#pain clinics
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Quick lil work doodle
🟦❌🟣
#fop#fop a new wish#fairly oddparents#peri cosma#Irep fop#foop fop#perirep#cy art#cy fanart#doodled this while in pain alone in my clinic waiting for scheduling to figure out what to do with me when the provider hadto leave suddenly#toxic yaoi#can’t believe I’m using that tag but here we are#broke 100
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must be very strange to have to perform your heartbreak. as authentic as the emotions are, to market them at all (do a photoshoot, decide on "promo")... it must be strange to reconcile that with your private life, the intimate details, at times
#this isn't shade btw#just thinking about how some people are calling the photoshoot overwrought or dramatic#like well yeah the album is gonna be dramatic#but it got me thinking how strange it must be to set the art direction of your own pain#and it brings me back to the clinical sterility of the 'department' theme#ttpd predictions
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living in a country with nationalized healthcare after being raised in the US is just
> experience uncomfortable medical issue > leave it untreated for months or years bc it's "not serious enough" to warrant professional medical attention > it gets worse > finally go to a clinic > they ask me how long i've had this problem and i tell them how long > they look at me like i'm a fucking nutter, treat it in 5 minutes, and charge me $6 USD > i walk out feeling like the world's luckiest idiot
#crumb post#shout out to the time i almost let a skin infection become septic#literally the only reason i went to a clinic was bc my taiwanese coworker saw me limping and ORDERED me to go#god bless her fr#anyway just went to the dermatologist and he removed a painful callus that's been bugging me for the past two years#i was too embarrassed to tell him how long i'd left it untreated so i just told him one year#fixed it in like 2 minutes :`)#healthcare
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Of course the kaiser Permanente office has a "why not take the stairs" sign right by the elevators. MOST PEOPLE COMING HERE CAN'T USE STAIRS YOU FUCKS
#wrenfea.exe#chronic disability#chronic pain#spoonie#disability#chronic illness#cpunk#cripplepunk#like thanks for making me feel like a lazy fuck when im seeking healthcare!#this is the floor with THE FUCKING SPINE SURGERY AND CLINIC
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Poll: Health and gender re medical malpractice
if you feel comfortable please share your choice as well as whether you have ever experienced medical malpractice
not to be that person but please consider reblogging this, my tumblr don't have a ton of traffic and i'm genuinely interested in the results.
#healthcare#polls#doctors#actually autistic#asd#neurodivergent community#walk in clinic#clinics#adhd#Here's mine#I am neurodivergent and I do not trust doctors to give me the care I need.#i have not been believed#been “secretly” checked for pregnancy when i knew i wasn't pregnant#been assaulted by a doctor#been denied care#been denied surgery to remove an ovary because of cysts#been told i should get my tubes tied instead by my husband's doctor when my husband asked for a vasectomy#been misdiagnosed and prescribed medicine which would worsen my condition#NOT been told of a diagnosis which explained the reason for my chronic pain#i later found out by myself when i specifically requested my tests#medical malpractice#cw: medical malpractice#just what i can think of off the top of my head lmfao#jesus christ#anyway#this has been: canadian healthcare
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CRYING SCREAMING THROWING UP ABOUT THE END OF SIX HUNDRED STIRKES OHHHH MYY GOODDDDD WHY MUST JORGE DO THIS TO ME IM ACTUALLY GOING TO CRY
ODY SHOWING POSEIDON RUTHLESSNESS AS THE GOD WHO SHOWED IT TO HIM SCREAMS IN AGONY AND CALLS HIM A MONSTER, THE AMOUNT OF ANGUISH AND GRIEF AND JUST PAIN IN ODY’S VOICE AS HE REMINDS POSEIDON THIS WAS WHAT POSEIDON TURNED HIM INTO
HOW AM I SUPPOSED TO ACT NORMAL NOW?????
#epic the musical#epic the vengeance saga#odysseus#poseidon#“HOW DOES IT FEEL TO BE HELPLESS? HOW DOES IT FEEL TO FEEL PAIN?”#“I WATCHED MY FRIENDS DIE IN HONOUR”#“CRYING AS THEY WERE ALL SLAIN”#“I HEARD THEIR FINAL MOMENTS”#“CALLING THEIR CAPTAIN IN VAIN”#“LOOK WHAT YOU TURNED ME INTO!”#IM GOING CLINICALLY INSANE
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I didn't understand what people meant when they said that the patients where I've done medical school and am doing residency are "very sick," and I'm starting to realize that this is because I haven't actually had context for practicing medicine in a location where patients are less sick, and it is not in fact all that average to think, "It's a good day when I have a patient with a functioning liver and kidneys!" or be pleasantly surprised when I don't have to list "type 2 diabetes mellitis, hypertension, hyperlipidemia, chronic kidney disease stage X, heart failure (of some sort)" on the chart's problem list just, like, at default baseline, with a side of chronic opioid use and/or intravenous drug abuse.
On the other hand, those same people were correct: it's making me better at treating all of those things and handling comorbidities really quick!
One of the big things I keep running into is pain management, because three common things for me to see are liver disease and kidney failure. To simplify it a lot, liver disease precludes the use of acetamniphen/Tylenol, and kidney failure precludes the use of ibuprofen/NSAIDs. There are other pain treatment medications, but I have less experience with them, and they tend to either be for more specific/adjuvant uses (like lidocaine, the gabas, antidepressants, steroids) or opioids... and I've literally seen two patients in the past week who had to get Narcan for opioid overuse.
On the other hand, obviously people in the hospital often have very legitimate reasons to be in pain and we don't want to leave them that way. But it's a hard line to walk when the family is asking questions like "Why is dad not getting enough pain medication?" and "Why is dad talking to the walls about his days in the war?" or when you get people pulling shenanigans like, "I'm allergic to Tylenol, give me Norco instead!" (Hint: Look up what the main ingredient in Norco is.)
Thank you, on-call pharmacy. :'))))
Another thing I'm quickly becoming relieved about is patients who are...not jerks, I guess? It feels not great to put it that way because generally being in the hospital is an extremely poor time for anyone, but also, it sucks when a solid 1/3 of my patients are actively ornery to everyone who tries to work with them for whatever reason (altered mental status, depression, being in pain, general anger issues, drug withdrawal). Shoutout to the folks actively working together with me to help them get better.
Anyway, the hospital is very tiring. Surely the emergency department I'm going to next will - nah, I can't even pretend to finish that joke.
YOLO! I am really enjoying how much and how quickly I'm learning! Despite the crazy hours this is definitely a drastic improvement on medical school in terms of actually enjoying the work.
#personal#dear diary#residency#I had a stroke rule-out I discharged yesterday who literally just had the one first-time TIA and was also hypothyroid#and those were his ONLY medical conditions#I was like “???? I feel like this chart is too short...”#we're gonna get a more in-depth pain management presentation from our clinic's PharmD in didactics soon#which I specifically asked her for#so I am looking forward to it!
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Remember when I said I wasn't writing much because I had a shoulder problem? Yeah, turns out it's not a shoulder problem it's a pinched nerve in my neck, probably from a bulging disc, and it's taking forever to get it taken care of. So I haven't stopped writing, I'm just on hiatus until this crap finally gets taken care of.
#the attitude people have had towards me when I've talked about pain relief#it's fucking ridiculous#I remember one woman telling me she couldn't help#She asked what I was planning on doing#“Suffer until something changes” wasn't the answer she wanted to hear#I felt bad for her because she really wanted to help but clinic policy forbid them from prescribing anything more than fancy tylenol
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Okay I’m seeing a lot of “Stolas shouldn’t have sprung everything onto Blitzø all at once and he should’ve given Blitzø time to process” but 1. This talk was soooo long overdue that it’s better that Stolas was as clear as possible and got everything off of his chest because their communication has been pretty awful thus far and 2. Blitzø was kinda the one who started heavily insulting Stolas while following him down the hallway? I don’t blame Stolas for teleporting Blitzø out, they both were very hurt in the conversation and anything further said probably wasn’t going to help the situation at all. I just hate how the fandom has to make one or the other into the bad person in the relationship like???
#// it’s like these people don’t know relationships can be very messy#// especially between two people dealing with a lot of mental instability#// which is a whole other rant#// where people bring up how Blitzø is mentally unwell whilst forgetting that Stolas isn’t that much better#// mans has clinical depression and is an abuse survivor#// like can we not compare people’s illnesses and experiences pls#// hell they aren’t even real but I feel like people do this with real people too and it makes me so mad#// btw I keep forgetting this whole interaction happened while Stolas was off his happy pills#// I’m literally in pain#helluva boss spoilers#full moon spoilers#stolitz#spoilers#shut up marv#antis dni
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whenever i see the view of 'always be 100% honest with the medical professionals providing you with healthcare' i just... how much privilege do you have to have to not see the pitfalls with that statement?
i understand 'always tell first responders what drugs you've taken'. but when it comes down to trans healthcare or people who're disabled or have "scary" mental health conditions. do you really think being honest the entire time is safe?
#the specific post that prompted this was about being honest about your mental illnesses/neurodivergences with gender clinics#buddy i am in a country where if i pursued an autism diagnosis they could just decide BANG no more hormones for you!#i've been taught by other people with chronic pain on the exact language to use with doctors so i get the pain meds i need#i once confided in a therapist that i had a voice in my head that i'd been hearing since i was around 8-9#they asked me 'does he tell you to do things?'#the truth was yes but you can bet your ass i said no because these people aren't your fucking friends#please just be *safe* i am begging you#trans#transgender#chronic pain#chronic illness#bipolar disorder#actually bipolar#actuallyautistic#mine
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me as a kid: i have all these problems
every adult around me: you're not old enough to know what's wrong with you, you're fine
me as an adult: i still have all these problems
my doctors after i finally got the opportunity to choose them myself: oh my fucking god why have you never gotten help for all these problems. you should have seen me 10 years ago
#problems i have finally gotten help for that i was told i was not old enough to know about:#AMPS (was told it was anxiety and then when i kept coming back they said it was fibro Quite Literally just to get me to shut up)#(like the doc i just saw literally said 'they diagnose fibromyalgia here when they dont know what the problem is but dont feel like testing)#multiple food allergies (was also told the stomach pain and vomiting was anxiety)#seborrheic dermatitis (i was told 'youre just stressed thats why you have a rash')#(which- if im so stressed my skin is literally dying MAYBE I STILL NEED HELP?????????)#autism and adhd (my father knew! but refused to get me assessed bc if i dont have a diagnosis theres no problem right :)#anxiety disorder (oh so when I'm in pain i DO have anxiety but when i say i have anxiety I'm overreacting okay)#dyscalculia and possibly dyslexia ('you just need to try harder' I've asked for a tutor five times)#some of my doctors don't actually believe me about some of these problems BECAUSE i have no records from when i was a kid#they're like 'it just popped up at 18? seems suspicious......' like I WASN'T ALLOWED TO GO TO THE DOCTOR'S UNTIL THEN#there's definitely more but I'm still mad abt it#i might not be in a wheelchair Almost All The Time if i had gotten help BEFORE i lost half the feeling in my legs#i KNEW the fibro was a BS diagnosis#i tried to get assessed for autism at 16 and was told i have schizotypal personality disorder instead with literally zero testing#like my psych just refused to allow me to get tested for autism she was like 'no you have spd i Just Know'#same psych that said there was zero way i had anything like DID because my symptoms didn't present Exactly like the Only other#patient at the clinic with DID. i want to note that that was a 14 year old boy still being actively abused#and i was a 20 year old who was in a safe environment and had distanced myself from my abusers and stressors
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the thing is, misdiagnosis is a personal conviction & a retroactive pronouncement & a permanent horrifying specter, none of which are ever gonna make weight against the holy text of the medical record. like, i meet the diagnostic criteria for lupus, i have positive bloodwork for lupus, i experience certain symptoms that my extensive research has only shown attributed to lupus, i am on a drug used for lupus which manages my symptoms better than anything else has. i don’t “have” lupus because a doctor decided i don’t. & even if they had, that could be revoked – rendered false, irrelevant, untreatable – at any moment, by me moving or a physician retiring or a bad day or anything at all.
& even if it weren’t so tenuous, to structure “physical” diagnoses as even a unilateral advantage is completely baffling to me – diagnosis does not mitigate the ableist violence we experience, it just specializes it. & of course the most egregious forms of these are post-hysteria diagnoses like conversion disorders & functional disorders & fibromyalgia & what have you, but any label can be a bad one when applied under a violent system, even one that’s accurate.
idk i just wish there was a broader movement for deconstruction of all diagnostic labels bc i feel like even most people who recognize psychiatric diagnoses as socially constructed still talk like there is a knowable physical reality of chronic illness that can & should be sorted into distinct boxes & that just. isn’t true & is also so dangerous + damaging. diagnosis does not guarantee beneficial treatment & treatment should not be predicated on diagnosis.
#idk if this makes any sense lol#mac.txt#diagnosis is a form of violence#abolish the clinic#chronic pain#chronic illness
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Until you heal the wounds of your past, you are going to bleed. You can bandage the bleeding with food, with alcohol, with drugs, with work, with cigarettes, with sex; But eventually, it will all ooze through and stain your life. You must find the strength to open the wounds, Stick your hands inside, pull out the core of the pain that is holding you in your past, the memories and make peace with them.
― Iyanla Vanzant
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Update on the 3,4 year long battle against anemia.
I saw a doctor today and when I explained that I'm still bleeding for a week each month, she thought that it shouldn't be possible with an IUD.
Well, turns out the UID had misplaced itself and was slowly coming out through cervix. We had to reinstall a new one (hurt like fucking hell this time) and let's hope it stays where it's supposed to.
We are unsure why the UID had moved. Either I'm one of the unlucky persons whith a bitch of an uterus which will resist an IUD and always pushes it out, OR the last surgery with the UID installed made the uterus convulse so much and so long that the IUD moved, too.
I hope is the 2nd option because if I'm to have an UID installed back every 2-3 years, it's going to cost me a lot.
I also got a prescription for a birth control pill, as the doctor said it should be safe for me despite my genetic risk factors. I'll start to use it together with the IUD if the UID itself doesn't work like it should. I'll know more in February-March.
There's no other option for iron intake than starting to eat iron heavy food. Turns out that when I was on a keto diet, pretty much everything I ate was high in iron. So I have to bring those things back to my diet.
Fingers crossed that the workplace healthcare pays also the IUD installation. If not, I have to pay for it and it's going to be hundreds of euros....
#tmi#niu's life#jesus fucking crist I'm so much in pain#if I was filthy rich I would go to a private clinic just to get rid of uterus for good
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It's really, really nice to have a doctor say, "Oh yeah, that makes sense" after years of having people tell you your pattern of pain can't be happening and/or is inexplicable!
#whoo validation#i went to a pain management clinic today#and I gave him my five pages of typed notes of my symptoms + everything I've tried#and he was like#i've seen things like this before#and you've done most of what i would suggest#and done a terrific job tracking it all#but i do have a few more ideas#which is delightful#but also it's just a relief to have some idea#of why this might be happening#most of the doctors and specialists i saw before believed me#but were very stumped#this is a chronic pain thing I've dealt with for over a decade#op#happy news#in other good news I've had a lot of success lately treating my anxiety#with new meds#so much health stuff finally starting to look up#50
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Ya know finding out about this fused vertebrae thing in my neck has really made all my migraine shit make a lot more sense. The fact that looking down or angling my head wrong makes them worse. The fact that they ALWAYS feel like they start where the base of my skull meets my neck and putting any pressure there instantly makes the pain 80000% worse. How it hurts worse when I lie down. How putting a heating pad or getting in the shower and spraying the back of my neck with hot water helps. How they make it hurt to talk bcs talking involves moving my jaw. How I don't really have noise or light sensitivity or visual auras when I have them. How I'm on like 6 different medications that are supposed to manage migraines and none of them really help.
I'm literally so mad the person at the ER didn't think to tell me this TWO FUCKING YEARS AGO and the second I walk into my neurologist's office I'm shoving the test result in her face and being like "yeah you know what I said I thought it was something in my neck causing my migraines??? I THINK I WAS FUCKING RIGHT!!" and see if there's anything she can do about it.
#sorry I have a migraine rn and I'm in hell#fr tho I hope the injections my pain clinic wants to do will help#bcs GOD have these things been ruining my fucking life
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