The generic Adrenaclick will cost $109.99 for two doses, compared with $649.99 for the same amount of drug in an EpiPen. That’s good news, both for financial and safety reasons: STAT reported last year that some parents and institutions had begun filling up syringes with epinephrine as a cost-cutting measure, a DIY solution that could pose great risk to the children who may have eventually needed injections. A more affordable alternative will help ensure safer epinephrine injections.
That’s assuming, though, that the people who need these devices know exactly what to ask for when they’re sitting in their doctors’ offices. Otherwise, they’ll still be stuck with the overpriced product. Here’s why: The mechanism by which Adrenaclick injects the drug is slightly different from EpiPen’s mechanism, so the Food and Drug Administration has ruled that the two are not therapeutically equivalent. That distinction is important because it means a prescription for an EpiPen cannot be filled with Adrenaclick. If you want the cheaper option, you have to have an Adrenaclick prescription.
You must ask your doctor for an Adrenaclick prescription!
I also found a coupon from Impax on 0.15mg and 0.3mg epinephrine injection, USP auto-injectors, which appear to be the generic version of Adrenaclick; these coupons cover up to $100 per pack for 3 packs of these injectors (6 total injectors).
This is the best news! My son is allergic to tree nuts (pistachios, almonds, hazelnuts, etc). We have only one set of non-expired epi-pens, and they’re at his school. The set we have at home is a year out of date because, surprise, we didn’t have the $1200+ to drop on two sets at once… because for whatever fucked up reason, my insurance is one of the ones that doesn’t cover it.
Dr. Willie Parker, who is trained as a gynecologist and OBGYN, is a hero for the pro-choice movement because he’s honest about the undiscussed aspects of getting (or not getting) an abortion. Watch how he gives a consultation.
That last statement about regret is so important, because so many people don’t understand what it is or what causes it. Anti-choicers exploit this by manipulating pregnant people and creating doubt, which only increases the likelihood of regret, no matter what decision the pregnant person makes. You know what is best for you, even if it takes some time to figure it out.
Another woman utterly failed by our society’s devaluation of women’s reproductive health.
We can’t wait around for male doctors to decide what we need to know.
This is why we need to take control and educate ourselves about our own bodies.
and here’s some comments i saw under the post. why is this a pattern?? why is this a recurring theme?? why is this information not common knowledge? what the fuck are doctors doing??
This is news to me so let’s share it so people will know!
Gross tmi: but i passed a pretty big clot after having my daughter. It was about the size of a baseball. It actually hurt worse because while 15 hours of labor opened my cervix, i passed the clot in 30 minutes. I knew it was a possibility because of my midwife and reading, but everyone Ive told after this (mostly other pregnant women) were shocked that this could happen.
In our culture, it’s much more common to do deep research about what family cars we want to buy than we do about childbirth when we ’re pregnant.
Tmi: I passed a huge clot after birth in the bathroom of my hospital room and called the nurse sobbing because I didn’t know it was normal. She treated me like an idiot, but NO ONE told me it was a possibility. And the pain associated with healing for the first couple of weeks after birth was worse than the labor imo. Again, I had no idea. They didn’t tell me a thing besides “sitz bath regularly and change your pads.” Before discharging me from the hospital.
I was most definitely told about this in school. Fucking hell, 4-6 weeks of bleeding? My periods were/are bad enough, why the hell don’t we get told this?
I didn’t know it could last so long, wtf? Is the bleeding inevitable after birth?
Bleeding is inevitable after birth - your uterine wall is shedding a fuck ton of lining. It can last from three to six weeks (possible longer) and it tapers off.
More TMI - I passed a MASSIVE clot after my fourth birth. At this point I already knew this could happen - it’s normal. What I DIDN’T know, was that I had caused it.
My post birth contractions were so bad after the birth that it felt like full transition labor. And they don’t give you anything for the pain. So I used a hot water bottle, without the nurses knowing, and it caused me to bleed even more. I lost so much blood that by the first time they sat me up to go to the bathroom, I fainted. It took three more tries until I could sit up.
Anyway, that’s not the point. The point is, the next morning I passed a clot the SIZE OF ANOTHER PLACENTA I KID YOU NOT, and I know what is and is not normal. So I called for the nurse and through the door told her I had passed a huge clot, and her response was - “It’s not big. I know what big is.” She hadn’t even looked. So I rolled my eyes and said, “Yeah, no. It’s big, I’m telling you.”
So, sounding extremely put upon, she asked me to open the door. I did, and after a long pause she goes, “Okay, yeah, that’s a little big.”
YOU DON’T SAY.
The point I’m trying to get across is that this shit is so common - women not knowing this stuff is so expected, and it keeps getting reinforced. People don’t expect you to know anything, don’t teach you anything, and then make you feel like you’re totally ignorant and a burden for your lack of knowledge when THEY WON’T SHARE.
Fucking learn EVERYTHING you can when it comes to childbirth, girls. It is the single most empowering thing you can do for yourself. And if you missed something, that’s okay. But the more knowledge you arm yourself with, the more in control of your situation you’ll be.
A few post partum tips:
DON’T use a hot water bottle - lol.
ONLY pads - NO tampons. Tampons can cause severe infection, not to mention, you probably don’t want to be shoving anything up there any time soon.
If you’ve had stitches, sitz baths DO help relieve the pain. Another great pain reliever? Dampen some pads and freeze them. Let one thaw slightly and use it on top of another pad. This will help with the pain as well as reduce swelling. Change the pad out as soon as it’s thawed completely. This REALLY helps on the first couple days after giving birth.
If you pass a clot, don’t sweat it. Even the one I passed, which was fucking massive, just required that we keep an eye out to make sure it didn’t happen again. If it does, talk to your doctor.
Take a pain killer half an hour before nursing. Because YES - your uterus is contracting after you give birth, to get back to its original size, and nursing causes much stronger contractions. Taking nursing-safe painkillers won’t prevent the pain, but it will reduce it.
Buy disposable underwear for the first few days after birth. They will get VERY dirty. Or use your ratty old pairs that you’re ready to get rid of. Double up on pads - line them all the way up your ass-crack. I am so serious. And wear dark pants.
Pee in the shower. You do NOT want to wipe down there right after birth because ow. Peeing in the shower lets you just rinse afterwards. Especially if you’ve had stitches, peeing in the shower, with the shower-head rinsing AS you go, keeps stinging to a minimum. And fuck everyone else - keep on peeing in the shower until you feel ready to move back to toilet paper. Middle of the night and need to pee? Get your pants off - get in the shower and just go.
This is just a few things, but PLEASE feel free to send me an ask if you have any questions about ANYTHING childbirth/pregnancy/nursing related. I have four incredible kids. I’ve done it all - c-section, vacuume birth, episiotimy, stitches, with an epidural, without an epidural. I’m here.
More tips: GET A PERI-BOTTLE. If you have a hospital birth, they’ll probably give you one. If not, you can pick up any kind of small squeeze-y bottle (or even an empty, CLEAN CLEAN CLEAN spray bottle if it comes to it). It’s like a little portable bidet. Use it after you go to the bathroom, then pat dry. This way you don’t have to climb into a shower every time if you don’t want.
IME bags of frozen peas in your underwear with proper covering (you don’t want to get frostbite) are the best sort of cold compress.
Those contractions during nursing? They are v v important. They shrink your uterus, helping your body get back to normal faster (and helping you pass blood quicker). They hurt. Keep drinking red raspberry leaf tea (which hopefully you drank during your third trimester). It should help not only with the contractions, but with your milk supply as well. Take a nursing-safe NSAID if you can.
REST. I know this is especially hard for people who are already parents, for poor folk, for people with a ton of responsibilities in general. This is when you call in the cavalry, if you’re lucky enough to have support. FRIENDS AND FAM of birthing persons, leave the parent alone with their baby. Do a load of dishes. Pick up. Check to make sure the parent has their baby supplies handy (as in, within reach). Bring them food. The more they rest, the faster their body heals, and the shorter the bleeding period will be. If it tapers off and then ramps back up, YOU’RE DOING TOO MUCH. Slow down. This is the perfect time to learn that, as a parent, you can’t do it all. Always prioritise your kid. If there’s one time you’re allowed to just let shit go, it’s during your babymoon. (Google is telling me babymoon now means a trip you take with your partner before you have your baby. What. No. “Babymoon” means the first week after your birth. When the hell did that switch happen?) REST. REST. HOLD YOUR BABY. SLEEP. NURSE. EAT. This bonding time is imperative. You and your baby deserve this time.
….I know I keep reblogging this but people keep adding super important information.
I feel like no one tells women this stuff because if a woman was even a little on the fence about having a baby before this would kinda make them run for the damn hills.
…..you are correct, typing.
300% EXTRA SURE I’M NOT HAVING BABIES.
peri bottles, witch hazel or anti-pain anticeptic spray are your friends. Also passing large clots after birth is a WARNING SIGN. Bigger than a half dollar is a sign that you have not passed your entire placenta (this is most common in hospital vaginal births where the mother is not allowed to naturally birth the placenta and instead has it ripped out by the doctor) if there is any placenta left in your uterus you can get extremely ill. This happened to both myself and my mother in law
WOW I didn’t know any of this and I’m terrified of what more I’m unaware of about my own body :( Honestly when will we fucking abolish this taboo about the female body…
I had pretty great sex ed in school (lots of contraceptive information, and totally acknowledged that teenagers might have sex) and all of this is news to me.
And, as a 28-year-old person with a uterus, I’m extremely appalled I’m just learning this.
Long, but very important information, even for those who don’t plan to have children, because you will almost certainly know someone who will, and you might be able to to help them. Or at least increase your level of empathy for them.
even if you dont plan to have kids this info is really important to know. Uterus havers should know what their body does and why.
I appreciate that this site has info on the differences between heart attacks in girls and in boys, but like
As a trans girl that’s been on hormones for almost two years now, I have no idea what to look for lmfao
All trans people, regardless of their gender, should make themselves familiar with how heart attacks typically present in women. ‘Masculine’ heart attacks aren’t exactly subtle. On the other hand many, many women end up dead only for the medical examiner to discover that they’ve had multiple heart attacks in the past that weren’t recognized or treated.
It doesn’t hurt to familiarize yourself with the way that heart attacks typically present themselves in both men and women and to seek emergency medical attention if you experience symptoms of either. Even cis men should make themselves aware of the different ways that heart attacks can present themselves.
Just… if you have any of the symptoms of a heart attack seek medical attention right away from an emergency room. Don’t blow it off because it could be the difference between life and death.
The doctor I went to last week was looking over my history and he said “Endometriosis?” and I said yes. And he said “Is that just your speculation or have you actually been diagnosed?” and I was like “I have been cut open three times for it so I hope it isn’t just speculation.” and he just looked at me and said “Females tend to diagnose themselves” and without missing a beat I said “Well I hope you do your job so I don’t have to.”
ourjamesvata asked: Hey. Sorry to bother you, I see your post about healthcare in POC and women. I'm a med student and I struggle to find resources about that (specially in my language -french-). My school book dont say anything about that. Do you have any tips ? Thanks
Mmmmkay, I don’t really have time right this second to do an appropriately thorough scouring of the internet to find some books or resources for you–which I will do when I’m not writing a thesis, because I should have some resources to reference–and I’m not supremely comfortable giving out how-to-medicine advice, but I will tell you a couple things that have helped me.
The only thing that really works: ask someone. Just do it. Find a doctor or an EMT or whoever is on hand who you trust to answer you, and ask them outright. It works best if you have a justified starting point, something like “Okay, so if that’s how I check for cyanosis on a fair-skinned person, how would I check for cyanosis on a person with dark skin?” (You check the inside of the lip, by the way.) Or “How should this intake procedure be different if my patient is trans?” Or “Should I ask any additional questions about vaccinations/previous illness if my patient is a traveler or immigrant?” Or “What if my patient has a pre-existing disability?” Or “Does this chest examination need to be conducted differently if my patient is a large-chested woman?”
Be polite while you’re doing the asking. More often than not, it’s a problem the other person has noticed too, and it’s not that individual’s fault that humanity has spent 2000+ years screwing itself over on this subject. Also, these questions make people uncomfortable, and being rude will decrease your odds of getting an answer.
Listen to non-doctors in the affected populations. If a woman you know has a laundry list of complaints about not being listened to by a doctor, assume she’s not being histrionic. If you know a black guy who says he was fucked over by the EMTs after he was sideswiped by a car or fell from a ladder or spiked a 105 F fever (40.5 C), he doesn’t need an MD to know he wasn’t treated as well as he should have been. If you know a trans woman who was repeatedly referred to as ‘he’ in the hospital, take note. Decide not to be that kind of doctor, and then pay attention to how you act.
Listen to the nurses around you. First of all, that’s a good general rule, the nurses probably know more than you and nurses are treated terribly by a lot of doctors. Behind every successful doctor is a whole host of nurses who probably haven’t been thanked.
But moreover, nurses spend a lot of time with the patients, and they’re the ones who field complaints about the doctors. They’ll know who gets fucked over and who doesn’t, and they know all the secrets to the medical trade.
Be attentive to your patient (unfortunately this is the ‘learn on the job’ part of the answer). If a woman expresses discomfort with the normal proceedings of an examination, listen to her. If a patient prefers name and pronouns not matching those on their legal documentation, adhere to their request. Be aware that there are some conditions which are more common in people of specific ethnicities–for example, black women have a higher incidence of breast cancer and a lower statistical chance of having it caught by a doctor than a white woman.
Ultimately, I’d say decide what kind of doctor you want to be. If you’re already asking this question, that’s a good start, and telling about how you’ll act as a doctor. Be self-aware of how you act with patients of various genders, ethnicities, etc. In a perfect world, it would be the responsibility of the medical school to teach that behavior and ensure that all the students were able to treat people other than the cis white able-bodied male ‘standard patient.’ This is not a perfect world, and that means it’s on you.
I…feel like this was pretty unhelpful and round-about, but I hope it at least gave you a starting place? I think you’re doing great because it occurred to you to ask this question, keep it up.
The United States medical industry has slowly made health care for transgender people more accessible — including access to hormone treatments and gender confirmation surgery. But routine doctor’s visits continue to prove troublesome for trans patients, who regularly encounter doctors who are either wholly ignorant about trans health or as seen in one horrifying ER story, can’t look past gender identity.
As the kid of a doctor and a biologist, let me tell you something that just miiight go over some people’s (*cough cough terfs*) heads:
- XX and XY (or any other combinations - there are others) chromosomes are a thing and are medically important
- genitals are a thing and are medically important
- horomones are a thing and are medically important
- the idea of a “biological sex” is still completely unnecessary. If you have XX chromosomes, you can tell your doctor that. If you have a penis, you can tell your doctor that. If you have high levels of both estrogen/testosterone, your doctor should probably know that already but I guess if you go to a new one you can tell them that. There is no situation in which one has to say “I am biologically male/female”
^say it a little louder for the transphobic educators who tried to tell students otherwise
I teach intro biology labs at the college level, and I try really hard to get all of this through my students’ heads at the earliest possible opportunity. The biological definition of a sex is l i t e r a l l y just:
Does this organism produce: many tiny energetically cheap gametes, or few large energetically expensive gametes?
That’s literally it. There’s no other qualifiers, there’s no other anatomical characteristics involved in that definition, and even that scientific distinction exists on a spectrum! No species of animal ever 100% across-the-board conforms to this sexually dimorphic biological system! There will always be individuals of any largely gametically-dimorphic species that exist somewhere in-between, and there are a number species where the sexes all produce gametes of similar sizes!
IN NO WAY EVER does even that gamete size distinction ever confer gender upon anyone. Chromosomes and genitals and hormones ARE medically important, but these characteristics NEVER dictate gender, and they’re NEVER anyone’s business but your own unless you choose to involve another person in discussions of your strictly physical health.
There is no such thing as being “biologically [gender]”. The idea is a toxic social construct, and don’t let anyone try to shoehorn you into believing otherwise.
Do you mean doctors who spent years learning about abled white cis men’s bodies
do you know anything about the world besides what you read on tumblr
Okay but this is true?? Shut up with your bullshit, the medical industry for a very very long time has used the able bodied white cis male as their standard and that has very real healthcare consequences for a lot of people.
Do you know why most women don’t know when they’re having heart attacks? Why heart attacks kill more women than men? Because symptoms of a heart attack are different for women and the ones that doctors usually recognize and publicize are the symptoms experienced by men. Do you know why it’s so difficult for Black and Brown people to get diagnosed if they have skin cancer? Because doctors have been taught to recognize it on white people. People of size are constantly told that their problems are entirely because of their weight and doctors don’t even bother to look beyond that to be sure that’s the case. So those people have medical conditions go undiagnosed properly for years, and die in the process. Fuck, even just the fact that people think it’s okay to charge women more for healthcare because “they have extra parts” (?????) is indicative of the way the male body has been considered the standard for fucking ever. And the healthcare needs of disabled people or trans people? Forget about it.
OP is 1000% right. The medical industry has used the able cis white male body as their standard of care for CENTURIES and that has real consequences for the rest of us today. It’s getting better but it’s not where it should be. So fuck off with your snarky commentary, you’re wrong. The healthcare industry is not equipped to handle the needs of people with disabilities, women, PoC, trans people, people of size, etc. and that’s in large part due to the fact that the established body of medical knowledge was created by studying able, cis, white male bodies almost exclusively.
Hey there folks, speaking as a trained EMT and a pre-med student, I can confirm that the above person is approximately 7000% accurate. In my EMT training, I would repeatedly ask ‘’but what if my patent is a woman” or “what is my patient is a person of color” and at first all I got was shock. Then I got confused bumbling. I got some answers–basic symptoms of a heart attack in women, how to recognize cyanosis in someone of color, the basics of how to work with an autistic patient or someone who for whatever reason can’t communicate well with you. In fact, EMTs and other EMS workers are getting a lot better at learning the differences between the health care for a person of color or someone disabled. We were even told that we would need to ask our patients for their biological sex (I know, I’m really sorry, I know that there are people who find this intensely uncomfortable or even harmful, but there are real medical reasons for this and most decent EMTs will use whatever pronouns you ask them to). But most if not all of the answers we were given about women were directly related to gynecological issues. The guys teaching me? They were good guys. Nice. Funny. Smart. Devoted to caring for patients. Impassioned about protecting people, especially women and teenaged girls, from assault. Largely not sexist toward me or their coworkers. Hell, they were even smart enough to say “listen, boys, the women in this class have a higher pain tolerance than you, they just do, and as a rule if a women says their pain is a 5 on a scale of 1-10, assume it’s somewhere around an 8” when a kid laughed during the gyno unit. But they just didn’t know what to say when I asked “so if you’re supposed to palpate the patient’s chest, what do you do if your patient’s a triple-D” or when I asked “so if your patient gets menstrual migraines, how do you know if this headache is a stroke or not.” They had never been taught. This is a real problem, one that many medical professionals work hard to remedy once they start practicing. But this is not bullshit. At all. The standard patient is a cis white guy with no disabilities or chronic illnesses. It’s a huge fucking problem and I’m going to need you to step down with your bullshit, there, friend.
This is an issue with mental health too, where people of color (black and Hispanic people especially) are less likely to be taken seriously with mental issues, and where community outreach for these groups is very very different from the kinds of programs that might be effective for white people.
Autism is rarely diagnosed in women because the symptoms doctors look for are all specific to men. Doctors used to blame depression and other mental illnesses in women on a misbehaving uterus, and it’s still a struggle for women to get their symptoms taken seriously enough to merit proper treatment.
Mental health for LGBT people has a long history of being an oppressive shitshow, given how long it took the medical community to stop pathologizing sexuality and gender identity. (Conversion therapy is still legal!)
As well as autism rarely being diagnosed in women, it’s also harder for a person of colour to be diagnosed, as it’s perceived as being a middle-class+ white man’s disease.
And! We didn’t know how large the clitoris was until THE NINETIES because no-one thought it was worth investigating. Thanks to a female researcher in Melbourne, Australia, we know that it’s roughly a wishbone shape, and has two ‘legs’ that extend down under the labia majora.
Once I worked as an intern in the state capital. One of the representatives I worked for was this middle-aged guy. And he hated the tampon and napkin machines in the women’s bathrooms. Hated them. He insisted that they weren’t necessary.
I found out why after I’d been working there, oh, about a month. My period started suddenly, as it sometimes does, and I asked to excuse myself to go to the ladies’ room. He wanted to know why. I told him.
He started ranting about how lazy women were. How we wasted time. How we were so careless and unhygenic, and that there was no call for that. He finished by telling me that I certainly was NOT going to the ladies’ room and that I was just going to sit there and work. He finished this off with a decisive nod, as if I’d just been told and there could be no possible argument.
“If I don’t go,” I said in an overly patient tone, “the blood is going to soak through my pants, stain my new skirt that I just bought, and possibly get on this chair I’m sitting in. I need something to soak up the blood. That’s why I need to go to the bathroom.”
His face turned oatmeal-gray; an expression of pure horror spread across his face. He leaned forward and whispered, “Wait, you mean that if you don’t go, you’ll just keep on bleeding? I thought that women could turn it off any time that they wanted!”
I thought, You have got to be kidding.
Several horrified whispers later, I learned that he wasn’t. He actually thought a) that women could shut down the menstrual cycle at will, b) that we essentially picked a week per month to spend more time in the bathroom, i.e. to goof off, and c) that napkins and tampons were sex toys paid for by Health and Human Services. I didn’t know the term then, but he believed that tampons were dildos. Which was why he and a good number of his friends considered them luxuries.
And that’s how, at twenty, I had to give a talk on menstruation to a middle-aged married state representative who was one of my bosses. American politics, ladies and gentlemen.
