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  1. #1201

    • we jumped out a window
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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!

    Quote Originally Posted by KellyMcG86 View Post
    Vitamin K works directly against Coumadin, so more Vitamin K = lower effectiveness of Coumadin = lower INR. In the hospital they may lower the Vitamin K just to avoid this, but as far as patient education goes it would be a bad idea to tell them to completely avoid it. What happens is (well, what is supposed to happen), the patient's dosed is adjusted based off their INR (lab) test. So someone who eats more Vitamin K may require a higher dose of Coumadin than someone who eats less. This is totally fine, we want patients to eat their leafy greens. The problem is when they have a clot, so get started on Coumadin, and because they had a scare they decide they're going to eat healthy. Well that lasts maybe a month, and then they go back to old habits. It comes down to the patient needing to know the importance of their diet and that if they make changes they need to let their doctor know so we can adjust their dose.

    Anyway I'll stop there because like I said I can go on forever!!! Haha

    Kelly, you should work for our pharmacy! Just don't take SM, the second most beautiful girl I know's job away

    I don't do patient education/screening so I don't know what we tell them. We are a medium large facility though and it would be tough to adjust leafy green intake based on their eating habits. Lots of our pts aren't English speaking either.

    Anyhow I actually have work to attend to so I'll end here.

  2. #1202

    • Grim Grinning
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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!

    Quote Originally Posted by clara View Post
    Yay! Blueberry ones! Oh I'm so excited!
    That answers my next question as to what kind you want lol. Blueberry ones are easy peasy. The hardest part is making sure the whole ball of dough doesn't turn purple.

  3. #1203

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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!

    Quote Originally Posted by clara View Post
    Attachment 26875


    Ok yeah..you enjoy!


    I kid Mr. Jim...nothing but love for ya!
    that what share with Jody last week........
    CLARA....
    who know's what the sandwich really is ?

    BUT...I still want one........


    Jim
    Soaring like an EAGLE !

  4. #1204

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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!

    Quote Originally Posted by amanda.collishaw View Post
    That answers my next question as to what kind you want lol. Blueberry ones are easy peasy. The hardest part is making sure the whole ball of dough doesn't turn purple.
    Although the idea of a purple scone kinda has me intrigued...

  5. #1205

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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!

    Off on my Adventure..................
    Soaring like an EAGLE !

  6. #1206

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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!

    Quote Originally Posted by Eagleman View Post
    BUT...I still want one........


    Jim

    Then bygolly go and get one! Yay!

  7. #1207

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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!


  8. #1208

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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!

    Quote Originally Posted by clara View Post
    it's friday...and i'm hungry. I would just be on Yahoo Answers looking at silly questions of "does my boyfriend like me?"
    So where do you find that question?

    Quote Originally Posted by clara View Post
    PRecisely! But Yahoo Answers has some valid questions. Just most of them are from teens who ask things like that or "so am i cute?" Blegh. I mostly stay in the Cat and Parenting areas.
    I wonder if they are all teens and predators. Only a few seem to be normal questions that anyone would ask.

    SPY: this is true. tbh I'd actually rather spend the $300 on another year of Disneyland than three days at Coachella.
    Better spents on Cinderalla than Coachella.

  9. #1209

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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!

    Quote Originally Posted by Poisonedapples View Post
    Soaring like an EAGLE !

  10. #1210

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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!

    Name:  2_1478015_3_3.jpg
Views: 36
Size:  73.4 KB

    this is looking tasty

  11. #1211

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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!

    sara....that was hilarious! The McRib thing...to funny!

  12. #1212

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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!

    Quote Originally Posted by Eagleman View Post
    Off on my Adventure..................
    Say hi to the Wizard,

  13. #1213

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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!

    Quote Originally Posted by Poisonedapples View Post
    Name:  2_1478015_3_3.jpg
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    this is looking tasty
    A day late.

  14. #1214

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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!

    Quote Originally Posted by swampymarsh View Post
    A day late.
    ummmm noooooooo! HA i had 4 of the little bottles LAST night

  15. #1215

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    Re: RCMC #126: Clean Cup! Clean Cup! Move Down!!!

    Quote Originally Posted by swampymarsh View Post
    So where do you find that question?

    I wonder if they are all teens and predators. Only a few seem to be normal questions that anyone would ask.
    I've seen that question in there. Or something like it. Here is one of a girl asking what to get her BF for valentine:

    What should I get my boyfriend for valentine's day? - Yahoo! Answers

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