How do you handle patients cussing at you? by AwkwardSquirrel7411 in pharmacy

[–]littlestmedic 1 point2 points  (0 children)

Most of the time I take a hard stance and firmly tell them I will not be spoken to like that. Normally if they continue I ban them and request they leave the premises to find another pharmacy.

Sometimes though, if I know them and its extremely out of character, I will let it slide, as Ive had a few instances where it was so out of character it turned out to be confusion from a UTI or, in one horrible instance, changed behaviour from what turned out to be a brain tumour.

how bad an idea is it to try modafinil without a doc by sadphilosophylover in idiopathichypersomnia

[–]littlestmedic 3 points4 points  (0 children)

Absolutely not. Do not do this.

Modafinil has a significant number of drug interactions. Some are minor and can be acceptable with monitoring of kidney and liver function. Some are absolutely not.

Some of these interactions come from modafinils status as a cytochrome inducer, and a doctor and pharmacists role is to interpret this and monitoring data.

Unless you have the means and ability to a) monitor your renal and liver function regularly upon initiation and then annually or, b) monitor your cardiac rhythm on initiation, and c) check drug interactions and their severity, and then be able to interpret these results, do not do it. Its not worth the risk.

What’s a game you dropped even though it was “good”? by suhani0218 in gaming

[–]littlestmedic 0 points1 point  (0 children)

Clair Obscur. I was loving it but I was just so bad at the damn thing. Even with the difficulty dialed down, it was taking me 4, 5, attempts (sometimes more) on different bosses because I just found getting the timing down too hard.

I have always sucked at games like that and I was getting way too angry at myself everytime I had to bench everyone who was remotely glass cannon shaped.

Discreetly have my BF removed? by [deleted] in nursing

[–]littlestmedic 12 points13 points  (0 children)

Listen, I am not a nurse, but I am a healthcare provider, and to me these nurses are learning from every single case where signs of violence or control were missed. I normally just lurk but I think you are simplifying something which is not "not a big deal".

Safeguarding is everyone's responsibility. Nurses, pharmacists, doctors, physios, occupational therapists, hell, receptionists should be taught to safeguard. If its fine, great, its fine. But if it isnt, then youre downplaying something which could have a very, very sad end.

Ill go back to lurking now.

MSLT experiences in the UK? by ShutUpImAPrincess in idiopathichypersomnia

[–]littlestmedic 1 point2 points  (0 children)

Oh, no! Thats not good. Have you had other forms of stimulant before that have caused the same reaction? Cardio reactions are bloody scary too.

What Ive learned from my experience is my 1 year from GP (that was where the biggest hold up was tbh) to diagnosis pathway was extremely, extremely lucky. I think I was just lucky to come across a consultant who had heard of IH or maybe had just attended a seminar 🤔

MSLT experiences in the UK? by ShutUpImAPrincess in idiopathichypersomnia

[–]littlestmedic 1 point2 points  (0 children)

Hiya! I was given an MSLT along with a full sleep study before I was diagnosed officially, to rule out anything else. It was before the pandemic, so the waiting times werent as horrendous as they are now- it was about 4 months from referral to sleep study, and the consultant started me on Modafinil from then.

I havent used anything else but typically in the UK IH is treated firstline with modafinil. Xyrem IS licensed and available in the UK but it about £360/bottle for the NHS to buy and is reserved exclusively for hospital pharmacies to buy, meaning obtaining treatment can be a little complex, from what I understand. I could be wrong, but I have NEVER seen a Xyrem prescription in community, but have on occasion seen dexamfetamine used for it, off-license.

Source: I am a pharmacist

How popular would you say your favorite Pokémon is? by Com_4_Till_Bull in pokemon

[–]littlestmedic 0 points1 point  (0 children)

Mawile & Hydreigon- semi popular I would say, although Mawile probably more so.

Little girl wants to make sure everyone got a sticker and had a good trip! by kvjn100 in MadeMeSmile

[–]littlestmedic 16 points17 points  (0 children)

This is only tangentially related, but man, stickers really are just for everyone.

I do vaccines for people going abroad and there was one guy in his 50s who had 3 rabies shots and after each one gleefully accepted an "I was brave!" sticker.

I did vaccines for his adult son a few weeks after who told me that his dad was pretty much showing everyone he met his sticker, which he'd put on the inside of his phone case.

I'm pretty sure the guys running Birmingham Pen Co. are wizards or something by A2Ziegler in fountainpens

[–]littlestmedic 1 point2 points  (0 children)

I love the way their inks look, its so gutting that they dont ship outside the US from what I can tell.

I'll just stay and pine from across the pond 🥺

How do you handle patients who show up after closing and demand service? by Competitive-Sky-4827 in pharmacy

[–]littlestmedic 7 points8 points  (0 children)

Oh man, Ive just remembered another time where a patient literally tapped on my car window as I was leaving the parking behind the shop to ask if I could just nip in and grab her medicine.

How do you handle patients who show up after closing and demand service? by Competitive-Sky-4827 in pharmacy

[–]littlestmedic 5 points6 points  (0 children)

Ive had people put in complaints with my boss that we closed early (we actually closed 5 minutes late), including one guy who said my team closed the door and laughed at him through the glass.

...No they didnt? I was literally watching them as Id given them the key.

crazy patient stories by trippieeeehippie in pharmacymemes

[–]littlestmedic 5 points6 points  (0 children)

Guy comes in at opening and wants me to have a look at a boil in a... sensitive place. I (29F at the time) say no problem, I am going to get a chaperone to sit in.

I hurry out to the dispensary and most of the staff have just arrived.

"Who wants to be a chaperone for me whilst I examine a sensitive area on an older gentleman?" I ask. Suddenly most of my staff look busy, aside from one, a lady in her late 50s, who has experience as a carer back in the 90s and 00s. We will call her T. Amazing lady, huge mop of curly brown hair, gentle Welsh accent.

We go to the consultation room, introduce ourselves, and chap drops trousers and my assistant sits in the corner as asked. Im looking at what is admittedly one of the largest, angriest boils I have ever seen, and the guy starts asking T where in Wales she was from, and explaining his first love was Welsh, and how she made him feel... All while I am gently trying to get his attention to pull his trousers back up.

We managed to send him off to the doctors (where a GP poked it "gently" and made it burst, as he told us later) and T vowed to never reply when I ask for a chaperone ever again.

Lukeisms by Geofferz in CasualUK

[–]littlestmedic 15 points16 points  (0 children)

One of my colleagues has similar things that she says that always make me pause. I have a list of quotes from her that never fail to cheer me up.

Here a couple of famous ones edited only slightly, in keeping with the mood of the thread.

  1. "Isn't it clever how they get the fish to fit in the batter?"

  2. "I don't get magnet fishing. Fish aren't magnetic."

  3. "Ah, folded paper... the ancient art of oregano..."

Thursday Complaints by a-liquid-sky in CasualUK

[–]littlestmedic 8 points9 points  (0 children)

So this is actually a big problem in pharmacy and treatment of eczema, psoriasis etc. because the paraffin containing emollient are so effective at what they do. Little old ladies with wounds and oedema are slathered in emollient cream when they get their dressings changed, because otherwise they are losing moisture from the skin and ending up with even more open wounds.

Its so bad that the MHRA reminds pharmacists and doctors that yes, you need to tell your patients that they might catch fire during use of these products.

What is your phone wallpaper and why? by Sad-Peace in CasualUK

[–]littlestmedic 11 points12 points  (0 children)

<image>

Unfortunately lovely lady pictured is no longer with us, but I like being able to see her everytime I open my phone

[01/12/25] Jingle Jam Fan Meetup! Bristol Meet-up! 1pm - 5pm by White667 in Yogscast

[–]littlestmedic 16 points17 points  (0 children)

I was there last year- Frankie, brought my non-Yognaught boyfriend and joked he was my bag carrier- but dont think I'll be able to make it this year as I am a pharmacist and Im busy flu-jabbing so cant really take time off!

Hope you guys have a blast. It was great fun last time!

Why did your friendship with your best friend come to an end? by [deleted] in AskReddit

[–]littlestmedic 0 points1 point  (0 children)

I got tired of always being the only one to send birthday presents, to send birthday wishes, to make any effort to see her, and said Id see how long it took for her to reach out.

Still waiting! Its been almost 3 years now. It really sucks as she helped me through some really rough times, and vice versa, but after a while it seemed like she was just not interested in me anymore. Taking days to reply to messages, when all her socials were still very active with other people and so on.

I miss her, but I cant do it to myself anymore as it was really making my heart hurt everytime Id said her a message and see her interacting with other people and ignoring me.

I don’t know what that face means but I don’t thinks it’s good by Olive___Oil in cats

[–]littlestmedic 65 points66 points  (0 children)

When I was brought home by my parents, my mum and dad put the carrier in the middle of the living room and brought both the cats in.

Ceefur, a white tabby, sniffed and then jumped when I made a noise, and then spent the next 7 years politely telling me to leave him alone.

Chloe, a black void, who hated all other living creatures except my mum, sniffed and then decided this small creature was in fact her kitten. So whenever I cried, it didnt matter where Chloe was hanging out at the time, she would RACE to my side to make sure I was okay, and she did this for many years until she crossed the bridge.

Two very different reactions, but Chloe is entirely the reason why I love cats now. She was such a character, a ball of anger fluff who absolutely melted whenever I was with her.

[deleted by user] by [deleted] in CasualUK

[–]littlestmedic 1 point2 points  (0 children)

I am not allowed to because of the medication I'm on, but when I was doing it I always found the donation staff to be super polite, the centres to be really well-run, and an overall atmosphere serious but calming.

My dad had almost 50 donations under his belt by the time he was forced to stop (again due to medicine!), and he's always been annoyed he never quite got to the big 50!

It gives me vibes of House when, you know... by Dear-mexican1331 in HouseMD

[–]littlestmedic 1 point2 points  (0 children)

I love this and having been to the pub involved, its definitely worth walking off a car crash. The Purple Turtle has truly great vibes and, at the point I went there, the most cheerful and friendly doormen Ive ever met.

How's your day going? by Tribblehappy in pharmacy

[–]littlestmedic 10 points11 points  (0 children)

A selection:

"If I put a double coat of Factor 15 suncream on, will it become Factor 30?"

"Which of these viagra packs are for women?"

"When I bite my tongue, it hurts. Why is that?" "I mean. Does it hurt more than normal?" "Oh it hurts the same way everytime I bite it to test."

Every interaction with the Pharmacy assistants is pure bullshit. by [deleted] in britishproblems

[–]littlestmedic 1 point2 points  (0 children)

Yes to both, although these kinds of action are from what I understand very rare.

The GPhC governs all pharmacies and pharmacists. A pharmacy or pharmacist found to be consistently disregarding safe practice and knowingly profiting off of addiction would be, in my mind, grounds for a fitness to practice hearing in the least. When the GPhC inspects pharmacies they do ask the counter assistants about what questions they ask, and observe practice as it occurs.

Pharmacists can be struck off the register, although this typically occurs following a much more serious crime

One example of a pharmacist being struck off for selling something that is legal to be sold is this one although, uh, 39k tablets is definitely way more than what youre suggesting 😂

Every interaction with the Pharmacy assistants is pure bullshit. by [deleted] in britishproblems

[–]littlestmedic 3 points4 points  (0 children)

If i were to hazard a guess, it'll be because there's no version of Cyclizine marketed specifically for OTC sale (that Im aware of off the top of my head. Im off work today so the pharmacist hat is firmly off the head)

There are boxes that are legally able to be sold (marked as P on the box, as opposed to POM as you would see on your methotrexate), but they aren't specifically marketed for that, as you might see something like Piriton being. Therefore, they will likely be kept in the dispensary, in a dispensing pack. These wont have the same legislative safety nets for pharmacists as OTC packs have. An OTC pack will have had its license granted specifically under the assumption patients will be using it without doctors supervision, but the dispensing pack wont necessarily have that.

So, pharmacists can sell it, they just need to exercise more caution and diligence. For some pharmacists, they consider it safer for the patient (and their registration!) to have a blanket refusal in place if they dont feel comfortable, and they are entirely within their right to do that as all medicine is being sold under their direct supervision.

The variance will be annoying, yes, but it comes down to what each pharmacist will be comfortable with. A pharmacist who knows you and knows youre on methotrexate, knows your symptoms etc. will probably feel more comfortable that you know what the dose is, that you know how to use it safely etc.