@OPDDiaries Importantly they CAN be used together with dose adjustment. Some patients primarily metabolise azathioprine to ineffective metabolites (the metabolic spectrum can be tested for). In these patients adding allopurinol (with suitable dose reduction) can improve effects.
@LiangRhea Honestly my memories of the reflecting pool are of it empty and having maintenance underway. I was kind of shocked that wasn’t the status quo!
@MCCCANM This is applicable far outside aviation.
As a healthcare worker, noticing something in the periphery as I’m doing routine tasks can save lives.
The fact that less experienced staff have tunnel vision and don’t notice is endlessly frustrating to me!
@LiangRhea I've seen a couple over the years.
Memorable was a patient in our locked dementia unit who was diagnosed during his admission. I have always presumed because one of the nurses noticed the lump during personal cares and said something.
@Ausbones@OPDDiaries And also bongkrekic acid. It's microbial biproduct that inhibits ADP transport into mitochondria, giving a metabolic effect mimicking cyanide with a much slower onset.
Hat-tip to a recent episode of @LabPoison for that tidbit!
@Artoe_Daytoa@JeremiahDJohns Just checked (because I also had questions).
They send their own team to the CGs.
But that doesn’t preclude people jumping ship…
@MCCCANM I have accumulated the (not vanishingly rare) stat of having landed at Lukla in a helicopter (an AS350 B3e per my photos).
No other choice due to unfavourable winds making fixed wing untenable on the day.
Did I find the one flight where the helicopter was safer?
@LiangRhea Our toilets (in pharmacy) is just labelled “toilet” on the sign. But the braille is “unisex toilet”.
Like most hospital pharmacies we are majority female. Currently one (token) male.
I did have to agitate about needing sanitary disposal bins in *both* when we move in though…
@aclong111 Oddly around here (rural Australia) I’ve been astounded at how many people specify their ex-spouse as their decision maker.
Over the years it’s emerged many of them are actually afraid of being kept alive in futility and trust their ex to be less emotionally attached.
@drvyom@PBoden2 I dread what it’ll do to tertiary care.
We have a private haem clinic a couple of hours away that does bulk bill consults for clotting/bleeding disorders over a wide catchment.
How many of those patients will now have no option but to go (already oversubscribed) public hospital
@taipan168 I’ve done it rarely.
In Namche Bazar in Nepal (I was crook and it wasn’t that expensive, only a couple of things)
In Zanzibar (also sick and my hiking pants were filthy, only sent them)
@aclong111@PulmCrit As a pharmacist *I* was celebrating.
The null result caused it to be recalled.
24 hours before ALL of our stock expired.
So we got reimbursed in full.
@Dr_Afo@Ausbones I wouldn’t. Although getting one where I work would be hard (no full time on site haem).
I know stool culture is poor though. My one pt had positive blood culture but negative stool PCR.
@GunnerTas I grew up in a town in NSW ~8000 with multiple named areas that would probably qualify as "suburbs". Although if you addressed mail to just *town name* it would be appropriately delivered.
Having said that the last is true of my current city (population >50K).