WARNING: THIS POST CONTAINS INFO LIKELY TO MAKE STEAM COME OUT YOUR EARS
Personally, I don't use but I gotta ask b/as long time SA Counselor & Clinical Neuropsychologist,
What ARE these people so on re weed about? Theres NOTHING abt weed comes anywhere close to t/individual, 1/

@GoadGatsby relational, marital familial, societal and physical and mental health damage done by alcohol (ism) daily. PERIOD FULL STOP

& Research that was so long denied has found a plethora of bennies.

That's not to say no abuse occurs or is possible, (however, [stick with me here] 2/
@GoadGatsby I see a variety of WS groups currently abusing [t/great American symbol of home family & motherhood] MILK these days...
Hey, if it's a substance/any substance or something transduced or processes by your chemical brain [neurochemistry baby] use misuse, abuse addiction & 3/
@GoadGatsby deadly addiction is a thing, A BIG THING including "thought addiction," [we MH profs call this obsession] which seems a likely group DX for folks on the right who are virtually obsessed with weed as if it were Hitler, meanwhile they're tryna convince themselves he had a 4/
@GoadGatsby rational national plan on repeat. But I digress).
Bottom line: Cannabis Use/Abuse Disorder is far less (note t/word LESS) common, far less damaging both in t/short- & long-term & pop #s for Cannibis Use/Abuse are no where near those of alcoholics & the resulting death maiming 5/
@GoadGatsby & injury via drunk driving & weed is not typically associated w/DV, murder, violent rage & general societal mayhem etc.

However Cannabis/Weed IS SO HIGHLY ASSOCIATED w/the abuse of Black folks by police & our racist CJS as the perpetual excuse to lock Black folks up that you 6/
@GoadGatsby might as well say it's first outta the gate as the White Supremacist rationale for all the above and maybe THATS WHY THE RIGHT CLINGS SO HARD TO WEED AS THE BIG BAD BOOGIE MAN (or Boogie/Boog Bois).

So WTF do these people not get?

Oh yeah I forgot theyre 7/
@GoadGatsby addicted to their obsessive paranoid thought patterns tape no. 107,634 "fear and loathing of all things & just plain living period" ..in fact, that's not just their NEUROCHEM fix for anxiety, 8/
@GoadGatsby THATS THEIR FIX FOR LIFE (i.e., no living, & certainly no living differently [from them] allowed).
CC:@ARocketGal
@trying2help
@ashkenaz89
@DrWinarick
@Captmike4804
@SameiHuda
9/
END
@GoadGatsby @ARocketGal @trying2help @ashkenaz89 @DrWinarick @Captmike4804 @SameiHuda @threadreaderapp unroll

More from kateneuropsych Dr. Kate Shaw MA/MS/PsyD Auntie Fa

WARNING: THIS POST CONTAINS INFO LIKELY TO MAKE STEAM COME OUT YOUR EARS
Personally, I don't use but I gotta ask b/as long time SA Counselor & Clinical Neuropsychologist,
What ARE these people so on re weed about? Theres NOTHING abt weed comes anywhere close to t/individual, 1/


relational, marital familial, societal and physical and mental health damage done by alcohol (ism) daily. PERIOD FULL STOP

& Research that was so long denied has found a plethora of bennies.

That's not to say no abuse occurs or is possible, (however, [stick with me here] 2/

I see a variety of WS groups currently abusing [t/great American symbol of home family & motherhood] MILK these days...
Hey, if it's a substance/any substance or something transduced or processes by your chemical brain [neurochemistry baby] use misuse, abuse addiction & 3/

deadly addiction is a thing, A BIG THING including "thought addiction," [we MH profs call this obsession] which seems a likely group DX for folks on the right who are virtually obsessed with weed as if it were Hitler, meanwhile they're tryna convince themselves he had a 4/

rational national plan on repeat. But I digress).
Bottom line: Cannabis Use/Abuse Disorder is far less (note t/word LESS) common, far less damaging both in t/short- & long-term & pop #s for Cannibis Use/Abuse are no where near those of alcoholics & the resulting death maiming 5/
Since 1980-90s WS successful ongoing intentional strategy to blend w/fundamentalist W Christian & infiltrate/integrate/take over these spaces; emerging in homeschooling tied to natural CB, attachment style parenting, Le Leche League, Natural child rearing & ecological mov'nts


Theres not a lot 1 can do abt this either. There are SOME divisions but not as many as one might like to think & there are an infinite number of fuzzy boundaries ie., as in vaccinations. This is a highly fluid & often volatile life stage to navigate married or single & 2/

things are muddy as hell (this is an area I've researched tracked, and personally experienced as part of that natural child birth community). Women are isolated by society and thats a problem on both the right and the left. Women are vilified & looked down on when they do 3/

have kids, and are pilloried if they stay home, go to work, if they breastfeed, for how long or not and are essentially cut off from an elder community that might help them navigate the enormous shift in their lives not to mention having to put up with petulant manbaby 4/

husbands who drag them via their own negative ideals, expections, insecurities fears angers hurts at the sudden usurping of their position as number 1 in a womans life when she has a baby, & especially the first baby. BOTH WHITE SUPREMACY AND FUNDAMENTALIST WHITE CHRISTIANITY 5/
@KathyGrants @slomoshun1966 @kk131066 @foe_us @nature_org @jane__eden @impakterdotcom @sillymickel @vegix @how_sustainable @JamesrossrJames @climatemessages @sustainableuni1 @LolaGayleC @ResisterForever @mmpadellan @AdamParkhomenko @glennkirschner2 @morethanmySLE All the clinical Neuropsychological and forensic testing manuals that match the clinical measures we use...
Then made cheat sheets. (ok geek comment alert) the reason to do this is because if you don't understand the base rates and how they were derived, the populations 1/

@slomoshun1966 @kk131066 @foe_us @nature_org @jane__eden @impakterdotcom @sillymickel @vegix @how_sustainable @JamesrossrJames @climatemessages @sustainableuni1 @LolaGayleC @ResisterForever @mmpadellan @AdamParkhomenko @glennkirschner2 @morethanmySLE sampled to gain those "norms" and the year in which this was done, your interpretation of testing data will be significantly "off". If you can't assess the accurate diagnosis (meaning you misdiagnose) you end up causing pain and suffering not to mention treatment especially 2/

@slomoshun1966 @kk131066 @foe_us @nature_org @jane__eden @impakterdotcom @sillymickel @vegix @how_sustainable @JamesrossrJames @climatemessages @sustainableuni1 @LolaGayleC @ResisterForever @mmpadellan @AdamParkhomenko @glennkirschner2 @morethanmySLE if it involves psychopharm (meds)doesn't treat what actually ails the patient. When this happens, at best no one's treated for the actual illness they have which causes undue pain & suffering, at worst symptoms are exacerbated and or meds cause adverse reactions that can 3/

@slomoshun1966 @kk131066 @foe_us @nature_org @jane__eden @impakterdotcom @sillymickel @vegix @how_sustainable @JamesrossrJames @climatemessages @sustainableuni1 @LolaGayleC @ResisterForever @mmpadellan @AdamParkhomenko @glennkirschner2 @morethanmySLE have lasting effects (more pain and suffering) not to mention totally messing with the outcomes of legal cases
In short an inaccurate Diagnosis totally messed with people's lives.
. ..... So, if I use a measure you can bet Ive read the manual and understand the cautions, and 4/

@slomoshun1966 @kk131066 @foe_us @nature_org @jane__eden @impakterdotcom @sillymickel @vegix @how_sustainable @JamesrossrJames @climatemessages @sustainableuni1 @LolaGayleC @ResisterForever @mmpadellan @AdamParkhomenko @glennkirschner2 @morethanmySLE when to augment via clinical judgement. That often puts me at odds with folks in terms of opinions but I can back it all up via research and what's written in the manuals which often have caveats re use and application that people miss. More, as I went along it became obvious 5/

More from Health

@73inlancs @janethooton_ @ErinInTheMorn @fifi_EY 1/ The 🏴󠁧󠁢󠁥󠁮󠁧󠁿 government decided pediatric gender care in England would be a monopoly contract (a Labour minister, in 2008), despite all other NHS patients officially being entitled to a choice of providers, & second opinions on diagnoses & treatment, & gave it to GIDS, which has…

@janethooton_ @ErinInTheMorn @fifi_EY 2/…always advocated that trans minors & their families must have no alternative source of care, & subsequent Tory ministers have personally put their signature on renewals of it, and even personally rejected proposals for improvement that have been put forward by NHS England…

@janethooton_ @ErinInTheMorn @fifi_EY 3/…as a result of wider & public consultation. They & their civil servants listen only to GIDS on trans minors - it was GIDS advised against <18s being allowed #GenderRecognition in 2004, & since, on the basis that no one under 18 can be certain of their gender identity, just…

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1/15
Why can cefepime cause neurological toxicity?

And why is renal failure the main risk factor for this complication?

The answer requires us to learn about cefepime's structure and why it unexpectedly binds to a certain CNS receptor.

#MedTwitter #Tweetorial


2/
Let's establish a few facts about cefepime:

🔺4th generation cephalosporin antibiotic
🔺Excretion = exclusively in the urine (mostly as unchanged drug)
🔺Readily crosses the blood-brain barrier (so it easily accesses the brain)

https://t.co/rjYG1BfGPR


3/
The first report of cefepime neurotoxicity was in 1999.

A patient w/ renal failure received high doses of cefepime and then developed encephalopathy, tremors, myoclonic jerks, and tonic-clonic seizures.

✅All symptoms resolved after hemodialysis.

https://t.co/u7JLVitQpp


4/
Cefepime neurotoxicity is surprisingly common, occurring in up to 15% of treated critically ill patients (w/ symptoms varying from encephalopathy to seizures).

💡The main risk factors = renal failure and lack of dose adjustment for renal function.

https://t.co/nxbnzSq8AR


5/
What about cefepime induces neurotoxicity?

One clue is that it's not the only antibiotic that causes neurotoxicity, particularly seizures.

This actually is a class effect w/ other beta-lactam antibiotics (including penicillins and carbapenems).

https://t.co/Lf4BhON9IY

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