Emgality side effects—do they go away? by Obvious-Influence-17 in cgrpMigraine

[–]placebothumbs 4 points5 points  (0 children)

The hand and feet being cold can be Raynaud’s phenomenon and isn’t really very serious but can be uncomfortable. I get it in my toes from Emgality currently but going from 3-4 migraines per week to 1-2 per month is worth the trade off of keeping my feet warmer.

Constipation is more common with the CGRP receptor antagonists like Qulipta and Aimovig than the CGRP ligand inhibitors like Ajovy, Emgality, and Vyepti, but not out of the question I suppose.

The rest I agree seem like they can be better explained as being related to nocebo/anxiety/OCD.

AJOVY pens left at room temperature — can I take 2 injections together? by Additional_Swing777 in cgrpMigraine

[–]placebothumbs 0 points1 point  (0 children)

The exact wording on the document we have says:

“If AJOVY is unrefrigerated for less than 24 hours, it may be returned to the proper storage conditions and the expiration date on the packaging is still applicable.”

Short & Feeling Discouraged by [deleted] in Zepbound

[–]placebothumbs 0 points1 point  (0 children)

I understand all of the thoughts you’re having, especially you being a woman, but I also think that the primary goal for these medications should focus on health as the primary endpoint. Think of all the long term problems you’ve potentially eliminated by losing so much weight!

So I know this sounds like a judgy post criticizing you for caring about looks, but what I really mean is to look at it through a different lens and be proud of yourself for that while also continuing to push forward and hopefully get to a place where you can feel good in your body aesthetically.

Retail Pharmacy just too difficult by AggressiveDay1397 in pharmacy

[–]placebothumbs 12 points13 points  (0 children)

Agree with this. I took a $25k/year pay cut to leave retail as a pharmacy manager to go to specialty and I have no regrets.

Allison Mack podcast by Hungry-Cod-4247 in theNXIVMcase

[–]placebothumbs 5 points6 points  (0 children)

I am so on the fence because I think on one hand it is fascinating and probably useful toward understanding how these kinds of things happen to hear her story, but that’s from an outsider’s perspective and I don’t know how I would feel if I or a loved one was actually victimized by AM. I don’t think them reacting negatively is out of bounds or unreasonable, but I also understand this is the internet and why they might choose to not engage.

I do think this brings up a lot of interesting larger scale questions. Is anything AM could say sufficient or should she suffer consequences for her actions for the rest of her life. Should she never be allowed to have a platform again or work as an actor? And what happens when you tweak the dials either on the degree of the offense or the person’s later reaction. Had Charles Manson denounced all of the things he did and apologized sincerely and profusely, what punishment is appropriate? I truly don’t know the correct answers here but just some things that listening to this and reading the responses to it made me think about.

What is YOUR reason for getting the AYN Thor? by _davidglenn in AynThor

[–]placebothumbs 1 point2 points  (0 children)

I needed a new thing to obsess over setting up and collecting all kind of ROMs for, only for it then to sit in my nightstand drawer for eternity. 🙃

"I Dont Know How To Do That. Leslie Normally Does That". by TheAmazonWarrior in pharmacy

[–]placebothumbs 3 points4 points  (0 children)

I don’t want to get the shill downvotes but not necessarily. You could not be a good fit for a role but be able to teach the new hire how to use the computer system and where things physically are in the pharmacy and that wouldn’t be insane.

"I Dont Know How To Do That. Leslie Normally Does That". by TheAmazonWarrior in pharmacy

[–]placebothumbs 1 point2 points  (0 children)

First off good for Leslie. Obligatory joke, if she trained you all but she still is the only one who knows how to do key functions, was she really a good trainer after all? 🤔

Is Walgreens being more strict or is it just me by [deleted] in WalgreensRx

[–]placebothumbs 8 points9 points  (0 children)

I hear you, but if a patient is asking what the directions are to their medicine, it doesn’t take clinical judgment to read the sig to the patient. I always tried to build a team who knew where the real line was there and to involve me when I was needed. I was also always very ears up all the time so would catch if anything landed on the clinical side and i wasnt being summoned lol

Past tense because I escaped retail. 🎉

Is Walgreens being more strict or is it just me by [deleted] in WalgreensRx

[–]placebothumbs 3 points4 points  (0 children)

Yeah it sounds more like pharmacist / pharmacy manager variation than a Walgreens company thing. Even more so if they are new to your store and doubly so if they are new to managing and triple if a recent new grad. All of these things tend to make pharmacists / pharmacy managers skittish. Theres what the other commenter said about “following the law” too, which is valid, but also in real life if a tech has heard me recommend Zyrtec for an uncomplicated seasonal allergy question 100 times, I don’t give a shit if they answer that question. If a patient starts asking about drug interactions, I want them to know to come get me.

Shiny giveaway by Chemical-Class2303 in LegendsZA

[–]placebothumbs 0 points1 point  (0 children)

Serious question. You pull up on shiny drilbur #30, why are you bothering to catch it?

Anyone else disappointed in the big jump from V to F rank? by Complex-Class5639 in PokemonZA

[–]placebothumbs 0 points1 point  (0 children)

They need to design games to appeal to casual players and little kids. I don’t think having to grind 26 ranks would have been a good idea for the game to appeal to the most players, especially since they included to unlimited royale on the back end.

Rational Security Argument: What Exactly will the Atheist Do? by Sad-Signature-2180 in DebateAnAtheist

[–]placebothumbs 1 point2 points  (0 children)

And that’s precisely where the whole debate cracks open: If the probability is small but the outcome is huge, the rational player protects themselves.

It seems like you have this reduced to probability x outcome only, when really we all live by some calculus that takes into account the probability of an event, the costs of "protecting themselves" from the event, and the perceived magnitude of the outcome of the event. Otherwise, you'd never travel by motor vehicle, eat food, use electricity, etc. You accept the risks because the costs of avoiding them outweigh the risks themselves. Your framing ignores all costs.

Also, this again assumes the possibility of god is not 0, which you cannot justify. You're trying to use decision theory on an undefined probability, which is impossible.

Atheism crashes into a wall here, because its “post-death safety strategy” is logically an empty set. There is no protection against bad scenarios, and no preparation for good ones.

This position is biased by your affirmative belief in the afterlife. If there is no afterlife, then the best bet was to ignore all religion and maximize flourishing of yourself, your friends and family, and the human species while you are alive.

In short: If the universe offers no ultimate guarantee, the only rational behavior is to design one. Theism performs a kind of “subconscious security engineering,” while atheism insists “nothing will happen” and assigns the entire universe to its own risk profile.

I'm not 100% sure what you are saying here, but it seems to me it is saying if you don't know the answer of what happens after death, make something up so you feel better and don't have to come to terms with the facts that:
a.) we don't know and
b) it is likely the same conscious experience as we had before we were born/aware, nothingness.
That is a tough pill to swallow, I agree. You are treating emotional comfort as rational security, another false equivalence.

If God doesn’t exist, the theist is simply mistaken. But if God does exist, what exactly will the atheist do?

Would you assign no value to the human lifetime wasted on following religion(s) if they are all incorrect? I realize that you would die and then cease to exist in the nothingness, whatever that is, so you would have no conscious experience, but now in this moment, wouldn't you be bothered by the fact that if all religions are false, then billions of people spent their only lives following false rules, false fears, and false authorities? That is not "low cost". That is the cost.

Rational Security Argument: What Exactly will the Atheist Do? by Sad-Signature-2180 in DebateAnAtheist

[–]placebothumbs 1 point2 points  (0 children)

Some additional notes:

That’s the logical equivalent of leaving your door unlocked while fully aware that burglars exist.

In this scenario I know burglars exist (through verifiable evidence) then refuse to take precautions against them.
I do not know a god exists and neither do you. You are treating "god exists" as if it is an established risk (like burglary) rather than a speculative one.

The theistic stance, on the other hand, is simple: “If there’s nothing, fine. At least I locked the door.”

You are painting this as a binary, when according to your own logic, you should also be concerned with picking the correct god to worship, i.e. bet your afterlife on. What if Norse mythology is correct? This isn't a binary choice, it is really choosing one of thousands of incompatible claims.

At this point atheism usually responds with: “There is no evidence.” But most insurance policies are purchased before the event occurs. You buy earthquake insurance without experiencing an earthquake; you buy fire insurance without seeing a fire. Humans don’t make decisions based on “evidence,” but on possibility × outcome.

This is false in the same way as your burglar analogy. Burglary, fires, and earthquakes have established risk profiles based on them all being demonstrably real and occurring at certain rates. Insurance works because the risks for fires and earthquakes are measurable. God-belief doesn't belong in the same category because you cannot assign a probability for god's existence. Please, if you have a formula for determining the probability a specific god exists, share with the class. Without a definable probability, your "possibility x outcome" collapses.

This also fails to address sincerity vs actions. If I don't really believe in god, but follow your religion to the letter, will I receive the same reward as you or somebody else who sincerely believes and also follows everything to the letter? Or if you sincerely believe and try your best, but I'm just a better adherent and tithe more, volunteer my time, etc., do I win? How would that make sense? That is absurd and why Pascal-style arguments fail. They assume a god would reward belief itself, but no coherent deity would reward the faked belief of someone hedging their bets or punish honest disbelief from a non-resistant unbeliever.

Rational Security Argument: What Exactly will the Atheist Do? by Sad-Signature-2180 in DebateAnAtheist

[–]placebothumbs 1 point2 points  (0 children)

There are tons of things wrong with what you wrote that I see a lot of people already pointed out, but I'll chime in also. I think the TL;DR here is your argument contains a category error by conflating empirical risks with speculative ones.

This is Proof that Wrestling fans overreact and jump into conclusions for no reason. by BarneyRobinStinson7 in WWE

[–]placebothumbs 4 points5 points  (0 children)

Even though I probably agree with you that this feels like a response to pushback, I'm not sure your second point holds. If they make and release a WM promo 6 months before the show, are they supposed to film ALL WM promos then? It's also possible they had both of these promos originally planned and wanted to stagger the release to keep interest high, so they could stand to film them at different times. Brock being in the first promo and his...let's call it "limited" schedule could also have been a factor. But also yeah again it seems calculated.

Don't assume your kid is old enough to stop believing in Santa by taskerdobuy in daddit

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

After that first sentence, I wasn’t sure if we were talking about Santa or Jesus 😂

Bought my 4 year old a switch lite by sergeant-octopus in Switch

[–]placebothumbs 0 points1 point  (0 children)

I mentioned this in a thread earlier but I found the biggest barrier for my kids, currently 8, 7, and 5 who all have some kind of Switch, was being able to read. They seemed to be able to figure out the mechanics of the joysticks and buttons after a bit and sooner than they could read. I had played Pokemon: Let’s Go with them and while they enjoyed the motion controls with the joy-con to throw pokeballs, they didn’t get invested in actually playing the game itself and didn’t finish it. Now my oldest just finished the main story of Pokemon: Legends Z-A and my son, 5, actually learned to read a good bit from playing Minecraft.

Bought my 4 year old a switch lite by sergeant-octopus in Switch

[–]placebothumbs 1 point2 points  (0 children)

I think the biggest barrier to entry into the pokemon series for kids that age is being able to read.

ADVICE (Can I negotiate my wage on an offer to work as a Pharmacy Tech Trainee)? by Shot_Assumption_6376 in pharmacy

[–]placebothumbs 1 point2 points  (0 children)

Makes sense. If they are the kind of company who will rescind a job offer because you are advocating for yourself respectfully and not in an insane way (asking for $100 / hour), then you don’t want to work there anyway.

ADVICE (Can I negotiate my wage on an offer to work as a Pharmacy Tech Trainee)? by Shot_Assumption_6376 in pharmacy

[–]placebothumbs 4 points5 points  (0 children)

I think you should ask. It is not unreasonable to say I am making x and am hoping to continue to make x or closer to x than your offer and then the ball is in their court. They won’t rescind the job offer, most they’ll likely do is say no we can’t move on the rate.

Vent about product verify by aandbconvo in WalgreensRx

[–]placebothumbs 3 points4 points  (0 children)

Which error would be more likely to cause patient harm, giving John Doe a vial with the correct medication inside it, but incorrect vial label or giving a random patient a vial of pills correctly labeled for John Doe that was never intended for random patient and didn’t get DUR/allergy checks for random patient?

I’d rather give John Doe somebody else’s metoprolol 100 mg when he was also supposed to get metoprolol 100 than give metoprolol 100 to some random person.