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This is How Health Care Should Work!

"This is how health care should work!" said by a physician I work with today. A struggling young mom came in for mood follow up. Prior to getting gene testing, she had tried 3 other medications. For all 3 of the meds she had tried, her results indicated "Genotype may impact drug mechanism of action and result in reduced efficacy". I thank God she didn't quit. She knew the meds were not helping and she kept trying. Our behavioral health coach saw patient and helped differentiate her actual diagnosis. I saw patient, reviewed her pharmacogenetic testing results with her, and recommended to physician which medication to initiate and dosing. She and I also discussed how to use the new medication, potential side effects, and what to expect. Physician finalized plan with patient.   Patient felt cared for and involved in the choices. I am so grateful we could help her with evidence based...

How Do We Fix the Gap?

I feel blessed that I get to do what I have always dreamed of. I meet patients where they are whether it is in a physician office, in their home, or workplace. I was seeing a patient at the doc's office for an INR check (checking the level of his blood thinner). He mentions back pain and that he has been through physical therapy and wants a pain management referral. Ugh. I am not a fan of adding more meds which seems to happen when specialists are consulted. I notice in his chart that he had been prescribed a pain relieving gel at his last visit. I asked him if he had tried it and how it worked. He stated "Oh, I saw that box in my bag of medications, but I didn't know why it was in there." I instructed him how to use it and what it is for. He came back 1 week later (because his INR had not been in range and back pain follow up). States his back is 100% better since he started using the gel. He had the tools all along. With just a bit more education a pain referral and potentially more medications were avoided. This is a perfect example of how a pharmacist can help. No one will ever know how he missed the education from the provider that they were prescribing a gel for his back pain or how he missed (or didn't understand) the counseling at the pharmacy. We need to listen, educate, and revisit opportunities to educate as often as we can. We need to meet them...

Testimonial Tuesday

  Sue Paul inspires me every time I talk to her! I asked her opinion one particular time to see if she thought I could actually get paid by my employer for teaching diabetes classes (classes that she helped me get educated in) and promoting my company in the process. She overwhelmingly said "yes you definitely should!" So I asked my supervisor and he completely agreed! I would not be doing these classes today if it was not for Sue, her encouragement and support! e every time I talk to her! I asked her opinion one particular time to see if she thought I could actually get paid by my employer for teaching diabetes classes (classes that she helped me get educated in) and promoting my company in the process. She overwhelmingly said "yes you definitely should!" So I asked my supervisor and he completely agreed! I would not be doing these classes today if it was not for Sue, her encouragement and support! I was asked to be one of 6 pharmacists - one from each district in the Cincy area to be on a panel for a clinical pharmacist forum to help develop ways to improve our clinical part of our job! I know this is because of my diabetes classes Michelle Knapke Cincinnati,...