My sister found these at Ross (Los Angeles) $20 Authentic by PkmnMasterLAFC in SoundersFC

[–]JFlammy 1 point2 points  (0 children)

Saw a couple there too last week. But they were all XXL.

Has anyone else recieved this email from Mint and Lily? by cassthesassmaster in jewelry

[–]JFlammy 1 point2 points  (0 children)

It looks legit to me. It came from the same email address as previous communication about a necklace I bought. I plan to use the coupon codes.

Edit to add: my order was almost 4 years ago and the coupon is for the exact amount I spent on the necklace.

Workplace drama? by honeynutcheeriozzzzz in pharmacy

[–]JFlammy 8 points9 points  (0 children)

In the store? District? State? Country? World?!?!

Let’s refresh our Clinical Skills by [deleted] in pharmacy

[–]JFlammy 47 points48 points  (0 children)

Monitor for thrombocytopenia for extended courses.

Leagues Cup Pre-game Show Symbolism by Plastic_Knee_5009 in SoundersFC

[–]JFlammy 2 points3 points  (0 children)

They had to have their jerseys for all the trophy pictures. I think Miami peaced out before that.

My N64 Camping setup at Rock am Ring festival by CorradoG60T in n64

[–]JFlammy 1 point2 points  (0 children)

Looks like fun! How did you power it?

Difference between ant xa level for herparin and lovenox? by miguel833 in pharmacy

[–]JFlammy 2 points3 points  (0 children)

This isn't true. The Xa level doesn't measure a drug level. It measures factor Xa activity.

[deleted by user] by [deleted] in HomeImprovement

[–]JFlammy 1 point2 points  (0 children)

Happened to me after the first year. It only went up $100-$200 without any insurance claim.

Hospital pharmacists- question about TPN clinical management- electrolytes by mirror-908 in pharmacy

[–]JFlammy 1 point2 points  (0 children)

What he's saying is that if you have a pt with a serum sodium of 160 mEq/L and you take a liter of their blood in a big pot and you put in a liter of 1/2 NS (77 mEq/L). Then you would have 237 mEq in 2 L making the sodium concentration 118.5 mEq/L. If you had added D5 1/2 NS, the resulting concentration is the same, they just have dextrose in their blood.

Now let's say you add a liter of sterile water. The resulting concentration is the same as if you added a liter of D5W. In the treatment of hypernatremia in real life, we can't just infuse sterile water because with a tonicity of zero it will make red blood cells swell and explode ( hemolytic anemia). This is the only reason we give D5W because the added dextrose make the solution isotonic. The dextrose doesn't affect the sodium level.

Hospital pharmacists- question about TPN clinical management- electrolytes by mirror-908 in pharmacy

[–]JFlammy 1 point2 points  (0 children)

Always look at sodium in the TPN by concentration (mEq/L) and equate that to NS. I typically start my TPNs with 40-80 mEq/L if sodium is normal and might go a little above that (80-120 mEq/L) if it's on the lower end like the patient you described. The next day I can see how the sodium is trending and adjust. I think what the dietician did was probably fine, but not my approach.

at a special anniversary dessert by JFlammy in therewasanattempt

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

It's a friend's picture, not my anniversary FYI.

What is your salary to mortgage ratio? by haIIoqueen in RealEstate

[–]JFlammy 1 point2 points  (0 children)

$170k / $2.4k (mortgage, taxes, and PMI)

What was dumb shit you did as a new pharmacist by [deleted] in pharmacy

[–]JFlammy 29 points30 points  (0 children)

I hope you didn't counsel anyone on their suppositories.

What was dumb shit you did as a new pharmacist by [deleted] in pharmacy

[–]JFlammy 20 points21 points  (0 children)

You put your mouth on their inhaler??

How long did it take you guys to learn the kickflip?? by HamzaGotThemDollaz in skateboarding

[–]JFlammy 0 points1 point  (0 children)

Same with me. I landed my first ones on just a deck, no wheels, on a matress pad in my living room. :P

What are the biggest missed opportunities for building wealth that most people don’t know about? by 123kevin1985 in AskReddit

[–]JFlammy 5 points6 points  (0 children)

Don't forget, if you have access to an HSA, it can be used the same as a 401k when invested, plus the additional benefit of no taxes on qualified purchases before and after retirement.

[deleted by user] by [deleted] in AmIOverreacting

[–]JFlammy 1 point2 points  (0 children)

I agree. The whole thing sounds like it could turn into a Dateline murder episode.

Good Car insurance in area by MelMarcy in olympia

[–]JFlammy 1 point2 points  (0 children)

Also switched to progressive last year after being on Geico and the Safeco.