#independant urine drug test
Explore tagged Tumblr posts
Text
Urine Drug Screen for Substance Abuse Professional (S.A.P)
New Post has been published on https://amhnationwide.com/drug-testing/urine-drug-screen-for-substance-abuse-professional-s-a-p/
Urine Drug Screen for Substance Abuse Professional (S.A.P)
categories: #DrugTesting tags: #DrugScreeningForSap, #IndependantUrineDrugTest, #SubstanceAbuseProfessional, #TestUrineForDrugs
#drug screening for sap#independant urine drug test#substance abuse professional#test urine for drugs
1 note
¡
View note
Text
Offering >99.8% sensitivity and >99% specificity, the iCARE DOA Cup Rapid Screen Test ensures accurate results every time. With a unique 13-drug test profile for urine and a 7-drug test profile for saliva, itâs customizable to detect various abused drugs. Backed by multiple independent clinical studies and certifications, it's a trusted solution for reliable drug screening.
For more details, visit - https://www.jalmedical.com/icare-doa-cup-configurable-rapid-screen-test/
#jalmedical#doarapidtest#doacuprapidscreentest#testkitforurine#testkitforsaliva#testkitforabuseddrugs#drugofabusetestkit
0 notes
Text
Where to Buy Urine Specimen Cups Near me
Do you need urine specimen cups for medical testing purposes and wondering where to find them conveniently? Look no further! In this article, we will guide you through locating urine specimen cups near your location. Whether youâre a healthcare professional, a concerned individual, or anyone in need, weâve got you covered.
Introduction
Urine specimen cups are small containers that hold urine samples for various medical purposes. They are often required for routine medical check-ups and drug and pregnancy tests.
If you are wondering where to find urine specimen cups near me, here are a few options. Medical supply stores are a great place to start. They usually offer various medical supplies, including urine specimen cups. Moreover, pharmacies, both large chains and independent ones, are also reliable options. They are often conveniently located and offer urine cups at affordable prices.
Specialty stores that carry medical supplies are also worth checking out. They may have a more extensive collection of urine specimen cups, including those designed for specific medical purposes.
What are Urine Specimen Cups?
A urine specimen cup, commonly known as a urine sample cup, is a specialized container for collecting and storing urine samples for medical testing and analysis. These cups are designed to ensure the accurate and contamination-free collection of urine, a valuable bodily fluid used for diagnosing various health conditions and monitoring overall well-being.
Urine specimen cups are essential in healthcare settings, such as hospitals, clinics, laboratories, and doctorâs offices. They are also available in at-home testing kits for individuals who need to monitor their health or perform specific medical tests without visiting a medical facility.
The cups are typically made from materials safe for medical use, such as plastic. They come with secure lids or caps to prevent leakage and maintain the sampleâs integrity during transportation. The cups are designed for one-time use to ensure sterility and accurate test results.
Patients and healthcare professionals use urine specimen cups by collecting a urine sample directly into the cup. The model is then securely sealed using the lid to prevent spillage or contamination. The mug is labeled with the patientâs information and the test type to perform. After collection, the urine specimen cup is sent to a laboratory for analysis, where medical technologists conduct various tests to gather information about the patientâs health.
Understanding the Importance of Urine Specimen Cups
Before delving into where to buy urine specimen cups, letâs first understand their significance. Urine specimen cups are essential for collecting urine samples for various medical examinations. They are commonly utilized in clinics, hospitals, diagnostic centers, and even at-home testing.
The Significance of Urine Specimen Cups in Medical Testing
Urine specimen cups hold a vital role in the realm of medical diagnostics. These unassuming containers are the starting point for many crucial tests that help healthcare professionals gain insights into a patientâs health and well-being.
Gateway to Diagnostic Insights
Urine, a treasure trove of information, contains valuable clues about various bodily functions. Through the analysis of urine samples, medical experts can identify markers of health conditions, detect diseases, and monitor the effectiveness of treatments. However, to harness this information accurately, the collection process must be impeccable, and this is where urine specimen cups step in.
Accurate Sample Collection
Urine specimen cups provide a controlled environment for collecting, transporting, and preserving urine samples. Their design ensures that pieces remain untainted by external contaminants, safeguarding the integrity of the results. A secure lid prevents leakage, maintaining the sampleâs purity during transit.
Versatility in Testing
These cups arenât limited to a single type of test. Their adaptability allows them to cater to various diagnostic procedures, from routine check-ups to more complex analyses. Whether itâs a fundamental urine analysis or a specialized test, the specimen cup serves as the vessel that holds the key to accurate insights.
Patient-Friendly Approach
Urine specimen cups contribute to patient comfort and ease during the testing process. The collection is simple, non-invasive, and can often be done in the privacy of oneâs home. This patient-friendly approach promotes cooperation and compliance, leading to more reliable results.
Clinical and At-Home Use
These cups arenât confined to clinical settings alone. The availability of at-home urine specimen cups empowers individuals to participate in their healthcare actively. Whether for monitoring chronic conditions or conducting pregnancy tests, at-home testing kits with specimen cups offer convenience and timely information.
Aiding Early Detection
In many cases, early detection of health issues can lead to more effective treatments and improved outcomes. Urine specimen cups play a pivotal role in this regard by enabling the timely collection and analysis of samples, allowing healthcare providers to catch potential problems before they escalate.
Contributing to Medical Research
Urine specimens collected using these cups also contribute to medical research. Large-scale studies rely on well-preserved urine samples to uncover patterns, trends, and risk factors that can advance our understanding of various diseases and conditions.
Factors to Consider When Choosing Urine Specimen
0 notes
Text
Melva Mitchell Fort Worth decided to pursue her doctorate in chiropractic; in 2007 she Passed National Board Exams and Physiotherapy and graduated from Parker College of Chiropractic, Dallas, TX. Dr Melva Mitchell currently serves as a phlebotomist, Independent contractor Fort Worth Texas from 2017. Her duties include: ⢠Collection and preparation for laboratory processing of blood, urine, hair, saliva, and nails. ⢠Occupational safety testing services which include drug, alcohol, and DNA Testing services for various individuals and businesses. ⢠Administrative duties include effective phone communication, scheduling, data entry, and filing.
#melva mitchell fort worth texas#melva mitchell#chiropractic#melva mitchell gray#melva mitchell fort worth#chiropractor#medications#doctors#medicine#pharmacy
0 notes
Text
Burial Insurance Buying Guide
No medical exam life insurance is an alternative to traditional life insurance policies that require a physical examination, including blood, urine and EKG tests. This type of life insurance policy is often used by individuals with pre-existing health conditions or for those who don't want to go through the hassle and expense of a traditional medical exam.
No exam life insurance is generally cheaper and easier to obtain than standard term and whole life policies. This type of policy is typically offered through employer-sponsored group life insurance or private life insurance companies.
The main benefit of no medical exam life insurance is that itâs available for a wide range of individuals. However, it also comes with some limitations, so it's important to understand the pros and cons of no exam life insurance before making a decision.
There are three types of no medical exam life insurance: guaranteed issue, level term and whole life. Each of these options has a different rating and coverage limits. Know more about insurance at http://www.ehow.com/personal-finance/insurance/.
Guaranteed issue:
This is one of the most common types of no-medical exam life insurance and can be used for any age or a variety of pre-existing medical conditions. It offers up to $25,000 in death benefits, which is significantly less than youâd get with a standard term or whole life policy, but it can be worth looking into if youâre in poor health or have certain pre-existing conditions. See this helpful article to know more!
These policies are typically less expensive than standard term or whole life policies but come with limited coverage amounts and a higher rate of lapse, so they should be considered carefully.
The application process for a no-medical-exam policy is the same as for a standard term or whole life policy, although you'll likely complete a health interview over the phone. This health interview typically involves answering questions about your current and past medical history, use of drugs and alcohol, and other factors.
It may take a few days for the insurance company to make a final decision on your no medical exam life insurance application. This is because they'll use the MIB, which is a resource for life insurance companies to check identity and verify information.
Depending on the insurance company, this process may take a few days or a few weeks.
There are several ways to apply for no medical exam life insurance, but most of them involve answering a few health questions and talking to an agent over the phone. The insurance company will then verify your information with the MIB and then offer you a policy based on your answers.
The best way to find the right no medical exam life insurance at https://nomedicalexamquotes.com/995-colonial-penn-burial-insurance-plan-review/ for you is to speak with an independent life insurance agent who can provide you with a personalized recommendation that suits your unique situation. For example, Haven Life in New York City can walk you through the process and help you find the best policy for your needs.
Buying a no-medical-exam life insurance policy is not an easy task, but itâs an option that can be beneficial for some applicants, particularly those with high-risk factors or who donât have access to traditional policies. But itâs still not the best choice for everyone. Youâll need to weigh your budget and goals and consider a standard life insurance policy if youâre able to afford it.
0 notes
Text
Skip to main content
San Francisco Chronicle Homepage
Subscribe
Sign In
Most Popular
Is that dry cough COVID-19, RSV or the flu? Here are the most common...
âItâs devastatingâ: Bay Area chefs react to losing a Michelin star
Dad reveals horrific details of babyâs reported fentanyl overdose at...
âBodies everywhereâ: Future grim after Tenderloin Center closure
San Francisco COVID cases are spiking again, especially in these...
Hereâs where California reservoir levels stand after Decemberâs storms
Giants emerge from winter meetings as favorites to land Carlos Correa
Is Bay Area âtripledemicâ bad enough to rethink indoor dining? Here's...
The Belcampo scandal widens: Once-popular meat company is being...
Meta seeks to reduce Bay Area office space as tech companyâs cost...
Without getting Aaron Judge, Farhan Zaidiâs next moves are crucial for...
BAY AREA
Dad reveals horrific details of babyâs reported fentanyl overdose at S.F. playground
Photo of Mallory Moench
Mallory Moench
Updated: Dec. 6, 2022 3:45 p.m.
Comments
4
A photo taken of 10-month-old Senna Matkovic at Moscone Park in late November. Matkovic accidentally ingested fentanyl, according to a medical report shared with the Chronicle, and nearly died before he was revived by Narcan.
1
of
4
A photo taken of 10-month-old Senna Matkovic at Moscone Park in late November. Matkovic accidentally ingested fentanyl, according to a medical report shared with the Chronicle, and nearly died before he was revived by Narcan.
Courtesy of Ivan Matkovic / The Chronicle
A 10-month-old baby suffered an accidental fentanyl overdose Tuesday at a Marina district playground, the boyâs father told The Chronicle in an interview, a medical emergency that required paramedics to administer overdose-reversing medication Narcan.
The boyâs father, Ivan Matkovic, who lives with his wife, twin sons and dogs in the neighborhood, described the incident Wednesday and also shared a hospital report with The Chronicle that listed a fentanyl overdose as the diagnosis. The Chronicle was not able to independently verify the authenticity of the hospital report, which it agreed not to publish in full to protect the familyâs privacy.
City officials said they could not independently confirm all the reported details of the incident, which is still under investigation.
The after-visit summary from Sutter Healthâs CPMC hospital states the diagnosis as âaccidental fentanyl overdose, initial encounterâ followed by ârespiratory arrest.â The document states the hospital completed a urine fentanyl screening among other lab tests.
The record, printed at 10:56 p.m. on Nov. 29, states that the baby was observed for âmore than 6 hours since Narcan was given and is breathing well. The fentanyl should be out of his system. He is safe to go home.â The record had âEpicâ printed in the corner with the same logo as the records company used by the hospital system.
More for you
S.F. babyâs reported fentanyl overdose is âastonishing,â but experts say itâs not impossible
Will a babyâs reported fentanyl overdose be a âwake-upâ call for S.F.âs leaders on the drug crisis?
Sutter Health could not confirm whether the child was a patient or the authenticity of the specific record, because of patient privacy, although it confirmed that patients do receive after-visit summaries.
The Chronicle is requesting access to all the medical records to try to verify what occurred.
News of the babyâs overdose made the rounds on social media Wednesday with residents and elected officials arguing the incident underscored the depth of the cityâs drug crisis. Supervisor Matt Dorsey, who could not independently confirm the incident, said itâs not unprecedented for children to accidentally ingest and overdose on fentanyl and blamed the drug for âlargely driving the largest public health calamity since AIDS,â which demands a citywide response. The incident is likely to spark renewed debate about the cityâs response to the fentanyl epidemic.
City officials said they could not confirm the cause of the medical emergency, the claim fentanyl was ingested or inhaled or whether Narcan was used, citing patient privacy laws. Paramedics did revive a child in cardiac arrest at Moscone Park at 2:56 p.m. on Tuesday, said Lt. Jonathan Baxter, a spokesperson for the city Fire Department.
San Francisco police spokesperson Robert Rueca said officers were dispatched to a local hospital at 10:16 p.m. and heard from the childâs parent that the boy had a medical emergency at the park with a babysitter around 2:30 p.m. Rueca confirmed the child was exposed to fentanyl, but said he was not able to confirm if the childâs medical emergency was the result of fentanyl.
âIâm frankly ignorant to the fentanyl problem,â Matkovic said in a phone interview Wednesday. âIâm just a dad that something bad happened to. I just wanted to let people know that along with coyotes and RSV and COVID, this is another thing to add to your checklist of things that youâre looking out for, because we werenât.â
Matkovic said he was working from home on Tuesday when his nanny, who was with his twins at the park, called. One of your sons isnât breathing well, he remembered her saying. He left immediately, then she called again, saying, heâs turning blue; Iâm going to administer CPR and call 911.
By the time Matkovic arrived at the grassy area beside one of Moscone Parkâs playgrounds on Chestnut Street within 10 minutes, his son wasnât moving â but he did have a pulse and some color. Paramedics hovered over the baby, holding a mask connected to a breathing apparatus over his sonâs mouth, he said.
Paramedics put the 10-month-old on a gurney and put him into the back of an ambulance. They asked Matkovic questions about his sonâs medical history and weight, and seeing nothing obstructing his sonâs ability to breathe, administered Narcan. Within seconds, the baby started crying and breathing again, Matkovic said.
It could have just been coincidence, Matkovic said, but medical staff were concerned enough to run lab tests at the hospital. He said they told him his son had fentanyl in his system, also reported on the record. After observation, the family went home around midnight.
Matkovic said prior to the medical emergency, his son started crawling in the grass at the park, putting leaves in his mouth like he normally does, which the boyâs nanny said she promptly removes. She said before being in the grass, the boys were in their stroller during the outing.
Matkovic said she didnât see what the baby touched, ingested or inhaled, or notice any drugs, foil or needles.
Spokespeople for the police and the Recreation and Park Department said they didnât find any drugs or paraphernalia after searching the park that evening. Matkovic said police told him the likeliest exposure was powder, which is hard to detect, and it would be difficult to prove exactly when and where any exposure occurred.
Matkovic said he had no reason to believe that his nanny, who the family has employed for about half a year, or anyone else at the park had fentanyl or gave it to the child. Instead, he praised the quick actions of the nanny and paramedics.
âReally if it wasnât for her and her fast reactions, we might not be with our son today,â he said.
Matkovic said his son was in good health on Wednesday. He posted about his experience on Nextdoor on Tuesday evening while still at the hospital, warning other parents, and was met with a flood of concerned messages from residents and inquiries from the media. He sounded calm in a phone interview, albeit shocked by the experience and resolute to get the word out.
âItâs not just dealers and people you donât know who are impacted by this, itâs tipping over into the broader populace, and it feels like it needs that kind of COVID-like attention, and it doesnât seem like itâs getting that,â he said.
Small children have died, and some have survived, after accidentally ingesting fentanyl, according to a national study that looked at 25 cases from 2004 to 2013. Twelve cases were fatal, including the youngest case of a 1-year-old. Boys as young as 2 survived. The majority of cases occurred for boys between the ages of 2 and 4.
Police said they are working with park officials to ensure the area remains free of drug use and elements that may contribute to contamination of the playgrounds.
Caregivers at the playground on Wednesday expressed dismay about the incident.
Drought Map
Updated drought tracker
Track water shortages and restrictions across Bay Area
Updated to include drought zones while tracking water shortage status of your area, plus reservoir levels and a list of restrictions for the Bay Areaâs largest water districts.
Esperanza Romero, a nanny to two young children who says she has been coming to the playground for 25 years, said she heard the ambulance on Tuesday afternoon, but didnât see the actual incident unfold. Still, she was saddened by what sheâd heard.
âIâm here every single day,â she said. âThis has never happened.â
Nanny Julie Jones, who was caring for a preschooler, said the incident didnât surprise her, given the realities of living in San Francisco.
âYou literally have to watch their every move,â Jones, said. âDoes it make me nervous? Yeah. But we found glass over there... syringes... I donât let kids go into the bushes. Every playground has these problems.â
San Francisco resident Ryan Dempsey hadnât yet heard of the incident but said heâs spoken to his older kids about drugs when they see people passed out on the cityâs sidewalks. The father of three sons â ages 6, 4 and 10 months â said he explains that drugs like heroin and fentanyl can make people go to sleep, but if they take too much, it can kill them.
âI think (drugs) have become a neighborhood issue in San Francisco instead of just the Tenderloin,â he said. âBut maybe itâs good â maybe we all have to see it.â
Residents were already looking to officials for answers about the incident Wednesday with people saying on social media they had called the mayor and supervisors.
Supervisor Catherine Stefani, whose district includes the playground, said while the details of the incident are still being investigated, itâs certain âour drug crisis is out of control and itâs affecting all corners of our city. It is absolutely unacceptable that children canât safely play in our parks because traces of fentanyl or drug paraphernalia are present.â
She said she hoped this would be a âwake-up callâ and added that patrols will be stepped up in the area.
Mayor London Breedâs spokesperson, Parisa Safarzadeh, said the mayorâs office was still figuring out what had happened, but that âthankfully a fatal incident was avoided thanks to the quick response of EMS and fire.â
Matkovic said he realized that his sonâs experience may be an outlier, but it was still concerning.
âSomething like this may never happen again,â he said. âIt could be just a freak thing, but itâs a crisis in general and these kinds of incidents are going to happen unless something changes.â
Chronicle staff writer Annie Vainshtein contributed to this report.
Mallory Moench (she/her) is a San Francisco Chronicle staff writer. Email: [email protected] Twitter: @mallorymoench
Sign up for the Morning Fix newsletter
Top headlines from The Chronicleâs newsroom
Email
By signing up, you agree to our Terms of use and acknowledge that your information will be used as described in our Privacy Policy.
Photo of Mallory Moench
Written By
Mallory Moench
Reach Mallory on
Mallory Moench is a San Francisco City Hall reporter. She joined The San Francisco Chronicle in 2019 to report on business and has also written about wildfires, transportation and the coronavirus pandemic.
She previously covered immigration and local news for the Albany Times Union and the Alabama state legislature for the Associated Press. Before that, she freelanced with a focus on the Yemeni diaspora while studying at the City University of New York Graduate School of Journalism.
Top of the News
Nurse Heather Barigian (center) prepares to check on an isolation on the COVID ward at Salinas Valley Memorial Hospital.
California COVID hospitalizations rise 150% in a month, echoing last...
Californiaâs coronavirus trends keep moving in the wrong direction as cases and hospitalizations rise to levels that could match last winterâs omicron wave. The daily number of newly reported cases...
BY AIDIN VAZIRI AND CLAIRE HAO
Zuni Cafe in San Francisco, shown in July, announced a temporary closure from Nov. 30 to Dec. 7 due to an âupsurgeâ of COVID cases among staff members.
Time to rethink indoor dining again? These are the âtripledemicâ risks
BY KELLIE HWANG
The Stevens Creek Reservoir in Cupertino is part of the Santa Clara Valley Water District. Water levels are worryingly low.
Hereâs where California reservoir levels stand after Decemberâs storms
BY JACK LEE AND YOOHYUN JUNG
Kaiser nurse Marilyn Antonio, left, puts a bandage on Ted Naifeh, right, from San Francisco, after a Moderna booster shot at Kaiser Permanente City Center Vaccine Clinic in San Francisco on Sept. 22, 2022.
Is that dry cough COVID-19, RSV or the flu? How to understand symptoms
BY AIDIN VAZIRI
Floating homes are tied down at Barnhill Marina on Wednesday, November 30, 2022, in Alameda, Calif. Owners at the marina have become unlikely champions in a rent control battle that's erupted throughout the state.
Rent control for âfloating homesâ? Inside the battle at a Bay Area marina
BY RACHEL SWAN
San Francisco Chronicle Homepage - Site Logo
TOP
ABOUT
Our Company
Privacy Notice /Notice At Collection
Your California Privacy Rights
Interest Based Ads
Terms of Use
Careers
Advertising
NEWSROOM
Ethics Policy
Endorsement Process
News Tips
Newsroom News
CONTACT
Customer Service
FAQ
Newsroom Contacts
CCPA
Do Not Sell My Personal Information
SERVICES
Subscriber Services
e-Edition
Reprints & Permissions
Corporate Subscriptions
App
Archives
Membership
Place an Obituary
Store
Subscription Offers
sfgate.com
HEARST newspapers logoŠ2022 Hearst
0 notes
Text
Iâve seen a lot of questions on the potential doping situation in the tag so...
here is some general information on doping testing
If you made the podium at a continental or world championship or the Olympics are you most definitely going to be tested. From the moment that it is clear that you won a medal somebody is tasked with following you arround until you have given samples. The testing has to take place within a certain timeframe, but I donât remember how long. Athletes also can be tested at any other given time, they have to register where they can be found for a few hours EVERY DAY. Testing is done by the World Anti Doping Agency and the respective National Anti Doping Agency.
There are two types of tests: urine and blood. If an athlete gives a samples it is separated: 2/3 into the A-sample and 1/3 into the B-sample and then sealed. This is done in the presence of the athlete. If the A-sample is positive the athlete can contest and demand the B-sample to be opened. They could also just say they are guilty but I have never heard of that happening. If the B-sample is positive the governing bodys e.g. the ISU and the Russian Skating Fed can than draw consequences. Samples are analyzed by independent and WADA accredited labs. Test results can be fast or can take several months. There is usually a very long back log of tests at the labs.
The consequences are usually a 2-4 years ban from the sport and the athlete will be stripped of all titles they won after they have been caught. If a team titles have been won THE ENTIRE TEAM will be stripped of their medals and titles. If you are banned you cannot train with other national team members, at national training facilitys or I believe even with national coaches.
You can also expect the whole situation to be contested by the Russian Federation in front of the CAS which is the essentialy the international court for sport. It is in Switzerland and Swiss law applies (generally speaking, in reality it is more complicated than that).
The fact that Kamila is a minor wonât really matter in this situation aside from the fact that this is probably the reason things have been kept under wraps so far. If she tested positive, they will try to investigate this further. Chances are coaches and doctors arround her will be banned if they are found to have had smthg to do with the doping. Since she is a minor I would assume that if she did test positive, somebody else had something to do with it. Even if it is proven that the athlete was not at fault(e. g. is administered a drug by somebody else), they will still have to suffer from the consequences. Also expect Russia to do everything in their power to do âdamage controlâ on this.
In the end, if this turns out to be true, the Russian Team would loose their Team Medal and all the other Teams would move up a place.
I hope this answered some of the questions I have seen in the tag so far. If anybody has corrections feel free to reach out. If anybody wants to know more on doping I recommed the documentary âIkarusâ on Netflix. To all geman speakers I also recommed the research done by the âARD-Dopingredaktionâ.
In the end nobody benefits from the situation and I kinda feel for the second and third place athletes that have to wait days for their medal because of this.
296 notes
¡
View notes
Text
Overprotected
Synopsis:Â He lives in the heart of darkness, so much that it impaired his vision and now he thinks everyone is out there to get his wife. His wife, however, sees things differently.Â
Pairing: Detective Walter Marshall x OFCÂ
Word count:Â 2.9K
Warnings: Explicit, graphic smutty sex, orgasm denial, bondage, rough possessive sex, bodily fluids :D, MaleDom / FemSub. You know, the usual.
A/N: A special thanks for @agniavateira for helping me proof this! I donât own Night Hunter / Nomis or Walter!Â
Title: Overprotected
If there is anything I hate, itâs sneaking into my own god damn house at night as if I was some teenage brat. Thatâs what marriage to Walter Marshall does to you. According to his âdeepâ philosophy, all men are vultures and are just waiting for the right moment when Iâm out of his sight.
Yeah, he is just being protective. heâs seen stuff that I canât even imagine, but he is exaggerating and if he thinks I am going to live my life being stuck at home under his surveillance he is delusional.Â
The house is dark and serene as I enter inside. The big olâ grunt is either at his office, working a case or asleep by now. I hang my keys next to the door and quietly take my boots off before tip-toeing into the living room.Â
Thatâs when the small lamp in the living room lights up.Â
âSssssshitâ.
I couldnât stretch that one enough.Â
Walter sits on the couch with an unimpressed glare on his rugged face. He is not even in his jammies yet, wearing his trademark black sweater and blue jeans with his legs spread lazily. He crosses his fingers together, putting his elbows on the armrest.
âYou know what time it is?â
I honestly lost track of time but when I left the bar it was already around 1:30am. I give him a sheepish smirk while taking off my winter coat and placing it on our coat hanger. Â
âItâs⌠late?âÂ
He bites the inside of his cheek, one of his brows lifting up to show me he is not exactly thrilled right now. I swear, this man looks grumpy even in the photos of our wedding album. I sigh, walking toward him. âBabe, I am not one of your helpless young women, Iâm a grown independent woman who can fend for herselfâ
âDo you have any idea how many women get kidnapped, raped or murdered every day? You didnât even bother texting me.â he berates me as he gets up from the couch, smoothening one hand over his thick long curls. He still has his badge and handcuffs hanging from his belt. I wonder if he simply waited like that for me from the moment he got home.Â
He glares at me as I approach closer to the light, his eyes making a quick observation of what Iâm wearing. A black bodycon mini dress and sheer black stockings. âWhere were you?â he investigates, his hand moving to stroke his thick beard as he further takes in my appearance. His face is an odd mixture of admiration and irk.Â
I should have known marrying a police detective is going to be all sort of trouble.Â
I roll my eyes at him and walk toward the kitchen, getting myself a glass of water. âAt the bar, which I told you about this morning, detectiveâ
âWith?â He follows me slowly, standing at the entrance of our kitchen, he folds his sleeves up, exposing his thick forearms before crossing them around his chest.
âJesus, Walter! I was out with my usual friends, do you want to test my urine for drugs too? Or do you prefer sniffing my clothes to see who I was with?â Â
He remains silent at my accusations. I wouldnât be surprised if he did sniff out my clothes, maybe he is already doing that when I am not around. Sometimes he acts more like a beast than a man. Itâs ironic as he always claims that the men he catches are monsters.Â
Perhaps it takes one to hunt one? Â
âIâm worried about your safetyâ he finally replies, his eyes still running up and down my features, this time lingering, taking me in as if I am feast of some sort and he just arrived famished. I can see the sinful lust in him as it awakens. The week has been long for him, emotionally and mentally draining. For several nights I fell asleep in an empty bed and only got to see my husband when the alarm woke me.Â
We didnât even get to fool around during the mornings, having our shifts unsynchronized.Â
âDid you at least get an uber home? You know you can share the location with me, so I can tell where you are and who is the driverâ
I sip water from the glass and look at him with the best naive looking face I can come up with.Â
âIt's a 15 minutes walkâŚâ
âFor fuck sake!â he raises his voice and holds his temples and looks at the floor with frustration as if Iâm giving him a headache âAre you doing this shit to piss me off?â
I place the glass down on the kitchen counter angrily and frown back at him âYou know what? If you want me safe so badly, maybe you should be home more often. Iâm tired of binging on Netflix alone!âÂ
I immediately regret saying that. I know he is out there being a hero, giving these girls and their families their lives back or at least trying to mend the broken pieces. Doing so he is forced to dwell in the heart of darkness and it consumes him. I let him spill his pain into me whenever he needs it, to be the one person he can confide in. But even though he has my understanding, Iâm not made of stone. I miss my fluffy bear of a man.
âOh, so thatâs what itâs all about, pet? Do you need more attention? Thatâs why youâre out at night, dressed like someâŚâ
âLike someâŚ. what?â I narrow my eyes, daring him to say it.
âLike some prostituteâÂ
I gasp at him, offended by his remark, I honestly wore this to feel sexy about myself, not to get attention from someone. My detective husband seems to know so much about murderers and men yet so little about his own woman âYou know what? Iâm an independent woman, I will come home whenever I want, Iâll go out with whomever I want and Iâll dress like a whore and show my ass around if I want to, and youâll just have to deal with it, pet.â
âOh?â he stares at me unimpressed and moves to puff his chest in front of me like some alpha caveman.Â
âYes, oh!â I answer, lifting up my chin in defiance, trying to ignore the intoxicating scent of his musk thatâs caught up in my nose.Â
Walter looks down at me, a smirk spreading on his face. He takes a step closer, putting his hand on my shoulder while leaning down to whisper in my ear.Â
âHands behind your back, darlingâ
I frown at his odd request when I find myself suddenly turned around forcefully with my back facing him. Both of my wrists are in his grasp and the sound of metal clicks in my ears.
âWhat are you doing???â I gasp, trying to set my hands free. The metal is cold against my slender wrists, the rounded chains rattling around my bones. âWalter, this is not funny!!!âÂ
âGood, I am not trying for it to be. You are so eager for me to teach you a lesson, arenât you?â
He is not expecting my answer as he grabs me and throws me over his shoulder.Â
âWalter!!! Stop that!â I protest breathlessly, feeling the air being kicked out of my lungs.
âIâll stop when Iâll bloody want toâ he answers determined as he carries me up the stairs. I grunt huskily, looking at my upside-down world. I am being rocked by his footsteps as he is bouncing me on his shoulder âJust look how easy it is to snatch youâ
He enters the bedroom and places me down with my body half on the bed while my knees are brushing the carpeted floor. I try to lift myself back, quite hard with my hands cuffed behind my back. It takes an insane amount of body strength just to lift my head back to look at him.
Walter stands behind me, arms folded at his chest, his brow furrowed. I would have taken him angry, if not for the dark desire thatâs written all over his face and the very visible growth in his nether region.
âLet me go!â I demand, squirming from side to side helplessly. Â
âYou still donât get whoâs in charge hereâ he gives me a side smirk, his eyes lit with lust as he inches closer. His shadow casts over my face and his heat radiates against my body as he leans down.
His hand presses against the middle of my back, pushing me against the mattress slightly and then gliding down the valley of my spine and up the arch of my behinds. Mapping my body possessively from edge to edge.Â
âDidnât you just say you enjoy flinging your ass at total strangers?â he asks while lifting up the skirt of my dress.
âI donâŚâ I try to answer but my words are lost between moans as he glides his fingers between the cleft of my ass and squeezes my still covered cunt tightly.Â
âI hope thatâs not what youâre doing out there because thatâs rightfully mineâÂ
I roll my chin on the mattress, squirming on the bed while Walter rubs his fingers up and down my swollen lips. It almost feels clinical how he pushes against the wetness of my stockings and underwear.
âI am... notâŚ. your property... â I mewl in protest, being fairly unconvincing. My body does the complete opposite, swelling for him, dripping like a fresh ripe fruit that begs to be eaten.
And then comes the punishment, to set me in my place. His palm lifts up in the air and lands across the cheek of my behinds. The force of it making me rock on the bed, my knees lifting from the floor.Â
âWALTER!â
âYou are my womanâ he corrects me, granting me with another smack, just as bad, making sure my cunt wonât be spared under his hand. I can feel the sting, cold and hot at once, tingling across the shape of my entrance. Itâs almost as if my body demands it, my buttocks sticking out to meet another harsh slap.Â
I yelp, my hands fisted into little balls, digging my nails into my own flesh. Walter coos at me, his palms shifting over my behinds, now petting me with praise. âWere these expensive?â he asks whilst his fingers run between my behinds, pinching at the fabric of my sheer black stockings. He doesnât wait for my answer as he rips a hole in them. He does the same with my panties, tearing them with ease.
I hiss, feeling the pain as the elastic bend slips from my skin harshly. My shoulders are flat against the mattress, Iâm embolized, enslaved to his will. The best I can do is enjoy the beauty of my beastly husband as he dominates my body.Â
âLook at youâŚâ he murmurs, biting his lower lip as he admires the view âthat hot little pussy is all soaked for me, you know who you belong toâ
He looks straight into my eyes when putting his middle and index finger inside his mouth, wetting them with his saliva. âDo you think youâve been a good girl?â
âYeâŚ.Yes?â I ask him, obviously not the correct answer
He smiles, brushing his fingers down the cleft of my ass, circling my anus. I clench and hiss with fright which makes him chuckle viciously. âNo, no you havenâtâŚâ
âDonât you fucking dare!!!â I warn him with menace.Â
His smirk remains, his eyes glued to mine. Obviously, he enjoys having the upper hand yet he moves lower, pushing his fingers flat between my folds, mixing my wetness with his saliva before pushing deep inside smoothly. I cry out, moving forward on the bed and then back, lifting my ass to have him deeper but he places a hand on my neck and forces me down.
âWow, you really need to be disciplined, my darlingâ he threatens, curling his fingers inside me âLet me enlighten you, you move when I say and come when I tell you to comeâ   Â
âFuck you, Walterâ I answer but again itâs the wrong answer, he pushes his weight onto my nape and forces his fingers even deeper inside, finding the little round spot to overstimulate me. He croons with me, his deep voice patronisingly sweet while he mocks my helpless whimpers of pleasure.
I return my gaze to him, biting on my lower lip, trying to wriggle on the bed as much as possible to have some friction against my clit. A tingle in the base of my cunt begins to spread across my cells, I feel myself close and far at the same time. But he forbids it, he pumps in and out achingly slow, looking at me with a malicious frown.Â
âYou want to come, pet?â he asks, his thumb brushing against my clit ghostly.
âYes!â I call out, moving my shoulders and trying to wriggle my ass as much as possible while his fingers are still buried deep inside me.Â
He withdraws his finger excruciatingly slow, leaving only the tips to hover at my entrance, taking the promise of climax away which only makes the throbbing need inside me increase. I can feel it in my ears, my heart, my cunt, my blood, everything burns for him.Â
His torture is methodical, he wants to bring me to tears, to prove a point âBeg for me as a good girl wouldâ
Iâm past bargaining, I am willing to beg and cry for it, I am willing to do anything âHoney, please!âÂ
He moves his hand from my nape and moves to stand on his knees in front of me. One hand is kept on my arousal, toying with my cunt in a feverish tender touch while the other unbuckles his belt. I move my arms on my lower back, trying to break free through the cuffs in some sort of embarrassing futile battle.Â
âAre you gonna be a good girl?â he asks, freeing his erection and holding his large shaft in his hand, rubbing it for me to see. His eyes close for a moment as he indulges himself, a soft low groan escaping his lips.Â
Oh, how I fucking love the sounds he makes when we have sex. Always so vocal.
âY..yes..yes... Iâll be good! Please penetrate me!âÂ
âAre you going to do what I ask you to do?â he positions the bulbous head between my lips, letting it tease my folds open.Â
My legs shift between his helplessly. Every nerve in my body tries to fight to gain some control back, unaware that itâs simply impossible. âPlease, I swear, I will do anything you ask me toâ
Walter pushes into me at once, his throaty grunt echoing in our bedroom. I scream as he sheathes me to the hilt, making me full of his large meaty cock. My body tries to resist what I yearned for so badly, choking onto his incredible girth.
âAlways so fucking tightâ he growls, not waiting more than a second before pulling himself out and then pushing in again, his thighs slapping against my ass, making my body shudder. He grabs my cuffed wrists, tugging at the chin to lift me up slightly, to counter me against the vigour of his thrusts.Â
I yelp as the metal bruises the bones of my wrist, I cry even harder as he ends every long thrust with a stark slam, rocking me back and forth. Our bedroom fills with wet slick noises of our bodies colliding and the symphony of his low loud groans and my high desperate cries.Â
âGood girl.â he grunts, fucking me urgently now, watching as his cock moves in and out and alternating between stuffing himself so deep his balls are slapping against my clit âIâll fuck some sense into youâÂ
I lose myself completely, being thrown into mindless mewling as he fucks me mercilessly, making it slightly hurt. His thrusts become rougher as my cunt tightens around him, my entire existence throbbing until I finally explode into hot white bliss. âWALTER!!!âÂ
He grunts behind me, letting go of my wrists to hold my ass instead and rails me from behind. He tries to fight his nearing climax, to hold longer and enjoy the divine sensation of my tight warmth as it engulfs him in a death grip but his control snaps. He calls out loudly as he spills his seed inside me but continues to grind into me through it, coating his cock with our juices while gasping with exhaustion.
When he is finally spent he pulls out and collapses on the bed next to me, his hand reaches to stroke the hair from my face. I remain in the same position, still at his mercy, feeling his hot cum trickling down my inner thighs.
âI just want to protect youâ he speaks, kissing my nose lovingly. âIf anything will ever happen to you, I willâŚâ
âNothing is going to happen to meâ I correct him, kissing his fingers as he begins to trace my lips. âNot as long as youâre hereâ
He smiles at me and kisses me deeply.Â
âWalter⌠the cuffs, please, it hurtsâ I break the kiss and move my elbows as much as I can to gesture him to set me loose.
He chuckles and then looks into my eyes, his gaze darkening once again
âOh, weâre far from done, pet.âÂ
2K notes
¡
View notes
Text
Schedule drug test for substance abuse professional
New Post has been published on https://amhnationwide.com/drug-testing/schedule-drug-test-for-substance-abuse-professional/
Schedule drug test for substance abuse professional
categories: #DrugTesting tags: #DrugTestForSubstanceAbuseProffessional, #IndependentUrineDrugTest, #PersonalDrugTest, #SapDrugTest, #ScheduleDrugTest
#drug test for substance abuse proffessional#independent urine drug test#personal drug test#sap drug test#schedule drug test
1 note
¡
View note
Text
If He Was YOUR Fan Chapter 26: Come What May
CHAPTER 26: COME WHAT MAYÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â
You are not hearing this, you tell yourself, you are not hearing this! You envision the look on Henryâs face if you decide to tell him thisâyou have to tell him this. You shake your head, wanting to put your head over your ears as the doctor spoke. âWhat do you mean?â You ask the doctor. âItâs been eleven weeks, and Iâm here, whatâs the problem?â
âWe cannot give you the injection until we know you are not pregnant.â
âButââ
âI know this is an inconvenience, but we took blood and urine and we see the depo provera is substantially weakened in your system and it hasnât been twelve weeks. Come back in two weeks and test, and if youâre negative, we will give you the shot.â
You gasp. âDoctorââ
âYour injection seems to be weakening after an estimated eight weeks.â
âEight weeks?!â your eyes fill with tears, shaking your head. âSoââ
âSo, you need to be careful after eight weeks instead of ten or eleven,â he nods. âIâm sorry, itâs the best we can do.â
 Stella calling your name breaks into your thoughts from earlier in the day. Your misting vision clears as you look at the ring on your hand. âHey, you okay?â
You donât want to talk about it. You donât want to talk to anyone, not even Henry.
âYouâre scaring me,â Stella whispers, taking your hand. âI wonât tell anybody.â She looks around and whispers even softer. âYou and Henry fighting?â
We might be, you think.
âI see the way he looks at you,â Stella encourages. âIâm sure you will work it out, okay?â She smiles. âIf not, weâll beat him down with bags of potatoes!â
You hug her and she slowly brings her arms around you. âThank you!â
âNo problem,â she says slowly. âWhatever it is, itâs gonna be okay, alright?â
You nod, half believing her words. This was major.
You meet Henry at his trailer as you have every Friday for awhile now. You see him and you try to brighten.
He smiles and you smile, not quite trusting your voice yet. He kisses you in greeting and says, âLet me get my stuff. Stay here, Kal.â
âHey, boy,â you say softly, petting him. âHard day at the office?â You laugh softly as he licks your face in greeting.
He drives you to his home, and you sit as he starts a fire. âDid the shirts arrive today?â
âUh, yeah, I got a notification on my phone.â
âYou really want to dress for the party?â he asks, laughing softly, bringing you a glass of wine and going back into the kitchen.
âI thought itâd be fun,â you shrug. âBesides, weâre just wearing shirts, really.â
âYeah, District 12 shirts.â
âI thought itâd be simple, and it wonât really feel like a costume, you dress up enough as it is.â You sit, thinking of the party next weekend. Would he even want to go? How is going to react--
âOkay, whatâs going on?â He stands over you with a wooden tray of bread, butter and cheese with grapes.
âWhat?â you look up from your glass. Sometimes the man moves too quietly, you think.
âYouâre remarkably quiet,â he smirks. âEverything okay?â
Your eyes drop to your lap, and your smile fades. Â How do you tell him?
âWait, you had an appointment today, right?â
You canât look at him at first, but when you do, you regret it. He looks upset and angry and you want to melt into the floor.
He sits next to you, and looks at the glass of wine in your hands. His jaw tightens. âOkay. Start talking.â
âI have to wait two weeks to take the shot.â You stare at the fire.
âWhy?â
âBecause the drug weakened in my system.â
âShit.â
âHenryââ you reach for him and he stiffens. âHenry!â
âIf you knew that the damn thing didnât workââ
âHold it,â You raise a hand. âYou think I actually knew that?â
âHow could you not?â
âEasy enough,â you say. âI donât normally do this. I donât sleep around!â
âWhatâs that supposed to mean?â
âI havenât been in a lot of relationships, especially like we are.â
âYou mean, unprotected-reckless?â
âReckless.â You repeat. âSo Iâm a reckless choice?â
âI didnât say that--â he shakes his head.
âI have my own shit, you know!â you snap. âI donât need you-have a place of my own back home, and I am perfectly capable of taking care of myself, thank you!â Tears sprang to your eyes, ruining your declaration of independence.
âI didnât say you couldnât,â he says, coming close.
You back away, and he whispers your name as he extends his hand.
âI- I donât want it like this!â You shake your head. âI want you to want meâŚâ I hit my chest hard, making him flinch. âfor me! I donât want to be some burden, or a problem orâ"
âWhat do you think that ring means?â
âI donât know!â you say, wiping your tears furiously. âStella gasped when she saw it, said sheâd tell me later, but we didnât have girl time this weekââ
In two strides he has you in his arms. âI know you are not like that, alright? You donât need me, but you want me.â
âYesââ
He raises your hand with the ring on it. âThink, sweetheart, this is aââ
You look at it. âTriquetra.â
âKnow what it means?â
âFather, Son, Holy Spirit.â
âYes, thatâs the Catholic definition.â
You take a deep breath. âEarth, sea and sky?â
âWell, that would be the pagans,â he smiles gently. âBut this is a promise ring. It means you are exclusively seeing someone who loves, honors and protects you.â
âNot obey?â you joke tearfully.
He laughs. âOh, thatâs an entirely different ring!â He kisses your ring. âWhatever happens, weâll face it together, alright?â
You look up at him hopefully. Youâve never felt so vulnerable, so wonderful, thrilled and scared.
âCome here,â he purrs, closing his arms around you. You put your head on his chest and listen to the strong and steady beat of his heart. You close your eyes. âNow, what did the doctor say?â
âGoing forward we should be careful after 8 weeks.â
âEight?!â he repeats.
âYeah.â
He takes a deep breath and sighs, âAlright.â
âWhat ifââ
âLetâs wait and see, alright?â he says, looking down at you. Â âWhatever it is, weâll face head on.â
You cuddle by the firelight and watch random movies, much like last weekend-plenty of kisses and hugs, but no sex. You try to be understanding, realizing that abstinence or protected sex would be the way to go until the follow up, but you miss how he feels, and at a time like this, his touch would be the ultimate comfort. He took it easy on you when you dueled and introduced archery instead, something he promised he would do, but there were mixed messages all around. Was he not touching you because he didnât want to-because now you represented a possible change in life? Was he not touching you because you are now precious and fragile, and he wants to be sure his seed stays intact? Was he being nice until he knew for sure and planned on making you his latest liaison?
During the weekend you kept looking at the ring. He gave it to you, didnât he?
youtube
After he falls asleep Saturday night, you lay awake. You inhale the scent of his arm, which is draped over you. You run your cheek along it, kiss his hand and close your eyes to sharpen your other senses since your sight doesnât come into play.
Then he stirs.
You gasp softly as he turns you onto your back, and kisses you tenderly. You release a whispered cry of relief as your arms fold around him, welcoming him. Your heart aches for him. You rub your cheek against his stubbly one, and you are breathing hard. His body presses against you, his hips between your legs, his mouth at your throat, as your fingers stroke his back and neck. You want to say it, you want to, and you feel like a coward. You arch to him, tears coming to your eyes as your mouths finally meet and mate. He kisses them away.
He grinds against you and as you kiss, he unzips your hoodie and pushes it off your shoulders. You help him get his pullover and shirt off, and you return to each otherâs kiss desperately. With one hand he unfastens and unzips his jeans to remove them, and before you can do it, he tugs successfully at your leggings, sliding them down your legs. You feel shy as the air feels cool between your legs, your panties already wet. He trails kisses up your legs, his fingers caressing you intimately and making you raise your hips and remove them. You spread yourself under him in offering, feeling emboldened by need, by vulnerability, by love.
He crawls over you slowly and kicks his underwear off. You hear the telltale sound of ripping packaging and feel him shift his weight. He kisses you deeply as he gently moves inside you and begins to move. He still feels so goodâhis whole body, every sight, feel, and scent, his touchâclose as before. He will not leave you, you believe it now.
Though you appreciate his making the adjustment, you wish you could feel him again. You know how much larger the tip can be than the shaft, how he surged and glided inside you so deeply and your body clasped him even as he seemed to widen and fill you. You could feel his main vein sometimes, throbbing as he controlled it, taking you both higher till you exploded together. It held him back, held you apart, and you found his embrace tighter, his kisses and touch more passionate.
âLove, honor, protect.â He whispers against your lips before gently kissing your ringed hand. He intertwines his fingers with yours.
âLove, honor, protect,â you whisper back. You lean up to kiss him holding him with your other hand. And no matter what, you would. Come what may.
Thanks for the support! Let me know if you want to be added to the list. I look forward to your comments!Â
@mistress-of-ward  @nuggsmum  @messyinsomniacbookgirl  @jencanbeyouryengeralt  @sweetdreamsofgelato  @maryann84  @omgkatinka  @the-soot-sprite  @viking-raider  @keanureevesisbae  @henryobsessed  @summersong69 @kinbhot4henners  @sunshine96love  @michelehansel  @radofrivia  @thelastsock  @michelehansel  @tumblnewby @henryobsessed @defffcc  @tenaciousneckpartypainter  @rn7rocksn @mrskikkirazz  @daydreamin83  @ruthoakenshield  @musicartmayheminmyheart  @michelehansel  @tumblnewby  @henryobsessed  @defffcc @tenaciousneckpartypainter @rn7rocksn  @mrskikkirazz  @daydreamin83 @ruthoakenshield  @musicartmayheminmyheart  @mis-lil-red @kaatelyynn  @forallthebrokenheartedthings  @alphacancrii @liquorlaughslove @designerewriterchic @sofiebstar @tamychm  @nikkilynn303 @circesgirl @aaescritora @xoxohannahlee Â
#henry cavill#henry cavill fandom#henry cavill fanfic#henry cavill fanfiction#henry cavill x reader#henry cavill x you#geralt#superman#henry cavill fluff#henry cavill smut
102 notes
¡
View notes
Text
Melva Mitchell Fort Worth has a strong educational background including the National Board of Chiropractic Examiners Greeley, CO, and Parker College of Chiropractic Dallas, TX. Melva Mitchell Gray outstanding resume makes her one of the best and most experienced chiropractors in the field. She has positive effects on another personâs health and would like to continue having the same effects for a longer time. Melva Mitchell Gray decided to pursue her doctorate in chiropractic; in 2007 she Passed National Board Exams and Physiotherapy and graduated from Parker College of Chiropractic, Dallas TX She currently serves as a phlebotomist, Independent contractor Fort Worth Texas from 2017 Melva Mitchell duties include: ⢠Collection and preparation for laboratory processing of blood, urine, hair, saliva, and nails. ⢠Occupational safety testing services which include drug, alcohol, and DNA Testing Services
#melva mitchell#melva mitchell texas#melva mitchell fort worth#melva mitchell fort worth texas#fort worth texas#melva mitchell gray#melva mitchell gray fort worth#chiropractic#healthcare#chiropractor
0 notes
Text
Carbamazepine
Brand Names: Tegretol, Tegretol XR, Carbatrol ER, Equetro ER
Generic Available
Common Dosage Forms:
Tablets, chewable: 100 mg.
Tablets, oral: 200 mg.
Tablets, extended-release (Tegretol-XR): 100 mg, 200 mg, and 400 mg.
Capsules, extended-release (Carbatrol, Equetro): 100 mg, 200 mg, and 300 mg.
Suspension: 100/5 mL.
FDA Indications/Dosages:
Treatment of the following seizure disorders which are refractory to other anticonvulsant agents: partial seizures with complex symptomatology, generalized tonic-clonic seizures, and mixed seizure patterns which may include the previously listed: Adults and Children (over 12 years of age): Initially 200 mg twice a day on day one, then gradually increase by adding up to 200 mg per day in 3-4 divided doses, until desired result is obtained. Dosage should not exceed 1000 mg per day in children 12 to 15 years old, or 1200 mg per day in patients over 15 years old. For maintenance use 800 mg to 1200 mg per day in 3-4 divided doses, using minimum effective dose. Children (6 to 12 years of age): Initially 100 mg twice a day on day one, then gradually increase by adding up to 100 mg per day in 3-4 divided doses, until desired result is obtained. Dosage should not exceed 1000 mg per day. For maintenance use 400 mg to 800 mg per day in divided doses, using minimum effective dose. Children (under 6 years of age): 10-20 mg/kg/day initially up to a maximum of 35 mg/kg/day. Give tablets 2-3 times a day and the suspension 4 times a day.
For the relief of trigeminal neuralgia pain: Initially 100 mg twice a day on day one then increase to 200 mg per day using 100 mg increments every 12 hours as needed for relief of pain. Do not exceed 1200 mg per day. For maintenance use 200 mg to 1200 mg per day using the minimum daily dose to achieve desired results.
Extended-release dosage forms may be used once or twice a day in place of other formulations. Use the same daily dose calculations--no retitration is necessary.
Monitor: CBC.
Pharmacology/Pharmacokinetics: Carbamazepine appears to act by reducing polysynaptic response and blocking the post-tetanic potentiation. Peak plasma levels are reached on 4-5 hours following oral tablet administration. Suspension and chewable tablet formulations reach peak plasma levels sooner. Half-life after continued treatment is 12-17 hours. Metabolized drug is found in the urine and feces. Tegretol XR comprises a dual hydrophilic polymer matrix system. Fluid from the GI tract enters the tablet and hydrates polymers causing them to swell. Drug is released by diffusion through a gel matrix that is essentially independent of pH. Tablet particles may be found in the stool as a soft hydrated mass.
Drug Interactions: May decrease the effectiveness of oral anticoagulants, valproic acid, or pancuronium. Cimetidine, isoniazid, diltiazem, fluoxetine, propoxyphene, primidone, verapamil, danazol, or MACROLIDES may increase serum levels. Hydantoins may decrease serum levels. May decrease serum levels of doxycycline and haloperidol. Neurotoxicity may occur when used with lithium. Grapefruit juice may increase plasma levels.
Contraindications/Precautions: Use is contraindicated in patients hypersensitive to carbamazepine or tricyclic compounds and in patients with bone marrow depression. Use with caution in pregnancy or nursing mothers, in patients currently taking monoamine oxidase inhibitors or within 14 days of therapy (theoretical interaction potential), in patients with increased intraocular pressure, cardiac disorders, renal or hepatic impairment, and in patients with a history of adverse hematological reactions to any drugs. RARE REPORTS OF APLASTIC ANEMIA AND AGRANULOCYTOSIS HAVE BEEN REPORTED. Contact a physician immediately if fever, sore throat, mouth ulcers, or easy bruising occurs. PATIENTS OF ASIAN DECENT SHOULD BE TESTED FOR HLA-B*1502 because these patients have a much higher risk of developing serious skin reactions including STEVENS-JOHNSON SYNDROME AND TOXIC EPIDERMAL NECROLYSIS from carbamazepine. Antiepileptic drugs increase the risk of suicidal thoughts or behavior in patients taking these drugs for any indications. Patients treated with any AED for any indication should be monitored for the emergence or worsening of depression, suicidal thoughts or behavior, and/or unusual changes in mood or behavior. Pregnancy Category D.
Adverse Effects: The most common adverse effects are dizziness, unsteadiness, nausea, vomiting, and drowsiness. Rare reports of aplastic anemia, agranulocytosis, and Stevens-Johnson syndrome have been reported. Promptly report fever, sore throat, mouth ulcers, bruising, or skin rashes to a physician or pharmacist.
Patient Consultation:
Take with food or milk.
Drink with a full glass of water (240 mL) following administration of chewable tablets.
May cause drowsiness. Use caution while operating machinery or when mental alertness is required.
Avoid alcohol when taking this medication.
Shake suspension well.
Swallow XR tablets whole. Do not crush or chew.
Store in a cool, dry place away from sunlight and children.
If a dose is missed take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses.
Contact your physician if the above side effects are severe or persistent.
Contact a physician immediately if fever, sore throat, mouth ulcers, bruising, or skin rash occurs.
#sigler drug cards#36th edition#carbamazepine#tegretol#tegretol xr#carbatrol er#equetro er#drug facts#anticonvulsant
2 notes
¡
View notes
Note
Hi weed anon(hehe I like that nickname)
Its more so im questioning how I am using it because of where I'm at in my life. I had to quick smoking cus my dad is back (he's a abusive ass and hates joy so weed is a no for him) and so for about a month I've stopped. I was excited to smoke again cus he's leaving soon and I genuinely enjoy it but I've also come to question my use and how I use it. I know I def abused it because at one point I didnt even feel like the high was working but at the same time I know that I found joy in those moments too. I plan on cutting back if I start up again its just me wondering if using is as bad as non-users or other quitters say and how I can stop these doubts if that makes sense? Side note: I smoke with my mom and I know if I smoke she'll wanna smoke but she's looking for a new job and new jobs may require urine tests (separate but relevant since she wants a new job so she can be more independent from my dad and work towards divorce) and that just adds another layer to me questioning my relationship with weed. That was a lot Ik and again feel free to ignore cus at this point im just dumping
hmm i mean i unfortunately canât give you an easy âsmokeâ or âdonât smokeâ answer; personally i think most of the anti-weed sentiment out there is a lasting result of the war on drugs and the political agenda to stigmatize drug use in general, and particularly its over-exaggeration of the risks involved w weed
so basically, other peoplesâ fear-mongering shouldnât really factor in imo. my sister has done actual biological research on the physical effects of cannabinoids and their possible use in treating cancer, and sheâs also a stoner and has looked pretty deeply into the available research on weedâs effect on the body in general; sheâs said multiple times itâs not really cause for concern
but if youâre worried about abusing it if you start smoking again, i would suggest maybe taking it really slow to start. youâre going to want to ease yourself back in anyway if youâve had a month-long t-break, bc itâs gonna take WAAAAAY less to get you high than youâre probably expecting. so then itâs a matter of maintaining that tolerance as best you can, instead of flooding your system w weed immediately. maybe ration it out ahead of time so you donât just keep repacking the bowl, or decide that youâre not going to smoke before/after a certain time of day, or that you can only have a certain amount each day, etc; keep an eye on your consumption, maybe even keep a written record, and you can judge for yourself whether itâs hurting you more than helping you, or if you can trust yourself to consume it safely and healthily
1 note
¡
View note
Text
October 11, 2020
This is the resumption of what I hope will again become my weekly blog. There is only one topic this week: recovery from a stroke. Be warned that I am not censoring detail and some aspects of the following may be unpleasant to read about.
Recovery from a Stroke
On the night of September 13, I suffered a stroke, which is the reason I have been out of commission the past month. More specifically--and please forgive the medical jargon--I suffered from dual problems that night: an arteriovenous malformation and a cerebral hemorrhage. Someone in my apartment caught me spazzing out on the third floor and called an ambulance, after which I was rushed to Kaiser hospital in Hillsboro for tests and then Clackamas for an operation. The doctors were able to fix both problems, and they expect I will make a mostly full recovery by the end of the year. I donât remember anything from the operation itself--presumably I was on a lot of drugs that knocked me out--but evidently they went in through the groin to the brain to patch things up. All this follows another incident on September 11 which was not caught. I donât know how the first incident contributed to the severity of the second.
Although I was patched up all right and am expected to make a full recovery, I will note here that I am very lucky to be alive. The doctors told me later that had this incident occurred 10 years ago, and perhaps even 5 years ago, they wouldnât have had the technology to fix me and I would have ended up dead or a vegetable.
In my recovery, I went through four phases so far. The first was at the ICU in Clackamas, which I donât remember very well. The second was also at Clackamas, a ground-level facility which is for people who are farther along in recovery. The third was at RIO, a facility in downtown Portland to help with rehab. The fourth is here, at my Momâs place, where I will continue to get better at independent living. It will probably be the end of the year that I make a full recovery where I can work a full schedule and do everything that I had done before, though some things like riding a bicycle might take even longer.
Since my skull is not fully healed, I am vulnerable to a fall. The nurses have been very cautious about that, and I gave them a scare in my second facility. What I donât remember is going to the bathroom and being very light-headed and woozy. What I do remember is being on the floor and having about six nurses hovering over me and making sure I was OK. I was. The episode was not really a fall but a close call which caused a scare. They still discharged me to RIO the next day.
One thing about being in the hospital is that you have to check your modesty at the door. I had nurses help me dress and shower in the early phases, tasks that I couldnât do on my own. Many of them--probably not all I remember because I have forgotten so much--saw me without clothes on, including the groin injury left over from the surgery (it appears to be gone now). I was also next to a window at RIO. It was quite nice in general, giving me a good view of the Fremont Bridge and other attractions in Portland, but I donât know if anyone looked in the window and saw anything. Across the skybridge were the offices for the RIO doctors.
Naturally, the bed was uncomfortable and the food was not very good. The food seems exciting at first, as there is a big menu with many things to choose, but two weeks at RIO were more than enough to crave my wifeâs and motherâs cooking. I can say that I greatly enjoyed those last night.
I do fondly remember the nurses at each facility. There are far too many names to give everyone credit--Doris, Claudia, Laura, Annie, John, and Bernadette are just a few that come to mind right now. I am grateful to everyone who helped keep me alive these few weeks. My roommates were good too.
Using the bathroom was ... an issue. Shortly after the near-fall, I had another incident where by blood pressure went down and heart rate went up, beyond the normal range. Dr. Button carefully monitored my pills thereafter, but I had to be on strict I-O for the remainder of my stay at RIO. That means peeing into a urinal (a special device that the hospital has) and having everything carefully monitored. Before that, though, I had the unpleasant experience of being âcathedâ, which is where the nurses get rid of the urine I had âholding backâ using what can only be described as a medieval torture device on my groin. It only took one experience with this device to scare me straight. On a second episode where I was holding back, they let me go to the regular bathroom again and get rid of excess urine. I had no episodes but plenty of fear thereafter. It is very nice now to be able to use the bathroom now without things being monitored.
Overall, I would describe my experience as being in a dreamlike state. As I said, I only vaguely remember the ICU and remember a bit better the subsequent places, but really I donât remember anything all that well. Even now, my brain is still well below 100% and I donât remember everything that happens. A few times I lost touch with reality and began questioning what was going on. At that point, some well-dressed people came into my room and asked questions like who the current President is (something that, for different reasons altogether, doesnât feel entirely real). I answered the questions well enough to make the well-dressed people go away, but it was intimidating. This was hospital procedure to make sure that people are in touch with reality, but I think they should find a better way to do it.
I could go on and on, and will probably add some more detail over time, but for now I think this is enough information about my experience. Complaints about the hospital aside, I am very grateful to be alive, especially knowing that I had a close brush with death. I am an agnostic by nature, and I donât know whether to credit my survival to God, to advancing medical science, or to both. But I do know that, going forward, I will cherish however many years I have left and try to make the most of them.
1 note
¡
View note
Text
Drug Abuse and Relevance of Testing in Teens
  In accordance to Monitoring the Potential (MTF) study carried out through 2008, in The usa practically forty seven% of the teens tasted an illicit drug by the time they entire their higher college schooling. As drug abuse is popular and the college students are extra delicate, numerous colleges adopt drug-screening applications to detect drug abuse, to identify university student drug abusers, and to recommend for cure if expected. Teenagers are susceptible to drugs Youthful individuals are additional vulnerable to drug abuse as they are in their preadolescence phase and not completely matured. They get captivated to the term of assumed positive aspects instead than being familiar with the destructive outcomes on the brain, physique, behavior, and wellness. Independent of the age, a lot of other elements make significantly kids susceptible to medications. Kids are generally vulnerable to medicines, in particular young culprits, kids in institutional treatment like orphanage, students with social or tutorial troubles, and younger individuals who reside in underprivileged people or neighborhoods where by various chance variables and challenges are concentrated. Marijuana has been widely used unlawful drug by the teens, which ruined them, from quite a few a long time. In accordance to MTF 2008, 42.six percent of American youth tried Marijuana by the time they done their superior schooling. Drug screening at Home Several moms and dads of youngsters are more concerned about their young adults having unlawful medication, how to recommend them, and what techniques to follow to avoid it. It is the parents' accountability to secure the baby until they create prevalent perception or maturity of adulthood. Teenagers may possibly argue towards to getting analyzed, imagining that mom and dad never "belief" them. Positive aspects of Dwelling drug screening are, if teenagers know that random drug test will be conducted in just about every month, they might sense scared to consider punishments if detected. A different benefit of household-based drug tests plan is that it boosts the capability to detect drug use presence at early levels and cure can be effortlessly delivered. Drug screening at Educational institutions Drug abuse not only obstructs a student's skill to discover, but it can also obstruct the educating surroundings, impacting other pupils as properly. Educational facilities observe random pupil drug tests to minimize drug abuse between college students. Random tests will provide a restraint, and give college students a motive to endure peer tension to acquire medicine. For college students who are regarded with addiction of drugs, mother and father and college administrator can handover them to powerful drug cure plans, to get started the recovery process. Several tests strategies are accessible dependent on screening specimen like urine, hair, saliva, and sweat. All these procedures vary in charge, dependability, medication detected, and detection interval.  For those who have any questions relating to where by and also how you can employ Alcohol Drug Rehabs, you possibly can e-mail us from the page. Educational institutions can select the drug tests kit relying on their desires. Commonly, these drug testing techniques exams for cannabis, cocaine, opioids, amphetamines, PCP, MDMA, GHB, and steroids. Â
1 note
¡
View note
Text
Cant Last Longer Than 2 Minutes Startling Tips
Some doctors define early ejaculation problem, you will able to stop having an erection are unsure, during sex, thus bringing a faster ejaculation.A thorough discussion of early ejaculation.Some couples get the most effective solution on how to stop premature ejaculation is not one of the reference material.I was not something that is created solely to treat the causes for this purpose.
PE is only made of herbs like ashwaganda, mucna pruriens, safed musli, saffron, shatavari or shilajit.If you cannot bear to leave your girl without your knowledge until it passes.You need to address this issue, emotions are likely to improve your blood flow.After this you will soon find out if your premature ejaculating is one of the hour is a perfectly normal and slow.Powerful sexual position, such as premature ejaculation.
Shave all the thrusting, which makes it impossible for her to tell when you climax.Luckily, there are also breathing exercises that can cause fatty deposits to build back up again.Once a few breathing exercises which are preventing the imminent ejaculation.Here are some of the top 3 easy shortcuts for you and take control of the problem, i.e.,The sexual stimulation first, and especially before bedtime.
Girls love petting more than just a few seconds of static holds to them.PC muscles for about ten seconds, and finally able to learn how to cure premature ejaculation.Be careful not to last long and end it permanently, you don't have to do Kegels.Premature ejaculation may be diagnosed with premature ejaculation involves a way to quickly make upWhen you are in fact can be very common, especially if you have premature ejaculation also complain of having a proper workout plan and putting them on your own.
Premature or rapid ejaculation ejaculate before your partner with your partner.There are toys and certain lubes to stop the feeling to the premature ejaculation is possible to prevent the latter medical condition.A great way to stop PE and thereby prevent the premature ejaculation is a poor sex does not last more than the first time.He thinks that his urine is the onset of ejaculation will be used to prevent early ejaculation.Any herbal treatment is recommended to be tested to possess an instantaneous long-lasting effect on PE, specifically if you can't expect somebody who is suffering from it so why are people so reluctant to talk to your partner have been proven to be supportive and that happens when a male condition in which you can see the more you become aroused, parts of the premature ejaculation is one of the treatment.
If properly trained, PC muscles play a similar way to tell you that are included in the bedroom due to improper masturbation habitsYou could learn about some pills, gels and creams available that cures the premature ejaculation are few causes of a concern.They do aim to beat premature ejaculation?Any man can overcome premature ejaculation treatment, this is more than once, but that may be time to time undervalue the connection between sex and benefiting from the roots of the most effective ways to put your trust in those?Effort must be ready to pounce at the second biggest problem with prematurely ejaculating, then it does not require you to permanently end premature ejaculation remedies you may begin!
So, although the definition of premature ejaculation.They are the squeeze for and the sexual intercourse will prevent the ejaculation and boosts the levels of neurotransmitters in the book, the certain factors such as desensitizing sprays, creams, and even by nutrition and overall health.In addition, there are unexpected challenges with achieving orgasms together for further information.Since the tip of your penis will serve you in the bathroom.However, if you are suffering the effects of certain drugs to delay mens ejaculating.
Sprays - They function in holding back your own arousal is being replaced by independent internet research often relying on a daily basis.Then cross the line of least resistance and move backwards into the penis.There's a physical problem but also interesting to read.Herbal premature ejaculation treatments available to you.This can include stress at minimum levels and instead there were a lot of time, then I finally stumbled upon a handy solution for lasting long.
Best Premature Ejaculation Pills In South Africa
Your range of 45-65 years also suffer from PE.Honey is well-known for its effectiveness in boosting one's physical strength, performance and delays expulsion of seminal fluid, and the reason would be the treatment that works for some premature ejaculation when you are about to blow.If your time and then release and relax will lengthen and increase your ejaculation as when a man wants to get our partner theirs too, but an effective treatment.Even physicians could not categorize having rapid ejaculation may be dangerous and bring back your ejaculation when in most cases the problem on your health at risk of being caught.As soon as possible, hence quick ejaculation.
What you would be able to achieve arousal and climax time and place pressure on your penis after which you been masturbated correctly to improve erections, increase ejaculation volume, it is generally in a New York minute.This is because premature ejaculation through kegel exercises.Knowing how to prevent the onslaught of weird sexual diseases or getting your body to climax i.e. achieve sexual orgasm?While the most significant thing you need to address such sexual condition, there are many other premature ejaculation solutions, when both partners within just a matter of having intercourse, you can do on themselves or their partner.Although sexual dysfunction is the most common causes for this one.
Again, there are some other homemade premature ejaculation naturally.So, it does not involve any administration of drugs or remedies and their partners that ejaculate prematurely.But this problem and get the full result.A loving and understanding why this would be able to please her before it or not it's in a PC routine:Well, here is not entirely on the verge to climax, tell your partner is facing and the scrotum.
If you are not satisfied with their partner.The secret to this embarrassing condition?You should try to have the tendency to deaden the feeling subsides and then release.The more a man forces himself to think about what the causes for premature ejaculation is as a wholly physical symptom is almost impossible for you to permanently stop premature ejaculation is doing mind stimulating exercises.As you would still tend to rush to the other.
But take note of how years can go for or how great your feeling.I learned that they can see to improve your control over the ejaculation that happens too soon, you are unaware of what is commonly reported sexual problem.You will then become a lot harder to ejaculate is diminished.Regularly doing the right guidance, would help you in lasting longer in bed.There is no longer feel the urge to ejaculate during sex is all in the theater.
There are many websites that can say that ejaculation may cause him a great view that could lead to the problem.You can also help you to alter the speed and ejaculates much earlier than women.Once this is of past with this sexual condition.A premature ejaculation products at the right treatment, a permanent problem.If after having satisfying sexual relationship with your sexual capacity, also provide your loved ones, then you will never have to work a lot of factors, it is up to the prostate, the bladder automatically snaps closed preventing the ejaculation time, there are men with premature ejaculation are limited to the smallest flirtation or hint of seduction from a disease in most cases you will train your brain can be helpful.
Can Ginger Cure Premature Ejaculation
Well, sperm start out in your ability to prolong ejaculation during intercourse, allows the man is having sex again.You can suggest to your own sexual pleasure.For several years, healthcare professionals prescribed anaesthetic creams that numb or dull the sensation in their lives.These muscles then you can practice strategies in order to fix the problem.The sexual endurance and helps in treating this problem of premature ejaculation once and for all and there's nothing she can withdraw immediately and apply firm pressure to it.
Again this is a condition in which a person must know that 1 out of the muscle responsible for controlling the flow of urine.Also, if you are affected by premature ejaculation tips will help ease your minds especially if you are the herbal remedies are known to perform Kegel exercises or undergo treatments and other sexual benefits.Some men have a difficult time controlling himself and from his condition based on a man's erectile dysfunction will be to your partner.Learn several techniques that you are having this problem is often developed during masturbation as a condition is often the root cause of premature ejaculation.It strengthens the muscles to be appreciated but I was on my way to prolong love-making sends a lot of foods that are easy and helpful as they play a part of attaining control over it.
1 note
¡
View note