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Maggie’s Motivational Pic Thread v2.0 - - New Rules - See Post #1

There is total scrutiny on opioid prescribing. 25 years ago they announced Pain as the new additional vital sign
Every day you had to ask the patient what number on the scale of 10 was your pain.
Patient says 8. then what would you like it to be? Patient wants 0, so you had to keep medicating until it was zero and document it on the chart.

When hospitals were inspected for accreditation, they checked the charts to see if adequate pain control was prescribed.. thus the govt. basically created the crisis, and now the patient suffers because prescribers are being monitored by them. 180 degee reversal.
Sorry for your pain.
I had lots of pain for like 72 hours. I still have 10 or so pain pills left over . I’ll put them in my first aid kit ….in case of an emergency.
I’ve had several instances of major league blunt force traumas , I shouldn’t be alive in fact …
I would put the knee replacement pain up there with any of them. I hate pain , I’m based primarily on the pleasure principal 😬

Edit : I was the caregiver/ nephew of a 94 yr old Aunt. She fell , broke her shoulder and hip , and a few back bones…. Once in the nursing home they were putting Fentanyl patches on her , only thing that eased her pain. So one day they cut her off of them. They said they didn’t want her to become addicted 😳 She died a month later ….in pain.
 
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Some of you freaks pay extra for this kind of service


There was this hillbilly who had never been laid. His buddies took him to the local brothel to get him laid. They paid the madam and the madam told him top of the stairs first door on the right. Hillbilly goes up the stairs knocks on the door a voice hollars come in there's this woman laying naked on the bed about 450 lb she says what'll it be straight sex around the world or 69. The hillbilly replies excuse me ma'am. She says what'll it be around the world straight sex or 69. The hillbilly says I'm sorry ma'am but this being my first time and all I don't quite rightly know what those things mean but I guess I'll take that last thing that 69 thing. He strips down and they're going at it all of a sudden she let's out a big old fart. The hillbilly pulls his head back shaking it before diving in once again. The lady rips off another big fart. The hillbilly proceeds to get up and get his clothes on and leave. The lady says hey where are you going. Hillbilly replies I'm sorry ma'am I'd be the last one in the world to complain but I don't think I can take 67 more of them.
Dirty D was a little different but deep down he had a secret fantasy. He wanted to suck pus on a sore between a chicks pussy and her asshole. He walked the streets aimlessly for days as he could not find a prostitute that had the malady. One day he watched a homeless woman collecting cans. She bent over and he noticed a pus sore in his magic dream location.

Dirty D engaged in conversation with her and she obliged him his secret fantasy. He commenced licking her rotten clam with vigor. It exuded a chunky yoghurt which he gobbled and swallowed. Then he started to lick the pus sore but it had a membrane covering it with a visible pustule. With his front teeth he carefully bit through the membrane and he pursed his lips to seal around the sore and began to suck it dry. His fantasy was finally coming true.

Well the homeless woman had to shit and began defecating into Dirty D's mouth. Dirty D gleefully consumed the vile corn laden pudding. The homeless woman started to have a bout of gas. She then farted a long roll into Dirty D's face. To which Dirty D replied "What are you fucking trying to do bitch? Gross me out?"
 
Dirty D was a little different but deep down he had a secret fantasy. He wanted to suck pus on a sore between a chicks pussy and her asshole. He walked the streets aimlessly for days as he could not find a prostitute that had the malady. One day he watched a homeless woman collecting cans. She bent over and he noticed a pus sore in his magic dream location.

Dirty D engaged in conversation with her and she obliged him his secret fantasy. He commenced licking her rotten clam with vigor. It exuded a chunky yoghurt which he gobbled and swallowed. Then he started to lick the pus sore but it had a membrane covering it with a visible pustule. With his front teeth he carefully bit through the membrane and he pursed his lips to seal around the sore and began to suck it dry. His fantasy was finally coming true.

Well the homeless woman had to shit and began defecating into Dirty D's mouth. Dirty D gleefully consumed the vile corn laden pudding. The homeless woman started to have a bout of gas. She then farted a long roll into Dirty D's face. To which Dirty D replied "What are you fucking trying to do bitch? Gross me out?"
IMG_6102.jpeg
 
Early in my career I got called to the carpet by my supervisor for calling someone an asshole. I quickly corrected him, explaining I told the guy he was ACTING like an asshole.
He didn’t find the distinction relevant. To this day, I maintain it was as relevant as it was accurate…
 
Dirty D was a little different but deep down he had a secret fantasy. He wanted to suck pus on a sore between a chicks pussy and her asshole. He walked the streets aimlessly for days as he could not find a prostitute that had the malady. One day he watched a homeless woman collecting cans. She bent over and he noticed a pus sore in his magic dream location.

Dirty D engaged in conversation with her and she obliged him his secret fantasy. He commenced licking her rotten clam with vigor. It exuded a chunky yoghurt which he gobbled and swallowed. Then he started to lick the pus sore but it had a membrane covering it with a visible pustule. With his front teeth he carefully bit through the membrane and he pursed his lips to seal around the sore and began to suck it dry. His fantasy was finally coming true.

Well the homeless woman had to shit and began defecating into Dirty D's mouth. Dirty D gleefully consumed the vile corn laden pudding. The homeless woman started to have a bout of gas. She then farted a long roll into Dirty D's face. To which Dirty D replied "What are you fucking trying to do bitch? Gross me out?"
When everything reminds me of Barney’s mom 🥲


@Barneybdb
 
Dirty D was a little different but deep down he had a secret fantasy. He wanted to suck pus on a sore between a chicks pussy and her asshole. He walked the streets aimlessly for days as he could not find a prostitute that had the malady. One day he watched a homeless woman collecting cans. She bent over and he noticed a pus sore in his magic dream location.

Dirty D engaged in conversation with her and she obliged him his secret fantasy. He commenced licking her rotten clam with vigor. It exuded a chunky yoghurt which he gobbled and swallowed. Then he started to lick the pus sore but it had a membrane covering it with a visible pustule. With his front teeth he carefully bit through the membrane and he pursed his lips to seal around the sore and began to suck it dry. His fantasy was finally coming true.

Well the homeless woman had to shit and began defecating into Dirty D's mouth. Dirty D gleefully consumed the vile corn laden pudding. The homeless woman started to have a bout of gas. She then farted a long roll into Dirty D's face. To which Dirty D replied "What are you fucking trying to do bitch? Gross me out?"
You used to write for Hustler magazine didn't you?
 
I had lots of pain for like 72 hours. I still have 10 or so pain pills left over . I’ll put them in my first aid kit ….in case of an emergency.
I’ve had several instances of major league blunt force traumas , I shouldn’t be alive in fact …
I would put the knee replacement pain up there with any of them. I hate pain , I’m based primarily on the pleasure principal 😬

Edit : I was the caregiver/ nephew of a 94 yr old Aunt. She fell , broke her shoulder and hip , and a few back bones…. Once in the nursing home they were putting Fentanyl patches on her , only thing that eased her pain. So one day they cut her off of them. They said they didn’t want her to become addicted 😳 She died a month later ….in pain.

I recall when they operated on my neck and replaced the disc at C5 C6… they gave me a bunch of narcotics to take home for any potential pain. So I took a couple, and all that happened was that I was in pain and felt nauseous and slightly high… so all that crap went in the garbage.
 
There is total scrutiny on opioid prescribing. 25 years ago they announced Pain as the new additional vital sign
Every day you had to ask the patient what number on the scale of 10 was your pain.
Patient says 8. then what would you like it to be? Patient wants 0, so you had to keep medicating until it was zero and document it on the chart.

When hospitals were inspected for accreditation, they checked the charts to see if adequate pain control was prescribed.. thus the govt. basically created the crisis, and now the patient suffers because prescribers are being monitored by them. 180 degee reversal.
Sorry for your pain.

I just got done telling my story again this afternoon.

2004 spinal injury. Military docs kept just writing me scripts for opioids for 4 months. Finally get the same doc twice in a row, and she orders an MRI...7 weeks later I get it...then it takes another 4 weeks to get it read to me ...then after the "holy shit", it takes another 11 weeks total before I'm in surgery.

Meanwhile I've been on a steady diet of 5/325 opioid/acetaminophen several times daily for now 10 months. My liver enzymes were 3x normal during my pre-op blood work. Guess 1,400mg of acetaminophen daily is hard on the old liver...

...So to combat that after my surgery, they simply discharge me with [140 - no shit] straight oxycodone, without acetaminophen.

I used them all (on schedule - 2, twice daily), missed them for about a week after I came off, and then went back to my normal self. I consider it to be a total blessing that I didn't become an addict.

Etc...etc...etc... Thanks VA! At least they rated me 100% later on (shoulders and knees too).

My last shoulder surgery in 2022, and I got (20) oxycodone, and that was it. I used a lot of gabapentin to supplement (never do at the same time! Holy shit did I get high). But I'd rater have this experience than 2004's. Would be nice if they could find a happy medium.

*******


Oh, and a pic for the thread:
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