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Clinical Face Off: Wvu vs. Priapism

Discussion in 'Pharmacy' started by BMBiology, Jan 3, 2009.

  1. BMBiology

    BMBiology temporarily banned~!
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    I am sure many of you would agree that Wvu and Priapism are two of the finest pharmacists. Wvu worked in retail for four years but now he has moved up and currently works as a clinical pharmacist in a prestigious rural hospital. Priapism decided to do another year of residency and he hopes that one day he would become the director of the FDA and forever destroy the evil pharmaceutical industry (even if he has to do another year of residency).

    These two clinical pharmacists are the finest in the pharmacy profession but who's better? Wvu or Priapism?! Let's have a clinical face off!! Let's ask them questions (only clinical questions of course) to determine who is the superior clinician. I want you, retail pharmacists (hell, even if you as retail pharmacy clerk) to participate! Let's begin!

    Question #1: The patient is on lithium. The physician wants to give the patient an NSAID for his rheumatoid arthritis. However, the physician is concerned that the NSAID may increase his lithium level and cause the patient to suffer from lithium toxicity. He remembers hearing last night that there is one NSAID that is least likely to increase lithium level but he was busy checking out a hot nurse and forgot the name of the drug. Fortunately, a clinical pharmacist is near by so he asked him. As a clinical pharmacist, what is your answer?
    Update: sulindac! :thumbup:Wvu 1. Pria 0.:thumbdown:
     
    #1 BMBiology, Jan 3, 2009
    Last edited: Jan 4, 2009
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  3. Priapism321

    Priapism321 Bursting with enthusiasm
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    Wow, that little thread from last night has you all fired up.
     
  4. All4MyDaughter

    All4MyDaughter SDN Mommystrator
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    I'm not Pria or WVU but I know the answer. Without looking it up, even. Yay for working at the VA. Am I allowed to answer?
     
  5. Requiem

    Requiem Senior Member
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    little edit - wasn't wvu's 4 year stint in retail predominantly as a student? maybe he can clarify - i'm sure he didn't graduate 4 years ago.
     
  6. npage148

    npage148 Senior Member
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    I know it!
     
  7. Glycerin

    Glycerin Commercially Unavailable
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    *raises hand*
     
  8. FAMUPharmD09

    FAMUPharmD09 Pharm.D.
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    Teacher pick me (lol)
     
  9. FruitFly

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    this is a fully sanctioned pissing contest.
     
  10. BMBiology

    BMBiology temporarily banned~!
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    You guys are way too funny! Priapism has read the question so let's give WVU a chance to answer it.
     
  11. bigpharmD

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    I would destroy them. Just like in the clinical skills competition.
     
  12. Old Timer

    Old Timer SDN Advisor
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    With your modesty, one would suppose.....
     
  13. MountainPharmD

    MountainPharmD custodiunt illud simplex
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    With his modesty he fits right in with the other two........
     
  14. RxWildcat

    RxWildcat Julius Randle BEASTMODE!
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    :laugh: Nice.
     
  15. GodsSon2011

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    why are you riding these two guys dicks so much..there just people who post on a pharmacy forum.....:laugh::laugh::laugh:
     
  16. UBCmicrobi

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    lol, this was one of our first year case studies (except the hot nurse part)
     
  17. Omegadramon

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    "Whatever is most cost effective!" ~PBM
     
  18. njac

    njac Senior Member
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    interesting. that's something that never came up in my edumacation. learn something new every day!

    what else did I learn today. Oh yeah, Daptomycin-associated arrhythmia. Heard two residents talking in the hall about it. Asked them about it. Good times in the teaching hospital.
     
  19. All4MyDaughter

    All4MyDaughter SDN Mommystrator
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    QFT. :thumbup: :smuggrin:
     
  20. WVUPharm2007

    WVUPharm2007 imagine sisyphus happy
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    Well, you could be wanting tylenol, aspirin, or sulindac. I'd wager you are after sulindac. But that's just random, easy trivia. You're embarrassing yourself by pretending that this represents some sort of unbelievably difficult challenge.

    Why don't you tell me the mechanism behind WHY, say, sulindac causes less lithium toxicity than other NSAIDS. Break out the prostaglandin biochemical pathways and impress us.

    Hell, I don't even really like clinical pharmacy. It's too monotonous and will get old in a year or so. Read guidelines...apply them...read more guidelines...apply them. Ad infinitum. But it just so happens to be way, way better than retail that in comparison it seems awesome. I'm all about medicinal chemistry, biochemistry, and pharmacology. Honestly, I'm thinking about a fellowship somewhere to get into industry once the danged economy picks back up and they start hiring again. I really belong in translational medicine...I'd eat that **** up.
     
    #19 WVUPharm2007, Jan 3, 2009
    Last edited: Jan 3, 2009
  21. BMBiology

    BMBiology temporarily banned~!
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    Sulindac! And the winner is Wvu (and the crowd goes wild)!!

    :thumbup:Wvu 1. Pria 0.:thumbdown:

    (btw, tylenol is not be a good option for rheumatoid arthritis since it is an autoimmune mediated inflammatory disorder)

    Who's next? Who's going to ask the next question and challenge these two fine pharmacists?
     
  22. WVUPharm2007

    WVUPharm2007 imagine sisyphus happy
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    Yeah, but what the mechanism behind it, mr. passive aggression?
     
  23. BMBiology

    BMBiology temporarily banned~!
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    I dare not go against you. You are a hospital stud.
     
  24. WVUPharm2007

    WVUPharm2007 imagine sisyphus happy
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    I swear to God...if they did a survey of pharmacists, you'd find that 90% of them were passive-aggressive introverts with no aggression. I can just see this putz somehow thinking the above somehow "bests" someone...somehow... :rolleyes:

    How about you actually defend big-box retail pharmacy rather than going of on inane tangents about the big, bad non-retail pharmacists demeaning your job...which is ironically demeaning in and of itself.
     
  25. BMBiology

    BMBiology temporarily banned~!
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    This is the clinical face off thread, not the "I hate retail" thread.
     
  26. MountainPharmD

    MountainPharmD custodiunt illud simplex
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    I think that is a trait of hospital pharmacists...a one track mind only able to focus on one detail at a time. He seems to be stuck on his I hate retail thread because I wasn't smart enough to do it track. I guess if you can't hack being a real pharmacist there is always a comfey chair for you at the order entry computer at your local hospital.
     
  27. WVUPharm2007

    WVUPharm2007 imagine sisyphus happy
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    Yeah, you're right. I couldn't figure out how to average 5 items per bag when bagging up groceries, so I got sacked.
     
  28. njac

    njac Senior Member
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    you used to come up with good analogies for pharmacology stuff. Care to explain this one? (I'm serious. While you would probably never teach in the academic setting due to the politics I think you could be a great preceptor with the analogies and illustrations)



    I think this thread is ridiculous. If people want to do retail, let them. Don't try to talk them out of it. I don't want them applying for the job that I know I want.
     
  29. WVUPharm2007

    WVUPharm2007 imagine sisyphus happy
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    That's a toughie. Plus, the mechanism is only theoretical. Mmmmm....reversible prodrugs....
     
  30. MountainPharmD

    MountainPharmD custodiunt illud simplex
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    7 items per bag thank you.....do not forget to encourage people to buy the reusable bags....we all want to be green!!!!!
     
  31. Glycerin

    Glycerin Commercially Unavailable
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    Believe me, I'm all for saving the Earth, but if I have to hear "going green" or something of the sort one more time, I'ma throw up a little. Okay, a lot.

    That phrase and maverick. :barf:
     
  32. MountainPharmD

    MountainPharmD custodiunt illud simplex
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    Hey...what do you have against Maverick? He is the coolest fighter pilot in the world!
     
  33. Glycerin

    Glycerin Commercially Unavailable
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    Don't even get me started on Tom Cruise and what a tool he is. :smuggrin:
     
  34. Farmercyst

    Farmercyst From the shadows
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    And a pretty funny gunslinger.
     

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