Friendly Pharmacist

KY bill to let pharmacists get Medicaid reimbursement clears Senate • Kentucky Lantern About 90% of Kentuckians live within five miles of a community pharmacy while the state faces a shortage of primary care physicians.

“Senate Bill 38 recognizes the expertise of pharmacists and allows them to practice at the top of their license, making better use of an existing health care resource, rather than creating a new government program."

From @sarahelizabethladd.bsky.social.

kentuckylantern.com/briefs/ky-bi...

🌟 ABX Pearl of the Day:

❓Q: My patient is admitted for heart failure and has a chronic indwelling foley with cloudy urine. Should I send a urinalysis or urine culture (UCx) to assess for UTI?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky

YouTube video by Still Watching Netflix 'Forks Out': A Benoit Blanc Sesame Street Mystery | Wake Up Dead Man | Netflix

Oh @rianjohnson.bsky.social played all innocent "I'm not doing a muppet thing with Knives Out" he knew HE KNEW

LD movie when?

🌟 ABX Pearl of the Day:

❓ Q: Treating HAP/VAP? 🤔 Can we go shorter than 7 days?

💡A: Yes! While 7 days is the norm, evidence supports shorter courses in specific cases. Let’s break it down! 👇

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky

1, 2, 3…. awwwwwww

ACMT Position Statement: ACMT affirms the safety of acetaminophen in pregnancy and calls for an evidence-based approach to the search for causes and treatment of autism.

Position Statement: ACMT Supports the Safe Use of #Acetaminophen in Pregnancy.

Read our full statement here➡️ bit.ly/3VxbKw8

ACOG reaffirms that acetaminophen is safe for managing pain and fever during pregnancy. No reputable studies support suggestions like those in HHS’s recent announcement linking acetaminophen use in pregnancy to autism; in fact, high-quality studies show no such risk. https://bit.ly/47Wxc59

🌟 ABX Pearl of the Day:

❓ Q: My patient is growing yeast in blood cultures. Is this Candida?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky

Timeline cleanse

True art

Nanny Ogg hasn’t adjusted. She does the adjusting. She’s great at making sure her environment maximizes her happiness and comfort. Icon.

etching of a centaur captioned According to Greek mythology, Chiron was a half horse, half human doctor. This made him the Centaur for Disease Control.

I will *never* apologize for a post

it’s less than 10% of a sentence by character it’s fine

No worries! Anyone can be a vocalist at karaoke after 3 stiff drinks or in the shower stall.

📚
1. For more information, check the 🔥 new 2025 IDSA guidelines on complicated urinary tract infections: www.idsociety.org/practice-gui...

2. Nelson, Z., et al. UTI: A WikiGuidelines Group Consensus Statement. JAMA Netw Open. 2024;7(11):e2444495

💡 A: No, he does not have a complicated UTI. While it was previously thought that male gender, anatomic abnormalities, or immunocompromised status always indicated a complicated UTI, this is no longer supported by IDSA guidelines.(1,2) See Classification of UTI here:

🌟 ABX Pearl of the Day: UTI in males

❓ Q: My male patient with dysuria is growing E. coli (>100,000 CFU/mL) on urine culture. He has no systemic symptoms or signs of pyelonephritis or prostatitis. Does he have a complicated UTI?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky

Today’s FDA panel on SSRIs in pregnancy lacked balance and failed to reflect the evidence. Untreated depression and anxiety can lead to serious health risks for pregnant patients—SSRIs can be lifesaving. Patients deserve access to evidence-based, compassionate care. Learn more: buff.ly/NcCZno8

I would argue that’s not face-to-face contact

🌟 ABX Pearl of the Day: penicillin allergies

❓ Q: My patient reports a reaction to penicillin (acute, self-limited rash) over 10 years ago. Can they safely receive cefazolin for their MSSA infection?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky

Ten authors by whom I’ve read more than 5 books:

Terry Pratchett
Patricia C. Wrede
Anne McCaffery
Seanan McGuire
Jim Butcher
Patricia Briggs
Madeline L’Engle
Tamora Pierce
Lois McMaster Bujold
Courtney Milan

But the Luggage has to do everything Rincewind does sometimes even backward and in heels. Poor Trunkie.

Good pep talk!

🌟 ABX Pearl of the Day: ertapenem hypoalbuminemia

❓ Q: My ICU patient with hypoalbuminemia has ESBL E. coli pyelonephritis, resistant to PO abx. He improved (afeb, WBC WNL, off pressors) after 3d of meropenem. Should I avoid narrowing to ertapenem?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky

Jail for 1,000 years

So delighted to be in the pharmacy business in this new age of snake oil salesmen.

NASA is being told to cancel 19 *active* missions to save $6B, which looks to be less than the ICE *hiring/retention* budget going forward.

I need people to let that sentence sink into their bones for a minute.

Everyday painkiller made from plastic — by E. coli Study highlights potential for sustainable synthesis of paracetamol.

Wow! Scientists engineered E. coli to convert plastic waste (PET) into pain medicine paracetamol (acetaminophen or Tylenol) in under 24 hours with up to 92% yield.
www.nature.com/articles/d41...

#medsky #pharmsky 🧪

Here’s Your Cheat Sheet for Vaccine Recommendations Backed by Science These graphics will guide you through science-based vaccine guidelines for children and adults

Vaccination schedules on the CDC website have already started changing under RFK Jr. So we published a guide to the evidence-based vaccine recommendations in place *before* all 17 members of the advisory panel were abruptly dismissed by the new admin. www.scientificamerican.com/article/see-... 🧪