PSA: despite having Epi-Pens my entire life, literally no doctor ever bothered to tell me the reason they come in 2-packs isn’t so you can keep the backup somewhere else, but because you might get in a situation where one pen doesn’t buy you enough time, and so you shouldn’t separate them.
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Emilia (lazerwalker@xoxo.zone)'s status on Monday, 17-Nov-2025 09:38:48 JST
Emilia
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Briala (static@aus.social)'s status on Monday, 17-Nov-2025 10:54:43 JST
Briala
@lazerwalker Doctors need better training at telling patients things they don't realize they think are so obvious they forget to mention them.
I'm on HRT. Doctor never told me I should get a blood test at "trough", which means plan a morning to get your blood test just before you do a daily (or morning) dose.
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epicdemiologist (epicdemiologist@wandering.shop)'s status on Monday, 17-Nov-2025 17:50:57 JST
epicdemiologist
@lazerwalker Good grief. That was the second thing they told us about them in first aid class! (The first was "don't hold your thumb over the pointy end!")
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Stephen Collins (trib@aus.social)'s status on Monday, 17-Nov-2025 17:51:11 JST
Stephen Collins
@epicdemiologist @lazerwalker yes indeed, as a remote area first aider and volunteer first responder, I carry 2 EpiPens. If I don’t get an improvement response from a casualty who needs one in 5 minutes, the second one is going in.
Related aside: I also carry 2 Penthrox devices for the same reason, though the gap between is larger.
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Howitzer105mm (howitzer105mm@mastodon.social)'s status on Monday, 17-Nov-2025 17:51:42 JST
Howitzer105mm
@trib @epicdemiologist @lazerwalker I just completed a wilderness first aid course. It's concerning to me how little time an Epi-pen provides in stabilizing someone. Especially since it may be hours before you're out of the sticks.
It was interesting to learn you can potentially extend holding off shock by chewing Benadryl style drugs. Chewing helping to speed deployment of the active ingredient.
I still don't want to have to try and manage providing first aid in that situation.GreenSkyOverMe (Monika) repeated this. -
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Stephen Collins (trib@aus.social)'s status on Monday, 17-Nov-2025 17:52:10 JST
Stephen Collins
@Howitzer105mm @epicdemiologist @lazerwalker low dose antihistamines can be a literal lifesaver. Also useful in your dog first aid as it can sedate them enough to slow the effects of low dosage/nonlethal snake bite.
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Patrick Lam :tinoflag: (va2lam@mastodon.nz)'s status on Monday, 17-Nov-2025 17:52:34 JST
Patrick Lam :tinoflag:
@trib @epicdemiologist @lazerwalker I recently took a wilderness first responder recert in Canada following the WMA curriculum. They recommend carrying 3 doses; biphasic reactions can occur minutes to hours later. They also recommend (with MD approval) antihistamines and steroids in the wilderness setting.
WMA does the injecting-an-orange lab in case people have the non EpiPen form.
I also found out that in NZ EpiPens are publicly funded.
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Stephen Collins (trib@aus.social)'s status on Monday, 17-Nov-2025 17:53:05 JST
Stephen Collins
@va2lam @epicdemiologist @lazerwalker ‘Murica! Freedumb!
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Stephen Collins (trib@aus.social)'s status on Monday, 17-Nov-2025 17:53:06 JST
Stephen Collins
@va2lam @epicdemiologist @lazerwalker EpiPens are relatively cheap here, from free to about $30 depending on your script and whether you have access to low/no cost meds under the PBS SafetyNet.
The most they cost is someone stocking a privately owned first aid kit at about $80.
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Patrick Lam :tinoflag: (va2lam@mastodon.nz)'s status on Monday, 17-Nov-2025 17:53:06 JST
Patrick Lam :tinoflag:
@trib @epicdemiologist @lazerwalker a US website says us$179 for 2 with their coupon (!!!)
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Zimmie (bob_zim@infosec.exchange)'s status on Monday, 17-Nov-2025 17:53:47 JST
Zimmie
@static @lazerwalker Yes and no. Some things they overcommunicate to absurd degrees. I was once prescribed phenazopyridine. The prescribing doctor warned me it would make my urine look red, and it didn’t mean I was bleeding. Then the PA gave me the same warning. Then a nurse gave the same warning. Then the person working the front desk gave me the same warning. Got it again from the pharmacy tech when I dropped the prescription off. Again from another pharmacy tech when I picked it up. Then the pharmacist *called me* to give me the same warning.
After all that, the actual effect was underwhelming. Didn’t look remotely like blood.
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nshrubs (nshrubs@mstdn.social)'s status on Monday, 17-Nov-2025 17:54:45 JST
nshrubs
@lazerwalker What?!?!? We regularly have parents who send one into school & keep one at home.
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Nicole Parsons (npars01@mstdn.social)'s status on Monday, 17-Nov-2025 17:54:46 JST
Nicole Parsons
Joe Manchin's daughter is why these life-saving devices ballooned in price.
Pharmaceutical billionaires profiting off deadly allergic reactions.
Coercive Capitalism -- just one more element of #enshittfication and anti-democracy
Democrats need to get better at culling these faux "centrists" in Republican drag sooner.
https://jacobin.com/2021/10/joe-manchin-daughter-heather-bresch-mylan-epipen
https://www.opensecrets.org/news/2021/09/manchin-large-campaign-contributions-epipen-scandal/
https://www.cnn.com/2016/09/07/politics/manchin-defends-bresch-mylan-epipen-price
https://theintercept.com/2021/09/07/joe-manchin-epipen-price-heather-bresch/
https://en.wikipedia.org/wiki/Heather_Bresch
https://www.cbsnews.com/news/joe-manchin-heather-manchin-bresch-centrist-political-group-donors/
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eswillwalker (els@sfba.social)'s status on Monday, 17-Nov-2025 17:55:56 JST
eswillwalker
@lazerwalker My first aid instructor told us, “No one ever died from an overdose of epinephrine, but people do die if they aren’t given a big enough dose of epinephrine.” He also told us that epi-pens carry more than a single dose (to ensure that the patient gets enough) and it’s possible to tear open the outer casing of an epi-pen to get access to the remainder and inject the remainder into the patient using the same needle. He even told us that his own life had been saved by someone dosing him with an out-of-date epi-pen after he’d been stung by a bee. Don’t depend on a past-date pen, but don’t throw them out, as the expired dose could still save someone and at the very least will not hurt them.