this post was submitted on 07 Jul 2023
15 points (94.1% liked)

Medicine

1109 readers
1 users here now

This is a community for medical professionals. Please see the Medical Community Hub for other communities.

Official Lemmy community for /r/Medicine.


[email protected] is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or share a difficult moment.

This is a highly moderated community. Please read the rules carefully before posting or commenting.



Related Communities

See the pinned post in the Medical Community Hub for links and descriptions. link ([email protected])


Rules

Violations may result in a warning, removal, or ban based on moderator discretion. The rule numbers will correspond to those on /r/Medicine, and where differences are listed where relevant. Please also remember that instance rules for mander.xyz will also apply.

  1. Flairs & Starter Comment: Lemmy does not have user flairs, but you are welcome to highlight your role in the healthcare system, however you feel is appropriate. Please also include a starter comment to explain why the link is of interest to the community and to start the conversation. Link posts without starter comments may be temporarily or permanently removed. (rule is different from /r/Medicine)

  2. No requests for professional advice or general medical information: You may not solicit medical advice or share personal health anecdotes about yourself, family, acquaintances, or celebrities, seek comments on care provided by other clinicians, discuss billing disputes, or otherwise seek a professional opinion from members of the community. General queries about medical conditions, prognosis, drugs, or other medical topics from the lay public are not allowed.

  3. No promotions, advertisements, surveys, or petitions: Surveys (formal or informal) and polls are not allowed on this community. You may not use the community to promote your website, channel, community, or product. Market research is not allowed. Petitions are not allowed. Advertising or spam may result in a permanent ban. Prior permission is required before posting educational material you were involved in making.

  4. Link to high-quality, original research whenever possible: Posts which rely on or reference scientific data (e.g. an announcement about a medical breakthrough) should link to the original research in peer-reviewed medical journals or respectable news sources as judged by the moderators. Avoid login or paywall requirements when possible. Please submit direct links to PDFs as text/self posts with the link in the text. Sensationalized titles, misrepresentation of results, or promotion of blatantly bad science may lead to removal.

  5. Act professionally and decently: /c/medicine is a public forum that represents the medical community and comments should reflect this. Please keep disagreement civil and focused on issues. Trolling, abuse, and insults (either personal or aimed at a specific group) are not allowed. Do not attack other users' flair. Keep offensive language to a minimum and do not use ethnic, sexual, or other slurs. Posts, comments, or private messages violating Reddit's content policy will be removed and reported to site administration.

  6. No personal agendas: Users who primarily post or comment on a single pet issue on this community (as judged by moderators) will be asked to broaden participation or leave. Comments from users who appear on this community only to discuss a specific political topic, medical condition, health care role, or similar single-topic issues will be removed. Comments which deviate from the topic of a thread to interject an unrelated personal opinion (e.g. politics) or steer the conversation to their pet issue will be removed.

  7. Protect patient confidentiality: Posting protected health information may result in an immediate ban. Please anonymize cases and remove any patient-identifiable information. For health information arising from the United States, follow the HIPAA Privacy Rule's De-Identification Standard.

  8. No careers or homework questions: Questions relating to medical school admissions, courses or exams should be asked elsewhere. Links to medical training communitys and a compilation of careers and specialty threads are available on the /r/medicine wiki. Medical career advice may be asked. (rule is different from /r/Medicine)

  9. Throwaway accounts: There are currently no limits on account age or 'karma'. (rule is different from /r/Medicine)

  10. No memes or low-effort posts: Memes, image links (including social media screenshots), images of text, or other low-effort posts or comments are not allowed. Videos require a text post or starter comment that summarizes the video and provides context.

  11. No Covid misinformation, conspiracy theories, or other nonsense

Moderators may act with their judgement beyond the scope of these rules to maintain the quality of the community. If your post doesn't show up shortly after posting, make sure that it meets our posting criteria. If it does, please message a moderator with a link to your post and explanation. You are free to message the moderation team for a second opinion on moderator actions.

founded 2 years ago
MODERATORS
top 8 comments
sorted by: hot top controversial new old
[–] itsAsin 1 points 1 year ago (1 children)

are you sure you got that title right?

from the article:

Conclusions and Relevance This study found no evidence that stimulant treatment was associated with increased or decreased risk for later frequent use of alcohol, marijuana, cigarette smoking, or other substances used for adolescents and young adults with childhood ADHD.

i want people to get what they need. but i see no reason to propagandize.

[–] [email protected] 2 points 1 year ago (1 children)

Findings: In this cohort study of 547 children initially treated in a randomized clinical trial for ADHD and assessed repeatedly to adulthood, comprehensive analyses did not support an association between stimulant treatment and adolescent or adulthood substance use or substance use disorder.

Meaning: This study found no evidence that stimulant treatment, predominantly prescribed in childhood and adolescence, protects against or increases risk of later frequent use of alcohol, cigarettes, marijuana, or other substance use by a mean age of 25 years.

Study found no effect. That is a result and supports the headline.

[–] itsAsin 0 points 1 year ago* (last edited 1 year ago) (1 children)

then title should read:

New research has found that youth who are prescribed stimulants to treat their ADHD are neither more nor less likely to become addicted to drugs later in life

accuracy matters.

[–] [email protected] 0 points 1 year ago* (last edited 1 year ago)

The headline doesn't mention that second half. You are talking about inferred meaning, which is actually interesting. Does inferred meaning make something inaccurate? Because, I inferred from the title that it was simply debunking a myth and setting things at a base level. Genuine question, how do you plan for that and how far would you take it?

[–] [email protected] -1 points 1 year ago* (last edited 1 year ago) (1 children)

I wasn't diagnosed until late, but I forget to take them a lot. I think I can see how they'd be addicting, but I often wonder if that may be a sign that they have another problem that needs solving. I suppose that fits, for addiction in general.

[–] [email protected] 2 points 1 year ago* (last edited 1 year ago) (1 children)

I’m prescribed modafinil to combat severe fatigue and brain fog from lupus. I’ve never experienced any kind of “high” when I take it and I don’t have amazing levels of concentration. I can just think a bit more clearly and I don’t need to nap every two hours. When I mentioned it to a doctor years ago he explained by saying something like “this modafinil tablet will make everyone feel 20% more alert (for example) so when a healthy person takes it they feel 120%. But you have something wrong with you; you’re only functioning at 70%. When you take this tablet you also function 20% better but that only brings you up to ~90% of what a healthy person feels like to begin with.” It felt so obvious when he put it like that.

Regarding the “sign another problem needs solving” bit you said, I don’t think it’s that simple for all drugs. I’ve been taking pretty high dosages of prescription opioids for the best pet of two decades. It makes my pain bearable for the most part. It allows me to sleep a little bit at night. But I don’t experience any “high”, not even a feeling of mellowness. Yet when my fentanyl patch comes off and I don’t notice, I start displaying signs of physical withdrawal. I am dependant on opioids but I don’t have of the drug seeking behaviour associated with being addicted to opioids. If for some reason my doctors stopped prescribing all my opioids tomorrow I suspect I would display drug seeking behaviour, but I don’t think that’s a sign of another problem in my life. I’m dependent on the drug, through no fault of my own.

[–] [email protected] 2 points 1 year ago* (last edited 1 year ago) (1 children)

That's a fascinating and valuable perspective. Thank you for this, I can see this completely and it has expanded my views. If I stop my stimulants, I just wonder why I am so sleepy half the time until it clicks.

[–] [email protected] 2 points 1 year ago* (last edited 1 year ago)

You’re welcome and I’m glad it helped! It was a bit of a game changer when it was first put to me like that. It also made me feel a little bit better about being prescribed so many medications that carry the stigma of addiction. .

load more comments
view more: next ›