November 21, 2024 • 14 mins
In this episode, expert Jeff Gold, a mental health clinical pharmacy practitioner at the VA discusses impactful patient encounters and mechanisms he's found helpful for self-care.
Each month, APhA will release two podcast episodes offering a fresh dose of education highlights, practice pearls, and insights to inform your pharmacy practice and advance patient care. Listen to new episodes at your convenience! Both members and nonmembers can log into their APhA pharmacist.com Learning Library account to successfully complete a short assessment at the end of each month to earn 0.5 hours of CE credits (.05 CEU).
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Disclaimer: The content is intended for informational purposes only and should not be considered or taken as medical advice. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the opinions or positions of any entities they represent or its employees.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:03):
Welcome to the First Fill.
My name is Katie Meyer,I serve as Senior Director of Content
Creation here at APhA,and I'll be the host for this episode.
Last week
we joined you from the Joint Federal PharmacySeminar in beautiful San Diego, where we spoke
about the role of the clinical pharmacistpractitioner in mental health at the VA.
This week I have a treat for youas I'm joined by a dear colleague
(00:24):
and friend of mine,Jeff Gold, who practices in this role at the VA.
Welcome, Jeff.
Why don't you introduce yourselfand tell listeners a little bit about yourself,
and your roles and responsibilitiesas a mental health clinical pharmacy specialist.
Thanks so much, Katie, for the introduction.
It's a pleasure to be here with APhA, as always.
I am a psychiatric clinical pharmacy practitionerat the VA
(00:45):
in Denver, Aurora, Colorado,or part of the Eastern Colorado Healthcare system
and I work as a direct care providerin which I can prescribe
any medications, order any laboratory tests,and follow my own caseload of veterans for whom
I'm the primary psychiatric providerin their care.
I often work in conjunction with a psychiatristwho will provide an initial diagnosis
(01:07):
for those patients, and then I coordinateand provide all treatment from that point forward.
I often work with therapistsas well as a part of the care team
who follow up with any therapy careneeds of the patient within the scope of practice.
I independently prescribeany medications, laboratory tests.
I interpret and analyze those things,set the time to
when the veteranwill come back to see me for a return follow up.
(01:30):
It's quite similar to any direct care provider
such as a psychiatrist, nursepractitioner, or physician's assistant.
Thanks so much, Jeff, for that intro.
I always love working with youso much as your expertise in psychiatric
care is truly motivating and like no other.
Last week the APhA Executive Fellowsand I discussed the truly innovative work
(01:50):
that mental health people are doing at the VA,serving as primary mental health care providers
with authority to order lab tests,prescribe medications,
create therapy plans,and use quantitative tools to assess patients.
In seeing patients every day,I'm sure there must be some stories that you have
about how you've helped people that really makeyou feel proud of the work that you do.
(02:12):
Can you please share one of those storieswith listeners about the impact
that you've been ableto have on one of your patients?
Yeah, absolutely.
I believe that medications are started,
stopped and adjusted in the contextof a relationship and it's very important
when you're doing psychiatric work, regardlessof whatever discipline that you come at it
from, that you connect to your patientin a real and a meaningful way.
(02:35):
And one of the things that I oftentry to set up with the veterans I'm working with
is that this is a place for them to understandhow medications work
and what the intent is with respectto how a medication might make somebody feel.
But you leave lots of understandingand different ways of comprehending
or conceptualizing what their experiencemight be from taking a medication.
(02:56):
and for that reason,
I like to engage in shared decisionmaking practice where I really talk
with the patientsabout why we might choose one medication
for another and how we might think of somethingas being helpful.
For example, I recently was working with a veteran
who was having a very, very hard timeinterpersonally
and thought that their typical coping strategieswere not sufficient to manage their anxiety.
(03:19):
They were going through a really difficultpersonal
and professional time,and as a mother, she was really struggling.
And she asked she asked meshe was taking antidepressant medications
for anxiety,but felt that it had become so difficult
that she was really struggling to functionand wanted to know what to do next.
And she asked me about taking a benzodiazepine.
(03:41):
And of course, the literature is very clearabout benzodiazepines and anxiety and how we must
be careful about their use and how antidepressantsare first line and second line
and other antidepressants are third line,as is as our various forms of psychotherapy.
And but I felt that she needed something
and she was asking for somethingshort term to help her.
(04:03):
So we really went through an in-depth conversationof what she wanted versus what she needed
to feel that she could get back to her lifein a meaningful way.
And as a part of that discussion, we decided that
maybe a short term course of benzodiazepineswould be helpful.
But we're talking seven tabletsthat she would be given, as, let's say, lorazepam,
(04:24):
and that during that time periodshe was to think about and record a journal
when she took the medication
and why she felt like she needed itand then how she felt after.
So we really brought a lot of depthto the decision
to prescribe the medication that we were ableto bring to her next appointment.
And she still has some of this medicationleft over.
(04:47):
And I like this example because, of course, givingbenzodiazepines is something that has become
we've all become as a medical profession,more careful about it and appropriately so.
But there are people that might benefitfrom these medications.
And I wanted to be really clear with her about how
this can be done in a safe context as well.
And of course, we did screeningfor any sort of substance use.
(05:10):
We did a prescription drugmonitoring program for her,
and there was plenty of informed consentabout what the risks were.
And her decision was that I feel that I neededthis to pull myself through a difficult time.
And I think she used it well.
Thanks, Jeff that is such an impactful story.
I know from working with you in the pastthat benzodiazepine use
(05:30):
is an area of interest with youand that you want to keep people safe.
So this is a great example of how to use themappropriately in order to do just that.
Kind of shifting gears a little bit.
Last week, we talked a little bit about the roleof CPPs in suicide screening and prevention.
I have listened to your talkon crisis intervention a couple of different times
(05:51):
and this stories that you told duringthose presentations really resonated with me
as I recognize what a huge impactpharmacist can have on a patient's journey.
Would you mind sharing one of those storieswith our listeners today as well?
Certainly, before I share a story,I'd like to say that I know I believe
and I represent the thinking within psychiatrythat suicide or suicide
(06:13):
screening and safety assessmentsare everyone's responsibility.
And one of my hopes in my careerhas been to engender not just pharmacists
but pharmacy technicians, nurses,even even our frontline staff
with the ability to screensomebody for thoughts of suicide and self-harm.
That suicide risk, safety assessment and safety
(06:34):
is everyone's responsibilityand it's something that we all can do.
And part of my work has been to destigmatize thatand make it easier to talk about those things.
So I first off, want to say to all our listenerswho may not have heard
some of this content before,because I believe it's
just becoming moreand more available and mainstream,
but asking and talking to your patients aboutsuicide never makes them think about suicide more.
(06:59):
And they've done plenty of research on this andthey've shown consistently that talking about it
and asking people about such thoughts reducesrather than increases ideation.
It might lead to betterpatient care and self care outcomes.
I feel that in my work with
patients in crisisthat one of the most important concepts
(07:19):
is to stay with themthrough every step of the process.
I worked with one such veteran,this actually happened a few years ago,
but during the appointmentit was a video appointment because so much
so much of our medical carenow is virtual that there might be a situation
where the patient is not in your officeand so you're not able to get, let's say,
(07:40):
EMS or police to the door of your officein order to coordinate a transition.
So I had to coordinate a transitionwith a patient at home with a loaded gun
in her possessionwhile I was on a video appointment with her.
And the way that I the way that I handledit was to keep with her the entire time.
I never left her side.
I stayed with her every moment,and I was messaging people using my cell phone
(08:04):
and my computer and sending other messagesto people to coordinate services.
And we ended up calling a social workerwith a police officer to her home
while I was with her every step of the wayand a few things that I felt
that that were impactfulto say to her in that time
were to try to keep her talking about
what were thingsthat could be solved in that moment.
(08:27):
And if you think about crisis intervention,what are things that could be done in this moment,
not thinking about six months from now or
two years from now, or the things you've donein the past that you might have shame around.
But what is it that you need right here todaythat we can do and solve at this moment?
And I knew this particular veteranvery well patient of mine for several years.
(08:47):
And I also told her that her future self
would thank her for making the decision to stay.
And I know that really impacted her.
And she she sat with that for a long and hardand she asked me what I meant.
And I going back to that, keeping itabout the moment life changes so much for
for all of us from one day to another, fromone week to another, from six months to a year.
(09:10):
And she couldn't imagine what her lifemight be like in a year's time.
And all these things might feel so different.
And she'll be so glad that she decided to stay.
And tears welled up in her eyes and in mine too.
When the police were getting close,she was very frightened of the police.
I was able to get the name of the officerand the social worker that were going to come
(09:31):
and wait for her downstairsand tell her their name
and then tell her a little bit about themso that she knew.
So officer Mike, he has two kids and he's married,
and he wants you to knowthat you're not in trouble.
And Cynthia's the social worker,and she says that she's ready to help you
when you're ready to go downstairs.But you can't bring the gun.
And she was very receptive to this.
(09:52):
And I tried to make the transitionas smooth as possible.
So I think some of the takeaways from
this are just that you're staying with somebodyfor every part of the experience.
You're coordinating help in the background,and of course you're just being supportive to them
to get them to the next stage whereI think they can look at things in more depth.
Thank you so much, Jeff.
(10:13):
I've heard that story before and that it's trulyjust so impactful and motivating.
I love hearing it. So thanks.
Thanks for sharing it with our listeners today.
Of course.
All right. I have just one last topic for you.
I know that you can relate to this statementthat oftentimes as pharmacists,
we are so fully engrossed caring for our patientsthat we forget to care about ourselves.
(10:33):
And that's important, too, right?
Do you have any self-care strategiesthat you found helpful to ensure
that you're not only taking care of your patientsbut yourself as well?
Absolutely.
I have had to implement a number of self-carestrategies over the years, and I'm
first and foremost, I'm doing mental health work,but doing medical work in general,
we are witness to a lot of sadness and miseryin our work, regardless of regardless of what
(10:58):
your practice setting is, whether it's psychiatryor critical care or community practice.
And I think that for me, having
my own therapy has been deeply meaningful.
It's allowed me to understand where I endand where other people begin.
And that's been helpful, not just clinicallywhen I'm working with patients, but
but also when I'm working with friendsand family members and partners.
(11:20):
And it just makes things feel different
when I have more clarity about who I amand why I'm doing what I do.
And it also helps me get some distancebetween myself and what happens at work.
So I'm not taking home some of the painand sadness with me because our work is painful
and it is sad at timesand you have to have a way to disconnect from it.
(11:41):
I care deeply about my patientsand I know you all do too,
but there's still going to be a wayfor us to disconnect from that intensity
and come home and enjoy our lives.
So that's been one of the values of psychotherapyfor me as a patient.
I also like to work out, see friends, play games
and do things that celebrate my life and my health
(12:03):
when I'm when I'm off work or during the weekends.
So those are some of the things I wouldencourage is making sure
that you're buildingin some sort of self-reflection into your life.
I know psychotherapy is not for everybody,but I find it particularly helpful.
I know many do,but there are lots of different ways
where you can have practiceself-reflection and mindfulness.
I know through meditation and yogaor other strategies that some of my coworkers use.
(12:26):
And then just, I think, to do things to keepyou healthy, such as working out
and maintaining healthy social relationships.
Awesome, Jeffthanks so much for sharing those tips.
Definitely some some great tipsthere, and I would encourage listeners
to consider thoseif you're not partaking in some of those today.
Thanks, Jeff,for such a wonderful discussion today.
(12:46):
Not only about the impact that you've madefor your patients, but also how pharmacists
can can take time to take care of themselvesthroughout the process as well.
All right.
Let's summarize the major takeawaysfrom our time here today.
First, shared decision making is key in success
when treating patientswho suffer from mental illness,
suicide screening and safety assessmentsare everyone's responsibility,
(13:09):
and can be done by all pharmacies and really
any other health care practitioner as well.
If you ever encounter a patient in crisis,
stay with them until help can be coordinated.
As pharmacists it’s important that we take careof ourselves in order to best serve our patients.
Strategies to do socan include participating in psychotherapy
(13:30):
to help with disconnectfrom the intensity of patient care.
Also building in time for self-reflectionand mindfulness through physical fitness,
yoga and other activitiescan be super beneficial as well.
All right, folks,
that's all the time we have here for today.
If you haven't listened to partone of this month's First Fill podcast yet,
(13:50):
it was released one week agoand in that episode, APhA Executive Fellows
and I discussed the role of mental healthCPPs at the VA.
If you'd like to learn more about the workJeff does at the VA,
check out an enduring CPE in our catalog called
Crisis InterventionA Pharmacist story, where Jeff tells several
additional stories about the workhe does and the patients that he's cared for.
(14:13):
We also have a four hour mental healthfirst aid advanced training program
that covers mental illness in detail and effectivecommunication strategies, if you're interested.
And last but not least, don'tforget to head over to the Learning Library
at learn.pharmacist.comto earn your CPE for this month's podcast.
Thanks, everyone. Take care. Thank you.
Welcome to the First Fill.
My name is Katie Meyer,I serve as Senior Director of Content
Creation here at APhA,and I'll be the host for this episode.
Last week
we joined you from the Joint Federal PharmacySeminar in beautiful San Diego, where we spoke
about the role of the clinical pharmacistpractitioner in mental health at the VA.
This week I have a treat for youas I'm joined by a dear colleague
(00:24):
and friend of mine,Jeff Gold, who practices in this role at the VA.
Welcome, Jeff.
Why don't you introduce yourselfand tell listeners a little bit about yourself,
and your roles and responsibilitiesas a mental health clinical pharmacy specialist.
Thanks so much, Katie, for the introduction.
It's a pleasure to be here with APhA, as always.
I am a psychiatric clinical pharmacy practitionerat the VA
(00:45):
in Denver, Aurora, Colorado,or part of the Eastern Colorado Healthcare system
and I work as a direct care providerin which I can prescribe
any medications, order any laboratory tests,and follow my own caseload of veterans for whom
I'm the primary psychiatric providerin their care.
I often work in conjunction with a psychiatristwho will provide an initial diagnosis
(01:07):
for those patients, and then I coordinateand provide all treatment from that point forward.
I often work with therapistsas well as a part of the care team
who follow up with any therapy careneeds of the patient within the scope of practice.
I independently prescribeany medications, laboratory tests.
I interpret and analyze those things,set the time to
when the veteranwill come back to see me for a return follow up.
(01:30):
It's quite similar to any direct care provider
such as a psychiatrist, nursepractitioner, or physician's assistant.
Thanks so much, Jeff, for that intro.
I always love working with youso much as your expertise in psychiatric
care is truly motivating and like no other.
Last week the APhA Executive Fellowsand I discussed the truly innovative work
(01:50):
that mental health people are doing at the VA,serving as primary mental health care providers
with authority to order lab tests,prescribe medications,
create therapy plans,and use quantitative tools to assess patients.
In seeing patients every day,I'm sure there must be some stories that you have
about how you've helped people that really makeyou feel proud of the work that you do.
(02:12):
Can you please share one of those storieswith listeners about the impact
that you've been ableto have on one of your patients?
Yeah, absolutely.
I believe that medications are started,
stopped and adjusted in the contextof a relationship and it's very important
when you're doing psychiatric work, regardlessof whatever discipline that you come at it
from, that you connect to your patientin a real and a meaningful way.
(02:35):
And one of the things that I oftentry to set up with the veterans I'm working with
is that this is a place for them to understandhow medications work
and what the intent is with respectto how a medication might make somebody feel.
But you leave lots of understandingand different ways of comprehending
or conceptualizing what their experiencemight be from taking a medication.
(02:56):
and for that reason,
I like to engage in shared decisionmaking practice where I really talk
with the patientsabout why we might choose one medication
for another and how we might think of somethingas being helpful.
For example, I recently was working with a veteran
who was having a very, very hard timeinterpersonally
and thought that their typical coping strategieswere not sufficient to manage their anxiety.
(03:19):
They were going through a really difficultpersonal
and professional time,and as a mother, she was really struggling.
And she asked she asked meshe was taking antidepressant medications
for anxiety,but felt that it had become so difficult
that she was really struggling to functionand wanted to know what to do next.
And she asked me about taking a benzodiazepine.
(03:41):
And of course, the literature is very clearabout benzodiazepines and anxiety and how we must
be careful about their use and how antidepressantsare first line and second line
and other antidepressants are third line,as is as our various forms of psychotherapy.
And but I felt that she needed something
and she was asking for somethingshort term to help her.
(04:03):
So we really went through an in-depth conversationof what she wanted versus what she needed
to feel that she could get back to her lifein a meaningful way.
And as a part of that discussion, we decided that
maybe a short term course of benzodiazepineswould be helpful.
But we're talking seven tabletsthat she would be given, as, let's say, lorazepam,
(04:24):
and that during that time periodshe was to think about and record a journal
when she took the medication
and why she felt like she needed itand then how she felt after.
So we really brought a lot of depthto the decision
to prescribe the medication that we were ableto bring to her next appointment.
And she still has some of this medicationleft over.
(04:47):
And I like this example because, of course, givingbenzodiazepines is something that has become
we've all become as a medical profession,more careful about it and appropriately so.
But there are people that might benefitfrom these medications.
And I wanted to be really clear with her about how
this can be done in a safe context as well.
And of course, we did screeningfor any sort of substance use.
(05:10):
We did a prescription drugmonitoring program for her,
and there was plenty of informed consentabout what the risks were.
And her decision was that I feel that I neededthis to pull myself through a difficult time.
And I think she used it well.
Thanks, Jeff that is such an impactful story.
I know from working with you in the pastthat benzodiazepine use
(05:30):
is an area of interest with youand that you want to keep people safe.
So this is a great example of how to use themappropriately in order to do just that.
Kind of shifting gears a little bit.
Last week, we talked a little bit about the roleof CPPs in suicide screening and prevention.
I have listened to your talkon crisis intervention a couple of different times
(05:51):
and this stories that you told duringthose presentations really resonated with me
as I recognize what a huge impactpharmacist can have on a patient's journey.
Would you mind sharing one of those storieswith our listeners today as well?
Certainly, before I share a story,I'd like to say that I know I believe
and I represent the thinking within psychiatrythat suicide or suicide
(06:13):
screening and safety assessmentsare everyone's responsibility.
And one of my hopes in my careerhas been to engender not just pharmacists
but pharmacy technicians, nurses,even even our frontline staff
with the ability to screensomebody for thoughts of suicide and self-harm.
That suicide risk, safety assessment and safety
(06:34):
is everyone's responsibilityand it's something that we all can do.
And part of my work has been to destigmatize thatand make it easier to talk about those things.
So I first off, want to say to all our listenerswho may not have heard
some of this content before,because I believe it's
just becoming moreand more available and mainstream,
but asking and talking to your patients aboutsuicide never makes them think about suicide more.
(06:59):
And they've done plenty of research on this andthey've shown consistently that talking about it
and asking people about such thoughts reducesrather than increases ideation.
It might lead to betterpatient care and self care outcomes.
I feel that in my work with
patients in crisisthat one of the most important concepts
(07:19):
is to stay with themthrough every step of the process.
I worked with one such veteran,this actually happened a few years ago,
but during the appointmentit was a video appointment because so much
so much of our medical carenow is virtual that there might be a situation
where the patient is not in your officeand so you're not able to get, let's say,
(07:40):
EMS or police to the door of your officein order to coordinate a transition.
So I had to coordinate a transitionwith a patient at home with a loaded gun
in her possessionwhile I was on a video appointment with her.
And the way that I the way that I handledit was to keep with her the entire time.
I never left her side.
I stayed with her every moment,and I was messaging people using my cell phone
(08:04):
and my computer and sending other messagesto people to coordinate services.
And we ended up calling a social workerwith a police officer to her home
while I was with her every step of the wayand a few things that I felt
that that were impactfulto say to her in that time
were to try to keep her talking about
what were thingsthat could be solved in that moment.
(08:27):
And if you think about crisis intervention,what are things that could be done in this moment,
not thinking about six months from now or
two years from now, or the things you've donein the past that you might have shame around.
But what is it that you need right here todaythat we can do and solve at this moment?
And I knew this particular veteranvery well patient of mine for several years.
(08:47):
And I also told her that her future self
would thank her for making the decision to stay.
And I know that really impacted her.
And she she sat with that for a long and hardand she asked me what I meant.
And I going back to that, keeping itabout the moment life changes so much for
for all of us from one day to another, fromone week to another, from six months to a year.
(09:10):
And she couldn't imagine what her lifemight be like in a year's time.
And all these things might feel so different.
And she'll be so glad that she decided to stay.
And tears welled up in her eyes and in mine too.
When the police were getting close,she was very frightened of the police.
I was able to get the name of the officerand the social worker that were going to come
(09:31):
and wait for her downstairsand tell her their name
and then tell her a little bit about themso that she knew.
So officer Mike, he has two kids and he's married,
and he wants you to knowthat you're not in trouble.
And Cynthia's the social worker,and she says that she's ready to help you
when you're ready to go downstairs.But you can't bring the gun.
And she was very receptive to this.
(09:52):
And I tried to make the transitionas smooth as possible.
So I think some of the takeaways from
this are just that you're staying with somebodyfor every part of the experience.
You're coordinating help in the background,and of course you're just being supportive to them
to get them to the next stage whereI think they can look at things in more depth.
Thank you so much, Jeff.
(10:13):
I've heard that story before and that it's trulyjust so impactful and motivating.
I love hearing it. So thanks.
Thanks for sharing it with our listeners today.
Of course.
All right. I have just one last topic for you.
I know that you can relate to this statementthat oftentimes as pharmacists,
we are so fully engrossed caring for our patientsthat we forget to care about ourselves.
(10:33):
And that's important, too, right?
Do you have any self-care strategiesthat you found helpful to ensure
that you're not only taking care of your patientsbut yourself as well?
Absolutely.
I have had to implement a number of self-carestrategies over the years, and I'm
first and foremost, I'm doing mental health work,but doing medical work in general,
we are witness to a lot of sadness and miseryin our work, regardless of regardless of what
(10:58):
your practice setting is, whether it's psychiatryor critical care or community practice.
And I think that for me, having
my own therapy has been deeply meaningful.
It's allowed me to understand where I endand where other people begin.
And that's been helpful, not just clinicallywhen I'm working with patients, but
but also when I'm working with friendsand family members and partners.
(11:20):
And it just makes things feel different
when I have more clarity about who I amand why I'm doing what I do.
And it also helps me get some distancebetween myself and what happens at work.
So I'm not taking home some of the painand sadness with me because our work is painful
and it is sad at timesand you have to have a way to disconnect from it.
(11:41):
I care deeply about my patientsand I know you all do too,
but there's still going to be a wayfor us to disconnect from that intensity
and come home and enjoy our lives.
So that's been one of the values of psychotherapyfor me as a patient.
I also like to work out, see friends, play games
and do things that celebrate my life and my health
(12:03):
when I'm when I'm off work or during the weekends.
So those are some of the things I wouldencourage is making sure
that you're buildingin some sort of self-reflection into your life.
I know psychotherapy is not for everybody,but I find it particularly helpful.
I know many do,but there are lots of different ways
where you can have practiceself-reflection and mindfulness.
I know through meditation and yogaor other strategies that some of my coworkers use.
(12:26):
And then just, I think, to do things to keepyou healthy, such as working out
and maintaining healthy social relationships.
Awesome, Jeffthanks so much for sharing those tips.
Definitely some some great tipsthere, and I would encourage listeners
to consider thoseif you're not partaking in some of those today.
Thanks, Jeff,for such a wonderful discussion today.
(12:46):
Not only about the impact that you've madefor your patients, but also how pharmacists
can can take time to take care of themselvesthroughout the process as well.
All right.
Let's summarize the major takeawaysfrom our time here today.
First, shared decision making is key in success
when treating patientswho suffer from mental illness,
suicide screening and safety assessmentsare everyone's responsibility,
(13:09):
and can be done by all pharmacies and really
any other health care practitioner as well.
If you ever encounter a patient in crisis,
stay with them until help can be coordinated.
As pharmacists it’s important that we take careof ourselves in order to best serve our patients.
Strategies to do socan include participating in psychotherapy
(13:30):
to help with disconnectfrom the intensity of patient care.
Also building in time for self-reflectionand mindfulness through physical fitness,
yoga and other activitiescan be super beneficial as well.
All right, folks,
that's all the time we have here for today.
If you haven't listened to partone of this month's First Fill podcast yet,
(13:50):
it was released one week agoand in that episode, APhA Executive Fellows
and I discussed the role of mental healthCPPs at the VA.
If you'd like to learn more about the workJeff does at the VA,
check out an enduring CPE in our catalog called
Crisis InterventionA Pharmacist story, where Jeff tells several
additional stories about the workhe does and the patients that he's cared for.
(14:13):
We also have a four hour mental healthfirst aid advanced training program
that covers mental illness in detail and effectivecommunication strategies, if you're interested.
And last but not least, don'tforget to head over to the Learning Library
at learn.pharmacist.comto earn your CPE for this month's podcast.
Thanks, everyone. Take care. Thank you.
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Therapy Gecko
An unlicensed lizard psychologist travels the universe talking to strangers about absolutely nothing. TO CALL THE GECKO: follow me on https://www.twitch.tv/lyleforever to get a notification for when I am taking calls. I am usually live Mondays, Wednesdays, and Fridays but lately a lot of other times too. I am a gecko.
The Joe Rogan Experience
The official podcast of comedian Joe Rogan.