Pharmacist Ted Mah headlined the first session of this year’s Empowerment Series, which is presented by Jewish Seniors Alliance with the help of the Phyliss and Irving Snider Foundation.
The Oct. 29 talk on Zoom was called Make Friends With Your Pharmacist. Mah spoke about the roles and responsibilities of pharmacists, which now include supporting people’s health and well-being, in addition to filling prescriptions and other duties.
Mah graduated from the University of British Columbia in 1995 and began his career at a Safeway Pharmacy in Victoria. After five years, he was promoted to management and, for seven years, operated the Safeway Pharmacy at City Square in Vancouver. Currently, he is the manager of the Safeway location on Arbutus in Vancouver.
The Zoom started with a few words about Jewish Seniors Alliance by Gyda Chud, a former co-president of JSA and also chair of the program committee. Chud spoke about JSA’s theme of “Seniors Stronger Together” and its three guiding principles of “Outreach, Education and Advocacy” and how they can empower us.
Mah said he enjoyed his training at UBC. In his fourth year, when he did an internship at a hospital, he became very aware of the positive impact that pharmacy can have on patients when the rules and procedures are properly followed.
According to Mah, Safeway Pharmacies have a central distribution venue, where the preparation of medications is handled by robots to reduce the possibility of human error in the counting of pills. In all the stores’ pharmacies, audits are done regularly to ensure proper care and count of medications, including narcotics. Expired medications are disposed of.
Most pharmacies can make blister packages of weekly medications available upon request. Plastic see-through pouches are also available, labelled with the name of the medication, dose and time of day that it should be taken. For people with visual impairments, there is a chip and a machine that will read out the contents of the bottle.
There have recently been many changes in what pharmacists are permitted to do to assist patients and save time for physicians. Pharmacists can now administer more vaccines than they were able to in the past; for example, they can now give polio shots. They can also prescribe medication for many minor ailments without a doctor’s prescription: these include antihistamines for seasonal allergies, nasal steroids, antibiotic eye drops, contraceptives, and medications that help with skin conditions including eczema, dermatitis, diaper rash and bacterial infections. As well, pharmacists can prescribe topical creams for such problems as toenails, dandruff, oral cancer and cold sores, yeast and urinary tract infections, shingles, and a host of other ailments.
The Empowerment session Q&A included a question about renewing ongoing prescriptions without consulting a doctor. Mah said this would depend on something called “adaptation,” which includes the renewal itself, as well as changing the dose, formulation or other aspects of a
prescription. A pharmacist can generally do these things, however, a doctor can order that a prescription not be adapted.
Another question concerned the new mRNA vaccine for COVID, which, at this point, should be given annually, like the flu vaccine. There were also several questions about supplements, such as vitamins or calcium.
Mah said pharmacists can do medication reviews by appointment. This could include a discussion of supplements, such as how they interact with various medications. Information about people’s prescriptions is entered into PharmaNet, the province-wide data network.
Mah said drugs that a person is no longer using should be returned to a pharmacy in a Ziploc bag for disposal. For syringes, one should pick up a special container from the pharmacy.
Another question concerned psychotropic drugs, and also the tolerance of various drugs for different age groups, especially seniors. Mah said this is a question for a physician but added that, when a new drug is prescribed, it is usually only enough for 30 days at most, in case there is a negative reaction.
Other questions concerned taking a flu shot and COVID shot together, which is fine to do, and how long one should wait after having a COVID shot to have a booster – apparently three months is now OK.
Pharmacists must engage in regular professional development to maintain their licences, said Mah, who added that there is a current shortage of pharmacists in British Columbia because their new roles and responsibilities have increased the demand for their services.
Tamara Frankel, a member of the program committee and a board member of JSA, thanked Mah for his participation and for all his helpful information. The event was co-sponsored by the Peretz Centre for Secular Jewish Culture.
Shanie Levin is a Jewish Seniors Alliance Life Governor. She is also on the editorial committee of Senior Line magazine.