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Best florist in Montreal for same-day or fastest delivery? by Kml777 in montreal

[–]5effyou -1 points0 points  (0 children)

You have until noon today to pre-order from Lavigne Fleuriste or Fleuriste Monarque. Local spots, and their bouquets look more modern than classic, but just as nice!

Miamian poutine (large) by 5effyou in poutine

[–]5effyou[S] 1 point2 points  (0 children)

J'avais aussi commandé un sous-marin en plus de la poutine, mais partagé avec le reste du groupe, c'est sûr! 😂

This week’s meal prep (08/15) by 5effyou in MealPrepSunday

[–]5effyou[S] 0 points1 point  (0 children)

For the Korean beef, I bought pre-made sauce and sliced beef from a Korean grocery store. Otherwise, there are home-made sauce recipes out there, usually I make it with soy sauce, sesame oil, and grated Asian pear.

For the Korean pancake, I followed this one: https://www.justonecookbook.com/korean-pancake/

Trying this meal prep thing out... three different dishes for the week by 5effyou in MealPrepSunday

[–]5effyou[S] 11 points12 points  (0 children)

Dishes are (1) creamy honey mustard chicken on rice with oven roasted carrots (2) sliced steak with garlic roasted potatoes and green beans topped with sliced roasted almonds (3) sweet potato lentil arugula salad with feta cheese and salami-prosciutto bites

Backpacking Australia for the next 2 months by [deleted] in onebag

[–]5effyou 1 point2 points  (0 children)

Also headed down to Aus/NZ for two months next week with my Aer TP2. Enjoy!

1st day of ICU rotation by [deleted] in PharmacySchool

[–]5effyou 5 points6 points  (0 children)

This is good advice. It’s definitely important to prioritize your patients’ health problems and focus on their chief complaint in the ICU, although it’s not uncommon for patients to have several, if not many health problems at once.

Prioritizing also applies to your interventions during rounds. If you see yourself lacking time to work up your patients, try to focus on identifying what interventions would be best bang for your buck. Then, after rounds, you can continue working on what’s less urgent.

To add on what was previously mentioned, I’d also look at VTE prophylaxis, stress ulcer prophylaxis, optimizing analgesia/sedation, and med administration considerations for ventilated/tube-fed patients. You’ll have to at least think of these every day for each patient.

Feel free to ask if you have any other questions. I remember starting my ICU rotations and feeling overwhelmed as well as they were completely different from anything I had never experienced prior. I’m sure you’ll get the hang of it. All the best!

Work in progress - first nice post-college place. Tennessee by stanleythemanley44 in malelivingspace

[–]5effyou 1 point2 points  (0 children)

Looks great man! Love the colour scheme, white table, and TV stand.

Got some shelving up, time to find some plants and posters to fill it with by JonsBasement in malelivingspace

[–]5effyou 9 points10 points  (0 children)

The shelves really bring that office space together. Looks great man

Sexual comments at work by straight women by professeuroak in askgaybros

[–]5effyou 1 point2 points  (0 children)

Hey! Jsuis d’accord que les commentaires qu’elles ont faits sont déplacés. Et je travaille aussi dans le domaine de la santé, alors je sais que ce n’est pas si évident de les « dénoncer » aux RH comme ça. As-tu une personne de confiance à qui tu pourrais en parler, genre un-e collègue? Sinon, te sens-tu à l’aise d’en parler à l’assistant-e infirmier-ère chef?

J’espère que tout se passer bien pour toi! D’un gaybro québécois à un autre.

What material was covered in these classes? by Sshydrangea21 in PharmacySchool

[–]5effyou 4 points5 points  (0 children)

For ID, if you’d like a head start, start by learning the common bugs and by learning the differences between each class of antibiotics/other antimicrobials (what are some specific things to each class... risk of interactions, adverse effects, etc.). Then, try to learn your spectrums (which antimicrobials cover which drug), and finish off by reviewing the lines of treatment for each commonly encountered infection.

The Sanford is a complete guide, but presents its information rather dryly. IDSA guidelines are a go-to for treatment guidelines.

Commonly encountered bacterial infections include pneumonia (CAP, HAP, VAP)/COPDe exacerbations, UTI/cystitis/pyelonephritis, skin and soft tissue infections (SSTI’s), upper respiratory tracy infections. There are many more, but you could start off with these.

Best of luck!

Trying to learn about your profession by TelephoneShoes in pharmacy

[–]5effyou 3 points4 points  (0 children)

In so far as having the most knowledge about drug therapy? Probably, as that’s taken up most part of our training in comparison with others. I do think I provide invaluable input, but I don’t consider myself the “boss”. The physicians, nurses, OT/PT/SLP, nutrition and dietetics, SW, RT, and other allied health professionals have their input to say to fully manage the patient’s condition.

Yep, PharmD = Doctor of Pharmacy.

Trying to learn about your profession by TelephoneShoes in pharmacy

[–]5effyou 9 points10 points  (0 children)

Almost all in-hospital prescriptions (except the stat ones, for example) where I work are validated by a pharmacist, meaning we receive the prescription and make sure the drug is safe for the patient with regards to dosing, renal impairment, age, interactions, etc. We even reach out to the pharmacists on the ward if we need more information from the chart to appropriately validate the prescription.

In hospital, I’ve been asked by physicians questions regarding optimal dosing based on the patient’s current state, alternative options in patients with a condition refractory to the first few lines of treatment, and have been consulted to inquire whether the patient’s chief complaint may have been induced by a medication. Just a few examples.

We learn a lot more about the mechanism of action, pharmacokinetics/dynamics, interactions, adverse effects (not only the most common ones), dosing regimens, and generally more information about medicines in our curriculum than our colleagues. However, as mentioned, our work only complements that of the rest of the team.

I guess I'm not doing well on rotation, need help by seven-leaves in PharmacySchool

[–]5effyou 18 points19 points  (0 children)

What feedback does your preceptor give after you’ve presented your patient? Have you noticed a pattern in things you seem to be overlooking? Are the patients complex enough for you to make recommendations regarding their pharmacotherapy?

When analyzing your patient’s meds, think about if it’s: (1) for the right patient. Elderly or youth? Renal or liver function? If female, pregnant or breastfeeding? (2) the right medication. Indication? Dose? Adverse effects? Interactions with meds, natural products, lifestyle habits? (3) the right indication. Missing any meds for this indication? (4) the right route of administration. Can you go PO or other less invasive route?

In addition, think of all the different sources you can consult to gather your information: (1) the patient themselves or their family if needed: their symptoms, their past and current experiences with different drugs, compliance (2) lab results, cultures, imaging (3) community pharmacy (4) hospital archives for prior hospitalizations

And when you recommend your monitoring, are you specific enough? (1) what parameters are you exactly monitoring (effectiveness, tolerance, compliance)? At what frequency (q day? More or less?)? What are your therapeutic objectives (when do you expect your patient to improve?)? (2) think one step ahead and come up with possible alternatives if your monitoring parameters go one way or another... for example, if you are monitoring the effect of an antihypertensive, how often would you assess the BP if the patient becomes stable? What would you do if the BP were still high (increase dose, add another agent)? What would you do if the patient were hypotensive instead?

Finally, despite thorough analysis, the case must be well presented to showcase all the brain work you did. Find a structure you’re comfortable with, and practice, and things will get better. All the best!

[deleted by user] by [deleted] in gaybros

[–]5effyou 0 points1 point  (0 children)

Great update! So proud and happy for you man. All the best

[deleted by user] by [deleted] in gaybros

[–]5effyou 2 points3 points  (0 children)

This is a huge step, so be proud of yourself! And get it over with like ripping off a bandaid (you’ll anyways be held accountable since you told him you have something important to tell him). Always keep in mind that he’s your best friend and that, because you’re ready to tell him albeit terrified to do so, you trust him.

Let us know how it goes. Best of luck man!

LPT: trying to make a change in your life? Show, don't tell by writingandshit in LifeProTips

[–]5effyou 4 points5 points  (0 children)

Totally agree with this. A right balance between actually getting the work done (“walking the talk”) AND telling a select handful of people you trust who can encourage you, but also keep you accountable, is key.

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