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US Pharm. 2012;37(11):3.
A couple of months ago I was flying home
from a pharmacy conference in Denver when approximately 2 hours into
the trip a flight attendant came over the PA system asking if there was
a doctor or paramedic onboard. As a savvy business traveler, I knew
this likely meant there was a sick passenger who needed assistance.
Having been an EMT attached to a volunteer ambulance squad much earlier
in my pharmacy career, I instinctively reached up to press my call
button to alert the crew that I might be able to help. But then I
hesitated, as I hadn’t been certified as an EMT for several years and
was concerned that, depending on the severity of the patient’s
condition, I could possibly do more harm than good. I decided to wait
and see if anyone else would respond. As luck would have it, I heard
the familiar tone of two call buttons, so I knew the sick passenger
would be in good hands.
And yet, I continued to wonder if I
could still be of some help regarding any medication the patient might
be taking. I once again reached for the overhead call button, this time
a bit more timidly, and pressed it. When the flight attendant arrived,
I explained that I was a pharmacist and could perhaps be of some
assistance. A few seconds later she came back and handed me a piece of
paper with the word Suboxone written on it. She said the
patient told her this was the drug he was taking. It was then I
informed the flight attendant that maybe I actually could be of some
help. As most pharmacists are aware, drug addicts use this drug to help
wean themselves off their addiction to potent opioids like morphine,
codeine, and heroin. After hearing what the symptoms were, I knew they
were in line with the drug’s side effects. I suggested that the problem
might have been an overdose or some misuse of the drug. That
information was passed along to the paramedic and doctor treating the
sick passenger.
I was seated only a few rows away from
where they were working on the patient. A male, he appeared to be a 20
something and was looking very pale. I noticed they had an IV line in
his arm, which I assumed was a saline drip to help with dehydration
because I was told he had been throwing up for quite a while; he also
had oxygen flowing through a cannula in his nose. The flight attendant
told me the young man was scheduled to change planes in Newark for a
trip to Ireland, where he was destined to check into a rehab facility.
While I didn’t administer any first aid on this trip, I felt pretty
pleased that my pharmaceutical knowledge had come in handy and I could
add something to the patient’s comfort.
Interestingly, this was not the first
time I’d been called from my seat to help a sick passenger. Some time
ago I was on a cross-country trip from Los Angeles, and an elderly,
somewhat disoriented woman was experiencing moderate chest pains. On
that flight there were no other medical personnel available to help so
I volunteered. It turned out she carried nitroglycerin tablets in her
purse. I asked her if she had taken any, and she said no. Once she put
one under her tongue, her chest pain subsided and she was able to
comfortably make it to the end of the flight.
These experiences have reinforced in me
the awareness that a pharmacist is not only a pharmacist behind the
prescription counter; a pharmacist is a pharmacist 24 hours a day. I
can’t begin to tell you how many times I have been asked questions in
social settings about someone’s medication. This happens at one time or
another to nearly every pharmacist I’ve known. Prescription drugs are
such a vital part of our well-being that patients oftentimes can’t help
asking questions about what they are taking once they learn you are
pharmacist. A pharmacist’s knowledge extends far beyond the dispensing
of prescription medications. We are walking encyclopedias of drug
information. I was reminded of that once again at 36,000 feet on this
most recent trip from Denver. And you know what? It felt pretty darn
good.
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