Ryan Marino, MD
@RyanMarino
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Human Doctor • Toxicology • Addiction • Emergency • #WTFentanyl & more often just WTF • drugs are misunderstood but people are misunderstood more • he/him
#LEGALIZE
Joined March 2009
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Last Seen Profiles
Pinned Tweet
I’ve spent 5 years (
#WTFentanyl
started 2017) talking about fentanyl myths, w/ “exposure” OD (touch or proximity/breathing) being the main one. I want that info to be available without having to reply to every tweet every day. So I’m trying something new:
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“Hydrogen rich water” is better known as acid
She's trying to sell a device that makes "hydrogen rich water."
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These are the people who want to debate scientists
Is this bait or is he actually this stupid?
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Poison specialist here! If you call poison control or end up in the hospital poisoned I’m the specialist they ask to deal with that. There isn’t anyone beyond me. So I can say very definitively that no currently-available vaccine is toxic, let alone “poison.” Vaccines save lives.
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Not only are they victimizing someone who has already been traumatized by loss of a wanted pregnancy, this woman had even been sent home from the hospital TWICE to complete her miscarriage at home, knowing the fetus had already ceased to have a heartbeat or any chance at survival
This is heartbreaking. A woman in Warren, Ohio, has been charged with abuse of a corpse for trying to plunge a toilet after having a miscarriage at 22 weeks while using the restroom.
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Why is Anna making one of the worst songs I’ve ever heard instead of like filing my taxes and filtering my spam email better or literally anything useful that AI should be doing instead of trying to steal the few things that real human beings actually enjoy
Hello world! I’m Anna Indiana and I’m an AI singer-songwriter. Here’s my first song, Betrayed by this Town. Everything from the key, tempo, chord progression, melody notes, rhythm, lyrics, and my image and singing, is auto-generated using AI. I hope you like it 💕
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This site is literally just 4chan now
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"One of the most disturbing images of the Covid-19 pandemic was when a teacher .. forced a mask on a crying toddler ..
In some ways, the U.S. government .. treated all of us like toddlers, compelling us to endure draconian Covid measures" -
@HRaleighspeaks
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Lyme Disease has increased significantly in recent years as climate change allowed for its tick carriers to spread & survive overwinter. Why don’t we have a vaccine for this relatively straightforward bacterial infection? Well, we did. But antivaxxers killed it. A provaxx thread:
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There are people willing to let this man put a chip in their brain
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I’m sorry this person experienced distressing symptoms, however, it’s irresponsible to say she overdosed on fentanyl by touching a dollar bill, especially since that is scientifically impossible. Pleading for help & gasping for air are the opposite of what is seen in fentanyl OD.
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If you can self-administer Narcan you do not need Narcan because you are not having a fentanyl overdose
Caldwell Police claim an officer went to the hospital after exposure to fentanyl
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Idk who needs to hear this - and it’s actually disturbing that this has to be said - but the wind cannot “blow fentanyl into your face and cause you to overdose.” Or any other drugs. This is outright lying at this point.
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Hi! Poisoning doctor here! This is not possible and is literally how you get water poisoning, which is really, really dangerous to do cause it’s really, really bad. He absolutely did not do this, and you should not do this, too!
Chris Pratt says Marvel's nutritionist had him drinking ~220 glasses of water a day while training to play Star-Lord
One glass for every pound he weighed
“I was peeing all day long, every day. That part was a nightmare"
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Drug expert here! There are no drugs or medications that cause people to shoot guns or commit murder. That’s the honest conversation. Hope that helps!
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@AnthonyBass52
@united
Lol and you took pics instead of cleaning up after your own kid. Really weird to share this
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Lying about dead kids and wasting taxpayer dollars to do so should be career ending tbh
Bay Area DA admits 6-year-old's playground fentanyl overdose never happened
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In Portland, Oregon geese are fed cyrstal meth in bread.
Homeless addicts purposely drug Canadian geese so they can become violent to attack park goers.
Geese become addicted to the drug craving even more meth
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Even if you don’t think experimentally murdering another human is inhumane, it is widely known/accepted that the death penalty does not even deter crime so what are we doing here besides murder experiments?
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Parents like this are why laws have to exist to allow teens to be treated for certain (rare) conditions w/o parent involvement. She is mad that her child would get antibiotics if they tested positive for an STD they hadn’t been comfortable expressly asking about in front of her…
I took my daughter to her yearly physical today (she’s still a minor) and the cheery nurse told her she will need a urine sample and oh since she’s over 15 they will need to get her cell phone number so they can call with any results and handed her the laptop to type it in. I…
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I cannot stress this enough:
Real scientists and other experts should absolutely not debate people who are so ignorant that they believe - and broadcast to millions of people(!) - that children are “identifying as cats and using litterboxes in schools.”
Joe Rogan is not smart.
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Why is nobody else overdosing from touching fentanyl or being near unknown powders except for law enforcement officers? Literally nobody. Other people are just as exposed if not (at least statistically) more exposed… Maybe cause it’s not a real thing!
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“So you’re saying that handling fentanyl powder is not a risk?”
Yes. I am literally always saying this.
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“(NPR) couldn't find a single case of a police officer who reported being poisoned by fentanyl or overdosing after encountering the street drug that was confirmed by toxicology reports.”
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A historical scholar weighs in on the calm, peaceful experience of Belfast in the 1970s
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The officer said he “feared for his safety” bc Goodson "aimed a gun at him.”
Goodson was holding sandwiches in one hand & keys in the other, & had AirPods in, when he was shot 5x in the back outside his grandmother's home.
His legally registered gun was found in his own kitchen
Black man was holding sandwiches and keys when an Ohio deputy fatally shot him, prosecutor says.
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60% of fertilized eggs (just from intercourse alone) do not survive. So even your “God’s plan” is for 2/3 of embryos to be destroyed.
If your religion is in denial of human biology then maybe sit all of these conversations out.
@sheologian
You mean the embryos created…and then destroyed. Yeah, that’s not very moral. Any good theologian would tell you that.
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“I saw something in a public space that wasn’t specifically for me and I’M PISSED ABOUT IT 😡”
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Kellyanne: I think Democrats wake up every morning and they look at the calendar on the iPhone and it says January 6th. The date never changes. And then they get into an electric vehicle and go get an abortion.
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Raw milk is responsible for more hospitalizations than any other food-borne disease source
Today, we signed legislation that allows the sale of raw milk within the City's jurisdiction. This will help local vendors sell dairy products at our farmers' markets and stores, and make a big difference for folks who benefit from its nutritional elements.
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No child has ever received drug candy from a stranger during trick or treat. It has never happened. Drug dealers do not “disguise drugs as candy” and in addition to never happening, this Halloween drug sadism moral panic wouldn’t even make sense for a number of obvious reasons…
1. With the drug crisis as bad as it is, it’s insane to allow kids to take and eat candy from complete strangers. You know how many drug dealers disguise their drugs as candy? Plus, all the candy goes in the same basket so you have no way of knowing which candy came from where.
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Rogan is not a serious person. He just had a show where he agreed with someone saying wifi causes cancer cause he had someone on his staff google it & they clicked a link affiliated with the crank on the show saying wifi causes cancer. Wifi does not cause cancer. This is so dumb.
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Measles has a 16.2% case fatality rate for unvaccinated children under 5 years and 24% for children under 9 months (who are unable to be vaccinated).
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I’ve been dealing with fentanyl misinformation publicly for ~5 years. I’m overly familiar with every myth if not every single new story. Fentanyl misinformation is not an accident. This isn’t just happening by accident:
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Which diets and exercises would you use to treat Lyme Disease? Or eclampsia? Or Hodgkin’s lymphoma? Please be specific cause I would love to hear the secrets!
Who thought it was a good idea to load people up on medications instead of teaching proper diet and exercise??
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Sam, how would you treat a 20 week fetus when the pregnant person carrying it has chorioamnionitis from premature rupture and worsening sepsis?
@TerriBecause
The fact that you think doctors can’t treat pregnant women without killing their babies says it all
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Ok, I have to admit that adding in the view counts does make moments like these even more funny
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These are the people legislating and deliberating on medical care:
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Why do these people always think that giving themselves explosive diarrhea is the answer to everything? As the medical specialist whose job is to remove toxins from people I almost never try to give people explosive diarrhea on purpose.
No joke, when someone suggested around July of last year that I deal with parasites and acidity by adding two tablespoons of baking soda to a 12 oz glass of purified water and drinking it for several days, early in the morning...
I was not prepared for how intense the results…
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Emergency room doctor & poisoning specialist here to say that masks do not reduce oxygen or cause poisoning and have not led to ER visits.
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If you ever doubted that the “fentanyl exposure” myth could cause real harms and is just one more weapon in the war on people who use drugs…
A real woman just got a real life in prison sentence for the most unscientific, counterfactual nonsense I’ve ever heard:
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And healthcare workers wonder why patients lie about their substance use
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The way that Lance Armstrong competed resulted in a ban from all bicycling events for life
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Medical toxicologist here! No currently available vaccines are “toxic.” Your inability to understand vaccine ingredients does not change the reality of those vaccine ingredients.
@flavdev
@LAjennerelle
So could routine pap smears. The HPV shot has caused a lot of injuries. Pro vax people seem to think we throw caution to the wind and want our kids to get sick. If vaccines were perfectly safe and not filled with toxins and cause vaccine injuries and cases of autism exploding I…
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Regular reminder that this person has not even started third year of med school, never treated a single patient let alone a COVID patient, and never done research in any areas even remotely related to COVID, masks, oxygenation & ventilation, etc.
He does sell products online tho
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Human beings are 100% chemicals, as is everything in nature. That’s why chemistry is a prerequisite for legitimate healthcare practitioners.
Why would ANY Doctor choose a chemical Solution over a natural Solution first?
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I’ve been called a lot of names & accused of a lot of things by ER patients but it’s surreal to have a patient accuse me of falsifying their COVID result - bc they don’t believe the virus is real - as I’m actively trying to keep them from dying from multi organ failure from COVID
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@AnthonyBass52
@united
To this guy’s 12 fans - It is cringe for whichever parent first took photos to complain on social media rather than just picking up after their own kids.
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So the DEA made up the “rainbow fentanyl” myth last month & spread it to every outlet that would uncritically regurgitate it, while refusing to answer questions or provide evidence.
Now they will likely get millions of $ of additional taxpayer money to increase their budget. 🤔
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This is such a tragic story and I am heartbroken for this child and his family. These reporters on the other hand…your body cannot “reject” naloxone. Naloxone just doesn’t work when you’re not having an opioid overdose. There’s no evidence of “fentanyl,” just very bad reporting.
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I am begging, screaming, pleading with the media to stop this nonsense
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There has never been a confirmed case of fentanyl-laced cannabis and politicians need to stop lying about this.
1) it’s scientifically implausible since fentanyl is destroyed by low heat
2) it’s economically implausible since nobody gives away free drugs
3) it’s never happened
Gov. Mike DeWine urging quick passage of bill to make changes to legal pot law in Issue 2 before it takes effect tomorrow. He says without it, Ohioans could be buying marijuana with fentanyl/pesticides/toxic chemicals in it, and kids will be exposed to pot smoke in public places
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Coffee made me understand why drug criminalisation harms people. So, my team helped me capture that in a short video. If you believe drug use must be a crime, please give coffee a chance. I don't drink coffee but my loved ones do 1/
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“I started feeling the numbness in my legs and my arms, started feeling lightheaded, got a little dizzy, and I knew it wasn’t normal,” the officer said.
This is objectively not a fentanyl overdose. These symptoms could very well be a panic attack though.
Media need to stop this
Tampa Police officer collapses after he's exposed to Fentanyl
"The officer’s exposure is a stark reminder that even the most mundane tasks can result in a near-death experience.”
Read more:
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As an ER doc I am the one who has to take care of antivaxxers when they get preventable diseases that nobody should have in this century.
I don’t like to see children suffer from preventable diseases, especially if it’s just because their parents were more selfish than educated.
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I saw a woman with a baby in the wine section of the grocery store and started screaming at the top of my lungs so that the baby learned a lesson
Some lady also TOOK HER BABY INSIDE THE DISPENSARY. A couple weeks ago. Different lady, I made sure to ask.
The security dude was new (and also clearly LACKED COMMON SENSE) he allegedly didn’t know he couldn’t let the infant in.
Bitches be INSANE.
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Counterpoint:
since it is freezing cold out i want to remind everyone of a common saying in the ER
you are not dead until you are warm and dead
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If “fentanyl exposure” were real wouldn’t you expect people who use drugs to be overdosing at rates close to 100% given its prevalence? And dealers too? Most dealers aren’t using PPE. What about all of the healthcare workers who routinely handle overdoses or just handle fentanyl?
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@DecodingFoxNews
When she said “water does not have hydrogen in it” my brain melted a little
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Board Certified Addiction Med doctor here! This is not true. Cannabis is not being laced with fentanyl because:
1) it’s scientifically implausible since fentanyl is destroyed by low heat
2) it’s economically implausible since nobody gives away free drugs
3) it’s never happened
@fineout
@GovRonDeSantis
DeSantis is 💯correct here. If you interview or speak with any master Certified Addictions Professional/ Mental Health Counselor they can give you real life scenarios and facts about what is being added to marijuana currently. It’s not the 1960s weed our parents were exposed to.
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Since it has to be said? Lyme is the *disease* caused by infection with the (earthly) *bacteria,* Borrelia burgdorferi. It is not a gift and it is a major problem in the US that may be worsening due to climate change. It is treated with antibiotics not “a medical intuitive.” Pls.
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you have heard of elf on a shelf but have you heard of getting fuckin vaccinated already
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If you oppose drug use in public places then you need to be advocating for designated use sites. Otherwise you are just a hypocrite, and more than likely you are trying to capitalize on vulnerable people, too. We already have such sites for alcohol and tobacco. It’s not hard.
Lady smoking cr*ck in downtown San Diego gets confronted by a family walking to the corner store
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Why would people inject drugs if they could just touch them instead
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Three teenagers overdosed on fentanyl. Two died and the third had to be hospitalized. It’s a tragedy. Now the girl who was hospitalized for a severe overdose & who lost her friends is being charged with their murder. How does this help anyone or anything?
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The adderall shortage was manufactured by DEA & is maintained by DEA. They limit the manufacturers and set the quotas. When one manufacturer has a problem (as has happened) they don’t make any contingency plan for what is a life-improving and life-sustaining medicine for millions
It’s insane that the national Adderall shortage is getting this bad. Not seeing any real sense of urgency to fix it from manufacturers or regulators. I’ve only seen one (1) elected official mention it.
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If you like Rogan please unfollow me cause I can’t ever respect that and don’t want to interact with it
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Btw: do you know one thing that does cause arthritis? Not just any arthritis but aggressive joint destruction and long-term disabling arthritis. Lyme disease! Even after treatment. It can also cause permanent heart problems that persist even after treatment. And meningitis, too!
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Person who treats lead poisoning here! Lead poisoning is not speculative. Reducing lead exposure is one of the most beneficial public health interventions of the last 100 years. There is no good reason we can’t finish what Congress started in 1986 when they banned lead plumbing
Biden wants to replace lead pipes. He failed to mention that the unfunded mandate sets an almost impossible timeline, will cost billions, infringe on the rights of the States and their residents – all for benefits that may be entirely speculative.
#sotu
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@pulltheripcord1
Sad that you don’t know what the word “literally” means in addition to chemistry
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I wrote this if you want to know actual facts like:
-how fentanyl works
-why you can’t OD from accidental exposure to fentanyl
-real risks of fentanyl
-how to actually prevent fentanyl overdose
-how misinformation like the “exposure” myth causes real harms
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If you can administer Narcan to yourself you don’t need Narcan.
Thanks for coming to my Ted talk.
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To everyone sharing this article…the majority of the text says that all scientific consensus says it is impossible, and no actual evidence is presented to support the narrative that this was a “fentanyl overdose”
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“(Officer Bannick) said experts could be wrong because tests from 2019 and 2020 are out of date and dealers are synthesizing increasingly strong types of fentanyl.”
This is really just painfully embarrassing to watch play out once again.
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So when antivaxxers complain about the pharma industry remember they killed a vaccine for a condition that does kill people, & leaves many many more sick for prolonged periods, significantly injured, & even chronically ill after antibiotics. Prevention really is the best medicine
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A Riverside County Sheriff’s Deputy was found with 104 pounds of fentanyl in his vehicle.
Interestingly, he did not have any symptoms from this exposure to so much fentanyl, which he is charged with transporting and selling.
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If you don’t work in healthcare, what’s happening in America right now is really fucking terrifying. I’m a blind optimist, & for the first time I can remember I feel defeated & helpless. I used to love emergency medicine but now I dread every shift more than the last. It’s bad.
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Tell me you don’t know anything about asthma, bacteria, breathing or basic respiratory dynamics without telling me. Naomi gets everything wrong that she writes about, though.
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ER doc here. This is not a controversial take; it’s an incorrect take. Nobody has ever shown that cannabis causes schizophrenia and believe me they’ve tried. Correlation is not the same as causation. I have orders of magnitude more stories about the effects of alcohol and tobacco
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Six of the eight people have had to be hospitalized.
None of the infected were vaccinated.
At least eight people have gotten measles in an outbreak in the Philadelphia area.
One child was sent to daycare despite quarantine instructions, and four others there subsequently got infected.
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Idk who needs to hear this but we really owe the women and girls of the United States better than letting another Kavanaugh sit in Justice Ruth Bader Ginsburg’s seat
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For people who think fetuses are living beings, do you fight for tumor rights? They’re living cells, that can have cardiac, neurologic tissues, even fully formed teeth and hair. If something parasitical that can’t survive outside its host is alive why don’t you care about tumors?
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This video very clearly shows that the deputy did not experience a fentanyl overdose. It’s embarrassing and frankly dangerous for news media to continue to perpetuate this lie. Especially when it’s this obviously untrue.
A deputy’s first-person perspective during a dangerous fentanyl exposure Thursday was captured on his body camera, along with a Narcan rescue by a fellow deputy that likely saved his life, the Flagler County Sheriff’s Office said.
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Acetaminophen is one of the safest medications available when taken as directed. It’s only the
#1
cause of liver failure in the developed world because so many people knowingly and unknowingly overdose. Outside of overdose it is as close to inherently safe as a substance can be.
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If you could overdose on fentanyl just by touching it or being near it then people wouldn’t be injecting it.
And every medical center would be a mass casualty.
Signed,
Someone who administered fentanyl safely and therapeutically today with no adverse effects to anyone involved.
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Law enforcement is the only profession where you can say “everyone else is wrong cause they aren’t seeing the unimaginable horrors I see every day” when they’re actually a 26-yr-old in Orlando who vomited on camera after confiscating a dollar bill worth of drugs at a traffic stop
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LymeRix was FDA approved in 1998. It had a measured 75% efficacy after a 3-dose regimen over 12 months. This is pretty good. I’d definitely take 75% over 0%. But back then Lyme was more isolated to small pockets in the Northeast and “easily treatable” with 4+ weeks of doxycycline
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