Saturday, October 24, 2009

Getting Stuff Settled

Stitches

I submitted the scrap afghan article to Associated Content. It's being processed. I'll post a link as soon as it's posted.

As much as I love designing crochet patterns, I don't know how much I'll be doing in the near future. It just takes too much time. But I think I can still contribute to the crochet world by writing reviews of crochet books. I've checked, and there aren't many detailed reviews written out there.

Scripts

I volunteered at an h1n1 vaccine clinic today. I gave about 25 pregnant women shots, and I was able to get a look at the package insert for the vaccine. The clinical trials cited in the manufacturers info had about 9,000 people in the test group, and side effects similar to the seasonal flu vaccine. Why this info isn't available anywhere online, I don't know.

I was happy to help out at the clinic, but honestly, I'm hoping I don't have to give any h1n1 shots at work until the restrictions have lifted. I think all the extra questions people have about it are better directed to their doctor or health dept.

Tuesday, October 20, 2009

39,000 Chinese Can't Be Wrong

Scripts (sort of)

After several weeks of hand wringing over the decision to get my 9 year-old vaccinated for h1n1, I have made up my mind. Roll up your sleeve, Princess.

You see, as a pharmacist, I'm a big fan of the clinical trial process. Prior to the Federal Food, Drug, and Cosmetic Act of 1938, drug manufacturers didn't have to prove their products were safe and effective before they were released for public use. The passage of the Act was prompted by 107 deaths due a toxic inactive ingredient in a liquid antibiotic that had been released in 1937.

The approval process for drugs has gotten more complicated, time-consuming and expensive (as in 100's of millions of dollars expensive) over the years. Big Pharma can grumble all it wants, but I find this reassuring. Every once in a while some new drug product, like h1n1 vaccine, will come along that will get "fast tracked" because of an urgent need. The idea of my one-and-only-light-of-my-life being injected with something that's been "fast tracked" makes me nervous.

What do I do when I'm nervous? I turn to Google, of course. For a couple of weeks now I've been searching the internet for results of clinical trials of h1n1 vaccine. I found that most of the trials that have ended had 25 people in the test group. 25??!! I don't care how many government agencies want to say that safety is expected to be the same or immune response should be the same as the seasonal flu vaccine that I get myself every year without a second thought. No flippin' way was my kid getting this shot without some cold, hard, big numbers.

Yesterday I decided to try again. I'm afraid to admit my enthnocentricity is showing, because it hadn't occurred to me to search for results from any countries other than the US and the UK, countries that don't have laws like the the Federal Food, Drug, Cosmetic Act of 1938. I stumbled across a report from Associated Press about the low incidence of adverse effects in China where 39,000 people have already been vaccinated for h1n1. My mind is now eased as far as my own immediate family is concerned, and I'll be getting my child vaccinated as soon as possible. Bribery will probably be involved. Bribery of my kid, that is, not someone at the Health Department.

But I have to wonder: How big were the test groups in China? How much choice did these 39,000 people get? Did they know they were being the Guinea pigs for the rest of us? I never thought I'd say this but...Thank Heavens for China and its speedy drug approval process.

Monday, October 19, 2009

Miscellaneous Cheering and Griping

Stitches

Yay! I found my crochet hook stash. It was right where I left it, of course. I was sure I looked in the big bag with the...mmmm... maybe 1/5 finished scrap afghan. But do I want to work on that now? Of course not! I've started a small swatch of a crazy stitch scrap afghan. I've been wanting to write an article for Associated Content about making scrap afghans, but I felt I needed more pictures of different stitches and color combo's. I hope to get the swatch and article both done tomorrow while I'm waiting for my eyes to recover from the eye doctor dilating my pupils.

Scripts

I know I said I wasn't going to complain, but I have to vent a little here. Flu shots are driving me out of my flipping mind! Someone at our main office got a bright idea to run a big ad campaign saying how we were Your Neighborhood Flu Shot Headquarters. But did they give us any extra support at the store level? Are you kidding me? I understand that this year is different, and everyone should get their seasonal flu shot early so they can get the h1n1 vaccine when it's available. But why do they have to get it from me on a Monday night when I have a backlog of 100 scripts to fill? And I can't stay very late tonight, because, guess what, I do have a life outside of pharmacy, and I'm meeting a friend for a drink because it's her birthday. I'm sure the pharmacy manager will complain tomorrow about what I didn't get done, but at this point, I really don't care.

Friday, October 2, 2009

Wilson With A Mohawk


October 1st, 2009
The flowers are underneath a new layer of stickers. My philosophy for Wilson is that nothing should ever be removed. All of Wilson's phases will stay with him forever. I know...I can be pretty deep when talking about a big ball of stickers, eh?
I got some bad news from someone at corporate recently. We're in the process of changing to a new computer system, and the new system will have a different label format meaning no more IOU stickers. I haven't been able to get a hold of my corporate contact to ask if there will be different stickers to feed to Wilson. I don't want to call to the main office and get someone on the phone who might not appreciate my new friend.

Wilson's Flower Child Phase



September 25th, 2009




Wilson's Baby Pictures

September 7th, 2009


September 16th, 2009

August 20th, 2009

August 28th, 2009

September 4th, 2009


Sorry that these picture posts are kind of awkward. Blogger is apparently meant more for words than pictures. The pictures appear in the opposite order that you enter them, and the text seems to go wherever it feels like going. As a result, I've taken awhile to introduce you to Wilson. I've been posting pictures on facebook, and was pleasantly surprised when my non-pharmacy friends didn't have me committed; at least, not yet.

Wilson as an Infant

One day old
Two days old


The Birth of Wilson

August 15th, 2009
These stickers come attached to the prescription receipts.
If we owe someone some pills, we use them to make IOU
notes. A few years ago at another store, some customers
apparently used them to make their own IOU notes to scam
free drugs. Since then I have peeled them off as I checked the
prescription, but they would end up on the floor, stuck to the
counter, stuck to the edge of the garbage can, etc. On this fateful
day, I decided to give birth to Wilson.

Monday, September 28, 2009

What's in your pocket?

Stitches

I found some t-shirts at Goodwill and cut them into loops with moderate success. Anything less than 1/4 inch falls apart when you stretch it, but crocheting with 1/4 inch or bigger loops (so you're really crocheting with 2 strands at a time) requires a pretty big hook. I suppose it would work for a rug or maybe a pillow.

I see some people are selling t-shirt yarn on Etsy.com. Apparently they have cut a t-shirt in spiral to get one long strand. I'm not sure I have the patience for that. However, I did cut a couple of my loops apart and made a macrame bracelet out of them. Only problem with that is figuring out what type of closure will work. I just tied a knot in the end and slipped the beginning loop over. It fell off at work, and I found it later in my smock pocket.

Stripts

Speaking of pockets.... those of you not in the biz may have noticed that we seem to have a lot of stuff in our smock pockets. Here's a list of what's in mine and why:

Ballpoint pens - pharmacists are completely lost without pens. I have 3 at all times because I have found over the years that 1 backup just isn't sufficient. I buy my own so that I know which ones are mine. Otherwise, I steal everyone else's and have a pocketful of pens at the end of the day.

Highlighter - there's always something to call attention to; a change in directions, a note that the patient needs to see the doctor, a note that the insurance company, in their infinite wisdom, has decided to stop paying for a drug, etc. There are usually highlighters around, but they always seem to be yellow which doesn't show up well on our receipts.

Pastel permanent marker - to make a big X on the open stock bottles. I'm generally pretty easy-going, but it does bother me when other staff members can't take a second to mark an open stock bottle and we end up with a bunch on the shelf. Everyone knows when I've been working because the shelves turn into a lovely rainbow of pastel shades.

Black permanent marker - mostly for writing notes on faxes to doctors. Regular pen either doesn't show up well enough or the doctor's staff just ignores it.

Small note book - I feel naked without my little cheat book. It's mostly phone numbers. But it also has lots of notes about fixing insurance rejections (override PA codes, DUR rejection codes, group numbers or processor control numbers that aren't on the patient's insurance card but we have to enter anyway.) The days when all I needed to know was drug info are long gone.

Colored lip balm - Hey, I still wanna look good!

Tuesday, September 8, 2009

Loops

Stitches



Usually as the weather turns colder I start getting more serious about crochet. I like to watch movies that no one else around here wants to see, crochet, and drink too much coffee. The next DVD of Dead Like Me will be arriving soon. Now I need to decide what my next project will be.



I have a couple of ideas floating around in my head. I've been trying to make a mobile/sun-catcher idea work, but I can't seem to find yarn that drapes well and looks good with the cut glass drop beads that I bought.

Another idea that I've been kicking around is cutting up old t-shirts and crocheting them into something. So I think I'll run by my neighborhood Goodwill today, buy some t-shirts, get out the rotary cutter, and go to town. I'll try to follow the instructions for making plarn and cut straight across the t-shirt, making a big loops and then hook the loops together.



Scripts



You know how I was complaining before about other pharmacists being so negative? I've got a story for you that could easily be told as a rant, but I found humor in it, so here goes...



A woman called me on the phone at work last week and said she wanted her methadone refilled. I told her that methadone can't be refilled; it has to be a new written prescription each time. She argued with me that her doctor did put refills on it. And I replied that even if he did, I still couldn't legally refill it. Looking at her file, I saw that she had a refill on hydrocodone and asked if that was what she wanted. She said no.



She then called her doctor's office, and they called us. They spoke to the technician who didn't know about my earlier conversation with her. I don't know exactly what the doctor's nurse said, but the end result was that the hydrocodone got refilled.



The customer came in, and the cashier rang up the hydrocodone. The woman called me over to say we made a mistake; we were supposed to fill methadone. A circular exchange transpired.



"I want the methadone; the round ones. The doctor called in refills."



"The doctor has to write new prescription each time. It cannot be phoned in."



"What's this?"



"Hydrocodone. That one they can call in"



"I don't want that. I want the methadone; the round ones"



We go around and around a few times. I really don't know how else to say it.



As we're chasing our tails, I notice she has a rolled up piece of paper in her hand that looks like a prescription. After a minute or two she says "Oh, so you need this." And she hands me the piece of paper which is, indeed, a written prescription for methadone written about 2 weeks before.



We fill the methadone, and as we're ringing it up she asks me if we can put a note on her file so that we don't get confused next time. I gave her my biggest customer service smile and said, "So we don't get confused? Oh no, we're fine, Ma'am. Just bring us the written prescription next time and everything we be easy." While I'm saying this, I hear the technician behind me trying not to laugh.

Tuesday, August 25, 2009

Exceptions

Stitches



I've been crocheting for about 6 or 7 years now, and I've gotten a little bored with following patterns. These days I usually try to come up with my own patterns. It takes a lot of time and patience, but it sure feels good to know I created something original.




Sometimes I make exceptions to the no pattern policy for special projects like the 7-pointed star baby blanket for a co-worker's grandson. He's due any day, and my co-worker doesn't know I made this. I'm counting on her being too busy to see this before I give it to her. The pattern is from a book by Ruthie Marks that is on my virtual bookshelf at Powell's books. Click here to check out my shelf.


The hat was also a pattern from a book. The hubs has resisted letting me crochet anything for him, but I knew he wanted a warm hat. I searched the web for pictures of finished hats, and gave him 3 or 4 to choose from. He chose the one from Son of Stitch and Bitch which is also on my virtual bookshelf. I was surprise he chose this one. I was sure he was going to want the Flying Spaghetti Monster hat.


Scripts


There are a couple of dramas on TV right now about nurses, which has me wondering why there aren't any shows about pharmacists. I think my professional life would make a great sit-com. Of course, the lead would have to be played by a stunningly gorgeous brunette actress. The pilot episode would be about the time a customer brought a bug in a bag to the pharmacy and asked me if it was a louse.








Sunday, August 23, 2009

I Actually Finished a Crochet Project!


Stitches
Yay! I finished the tote bag. It turned out deeper than I wanted, and it's still a little poofy on the sides. But I think I have the concept down. I'll go ahead and use it for awhile, see how well it holds up, etc. Then I'll try to make one more the size I really want.
I rarely use patterns anymore. I'd rather try to figure out how to make something on my own. As a result I end up doing a lot of frogging, but I sure love finally getting something finished.


Wednesday, August 19, 2009

Selling Out


Yes, I will gladly sell-out for Powell's credit. A click on the Powell's logo will take you to a list of my favorite crochet and science books. If you buy something from my list or anything else from Powell's site, I'll get store credit. Yay! I love the internet!!
Powell's, if you haven't already heard, is the most awesomest book store ever.
Now that that's done, it's time to push my blog on unsuspecting friends and family members.


Tuesday, August 18, 2009

What do pharmacists really need to know about urine?

Scripts


It's continuing education time again.

For those of you not in the biz, we are required to prove that we have been attempting to keep up before we can renew our licenses each year. How hard we have to work to prove it varies from state to state. The requirement here in this state is minimal. If all I did was make the state board happy every year, I would be sadly uninformed.

The computer age has made the process so much easier (and more relevant in my opinion). When I was just getting started back in the stone age, we had to either go to a boring, expensive lecture or find a print lesson, take the quiz, and mail it in. You really had to pay attention to who was sponsoring the correspondence lessons. They very often were thinly veiled advertisements for drugs.


The expensive day-long lectures have either pretty much gone away, or I'm just not on the mailing lists anymore. There are still plenty of 1 hour lectures out there, but I rarely go for moral reasons. These are sponsored by drug companies, and the lecture is following a dinner at one of the expensive restaurants downtown. You want to know why drugs cost so much? Because big drug companies spend as much on this crap as on R&D. And they spend even more lobbying congress. (Getting down off my soap box now)


Now I can sit down at my computer and chose from at least 50 different lessons to take online. This means I can get credit for gaining knowledge I might actually use. Yipee! Back in the old days, if all I could find to get credit was a lesson titled "Unrinalyis: A Guide for Pharmacists", I would have to learn about urine.


For my cont. ed. this year I've got the quizzes on pressure ulcers and zinc for colds under my belt. The pressure ulcer article had some detailed info that I doubt I will ever use, but I wanted to know what the current treatment recommendations are. The zinc lesson was timely because I just self-treated with zinc for a cold. The lesson says that studies are mixed, and further research is needed. My own research has been very positive. There are always zinc lozenges in the house, and my colds rarely get past the scratch throat phase before might zinc stops them in their tracks.


I've got about 6 weeks to finish, and 6 online quizzes should take care of my requirement. My license doesn't expire until November, but I want to send it in early. The Dept. of Health got a new computer system for license renewals over a year ago and is still having trouble processing the renewals in a reasonable amount of time. That's government oversight for you.

Saturday, August 15, 2009

Setting Trends


Stitches

Here's the tote bag I've been working on.

I was pretty down on it before, but I've decided to give myself some credit for attempting my first bag without a pattern. I think I know what I did wrong now. I'll frog the sides and try using a smaller hook so that they will lay more flat and be more dense. Hopefully, that will give it a little more structure.
Once I get it down, I'll post the pattern to AssociatedContent.com along with a couple of others that are already there.
My crochet empire is growing by the minute. Now if I can only get Oprah to make my bag one of her Favorite Things.....
Scripts
I discovered a breakthrough in suspension reconstitution today. After adding half of the distilled water, tightly cap the bottle, turn it upside down and drop it on the floor. It works great!! Those little chunks that sometimes would stick to the bottom of the bottle and refuse to mix go away just like that!
Of course, I discovered this by accident. I'm a more than a little clumsy, and I didn't mean to drop the first of 4 bottles of amoxicillin on the floor. But when I saw how well it worked, I dropped all of them. I'm sure they will be teaching this method in the pharmacy schools this fall.

Friday, August 14, 2009

Are there any happy pharmacists out there?

I waited this long to start blogging mainly because I didn't think I had the time. I'm working part-time. I've got a kid and a house to take care of. And a lot of my free time is spent with hooks and yarn. But the other day I decided to check out the pharmacists' blogs out there, and you would think from reading them that all pharmacists are homicidal or suicidal or probably both.

Wow, people, if you hate it that much, get a different job. I know it's hard to walk away from the paycheck, but your negative attitude is making the rest of us look bad.

OK, so I'm complaining about people complaining.

I think it's all about how you say it. For example, one of my pet peeves is when customers act like the 30 seconds I want to spend counseling them is a total waste of their time. I could go on about how they roll their eyes or are sometimes downright hostile. Or I could say how I love it when they act that way and then it turns out that I actually do have something to tell them that they didn't know. Yes, I am more that I pill-counter. Yes, I know what I'm talking about.

So in the script section of this blog, I will attempt to keep it positive and share the stories of the funny and rewarding parts of the job.

In the stitches section, I'll post my progress on various projects. (I always have several going at a time.)

I'm trying to make the sun catcher idea work, but I need yarn that will drape better (I love excuses to go yarn shopping!) And I just finished my first tote bag that I designed myself. It looks pretty bad actually, but in the spirit of positivity, I'll say it was a learning experience. I'll post a pic as soon as I figure out how, and then I'll frog it and start over.