▲ 142 r/pharmacy

How's everyone doing with the bridge program?

No one in my pharmacy had heard about it until Monday when I was like, "Have you guys heard about this??" And got some horrified looks. The pharmacists got the official memo later that day 😬

Please tell me we aren't the only pharmacy having a problem with this thing. The amount of people who have come in insisting they can now get their Mounjaro (or insert other non-covered GLP-1 here) for their diabetes (or insert other non-covered indication here) through it is INSANE.

Had a doctor's office on the line earlier today asking how to know if someone's eligible for the program. I was very nice but inside I was thinking...read the criteria?? Go to the website?? I don't know what exactly this patient is using it for and what their pre-existing conditions are. That's what you're there for. It does explain why we keep getting scripts sent over for non-covered GLP-1s with notes saying to run them through the bridge program. They're probably not helping to disillusion the above Mounjaro-diabetes patients from the promised $50 copay either.

How's everyone else holding up??

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u/expert_in_wumbo — 3 days ago

What kind of sorcery is this??

I went to distribution services yesterday after getting done at the temple because I needed new garments. I recently had some unintended weight loss and didn't know what would fit me. I was with my grandma and our friend, we found the elusive dry stretch garments, and were so excited. I didn't want to try them on because the other people I was with already knew what size they were, and I didn't want to hold them up. I've also only been wearing garments for about eight months, so I haven't tried many materials and gotten a feel for them. All this to say, I had no idea what size to get.

I asked the distribution services employee if the new garments were true to size, since the packaging said they had new sizing. This woman gives me the quickest up-down look I've ever received, grabs a top and bottom, and says, "These'll fit perfect." I was like, "Okay?" I was wearing a very loose dress. Couldn't figure out what she was going off of.

I get home and try them on. They fit like a glove. And for anyone wondering, the hype is well-deserved about the new garments.

Do they teach this superpower when you get hired there??? Similar thing happened when I got my first garments, except they measured me.

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u/expert_in_wumbo — 11 days ago
▲ 1 r/PCOS

Just diagnosed and don't know how to deal with it

I got the news on Wednesday. I knew it was coming; I'd been out of state for school and seen an OBGYN who told me I almost certainly had PCOS. I came home recently for the summer and saw my primary care doctor on the 10th. I guess maybe I hoped the OBGYN had been wrong. But she wasn't.

I can look back and see a few symptoms from when I was younger: irregular and heavy periods, maybe a little more body hair. But because of those heavy periods, I got put on an IUD at 17 and they were no longer a problem. I started getting some hormonal acne when I turned twenty but figured that since I didn't really have any in my teens, I was just making up for it then.

My IUD expelled in December. I am physically unable to get a new one, which sucks because it did a very good job at controlling things. Almost too good. Once it was out, it was like a mask had been lifted. My acne got worse all over my body, hair increased, I started losing a little bit of hair on my scalp, etc. I have to shave my face every few days. I'm sure you know the drill. I saw a dermatologist, who was actually the first to bring up the possibility of PCOS because of the pattern of my acne.

There is nothing I can do to treat this. I'm already on the birth control pill (Slynd, the third I've tried and only one that's worked so far for me) and spironolactone. I'm at a normal BMI. I had actually dealt with some unintentional weight loss from January to March that was incredibly dangerous (PTSD-related; when I'm stressed/depressed I lose interest in eating) and it very nearly landed me in the hospital. And in a way, I'm angry about that. I was overweight before. It almost feels like the one thing I could do to help, lose weight, has been taken away from me, even though the weight loss didn't improve things. I know it doesn't make sense.

I guess I just didn't expect to be so sad. I know this isn't a death sentence. I know my life isn't over. But I'm scared. I'm 22 years old. I'm not in a place in my life right now where I want kids, but I want one someday. I know it's possible, but knowing I might need some help was hard to hear. And knowing the plethora of health problems I am much more likely to have in the future because of this felt soul-crushing. My grandfather died of diabetes-related complications during COVID, and the whole thing terrifies me. I work in pharmacy and see the consequences of diabetes, heart problems, stroke, and more every single day. My PCP is fabulous and I love her, and she delivered this the best she could, but I just got in my car and cried afterwards.

Is it normal to feel like I'm grieving? Am I overreacting? I'm having a hard time hiding how sad I am, but I have to at work and I don't know how. Shouldn't I be happy to know what's going on? Why am I so sad?

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u/expert_in_wumbo — 20 days ago
▲ 39 r/XXS

What the hell is going on???

First off: I should not be here. I am 5'5 and ~128-130 pounds. There is no universe in which I should be an XS. However, I've recently lost a lot of weight (unintentionally, but I'm okay now), and I went clothes shopping yesterday because none of my clothes fit anymore. I'm trying to figure out how in the world I'm a SIZE TWO and an XS in everything else. A TWO??? I do have a large frame and look smaller than I am, but are we being serious right now?? What do actually small people wear?! I knew vanity sizing was crazy but this is ridiculous. I'm also struggling to find pants that fit both my hips and waist. Things that fit in the hips are too large in the waist, and vice versa. I know belts exist, but still.

Also, this is kind of off topic, but any tips for dealing with unwanted comments about your size? I know a lot of you are much smaller than me, but I just returned to work after taking a leave of absence for school and I lost about 30 pounds. The amount of unprompted comments I've been getting from my coworkers about my body is insane and would NOT be appropriate if I was bigger. Some could be interpreted as compliments ("keep it up!") but some are just flat out mean ("did you even EAT while you were gone? 😒"). Especially where I didn't mean to lose weight. I've rehearsed things I can say, but I keep freezing up whenever people say things. It's been one-off comments from seemingly everybody. I don't know. Has anyone else been in this situation?

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u/expert_in_wumbo — 1 month ago

Coworkers commenting on unintentional weight loss

I've never posted here before, but I'm wondering if anyone might have advice because I have no idea what to do about this situation.

Back in November, I lost about 10 pounds. This was by accident; I was going through a rough time mentally. I was overweight at the time anyways and only one or two people in my life noticed (I went from 170 to 160 pounds at 5'5"). I tend to wear a lot of layers, and we were going into winter, so I think that helped keep people from noticing.

From January up until the last week of April, I went back to school, out of state. I started having eating difficulties again. I completely lost interest in food and had zero desire to eat, and was diagnosed with the lack-of-interest subtype of ARFID. In the span of that time, I went from 160 pounds to 130. I ended up turning things around about halfway through the semester and got help from a dietician when I started having heart problems and other issues. I was having changes to my heart rhythm, and hospitalization was discussed. Luckily, I have maintained my weight for about a month now, and I'm doing very well.

I came home at the end of the semester and returned to work a couple of weeks ago. I work in a pharmacy, and my coworkers have not seen me since I left at the beginning of January.

I knew there would be comments, but I was not prepared for the extent. On my first day back, one of my coworkers opened the door for me to let me into the pharmacy itself, looked me up and down, and said, "Did you eat while you were gone?" No hi, hello, how've you been, nothing. I was so taken aback. I just said "Yes," and tried to ignore it. The next day, I was in the break room and there was an assortment of pastries. The pharmacy is located in a grocery store, and the bakery will often put desserts that are going to be past their sell-by date out for us to have. I briefly glanced at them and sat down. Someone from maintenance that I knew told me to take one of everything, because I "look like (I) need it." Yesterday, one of the managers of the front end told me I was "withering away" in a singsongy voice.

That's not even all of it. There have been comments telling me to keep it up, or that of course I'm cold because I have no insulation, or that I need to eat more, or that I'm too little, etc. I'd hoped it would die down after the first week but were headed into week 4 and it hasn't stopped. I've thought about going to HR but it's not one person doing it, it's multiple people making off-handed comments. I feel like it's just going to make things worse if I do or say anything.

I feel trapped. I love my job and the vast majority of my coworkers are wonderful, but these comments are really hurting me. Some could be intended as compliments, but some just feel mean. I'm not even that small! My doctor says I'm perfectly healthy and a very normal weight for my height. I'm 22 and much younger than a lot of my coworkers, and I think part of this might be a generational thing (seeing any weight loss as good). I just have no idea how to approach this. I feel like people are seeing me only for my body now and not for who I am as a person. I like how I look, but I don't like how I got here. I wish people would stop talking about my body. They never ONCE did when I was bigger.

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u/expert_in_wumbo — 2 months ago