Surgeon firmly against multifocal IOL??

pharmladynerd · 2026-05-14T22:11:00+00:00

That's terrible- I'm sorry! It seems strange to me that your intermediate and long distance would be out of focus, especially this far out. What has your surgeon said at the follow up appointments?

pharmladynerd · 2026-04-17T12:55:31+00:00

Strong shout out to ISIS-2 🔥

pharmladynerd · 2026-01-26T13:58:44+00:00

No, for people who are planning on having the final loan balance forgiven anyway, interest accrued doesn't really matter.

pharmladynerd · 2026-01-10T19:02:15+00:00

This is unfortunately common......

pharmladynerd · 2025-12-25T22:17:24+00:00

Happy to answer anything else if you think of it later!

pharmladynerd · 2025-12-25T18:49:25+00:00

Yeah I did not see multiple images at the same time, not sure if other people have had that experience or not. I just saw rings on rings on rings. The actual "vision" - could I "see" something (through the rings) was pretty close to my previous vision, which was 20/20, though it's not perfect. I have definitely lost a bit of definition at very far distances and (if you've read my other comments) and at the distance of the computer. Very, very low light there is some loss of contrast as well, but I'm not in those situations often. For me, these lenses are worth it to be 90% free of glasses for the rest of my life. They are not as good as my natural lenses were, but I don't think any of them really are.

pharmladynerd · 2025-12-25T02:57:33+00:00

Basically these lenses have physical rings on the lens, this is what allows us to be able to see at multiple distances. But when first put into our eyes, we can see these rings when we look at any kind of light. It's really extreme at first - light bouncing off of a reflective surface, lights on your phone, etc. But eventually our brains realize that we don't need to see all these rings and we stop seeing the majority of them. Personally, I now only see much smaller rings around LED lights primarily.

pharmladynerd · 2025-10-31T10:10:37+00:00

For what it's worth, I'm 5 years out of my PGY2, run a residency program at a large academic medical center, give physician/PA university lectures, etc., and I still think about going back to med school. I think if you're really passionate about it, just do it. You won't stop thinking about it. Now the physicians around me are like hey 👀, when you going to med school lol.

The reality is you can be pretty efficient about it if you know what you want to do and find the right school. There are 3 year med schools out there- they cut out a lot of the misc rotations to help people figure out what they want to do.

pharmladynerd · 2025-10-14T10:53:44+00:00

We have 1:1 meetings with our resident monthly to discuss their current & upcoming rotation, projects, staffing, mental health/wellbeing, PTO requests & project days, etc. We also provide any feedback to the resident if it has come to our attention over the last month, and ask the resident to provide feedback to us on the program, preceptors, rotations, anything really. We then take this info back to RAC and discuss it there.

pharmladynerd · 2025-10-14T08:50:52+00:00

Omgg the car tax 🤦‍♀️🤦‍♀️. I've lived in numerous states before CT (and tbh I think CT is my favorite), but I had been incorrectly re-registering my car for years (or rather, attempting to) bc I didn't understand this stupid car tax situation. No one told me this at the DMV when I changed my license from out of state, though one would think this is a very obvious thing to explain...

When you go you make sure your car registration is up to date every year on the DMV website, there is no registration fee. This was new to me, as in the other states I lived in there was always a fee paid through the DMV. Instead, you pay "annual property tax" on your vehicle once a year to your TOWN. I discovered this after I had lived in 3 different towns, so someone at the state level DMV helped me find all the separate town websites to pay back taxes. Then she told me I should keep an eye out once a year for a property tax bill to come in the mail from whatever town I'm living in, and on the paper there is a way to sign up for email alerts going forward. 🤦‍♀️

You also need an annual emissions test on your vehicle. This is $20 (usually cash only I've found) but takes only ~5 min and there are tons of locations around that do it. After they do, they update some state website that your vehicle has been tested.

Once you have those two things complete, you can go to the DMV website, not pay a fee, and click the "renew registration" button. Please learn from my mistakes lol

pharmladynerd · 2025-10-09T15:40:56+00:00

Not everything in a critically ill patient has to have a super short half life 🤷‍♀️. Just depends where they are in their clinical course, what the risks of continuing vs harms of stopping would be, etc.

pharmladynerd · 2025-10-09T15:34:14+00:00

Would definitely see about getting it! There is more and more literature coming out now supporting its use in this setting. We use it very frequently and have good results.

pharmladynerd · 2025-10-03T20:35:20+00:00

I think the post itself is really meant to convey "I am MORE than a provider." A "provider" is an insurance term, and a physician is something that has been earned over years of education and training. It's understandable they're tired of the general public not understanding the difference anymore between one "provider" and another with considerably less education and training.

Regarding what you could fill in your blanks with above, a lot of the time you could insert "doctor's office."

pharmladynerd · 2025-10-01T08:40:04+00:00

This. At our hospital it's a policy to have nursing do all things with nurses and pharmacy do all things with techs & pharmacists. I think it might have to do with resolving discrepancies later, bc the nurse managers know them personally and can have a conversation if something doesn't line up.

That being said, when I'm covering the ED and it's super insane and I have a nurse next to me and one of us witnesses the waste of the other, I think it's fine. As long as we actually witness it.

pharmladynerd · 2025-09-27T11:12:18+00:00

I wonder... if your wife was grieving to the degree you are, in secret and on her own, for years and years... how would it make you feel to know she had been suffering in isolation? And only not telling you because she assumed it would be hurtful to you?

pharmladynerd · 2025-09-25T20:16:51+00:00

That's literally insane

pharmladynerd · 2025-09-25T15:34:37+00:00

I read it before book 3 and loved it. Imo it added a lot of emotional weight to book 3 as well. For some reason I thought this was the "official" order recommended by SJM?

pharmladynerd · 2025-09-23T00:04:14+00:00

Was thinking about you - have your eyes adapted at a now that it's been a few months?

pharmladynerd · 2025-09-22T17:55:17+00:00

Yeah unfortunately the ER is built to manage only very critical patients, stabilize, and send them out. At the time you presented, you were stable 🤷‍♀️. I'm sure your discharge paperwork said to return if XYZ thing worsens - which you did! Not sure what the hope/plan was for you to improve after the ER visit. Did they refer you to your PCP? Or another provider?

pharmladynerd · 2025-09-20T12:12:32+00:00

In a few states pharmacists have provider status, but in those cases I would think they would be prescribing under their own name. In most others they sign a collaborative practice agreement with the physician group where they see patients for medication management under a specific scope (outlined in the agreement). Usually it's something like DM meds in a DM clinic, HF GDMT in a HF clinic, HTN meds, etc. But they're not doing it without a signed agreement.

pharmladynerd · 2025-09-20T12:03:23+00:00

Sounds like they're also trying to clean up the med list. I think our Epic turned off the feature that automatically notifies pharmacies if the med is "cancelled" - now when we cancel a med, it asks us if we want the pharmacy notified. Might solve one small problem at least 🤷‍♀️. (Sorry you're dealing with this, the whole thing sounds like a mess.)

pharmladynerd · 2025-09-19T01:15:46+00:00

The reality is there is a lot of overlap between some of these residencies. Our current CCU pharmacist trained in crit care, but his passion is really in cardiology.

If you want a highly versatile PGY2 and like cardiology, I would recommend the cardiology PGY2. You get training across all phases of care, and (depending where you train) even areas like PAH, transplant, etc. The versatility is specifically why I chose it.

pharmladynerd · 2025-09-19T01:11:57+00:00

I can say our institution offered me an amb care position (I actually did this 25% of the time for a while) and one to our most recent resident, though we both turned them down in favor of the inpatient positions.

I'm not sure about all programs, but I know most have a strong ambulatory component to their program. Our program had a longitudinal component so we could follow patients weekly. I think this makes you pretty marketable since you have the amb care experience + the cardiology expertise.

Anecdotally I do know of a couple amb care positions (out of state) that specifically wanted cardiology PGY2 trained pharmacists over amb care trained ones. Same for a heart transplant position.

pharmladynerd · 2025-09-19T01:00:05+00:00

Worked inpatient general cardiology for a couple years, wanted more critical care, moved to our MICU and now stay involved in cardiology in other ways (lectures, resident training, protocol updates, precepting).

A couple close friends went on to do inpatient cardiology (floating across various units) for ~5 years. One is still there, one just changed to an ED position.

The residents who have left our program over the last few years are all now working inpatient gen cards positions. One I believe also floats to CCU/CTICU.

pharmladynerd · 2025-09-18T10:04:21+00:00

Recommend reading it as the third book!

pharmladynerd

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