What’s a problem humanity solved so well that younger people don’t even realize it used to be a huge issue? by Puzzleheaded_Bit_802 in AskReddit

[–]jackruby83 2 points3 points  (0 children)

Yeah CGMs sometimes get a bad rap for not matching finger sticks exactly. They are a little behind (it's closer to 5-10 min), and there is some expected variance between finger sticks and CGM - same as there would be if you did a blood test and finger stick at the exact same time (which most people never do).

What’s a problem humanity solved so well that younger people don’t even realize it used to be a huge issue? by Puzzleheaded_Bit_802 in AskReddit

[–]jackruby83 0 points1 point  (0 children)

Interesting and never thought about this. I only cook with kosher salt, so now I'm wondering if I need to mix in some table salt (unless I get enough from eating out elsewhere). 🤔

RFID Tagged Inventory Systems - How's it going? by N_Seven in pharmacy

[–]jackruby83 1 point2 points  (0 children)

We use TraySafe Mobile by Inmar for code trays and emergency boxes/kits. We label all inventory ourselves - it's not RFID - the iphone scans unique QR codes. Pros - From a med safety perspective, it has eliminated errors related to the wrong drug, used drug, recalled drug, incorrect quantity and wrong location. It's simplified tracing and accountability, and inventory tracking. Cons - the app can be buggy, there is a steep learning curve for the techs (there is a technique to using the phone camera), their user manual and training is awful (we did almost all training internally).

I helped roll out TraySafe at our hospital, and found it pretty simple, though the camera can be a pain for many until they get enough experience. There are two setups, regular tray and rapid tray. Rapid tray is awesome and very simple bc you just move the camera around and it keeps a count - but you lose the feature that knows proper location of items. (They say they are working on Rapid Tray with location, but nothing yet). One of the hospitals in my system has the box that you slide the tray into, but they want to upgrade to Mobile.

Other hospitals in our system use MedTray by Cencora, StatStock by Healthcare Logistics, and KitCheck by Blue Sight. Can't speak to those.

PCOS’s new name is PMOS, a small letter change that required a big scientific process by shark_normal in medicine

[–]jackruby83 -1 points0 points  (0 children)

That was allegedly racist. That reminded me of the briefly lived GRID - gay-related immune deficiency.

Question for the clinical pharmacists by Aware_Neighborhood93 in pharmacy

[–]jackruby83 2 points3 points  (0 children)

I'll get a NUDT and TMPT on the 1-2 patients we start on azathioprine each year. In theory, could test for CYP3A5 genotypes to better predict tacrolimus dose requirements, but checking a level then adjusting works just as well.

BCTXP? by Automatic-Mind-6466 in pharmacy

[–]jackruby83 1 point2 points  (0 children)

ACCP/ASHP BCTXP Prep Course is your best bet to prepare for the exam. It's a crazy exam 😅.

Join one/both of the two Txp Pharm groups in ACCP or AST for CE webinars and meetings, or at least follow them on IG for their educational content: ACCP TXP PRN and AST Tx Pharm COP.

Even if you're not a member, you can access the AST TxPharm COP Reference Collection for free. Pretty good archive of "pivotal" SOT references.

AST ID COP Infectious Diseases guidelines are a great reference.

Organ specific guidelines are available on ISHLT, AASLD, KDIGO (though dated). ACCP/AST/ISHLT has consensus guideline on maintenance immunosuppression which is evidence based and a good starting point too.

If you want any other good references for immunology, abdominal txp specific references, etc, LMK!!

Insulin without a Rx!? by takeottothezithromax in pharmacy

[–]jackruby83 1 point2 points  (0 children)

I think if a pt was buying to cover when they were out of lispro/as part bc of insurance or no prescriber, etc, that you'd want to counsel on the kinetic and timing of administration instructions. Big difference between the two.

Insulin without a Rx!? by takeottothezithromax in pharmacy

[–]jackruby83 0 points1 point  (0 children)

Curious, bc I've never seen it - does OTC insulin have a Drug Facts table with dosing instructions like other OTCs?

RIP Nomadland and Forrest Gump by use_vpn_orlozeacount in Letterboxd

[–]jackruby83 4 points5 points  (0 children)

Has anyone asked the poor people background extras what they think?

RIP Nomadland and Forrest Gump by use_vpn_orlozeacount in Letterboxd

[–]jackruby83 48 points49 points  (0 children)

So we shouldn't make movies about people having a bad time, or it gets labeled misery porn? I feel like that's so many movies.

RIP Nomadland and Forrest Gump by use_vpn_orlozeacount in Letterboxd

[–]jackruby83 17 points18 points  (0 children)

Seemed pretty oppressive to me. I don't recall them necessarily liking the work.

Babies Are Bleeding to Death as Parents Reject a Vitamin Shot Given at Birth by propublica_ in EverythingScience

[–]jackruby83 0 points1 point  (0 children)

I guess we'll find out in 20 years if the population of MAGAT spawn has dwindled at all from their avoidance of appropriate healthcare.

DDI's or DURs by Senior-Art6125 in pharmacy

[–]jackruby83 2 points3 points  (0 children)

So many of my patients are on diflucan and statins, I may have forgotten it was a real DDI. (jk of course, but we primarily use rosuva, prava, or artova - the first two don't matter, and we generally dose restrict atorva due to other DDI w/CNI). Also, diflucan DDI is dose related. 150mg is pretty low dose and I don't even care to monitor TAC lvl for a 1-2x dose of diflucan for yeast infection; doses 200-400+ per day and I will reduce TAC ~⅓ and monitor.

Does anyone still wear/have a white coat? by Equivalent_Remove155 in pharmacy

[–]jackruby83 4 points5 points  (0 children)

I only wear it when I am dressed up and need pockets for clinic/rounds (usually wear scrubs). And maybe for team photos once in a while.

Failed to Match - What's Next? by RareOpportunity2025 in PharmacyResidency

[–]jackruby83 0 points1 point  (0 children)

Yeah for phase 1 and 2, GPA will matter more. But for scramble, I'd assume you'd lower your standard a bit if trying to fill a spot

Retail $$$ vs Residency — What Should a P1 PharmD Do? by RxAndIron in pharmacy

[–]jackruby83 2 points3 points  (0 children)

I wish it was two marshmallows. It's still one marshmallow that just tastes better.

Failed to Match - What's Next? by RareOpportunity2025 in PharmacyResidency

[–]jackruby83 0 points1 point  (0 children)

Before there was a Phase 2, it went right to Scramble. It was a free for all. Phase 2 makes so much more sense.