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Itchy Leg Aid
Another time as an intern, a man asked me to help him pick out some cream for an itchy insect bite.
We were in the OTC aisle looking at hydrocortisone cream when he rolled up his pant leg and revealed a red, swollen leg with red streaking in the vein from his ankle all the way up past where I could see. The patient obviously had an advanced case of cellulitis.
I told him, “There’s no OTC cream that can fix that,” and then I quickly walked him out of the pharmacy, pointed to an urgent care center across the street, and said, “If you want to keep that leg, you’ll go seek medical treatment right now.”
Thankfully, he took my advice.
Inappropriate Exam
As a Pharm D student, I spent a month working with an internal medicine physician. This physician believed that students should be actively involved, so I ended up participating in patient care rather than observing it.
One day, a patient came in with classic symptoms of benign prostatic hyperplasia. Without warning or asking me to leave the room, the physician had the patient drop his pants for a digital rectal examination.
After the test was completed, the physician asked if I would like to feel the enlarged prostate. I quickly declined, saying, “If you go to a pharmacy that does that, you're in the wrong pharmacy.” It was the only time I ever saw the physician laugh.
Jailhouse Script
Here’s a bonus story courtesy of my wife, who is also a pharmacist.
As an intern, my wife was working at a retail store when a man pulled up to the drive-thru window. He presented a script for Percocet and said, “I need this in a hurry because I’m on my way to jail.”
The pharmacist overheard him and said, “I don’t think they’re going to let you take those pills with you to jail!”
Mel Seabright, PharmD, MBA
Mel Seabright, PharmD, MBA
Mel Seabright, PharmD, MBA, is a clinical pharmacist specializing in pharmacy benefits management and managed care. He has extensive experience in utilization management, medical writing and drug information.
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