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.

Nah it’s not just a state. A lot of Ob/Gyn physicians no longer feel comfortable practicing in states with extremely prohibitive abortion laws because it genuinely limits what kind of healthcare they can practice. This limits access to care, which can result in poor outcomes.

Oy… sending love over the internet. A member of my community decided against going to nova the night before, I can only imagine what it’s been like for you.

Actually there are a good number of Arab Israelis who are not of Palestinian origin. It’s a more encompassing term. Plus from what I know Times of Israel is left leaning - so you might be barking up the wrong tree here.

And non Palestinians? What are you on about here

I’m happy to hear this but honestly I’m confused as to how flipboard is supposed to work with federated media. I thought it was basically an RSS aggregator? Could someone explain

^ this - people keep making this assumption and it’s tiring. None of the groups involved in the conflict have European origin. Having diaspora that migrated to Europe ≠ being European or white

This reminds me of those hitler quotes that people were duped into agreeing with and then being told it was said by hitler.

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

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

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.