lol mine is also a cat! Its of my 14 year old Kaya when she was 4 or 5 months old.

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

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”

Just a heads up, but most states have laws that guard against rain water capture. For example Colorado only allows 2 barrels or 110 gallons per year!

https://extension.colostate.edu/topic-areas/natural-resources/rainwater-collection-colorado-6-707/

Avg US citizen uses 100 gallons/day

https://portal.ct.gov/-/media/Departments-and-Agencies/DPH/dph/drinking_water/pdf/27icwaterfactspdf.pdf

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

Maybe it’s early in the morning and I am not quite awake, but I have no idea what you are talking about. Nor do I understand how forgetting to do something makes you able to do something, and somehow that relates to a hot stove?

Can you explain what the “hot stove” example is? Maybe that is what I’m missing.

Are you using the EA version or the standard?

HELL NO! I use betterdiscord!

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.

KCl labeled as asa? As a critical cardiac care nurse, I am duly horrified.

Trust me, so are we. Typically, the reason for the mislabel is due to the machine that is used for pre-packing from stock bottles. For the most case, standard meds are given their own containers for the machine, but when there was a KCL shortage going around something happened where a standard container was used for a non-standard medication and they didn't make sure the old container was cleared before adding the new medication.

That being said the pyxis pharmacist checking, should have looked at EVERY pre-packed med (100 per batch typically) and see that they all looked correct (eg: no doubles, empties), and would've seen the size mismatch between the 2 meds lol. We have some great techs though and one of them caught it as they were doing their pyxis load.

Love my crit care nurses though! We have 5 ICUs (+ ER/Trauma) and most all those nurses typically have their stuff together, which makes my job much easier, when I gotta call with questions! So, thank you for being on the ball!

75-80% of the time. All the staff I work with will take initiative at some point, but some do it more/better than others. I have a certain level of trust with some co-workers that I do not with others.

As an example, We have 15ish pharmacists on staff (non-admin) and 25-30 techs... There are probably 5 or 6 pharmacists and 1/3 of the techs, that when I come in (rotating schedule btw) and I see "those people" are working I know I need to buckle down and really scrutinize what is going on.

Now, like I said in the first post, everyone makes mistakes. Including myself. But I think there is a difference between the mistakes and how they are handled.

There is this mentality of "I didn't do it, So it isn't my problem". When really we should be looking at it as an "institution problem", or its everyone's problem! For example, the other day a doc called about starting a bicarb drip on a Hyperglycemia patient. We have a policy on hand to do 150 bicarb in 1L Sterile water. However, this one pharmacist doesn't like using sterile water (because of HYPOtonic concerns), so instead talks the doc into doing a 150 bicarb in 1/2NS (well this makes it a HYPERtonic soln now and the patient only has a peripheral port AND their sodium is already 141)... OK well when it got to the IV pharmacist, they shouldve said WOAH what it going on here! Instead they let it through because another pharmacist did the order and it isn't theyre problem if something goes awry. I would have called out there and said WTH are we doing? this isn't policy! and got it changed.

In the grand scheme, the ordering pharmacist did talk to the phsycian and got the okay, but in the real world physicians are not as infallible as they are portrayed, and our pharmacist gave an inappropriate option for treatment, which the physician trusted was an okay treatment plan. Was the patient injured by a single infusion? no. However, it was a continuous infusion and when I saw the nurse was asking for a refill to start the 2nd dose, I said WTF is going on here and started digging.

Let me say though that this is a national problem, not just my hospital. Also, the things that usually go through when they shouldn't is stupid things that never effect the patient. When it comes to dangerous medications, we have different procedures for checking of orders, or it goes through a specialist pharmacist first (eg: chemo pharmacist, pediatric pharmacist, critical care, infectious disease, etc you get the point). It is more of an annoyance on my part because I usually take the time to fix a problem when I see it, and other will let stuff slide because theyre not the ones who'll get the variance, and it won't hurt the patient anyways.

Just for posterity sakes, if you are curious, what is a "mistake that doesn't effect the patient"?

Example: We have a NICU and those little babies will be put on continuous infusions sometimes like dopamine to improve their cardiac functioning. So, all our NICU orders are standardized to the weight of the baby to determine the size of the order. So let's say that the order calls for 0.06ml/hr. That is 1.44ml/24 hr period. So, we would most likely send a 3ml syringe (to allow for titration). Well when the order is sent electronically to the pharmacy it always come stock as 1ml, and we have to change it to the appropriate size. If it isn't then the nurse will be calling for refills more often than needed based on titration (1ml = 16.6 hour infusion). This is a mistake that is counted towards us.

Is it teachable? sure, pharmacy school rammed it down our throats. However, being short staffed makes people cut corners, and that become the learned state in those situations.

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.

Not worried in the least, house is < 10 yo and don’t plan on moving anytime soon. I also think my houses “value” is over inflated anyways.

Now if I bought in the last 3 years? Yea I might be sweating a little bit about being under water, depending on price and location.

Nice! I had it on my list, but hadn't seen salo yet, thanks for the reminder!

A Serbian film... That ending I just cant... It is the only movie I actively tell people to avoid. My wife and I like to watch the most mind-fuck movies imaginable, but that one took it a step too far. We literally just stared at the screen for like 5 min after it was over.

So unless you live in an area with fiber, asymmetrical speeds are pretty typical… I’m not sure if it is because it’s all coax so there are infrastructure limitations? But it’s actually gotten faster because 6 months ago my upload was only 30 mbit/s.

Once fiber is in my area I’ll switch to that, but symmetrical will add more cost…but of course it will lol

Since the day before the Reddit strike… so mid June?

"Is God willing to prevent evil, but not able? Then he is not omnipotent. Is he able, but not willing? Then he is malevolent. Is he both able and willing? Then from whence comes evil?"

-Epicurus

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

Pretty poor 1st qtr for the pokes...

O:

• Surprised to see Rengel with the start, but overall I like him as a player.
• The pick was a bad decision, but he came back

D:

• pretty clear it has been decimated from last years graduates and transfers

According to the CDC:

more than 93.1% of abortions were performed at ≤13 weeks’ gestation; a smaller number of abortions (5.8%) were performed at 14–20 weeks’ gestation, and even fewer (0.9%) were performed at ≥21 weeks’ gestation.

1. So, 93.1% aren't even fetuses yet, they are zygotes (which is a clump of cells)

2. the other 6.9% are fetuses not babies.

• A baby is a non-clinical term for an "infant" (def: a very young child under the age of 1 years old) that has bodily autonomy separate from the mother.

So, to recap, abortion is not killing a baby

pay $180/month for 1gbit down/100mbit up and it is unlimited... It would be $130 for 1.75TB, but I wanted unlimited and that is an extra $50/month

I think the vastness of the universe makes it even less likely for a creator being, due to the pointlessness of it all. If there was a god they could make our galaxy work without a universe to support it, and we wouldve never been the wiser.

It is more likely that natural forces due to physics and chemistry created the universe, the galaxys, our planet, and us. There is most likely some constant expansion and contraction that repeats, which continues the cycle of death and rebirth over and over again forever. There is no beginning and there is no end, there is no purpose except for the purpose you make for yourself and your loved ones.

It's now going to the extreme that life can be wasted even up to just before delivery!

That is a lie, and shows a complete lack of how a baby is even formed. I work in a level 1 trauma center as a clinical pharmacist. We have had fetuses that have been born as early as 23 weeks and survived but its RARE (age of viability is usually agreed to be 24 weeks) ... a healthy fetus will not be aborted past 24 weeks without serious health issues for either the fetus or the mother.

According to the CDC:

93.1% of abortions were performed at ≤13 weeks’ gestation; a smaller number of abortions (5.8%) were performed at 14–20 weeks’ gestation, and even fewer (0.9%) were performed at ≥21 weeks’ gestation.

Once again, the age of viability is considered 24 weeks. So, of that 0.9% we do not know how many could be between 21-24 weeks. So, this BS of abortion at birth is right-wing talking points to take away rights from woman.

Finally, let me just say that the thing that makes me the most pissed off and sick to my stomach is how woman and girls who are raped are forced to carry to term an abomination inside them. They got no choice when they were being raped, and the get no choice to move past that horrible moment in their life. Girls as young as 10 years old, are raped and forced to carry a baby for 9 months, have a C-section because their vaginal canals are too small. Almost every conservative state that banned abortion after the supreme court, purposely left out the carve outs for rape or incest. That is disgusting.

Oh also, women are being forced to bleed out in their cars before they can be seen for an abortion, or have sepsis before a doctor will even touch them!

https://www.cnn.com/2022/11/16/health/abortion-texas-sepsis/index.html

https://www.npr.org/sections/health-shots/2023/04/25/1171851775/oklahoma-woman-abortion-ban-study-shows-confusion-at-hospitals

Not to mention Idaho dissolves maternal mortality review committee

https://www.boisestatepublicradio.org/news/2023-07-07/idaho-maternal-mortality-review-committee-dissolve

wrt healthcare; Christian don't need a socialist system to force them into 'correctness', because every individual would take it on him/herself to listen to the Holy Spirit.

What the hell does socialism have to do with healthcare? You think it is right to saddle someone with millions of dollars of debt due to no fault of their selves?? What a great christian attitude to have, bud! What does the holy spirit have to do with congress preventing medicare from negotiating drug prices? What about the price of an ambulance ride?? That holy spirit must be a stingy bastard to force such high costs.

wrt 'injecting ourselves into personal lives'. I think with covid we saw that the mainstream, who say they value freedom, actually gladly forced the needle into people.

The bible tells christians not to judge or be "meddlers/busybodies", I am not christian and I do not follow the bible. I think it is fine if Christian conservatives want to do that, but you don't get to hide behind christianity then. You chose to be a christian. You don't get to chose if you follow the bible or not. That is on you. If you feel called out maybe you should relook at your own christianity. (or lack there of)

Regarding abortion, maybe you want to check why/who're behind 'planned parenthood'.

Okay? What is your point I know exactly who is behind planned parenthood. I donate to them yearly. What does planned parenthood have to do with a woman's right to bodily autonomy? (not that any conservative will ever answer this question lol)

Many L and G's don't want to be lumped into the T and Q group.

Even if what you say is correct (which you cite no sources), your admitting that many are OKAY with being in a group with transgender. So what is your point? that some people don't like other people? okay? Eitherway, christians dislike all LGBT. Christian conservatives just found a way to turn some in the group of LGBT against others.

actual women lose their rights again.

Yea, no, you lost the privilege to use that when you took away a woman's autonomy to choose for themselves whether they should have a child or not. You can't say "Stop abortion, women don't get that right!" then turn around and say "What about woman's rights!!" lol ... Hell some conservatives are trying to strip birth controls from women as well! but yea, you probably don't care about "THOSE" rights.

There are more than 10,000 stars for every grain of sand on earth... If only 0.00000001% had a habitable planet, there are still millions of habitable planets in the universe. Is earth rare? Yes, but to say that proves the god of the bible is a real entity, is more than a ridiculous statement.

Furthermore, once I learned about the miller-urey experiment where it was shown that amino acids (building blocks of proteins and DNA/RNA) can be spontaneously created by simple gasses like methane, ammonia, and Hydrogen, it was all over for the thought of an intelligent creator.

Oh so you don't understand the joke. Let me explain it for ya...

Of course Jesus never said these things... however his flocks of christians don't care that he said the opposite, and continue to vote for those who oppress the people Jesus supposedly said to help the most. If christian DID uphold the teachings of Jesus we would have Universal healthcare by this point, we wouldn't demean refugees at our borders, we would not inject ourselves into other peoples personal lives and decisions (being LGBT, or having an abortion) (eh hem Mathew 7:1, 1 Timothy 5:13). But we do have all these problems thanks to conservative policies and states, that guess what? A strong majority of christians vote for.

This sub is called "Republican Jesus" for a reason.

Care to elaborate on how this is misinformation? Because I can point to many sources of Christofascism in the US right now, or how 82% of white evangelicals vote for conservatives, who in turn vote AGAINST helping the poor, the sick, refugees, women, etc.

Hell even an executive in the Southern Baptist Convention recently left the church due to un-acknowledged sex crimes and rascist/bigotry lead congregations.

So once again … care to elaborate? Or will you stick you head in the sand like every other conservative that won’t acknowledge the problems within the faith? If that’s what “gods people” are like, then who needs a god?

Sources

https://www.pewresearch.org/short-reads/2021/08/30/most-white-americans-who-regularly-attend-worship-services-voted-for-trump-in-2020/

https://www.npr.org/2023/08/08/1192663920/southern-baptist-convention-donald-trump-christianity

God Dammit! Now Im getting SponsorBlock ads in lemmy! When will it end!

There is honestly nothing I could say to make you feel better about this situation. Im sorry CFB bro. Im still holding out hope for you guys to maybe maintain the PAC name and maybe rebuild with you guys at the top! Youre right though about the money. Maybe there is still some money holding all the rights to the PAC name?

If you are using steam, you can just copy all the files from your device to hers. Then let steam validate the files and you are off to the races. My spouse and I do this all the time to save of bandwidth and time.

How do you tell you parents goodbye when the next massacre hits though?

Yep your right I miscounted … I still don’t see them wanting 18 or 20 teams in their league… you would never play every body and it wouldn’t make sense… you would have to have a b10 play off before the national playoffs lol

So, hypothetically, if the B10 doesn't expand right now, and the B12 take all the 4 corners... What does Oregon, Washington, Cal, and Stanford do? Do they just go independent until another spot opens up?

The problem I see is the B10 already has 14 teams (starting in 24), so theyre only going to take at most 2 more teams, and one of those is left open for Notre Dame.

Stanford (and maybe Cal, but Cal is a Looooong shot) could possibly join the Ivy League.

OrSt and WaSt probably go to the Mt West.

That leaves Oregon and Washington - one goes to the Big 10 and the other does what?

This is on the assumption that a league max should be 16 teams... anything larger doesn't make sense to me, but someone big will still be left out... Cal is possibly a last man standing as well, which is crazy with it being in the top 10 nationally in "overall" national championships (football though is dubious with 20-25 and 36) but still its no mountain west team.

Also, going back to the 4 corners, I read today that the B12 could possibly snub Utah because BYU already has the Utah market cornered, and for that matter one of the AZ school could be left out for the same reason (most likely ASU)... So, what if it was CU, AZ, UO, and UW? That would make an INSANE B12, I don't think that is what will happen, but if just talking about market saturation and getting bang for buck, it would be the smart thing to go for.

OkSt - undergrad (Orange/Black)

CU - post grad (Black/Gold)

Black and Orange/Gold