Dr. ℞iffle 💊

Anticoag Clinical Pharmacy Specialist at Wyoming, MI VA| PharmD @FerrisState | GVSU alum | PGY1 @BCVAMC| she/her/hers | Views are my own | #TwitteRx

[Dr. ℞iffle 💊 @RxRiffle]

When you get the prescriber to d/c the ceftriaxone and azithro for “CAP” then the next day they restart the ceftriaxone for a “UTI” and azithro for COPD exacerbation.... 🙄🙄🙄

[Dr. ℞iffle 💊 @RxRiffle]

When the provider orders enoxaparin for bridging but the patient is on a DOAC #anticoag #Pharmacist

[Dr. ℞iffle 💊 @RxRiffle]

Excited to announce that I will be staying on at the VA as a Clinical Pharmacy Specialist in the Anticoagulation Clinic following the completion of my residency at the end of July!!! Hard work pays off!!! #Pharmacist #dreamjob

[Dr. ℞iffle 💊 @RxRiffle]

@samirazantout Omg thank you so much!!

[Dr. ℞iffle 💊 @RxRiffle]

Alright #TwitteRx I need your help. What are your thoughts on GLP-1s in patients with diabetic retinopathy (mild-proliferative)? What about those without DR? Any official guidance? I’m not finding anything concrete. Thanks in advance!

[Dr. ℞iffle 💊 @RxRiffle]

@Schloss_PharmD Ooo! I haven’t heard of this one! Thanks!

[Dr. ℞iffle 💊 @RxRiffle]

Hey #TwitteRx what clinical pearls do you have for Dexcom, FreeStyle Libre or CGMs in general? I’d love to throw on a couple of helpful tips for my CGM presentation! 😊

[Ellen, PhD, ADHD @ellenwalex]

The worst symptom of burnout is the guilt for feeling like you haven't done enough to deserve to be burned out.

[Adam Grant @AdamMGrant]

In supportive relationships, people give feedback without hesitation and receive it with appreciation.

Even when you don’t agree with a suggestion, you’re grateful that they cared enough to offer it.

A relationship that could be jeopardized by the truth is based on a lie.

[Dr. ℞iffle 💊 @RxRiffle]

Okay but how cute is my little guy? 😍😍 missing him so much while I’m at work writing up my quality improvement project protocol

[stressed PA-C @PA_Stressed_]

All I want for Christmas is for Biden to extend the pause on student loan interest accrual🙃

[Dr. ℞iffle 💊 @RxRiffle]

Merry Christmas from Santa’s cutest little elf ❤️💚

[Dr. ℞iffle 💊 @RxRiffle]

Yesterday I was in clinic with my fav preceptor. I told her my mom was a CSI & she worked crime scenes right up until the day I was born & she goes “so you were in her belly while she was hunched over dead bodies?” And I’m like yuppp and she goes “no wonder you’re so creepy” 💀💀

[Dr. ℞iffle 💊 @RxRiffle]

A belated Happy Thanksgiving to all my pharmacy peeps 🍁🍽🦃 We have so much to be thankful for this year!

[Benyam Muluneh, PharmD, BCOP, FHOPA @Benyam_Muluneh]

Pharmacists are clinicians. That is the tweet.

[Dr. ℞iffle 💊 @RxRiffle]

So in order to prepare for my return to work on Tuesday from my 6 week maternity leave, I decided to check my email… I had over 400 emails to go through 🥴

[Dr. ℞iffle 💊 @RxRiffle]

Little guy is already 1 month old 🥺🥺

[Dr. ℞iffle 💊 @RxRiffle]

I have no idea how I’m going to go back to work on the 16th… I’m going to miss getting to spend the whole day with my little guy 😭😭

[Adam Grant @AdamMGrant]

Burnout isn't due to a lack of motivation. It's caused by a shortage of capacity.

There are more interesting people and projects than hours in the day. The key question isn't whether you have interest. It's whether you have bandwidth.

Enthusiasm is boundless. Time is finite.

[Dr. ℞iffle 💊 @RxRiffle]

Happy Halloween!

[Adam Grant @AdamMGrant]

Saying no is not letting others down. It’s standing up for yourself.

Setting boundaries isn't a display of disrespect. It’s an expression of self-respect.

Other people can't set your limits. They have the right to make requests, but self-preservation is your responsibility.