WEBVTT 00:00.833 --> 00:02.933 align:left position:32.5% line:89% size:57.5% (gentle music) 00:07.200 --> 00:08.733 align:left position:15% line:89% size:75% - Hey Chris, how are you? 00:08.733 --> 00:12.300 align:left position:17.5% line:83% size:72.5% - A lot of times people get a picture of the pharmacists 00:12.300 --> 00:15.133 align:left position:25% line:83% size:65% who count your pills behind the counter. 00:15.133 --> 00:16.966 align:left position:22.5% line:83% size:67.5% They think of the pharmacy as a place 00:16.966 --> 00:19.066 align:left position:15% line:83% size:75% where you just go to pick up your prescription, 00:19.066 --> 00:20.966 align:left position:10% line:89% size:80% but there's so much more to it. 00:20.966 --> 00:21.966 align:left position:10% line:89% size:80% - So, if you have any question, 00:21.966 --> 00:23.600 align:left position:15% line:89% size:75% feel free to give us a call. 00:23.600 --> 00:28.633 align:left position:15% line:5% size:75% I always had a curiosity about drugs, medications, 00:29.500 --> 00:31.433 align:left position:12.5% line:89% size:77.5% and the most interesting part, 00:31.433 --> 00:34.466 align:left position:22.5% line:83% size:67.5% being a pharmacist is the interaction, 00:34.466 --> 00:36.333 align:left position:10% line:89% size:80% and I'm more of a people person. 00:36.333 --> 00:38.033 align:left position:12.5% line:89% size:77.5% Well, have a wonderful day. 00:38.033 --> 00:39.266 align:left position:27.5% line:89% size:62.5% - As a pharmacist, 00:39.266 --> 00:42.466 align:left position:25% line:5% size:65% it's one of the last healthcare professions 00:42.466 --> 00:44.933 align:left position:15% line:5% size:75% where we are so accessible to the public. 00:44.933 --> 00:46.466 align:left position:30% line:83% size:60% - Yeah, but I've got some questions 00:46.466 --> 00:48.000 align:left position:22.5% line:83% size:67.5% for you with this one. - Okay. 00:49.933 --> 00:52.366 align:left position:20% line:83% size:70% - Open this up so I can see what's in here. 00:52.366 --> 00:53.566 align:left position:25% line:89% size:65% - Roughly about half 00:53.566 --> 00:55.900 align:left position:22.5% line:83% size:67.5% of our patient base are elderly patients. 00:55.900 --> 00:59.666 align:left position:17.5% line:83% size:72.5% We have to spend more time with our elderly patient 00:59.666 --> 01:02.466 align:left position:20% line:83% size:70% to make sure that they get their prescription, 01:02.466 --> 01:05.733 align:left position:15% line:83% size:75% and making sure that what they are taking is accurate. 01:05.733 --> 01:08.033 align:left position:22.5% line:83% size:67.5% And on top of that, they understand, 01:08.033 --> 01:09.166 align:left position:10% line:89% size:80% that's the most important thing. 01:09.166 --> 01:10.466 align:left position:20% line:89% size:70% So, you take one capsule 01:10.466 --> 01:13.166 align:left position:22.5% line:83% size:67.5% by mouth 30 minutes before meal, okay? 01:13.166 --> 01:15.700 align:left position:12.5% line:83% size:77.5% - Medication therapy management is one of the roles 01:15.700 --> 01:17.933 align:left position:30% line:83% size:60% that I have here as a pharmacist. 01:17.933 --> 01:20.700 align:left position:20% line:83% size:70% It's a time where I can sit down with a patient 01:20.700 --> 01:23.700 align:left position:17.5% line:83% size:72.5% and just thoroughly go through their medications. 01:23.700 --> 01:24.933 align:left position:22.5% line:89% size:67.5% A lot of the people 01:24.933 --> 01:26.800 align:left position:20% line:83% size:70% that I end up doing these medication reviews 01:26.800 --> 01:29.966 align:left position:22.5% line:83% size:67.5% with, they're 65 years of age and older. 01:29.966 --> 01:31.600 align:left position:15% line:89% size:75% - There's some elderly folks 01:31.600 --> 01:33.366 align:left position:22.5% line:83% size:67.5% that they can't leave their home. 01:33.366 --> 01:36.500 align:left position:20% line:83% size:70% If the patient allows, we always come and visit them 01:36.500 --> 01:39.500 align:left position:12.5% line:89% size:77.5% and we find it very effective. 01:39.500 --> 01:41.933 align:left position:20% line:89% size:70% One is being compliant, 01:41.933 --> 01:45.300 align:left position:15% line:83% size:75% second is, it just brings a lot of satisfaction. 01:47.300 --> 01:50.633 align:left position:12.5% line:83% size:77.5% - A lot of these people end up being on many medications, 01:50.633 --> 01:52.133 align:left position:15% line:89% size:75% at that point in their life. 01:52.133 --> 01:54.700 align:left position:15% line:83% size:75% So, it's just a time that I can sit down with them. 01:54.700 --> 01:57.333 align:left position:27.5% line:83% size:62.5% So, this one is for your diabetes, okay? 01:57.333 --> 01:59.966 align:left position:22.5% line:83% size:67.5% And look specifically for side effects 01:59.966 --> 02:02.600 align:left position:10% line:89% size:80% and interactions and precautions 02:02.600 --> 02:04.066 align:left position:10% line:89% size:80% that I wanna go over with them. 02:06.200 --> 02:09.066 align:left position:30% line:83% size:60% - When we see our patient that come, 02:09.066 --> 02:11.066 align:left position:22.5% line:83% size:67.5% they've seen like multiple doctors, 02:11.066 --> 02:13.533 align:left position:22.5% line:83% size:67.5% we make sure that they get the right treatment. 02:13.533 --> 02:17.133 align:left position:17.5% line:83% size:72.5% So, we make sure these drugs are not overlapping. 02:18.700 --> 02:22.666 align:left position:12.5% line:83% size:77.5% - A lot of times because they have gotten to an older age, 02:22.666 --> 02:24.800 align:left position:12.5% line:89% size:77.5% they tend to be on medications 02:24.800 --> 02:26.933 align:left position:22.5% line:83% size:67.5% that they've just always been on. 02:26.933 --> 02:28.766 align:left position:22.5% line:83% size:67.5% Doesn't mean that it's a medication 02:28.766 --> 02:30.766 align:left position:10% line:89% size:80% that they should be on anymore. 02:30.766 --> 02:33.233 align:left position:15% line:83% size:75% So, I try to look through all of their medications 02:33.233 --> 02:36.233 align:left position:12.5% line:83% size:77.5% and see if there's anything that can be taken out 02:36.233 --> 02:39.833 align:left position:20% line:83% size:70% and work with the doctors to de-prescribe. 02:39.833 --> 02:41.300 align:left position:15% line:89% size:75% If I do something like that, 02:41.300 --> 02:43.833 align:left position:12.5% line:83% size:77.5% it's going to make it so that there are less side effects, 02:43.833 --> 02:47.033 align:left position:17.5% line:83% size:72.5% less interactions and less things to kind of worry 02:47.033 --> 02:48.333 align:left position:30% line:89% size:60% about for them. 02:48.333 --> 02:50.133 align:left position:27.5% line:83% size:62.5% Go ahead and take a look at these things 02:50.133 --> 02:52.266 align:left position:17.5% line:83% size:72.5% and just make sure that they're all good together. 02:52.266 --> 02:54.166 align:left position:20% line:83% size:70% - Sounds good. - We can check out too. 02:54.166 --> 02:58.100 align:left position:17.5% line:83% size:72.5% As we age, one of the things that can happen is, 02:58.100 --> 03:01.633 align:left position:12.5% line:83% size:77.5% it can almost turn into like a prescribing cascade. 03:01.633 --> 03:03.466 align:left position:22.5% line:83% size:67.5% So, maybe someone will be started 03:03.466 --> 03:07.633 align:left position:12.5% line:83% size:77.5% on a particular medication for a specific disease state, 03:07.633 --> 03:11.266 align:left position:27.5% line:83% size:62.5% and then they might have a side effect. 03:11.266 --> 03:15.300 align:left position:22.5% line:77% size:67.5% Sometimes, the doctor will actually treat those side effects 03:15.300 --> 03:17.133 align:left position:27.5% line:83% size:62.5% as though it's another condition. 03:18.500 --> 03:20.833 align:left position:12.5% line:83% size:77.5% And you end up with a situation called polypharmacy, 03:20.833 --> 03:24.833 align:left position:10% line:83% size:80% which is basically when someone is on several medications. 03:24.833 --> 03:25.966 align:left position:27.5% line:83% size:62.5% - And you're gonna do your left arm? 03:25.966 --> 03:27.266 align:left position:32.5% line:89% size:57.5% - Yeah, yeah. 03:27.266 --> 03:28.900 align:left position:25% line:83% size:65% - There's so much joy and satisfaction 03:28.900 --> 03:30.133 align:left position:22.5% line:89% size:67.5% in being a pharmacist. 03:30.133 --> 03:31.800 align:left position:12.5% line:89% size:77.5% And one of the biggest things 03:31.800 --> 03:36.033 align:left position:20% line:83% size:70% that I love is being able to actually see a problem, 03:36.033 --> 03:38.100 align:left position:22.5% line:83% size:67.5% address the problem with the patient, 03:38.100 --> 03:39.333 align:left position:22.5% line:83% size:67.5% and to be able to work with them, 03:39.333 --> 03:41.866 align:left position:20% line:83% size:70% to be able to get to where they feel better. 03:41.866 --> 03:43.166 align:left position:27.5% line:83% size:62.5% That would kind of help figure out 03:43.166 --> 03:44.466 align:left position:22.5% line:83% size:67.5% why you're having some of these side effects 03:44.466 --> 03:46.300 align:left position:15% line:89% size:75% that we talked about before. 03:46.300 --> 03:50.000 align:left position:12.5% line:83% size:77.5% - Dealing with your elderly patient is the most joyful. 03:50.000 --> 03:53.466 align:left position:20% line:83% size:70% They bring smile to you, the most kindest people. 03:53.466 --> 03:55.700 align:left position:20% line:83% size:70% And every time you bring their medication, 03:55.700 --> 03:58.300 align:left position:15% line:83% size:75% either you deliver or they come and pick it up, 03:58.300 --> 04:00.266 align:left position:15% line:89% size:75% they always come with smile. 04:00.266 --> 04:03.966 align:left position:15% line:83% size:75% And I feel privileged helping the elderly patient, 04:03.966 --> 04:07.000 align:left position:12.5% line:83% size:77.5% getting their medication, and getting the right treatment. 04:09.566 --> 04:12.566 align:left position:22.5% line:89% size:67.5% (bright upbeat music)