Exactly. If you get high and fuck up the injection process, then you too may post bad photos of yourself on the internet and be mocked for your lack of disfigurement. 
Neurologist here. He doesn’t look fine.
He has ptosis on the right side of his face. That means that his right eyelid is drooping.
Your eyelid is controlled by the levator palpebrae muscle, which is controlled by both the facial nerve (CN VII) and the sympathetic nervous system. The sympathetic trunk comes off of the spinal cord and courses up along the carotid artery to get back up to the head. This individual probably damaged his sympathetic trunk when he injected drugs into his carotid artery because they are in such close proximity. He also probably can’t sweat and might have a small pupil on the right.
Heres the wikipedia article for horner’s syndrome, which he probably has:
Also, he appears to be leaking sparks out of the left side of his head.
So what would you prescribe— shooting up on the other side too?
All of this could be explained by a bad photographer as well - not that I doubt your opinion as to what might be going on.
Naive idiot checking in. I thought dope was marijuana? What the fuck are people shooting in their necks?
Also, you can’t even see your own neck, unless you use a mirror, and then, you always fuck it up backwards. Why not seek a vein in your arm?
Dope, if I’m not mistaken used to only refer to heroin. Now-a-days it refers to pretty much any of the following: weed, cocaine, crack, heroin and/or meth.
Depending upon when and where you were, “dope” could be any drug. It used to be slang for Coca Cola a century ago.
Yeah I was going to say that it could refer to damn near any drug, but I’ve never really heard PSP, LSD, psilocybin or opiate-based painkillers referred to as dope, so I just went with the ones I was more sure on.
Yeah, dope is heroin. At least when you shoot it. Or it could be meth or even coke, I guess, injected. But when you “smoke dope,” it’s always referring to pot. Or maybe heroin, too.
Look, it’s very simple, OK? Quit harshing my buzz!
OK, that question’s answered.
But why are people shooting up IN THEIR FUCKING NECKS!?
Heavy users often have collapsed veins in their arms. I’ve heard of users shooting up between their toes.
I’ve known people who shot up in their necks. And hands, thighs, ankles, breasts, and penises. For a desperate junkie, any vein that still works will do.
Even in my wildest days, some of that stuff kinda freaked me out. There’s a reason they’re called “arm drugs,” people!
I agree, of course, but wanted to point out that his right pupil appears slightly larger than the left (in the apparent low light conditions under which the picture was taken). So, not a classic Horner’s. As they say, ‘a full house is as rare in Medicine as it is in poker’.
Because they’re not complete and utter pussies.
Pfft…arm veins…what wusses…
Is he going to recover without any intervention, or is he perma-screwed?
Probably scuppered forever. As heavyarms553 noted, the fellow seems to have given himself a Horner’s Syndrome (nice picture here) probably by pinging what’s called the superior cervical ganglion (aka stellate ganglion (nice pic)) which brings sympathetic fibres to the orbit and face.
I suppose he could have injured the ganglion mechanically with the needle or, perhaps, caused an interruption to its blood supply (i.e. essentially a stroke of the stellate ganglion). Both would seem to be irreversible IMO.
I remember when this article was circulating, back when I was shooting coke and heroin. No, I did not try what this gentleman did.
“The patient’s penis fell off by itself, doctors said.”
:eek:
You’d think if there were anything that would get a guy to quit drugs, that would have to be it.
Um, no. If anything were to keep him taking drugs this is it.