Hi, I'm Brandon.
I like to joke around when I'm writing about fun topics like Oncology or Antibiotics.
But today I'd like to talk to you about something serious.
I'm talking, of course, about professional shaming.
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Oncology pharmacy is hard.
Like, really hard.
You get a 3 - 5 week module during school. Maybe you have an APPE rotation. But there's just too much. Too many types of cancers. Too much history that explains how we got to where we are.
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Editor's Note: It is with great pleasure that I introduce Nina Vadiei, PharmD. Nina is a totally bad ass PGY2 Psych Pharmacy Resident who has written the excellent post you're about to read. She's sort of like a wizard when it comes to all things 'psych,' and we really appreciate her dropping knowledge bombs here for you all.
Pro Tip: There is a whole bunch of awesome dosing charts at the end of this post.
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Hypertension has been called the “silent killer.” It’s basically asymptomatic unless your blood pressure is high enough to classify as a "hypertensive urgency/emergency." Only then do you really notice anything. You'll get headaches, dizziness, blurry vision, shortness of breath...that sort of thing.
Otherwise, a hypertensive patient feels normal. But behind the scenes, bad stuff is going down in the body.
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Nucleoside Reverse Transcriptase Inhibitors make up what's called the "backbone" of every traditional HAART regimen. It is also an awfully long phrase to type, so I will refer to them only as "NRTIs" from here on out.
But before I go on, there's another distinction I have to make. There are actually both nucleoside and nucelotide reverse transcriptase inhibitors. We lump them into the same "NRTI" bucket because they work in exactly the same way. But they are technically different from each other.
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Editor's Note: She's baaaaaaacccckkk... Stephanie Kujawski, PharmD, BCPS is back with the next installment in her epic series: Pharmacokinetics Dosing Wars. Up for today, we have Episode II: Attack of the Vancomycin. It seems that our hero, Han Solo, has contracted a nasty MRSA infection (which apparently you can do while being frozen in carbonite).
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Chances are you've been advised to carry malpractice insurance at some point during your career. In a litigious society such as ours (presuming you're in the U.S.), this is probably good advice for us all (#AAAE).
However, just because you're a pharmacist doesn't necessarily mean you need to run out there and get the cadillac of insurances...
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It is a truth universally acknowledged, that a doctor in possession of a cellulitis patient, must be in want of an antibiotic recommendation from pharmacy....
Once, a medical resident called me to ask about a patient on the floor I was covering. The patient was 23, and in good health. He showed up to the ED overnight because of a worsening red/swollen wound he received doing construction work a few days prior. He was afebrile.
The overnight team admitted him to the hospital and started on Vanc and Zosyn (I like to call it "ZoVan").
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Hello Everyone! Just a quick note to mention that we wrote a guest post over at the very awesome www.meded101.com
The post goes through some HIV wisdom for the NAPLEX....which is fast approaching if you're a P4. You can check it out here:
https://www.meded101.com/top-5-hiv-clinical-pearls-naplex/
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Hepatitis C has been in the news a lot recently. On one hand, the advances in research have some touting the disease on the verge of being "cured." On the other hand, the "Because We Can, That's Why" $1000 per pill regimens are coming under scrutiny from congress.
Many of us try to avoid Hepatitis C (HCV) because so much of the therapeutics are new and "foreign" to us. Also, the HCV treatment guidelines have changed at least twice in the time it's taken you to read this far. But HCV isn't going away. And you know it's going to be on the NAPLEX. So let's dig in, and see if we can't make some sense of this ever-evolving disease.
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Here's the scene. I'm a new PGY1 resident. I'm still a little nervous with the whole "residency" thing. I'm on my first rotation, covering is an IMC unit (which has patients less sick than an ICU, but more sick than a regular medicine floor). It's still early in the residency, and I'm already tired. Rounds start at 9am, but I arrived hours before to work up my patients. And I woke up hours before that because I hadn't yet lost my motivation for exercise and general health and wellness.
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The moment you press "submit" on PhORCAS, the doubting begins. It lives in the back of your mind. And it's scary as hell.
You try to go on about your day. You try not to think too much about it. You go work out. You play some Call of Duty. You binge-watch Downton Abbey. But like a small itch, there it is. Nagging you. The question lingers somewhere in your brain no matter what you do.
What if you don't match for residency?
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