• 18 Posts
  • 69 Comments
Joined 2 years ago
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Cake day: June 12th, 2023

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  • DRx@lemmy.worldtoScience Memes@mander.xyzJust little guys
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    1 year ago

    My cat once brought in a North American shrew in the house and I thought “what a weird looking mouse!” So, I went to scoop it up in a dust pan and drop it out side and the little shit bit my finger! Anyways, got it outside and went to look it up and found out they (the NA shrew) were venomous! Luckily the bite was superficial and I only had slight redness for the night.

    Fun fact about the shrew is apparently it is highly territorial and can defend a territory of > 1 square mile, and somehow my cat found the one shrew in a sq mile area in our backyard which is like a 1/16 acre neighborhood plot lol


  • DRx@lemmy.worldtoADHD memes@lemmy.dbzer0.comGetting up to speed
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    1 year ago

    Well, as a pharmacist whose been stable on 50mg of vyvanse for more than 3 years, your wife and Doc are both incorrect…

    Both are stimulants, yes, but

    Vyvanse is an amphetamine and works to produce more neurotransmitters you don’t already have.

    Cocaine is a reuptake inhibitor… thus preventing the breakdown of neurotransmitters you do already have.

    While fundamentally they may look like they’re doing the same thing, they are in fact 2 totally different mechanisms. Furthermore, in neurotransmitter depletion the effects of cocaine will severely diminish, where as amphetamines will thrive.


  • lol had this happen to me the other day.

    Typically I play classic rock at work like the stones, Beatles, eagles, etc and no one bats an eye and sings along. I played a song off hybrid theory and my tech walked by and went “wow that’s a throw back!” I immediately had a mini midlife crisis. That album is almost 24 years old btw, and I still remember the day I bought it.


  • Nope, drivers licenses are still only issued by the state, however I do register my cars through my tribe for a cheaper price and (imho) a better looking plate. Our CDIB cards are just that proof that you are a member of a tribe and to what degree your lineage is (1/2, 1/4, etc)… some tribes though have reissued ID cards for the CDIB that can act as a “real ID” (like mine) but I’ve yet to try to use it that way as my drivers license is more than enough for that situation. I can also use it as a secondary ID for i9, loans, etc but I don’t think it can use as a primary on those (usually driver license, passport, and birth certs are for primary)


  • I believe Jesus also said

    Matthew 7:5 Hypocrite! First remove the plank from your own eye, and then you will see clearly to remove the speck from your brother’s eye.

    So maybe we should focus on our own paths in life rather than someone else’s life decision that has 0 bearing on whether you or I go to heaven or hell?

    I mean why people are so obsessed with what people do in their own home, on their own dime, and their own time is beyond me.

    Christofacists just want to control others. They don’t care what Jesus said. They don’t want to FOLLOW Jesus, They want to BE Jesus and tell others how to live.


  • Auditory hallucinations are most common. The sounds of flies buzzing around your head non-stop, creatures climbing up the walls/ceilings

    Also, fun fact, there is a couple mnemonica for anticholinergic poisoning and they go:

    red as a beet, dry as a bone, blind as a bat, mad as a hatter, hot as a hare, and full as a flask

    But in pharmacy school we mostly said:

    “No See, No Pee, No Spit, No Shit”



  • DRx@lemmy.worldtoMemes@lemmy.ml6÷2(1+2)
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    2 years ago

    Def not a math major (BS/PharmD), but your explanation was like seeing through a visual illusion for the first time! lol

    I was always taught PEMDAS growing up, and that the MD and the AS was read left to right in an equation like above. But stating the division as a fraction completely changes my mind now about how this calculation works. I think what would happen in a calculation I use every day if the former was used.

    Example: Cockcroft-Gault Equation (estimation of renal function)

    (140-age)(kg) / 72(SCr) vs (140-age) X kg ➗72 X SCr

    In the first eq (correct one) an 80yo patient who weighs 65kg and has an SCr ~ 1.5 = 36.11

    In the latter it = 81.25 (waaay too high for an 80yo lol)

    edit: calculation variable





  • So, as a pharmacist, I can tell you that Tetracyclines (class of drug which includes Doxy, Minocycline, Tetracycline) have been used as prophylactic drugs for quite a long time, and not just for their anti-microbial activity.

    Minocycline for example is used prophylactically for recurrent UTIs, suspected meningitis, and frequent SSSI by staph

    Doxycycline has been used long term for Acne prevention, Malaria prophylaxis, and STI treatment and prophylaxis.

    While I do worry about overuse of Antibiotics in general. It seems that tetracyclines as a class have been used quite frequently over the last 50+ years. I am sure that in small pockets of the LGBT+ populations (the scope of this indication, it seems) you may see some resistance that will need to be treated with other antibiotics, but I don’t think that we will see much cross-over into the general public. Furthermore, it looks like their is a new class making its way to hospitals soon that can get around the resistance seen, but we will need more studies to further nail that down.


  • Ya know a lot of ppl think pharmacists are just about putting pills in a bottle… but in all honesty in the role that I work clinically in a trauma center, I would say what sets a good pharmacist from a mediocre one is being able to catch everyone’s mistakes.

    Your fellow pharmacists, techs in the pharmacy make mistakes (150 bicarb in 1/2NS?? lol) (incorrect pre packing procedures and getting kcl w an asa label)

    Your docs make mistakes (2000mg q12 vanc on an esrd pt with a bmi of 45 + Zosyn 4.5 q6)

    Your nurses make mistakes (y-site compatibility, missing doses, losing meds, etc)

    The issue is noticing the problem and taking initiative to fix it. Unfortunately, either by ignorance, not correctly verifying, or just plain laziness can lead to sub optimal care for our patients.

    It’s not easy though. I easily go through 500-1000+ orders a day, while calling doc/nurses, double checking techs and other pharmacists work. It can be stressful, and it’s easy to put blinders on and just keep hitting approve, but the pharmacists who look at that 4th 40meq kcl bag of the day for 1 patient without a lab drawn in 18 hours and calls the provider to see if maybe they want to draw a lab before the next admin. Those are the pharmacists doing a good job. This can go for the retail folks too who have to put up with way more shit than I.






  • O-State 3rd qtr:

    O:

    • first drive started off great, injury time out seemed to snuff out the momentum
    • switched to gunnar, not sure if we needed to do that at this point in the game. I like gunnar but we need some consistency

    SP:

    • the FG coverage has been phenomenal. One block in the 2nd qtr and maybe another in the 3rd? looked close. After commercial, kick looked just rushed.
    • Once again punting is damn good, pinned @ the 5 yard line.

    D:

    • UCA’s first drive … We can’t tackle at ALL!
    • Couple Tips this game at the line has been nice
    • 2 sacks in UCA first drive
    • UCA 2nd drive … chunk play after chunk play… We sucked ass this drive… embarassing.

    Over all our D sucked this qtr, and the O cant get any sustained momentum going. Not looking good for the 4th


  • O-State 2nd qtr:

    O:

    • 3 and outs need to stop. First drive of the qtr was a huge bust with Rengel.
    • Alan BOWMAN!!! LETS FING GOOO! Not the best first drive, but some nice 1st down passes when we needed them. I smell potential.
    • AB’s second drive… Great passes, but THE DAMN DROPS!!! WTF!!!
    • AB drive after fumble was meh at best… almost picked twice

    SP:

    • Robinson kid CAN KICK! holy crap, especially for someone who has never kicked prior to this year?
    • Punt and Kick coverage seems to be on point again this year which is good.
    • Hitting FGs is good atleast

    D:

    • played much better this qtr, still need some gelling this year
    • TFL and Sack on UCA 2nd drive was very nice
    • TFL and Sack on UCA 3rd drive, but let a huge pass through
    • FORCED FUMBLE!!! LFG!!! and… it wasn’t payed off by offense, damn

    Overall taking the lead into the half is good! Against an FCS team though? Im still worried about this season as a whole. We need waay more offensive success.

    UCA starts the second half with the ball