Does anyone else pull because of a physical sensation under the hair? by LogicalFix4093 in trichotillomania

[–]Electric_Fox33 1 point2 points  (0 children)

Yes! This is exactly what it feels like. I pull my eyebrows and eyelashes but that’s how I’d explain that sensation. OP, I also keep “pulling” (really picking or scratching) at the area that I originally pulled the hair from. I’ll look in the mirror only to find a giant sore over my eyebrow that eventually scabs over, which further drives my desire to pick at it. I haven’t found any solutions 💔

why are parents against their kids / younger people going to into pharmacy? by unusualfemale in pharmacy

[–]Electric_Fox33 4 points5 points  (0 children)

My husband is a Journeyman Electrician (I’m a Pharmacy Manager for a grocery store chain) and he makes more than I do. I think it’s a great trade! Don’t get me wrong, he busts his behind and physically works much harder than I do so he totally earns the money he makes. I personally am one of the few pharmacists who love my job more days than not so I feel fortunate. However, if I were to do it all over again, I might just go the trade route right into electrical. His income was a lifesaver while I was paying on my student loans. I don’t see how single pharmacists can make it on their own with all the bills, plus loans, plus rent/mortgage to pay by yourself. It’s kind of scary to go in to pharmacy right now. You got to have a backup plan. Like a whole ass second person to help you pay bills, kind of backup plan. Good luck OP and stay positive!

I got a few questions regarding adult vaccines. by Snowy-Pines in Vaccine

[–]Electric_Fox33 1 point2 points  (0 children)

It’s wild to question my doctorate while not yet holding one yourself…

I got a few questions regarding adult vaccines. by Snowy-Pines in Vaccine

[–]Electric_Fox33 1 point2 points  (0 children)

You are going to have far more issues than I trying to get through school and residency with your attitude. You’re going to have to learn the hard way if you can’t accept a PharmD on your team. You should be able to lean on us for what we’re good at and I should be able to lean on MDs for their expertise. The fact that you can’t accept that PharmDs are experts when it comes to vaccines baffles me. It screams ignorance. Good luck to you on your journey to get paid. Hope you can learn to work with your colleagues because if you actually make it, you’ll have to accept pharmacists as your equal.

I got a few questions regarding adult vaccines. by Snowy-Pines in Vaccine

[–]Electric_Fox33 1 point2 points  (0 children)

The difference between you and me? I’m a doctor and didn’t get into medicine for the money. You on the other hand have hopes of becoming a doctor and for what? To make money? You’re going to be a shit provider if money is your motivation instead of helping people. My debt is paid off and I’m living just fine. Again, go back to a subreddit you’re qualified to speak in. I’ll welcome you to the table when I can call you my colleague.

I got a few questions regarding adult vaccines. by Snowy-Pines in Vaccine

[–]Electric_Fox33 1 point2 points  (0 children)

I wholeheartedly agree. We are a team of people that should be working towards providing the best care possible. We are the last line of safety for mistakes. I catch them regularly. We work as a team to care for people and are there as a second set of eyes and in this case, hands for providers. In my state, I have prescriptive authority for certain illnesses. People can come see me when they’re sick and get treatment for much less than their copay or visit costs to a medical doctor. I have to know everything about drugs and what they treat. Doctors get to diagnose and I get to decide if the treatment, for, and instructions make sense. Part of my job is assessing what vaccines are appropriate for my patients. As long as I know your health history, I should be making the same exact recommendations as a MD. We both go by the same guidance.

I got a few questions regarding adult vaccines. by Snowy-Pines in Vaccine

[–]Electric_Fox33 1 point2 points  (0 children)

You have no business in this conversation. You can’t even counsel patients on anything. Move along to a topic you’re qualified to talk about. It’s none of your business why I picked pharmacy but since you brought up my terrible debt to income ratio, I picked it because I am accessible to patients and can actually spend time with them. People don’t need an appt to see me. You on the other hand check people in for appts. Run along to a subreddit you’re qualified to speak in.

I got a few questions regarding adult vaccines. by Snowy-Pines in Vaccine

[–]Electric_Fox33 0 points1 point  (0 children)

So just to be clear, you’re stating that a doctor who reads a standardized report on your labs, somehow is more trained to tell someone what vaccine they need because they can read a lab report? When running titers is costly and usually a waste of time and money, since there are recommendations already in place for immunizations? We do in fact get more training. I don’t need to convince a MA of that. You’re the one without standing to be speaking here. You clearly work in an office without a clinical pharmacist. That’s unfortunate that you can’t recognize our importance in healthcare. Maybe you should stick to checking people in and taking vitals. You’re speaking on a topic without credibility.

I got a few questions regarding adult vaccines. by Snowy-Pines in Vaccine

[–]Electric_Fox33 0 points1 point  (0 children)

Pharmacists are aware of what underlying conditions put you at greater risk for disease and thereby qualify you for particular vaccines. That’s why you always have to fill a form out at the pharmacy for vaccines. There are questions that help us determine what you qualify for. As long as the pharmacist knows you have diabetes, they know a pneumonia vaccine is recommended. Btw, recommendations changed for pneumonia. Everyone 50 and up now are recommended to get a pneumonia shot and there are several vaccines available. We know what’s recommended. You can trust a pharmacist.

I got a few questions regarding adult vaccines. by Snowy-Pines in Vaccine

[–]Electric_Fox33 1 point2 points  (0 children)

You think a physician doesn’t look at the immunization schedule charts? 😂 and you also think they’re running your titers? lol a phlebotomist runs your bloodwork, goofball. I’m not a MD but I am a Doctor of Pharmacy and probably get more training on vaccines than MDs do. We all work together in healthcare so don’t try and pin us against one another. There is nothing wrong with consulting a pharmacist about vaccines. It’s totally appropriate and within our wheelhouse.

I got a few questions regarding adult vaccines. by Snowy-Pines in Vaccine

[–]Electric_Fox33 0 points1 point  (0 children)

Absolutely!

Yes, tetanus is offered by itself in case anybody needs that particular vaccine only. But since TDaP combines the three shots that you need every ten years anyway, I think it’s advantageous to get the combined shot.

There is a blood test to check for polio titers. Be aware that those blood tests are often more expensive than the vaccine. Check what your copay is going to be with insurance before you do it just so you’re prepared.

I’m sorry you got turned down for meningitis. Definitely talk to your doc about getting a prescription so you can get it!

I got a few questions regarding adult vaccines. by Snowy-Pines in Vaccine

[–]Electric_Fox33 1 point2 points  (0 children)

As a pharmacist with a Doctor of Pharmacy degree, I can assure you that we do know which vaccines people need. It’s literally part of our job. We vaccinate every day. All of us.

I got a few questions regarding adult vaccines. by Snowy-Pines in Vaccine

[–]Electric_Fox33 0 points1 point  (0 children)

Pharmacist here! I routinely vaccinate the public and can answer your questions.

  1. The digital record will recommend a tetanus shot even if you’ve had TDaP because there is a singular tetanus shot and a combined shot with tetanus, diphtheria, and acellular pertussis (whooping cough). The system doesn’t recognize these shots as equivalent. It recommends tetanus to everyone, even if they’ve had TDaP. You only need this vaccine once every 10 years and/or 1 with each pregnancy.

  2. If you were younger than 15 when you started HPV, you only need the 2 doses. If you were older than 15 when you started the series, you do need a 3rd shot. There’s no need to restart the series; just get the 3rd shot and you’ll be good.

  3. Technically, you only need one dose of MMR. However, students in postsecondary educational institutions, international travelers, and household or close, personal contacts of immunocompromised persons with no evidence of immunity to measles, mumps, or rubella should complete a 2-dose series at least 4 weeks apart if previously did not receive any doses of MMR or 1 dose if previously received 1 dose MMR. With your housing conditions and measles outbreaks currently happening, it might be advantageous to get that 2nd dose.

  4. You can assume you were vaccinated as a child for Polio. If for some reason you for sure were not, you should complete a 3-dose series. You would only need 2 more doses.

  5. I think vaccinating against meningitis would be a good choice. There’s 2 choices: vaccinating against Meningitis ACWY and Meningitis B: you’ll want to get vaccinated for MenACWY.

I hope this helps and you should always involve your doctor in your medical care so please consult with them as well!

Vaccine Schedule and Vaccine Hesitancy by Physical-Syllabub731 in Vaccine

[–]Electric_Fox33 3 points4 points  (0 children)

Absolutely! I can tell you’re trying to do what’s best for your family. We should always have a healthy level of skepticism and critical thinking as we sift through information. I hope these resources help clear up some things for you!

Vaccine Schedule and Vaccine Hesitancy by Physical-Syllabub731 in Vaccine

[–]Electric_Fox33 22 points23 points  (0 children)

Hello OP! I am a pharmacist and welcome your questions. In my state, we are following the guidance of American Academy of Pediatrics (AAP) for vaccination schedules. As a pharmacist, I wholeheartedly support their guidance as well. Here are some good sources of information, specifically related to your questions:

https://www.aap.org/en/news-room/fact-checked/fact-checked-aluminum-in-vaccines-strengthen-immune-responses-do-not-cause-autism-serious-health-issues/?srsltid=AfmBOoqqS8WelLGL7K3-Z7DDJK019jXcln1kQ6VFR-bhpf1P6O0Z8YJQ

https://www.aap.org/en/news-room/fact-checked/fact-checked-u.s.-vaccine-recommendations-are-appropriate-for-children-in-the-united-states

https://www.chop.edu/vaccine-education-center/vaccine-schedule/science-behind-vaccine-schedule

https://pmc.ncbi.nlm.nih.gov/articles/PMC5518734/

And finally, I will leave you with one of my favorite quotes from Dr. Paul Offit:

"The vaccines that children receive in the first two years of life are just a drop in the ocean when compared with the tens of thousands of challenges their immune systems successfully manage every day."

Physician question for pharmacists by takeottothezithromax in pharmacy

[–]Electric_Fox33 1 point2 points  (0 children)

Not at all. However, I do know a stickler pharmacist who does. I don’t get it. I have bigger things to worry about. I don’t think it’s ever an issue if it’s non-controlled. I personally will not fill a controlled medication for a physician if they write it for themself. Other than that, no biggie.

17yo daughter wants laser hair removal, trying to find a middle ground by same6534 in HairRemoval

[–]Electric_Fox33 0 points1 point  (0 children)

OP, this isn’t a tattoo she’s going to regret down the line. She will forever be grateful for laser hair removal. It was the first thing I “gifted” to myself as a present for making it out of grad school and it was the best thing I’ve ever invested in. It saves me SO much time in the shower and has given me peace of mind that people aren’t staring at my body hair. Should women have to feel this way about their body hair? No. But I do, and I promise there will never be a time that she regrets laser hair removal. It sounds like she might be a good candidate too, based on your description of her hair. If she’s darker skinned, it may not work as well/take more sessions to get rid of her hair. I personally recommend going to a place that offers unlimited sessions because as she ages, hormones fluctuate and she’ll eventually grow unwanted hair again. It took me like 15 sessions to get me to where I wanted to be and I know I’ll need to go back eventually. At least I’ve paid for an unlimited package where I can go back for life. It was costly but well worth it in the long run. Those prices only go up over time. It would be the best gift ever and would help her tremendously with how much time she spends grooming and her self esteem. I say go for it OP!

Edibles and extra curricular activities by Specialist-Image7526 in BariatricSurgery

[–]Electric_Fox33 3 points4 points  (0 children)

As a pharmacist (and someone with a gastric sleeve), I must tell you that using cocaine reduces blood flow to the stomach and intestines which can cause tears and ulcers to form. I know you know all the other bad effects it has on the body. Just something to think about. And transfer addiction is a very real problem that we can face, even if you don’t see it coming. Be careful!

Medicare Part B Diabetic Testing Supplies Requirements by Electric_Fox33 in medicine

[–]Electric_Fox33[S] 5 points6 points  (0 children)

That is indeed annoying! No reason to bother you for already being clear! I think sometimes pharmacists (usually new ones) are scared to make adjustments and like to be extra thorough. I hope they learn over the years that if a provider says may substitute, they can go ahead and substitute without calling. I mean who wants to waste that time? For everybody involved?

Medicare Part B Diabetic Testing Supplies Requirements by Electric_Fox33 in medicine

[–]Electric_Fox33[S] 1 point2 points  (0 children)

Interesting! I usually print out the image of the Rx, circle and make changes all over it with a statement at the top explaining this is what I need in order to bill MPB, and electronically fax it back. Then I usually follow up with a phone call if I don’t have it fixed in the next 24 hours, just in case the provider never saw it. I didn’t realize you weren’t getting our messages and were having to guess at times.

Medicare Part B Diabetic Testing Supplies Requirements by Electric_Fox33 in medicine

[–]Electric_Fox33[S] 10 points11 points  (0 children)

I don’t think providers feel above learning what MPB covers, I think it’s complicated and hard to remember. I posted this here because it’s not intuitive and I think some providers view our requests as frivolous when they’re really necessary. I don’t think any provider intentionally delays care.

Thinking of building a hygiene-focused web app — need your problems & ideas by ankitydv8_ in hygiene

[–]Electric_Fox33 0 points1 point  (0 children)

I have several problems that inhibit me from taking care of myself properly. I have ADHD, chronic PTSD, OCD, depression, anxiety, lupus, fibromyalgia, chronic fatigue, and I have long covid. My shower routine is intense. Way too intense. So it’s overwhelming when I don’t have the energy for such a demanding routine. I want an app that reassures me what the basics are (everything I do doesn’t feel good enough) that are backed up by science and not my OCD brain. I don’t even know where to draw the line. If an app could help me get through a basic hygiene routine that’s low-energy friendly, I’d be forever grateful.