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Social issues class
I spend 40 hours a week making decisions regarding people medications and if I fuck up I could easily kill someone.
And god damn do I love me some dank memes. Aw yea slather me up with that shit.
yo prolly not in the mood but are stimulants safe to take with opioids? low doses. Partial agonists. I mean, I'm doing alright.
for your trouble:
At low doses? Mostly safe.
Taking prescribed adderall medication and a single lortab or percocet because you broke your arm is totally safe.
The troubles start when someone is using high doses and/or abusing the meds. Essentially, the amphetamines are going to help counteract the sedating effects of the opioids. Problem is, they're not going to wear off at the same time. So if you're depending on one to counteract the effects of the other, you can get into a bad situation. This really doesn't happen at prescribed doses, since prescribed doses aren't going to knock you out or anything.
There's a lot of people who have died on the operating table because they were using meth or another amphetamine. They go in high and then get sedated. The meth is counteracting the sedation, so they have to use high doses to knock them out. Then the meth wears off and the guy's super-overdosed on sedatives in the middle of surgery.
Hm. Got an opinion on Kratom? (that's what I'm taking). Also I take Ritalin, was all I could get, actually prescribed a lot more than I take. (5mg every 3 hours). My scripts are for 20mg twice a day, which is stupid because it doesn't last long and I'd never take that much with kratom.
Never did manage to get a med for my chronic pain, but to be honest what I take now for pain is a lot cleaner, trouble is that it has both stimulant and opiod properties. I just worry about my heart.
It's impossible to say.
There's next to no data on Kratom. The exact mechanisms of action aren't known, and I certainly have no frame of reference to compare the extent of it's stimulant/opioid effects.
Also, when it comes to herbals, there could be any number of unforeseen interactions. For example, some compound in the plant might stop your body from breaking down a drug. That means that you'll effectively get a higher dose of the first medication. Or visa versa. Or they might amplify each other's effects. Or they might nullify each other. There's no data on Kratom so you're totally shooting in the dark.
The other problem with herbals is that you can never know what you're going to get. One plant might be really mild. The next might be really potent. Depends on the genetics of the plant, it's nutrition (fertilizer, etc), how much rain, etc. If you're used to dosing yourself with really mild stuff then get your hands on really potent stuff, you could unknowingly overdose yourself. This goes not only for the active compounds, but also for all the other hundreds of compounds in the plant that might be causing the drug interactions previously mentioned.
People in the medical field hate herbal medications. It's not because the drug companies are hiding the simple plant-based cure to cancer. It's not some conspiracy to sell drugs and make money. It's not some conspiracy to make money writing prescriptions. It's not because "the man" is out to trick you. It's because herbals are not safe.
Modern medicine is based in evidence. Prescription drugs undergo stringent safety and efficacy testing. Their effects are monitored in a controlled manner. They are manufactured with strict quality assurance to ensure every dose is controlled and predictable. We know that these medications are safe because they have been proven to be.
Herbals are not controlled in any fashion. One manufacturer's dosing can vary wildly, not only compared to its competitors, but even compared to itself. The dosage on the label of any herbal product is almost always inaccurate by a pretty significant margin. Herbals can be doing any number of things to your body and there's no way of knowing what, because they've never been properly tested. You're not taking one ingredient. You're taking hundreds, or even thousands. If we don't know what something does to you, it's considered to be unsafe.
PS: Kratom is going to be illegal soon, so your supply will likely dry up in the near future.
I also don't understand the logic behind isolating everything and only testing single variables. If X is tested and doesn't work because naturally it would have come with Y, how they can they say X is shit and disregard the whole thing? It's like the crap with Vitamin B. There are huge limits to drugs like that. And again, I'd garner this is another thing we can thank the patent-to-profit system for.
I'm not saying that manufactured drugs aren't quality. My Ritalin sure is. But fuck man. These things are so hard to get legally, I'm literally considering making my own meth so I can treat my narcolepsy and figuring out a way to make an opiod to treat my pain. I don't care about feeling good, I just don't want to be in pain, and I'm tired of my fucking half asleep brain.
It's not easy man. It's not easy.
Because people are smart and we figure that shit out before going to clinical trials and testing it on people. If X doesn't work without Y, then X wouldn't pass clinical trials since it's not effective. They might then go reformulate it as a single unit. A combination pill of X and Y - which would then pass trials if the combination was proven as safe and effective. There are quite a few drugs like this.
The problem with herbals is that you might be taking it to get X and Y. But you're also geting ABCDEFGHIJKLMNOP... etc etc all the letters of the alphabet plus 18 other alphabets. Any plant has a fucking LOT of shit in it. Biology is fucking complex. And while X and Y might be totally fine (or not fine, since they haven't been tested and YOU DON'T FUCKING KNOW), you have absolutely no fucking clue about chemical A. Or B. Or C. etc.
So if you do a trial with the herb, then you can't possibly know if X+Y is effective. How do you really be truly sure it's not the other shit without isolating it. And if anyone has a side effect, it might not be because of X or Y at all. It's compound F that gives you cancer.
And how do you determine a dose? Biology is not consistent. Chemical X will not always be at the same concentration in the plant. Just depends on the plant's growth pattern. One leaf might be really potent and another really weak. So you can't just weigh the leaves. The only way to get reliable dosing is to isolate the ingredient. Otherwise when you test it you have no way of determining if it just didn't work because it doesn't work, or because the dose you gave someone had barely any chemical X in it. And what if chemical A is totally fine at low doses, but can cause serious issues if you happen to get a batch that's really potent?
In 1999, there were 3000 individual chemical compounds identified in a single leaf of tobacco (
). I'm sure we've identified far more by now. That's a LOT of chemicals.
We know the one that's mainly responsible for the high. Nicotine. But why bother purify it? We can just smoke the leaf and it's fine! What harm could those other chemical compounds do?
Oh yeah... Give you shit tons of cancer. Interact with a bunch of drugs. Fuck over the structural components of your lungs. ...that's what some of those extra compounds do.
Will purified nicotine cause these issues? Maybe some of them. But it's generally agreed upon that while not healthy, vaping is far less damaging to your health than cigarettes.
Isolation of chemicals is important both for determining a dose, and for determining safety.
Hell, the filter on a cigarette is serving (at a very basic level) to do exactly this. To help (partially) isolate the "good" stuff from the bad.
I understand what you mean, but once something becomes controlled forget about getting X or whatever not only does it become impossible to get, if you do get it you'll get underdosed anyway. At least for the shit that WORKS.
processed ciggerates have lots of additives in them, natural tobacco is not as bad, native americans smoked like crazy fucks well into old age, but that's not even the issue here
Kratom works. It's cheaper, cleaner, and more effective (but not more potent) than anything else on the market. Even if they DO eventually "isolate" it and market it. Isolated enhanced compounds usually just cause tolerance issues. The great thing about a mixture of AHELKGEHEGH is the balance.
first time I took tramadol it was insane, then within a week it was like nothing
in retrospect I've been taking Kratom for over a year now AT THE SAME DOSE
Half a teaspoon. That's it. No more no less. It works. I actually PREFER it over tramadal, hydrocodone and all that crappy shit, oh and I can avoid liver failure from the fucking tylonel they mix with everything.
Even if it became a legal drug sold by prescription I bet you the pills would be like 1/4th of however much is in that teaspoon, then with the added tolerance due to isolation, ah, it's just shit.
My real point here is fine, let drug companies have their patents, but the FDA/DEA shouldn't be allowed to pawn natural plants and alternatives. That's fucking bullshit. Chronic pain is an epidemic, fucking ADHD is an epidemic. Controlled substances? = fuck you to sick people. Become impossible to get proper treatment unless you get lucky and find a doc who gives a fuck. And even then the poor doctors get fucked by the DEA.
Look heart meds are one thing.
But you have to admit how shitty the situation is with opoids and stimulants.
I wish I didn't need them. I really do. But without them I'm able to do 1/3rd as much as I can do now. Who can live like that.
"processed ciggerates have lots of additives in them, natural tobacco is not as bad, native americans smoked like crazy fucks well into old age, but that's not even the issue here"
Native Americans, as in the hunter-gather tribes? As in when "old age" meant you lived to be 40? You're right. They weren't dying of lung cancer. And yes, there are people who live to be plenty old despite smoking like a chimney. The tobacco companies pointed to them a lot when they were arguing that tobacco doesn't cause cancer.
There's a hell of a lot of cancer patients I've talked to that would like to hear about how the natural tobacco leaves they used in their pipes was totally fine. The additives don't help things, but the base compound is still terrible.
"Kratom works. It's cheaper, cleaner, and more effective (but not more potent) than anything else on the market."
I never said that Kratom doesn't work. I said it's not safe. Cleaner? Not by any definition I can think of. More effective? You can't make that claim without testing. Since the whole basis of this is that it hasn't been tested...
"Isolated enhanced compounds usually just cause tolerance issues. The great thing about a mixture of AHELKGEHEGH is the balance."
I'm glad we don't see tolerance issues with the opium poppy. There's certainly not an epidemic of addiction to it in Afghanistan or anything.
Sure glad people don't develop a tolerance to tobacco either. It would probably be bad if people started smoking their pipes or chewing their dip more and more and more and more just to feel normal and not hate everything.
I don't deny the climate around controlled substances sucks. It totally sucks. I never claimed that it doesn't. My claim is that herbals are unsafe. Because they - by pretty much any measure you can come up with - are.
I will never instruct a patient to take something that I consider to be unsafe. If they choose to do so on their own, that's their choice. But I'll certainly never recommend they go buy some herbal because of some blind faith that it might work and might not hurt them (now or down the line). Medicine, like science, should be dictated by evidence, and herbals don't have evidence.
When you combine herbals with medications (or other herbals), there's simply no way of knowing what will happen. Good or bad.
Let's say you had a headache. A doctor walks up to you with a pill. He gives it to you and says, "I have no idea what this is. Never heard of it. But the package said it should help with the headaches." Would you take that pill? Would you still trust that doctor? You might go find the same thing on your own if you're desperate, but you'd never expect a doctor to just give you a random drug he knew nothing about, right? Same issue. Compared to studied drugs, we know nothing about herbals.
It's no secret that processed cigarettes have a bunch of utter (literally gunk) put into them to improve their addictiveness, flavor, etc. Certainly better ways (like vaping) but my point was more along the lines of industry doesn't automatically make something better. Sometimes it makes something worst. Will agree with you that Nicotine sucks. Of all things that could have been legal.
Actually, taking nicotine (a stimulant) is what made me realize where at least some of my symptoms might be coming from. The clarity that kicked in. I didn't even realize it at first. Ritalin has helped me tremendously. Before I would have never been able to keep up with a conversation like this.
Because of my health problems I've never been afraid to take those risks. And I lost a lot of trust in doctors after being prescribed so many things that just messed me up because of my sensitivity. I don't understand why but my system is delicate. I don't understand why the allegedly "safe" drugs have been more harsh on me while the "dangerous" drugs have been far more gentile with less side effects. Not going to lie about constipation being a bitch with opoids, but I'll take that over jitters and literal pain with shit like anti depressants.
Opium is natures opoid cocktail, but opium addiction seems less detrimental to health than say, alcohol. Receptors and all that jazz. Most drugs cause some form of dependence. Can't speak much for addiction though. I've always been able to shake off most drugs. The only one I thought was truly dangerous in withdrawal was the anti convulsant. But it's like a lot of things in life.
There are good things, and too much of a good thing. Alcohol in moderation can completely not effect long term health, or even help it , like with red wines and such. But I'm pretty big on individual freedom and choice. I don't see why the whole should have to suffer for the sake of addicts.
Never understood the whole "to feel normal" thing. My normal is I feel like shit. If anything helpful meds make me feel abnormal in that I no longer feel like shit. There is no inbetween. It's one or the other. The nature of pain I guess.
I can also make the claim that the vast majority of any medication is unsafe. It can all be dangerous. Pretty sure more people die from run of the mill drugs in prescribed doses than all illegal drugs combined. And I'd wager a lot of opoid deaths are probably liver related.
Anyway, yeah maybe. If the proper channels actually let the boats through, I'd ride in them. If not I'd have to find a detour or uncharted waterway. What other option is there? Don't understand why people can't just sign a waver. This is all on the fucking DEA. They put a target on doctors and patients backs.
I figured, there is a list of alkaloids though.
Main players seem to be 7-hydroxymitragynine and mitragynine.
Bit of back and forth but the higher form seems to be the real MVP.
It's a partial agnoist, other akaloids are just minute stuff, antioxidants, an antiviral, inner wall relaxer, yada yada.
It's been used for decades locally in it's country of origin. Actually, the plant is related to the coffee plant, except it's true value lies in it's ability to soothe pain. It's actually been used to both overcome withdrawal of heavier drugs as well as treat addictions and get people off opoid addictions. It's also one of those drugs with significant diminishing returns. So it's pointless recreationally.
We'll have to disagree here. The most dangerous compounds I ever put in my body where some reformulated run of the mill bullshit, off label bull-fucking-shit prescription for something that needed a common sense medication. They gave me everything for chronic pain except actual pain medication. Anti depressants, anti consultants, those fucked me up more than actual pain meds ever did.
It's not like it was my first choice.
Drug companies only care about renewing their patents and returning profits.
They spent most of their money trying to get new patents.
Furthermore doctors are afraid to treat conditions. Everyone is afraid of losing their license. There are shortages. DEA is full of fucking shit. Whole situation is fucked up.
I literally can't find a doctor willing to give me pain medication. At all. Not even Tramadol. Which is shit.
I probably won't even be able to get Ritalin anymore.
And I agree that lots of "herbals" (aka plants with drugs in them) are shit.
The government however, will ban anything that actually works.
Another reason is you can't patent nature. No money in that.
I am hoping that Kratom doesn't get put on the ban list, it'd be extremely painful.
"Main players seem to be..."
Exactly. We don't know yet. There's not enough data on the plant.
"It's a partial agnoist, other akaloids are just minute stuff, antioxidants, an antiviral, inner wall relaxer, yada yada."
The other alkaloids in tobacco are just minute stuff that gives you cancer and COPD and a fuck ton of other health problems.
"It's been used for decades locally in it's country of origin."
So was tobacco. So was the coca plant. So was the opium poppy. The fact people use it probably means it works at least a little bit. That doesn't mean it works well. And it DEFINITELY does not mean that it is safe.
Antidepressants and anticonvulsants can actually be FAR more effective than opioids at controlling certain types of neuropathic pain. Plus there's no tolerance. Just like anything, they can have side effects, and it sucks that you had some. But even you have to admit that having a side effect from a single chemical is going to be more predictable and preventable than the potential side effects from all the many chemicals in a random plant.
Doctors don't like to prescribe opioids because of the DEA. You're right. It's a social problem caused by all the people who abuse it. Doctors and pharmacists are caught in the middle of it. On one hand, we legitimately want to help people who need these medications. On the other hand, we know there are people who want to abuse our good faith. And on top of this is the fact that we could potentially end up homeless (losing our careers) by being trusting.
Opioids, as a medicine, are a stop-gap measure anyway. They don't work well for chronic pain, so there's actually a medical reason for not wanting to prescribe them, too. Tolerance is a big issue. Combined with all the politics around getting them, you're right. It's really hard to get them. That sucks. But if there's a solution to the problem, I certainly don't know it.
If a flower could make you immortal, potentially, would you consume it or would you wait 100 years for it to be deemed safe? I'd rather die taking that chance. Just like I'd rather die in peace than live in pain.
Certain types of pain maybe, but not mine. Anti depressants were pure suffering, must have completely thrown my neuro chemicals out of wack. I felt things in nerves I didn't even now I had. I felt so violated. And it made my head fuzzy. Anti convlusants? Work in high enough doses, but the side effects. They made me so stupid. They really messed up my stomach. But no one would listen to me. No one. They said just keep taking them. Another pill. Another week. Another month. God. The withdrawls I had from the anti consultant was also pretty insane. "better than pain meds, you won't become an addict, I'm full of shit" the doctor said. Says the asshole who retired not long after. Ugh.
I think that's a lie to be honest. I've spent a lifetime, searching for answers, and solutions. Rarely getting any, but I tested wide variety of things. Made me realize a few things. In regards to pain:
1) I find that tolerance tends to cap off. Meaning, it'll never be as effective as "the first time" but it will still work because the human body doesn't completely get rid of all of it's receptors. This is counter to basic logic. Don't chase the "high" and focus on the relief and you can stick with the same dose. I have. I do.
2) Partial agonists are less prone to tolerance/safety problems than full agonists in the long term (was more of a hunch at first but seems to be holding up) Usually not as strong but reliable, which is what you really need.
3) Low regular doses are sustainable because often less is more. This includes drug formulations that are popular with new patents. They make something 10x more potent just means they get several times more tolerance.
4) opiod receptors are absolutely key for pain relief (lower potent substances rquire higher amounts, BUT will cause less tolerance problems, relates to my earlier point)
5) everyone is different but generally speaking most are under dosed
6) nothing lasts as long as it says on the bottle
Kind of the sort of thing I've been getting at. It's not that opoids are not the best choice for pain that can't be cured (they are) it's that the current climate makes it almost impossible to be used properly and that genetic variability means that different people need different approaches. They also don't fucking last 5 hours or what is claimed. For me the average is 3.
Yeah it's an ugly mess.
And I know all I can offer is my personal insight and anecdotal evidence.
But after so many years I'm still searching for answers, and I tested and tested and tested, I adjusted for variables.
I'm by no means smart, the pain clouds my mind at times and my symptoms seem indicative of some sort of brain problem like ADHD or narcolepsy (the latter of which I tested positive for) but I feel like I'm on to something here.
I've read reports that suggest the possibility that problems like ADHD, narcolepsy, and chronic pain are interrelated somehow. There appears to be a higher frequency of chronic pain in people with those specific kinds of brain problems. I don't know why either. All I can do is speculate.
Hoping to save up some money to get my genes sequenced. I need clues. I need to know what I do and don't carry. I've got to start somewhere. I need answers. And by god I'm going to find them.
For now, the medication I take may as well have saved my life, or at the very least my sanity. A year ago I was nearly an empty shell. I've improved so much since then. To have it taken away now would just be too cruel. Wish I could just be cured somehow.
1) Tolerance builds to the high much faster, yes. So if you're only taking it for pain relief, you won't build tolerance nearly as quickly. But you still build tolerance to the pain relief - some people faster, others slower. This isn't an issue for short term pain or cancer pain, but if you're talking about chronic pain on someone who might be taking the meds for another 40+ years, you're going to run into issues down the line.
That's the medical reasoning for them being our last choice for pain control. Because you will eventually need more. And more. And more. No one wants to pull that trigger until all the other, potentially more permanent solutions have been tried first.
2, 3, 4) Potency (receptor agonism, receptor affinity, etc) are arbitrary qualities/numbers that aren't useful in determining any of this when you're talking about a substance manufactured with controlled dosages. If something is 100x more potent, it just means the dosage can be 100x smaller for the same effect.
For example, someone can take 20mg of oxycodone, or 30mg of hydrocodone. Genetic variations aside, both people will get equal pain relief. Both people will develop tolerance at the same rate. Both people will have the same side effects. The only difference is that oxycodone, as a chemical, is more potent so it requires 2/3 the dose. Pic related.
INB4 oxycodone epidemic. It's the drug of choice because it's manufactured at higher dose/tab strengths. If hydrocodone came as 45mg tabs (oxy-30 equivalent), it'd be abused just as much too.
Fun fact: Codeine is about 50 times more potent than morphine once it gets to the brain. Problem is, codeine doesn't reach the brain. It can't cross the blood brain barrier. It's analgesic effects come from the fact it's metabolized into morphine, which is able to reach the brain. These things are far more complex than simplistic partial/full agonists.
5) Most people feel that they are underdosed because they expect opioids to make the pain go away. They don't do anything of the sort. They just make it so you don't care about the pain. If you think about the pain, it's still there at pretty much the same intensity. It's just a lot easier to ignore. Same way you might forget about pain when you get really wrapped up in a project or something.
That said, I have no doubt many people are well and truly underdosed due to fear of tolerance and/or addiction. Which comes back to the political issues and how opioids are a bad choice long term (due to tolerance).
The politics aspect of it totally sucks and can't really be helped. You shouldn't have to suffer for the sake of addicts. But you do. And that sucks. But I don't know how to fix the problem, either.
The medical aspect comes from trying to limit tolerance, but sometimes because too cautious. You basically have to work according to the weakest link, and sometimes that holds others back. Not saying that's OK, but I can at least understand why it happens.
6) Way too many factors involved to make such a blanket statement, so I'm not going to really address this one. Genetics, tolerance, underdosage, etc, etc, etc.
Also, I didn't think of it last night, but there's something that might be complicating your personal experiences with the antidepressants.
Amphetamines can have some pretty fucking major interactions with antidepressants. The combination is potentially dangerous and could fuck you up. They both work on the same chemicals (in some of the same places in the body, but also at different locations too which is why they're not interchangeable in their uses), and they can flood the body with far too many of them. Amphetamines cause more serotonin/norepinephrine to be released by the nerves, and the antidepressants prevent those chemicals from being removed. End result is way too much stimulation.
The worst version of this is called serotonin syndrome:
I'm aware of the gist of this, but I really DO think there is a cap on tolerance, at least with certain drugs. One reason I prefer Kratom is because I've noticed that he effect doesn't wane like tramadol or other opiods might have. And even stopped wanning at a certain point. I assume. It's been about a year now on Kratom. It will be about as effective as it was yesterday. And as it was say 3 months ago. I know what potency means, what I mean is the bodies reaction to it. Partial agonists seem to be the most reliable. Not the strongest, but reliable, least tolerance. It's the same with say, psychedelics. I also know that tolerance to any substance will wane to an equilibrium given enough time.
You might for example, cycle between two opiods. One that works primary on one kind of receptor and another that works on a different set, you switch between the two between years, gradual build of tolerance on one end, while the other rests again. I've also heard of people using tolerance inhibitors, most commonly something like Dextromethorphan with significant success, the only issue of course, is Dextromethorphan is nasty shit, and just by feel alone, cannot possibly be healthy.
My main point here is I believe the "tolerance" being reason for opoids as being a "bad" choice for chronic pain relief to be way overblown and kind of garbage. The issue is that yes, you're going to have to dose a bit higher, but for people who have taken it for years it's not going to kill them, there's got to be an average dose and upper limit, some sort of scale that's a good long term dose for a specific opoid, but as we've talked about, the way the current climate is it's IMPOSSIBLE for anybody to reach that real "ideal" dose, because by all means it's probably as high or higher than what the current guidelines are, which by all means, are low balled to begin with. And with all the shortages the problem is just compounded.
I don't see any other better solutions for pain than something that masks the pain. Literally nothing is going to fix chronic pain so I don't see the problem here. You can throw other shit at it but it'll never be as effective and the side effects will be worse. Anti depressants mess with a person who is otherwise normal in brain chemistry, anti consults slow down synaptic fire rates, which quite literally dumbs you down. To begin with I don't garner much faith in the history of anti type meds. Before ritalin I wasn't even a fan of inhibitory effects, but I guess it just depends.
Basically, I think the bigger issue isn't even the medical or scientific aspect, it's the moral/cultural aspect. Opoids are evil. Opoids are the devil. Wanting relief makes you an automatic addict. Chronic pain is still a bit of an odd ball. I don't think it's well understood. All I know is that opoids work. No amount of serotonin is going to mask that. And at the end of the day I don't want to notice the pain. Whether or not they "make the pain go away" is non issue. All I know is that they work. In fact, they are the only things that ever worked.
The only time I've ever been completely 100% pain free are when I'm asleep, or when I've been given anesthetic for a medical operation. I also, for some reason, recover fairly quickly. I often got annoyed when the nurse said to just lay down and not to walk on my own. I gain my motor skills back very quickly. Not sure what that says about my condition, I just know that's how it is.
I wasn't on any amphetamines or anything when I was prescribed anti depressants for pain, actually I wasn't even on Kratom then. I just had a violent reaction to them. Anything that messes with serotonin seems to be a big no no for me. I have no idea why.
All I really know is that for the most part it seems like everything that works is illegal, and everything that's substituted for the things that work don't work nearly as well, or at all. Why suffer side effects on less effective meds? Makes no sense. There is no cure.
Tramadol also has some SSRI-like (antidepressant) effects, and could have been a contributing factor if you were taking it at the time as well.
Also I love teaching and if I get to do it in some dude's comment sometime, I'm happy. People here are lovely and actually interested in the biological sciences so it's fun!
There are a few professors here besides me. Why else would I be here. I enjoy mindless entertainment sometimes. Also sometimes misinformation appears on this site and I like to correct people. It makes me horny.
What are you a professor of? Biology? What university? If I found out my professor was a meme I'd be pretty happy.
Let's just say biochemistry. The field I'm in is a bit small so I hope you don't mind if I don't say exactly what it is.
I saw that last comment fam. I know your secrets.
Curses my plans! They are foiled!
Good luck with your whole
being a professor
Personally, I'm just looking to pass my only bio course Ill have at college. Anatomy and Physiology. More a computer guy.
Good luck man. And honestly the work ain't as impressive as it sounds. Everyone specialises in their jobs. People understand things others don't. Our interests and ambitions lead us to specialised paths that has intricacies that others not in the field can't understand. It doesn't make one person smarter or dumber and it doesn't make one job more "elite" than another. I'll leave you with some bullshit though: The road you take to achieve your dream is not always straightforward. In fact you can veer off into a completely separate direction all together and feel like it's impossible to come back. But keep that dream in your head, whatever you do in your life after that push downwards keep that dream in your head because it may take a long time and you might be doing stuff you never thought about doing but eventually, if you keep that dream in your head, you will get there.
has deleted their comment.
I second this inquiry
- Is anyone else bored of this 'lel muh depression' meme yet?
My Life In Memes Part 25
It's getting pretty dull.
I don't know how they got popular. We've been making fun of people on tumblr who make up self diagnosed mental illnesses, now we get waves of it.
We're using trash as feul...
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Edge of tomorrow
- Well no, determination was definitely a factor, but the abilit…
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