From Goldfrank's Toxicologic Emergencies 11e:
The United States was largely spared [from Thalidomide related tragedy] because of the length of time required for review and the rigorous scrutiny of new drug applications by the FDA.
Am I surprised that Frances Kelsey's role in stopping approval of thalidomide was completely erased in favor of what sounds like nationalistic BS? No. But I'm still disappointed.
Re: recent boost
They say even a stopped clock is right twice a day, but I think it's the wrong frame to look at it.
Can a stopped clock tell you the time? Can you know when a stopped clock is right, without the use of another clock? Can it give you information about the current time?
LLMs are the same way, they are also right sometimes. Can you tell when? Without consulting another more reliable source of information?
Work gripes
And that's not to say those can't be timed! You may want a CBC a certain amount of time after a blood transfusion to see what their H&H and RBC are. I'm sure there are reasons a BMP may be timed. But these are explicitly being put in as "morning draw". These are routines that the doctor is incorrectly marking timed. Stop it. Get some help.
Work gripes
A vanc peak is timed because it needs to be drawn 1 hours after the infusion finished. (Otherwise, it wouldn't be the peak level, now would it?)
A PTT is timed because it needs to be done every 3 hours or something like that.
A cortisol is timed because levels fluctuate during the day. An 0800 cortisol will necessarily be different than a 1500 cortisol.
Your morning CBC and BMP is not timed. It can wait until we get to that side of the hospital.
Work gripes
I swear, this doctor is trying to piss me off. "Timed" does not mean "this general time of day"! "Timed" means "this needs to be done every x hours" or "it must be done at a very specific time or the results will be inaccurate." Stop marking your fucking morning draws as timed! We will get to them before 0600, I promise! You're only making unnecessary work for the times/STATs person!
Oh, this poor patient. So, I'm chilling in the lobby, eating lunch, as I do, and she's being taken to ultrasound. But the transporter stops and asks me where ultrasound is. It's somewhere in radiology, but fuck if I know where. The only time I spend there is coming in and out of work. (Cutting through there is the quickest way from parking to the lab.)
I hope he finds it quick, because otherwise she's going on an adventure.
Fun fact 2: I found this out because I accidentally put in my old password that happened to contain @
Phlebotomist. Cyberwitch. Artist. Fighter. Accidental breaker of computers.
Genderfluid enby. Pansexual/-romantic. Kitsune-kin (9-tailed)/Incubus-kin. Plural, with a bunch of headmates.
DAMNED PROUD ANTIFASCIST and an anarchocommunist.
Be warned: In theory, I post both lewd/NSFW and incredibly personal stuff. πβ
(In practice, it's been a while, but who knows?)