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[–]Musky 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (0 children)

This is the first time I've ever witnessed it, it's almost mythical in the wild. Many have heard of it, few have seen or experienced it.

The patient was on two SSRIs and tramadol, a junky janky fully synthetic opioid. I guess that's what it takes, and why you don't tend to see it -- it's not exactly a great recreational combo.