[-] agertudici@lemmy.ml 3 points 11 months ago* (last edited 11 months ago)

IME it comes back quickly if you ease back in but if you just go out to the bar and knock back 6 shots at once like you used to the EMTs very much will be scraping you out of a ditch. That's how most experienced addicts OD, by not thinking about it and remembering to slow the fuck down with their dosing after holding together sobriety for a while.

[-] agertudici@lemmy.ml 4 points 1 year ago

Less restrictive environment so it takes us a second to get it reported. I wonder if lemmy has or could have a 30 day limit until you can interact with outside instances. Seems like a cool feature for federation in general. Would make it harder to make spam accounts.

[-] agertudici@lemmy.ml 4 points 1 year ago

Not as much as the residents actually. The longest I've ever had to work was 16 hours, but most jobs I've worked 12 is the max required in a row. Residents often work 24-72 hour shifts where they can be woken up by a page at any time.

[-] agertudici@lemmy.ml 6 points 1 year ago* (last edited 1 year ago)

MF having tias right the fuck up on the stage, lol. They've probably got him on anticoagulants since the first one but it probably doesn't take a big clot to fit through his arteries at this point. I can't imagine the amount of sclerosing and HTN is present in an excessively rich and exceedingly old white man. Wonder how much syphillis he's caught from 14 year olds.

[-] agertudici@lemmy.ml 4 points 1 year ago

Honestly I'd settle for making sure the doctors hand off q12h. They often work 48 hour shifts with even more disastrous possibilities.

[-] agertudici@lemmy.ml 5 points 1 year ago

12s do make sense in Healthcare where every handoff is an opportunity to miss important information. For instance if you forget to mention all the specifics of all your patients injuries after a car wreck, the next nurse might not realize their sinuses are cracked and just go ahead and insert that nasogastric feeding tube into their brain.

3 handoffs a day instead of 2 is 1.5 as many chances to make an error like that.

That said, 2x12s a week instead of 3 sounds lovely.

[-] agertudici@lemmy.ml 4 points 1 year ago* (last edited 1 year ago)

90 degrees outside the car? The inside of that car is gonna BAKE. And 2 hours before and after high noon ain't shit. cook those hoes.

[-] agertudici@lemmy.ml 4 points 1 year ago

apparently it's practically impossible for me to catch bedbugs from a patient as a nurse. I can't do my shoes in the dryer like that. I also couldn't have done my leather jacket like that when my roomates caught me some fleas. Hot car is a fab solution in certain specific situations.

[-] agertudici@lemmy.ml 3 points 1 year ago

I don't wash my hands at work to be sterile (most of the time). "Sterile" is different from "clean" in the terms I'm formally educated in. To follow that analogy I just want my info to be "clean." I want to remove most of the stuff from immediate public access periodically. I utilize other stuff too like periodically changing usernames and whatnot, same as I change an isolation gown or strip and wash my clothes as soon as I get home. None of that guarantees perfect removal of 100% of microbes, and this won't prevent all people ever from accessing my info. But that's no reason to never even rinse my digital ass. I just want a digital-ass bidet, not a digital autoclave.

[-] agertudici@lemmy.ml 3 points 1 year ago* (last edited 1 year ago)

I feel like it's obvious. Georg just invented the spear, Urgug is gonna steal the idea to make a profit, and they are both obviously planning to profit in the world's oldest currency. But it also turns out spears and such technology in general are weird fey magic. Gods forbid someone bring one of those creepy fires or wheel things into this situation!

[-] agertudici@lemmy.ml 3 points 1 year ago* (last edited 1 year ago)

You didn't tell me what you were doing with it so Imma go: I'm thinking your swift archer is reeeaaal good w/that laser gun. That mad scientist is doing all kinds of plotting about resurrecting people (or keeping people from being resurrected???). That courtier is both of your love interests at the same time and angling either way depending on which of you wins but has a soft spot depending on who they think is more right. Is it the person saving people from death? Is it the person preserving the natural order and the beauty of the ends of stories? Well I suppose that would lay in the hands of any eventual author...

[-] agertudici@lemmy.ml 3 points 1 year ago* (last edited 1 year ago)

The ideal storage temperature should be on the bottle but you should also be able to look it up. Lots of things can cause lots of medications to degrade aside from just time, including temperature, moisture, and light (particularly UV). For instance, you're not supposed to keep most medications in the bathroom even though they often call that a "medicine cabinet" because many people take hot, steamy showers, and both moisture and heat can degrade medications. An NIH paper titled "Medication Storage Appropriateness in US Households" states for Adderall: "Extended-release capsules: Store at 25°C (77°F); excursions permitted to 15°C to 30°C (59°F to 86°F); protect from light." (So don't keep it on the windowsill next to your bed either).

If you're worried about variances in specific binding agents or other parts of the formulation that could vary by manufacturer, call the pharmacy. Ask to speak to the pharmacist on duty about the ideal storage conditions, because they know all kinds of weird shit about the specific ingredients and how to store them (one time I called to ask if there was sorbitol in the liquid medication I was giving a patient because it could explain their diarrhea). It's also possible, like you mentioned, that you just have some bizarre genetic mutation that makes some normally inert binding or coloring agent interact weirdly with the active ingredient and/or you (the pharmacist wouldn't be able to figure you being a freak of nature out, but they could try to make sure you don't get meds from that manufacturer again).

My personal recommendation as a person who went through nursing school (they're very worried about substance abuse and trafficking) with ADHD meds, is that you save your last medication bottle when you empty it. Keep exactly one pill in it in your bag as a backup for emergencies. The bottle will have your name and birthday and what the pills are so you're covered for carrying a controlled substance, but you won't be carrying all your meds around at once to spoil in the heat. As for taking them with food, try keeping some saltines or water crackers around and take 2-4 with the pill to avoid stomach upset.

  • (Also) make sure the bottle matches the pills - most medication bottles (and controlled substance ones specifically) specify what the contents should actually look like and the numbers they should be stamped with so some little shit can't replace granny's hip replacement painkillers with vitamins, and an addict can't carry pills they're not supposed to have in a bottle for blood pressure pills or something. You mentioned the pills changed, so keep the next bottle that matches the new ones.
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agertudici

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