{"id":1565,"date":"2010-11-22T21:22:18","date_gmt":"2010-11-23T05:22:18","guid":{"rendered":"https:\/\/www.wkiri.com\/today\/?p=1565"},"modified":"2010-11-22T21:24:23","modified_gmt":"2010-11-23T05:24:23","slug":"behind-the-pharmacy-counter","status":"publish","type":"post","link":"https:\/\/www.wkiri.com\/today\/?p=1565","title":{"rendered":"Behind the pharmacy counter"},"content":{"rendered":"<p><img decoding=\"async\" class=floatRight width=100 src=\"http:\/\/upload.wikimedia.org\/wikipedia\/commons\/7\/7a\/Rx_symbol.png\">I&#8217;m used to giving tours to friends and visitors at work, but it&#8217;s not often that *I* get to take a tour of a friend&#8217;s workplace.  Last Friday, I was treated to a behind-the-scenes view of a Kaiser pharmacy (thanks, Jim!).  <\/p>\n<p>I spotted Jim as soon as I entered the waiting room.  He was not only a head taller than everyone else working behind the counter, but he also was the only one not wearing a white lab coat.  I figured his brown jacket was a clever disguise to allow him to mix unnoticed with patients in the lobby, but later learned instead that it is his way of protesting the pharmacy thermostat&#8217;s 60 F setting.  It&#8217;s too cold without a jacket, and too cumbersome and restrictive to wear a lab coat on top of his jacket.  But the drugs are comfortable!<\/p>\n<p>Most of the other people milling around were &#8220;technicians&#8221;, who fill the prescriptions via an efficiently organized assembly line.  A pharmacist has to check and confirm the result of each order, and is also required whenever the really good drugs are requested, which are in a locked cabinet.  They are also the ones who answer patient questions about the drug, how often to take it, what its side effects may be, etc.  A technician needs only a high school diploma, while a pharmacist must press on through college and grad school and pick up a PharmD before he or she can be hired.  Even without the brown jacket, Jim&#8217;s air of authority and advanced degree-ness would have marked him as the pharmacist in charge!<\/p>\n<p>I was fascinated to learn that modern pharmacies also include a station where the pharmacist (and sometimes even technicians) can mix their own drugs.  This comes up when a patient needs something in a non-standard strength, or to convert a solid drug into a liquid form for a child to consume.  The station contains a rack of different materials for mixing, including coal tar (yes, actual tar; it&#8217;s <a href=\"http:\/\/www.drugs.com\/cdi\/coal-tar-ointment.html\">good for skin conditions<\/a>), testosterone, and <a href=\"http:\/\/www.drugs.com\/ppa\/magic-mouthwash.html\">magic mouthwash<\/a> (a &#8220;mucositis agent&#8221;).  Now I&#8217;m wondering if Pharmacy School includes labs in which you&#8217;re tested on your ability to accurately mix new concoctions (or maybe that&#8217;s taken care of in a chemistry prerequisite).   This hands-on, custom-made aspect of the job (apparently only rarely called for here) intrigues me.  But no doubt in a day-to-day setting one would much prefer to be able to dole out a fixed number of pre-packed pills when possible!<\/p>\n<p>It&#8217;s too bad that I don&#8217;t have Kaiser health insurance now, so I&#8217;m unlikely to be back at this particular pharmacy with any regularity&#8230; and just when I&#8217;d figured out where they stash the doughnuts, too!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I&#8217;m used to giving tours to friends and visitors at work, but it&#8217;s not often that *I* get to take a tour of a friend&#8217;s workplace. Last Friday, I was treated to a behind-the-scenes view of a Kaiser pharmacy (thanks, Jim!). I spotted Jim as soon as I entered the waiting room. He was not [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[58],"tags":[],"_links":{"self":[{"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=\/wp\/v2\/posts\/1565"}],"collection":[{"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1565"}],"version-history":[{"count":12,"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=\/wp\/v2\/posts\/1565\/revisions"}],"predecessor-version":[{"id":1578,"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=\/wp\/v2\/posts\/1565\/revisions\/1578"}],"wp:attachment":[{"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1565"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1565"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1565"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}