchez59 said:The absolute worst part is when people just waltz in and take up space on my hospital bed. Like, I’m supposed to just scoot over so they can stretch out their butts comfortably? Yeah, right.
Visits should be strictly limited to maybe two minutes—just enough time for a family member to drop off some clean laundry and check if you actually need anything. And honestly, there should be zero tolerance for those big family get-togethers with rotisserie chicken and dessert trays cluttering up the place. 😬
Larry Scott43 said:I picked up two masks today for about 75 cents a piece, and I feel like I'm doing my part to stay safe and protect everyone else too.
I think this pretty much sums up the core issues here.
It’s great to have loved ones come by to offer support and a bit of hope, but it shouldn't come at the expense of anyone's health—not yours, and certainly not the other patients'. Plus, you really have to respect people's privacy and give them some breathing room in these shared wards.
There’s probably also a systemic failure on the medical staff's end. Basically, it seems like everyone is expected to just have common sense and basic manners during such heavy, uncomfortable situations. But more often than not, even the posted signs at the ward entrance might as well be written in a foreign language for all the good they do. 🙄
Basically, just load up on that hardcore junk—you know, the stuff packed with flavor enhancers like they do at McDonald's, or just lean heavily on Lawry's for everything. Honestly, if you go that route, things should settle down in a few days.👍
But seriously, if you find that your appetite isn't coming back after a while, you definitely need to go get checked out by your doctor.🧐
At the end of the day, our main job is looking out for the patient. The patient's well-being is sacred. Once they’ve gone through certain procedures—say, after major surgery—or if they're dealing with a primary condition hitting their central nervous system, or even just the effects of certain medications (including stuff like alcohol or drugs), they might lose touch with reality. They just don't always grasp how serious their situation actually is. And then, they just slip right out of the ward. Even with all the effort and oversight from the medical staff, wards aren't exactly high-security prisons, and "eloping" happens more often than you'd think—mostly because, let's be real, we're perpetually short-staffed.
Only the police have the legal authority to track someone down and take them into custody.
On top of that, we've got to protect ourselves from potential lawsuits.
These situations are never fun to deal with, but they do pop up every now and then.
So, here's the deal: if someone just decides to walk out on their clinic or hospital wing despite the staff repeatedly explaining—and basically warning them—about the serious health risks they're taking, we've got a situation. As long as they're fully conscious and know exactly where they are, and they actually sign off on it themselves (though honestly, you don't even need a signature if they just vanish without telling anyone), then it's considered a self-discharge. In those cases, we end up having to call the FBI.
I’m looking for some advice from a gastroenterologist here. My 11-year-old daughter has been dealing with daily stomach pains for about two months now. Our primary doctor started us off with some basic urine tests—culture, sediment, the whole nine yards. Everything came back totally normal, except for a high amount of Ca oxalate in both tests. We were told to stick to a diet heavy on citrus, like lemon juice and mandarins, and just give her painkillers when the pain gets unbearable. Well, after ten days, the pain actually got worse, so we headed to the pediatric ER. Blood work and urine tests (aside from that Ca oxalate) were fine, and an abdominal ultrasound showed nothing unusual. We also did stool samples; everything for Salmonella, Shigella, Yersinia, parasites, and Campylobacter came back negative, but they did find H. pylori antigen. Her treatment was seven days of Fromilid (250) 2x1, Amoxicillin 2x1, and Nexium (20g) 2x1, followed by another three weeks of Nexium 1x1 along with a specific diet. Even with all that, the pain hasn't budged. It usually wakes her up around 5:00 AM, and she’s been sleeping a ton lately. The pain meds aren't even helping anymore; in fact, they’ve actually started making her vomit. In the meantime, we switched her to a gluten-free diet, but there hasn't been any improvement at all. After all this, her blood serum was sent off to Washington, D.C. for AGA, EMA, and TTG testing. Now we've been given yet another different diet and prescribed Ares 1x1 10mg for two weeks. I would really appreciate any thoughts or suggestions for further testing you might have. She’s never been seriously ill before—honestly, she’s only taken antibiotics three times in her entire life up to this point. She isn't overweight, eats relatively healthy, and enjoys plenty of fruits and veggies. But over these last two months of jumping through all these dietary hoops, she's lost three pounds and just doesn't have much of an appetite. Thanks so much in advance for any help.
Could it be related to her period? Maybe a gynecologist visit to check for potential PCOS? What about an EEG?
EDIT: I'm assuming her pediatrician also ordered a standard CBC (complete blood count)....
steelhawk20 said:I’ll probably get those tests done sometime this week. I actually checked my blood sugar today—my grandmother has diabetes and keeps a monitor at home—about 2.5 hours after eating, and it hit 6.4. It’s never been that close to the limit during the day before... usually, it stays between 4.5 and maybe 4.8 at most. Clearly, something is brewing under the surface.
It sounds like your doctor really picked up on exactly what was highlighted there.
So, based on everything you described, trying metformin actually makes a lot of sense. And hey, try to get some exercise in, maybe some weight training or resistance work.😉
Don't be afraid to ask your doctor if there's any other option with fewer side effects than metformin for what you're dealing with—it might make things a little easier to stomach.🙂
velvetmoose9 said:Honestly, there isn't a single unified playbook on this when you look at different medical circles—like what gynecologists think versus endocrinologists, or how things are handled here in the States compared to the European Union.
If your PCOS has been officially confirmed via ultrasound, and you’re dealing with the typical clinical signs—you know, irregular cycles in whatever form they take, weight issues (especially that stubborn belly fat), or hirsutism (excessive hair growth where you don't want it)—then jumping on metformin actually makes a lot of sense. It's one of those drugs that generally has a pretty decent track record when it comes to side effects, making it a standard go-to for this specific situation.
Sometimes doctors wait a bit longer to run the full battery of insulin resistance tests, and even then, different specialists can be a bit hit-or-miss on how they actually interpret those results. It's a bit of a gray area sometimes.
In my book, starting a little metformin alongside some solid strength training—like hitting the weights at the gym—is a perfectly reasonable way to kick things off. 👍
steelhawk20 said:My OBGYN told me my left ovary looks like a "nest" on the last ultrasound, but the right one is fine. Is that enough to diagnose PCOS? My cycle is totally regular, 28-30 days, lasting about five. I don't have any of those classic PCOS issues like long cycles or unwanted hair—if anything, I can barely grow any. My glucose is normal, my TSH is normal, and I've never even had my insulin checked... the only thing is carrying some extra weight, but who doesn't? Honestly, I'm extremely skeptical about starting metformin... I haven't even begun taking it yet.
Something's gotta give, honestly. That’s just my take on it, but she seems pretty convinced that metformin is actually a decent option to stick with. I’d probably be looking at things the exact same way myself—and honestly, I bet a whole bunch of other people would too—though, obviously, I don't have the full clinical picture or all the lab results sitting right in front of me to make a call.
steelhawk20 said:Question: I was just prescribed metformin without ever having my insulin resistance actually tested. It was based solely on my PCOS diagnosis. Should I just start taking it now, or should I push for some bloodwork first? I noticed someone else mentioned here that they take it for PCOS, but only after confirming insulin resistance. Thanks!
Honestly, there isn't a single unified playbook on this when you look at different medical circles—like what gynecologists think versus endocrinologists, or how things are handled here in the States compared to the European Union.
If your PCOS has been officially confirmed via ultrasound, and you’re dealing with the typical clinical signs—you know, irregular cycles in whatever form they take, weight issues (especially that stubborn belly fat), or hirsutism (excessive hair growth where you don't want it)—then jumping on metformin actually makes a lot of sense. It's one of those drugs that generally has a pretty decent track record when it comes to side effects, making it a standard go-to for this specific situation.
Sometimes doctors wait a bit longer to run the full battery of insulin resistance tests, and even then, different specialists can be a bit hit-or-miss on how they actually interpret those results. It's a bit of a gray area sometimes.
In my book, starting a little metformin alongside some solid strength training—like hitting the weights at the gym—is a perfectly reasonable way to kick things off. 👍
Jeffrey Long said:To start with, you could deal with the "burger-is-just-beef" crowd. They've completely trashed the hamburger thread again... ☕
It’s pretty sweet of you to be out here scouting jobs for me. Honestly, the Department of Labor would probably see some serious gains if they actually hired someone like you. The whole US economy would basically take off, unemployment would vanish overnight, and we'd all finally figure out where we fit in. Just give me the Number and let's get moving.
But honestly, it’s your specific choice of words that really stands out. If we were being super strict about the usual forum insults, someone might actually interpret your rambling as a minor slight against the community. If you're treating this like a casual chat room or something equally informal, there are definitely much better ways to communicate without making it weird.
The authorities are doing their jobs. It might not be happening quite as fast as we’d all like (myself included, along with everyone else on this forum), but just like in the real world, there’s an overwhelming amount of stuff going on and not nearly enough inspectors to keep up with it all. Look, the penalty system isn't perfect; banning someone, or even just being selective about enforcement, isn't always the smartest move to make. But if we can't resolve things through civilized means—maintaining that classic sense of American decorum we all value—then we’re eventually going to have to resort to those equally traditional, albeit much less popular, measures, including the ones mentioned above.
The thing is, once the criteria for soft-moderation go completely off the rails and head south toward total chaos, it's pretty much impossible to pull them back upstream...
It’s pretty obvious that whatever’s bugging you is tied to your bedding—something right there in your own room. You really need to figure out what your specific triggers are and try to strip those allergens out of your space entirely.
It might be worth kicking your cleaning routine up a notch for a bit. I’m talking about vacuuming the room once a day, maybe a couple of hours before you hit the sack. Wash all your sheets using a detergent that’s totally free of fabric softeners (you might even want to swap out your detergent brand too, just to be safe), and switch to sleeping in a plain white cotton T-shirt that’s also been washed without any softener. And honestly, run an extra rinse cycle on your laundry after the regular wash. Keep an eye out for any mold, too; if you find any, you’ve gotta hunt it down and kill it. Since you still have a few warm days left, grab some basic white anti-fungal paint and give the walls a fresh coat.
A lot of times, these kinds of steps actually do the trick, so it makes sense to give them a shot at least to start with.😉
Let me know if any of this helps, and we can brainstorm some other ideas if you aren't feeling better.
Hmm, if we're talking about larvae, I’ve got a bad feeling that it actually makes sense to go ahead and spray one more time in a few days. I honestly have no clue which specific bugs we're dealing with here, and even if I did, I haven't exactly studied the life cycle of every insect under the sun, but I'm pretty sure you'd need at least two or three rounds of whatever insecticide you're using—not that I'm certain every single insecticide doubles as a larvicide 🤔.
Honestly, every single year right when the weather starts turning cold, these weird little flying bloodsuckers just show up out of nowhere and spend days—sometimes even weeks—just picking us apart. And man, they aren't even mosquitoes...
If you aren't hanging out in the room, just give the whole place a good spritz with some bug spray for maybe two hours or so. Don't even think about cracking a window once evening hits or during the night. Honestly, if you start getting bitten again, I wouldn't bet on them being mosquitoes.
Steven Gomez3 said:I’ve been sleepwalking constantly since the start of the year.🤦
My husband I was 2 days ago found me standing outside by the basement waiting for a bus.
The weird part? I actually managed to put on my sneakers and tie the laces without any trouble, even with my pregnancy swelling.
Basically, my psychologist told me she can't really help right now because I'm due in about 15 days. She suggested I bring it up at the hospital where I'm delivering, or maybe request a consultation once they admit me.
To be honest, I've never had the urge to wander like this before being pregnant, though obviously, it's stress-related rather than the pregnancy itself.
I just don't get what triggers it.
Everything was fine until I started going outside.
Honestly, I'm terrified of this happening until I give birth...
First things first, go see a neurologist. An EEG is non-invasive, so there's absolutely no risk to you or anyone else. After that, you'll just coordinate with your primary care doctor based on whatever those results show.