Crazy Things Seen and Heard on Public Transportation

Who has 160 unread text messages? 

Sadly, I never see any of this crazy stuff when I take the subway.

You know you’ve seen some weird stuff when a guy on the train wearing an eyepatch whispers “I’m a pirate” to u and u don’t even think twice

— Emily Campbell (@emcampbell9) October 19, 2017

Sitting next to a girl on the subway who has 160 UNREAD TEXT MESSAGES and my anxiety is through the roof

— théo (@theopaul_) October 23, 2017

someone on the bus goes “bro you want some pasta? i have so much pasta. i have all kinds of pasta.” this is the kind of friendship i need

— pooj (@notpooja) October 23, 2017

Someone put a library into my bus. pic.twitter.com/ztiAmVElah

— Tiny carrot thief (@MeisterLiTweet) October 21, 2017

On the train I noticed a lady’s text convo where she had typed “STOP LYING BRING YOUR TUNA” and now I have so many questions

— Crypts Keepser (@kris_keyser) October 19, 2017

not to be judgmental but there's a guy on the train wearing plaid shorts and a different plaid shirt and it's a lot to visually process

— alyssa ✨ (@gaybichon) October 24, 2017

There’s a girl infront of me of the bus and she’s absolutely wedged on the inside and looks really uncomfortable and she just reached up to the foggy window and drew a sad face

— Skip (@JohnnyBoland_) October 25, 2017

a lady on the tube opened her bag and a dog just popped out. i swear pic.twitter.com/UpRbpLkaZq

— VICTORIA💷 (@vicsrw) October 21, 2017

Someone on the bus just prefaced a a sentence with "when I was a gang member in Detroit"

— sven (@mrsvenjamin) October 24, 2017

there’s a guy with three ferrets on the bus i have officially seen it all

— marta 🦇 (@_okmarta) October 23, 2017

I’m alone on metro north with a guy who is furiously juggling. I can only imagine we’ll either fall in love or he’ll murder me on this train

— molly (@mollyerlanger) October 20, 2017

Just over heard a girl on the bus say " I'm not worried about no costume contest this weekend. I'm only trying to win the twerking one." Hahahahahaha mood

— Luisana (@_luisanaaa) October 24, 2017

Today, I watched a lady on the train watch a vid about all the ways to make eggs. Her service cut out b4 poached. I still cant poach an egg.

— zach goldbaum (@zachgoldbaum) October 20, 2017

Spotted on the commute: A jar full of eyeballs, BYO bean bag chair and a gallon of wood glue. #TweetsFromYourTrainhttps://t.co/AI2YvhTvDc

— Moments Canada (@CanadaMoments) October 19, 2017

Doctors Admit which Drugs they Would NEVER Take as a Patient...

It seems routine, you get sick and go to the doctor. The doctor prescribes you something and you're supposed to get better. Regardless of what you think about drug companies, nearly all doctors are on your side, not the drug companies. No one goes into medicine to get rich, which is why some doctors will admit which drugs they don't like prescribing and would never take as a patient.

This post is not to be considered medical advice. Please consult your doctor. Remember, you're free to raise any reasonable concerns about side effects of a drug being prescribed. 

Amphotericin B

It’s one of the most potent anti-fungal drugs that we have.

Amphotericin B is well known for its severe and potentially lethal side effects. Very often, it causes a serious reaction soon after infusion (within 1 to 3 hours), consisting of high fever, shaking chills, hypotension, anorexia, nausea, vomiting, headache, dyspnea and tachypnea, drowsiness, and generalized weakness. The violent chills and fevers have been nicknamed "shake and bake"

It’s also toxic for the kidneys, liver, and bone marrow.

"Amphoterrible" is what most people call it in my ER. Doctors and nurses alike.

We never use it, unsurprisingly.

"We gave this when I was working inpatient oncology. We hated giving Ampho-B because the side effects. You have to premedicate patients for that stuff."

Olanzapine

As a psychiatrist, Olanzapine. It works, but at a cost of diabetes, hypercholesterolemia and huge weight gain.

Olanzapine, like many of the anti-psychotics is an extremely powerful drug that for the right person can be extremely beneficial. Not everyone gets the side effects and many can take Olanzapine without major problems. My problems with Olanzapine are a) overuse - putting on a bit of weight if you have life crippling psychosis is one thing, less so when the target problem is distress or a bit of insomnia b) since olanzapine was released, other meds have come on to the market that are genuinely lower in life limiting side effects. Olanzapine seems to me to prescribed too frequently compared to other equally powerful medications that don't have quite so many problems.

If I was ever diagnosed with Schizophrenia or Bipolar I would hope to be prescribed Lurasidone/ Aripiprazole/ Asenapine/ possibly even Haloperidol before Olanzapine.

Lyrica

Neurology. I'd never take Lyrica. My dad was suicidal while taking it. He stopped taking it and he stopped feeling suicidal. Not a lot of physicians know about this side effect.

 (Physician) I was scrolling through the comments looking for this answer. This was my "knee jerk" answer when reading this question. I would never want to take lyrica. The side effects are just ridiculous. And then To think about the generics , I've been seeing even worse from some of those.

And remember this:

Er doc here. I can’t think of a single drug in any specialty I wouldn’t take given the right circumstances. And we see them all in ER, from the weirdest drugs to the most common. There are times I go ‘why is this person possibly on this’ but that’s more mis-prescribing. Everything comes down to risk benefit. If I started taking a Blood thinner today it would be a bad idea because my risk of bleeding is way higher than a thrombotic event. At 65 and with afib? Gimme gimme!

 

Pictures from the World Beard and Mustache Competition