Pharm So Hard Network

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@tyzer32 4 күн бұрын

I thought calcium inhibited votage gated sodium channels? Isn't that why you get tetany in hypocalcemia, i.e due to disinhibition of sodium channels leading to higher excitability of neurons. Are you saying it has the opposite effect in cardiac myocytes?

@mrmateojones8368 15 күн бұрын

The idea of systemic racism divides us well enough. It’s a myth we can not seem to shake.

@F91RPG 16 күн бұрын

Amazing lecture, thank you!

@Red_Scathach 4 ай бұрын

I am 47 and on the lowest dose of Ozempic, I always try to hit my macros and calories even if I am not hungry. This little bit of help really made me realize I LOVE strength training! I am losing at a slow but steady pace. However since taking it my psoriasis arthritis pain is 100% gone and my inflammation is normal! I have tried most of the biologics over the last 7 years! My Tremfya is so much more expensive than the GLP 1s. So this peptide has been a big win for me but it is only work it if you change to having a healthy life. Thanks for the video it is a great watch!

@fairylittlywu4457 4 ай бұрын

Omg,, you are crazy brilliant and cleared my confusion

@kasluev2523 5 ай бұрын

So would you prescribe cefdinir or cephalexin when no susceptibility culture is available?

@pratikadhikari3876 5 ай бұрын

Informative ❤

@Lybringer 6 ай бұрын

Good stuff! I was amazed when I first saw the data on tirzepatide. Biosimilars can't come soon enough!

@irmaxvx 9 ай бұрын

I'm on here listening to this because I just finished my FIVE day course of Cefdinir for a bladder infection. I have had dysuria and bladder inflammation at day 4. I've never even heard of this antibiotic in 8 years of getting UTIs.

@kasluev2523 5 ай бұрын

Did you get better on cefdinir?

@irmaxvx 5 ай бұрын

I did not, I ended up going to urgent care and they gave me something else.

@kasluev2523 5 ай бұрын

@@irmaxvxthank you so much for replying. Do you know what they gave you? Did you try keflex first?

@kasluev2523 4 ай бұрын

@@irmaxvxdo you know what they gave you? Did it work? Also was your urine cultured?

@irmaxvx 4 ай бұрын

⁠it was only a five day course and I felt a lingering discomfort for a long while until I got my next UTI. They did do a culture but doctor didn’t go over it with me. It says “non-uropathogenic gram positive organism.” No susceptibility was performed. I usually take bactrim or cephalexin but it has to be 7-10 day course.

@Bb-ef9wv 11 ай бұрын

This was very informative…thank you. I freaked out when a doctor prescribed Cefdinir for a complicated UTI (after finishing a course of nitrofurantoin-that should never have been prescribed in the first place). I was about to call in a favor to another doctor I know and ask for Cipro (I know, not great…but my kidneys hurt and I live in a small, remote town), thinking the Cefdinir doctor must be an absolute idiot for prescribing it to me for a complicated UTI. Now, I’m realizing he’s either a well read genius (nitrofurantoin did help quite a bit in the lower bits, and even somewhat in my kidney…though symptoms returned on the last day of the course), or an idiot…but, I’m willing to wait/suffer a day or 2 more before making that judgment call now haha.

@kasluev2523 5 ай бұрын

Did you get better on cefdinir?

@mohamedalfahad268 Жыл бұрын

Thanks alot doctor ❤

@jerrymander1492 Жыл бұрын

??????😮

@Nathan-wf5id Жыл бұрын

*promosm* ✔️

@smotoole17 Жыл бұрын

This was a great chat, especially as I’m gearing up to provide a small education piece to my IM residency later this week at a noon conference. It’s an exciting time to be bringing this to my co-learners as there is still so much up in the air as to how best to approach this topic and it’s management, and I think like you both said there isn’t necessarily a slam-dunk method yet but a lot of success stories no matter how you slice it. Thanks guys!

@mohamedalfahad268 Жыл бұрын

Thanks alot doctor 🙏

@ryanlapoint89 Жыл бұрын

This medicine i believe killed my mother in the icu. I can go more in depth if you like? But would rather communicate privately.

@joestevenson5568 2 ай бұрын

That is very unlikely.

@Gwennedd Жыл бұрын

What is wrong with America that they can't fix their healthcare system? Other countries with far less wealth have managed to institute a proper, functioning healthcare system that actually is simple to use and costs very little.

@caissa6187 Жыл бұрын

CHS is NO JOKE. NEVER AGAIN will I touch what I loved so much of my life and helped me with my PTDS issues.

@ReapingTheHarvest 10 ай бұрын

Did you ever touch it again?

@caissa6187 10 ай бұрын

@@ReapingTheHarvest No, but lately it's been more difficult. I've been wanting to smoke the last couple weeks but I've stayed away from it. I have dreams every now and again that I'm smoking and I actually feel guilty! I guess being able to stay off this long it's become more of a goal to not smoke. I do see a difference in my sharpness at work. It's beginning to come back to me; I'm quicker and smarter solving problems faster. I've also stopped coughing so much and lost some weight. But damn, I'd love to smoke and I don't think that will every go away. I also want to say I think I was able to quit easier because I take methylphenidate for adhd. I can't exactly remember but somewhere I read methylphenidate acts on the system like weed. I totally believe this because I tried to stop so many times and failed, but since I've been on methyl (14 months now), staying clean has been 10 times easier.

@buwrews5469 Жыл бұрын

Frank , I can't calculate my dose here at home if you keep making me laugh.

@coachfezz1137 Жыл бұрын

WRONG WRONG WRONG MINIMAL RESULTS FROM THIS

@pharmsohardnetwork Жыл бұрын

Have to watch the entire episode, we don’t recommend it for hyperkalemia and have an entire series dedicated to the “Beef with Bicarb”

@armanibree1517 Жыл бұрын

Promo'SM 😏

@user-bd1xi3jl9n Жыл бұрын

such a great podcast!! love it :)

@user-bh5ki8wp6d Жыл бұрын

Great podcast! Thanks for the overview this is awesome

@daniellaabikheir1739 Жыл бұрын

I absolutely love your channel and podcasts! This video is so helpful, thank you!

@mohamedalfahad268 Жыл бұрын

Thanks alot Dr

@SheldonChow Жыл бұрын

Pharm so hard podcast rocks!

@coupmd 2 жыл бұрын

Great talk. Agree, no clear dosing strategy has shown superior. For me: high risk pt -> 10 mg/kg -> triggered dosing with Pb (65 or 130 or 260) q30 min if going to ICU or bzd if going to floors so I don't confuse our house staff. Concur, HARD pass for people with drug interactions. Also care to be taken in hepatic dysfunction (personally, I dose reduce). High risk = prior seizure, intubation, ICU admission, looks terrible, prior ativan/versed gtt for AWS Would like to hear more about timing and interpretation of drug levels.

@sophiapiellusch7416 2 жыл бұрын

great information. Thanks Theora for breaking down so a regular person can understand.

@kaitlynnstein815 2 жыл бұрын

Thanks for all the info Theora! Definitely learned a lot!

@ellemareee 2 жыл бұрын

Great episode!

@Darryl6134 2 жыл бұрын

What method do you use to dose Vancomycin?

@Darryl6134 2 жыл бұрын

Great Podcast!

@sunmusicm.b.6407 2 жыл бұрын

Very interesting topic. Great discussion indeed!

@leonpowers8543 2 жыл бұрын

ᵖʳᵒᵐᵒˢᵐ 🙂

@mwbone 2 жыл бұрын

Bummer audio wasn’t better for those holding a mike and those in audience

@livswonger6950 2 жыл бұрын

FYI regarding musher dogs... interesting that he discussed them and the Iditarod as it is a long-standing Alaskan tradition commemorating the dog sleds that brought diphtheria treatment up to Nome when they had an outbreak. Truly rich history of a community coming together for the greater good.

@mwbone 2 жыл бұрын

Great discussion. Hoping you’re familiar with the group Black Men in White Coats. The group has similar passion for mentoring. Pharmacy, medicine, nursing- there needs to be more diversity in health care delivery.