ag8864

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Any one has good reference on what is the best option for dvt prophylaxis on severe obesity pt (230 kg)?
 

StaviZFingerZ

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Any one has good reference on what is the best option for dvt prophylaxis on severe obesity pt (230 kg)?

Exercise, diet, and weight loss.
 

Priapism321

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Any one has good reference on what is the best option for dvt prophylaxis on severe obesity pt (230 kg)?
Learn to love the literature, this was just published......these people know the story. Although limited to LMWH, these agents probably have the most data compared to other classes.

http://www.theannals.com/cgi/content/abstract/43/6/1064

The Pharmacist's/Prescriber's Letter also addressed this recently.
 

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WVUPharm2007

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lmao...I told them months ago where I work that capping the dose at 150mg for enoxaparin made no sense...I'm bringing this **** it and flopping it on the central pharmacy table. Thanks, Pria...
 

Priapism321

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what you doing now fool... PGY3? :smuggrin:
Did you get a job at your mother institution?
You should note that I am now listed as a Pharmist.......

I have a job, thinking about an FDA funded PhD program though. Yikes.
 

WVUPharm2007

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wtf...WVU apparently doesn't have access to that one...can anyone link me a .pdf of the full article?
 

WVUPharm2007

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You should note that I am now listed as a Pharmist.......

I have a job, thinking about an FDA funded PhD program though. Yikes.
Jesus H Christ. I figure I'll be going into retirement by the time you start your career.
 

Priapism321

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Jesus H Christ. I figure I'll be going into retirement by the time you start your career.

Hahahahahaha, I know.

Let me see if my VPN feels like working right now. If it does, I will get it to you.
 

StaviZFingerZ

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wtf...WVU apparently doesn't have access to that one...can anyone link me a .pdf of the full article?

I ma have my drug info pull that article.
 

StaviZFingerZ

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Hahahahahaha, I know.

Let me see if my VPN feels like working right now. If it does, I will get it to you.

I'm reporting your ass to the authorities for illegally distributing copy righted material. I think it has a fine up to $200,000.
 

Glycerin

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psshhh... slave laborer...
That's right. Slavin' in my pjs, posting here, and watching TV. I work hard.

I just know where to look for said articles. :smuggrin:
 

Priapism321

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That's right. Slavin' in my pjs, posting here, and watching TV. I work hard.

I just know where to look for said articles. :smuggrin:
You know where to look? I posted the damn abstract in the thread.......
 

StaviZFingerZ

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That's right. Slavin' in my pjs, posting here, and watching TV. I work hard.

I just know where to look for said articles. :smuggrin:

Can you email it to me ? :smuggrin:
 

Glycerin

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You know where to look? I posted the damn abstract in the thread.......
Um, that was me picking on Z, like I typically do. No reason to get your panties in a twist, Pri.
 

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Priapism321

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Um, that was me picking on Z, like I typically do. No reason to get your panties in a twist, Pri.
Unfortunately they are always twisted. Damn it.......Sorry.
 

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njac

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I should take your coworker for golf lessons. I bet between now and then he could give you a run for your money at midyear!

He grills a mean hotdog too
 

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I should take your coworker for golf lessons. I bet between now and then he could give you a run for your money at midyear!

He grills a mean hotdog too

:smuggrin: :smuggrin: :smuggrin:

he gave me his "golf lesson" report... but I don't know about run for my money. But I believe you about the hotdog thing. But at least you didn't say "bbq" hot dog ..instead said "grill"
 

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Grill is something you do to food. BBQ is something you eat. :smuggrin:
I hate to break it to the non Southerners/Hilljacks, but to "barbecue" is the correct term. We're right....like in that pretentious "it's in the dictionary" sort of way.
 

StaviZFingerZ

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Grill is something you do to food. BBQ is something you eat. :smuggrin:

Oh NOOOOOOO miss Gly.

BBQ is a method of slow cooking meat using low heat and choice smoke from different types of hard wood based on flavor you desire and the type of meat.. It is a religious term not to be confused with any other..
 

njac

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Well I've only been here 4 weeks (as of today). I guess I haven't picked up all the hill jack (yes, someone used that term at dinner last night) terminology yet. 48 weeks left!
 

Glycerin

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Ut oh, is this going to turn into a beef vs pork barbeque argument??

I guess we don't have any carolina people in this fight.
One word is all you need to know to own any BBQ argument:

MEMPHIS

(It's the ONLY thing positive going for that city.)
 

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Ut oh, is this going to turn into a beef vs pork barbeque argument??

I guess we don't have any carolina people in this fight.

beef vs. pork is just that...preference.

We don't do much pork here.. Beef, it's good food. But St. Louis and Memphis folks can fight it out over who has better pork.. I have no hog in that fight.

But you can't touch our beef.
 

StaviZFingerZ

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One word is all you need to know to own any BBQ argument:

MEMPHIS

(It's the ONLY thing positive going for that city.)

Pork. Memphis can't BBQ beef worth nothin.
 

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Y'all ain't ever been to Southern WV, either. There are some bubba joints down there than can cook up some ribs now, boys...
 

StaviZFingerZ

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Y'all ain't ever been to Southern WV, either. There are some bubba joints down there than can cook up some ribs now, boys...
We don't believe you. But I'm going to go visit my buddy near Charleston.. is that Southern WV?
 

WVUPharm2007

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We don't believe you. But I'm going to go visit my buddy near Charleston.. is that Southern WV?
Nope. Central.

You gotta go down to below Beckley...or maybe further West...

The joints down there are weird as hell. The place will smell like a mixture of motor oil and wet dog...but I'll be damned if they don't cook some good ribs...
 

StaviZFingerZ

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Well, I ma be in real Cajun country next week... gonna feast on them mud bugs.
 

PharmDstudent

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Well, I ma be in real Cajun country next week... gonna feast on them mud bugs.
Crawfish season's over... dork!

I'm sure you could find some boiled crawfish, but they'll be too hard to peel.

There's always seafood dishes and seafood boudin, too.



Anyway... off to the waterpark. :) I can't wait! :D
 
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ag8864

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Learn to love the literature, this was just published......these people know the story. Although limited to LMWH, these agents probably have the most data compared to other classes.

http://www.theannals.com/cgi/content/abstract/43/6/1064

The Pharmacist's/Prescriber's Letter also addressed this recently.
Thanks. We use heparin drip finally for prophylaxis. LMWH is restricted in our hospital. only heparin or arixtra.
 

WVUPharm2007

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You put people on a drip for prophylaxis?

That's...interesting...usually a 5000u subcut bolus 3x a day is sufficient....