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.

May her memory be a blessing… I hope that the community she is a part of will find peace in the coming days, months, and years

does this include the MSG channel?

These kinds of generalizations do not help the cause on either side. It’s only going to help fan the flames. Plenty of Palestinians are just regular citizens who live under the tyrannical rule of Hamas, but would much rather prefer peace. May I ask, do you have personal involvement in this conflict at all? Do you see comments like this helping Israelis, Jews, or Palestinians reaching peace and stability?

I think ublock is working on a fix

👍

yeah I was talking about leftist extremists. not sure how the term “far leftist” was interpreted as all leftist

Unfortunately this is a very classic far leftist take. Easy to blindly justify a cause you’ve been told to believe in when you simply dehumanize what you’ve been told are the villains

Far too many leftists, like their right wing nut counterparts, are contrarians at heart. This is what happens when political ideology becomes a personality trait; it becomes akin to a religion.

hit the nail on the head with that. I’ve seen so many leftists horseshoe into this perverted self righteousness. and it is even more frustrating when they act like they are directly involved in a conflict they really have nothing to do with.

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 think you’re on the cusp on creating the next fad in the wellness industry - find a way to legally call it that and suddenly its flying off the shelves. “it’s so safe you can DRINK it!”

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