Bilo pharmacy jobs

I just lost my job and I'm losing insurance at the end of the month. I just took my 3rd dose of 1.0 yesterday, and I have a box of 1.7 ready at the pharmacy. I think based on insurance dates, that I could pick up a box of 2.4 at the same time.
With losing my job, I'm going to move back in with my parents and start working on a career change to go into nursing or medical school, and I'll likely be without insurance for 2-3 months. Can I space out injections to once every week and a half or once every two weeks, or do I need to come off and restart later?

my answer: i plan on going to school for psychology

I’ve recently applied for a job as a pharmacy intern at a hospital and got it, however they wanted me to accept the offer letter within a week when I had other upcoming interviews as well. I accepted the offer but the commute and hours aren’t something I’m too fond about. I dont start for another 3 weeks but if I got another offer for something better would I be an a-hole for declining if I’ve already accepted?

Anyone else's insurance not cover the entire cost of Vyvance medication but when you pick them up from the pharmacy you don't owe anything? I'm looking at the receipt and the cost I would've had to pay after insurance is 374 but for whatever miraculous reason I owe nothing. (Previous insurance paid meds in full and the insurance I have now is new due to job) I am not complaining but it surprised me because there's no way I'd be able to afford 374 a month 😅

I brought my wife to the USA back in 2018. We met in Asia. I am a tall California born German-American, and she is Burmese. We both look "baby making age" even though we are both 58.
She has had had various part time jobs because her degree in bio-chemistry from Burma (Myanmar) does not count here in the USA.
I recently got downsized (thanks to Elon Musk). I am waiting on the right job, so she took a full time job as a pharmacy technician.
At every job she got asked the same gambit of questions that people seldom or never ask in Burma, Singapore, or Thailand. She was shocked that so many Americans openly speak of such things with strangers.
How long have you been married?
What is your religion?
How many kids?
When will you have a baby?
Did your husband have children before you met?
How did you come to be in the USA?
Is your husband a liberal or conservative?
Company policy prohibits asking questions about lifestyle, politics, religion, marital status, ethnics, and so on during work hours. Yayyyy!

These are the things I learned about residency that I wish I could tell myself as a July intern on wards service. I know many of y’all here will disagree with a few, but this is how I see it. There’s definitely quite a few missing, so y’all fill in what I forgot.

• You earned the right to be here. You’ve proven you can do it so don’t doubt yourself.
• You’re not expected to know everything on day 1. Your job is to show up with a good attitude and ready to work hard.
• Listen to the nurses. Some of these critical care nurses, especially. Ask for their input and don’t brush them off as mere nurses.
• Write things down. Print a list and make check boxes by each patient for what needs to get done that day. There are interns who forget things and interns who write things down.
• The first thing you need to learn is to tell sick from not sick, and that can be tricky at times. Later on you refine that until you see a whole spectrum of how sick a patient is.
• Don’t waste too much time pre-rounding. Brief pertinent exam, ask patient about changes in symptoms, but the highest yield is asking the nurses.
• Call consults before noon if you can. It’s a courtesy to the consultant/their team plus they’re far more likely to be seen that day, avoiding a delay in workup for the patient.
• Your note doesn’t have to be an essay. Keep things simple and don’t get bogged down in eloquent explanations.
• However, document your reasoning well. Especially in tough cases, drop a paragraph about why you’re doing what you’re doing and the patient agrees.
• Auto text or whatever your EMR uses. Make an arsenal of these. Use them for everything. If you have a kind of case you see a lot, template out a note so you make sure you’re documenting all the important stuff in an efficient manner.
• Be cool to your co-interns. Y’all are about to spend the next few years together. Don’t leave them in a lurch or punt to others all the time.
• Call the seniofellow/attending, especially at first. Even if they give you attitude, it’s ultimately their responsibility and they should know that.
• Try to update families daily if you can, especially for your ICU folks.
• Never, ever lie. Even once will destroy your credibility.
• Have a good attitude in a way that refuses to be bullied - don’t take that shit.
• Read all your own images. Then when rads drops a report, read that and see if you can find what they’re describing for every notes finding. It’ll make you a better doctor.
• Get to your new city as early as possible. Do things like car inspection, dentist appointment, vet appointment, etc. before July kicks off.
• Our profession has a high rate of substance abuse. Do what that what you will.
• Sit down with your family and SO and let them know what to expect and try to explain how intense this job is. When there’s a difference between expectation and reality, you have problems. Either way, it’ll strain your relationships.
• Because of this, be deliberate on spending time with your SO/friends/family even if you’re dead tired.
• Wear comfortable shoes
• Scour the hospital for the best restroom. Sometimes having a proper relaxed shit can turn a day around.
• Get to know your chiefs. Go to them with problems earlier rather than later.
• Use every minute of PTO
• Step outside the hospital for a few minute a day when you can. See the sunshine.
• Make friends with the cafeteria staff and they’ll hook you up to no end.
• Make friends with the transporters and techs - they will save you.
• Appreciate the hell out of what PT/OT/SLP do.
• Know how to tell a patient no.
• Pharmacy is your friend - they know things
• If something is emergent, keep calling to follow up. If your crashing patient needs abx, it’s not like some doctor video game where you put the order in STAT and everyone goes rushing. Call down and check the status, let them know it’s needed now.
• Don’t order everything STAT
• Calling people in general gets so much more done and avoids so many headaches.
• You’re going to lose your first patient. Remember how you feel, and make sure you never forget it. You’ll need it later.
• Hang out outside of work, invite the nurses as well.
• Election ‘24 is coming up in November so work is a great place to talk candidly about politics and try to change others’ beliefs /s
• If you’re struggling, reach out to someone.
• Try to get outside on your days off
• It’s not uncommon to end up on an SSRI
• Take the stairs places as much as you can. Cardio and a nice lower body workout.
• Answer pages as they come in. Anything STAT call back the moment you see it. Aim to get back to everyone within 5 minutes if you can.
• Day to night nurse shift change. Wait 30-45 minutes, then go around and talk to the nurse for all your patients. Let them get report and see if they have questions. Explain the plan, agree on when to call you, make sure orders all look good and make sense. We even used to bring candy from the physicians lounge to pass out for this.
• Put the diet order in
• Keep your presentations short and to the point unless someone wants them longer. Know the details, but you don’t have to recite them. You don’t have to say all the exam findings that were normal and not related to the patient’s disease
• Always be prepared to dodge a punch when near a geriatric patient
• Even a 5-10 minute phone call with your loved ones on a frequent basis can do wonders
• Some people are just assholes and you can’t take things personally
• Other people are mad at something else and want to take it out on you.
• Be cool to the med students
• Get good at delivering bad news
• Celebrate delivering good news
• Fuck prior authorizations man
• When calling a consult, have a specific clinical question you need help answering. Know the patient well. Keep the call centered around what you need from them but be ready to provide details if needed. “Dr. X wants you on board” is resident code for “I know it’s bullshit but my attending made me call.”
• Delirium and sundowning are real af. The trick is to get them home.
• Benzos aren’t just “settle down” drugs. It’s like a whisky shot through the vein in the sense that it can also disinhibit people and make wildness worse
• Get to know 1 thing about each patient other than what’s in their chart. What job did they have? What’s their favorite team? Do they have pets? You’ll remember them better when the list is large and it can make the job more rewarding
• If the nurse is worried ALWAYS go to bedside
• If you feel the urge to get a tattoo, do it
• Read everyone’s note each day on your patients
• Case managers and social workers are heroes. Get to know them and work together to get patients proper dispo
• Don’t wear your damn shoes in the call room bed
• Sit down in patient rooms if you can. It shows you’re listening, it’s less intimidating for them, and they’ll tell you more.
• Talk louder to older patients
• Sternal rub like you mean it
• Sit done one day, caffeinate, and do all those stupid compliance modules in a single bolus.
• Never make the same mistake twice
• If things don’t add up, your math is wrong
• Some patients don’t care about their health and won’t look after it after all you do. That’s just the gig.
• If something adverse for residents goes into place on a “temporary” basis, it never goes back the other way. Fight for your rights.
• You’re not crazy - the patient always tells the attending something completely different or remembers some important detail. We get it.
• Have a good comfort show to stream when you come home half dead.
• Trust but verify (that’s actually a Russian proverb Reagan borrowed when speaking about the USSR)
• Remember to love it more than you hate it. Find a way to make it fun. They say it’s the best time you never want to have again. You get to save and improve human lives. There’s no greater calling in the world than that.

Hi,
I'm an incoming freshman trying to find jobs on campus but I'm not sure as to where to start. I applied to some jobs through UW hires but I'm not seeing any progress (that's wha I was told to do for jobs). I would really like a job during summer so I can get used to the UW seattle environment. Where else can I go to find some jobs? (if this matters even; I have some experience as a dental assistant and pharmacy assistant so I thought it would make it easier for me to get a job?)

I've had coverage from Healthcare.gov for about 3-4 years now while I've been in school. For medical/vision/dental at $40k/yr, my premium was $50/mo. Now that I've graduated and got a job, I updated my salary to $65k/yr, and my premium went to $460/mo.!
My new employer offers health insurance through a broker (Lucent Health), and every benefit is through a different company. Medical is through Lucent Health, pharmacy is through ProAct, dental through Cigna, vision/life/AD&D is through MetLife, surgery/imaging is through KISx, etc. This is for about $200/mo. I feel like having insurance like this will be a headache compared to having everything from one company like Ambetter, which is who I have now through the Marketplace.
I'm on medication and I like my current doctors, so I want to keep my current Marketplace insurance, but fuck it's expensive, especially considering my income didn't drastically increase. Idk what to do. What would y'all do?
TIA for any tips or advice.

About a year ago, I started having a change in my bowel habits. I went from going 2-3/day with normal solid stool, to 8-20/day with loose/yellow/floating/mucous combination stool. No matter what I eat I continue to go straight to the bathroom. My stomach pains were unbearable at times and I have a constant fear of not making it to the bathroom on time every single day. I could not go out to eat with family. There was no eating before going anywhere. No trips anywhere, nothing. I finally went to the doctor about 3 months in. I went to my primary care to get a referral for a GI doctor. At my primary care appointment, they drew labs to check my white blood cell count, electrolytes, gallbladder labs, and even checked to see if my thyroid was causing any of this. Then they hit me with giving them a stool sample to check for C-diff… I am a nurse and knew what types of stool C-diff can look like, and i DEFINITELY know what it smells like. I knew I didn’t have it and I never turned in my stool sample. I just thought it was a total waste of time. My other labs came back normal, everything did. She referred me to a GI doctor and the earliest appointment was 3 months away. I waited and continued to try and deal with this completely awful new way of life. I changed my diet to absolutely no sugar, no gluten, no dairy, and high protein/fiber STRICT diet…. This of course did nothing for me. The time has come and I go to the GI appointment, finally. I went on to tell them all of my issues I had been having for the past 6 months. There was the stomach pain, change in bowl habits, constantly having to have a bowel movement, the cololook of the stool, and the 10 pounds of weight loss that had taken place since this has started. They checked the same labs on me as my primary care doc did, did an ultrasound of my abdomen/pelvis, and gave me a stool testing kit. I told them I didn’t have C-diff, but they wanted to check anyways. They also scheduled for me to have colonoscopy and an upper GI scope. The only problem was that the earliest possible appointment was 6 months away…. I begged for them to find a way for it to be pushed up because I had started becoming depressed, developed anxiety, and became a total recluse. I even started taking anxiety medication solely because of this. They said since my ultrasound was normal (other than extreme gas in my abdomen) and my labs didn’t reflect anything serious, they can’t move it up due to being so booked up. I drove home and cried the whole way home. I’ve never felt so defeated in my life. I took my stool sample items and threw them away. The only thought I had was, “what a waste of my time”. I thought nothing was going to be normal again. I had forgotten what even normal was. I decided to call my primary care doctor to see if she could refer me to another GI office. They did, and the earliest appointment was 3 months away…. Yes, another delay. I waited and waited. Still no socializing, staying home, going to work ONLY, barely eating, more weight loss, and now the presence of blood that started to appear in my stool…. Did I mention that I had been taking a box/more of immodium every month in order to be able to work my full time night shift ICU nurse job…??? Yep… not kidding, and every NP/doctor I had talked to thus far knew this… Finally, after 9 months I had my appointment with the other GI office. They again did the same as the other office except order an ultrasound. The only thing different was they told me that I would be priority over anyone on receiving a colonoscopy due to my s/s. They scheduled it 2 weeks away which was their earliest appointment possible at the time. I was so relieved it was unreal. I was finally taken seriously. They also said they MUST have a stool sample on me before I had the scope done. So i grabbed the supplies they gave me and went home to have a BM, placed it into the fridge (absolutely disgusting), and then drove it up to the clinic the next day. 3 days went by and I had a phone call. They called to tell me my labs came back normal, but that I tested positive for C-diff…… I couldn’t speak. I was in such shock and disbelief. They also called to tell me that they were canceling my scope and sending in 2 weeks worth of Vancomycin that I need to take 4/times. I cried and cried and cried. I just knew it wasn’t C-diff and they had gotten my samples mixed. I was so disgusted and angry at them for canceling my scope because I knew that would give me the answers that I needed to possibly get back to normal again. I got over it. Started taking the antibiotics, and stopped taking the immodium. My bowel movements decreased. Stomach pains went away. Blood stopped appearing in my stool. I was almost back to my old self…. Then after the Vanc was done and I had completed the prescribed course, all of my awful, no good symptoms I had before the meds… started again in full force. I have now lost 7 pounds in 3 days. I have not stopped going to the bathroom. I have very pale yellow colored stools. I now have 20 bowl movements a day. I have intense, not being able to even breathe stomach pains. And now a toilet bowl full of blood with a select few of those bowel movements. I called the GI office and they told me they are sending me in a 10 day dose of some other medication that I have yet to figure out due to this occurring today and the med not even being able to be picked up from the pharmacy yet. I am disappointed and mad. I can’t do this anymore. I can barely preform my job which takes ALL of my focus and energy and doesn’t share those things with anything. I have talked myself out of going to the emergency room every time, I guess that’s the nurse in me. I am miserable. I’m going to take these meds and if this doesn’t help I’m telling them I am headed to the emergency room and I don’t care what happens. I just will not let this be me for the rest of my life. I can’t do this another day. Please… can someone help me. I have had C-diff for a total of a year and only known I’ve had this for 1-2 months now. Please tell there is hope of getting rid of this. Anything is helpful at this point…. (Yes I take probiotics and prebiotics. Intake fiber. Even drink Kefer. I also eat yogurt with probiotics every day. None of this helps.) * I also have pictures of my stool that I did show each and every doc * - I know that is insanely weird but I just wanted to be take seriously…..

Hi guys!! I’ve been working a part time job at a pharmacy. I was wondering if I can ask my manger for a letter of recommendation I have a good relationship with them. I already have a letter of recommendation from my two science professors. I just need another one from a dentist

Hi
He is designed around his capabilities to survive almost everything in order to bring support everywhere on the battlefield. He will lacks "Surgery" as he is more a field operative then a doctor.
I wanted the best survivability possible, so you need high level in :

• HP and Death saves
• Armor
• Dodging (including bullets)
• Resistance to effects
  • Sleep
  • Flashbang and other effects of the same kind
  • Poison and bio toxin
  • EMP
  • Suppressive fire
  • sleeping on the street
  • grab
• Movement

//////////////////////////////////////////
CREATION
ROLE : Medtech

• 1 - Cryotech (cryopump is kinda very good for starting character)
• 3 - Pharmacy (Speedheal, RapideDetox and Stim)

STAT

• REF 5 - DEX 8 - MOVE 8 - BODY 4(6) - WILL 8
• INT 8 - COOL 2 - EMP 7 - LUCK 4 - TECH 8

SKILLS

• Concentration 6
• Perception 6
• Athletics 6
• Resist T/D 6
• Endurance 6
• Stealth 6
• Brawling 6
• Evasion 6
• Paramedic 6
• Cybertech 6
• Deduction 6 (diagnosis are under this skill)

CYBERWARES

• GMBL
• Neuralink
• Reflex co-processor

GEARS

• Light armor jacket
• Agent
• 200eb in Speedheal (4 doses, requires a check)

//////////////////////////////////////////
EVOLUTION
SKILLS
Skills to focus on :

• Evasion
• Brawling
• Concentration
• Athletics
• Medtech

CYBERWARE PLAN
In order of priority

• Linear Frame
• Nasal filter
• Toxin binders
• 2 cyberleg
• 2 reinforced limb (immunity to broken leg)
• Cyberaudio suite + level damper
• Subdermal armor (TechUp SP12) + Trauma Response Nanomatrix
• Cyberarm
  • Popup shield
  • Grapple hand
• Chipware socket
• Pain killer

GEARS PLAN

• Smart glass + IR
• Combat glove
  • Medscanner
  • modular finger cyberhand + Airhypo x5
• Smart lens + targeting scope
• 2x Boomerangs (black chrome) (far too OP in my opinion)
• Drugs : Prime time (+2 to WILL and COOL) - Boost (+2 INT)
• Pharmacy : Speed heal, Rapid Detox , Stim

At the end of the day under combat drugs :

• Immunity to gas, critical wound to the ear, broken leg
• 60 HP + death save 12
• SP 12 (even for the head, and always on my character whatever the place and time)
• Evasion : 14
• Brawl : 14
• Move 8 ( 32m while running)
• Athletics : 14 (for Boomerang and grenade)
• Endurance : 14 (no drug while sleeping) for a DV 15 when sleeping in the street
• Concentration : 14 + 2 Prime time = 16 (not bad for resisting suppresive fire)
• Resist D&T : 16 + 2 Prime time + 2 toxin binder = 18 (for max DV of 17 against effects (except torture))
• Cybertech : 14 (for a DV 15 against EMP)
• Paramedics : 14 + 2 medscan = 16 (for a DV 15 for stabilisation)
• Stealth : 14 (allows him to be part of the infiltration team in order to support them)

With that in mind :

• He will not going down easly, so he will be able to do his job : Support
• He'll be able to reach a friend in needs of a speedheal or stim because of his high move + grapple hand.
• He can "tank" damage for them (HP60 + SP12 + Stim) and even shield them (popup Shield).
• He will be part of the combat
  • DPS : with AP grenade and boomerangs
  • Support : smoke and flashbang grenade are also very good option
  • Close combat with Brawl : Grab + choke or Human shield or MOVE (yeah you can move around a grabbed character at will.)
• He can quick fix critical injuries easly either meat or cyber (Paramedics and Cybertech)
• Action economy
  • Modular hand with airhypo fingers is a HUGE action economy device.
  • Popup shield
  • Medscaner in a glove
  • grapple hand

Recently I started working part-time as a retail assistant at a local pharmacy and I've been feeling consumed by stress. This is my first job so bear with me.
I'm naturally a pretty shy guy but I force myself to talk more and interact with people to seem more extroverted. When dealing with customers I feel kinda useless cos most of the time I don't know what they're asking for (specific medication) or where the thing they want is so I end up asking them to wait while I go get my more senior collegues for help.
As a result, I've been plagued by alot of negative thoughts that both customers and colleagues are looking down at me (I have a very bad habit of always thinking the worst when there are problems) even though they're all mostly nice. Even though they're probably sincere, it doesn't help to reduce my stress, in fact it makes me feel even worse whenever I make mistakes or anything like that they end up needing to take care of it.
I'm aware that this sort of thing is probably expected in retail, especially in an industry like pharmaceutical and that I'll learn more and more eventually. My parents have been giving me advice, but I can't stop this anxiety and stress from eating me up from the inside whenever I think about working. It's causing issues to my appetite and I can't properly enjoy anything even when I'm supposed to be resting or sleeping.
It also doesn't help that I need to work 12 hour shifts for the first time as well, so I've been mentally exhausted like never before for the past few days.
TL;DR: Shy guy suffering from self-image issues needs help on how to deal with retail related stress.
Edit: Forgot to mention this, but the pharamacy is located in a busy place, so its common for the pharmacy to be packed. Whenever the pharmacy is packed and everyone's busy, I also get stressed when asking for colleagues help cos I end up interupting them when its already so hectic.

Recently I started working part-time as a retail assistant at a local pharmacy and I've been feeling consumed by stress. This is my first job so bear with me.
I'm naturally a pretty shy guy but I force myself to talk more and interact with people to seem more extroverted. When dealing with customers I feel kinda useless cos most of the time I don't know what they're asking for (specific medication) or where the thing they want is so I end up asking them to wait while I go get my more senior collegues for help.
As a result, I've been plagued by alot of negative thoughts that both customers and colleagues are looking down at me (I have a very bad habit of always thinking the worst when there are problems) even though they're all mostly nice. Even though they're probably sincere, it doesn't help to reduce my stress, in fact it makes me feel even worse whenever I make mistakes or anything like that they end up needing to take care of it.
I'm aware that this sort of thing is probably expected in retail, especially in an industry like pharmaceutical and that I'll learn more and more eventually. My parents have been giving me advice, but I can't stop this anxiety and stress from eating me up from the inside whenever I think about working. It's causing issues to my appetite and I can't properly enjoy anything even when I'm supposed to be resting or sleeping.
It also doesn't help that I need to work 12 hour shifts for the first time as well, so I've been mentally exhausted like never before for the past few days.
TL;DR: Shy guy suffering from self-image issues needs help on how to deal with retail related stress.
Edit: Forgot to mention this, but the pharamacy is located in a busy place, so its common for the pharmacy to be packed. Whenever the pharmacy is packed and everyone's busy, I also get stressed when asking for colleagues help cos I end up interupting them when its already so hectic.

Background: my boyfriend has had back pain for years, and he uses a cane for this sometimes. He's been to the doctor for it many times, but all they've noted for it is mild scoliosis. Location is Ohio.
My boyfriend got a new job recently, working at the front of the store at a pharmacy chain. The job duties are what you would expect for that; register, stocking, helping customers, and I think some paperwork stuff on the computer? All tasks he can do while using a cane.
He's only recently started working there, but has evidently been told he can't use his cane while working on the floor. I'm disabled as well and know how the ADA protects me, but I'm not sure what information to give my boyfriend so that he can navigate this situation.
Advice?

*l won’t be responding to posts saying that after suffering through 8 years of POTS I shouldn’t reassure anyone because the 20% of people who do find they never recover in 20+ years will remember this post and feel even more pained by their experience. It’s a toxic mentality and needs to be addressed outside the scope of my post. Hope is never ever bad and if you don’t agree then get yourself the help you deserve in therapy.
I had a pretty severe viral illness in 2011 (age 26) and since then I was constantly fainting. My heart would race horribly in situations it never did before. I stopped going out anywhere I might not find a chair if I feel dizzy. I developed a phobia of fainting while driving on the highway. I couldn’t work out like I normally did without palpitations.
The worst part is I didn’t know for years. I am a waify female but despite that I had previously been seen as tough, outspoken, outgoing, athletic. Since POTS I was deemed as a pathetic, scared, fainter. I was told by my own family and friends I was fainting because I was overly sensitive or wanted attention. The first time I fainted, I still had that original virus on Christmas Day. I had become very quiet while my family was chatting because I felt dizzy. I got up to use the bathroom (feeling very sick to my stomach) and fainted on the way there. I fainted again about a year later while a friend was chatting with a stranger at a bar. My sister and my best friend said I was fainting on purpose in those situations. I fainted when another friend met with her boyfriend at a restaurant. I woke up being accused of being drunk by a waitress but they did call me an ambulance. While my friend didn’t say anything mean, she didn’t come to the ambulance. It wasn’t until 2015 that I had a boyfriend (now my husband) and I fainted in front of him. He took me to the ER, they admitted me and did a tilt table test. I fainted after 12 minutes, and that was after 24 hours of IV fluids. Even then, it was prior to COVID and I was so skeptical of this condition. My friends and family rolled their eyes at this news and I started to as well. I went to therapy for years for anxiety over fainting, bordering on agoraphobia. I was taught to not catastrophize fainting, that it’s not the worst thing that can happen. I pushed myself and even finished pharmacy school and got a great job (with a chair accommodation), got married (with a chair at the alter).
As of 2019 my symptoms were completely gone. I am still afraid of driving or bathing alone, but I am no longer afraid of not having a chair available. I go out with no restriction. I have two young kids and the physical demands actually keep me very fit and healthy. Since long covid became common I’ve been hearing about the condition more and can’t believe I went through all that with no support. I just want to tell people on this forum- I’m so happy you have the understanding and support I never had. I want to reassure you this is likely not forever. It may have just been time for me, but I did change my diet drastically the same year it resolved. In any case, you will find your resolution somehow. I think it’s very important to not fear fainting and stay active to not let hopelessness take over. Poke fun of your potential fainting while keeping an eye out for dangerous falls. It’s all about how you cope with this emotionally, rather than desperately finding a cure.

I wanted to see if anyone had any ideas as to why i get so dizzy. It happens more ofte the few days before my period and while I have my period. I recently started a job as a pharmacy tech and I am on my feet the whole 8 hour shift. I wear compression socks and have great shoes. I have been feeling so dizzy it's making me think i need to find a job where I can sit again. When I go to the Gyno they want to throw birth control at me. I am 38 years old, in pretty good shape. I haven't been on birth control since my early 20s. I do remember not having these issues when I was on it. I tried to go on it again in the past and it would make me feel bloated, irritable, carb hungry. Maybe I should give it a go again .. not sure. I am really not a fan of it. My med doctor ordered blood work for me and I am trying to find a new gyno since I moved. I have had my blood sugars checked at an endocrinologist, that's not the issue. Any idea why i feel so dizzy from standing all day, plus i am stepping up on a step stool constantly and squatting down. I don't want to say anything to my work since I just started. It's so embarrassing.

I am a certified pharmacist here in Brazil, doing post degree courses in phytotherapy and clinical pharmacy so I can better help my pacients, but I fear things here are too different from other countries and that could cause some legal problems. For exemple, as a pharmacist, here we are allowed to do prescriptions for a lot of herbs and extracts, even for compouding, with exception os a few that needs a degree in medicine or specialist title (sometimes the term "medical" means literally "by a doctor" sometimes it means " by a health professional").
I wish I could offer some "medical advise" for people using herbal medicines and products in other countries and charge for that in their country currency, like paypal, is that possible?
How can I offer that kind of service the most legal possible? Would my work be too restricted?
Note: I do not sell products, only the clinical service of monitoring someones health and their use of medicines, sometimes we even ask some lab tests to check the doses and safety, as here in Brazil it is defined as "Telefarmácia" ("telepharmacy"?)
Note 2: I would not mind branding myself as "herbalist" or "therapeut" instead of "pharmacist" or "health professional", honestly I dont care, just want to do my job the best way possible. I also would like to be judged by my knowledge and clinical results then by my degrees or certifications, as we know, herbalism is much more experience and I fear I am lacking in that area due to fear of legal stuff and "Illegal medicine practice", whatever that means.

So I've always wanted to be in the forensic field and I'm really excited I got the spot but my parents aren't happy about it. They wanted me to take pharmacy and are pressuring me to switch courses before it's 'too late'.
The main reason is cause they think it isn't a marketable course in our country (kenya) (This was also why they refused on veterinary medicine)
Is there a way I can convince them to let me do it, like any great things about the course, job opportunities etc.

Hello. I am a pharmacist who will soon move to Australia from overseas. I will be taking a pharmacy internship when I arrive there. During my free time, will I be allowed to do part time jobs — Pharmacy assistant at other pharmacies? Thank you so much!

Just needing to rant this week to people who will also understand. My job was extra stressful this week. Was it because of higher acuity patients? No. Short staffing? Surprisingly, No. A lack of knowledge? Also surprising, but No. The thing that makes me want to quit this week isn’t the job itself because I find that rewarding. It’s the fact that they can’t seem to appropriately supply our damn unit with meds and supplies and I am constantly running to try and find things that should be readily available to do our jobs. I don’t mind running or being on my feet the whole shift, it’s part of the job. But i do mind spending time that could be used for actual patient care just trying to find toilet paper or fighting with pharmacy over meds because “well did you check any of these 57 places it could be because we’re sure we sent it”. 🙄🙄
Thanks for listening.

This isn’t my experience but a colleague of mine’s story.
She is also a pharmacist who works in community/retail. A few weekends ago she needed the morning after pill (EHC, plan B, whatever) and for context you can get it for free in the UK if you sit in for a consultation and give your details to the pharmacist. Her normal pharmacy was closed, meaning I couldn’t do it for her, so she attended another big retail chain (rhymes with Toots for other UK’ers).
The pharmacist agreed to see her in between covid clinics. She was sat in a busy waiting area which was also the shop’s retail area, waiting for 20 mins, when the pharmacist walked up to her and loudly said in front of a shop full of people “You’re the morning after pill, right?”
Which on its own was embarrassing enough. He apologised for the wait and said I can see you if you can wait 20 more minutes as I have an appointment to clear. Which she agreed to. So 20 more minutes of smirks and glares from other shoppers and people waiting for prescriptions.
When he finally called her in, wanting to get things over with she says she started reeling off information about her cycle etc and he laughed and said something along the lines of “I can tell you’ve done this a few times”.
The way my friend tells this story is that the quiet mortified embarrassment immediately gave way for red hot rage. She replied “Not really. I’m a pharmacist actually. What was your name again?”
He immediately freezes up and says oh yeah so you know how stressful it is! And starts making small talk about how long she’s been qualified. She replies “long enough to know that you shouldn’t shout confidential info across a busy shop. I wasn’t going to say anything but realistically I’m grown, I’m married, and my usual contraceptive method failed. I shouldn’t have to justify these things to anyone either.”
She said he immediately apologised and said he’d just had a long day and wasn’t really thinking properly. She lectured him about how uncomfortable it can be as a woman to have to seek out the morning after pill and as a provider you don’t know the woman’s situation, you don’t know that they haven’t been assaulted or something, and that he’s lucky she’s sat here talking to him rather than just writing a complaint. He whizzed through the rest of the consultation, provided no counselling and wished her luck with work.
I’ve seen so many meme posts about how pharmacists will announce patients’ business to the whole shop but I just laughed them off (because who would ever do that).
I get that the job fries our brains and sometimes empathy is a hard thing to muster up but as a profession I just can’t believe there are pharmacists that do anything but make it easy for patients to feel comfortable seeking us out. I’m sure I’m preaching to the choir here really. But if she hadn’t been a pharmacist she wouldn’t have known this was wrong and would just assume every experience there on out would be the same. No wonder community pharmacy is struggling so much.

Situation 1: Michelle, an international student, will be studying in Hualien County to obtain her degree and hopes to gain a better understanding of the National Health Insurance.
Q1: How and when can I obtain the NHI (National Health Insurance) card? A1: NHI stands for National Health Insurance, which is necessary for all individuals living in Taiwan. Of course, the process of obtaining NHI depends on your residency status as a foreigner living in Taiwan. Let's break down how and when you can get NHI!
Foreign Students If you've come to Taiwan to study at a university, getting NHI is quite straightforward. It's important to remember that foreigners can obtain NHI only after living continuously in Taiwan for six months on an ARC (Alien Resident Certificate), but you are allowed to leave the country once for up to 30 days during this 6-month period. After these six months, your university will collect insurance fees for each semester upon registration. As a student, you'll only need to pay the insurance fee, which is 826 NTD as of 2024, and then wait for notification from the university that your card is ready for collection. Insurance fees are collected from September to February in the first semester and from March to August in the second semester.
International students can be employed part-time in Taiwan. In this case, students with a steady part-time job should be registered in the program as employees through their employers. Don't forget to inform your university about this. The university will reimburse you a portion of the insurance fee you've already paid.
If you are seasonally employed, meaning you are a full-time student who only works during summer and winter vacations for fewer than 3 months and returns to school when classes resume, you do not need to change your enrollment status during the period of employment.
Foreign Workers A foreign worker must be registered in the National Health Insurance Program from the first day of employment. Therefore, those working in Taiwan are not subject to the six-month waiting period. Your employer should register you and be responsible for paying your insurance (formerly known as the "insurance registration organization").
If you're a company chairperson or owner, you need to set up your own insurance registration unit. If you have another primary job, you can be insured through that company or agency without enrolling as a responsible person.
If you're employed but don't have a fixed employer, like being a member of an occupational union, a farmers' or fishermen's association, or are actively involved in farming or fishing, you should enroll in the National Health Insurance through your respective union or association.
If you are working two jobs at the same time, then you should be registered in the NHI program through your main employer. Your main employer is the one where you work more hours; if the hours are similar, then income can be the deciding factor.
Unemployed foreigners If you are unemployed and qualify as a dependent, you should be registered in the NHI program through your employed spouse or direct blood relatives.
If you cannot be enrolled through your spouse or direct blood relatives, you are required to enroll in the program at the local administrative office where your household is registered, under the identity of a "regional citizen."
If you are an unemployed veteran or a dependent of a deceased veteran, then you can enroll in the program through the administrative office where your household is registered under the identity of "veteran."
For more information, please feel free to ask or refer to the NHI handbook (click the specific link below).
Q2: What medical services are covered by the NHI? A2: The National Health Insurance (NHI) in Taiwan covers a wide range of medical services, such as: Outpatient services Inpatient services Emergency care Surgery Laboratory tests Prescription drugs Dental care Mental health services Traditional Chinese Medicine Rehabilitation services The medical payments include diagnosis, assessment, laboratory tests, consultations, surgical procedures, anesthesia, prescriptions, supplies, therapies, nursing care, and covered hospital accommodations. Essentially, all essential healthcare services are included in the system.
Q3: How can I understand the cost of services under NHI in advance? A3: Under Taiwan's National Health Insurance (NHI), patients are required to make co-payments for medical services, including hospital visits, outpatient care, prescription drugs, and various medical procedures.
Let's see a breakdown of typical co-payments for various medical services under NHI! Visiting a hospital or clinic with a referral: Co-payment for Medical Center with referral is fixed at 170 NTD. For Regional Hospital it is 100 NTD. For District Hospital it is 50 NTD. And for Clinic it is 50 NTD. Visiting a hospital directly without a referral costs more: Co-payment for Medical Center without referral is fixed at 420 NTD. For Regional Hospital it is 240 NTD. For District Hospital it is 80 NTD. And for Clinic co-payment remains fixed at 50 NTD. For visiting dentist and traditional Chinese clinics, the co-payment is fixed at 50 NTD regardless of the level of medical institution.
Important to know For patients with a disability identification, the basic co-payment is charged at the Clinic rate (NT$50) regardless of the level of medical institution visited by the patient.
The following situations are regarded as visits with referral: Follow-up visits within one month of a medical visit with a referral sheet, limited to a maximum of four times. The first follow-up visit after outpatient surgery, emergency surgery, or discharge from the hospital. The first follow-up visit within six weeks after childbirth. Therefore, the co-payment for such visits is charged according to the standards of medical visits with referral, and hospitals may issue relevant certificates for patients. During a course of treatment, patients only need to pay the co-payment for their initial visit (excluding rehabilitative physical therapy and Traditional Chinese Medicine traumatology).
Emergency Care Co-payment Standard: Medical Center: 740 NTD Regional Hospital: 400 NTD District Hospital: 150 NTD Clinic: 150 NTD Near-poor Households/Individuals with Disabilities: Medical Center: 550 NTD Regional Hospital: 300 NTD District Hospital: 150 NTD Clinic: 150 NTD
Co-payment cost for outpatient prescribed drugs
Regular prescriptions: If the cost of the medication is equal to or less than 100 NTD: In Clinics and District Hospitals: Patients are exempt from co-payment (no co-payment). In Regional Hospitals and Medical Centers: The co-payment is 10 NTD. If the cost of the medication is equal to or greater than 101 NTD:
In all levels of medical institutions, an additional 20% will be charged for every 100 NTD. For example, if the price of medication is in the 101-200 NTD range, then the co-payment is 20 NTD; if in the 201-300 NTD range, then the co-payment is 40 NTD. In Clinics and District Hospitals: If the medication cost starts from 1001 NTD, the upper limit for co-payment is reached, and the co-payment is fixed at 200 NTD. In Regional Hospitals and Medical Centers: If the medication cost is in the range from 1001-1500 NTD, the co-payment is fixed at 200 NTD.If the medication cost starts from 1501 NTD, the upper limit of co-payment is reached at 300 NTD.
Refillable prescriptions: In Clinics: Patients are exempted from the co-payment. In District Hospitals, Regional Hospitals, and Medical Centers: The first time filling a refillable prescription follows the same rules as outlined above for regular prescriptions. From the second refill onwards, patients are exempted from the co-payment.
Important to know For Traditional Chinese medication co-payment, the same system as that of Clinics is used. Costs under 100 NTD are exempt; for costs equal to or greater than 101 NTD, an additional 20% will be charged for every 100 NTD. At Dental Clinics, outpatient prescription drug expenses are exempted from co-payment. Emergency Care Prescription: For Clinics and District Hospitals: 150 NTD For Regional Hospitals: 400 NTD. For Medical Centers: 750 NTD. I hope now you have a better understanding of how to calculate the cost of medical services under NHI. Feel free to ask more questions or refer to this webpage (click the specific link below).
Q4: What services are completely free under NHI? A4: With NHI, you can access a wide range of medical services at very affordable prices, and some services are fully covered! However, it's always a good idea to ask your doctor or a consultant at the hospital/clinic about which services will be covered.
Let's break down what kind of services can be fully covered under NHI: Basic Medical Examinations: These are routine tests to check your health, like measuring blood pressure, checking cholesterol levels, and assessing kidney function through urine tests. Preventive Services like Vaccinations and Screenings: This includes vaccines to protect against diseases like measles, mumps, and rubella, as well as screenings for diseases like cancer or diabetes. These screenings aim to catch health problems early for easier treatment. Essential Surgeries: These surgeries are necessary to treat a medical condition and improve health or save lives. For example, removing an appendix, fixing a broken bone, or treating a serious infection. Hospital Stays in General Rooms: This means staying in a hospital room shared with other patients (one room with 3 beds or more) and having basic facilities. General rooms provide standard care for conditions that don't require intensive monitoring or specialized equipment. Some Prescription Medications: Certain medicines prescribed by doctors are fully covered by NHI, so patients can get them from the pharmacy without paying anything. These often include essential medications for common conditions like high blood pressure, diabetes, and infections. Medications with a cost below 100 NTD will be fully covered or will require a 10 NTD co-payment. Dental care: Most medications prescribed by dentists are fully covered by the National Health Insurance (NHI). However, it's important to note that full-mouth anesthesia is not covered. Also, you have the right to receive two dental cleanings per year fully covered, allowing the general public to get dental calculus removal. People with tooth decay may be eligible, depending on a dentist's evaluation, for fluoride varnish treatment. As long as the cavity does not reach the pulp (where the tooth's nerves and blood vessels are located), it can be fully covered by the National Health Insurance (NHI). Generally, the National Health Insurance (NHI) will cover the extraction of wisdom teeth, supernumerary teeth, and impacted teeth. However, extractions for corrective purposes (teeth that are intact and without decay problems) will not be covered by NHI.
Medical expenses in Taiwan are relatively inexpensive, so don't worry about spending a lot of money when seeing a doctor. Therefore, don't be afraid to go to the hospital.
Q5: In which hospitals can I utilize NHI services, specifically at Hualien hospitals? A5: Here is the list of hospitals in Hualien in Chinese (the English version will be posted and updated later). But if we talk about the most popular hospitals in Hualien where you can definitely get assistance in English, then we can list these hospitals: Mennonite Christian Hospital Hualien Tzu Chi Hospital Hualien Hospital Smiles-Dental
Q6: Is it possible to receive NHI consultation in English? A6: Yes! It is possible to receive NHI consultation in English! The back of the NHI card has a hotline number for inquiries: 0800-030-598, or by mobile phone call 02-412-8678. Calling the number is free of charge.