My cat once brought in a North American shrew in the house and I thought “what a weird looking mouse!” So, I went to scoop it up in a dust pan and drop it out side and the little shit bit my finger! Anyways, got it outside and went to look it up and found out they (the NA shrew) were venomous! Luckily the bite was superficial and I only had slight redness for the night.

Fun fact about the shrew is apparently it is highly territorial and can defend a territory of > 1 square mile, and somehow my cat found the one shrew in a sq mile area in our backyard which is like a 1/16 acre neighborhood plot lol

Well, as a pharmacist whose been stable on 50mg of vyvanse for more than 3 years, your wife and Doc are both incorrect…

Both are stimulants, yes, but

Vyvanse is an amphetamine and works to produce more neurotransmitters you don’t already have.

Cocaine is a reuptake inhibitor… thus preventing the breakdown of neurotransmitters you do already have.

While fundamentally they may look like they’re doing the same thing, they are in fact 2 totally different mechanisms. Furthermore, in neurotransmitter depletion the effects of cocaine will severely diminish, where as amphetamines will thrive.

lol had this happen to me the other day.

Typically I play classic rock at work like the stones, Beatles, eagles, etc and no one bats an eye and sings along. I played a song off hybrid theory and my tech walked by and went “wow that’s a throw back!” I immediately had a mini midlife crisis. That album is almost 24 years old btw, and I still remember the day I bought it.

Nope, drivers licenses are still only issued by the state, however I do register my cars through my tribe for a cheaper price and (imho) a better looking plate. Our CDIB cards are just that proof that you are a member of a tribe and to what degree your lineage is (1/2, 1/4, etc)… some tribes though have reissued ID cards for the CDIB that can act as a “real ID” (like mine) but I’ve yet to try to use it that way as my drivers license is more than enough for that situation. I can also use it as a secondary ID for i9, loans, etc but I don’t think it can use as a primary on those (usually driver license, passport, and birth certs are for primary)

I believe Jesus also said

Matthew 7:5 Hypocrite! First remove the plank from your own eye, and then you will see clearly to remove the speck from your brother's eye.

So maybe we should focus on our own paths in life rather than someone else’s life decision that has 0 bearing on whether you or I go to heaven or hell?

I mean why people are so obsessed with what people do in their own home, on their own dime, and their own time is beyond me.

Christofacists just want to control others. They don’t care what Jesus said. They don’t want to FOLLOW Jesus, They want to BE Jesus and tell others how to live.

Auditory hallucinations are most common. The sounds of flies buzzing around your head non-stop, creatures climbing up the walls/ceilings

Also, fun fact, there is a couple mnemonica for anticholinergic poisoning and they go:

red as a beet, dry as a bone, blind as a bat, mad as a hatter, hot as a hare, and full as a flask

But in pharmacy school we mostly said:

“No See, No Pee, No Spit, No Shit”

Just a heads up, but most states have laws that guard against rain water capture. For example Colorado only allows 2 barrels or 110 gallons per year!

https://extension.colostate.edu/topic-areas/natural-resources/rainwater-collection-colorado-6-707/

Avg US citizen uses 100 gallons/day

https://portal.ct.gov/-/media/Departments-and-Agencies/DPH/dph/drinking_water/pdf/27icwaterfactspdf.pdf

Def not a math major (BS/PharmD), but your explanation was like seeing through a visual illusion for the first time! lol

I was always taught PEMDAS growing up, and that the MD and the AS was read left to right in an equation like above. But stating the division as a fraction completely changes my mind now about how this calculation works. I think what would happen in a calculation I use every day if the former was used.

Example: Cockcroft-Gault Equation (estimation of renal function)

(140-age)(kg) / 72(SCr) vs (140-age) X kg ➗72 X SCr

In the first eq (correct one) an 80yo patient who weighs 65kg and has an SCr ~ 1.5 = 36.11

In the latter it = 81.25 (waaay too high for an 80yo lol)

edit: calculation variable

Maybe it’s early in the morning and I am not quite awake, but I have no idea what you are talking about. Nor do I understand how forgetting to do something makes you able to do something, and somehow that relates to a hot stove?

Can you explain what the “hot stove” example is? Maybe that is what I’m missing.

Are you using the EA version or the standard?

HELL NO! I use betterdiscord!

So, as a pharmacist, I can tell you that Tetracyclines (class of drug which includes Doxy, Minocycline, Tetracycline) have been used as prophylactic drugs for quite a long time, and not just for their anti-microbial activity.

Minocycline for example is used prophylactically for recurrent UTIs, suspected meningitis, and frequent SSSI by staph

Doxycycline has been used long term for Acne prevention, Malaria prophylaxis, and STI treatment and prophylaxis.

While I do worry about overuse of Antibiotics in general. It seems that tetracyclines as a class have been used quite frequently over the last 50+ years. I am sure that in small pockets of the LGBT+ populations (the scope of this indication, it seems) you may see some resistance that will need to be treated with other antibiotics, but I don't think that we will see much cross-over into the general public. Furthermore, it looks like their is a new class making its way to hospitals soon that can get around the resistance seen, but we will need more studies to further nail that down.