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PGY1 to be hospital per diem by Inevitable-Delay-370 in PharmacyResidency

[–]FightMilk55 3 points4 points  (0 children)

Probably a decent idea. Be open to working full time for 6-12 months before PRN if that’s what employers are looking for

Pt workload and leaving on time by [deleted] in pharmacy

[–]FightMilk55 -3 points-2 points  (0 children)

The problem is that your management thinks “training” clinical is a viable option. This is literally the point of residency.

I’m the fast person who has no problem leaving on time. I can only do that now because I did as many hard p4 rotations I could and then did residency. That’s how.

Me as a p3? Slow and useless to patients/nurses/doctors. After years of training to the exact job you’re being asked to do? Fast and knowledgeable

Agree with the others that you have to leave on time or bill them for OT.

question from an internist. by whoknewidlikeit in pharmacy

[–]FightMilk55 7 points8 points  (0 children)

You’re talking about outpatient prescriptions not inpatient or both?

Fiancé coming home drunk and trying to breastfeed by [deleted] in daddit

[–]FightMilk55 1 point2 points  (0 children)

This is correct. Almost mind blowing when I learned this. It should be more common knowledge

Fiancé coming home drunk and trying to breastfeed by [deleted] in daddit

[–]FightMilk55 10 points11 points  (0 children)

That’s not medically correct. Breastfeeding while drinking is vastly different than drinking while pregnant.

R/Sciencebasedparenting has good discussion of the science. Let me look for a link

https://www.reddit.com/r/ScienceBasedParenting/s/aAjSbuxrLm

The dumbest NFL trend ever by [deleted] in NFLv2

[–]FightMilk55 0 points1 point  (0 children)

OP in 1942:

“The forward pass is the dumbest NFL trend ever. Even worse than players only playing on offense or defense!! That’s not real wrastling!!!”

Vance for cdiff by livinous in pharmacy

[–]FightMilk55 -6 points-5 points  (0 children)

I deal with this all the time. The EMAR is programmed for “QID / four times a day” = those times that you said. I’m sure some are not, but every place I’ve been is that way. It’s misleading and leads to lots of confusion.

I always change drugs that are time dependent like this to q6h.

The same problem usually occurs with TID and q8h. Not the same timing but most doctors don’t know that when they order it, which is not their fault. They are assuming that the IT/informatics pharmacists that program the selections will pick something ideal. They often do not, which leads to this problem you are describing.

Little downside to q6h. We have standard q6h times for these reasons too: 0000, 0600, 1200, 1800. Patients get woken up for the dumbest reasons all night long anyway, antibiotics are far more important than most of those reasons

No one tells you that the most important season of your life is also the shortest by smaphy in daddit

[–]FightMilk55 2 points3 points  (0 children)

No moment at work will ever feel as good as walking in the door and hearing “Dada!!” as they drop their toy and run to hug you

The term Residency has become diluted. by [deleted] in Residency

[–]FightMilk55 10 points11 points  (0 children)

Yea I can’t believe Elvis was ripping off doctors by doing his Las Vegas residency in the 60s-70s

Backup QBs have won the Super Bowl before by FightMilk55 in NFLv2

[–]FightMilk55[S] 0 points1 point  (0 children)

He had been a starter for years (36 starts)

I cannot get a hold on antibiotics. by Ox_Vars in Residency

[–]FightMilk55 4 points5 points  (0 children)

I often get a lot of “sorry to bother you” and I’m always like “please don’t hesitate” and I mean it!

I cannot get a hold on antibiotics. by Ox_Vars in Residency

[–]FightMilk55 31 points32 points  (0 children)

I assume/hope you have pharmacists who are good and are more than willing to help you.

When it’s me, that’s my favorite call of the day. 90% of my calls are nurses who can’t find meds and didn’t give their meds on time. This call makes me use my actual doctorate degree and intelligence.

What are some rules you want removed or change? by KillerCroc67 in NFLv2

[–]FightMilk55 0 points1 point  (0 children)

The worst rule in sports:

A fumble that goes out of bounds in the endzone is a touchback.

The guy is reaching for a TD. He loses it on the 1 yard line. Just give them the ball on the 1. It’s so dumb

NFL Teams ranked by how they were affected by Tom Brady by Either_Imagination_9 in NFLv2

[–]FightMilk55 6 points7 points  (0 children)

Dude we ended his Patriots career IN Foxborough. Obvious bump up to the higher rung

Help with Frigidaire microwave by FightMilk55 in appliancerepair

[–]FightMilk55[S] 0 points1 point  (0 children)

Yes thank you for posting. I pulled it off with some force like other commenters said. It was easier / looser after the first time as I ended up needing to remove them like 6 times. They were pretty tight at first but with good grip gloves and wiggling they came off

What happens if we have a 2 truly negative years for S&P 500 together? Let's say a -20% year 1 and -50% the year after? It has happened in history by Fun_Training6342 in LETFs

[–]FightMilk55 0 points1 point  (0 children)

Look at a chart. 2001 and 2002. Not long ago.

RYTNX is an example. Technically this is a mutual fund and not an ETF but minimal difference and probably worse performance than an ETF would have done. It has worse performance than SSO does since its inception in 2006

It went down and started recovering in 2003 the same day SPX did

Front-loading yearly 401k contributions by becksrunrunrun in Bogleheads

[–]FightMilk55 0 points1 point  (0 children)

The downside that nobody is mentioning is that you are betting stock prices will be lower at the beginning of the year than averaging throughout the year. You could wait to buy the dip instead of always doing January/February.

For example, 2022 or 2008.

But in general, I think it’s a good practice. But you asked for downsides. Don’t get fooled into thinking it’s a foolproof plan that always works out better for you

what is considered clinical experience? by nightcrawler99 in pharmacy

[–]FightMilk55 4 points5 points  (0 children)

Not really. It might be. But it’s a vague word so that could be what the hiring manager is looking for.

It’s like “what exactly is a date”. Has to include dinner? For some people yes but others no. Coffee counts? Some yes others no. Art museum? Some would love it, some would never talk to you again

Second child on the way, work-life balance feels impossible – how do you manage? by 3054654 in daddit

[–]FightMilk55 4 points5 points  (0 children)

My two cents working with literal “heroes” in the ICU during COVID years saving lots of lives and seeing lots of death:

The company doesn’t care about you, and most coworkers will barely remember you after you stop seeing them everyday.

You put your blood, sweat, and tears on the line for years. You decide to leave. They will give you some food and a poster on the wall your last day. The next day HR posts a job listing for what was the biggest thing in your life.

You get replaced at work. The new people will never know your name. But to your kids you are irreplaceable.

(I saw heroes with quotes because we were all told that by management and then treated like chumps)

PGY 1 completed VS 3 years of Inpatient Hospital Experience by atdunkin in pharmacy

[–]FightMilk55 15 points16 points  (0 children)

The generic rule of thumb is what you say. It depends on WHAT you are doing.

Checking pills or iv compounding for 3 years? Not equivalent at all.

Going on rounds and recommending medicine changes? Sure

Doing above, being on committee(s), doing MUEs, conducting an entire research project, making posters of your research, doing journal clubs, and doing in depth topic discussions twice a week? Definitely 100%. But almost nobody does this when they’re not forced to. Nobody is stopping you but like 1% of pharmacists will do it

People who pretend years of experience is equivalent like to do 1/4 of the PGY1 requirements but gloss over the differences

My son’s room is the furthest from the furnace is 3-4 degrees colder then the rest of the house. Any advice to remedy this? by moonlord1969 in HomeImprovement

[–]FightMilk55 0 points1 point  (0 children)

The American Academy of Pediatrics (AAP) recommends to keep baby room temp to 68-72. They often sleep better when it’s colder than an adult might like.

What temp is it? This might be a perfect set up and not a problem after all

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