what should i do?!?!

This is a sample CPJE question found on the Board of Pharmacy website:

A patient brings in a prescription for Propecia written by a known physician on a plain piece of paper. The paper is not a prescription blank, but just a plain white sheet of paper with all the needed information hand written. The pharmacist should

A. fill the prescription as written and file
B. not fill the prescription as it represents a forgery
C. tell the patient that this is a non-prescription medication
D. have the patient obtain the prescription on a formal prescription blank

What should I do?!?! These not-quite-common-but-certainly-can-happen-reality type questions really confuse me (like the NJBOP's favorite question: what if the prescribe dies...). So if it happens I'll just give the MD office a call to verify that it was in fact written by the doctor and give the med to the patient. The NJ state law states that EVERY prescription has to be written on a blue, pre-printed prescription paper so I'll have to re-write the information using the store's prescription pad. But that's it.

Propecia is not a controlled substances as it doesn't have addiction potential. But it is an Rx-only drug which in the law book it is defined as a "dangerous drug" and can only be obtained with a prescription. What if the "known prescriber" signs his/her name as a big circle or big "L" like Dr. Long/Lukenda/Lee/Lala so anyone can just grab a piece of plain paper and start writing his/her own prescriptions.

I'm not sure if there's a section in the law book that refers to the specific situation as described in the question, I just don't think any of the given answers is absolutely correct.

rainbow....

Today it rained the first time after we moved to cali. It just lasted a couple hours in the afternoon but I can't wait to see the lush green grasses and mountains tomorrow.

carwash (after its 2 weeks journey from east to west)

see the two hearts?




like a new car again....

Craftwork

Our apartment

Mountain View Fair and Farmer's Market

Downtown Mountain View (Sunday, May 7, 2006)












What we bought at the farmer's market
Stuffed bell peppers and zucchini

apartment hunting

I'm in a very anxious state right now coz after one week of apartment hunting we finally decide on one. There're actually more than one apartment that we like, but they're either too $$$ or noisy (near the train or airport) or more commonly, fully occupied. I'm nervous because I just realized that apartments go really fast here. We almost signed a lease on Sunday but was about 5 minutes late and it was gone. There's no need to ask for specials because with so many demands in the market that even the rent goes up every couple days.

I just hope that by 5pm today the apartment that we want is still there.

UPDATE: no, it was gone, it was "rented today"....... that means what? start searching again...

Golden State

Being in CA for a couple days, well, I'm not ready to call myself a Californian yet, but am certainly looking forward to settling down here. I was afraid to drive in CA (basically any big city) before we came, nonetheless the roads aren't bad at all. They're wider and there're more lanes than in NJ, we successfully avoid the heavy traffic so far, plus we can make left turns here! That means no more jug-handle!! Gas prices are ridiculously high at some places but we manage to find a Shell station with more reasonably priced gas.


The sun here is to die for. This is probably the nicest time of the year, or the entire year is like this? The weather reminds me every second how blessed and lucky I am. From the freeways I see green mountains under a blue sky just like the pictures on puzzles. The pool and jacuzzi in the apartment complex open all year long (vs. from memorial day thru labor day). Everyday is a swimming day.

Life without the need of going to work is great. I can't do that for financial reason obviously -- but I learn to treasure my sunny vacation even more.

TSE Clinical Trial

My dad give me a book with lots of home remedies with Chinese medicines/ingredients before I leave HK. He intended to give it to Charles so he can practice the "arm-shaking exercise" which is supposed to promote general health. One of the remedies is to help cure near-sightedness and I decide to give it a try, and name it the Tomato's Silly Eye Clinical Trial.



Objective: To evaluate the effectiveness of a chinese remedy (longan, longan seed, and gai-ji) to improve severe near-sightedness.
Design: Non-randomized, non-double-blind, non-placebo-controlled.
Setting: The Yau-Tse residence
Method: n=2. Each person will receive 1 to 8 cups of herbal drink(s) per day for up to 8 months from May 1, 2006. Vision exams will be periodically performed and monitored for progress.
Results: TBA

As of May 1, 2006, patient Y's prescription is as follow:

*** Sph Cyl Axis

OD -9.0 -225 10

OS -9.0 -225 170

As of May 1, 2006, patient S's prescription is as follow:

*** Sph

OD -5.0

OS -5.0