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Cold on a Cob
Feb 6, 2006

i've seen so much, i'm going blind
and i'm brain dead virtually

College Slice
lol if you don't have a cron job that posts in the first page of every new thread

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A Wheezy Steampunk
Jul 16, 2006

High School Grads Eligible!

Cold on a Cob posted:

lol if you don't have a cron job that posts in the first page of every new thread

lollllllll

echinopsis
Apr 13, 2004

by Fluffdaddy
seriously what kind of idiot nerd loser does poo poo like that.


its like hiring a robot to stand in line at apple 17 days before launch


haha you laugh to yourself "i got teh phone"


*has the respect of no one not even his mother or even his loyal dog*

maniacdevnull
Apr 18, 2007

FOUR CUBIC FRAMES
DISPROVES SOFT G GOD
YOU ARE EDUCATED STUPID

echinopsis posted:

drugs are just like paper towels
or dish washing detergent and don't require
special treatment or knowledge and if someone wants a drug they should just able to have it and not check if it interacts with other drugs or worry about side effects or even both with the right indication

S
A
M
E

theflyingexecutive
Apr 22, 2007

my friend is a pharmd and informs me mds make a hilarious number of mistakes when writing scripts

echinopsis
Apr 13, 2004

by Fluffdaddy

theflyingexecutive posted:

my friend is a pharmd and informs me mds make a hilarious number of mistakes when writing scripts

of course they fuckin do and if you think that computer gen rxs are gonna be better they wont coz

i once got a rx for (this was like 1 week into being registered) doxycycline injection. once daily. 90 vials. i was like, wtf? i called the hospital and they were like "um, that poo poo is rare and we keep it for ourselves" and i tried to call the dr but it was after 6pm so of course he wasn't around. i couldn't do anything, i sent her away with nothing. sucks. the problem was that he accidently selected "doxycycline inj" (not tabs) in the computer so the computer automatically put "vials" after the amount so it made the rx make synatactic sense, but didn't make clinical sense.

usually if they make a mistake hand writing it'll never be like that.

and never mind how fuckin rushed they hand write things. geeze put more than 3 seconds into writing out a drug rx please jesus christ


its also "funny" when you call up dr to say :"dude is taking viagra (which you rxd) and now you give him GTN spray (which is clearest text book example of no no interaction) and he wa like "itll be fine, i'll give him a call" so i talk to the pt but not in depth and didnt try to scare him, coz i thought, well dr is going to call

next time i see him a month or so later he asked the dr about it and the dr thought that *I* was going to talk to him about it, so apart from a small warning "this might be poo poo" that was all he got. ive never once called a dr about an interaction and had them change they mind. "she'll be right", they think


the thing is that most interactions arent like, boom your dead. its like, your kidneys will fail in a year or two. in the short term though their pain goes away and blood pressure is down so its all good right?

echinopsis
Apr 13, 2004

by Fluffdaddy

theflyingexecutive posted:

my friend is a pharmd and informs me mds make a hilarious number of mistakes when writing scripts

also its insane pharms in the US need a fuckin doctorate

poo poo i've only got a bachelors. which makes me worthless for travelling anywhere but aust

Captain Foo
May 11, 2004

we vibin'
we slidin'
we breathin'
we dyin'

echinopsis posted:

which makes me worthless

it ain't your degree

echinopsis
Apr 13, 2004

by Fluffdaddy
:supaburn:

theadder
Dec 30, 2011


echinopsis posted:

also its insane pharms in the US need a fuckin doctorate

it seems p reassuring

but half of them still dont seem to know whats going on tho

echinopsis
Apr 13, 2004

by Fluffdaddy
but its not really necessary. there is far too much stuff to "know", you really do need to know how to use references well and udnerstand what is in the references but knowing your pharmacology deeper or whatever is next to pointless in a real clinical setting. 99% of pharmacists aren't pushing the envelope, we live in a zone where we are relying on the experience of others.


i mean sure all things being equal its better but is it really necessary?

Main Paineframe
Oct 27, 2010

echinopsis posted:

drugs are just like paper towels
or dish washing detergent and don't require
special treatment or knowledge and if someone wants a drug they should just able to have it and not check if it interacts with other drugs or worry about side effects or even both with the right indication

yes i'm sure its impossible to give a machine a list of drug interactions and side effects and make it warn you if the drug combos are poo poo

it'll probably still kill people but imo human error is so common in healthcare we could probably improve fatality rates by killing all doctors and nurses and techs and pharmacists and replacing them all with battlebots with red crosses painted on them and needles taped to the pusher things

Egan Yardley
Jun 11, 2010

echinopsis posted:

of course they fuckin do and if you think that computer gen rxs are gonna be better they wont coz

i once got a rx for (this was like 1 week into being registered) doxycycline injection. once daily. 90 vials. i was like, wtf? i called the hospital and they were like "um, that poo poo is rare and we keep it for ourselves" and i tried to call the dr but it was after 6pm so of course he wasn't around. i couldn't do anything, i sent her away with nothing. sucks. the problem was that he accidently selected "doxycycline inj" (not tabs) in the computer so the computer automatically put "vials" after the amount so it made the rx make synatactic sense, but didn't make clinical sense.

usually if they make a mistake hand writing it'll never be like that.

and never mind how fuckin rushed they hand write things. geeze put more than 3 seconds into writing out a drug rx please jesus christ


its also "funny" when you call up dr to say :"dude is taking viagra (which you rxd) and now you give him GTN spray (which is clearest text book example of no no interaction) and he wa like "itll be fine, i'll give him a call" so i talk to the pt but not in depth and didnt try to scare him, coz i thought, well dr is going to call

next time i see him a month or so later he asked the dr about it and the dr thought that *I* was going to talk to him about it, so apart from a small warning "this might be poo poo" that was all he got. ive never once called a dr about an interaction and had them change they mind. "she'll be right", they think


the thing is that most interactions arent like, boom your dead. its like, your kidneys will fail in a year or two. in the short term though their pain goes away and blood pressure is down so its all good right?

the medication module for the emr we use takes like 5 seconds to load but in doc time that's unreasonably slow so they use that as an excuse to just rush thru the template without checking poo poo once its loaded and blame mistakes on the software.

one time a guy got a script for 90 epipens and 2 antihistamines. lol. p sure that would be a few hun just to fill that

doctors are The Worst.

theflyingexecutive
Apr 22, 2007

lol at people bad mouthing american healthcare itt. if you have not-poo poo insurance, you get the best care in the world. now, lack of access to that is a national travesty, but you don't see world leaders with heart problems airlifted to canada

THE BIG DOG DADDY
Oct 16, 2013

Rasheed was, with Aliases, the top 7 PvPers in Bone Krew.


No one talks about this.

echinopsis posted:

but its not really necessary. there is far too much stuff to "know", you really do need to know how to use references well and udnerstand what is in the references but knowing your pharmacology deeper or whatever is next to pointless in a real clinical setting. 99% of pharmacists aren't pushing the envelope, we live in a zone where we are relying on the experience of others.


i mean sure all things being equal its better but is it really necessary?

same but wrt software development

Lutha Mahtin
Oct 10, 2010

Your brokebrain sin is absolved...go and shitpost no more!

theflyingexecutive posted:

lol at people bad mouthing american healthcare itt. if you have not-poo poo insurance, you get the best care in the world. now, lack of access to that is a national travesty, but you don't see world leaders with heart problems airlifted to canada

even if you ahve good insurance the new yearly out-of-pocket cap is still p lol for people not above the median income

echinopsis
Apr 13, 2004

by Fluffdaddy

Egan Yardley posted:

the medication module for the emr we use takes like 5 seconds to load but in doc time that's unreasonably slow so they use that as an excuse to just rush thru the template without checking poo poo once its loaded and blame mistakes on the software.

one time a guy got a script for 90 epipens and 2 antihistamines. lol. p sure that would be a few hun just to fill that

doctors are The Worst.

the thing is that so many medicines interact with each other (and sometimes the computer warnings are like "this could happen in theory, its never been observed), the skill is trying to determine the clinical significance and also the risk/benefit. neither of which you can actually tell ahead of time. my experience is that doctors sway on the side of "she'll be right" and basically, if there is an indiciation for a new line of drugs, just give it, dont worry about other things unless there is something blindingly obvious


theflyingexecutive posted:

lol at people bad mouthing american healthcare itt. if you have not-poo poo insurance, you get the best care in the world. now, lack of access to that is a national travesty, but you don't see world leaders with heart problems airlifted to canada

the thing is you can potentially get the best care in the world in america. but you need to have not-poo poo insurance. what about just ok insurance? what is the average care like compared to canada? its a bit of a dick move to be "well if you're rich its all good. just get more money if you're sick or unlucky to solve your problems"

poty
Jun 21, 2008

虹はどこで終わるのですか? あなたの魂の中で、または地平線で?

PurdWerfect posted:

post work society on its way. should be here any day. should be a hoot

yessssss holidays 24/7

maniacdevnull
Apr 18, 2007

FOUR CUBIC FRAMES
DISPROVES SOFT G GOD
YOU ARE EDUCATED STUPID

Egan Yardley posted:

the medication module for the emr we use takes like 5 seconds to load but in doc time that's unreasonably slow so they use that as an excuse to just rush thru the template without checking poo poo once its loaded and blame mistakes on the software.

one time a guy got a script for 90 epipens and 2 antihistamines. lol. p sure that would be a few hun just to fill that

doctors are The Worst.

yep.

"Ug how is any of this faster than shouting orders at underlings and having them literally rubber stamp scripts and lab orders based what they thought I said?"

Squinty Applebottom
Jan 1, 2013

maniacdevnull posted:

yep.

"Ug how is any of this faster than shouting orders at underlings and having them literally rubber stamp scripts and lab orders based what they thought I said?"

this sound like a good opportunity for a vim (or ugh even emacs) based prescription filler

Captain Foo
May 11, 2004

we vibin'
we slidin'
we breathin'
we dyin'

Squinty Applebottom posted:

this sound like a good opportunity for a vim (or ugh even emacs) based prescription filler

nano prescriptions for your nano dilz

Lutha Mahtin
Oct 10, 2010

Your brokebrain sin is absolved...go and shitpost no more!

im pretty sure we could automate ur posting op

but we won't

(because its bad)

Lutha Mahtin
Oct 10, 2010

Your brokebrain sin is absolved...go and shitpost no more!

a perfect thread title/op for a "your posting" joke and theres a derail into milfchat on the first page??? clearly yospos is dying faster than bsd

pram
Jun 10, 2001
stop posting

Silver Alicorn posted:

wish you'd automate your posting

DONT THREAD ON ME
Oct 1, 2002

by Nyc_Tattoo
Floss Finder

echinopsis posted:

seriously what kind of idiot nerd loser does poo poo like that.


its like hiring a robot to stand in line at apple 17 days before launch


haha you laugh to yourself "i got teh phone"


*has the respect of no one not even his mother or even his loyal dog*

it's probably because you want to learn how to do something so it's a fun way to do it

theadder
Dec 30, 2011


echinopsis posted:

i mean sure all things being equal its better but is it really necessary?

its a mixture u want ppl who know as much as possible and most who know just some stuff

angry_keebler
Jul 16, 2006

In His presence the mountains quake and the hills melt away; the earth trembles and its people are destroyed. Who can stand before His fierce anger?

echinopsis posted:

the skill is trying to determine the clinical significance and also the risk/benefit. neither of which you can actually tell ahead of time

hmm maybe the patient shoud do a pushup and eat a vegetable instead of eating garbage until they're 45 and then doctor shopping until they find a sympathetic doctor to give them a 50 gallon drum of assorted pills that nobody understands

echinopsis
Apr 13, 2004

by Fluffdaddy

MALE SHOEGAZE posted:

it's probably because you want to learn how to do something so it's a fun way to do it

WRONG

angry_keebler posted:

hmm maybe the patient shoud do a pushup and eat a vegetable instead of eating garbage until they're 45 and then doctor shopping until they find a sympathetic doctor to give them a 50 gallon drum of assorted pills that nobody understands


"maybe you shouldn't have been such a piece of poo poo for the last 30 years :smugmrgw:" isn't exactly great medical advice

plus tbf some people are just plain unlucky

ChickenOfTomorrow
Nov 11, 2012

god damn it, you've got to be kind

echinopsis posted:

plus tbf some people are just plain unlucky

like us, having to read you're posts


naaaah j/k you're alright

Bloody
Mar 3, 2013

echinopsis posted:

maybe you shouldn't have been such a piece of poo poo for the last 30 years :smugmrgw:

Captain Foo
May 11, 2004

we vibin'
we slidin'
we breathin'
we dyin'

echinopsis posted:

maybe yos shouldn't have been such a pos for the last 30 years

theflyingexecutive
Apr 22, 2007

angry_keebler posted:

hmm maybe the patient shoud do a pushup and eat a vegetable instead of eating garbage until they're 45 and then doctor shopping until they find a sympathetic doctor to give them a 50 gallon drum of assorted pills that nobody understands

lol yase the cure for all disease

z0rlandi viSSer
Nov 5, 2013

rotor posted:

this thread is now about milfs

my nigga

PuTTY riot
Nov 16, 2002
I thought this thread would be better being about milfs and all

Necc0
Jun 30, 2005

by exmarx
Broken Cake

theadder posted:

ask not for whom the bell tolls it tolls for thee

^^^

Necc0
Jun 30, 2005

by exmarx
Broken Cake

echinopsis posted:

"maybe you shouldn't have been such a piece of poo poo for the last 30 years :smugmrgw:" isn't exactly great medical advice

actually it's great advice

echinopsis
Apr 13, 2004

by Fluffdaddy
well i guess it's correct advice but so is "you shoulda put your life savings into AAPL when it was $8 a share"

computer toucher
Jan 8, 2012

echinopsis posted:

well i guess it's correct advice but so is "you shoulda put your life savings into AAPL when it was $8 a share"

except not living like poo poo right the gently caress now still pays off, it's not the stock market, everyone knows eating chicken buckets on the sofa will kill you.

Joe 30330
Dec 20, 2007

"We have this notion that if you're poor, you cannot do it. Poor kids are just as bright and just as talented as white kids."

As the audience reluctantly began to applaud during the silence, Biden tried to fix his remarks.

"Wealthy kids, black kids, Asian kids -- no, I really mean it." Biden said.

echinopsis posted:

of course they fuckin do and if you think that computer gen rxs are gonna be better they wont coz

i once got a rx for (this was like 1 week into being registered) doxycycline injection. once daily. 90 vials. i was like, wtf? i called the hospital and they were like "um, that poo poo is rare and we keep it for ourselves" and i tried to call the dr but it was after 6pm so of course he wasn't around. i couldn't do anything, i sent her away with nothing. sucks. the problem was that he accidently selected "doxycycline inj" (not tabs) in the computer so the computer automatically put "vials" after the amount so it made the rx make synatactic sense, but didn't make clinical sense.

usually if they make a mistake hand writing it'll never be like that.

and never mind how fuckin rushed they hand write things. geeze put more than 3 seconds into writing out a drug rx please jesus christ


its also "funny" when you call up dr to say :"dude is taking viagra (which you rxd) and now you give him GTN spray (which is clearest text book example of no no interaction) and he wa like "itll be fine, i'll give him a call" so i talk to the pt but not in depth and didnt try to scare him, coz i thought, well dr is going to call

next time i see him a month or so later he asked the dr about it and the dr thought that *I* was going to talk to him about it, so apart from a small warning "this might be poo poo" that was all he got. ive never once called a dr about an interaction and had them change they mind. "she'll be right", they think


the thing is that most interactions arent like, boom your dead. its like, your kidneys will fail in a year or two. in the short term though their pain goes away and blood pressure is down so its all good right?

If I mspaint you a literal scribble would you be able to make out the prescription

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hobbesmaster
Jan 28, 2008

Millstone posted:

If I mspaint you a literal scribble would you be able to make out the prescription

i always figured that pharmacy techs just called the doctors offices and asked what the doctor actually wrote

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