NPs working under a physician with actual oversight is fine. The ones I have problems with are the ones that have a physician sign the hundreds of notes a month while maybe reviewing a handful, and worse, the ones pushing for independent practice without even that sham of oversight involved.
medgremlin
joined 1 year ago
They are entirely different drugs with different mechanisms. Taking too much paracetamol/Tylenol/acetaminophen is extremely dangerous for your liver and dosing instructions should be followed exactly. Prolonged use of ibuprofen or other NSAIDs can lead to gastrointestinal ulcers and kidney damage, so only take it for as long as you have to. They both have instructions to take a dose every 6 to 8 hours, so if you're in significant pain or you have a really bad fever, you can alternate them every 4 hours. For example, paracetamol at 8am, ibuprofen at noon, paracetamol at 4pm, etc.
Also, be careful of "cough" or "cold" medicines like NyQuil/DayQuil, because they usually have paracetamol/Tylenol in them and that counts towards the daily dose limit.
Having worked in ERs...nah. People can be pretty damn dumb sometimes.
Enforce zoning regulations and apply rental laws or hotel regulations to Air BnBs. If you make them actually follow the rules, it suddenly becomes vastly less profitable.
Being lazy is vaguely kinda sorta correlated with cancer... but that doesn't account for the fact that humans who are regularly active are also less likely to make other lifestyle choices that are more significantly tied to cancer like smoking and drinking.
This is the problem with a lot of population based studies. Obesity is linked with a lot of health problems like cardiovascular disease, but only some aspects of cardiovascular disease have causative links to obesity and others are sequelae of other factors that tend to be associated with obesity. For example, extra weight/adipose puts more stress on your heart by there just being more body mass to deliver blood to and more oxygen demand from muscles to just physically move the weight around (also a cause of joint problems)... but it's the poor diet full of cholesterol that clogs up the arteries (aka atherosclerosis) causing myocardial infarction (heart attack).
Oh my fuck. I hate news stories like this. Aspartame falls into the same cancer risk category as eating red meat sometimes and being kinda lazy. A rigorous systematic review was conducted of dozens of studies of aspartame and they did not find a plausible biologic mechanism by which aspartame could cause cancer. Epidemiologically, it's vaguely correlated, not causative of cancer.
Also, in the Reuters article it notes that a 132-lbs adult would have to drink 12 to 36 cans of diet coke a day for the dose/exposure to become relevant to the risk they're talking about. This article is talking about one study that is at odds with the systematically reviewed data from 40 human observational studies, 12 experimental animal studies, and 1360 assay/experimental end points to look for the supposed link.
https://www.sciencedirect.com/science/article/pii/S0278691522007475#sec5
I once worked at a hospital in the ER where the department director was a union-busting bastard, but the CEO was pretty reasonable. After I left, one of the other ER techs went to the CEO about our pay being messed up and got everyone $5-6/hour raises to actual market rate. Also, there were a few weeks when we were really understaffed that the hospital encouraged admin folks to volunteer as "candystripers" in the ER to do stuff like help clean/turn over rooms, and answer patient call lights for water, blankets, etc. And the CEO was down in the ER for a couple hours every evening helping out most of that time period. It was encouraging to see the CEO of the hospital putting on some gloves and helping us with basic stuff like cleaning and stocking.