🤝 Community Munchausen's by Internet (Malingerers, Munchies, Spoonies, etc) - Feigning Illnesses for Attention

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However the use of blood products isn't overly liberal, and you try to avoid it in any patient because it comes with its own risks. Most surgeries don't need blood products.
To expand on this: the reason that a surgeon routinely consents a patient for blood pre-op and orders type+screens is just in case things go down the shitter. Nobody's planning on transfusing during a hernia repair, but y'know, every now and then there's a whoopsie with the aorta.
I’ve had patients that had a 24/7 guard of men in suits (“deacons”) to ensure we didn’t secretly talk them into a blood transfusion.
JWs seem to have a really optimistic idea of how quickly someone can get transfused. If a patient comes in wildly hemorrhaging, yeah, but otherwise the doctor's going to talk to the patient, then Lab is going to band and draw them, then hours later the blood product will be ready and eventually two nurses will do the check at bedside before it's spiked. Nobody is going to reverse vampire a patient the second they fall asleep.

So it's a little funny when JWs remind staff about the blood restriction over and over. You have COPD exacerbation, Agnes, but I'll make sure that's still flagged on your chart.
 
It's interesting Jamie is in Colorado. I've worked in a few hospitals she may have used, and the general consensus with JW patients is that the doctors don't fuck around. I had a pediatric patient with a surgically curable solid tumor. The family would not consent to the surgery unless the surgeon would agree to zero blood products. The surgery is generally bloodless, but if something went wrong, it would be needed. The family was told no, and they still refused to consent. They wanted our doctors to give a child chemo and radiation, which have horrible side effects and wouldn't be as curative as surgery.

The hospital took them to court, where a judge gave the family 24 hours to find a surgeon willing to agree to their demands. They couldn't find anyone, so the judge gave medical power of attorney to one of our physicians. The family made such a stink that they were banned from the hospital. Kid had the surgery, it was bloodless, and once recovered, he was allowed home with his family.

It's quite common for surgeons and hospitals in the area to tell these people to fuck off. It's not worth the risk to the patient and no surgeon wants a preventable surgical complication. A JW munch is unusual.
 
Some of the things that Jamie described about her childhood eating struggles sound a bit like ARFID. In particular, the flipping out over food textures and fear of choking sound like that. ARFID can (and often does) result in low weight and other health issues that you'd see with anorexia nervosa. I wouldn't be particularly surprised if there's an AFRID-to-anorexia pipeline (as the child turns into a teen and adult), but I have no idea if there's research to back that up. It sounds like she received a lot of attention-- from parents, from counselors-- because of her childhood eating issues, and I wonder if that translated into teen/adult anorexia, especially when you add in things like the k-pop obsession. Those k-pop diet tips from the first post were identical copies of The Thin Commandments from the original pro-ana websites.

Speaking of anachans, I was amused to see that she lists EPI as one of her many ailments, because that's one you can get after starving yourself. There's a current Instagram-based anachan who's claiming EPI, which is mysteriously resistant to all commonly prescribed medications. Needless to say, that means she "can't" gain weight. At one point, she was claiming she had Whipple Disease, and that it was affecting her ability to absorb the pancreatic enzymes. Some of the antibiotics also "weren't working," because reasons (reasons like: I don't want to gain weight, so I don't take my enzymes). Also, if you're thinking that Whipple Disease is rare, you're correct, and I imagine it's especially rare in young Edinburgh-based university students, which is what she is. Her antics are exhaustively documented on the other farms, and she's a really awful person, so that's fun.

its_zarbie_01.png

Totally just CHRONICALLY ILL and no longer anorexic, according to her!

Anyway, Jamie should try swearing with big-girl words and see if that lets out some of her pent-up tension. I'm glad to see that the spare parts dog is no longer dragging her chariot.
 
For some reason I thought the tear ducts made moisture, not sucked it away.
I think the term "tear duct" sticks in the mind better than "excretory ducts of the lacrimal gland" and "lacrimal canals." For most situations in life we don't have to get so specific.
Tear-Duct-Obstruction-[1].jpg
Jamie is claiming Sjögren's syndrome ("my shortens" was a speech-to-text or autocorrect error) where the glands in the eyes and mouth don't secrete enough. She wants to create a partial blockage at the level of the lacrimal canal, for therapeutic reasons.
 
Some of the things that Jamie described about her childhood eating struggles sound a bit like ARFID. In particular, the flipping out over food textures and fear of choking sound like that. ARFID can (and often does) result in low weight and other health issues that you'd see with anorexia nervosa. I wouldn't be particularly surprised if there's an AFRID-to-anorexia pipeline (as the child turns into a teen and adult), but I have no idea if there's research to back that up. It sounds like she received a lot of attention-- from parents, from counselors-- because of her childhood eating issues, and I wonder if that translated into teen/adult anorexia, especially when you add in things like the k-pop obsession. Those k-pop diet tips from the first post were identical copies of The Thin Commandments from the original pro-ana websites.

Speaking of anachans, I was amused to see that she lists EPI as one of her many ailments, because that's one you can get after starving yourself. There's a current Instagram-based anachan who's claiming EPI, which is mysteriously resistant to all commonly prescribed medications. Needless to say, that means she "can't" gain weight. At one point, she was claiming she had Whipple Disease, and that it was affecting her ability to absorb the pancreatic enzymes. Some of the antibiotics also "weren't working," because reasons (reasons like: I don't want to gain weight, so I don't take my enzymes). Also, if you're thinking that Whipple Disease is rare, you're correct, and I imagine it's especially rare in young Edinburgh-based university students, which is what she is. Her antics are exhaustively documented on the other farms, and she's a really awful person, so that's fun.

View attachment 4582237

Totally just CHRONICALLY ILL and no longer anorexic, according to her!

Anyway, Jamie should try swearing with big-girl words and see if that lets out some of her pent-up tension. I'm glad to see that the spare parts dog is no longer dragging her chariot.
Can I just express how much I love that this thread goes from "I don't fucking know" to someone telling us about dog behavior, eating disorders, organ transplants, or how tear ducts work and we all just informative sticker each other?
 
Jamie Bruce irrationally annoys me with her constant flexing stance when she literally never had even the tiniest of baby biceps to flex with
 
I'm still working on this one timeline that's taking a thousand years, because I'm turbo autistic and sleuthing is really fun. I don't, however, have the clinical knowledge that a lot of this thread's participants do (I work in healthcare but non-licensed and non-clinical). I feel lame because I'm trying to hold myself to the KFS standard (impossible) but I have a pill porn pic that I could use some help with. I did my best but there's a few I can't ID.

This feels uncouth for some reason, asking for timeline help on the thread, but I really appreciate it lol.
pillz.png pillz 2.png

Here's what I have:
  1. propranolol 10mg
  2. ?
  3. ?
  4. Myrbetriq (mirabegron) 25mg
  5. ?
  6. ?
  7. same as 16? sertraline 100mg?
  8. ? looks like a pain pill?
  9. ?
  10. Macrobid (nitrofurantoin) 100mg
  11. Pyridium 200mg
  12. ?
  13. Rexulti (brexpriprazol) 1mg
  14. AZO OTC
  15. ? propranolol 20mg ?
  16. same as 7? sertraline 100mg I think
  17. midodrine 10mg
I know some of them are just hard to see so maybe I'm out of luck there, but anything helps, many thanks.

I did not expect my first munchie timeline to take so long but like I said, it's pretty fun, there's just a LOT of content to sort out and I'm trying to be concise while maintaining entertainment value. This one involves tens of thousands of dollars in donations, HEAVY emotional manipulation, and celebrity appearances. I'm very eager to share.
 
I'm still working on this one timeline that's taking a thousand years, because I'm turbo autistic and sleuthing is really fun. I don't, however, have the clinical knowledge that a lot of this thread's participants do (I work in healthcare but non-licensed and non-clinical). I feel lame because I'm trying to hold myself to the KFS standard (impossible) but I have a pill porn pic that I could use some help with. I did my best but there's a few I can't ID.

This feels uncouth for some reason, asking for timeline help on the thread, but I really appreciate it lol.
View attachment 4615518 View attachment 4615626

Here's what I have:
  1. propranolol 10mg
  2. ?
  3. ?
  4. Myrbetriq (mirabegron) 25mg
  5. ?
  6. ?
  7. same as 16? sertraline 100mg?
  8. ? looks like a pain pill?
  9. ?
  10. Macrobid (nitrofurantoin) 100mg
  11. Pyridium 200mg
  12. ?
  13. Rexulti (brexpriprazol) 1mg
  14. AZO OTC
  15. ? propranolol 20mg ?
  16. same as 7? sertraline 100mg I think
  17. midodrine 10mg
I know some of them are just hard to see so maybe I'm out of luck there, but anything helps, many thanks.

I did not expect my first munchie timeline to take so long but like I said, it's pretty fun, there's just a LOT of content to sort out and I'm trying to be concise while maintaining entertainment value. This one involves tens of thousands of dollars in donations, HEAVY emotional manipulation, and celebrity appearances. I'm very eager to share.
12 is super familiar looks like a multivitamin that stained the fuck out of a lot of my stuff when a load of them melted in a handbag years ago. Plain white pills from the side good luck with that could be anything. 3 could be codeine 30 or a thyroxine but I'm guessing really lots of pills are small and round and white.
 
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