u/Effective-Sherbet655

Yesterday I had a patient trying to fill some scripts for her kidney stone. Her insurance rejected the ketorolac because she had already gotten a 5 day supply 6 days ago and they will only cover 5 days a month. I refused to fill it, told the pt the risks, and suggested she take ibuprofen or naproxen instead.

"But he prescribed it to me." I again reiterated why I wouldn't fill it, left a note in her profile, and told the other pharmacist about it when she came in. She agreed with me.

Apparently sometime after I left, the doctor called back and reamed my fellow pharmacist up one side and down the other because he deemed her low risk and how dare we not fill his prescription or call him about it. She ended up filling it against her better judgment. I hadn't called him because there was nothing he could have said to convince me to fill it.

The pt picked it up this morning, and I printed the black box warning and told her the symptoms of GI ulcer/bleed to look out for, and to go to the ER if she notices any.

Also, couple weeks ago, I had a doctor send a rx for a second round of ketorolac a month after the pt's first fill, this time for 90 tabs for 30 days! At least she just said ok when I told her I was only filling a 5 day supply and canceling the rest.

Why are prescribers treating ketorolac like candy?! There's a black box warning for a reason!

I felt like a hormonal mess last night. My bf decided to take me out to eat. I had to work until 4, and I got a text from him at 3:59 asking if I worked until 4. I closed up and went home, relaxed for about 15 minutes, then took a shower because we haven't gone out just the two of us in months and I want to actually try to look nice for once since I can't be bothered to do my hair or wear more makeup than mascara, blush, and lip gloss since peri started.I'm finishing drying my hair when he comes in and says he's waiting on me. So I get a little irritated and finish drying my hair and only put on mascara. I come out and tell him I forgoed (what is the past tense of forego anyway? My peri brain can't think) putting on makeup since he was waiting on me. I say I hope we can actually go to the Italian restaurant I wanted because when we tried to eat there before it was packed. He says he called the restaurant to tell them we're running late. I say I didn't know he made reservations. He asked didn't I get his text? Turns out right before asking if I got off at 4, he texted me that he got us reservations at 5:30 but I didn't see that one because I was trying to close up at work. So now i felt like crap for not seeing it and making us late and was feeling tearful.

On to the restaurant: I ordered shrimp parmesan. The description said it was garlic shrimp and mushrooms with fettuccine. Sounded delicious. It comes out and has marinara sauce. I hate marinara sauce. I teared up. My dumb ass knew chicken parmesan has marinara sauce, but didn't make the connection for shrimp parmesan. So I'd been looking really forward to a delicious pasta dish but couldn't choke down this marinara monstrosity. We couldn't even take it home because my bf hates mushrooms. On the way home I broke down crying because I didn't get a yummy pasta dish, because I'm too dumb to realize that shrimp parmesan would have marinara sauce, because I was ruining a nice evening by crying, because my poor bf is having to put up with my craziness, and because I keep crying over stupid shit I wouldn't have cried about a year ago.

I'm crying about crying, people!! Make it stop!