Poll of the Day > useless doctors office, i swear

(+) Yeah! (+)

Revelation34 posted...

rogerskg1979 posted...

Failing to plan is planning to fail.

That's an oxymoron since you can't plan something you never planned in the first place.

Uh.... you don't get it....

If you never planned for something, then you failed to plan. Therefore you planned to fail.

It's not an oxymoron.

you are taking this topic way too seriously my dude

calm down
---

rogerskg1979 posted...

Uh.... you don't get it....

If you never planned for something, then you failed to plan. Therefore you planned to fail.

It's not an oxymoron.

It is an oxymoron. You can't plan to fail if you never planned for it.
---

likehelly posted...

i have no idea when they go bad

i know that once you open the box, you don't want to use it after some weird number, I think 28 days, but I've had a bottle last longer than that just fine

but it's more that I've been doing this for years now, and this is the first time anything like this happened so there wasn't really a need to have a back up plan in place for something that I never even thought about happening

Well, now you know it's a possibility. It might be an idea to get a spare one, moving forward. Even if it does expire, you can always use the spare instead of the one your insurance covers for a given month, making the covered one your new spare. Unusual situation or not, having only a single vial of insulin available when you're dependent on it is a very bad idea. These things happen.

Lilly recommends using an opened bottle of Humulin R for 4 weeks, Humalog for 4 weeks, and Humulin N for only 1 week, whether refrigerated or at room temperature. Humalog Mix 75/25, Humulin 70/30, and Humulin N cartridges can be used for 710 days

hm.

Indeed, the comprehensive, well-written, and up-to-date American Association of Clinical Endocrinologists (AACE) Diabetes Guidelines do not refer to the issue of storage of an opened vial or cartridge at all, either as an issue for the physician to be aware of or as a point of discussion with patients as part of their self-management

oh.

In a private communication with a staff pharmacist at Novo Nordisk, I received the following message: If human insulin vials that are stored under refrigeration are used beyond 30 days, the stability of human insulin vials is dependent upon a number of factors in addition to temperature [sic]. These factors include the number of injections per day, volume of insulin remaining in the vial, exposure to light, agitation, and technique used for dose preparation. The impact of these factors is difficult to measure and the health professional should advise patients on an individual basis concerning long-term storage of opened insulin vials when refrigerated.

An exam review for pharmacists lists the expiration date for opened vials of Humalog as 4 weeks, but other vials of human insulin are listed as 30 days unrefrigerated and 3 months refrigerated. Cartridges of R and Lispro are listed as stable for 4 weeks and 70/30 or N for 1 week (5).

I dare say that most physicians are not aware of the potency of the various insulins once a cartridge or vial is opened. This is probably due to a combination of reasons: contradictory information in print (as illustrated above), lack of adequate dissemination of this information, and lack of real data on this subject.

right, i knew there was a reason i don't really know how expiration works, and it's because no one else does either.

unopened vials, however, are good for at least a year, though, except when they are not.
---

helIy posted...

you are taking this topic way too seriously my dude

calm down

Maybe you should take your diabetes more seriously and not blame your doctor for things that are clearly your own fault.

Revelation34 posted...

rogerskg1979 posted...

Uh.... you don't get it....

If you never planned for something, then you failed to plan. Therefore you planned to fail.

It's not an oxymoron.

It is an oxymoron. You can't plan to fail if you never planned for it.

"Plan to fail" isn't meant to be taken literally. Nobody literally ever sits down and makes a plan to fail.

However, failing to plan is the same as planning to fail. If you don't make a plan, then you're always going to fail, so lacking a plan leads directly to failing, and so you're planning to fail regardless of whether or not you literally "planned to fail."

rogerskg1979 posted...

helIy posted...

you are taking this topic way too seriously my dude

calm down

Maybe you should take your diabetes more seriously and not blame your doctor for things that are clearly your own fault.

in the 7 or 8 years that i've been taking care of this, not once did i ever need a backup vial.

and if i had, i would just have paid out of pocket for it, like i have done now

yeah, you can plan for this and have a backup vial, whatever, but that doesn't change that a series of events and circumstances led to me not being able to obtain another vial for half a day that was entirely out of my control

"you should have had a plan"

yeah, let me specifically plan for every single way this can happen. breaking a vial, having no refills, and it being on a sunday when the doctors office is closed is the 33283 planned for event on the list.

chill out dude, jfc.
---

helIy posted...

in the 7 or 8 years that i've been taking care of this, not once did i ever need a backup vial.

Just because it has never happened doesn't mean that it won't happen eventually. I have never been in a serious car accident in my 20 years of driving, but that doesn't mean I couldn't get in a serious car accident tomorrow.

helIy posted...

chill out dude, jfc.

I am chill. The only thing that really bothers me is how you place the blame on the doctor for being closed instead of placing the blame on yourself where it belongs. I hate when people try to blame anything and anyone but themselves. "useless doctors office, i swear" is your title and it makes you sound pissed that the doctor was closed on Sunday instead of working 24/7 just to serve you. The doctor isn't your damn slave.

rogerskg1979 posted...

I have never been in a serious car accident in my 20 years of driving, but that doesn't mean I couldn't get in a serious car accident tomorrow.

so do you have a plan for if it happens? are you going to not drive anywhere? do you intend on getting into a crash tomorrow?

that's why saying "plan for the unplannable" is ridiculous.

rogerskg1979 posted...

The doctor isn't your damn slave.

yeah they are

you took this topic entirely way too seriously dude
---

helIy posted...

rogerskg1979 posted...

I have never been in a serious car accident in my 20 years of driving, but that doesn't mean I couldn't get in a serious car accident tomorrow.

so do you have a plan for if it happens? are you going to not drive anywhere? do you intend on getting into a crash tomorrow?

that's why saying "plan for the unplannable" is ridiculous.

The plan is called wearing a seat belt. You can't avoid driving. You plan the best you can, and that means wearing a seat belt.

rogerskg1979 posted...

helIy posted...

rogerskg1979 posted...

I have never been in a serious car accident in my 20 years of driving, but that doesn't mean I couldn't get in a serious car accident tomorrow.

so do you have a plan for if it happens? are you going to not drive anywhere? do you intend on getting into a crash tomorrow?

that's why saying "plan for the unplannable" is ridiculous.

The plan is called wearing a seat belt. You can't avoid driving. You plan the best you can, and that means wearing a seat belt.

what if it doesn't work? what if the seatbelt traps you in the car and it explodes or falls into a lake? what if you get ran off of a cliff? what if the seatbelt cuts you in half?

what if.
---