Unusual Morning

1/19


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1/20
Last night I felt feverish :( Slept all night, but still was down! All day I could not focus, and there was so much negativity...

HABIT

• STEROID - need to figure out the exact tablets to dispense in order to satisfy the direction :)
• CII - need pt's address written

DRUGS
ESCITALOPRAM - can complicate bleeding

AXERT (almotriptan)

Felton Night

4:30-9pm tonight I'll be at Felton CVS. Hope for the best :)

Also I need to really really know how to administer ALL the inhaler and ALL insulin products!

ProAir RespiClick

-- It's the next morning...

Somehow, when a partial is SOLD, and if the remaining is COMPLETED, cannot be put on QI again :(

NEW NEW NEW drugs:

1. AMRIX
2. STIOLTO respimat (indication: COPD)
3. DICLEGIS (indication: n/v assoc. pregnancy)

Chat later...

Dark morning

Another DARK morning in Santa Cruz...

Well, learned that BOB, our 20-plus-year veteran working night-shift has decided to go to New Leaf, a grocery store in Capitola. I do not know Bob well enough, but he seemed like a genuine person. Last straw on the camel's back, I guess...

Man thanked me for allowing him to pick up his med when the pharmacy was closed, and offered to give my supervisor good words about me. I said since we were not allowed to sell prescriptions, "thank you", but do not let anyone, especially my supervisor know :)

A HYSINGLA (hydrocordone ER) prescription was dropped off. Made me wonder does it really work with the aid of APAP?? Can it really be a solo act?? I need to read the trial :)

BETHANECHOL was prescribed for a cat. A what?? YES, BETHANECHOL!! The cat cannot pee...poor cat 😞

Found an AMOXICILLIN suspension for a little boy to be extremely high dose. Turns out I was right!! Amazing!!

Electrician came to attend a call about DARKNESS at the front of the pharmacy. He played around while we slaved away. Then he came back to the back wall, and flicked a switch! Light there is 🙏



Young Asian boy came to pick up his CANASA suppository (Dosage

The recommended adult dosage is 1000 mg administered rectally once daily at bedtime for 3 to 6 weeks. Safety and effectiveness beyond 6 weeks have not been established.) Our clerk showed that the package was found in the room-temp waiting bin. However, the storage info shown on the package said to "STORE BELOW 25C (77F)". So that printed line saved us a new package :)

Closing Shift

At my pharmacy, working towards sanity is my main objective. I'd learned that:

• Benadryl for children does NOT have a recommended dose for 5 years and younger kids (need a pic)
• Another AIDS med, ISENTRESS , makes me feel a bit uneasy that there is another AIDS patient, cautiously trying to live a normal life, silently.
• A patient's dad, who happened to be a doctor, showed up to want to pick up his son's TAMIFLU caps .  Somehow we selected a wrong insurance, and the flu med was not being paid for. I offered the doctor and also the father the phone to call the insurance. He did and for about 5 minutes on the phone. Eventually, we both found out that we had selected the incorrect insurance. TAMIFLU was paid for after all. I felt sorry for wasting the doctor's time. For the father, I did not have any feeling :P
• Express Script and Anthem are the same PBM processor?!
• This college student dropped by, seeking advice on how to lessen the swollen cold sore spot. He contracted the cold sore at his gym, he suspected. I should have said that cold sore cannot be passed from another dude's sweat gland!! Can it??
• A relatively young man came asking us to process a cream, that had been faxed to us a while back. It was EFUDEX (fluorouracil) 5% cream. He said he had been putting this med off. Wondering why? So I processed the prescription. Too much money he would have to pay, he hesitated, and said would have to re-consider. Reconsider what?? A few more minutes later, he came back, and paced in front of the pharmacy, waiting for me to call his name to pick up the cream. What brought him back? Imminent danger, I assume??