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The Pink Apothecary




I didn't initially have plans to document this outfit but I got out of rotation early today and spent some time sitting outside with friends. My campus houses these beautiful rose bushes and were the perfect photo op (can you believe this is in center city Philadelphia?!). Anyway, this outfit is a favorite for two reasons: 1. Two of my accessories are cheap dupes of more expensive products 2. This Primark ruffle sleeve top was $7!!!  

Dupe #1:
First of all these ball-drop earrings are on sale right now at Francesca's for $13! They come in a few colors but the pink is by far my favorite. The ever-so-popular Bauble Bar version? $48! Target also sells a ball-drop earring under the Sugarfix brand for just $13 too! The best deal I've found? The Mint Julep Boutique has these bauble bliss earrings in quite a few colors for $9!! Long story short: it is very possible to get in on this adorable summer trend without spending $50. 

Dupe #2:
I love love LOVE the bow trend on shoes and bags. I fell absolutely head over heels for BP.'s Maddy Mule shoe a few weeks ago, buuuuuut had to add it for the wishlist because of the price. Luckily, a trip to Primark last weekend led me to find this wonderful $15 dupe. Unfortunately Primark doesn't have this wonderful shoe on their website but I've found a few other dupes under $50:


  1. ASOS London Rebel Bow Mule Shoe
  2. Forever 21 Frayed Denim Mule
  3.  TopShop Adele Bow Flat Mule
  4. ASOS Lucky Bow Ballet Mule


Thats all for this outfit! Hope you enjoyed these cheap alternatives and I hope you have a wonderful Memorial Day Weekend!
May 26, 2017 No comments




I brought up Imposter Syndrome to a few friends recently and I've been thinking about it ever since. Most people I've talked to are totally unfamiliar with the term, although it quite commonly plagues students. Imposter Syndrome or imposter phenomenon was originally defined by psychologists Pauline R. Clance and Suzanne A. Imes in 1978. The term was used to designate an internal experience of "intellectual phoniness" especially in those of "outstanding academic and professional accomplishment". They went further to discuss how women in particular handle imposter syndrome, noting that women often feel that they are "not very bright and have fooled anyone who thinks otherwise" despite amazing achievements. A quick google search will return evidence that women seem to be more affected by this syndrome than their male counterparts in the professional world. While I believe that there are many systematic reasons contributing to that, it's clearly led to a lot of really talented women feeling really crummy about their abilities in the workplace. And regardless of gender, imposter syndrome prevents many people from getting ahead and succeeding at work.

I can admit that I have felt this way off and on through most of my academic career. Even now, as a 4th year student with more experience under my belt and academic knowledge, I still grapple with feeling as though people will find out I'm not as smart as every other pharmacy student out there. The truth is, I may not be, and that isn't necessarily a bad thing or a thing to be ashamed of. The other truth is, I have had just as much of an education, and just as many experiences as my peers. As students, we get boggled down with impressing our preceptors and managing the high expectations we set for ourselves when we finally get to venture outside the classroom. It's perfectly understandable. We've been cooped up for 3 years furiously studying for every exam, and every practical, so we want to make sure the knowledge stuck! We want to finally apply what we've learned, stretch those brains, and shine. However, idealizing and expecting that you'll know the answer to every single question is just unhealthy. Having this idealization of perfection, nurturing it, and then subsequently failing to achieve it can manifest as one big monster of an imposter syndrome. It's hard, I get it! It's even harder to quell the monster once it's risen its big ugly head (I once spent 2 weeks upset over not understanding the complete pathophysiology of heart failure when asked by a preceptor, was it worth it? NO).

So what do we do? There are a lot of tips and tricks out there on how to overcome or manage imposter syndrome but I think there is one hugely important one: just be nice to yourself. It's the easiest, most selfless and compassionate thing you can do for yourself. Allow yourself room to make mistakes, and understand that you are only human. In medicine especially Stop comparing yourself to classmates, embrace that you are a distinct individual with your own successes. Personally, I've found that creating some positive affirmations for myself (ex. you are confident, capable, and doing well) is extremely helpful for when I'm feeling anxious. If I have the time in that moment or even later, I do something that I love, I indulge in some self-care, and I cut myself a break. Handling imposter syndrome is a process, its cyclic and some days and situations will be easier than others. My affirmations sometimes fail, and some days I can't muster up enough confidence to be as nice to myself as I should. But I work everyday to at least try to keep myself positive and reminded that I belong in this field and that my successes are valid.


May 25, 2017 No comments


So my first week at my first ever APPE is DONE, and I've learned a ton about transplant already. My first site is Einstein Medical Center's transplant pharmacy rotation inpatient and i'm loving it. I'm definitely kept busy, but it is so awesome to see how valuable pharmacists are in their interprofessional team. What does interprofessional mean? It means we work on a team consisting of many types of healthcare providers (doctors, RNs, PAs, PT, OT, etc.), working together to give our patient the best, dynamic, and safest care. I'm a firm believer that it takes a village to help people through tough conditions, and transplant is definitely one of those conditions. Outside the team, the patients I have seen this past week are so appreciative, and its awesome to see how much they trust my preceptor. I'll do a more comprehensive post on transplant when I have a minute to catch my breath, but I figured I'd give some insight to what I carry with me on my typical APPE day.

The bag doesn't come with me on rounds or to the floor, but its massive and holds everything I need for the day. It was a total steal, $10 at DSW with a bunch of coupons I had, but currently/without coupons it is on sale for $30! I honestly was going to splurge and grab a giant Kate Spade tote but I'm so happy I went with this one. It's cute, it's big, and it's not heavy on my shoulders even when it's packed full of stuff.

 Besides carrying a bunch of papers, pens and snacks in my white coat pockets, I carry these items! Anyone in any healthcare field will tell you to always always carry a notebook. I carry two, one of which is not pictured. One is to take notes while on rounds, my other notebook (pictured) is a reference notebook. My last IPPE was at Hahnemann in their cardiology/heart transplant rotation and my preceptor there gave the advice to make a notebook for each APPE filled with tidbits of information I've learned. I decided to try it for her IPPE and ended up really loving it. This notebook is filled with descriptions of disease states I've learned along the way, drug information questions I've had to answer, and diagrams of organ functions (kidney, heart, etc.). It's extremely helpful as a reference for when I need a quick reminder of small details I may have forgotten.

I also carry one of these handy CDC immunization schedules with me. Vaccines are very important to my patients but they can also be very dangerous to transplant patients. My patients cannot receive live vaccinations. Live vaccines consistent of the actual virus toned down so they don't have infective potential in our non-immunosuppressed individuals. Transplant patients are immunosuppressed, meaning they don't have an active immune system, and any sort of virus introduction could have horrible consequences for them. We suppress the immune system of these patients to avoid our patient's immune systems from attacking their new organ. This unfortunately also leaves them susceptible to other infections like ones that the shingles vaccine, a live vaccine, could introduce to them. Instead we suggest that they receive all inactivated vaccines as suggested by the CDC (flu, pneumonococcal, HPV) to prevent them from contracting any of these diseases, while also minimizing the risk introduced to them. It is so important that transplant patients do everything they can to prevent infection, so thats why we suggest that they get their inactivated vaccines, wash their hands, and avoid eating raw/unwashed foods! So, this schedule is important and helps me to keep the time spans right so I know when to suggest that they look into getting these life saving prevention measures!

Lastly are these two awesome reference guides. APhA started advertising the little guide to the right a few months ago, and I was intrigued so I gave it a shot. I LOVE it. It has every schematic and diagram you could ever hope to have on you at one time as a pharmacy student. Statin groups, hypertension guideline recommendations, opioid conversions, EVERYTHING. Currently, Peripheral Brain for the Pharmacist is on sale for $14. The pink reference to the left actually opens up to be a clipboard. These are called White Coat Clipboards and are customized to healthcare field (they have ones for medical students, and nursing students too!). This is super useful because they have all normal lab values from chemistries to CBC. They also have drug level ranges for drugs like lithium, warfarin, phenytoin, etc. And, this thing has DOSING on it. Thats right! Drugs like vancomycin and aminoglycosides have equations that we use to calculate their doses so now I don't have to look them up! Best part: they come in a bunch of different colors. 

Again, I try to make referencing super easy to avoid having to take out my phone or jump on a computer because that takes time. These items are saving my butt right now on APPE so I thought I'd share the knowledge. Have some items you can't live without on rotation? Let me know in the comments below!

May 20, 2017 No comments



Reading is one of the hobbies I've been lucky enough to upkeep while in pharmacy school. Any one in professional graduate school knows that its difficult to balance your school readings, with recreational reading. These four books are perfect for my fellow healthcare and science friends looking to learn outside their required readings.

1. The Disappearing Spoon By Sam Kean
This fun and witty book describes the mythology, art, medicine, history, etc. of the periodic table. I know quite a few of these stories left me shocked so you're guaranteed to be armed with plenty of fun facts for your next cocktail party.

2. Gut by Giulia Enders
Ever wonder how your gut works the way that it does? How it absorbs, how it functions, how there seem to be SO many problems with our guts in the western world? This book describes everything you could possibly want to know about your gut in easy-to-understand language and with some fun pictures. The gut is so much more important than we think about it in our everyday, time to give it the appreciation it deserves!

3. Heart Matters by Kathy Magliota
If you're looking for an inspiring, kick-ass, girl power memoir, this is the book for you. Dr.Magliota is among the small ranks of women cardiothoracic surgeons and she details all of her struggles and triumphs to getting there. A timely read considering the #thisiswhatasurgeonlookslike hashtag inspired by the Time Magazine women surgeons cover!

4. Dr.Mutter's Marvels by Cristin O'Keefe-Aptowicz
This book is one of my favorites by far, and it may be because it focuses a lot on my graduate school, Thomas Jefferson University! You'll be transported back to Philadelphia in the mid-nineteenth century where hand-washing wasn't enforced and medicine was pretty much whatever goes. If you're familiar with Philadelphia, you know the Mutter Museum contains Dr.Mutter's collection of medical marvels from his time as a surgeon. This story details how he went from surgeon, to museum inspiration and how his legacy has affected modern medicine.
May 13, 2017 No comments



I finally made the venture out to Glen Mills, PA to visit Terrain's Garden Cafe and I was SO in love with the entire atmosphere of this absolute gem. Terrain is a home and garden center associated with Anthropologie, so of course everything is adorable, and rustic. Inside the garden center is a cafe as well with some of the most yummy food I've ever had. Paired with the wonderful spring weather, this whimsical place had me smiling the whole time.

Say hello to their fried cauliflower sandwich and lavender blackberry spritzer drink (I was very surprised to find that they make their own sodas there and have an array of floral flavors)!

The inside of the garden center itself is a dream boat. So many hanging lights, little succulent plants, and pretty colors.





The outside of the garden center brought back so many childhood memories. In my family's first home my dad kept a beautiful garden. I used to go with him all the time to our local family-owned garden store (whose name escapes me currently) to pick out flowers and plants. Unfortunately he hasn't had much time for gardening recently but I still get nostalgic every time I see a rose bush or hydrangeas.



I also managed to find my favorite flower, foxglove or Digitalis (pictured below). Believe it or not, the cardiac glycoside drug Digoxin was isolated from the Digitalis plant in the 1930s! Prior to some of our newer drugs for heart failure and atrial fibrillation, this drug was a wonder drug. It binds the Sodium Potassium ATPase pump, ultimately messing with ion flow and increasing intracellular calcium in the heart muscle to increase heart contractility and improve rhythm (which gets the heart working properly again)! Its now been largely replaced in cardiac regimens by safer drugs but this is a great example of the role plants play in pharmacy. Most people don't realize that 75%o of our drugs come from natural products like plants or flowers! We take plants like this and play around with them in the lab to purify and standardize the compounds that'll eventually become the drug. There's my pharmacy rant for the day haha!


All in all, would definitely recommend making the trip if you're from anywhere in the Delaware Valley. It's completely worth it. PS. This Urban Outfitters t-shirt dress was a $10 find at Plato's Closet. I've pretty much found all of my UO clothes there and for absolutely incredible prices. This dress is the Silence + Noise witchy t-shirt dress, and is unfortunately old out on the UO website. But they have a baby doll style look-alike still available.

Thanks for reading! I hope i've inspired you to look forward to the nicer weather thats coming!
May 09, 2017 No comments

Pastel pink has been my favorite color as of late so of course I've bought a million tops in the color. This is a new one from Aerie called the flutter sleeve tee and it is SO soft and comfy. Its also on sale for only $11 right now! Personally, I think American Eagle and Aerie have the cutest basics and they're usually pretty cheap (they also do sales about every 5 days so thats convenient). I have so many pieces in this color, I'll probably just end up doing a separate post dedicated to it!



I paired the top with these army green jogger-like pants I got last season at Forever 21. I own a few different pairs of these from different places and in different patterns and I can say that these are my favorite type of pants to wear. They're versatile so I can dress them down to walk around in cooler weather, on the boardwalk during the summer where its windy, or to rotation with a nicer dress shirt! The flats I'm wearing are also new, and honestly were an A+ purchase because they were only $4.50 at H&M!


Also have to give a shout out to the artist of the colorful wall behind me! These hearts are by Amberellaxo whose awesome art is scattered all across Philadelphia. One of the coolest things about Philly is the street art and the murals we have on display. So go check out her work!

Outfit Details:
Bag | Top | Flats

May 07, 2017 No comments


On April 25th, 2017 the FDA took action against 14 companies peddling fake cancer cures to the public. The warning letters notified these companies about their violations against the federal Food, Drug and Cosmetic Act (FDCA), one of the larger acts regulating our drug supply here in the United States. For a drug to be considered an approved drug by the FDA, it must prove safety and efficacy in clinical trials and meet a set of standards/definitions set into law through the FDCA. However, supplements and herbs are governed by the Dietary Supplement Health and Education Act. What does this mean?

  1. Supplements and herbs do NOT have to prove safety or efficacy before being put out on the market
  2. The only way for these products to be removed from the market, is if the FDA can prove that they are UNSAFE
  3. Dietary supplements and herbs cannot claim to diagnose, cure, mitigate, treat, or prevent a disease
Next time you see a package of Emergen C at your local pharmacy, take a look at the statements on the box. It says "designed to boost immune systems" because they cannot legally claim to cure your cold, treat your cold, or shorten your cold. Most doctors and pharmacists would look at this box and roll their eyes, but the vitamin/supplement/herbal industry is worth 36.1 billion dollars so clearly our patients don't feel the same. Does this mean that all of our vitamins, supplements and herbs are useless and unsafe? No, absolutely not. Supplements and herbs are vital to certain disease states and they have a great synergistic role with many of our drugs, but we need to be wary of false claims and poor data. Of course there have been calls for more transparency from both pharmaceutical and supplement manufacturers with no luck and for different reasons. Health literacy and access also remain as pertinent factors in our patients' ability to sort through drug and supplement information. Most of the data available on these supplements and herbs is not accessible to our patients and is written far above the average reading level of the country.

"Fake cures" are a whole other demon. Companies advertising these "cures for cancer"and "cures" for other tough diseases prey on the desperation of our patients and polarize them away from traditional and proven therapies. "Naturopaths" and "Healers" appeal to unscientific, and often dangerous claims in order to promise a cure to sick patients. Browsing websites like Natural News as a healthcare professional will boggle your mind and terrify you beyond all belief when you realize that THIS is what your patients are reading and sometimes, believing. Dr.Paul Offit from the Children's Hospital of Philadelphia recently wrote an article for the Daily Beast detailing some of the mechanisms these fake websites propose are behind Autism (take a quick glance, they're scary). If this was harmless it'd be a simple remedy of improved communication with our patients, but many of these "cures" have led to the death of children. These websites typically advertise "cures" just like the ones the FDA warned against, and feature fear-provoking headlines like "What Your Doctor is Hiding From You", "What the Pharmaceutical Industry Doesn't Want You to Know". It's a creepy way of swaying trust away from those who have spent 10+ years studying their trade and toward a grey face on the internet preaching conspiracy theories. Unfortunately, I also believe that the rise in misinformation and these conspiracy theories is stoked by the fires of our political climate (but that is a whole separate story). 

My personal response to this misinformation and these conspiracy theories? Educate, educate, educate. And communicate! Modern medicine cannot always provide a cure, and we do our patients a disservice by not giving them proper and achievable expectations up front. Many expect doctors to know it all, but science is a vast field filled with unknowns. Despite these unknowns, our patients need to know that currently our science, our FDA, and our healthcare system does everything in their power to ensure that patient care is safe and effective. If it is not completely safe or effective, we do everything we can to educate them on those risks. Pharmacists, doctors, and nurses dedicate years to public service, sacrificing our 20s, and sometimes 30s to our education. We leave school $200,000+ in debt. We don't do this for nothing. We are here to help, we are here to learn, we are here to educate. 

All in all we need to start remedying this by asking our patients about their supplement and herbal use. We need to be asking them where they get their health-related information. We need to ask what we can do better in their care so that they don't have to seek out fake cures like these. We need to set boundaries and expectations. We need to explain the synergistic role that pharmaceuticals and supplements have within our treatment regimens. We need to explain why polarizing against one or the other, isn't right. We need to combat fear and teach that there is so much more we have to learn from the scientific unknown.
May 06, 2017 No comments


I am absolutely LOVING the chambray trend, especially with these flowy styles. Paired with other pretty pastels and chestnut brown, this color is a dream. I've pulled together some of my favorite chambray looks (+ some off the shoulder, what could be better?!) and they're all under $20! Number 3 from American Eagle/Aerie is my current favorite because the pretty frayed hem and baby doll look is perfect for cool spring weather.
My outfit details:
Top | Earrings | Bag | Watch
one | two | three | four

Hoping this look is here to stay so I can over wear the hell out of them next season too! Enjoy xo!
May 04, 2017 No comments

After 3 long, crazy, and challenging years, I'm thrilled to be wrapping up my didactic pharmacy career and moving on to my P4 rotations: APPEs (Advanced Pharmacy Practice Experience)! My transition into pharmacy school was rough. I spent 3 years working on my pre-requisite classes, at a local college where I ended up meeting some of my very best friends. I sacrificed undergrad graduation to move into pharmacy school sooner rather than later, and ended up with whip-lash trying to adjust to grad school life. Practically over night I went from a homework coaster to a "how late is the library open?" person (24/7 in grad school apparently). I went from a few exams a semester to three exams every week. On top of the academic expectation differences, I struggled with making friends in pharmacy school. We were all frantically trying to keep a float, stresses were high and free time was infrequent.

Fast forward three years later and I can say that I have many friends in my pharmacy program. I'm sad that it will be months before my entire class is together again. We've grown together, loved together, leaned on each other, lifted one another, stressed out on each other, messed up with one another, laughed, cried, and most importantly had a BLAST these past three years. In our P1 year, one of our professors told us that "no one gets through pharmacy school alone" and I've found that to be one of the most solid pieces of wisdom I've received. I got through pharmacy school because of the support my friends and family have so wonderfully gifted me with.
With finals now over and the dust of P3 year finally settling, I'm excited to welcome the unknown (and kind of scary) world of APPEs. I'll be spending my week off relaxing, preparing and if I'm being totally honest, most likely also playing video games. APPEs will prove to be a new challenge but I know I have the support and love of my pharmacy friends who are will be going through the exact same thing in their respective APPEs. For those new to pharmacy lingo, our APPEs consist of 6 blocks at different sites and 1 off block. So in 1 year, I'll be 6 blocks more experienced and hopefully way more prepared to accept my PharmD diploma. I wish the best of luck to my "pharmily" as we embark on the final year of this crazy journey. We're. Almost. There.
(P.S. the pictures are from our "end of P3 year bar crawl". The shirts we got made say "Take a CYP, its APPE hour". CYPs are the enzymes your body uses to metabolism drugs and other substances. #pharmacyhumor!)

May 04, 2017 No comments


| About the blog |

Originally titled, "The Philly Pharm Student" this blog was born in the fourth, and final year of my journey through pharmacy school as an effort to educate on the role, expertise, and life of pharmacists. Pharmacy is one of the most rapidly expanding fields, with more pharmacists than ever stepping into technology, entrepreneurial, and clinical positions. I've been fascinated by the amount of folks whose sole picture of pharmacists is centered around community pharmacists at local big chain stores. While this role for pharmacists is a huge part of our history, and future, we have exponentially changed as a profession. The lack of acknowledgment of this by our patients and the public is largely our own fault: we aren't very good at showing off what we do. Ultimately, I want that to change, and with social media becoming a center point of public education in medicine, I thought this would be the perfect way. 

| About the writer |

I'm currently a PGY1 pharmacy resident at Yale New Haven Hospital in CT, and recently graduated with my PharmD from Jefferson College of Pharmacy in Philadelphia, PA. I grew up in a very medicine friendly household (with a doctor and nurse for parents!) and always knew I wanted to do something in medicine as a career. It wasn't until I worked in an organic chemistry research lab in undergrad that I realized pharmacy was it for me! Reflecting back, I may have even known beforehand because in my P1 year I discovered an essay I wrote when I was 8 years old about the wonders of lidocaine gel after an accident I had requiring stitches (neeerrd). 

I feel passionately about pharmacy student involvement with professional organizations, pharmacy advocacy and pharmacy education efforts. I also feel strongly about intersectional feminism, refugee health, LGBTQA rights, and the implications these all have on public health. It is these interests that keep me motivated and excited about the field of pharmacy and medicine overall. 

Thank you for following along! I'm excited to share my journey with you all.

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|Gianna|
Previously titled "The Philly Pharm Student", The Pink Apothecary is a documentation of my adventures in pharmacy. From graduating pharmacy school with my PharmD to starting residency away from my home of Philadelphia, I hope to share tips, advice and commentary on how I've made it through and fell in love with my career.



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      • Friday Freedom!
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      • What Is In My APPE Bag?
      • Good (Science) Reads
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      • Chambray All Day
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