cranquis:

spooniestrong:

I know this is common knowledge to most of us, but for the new Spoonies, we need to educate :-)

This graphic has some good stuff — but here’s the not-so-good portions that I, as a physician, do not agree with (plus sources when applicable):
"Tylenol and Antibiotics" are NOT a “dangerous drug interaction to avoid" — in patients with bacterial infections + fever, we often use acetaminophen and an antibiotic together. However, since acetaminophen is primarily metabolized by liver, and most antibiotics undergo liver metabolism AT VARYING LEVELS, it is wise to be wary of taking both of these medication categories together — especially if you already have a pre-existing liver condition (in which case, you shouldn’t be taking acetaminophen at all, unless your liver doc said it’s ok!). But not all antibiotics are created equal, so don’t just lump "antibiotics" into this warning. In most cases, low/normal doses of acetaminophen, used for a few days of fever/pain control while concurrently undergoing standard-dose antibiotic therapy, will not nuke your liver.
Aspirin does NOT interact w/ “diabetes meds" to cause low blood sugar. The graphic doesn’t specify whether they mean insulin or oral meds such as glucophage, but regardless — aspirin is actually used often (and according to clinical studies, not ENOUGH) among diabetic patients, in order to help decrease their risk for cardiovascular disease. Aspirin can RARELY cause low blood sugar if given to children by itself, though. Sources: Epocrates.com, UpToDate.com 
Birth Control (I assume they mean Hormonal Contraceptives — which are only one category of “birth control”) and Antibiotics do NOT interact… 99.98% of the time. I run into this flat-out medical myth all the time, and here’s the skinny: the ONLY antibiotic proven to decrease hormonal contraceptive efficacy (for “The Pill”, “The Patch” and “The Ring”) is Rifampin (which is used very rarely, mainly for treatment of tuberculosis). Planned Parenthood has addressed this before. UpToDate.com has this to add: “In spite of anecdotal reports of oral contraceptive failure, other antibiotics [besides Rifampin] have not been proven to affect the pharmacokinetics of [oral contraceptives]. For women taking antibiotics other than rifampin with oral contraceptives, back-up contraception is not required.” [BONUS TIP: “Vaginal miconazole suppositories and creams (i.e. Monistat, etc) do not appear to affect serum steroid levels in women using the contraceptive vaginal ring.” That’s not an antibiotic at all, but an interesting fact I didn’t know before, so there you go.]
Incidentally, the interaction between St. John’s Wort and Antidepressants is true — but did you know that St. John’s Wort CAN also interact with hormonal contraceptives? (See the Planned Parenthood link above; also Epocrates.com). Since many more people take St. John’s Wort (an over-the-counter herbal treatment) than Rifampin, that would be a useful addition to this type of infographic. 
Besides all that: the other specific interactions on this graphic are correct to the best of my medical knowledge/training, and the “General Rules” section is terrific.
As a doctor who also thrives on social media, I love medical infographics — except when they mix in (unsourced) health mis-information. Infographics are powerful, and we must be careful to create mis-infographics which may pre-condition patients into incorrectly “avoiding”/ignoring a doctor’s recommended treatment, just because the pretty graphic they saw online had already labeled that treatment as a “dangerous drug interaction”.

Reblogging for trials-of-socrates, ‘cause that was easier than trying to link it.  It took me a hot second to find it, cause it was two months old, but here you go.  :)  

cranquis:

spooniestrong:

I know this is common knowledge to most of us, but for the new Spoonies, we need to educate :-)

This graphic has some good stuff — but here’s the not-so-good portions that I, as a physician, do not agree with (plus sources when applicable):

  • "Tylenol and Antibiotics" are NOT a “dangerous drug interaction to avoid" — in patients with bacterial infections + fever, we often use acetaminophen and an antibiotic together. However, since acetaminophen is primarily metabolized by liver, and most antibiotics undergo liver metabolism AT VARYING LEVELS, it is wise to be wary of taking both of these medication categories together — especially if you already have a pre-existing liver condition (in which case, you shouldn’t be taking acetaminophen at all, unless your liver doc said it’s ok!). But not all antibiotics are created equal, so don’t just lump "antibiotics" into this warning. In most cases, low/normal doses of acetaminophen, used for a few days of fever/pain control while concurrently undergoing standard-dose antibiotic therapy, will not nuke your liver.
  • Aspirin does NOT interact w/ “diabetes meds" to cause low blood sugar. The graphic doesn’t specify whether they mean insulin or oral meds such as glucophage, but regardless — aspirin is actually used often (and according to clinical studies, not ENOUGH) among diabetic patients, in order to help decrease their risk for cardiovascular disease. Aspirin can RARELY cause low blood sugar if given to children by itself, though. Sources: Epocrates.com, UpToDate.com
  • Birth Control (I assume they mean Hormonal Contraceptives — which are only one category of “birth control”) and Antibiotics do NOT interact… 99.98% of the time. I run into this flat-out medical myth all the time, and here’s the skinny: the ONLY antibiotic proven to decrease hormonal contraceptive efficacy (for “The Pill”, “The Patch” and “The Ring”) is Rifampin (which is used very rarely, mainly for treatment of tuberculosis). Planned Parenthood has addressed this beforeUpToDate.com has this to add: “In spite of anecdotal reports of oral contraceptive failure, other antibiotics [besides Rifampin] have not been proven to affect the pharmacokinetics of [oral contraceptives]. For women taking antibiotics other than rifampin with oral contraceptives, back-up contraception is not required.” [BONUS TIP: “Vaginal miconazole suppositories and creams (i.e. Monistat, etc) do not appear to affect serum steroid levels in women using the contraceptive vaginal ring.” That’s not an antibiotic at all, but an interesting fact I didn’t know before, so there you go.]

Incidentally, the interaction between St. John’s Wort and Antidepressants is true — but did you know that St. John’s Wort CAN also interact with hormonal contraceptives? (See the Planned Parenthood link above; also Epocrates.com). Since many more people take St. John’s Wort (an over-the-counter herbal treatment) than Rifampin, that would be a useful addition to this type of infographic. 

Besides all that: the other specific interactions on this graphic are correct to the best of my medical knowledge/training, and the “General Rules” section is terrific.

As a doctor who also thrives on social media, I love medical infographics — except when they mix in (unsourced) health mis-information. Infographics are powerful, and we must be careful to create mis-infographics which may pre-condition patients into incorrectly “avoiding”/ignoring a doctor’s recommended treatment, just because the pretty graphic they saw online had already labeled that treatment as a “dangerous drug interaction”.

Reblogging for trials-of-socrates, ‘cause that was easier than trying to link it.  It took me a hot second to find it, cause it was two months old, but here you go.  :)  

Anonymous asked:

Can you please stop posting things about gay people. For someone who is also heterosexual, I really don't understand why you blog about gay things when you are not even gay.

yourcraysisterinchrist:

My dearest anon friend.

I am currently taking deep breaths from a brown paper bag.  And I endeavor to answer this with as much grace as I can possible muster.

Lemme break this down for you.

  • My blog.  You don’t have to read it.  You don’t have to like it.  By all means, unfollow me.  Please unfollow me.  I beg you.
  • I am sure I have an about me section on my blog…. explaining what you will get when you follow this blog.  I am pretty upfront about it.  Its not like I am pulling a fast one here.  Once again.  Unfollow button is in the top right hand corner of your web browser.  You might want to use it.  Just saying.

MOST IMPORTANTLY:

  • I post things on my blog that the average heterosexual white person will NEVER have to struggle with, be confronted with, be ashamed of, be abused for or shunned for.  Why do I do that?  Because being heterosexual and white (let me deal with the racists among you too) you have a privilege that most of the time you are completely oblivious to.  So by me posting things from the other side of this story, I am hoping to educate some people.  If a queer or POC  blogs about these issues, a heterosexual and white person just switch off and write them off as being angry, bitter and sometimes evil.  Sadly when it doesn’t effect us, we don’t have to take responsibility for it, we don’t have to own it.  But as a white, upper middle class heterosexual woman, I have the opportunity to make some people within my demographic listen. I am hoping that if people are confronted with the truth, if they get to see beyond their perfectly manicured white washed picket fences of suburbia, and see the actual people, they would be inspired to change, to feel compassion, to reach out, to make changes in their own lives, because if we know better, we do better.  I am hoping that when the MAJORITIES, the “privileged” the ones that are considered “normal” start siding with the MINORITIES, the entire LGBTQIA community and every person that is not Caucasian, we will start seeing change and acceptance and that we can start healing.

Just some food for thought my friend. 

C

You get the weirdest douchy anons.

ladykaymd:

pushculture:

fucklikeagod:



I’m in love with this gif. Everything about it. The rain drizzling. The candle flickering. The colors. I love it.

god this is so relaxing

Rather fond of the rain, if I’m to be honest…

i would love to read to this


Every day should be like this.

You say that now, until you’re walking to class with wet socks.  I live in fl, where every day IS like this.  For about 5 mins. ;)

ladykaymd:

pushculture:

fucklikeagod:

I’m in love with this gif. Everything about it. The rain drizzling. The candle flickering. The colors. I love it.

god this is so relaxing

Rather fond of the rain, if I’m to be honest…

i would love to read to this

Every day should be like this.

You say that now, until you’re walking to class with wet socks.

I live in fl, where every day IS like this. For about 5 mins. ;)