my community pharmacy hot take is it’s important to distinguish between “will turn you into a lightweight” and “will put you at risk for seizures” (or similar severe reactions) when talking to patients about whether they should avoid alcohol on their meds
A reminder that millennials are something like 20-38 years old at this point. This isn’t a case of teenagers making summer job money. This is 30-year-olds in poverty
I think it’s very funny that every single time I’ve been offered drugs as an adult it’s just been like
*voice you’d use when offering to share a bag of potato chips* “Hey you want some [drug]?”
*voice you’d use to decline potato chips* “Oh, no thanks”
*continued normalcy*
thinking about the time my AP English teacher expected my Mormon mom to be like “how dare you assign a book with a lesbian sex scene” and my mom was like “I’m concerned these lesbians are one-dimensional and their sex scene is focused on the male character’s emotions about it”
Unsuspecting man upset about kids these days: “Pfft, oat milk! How do you milk an oat?”
Me: *lighting up* “Okay so when medieval Europe started importing almonds from the Arab-Islamic world they immediately saw a use for them due to liturgical fasting restrictions…”
Dropped the Prius off with the dealer, they were like “We fully recharged your brand new battery, you probably just need to drive it more, do you want an oil change while it’s here?” and I was like “😑 sure” and then in the time it took them to do the oil change the battery died
@hollykmichels
“I’ve done the thing where I’m like, I’m hungry for pasta, I’ll go to Rome for three days” ah yes whomst among us has not, you’d fit right in here in Montana 🙃🙃🙃
JK Rowling really invented a system where children were sorted into The Goods, The Evils, The Nerds, and The Leftovers, of course she thinks assigned sex at birth is unchangeable
I don’t want to do Discourse but I did see someone say “who on earth can work enough to afford DoorDash but is too disabled to microwave a meal” and that’s literally me sometimes, so in the interests of providing insight I’ll explain (not taking a stance on the overall Debate):
inhaler situation has gotten so bad, recently we were having a slow day and a doctor was very busy and the patient urgently needed an inhaler and the doctor was like “can I just give you a verbal for ‘all of them’ and you run whatever you have in stock until insurance takes one”
Me: "Okay, this medicine you swallow without chewing, so put it in your mouth, take a drink of water, and it will go down with the water."
Zoë: *is 7* *takes it with no hesitation*
Me: "Wait how did you do that"
Zoë: *like I'm an idiot* "the pill is smaller than my throat"
“hormone blockers for teens and then HRT at 18” IS the compromise from “trans teens get to experience their desired puberty at the same time as their peers”
don’t let them shift it to make it seem like puberty blockers are the extreme, it’s literally a middle ground
“I think schools should upgrade their air filtration”
“Oh so you want children to be LOCKED DOWN again and suffer learning loss???”
“No… I want them to be in the schools. With the filtered air.”
I'll never understand people equating 'air filters and masks' to 'everyone has to stay at home forever and live in fear' like.... What are you talking about
because let’s be a honest a lot of people will drink ~anyways and if they do that with the first type of med, realize it’s manageable with a little common sense, get the second type of med, and just hear “don’t drink with this medication”… they won’t know the risk is different
I was running around packing up our stuff when the missionaries knocked on my mom’s door and nobody else answered when I opened the door and called into the house “hey the missionaries are here” so I yelled “CAN SOMEONE WHO’S STILL MORMON COME TALK TO THE MISSIONARIES FOR ME” 💀
@GennHutchison
@CrystallineOne
IIRC they insisted for years that women’s hairstyles in Roman statuary must have been embellished rather than lifelike because it was so intricate, and then a hairdresser successfully recreated some with period-appropriate tools
*one pre-semester giant grocery haul later* “…and so there’s a case to be made that English bases food categories on their culinary application rather than intrinsic biological properties, and with milk specifically we have over 700 years of plant-based milk products!”
occasionally there’s a followup like “okay well if you ever want to try it for the first time just let me know and we can make it low key and safe” and I’m like “thanks” and then I do not let them know because I am fundamentally a square but I appreciate the consideration
a few points of confusion I’ve seen:
-chickenpox is not in the same virus family as monkeypox
-bc monkeypox has been around for decades, we know a lot more about it than we knew about covid
-a lot of the bad covid advice is actually good monkeypox advice they’re not lying to you
I’ve worked in a hospital setting for over a decade helping people who experience severe depression.
Enough with the pill-shaming.
Sometimes diet and exercise changes are insufficient on their own to address the complexity and gravity of mental health concerns.
This is why
When I was a Mormon missionary I had a companion who bought a $15 pair of Walmart flats every month because her last pair were worn out from a month of all the walking we did. I had a $150 pair of flats and this is how they looked 18 months later 1/3
Vimes Boot Theory is a nice little theory that makes people think they're unfairly getting duped by the system. But it's simply not true. I think most people don't know how much it costs to buy and maintain well-made things. Let's do the math:
There are three main ways to
Prematurely panicking is never great, but especially not when SF has stood in as a dog whistle for “gay people bad” in right-wing discourse for over 50 years. But thanks to years of covid gaslighting, “you’re prematurely panicking” scans as “I’m downplaying and fucking this up.”
“omg Adderall is so addictive I used to get so high on it in college 🤪”
thanks it lets me renew my car registration without dedicating an entire day to it
“Stocking stuffers” are not just physically small gifts, they are CHEAP. Stop putting expensive shit on stocking stuffer gift guides. No way am I paying $70 for ONE component of a stocking.
when she recovered she was like “what about this more explicit but heterosexual sex scene” and my mom was like “I actually thought that had a lovely message about the main character learning to judge himself less for his own physical appearance.”
First, it might not scan as misinfo because some things are true:
-wastewater is an important detection tool
-rodents are the primary animal reservoir of mpx
-zoonotic spillover is real
-we typically don’t eradicate diseases with animal reservoirs
-mpx should be taken seriously
BUT this tweet skips a ton of stuff to make it sound inevitable. “Wastewater —> forever monkeypox pandemic.” There’s dramatic language like “game over” and “swarming.”
today one of the pharmacists was like “ugh no matter how much I bleach this coat it looks dingy”
and I was like “you need to use bluing”
and she was like “how do you know this stuff”
and that’s how everyone in the pharmacy learned about Mormon temple garments
First, wastewater detection doesn’t distinguish between viral fragments (cannot spread disease) and whole virus (can spread disease). For instance, covid wastewater detection is basically exclusively the first one.
listen I did not grow up watching overseas tourists get out of their car 12 feet from a bear for a better photo only for a bunch of men who have clearly never seen a wild bear in their life to log on here and wildly overestimate how likely any given bear is to attack you
There’s also a subtle tense shift: “once monkeypox is detectable” is a hypothetical, but by the end of the tweet we learn it’s already in SF wastewater! The understandable takeaway is “time to panic.”
this is especially funny in retrospect because the entire book is explicitly like “this is a book about a man who feels like a side character in his own story” and then the man in question keeps walking around saying things like “are these lesbians…about me?”
“No, the main reason I wanted to meet with you was [completely different plot point that is only discussed in very general terms] because that’s actually rape and I’m concerned the author doesn’t seem to think so.”
Does forcing a campaign to cancel an event by physically running a campaign bus off the road and outgunning the police count as “cancel culture” or that only when New York Times columnists get ratioed on twitter
PS — we have a GIANT stockpile of Tpoxx, an antiviral that makes monkeypox symptoms *way* less severe, we should all go yell at the government to release it to anyone with a monkeypox diagnosis instead of the disastrous barriers to access we have right now.
my doctor said I'm her most organized patient, currently getting a good grade in chronic illness, something that is both normal to want and possible to achieve
In fairness to him I bought soy milk, oat milk, regular milk, heavy cream, AND coffee creamer
and I like my groceries organized so they were all right next to each other
ironically I did not buy almond milk
I’m sure a $1500 pair of flats would have looked no better after 18 months of all that walking, but the Vimes Boot Theory isn’t about $150 vs $1500 shoes — you hit diminishing returns on price vs longevity. It’s about $15 vs $150 shoes. 2/3
they’re gonna try removing the aftermarket remote starter next week which I’m honestly pretty hopeful about because a similar aftermarket product abruptly fucked up the electrical system of my Subaru Outback about a decade ago
patient had a French accent so I pronounced his name in French instead of anglicizing it
he sounded surprised and pleased
I said “I’m from Canada, so I know how to say it”
he says patronizingly “well, you were somewhat close”
💀💀💀
for my fellow people who avoid starting a task because it feels overwhelming, this takes 5 minutes, you don’t have to upload any documents, you just need to know your SSN and contact info
Those first few price rungs have the biggest durability gap. People who can only afford the very cheapest are the ones who get a flip-flop budget effect where they spend $270 on shoes instead of $150 over 18 months. And their back hurts the whole time from the crappy shoes. 3/3
(Just want to note: I shared this thinking about the coronavirus stuff, but I 110% agree that Canada uses the US to promote a false narrative of racial innocence that is super problematic)
@RGibsongirl
If I had to think about timing a bikini wax to be camera-ready as part of the process of getting ready to compete in the Olympics I would be ready to commit several crimes about it
local moms group is like “wow pink eye sure is going around” “I had to do 6 rounds of antibiotics before it cleared up” “my kids had it so bad” and I’m just over here like
(If you wanna ask but feel awkward about it, I’ve had a lot of patients ask “So is one glass of red wine at dinner okay or is this an ‘absolutely zero alcohol’ situation?”)
(I think “one glass of red wine at dinner” is health-coded for people bc of all the antioxidant studies)
Millionaire biohacker Bryan Johnson (who already has a cult-like following) plans to start his own NATION for anti-agers... where pizza, donuts and alcohol will be illegal
@NekoSchneko
My doctor: "you should take med breaks on weekends"
Me: "well I need at least a half dose so I can go grocery shopping"
My doctor: "..."
Me: "..."
No! We successfully manage many diseases with animal reservoirs. The bubonic plague once killed 1/3 of Europe — it’s currently found in New Mexico and we get cases in the single digits per year.
I’ve been called a slut, told “you make me sick”, and in so many words called a prostitute per this email
@KUTV2News
received this morning. This is the dress I wore today (11/1/2018). Was it “inappropriate and indecent”?!!
BREAKING: Opponents say Utah's medical marijuana ballot measure would violate Mormons' religious beliefs, citing Masterpiece cake decision, and ask a state judge to keep voters from weighing in in November.
#utpol
The “facts don’t care about your snowflake feelings” crowd is throwing their razors into toilets because of a commercial that said “don’t be violent and rapey instead be good”
Monkeypox ~is more durable than covid in a lot of contexts with respect to surfaces, sunlight, etc, so it’s not unreasonable there could be some whole virus. The next thing we have to ask is whether monkeypox is transmissible along the fecal-oral route?
Soy — Levi (protein content, probable milk protein intolerance and pediatrician insisted on soy)
Oat — me (iced coffee, just a preference)
Regular — Zoë and Kya (milk drinking freaks)
Heavy cream — potato soup
Coffee creamer — Kya (coffee)
And I can totally envision “collapsing on the couch by the door and ordering DoorDash” becoming a solution. If you can’t imagine a margin of exhaustion where “couch to door” vs “couch to kitchen to microwave” is meaningful, I’m happy for you! But that margin does exist.
Tldr: wastewater detection doesn’t make a rodent reservoir inevitable, a rodent reservoir doesn’t make “monkeypox becomes a facet of daily life forever” inevitable, and even in the worst case scenario we have time to get 3rd gen vaccines rolled out.
I grew up being taught that sex is the next worst sin to murder* and now over the past year I’ve heard story after story of church leaders downplaying sexual ABUSE because the abuser is “an upstanding man with the priesthood” and “it would be a shame to ruin his/our reputation”
Seriously if I were Biden I’d say “because vaccination rates have tapered off, we’ve decided vaccinating other countries to prevent more variants is better than letting them expire, if you don’t have dose 1 booked by Sept 15 we assume you don’t want yours and will give it away”
Kids today wonder how our parents were able to survive with one paycheck. This is exactly how it was done. See the size of this house. This was normal when I was growing up. No 5 bedroom homes with 5 baths. Living and buying within your means. Starter homes.
Beyond that, “if you have a mouse problem in your house, come get a monkeypox vaccine just in case” would be a far cry from “we have to resume universal vaccination against this”
Now, people come in contact with mice and rats way more frequently than prairie dogs or bats. But that doesn’t mean we can’t mitigate! Alberta has been completely rat free for over a century — would it be such a bad thing if we did better pest control in the US?
@jeffreyyaaron
I have been known to joke that I am honoring my pioneer ancestors by participating in a non-traditional marriage that deeply upsets the Republican Party
in my socialist utopian dream I’m still a pharmacist but there’s no insurance to deal with, every drug has a $0 copay, and I get to sit down the entire time ¯\_(ツ)_/¯
I feel like when you ask leftists what their dream job under socialism would be, you get a lot of "flower whisperer" or "horse mane braider", not a lot of "high-transmission power line layer" or "train operator", and that's a shame.
Unlike covid, we *already* have an effective vaccine. The only holdup is manufacturing. Right now the 2nd gen smallpox vaccine can be dangerous if you have some medical conditions like eczema, but it was once considered safe enough for routine vaccination
incredibly funny to me that this is the take that’s resonating with people, seeing as a lot of my pharmacy school classmates were under the impression that I don’t drink and I had to be like, “I don’t Not Drink™ I am just incredibly boring and also eight years older than you”