• 1 Post
  • 254 Comments
Joined 2 years ago
Cake day: August 12th, 2023
  • Nurse_Robot@lemmy.worldtoAsklemmy@lemmy.ml•Who has actually used Tolcylen for nail fungus and how did it go?
    2·
    1 month ago

    Obligatory ‘not a doctor’

    The final options are surgery vs ‘do nothing’. Onychomycosis (fungal nail infection) often doesn’t need a treatment, unless you’re immunocompromised it’s just a cosmetic thing. Surgery, in this case, involves removing the nail, and killing the matrix, which is the nail bed. This means you won’t have toenails anymore. This isn’t a problem as we don’t use our toenails, but some people will opt to apply fake nails for cosmetic reasons.

    Missing applications here and there will have a negligible impact on your treatment, you don’t need to worry about it. We would regularly tell people that if they’re going on vacation for a week, feel free to paint your nails and stop treatment until you come back, then resume. Fighting nail fungus is a long game, it can take upwards of a year to knock those bastards out. As long as you’re using the topicals >90% of the time, you have a good shot. That being said, even thebest treatments are only proven ~60-70% effective, but that includes the aforementioned “too far gone” nails trying treatments admittedly in vain.

  • Nurse_Robot@lemmy.worldtoAsklemmy@lemmy.ml•Who has actually used Tolcylen for nail fungus and how did it go?
    3·
    1 month ago

    Worked at a podiatry clinic for 3 years and we recommended tolcylen a lot. I’ve seen great results on patients who were very compliant with applications and didn’t have nails that were too far gone (think thicker than they are long). It’s important to note that you aren’t looking for any changes to the existing nail, just the new growth from the base of the nail. If you’re seeing at least 1mm of clear growth a month you’re good, do not stop until the entire nail has grown out healthy.

  • Nurse_Robot@lemmy.worldtoAsklemmy@lemmy.ml•When did you think someone was lying and was embarrassingly proven wrong?
    9·
    6 months ago

    Pretty niche but embarrassing for me. I’m new to my career, and I had to give a medication I’ve never given before called factor XII. It turns out this medication is very expensive, so it has to be requested from pharmacy instead of being stocked on the floor. So, I looked in the computer to see where it was. The computer said 12,000 units were delivered around 1900 (which was a few hours ago), and 12,000 units were given around that time. To be sure, I checked the automated medication dispenser, and it didn’t have any. I checked the fridge (the computer said to let it come to room temp before giving) and it wasn’t in the fridge. I checked the patients medication bin, it wasn’t in their bin. I checked the patients room and it wasn’t there either. So I messaged pharmacy “medication not available, please send :)”

    The pharmacy quickly called me, questioning why I was requesting it. I told them that, per my message, it wasn’t on the floor and I needed it, and I needed it quickly because it was time sensitive. They told me they already sent it and they weren’t sending more because of how expensive it was, and that I needed to look again. I told them everywhere I looked, and that I was sure it wasn’t on the floor. The begrudging said they would walk to my floor and find it for me, which frustrated me as it seemed like such a waste of time. But sure enough, they called me when they got to the medication room and told me to meet them there. There, NEXT TO all the patient specific medication bins, was a small pile of boxes of this medication. They were too big to fit in the patients bin, so they were just piled up to the side. They made a point to rub it in my face that they were right and I wasted their time, and it was very embarrassing.