Archive for April, 2009

April 30, 2009

Just glancing at my Dashboard.

The new top search is “sex in stone”. Please, if you’re looking this up, tell me who you are. I’m curious.

April 29, 2009

RD Week 1, 29th April

The pharmacy was easy to find. It was quite large like all Priceline pharmacies, and even had a spa upstairs. My preceptor Nader took the day off so I was working with another pharmacist, Hisham (surely I spelt that wrong … but that’s what it sounds like) and Chi (like Chi-squared), the graduate. Both of them were really nice and as they graduated not too long ago we had a nice chat about the many stupid reasons for which we’ve received U’s in dispensing.

I was behind the dispensary for most of the time, although I did take a walk around the pharmacy once or twice. There was a lot of cosmetic and bathroom lines, and it looked like they were rearranging the store because a lot of stock were on the floor and some shelves were empty. There were shop assistants EVERYWHERE.

Chi asked me to put away stock at the beginning of my visit, when there wasn’t much to do. I started, but stopped shortly after seeing exactly how much stock there was and calculating that even if I spent all five visits doing it, I probably wouldn’t finish. I spent the rest of the afternoon helping dispense and counsel. It was a different environment to where I work. They seemed a lot more organised in some ways and it was useful having two dispensing computers (because I’m really slow with FRED). The medications they dispense were different as well. In their fast-movers section were Stilnox, Cialis and Viagra.

I was a little confused about the dispensary shelves. Even though there were no separate sections for creams and eye products like we have at work, they have all the generic products on a different shelf. And I’ve never heard of most of their generic brands, so that when customers told me they wanted a less expensive brand, I had no idea what to offer them, or where to find it. And unlike North Sydney, most customers were quite happy to have generics.

Hisham printed the Webster pack profile information of a woman for me to start my medication review. She has a billion interactions and even without knowing her medical history, personal details, and without conducting an interview, I already have loads to work with. I was told that it might be difficult finding someone who was willing to be interviewed around this area, because everyone is usually in such a rush.

Overall it was a pleasant experience. Being busy made time go a little bit faster and when there were no scripts waiting Hisham and Chi were okay with just standing around chatting. Which is awesome, because I’m so not allowed to do that at work.

April 29, 2009

Awhile ago I saw this beauuuuutiful charcoal Mad Cortes dress at Myer and it was on sale for half price. It was a size 10. At my fattest ever, I could nearly fit a 10. So I thought yeah why not let’s try. The result was that elbow-length sleeves came down to my wrists, and a short-hem was knee-length. The dress just … ate me.

I was randomly browsing FB photos tonight and came across a photo where a girl I don’t know is wearing a dress I do know. And I suspect it actually might be the exact same dress I had tried on, because look where the shoulder of the dress is sitting. She obviously likes to be eaten.

April 28, 2009

Drug: Pemetrexed Disodium

Need to do:

  • Adverse effects
  • Precautions and contraindications
  • Interactions
  • Safety and handling
  • Pharmacodynamics

This week: Pharmacodynamics

April 28, 2009

Sigh. Oh, Jimmy …

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April 28, 2009

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April 28, 2009

I’m kind of excited about my new placement tomorrow.

Yesterday we had our dispensing exam. I don’t care if nobody here has the faintest idea what I’m talking about but I’m going to give you a blow-by-blow.

  • I planned to spend the first hour filling out the prescription details up to the point of pharmacist-patient Q&A, and then the second hour interviewing the patient (and doctor if necessary), writing up counselling points, and making the product. Plan didn’t turn out as well as I had hoped
  • The prescriptions were Cetomacrogol Cream APF with 3% LPC and 2% Sulfur for Rachel and Tramal for Phillip
  • Because the APF only has the formula and method for Cetomacrogol Cream without the additional two ingredients I assumed that we were to make the cream as directed, in a plastic beaker, and then transfer it onto a glass slab where LPC and sulfur are added. So this is what I wrote in my method
  • When I was still filling out indications I heard people already microwaving shit, I thought oh no I’m heaps behind because I’m not microwaving shit yet
  • After I finished the base cream I was about to take my glass slab out, but when I looked up nobody was using glass slabs, so I crossed out a large portion of my method and rewrote them so that I said I’d add LPC and sulfur directly to the beaker (though I thought it was an odd thing to do) to mix
  • I added LPC and sulfur and started to mix. The cream became lumpy like I was stirring tofu, except with bits of yellow and orange in it. There was nothing I could do to make it less lumpy and it looked like all the ingredients were starting to separate
  • I looked up at that point and everyone around me were mixing their ingredients on a FUCKING GLASS SLAB
  • I crossed out more of my method and rewrote the original steps, then poured the lumpy mess onto my glass slab which I didn’t even bother to clean, and attacked it with a spatula
  • Fortunately by the end of it my cream looked as smooth or possibly smoother than everyone else’s, but I had only 30 minues left for both counselling points and patient interview
  • I interviewed the “patient”, asking questions that were completely useless and gave no insight into whether the medication was suitable for them
  • I did Rachel’s counselling points properly, but had only five minutes left for Phillips. I bumrushed the rest, pretty sure that Phillip’s script will have a big ugly “U” on it

So that’s my story. You probably enjoyed reading it as little as I enjoyed writing it, but that’s all there is today. NO EMOTIONAL INSIGHTS FOR YOU.