[HN Gopher] Intravenous Caffeine
       ___________________________________________________________________
        
       Intravenous Caffeine
        
       Author : euthymiclabs
       Score  : 122 points
       Date   : 2023-06-08 15:24 UTC (7 hours ago)
        
 (HTM) web link (www.sexdrugsandsuicide.com)
 (TXT) w3m dump (www.sexdrugsandsuicide.com)
        
       | amelius wrote:
       | So, getting the downsides of coffee without the upsides of
       | drinking it?
        
         | ttymck wrote:
         | Ah yes the venerable tooth decay upside.
        
           | HPMOR wrote:
           | Coffee doesn't cause tooth decay. Sugar causes tooth decay.
           | You can drink Coffee without sugar.
        
             | slabity wrote:
             | Not a dentist, but I think it's the acid that causes tooth
             | decay. Microbes create the acid from dissolved sugar in
             | your mouth.
             | 
             | The question is whether coffee is acidic enough to do
             | damage even without the sugar.
        
               | waboremo wrote:
               | I believe the common theory is not the coffee acidity on
               | its own, but the habits around it.
               | 
               | People often drink coffee slowly and without a straw,
               | this leads to staining but not tooth decay. However the
               | slow part contributes to the teeth not getting a chance
               | to neutralize acidity normally. This gets worse when
               | people then brush their teeth after their morning coffee
               | to prevent bad breath, which the abrasiveness combined
               | with the acid environment does cause havok.
               | 
               | Both of them can be avoided in a variety of ways, to
               | reduce both staining and decay.
        
               | ziml77 wrote:
               | Interesting. For a few years I was extremely bad about
               | brushing my teeth. I wonder if not doing that is why my
               | consumption of coffee, carbonated drinks, and sugary
               | snacks/desserts did nothing to the teeth themselves other
               | than maybe a little extra staining. The first dentist
               | visit I had after that stretch of 3 years required
               | nothing but a cleaning! (Of course it's still bad to not
               | brush consistently because the plaque turns to tartar
               | along the gums which causes them to recede)
        
               | waboremo wrote:
               | Similar situation, he was surprised by how white they
               | were too. I drink almost everything that isn't water
               | through a straw and never swish it around. He said that's
               | probably why the only reason he had to do any work was
               | due to the very back edge of my teeth where even when
               | drinking through a straw the liquid touches.
        
               | joaonmatos wrote:
               | You can have your espresso standing up at the cafe's bar
               | like an authentic southern European and avoid the
               | problem? Sounds great! :D
        
               | searchingalways wrote:
               | Hey look something I'm relevant too as a dentist.
               | 
               | Tooth decay requires several parameters 1- bacteria 2-
               | bacteria food source 3- acidic environment 4- time
               | 
               | We all have the bacteria but the other ones are somewhat
               | controllable. What many people don't account for is the
               | 4th parameter of contact time. It would be better (for
               | your teeth, not overall health) to rapidly drink several
               | sodas than periodically sip one for several hours.
               | 
               | Decay typically only occurs in a pH environment of 5.5 or
               | lower, otherwise the enamel is resistant to the acid. So
               | the longer the pH is lower the more likely you will
               | develop a cavity.
        
               | boppo1 wrote:
               | So... how bad is a black coffee I sip on for 30 min?
               | Google says the PH is about 5. No
               | 
               | Also: it has definitely stained my teeth. Is there a way
               | to remove the stains that doesn't weaken the enamel?
        
               | oilchange wrote:
               | You can try drinking coffee through a straw.
        
               | UniverseHacker wrote:
               | Adding milk to coffee will raise the pH to above 6.
        
             | [deleted]
        
           | crickey wrote:
           | Tooth decay is inevitable unless ur eating meat with water as
           | your diet.
        
             | spacephysics wrote:
             | Can confirm, did carnivore for 2 years and had very good
             | teeth. Sill brushed twice a day but didn't feel like I
             | needed it.
             | 
             | Despite brushing twice a day and now only eating foods with
             | some sugar, dentist agreed had better teeth on the meat and
             | water diet.
        
       | xattt wrote:
       | Not mentioned in the article, but IV caffeine citrate is
       | routinely used as a drip to support hypoventilating pre-term
       | neonates.
        
         | rossdavidh wrote:
         | Yes, my daughter (born several months prematurely) was given
         | caffeine for a while. The nurses described it to me as
         | "reminding her heart to keep beating and her lungs to keep
         | working", since she was so premature that it wasn't something
         | they were supposed to have to do without the mother's help yet.
         | 
         | My wife, who had gone through significant discomfort in order
         | to cut off caffeine while pregnant (she was told otherwise the
         | baby could be born already addicted to caffeine), was a bit
         | exasperated when told that almost the first thing they did was
         | give her daughter a caffeine IV. It was probably still the
         | right thing for her to have done (so the caffeine IV had full
         | affect), but I could sympathize with her position.
        
       | rejectfinite wrote:
       | Caffine pills are cheap af...
        
       | shagie wrote:
       | At a meeting where Electronic Medical Records was on the agenda,
       | I happened to have been sitting next to a manager involved with
       | that and joked about that you can't take ICD-10-CM Diagnosis Code
       | T43.616A ( Underdosing of caffeine, initial encounter
       | https://www.icd10data.com/ICD10CM/Codes/S00-T88/T36-T50/T43/... )
       | to Starbucks with a prescription.
       | 
       | He chuckled a bit and told a tale of when he actually had that
       | show up on his hospital visit once.
       | 
       | He was in the hospital for some reason. That next morning he was
       | rather grumpy and after snapping at the doctor apologized and
       | noted that it was 2 hours after he normally had his morning
       | coffee... which he couldn't have. The doctor asked if he'd be
       | better if he had some caffeine and the manager said "probably."
       | 
       | So T43.616A showed up on his chart and shortly after that a nurse
       | came by and added one cup of coffee caffeine equivalent to his
       | IV. Apparently it degrumped the manager sufficiently shortly
       | afterwards.
       | 
       | The IV was _much_ more than the cup of coffee from Starbucks and
       | there was some dickering with insurance about if that was a
       | necessary or elective treatment.
       | 
       | He concluded with that he wouldn't recommend it again.
        
         | yellow_lead wrote:
         | > added one cup of coffee caffeine equivalent to his IV.
         | 
         | > The IV was much more than the cup of coffee
         | 
         | To be clear you mean about same concentration i.e 100mg but
         | higher absorption?
        
           | shagie wrote:
           | The price that the hospital billed was _much_ more than the
           | cup of coffee.
        
           | chimeracoder wrote:
           | > To be clear you mean about same concentration i.e 100mg but
           | higher absorption?
           | 
           | I think he means that the IV caffeine _cost_ much more than a
           | cup of Starbucks would have.
        
           | akiselev wrote:
           | Starbucks is like $5 per 100-200mg. IV caffeine is like $500
           | per 100-200mg.
        
             | firstlink wrote:
             | And pills are like $0 per 100-200mg, so we know why the
             | hospital didn't just use those.
        
               | xyzzy123 wrote:
               | If he's being administered IV caffeine instead of given a
               | cup it's possible that he couldn't take pills either.
        
       | pcthrowaway wrote:
       | > Every drug seems to have a "right" way to take it. You drink
       | alcohol, smoke tobacco, snort powdered cocaine, inject heroin,
       | and booty bump ecstasy
       | 
       | Nicotine at least is probably more commonly consumed via
       | alternative means now (in North America, in <40 demographics at
       | the very least)
       | 
       | Vaping would likely be the most common, but there are also
       | patches, gum, lozenges, dip, and snuff. I've never heard of
       | anally consumed nicotine though
        
         | cperciva wrote:
         | _I 've never heard of anally consumed nicotine thoug_
         | 
         | Never heard of blowing smoke up someone's ass? It was literal
         | in the 18th century.
        
           | crazygringo wrote:
           | Wow, I thought for sure that would turn out to be an urban
           | legend, but it's real and was medical:
           | 
           | > _...it was a general mainstream medical procedure used to,
           | among many other things, resuscitate people who were
           | otherwise presumed dead. In fact, it was such a commonly used
           | resuscitation method for drowning victims particularly...
           | Smoke was blown up the rectum by inserting a tube. This tube
           | was connected to a fumigator and a bellows which when
           | compressed forced smoke into the rectum. Sometimes a more
           | direct route to the lungs was taken by forcing the smoke into
           | the nose and mouth, but most physicians felt the rectal
           | method was more effective. The nicotine in the tobacco was
           | thought to stimulate the heart to beat stronger and faster,
           | thus encouraging respiration... Artificial respiration was
           | used if the tobacco enema did not successfully revive them._
           | [1]
           | 
           | So it's not like it was for fun. But I can see how for fast
           | delivery of nicotine, it made perfect sense.
           | 
           | [1] https://gizmodo.com/blowing-smoke-up-your-ass-used-to-be-
           | lit...
        
       | ChrisMarshallNY wrote:
       | Sounds like one of these "cocktails":
       | https://www.ivbars.com/cocktails
        
       | ano-ther wrote:
       | Didn't realise caffeine was used IV in anesthesia. Apparently it
       | speeds up awakening (which makes sense to me as a non-medic).
       | https://theanesthesiaconsultant.com/2019/06/18/intravenous-c...
       | 
       | But the story in OP is that the patient received caffeine IV at
       | the beginning of the surgery (inducing severe anxiety).
       | 
       | Does anyone know why you would do this?
        
         | IIAOPSW wrote:
         | Maybe someone put the wrong IV in?
        
         | flangola7 wrote:
         | Epinephrine increases the strength of painkillers. That's why
         | there's caffeine in Excedrin.
        
           | freedomben wrote:
           | I thought the caffeine was there to restrict/narrow blood
           | vessels which usually helps with migraines. Multi-purpose
           | maybe?
        
             | cjbgkagh wrote:
             | AFAIK, I think it depends on where in the body,
             | vasoconstriction in the head vasodilation for the rest of
             | the body.
        
           | etskinner wrote:
           | What does epinephrine have to do with caffeine?
        
         | [deleted]
        
         | kilroy123 wrote:
         | I had caffeine in an IV before. I was going under for surgery,
         | and the doctor asked are you a coffee drinker? I told him oh
         | yes, I'm a huge coffee drinker.
         | 
         | When I woke up from the surgery, it was pretty weird. I was
         | wide awake and alert very quickly. Never got a caffeine
         | withdraw headache. It was awesome.
        
         | Havoc wrote:
         | I know people use a similar strategy for napping. Some people
         | (not me) can fall asleep very fast so they down a coffee and go
         | sleep for a nap...and then wake up super fresh 30 mins later
        
         | manmal wrote:
         | Maybe for vasoconstriction.
        
       | netcraft wrote:
       | I recently had a nuclear stress test where they injected me with
       | a radioactive tracer through an IV. The nurse told me that
       | sometimes it can give you a pretty wicked headache and to let
       | them know if I started having any pain and they would give me
       | caffeine through my IV. I had needed to abstain from any caffeine
       | for 24-48 hours ahead of the test so this was surprising to me -
       | but luckily I didn't need it through the IV. But I really
       | wondered what it would feel like...
        
       | carimura wrote:
       | Coffee enemas are apparently an influencer thing right now.
        
         | jandrese wrote:
         | Whenever I hear something like this my first thought is that
         | it's some stupid TikTok "challenge" that's intended to get
         | people to humiliate/injure themselves on camera for the lols.
        
           | ikmckenz wrote:
           | Coffee enemas were a big thing in the 90s. The coffee is not
           | hot (obviously). But you'd be correct to think there's no
           | benefit.
        
       | haskellandchill wrote:
       | IV drugs, not for the feint of heart. Even with a good technique
       | you will eventually blow up your spot and need to go fishing,
       | then it gets horrific.
        
       | engineer_22 wrote:
       | TLDR; participants with cocaine history were administered
       | caffeine IV. At high doses (300mg) they reported some mild
       | euphoria, and a strange taste and/or smell.
       | 
       | Ask HN: aside from caffeine, what is the drug of choice around
       | here?
        
         | mtlmtlmtlmtl wrote:
         | Low dose dextro-amphetamine for ADHD in everyday life, weed for
         | music and various other enjoyment, only occasionally. Alcohol
         | and whatever nose-friendly stimulants are available for
         | parties. Psychedelics at most annually(ideally 2C-B or
         | (1p-)LSD, but I've tried a whole host of different ones) for
         | deep contemplation and introspection.
         | 
         | Watching my brother destroy his life with Heroin has kept me
         | away from opioids for the most part, but I don't like the way
         | they make me feel anyway.
        
           | recursive_loops wrote:
           | Opioids are no joke for sure. If you have good self
           | discipline and can limit yourself to one every 2 to 3 days,
           | it can be amazing and safe. But it makes you feel really good
           | and many people don't have the self control required, so I
           | recommend staying away. If you develop a physical dependence,
           | it is not pleasant to say the least.
        
             | mtlmtlmtlmtl wrote:
             | I mean I've tried opioids, but they make me nauseous. And
             | tired. And i specifically avoided trying really strong ones
             | because yeah, I know I wouldn't be able to handle it. It
             | took years of suffering even to be able to control my
             | cannabis use...
        
         | thedrexster wrote:
         | LSD is my happy place -- and Adderall, but I've a prescription
         | for that one!
        
           | suslik wrote:
           | Microdosing?
        
         | deafpolygon wrote:
         | crypto laced with AI
        
           | Gordonjcp wrote:
           | you want to try some snowcrash...?
        
           | biomcgary wrote:
           | That stuff will mess you up, man.
        
         | uoaei wrote:
         | Mushrooms
        
         | oramit wrote:
         | Caffeine pretty much every day, I can only have it in the
         | mornings though or it interferes with sleep. Alcohol a few
         | times a week, usually just one or two drinks. Now that i'm mid
         | thirties the booze hits me much harder than before and
         | hangovers are easy to get. Pot gummies on the weekend when I
         | want to relax. I know quite a few heavy users who will smoke a
         | couple joints then go do yardwork - crazy. If I have any i'm
         | eating a heavy meal and playing video games. I sleep great with
         | it. I started smoking cigars over the pandemic, only a couple
         | times a month, you certainly get a nicotine buzz that is kind
         | of nice. It is smelly though so I don't do it often and it's
         | more for the ritual and relaxation than the buzz. Amyl nitrates
         | for other recreation.
         | 
         | Wow writing that all out makes me look like a degenerate :)
        
         | ehPReth wrote:
         | benzodiazepines.
        
         | zwieback wrote:
         | Zungenwurst, can't get enough of it
        
         | hoosieree wrote:
         | Successful debugging session euphoria.
        
         | gpas wrote:
         | Caffeine, nicotine, thc and alcohol.
        
         | JLCarveth wrote:
         | I doubt you'll get too many serious replies, but as a Canadian
         | my DoC is cannabis.
        
         | tasty_freeze wrote:
         | THC containing gummies, once a week, for music enhancement
         | before bed.
         | 
         | Tangential details...
         | 
         | The 2018 hemp farm bill allows products to have up to 0.3% THC,
         | but it took years for people to realize that gummies are hefty
         | enough that 0.3% means a gummy can have 10-20mg of THC. So, at
         | the ripe age of 57 I finally tried THC.
         | 
         | It was very frustrating because most of the good stuff I
         | expected didn't happen: no euphoria, no munchies, no
         | relaxation. I do get some of the negative things, like dry
         | mouth. The one good thing I get is music enhancement, but only
         | if I do it once a week or less (10-15mg). I've tried doing it
         | more frequently and upping the dose to compensate, but nope: if
         | I invoke the genie too frequently he refuses to come out of the
         | bottle.
        
           | mtlmtlmtlmtl wrote:
           | Is there anything other than THC in those gummies? Many of
           | the effects might depend on non-THC cannabinoids. Also, for
           | some reason, some effects happen upon smoking or vaping but
           | not through edibles. There are various theories about why,
           | but it's all very complicated.
        
             | tasty_freeze wrote:
             | Part of my experimentation was to try many different doses,
             | just thc, thc + cbd in various ratios, ones claiming to
             | have "live rosin" or whatnot.
             | 
             | I did finally try a real joint -- of course it hits much
             | faster, but the lung irritation and health concerns weren't
             | worth it.
             | 
             | I'm a bit jealous of people who have a great time. A guy in
             | the band I'm in is 45 and has been a daily smoker for 30
             | years. He is highly functioning -- has a good job, has kids
             | -- and can work while high. I guess he knows exactly his
             | response and does enough to feel good but not enough to
             | cause problems. He also has a really high tolerance.
        
           | zls wrote:
           | I'm surprised you do it before bed! I find that especially
           | with edibles, using thc too close to bed makes me sleep
           | deeply but wake up groggy. Typically I need an afternoon nap
           | the next day. I believe thc fucks with REM.
           | 
           | Food is totally unchanged for you? Wild! What about
           | movies/tv?
        
             | recursive_loops wrote:
             | I get very little effect from weed unless I take a huge
             | amount, in which case I also feel miserable with "too much"
             | symptoms. It just doesn't seem to work for some people
        
             | tasty_freeze wrote:
             | Yup, it isn't enhanced at all, and I don't get extra
             | cravings.
             | 
             | Although I gone up to 25mg while I was experimenting to
             | find a dose that works best for me, my target is 10mg.
             | Maybe that isn't enough to trigger munchies.
             | 
             | Because the only thing I find it good for is music
             | enhancement, I like to take a gummy around 9pm-10pm, then
             | two hours later put on three albums with a particular kind
             | of music, then hope that I get enhancement. If I'm feeling
             | tired that day, though, I put it off because sucks to hit
             | the sweet spot and then immediately fall asleep and not get
             | to enjoy the music.
             | 
             | By enhancement, I mean I experience pronounced stereo
             | separation and deeper notes seem to be very resonant.
             | Sometimes I get little floaty and feel like I'm suspended
             | in zero gravity while I drift to the music. Because I do it
             | only once a week, I don't notice any disruption of my
             | sleep.
             | 
             | EDIT: you asked about TV/movies. I don't watch them, so I
             | don't know.
        
           | Loveaway wrote:
           | Meh I think I'm done with THC. You'll always find plenty of
           | enthusiasm and love everywhere for it, but then I never
           | really met or talked to a single person who didn't eventually
           | became conflicted about it and concluded the negatives far
           | outweigh whatever you get out of it.
           | 
           | Thankfully it's doesn't cause any serious harm to you as far
           | as drugs go.
           | 
           | I wonder though, about a 100 years ago, when weed was
           | criminalised, it wasn't just made illegal - people went out
           | of their way to destroy and get rid of every single hemp
           | plant they could find in nature. Across the whole globe no
           | less. That's quite a statement. Maybe that's bound to happen
           | again.
        
             | mtlmtlmtlmtl wrote:
             | Nice to meet you. I've actually concluded(through
             | experience) that heavy cannabis use has mainly downsides
             | with no upsides, but that sporadic use only has upsides. I
             | have several friends who feel the same way. They smoke even
             | less than me, maybe a couple times a year. I've met some
             | people who completely swore it off too.
        
         | cactusplant7374 wrote:
         | ketamine
        
         | ycombinete wrote:
         | Methylphenidate
        
         | zhynn wrote:
         | kratom.
        
         | zhynn wrote:
         | leverage.
        
         | mock-possum wrote:
         | I've settled upon: Caffeine at work, alcohol not at work, molly
         | to party with friends, weed to party on my own.
        
         | [deleted]
        
         | zeta0134 wrote:
         | Music. String ensembles are the best, choir is a close second.
         | Rapid response, mild euphoria, no unpleasant side effects.
         | Repeated exposure can induce fatigue, making it an excellent
         | sleep aid.
        
         | PKop wrote:
         | Running, hiking, lifting
        
         | willcipriano wrote:
         | Adrenochrome
        
         | nologic01 wrote:
         | open source utopia
        
         | BenFeldman1930 wrote:
         | Books.
        
         | [deleted]
        
         | hammock wrote:
         | > high doses (300mg)
         | 
         | What's the equivalent of a 300mg IV dose in oral ingestion?
        
           | engineer_22 wrote:
           | Per article it's 4-5 shots of espresso. Apparently caffeine
           | is absorbed quickly by the gut, so if you shoot it all down
           | at once, you'd get similar results.
        
         | boredemployee wrote:
         | meth and adderall
        
         | [deleted]
        
         | bigdict wrote:
         | AI hype
        
         | [deleted]
        
         | kenniskrag wrote:
         | chocolate
        
         | isoprophlex wrote:
         | web3 projects not working out; schadenfreude in general; the
         | smell of my own farts.
        
         | awestroke wrote:
         | Arrogance
        
           | sdwr wrote:
           | That's the good stuff!
        
         | kayodelycaon wrote:
         | Personally, prescription medications are great: legal,
         | consistent, safe, and effective.
         | 
         | Wellbutrin (NDRI) every morning. Helps with attention and
         | alertness. It isn't classified as a stimulant, so I don't need
         | to deal with the regulations around regular ADHD meds. It also
         | helps with sexual dysfunction caused by other meds.
         | 
         | Benzos for social events. Way better than alcohol. All of the
         | chill and none of the impairment. :)
        
       | loves_mangoes wrote:
       | I had heard that there's a community of people who insufflate
       | caffeine on Reddit, but this one is news to me.
       | 
       | Seems a little funny to go through all the trouble and extreme
       | stigma of injecting yourself with an IV drug, only to pick ground
       | up coffee beans as your poison of choice (!)
       | 
       | The study is interesting mostly for the fact that someone tried
       | it, but ultimately the results don't show a very strong effect. I
       | wouldn't put too much confidence in how well it would replicate
       | either, these kind of studies can have a lot of variation.
       | 
       | >Every drug seems to have a "right" way to take it. You [...]
       | booty bump ecstasy
       | 
       | That is not really typical. People normally eat it as ecstasy
       | pills, or as MDMA powder.
       | 
       | Most recreational drugs can be taken rectally, that usually makes
       | for a higher bio-availability and a faster peak plasma
       | concentration. Some people do that a lot, with everything. It is
       | not specific to ecstasy, that I know of.
        
         | girvo wrote:
         | Nearly any drug (modulo those that have very specific
         | contraindications for it, like codeine) that can be taken
         | rectally can be IVed too. Back when I was still an active
         | heroin addict, I would IV MDMA if I was going out for the
         | night. It's incredibly intense, more intense than most other
         | drugs when administered that way. bk-MDMA was superior to even
         | MDMA itself when IVed, as well.
        
         | pcthrowaway wrote:
         | > I had heard that there's a community of people who insufflate
         | caffeine on Reddit
         | 
         | I'm curious if it even absorbs well via the sinuses. From
         | experience with powdered caffeine (mixing with shampoo as a
         | folk treatment for hair loss), it doesn't readily dissolve at
         | room temperature water, though of course it dissolves just fine
         | in hot water, which is why the standard quick extraction from
         | coffee beans involves hot water (cold brew by contrast,
         | involves long periods of steeping for a result that still has
         | less caffeine)
        
         | germinalphrase wrote:
         | A paramedic friend advised that if you ever end up in the
         | hospital in a lot of pain, always opt for the suppository.
        
           | stronglikedan wrote:
           | Your friend isn't wrong. It's pretty much a direct blood
           | vessel highway to the brain.
        
             | polishdude20 wrote:
             | Hows that more direct than an injection?
        
               | atdrummond wrote:
               | It isn't - but if you're a tough stick, it's preferable
               | to getting a central line or an IO shot.
        
               | atomicnumber3 wrote:
               | Probably the ease and reliability of application.
               | 
               | Not everyone is easy to start an IV on, especially if
               | it's hard for them to hold still (like if they're in so
               | much pain that they're considering between IV drugs or a
               | suppository).
        
           | leetrout wrote:
           | Reoccurring kidney stone sufferer here!
           | 
           | Belladonna and Opium (B&O) suppositories are one of the best
           | things that I've discovered. They were very reluctant to
           | write me a prescription for them but they were life changing
           | last time I had to pass a stone. Dunno what would happen if I
           | asked for one outright... when I tell them dilaudid doesn't
           | do much for me I get treated very skeptically.
           | 
           | https://clinicaltrials.gov/ct2/show/NCT03332056
        
             | freedomben wrote:
             | > _Dunno what would happen if I asked for one outright..._
             | 
             | Nowadays unless you're over 65 you'd be labelled with "drug
             | seeking behavior" (in your records) and sent home with
             | nothing and a "come to the hospital when you pass your
             | stone." Forget the fact that the difference between drug-
             | seeking behavior and legitimately needing something
             | stronger is indistinguishable, and forget the fact that it
             | will cost thousands upon thousands of dollars for you to do
             | it in hospital. Thank God they're keeping you safe from the
             | evil Sacklers
        
               | dec0dedab0de wrote:
               | I had a staph infection on my balls when I was recovering
               | from cancer. My normal doctor was busy so I went to
               | urgent care, with blood dripping down my leg. It was the
               | first time I ever asked for pain killers. I was
               | prescribed acetaminophen.
               | 
               | I understand that addiction is a big problem, but this
               | was a male doctor looking at a whole in my testicles, and
               | telling me he can't give me painkillers
        
               | btilly wrote:
               | Absolutely.
               | 
               | My wife had some core muscles in her back collapse. Think
               | unable to walk and could only crawl with me holding her
               | hips up. When she went to the primary doc, he thought it
               | was drug seeking behavior. When she went to the ER they
               | luckily decided that she was serious and gave her the
               | most powerful muscle relaxant available - Valium. She had
               | no idea, but it it saved her life.
        
               | heliodor wrote:
               | What does it mean for a muscle to collapse?
        
               | Gordonjcp wrote:
               | American healthcare is a mess because of religious shit
               | like this.
        
               | thsksbd wrote:
               | [dead]
        
               | shigawire wrote:
               | It's not religious - it's an overcorrection based on
               | rampant over prescription of pain killers for years.
        
               | tempestn wrote:
               | It might be both. An over-correction made more likely in
               | part due to religious beliefs.
        
               | canadianfella wrote:
               | [dead]
        
               | petsfed wrote:
               | Its interesting because its a very specific, recent, and
               | almost uniquely American religious concept, that's
               | written into virtually every aspect of our culture.
               | 
               | That is, it seems like nowhere else has the idea of
               | purification through suffering really taken hold at such
               | a widespread level for so long. I'd argue its because its
               | just the flipside of the Prosperity Gospel. If you assume
               | that one's physical conditions are a reflection of one's
               | spiritual choices, then your first move when someone says
               | "I'm in pain, please help me with my pain" is to ask
               | "What have you done to deserve this pain? I won't remove
               | God-given pain; if you deserve it, it would be a sin to
               | do so", instead of "Here's something to make the pain
               | manageable while we figure out how to remove the source
               | of the pain".
        
               | wpietri wrote:
               | I agree it's terrible and very American, but I don't
               | think it's recent. There's a good bit in this Backstory
               | podcast where they talk about how part of the shift to
               | sleeping straight through the night (as opposed to the
               | previous behavior of first and second sleep) was partly
               | driven by puritan busybodies (from the temperance
               | movement, I think?) who thought that it was virtuous to
               | sleep a bare minimum or less:
               | https://backstoryradio.org/shows/on-the-clock-4/
               | 
               | And that of course goes back to the Puritans around at
               | America's founding, who were deeply opposed to anybody
               | having fun or enjoying themselves: https://en.wikipedia.o
               | rg/wiki/Puritans#Behavioral_regulation...
               | 
               | I also recall reading of Calvinists who came to American
               | in the mid-1800s to be free of such things as vaccines
               | and insurance, because they thought those things
               | interfered with God's plan. A plan, apparently, wherein a
               | lot of people suffered while others stood around and
               | quietly gloated that they were god's favorites.
        
               | bnjms wrote:
               | > I'd argue its because its just the flipside of the
               | Prosperity Gospel.
               | 
               | I loathe the prosperity gospel too, and never miss a
               | chance to blame its preachers where I can. But in this
               | case I think glorification of suffering can't be blamed
               | on them because suffering was also fetishized by mother
               | Teresa.
               | 
               | It does seem to be a uniquely American problem though.
        
               | petsfed wrote:
               | I don't disagree that others outside of the US have taken
               | up the cause of the holiness of suffering. I'm arguing
               | that only the US has taken it and injected it into every
               | aspect of our culture, because we have taken the
               | Prosperity Gospel and injected it into every aspect of
               | our culture.
               | 
               | Scratchy robes for monks in certain orders has long been
               | a thing all over the world. But successfully banning
               | comfortable clothing for all, regardless of religiosity,
               | is really more of an American thing.
        
           | TurkishPoptart wrote:
           | What's the reasoning? Instead of an IV? If I was in extreme
           | pain, I would by default opt for an IV, which would be the
           | fastest way to relieve it.
        
             | germinalphrase wrote:
             | I guess I misspoke a bit in the original comment. Yea - in
             | the hospital, they'll just inject if possible; however, if
             | a doctor is writing a prescription and you're offered pills
             | vs a suppository, take the suppository.
        
         | timerol wrote:
         | There's a footnote below on ecstasy
        
           | _joel wrote:
           | double bum drop
        
         | ses1984 wrote:
         | Was the footnote there when you wrote this comment?
         | 
         | >Most people consume ecstasy by mouth, but I've heard from many
         | that anal ecstasy is a more satisfying experience.
         | 
         | I think the author was being a little facetious.
        
           | polishdude20 wrote:
           | More like... fecetious
        
             | rootusrootus wrote:
             | You know what the root word of facetious is?
             | 
             | It's not, but it should be.
        
       | sethbannon wrote:
       | I was curious about the booty bumping of ecstasy comment.
       | 
       | https://goaskalice.columbia.edu/answered-questions/plugging-...
        
       | AlbertCory wrote:
       | Anecdote: someone told me she knew some nurses and they knew a
       | quick way to get over hangovers. Quite illegal, but it involves
       | IV.
       | 
       | Don't come at me: I'm not recommending this, I've never done it,
       | and your nurse friends probably won't do it for you.
       | 
       | Edit: TIL it's not illegal. However, in a hospital I'm pretty
       | sure the nurses aren't supposed to do it for free.
        
         | freedomben wrote:
         | what's the way? just rehydration drip? that's widely known and
         | there's nothing illegal about it if you have the equipment
        
         | dguest wrote:
         | In case people are wondering, you the IV injects a few hundred
         | ml of saline, which most medical professionals would have
         | access to. There were clubs that specialized in selling this to
         | hungover people [1]. I wouldn't lightly risk sending myself
         | into septic or hypervolemic shock but I know former EMTs who
         | swear by it.
         | 
         | [1]: https://www.elle.com/beauty/health-
         | fitness/advice/a14177/iv-...
        
         | er4hn wrote:
         | Illegal where? This is a "show up to your hotel room" service
         | you can get in Las Vegas.
        
           | fullspectrumdev wrote:
           | It's legal - I've stayed at hotels even in London where you
           | can get a nurse administered IV of some bullshit in your
           | room. I passed on that, and went with the time honoured
           | method of a greasy fry and a pint.
           | 
           | The illegal part is if the nurse is stealing the IV and
           | "works" from their workplace (a hospital).
        
         | justinator wrote:
         | There are IV bars in Colorado so not all that illegal (doing at
         | home: yeah a little different). You can get just a reg. IV, or
         | vitamins - that sort of thing.
         | 
         | Being at a high altitude, hangovers suck up here, so there may
         | be a market. I don't drink anymore - and it wasn't a hard
         | decision. I haven't been down to sea level in a very long time,
         | but drinking is completely different up here than down there.
        
         | DangitBobby wrote:
         | It's not illegal here. They advertise it in bar restrooms as a
         | "hangover and extreme sports recovery" treatment.
        
       | valine wrote:
       | I experience a chalky scent from high dose caffeine pills. I
       | don't think the taste is unique to the intravenous caffeine.
        
         | brnaftr361 wrote:
         | Same, and on occasion I have had coffee do the same.
         | 
         | That's if I'm reading this correctly and you're describing the
         | smell in your blood?
        
           | valine wrote:
           | I assume so, either that or its neurological. Its like the
           | scent comes from inside my head.
        
         | none_to_remain wrote:
         | I found coffee drinking + mask wearing pretty cumbersome during
         | the situation, and I was surprised they still make No-Doz.
         | Seemed like something that would have been regulated away by
         | now. Don't notice any chalkiness though.
        
         | 0_____0 wrote:
         | I've been trying to figure out if other people get this too!
         | Finally I'm able to corroborate this. Never thought of it as
         | chalky, to me it's indescribable in a way that one might
         | attempt to approximate with such a word.
         | 
         | Not related to caffeine pills though, I get it from caffeine
         | itself.
        
         | joecool1029 wrote:
         | Are they pure or adulturated with calcium? Most of the caffeine
         | pills I've spotted are not just caffeine and I think this is
         | the chalkiness you would be experiencing.
        
           | valine wrote:
           | They're pure as far as I know. Would calcium be listed as an
           | ingredient?
        
             | joecool1029 wrote:
             | Yes should be on the box somewhere, they usually claim to
             | add it to reduce bone loss. Example label: https://dailymed
             | .nlm.nih.gov/dailymed/lookup.cfm?setid=0dbca...
        
             | travisjungroth wrote:
             | It's very unlikely they're pure caffeine. If it's a pressed
             | pill (versus a capsule) they're definitely not. It needs
             | binders to hold it together.
        
               | valine wrote:
               | Gotcha, I take capsules. They've got rice powder to add
               | volume I assume, but other than that I think it's pure
               | caffeine.
        
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