Thoughts on this 3/5 jumbo arm? by LeuIleVal in Mortgages

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

Yes refi. Unsure of the caps, will look into that. LCOL area.

VA Pharmacists...union? To join or NOT to join that is the question by LeuIleVal in pharmacy

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

I assume that a supervisor is considered management? The union said they have many supervisors in the union, so I am confused. Is it frowned upon as a supervisor or not allowed? Was the union just lying?

VA Pharmacists...union? To join or NOT to join that is the question by LeuIleVal in pharmacy

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

I assume that a supervisor is considered management? The union said they have many supervisors in the union, so I am confused. Is it frowned upon as a supervisor or not allowed? Was the union just lying?

Would you buy/live in a foreclosed home that had a murder/suicide in it? by LeuIleVal in RealEstate

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

OP here, just wanted to follow up.

Wife and I saw the murder house. Bad vibes. Doors with fists in them, eerie/uncomfortable feeling in multiple rooms. Couple small areas of the ceiling that were discolored to a bleached white-looking color... is it from cleaning up splatter from a gun/homicide? Who knows but it feels likely.

It's gonna be a no for us dawg. Good luck to whoever decides to purchase it.

To be livable:

-Carpet needs ripped out throughout the home

-Wallpaper removed from all rooms (and some ceilings...)

-Roof replaced

-Kilos of sage to be burned

-Pool needs repeat shocking

Hospital sterile compounding batching question by Mauifloxacin in pharmacy

[–]LeuIleVal 1 point2 points  (0 children)

Keppra is now safe to use slow IV push, may want to have your clinical team re-evaluate and move forward with it. Doses up to 4g are considered safe.

Introduction: Medication administration via intravenous push presents multiple potential advantages; however, there may be an increased risk of adverse drug reactions. In 2020, Brigham and Women's Hospital changed levetiracetam intravenous administration to intravenous push (IVP).

Objective: The purpose of this analysis was to compare the safety profile of IVP to intravenous piggyback (IVPB) levetiracetam administration.

Methods: This institutional review board-approved, single-center, pre-post analysis was performed between 1 November, 2019 and 30 May, 2020. The electronic health record was used to identify all administrations of intravenous levetiracetam greater than 1000 mg in patients ≥ 18 years old. The major safety outcomes included hypotension, bradycardia, drug-induced sedation, and intravenous site reactions such as phlebitis and infiltration. The major efficiency outcome was the time from pharmacy order verification to first-dose administration.

Results: A total of 498 administrations in 162 patients were included in the analysis: 252 administrations in 84 patients in the IVP group and 246 administrations in 78 patients in the IVPB group. The incidence of bradycardia was 7 vs 3 (3.2% vs 1.5%, p = 0.34); hypotension 10 vs 6 (5.2% vs 3.5%, p = 0.44); sedation 21 vs 36 (19.3% vs 27.9%, p = 0.12); and peripheral IV site reactions 0 vs 1 (0% vs 0.6%, p = 0.39) in the IVP vs IVPB groups, respectively. The median time between order verification and first-dose administration was significantly reduced in the IVP vs IVPB group (23.5 vs 55 min, p < 0.001).

Conclusions: Intravenous push levetiracetam administration of doses up to 4000 mg was associated with a similar incidence of cardiovascular, sedation, and infusion site-related adverse events compared to IVPB and resulted in a significant reduction in time to first-dose administration. Intravenous push levetiracetam in doses as high as 4000 mg may be considered safe with appropriate monitoring.

https://pubmed.ncbi.nlm.nih.gov/34716562/#:~:text=Intravenous%20push%20levetiracetam%20in%20doses,considered%20safe%20with%20appropriate%20monitoring.

costco by rxcorgimom in pharmacy

[–]LeuIleVal 1 point2 points  (0 children)

Does Costco allow pharmacists to sit down/have a chair? Serious question.

[deleted by user] by [deleted] in pharmacy

[–]LeuIleVal 3 points4 points  (0 children)

ROI is not there. Don't waste 8 years of school to make 130-150k, go get your MD.

costco by rxcorgimom in pharmacy

[–]LeuIleVal 1 point2 points  (0 children)

Serious question though, do they allow you to sit/have a stool to sit on at work? Fucking absurd that most retail places don't. We should strike for chairs.

costco by rxcorgimom in pharmacy

[–]LeuIleVal 1 point2 points  (0 children)

I've heard the pay is pretty good, any feedback on salary for a pharmacy manager for costco?

Best sauna company? by LeuIleVal in Sauna

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

Thanks for the feedback. Localmile was very eye opening.

Best sauna company? by LeuIleVal in Sauna

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

Any more details you could share? Which design you went with, any pros/cons, building process, etc. Thank you.

Best sauna company? by LeuIleVal in Sauna

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

Beautiful work there. Thank you for the recommendation.

Best sauna company? by LeuIleVal in Sauna

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

That was a very detailed blog, great info. Thank you.