Serotonin Syndrome

Рет қаралды 178,520

8 жыл бұрын

A quick video on Serotonin Syndrome. The classic case involved Libby Zion who died when this condition went unrecognized. She was on a MAOI and was given demerol for abdominal pain. Besides demerol (long half life) tramadol is another pain killer implicated in this syndrome. Use caution when combining serotoninergic drugs in your patients. Watch the video and save a life!

Пікірлер: 250

@412Vitto Жыл бұрын

I had serotonin Syndrome after accidentally overdosing on SSRI's and it was easily one of the worst experiences of my life. I was in the hospital for about 12-14 hours shaking non-stop, vomiting, and having some of the worst thoughts I could imagine. I could describe it as going to hell and back. Take care of yourselves.

@allisonhansen4455 3 жыл бұрын

i got this once and i literally thought i was going to die. convulsing on the bathroom floor with my heart beating out of my chest, choking on my own vomit. my nervous system still doesn't feel right to this day

@candisham1978 3 жыл бұрын

Yes! This happened to me 19 years ago and I still don’t feel 100% today. Anti-medication still to this day, and forever.

@brieanarilea9672 3 жыл бұрын

the same happened to me i was seeing things, couldn’t walk, and thought i was dying

@worldgrooves2254 2 жыл бұрын

What triggered it ? If you do not mind the question

@mv8908 2 жыл бұрын

@@candisham1978 what meds were you prescribed

@lexaproishere 2 жыл бұрын

Yo same but can we agree that the bathroom floor is very comforting at that point

@mickiesconcertarchive 6 жыл бұрын

I've had this for the past 3 days, it's the scariest thing ever. Spent 7 hours in the ER getting fluids. Worst symptom is the constant muscle spasms.

@awildwilliamappeared 4 жыл бұрын

MultiFandom McDobs hi currently going through this. I don’t believe mine is nearly as serve. The first day was horrible but I’m on day three still dealing with off and mouth tremors but I can usually control them. Until this morning my eyes were extremely dilated and the first night I had major cold sweats and super anxiety. But that went away I’m roughly 80% back to normal. How long it take to pass for you?

@merzedes4055 4 жыл бұрын

I’m going thru this right now, does it get better because I’m thinking going hospital

@mickiesconcertarchive 4 жыл бұрын

merzedes It does get better, but it takes time. If you can go to the hospital, I would. Feel better!

@debbietaylor20 3 жыл бұрын

Does it go away and then you can take it again ?

@mickiesconcertarchive 3 жыл бұрын

Debbie Taylor Don’t take it again if you experience these kinds of symptoms.

@victoriahorstman8486 8 жыл бұрын

Your videos are a useful tool for studying for my nursing exams! I hope you make lots more and I will be looking forward to watching them!

@JoeMonir 8 жыл бұрын

I'm studying for Step 1, and these videos are on point. Thanks for making them!

@parnate6382 6 жыл бұрын

Hi Joe. You're now on point of becoming an ignorant douche.

@a.8500 4 жыл бұрын

Hello, please explain me this video in simple English language or easy language because m from India and m also taking antidepressants.

@term531 6 ай бұрын

September 18, 2022 is my second birthday. My symptoms lasted for 20 hours, I passed out countless times, I was shaking UNCONTROLLABLE, I had diarrhea, my heart wanted to jump out, but at the same time I couldn't stand on my feet. When I was conscious I prayed to God to forgive my sins if this is the time for me to leave. After everything, they told me in the emergency room that it was a panic attack, countless infusions, because I was in two hospitals. I knew it wasn't because I was passing out all day. I was on anti-depressants and migraine medication, both of which have high doses of serotonin. I thank God for a second chance, and I am afraid of the incompetence of our doctors. 18.09. is the date of my patron saint and I know who saved my life then. Since then, I've been fighting and struggling with panic attacks, but that day was not one of them.

@MelancholyCrypto 6 жыл бұрын

I was prescribed to take zoloft which I took regularly, but one day I wanted to take a recreational dose of cough medicine (More specifically DXM) and what I didn't know was that it would cause serotonin syndrome. My head filled with the sensation of pins and needles and I felt myself become euphoric and confused but KNEW I was overdosing or something was wrong so I called for 911 and went straight to the hospital where I spent the next two weeks recovering and trying to remember what had just happened. It was very scary and I still have a faint memory of my leg spasms and vomiting on my way to the hospital. BE CAREFUL EVERYONE AND DONT BE AN IDIOT LIKE ME.

@MelancholyCrypto 6 жыл бұрын

And also to anyone reading this who does use drugs for whatever reason please do read up on this chart before mixing any of your substances. wiki.tripsit.me/images/3/3a/Combo_2.png This could save your life!

@Ghostshadow112 5 жыл бұрын

oh shit this has happened to me too

@kidgrebo1 2 жыл бұрын

@@Ghostshadow112 What's a recreational dose Robitusson?

@Ghostshadow112 2 жыл бұрын

@@kidgrebo1 It's not a great idea, but I used 300 - 700 mg DXM to get trippy. Read how much DXM the bottle contains, and don't use it if it contains guaif.

@kidgrebo1 2 жыл бұрын

@@Ghostshadow112 I would never use it in that way. I had access to the actavis lean back in the day when I did party.

@adammurray7761 4 жыл бұрын

I nearly died from serotonin syndrome I had a massive seizure at home, when I came round I was delirious and scared so much that I ran away from the paramedics thinking they where going to get me. Anyway I went to hospital eventually and had another seizure in A and E lasting 20 mins. I was put into a induced coma and in that time I had double kidney failure and a collapsed lung and wasn't improving until the the 3rd week of being in a coma the doctor decided to give me steroids that helped bring me round. No one at the hospital had a clue what I had and it wasn't until 8 weeks later that I was diagnosed with serotonin syndrome. It ruined my body is had to learn how to walk again 3 months later I'm still struggling with my arms.

@branwhen 4 жыл бұрын

I was already in hospital when I got mine, thank the maker, but it still took so so long for the doctors to figure out what was happening, had it gone on for longer I don't know what would've happened. But hang in there ❤️❤️❤️

@reckless8694 4 жыл бұрын

Which mediation were you taking and what dose? I

@adammurray7761 4 жыл бұрын

Rose Citalopram, I was on the max dose can’t remember what it was, I’ve now been diagnosed with epilepsy after have another grand mal 5 weeks ago. The doctor thinks it was caused by the serotonin syndrome. The biggest mistake of my life, I’d definitely recommend people try cognitive behaviour therapy before trying any meds. I’ve lost my licence and can’t do the job I love ( roofer) I’m just hoping good news comes one day.

@Professional_Nobody 4 жыл бұрын

Adam Murray I’m so sorry you had to experience that. Your knowledge of it now can help others, though.

@adammurray7761 3 жыл бұрын

sayara sami not too good since leaving hospital I’ve had 9 grand mal seizures lost my drivers license lost my job as a roofer and been diagnosed with epilepsy. I strongly advise anyone to stay away from anti anxiety medication, it literally ruined my life.

@lexaproishere 2 жыл бұрын

Feels like your heart beats so fast that it's just going to quit or explode, trust me the bathroom floor will be the only source of comfort

@bateli9733 10 ай бұрын

Jesus fucking christ, yes...

@voidlessentropy4673 8 жыл бұрын

Helped alot ty man

@superbabygirl70 8 жыл бұрын

Excellent!

@floyddango 6 жыл бұрын

I have seen a person on mdma and he got into a really confused state. He was talking to people that weren't in the room and he talked to me as if we were still at a place prior to dosing. It was really scary and I wondered how the hell this neurological phenomenon can be explained. Made me wonder whether it was serotonine syndrome. Luckily he got a clear head after like 45 minutes.

@ThePainkiller9995 5 жыл бұрын

Sounds like dysphoria caused by a rough come up. I'm pretty sure MDMA alone wouldn't cause SS and it wouldn't clear in 45 for sure. It doesn't even sound like SS

@alifi5475 6 жыл бұрын

Where does mdma fit into this? Im sure that the body high of being in the worlds comfiest bed that people who take ecstacy report has to be more seritonin related rather than dopamine related.

@heinzletzte.6385 4 жыл бұрын

This happened to me when I combined LSD and Tramadol. Very unpleasant.

@jmaster707 4 жыл бұрын

I snorted a bunch of Norco (30 mg in 10s) and took about 6 very potent dabs back to back then experienced serotonin syndrome. Thought I was dying ...should have gone to hospital. Uncontrollable tremor, confusion, sweating while cold, bowel movements. It was so scary. I thought it was just a panic attack ...it wasn't. Now I am experiencing kidney problems. Sucks.

@GreatAwakeningE 3 жыл бұрын

For me I accidentally mixed Ayahuasca with MDMA. DMT from Ayahuasca can stay in the system for weeks in low doses! MDMA can also be stored in Fat cells and can be released when fasting! It was very scary psychologicaly. Took a REALLY tiny amount of MDMA (a few grains) 1 week after an Ayahuasca trip - the two interacted and had a really INTENSE and scary trip. Feel very lucky to be alive and not suffer permanent psychosis. Took me 1 year with recurring PTSD episodes to fully recover.

@marie.s9995 6 ай бұрын

New subscriber here ....Thank you for this channel.

@HsC-qv6js 7 жыл бұрын

I was on zofran via IV and I started shaking and woke up in a cold sweat for a couple hours and chest pain now I'm just dealing with sweating and chest pain

@aaronz7267 7 жыл бұрын

go hospital if u feel like that!

@ynotrhyme 8 жыл бұрын

im having stiffening of the hands, sort of like curling up after stopping tramadol, is this a normal withdrawl from cold turkeying or maybe an allergic reaction? i stopped cold turkey tramadol after 2-3 years of usage and symptoms came flying from everywhere and i though i had SS but was told it was just the cold turkey. Thanks!

@amandamorgan5773 7 жыл бұрын

if u stopped abruptly after a couple years, you are definitely having withdrawal s. go to the er, you could end up having bad seizure s.

@markae0 7 жыл бұрын

Fear of fear is the worst. Embrace the fear then you can laugh at it.

@EvaLasta 7 жыл бұрын

I like the way you think! :)

@carolynmmitchell2240 6 жыл бұрын

You gotta break the pills down to smaller and smaller parts over time if you've been taking it years

@anonnymous957 5 жыл бұрын

this happened to me 5 months ago, had a seizure, went into a coma, after trying effexor XR

@nikkiwatson9582 4 жыл бұрын

Just happened to me three days ago after one dose of 150mg effexor xr

@devinsarahstafford5758 4 жыл бұрын

It’s happening to me too

@edwardkenway5064 4 жыл бұрын

took 75mg effexor xr and same thing happened to me, a single pill btw i never took it again

@bigtroglodyte 3 жыл бұрын

Im currently on 150 mg of it and im scared of getting it

@adammurray7761 3 жыл бұрын

Anon Nymous any lasting injury

@shannonmckeown626 Жыл бұрын

Yeah took an opiod pain relief last year,smashed my pacemakers in my stomach on the bus, he hit them breaks hard😢 so yeah took it for the pain, went down that road at that point because of my health, ive never seen so much sweat in all my life,type 1 diabetic,bloods dropped,passed out after downing lucozade,luckily i was visitng my mum,started convulsing! Had around 10 or more! I was so petrified to go home with my girl, always me and her! Trying to get an alert alarm fitted,never experienced them in all my life,but my god i feel for epileptics!must be so scary x

@PhuckHue2 7 жыл бұрын

Libby died from malpractice

@rumit9946 4 жыл бұрын

PhuckHue2 easy to blame overworked interns in hindsight

@ilonathewissen3006 3 ай бұрын

no one should ever take psych drugs, its all poison

@sergez6172 8 жыл бұрын

hey have been on remeron 30mg for 4 weeks now and lyrica 50mg 3 times a day 2 weeks now and was put on sertaline 3days ago all for GAD and panic disorder and MDD, have been feeling some what better since last week, my question is how do i rule out the symptoms of having a panic attack from serotonin syndrome as my panic symptoms are quite similar and was experiencing heavy twitching from the back before i was put on lyrica, and the past 3 days on sertaline my stomachs not great and feeling at times an increase in anxiety(in a speedy way) but it seems to cut off and peak rather then starting a full on panic attack, consulted my gp today and said if i still felt like this in a week to come back, im genuinely worried and need an other opinion from any one willing to give one, in regards to continuing the sertaline,, also the psych who prescribed the sertaline wants to take me off lyrica and told me the drugs would compliment each other? in regards to the next 3 weeks until the drug takes full affect,like i really do not wanna go back to being crippled by panic, but sure dont want to die any advice would be gratefully appreciated

@psychshell4644 8 жыл бұрын

i would think sweating & hyperreflexia would set it apart. i mean like, beyond hot flash sweating. Your reflexes will be off-the-charts as well. it is probsbly best to seek immediate medical care & let them sort it out than you try to figure it out.

@spudpuffington60 7 жыл бұрын

Get off all of that shit. You are stronger than you think. I was there.

@sergez6172 7 жыл бұрын

on lyrica twice a day now no sertaline, still using remeron with no problems and currently detoxing off 30mgs of methadone, that lyrica shit do... fuck me its hard to get off, i swear getting off opiates is easier then lyrica

@robertfiser617 6 жыл бұрын

All of these are neurotoxins.

@parnate6382 6 жыл бұрын

First off, your chances of death from these drugs re serotonin is nil. Remeron (aka Mirtazapine) doesn't increase serotonin levels anyway (maybe 30% which in the world of serotonin levels = NOTHING - you can walk around the block and increase serotonin more than this). Sertraline is an SRI and an NRI, so could cause some jitteriness, but if it is a real bother tell your psychiatrist and see if a change is in order. I fail to see in what way pregabalin (lyrica) and sertraline (you said compliment each other but I suspect you meant are additive or potentiative to each other).

@Zeldarw104 6 жыл бұрын

Omg! That illustration yikes!!

@killingqueen666 5 ай бұрын

Is this anything like akathisia?

@psychshell4644 8 жыл бұрын

i had this 4 wks & also 2 days ago. Thank God that i am a nurse & happen to be well read & very intelligent. i knew what this was right away and went straight to the ER. To others on multiple SSRIs, beware if you feel hot & cold at the same time & are sweating copius amounts of fluid at rest.

@parnate6382 6 жыл бұрын

What were you talking at the time?

@caradocapcunobelin2875 5 жыл бұрын

Michelle Bender nice humble brag. You come off as a tripe POS.

@wyattwatterud3099 5 жыл бұрын

If you were so smart why are you only a nurse

@dook2317 5 жыл бұрын

Very intelligent people don't go around telling everyone how smart they are. More like vice versa.. and yes, why are you just a nurse if you're so very intelligent?

@parnate6382 6 жыл бұрын

Nope. Lethargy? No, you get agitation in SS. Also, no cogwheel rigidity. You're thinking of NMS. Rigidity in Serotonin Toxicity (Syndrome) only occurs in the late and direst stage of the toxidrome and is pyramidal with no cogwheel features.

@Layingflat 4 ай бұрын

I had this for 8 years and treated with opioids for the agony. Lost a kidney and trying to get my mind back.

@cinthyatamayo2509 3 жыл бұрын

That dextromethorphan

@emmaelson6770 7 ай бұрын

I had this a few years back it was not fun. I stupidly took handfulls of Prozac whenever I got anxious or upset. Little did I know

@a.8500 4 жыл бұрын

Hello, please explain me this video in simple English language or easy language because m from India and m also taking antidepressants.

@kaythreefox6005 3 жыл бұрын

If you take a drug that interacts(reacts badly) with your antidepressants (SSRI + MAOI or SSRI+SSRI and some muscle relaxers do it) you could have too much of a chemical called serotonin in your brain. This chemical is usually inhibited (not allowed) to be reabsorbed into a synapse (one end of a nerve)by those medications, which helps with depression, anxiety and what not. When the meds interact and cause too much of serotonin to stay in your brain, you can get serotonin syndrome. Your muscles may get tight, you'll start shaking, you might have higher anxiety and get mad easy and you wont be in tuned with reality well. Your reflexes (when they hit your leg with a hammer and it goes up on its own=reflexes) will be really sensitive. You will sweat and grind your teeth and you might tense up more. If you start feeling these symptoms all at once, its an emergency. Without treatment you can die from this. Treatment is supportive..meaning they treat the symptoms. They might give you meds for your anxiety, and possibly give you something called an serotonin antagonist (does the opposite of keeping the serotonin floating in your brain..its good for this situation) along with other supportive treatments to make sure you make it out of this. Hope this helped :) -Jackie the phlebtomist, biochemistry student and fellow user of antidepressants.

@JennyB957 5 жыл бұрын

Is this prescription ? Is any of this found over the counter ?

@timothyjade Ай бұрын

Yes....DM type cold medicine... The active ingredient is Dextromethorphan which is a hallucinogen when taken in high amounts and can cause serotonin syndrome

@liannemoore8286 6 жыл бұрын

Wow...This is really informative! If this can happen with in 6hrs... what can you do to reverse this in an emergency? Narcan?

@parnate6382 6 жыл бұрын

First off, this is informative only in a misinformative sense. To counteract Serotonin Syndrome Cyproheptadine or Chlorpromazine is used. 99% of the people ever to comment on a KZfaq post HAVE NEVER HAD IT.

@dishonoredmonk2963 6 жыл бұрын

Is this the disorder ive heard about, that makes it impossible for you to ever feel "happiness" again, like it completely destroys your reward system of your brain... or is that just a myth?

@jellyfishattack 6 жыл бұрын

You're thinking of crackheads!

@marym897 5 жыл бұрын

No but it can happen. Hormones and hyper thyroid.

@hodgeknobbler9848 3 жыл бұрын

Anhedonia?

@vivavita3769 2 жыл бұрын

It's not a myth. I had serotonin syndrome after being prescribed tramadol and baclofen together. I didn't go to the hospital since l was so confused. I forgot to take a dose and improved. Yes, it does affect your ability to feel joy which l haven't felt in the 12 years since this happened .

@b0rder.-991 4 жыл бұрын

I took 9000mg of sertraline at one time. Got really lethargic, could barely walk, and eventually slipped into a coma.

@grabthecrucifixband4203 3 жыл бұрын

Why would you ever feel the need to take that much?

@b0rder.-991 3 жыл бұрын

@@grabthecrucifixband4203 because I wanted to die

@grabthecrucifixband4203 3 жыл бұрын

@@b0rder.-991 yeah I did too. Even tried 6 times with overdoses that would've killed a grown elephant. But I recently got a team of doctors and a astrophysicists smarter than npt and turns out I can't die. I'm just in a superposition. It's really confusing but don't try to kill yourself, you will wake up and in bad condition. I hanged myself a couple days ago and woke up in the hospital this time. Bud if you need help get it, which I'm sure you did. What you did is super scary and I can't even imagine the pain you went thru. Im sober now but I feel like getting a bag of weed in case I get the syndrome.

@grabthecrucifixband4203 3 жыл бұрын

@@b0rder.-991 you have a purpose, trust me.

@PinkJoy143 Жыл бұрын

@@grabthecrucifixband4203 Can’t die?

@thinagarrett Жыл бұрын

I think I might have this, but I have POTS so it just feels a little more intense. I used to have trauma-induced episodes, so I’d think that if I do have SS then I would have one of those in-ignorable episodes and I haven’t had one yet.

@jessicaferguson4518 Жыл бұрын

Same. I’m debating going to ER right now.

@thinagarrett Жыл бұрын

@@jessicaferguson4518 I ended up going, but they blew me off like they did the first time I went to them (a few years back). If you truly think you have it, you should go to make sure just because of his serious it is, but I’m not a medical professional in any means, I’ve just been to lots of doctor appointments over the past few years.

@Sherirose1 6 жыл бұрын

Very informative.

@parnate6382 6 жыл бұрын

Sheri Dildar No, it's actually rather misinformative. Look up the world's foremost experts on Serotonin Syndrome, i.e., Buckley, Whyte, Isbister, and especially, Gillman.

@pridetheninjakiller 5 жыл бұрын

It doesn't always go away I've had it for a long time and will continue to have it till it kills me

@marshagreene7926 5 жыл бұрын

XenoCris 420X hello can I ask what symptoms you have?

@branwhen 4 жыл бұрын

Isn't it an acute state? I mean, if something isn't done, yes, your heart will give out, but it can't go on forever. I still, 6 years after mine occurred, have lingering problems from it, but I do not have it anymore

@Planclanman3 2 жыл бұрын

Clearly you don't have this or you wouldn't be able to type or watch KZfaq videos like what.

@pridetheninjakiller 2 жыл бұрын

@@Planclanman3 according to my psychiatrist I had it due to the anti depression medicine once it was all out of my system and we switched medication I haven’t had any issue

@XOXO-mb2vh 4 жыл бұрын

I'm still trying to bounce back. Hopefully I'll be better.

@optimisticdaze 3 жыл бұрын

Did you ever get better?

@reichbunny713 3 жыл бұрын

Did you recover homeslice? You good dawg?

@chasedavis2358 3 жыл бұрын

I think this happened to me from taking too much ayahuasca

@Fairyfromthehollows 6 жыл бұрын

I have it , and I'm also pregnant with twins

@arunthuthiappadurai2772 4 жыл бұрын

Why not like nothing? Like weird like that

@PHEONIXCHOCOROME 6 жыл бұрын

2 month ago..similar thing like this happened to me..but i got stiffening neck..and my tounge come out (sorry my english) since then i don't take that sulpiride (the pill that supposed to treat my shcizophrenia)..lately the phsychiatrist mad at me because i don't wanna take that pills again..i am so worried something like this happened to me..i don't have anybody that can understand my situation..can somebody help me.?what should i do? Take the pills again? Since i don't take that pills i feel something is wrong with my head..but im afraid of it scary effect..

@Wheelehan62 5 жыл бұрын

It's horrifying!!

@kimjong-un7573 7 жыл бұрын

is this what Zoloft and tramadol do? I know someone who is prescribed, naproxen, Zoloft, tramadol, neurontin, and flexerol. is this a dangerous cocktail twice a day????

@sileightys 7 жыл бұрын

oud musician Learn english you stupid fuck.

@parnate6382 6 жыл бұрын

As far as SS? - nope.

@Godschoosen1 6 жыл бұрын

Parnate can I get seretonin syndrome from 150 mg Zoloft and 100 tramadol?

@parnate6382 6 жыл бұрын

fanshy hu onchi - Incredibly unlikely. Lightning will strike first, and a lottery win.

@parnate6382 6 жыл бұрын

fanshy hu onchi Tramadol is a weak (at 992 nM in rat analysis) SRI. Sertraline (Zoloft) is much more potent as an SRI, but even adding both of these and other (S)SRI drugs wouldn't make for Serotonin Syndrome or hypertension. Your scenario is equivalent to simply adding another SRI med to Zoloft, i.e., the two work by the same mechanism - by blocking the 5HT membrane transporter. Just don't ever combine an (S)SRI with an MAOI. This is the combo that equals major trouble.

@bethysboutique 8 жыл бұрын

Excellent video. Almost thought I was having SSyndrome after a bad night of sleep followed by a day of excessive oversleep. I got sort of anxious and slightly shaky/restless but I didn't do anything different with my meds which I've been on for years. So I think my body was just confused. I hadn't eaten all day either, I wasn't vomiting. I took a klonopin and everything was ok. :) Great informational video. Incredibly succinct and forward!

@bamdam2848 8 жыл бұрын

+Bethany Marty i went from 100 to 125 mg of zoloft. I been going up every 5 weeks by 25 mg, however these last couple days going to 125mg from 100mg I feel agitated,restless,insomnia,anxious,can't really focus and feel kinda weird. However I don't have the dangerous symptoms like high blood pressure and all that. I feel even though I been on the 125mg for few days I will have to go back down to 100mg sucks because I was looking forward to getting up to 150mg but these things take a lot of patience.

@parnate6382 6 жыл бұрын

no you weren't having SS. Also this video is a rubbish dump. You're 0 for 2.

@RaccoonNation 4 жыл бұрын

(*Cough**cough*) Methadone

@8_Raeder 7 жыл бұрын

Why is she tied to her hands and feet because of serotonin syndrome?

@8_Raeder 7 жыл бұрын

handcuffed ...... because of serotonin syndrome and is this normal for doctors to shackle their patients and make them prisoners?

@oculustertius4219 7 жыл бұрын

Maybe because she overdosed on cocaine, and she could be aggressive?

@8_Raeder 7 жыл бұрын

So consuming cocaine is a reason for being tied for you? I hope that you don't work in any institution where you can do so. also you COULD be aggressive (for what reason ever), so you should be held in prison and shackled ;-) Everyone is potentially aggressive

@oculustertius4219 7 жыл бұрын

well, she could be aggressive, she could be having paranoia, she could be having seizures. Now imagine a hospital having 15 people per room like that, do you think its a good idea for them to walk around? Do you thing they would casually be talking about the weather? :P

@8_Raeder 7 жыл бұрын

and in a pub where everybody is drunk or on reefer, they all shoud be tied?? I cite you "she COULD be aggressive, she COULD be having paranoia, she COULD be having seizures." and you should be banned from working in a hospital, you could commit several acts of deprivation of liberty.

@agustasister5624 6 жыл бұрын

You know what would really help.people...a.channel for parents...SOMETHING TO HELP THEM SEE SYMPTOMS THEIR KIDS ARE TSKING DRUGS. ..OVER AND OVER AND OVER I HEAR GRIEVING PARENTS SAY ...IN RETROSPECT..IF I ONLY HAD KNOWN THE SIGNS...IF I ONLY KNEW WHAT I KNOW NOW...

@parnate6382 6 жыл бұрын

There are so many mistakes in your diagram I feel I would have to commission the artist to draw a new one. A shame, as this one is, though error-filled, quite well done.