Prairie Fire Pharmacy Consulting

Prairie Fire Pharmacy Consulting Board Certified Geriatric Pharmacist, Certified Functional Medicine Practitioner

Help! I’ve fallen and I can’t get up! Important PSA about falls and people who take blood thinning medications: If you f...
01/27/2026

Help! I’ve fallen and I can’t get up!

Important PSA about falls and people who take blood thinning medications:

If you fall and hit your head and you take a blood thinner like Eliquis, Xarelto, Pradaxa, warfarin (Coumadin), Plavix, or another anticoagulant/antiplatelet, you have a higher risk of bleeding in the brain. That bleeding is not always obvious right away.

If you’re on one of these medicines and hit your head:

- Don’t “wait it out” or just lie down.
- Get checked in an ER or urgent care, even if you didn’t pass out and you feel mostly okay.

- Have someone watch for red flags: worsening headache, confusion, vomiting, weakness, trouble speaking, or vision changes—these need emergency care right away.

Other smart steps after a fall:

- If you can’t get up safely, don’t force it—stay warm and call for help.

- Let your healthcare team know about ANY fall so they can review meds, footwear, vision, and balance.

The safest plan in this weather is to stay home if you can. The ice in our part of North Texas is so thick, we could not...
01/27/2026

The safest plan in this weather is to stay home if you can. The ice in our part of North Texas is so thick, we could not break through it to clear sidewalks or make snow angels.

Yesterday afternoon, we were feeling stir-crazy and decided to bundle up and go for a short walk around the neighborhood instead of driving anywhere. We took it slow, watched where we stepped, and avoided the roads since we saw many of the cars losing control. On our walk, we noticed that Pho Shi Bowl was open, so we stopped in and made sure to support them since we could get there safely on foot. My husband and I had the chicken pho, the kids had chicken ramen, and it was so delicious and so comforting on such a cold, icy day. That warm bowl of soup was our reward for planning ahead and making safety the priority.

One thing that really helped us feel steady: we wore **ice** cleats over our shoes, which gave us extra traction on slick spots so we weren’t shuffling around on pure ice. That little bit of prep made the difference between a risky outing and a safe, confidence-building walk.

Practical winter fall-prevention tips:

- Only go out if you truly need to; if possible, delay trips until conditions improve.

- If you must go out, choose walking to a nearby destination over driving when sidewalks and paths are safer than the roads.

- Wear shoes or boots with good tread, and consider ice cleats or other traction devices over your shoes for extra grip.

- Walk slowly, take shorter steps, and “walk like a penguin” (slight forward lean, feet pointed slightly out, hands free) on icy surfaces.

- Use handrails when available, and avoid carrying heavy or bulky items so you can keep your hands free for balance.

- Keep entryways and steps clear, use ice melt or sand, and wipe up melted snow indoors to prevent slick floors.

- Older adults or anyone with balance issues may benefit from a cane with an ice tip or a walking stick when conditions are slick

If you *do* have a fall:

Even with good planning, falls happen, and what you do next matters.

If you fall and hit your head and you take a blood thinner like Eliquis, Xarelto, Pradaxa, warfarin (Coumadin), Plavix, or another anticoagulant/antiplatelet, you have a higher risk of bleeding in the brain. That bleeding is not always obvious right away.

If you’re on one of these medicines and hit your head:

- Don’t “wait it out” or just lie down.
- Get checked in an ER or urgent care, even if you didn’t pass out and you feel mostly okay.

- Have someone watch for red flags: worsening headache, confusion, vomiting, weakness, trouble speaking, or vision changes—these need emergency care right away.

Other smart steps after a fall:

- If you can’t get up safely, don’t force it—stay warm and call for help.

- Let your healthcare team know about any fall so they can review meds, footwear, vision, and balance.

I love this perspective and I share it as a central value in my practice. Medications can be a helpful bridge to get us ...
01/26/2026

I love this perspective and I share it as a central value in my practice. Medications can be a helpful bridge to get us the symptom control we need to feel good enough to start caring for ourselves and adopting new habits, or making use of complementary therapies that help us feel our best and start moving us closer to our health goals.

Many of us have goals for the new year that include weight loss. One Family Clinic & Urgent Care made this great post ab...
01/17/2026

Many of us have goals for the new year that include weight loss. One Family Clinic & Urgent Care made this great post about some of the common misconceptions that can slow progress with weight loss goals. My favorite tip on this list is to not skip meals. Your body needs fuel even when you are trying to lose weight and when you eat too little, your body can get stressed and resist weight loss as protective measure against starvation. I personally ran into this on my weight loss journey and once I started working with a nutritionist to get a better understanding of my calorie needs, and I started eating a little more, I finally started to see some progress on the scale. Which tip are you going to try?

5 Surprising Mistakes Preventing Weight Loss

Frustrated that the scale will not move, even when you're "eating clean"?

We hear this every week from busy adults juggling work, stress, and family dinners.

Here's what we want you to know:
Weight loss is not just about willpower.

We see these five surprisingly common mistakes over and over:

1️⃣ Skipping breakfast to "save calories.”
→ Hunger catches up later, and portions quietly grow.

2️⃣ Only doing cardio
→ Your body burns fewer calories at rest.

3️⃣ Under-eating protein
→ You stay hungry, recovery feels harder, and progress slows.

4️⃣ Not sleeping enough
→ Cravings rise, energy drops, and motivation fades.

5️⃣ Drinking calories that "don't count.”
→ Coffee add-ins and sweet tea add up faster than most people realize.

👉 Pick ONE thing to change for just 7 days and notice what changes.
Small, steady steps feel boring, but they work.

Food as medicine is for people and for pets! Our hearts are so full with our newest furry family member. She’s settling ...
01/17/2026

Food as medicine is for people and for pets! Our hearts are so full with our newest furry family member. She’s settling in beautifully and enjoying the Cat and Kitten Formula from Pet Wants Texoma. Their food is made in small batches and gently cooked to help keep all that goodness from real fruits and veggies intact.

I’m excited that we have this wholesome pet food option in our community, AND I love that the owners specifically chose to locate their business in Westwood Village to help revive the shopping center. We love being able to walk to their store to pick up pet food AND we love that they also provide local delivery when we need it.

Drop a pic of your fur baby below, and if you haven’t yet, take them by Pet Wants Texoma for a little nutrition upgrade!

01/13/2026

Scientific research shows us that we need to “stress” our bones in these beneficial ways with gentle impact over time to help improve bone density and reduce fracture risk. This looks like a great work out for the wrists and forearms. Check with your doctor, physical therapist, or other qualified health professional before starting a new workout routine to make sure the work out is safe for you and your level of fitness.

This is a great suggestion for adding some movement to your day! One of my movement goals for the new year is to hit 10k...
01/10/2026

This is a great suggestion for adding some movement to your day! One of my movement goals for the new year is to hit 10k steps daily, and I’m going to give this routine a try on the days when I can’t go for a walk on my lunch break.

12/29/2025

Ever since the pelvic health symposium last spring, where I taught about the importance of locally applied hormone support (like estrogen and DHEA) for tissue comfort and urinary tract health, I’ve been getting referrals from women who tried my over‑the‑counter recommendations.

They describe feeling more like themselves again, having "happier" tissues, less irritation from clothing, and more ease during intimacy with their partners.

If you’re curious about the products I recommended at the symposium, you can find the curated bundle here:
https://us.fullscript.com/plans/prairie-fire-rx-mid-life-change-support-for-women

Please share this with someone who is in the thick of cougar puberty (aka perimenopause).

Did you know that the Texoma Council of Governments offers a free support group for caregivers of patients with Alzheime...
12/10/2025

Did you know that the Texoma Council of Governments offers a free support group for caregivers of patients with Alzheimer’s and Dementia?

They meet every second Tuesday of the month at 2pm in the Eisenhower room of the TGOG building.

I’m their guest speaker today and we will spend the first 10 to 15 minutes of the meeting learning about medications that can contribute to memory problems and falls. Please share with someone you know who is caregiving. Caregiving is very taxing and these groups are to provide resources and support for caregivers to fill their own cup and advocate for their loved ones.

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Sherman, TX

Opening Hours

10am - 1pm

Telephone

+16823020206

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