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Tuesday, April 5, 2011

Changing My Name To Captain Obvious

Late one night a lady and her teenage daughter come to the pharmacy. They had been in the emergency room because the daughter had occult abdominal pain. I'm not talking demons here, in medical terms occult means of unknown origin. I could pinpoint the most likely problem and solution just based upon observation of the daughter in the waiting room. She was morbidly obese, playing a video game on her phone, eating potato chips, and drinking a Pepsi.

To my keen sense of observation I am going with bowel obstruction. Looked at the rx and sure enough it was a laxative and pain med combo. The most likely reason: low fiber diet and not enough exercise or water.

Late one night a lady comes in with an emergency room rx for Fiorinal with codeine for migraines. When she checks out I just shake my head and wonder how long she has suffered. She buys 3 Hostess honey buns, 2 bags of Cheetos Puffs, 4 packs of salted sunflower seeds, and 2 Mountain Dews. It doesn't take a genius to see that she eats minimally nutritional things chock full of preservatives, color/flavor additives, and salt. All of these things can contribute to migraines.

She also had no previous history of any other medications except for Fiorinal with codeine to try and prevent migraine episodes so I made some suggestions to make her life easier but she didn't care because Medicaid will give her as many ER visits and Fiorinal with codeine as her little heart desires instead of her actually going to a physician and trying something daily to cut back on her discomfort.

Ugh, some people never learn...

3 comments:

Big 'N Tasty RPH said...
This comment has been removed by the author.
PharmGamerKid said...

i had a patient today coming in to pick up rx for phentermine. he also asked me to ring up an ice cream bar along w/ the rx...

maybe he's buying it for someone else? i'll be optimistic here...

Big 'N Tasty RPH said...

Nah, you know he was eating that ice cream before he took the phentermine because he wouldn't be hungry for the rest of the day...