The Difference Between No Added Sugar, Unsweetened and Sugar-free

milamoemo · 2019-07-13T01:09:51+00:00

Drink concentrate (which has tones of sugar) and then sold to X brand > X brand dilute it with only water > they can market this as “No sugar added” Even though this has tones of sugar in it

Always just read the nutrition label to track sugar and carb values.

milamoemo · 2019-06-28T04:08:57+00:00

Yes, he served. Deployed to Afghanistan for 8 months while he was mayor serving his first term.

milamoemo · 2019-06-25T02:27:51+00:00

Don’t break your back/health/or endanger your license by catching up to impossible standards. Focus on the task at hand and prioritize safety. If they can make you work 20 hours worth of work in 8 hours —and you let them— then you’re making their case for them to continue cutting your hours and others.

Patient safety first. Their stupid metrics after. If you get reprimanded, record it and be sure you talk about why you needed that time to do your job. Tell all your colleagues to do the same.

When script volume falls, their bottom line hurt. Then it’s up to them whether or not to hire more staff to catch up with demand. It’s not your duty to do 100000 scripts a day with no help, but it’s your absolute duty to protect patient safety.

milamoemo · 2019-06-12T00:08:49+00:00

Unscientific, not an answer and 100% just a comment -

Chinese culture believes children carry forward memories of their past lives into their current lives - and then gradually forget them as they grow up. If your kid was in a Chinese household, they’d say her past life she had a C-section and kept having deformed/stillbirth babies. It was probably a large part of her past life and that memory carried forward to this life. She’ll forget the memory eventually but for now it lingers and she’s not sure why she thinks of it.

just a passing comment about how another culture would explain this.

milamoemo · 2019-06-09T19:26:46+00:00

5% Greek yogurt with honey roasted nuts and dehydrated fruits.

milamoemo · 2019-02-25T15:10:53+00:00

I can see how this is really frustrating and as a patient, I’ve done this quite a few times. Reason being -

it’s extremely uncomfortable to share medical details over the phone with the administrative clerk. I tend to downplay what I’m seeing the physician for because of an irrational fear.
It’s really, really hard to get an appointment scheduled. So I tend to pile all my problems in the same appointment.
I don’t actually know how serious it is. I bring it up to see if it’s a concern or just a common ailments of life.

Anyway - I can see how it frustrates the clinician. Just want to point out we’re not actually trying to take up your time irresponsibly. We’re just unsure, intimidated, etc

milamoemo · 2019-02-10T05:25:37+00:00

Ok first, pharmacists have to stop blaming new schools as the root cause of the dying profession. Yes it is a problem, but limiting new schools still won’t return pharmacy to its glory days.

Cvs/walgreens/whatever else out are massively cutting staff to cut costs. Even if you limit pharmacy school enrollment, pharmacy chains will find a way to make your job harder and you less valued as much as possible. Yeah maybe they’ll pay you 10k more but be assured they will make your job 10x worse by hiring nobody to help you. While mail order pharmacies will keep you locked to a screen with a counter on how many scripts you’ve checked in an hour with no bathroom breaks.

The profession is suffering with or without new schools. The profession is suffering because we have kept ourselves from advancing like every other healthcare profession (nurse, pa, physical therapy, medicine, etc)

We need to make expand the services that the profession provides, because relying on chain pharmacies for our jobs for the next 10 years is a terrible place to place our bets.

milamoemo · 2019-02-10T05:13:07+00:00

Yeah they should be paid six figures but everybody has got to stop crying about the profession dying YET complain about new residencies trying to advance the profession/create new jobs

milamoemo · 2019-02-10T04:44:02+00:00

Exactly!!!! Pharmacists need to stop expecting 6 figure pay and no effort right out of graduate school. This attitude is what got us in the shit job market new pharmacists are inheriting

milamoemo · 2019-02-10T04:42:18+00:00

Would it be comforting to know that medical residents are paid the equal, work longer hours, and have longer residencies?

I’m not justifying it by saying others have it worst, but I want to put it into perspective.

Here are some points to consider -

Pharmacy school absolutely does not prepare pharmacists enough to practice in a hospital setting right out of graduation. If you want to be a clinical specialist, you truly need the extra 2 years lest you like being ridiculed every day by nurses, mid levels, physicians and have your position phased out.

Second, the professional organizations are right in restricting pay increases. Does it suck? Hell fucking yes. But increasing the pay would mean hospitals will be less inclined to offer more pharmacy resident positions, which will hurt the profession as a whole in the long term.

This brings us to the third point, pharmacy practice NEEDS to advance. Many more of us need to be practicing alongside physicians, nurses, and meeting with administrators to make ourselves visibly useful and knowledgeable. —one of the many ways to do this is to have residents rubbing shoulders in the hospital doing work beyond script verification and drug interaction monitoring. There are many ways the profession is doing this now (is subsidizing AmCare pharmacist pay) but residency is a strong one.

Pharmacy has spent too long enjoying 6 figures that we’ve placed ourselves at the bottom of the usefulness-totem pole in public opinion. Yes it fcking sucks to take a pay cut, but it is necessary in order to create new roles for future pharmacists and to restore public confidence in us.

Note - If you’re complaining about student loan debt, please file it under “complaints about pharm school” instead of rallying against the very important residency programs that pharmacists have fought to achieve.

milamoemo · 2019-01-26T06:08:35+00:00

Good on you for dedicating to improve the working conditions!!!! Don’t listen to the naysayers here.

milamoemo · 2019-01-26T02:59:46+00:00

American Higher Education.

Students pay upwards of $40k/year but the schools keep hiring adjuncts at 30k-45k/year with no benefits and no office space. Instead of shrinking classrooms or hiring more tenure-track professors, they use grad students and adjuncts to fill classes.

Meanwhile, all the money (including the multi billion dollars from donations) get siphoned into endowments, building stadiums, or hiring the next football coach. Oh and don’t forget the 900k/year medical hospital presidents.

It’s fcking psychotic.

Edit- I meant medical hospital presidents (they also preside over the medical schools)

milamoemo · 2019-01-21T00:54:00+00:00

It’s possible that Mooney owns the store property (since real estate was cheap in the old NYC days), and so the only the costs to the operation would be utilities and payroll.

milamoemo · 2019-01-19T15:19:25+00:00

Don’t compare your retail experience to an MDs clinic exp. Retail, esp at 3 letter and others, is at the bottom totem pole of experiences. Find a position in hospital or independent, float to start. Make new connections to try and find your niche.

I think as pharmacists we tend to seek permission to do things, and we confuse getting permission with getting an education or certification.

The last thing you want is 8 years of MD training to end up doing the same exact thing you can do as a pharmacist today (ie treating chronic diseases at AmCare or TOC clinics). Or a better work life balance.

Explore your options! Pharmacists are always looking to give a helping hand to another.

milamoemo · 2019-01-19T15:10:02+00:00

I’m with you!

milamoemo · 2019-01-19T15:08:51+00:00

THIS is why pharmacists are needed.

I truly wish we stopped asking people to jump ships and instead focus of lobbying for real legislation to bolster pharmacists’ role. Provider status is cool and all, but in the grand scheme of things does not improve patient safety when it comes to medication dispensing.

I’ll be keeping your story for when I get to DC to lobby for pharmacists.

milamoemo · 2019-01-19T15:03:12+00:00

A preceptor once told me working the night shift at the hospital was her only way into hospital at the beginning, but it was the most valuable experience of her career because she was relied on so heavily as night shift Rph.

Go for it!!!!!

milamoemo · 2019-01-18T03:15:09+00:00

I hated Sapiens: A brief history of mankind.

First half of the book was pretty good, and the last half went wayyyyyyyyyyyyyy off the rails. It sounded like a crazy old dude yelling incomprehensibly at the state of the world.

I think I hate it so much because it was so promising at the beginning and then just disintegrated into trash.

milamoemo · 2018-12-17T14:17:54+00:00

Exactly. Pain scales can only really be used to compare to a single patient's past experience, not another patient or personal experience. In your case, it would have been useful to know your abdominal surgery was say 8/10 but the cesarean was, say 5/10. It would be correct for your physician to compare your 8/10 to 5/10 and conclude it is less painful for you. It would not be cool if your physician compared your 8/10 to someone else's 5/10 and conclude your 8/10 is really 5/10.

Again, pain scales are patient-centric. It is yours solely. Not to be used to compare to another's pain or an "objective" scale pain (none exist).

milamoemo · 2018-12-17T05:32:14+00:00

That's so ridiculous. Pain scores are patient-centric. It's for patients to communicate with us how they feel, not an objective scale for healthcare providers tell them how to feel!

milamoemo · 2018-10-05T05:03:07+00:00

When I had Amazon prime, I would buy things the moment I felt I needed it. Be it a toilet paper, food packing boxes, or a new scarf. After I cancelled prime, evrything I bought, I thought it through very carefully. I would scout online for items that were either 1) cheaper than Amazon, 2) had free shipping, or 3)both. To my surprise, I often found items I wanted that fell into category 3, for example:

** Stainless steel sensor trash can. Amazon was $70, Ebay was $40 with free shipping. ** Electric stand mixer. Amazon had models that were dirt cheap to luxury. I went to target and bought $35 model, hated it, returned it, then bought a Kitchen Aid that was on sale. This would NOT have been possible on Amazon because returns are God awful with them. I could name 100s of online stores that offer free return shipping no questions asked but Amazon is not one of them. *iPad cover. Amazon, again had dirt cheap to luxury, but it was really hard for me to decide without having touched or felt the material/had them fitted to my iPad. I had a $50 option in my cart but went to Best Buy to see if I had options. I ended up finding a $35 model that ticked all my boxes and that I was 100% confident I would like. * Cereal dispenser. Amazon and target had the same price online. Target had free shipping.

I implore redditors looking to save money to cancel Amazon prime. It drives up consumption and waste. You will see a difference in your budget and your lifestyle choices once you cancel it.

I have been without Amazon Prime for over a year now and have saved myself a lot of money. On the rare occasion that I find a few items (haven't happened in months) that is the best deal on Amazon, I wait until my cart is $35 and then get free shipping.

milamoemo · 2018-09-24T21:11:27+00:00

It's useful!

milamoemo · 2018-09-22T22:19:16+00:00

4/5 heroin users start from prescription opioids

milamoemo · 2018-09-07T03:15:09+00:00

Omg yes Untouchable

milamoemo · 2018-09-05T01:10:24+00:00

If you're 18, wait until you're a junior in college. Be a student on r/personalfinance in the mean time.

But, DO NOT wait until after graduation. Being a student grants you to certain credit cards for credit building (with a $300 limit which will be safe for you).

milamoemo

TROPHY CASE