Inactive Chelsea Lawrence / TanzChelsea - Munchie kicked out of two hospitals, home care and multiple treatment teams; Flagged and blacklisted by EPIC; Munched Herself to Death

As an aside, I cannot diagnose her and I won't pretend I can, but she has more going on than just substance abuse issues and malingering. Those are often comorbid with other disorders, but I'd be fascinated to see what a psych treating her would have to say. There's almost certainly something cluster B going on, and the more she speaks the more the narcissistic traits come to the surface. The way she thinks she always has a "way out" is really suspicious. She always has an answer or explanation, they're not convincing but they're there, she has a constant "endgame" card she can pull whenever it suits her (her death), she always has another "official" to turn to (new doctor, the mayor, etc) and she seems to very sincerely believe they will fix her problem, she holds her sister and mother hostage with guilt and is enabled. There's more, but I won't keep going. Usually I suspect BPD with munchies, but she doesn't check as many of those boxes in my mind. Would love to see some others' insights about this, if they'd like to share.
I’d guess histrionic, with dashes of schzoid and dependent.
 
I've been rounding on someone similar every morning for the last two weeks. Claims neuromyelitis optica and intractable severe eye pain. Calmly watching streaming movies until you walk in the door and then starts squirming and thrashing and groaning and rubbing her eye the entire time you're in the room. I don't even knock anymore because it's so funny to see the act start spontaneously.

Asks me unsuccessfully every morning to order a higher frequency for that delicious drug seeker cocktail (Dilaudid, Benadryl, Zofran), and somehow convinces my neurologist colleague to order another series of daily IVIg so the stay can be extended and the taxpayer can fund her fix for a few more days. Frequently fakes anaphylaxis (including the universal choking sign despite speaking just fine) to get a stat extra dose of Benadryl. I can't even discharge this idiot until Neuro signs off, and this neurologist is a lazy Pajeet who gives patients everything they want.

This shit makes me wish I went into construction.
 
Now her desire for palliative care makes sense. There are guidelines for ketamine use in palliative care that are quite liberal for people that are unable to tolerate first line opiate treatments for certain type of pain.

Plus, at least some of her "symptoms" now make sense, they are all adverse effects from mainlining ketamine inappropriately. It's no wonder she had everything pulled. The pupils make much more sense. I always wondered what was going on since the level of pupil dilation just didn't fit well with opiates. Given that the degree of pupil dilation is dose dependent with ketamine she must be doped up to an unbelievable degree.

At this point I'm going to guess death due to sepsis from an inappropriately maintained hickman line.

Also, to the person that mentioned the neurological effects of long term ketamine. Yes, ketamine abuse in humans is strongly linked to deficits in memory, recall, and executive function.
 
So because she is a malinger and a drug seeker that would supercede a personality disorder diagnosis. If someone is actively using you cannot make a true personality disorder diagnosis until they have stopped and gone through withdrawal.
Diagnosing a personality disorder is a whole thing, so no, you wouldn’t, especially if the proposed diagnosis could be explained by use/withdrawal. That sort of goes for all psych disorders though. Meth users don’t have ADHD, pot heads don’t have paranoid personality disorder (or binge eating disorder), somebody tripping balls isn’t schizophrenic… unless they were hyperactive/paranoid/hallucinating before taking drugs. Any of them could have a paraphilia or a somatoform or fictitious disorder (ding ding ding! We have our munchie!) — but those aren’t personality disorders and you’d still want to see them sober before making it official.

Perks of this being the internet? I don’t need a masters degree and in person consultation with a sober Chelsea to look at her and go “damn, that’s one histrionic bitch”
 
has anyone here ever tried ketamine, either recreationally or in a hospital setting? I know a lot of people who take it occasionally for fun (they even sell it in pharmacies in mexico- or at least thats what its labeled, god knows). Even the thought of having a bad trip, falling into a k-hole, or even having the desired dissociative effect sounds horrifying to me, so I'm curious about how others have experienced it. I also thought that it was used as an opiate replacement in some EMS situations, but I dont know the background on why that would be the case, unless they were afraid that the patient was already on high doses of opiods and could possibly OD? Also, lol that she claims benzos help. I dont see how a real neurological issue would be "helped" by taking benzos?
 
has anyone here ever tried ketamine, either recreationally or in a hospital setting? I know a lot of people who take it occasionally for fun (they even sell it in pharmacies in mexico- or at least thats what its labeled, god knows). Even the thought of having a bad trip, falling into a k-hole, or even having the desired dissociative effect sounds horrifying to me, so I'm curious about how others have experienced it. I also thought that it was used as an opiate replacement in some EMS situations, but I dont know the background on why that would be the case, unless they were afraid that the patient was already on high doses of opiods and could possibly OD? Also, lol that she claims benzos help. I dont see how a real neurological issue would be "helped" by taking benzos?

Ketamine is kinda fun, in a weird way. Never took it via needle though. Don’t want to get into a long rambling discussion about it so heres the Erowid vault of user write ups if you’re super interested in people’s experiences
 
Diagnosing a personality disorder is a whole thing, so no, you wouldn’t, especially if the proposed diagnosis could be explained by use/withdrawal. That sort of goes for all psych disorders though.
I haven't been completely up to date with these things, but yes I agree! I'm definitely not trying to say she should be diagnosed, and she absolutely couldn't be by anyone from an online forum. I was more or less getting at your last statement when I mentioned being curious and wanting to hear from others about it. (I could also swear I've seen a dual diagnosis, given at the same time, of a personality disorder and an active substance abuse disorder, but memory isn't foolproof and it's just as likely I'm mistaken.)

Regardless, I'm not trying to bring the thread down with that speculative crap, sorry to derail. The reveal of her Ketamine (ab)use is way more pertinent and interesting lol Ketamine abuse at high doses presents symptoms similar to dementia, and from what I've read these can stick around because it causes brain damage. It quite literally slows down brain cell activity, which would do more than enough to explain her slurred speech and claims of being consistently "forgetful" and confused. If the constant use of a neck brace isn't causing irreparable damage, the Ketamine absolutely is. It's fucked that her sister is evidently willing to procure Ketamine for Chelton after she was cut off, and that her mother will administer it to her regularly.
 
IMG_4658.png
You know, I think I found this via the funny image thread on here, should have known the Farms would also be the place I'd get a chance to use it!

Stupid shit aside though, I had no idea that they used Ketamine for... what, a painkiller in this case, I guess? I knew it had some medical application (have a friend with Bipolar II and apparently while researching her treatment options she found out it's a semi-experimental treatment for that?) but I am fascinated by the idea this is something that she's somehow been taking at home too.

It's so juicy coming into a thread right as shit escalates so dramatically, but her ramping up to full THIS MAY BE MY LAST POST EVER GUIS histrionics makes me hope she's not about to go dark to try and avoid the scrutiny.
Let's be real, 90% of cows can't handle that even if it's the simplest way to kill a thread, but you never know.
 
. what, a painkiller in this case, I guess?
Yeah it's a great adjunct drug for people not getting good relief with acute pain, like post operatively. You can run a slow infusion in the background (5-10ml/hr), and you can use small bolus doses too (25-50mg) and it's used for procedural sedation for things like joint dislocations.
It's also used for migraine as an infusion.

Fun fact: the Thai kids that were trapped in the cave were dosed to the eyeballs with ketamine for their rescue. Because it doesn't interfere with your airway and breathing like other sedating medications, they could basically bomb them out and hook them up to diving gear/breathing apparatus and pull them along without the kids panicking. There were "pit stops" along the way with extra packs of ketamine for top ups if needed.
 
Ketamine is kinda fun, in a weird way. Never took it via needle though. Don’t want to get into a long rambling discussion about it so heres the Erowid vault of user write ups if you’re super interested in people’s experiences
I read a users first time experience, and found this interesting:

At times I felt my changed, stretched-out body more acutely again, felt as if it was pulled and pushed, stretched and compressed. At one time I felt as if my limbs, my arms must break, but remembering that I must relax, breathe, flow, let go, it passed. There were a couple of instances when I felt as if things will turn bad, unpleasant, but each time the feeling quickly faded with breath and relaxation.

However, he also said this:

Then I entered an orange-brown-black space occupied by a giant inflated kiwi-bird with ruffled, long tassel-like feathers and a long curved slim black beak, and the beak curved off into infinity. The space was like a corridor, with undulating grasses at the top and bottom, and the kiwi somehow inside it, but the sides were open and the corridor stretched off into infinity and I moved toward the kiwi and it felt beautiful, amazing, with loud buzzing, ringing sounds accompanying the journey. In another space was a white ball that lifted off the ground and left a white color trail behind it, and that image changed, and shifted and transformed.

One of you, perhaps? :lol:
 
As far as I'm aware, ketamine is only available commercially as an injectable preparation. Chelsea says in hospital they have to resort to IV use, so does she mean she was using subcutaneous/intramuscular ketamine at home, or purchasing it and consuming it in other ways?
Compounding pharmacies can make it into a few different delivery methods including sublingual dissolving tablets, nasal sprays and troches aka lozenges.

I'm wondering if Dr. Godzilla contacted the Minnesota Prescription Monitoring Program and added her, perhaps specifically for Ketamine. That's available to all prescibers and dispensers in MN and can be accessed by other states. Controlled Substance Insight Alerts (CSIAs) are issued when one of their "...patients has exceeded a set threshold and appears to be receiving multiple Schedule II – V prescriptions from multiple pharmacies and prescribers in a given time period." If she's on that list, she can still end up getting controlled Rxs if the prescriber decides that it is appropriate for her condition. But it's still going to come up when she goes to fill that Rx and the pharmacy can decide to say NOPE.
 
I've been rounding on someone similar every morning for the last two weeks. Claims neuromyelitis optica and intractable severe eye pain. Calmly watching streaming movies until you walk in the door and then starts squirming and thrashing and groaning and rubbing her eye the entire time you're in the room. I don't even knock anymore because it's so funny to see the act start spontaneously.

Asks me unsuccessfully every morning to order a higher frequency for that delicious drug seeker cocktail (Dilaudid, Benadryl, Zofran), and somehow convinces my neurologist colleague to order another series of daily IVIg so the stay can be extended and the taxpayer can fund her fix for a few more days. Frequently fakes anaphylaxis (including the universal choking sign despite speaking just fine) to get a stat extra dose of Benadryl. I can't even discharge this idiot until Neuro signs off, and this neurologist is a lazy Pajeet who gives patients everything they want.

This shit makes me wish I went into construction.
Your dumb patient probably doesn't even know the ice trick.
 
has anyone here ever tried ketamine, either recreationally or in a hospital setting?


Both for me. Most recently in the ambulance after being run over, liquid K down the nose. It barely took the edge off the pain and had nothing akin to psychedelic effect. I assume I was given the K because it's fast acting and wouldn't be at risk of dangerously interacting with the effects of the opiates or anesthesia I was about to receive in-hospital.
Recreational K experiences can range from mildly pleasant to powerfully inspiring to bizarroland nightmare. I narrowly avoided being raped during a K-hole once only because I happened to be wearing two leotards and onsie pajamas while completely incapacitated (aware of what was going on yet completely unable to move or speak) and the would-be rapist didn't manage to disrobe all the layers before getting intercepted. Totally unscathed, I was revived with a little bit of cocaine. K holes can also be fun in a way that can feel meaningful and mystical. It sometimes feels you're capable of telepathy, or mindreading, or seeing around the corner into the immediate future. I recall sitting in my bathtub convinced I could hear which radio station every car sat in A.M. traffic was playing, aswell as hearing every individual driver's innermost fears. The first (and last) time I had ketamine administered via intramuscular injection the dosing was way too high and I spent an unknown amount of time screaming on the floor because I was hallucinating that I could see the faces of policemen coming to arrest me reflecting in each of the dozen mirrors that covered the room, only calming down after having several sublingual benzos placed in my mouth and being literally sat on for 20 minutes.

Totally checks out that her DOC is ketamine. It makes delusional people feel like God.
 
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