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  1. M

    The alcohol swab before the needle: A point of debate Or a waste of time?

    The primary reason to swab the skin with alcohol is to clean the injection site, and provide some antiseptic mechanism. The 30 second dry time is to allow the evaporation of the alcohol to kill as many bacteria on the skin as possible. I've noticed comments about not swabbing, and it makes zero...
  2. M

    The alcohol swab before the needle: A point of debate Or a waste of time?

    I have a feeling they ran out of alcohol pads; her statement is dripping with ignorance.
  3. M

    Help with Syringe and Needles

    Like Vince said, the key to drawing anything out of a vial is to add air equal to, or very slightly more, than what you want to draw out. Otherwise, you are essentially pulling against a vacuum. If you want to pull 0.25 ml of solution, pull the plunger on the syringe back to 0.25 ml or just...
  4. M

    I'm looking for members that use Optum Pharmacy for HCG.

    I agree, Nelson! I think it's an excellent value, especially for all the "extras" they include. The only thing I will say is that the initial set up is not easy. Have to call them, set up a profile, then get Defy to send them a prescription, then Optum calls you back (I called them back, found...
  5. M

    I'm looking for members that use Optum Pharmacy for HCG.

    Hi Vince, I'm using the HCG from Optum. The set up is via a few phone calls back and forth, which seems anachronistic, but the service, once it's set up, is excellent. They sent me Pregnyl 10,000 units with a draw needle and syringe for the bacteriostatic water, along with 100 27g needles and...
  6. M

    High iron and extremely high ferritin

    Fortunately your iron level is not too far past the upper level, but it's certainly worth looking into with your physician right away. It's also impossible to draw conclusions from one set of labs, as it's merely a "snapshot", it's not a trend. However, I would make an appointment with your...
  7. M

    Im a COVID ICU nurse. Ask me (almost) anything.

    Figured I'd cite sources in the beginning rather than the end of what I write. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1232869/ https://www.sciencedirect.com/science/article/pii/S0002934320306732 https://www.ijidonline.com/article/S1201-9712(20)30534-8/fulltext...
  8. M

    Healight (TM) Safety Study in Critically Ill COVID-19 Patients

    Not at all, Nelson. In fact, it has been used prior to Covid. https://www.medicalnewstoday.com/articles/310818#Far-UVC-and-skin-safety https://www.news-medical.net/news/20190412/New-technique-uses-UV-and-red-light-to-decontaminate-organs-before-transplantation.aspx...
  9. M

    Difficult blood draws...

    A few suggestions for those who have "difficult" veins, (in no particular order). - Drink a large bottle of water, or two big cups of water 15 minutes before your appointment. Water is absorbed quickly. You'd be surprised how much of a difference it makes. - Do your very best to RELAX. Tensing...
  10. M

    Empowers vial tops bend my needles

    The Empower vial tops are indeed different than the vial tops typically used. Keep in mind, the majority of vial tops are used once (insulin being a notable exception), thus designed to be used once, or perhaps a handful of times. Empower knows that the majority of people using their vials...
  11. M

    Modafinil for cognitive enhancement?

    I know many people have trouble sleeping, but I highly suggest trying to find something else to help you sleep. Many natural supplements and herbs aid in sleep, e.g. valerian, theanine, melatonin (don't exceed 3mg - more than that can cause extremely vivid, active, dreams), GABA, ashwagandha...
  12. M

    Weird way of loading syringes

    Listen to Cataceous, make certain you use filter needles for the initial draw after you open the ampule. Yes, you can get tiny pieces of glass in the solution. There is a reason we use them in the hospital anytime we have to use medication that comes in an ampule.
  13. M

    Any tips on testosterone leakage from stopper?

    You inject air into the vial equal to the amount of medication you want to withdraw. Otherwise, you CREATE a vacuum in the vial by removing liquid without something else (in this case, air) taking the place of the liquid. Even with the 29 gauge needles, if you are consistently injecting an...
  14. M

    How can you treat hangovers?

    Actually, hangover is NOT alcohol withdrawal. To withdraw from a substance, you must have built a dependency which doesn't happen immediately. A first time drinker can end up with a hangover, but they are not in alcohol withdrawal. Interestingly, a person can develop a dependence on alcohol...
  15. M

    Labs after switching to EOD schedule

    Oh, I understand about working in a hospital and needing something fast, easy, filling and that doesn't require refrigeration so you can keep it nearby, take a couple bites and keep moving. Having said that, since January I've dropped about 70 pounds and 10 inches off my waist with a...
  16. M

    Labs after switching to EOD schedule

    Since this happened before while you were taking ibuprofen, it's possible you are in the very small percentage of people who will show higher liver enzymes when using ibuprofen. How much ibuprofen do you take? The amount of fruit you're eating shouldn't be large enough to put that much of a...
  17. M

    Labs after switching to EOD schedule

    Hello! Wanted to send you some thoughts on your ALT level. ALT is one of several liver enzymes and ALT helps the liver convert protein into energy. Your ALT level is outside the top range, and while an ALT of 50 it is not at an immediately dangerous level, it does bear watching. First, you...
  18. M

    Propecia thoughts

    Cipro and Levaquin used to be standard protocol for certain infections, now they have Black Box warnings and are to be used only if a different antibiotic cannot be used or there is simply nothing else indicated due to the severity of the infection. Something to remember about drugs and how...
  19. M

    Propecia thoughts

    Before I decided to get into medicine, I worked at Merck, the company that makes Propecia and Proscar. Talking with a biochemist I worked with there, I casually mentioned that I'd been taking Propecia, because anything Merck makes we could get for free at the plant clinic. His face suddenly...
  20. M

    Kidney stones and Flomax

    Quite welcome!
  21. M

    Best place for Syringes?

    I also like this vendor. I was able to get 500 27 gauge Easy-Touch syringes in 5 days, order to door. (I added a box of 100 alcohol wipes for $1.99 to push it over $59 which gets you free shipping)
  22. M

    Kidney stones and Flomax

    Flomax (tamsulosin) is prescribed by ER LIP's all the time when a patient has a kidney stone. It helps you pass the stone, it doesn't have to be a lifelong medication, so chances are any side effects that concern you are not likely to occur, or would stop when you stop the medication. I've taken...
  23. M

    Keeping testosterone in pre-loaded syringe for a week or more

    As many have already said, I have no doubt the sterility will be just fine. If anything, look into getting some filter needles for drawing up the Sustanon after you break the ampule. There is a reason we use filter needles for ampules in the hospital. (possibility of picking up tiny particles...
  24. M

    How to Inject Testosterone Intramuscularly, Shallow IM or Subcutaneously ?

    Hello all! Just FYI, the illustration showing the location of the "vastus lateralis" is incorrect. That diagram, as shown in this thread, is of the "rectus femoris" and just underneath that, the "vastus intermedius". The "vastus lateralis" is located on the outside of your thigh, not the...
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