emilym

[emilym @ems0887]

@cathworkingmom @MylissaFarmer @ThatTommyGuy @jamielmanson That’s 9% survival. I grant that the website notes this data is old, but even if we generously say 30% make it to 24 wks, the rate is 27% survival. Which of course doesn’t account for the morbidity (and COSTS - both financial and psychological) associated with such prematurity.

[emilym @ems0887]

@cathworkingmom @MylissaFarmer @ThatTommyGuy @jamielmanson You missed a key part of this - the baby must make it to week 24 IN UTERO. The lines above this sentence on the website you pulled it from note that 50% deliver within 24-48 hrs of PPROM, while 90% deliver within 7 days. So that 90% is actually 90% of the 10% who make it to 24 wk

[emilym @ems0887]

@ephfive2224 @thedreamisee @MylissaFarmer @cathworkingmom @ThatTommyGuy @jamielmanson You truly believe a fetus in an empty amniotic sack, which means it will be deformed as well as unable to develop lungs, is better off staying “alive” until it inevitably dies of sepsis the mother contracted while forced to carry it?

That is not mercy.

[emilym @ems0887]

@3rahsin @RxHausted @islagiatt4 @abbeysuekos I also think you may be ascribing the failures of specific people to an entire profession, and that’s simply not fair. “Dr. Death” is a truly despicable person, for example, but we shouldn’t lose respect for all spinal surgeons because of him. (I am not a surgeon, to be clear)

[emilym @ems0887]

@3rahsin @RxHausted @islagiatt4 @abbeysuekos I think we disagree on what their place is. I consider them an integral and necessary part of the medical team (with the same likelihood of being bad at their job as any other medical professional). You seem to think they should just do as they’re told.

[emilym @ems0887]

@3rahsin @RxHausted @islagiatt4 @abbeysuekos Eh, it sounded more like she got bumped to a customer service line. And if that pharmacist was incorrect in their assessment, then the system worked - she reported the problem and got her meds.

[emilym @ems0887]

@3rahsin @RxHausted @islagiatt4 @abbeysuekos If a pharmacist *is* refusing an appropriate med without a valid reason, they should be reported, just as any doctor refusing to provide appropriate medical care should be reported.

[emilym @ems0887]

@3rahsin @RxHausted @islagiatt4 @abbeysuekos A pharmacist is not going to refuse you a medically indicated, safe (and proven + FDA approved) med prescribed appropriately (dose, duration, quantity, etc). (Again, this excludes religious/conscientious refusals, which are protected by law, though I disagree with them).

[emilym @ems0887]

@3rahsin @RxHausted @islagiatt4 @abbeysuekos Well, starting off by calling him a pill counter was rather condescending too, don’t you think?

[emilym @ems0887]

@3rahsin @RxHausted @islagiatt4 @abbeysuekos I assure you, pharmacists ARE reaching out to physicians, but they might not hear back for days. I work in a hospital, so I may not be back on service for up to two weeks. Usually my staff can find me in that time, but not always. That’s an extreme, but it’s illustrative.

[emilym @ems0887]

@3rahsin @RxHausted @islagiatt4 @abbeysuekos With the exception of religious refusals (which I personally disagree with but are protected by law in many areas), pharmacists aren’t refusing meds because they want to. That would impact their reimbursement. It makes no sense. They’re refusing for your safety.

[emilym @ems0887]

@3rahsin @RxHausted @islagiatt4 @abbeysuekos Oh no, the computer bots for pharmacy already exist and universally make my life hell. I’d rather a human pharmacist over the EMR bots any day.

[emilym @ems0887]

@TinyTerrorsMom @RxHausted @abbeysuekos I swear, the number of patients I’ve had who said “all my meds are in the chart” when the chart was last updated in 1998…

[emilym @ems0887]

@TinyTerrorsMom @RxHausted @abbeysuekos Ordering linezolid for a patient also on an SSRI. Serious contraindication, requires a washout period, and can be easily missed (eg, if a psychiatrist wrote the SSRI and the PCP doesn’t know - which happens all the time.)

[emilym @ems0887]

@3rahsin @RxHausted @islagiatt4 @abbeysuekos The pharmacology education in med school is actually pretty slim. (And at my school, the weighting of pharm questions on exams made it so that it was better for my grade to skip learning those questions in order to study other material. I learned for board exams later, but still)

[emilym @ems0887]

@3rahsin @RxHausted @islagiatt4 @abbeysuekos Um, hi, I *did* get into and finish medical school, but I still rely on my pharmacist friends to help me out. I work in a hospital and am fortunate to have my unit pharmacist next door to my office. She is likely tired of my 300 questions a day. (I’ve been in practice 9 yrs)