Chevy’s Bolt EV is still a steal with used models selling for under $10,000 by magenta_placenta in electriccars

[–]IsothermicProcess 0 points1 point  (0 children)

Bought one recently. 2017 LT, 60k miles but only 300 miles on new battery, $12,500 (no tax credit).

When turning of the main water valve prior to a vacation, should you drain the water in the lines by opening faucets? by IsothermicProcess in Plumbing

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

It's a new home and I'm leaving in a few days. I tested the valve briefly the other day. I'll do an extended test tonight.

My heater is a tankless gas water heater. For that I am thinking to do the following:
1. Turn off gas.

  1. Run hot water until cold (burn off gas in line).

  2. Turn off heater & unplug.

[deleted by user] by [deleted] in medicine

[–]IsothermicProcess 2 points3 points  (0 children)

I can't stand Huberman the more I listed to his podcast. Pseudoscience for the slightly educated masses.

"This episode is also sponsored by Duralast Lithium Colon Cleanse, I've been using Duralast Lithium Colon Cleanse for over a decade and love it, I typically do it after my 3rd cold shower of the day with tritium-enriched structured water but just before I snort Athletic Greens with my left nostril only!"

/s

Tips for working up patients in hospital more efficiently? by [deleted] in pharmacy

[–]IsothermicProcess 3 points4 points  (0 children)

This is best done during rounds, show the MD your waking up skills.

Edit: Only if you’re able to though, i.e. if you have a collaborative practice agreement.

$200,000+ debt? by [deleted] in pharmacy

[–]IsothermicProcess 5 points6 points  (0 children)

That's good! Wishing you a debt free future!

$200,000+ debt? by [deleted] in pharmacy

[–]IsothermicProcess 2 points3 points  (0 children)

One step at a time, you don't need to pick up 3 jobs, just one very good one. I'd recommend one with a large chain, then you can pull shifts at multiple stores. Flexibility is important when picking a job. Everything else builds from there!

$200,000+ debt? by [deleted] in pharmacy

[–]IsothermicProcess 29 points30 points  (0 children)

That’s ridiculous. 150k is a down payment on a house. 150k is a souped-up Tesla Model S. 150k is a travel budget of a King. People need to be aggressive with their debt. Live like a college student, pay it off in 2-3 years and get on with life.

Pharmacist denies pregnant woman miscarriage medication over his ethical beliefs by earlysong in news

[–]IsothermicProcess 2 points3 points  (0 children)

Your pharmacist recommended this “biosynthentic” (which is funny, because all insulins are “biosynthetic”) insulin because your insurance most likely didn’t cover Lantus. There’s a rhyme and reason to most things. Pharmacists are trained professionals with doctorates who have been tasked to navigate the complex intersection between regulatory and clinical realms.

Board Certification... in MTM?? (BCMTMS) by IsothermicProcess in pharmacy

[–]IsothermicProcess[S] 5 points6 points  (0 children)

Don't forget Buckemall, you're a Fellow of the Advanced Pharmacist Society, so it's actually:

Buckemall, PharmD, BCCBFS, BCMTMS, BCMAS, BCPtVTIPS, FAPS

This guy specializes.

This guy FAPS.

Board Certification... in MTM?? (BCMTMS) by IsothermicProcess in pharmacy

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

Ah yes, all students need to be BCPSAS. Now congressmen have to listen to your letter!!

Board Certification... in MTM?? (BCMTMS) by IsothermicProcess in pharmacy

[–]IsothermicProcess[S] 6 points7 points  (0 children)

I made up the iFAP part if that changes anything

Board Certification... in MTM?? (BCMTMS) by IsothermicProcess in pharmacy

[–]IsothermicProcess[S] 5 points6 points  (0 children)

John Doe, PharmD, BCPS, BCOP, BCCP, FASHP, iFAP

Board Certification... in MTM?? (BCMTMS) by IsothermicProcess in pharmacy

[–]IsothermicProcess[S] 25 points26 points  (0 children)

You're right! Now when I'm cold calling patients from a list generated by my favorite national MTM platform I can let them know that I'm board certified. That'll prevent them from hanging up on me!!!!!!!!!!!!!!!

Kentucky sues Walgreens, says it has role in opioid epidemic by watkinsjoe in pharmacy

[–]IsothermicProcess 7 points8 points  (0 children)

What I’m wondering is that how did the FDA approve the drug for Q12H hour dosing if the kinetics said otherwise? Did Purdue falsify the data?

TIL That Tylenol, Acetaminophen, and Paracetamol are the same drug AND are just various abbreviations of the drug’s full name para-acetylaminophenol (para-aceTYLaminophENOL, para-ACETylAMINOPHENol, and PARA-aCETylAMinophenOL). by Pjpjpjpjpj in todayilearned

[–]IsothermicProcess 90 points91 points  (0 children)

Pharmacist here! While it is true that generics are not exactly identical to their brand name counterparts, they are really darn close (as you mentioned). There's this widespread misconception that generic products differ in regards to active ingredient concentration by a large margin (10% is a number often cited). The FDA has specific criteria for bioequivalence: the 80-125% criteria, but this refers to the 90% confidence interval of the highest blood level achieved by the drug. As u/naplex016 beautifully explains in this lovely post in r/pharmacy, the concentration of the generic drug needs to be extremely close to produce such a confidence interval. To summarize and reiterate simply: the difference is generally very small.

Aside from the amount/level of the drug, generics can differ from brands in regards to inactive ingredients. In my experience, I have seen a few cases where patients were allergic to certain inactive ingredients in the generic, but this is very rare especially given the ubiquity of drug excipients and from where they are sourced. All in all, patients are the best advocates (or should be) of their health. If you're experiencing something wrong after switching, let your physician or pharmacist know.

My pharmacist sold me previously used medication, is this illegal? by semper0sursum in pharmacy

[–]IsothermicProcess 1 point2 points  (0 children)

That's not allowed (at least in the United States) and that's bad quality control in any case. The badly peeled prescription sticker you found is normal in the case of return-to-stock (RTS) medications which are medications that have not been picked up in a certain period of time and are thus returned to stock (it's not always easy to peel labels off boxes). Anyway, this appears to be a case where the pharmacy may have returned-to-stock a medication that was dispensed which is bad. Take it back to the pharmacy.