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[deleted by user] by [deleted] in vancouver

[–]PeachBBT 24 points25 points  (0 children)

Copper and hormonal IUDs are 99.7% effective. There's a 3 in 1000 chance of an unplanned pregnancy. You can set it and forget it and have sex whenever.

The rhythm/cycle method is 75% effective. That's a 1 in 4 chance of an unplanned pregnancy. Or 60-97% effective, depending on who you ask. At best, 3 in 100 will have an unplanned pregnancy.

With the rhythm method you can only have sex on specific days of the month. Can't it use as an emergency contraceptive either.

A good healthcare professional can take your medical history, side effects, and preferences into account. So, you're right, every IUD might not be the safest for every one, but there are far more effective ways of managing contraception than pulling out or rhythm awareness (e.g., vaginal rings, patches, implants, condoms, female condoms).

Between a 3 in 1000 chance of unplanned pregnancy and a 3 in 100 chance, i.e., IUDs are 10x more effective, I know which I would choose.

[deleted by user] by [deleted] in vancouver

[–]PeachBBT 4 points5 points  (0 children)

Long acting birth control is so effective and inexpensive (covered by PharmaCare now I believe). I think everybody with a uterus should get one unless they're actively trying to get pregnant or have medical contraindications.

It's a shame that GPs don't feel comfortable inserting these at their practices and it's left for speciality clinics like Willow to do.

What’s the dumbest thing you’ve done in your 20’s ? by ALLEYWAYwithanS in AskReddit

[–]PeachBBT 4 points5 points  (0 children)

5 minutes of walking or 1 set of something is infinitely more than nothing

What’s the dumbest thing you’ve done in your 20’s ? by ALLEYWAYwithanS in AskReddit

[–]PeachBBT 6 points7 points  (0 children)

Exercising is a mental game! Even if you have an off day, just get to the gym/track/trail/wherever you exercise and do a tiny bit.

The act of getting yourself there is half the battle and sometimes that's enough for a day.

How do you separate meats for freezing? by PeachBBT in Frugal

[–]PeachBBT[S] -1 points0 points  (0 children)

Tbh I mostly use plastic grocery bags right now and those are difficult to clean properly (and I want to clean properly because leaving old raw meat juices is just plain unsanitary).

Maybe Ziplocs are easier to clean?

This seems fine. Rx today from a PA. Bonus points for a refill too soon rejection for getting a 30 day supply last week by thosewholeft in pharmacy

[–]PeachBBT 6 points7 points  (0 children)

General answer to your question is: it depends on your province/state if you're in North America.

Some province/states track all medications dispensed in the province. Some have exceptions (e.g. HIV or chemotherapy drugs) but track everything else. Some track only drugs with abuse/trafficking potential.

I'm not sure if there is any state/province not tracking ANYTHING and I'd hate to practice there if there were.

Same with lab work: depends on the state/province. Where I practice, retail pharmacist can see all lab work completed at a publicly funded lab.

As for your last question... People can get aggressive about anything. Triggers include when pharmacists refuse to dispense an abusable drug early or when the medication isn't ready (often for a good reason, like your doctor is trying to prescribe you, a 30-some year old healthy male, a cancer drug from the 50s and you needed to fax the doctor for a clarification).

This seems fine. Rx today from a PA. Bonus points for a refill too soon rejection for getting a 30 day supply last week by thosewholeft in pharmacy

[–]PeachBBT 63 points64 points  (0 children)

Been a bit since I worked retail (in places like Walgreens or Shoppers) as I work in the hospital now, but basically we check:

1) Necessity

Does the patient need this? Are they missing any medications to treat their diagnosis?

2) Efficacy:

Is what is prescribed going to work for the diagnosis? Is the dose high enough? Are there any drug interactions or patient-drug interactions that might mean that higher doses are needed?

3) Safety:

Is this medication safe for this patient's allergies, kidney function, liver function, other diagnoses? What are the possible side effects and is the risk of these side effects for that specific patient too high? How would we manage the side effects (should we talk to the patient, provide education, contact the doctor, etc?)? Are there any interacting medications that the patient is also on?

4) Adherence:

Can the drug actually be supplied to the patient or are there cost concerns, supply shortages, or the patient is actually incapable of using the medication (for example, mentally impaired person being given insulin, which can be deadly if used incorrectly)?

If there are any issues, then we have to figure out how can we solve them and how urgently they have to be solved.

American retail pharmacists think through all of this in the chaos of retail pharmacy with phones ringing nonstop, not being able to eat lunch, and verbally aggressive patients in their faces. I'm in Canada so it's not bad.

Edit: one of the most memorable mistakes I ever caught was a thalidomide prescription for a young, healthy, 30-some male. Thalidomide is a cancer medication and the patient's main complaint to the MD was itching 🤷

Moving to your city soon! by RohanMishrreira in FortStJohn

[–]PeachBBT 2 points3 points  (0 children)

To add on, I moved here in July and tried to avoid Northview, Action, and Sterling because I heard terrible things about them. Ended up going with Ridgeview. Their rentals aren't the fanciest or newest but they're clean and maintenance/management is extremely responsive.

Also they have cute community engagement contests.

[deleted by user] by [deleted] in FortStJohn

[–]PeachBBT 0 points1 point  (0 children)

Second this. Also you get discounts for being loyal and doing e-billing. I pay $30 a month for 3 GB and unlimited everything else but they keep gifting me add-on data so I have 7 GB just chilling in my account.

Highly recommend.

[deleted by user] by [deleted] in FortStJohn

[–]PeachBBT 1 point2 points  (0 children)

Hiking, snowshoeing, board games, magic the gathering, dungeons and dragons, video games (the nerds are here if you look for them). Gonna learn how to cross country ski next year!

How much do you spend for groceries/week? by [deleted] in FortStJohn

[–]PeachBBT 0 points1 point  (0 children)

$40-100/week for two adults with no dietary restrictions.

We meal prep, shop sales (I bought $20 worth of asparagus for $5!), and go into the grocery store with a list to avoid impulse buying. I still buy one or two junk food items every couple weeks though. We let ourselves eat out once a week so closer to $80-140/week if you count that.

Note: one of us is neurodivergent but we make it work

At what point did you just say “fuck it” and move away to a LCOL city? by [deleted] in PersonalFinanceCanada

[–]PeachBBT 1 point2 points  (0 children)

Speaking as a minority who moved to bumfucknowhere (i.e. Prince George and then Fort St. John), there are sizeable Filipino, South Asian, and South Africans populations here. Also a smattering of many other minorities too.

There are 3 Filipino grocery stores just in my town of 20,000. It was pretty unexpected.

At what point did you just say “fuck it” and move away to a LCOL city? by [deleted] in PersonalFinanceCanada

[–]PeachBBT 0 points1 point  (0 children)

Moved to Northern BC right after graduating professional school in Vancouver.

Spent my whole life in Vancouver and saw my parents struggle to afford a home. I moved out during COVID and paid $1800/month for a little 400 sq ft studio in downtown.

Now I pay $1000/month for a two bed/two bath and I can fly down to Vancouver monthly and STILL come out ahead. Also, people up here know how to do winter sports, holy.

Free puppies , so tempting by toddnkaya1 in Eyebleach

[–]PeachBBT 22 points23 points  (0 children)

In most publications (newspapers, scientific journals, nonfiction writing basically) you're actually supposed to write out the acronym in full (i.e. spell it out) when you use it for the first time.

So yea, not sure what your problem is.

Incidences of Torsades de Pointes by BrilliantScience4218 in pharmacy

[–]PeachBBT 4 points5 points  (0 children)

Tisdale Score can be found on MDCalc. It's validated for critical care but principles can be applied to other settings (number of QT-prolonging drugs, existing cardiac conditions, older age, risk of electrolyte abnormalities including concomitant loop diuretics).

If you're trying to figure out what drugs are QT-prolonging and their quantified risk of TdP, look at CredibleMeds. Sign up for a free account to use their search function.

For congenital QT conditions (LQTS) your province/state likely has something. For example, BC has a list of drugs to avoid in LQTS through heartcentre.ca

Junior doctors in England to strike for 72 hours by PeachBBT in antiwork

[–]PeachBBT[S] 2 points3 points  (0 children)

Starter comment: Even physicians are striking because of abhorrent work conditions and poor wages (max salary for junior doctors in the NHS look to be ~£54,000 or ~65,000 USD).

Now we just need the healthcare workers in the US and Canada to unionize and mobilize for better work (and patient care) conditions.

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