djquadratic

In order to properly document it, there would need to be visual confirmation of the medication being taken, and if it’s refused the medication needs to not be in the patients access. Otherwise OP is not a reliable historian and is unfit for their job as they refuse to comply with standard of care.

I’m on clinical rotations right now , and I literally just asked the nurse next to me about this and she said OP is dead wrong.

Except when there are bad outcomes because the actual patient status doesn’t match up with MAR? And then it becomes the M&M case of the week.

Imo it depends on the patient. If the patient says they take the meds but their signs - vitals, telemetry, routine labs, PE, etc show otherwise - then it’s your responsibility to confirm or deny patient medication adherence.

I’d like to say a functioning healthcare team means that the top level providers will trust their nurse’s judgement about the patients they are in charge of.

But at the end of the day this is about treating patients and ensuring that a standard of care is met. Part of that standard is allowing for shared decision making, non paternalistic care, etc.

But again, it is your responsibility to know what is happening with the patient. It’s not really that you’re forcing the patient to adhere, it’s to confirm if they take it or not.

does this include the MSG channel?

I think ublock is working on a fix

Thanks! I’ve been looking for this as well

Reminder that aljazeera is a Quatari state funded media outlet that tends to sensationalize violence against Palestenians and ignore cases where organizations like Hamas perpetrate violence. this is done to support their agenda of eradicating a Jewish state on a land that is home to the Jewish people and is also a place where many Palestenians call home. Aljazeera at it’s heart is an anti-semetic organization, run by a government that does not care for Jews, and therefore their anti-zionist reporting often ventures into anti-semitism.

Violence like this is deplorable and should never happen, when it does, should be sanctioned. I do not think this source is unbiased in their reporting and does not make earnest work towards supporting peaceful outcomes in the region.

Edit - typo

This makes me think of those memes where people struggle with telling white male celebrities apart

huh interesting. I didn’t know that.

I’d imagine that you lose a lot of fluid after a ride, and drinking alcohol, which is a diuretic - wouldn’t be too helpful though.

probably not great - alcohol is a toxin and puts the body under stress to process it. Putting additional stress and strain on the body will hamper recovery. A review article from 2010 I found after a quick google said this

A significant body of literature has established an array of adverse symptoms caused by acute alcohol ingestion. However the notion that alcohol consumption effects performance has not received enough consistent validation to advance beyond being anecdotal

really all this says is that there isn’t a strong body of evidence (according to this article) showing negative effects of alcohol on recovery - but that doesn’t mean there aren’t any.

another review article from 2019 had this to say in the discussion

Only cortisol levels seem to be increased, conversely testosterone, plasma amino acids, and rates of muscle protein synthesis decreased

and

The general findings therefore highlight that muscle function is not altered by alcohol consumption following exercise bouts, however the altered endocrinological asset regarding cortisol and testosterone and the consequent suppressed rates of muscular protein synthesis and reduced circulating levels of amino acids, suggest that long-term muscular adaptations could be impaired

effectively saying that alcohol itself doesn’t directly impact recovery or hypertrophy - but downstream effects of alcohol on hormone levels can have a negative impact

but it also comes down to how much you’re drinking, and the reasons for drinking. If its like 1-2 drinks per week, that’s going to be a much smaller impact than if its a 1-2 drinks every evening to wind down.

Much easier to back into a spot compared to pulling in, safer to pull out. And it doesn’t take much longer. Once you know how to do it it’s very very quick

I can’t believe I never thought about that - gotta try this later today

Yes it’s the same as drinking water - you’re getting hydrated

I love beeper - very excited for people to get access to it

that’s really sweet - how often do you find that the assistants do a good enough job answering their questions?

I’m all about informed consent - I’m wiling to compromise privacy as long as I know how much I’m compromising in exchange for convenience - using virtual assistants to shoot off texts, make calendar events, etc is invaluable to me for many reasons and it improves QOL more than it harms it - I do what I can to limit how much access there is to my queries, but thats just how I approach it

After some browsing I found another option - whoogle which seems to be a self-hosted search engine? I didn’t look into it too much but this also seems very interesting

this was super neat! thanks for sharing

kagi seems very enticing to me, but man thats expensive… anyone here use it?

this got me to laugh out loud when I opened Elonged Muskrat’s wikpedia page and found it completely blurred out. Thank you!!!