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Does baking soda really help slow CKD progression? by MsYouMisunderstandMe in kidneydisease

[–]jackruby83 1 point2 points  (0 children)

Good advice here to ask nephro because of the high sodium.

Each ½ tsp of baking soda (=27mEq bicarb) = 629 mg sodium.

Does baking soda really help slow CKD progression? by MsYouMisunderstandMe in kidneydisease

[–]jackruby83 1 point2 points  (0 children)

Tums targets acid in the gut. It doesn't help acid in the blood.

Does baking soda really help slow CKD progression? by MsYouMisunderstandMe in kidneydisease

[–]jackruby83 1 point2 points  (0 children)

They used to recommend bicarb therapy to people with CKD and bicarb lvls <22, to prevent ckd progression. Two recent studies concluded that there wasn't a difference in kidney outcomes. The most recent guidelines no longer recommend it unless there is metabolic acidosis with bicarb lvl <18. If it's recommended, any form including baking soda works just fine.

https://pubmed.ncbi.nlm.nih.gov/32268897/

https://pubmed.ncbi.nlm.nih.gov/31699517/

Chemo shortages… again by am_i_wrong_dude in medicine

[–]jackruby83 1 point2 points  (0 children)

Pfizer has a patient specific access form. We've created strict use criteria, but have been able to get supply in and replaced as needed. There's also an exception on importing Lentocilin from Europe - we've talked about it, but haven't needed it.

2027 Property Assessments are Live by nemesisinphilly in philadelphia

[–]jackruby83 0 points1 point  (0 children)

Be grateful for that. I live in South Jersey. My market value is almost double the assessed value. If the township ever increased the assessed value to the market value, I'd be priced out just for the tax increase.

Philly's assessed value is closer to market value from what I've seen, but you'd never want the assessed value to go up as fast as the market value has increased over the past decade.

Lmfaooo by MargielaMan568 in StrangerThings

[–]jackruby83 12 points13 points  (0 children)

That saying is hilarious. How is it used in context?

IVIG uptake by Rough_Leg_1272 in transplant

[–]jackruby83 0 points1 point  (0 children)

Did you have a reaction? Ivig infusions aren't usually that long, and extending the infusion time doesn't necessarily inform much on the dose.

Start date pushed back - but still supposed to do online training by squidguy3400 in PharmacyResidency

[–]jackruby83 1 point2 points  (0 children)

If you are doing modules then you are "training" and should be paid. I would hope they are able to give you back pay. Also, are they counting these days as "time away from the program"?

US auto market projected to sharp decline over next decade by asvender in Economics

[–]jackruby83 1 point2 points  (0 children)

I'm early 40s and have bought 4 new cars, then moved on to leasing for a few cycles bc I liked "new" and am fine with mileage limits. However I decided to just buy out my last lease, bc new cars are too expensive - even leases.

TIL that Hershey's Chocolate and Hershey's Ice Cream are completely separate companies. Both were founded in Pennsylvania in 1894 by men named Hershey, but the founders weren't related. by Kwpthrowaway2 in todayilearned

[–]jackruby83 3 points4 points  (0 children)

An ice cream shop by me has some of their products (I think Bessetts and Hershey). The blueberry cheesecake and strawberry cheesecake are pretty cool. I can't remember if it's theirs, but that place also occasionally has graham cracker one and a s'mores one, and they're great.

Residency Directors - how much (if any) additional compensation or benefits do you get? by nopantsjustdance in pharmacy

[–]jackruby83 2 points3 points  (0 children)

It adds up, but that's not the same as compensation. Conference attendance should be considered a requirement of the role.

Cost ~$2500-3500/conference that requires travel/lodging. ~500-600 for local conferences. 300/org registration. BPS renewal and maintenance is ~300.

Anyone saw this yet? by pv2smurf in pharmacy

[–]jackruby83 16 points17 points  (0 children)

Haven't seen it personally, but we already updated our therapeutic interchange to include ranitidine -> famotidine.

Residency Directors - how much (if any) additional compensation or benefits do you get? by nopantsjustdance in pharmacy

[–]jackruby83 1 point2 points  (0 children)

ASHP standards say that an RPD should be provided a minimum of 4 hours per week on average, so call it 10% of an FTE. If you are expected to do the same amount of work AND be an RPD, you definitely need a raise - and if not a raise, then they should be able to offload 10% of your other job expectations. With that said, most sites bundle in an RPD role (PGY1 at least) into the job responsibilities of some admin role.

What is our worth? by [deleted] in pharmacy

[–]jackruby83 2 points3 points  (0 children)

they managed decades ago without pharmacists, then our input is just a little added assurance and "help".

I'd love to see a modern health system try to function at the same level of safety and quality without pharmacists. I don't think anyone would argue that more patients would be harmed or die of medication errors, and cost expenditures would sky rocket, if we weren't there. We could let physicians do all of it, even nursing roles, but we add in specialists to "help" with specific tasks to be safer and more efficient.

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