IME it comes back quickly if you ease back in but if you just go out to the bar and knock back 6 shots at once like you used to the EMTs very much will be scraping you out of a ditch. That’s how most experienced addicts OD, by not thinking about it and remembering to slow the fuck down with their dosing after holding together sobriety for a while.

Well here’s my worst: I relapsed after having dropped my tolerance and the EMTs scraped me out of a ditch and took me to my job, although thank God I don’t work in the ED. Apparently I said something to the effect of “just let me die” which wound up getting me a babysitter (suicidaldrunksitter?) and wound up having to talk to a pgy-2 who very clearly (and nervously) recognized me. Fortunately my hospital is relatively with it on the evidence-based-practice even in behavioral health so he knew to wait until I was sober again to do a full assessment, because that would’ve been a whole week down the drain in grippy sock jail.

I think polyamory is an immutable part of someone’s sexual orientation as much as the gender preference spectrum (homo/heterosexual) and the intensity/situationalness (ace/gray-ace/demi). I think some people just naturally see sex and intimate relationships as something they can do openly with multiple people and some people just don’t. I think it will become more acceptable for the people who see sex that way to find each other and express their love that way, the same as with all the other sexual relationships between consenting adults are becoming more acceptable. But the same way it would be silly to say we’ll all be homosexual eventually I don’t think we’ll all be poly someday either.

No I did it because the comment suggested it and it seemed like a cool idea. When someone programs a wholeass bot just to make it easy for me to be nice, I’m much obliged.

Addictions often stem from a lack of stimulating activities or connection to others. The recent retirement supports this, as he would have lost both at that time. So he needs to get into some hobby that’s less likely to leave him homeless, but that is gonna fill those needs. You gotta find him somewhere to go that’s outside the house that he can:

1. mostly rest/vegetate
2. occasionally get rewarded
3. do either alone or with a trusted friend
4. consume mind altering substances while vegetating (usually alcohol)

With all this in mind I now realize why there’s so many jokes about old dudes fishing. Do with that what you will.

But yeah. You should start some kind of multi generational hobby club for how to sit around and all be dudes together. There’s probably some younger men out there who missed that part during COVID too so like. And figure out some activity that’s not going to be horribly boring to the younger adults that won’t be horribly overstimulating to the older adults.

I’ve always thought the answer to the whole men’s mental health crisis we’re seeing today (I work in inpatient mental health) was getting men to connect better with each other in addition to women. A lot of guys say they weren’t taught to talk about their feelings which means not only are they losing a lot of opportunity for emotional validation, but they’re losing that validation from where it would matter most; the people most like them. I say this because a bunch of young male patients keep asking me for life advice and I’m like bruh we both know nothing I say is gonna make a lick of sense I wasn’t raised in that box.

Wait do you know about “Will You Help Me Repair My Door?” or the Lawsuit?

Less restrictive environment so it takes us a second to get it reported. I wonder if lemmy has or could have a 30 day limit until you can interact with outside instances. Seems like a cool feature for federation in general. Would make it harder to make spam accounts.

Not as much as the residents actually. The longest I’ve ever had to work was 16 hours, but most jobs I’ve worked 12 is the max required in a row. Residents often work 24-72 hour shifts where they can be woken up by a page at any time.

In my defense, not seeing any buildings bigger than a barn until you’re about ten, and not many more until 16 then going to NYC on a girl scout trip did almost cause a panic attack.

The ideal storage temperature should be on the bottle but you should also be able to look it up. Lots of things can cause lots of medications to degrade aside from just time, including temperature, moisture, and light (particularly UV). For instance, you’re not supposed to keep most medications in the bathroom even though they often call that a “medicine cabinet” because many people take hot, steamy showers, and both moisture and heat can degrade medications. An NIH paper titled “Medication Storage Appropriateness in US Households” states for Adderall: “Extended-release capsules: Store at 25°C (77°F); excursions permitted to 15°C to 30°C (59°F to 86°F); protect from light.” (So don’t keep it on the windowsill next to your bed either).

If you’re worried about variances in specific binding agents or other parts of the formulation that could vary by manufacturer, call the pharmacy. Ask to speak to the pharmacist on duty about the ideal storage conditions, because they know all kinds of weird shit about the specific ingredients and how to store them (one time I called to ask if there was sorbitol in the liquid medication I was giving a patient because it could explain their diarrhea). It’s also possible, like you mentioned, that you just have some bizarre genetic mutation that makes some normally inert binding or coloring agent interact weirdly with the active ingredient and/or you (the pharmacist wouldn’t be able to figure you being a freak of nature out, but they could try to make sure you don’t get meds from that manufacturer again).

My personal recommendation as a person who went through nursing school (they’re very worried about substance abuse and trafficking) with ADHD meds, is that you save your last medication bottle when you empty it. Keep exactly one pill in it in your bag as a backup for emergencies. The bottle will have your name and birthday and what the pills are so you’re covered for carrying a controlled substance, but you won’t be carrying all your meds around at once to spoil in the heat. As for taking them with food, try keeping some saltines or water crackers around and take 2-4 with the pill to avoid stomach upset.

• (Also) make sure the bottle matches the pills - most medication bottles (and controlled substance ones specifically) specify what the contents should actually look like and the numbers they should be stamped with so some little shit can’t replace granny’s hip replacement painkillers with vitamins, and an addict can’t carry pills they’re not supposed to have in a bottle for blood pressure pills or something. You mentioned the pills changed, so keep the next bottle that matches the new ones.