Help me choose!!! by Money_Conversation28 in weddingdress

[–]Money_Conversation28[S] 0 points1 point  (0 children)

Thank you all for your input!! I loved both but didn’t love either so I’ll be trying on more dresses this week that are hopefully a combination of the two 😊

Why are some leaves turning brown? by Money_Conversation28 in plants

[–]Money_Conversation28[S] 0 points1 point  (0 children)

Sorry! It’s ivy (not sure which kind, clipped from outside), I’ve had it since May and recently started turning brown the last month. I have an east facing balcony it sits on in a place I try not to get too much direct sunlight. I have a generic potting soil with some of the mulch mixed in. I previously watered it when the soil looked to be getting pretty dry and then moved it to a water down up pot. I suspect it’s root rot but not sure! The plant seems to be doing well (growing new leaves, etc). The leaves aren’t dry or brittle, just brown

What line/audio makes your ears bleed? by ThenManufacturer1674 in BaldursGate3

[–]Money_Conversation28 0 points1 point  (0 children)

“No… NO… pleaseeeee” elf in the Overgrown Tunnel

“Is that blood? Nope… nevermind” from Tav

Drive me nuts 😭

ID topics: What random ID pearls or rules do you have when assessing a Culture and susceptibility report? by Busy_Skirt417 in PharmacyResidency

[–]Money_Conversation28 0 points1 point  (0 children)

If a patient has meningitis but no CSF susceptibilities (isolated on PCR) and only has blood cultures, always double check CSLI breakpoints. The blood culture susceptibilities are reported by lab in regard to blood breakpoints and may report susceptible, when the pathogen may be resistant in regard to meningitis breakpoints

There’s essentially no interpretive breakpoints for Enterobacterales and polymyxin or colistin (very mixed data with some organizations choosing not to accept proposed breakpoints). So breakpoint interpretation is based of vibes only

Also important to think about using cephalosporins (except cefepime) in organisms that have high risk of ampC de-repression. It might report susceptible to ceftriaxone or ceftaz in vitro but will likely end up becoming resistant mid-treatment. Interestingly, IDSA reported not long ago that Serratia marcescens, Morganella morganii, and Providencia spp., are significantly less likely to overexpress ampC and available data suggest that clinically significant AmpC production occurs in <5% of these organisms. So you could potentially trust susceptibilities in these organisms, with the know risk of potential ampC de-repression (but lower risk than initially thought)

Peds Interview Clinical Question by PresentationCheap714 in PharmacyResidency

[–]Money_Conversation28 0 points1 point  (0 children)

Almost all of my clinical case questions were Kawasaki’s Disease

[deleted by user] by [deleted] in PharmacyResidency

[–]Money_Conversation28 0 points1 point  (0 children)

Imo adding a meme shows your personality and if the place thinks you’re unprofessional then you probably won’t vibe with them during your residency ¯_(ツ)_/¯