Pharmacists are highly trained HCPs who are the subject matter experts in medications and treatment. *However* because of really effective MD lobbying, many of us are unable to practice independently, particularly re: decision making on therapeutics 2/
Because of that, when pharmacists practice - especially in the community - they’re doing so under INCREDIBLY strict protocols and standing orders. Literally not allowed to make decisions outside of those - even if those decisions are correct, medically 3/
Know who the most vociferous professionals are in keeping a lock on our professional capacity? Yep, physicians. (Not all of them! A lot of them, esp in SUD, rock). But *something* tells me that this dude is one who probably has a lot of concerns about pharmacist “scope creep” 4/
I’m not a physician. I do not ever want to be a physician. I do not have the capability, training, or interest for diagnostics or - God forbid - procedures, among many, many other things they do brilliantly 5/
Know what I AM really, really good at? Managing medications. Changing regimens when my patients are about to undergo surgery. Finding gaps in patients’ preventive health needs (like vaccines 😂) based on their conditions. 6/
Manipulating the receptor occupancy of buprenorphine to make sure my patient both doesn’t use heroin and has his pain controlled. Keeping my patients from TdP because someone threw on a fluoroquinolone when their AP is already keeping me a little on edge. 7/
The irony is, if physicians like our pal here recognized that we don’t want their jobs but instead are pretty great partners in caring for patients & can be trusted to do so more independently, his RPh might have had the professional latitude to give him the 💉 he needed. 🤷♀️ 8/
Bummer. 9/9
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