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See, that’s what the app is perfect for.

Sounds perfect Wahhhh, I don’t wanna
cosmictuesdays eliciaforever-deactivated201906

HEY I KNOW THINGS SEEM CRAZY RIGHT NOW

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And that’s because they are. But if you voted, you did your job. Hang in there.

What’s happening in this administration is called P A N I C K I N G.

Don’t fall for their distractions. Recognize “announcements” and “news” and “orders” and anything else that comes from the White House as exactly what they are—the acts of a desperate man and his equally desperate staff who know their time is coming to an end. Don’t focus on the content of what comes from Trump’s mouth. Focus on the context. 

Also you can do what I’ve been doing if you need something soothing to distract you from the hellscape of the post-midterm news-o-sphere, which is watch a lot of Star Trek TNG.

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Evening and night shifts are really great for new practitioners

We need to become jack-of-all trades. In the daytime, there are specialty pharmacists to take care of each case, but in the evening I go from solving problems for neonates to handling chemotherapy questions in elderly patients.

I got a call past midnight from a cardiology NP. “I have a patient transferred here with a recent history of heparin-induced thrombocytopenia. I need to start argatroban. The order set doesn’t match up with my drug resources, and it’s been two years since I’ve ordered it.”

I told her that it’s been a year for me, and together we worked it out. We were patient with each other until we both felt secure in our decision for the drug. I told her how I’d compound it and she didn’t mind when I called back later to find out the patient’s hepatic function because I’d forgotten how important it was for argatroban during our first conversation. We worked out why the order set didn’t match what her drug resource was telling her—the dose for argatroban is different immediately prior to PCI, but the patient wasn’t about to undergo the procedure. After handoff at the end of my shift, I sat down with the night nurses to go over the orders together and answer their questions, since nobody uses this fussy drug very often.

Overall, a great collaboration between me and the NP, who is also a young practitioner, and a great refresher on my knowledge. I highly recommend evening and night staffing, especially when you’re new.

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historical-nonfiction

The Cruel Chinese Emperor Who Became A Cannibal When Drunk

Sun Hao ruled as emperor of Eastern Wu from 264-280 CE as “the number one tyrant of that era.” The last Eastern Wu emperor during the Three Kingdoms period, his reign ended the kingdom. Sun Hao was poor at administration, cruel, and generally unfit to rule a village. Among other vices he was often drunk and, like many heavy drinkers, liked others to get drunk with him too.

At one banquet, Sun Hao became angry because one of his counselors pretended to be drunker than he was. Sun Hao became so angry that had the poor man beheaded on the spot. Sun Hao then ordered his guards to toss the head from one man to the next, each taking a bite until the flesh was stripped down to the skull.

Source: toptenz.net
history china three kingdoms three kingdoms period royalty monarchy