On my second day of shadowing I went to Dr.Traina's office in a diabetes center on 224 Alexander Street, Rochester in suite 200. I watched her daily activities and asked questions. She basically spends her time getting emails about problems with drug doses and bad reactions to a drug. So she has to figure out what is causing these problems. Some days she said patients come in and she finds out how things are going in person. But for my time there she looked at information from emails. Once looking at the problem and who the patient Dr.Traina would then look up that person's medical files on her computer. One woman reported having constipation. She had diabetes type two, high blood pressure, plaque in her arteries where five metal pipes were in place. Her report said she was taking iron pills but that she had stopped about a month ago. Dr.Traina then called the patient and put her on speed dial so I could hear the conversation. The patient explained she couldn't go and then Dr.Traina found out the patient was also taking about three doses of colace which Dr.Traina explained to me was a very powerful drug that a small amount, definitely not even close to as high as three doses, should make a person go. Dr.Traina suggested the patient take miralax instead which is stronger so the patient wouldn't have to take as high of a dose. After asking the patient more questions we also found out she was taking calcium pills. Dr.Traina looked like she wanted to do a forehead smack here. Apparently that there is this acumen FeCAL that is used to remember too much iron, calcium, or aluminum cause constipation. The woman though said after feeling the medicine wasn't working she stopped taking calcium but that it was recent. So Dr.Traina recommended the patient come in to get blood work done to find her current calcium level. The next patient Dr.Traina looked at was a mentally disabled middle age man. Now this was an interesting one. The man was scared of needles apparently so Dr.Traina said he didn't taken his insulin unless forced. So she called the nearest pharmacy to ask what he has been taking out. He had taken out some of his diabetes medicine but he hadn't done that in over two months. He did take out sleeping pills though. His average blood sugar Dr.Traina looked up was three hundred thirty when the healthy amount is around one hundred. This clearly showed he didn't take his insulin. This patient was a mess. He reported consistent headaches and he doesn't eat regular meals. When Dr.Traina tried to call him the phone number he gave was out of service. She had to go to the file room where she found conflicting files. One said he was married while the other said he was single. The other number she found did ring but it went to voice mail. He has had several visits due to high blood pressure and as Dr.Traina concluded cannot understand consequences. So Dr.Traina said she'll have to ask a home where mentally disabled people live to take him in. After Dr.Traina has come up with a solution for each patient she has to fill out a sheet with overview report to put on that patent's chart. From my day with Dr.Traina I came up with key traits a pharmacist should have. They must be friendly and patient, a good problem solver and improviser, and be able to multitask. They also have to know their stuff. When a problem occurs they should everything possible about the drug and other drugs that serve the same function.
On my second day of shadowing I went to Dr.Traina's office in a diabetes center on 224 Alexander Street, Rochester in suite 200. I watched her daily activities and asked questions. She basically spends her time getting emails about problems with drug doses and bad reactions to a drug. So she has to figure out what is causing these problems. Some days she said patients come in and she finds out how things are going in person. But for my time there she looked at information from emails. Once looking at the problem and who the patient Dr.Traina would then look up that person's medical files on her computer. One woman reported having constipation. She had diabetes type two, high blood pressure, plaque in her arteries where five metal pipes were in place. Her report said she was taking iron pills but that she had stopped about a month ago. Dr.Traina then called the patient and put her on speed dial so I could hear the conversation. The patient explained she couldn't go and then Dr.Traina found out the patient was also taking about three doses of colace which Dr.Traina explained to me was a very powerful drug that a small amount, definitely not even close to as high as three doses, should make a person go. Dr.Traina suggested the patient take miralax instead which is stronger so the patient wouldn't have to take as high of a dose. After asking the patient more questions we also found out she was taking calcium pills. Dr.Traina looked like she wanted to do a forehead smack here. Apparently that there is this acumen FeCAL that is used to remember too much iron, calcium, or aluminum cause constipation. The woman though said after feeling the medicine wasn't working she stopped taking calcium but that it was recent. So Dr.Traina recommended the patient come in to get blood work done to find her current calcium level. The next patient Dr.Traina looked at was a mentally disabled middle age man. Now this was an interesting one. The man was scared of needles apparently so Dr.Traina said he didn't taken his insulin unless forced. So she called the nearest pharmacy to ask what he has been taking out. He had taken out some of his diabetes medicine but he hadn't done that in over two months. He did take out sleeping pills though. His average blood sugar Dr.Traina looked up was three hundred thirty when the healthy amount is around one hundred. This clearly showed he didn't take his insulin. This patient was a mess. He reported consistent headaches and he doesn't eat regular meals. When Dr.Traina tried to call him the phone number he gave was out of service. She had to go to the file room where she found conflicting files. One said he was married while the other said he was single. The other number she found did ring but it went to voice mail. He has had several visits due to high blood pressure and as Dr.Traina concluded cannot understand consequences. So Dr.Traina said she'll have to ask a home where mentally disabled people live to take him in. After Dr.Traina has come up with a solution for each patient she has to fill out a sheet with overview report to put on that patent's chart. From my day with Dr.Traina I came up with key traits a pharmacist should have. They must be friendly and patient, a good problem solver and improviser, and be able to multitask. They also have to know their stuff. When a problem occurs they should everything possible about the drug and other drugs that serve the same function.
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