Note that you've gone from this statement, to acknowledging that they are regularly prescribed.
> Imagining a doctor writing a script for meth is pretty amusing, and maybe if that’s not a cool enough drug, they can hand out some crack or something.
Look, this is what I'm driving at, you appear to have some illusions that methamphetamine is significantly different than other amphetamines, or has some higher toxicity profile, more addictive, IDK I'm trying to get you to tell me your biases.
At that point, we can go look at the clinical literature and see what the evidence is.
There's a whole section, "Single-Isomer Versus Racemic Formulation", in this recent review article titled "Novel Formulations of ADHD Medications: Stimulant Selection and Management"
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8412159/
The worst discussions we have on Hacker News are around healthcare and medicine.
For some reason the community refuses to apply a high of research and rigor to this topic, as if it's lesser than the non-sense we call computer science.
This entire debate is comical, the medical community's approach has been, by it's own admission, to throw various stimulants at ADHD. Methylphenidate, L-Amphetamine, D-Amphetamine, Lisdexamfetamine, etc.
By in large, everyone on this thread is pretending like there is a treasure trove of research demonstrating the superiority of Adderall (a racemic mixture of L & D amphetamine) to Methylamphetamine.
And that's just not true at all, there is a paucity of research on the subject. Meth = Bad because of the Germans and street drug users (who smoke an uncontrolled amount).
Method of administration affects the time delay for euphoria. Smoke > Shooting > Eating.
People who do a lot of meth (or drugs outside of a prescription) tend to do as much as they can purchase and/or tolerate.
When you see someone who has a doctor (dealer) that gives them as much adderall as they want, illusions of differences between the two drugs rapidly fade. I'm talking about 100+mg a day, I've seen it happen, still have 50mg adderall pills from the person in the story.
Adderally XR formulations are still a minority of prescriptions.
Talking about methamphetamine as a different molecule is not helpful, as Adderall itself is not a single molecule.
Which I suspect you know, as you mention different enantiomers of thalidomide. However you don't point out that adderall itself is a 3:1 racemic mixture of l and d amphetamine.
The real discussion here is the receptor binding affinity of the various targets of the drugs, and how they compare.
> The reason for the remaining C-Section was that she "needed" a C-Section before.
Yeah she probably had a vertical incision c-section, which clinically indicates a c-section for the next birth. You can read about it, the fibers heal better from a transverse incision.
I said read the guidelines. Casually scanning the literature on pubmed shows babies that come out after IDK 39 weeks have sometimes not great outcomes, and it gets worse as time goes on.
You say "the baby will come out when they're ready", but what would you reply to "what if the baby wants to come out stillborn?"
When do you want forcible induction to be advised by the clinician? 39 weeks + 2-3 days for you to feel comfortable about the decision? Maybe a week if you're seeing a psychologist or like astrology?
Note that you've gone from this statement, to acknowledging that they are regularly prescribed.
> Imagining a doctor writing a script for meth is pretty amusing, and maybe if that’s not a cool enough drug, they can hand out some crack or something.