| Political Talk|| re: That's some mighty clever justicing - Elephino on 7/1/14 at 9:22 am|
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....
| Political Talk|| re: That's some mighty clever justicing - Elephino on 7/1/14 at 8:58 am|
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...
| O-T Lounge|| re: Looking for some ideas for a Chicago trip with kids... - Elephino on 6/27/14 at 11:04 am|
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)....
| O-T Lounge|| re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino on 6/25/14 at 7:31 am|
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...
| O-T Lounge|| re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino on 6/24/14 at 9:26 pm|
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....
| O-T Lounge|| re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino on 6/24/14 at 9:10 pm|
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...
| O-T Lounge|| re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino on 6/24/14 at 8:54 pm|
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...
| O-T Lounge|| re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino on 6/24/14 at 8:38 pm|
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...
| O-T Lounge|| re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino on 6/24/14 at 8:30 pm|
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....
| O-T Lounge|| re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino on 6/24/14 at 8:22 pm|
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...
| O-T Lounge|| re: Ketamine and flexeril ointment from a compounding pharmacy? - Elephino on 6/24/14 at 8:08 pm|
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 ...
| O-T Lounge|| re: Best drummer ever! - Elephino on 6/11/14 at 2:35 pm|
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...
| O-T Lounge|| re: Golf in N.O. - Elephino on 6/2/14 at 4:34 pm|
Chateu in Kenner or Riverlands in Laplace are both relatively close to the airport....
| O-T Lounge|| re: MidSouth pissing match: Memphis vs Birmingham - Elephino on 5/29/14 at 10:02 am|
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....
| O-T Lounge|| re: MidSouth pissing match: Memphis vs Birmingham - Elephino on 5/29/14 at 8:49 am|
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...
| Political Talk|| re: I have never felt more powerless in all of my life - Elephino on 5/22/14 at 1:07 pm|
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)....
| Outdoor Board|| re: Sack of Oysters??? - Elephino on 5/20/14 at 8:41 am|
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]...
| O-T Lounge|| re: What candy do you wish still existed (or could find) or would exist? - Elephino on 5/13/14 at 7:43 am|
Best cereal ever!
This stuff was awesome too.
And astro pops (maybe still around, but haven't seen them)
| Political Talk|| re: Trey Gowdy seems himself as a prosecutor rather than lead investigator - Elephino on 5/9/14 at 4:32 pm|
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...
| Political Talk|| re: Trey Gowdy seems himself as a prosecutor rather than lead investigator - Elephino on 5/9/14 at 11:40 am|
[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 ...
| Outdoor Board|| re: spin-off from snake threads - Md question - Elephino on 5/9/14 at 9:08 am|
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 ...
| Outdoor Board|| re: spin-off from snake threads - Md question - Elephino on 5/9/14 at 8:37 am|
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...
| Outdoor Board|| re: spin-off from snake threads - Md question - Elephino on 5/9/14 at 8:05 am|
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...
| Outdoor Board|| re: spin-off from snake threads - Md question - Elephino on 5/9/14 at 7:48 am|
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...
| Outdoor Board|| re: custom crawfish boiler - Elephino on 5/7/14 at 8:39 am|
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]
| O-T Lounge|| re: Jobs that you think there will be a demand for many years to come. - Elephino on 4/28/14 at 11:39 am|
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. ...
| Political Talk|| re: (Somewhat of a) follow-up to the Toyota news--California cows leaving the state - Elephino on 4/28/14 at 11:26 am|
It's not an "either/or" proposition. Corn used to produce ethanol leaves dry distillers grain (DDG), which is used in livestock feed due to its high nutritional content. When corn prices fell to below the cost of DDG, ranchers simply shifted to the use of more corn feed. [link=(http://www.cattle...
| O-T Lounge|| re: The World's Scariest Drug (Scopolamine Documentary) - Elephino on 4/9/14 at 1:02 pm|
What everyone has commented so far is true. Scopolamine is used as an anti-emetic and anti-motility drug. The patch is scopoderm. In high enough concentrations, most drugs within the class can be deadly. It is a solanaceous alkaloid derivative similar to atropine (atropa belladonna, deadly night...
| Tiger Rant|| re: Mettenberger's knee is already at 97% strength Update: Throwing w/ Helmet/Pads - Elephino on 4/9/14 at 9:26 am|
I haven't rehabbed a knee in over 20 yrs, but I do recall having the strength of one measured against the strength of the other (good vs bad) on a computerized machine. Base readings taken off of good knee and then increasing opposing pressure applied to the bad in order to find the percent differe...
| O-T Lounge|| re: Funniest saying you've heard. - Elephino on 4/7/14 at 8:23 am|
[quote]fricked up as a Football Bat.[/quote]
One I heard in the military, frequently.
Some other military favorites...
Looks like you pressed that uni with a warm rock.
Son, you're about as well put-together as a soup sandwich.
Was also often called a "trunk of funk"....