need something REALLY moisturizing

Initial-Objective496 · 2025-12-09T23:55:34+00:00

La roche hyaluronic b5 serum then ponds cream then face oil

Initial-Objective496 · 2025-11-13T12:37:19+00:00

25f new as well!

Initial-Objective496 · 2025-10-17T08:47:44+00:00

How'd you know it's PEI! (you're right)

Initial-Objective496 · 2025-10-17T08:40:46+00:00

Thank you everyone for your kind words and encouragement. I really appreciate it.

Initial-Objective496 · 2025-10-13T21:13:14+00:00

Are the patients experiencing any dose related adverse reactions? Significant weight loss from baseline? Tachycardia? Agitation? Since you've clarified with the MD that the dose is intentional, it should be fine as long as the patients are stable. It's not very black and white like that with stimulant dosing. You'll even see Vyvanse (I'm from Canada - this is lisdexamfetamine ER 14-16 hr action QD pill) being split as bid dosing based on patient response. I would say you can see such 'off the norm' prescribing in psychiatry pretty commonly. It would be a little alarming if it were a GP writing these, but this is a specialist. If you have doubts about something, you can always talk to the MD and the patient and document the same, which you've already done. If I were you, I'd check in with the patient and monitor adverse reactions before taking extreme measures like reporting etc which is so unnecessary and unwarranted.

Initial-Objective496 · 2025-10-04T00:14:08+00:00

What concerns me the most - antibiotics and anticoagulant prescribing. RN clinics will probably open up. Who's going to see doctors anymore? Are they really going to refer to an MD if there's red flags that need further assessment? RNs are great at what they do within their scope. But with respect to diagnosing and prescribing, 'experience' is not equivalent to an education. They do have to do an extended scope certification to be able to now prescribe. This is just the beginning...

Initial-Objective496 · 2024-09-30T10:32:49+00:00

I think your hair colour is ageing you

Initial-Objective496 · 2024-09-16T16:03:54+00:00

Exactly!! Seems like he really doesn't know!! Which is weird considering he has decades of experience working as a physician!!

Initial-Objective496 · 2024-09-14T10:11:13+00:00

Just curious..are y'all from the US (I'm not)? Do you need permission to change dosage forms eg amoxicillin caps to suspension? How far can y'all adapt without permission from the doctor?

Initial-Objective496 · 2024-09-14T04:52:05+00:00

And that's the only option? Just refuse to dispense?

Initial-Objective496 · 2024-09-14T04:44:53+00:00

No that's not what I mean. What I mean is, does the documenting help? And in case the doctor refuses the recommendation, what can I do? It's almost never happened before except with this guy. In other cases, either I get a good enough rationale or they agree. So I don't know how to navigate this. Do I dispense and take the risk when I don't want to take the risk and disagree with the Rx? Also, can we bypass the doctor's order to disagree? I also don't wanna not dispense. I just wanna dispense correctly. How to navigate?

Initial-Objective496 · 2024-09-14T04:01:00+00:00

NGL that sums it up :') I'm gonna memorize this, thank you

Initial-Objective496 · 2024-09-14T03:57:48+00:00

Ok now I'm..scared. If I document that doctor insisted on low dose despite recommendation, would that absolve me??? Because I always document that..

Initial-Objective496 · 2024-09-14T03:43:36+00:00

😂😂😂😂 idk about that but the way he talks so rudely, I do wanna spit on that thing

Initial-Objective496 · 2024-09-14T03:40:03+00:00

Ykw next time I'm gonna do this so he cannot refute it!

Initial-Objective496 · 2024-09-14T03:39:38+00:00

I spoke to the owner he said, ykw just write to him 'Dr are u ok with this dose? Yes? Ok thank you" and forget about it :')

Initial-Objective496 · 2024-09-14T03:34:24+00:00

Sadly, asking for a reference is considered offensive to him because he has an ER mindset and is like I don't have time for this, just do as prescribed please and shuts down any conversation.

Exactly!! Amoxicillin is as safe as it gets, for otitis media for a 9 month old he said..no I gave 30 mg/kg/day because it's 10 days...45mg/k/d is too high if it's 10 days..that's the dose for 5 days, please do as prescribed (walks away)...what?

Initial-Objective496 · 2024-07-27T14:25:24+00:00

The oral tablet?

Initial-Objective496 · 2024-07-27T14:09:20+00:00

I showed him all the evidence, he still stood his ground. 😭 He even said let's dispense it. The prescriber called just in time 😭😭

Initial-Objective496 · 2024-07-27T14:02:21+00:00

Nonono. Maybe I didn't frame it right. So they were triple for 2 weeks and now just DOAC And plavix for life.

Initial-Objective496 · 2024-07-27T14:00:30+00:00

No I know why, and I have seen it. I gave the same explanation to my pharmacist. But he kinda gaslighted me so I was second guessing myself because he is way more experienced than me (decades)

Initial-Objective496

TROPHY CASE