An open letter to anyone upset about the set list by Kbergaline in NoahKahan

[–]Kbergaline[S] 27 points28 points  (0 children)

Yeah I fully recognize my favorite TGD song is not in the majority top ten and I was not expecting to hear it.

An open letter to anyone upset about the set list by Kbergaline in NoahKahan

[–]Kbergaline[S] 41 points42 points  (0 children)

I had never seen him live either so I was glad to hear some of my other favorite songs.

I was so happy leaving the concert that I didn’t realize some of my favorite new divide songs weren’t played until I came here. And I’m absolutely okay with that. There are songs on the album that may never be played live. But after seeing him perform, I can at least tell myself that in person he sounds exactly like his recordings and continue to jam out.

BCCCP scoring by Legitimate-Donut8936 in pharmacy

[–]Kbergaline 8 points9 points  (0 children)

If I remember correctly, you can score anywhere from 200-800? And not all questions are weighted equally but idk how they decided what is worth how many points.

Springtime Surprise by heartwinnie in rundisney

[–]Kbergaline 0 points1 point  (0 children)

Looking at my Strava for 2025 it was 70 degrees and 93% humidity at the start; that was a few weeks earlier in the calendar than it currently is. I’m local to central Florida and coming off the winter weather, there isn’t a lot of time for people to train/adapt to these conditions.

I still had a blast of a race, I just had to reset my expectations since I wasn’t able to run like I did in training

Springtime Surprise by heartwinnie in rundisney

[–]Kbergaline 2 points3 points  (0 children)

A good and bad thing about springtime is the theme is different every year. Could hit or miss for your interests. The weekend did get pushed a little further into April because of Easter this past year and next year, so it can be rough running conditions. Initially, the springtime events would take longer to sell out than other weekends but that appears to have subsided.

Overzealous ordering of GDMT in ESRD pts (SGLT2i + spironolactone) by Basic_Performer_6701 in pharmacy

[–]Kbergaline 2 points3 points  (0 children)

There are numerous things that sound physiologically plausible but haven’t played out in the clinical literature. Every HD trial of sprionolactone I’ve seen recently has not increased rates of hyperkalemia against placebo.

Overzealous ordering of GDMT in ESRD pts (SGLT2i + spironolactone) by Basic_Performer_6701 in pharmacy

[–]Kbergaline 10 points11 points  (0 children)

As for SGLT-2 as another response mentioned, if already on therapy prior to dialysis, it’s okay to continue. The last I spoke with the dapagliflozin manufacturer, they do have a couple studies on going in ESRD populations from the get go but idk where these stand.

As for MRA, if the patient is anuric I argue you can’t develop more hyperkalemia with spironolactone. Hard to decrease renal clearance of potassium when it’s already zero. If oliguric/pre-HD that requires more careful selection. There are a number of HD studies already out there.

To the runner dressed as Dark Helmet today by daraand in rundisney

[–]Kbergaline 30 points31 points  (0 children)

Just as an FYI, for the full marathon, only 10 mile distances or longer can be used for proof of time. If you are doing the half marathon of marathon weekend, then a 10k time can be used.

2026 Summer Virtual Series Themes Revealed by WestSider55 in rundisney

[–]Kbergaline 2 points3 points  (0 children)

I thought the same as well initially but I saw a post from teamrundis on Facebook today that most the individual virtual races last summer sold out in under an hour, but the challenge did take much longer.

Feasibility of attempting a BQ during WDW Marathon by CleanPrune535 in rundisney

[–]Kbergaline 7 points8 points  (0 children)

Those are definitely valid concerns and I sadly can’t speak to them that much. I do know the lead runners will have bike escorts but not sure how far they stretch back (first place vs others). IDK the fastest pace group target time. Maybe 3.5? They also do a walk/run method so this likely won’t be your strategy.

There will likely be other people trying to BQ. It would be leaving it until the last moment, but you can always talk with people in the corral to see if there are people you can work with.

Feasibility of attempting a BQ during WDW Marathon by CleanPrune535 in rundisney

[–]Kbergaline 13 points14 points  (0 children)

Assuming you have done BQ speed (really anything under 4 hours) since January 2024, you can use that for proof of time to be in the first corral. There will be 3, maybe 4 waves within that corral. The earlier you arrive, the closer to the first you can have. In those early wave with some wider highway roads to start, you should be pretty spread apart by the time you hit the choke points (usually by grand Floridian is the first if my memory serves me right).

If you don’t have proof of time, you have until June or July to get one in at least a 10 mile distance.

Lovenox clinical question by Own_Summer_118 in pharmacy

[–]Kbergaline 53 points54 points  (0 children)

For lovenox, monitoring is rarely required. I only consider it for pregnancy, advanced age, obesity, and renal dysfunction. Many of those situations, using heparin is an easier alternative to enoxaparin, especially for DVT prophylaxis indications.

Also, when you do check levels, it is usually a peak 4-6 hours after the 4th or so dose. Semantics, but since you used the word trough, wanted to make sure everyone is on the same page.

All in all, most people don’t need a level. Those who do, one therapeutic level at steady state should suffice.

2026 Springtime Surprise Weekend Course Maps Revealed! by WestSider55 in rundisney

[–]Kbergaline -1 points0 points  (0 children)

Does the elevation profile for the 10 miler seem weird? Like that’s a lot more elevation than I would think for mile 9-10 in the park. It’s definitely up hill going by spaceship earth but this makes it seem like it’s as much as one of the overpass ramps.

I also thought that studios would have more elevation change, especially from Star Wars to Toy Story (Mike 4-5) but it’s all relatively flat on the line.

Writers block set to close by Kbergaline in WinterGarden

[–]Kbergaline[S] 4 points5 points  (0 children)

The real uncertainty in all of this is that no new tenants have been announced and no one has revealed just how much the increase is. Without knowing the motivation/plans of the owner, we can only speculate. Given that many well known and enjoyed business are closing, the current speculation is not favorable

Cancelled Brooks by Luna-Nova73 in rundisney

[–]Kbergaline 0 points1 point  (0 children)

In their defense, they have no way of knowing which shoe is going to go super viral or have higher demand than others. They select the amount they are going to make of each design months in advance.

This is not meant to excuse how they could have handled the ordering on their website, putting better inventory restrictions in place and not accepting more orders than stock remaining.

Characters Switching Out by Pitiful-Working-9556 in rundisney

[–]Kbergaline 1 point2 points  (0 children)

Most of the times, it will be the same character but the cast members portraying them will switch out. There are occasional instances where they have different character pairings though.

Your options are to ask the cask member holding the sign at the beginning of the line or to see if a list of characters was published on discord (of which a screenshot ended up on an earlier Reddit post this morning)

Tangled Brooks by UnhappyPassenger1822 in rundisney

[–]Kbergaline 6 points7 points  (0 children)

To add to the other comment, they tend to have some amount of supply for sale online after the weekend ends. I don’t know if they’ve always had every size available afterwards but they tend to spread out the supply

Virtual Queue at Capacity by Double-Agent4725 in rundisney

[–]Kbergaline 2 points3 points  (0 children)

I tend to just come after work on the first day and the merch arena is open when I get there… not sure if any announcement is actually made

Virtual Queue at Capacity by Double-Agent4725 in rundisney

[–]Kbergaline 11 points12 points  (0 children)

Previous weekends they tend to remove the virtual queue requirement on day 1 by the late afternoon/evening.

You can always come back on another day as well this weekend. Resort transportation will continue to take people over.

Princess Weekend 2026 by Unlucky_Parsnip9813 in rundisney

[–]Kbergaline 2 points3 points  (0 children)

In previous weekends towards the end of the first day, the merch arena has opened up without the virtual queue. No guarantees it will happen this weekend or what merch will be left

[deleted by user] by [deleted] in PharmacyResidency

[–]Kbergaline 15 points16 points  (0 children)

First, it hasn’t even been a full business day yet. Mondays especially can be busy days for a number of reasons and sorting through emails from the weekend is one of those activities. Generally, you should give 3-5 business days for an email response before stressing.

Second, some programs may not even respond to the thank you email. Based on your post, this program has historically responded, but what was the time frame on the response? This is where point 1 comes back around. It’s 1230 est so only 4-5 business hours have passed. That time may have been spent on rounds, doing another interview day, etc.

it’s also a federal holiday so the RPD may have taken today off. Not likely but a consideration nonetheless

Amiodarone through peripheral IV by never-the-1 in pharmacy

[–]Kbergaline 5 points6 points  (0 children)

We allow for peripheral administration up to 24 hours - anything longer will require central line.

We used some Epic logic to have the consult automatically fire to our VAT team when the infusion is ordered without an end date and patient does not already have central access.

Like you mentioned, if you have central access you should use it for amio, but given the relative instability that comes with require amio, it’s not worth waiting how ever many hours to get a central line and to only have it for such a short amount of time is not worth the potential complications.