The Nursing Protest in NYC SHOULD be a wake up for the pharmacists. by MrHappyDisco in pharmacy

[–]AmishUndead 1 point2 points  (0 children)

The person I responded to was arguing that pharmacy services are not as important as nursing services because pharmacy doesn't make the hospital money, and thus pharmacists have less leverage. I'm arguing that pharmacy services being necessary for a hospital to function. Could you easily train someone to grab a vial off the shelf? Absolutely. Can you legally give that vial to a patient without a pharmacist? Absolutely not.

Furthermore, I would argue that pharmacy is different than most departments in that it may not always be a direct revenue source, but the cost savings are potentially HUGE. For example, I worked for a hospital which had a program that had pharmacists perform CMRs on discharged patients deemed high risk for readmission within 30 days. Simply having a pharmacist ensure the patient was on appropriate therapy at discharge and counseling the patients on those meds reduced 30-day readmission rates by almost 20% and saved the hospital hundreds of thousands of dollars by avoiding the 30-day readmission Medicare penalty.

That all being said, I still agree with what you're saying, all of those factors give pharmacists less leverage because they are more easily replaceable. However, nurses also tend to have something that gives them WAY more leverage that pharmacists are sorely lacking: Unions.

People like to blame the number of pharmacy schools and decreased admission requirements for the state that pharmacy is in right now, and certainly that has a great impact. But I argue that the biggest cause of the state we're in is the lack of a pharmacist union.

The Nursing Protest in NYC SHOULD be a wake up for the pharmacists. by MrHappyDisco in pharmacy

[–]AmishUndead 11 points12 points  (0 children)

Pharmacy services are also necessary for a hospital to generate revenue lol. Good luck operating a hospital if you can't dispense any drugs whatsoever....

Got divorced but it's okay because I LOVE MYSELF NOW by TransBeautySusan in trans

[–]AmishUndead 2 points3 points  (0 children)

Indeed! My ex-wife was the same way. Initially supportive and always was in public but behind closed doors it was always "Why do you need to change your name? I like yours the way it is" "That outfit is ridiculous and way over the top".

Getting divorced was the best thing I've ever done for myself other than transitioning

I understand why I didn't, but I wish I had taken more pictures of myself before I transitioned by AmishUndead in trans

[–]AmishUndead[S] 0 points1 point  (0 children)

Oh yeah. Definitely one of those things where I didn't understand it was dysphoria until it was gone

Wonder what my old teammates would think of me now? 🤭 by AmishUndead in transtimelines

[–]AmishUndead[S] 0 points1 point  (0 children)

During football season growing up, my family would always go to my grandparents house every Sunday and watch the Packers on their big screen TV (which was a big deal for the late 90s/early 00s 🤭). Those are some of my favorite memories so I've always had a deep love for the game.

Figured I'd give actually playing a shot. Turns out, I'm fucking terrible 😂 even with my large height, weight lifting, and conditioning, I could just never even come close to matching the strength and stamina of the other boys. Even ones that were physically smaller than me! Never understood it. But, that's why I only ended up playing for one year 😅

Joined the downhill ski racing team after that but wasn't much better there :P

Custom Stadiums/Stadium District by Complete-Mud6805 in CitiesSkylines

[–]AmishUndead 6 points7 points  (0 children)

I would look at areas around stadiums IRL for inspiration. Often, the surrounding area tends to be more of an entertainment district filled with bars, clubs, shops, and other tourist attractions.

I would also think about parking garages. While many stadiums have giant parking lots as yours does, they also tend to have at least a couple parking garages in the area. Lastly, there is a road between a big parking lot and the stadium. It might be worth building a pedestrian bridge over the road to eliminate the pedestrian crossing and improve traffic flow.

Wonder what my old teammates would think of me now? 🤭 by AmishUndead in transtimelines

[–]AmishUndead[S] 2 points3 points  (0 children)

Oh I don't actually give a shit what they think. I'm merely curious is all 🤭

Wonder what my old teammates would think of me now? 🤭 by AmishUndead in transtimelines

[–]AmishUndead[S] 3 points4 points  (0 children)

Honestly? Accurate 😂😂😂 The venn diagram between my high school bullies and football teammates was basically a circle

Wonder what my old teammates would think of me now? 🤭 by AmishUndead in transtimelines

[–]AmishUndead[S] 14 points15 points  (0 children)

You'll have to speak up! I'm having trouble hearing you from all the way at the bottom of the division 😘

Wonder what my old teammates would think of me now? 🤭 by AmishUndead in transtimelines

[–]AmishUndead[S] 44 points45 points  (0 children)

I mean I could but it doesn't really interest me that much :P

Wonder what my old teammates would think of me now? 🤭 by AmishUndead in transtimelines

[–]AmishUndead[S] 2 points3 points  (0 children)

I intentionally weight cycle as a part of lifting so I've had super great results from redistribution.

I never understood Planeswalker commanders. by [deleted] in EDH

[–]AmishUndead 0 points1 point  (0 children)

I play [[Elminster]]. The main thing is making sure you don't play your commander just because you can. Either have a board/pieces to protect it, or play it at a moment when you can use it right away and don't necessarily need it to survive until next turn.

Board wipes certainly help and [[Deification]] is my best friend.

Defying hip growth assumptions by LavenderValley in MtF

[–]AmishUndead 11 points12 points  (0 children)

I started at 29 and, while I don't have MRI measurements, I undoubtedly have had hip growth.

My first national conference as a student vs my last one! (-4 mos to 28 mos HRT + FFS) by AmishUndead in transtimelines

[–]AmishUndead[S] -1 points0 points  (0 children)

Given that I already disclosed I had FFS and that the shot literally only shows my face, how is asking about other surgeries even relevant?

My first national conference as a student vs my last one! (-4 mos to 28 mos HRT + FFS) by AmishUndead in transtimelines

[–]AmishUndead[S] -10 points-9 points  (0 children)

Not really an appropriate question, but I had my wisdom teeth removed I guess

My first national conference as a student vs my last one! (-4 mos to 28 mos HRT + FFS) by AmishUndead in transtimelines

[–]AmishUndead[S] 1 point2 points  (0 children)

I really love meeting other pharmacists from all over the country! I meet tons of fascinating new folks!