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Are pharmacists sufficiently trained?

(137 Posts)
Whitewavemark2 Thu 25-May-23 17:39:32

Just a simply thing really.

I consulted a pharmacist today because a blister on my foot had become very sore and inflamed and I wondered if it was infected.

Pharmacist told me that indeed it was and should not leave it until after the weekend, as it didn’t look very good at all - I am on holiday - she said I needed antibiotic and what a shame that she could not prescribe it yet - but the government is planning to allow pharmacist to prescribe antibiotics soon.

I then had to go to the local hospital with a drop in minor injury centre. The triage nurse said immediately - no not infected, but leave off the dressing and let it dry - she asked another clinician who said the same. It is already beginning to look better.

So - if said pharmacist had the ability to prescribe antibiotics, I would have taken them needlessly and it would not have done the trick anyway.

Makes you think.

Whitewavemark2 Thu 25-May-23 18:24:10

Riverwalk

Pharmacists are sufficiently trained for their current role and would be capable of correctly prescribing ABX for say chest infections or UTIs - but most high street pharmacists would not have seen many infected foot blisters, whereas a nurse in Minor Injuries would.

I assume in their forthcoming role they won't be expected to prescribe for all illnesses, that's what we have doctors for.

And you

Whitewavemark2 Thu 25-May-23 18:24:35

Saying what I was trying to say that is.

welbeck Thu 25-May-23 18:25:51

let's hope you never see NF in real life.
i'd rather not describe it if you don't mind.
but i'd much rather anyone took anbx than risk it or sepsis.
soft tissue infections can gallop away, and some people underestimate the damage they can do.
like with bites, human or animal, if they break the skin, go to hosp/ urgent care. urgently.

Hetty58 Thu 25-May-23 18:27:29

It's not simply a case of people being right or wrong about infection - without tests to verify. Although overprescribing of antibiotics is a general problem, the elderly shouldn't have to take any chances or just wait and see.

Riverwalk Thu 25-May-23 18:32:34

Don't be be coy welbeck - you mentioned NF, presumably you mean necrotising fasciitis.

welbeck Thu 25-May-23 18:36:03

not being coy. strange word.
the whole thing is still trauma laden.
guess that makes me a snowflake. so be it.
don't want to see, know of, anyone going through anything like that if it can be avoided.
which it often can, if dealt with in a timely manner.

Whitewavemark2 Thu 25-May-23 18:37:24

Oh blimey.

This is the first and last time I’m mentioning anything medical on GN.

I have been googling since this thread and am now in a mild state of panic!

I’m not good with anything medical and should just have shut up I think

Riverwalk Thu 25-May-23 18:40:29

By coy I meant why the reluctance to say what you mean? You mentioned NF, the OP asked what that was, you replied that you'd rather not describe it. She didn't ask you to describe it, just what it was.

welbeck Thu 25-May-23 18:41:19

has the redness got bigger, OP ?
initially you said it was clearing up, then said it was worse ?
perhaps i've misunderstood.
tell me to myob.
all the best.

BlueBelle Thu 25-May-23 18:41:29

Haha you ll be fine Wwm
Keep an eye on it if it gets any reddening or lines from it then get your anti biotics asap

welbeck Thu 25-May-23 18:42:43

Riverwalk

By coy I meant why the reluctance to say what you mean? You mentioned NF, the OP asked what that was, you replied that you'd rather not describe it. She didn't ask you to describe it, just what it was.

so now you know.

Deedaa Thu 25-May-23 20:54:32

I will just say that DD had a friend who was a hospital pharmacist. He told her he spent a lot of his time chasing after doctors to stop them prescribing drug combinations that were totally contraindicated. He also warned her when her GP had prescribed her a drug that was not just wrong but actually dangerous.

Elegran Thu 25-May-23 21:32:49

Perhaps the pharmacist meant that she would soon be getting the training which would result in her being able to prescribe the antibiotics, not that she had had the training and would soon be able to prescribe.

If that was her meaning, then she will (presumably) be more accurate. At the moment she is erring on the side of caution - and she may have seen the effects of erring on the other side and risking NF.

Dickens Thu 25-May-23 22:03:04

welbeck

let's hope you never see NF in real life.
i'd rather not describe it if you don't mind.
but i'd much rather anyone took anbx than risk it or sepsis.
soft tissue infections can gallop away, and some people underestimate the damage they can do.
like with bites, human or animal, if they break the skin, go to hosp/ urgent care. urgently.

I know what NF is.

And it certainly is better to be safe than... very very sorry.

Callistemon21 Thu 25-May-23 22:52:22

Why do thse things always happen when you're on holiday?

I dont think we've had a holiday with or without the DC without an emergency trip to a chemist, dentist, Minor Injuries, A&E or some clinic in the back of beyond which didn't look very sterile!
Perhaps I only remember the traumas 😁

Callistemon21 Thu 25-May-23 22:55:32

I wish I hadn't read that either; I have a burn on my arm from an oven tray which has become red and weepy.
DH says leave it open to the air, I think keep it covered.

growstuff Thu 25-May-23 23:00:15

Callistemon21

I wish I hadn't read that either; I have a burn on my arm from an oven tray which has become red and weepy.
DH says leave it open to the air, I think keep it covered.

The NHS recommends putting cling film or a plastic bag on it.

Callistemon21 Thu 25-May-23 23:13:04

growstuff

Callistemon21

I wish I hadn't read that either; I have a burn on my arm from an oven tray which has become red and weepy.
DH says leave it open to the air, I think keep it covered.

The NHS recommends putting cling film or a plastic bag on it.

Oh! Interesting.

It seemed fine at first until it dried then peeled.

Whitewavemark2 Fri 26-May-23 00:34:44

Middle of the night and awake with painful b…y toe. I’m going back to the injuries unit first thing.

welbeck Fri 26-May-23 00:44:02

if it were me i would go to A&E.
good luck.

Whitewavemark2 Fri 26-May-23 00:45:23

What now or the morning. A&E is at Truro I think - miles away

welbeck Fri 26-May-23 00:46:45

has the redness spread ?

welbeck Fri 26-May-23 00:50:12

best to ring 111. now.
i have no medical knowledge.
i am just going on experience, having seen things close up.
believe in the precautionary principle generally re health and safety.

Whitewavemark2 Fri 26-May-23 01:02:07

I can’t unless I get dressed and go into a field next to us. Which means stumbling about in the dark. We are about 1/2 mile from the nearest road. I’ll be sensible and get up early - before 7am and then sort it out. If it is A&E I assume that they won’t be so busy first thing and change of staff etc.

Honestly what a fuss over a bliddy blister! We go home on Saturday tbh I would wait, but it is incredibly sore - I have a high pain threshold - and want to act sensibly.

Thanks for your help. I’ll try to get back to sleep now. You have a good night.

BlueBelle Fri 26-May-23 06:44:04

It’s not so much the soreness as the look of it WWM if it is spreading redness or a red line from it then go to A and E in the morning
I d be more concerned about cellulitis which I had through a sore itchy toe
I think some of these posts have sent you into an understandable wobble which isn’t useful
I m sure it will be ok and let us know how you get on
Good
Luck