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Brad G. Philbrick | Observations | November 11, 2026

“I’m a miserable mess!”

It was around one in the afternoon when a man rushed up to my pharmacy counter. As he handed me his prescriptions, I saw the rash on his hands and arms. The skin was red, and in places I could see pus.

Yes, you are, I thought.

I looked over the prescriptions and then back at him. “It appears you’ve got a bad case of poison ivy.”

“It’s worse than bad. I have it all over.”

He’d been clearing brush along his tree line over the weekend. It was hot, so he’d gone out in shorts and without a shirt. Now he stood in front of me, tired, edgy, and ready for some relief.

“My doctor gave me lots of directions, but I know I wasn’t paying attention,” he said. “Will you make sense out of all my prescriptions? He gave me four! Why do I need four?”

“Your doctor is covering all the bases,” I said.

I could see he had only so much attention to spare. I gave him the short version. There were two prescriptions for the inflammation, one to take by mouth and one to apply to his skin. Another was for the itching and could make him drowsy. The antibiotic was there to address a possible skin infection.

“Please have a seat. I’ll get these filled, and then we’ll have another chat before you leave.”

I’d seen his hands and arms as soon as he approached the counter. I saw the rash on his legs, too, and he lifted his shirt to show me his belly. It was by far the worst case of poison ivy I’d ever seen.

When we talked again, I went through each prescription with him. I spent more time on the prednisone. His doctor had prescribed it for 21 days, and the dose changed over that time. I wanted him to understand when it changed and how to follow the directions once he got home.

I’ve thought about the question he asked me that afternoon. He’d heard the directions at the doctor’s office. By the time he reached the pharmacy, he knew what he needed someone to explain. If you’ve ever stood at a counter with several new prescriptions and wondered how they fit together, you can borrow his words. “Will you make sense out of all my prescriptions?”

He thanked me more than once. Then he said, “I guess I really did a number on myself, didn’t I?”

I smiled. “But we’re taking care of you. And now what other lesson did you learn about safety when working in the yard, especially around weeds and brush?”

“Yeah, wear a hat, a long-sleeve shirt, pants, and gloves!”

I gave him a thumbs-up. “Bingo!”

He headed for the door.

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Brad G. Philbrick

A grant proposal writer of biotechnology and healthcare

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