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Political Talk
re: Post a picture of your U.S. House of Representatives Member... - Elephino
We use Lexington Medical Center as one of our preceptor sites; very nice. GSP is small, too small for the growth of the city. They are adding a few extra terminals, but I still never have to get there more than an hour before my flight. They've become increasingly competitive with Charlotte for bus...


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Political Talk
re: Post a picture of your U.S. House of Representatives Member... - Elephino
Greenville. Actual neighborhood is new in an unincorporated area of Simsponville near Five Forks....


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Political Talk
re: Post a picture of your U.S. House of Representatives Member... - Elephino
[img]http://tnp.thenationalpatriot.com/trey%201.jpg[/img]...


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Outdoor Board
re: Fishing in Lafitte - Not Familiar with the Area - Elephino
Have not been in Lafitte this summer, but typically the bigger trout are out this time of year (down by Grand Isle). You'll have to at least head out into Barataria Bay SE of Mud Lake to Manilla Village (sunken reef). If the fishing is good it will look like a parking lot. There are a couple of pu...


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Political Talk
re: That's some mighty clever justicing - Elephino
Semantics depending on your personal views. Plan B will not terminate an established pregnancy. It can prevent implantation of a fertilized egg (post-conception), which = abortion for some....


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Political Talk
re: That's some mighty clever justicing - Elephino
Pregnancy is a medical condition in the sense that non-pregnancy medical complications can arise during the course, but it is not a disease state. Not wanting to become pregnant isn't a medical condition, nor is it preventative of a medically recognized disease. Hobby Lobby's objection was to poss...


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O-T Lounge
re: Looking for some ideas for a Chicago trip with kids... - Elephino
All of the things mentioned plus Six Flags Great America in Gurnee, IL. It has a New Orleans/Mardi Gras themed section. The Berghoff has good German food with their own root beer on tap. They still sell their own beer recipes as well, just no longer brewed on site (or by the family)....


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O-T Lounge
re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino
Not sure if your answer was meant as a dig; juvenile, but not unexpected for this board. I tried to explain in one of my earlier posts. Your company should have a formulary of preferred drugs and accepted alternatives with a reimbursement schedule. These compounded formulations that are not inclu...


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O-T Lounge
re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino
Just looking at the structure I can tell you it likely undergoes heavy N-demethylation in the liver. No idea how dogs and cats metabolize it....


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O-T Lounge
re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino
You answered part of your own question to me as you work in wc. I don't have a dog in the fight. I'm a drug and formulations chemist. I don't work for a company selling a product. I can assure you many of the drugs mentioned do have some amount of transdermal penetration. We actually have a funded p...


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O-T Lounge
re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino
I know nothing of Willow. Sounds like a company with a specific formulation they are marketing. It also sounds like they are exploiting the fact that the compounded formulation doesn't have a set reimbursement /compensation per a typical formulary. Ketamine has an abuse potential, but the other com...


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O-T Lounge
re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino
I said generally. Pharmacies don't get their meds directly from the manufacturer, there is a middle man involved. There are USP formulations that are compounded. Some are simply known formulations that are not approved for authorized billing. There are compounding pharmacies that exist exclusively a...


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O-T Lounge
re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino
Completely different situation for a wc benefit claim over typical prescription med plan. A company trying to cover their arse is not the same as a plan provider trying to spare costs and maximize profits....


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O-T Lounge
re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino
It's not a particular pharmacy pushing anything. Combination creams/gels containing ketamine , cyclobenzaprine or orphenadrine, baclofen or gabapentin, and lidocaine have become almost standardized. If a drug company were to market a specific formulation as a preformulated med, the price would go do...


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O-T Lounge
re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino
Cyclobenzaprine is sort of a unique drug. It fits the pharmacophore for both anticholinergic drugs (muscle relaxing properties) and antihistamine properties (H1 sedative properties). It's true the transdermal ketamine effect will be effective for neuropathic pain,but should not cause a dissociative ...


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O-T Lounge
re: Best drummer ever! - Elephino
Based on body of work, he's certainly not on the level of the likes of Pert or Portnoy, but Austin Rios has a long career in front of him to improve. He's already making quite a bit touring with Digital Summer. [link=(https://www.youtube.com/watch?v=Vwa-rYivzhU&list=UUtcm-_ipl5zO8oAu5HeA06A)]Austi...


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O-T Lounge
re: Golf in N.O. - Elephino
Chateu in Kenner or Riverlands in Laplace are both relatively close to the airport....


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O-T Lounge
re: MidSouth pissing match: Memphis vs Birmingham - Elephino
If you equate culture with a bar, then yes, you might be confused. Memphis and Bham are both old southern cities with a sketchy past. However, Memphis has some really great historical places (Graceland, Pink Palace, Beale, Lorraine Motel), along with a globally known reputation for food and music....


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O-T Lounge
re: MidSouth pissing match: Memphis vs Birmingham - Elephino
Metro area size is comparable, but the similarities really end there. Bham has more opportunity for young professionals with degrees and the UAB health system is pretty large. Memphis is "the" distribution hub; lots of big rigs on the road and warehouses around. The UT Health Science Center is th...


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Political Talk
re: I have never felt more powerless in all of my life - Elephino
Soft tissue was an additional, approved indication in 2012. It's initial approval was for advanced renal cell carcinoma about 5 years ago. One of the many new kinase inhibitors (Tyrosine in this case)....


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Outdoor Board
re: Sack of Oysters??? - Elephino
The risk is from infection with Vibrio sp. The bacteria grow better in warmer conditions, but can also be found in cold months. [link=(http://www.fda.gov/Food/ResourcesForYou/HealthEducators/ucm085385.htm)]Raw Oyster Myths & Facts[/link]...


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O-T Lounge
re: What candy do you wish still existed (or could find) or would exist? - Elephino
Best cereal ever! [img]http://www.mrbreakfast.com/ucp/130_7053_ucp.jpg[/img] This stuff was awesome too. [img]http://37.media.tumblr.com/a47b4230139feecb2ceef35b2a4adfc0/tumblr_mz035vCiRX1qh971so1_500.jpg[/img] And astro pops (maybe still around, but haven't seen them) [img]http://0...


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Political Talk
re: Trey Gowdy seems himself as a prosecutor rather than lead investigator - Elephino
Sorry, I have a real job that pulled me away for a while. Your typical "Fox News, Fox News" BS is tired. I'm sure you are aware of General Lovell's testimony http://www.usatoday.com/story/news/world/2014/05/01/benghazi-testimony-africom-general/8554559/. He didn't look or sound like a man who t...


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Political Talk
re: Trey Gowdy seems himself as a prosecutor rather than lead investigator - Elephino
[quote]Why don't you ask the GOP head of the Armed Services Committee who concluded there was nothing more the military could have done.[/quote] This is a hindsight response to the knowledge of how things resulted. It is not a valid response to why nothing was attempted...something about trying ...


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Outdoor Board
re: spin-off from snake threads - Md question - Elephino
I am not a fan of the snake bite kit based off of everything that is now known. The first rule should always be to waste as little time as possible getting medical attention. Studies have shown the suction extractors actually remove very little venom. Cutting at the site may damage blood vessels ...


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Outdoor Board
re: spin-off from snake threads - Md question - Elephino
Coral snakes do not have true fangs. They cannot penetrate thick clothing, shoes (esp. leather). Their venom yield is very low (3-5 mg), but extremely deadly. It is all neurotoxin, which leads to respiratory/circulatory arrest/collapse. Wyeth was the manufacturer of antivenin, but ceased when Pf...


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Outdoor Board
re: spin-off from snake threads - Md question - Elephino
Correct. Snake bites are not as simple as having an antidote to poison. Antivenin is usually in short supply and may require more than a dozen vials in the case of a severe envenomation. Southern Copperheads have a very high percentage of dry bites and even wet bites are low venom yield (40-75 mg...


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Outdoor Board
re: spin-off from snake threads - Md question - Elephino
Staying calm is really not a realistic option. Not really a huge need to ID in the US, though. We only have a single antivenin available now (CroFab), which is used for all pit viper species. Coral snake antivenin is no longer available...yet. There are conflicting reports about whether or not to r...


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Outdoor Board
re: custom crawfish boiler - Elephino
Guy out of Georgia builds these. My colleague bought one this year and we did 50 lbs of shrimp in the first outing. Really nice design and got going pretty quick. [link=(http://southernsteamers.com/oyster-crab-shrimp-seafood-steamer.htm)]LINK[/link] ...


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O-T Lounge
re: Jobs that you think there will be a demand for many years to come. - Elephino
Very close to the truth, except it may not be MD physicians. There has been a spike in the applications for PA and NP students, as well as applications for new schools. ...


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