#they had some good info about naloxone

[adventures-in-mangaland]

Saw this very good girl at Glasgow Pride today! Alma was busy raising awareness about her charity, Scottish Families Affected by Alcohol and Drugs, but she stopped for a scritch. ❤️

[arsenic-the-fae]

This is very important info!! Even if you don't think you'd use it, please learn :)

I don't know about elsewhere, but I'm 90% certain that anywhere in Canada (and definitely in bc) you can go to a pharmacy and ask to schedule a narcan/naloxone training session. Additionally, some high schools have an optional program that goes around which will give you all the same info/supplies as the pharmacy. They'll train you how to deliver an intramuscular injection, what the signs of overdose are, and most of the medical Information you would need.

They will also give you a narcan/naloxone kit! It will include rubber gloves, alcohol whipes, a mouth-to-mouth sanitary thing, 3 ampules (doses) of narcan, 3 needles, and forms to fill out if/when you've administered the naloxone. Additionally, the container these are given to you in doubles as a good sharps container untill you can get them to a safe disposal point. These are free to get and replace in Canada, so please, go get one!! It could save a life, and will take like 40 minutes of your time.

They do expire, so you should get a new one every 2 years or so. I haven't had to replace mine yet, but I was told that if you're replacing the kit because it expired then they won't ask questions as long as you bring the expired one in, but they'll ask for the paperwork inside if you used it. If, for whatever reason you can't or shouldn't tell them, then I belive you can tell them you lost it and they will still replace it no questions asked

Photos of my kit under the cut

Tw:needles and medication bottle

It's small enough that you can keep it attached to or inside almost any bag you would bring around, so it's rather practical aswell!

what do you mean reverse an overdose? How is that possible?

Hi anon.

So, in my most recent post where I was talking about reversing overdoses, I was talking about Narcan (naloxone).

Narcan is a medicine that can reverse opioid overdoses. It works on any opioids, including fentanyl, heroin, oxy, vicodin, etc. It isn't effective in reversing other kinds of drug overdoses, but would still work to reduce an overdose if your coke has fent in it, for example. It functions by blocking the opioid receptors in your brain and helps restore breathing. Narcan is not a dangerous medication, and it is not harmful to your brain, which means you can be dosed multiple times without increasing harm to your body. The experience of being Narcaned can be pretty fucking shitty, because it basically puts your body in withdrawal super super fast, and you might experience some of the effects of withdrawal like vomiting, body aches and chills, fatigue, etc. But there are not other harmful side effects outside of that. Narcan is safe to give to people of all ages, including children.

Narcan comes in both an nasal spray and intramuscular injections, but it's usually easier to get access to nasal spray. This is what Narcan looks like:

[ID: Someone holding a narcan nasal spray, which has a nozzle that can be placed into someone's nose, and a plunger underneath the nozzle that can be pushed up to administer a dose. Text on the image says: Do not test nasal spray device before use. Each device contains 1 dose of medicine. Each device sprays one time only.]

How to Use Narcan

Identify signs of Overdose

Check for Responsiveness

Administer Narcan

Support (other friends/911/medics)

To administer Narcan, you first need to identify if someone is overdosing. Signs of an opioid overdose can be when someone is unconscious, unresponsive, not breathing or slowly breathing, no pulse or erratic pulse, has pinpoint pupils, and/or has blue lips.

If you see some of these things and think that someone is overdosing, the next step is to check for responsiveness. You can do this by loudly calling the person's name, saying that you are going to Narcan them, gently shaking them, and by performing a sternum rub, which is where you rub your knuckles into the place in someone's chest where their ribs meet. If they're breathing and they respond, even if it's just making noises in response to you or physically pushing your hands away, that can be a sign that you don't need to administer Narcan right away. Still, in that case, it's a really good idea to stay with that person in case that changes. If, and only if, the person is completely unresponsive, you should administer Narcan.

Once you've determined that someone is unresponsive and overdosing, the next step is actually administering Narcan. Narcan comes in packs of two nasal sprays. Take the first nasal spray out of the box, put the nozzle in the person's nose, and press the plunger. If the person is still not responsive after 2-3 minutes, take the other nasal spray out of the box and give them another dose. I try to use the lowest number of doses possible to try to reduce the withdrawal experience, and I stop giving Narcan once someone is breathing and responsive. If they still are not responsive or breathing, and you know how to give rescue breaths, you can start administering rescue breaths. If you have to step away for any reason, turn the person on their side in the recovery position first.

After someone's overdose is reversed, it's really important that whenever possible, someone stays with them for at least an hour afterwards. Narcan is active in the body for about 30-90 minutes, so depending on what someone's original amount of opioids was, they might start overdosing again and need you to give them Narcan again. This is also why it can be important to try not to use again right away, which is really fucking shitty when you're trying to use cause you don't want to be sick, but unfortunately using right away can also put you at risk of overdosing again. When people come back after getting Narcaned, it can be a pretty disorienting and uncomfortable experience. You might not know who Narcaned you or why they're in your space, might be feeling really fucking shitty because of withdrawal, and might want to be left alone. If you've just Narcaned someone, introduce yourself and explain that you just gave them Narcan, listen to what they tell you, empathize with their feelings, respect people's boundaries, and give them space if they ask for it. Understand that they're probably feeling pretty fucking shitty in their body, that it fucking sucks when your high gets ruined, and they (justifiably) might not feel happy about the fact that you Narcaned them.

Pretty much all Narcan trainings will tell you that it's "recommended" to always call 911, but we all know that this is not always actually possible in a lot of situations and that cops always fucking make the situation worse. My policy is that I always, always ask for consent before calling 911 and if someone says no, then we brainstorm other ways of keeping safe and we don't fucking call the cops. If there's a situation where I do need to call 911, I never tell the operator that someone overdosed, because that usually gets them to send out the cops alongside ambulance, which can cause delays to care, put a lot of people at risk, and also put people, including bystanders, in legal danger. If I have to call 911, I say that my friend has collapsed/fainted/isn't breathing and keep it more vague, and when paramedics actually arrive on the scene, that's when I tell them more information about the overdose, what drugs someone took, and how many times I've administered Narcan.

You can get free Narcan a lot of places. Next Distro has resources for getting free Narcan by mail for almost every state. If there's harm reduction orgs in your area, they will have free Narcan. There's also a lot of Department of Health programs for free Narcan. Most pharmacies now also have Narcan available over the counter, but that's usually really fucking expensive and often pretty hard to shoplift cause they keep locking it up.

Even if you don't use drugs and you think that your loved ones don't use drugs, it's super important to have Narcan as a part of your first aid kit and learn how to use it. You never know when you're going to need to use it, and it's super good to be prepared ahead of time, in case your friend/family/neighbor/classmate/coworker ends up overdosing while you're there. Or in case you end up overdosing and having Narcan on you means that bystanders can help support you through it.

Here's a guide that goes a little more in depth into how to use Narcan.

Please feel free to ask if you have any other questions about Narcan or other harm reduction topics!

[therealfluke]

hello hello ! wld j like to say that if ur already following me and ur like “why” it is because. this is may. i j reserved from my rph so the alias it went under was lucky. which actually,, so fitting w this theme (goes by a name that means an unlikely coincidence, last name is associated with luck, etc.). in addition, if “lucky” by britney spears immediately got stuck in ur head... that was the ultimate goal. also listen,,,, u r not the only one who hates my url. and finally! i saved the old posts on here and j made them private for posterity (obviously) and also,, my sanity.

‹ OLIVER JACKSON-COHEN, HE/HIM, CIS MAN, BISEXUAL. › levi “fluke” fisher is the twenty-seven year old from salem, massachussets / new york city, new york. when a friend asked them what they thought of the manor they said, ❝ IT FEELS LIKE I’VE BEEN HERE BEFORE. ❞ they claim final destination is their favorite scary movie, and if they were to die in a horror film they would form an alliance with the murderer, then annoy the murderer into killing him by asking too many questions. their fears include rats, isolation and living the rest of his life without muse d, and they don’t know we know, but… in spite of a promise he made to his family, friends and self, he has a baggie of heroin on him at all times so he can prove to himself he’s strong (which is a lie – it’s really for a ‘just in case’ situation) . hope they enjoy their stay. ‹ MUSE C from OTHERSIDE penned by, LUCKY, 20, EST. ›

QUICK FACTS:

full name: levi “fluke” james fisher

hometown: salem, ma // moved to new york city, new york at twenty-two

date of birth: march 10, 1992*

*does not perfectly reflect the below Big Three Zodiac Chart™ because that’s so much math

zodiac big three: pisces sun, scorpio moon, pisces rising (he is!! so ruled by his emotions!!)

gender & pronouns: cis man & he/him

sexual orientation: bisexual

occupation: museum night guard ( fired ) / leech off of his older siblings

mbti: infp

enneagram: 4w5

the song i listen to on repeat while i write the intro: “stars” - nina simone ( cover )

BACKGROUND INFO:

triggers: death (under mysterious circumstances, but officially dubbed murder), night terrors / hallucinations?, drug abuse / addiction ( oxy, heroin ), accidental overdose, death by overdose

it began with josephine (“jo”), levi, charlotte (“lottie”), and christopher (“chris”) – in that order. or, perhaps, that reverse order – see: chris was the oldest.

they were all born to very kind and lovely parents. the majority of levi’s memories with his parents take place in a large house they were intending to flip. given its size and the price it would sell for, they spent more than their fair share of time in there. that being said, because their parents were often busy flipping and marketing the house, they all relied on each other for fun, even in spite of the sizable age difference between himself (and jo, who i have forgotten to mention is his “younger” twin) and christopher.

the longer they spent there, however, the more uneasy they grew. i mean, it was basically its own version of the manor – it was also guillermo del toro’s wet dream. levi could’ve sworn he’d had some run-ins with spooks, but no confirmation was ever, nor could ever be, offered. so the manor feels... very normal.

anyway, when levi was eight, his mother and father met an untimely demise. a break-in gone wrong while the kids were with their grandparents, they were told. at the time, levi... was eight and, therefore, had no doubts. now, however, he mulls over the many possibilities – it was a big house, the likelihood that they really could’ve been in that wrong of a place at that wrong of a time felt very unlikely. some form of suicide? something otherworldly? they seemed about as likely. he’s pretty sure lottie and chris know the truth, but...

after that, they were sent to live with their grandparents. while not particularly ideal, they recognized that it was far better than the foster care system. however, these recurring spooks didn’t just stop when he moved. his grandparents and older siblings blamed it on childhood night terrors, jo believed him. 

as they continued into his teen years, they claimed it was sleep paralysis. he confided in jo, in secret, that they weren’t strictly at night. he knew very well that, if he shared that with his grandparents or older siblings, they would think he really needed help. maybe he did, he never truly learned.

when chris moved out to go to college, and when lottie followed just a few years after, levi found it was just jo and himself. their grandparents were beginning to go past old age and reach senility. they had bouts of forgetting. 

levi chose not to go to college, but insisted jo, who’d always wanted to go, go without him. she went to new york city, he stayed behind with his grandparents in salem up until their death when he was twenty-two. it was early in his eyes, but for, say, his brother, it was pretty record-breaking. 

when he was twenty-one, after the death of his grandparents, he left salem and all of its reminders of childhood terrors and lies. he found jo in new york and began living with her and working as a night guard at one of the many museums.

but a mere one (1) year later, jo, usually straight-edge, decided she would finally go to her first college party in celebration of being so close to graduating. yeehaw. levi was invited to go with her, but had been warned far too recently that, if he missed one more shift, he’d be fired.

on the topic of his night shifts, his terrors seemed to go away when he moved to new york. it seemed as though he’d left them all in salem, but there were definitely moments in a huge and empty museum that he could’ve sworn he’d seen something. anyway, back to the main point:

jo didn’t return until the next morning and, when she did, she expressed the excellency she had experienced the night before. she wasn’t afraid of telling him she’d tried drugs for the first time – no, that night, it’d just been weed. he’d tried weed in high school, trying to figure out if it would help with his terrors. for a hot second, it did... which is what led to his own demise.

(OK! so from here on out, i’ll be talking about the other muses in the subplot. i’m gonna do my best to leave their story and keep their drug of choice vague! anyway!)

jo began falling deeper into the drug world after meeting and beginning to date muse b and eventually fell into harder tingz™. she never tried to pressure fluke into trying anything, but he witnessed the reaction to it. between that and having looked up to his younger sister ( by, like, two minutes ) for nearly the entirety of his life, he decided to try whatever she did. 

however, unlike her, he quickly escalated to heroin.

he started out smoking it... then snorting it... then began shooting it. he liked shooting it the best – not only because he reached the high quicker, but also because it required more of a ritual. as a fan of ritualistic behavior, the lead-up was almost as enjoyable as the high itself. unfortunately, it did leave him with many trackmarks and an even higher risk of reliance and overdose.

he didn’t go out to many parties after that. he preferred shooting in the company of the few, not the many. if his sister and friends did, that was their prerogative, but it was just... more peaceful...

suddenly, he didn’t ever think about the terrors or the lies or the shadows in the museum. he was eventually fired, yes, and had to start ‘earning’ money via asking his other siblings. 

when the topic came up between himself and his little group of friends on whether or not they should quit, he had no answer. 

in 2018, at twenty-six, his usual dealer had cut him off due to the money he was no longer good for. finding a much cheaper one, he took the same dose, but the amount of other chemicals it was cut with sent him to the hospital. given plenty of naloxone, he came out of it alive and clean and, due to the nature of it all, was deemed a fluke.

he didn’t take to that at first. he was lucky, yes, but a fluke ? it couldn’t have been that unlikely... especially when he fell back into it after finding another dealer and being totally fine. however, when he heard jo had overdosed and actually died ?

yes, he was a fluke.

he was so blinded with rage at muse a at first for leading his absolute crutch to her death, he was so blinded with rage at muse b for first introducing her to a world of harder drugs, he was so blinded with rage at himself for being the one who survived when she was the one who actually could’ve done something with her life.

so he embraced the word ‘fluke’ – he acknowledged that he was one during her eulogy, he told his other siblings he’d been the fluke at her wake. when he began saying it enough times, it caught on, whether he meant for it to or not.

he’s no longer so angry at muse a  and muse b for what they did. muse b wanted to get sober, after all, and muse a , much like himself, was simply an addict. they couldn’t help not being prepared to give it up. he’s still furious at himself.

now that they've all gone clean, however, fluke is somewhat more pleased. he’s fairly certain he’ll never not be in mourning. quite frankly, he’s fairly certain he’ll eventually relapse. even worse, in spite of the group promise, he’s brought contraband with him to “prove his strength” ( see: that’s what he tells himself ).

riffing off of that, in the manor, his terrors have begun returning and he’s unable to nail if it’s because of the similarities between it and the home he remembers so well or if it’s because he’s now sober of it it’s because... it’s just the manor itself. 

he’s still certain it’s all real.

TL;DR:

basically lived in a replica of the manor when he was a kid with his loving parents and three other siblings. is pretty sure he saw some paranormal stuff goin on. parents were “murdered” but he suspects something else. moved in with grandparents and continued seeing some paranormal stuff. only his twin sister, muse d (jo), believed that it wasn’t just night terrors. jo went to college, he stayed behind. grandparents died rip. he went to nyc where jo was and eventually met muse a and muse b when they all fell into hard drug use. almost died because of poorly cut heroin. jo died some months later. hates himself. rip. alexa, play “my heart will go on” but the recorder version.

PERSONALITY INFO:

sad boi energy

if u read thru this and didn’t think “why does she keep basing her characters off of characters from thohh” then,,, u should go watch thohh bc,,, it’s so obvious (we even over here picturing victoria pedretti as jo unless someone applies for her at some point afhsljk) hlfajdsa

has a terrible tendency to find someone to feed off of – someone to be codependent off of. without jo, he’s floundering.

is very * eyes emoji * at,,, many things. the explanation for his parents’ death? * eyes emoji * the spooks that almost everyone came up with excuses for? * eyes emoji * staying sober? * eyes emoji *

didn’t mean to start going by fluke, but started using the word to describe himself so much, it just happened organically.

i have stated before. that im bad at these sections. so feel free to j consult the zodiac / mbti / enneagram above haofuwdlijk

not rly personality but lil hc is that he goes back to that huge victorian house all the time and uses a ouija board to see if he can contact ANYONE :\ the ultimate eeyore :\

another lil hc is that he’s actually a v talented pianist. his mother sort of taught him the basics and he went on to learn classical through sheet music and schooling, then songs from rock bands/artists who incorporated keys in their music. brought the 7-octave keyboard his grandparents bought him... apparently doesn’t need it because there’s a huge piano hajfdkls

if u want 2 hear abt some of my paranormal hcs lmk i wld put them here but?? some r actually creepy (and/or involve blood) which we luv for me!!

FEARS:

rats: when he was living in that big house™, there were plenty of rat infestations. he often got those mixed up with his spooks™. there were also a lot of rats at his grandparents’ house and at his and jo’s apartment. it’s more of a general fear, but. (also... rat poison? drug abuse? symbolism.)

isolation: for an introvert, he’s really bad at being alone. for one things, he gets lonely which is very detrimental to his already fragile mental state, especially considering he’s pretty sure he’ll relapse. in addition, he’s much worse at dealing with any spooks™ that come his way when he’s completely alone. when someone else is in the room, even if he isn’t actively talking to them, at least there’s the comfort of not being alone in it all. 

living the rest of his life without muse d: even if she was the one who began their drug journey, she was the only person who ever believed anything fluke said – she was the only person he ever felt actually listened to him and cared about him with no ‘if’ or ‘but’ attached. he also always found her much wiser than himself and could’ve sworn she would’ve gone to rehab after getting well with muse a one last time. she was the one who was going somewhere and she was the one who loved him unconditionally. no wonder he’s got sad boi energy :\

WANTED CONNECTIONS:

his other brother and sister! i’ll probs send in wcs for them to the main, but if you think they wld sound cool, lmk. luv that. (update!! take one of them you cowards.)

the dealer who actually dealt him quality heroin

the dealer who dealt him heroin cut with god-knows-what

someone he accidentally starts to sink with himself

exes

fwb

ons

enemies (not super great at making them, but is still able to)

the new person he’s decided to latch onto

childhood friends (if there are other salem (or at least massachussetts) characters!)

idk!! we can also look at urs and/or brainstorm!!

ok ! like this or hmu if you’d like to plot !

[lvnarearchives]

under the cut, you’ll find my best attempt at some character development headcanons. my brain hates the fact that i did this one before the set of questions with basic biographical info, but it be like that and now i have to live with it.

𝐏𝐀𝐓𝐈𝐄𝐍𝐓 𝐅𝐈𝐋𝐄 𝟎𝟎𝟎𝟏.     ›     asher nathanael larsen.

► medical issues ➔ a progressively bad rotator cuff injury before they came into their powers and healed from it. still has phantom pain sometimes. also, withdrawal symptoms every few months when they try to go straight and narrow. ► knows far too much about ➔ naloxone. what it does, how to administer it in either form, how long it lasts, where to steal it from in a pinch. he knows he’s making terrible decisions; might as well learn how to save someone else’s life. can clock a fake id in under a minute. ► fears death via ➔ drowning. he waves it off as having fallen into a river once, but it’s more along the lines of ‘held underwater as part of a forced exorcism’... ► chances of being “evil” ➔ if you ask their parents and oldest brother, they already are (or at least, possessed by something that is). realistically though, they’re too soft. the only thing ash has ever harmed in absence of self-defense is themself.

𝐏𝐀𝐓𝐈𝐄𝐍𝐓 𝐅𝐈𝐋𝐄 𝟎𝟎𝟎𝟐.     ›     chloe doran.

► medical issues ➔ none. she’s scarily healthy, not a blemish on her. she’s gotten one cold in the time rj’s known her; doctors have floated between ‘impressed’ and ‘concerned’. ► knows far too much about ➔ supernatural creatures. it goes like this: if there’s something she doesn’t know about, she immediately researches it (whether or not that information is reliable, well...that’s what cross-referencing is for). in present company, it’s currently the history of witches and extensive folklore on fairies. ► fears death via ➔ has not had enough life experience to realize the lasting impact of death, or to have had it affect her personally. ( plus, she does live with a necromancer. ) it’s mostly something that happens and upsets the people around her, which then makes her sad. she does have a lot of projected worry about being hunted down by someone rj’s wronged in the past, but isn’t constantly thinking about it. ► chances of being “evil” ➔ ...yikes. chloe, on her own, could not even conceive of why someone would hurt anyone else —— however, she is extremely gullible, rejects the concept of deception, and can very easily be persuaded to do anything that isn’t outright suicidal. so chances of her being manipulated into being evil? disconcertingly high. and there’s the whole ‘harboring the soul of a witch hellbent on human sacrifice’ thing.

𝐏𝐀𝐓𝐈𝐄𝐍��� 𝐅𝐈𝐋𝐄 𝟎𝟎𝟎𝟑.     ›     emilia [surname pending].

► medical issues ➔ a traumatic brain injury, and before erica bit her, epilepsy. she’ll suffer from wolfsbane poisoning every full moon, but that’s neither here nor there. ► knows far too much about ➔ fish! most small pets, really. her grandma has a koi pond, but seeing as she can’t exactly install a pond everywhere she goes and especially not on a college campus, emi’s taken to more common freshwater fish. she has a small tank of four fancy goldfish. admittedly, her commitment to a single interest leaves a lot to be desired, so erica’s probably right in denying her the bunny...and the gecko...and the turtle. ► fears death via ➔ doesn’t, really? she’s an eternal optimist, and honestly, her concern is usually on the wrong part of the punchline whenever something bad happens. her reaction to the bite was more of a ‘crossing genetics could lead to bad things and that’s uncharted territory’ than ‘i might die’. going along with the optimism, despite all evidence to the contrary, emi...did very much think she would end up with a kitsune’s lifespan. ► chances of being “evil” ➔ hahahahaha. none. absolutely none.

𝐏𝐀𝐓𝐈𝐄𝐍𝐓 𝐅𝐈𝐋𝐄 𝟎𝟎𝟎𝟒.     ›     laura diana hale.

► medical issues ➔ none. ► knows far too much about ➔ kind of the opposite? she’s been dead for eight years. everything’s changed. ► fears death via ➔ betrayal by someone she trusts, even moreso by anyone she loves. she’d never considered it as an option before, but, well. also, fire. ► chances of being “evil” ➔ relatively slim to none, but boy does she have a vengeful streak. as the (now) essential matriarch of the hales, she’d do nearly anything to protect what’s left of them and only somewhat suffer from the weight of her actions.

𝐏𝐀𝐓𝐈𝐄𝐍𝐓 𝐅𝐈𝐋𝐄 𝟎𝟎𝟎𝟓.     ›     megan mi-young choi.

► medical issues ➔ low bone density as a consequence of anorexia. deprivation amblyopia, a stutter that grows more pronounced when stressed, and lactose intolerance. yeah...she’s kind of a mess. ► knows far too much about ➔ greek and latin history, in accordance with her major. along with that, landmarks and artifacts of either of the two cultures. also, she’s ridiculously good at identifying sounds——plus the general build and direction of the thing that made them. ► fears death via ➔ nothing. and that’s not ‘nothing’ as in ‘she has no fear of death’, it means that dissociation and lost time are so commonplace for her that she’s terrified of going about her business and one day a simple conversation will just be...the last thing she ever remembers. ► chances of being “evil” ➔ enough that this qualifies as a valid question, and that’s the frightening part. she doesn’t know what happens when she goes into fugue, but there’s been one too many instances of blood in her sink or tub for her to sleep soundly.

𝐏𝐀𝐓𝐈𝐄𝐍𝐓 𝐅𝐈𝐋𝐄 𝟎𝟎𝟎𝟔.     ›     nicolas gabriel vicente hernandez.

► medical issues ➔ astigmatism. ► knows far too much about ➔ murder cases. between his thing for true crime and his abuelita’s reluctance to change a channel more than once, he’s seen many episodes of many i.d. (the tv channel) shows multiple times. ► fears death via ➔ nico is very much an ‘if i die, i die’ type of person and doesn’t even regret it much, outside of inevitably upsetting his family. ( secretly... death by cop. not even remotely by the sheriff or the bcpd, but he tends to politely turn down opportunities to cover larger protests or events in more metropolitan cities because of this. ) ► chances of being “evil” ➔ none. he’s a menace to society, and a little bit of a fuckboy, but honestly? he was raised better than to do anything that could even be classified as mean. it’s always justified violence, and even then the worst he’s ever done is like...break a window or throw a punch.

𝐏𝐀𝐓𝐈𝐄𝐍𝐓 𝐅𝐈𝐋𝐄 𝟎𝟎𝟎𝟕.     ›     reagan avery rj sinclair.

► medical issues ➔ none. ► knows far too much about ➔ every one of her clients’ business, courtesy of blood magic. but all that aside, knows more about family law than she ever wanted to. ► fears death via ➔ why fear death when you wield death? i’d say the thought that most disturbs her is dying due to her own stupidity. not being cautious enough, or anonymous enough, or placing a sliver of trust in the wrong person. once upon a time she worried about starving to death, or being homeless and succumbing to the elements, but now she has a borderline obnoxious amount of money, which is truly the root of all security. ► chances of being “evil” ➔ some might say she already is. it’s entirely possible that she’s killed or cursed people whose only crimes were making the wrong enemies, but those enemies bankrolled her, so. with survival and self-interest as a priority, very likely.

𝐏𝐀𝐓𝐈𝐄𝐍𝐓 𝐅𝐈𝐋𝐄 𝟎𝟎𝟎𝟖.     ›     sydney nayel asmara.

► medical issues ➔ aside from the ocd and hypochondria, syd had vitamin d and iron deficiencies before she got put on supplements. ► knows far too much about ➔ anything, if she tries hard enough— parasites / uncommon diseases. she has a whole lot of time to kill and end up watching a lot of monsters inside me and mystery diagnosis, to her own horror. but also, point her to a lock and she can probably pick it. ► fears death via ➔ everything, particularly since she’s had the misfortune of seeing her own (possible) death a few times. the one where she breaks multiple bones and slowly dies from the pain / internal bleeding is probably her least favorite. ► chances of being “evil” ➔ even split, as it’s a matter of perspective. she sees what serves as a threat to her or the people she knows, but it’s never specified what side she has to be on. she was in fact (technically) an agent of the harvest, so. 

𝐏𝐀𝐓𝐈𝐄𝐍𝐓 𝐅𝐈𝐋𝐄 𝟎𝟎𝟎𝟗.     ›     tessa monroe hewitt hale.

► medical issues ➔ partial paralysis of her left leg due to third-degree burns. it’s been sixteen years, so the scars are as healed as they’re going to get. she doesn’t feel pain; in fact, it’s the opposite, and the crutch helps her manage the dead weight. ► knows far too much about ➔ music history. she has a handful of favorite classical composers that make up the majority of her daily playlist. ► fears death via ➔ fire. self-explanatory. ► chances of being “evil” ➔ with her extreme and ongoing guilt complex, impossible. even if certain people are comfortable with her thinking she is.

————end.

[whiteoutgotu]

My Brother’s ABSOLUTELY INSANE Canadian Fishing Trip (Ontario, May, 2015)

I totally forgot about this. Gotta be the craziest (true) story I ever heard:

“Canada was a crazy experience. We worked on getting water running into the cabin for 6 days and had no luck. I didn’t take a shower until we got back to grandma and grandpa’s house in Victoria. During that time period, I went fishing on Thursday with Uncle Bob (who had a stroke a couple years ago and isn’t doing so well anymore) and his brother-in-law, Jake. We had motor problems and didn’t know our way around Flood Waters (unofficial name, by the way), so we were stranded there. Jake and I paddled about a mile to a dock that he remembered seeing in hopes of finding somebody who could help. I walked around to the only two cabins I saw and nobody was there. They hadn’t yet opened for the summer. I found some firewood just in case we didn’t see another boat (which we didn’t for over 6 hours) and had to sleep outside. It was 26º that morning, so hypothermia was definitely a risk. Then I realized that breaking in was definitely an option. Bob wanted to try to pick the lock with a pocket knife, but I found a way in through a window without breaking anything. We got inside and found a bunch of food that we could eat if we needed it. I wrote a note in their journal letting them know that we had to force our way in and left my contact info. I went searching around more and found a motor under an overturned boat that had been set aside for the winter. I hooked up the motor to the boat, we got it running, and Jake drove us right over a big rock and sheered a pin on the motor so the propeller wouldn’t spin anymore. We had to paddled back to the dock again. I had one bar of service when we were out on the water, but not on land. I tied the boat with a lot of slack in the line so I could push myself out to call 911. I couldn’t give them hardly any details other than that we were in Atikokan and the directions getting to the landing we entered Flood Waters at – again, not the official name for the lake, so there wasn’t anybody who wasn’t a local who knew where we were. I got connected to the Ontario Provincial Police and got disconnected almost immediately. I gave up with that approach and walked around land. Found a high place and got 3 bars, called 911 again and was able to take a screenshot of the location on Apple Maps and texted it to the Conservation Officer’s (Joe Burroughs) cell phone along with a couple pictures of the cabins. He knew how to get there and they showed up by boat about an hour later at 8:20pm. They towed us back and we pulled up to the landing and got the boat loaded just as we lost light. Grandpa pays for Verizon’s Canadian service, but this is the first year the service didn’t work at the cabin, so we weren’t able to get a hold of him. He was worried until Wayne Miller (from the Braun’s house) drove up from downtown Atikokan at about 8:30 to tell him that we were okay so he didn’t have a heart attack. I had texted mom and dad earlier to let them know that we were all in good health, just stranded. When we pulled up, he was already a couple Manhattan’s deep and feeling much more relaxed. I asked Bob and Jake what they would’ve done if I hadn’t been there and Jake said, “probably killed each other.” Definitely not the trip to Canada that I was expecting, but it was amazing and I love Canada even more now. Had a great time with you, too. I hope to do it again soon.”

I’ve got some crazy stories myself - most of which I can’t remember. So many “impossible” events have happened in my life that I don’t really believe in the impossible. But, this gotta be the absolute craziest story I ever heard. My lil’ bro should be dead, but, dude is a survivor. I don’t know if I woulda made it in this scenario. I’ve had a loaded .380 aimed at my chest, the trigger pulled and the only reason it didn’t fire is ‘cause my boy didn’t know the safety was on. I’ve been SURROUNDED by gangstas with guns, completely blocked in at a red light on the South Side of Chicago - I’m talking like twenty dudes. Only reason we survived that is ‘cause Jose drove into oncoming traffic and the wrong way on a one-way road. I crashed a car into someone’s house, missing palm trees by six inches on each side - hitting either would have surely killed me. I’ve overdosed on heroin, Klonopin and alcohol and woke up in the hospital after paramedics injected me with naloxone, “probably saving my life.” I tore my stomach lining to shreds (creating “several” duodenal ulcers) accidentally overdosing on Aleve. Shit, I was sniffing 240mg-300mg oxycodone (three OC 80s or ten 30mg roxis), along with taking 2-4mg Xanax AND drinking at least a six-pack of beer on an everyday basis. My doctor couldn’t continue to refill my Xanax (8mg/day) and Klonopin (4mg/day) prescriptions, because I moved out of state, causing me to go into withdrawal, remain sleepless for TEN DAYS and have a seizure that caused my jaw to lock up, breaking five of my teeth. There’s a lotta reasons I shouldn’t be here any more. Like I’ve told so many people, I gotta believe the only reason I’m still here is ‘cause GOD still needs me to do something. This shit, though...Wow. I gotta remember to bring this up next time we chill. I gotta hear this story face-to-face.

He was 26 when this happened, by the way.

[scriptlgbt]

Question

Hi, I would like to create a world where gene therapy is possible. Most of it focuses on a few fictional genes. But it’s also possible to put in XX genes to someone born XY and vice versa, remove the extra X from XXY or replace the genes responsible for Down’s Syndrome, Huntington’s disease and so on. So, gender still is going to be addressed.

So, whether or to choose doing so will be a choice like getting HRT or surgery, but of course more expensive. Although I’m having HRT and surgery be less expensive and more common than currently. I would like to reasonably create what the world’s attitudes will be. Obviously, there are going to be opponents who find this idea ridiculously awful and protest, but perhaps on the other hand, create an elite radical group who would look down on someone who is wealthy enough but choses not to.

Now, legally this means that the DNA of the person will change. Now this can cause identifying a person difficult if someone got this done on the black market, especially if criminals can edit their DNA.

Actually, could I ask, in the real world, getting HRT and surgery can actually get done on the black market right? I’d like to focus a section of my story on the black market covering a wide range of items.

So, with my idea, is there anything I should know or think about so I can cover the LGBT aspects suitably in my story? Thanks.

Answer

I have a moral obligation as a disabled person to tell you that gene therapy is extremely controversial, due to the massive amount of ableism and eugenicist ideals driving it. Of course a lot of people will want it in order to take care of things like pain and so on, but the idea of erasing disabled people from society en masse as being a good idea is fundamentally ableist. If you write this into your world, please, please get a disability sensitivity reader involved. There are ways I can see it being written okay but this is not something I’m going to talk about, because it’s not in the perview of this blog. Perhaps @scriptspoonie might be able to help you there if you have questions, or @scriptautistic. 

I’m also going to refer you to @scriptgenetics because this incorporates a lot of that expertise.

But to actually get to answering your question, yes, HRT can be done through alternative means to getting a proper prescription and so on. There’s entire communities dedicated to it. Someone actually asked logistically about this in the past, so here’s a link to the answer to that.

As for surgeries, not so much. At least not remotely at similar rates. There’s a lot more complications and a lot more fear involved. It happens, sure, but it’s not remotely at the same rates, and there’s usually a reason motivating getting it done illegally, and a reason why someone trusts whoever it is to perform the surgery. Honestly it’s pretty hard to trust legal surgeons for a lot of people, so there’d need to be a big character reason for why someone would get it underground or whatever. 

Personally, I’ve DIY’d piercings, had stick n’ poke tattoos, I know all about harm reduction and I am naloxone trained. I’m all for the underground stuff but if someone told me about someone doing surgeries through different channels than the regular ones, I’d keep an open mind and do a lot of research to figure out what is actually happening, who they are, how they do it, what their patients have to say. But I don’t think I could trust them without a good reason. Where I live I think most of the 0.02% (this is a guess based on a stat I read on TransPULSE several years ago, and don’t have the spoons to check rn) who are trying to do their own surgeries have significant reasons for it, maybe they are either qualified or feel the risk is worth it, or feel that any danger they are encountering is just a kind of self-harm equivalent. 

In places where abortion has tipped between the legal and the illegal over the span of some time, there’s been a few otherwise qualified surgeons who have performed them illegally. The demand never changed, the venue just did. Some things that are different with illegal procedures vs legal ones, are things like whether painkillers are available at all (especially because if some kind of raid happens, if someone is sedated without another reason and prescription, it is more likely to be known that there’s been something illegal happening), whether it’s performed in a hospital or in a stranger’s house, where it happens, how much it costs. Illegal surgeries run more expensive from what I understand because the demand is there and the risk is high.

But if the surgeries are otherwise legal, and affordable, and accessible, the numbers of illegal surgeries are not going to be there and there probably will be no one to perform them. People may still try to do them impulsively, but it’s more likely they’ll go someplace else. For a long time and pretty much until really recently, trans women getting bottom surgery went to Thailand to get it done because the surgeons there are world renowned, and a place to stay and attendants to help in recovery were part of the package. I think they still offer this, but there’s been some more advancements elsewhere and it’s easier to get it done more locally, and the approval for funding for nearer surgeons, is a lot smoother now, at least in the area I live.

HRT is totally different though because hormones are much much easier to control and keep track of. There’s been more research and there’s bigger communities of people talking about it. The formulas for it are more versatile and if something goes wrong you’ll probably just end up fatigued rather than with nerve damage and a need for corrective surgery.

Here’s a post where we covered info about acquiring hormones and self-dosing and so on.

- mod nat

[mianmimi]

It’s been a while without a Strordo song rec, so: ANTIBOY’s Dream (RIP Harry Hains). The video is gorgeous! While the song itself is about self-love, loving yourself in spite of homophobia/transphobia/fatphobia/racism, and it’s a conversation with oneself…I also get the vibe of self-love thanks to a second love. And I love the idea of Stephen thinking of Mordo as someone “born out of a dream” bc despite my voracious multishipping in the MCU I truly see Mordo as the perfect lover for Stephen.

https://youtu.be/s5pwEglUMoM

Oh wow Nonny! This video was stunning. And to be honest, Mordo really does look like he’s from a dream. I’m pretty sure their first meeting felt like that. I mean where else would a fight lead to you being rescued by a mysterious, handsome stranger? A dream of course! 😍 These lyrics sound so bittersweet to me ahhhhh 😭

I know you’ve never felt like this before

Showing you love you’ve never seen

It’s not easy when your heart gets sore

This love never comes around

Born out of dream

Just gorgeous lyrics here. And the heart being sore….ouch. That fits them both so well damnit. Just absolutely hits the feels.

TW: Overdose

I’m not familiar at all with the artist Antiboy. After watching the music video I looked the artist up. He died of an accidental fentanyl overdose. Oddly enough we had a short lecture about this topic at work a few weeks ago.

I’m taking this is a sign so……

I strongly encourage everyone to look at their state laws regarding how to get Narcan.

Narcan aka naloxone is a drug that can reverse an opiate overdose. It’s easy for anyone to administer. Think of it like an epi-pen. You can easily inject it on the thigh. There’s also a form that’s basically a nasal spray! Easy peasy.

Some states require a prescription to get it but many will simply let you but it over the counter. It’s always a good idea to keep Narcan around if you know anyone struggling with narcotic addiction. In 40% of narcotic overdose cases, the person was not alone. That’s why it’s advisable to carry narcan if you know someone who’s struggling, and more so if you’ve witnessed someone going through it before.

Another beauty of Narcan is that if someone who isn’t on opiates accidentally takes it, it’s as harmless as water. The doctor giving the lecture said kids can drink it and be absolutely fine. Narcan just reverses the effects of opiates in your system, if there’s nothing there to reverse it just goes on its merry way. Which means when in doubt…just give it! You won’t be doing any harm even if your wrong and they’re not actually overdosing.

There’s tons of great info on it. But I recommend starting with this from the CDC: https://www.cdc.gov/stopoverdose/naloxone/

Be safe out there everyone! And thank you Nonny for the beautiful song recommendation ♥️

[duaneodavila]

Van Wagner: A Lawyer’s Personal Stare-Down with the Opiate Epidemic, Part 2

Ed. Note: This is part two of a guest post by Madison, Wisconsin, criminal defense lawyer Christopher Van Wagner. You can find part one here.

When we learned of the death of our 29-year-old daughter, Mollie, to an opiate overdose, time stood still. But one thing was clear to me, something I had actually said to Mollie at one time as she slowly killed herself by addictions, walking away from every treatment effort: we would tell the truth in her obituary and to anyone who asked. We would not shy way from the truth, and we would do so without shame or stigma.

We had talked openly about addictions for a decade, due largely to her struggles and those of our family. Addiction is indeed a family disease. But it is a disease despite the stigma which many still attach. So we published a candid, baring and honest obituary. We even included the story of how her rescue pit bull, Jocko, stayed with her for 36 hours after her instant death. The obit had the same effect as many viral ones about “nice” people dying from opiate overdose: tears and too many questions.

But those were not our real goal. SHG correctly noted here recently that this sort of story leads to viral clicks, immediate tears, and zero real change. (Mollie died a few weeks before that SHG post, btw.) So if we did get folks’ attention through the honest obit, well, then we wanted to try to do more to prevent the next sad story. You see, in the four years before her death, on not one but two occasions, a Madison PD program putting naloxone in the hands of every single MPD officer (who often arrive before EMT’s) had successfully resuscitated Mollie, sparing her from certain death.  Twice.

Our appreciation for that police-conceived and executed initiative left us with gratitude beyond words, both for the extra time we had with Mollie and the extra time she had to fight on. So we simply asked (in her obit) that in lieu of flowers, people donate to the local MPD naloxone program. In this way, maybe, just maybe, another heroin-addicted young person would also get more time. And unlike our Mollie, they might live long enough to turn their life around. Their family might be spared this incalculable, unending pain.

Mollie Clare Van Wagner, 1989-2018

The shocking contrast of her honest obit and her striking picture (a gorgeous, smart, talented young woman in her prime set against the reason for her death) hit all the same chords locally as those that have gone viral nationally. But it also pointed local folks’ attention to our town’s problem and to one way to help. What did they do? They opened up their pocketbooks and gave, and gave, and gave, for more naloxone.  In fact, as a result, to date, over $13,000 has poured into the MPD in her honor. Each dose of nasal naloxone costs MPD just $35, but it has a 4-month shelf life, so one cannot Costco it like paper goods. And it gave the MPD extra resources to save even more lives.

The MPD is now also able to do more than planned as a result of the humbling response to the story and the request for funding.  MPD had recently taken its naloxone-based first-responder effort (this, readers, is the POLICE department, mind you, not the public health folks) to a new level with its brand new Madison Area Recovery Initiative (“MARI”).  This program is new and evolving, and it is completely the brainchild of a very progressive police department and its truly compassionate chief, Mike Koval.

The MARI team now takes the person saved by naloxone to the ER, and they sit with her. When the addict is ready for discharge, she faces a possible felony opiate possession charge and a jailing (or at least a very prompt court date). She is then handed a MARI brochure explaining that she can avoid jail, courts and charges if she calls immediately for an assessment (totally free of charge), and if she goes to that assessment (that same week, it is hoped), and if she enters and completes an intensive 6-month long treatment program designed specifically for opiate addicts. All costs are covered, including getting her in to a doctor for such things as suboxone, methadone or – hopefully – Vivitrol (the new and very effective opiate receptor blocker that has actually shown real promise in this area). If she chooses not to do those things (again, all funded in full), then she will face felony charging, conviction and incarceration.

This is the first such police level program I’ve found, although my research is hardly exhaustive. But it hits and seeks to help the overdosing person at the moment she may be both most willing and most vulnerable: when she was all but dead and brought back to life.  So far, over 90% of those who have made the assessment appointment have also started the intensive, drug-testing based program. There is hope that some substantial number of addicts may make it through; some already have. The program may become a model of “best police practices” if it succeeds; MPD and Chief Koval deserve high praise for seeing this for what it is:  a disease, addiction, that needs help, not punishment and stigma.

And more good has also come out of this request. MPD is flush with the donations, which continue to come in due to a conscious effort by the “odd couple,” Chief Koval and the Defense Lawyer, to continue to discuss Mollie’s story and the MPD’s MARI program. (Here is a link to the Chief’s blog post on this effort, as well as an embedded link to the podcast on which he had me share Mollie’s story and the appeal for more help.)

Now, “Mollie’s money” has allowed MPD to expand the program to include an outreach team consisting of a treatment person and an officer. They visit the addict and her family in the next 24-48 hours, they bring info on more help, they make sure the addicted person makes the appointment and attends it, and – get this – they actually give the family two full nasal doses of naloxone (along with hands-on instructions on use). Someone may yet succeed by Mollie’s death.

As an aside, I have also learned much about another father, Gary Mendell, who in 2011 experienced the same loss of a child to opiate addiction and mental health struggles, and who as a highly successful entrepreneur set out to find national and local solutions. He founded and runs Shatterproof.org, and it is having much success one step at a time. I have given myself to help him, as well. I encourage anyone facing an opiate addiction in their work or life to visit that page. There is help there. And they will soon start a page devoted to best police practices, while looking at MPD’s MARI initiative as one good model.

So, through our decisions, as well as the work of Shatterproof, while many readers of brutally candid obits such as Mollie’s will turn the page or click the mouse in tears, some may be educated and motivated to help who never before knew they could or should.

Our grief will be a hole in our hearts forever; our lives are forever altered in saddening ways. But as a defense lawyer accustomed to responding daily in the midst of tragedy, chaos and a vortex of emotions with words of help and hope, I simply could not sit idly by and do nothing. Mollie is gone, our memories painful and raw. But someone is going to die tonight in Madison of an overdose, so why wait until tomorrow?

People have called this brave; it is not. It is what you and I do daily, really, even if it is a lot tougher to think clearly about strategy through personal sorrow. But we each do it every day, in some way. I am, after all, a defense lawyer and must step into the breach. I could have remained a pensioner for life (an AUSA has a nice gig) but I chose this life instead. Mollie did the same for many as she struggled herself, as we have learned time and time again from her grieving friends. And so we try.

Van Wagner: A Lawyer’s Personal Stare-Down with the Opiate Epidemic, Part 2 republished via Simple Justice

[addictionrecoveryassistance]

Suboxone Treatment For Pain

Contents

Use disorder and your alcohol

Control the chronic pain without

Methadone-like … but using them

Suboxone (buprenorphine and naloxone) is used to treat opiate addiction. Includes Suboxone side effects, interactions and indications.

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Suboxone Pain Treatment – Find the Best Drug and Alcohol Rehab Centers !

If you are suffering from chronic pain, you may be a candidate for Suboxone pain management. Suboxone is a narcotic used to treat addiction and pain.

Explore some of the types of treatment available to help you get on the path to recovery. Find a doctor who is qualified to treat opioid dependence.

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Apr 15, 2015 … Suboxone was first approved in 2002 for the treatment of opioid addiction, but not chronic pain. Prior to its approval, opioid addiction was most commonly treated with methadone. Methadone can be dispensed only in a limited number of clinics that specialize in addiction treatment. According to the FDA, …

FDA has approved Subutex®( buprenorphine) and Suboxone® (buprenorphine/ naloxone) to treat opioid dependence (addiction). However, neither Suboxone nor Subutex has been approved by the FDA for the treatment of depression or pain. Thus any use of Suboxone® and Subutex® for pain or depression is considered …

Physicians who treat opioid addiction also have the option of utilizing 'medication-assisted treatment,' and the most common medications used in the treatment of opioid dependence today are methadone, naltrexone, and buprenorphine (Suboxone).

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