TIL (about the Dark Arts of HTML)
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TIL you need a doctorate to be a pharmacist. This would never have occurred to me. I thought it was like being an RN. I thought of it as one of those boring but secure jobs, like mail carrier. I respect that you need a steady mind to consistently count out the pills correctly and make sure that you get them from the right bottle and label them correctly, but I wouldn't have thought you needed a doctorate to do that. Especially nowadays that you have computer systems that could alert you to possible interactions.
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@jinpa said in TIL (about the Dark Arts of HTML):
TIL you need a doctorate to be a pharmacist. This would never have occurred to me. I thought it was like being an RN. I thought of it as one of those boring but secure jobs, like mail carrier. I respect that you need a steady mind to consistently count out the pills correctly and make sure that you get them from the right bottle and label them correctly, but I wouldn't have thought you needed a doctorate to do that. Especially nowadays that you have computer systems that could alert you to possible interactions.
There are pharmacists and pharmacy techs. The latter are to the former like nurses are to doctors.
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@Benjamin-Hall said in TIL (about the Dark Arts of HTML):
There are pharmacists and pharmacy techs. The latter are to the former like nurses are to doctors.
I am fully aware of the two. Your answer is reiterating what I said as if it was still news. To me, it seems more like the difference between a nurse's aid and a nurse. Even less so. The pharmacists I have met do not seem anywhere near as smart as doctors. (And the techs even less so.) The new head pharmacist where I go seems like a true drone. When I pointed out a rather obvious WTF in their telephone prescription ordering system, she was not able to grasp it was an error. This is what you find in people of below average intelligence who are good at following instructions, but with no real understanding. And the one before her had ongoing systematic problems with their procedures for many years, and exhibited no glimmer at all that it was something she could fix or endeavor to fix. Again, this is a quality you find in people of average or below average intelligence. Intelligent people want to fix systematic or procedural problems, and chafe when they are not allowed to. (There are exceptions to everything.)
What a pharmacist does is very much machine-like. A nurse, it seems to me, would need to exercise her brain more than a pharmacist. That's not very much, but that's my point.
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@jinpa the main issue, theoretically, is knowing all the different drugs, their side effects and interactions.
One could argue that it does not take intelligence to cover this, merely capacity for memory and basic logic below the level of actual problem solving. Though I would give you that it would not instil much confidence in the outcome.
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@jinpa The doctor prescribes medicines. The pharmacist keeps track of which different medicines you're receiving, and if there are known problematic interactions between them.
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@PleegWat lol. Relevance? How often does this actually come into play? Maybe once in an average career? Maybe not at all? The doctor's supposed to know that too. That could all be entered into the pharmacy software.
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@jinpa hence the “theoretically”. Pharmacological databases noting interactions do already exist, too.
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@jinpa said in TIL (about the Dark Arts of HTML):
@PleegWat lol. Relevance? How often does this actually come into play? Maybe once in an average career? Maybe not at all? The doctor's supposed to know that too. That could all be entered into the pharmacy software.
This is highly relevant. Substitution (replacing one drug with a different thing) is a daily thing at any pharmacy. It can have various reasons like stock (the pharmacy side), availability (supplier side), pricing (including legal rules that impact pricing), type (pil, solution, concentration, ...) and combinations of these.
A doctor is occupied ONLY with the medical treatment of a patient. The job & responsibility ends with the prescription and only starts again when medication is applied to the patient. In between the pharmacy his to do it's own job and it's a complicated job, even in a simple consumer pharmacy not including the hospital department that is called euh pharmacy. A consumer pharmacy is easy as it generally aligns with one or limited suppliers in their chain. Here you generally have one who knows something and a bunch of administrative/sales clerks. I would even guess that currently more people with a pharmaceutical degree work in either the supply chain, hospitals and other institutions then there are employed by the consumer pharmacies.There is a shift into prescribing by active compound instead of prescribing by drug nam. So give this dude 5mg paracetamol instead of give him a . This is done to leverage the pharmacies power & freedom to do substitution. It's the pharmacist's responsibility that the substitution is actual compatible. There can be a lot of interactions between drugs. Interactions that might not always clear. For example. Doctor prescribes A to cure the patient + B to counter the side effects of A. If we swap out A for Z witch is the exact product from the same firm but not in pill but as a injectable solution does this mean B has to change too? What if B is only there to counter specific effects like nausea that come with the pill-form? Or are a bigger problem with an injection since the pill's dose will typically have a slower release? Doesn't seem like an easy thing any more does it?
Software has been to the rescue here for a long time. It started out simple as the internet made drug information and the technical details available a few decades ago. Generally this is now even being centralized as all drugs require at least some rubber stamping at the country level. This allows makers of software for doctor/treatment side and the pharmacy management software to include this information as a whole and to build on that arriving at the current state where you'll typically can get warnings during the making and fulling of prescriptions. Can because obviously this requires the right software, an extra license (duh!) and a subscription to the central repository.
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@PleegWat They are also allowed create their own medicine from raw materials - like salves or cough medicine.
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I know that over here they ask at the pharmacy if you have a preference for a brand, otherwise they will pick the one that is cheapest at the time. Which may mean you will get one with a different name, but the same substance so no technical difference.
As an aside, all meds here does come with an info sheet about what it is, what it does, side effects and other information. Every single one of those also can be found on a website where you can search for medicines and substances and find all of those info sheets, which is very convenient. My mom used to be a head nurse and had an office which had this entire database in printed form in a massive book, which was updated yearly. I remember when I was in her office and there was a new one I would get the sticker sheet with labels and put them in the correct places because minor autistic ocd-isms.
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@Atazhaia said in TIL (about the Dark Arts of HTML):
same substance so no technical difference.
But excipients can differ, and that can be significant for some patients, e.g. those with allergies to specific molecules. Also, concentration tolerances may not be the same, which can cause issues for drugs that require very precise dosing.
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@Zerosquare Which is why I guess they ask if substitution is ok. I did have one medicine as capsule. Had some problems with heartburn every morning. Got it as a pill as a substitution once, no heartburn during that period. Back to capsule and heartburn again. So I told my doctor to change the recipe to pill form by default and now it's fine.
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@jinpa said in TIL (about the Dark Arts of HTML):
I am fully aware of the two. Your answer is reiterating what I said as if it was still news.
Because you seemed to be unaware based on your post. I had the same thought as he did.
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@jinpa said in TIL (about the Dark Arts of HTML):
@PleegWat lol. Relevance? How often does this actually come into play? Maybe once in an average career? Maybe not at all? The doctor's supposed to know that too. That could all be entered into the pharmacy software.
"The doctor." People often have multiple doctors giving them prescriptions.
INB4 I was aware of that.
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@jinpa said in TIL (about the Dark Arts of HTML):
The doctor's supposed to know that too. That
Which is why I find it amazingly annoying when they ask me for what I'm taking. Like, fucker, where is the database? What's the point of HIPPA if nobody ever tells anyone anything about anyone anyways?
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@boomzilla said in TIL (about the Dark Arts of HTML):
@jinpa said in TIL (about the Dark Arts of HTML):
@PleegWat lol. Relevance? How often does this actually come into play? Maybe once in an average career? Maybe not at all? The doctor's supposed to know that too. That could all be entered into the pharmacy software.
"The doctor." People often have multiple doctors giving them prescriptions.
INB4 I was aware of that.
Some people prefer the 9th doctor over the 11th.😏
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@Tsaukpaetra said in TIL (about the Dark Arts of HTML):
@jinpa said in TIL (about the Dark Arts of HTML):
The doctor's supposed to know that too. That
Which is why I find it amazingly annoying when they ask me for what I'm taking. Like, fucker, where is the database? What's the point of HIPPA if nobody ever tells anyone anything about anyone anyways?
That depends on having an actually good medical records system deployed. The state of such things is highly variable...
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@dkf said in TIL (about the Dark Arts of HTML):
@Tsaukpaetra said in TIL (about the Dark Arts of HTML):
@jinpa said in TIL (about the Dark Arts of HTML):
The doctor's supposed to know that too. That
Which is why I find it amazingly annoying when they ask me for what I'm taking. Like, fucker, where is the database? What's the point of HIPPA if nobody ever tells anyone anything about anyone anyways?
That depends on having an actually good medical records system deployed. The state of such things is highly variable...
That's my point. In my experience, every individual has their own system, and so every time I get to spend 27 minutes handwaving my medical history, name, genealogy, and various other things like it's the first time visiting the planet because nobody can share that information without audible screeching.
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@Tsaukpaetra That was one advantage of the large medical corporation that my doctors were all part of before I moved to Texas. Primary care, urgent care, just about any specialty you might possibly need, all under one roof, all using the same record system, all with complete access to the same record system. Still, they'd ask those questions, just to make sure the information is up to date; you might have gone to another doctor, and there's something new that isn't in their system.
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@HardwareGeek said in TIL (about the Dark Arts of HTML):
you might have
Methinks we should complete the monopolization of healthcare!
Oh wait this isn't the ....
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@topspin said in TIL (about the Dark Arts of HTML):
Spotlight on Mac or KDE’s launcher can do it too. I’d almost want assume it works on windows, but the start menu is so broken it can’t even show programs, so calculating would be too much to ask.
You can add the Spotlight-like functionality to Windows using PowerToys like it's the 90s again.
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TIL that part of the UK is called Test Valley and it isn’t dummy data.
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@Arantor
It's all fun and games until you are hit in Testes Valley
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@Arantor said in TIL (about the Dark Arts of HTML):
TIL that part of the UK is called Test Valley and it isn’t dummy data.
Yes, you need to handle the Test case correctly.
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TIL that Edge has a built in surfing game that's exactly like Ski Free. Although I'm still not sure if I got any MS Reward points for playing it
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TIL Iberian Orcas — a.k.a. killer whales, or as I like to think of them "panda dolphins" — have been since 2020 "interacting" with boats along the coast of Spain near the straight of Gibraltar and along the coast of Portugal and further up north (Spain again). It seems to be spreading as far as Scotland as well.
These "interactions" consist in attacking hulls and rudders, in some cases even sinking boats.
This might just be a temporary fad, as orcas are very intelligent and it doesn't take much for individuals to learn and repeat behaviours off each other.
In the 1980s, in Puget sound (US state of Washington), it was fashionable to wear dead salmon on their heads!
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@Zecc said in TIL (about the Dark Arts of HTML):
TIL Iberian Orcas — a.k.a. killer whales, or as I like to think of them "panda dolphins" — have been since 2020 "interacting" with boats along the coast of Spain near the straight of Gibraltar and along the coast of Portugal and further up north (Spain again). It seems to be spreading as far as Scotland as well.
These "interactions" consist in attacking hulls and rudders, in some cases even sinking boats.
This might just be a temporary fad, as orcas are very intelligent and it doesn't take much for individuals to learn and repeat behaviours off each other.
In the 1980s, in Puget sound (US state of Washington), it was fashionable to wear dead salmon on their heads!I think I read about it and that it started with a single female and some sea fella speculated that one of her calves had been hit by a boat and now she was out on a vendetta against all boatdom.
And Orcas being Orcas just went with it as a group.
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@Zecc Actually, Orcas are playful animals and just want to have a little fun. How should they know that they cause severe collateral damage sometime? Fun comes frist.
So, actually, they fit well to us WDTWTFers.
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Everyone knows that, in addition to playing Bert in Mary Poppins, Dick Van Dyke also played Mr. Dawes Sr., the crotchety old banker who can barely move around and keep his footing.
TIL two significant people did not know this: the child actors playing Jane and Michael, who interacted with him in this scene, didn't realize that that was him until they saw the credits at the premiere.
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@Mason_Wheeler said in TIL (about the Dark Arts of HTML):
until they saw the credits at the premiere.
Fake. Children do not read credits!
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@Tsaukpaetra Credits were a lot shorter and less boring in the 60s. (And they were probably paying attention because they wanted to see themselves listed in there.)
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@BernieTheBernie said in TIL (about the Dark Arts of HTML):
Orcas are playful animals and just want to have a little fun.
Fuck the whales!
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@Tsaukpaetra said in TIL (about the Dark Arts of HTML):
@BernieTheBernie said in TIL (about the Dark Arts of HTML):
Orcas are playful animals and just want to have a little fun.
Fuck the whales!
Orcas are basically dolphins, so that is definitely one the options if you jump in the water with them. Or they might just eat you.
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@dkf said in TIL (about the Dark Arts of HTML):
@Tsaukpaetra said in TIL (about the Dark Arts of HTML):
@BernieTheBernie said in TIL (about the Dark Arts of HTML):
Orcas are playful animals and just want to have a little fun.
Fuck the whales!
Orcas are basically dolphins, so that is definitely one the options if you jump in the water with them. Or they might just eat you.
I'll be sure to piss on them first, that way they know I'm not food.
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The Kink thread is leaking again.
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@Zerosquare said in TIL (about the Dark Arts of HTML):
The Kink thread is leaking again.
That's actually a nice segue into this:
https://www.theatlantic.com/health/archive/2023/10/humans-have-two-noses-really/675823/
[The nose is] lined with venous erectile tissue that has a “similar structure to the erectile tissue in the penis,” Eccles said, and can become engorged with blood. Infection or allergies amplify the swelling, so much so that the nasal passages become completely blocked. This swelling, not mucus, is the primary cause of a stuffy nose, which is why expelling snot never quite fixes congestion entirely.
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@boomzilla Huh, I thought that was self discoverable? Well good on ya for learnin'!
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@Tsaukpaetra I knew that stuff in there would close up. Was not aware that it was done in similar fashion to how my dick works and now I'm trying to keep from wondering how one might self discover such a thing.
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Today I wish I hadn't learned about perineum sunning.
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@Zecc said in TIL (about the Dark Arts of HTML):
Today I wish I hadn't learned about perineum sunning.
Ah, you're in that section of the Internet. Make sure to save-scum!
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@Tsaukpaetra Actually, I heard about it on tv.
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@Zecc said in TIL (about the Dark Arts of HTML):
@Tsaukpaetra Actually, I heard about it on tv.
... Shit, it's overflowing!
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Apparently it’s a trend on TikTok. Those crazy kids, whatever next?
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@Arantor time for another culling via tide pods
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@Arantor said in TIL (about the Dark Arts of HTML):
Apparently it’s a trend on TikTok. Those crazy kids, whatever next?
That’s hilarious. Hilariously stupid, but at least not dangerous.
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@topspin said in TIL (about the Dark Arts of HTML):
@Arantor said in TIL (about the Dark Arts of HTML):
Apparently it’s a trend on TikTok. Those crazy kids, whatever next?
That’s hilarious. Hilariously stupid, but at least not dangerous.
If they do it for 30 seconds as “recommended” sure, but if they keep doing it for longer, the risks of localised skin cancers will go up and that’s not a region you want that in.
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@Arantor said in TIL (about the Dark Arts of HTML):
@topspin said in TIL (about the Dark Arts of HTML):
@Arantor said in TIL (about the Dark Arts of HTML):
Apparently it’s a trend on TikTok. Those crazy kids, whatever next?
That’s hilarious. Hilariously stupid, but at least not dangerous.
If they do it for 30 seconds as “recommended” sure, but if they keep doing it for longer, the risks of localised skin cancers will go up and that’s not a region you want that in.
I'm not going to google anything about this to find out more than I care to know.
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@Arantor said in TIL (about the Dark Arts of HTML):
Apparently it’s a trend on TikTok. Those crazy kids, whatever next?
Again?
@topspin said in TIL (about the Dark Arts of HTML):
I'm not going to google anything about this to find out more than I care to know.
I mean, I ducked it quickly and the results were late 2019 and 2020, so this fad ain't new. Also among the top results were some mainstream media ones saying it ain't no workey and pointing out the risk of cancer, especially if overdone.
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@Bulb of course again, because it's now suitably repackaged for TikTok.