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Cake day: June 16th, 2023

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  • 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.













  • I’ve worked in genetics settings, and am considering a career in it – which is partially why I wouldn’t want to send my DNA in. I don’t really see a point in it because you said, its mostly statistical analysis and, buy and large, isn’t very specific.

    For lack of better term this privatized genetic screening phenomenon feels like pop science on crack. Spit in a tube, have the cool science company analyze it - find out cool stuff. But when I’m asked about it, I always warn people of the same thing. This is still a relatively new field. Legislation protecting people on the privacy of their genetic code is shaky at best, and the information you get isn’t going to be all that useful.

    My parents both come from different ethic minority populations so they wanted to learn more about their roots.

    taking these tests for medical reasons, or for adopted people

    which in response to that - I’d say that that another case could be for people that do have a curiosity of where they came from given other unique familial backgrounds - which is why I mentioned my family. But I agree it’s hard to draw the line on cost/benefits for each person and where it’s merely novelty versus having legitimate benefit.

    for getting a better medical understanding - I really think that it would be better to see a genetic counselor or clinical geneticist. It’s still a growing field in medicine so there aren’t that many - and they typically work in prenatal and pediatric settings. But it’s my hope that as the profession grows, this information will be liaised more by medical professionals - both to guide people in understanding the results of genetic screens and also so that this information is protected under patient privacy laws.

    apologies if this was a little scattered. I’m kinda a nerd for genetics and have a lot of thoughts about it - and this was mostly me thinking as I was writing








  • 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.