Saturday, December 25, 2010

Merry Christmas!

Thursday, December 23, 2010

Pharmacy fun

Looking for a way to have fun at work? I just thought of this today, pharmacy bingo. I'm not satin I'm the first to think of it, but this could be fun. Take all the names of your most frequent lortab, soma, and xanax patients (suboxone if u got em) and assign them code names (hippa). Disperse them and make bingo cards. Everytime they come in or call (name your qualifier) you get to stamp them. Randomize everyones cards and let the games begin. I might do this on Christmas to have some fun while I work. You can give small prizes or have a buy in for bigger ones. Let me know how it goes!

Saturday, December 18, 2010

False hopes I got false hopes

Pharmacy, as I see it, is filled with nothin but false hopes. You think your gonna help, but the only thing that u consistently get to help is the junkie to get his or her fix. That's it and that's all.

The truth

You know. No matter how angry I get, no matter how cynical I can be.... There is nothing compared to the Good Lord in the world. No matter how we perceive him, and now matter how He chooses to reveal Himsel, there is just nothing like him in this world. Put that in your record books. know what I'm saying?

Tuesday, December 14, 2010

Update on Techs

I was looking around the "blogosphere" and noticed a really good blog about requirements to be a technician in California.  Read it here on the Angry Pharmacist's site.

Okay so you thought I went soft

  Don't get me wrong, I want to make something positive out of all my years of education.  But don't you think for one minute that I don't get frustrated with my day or the people involved.  Now I pose two questions for you, aside from serving the chronic disease patients, are we any better than a drug dealer out on the streets?  Are the doctors (especially the pain doctors) any better than the drug cartels that supply our streets with the candy that the fiends out there so desperately seek?

  I have about six suboxone patients. Almost all of them come in and get two or three everyday,because none of them can afford to pay for all of their prescription at one time.  Sometimes they will come in and get 4 in the morning and 4 at night.  Am I supposed dispense this?  I just figure that the doctor is monitoring this, so he won't refill it if it is too soon. Let me tell you that I am wrong.  They just hand pills out like candy.  Seriously.  I have called them twice now to tell them about shady behavior, but they just keep dishing out pills. Aren't the addiction doctors supposed to keep their patients off of drugs?

  The osteopathic doctors are employed by the street dealers, I am almost convinced.  That or they get kickbacks from drug dealers like they do from the drug reps.   Trips to aruba maybe? I don't know.

It seems that all doctors decide to believe any story that their patients give them about losing their pain meds. Or it could be that they just want their patients to go away, so they give them whatever they want.  When the pharmacist has to tell them no, we get to be the bad guy and get yelled at, all because we have standards.  I don't know I guess we just don't like the idea if addiction.

I feel like I relate to Bizzy Bone when he said "who's servin the fiends, hundreds of thousands of greens, for the love of money, cash all around me. I mean, I know I'm not just doing this job for my health.

Don't get me wrong, I really wanted to help others when I was in school. Now, after seeing the true side of people (the whining,impatient, lying, freaks that they are), I'm starting to question how much I want to help them (or how much I can help them). So I ask, am I making a difference or do I do what I do just foe da love of moneyyyyyyyy?

First things first... Seek wise counsel

  Has anyone out there had any success with MTM or any other clinical practice?  Are there any tips or tricks to get started?  There is one good article that outlines the process to get started.  The main question is, how do you get paid?  From what I can tell, I need to get my NPI number, so that I can start billing. Then I need to contract with the insurance providers in my area to become a provider for their patients.  From what I can tell, though, these companies don't have very many eligible patients to keep a practice going. 

  Does this mean that I need to get hooked up with a nursing home?  Do I need to complete a residency, or do I need to get some certification? Like CDE or Geriatrics certification?  I don't know. I'm thinking out loud I guess.  I think there are some pay for service opportunities out there, and possibly an immunization niche, but can we make this happen in a way that will sustain our livelihood?  I guess we will find out.  Is anyone else interested?  If so I will keep you informed.  Please give me suggestions as I go along, and ask questions if you think of anything. 

Monday, December 13, 2010

Road to redemption

Is it really going to be possible for pharmacists to take a more clinical role in a community practice? I understand that pharmacies out there are already implementing programs, but from what I understand, sufficient reimbursement models do not exist to support a full time (or part time for that matter) clinical practice.

Some would say that you need to find a niche. Hormone replacement therapy, compounding, immunizations, or diabetic education. Okay. But can I start a practice and be competitive? With the big companies out there taking over pbm's, the immunization market, and even mtm ( they pay hourly for these services), is it worth trying my hand at it.

I guess my answer is yes! Anything to get me out of here. So,'I am going to start on my road to redemption, and I hope you will get as much out of it as I will

Saturday, December 11, 2010

Am I out of line? Have I become another Bill Maher (or name your cynic) of pharmacy?

  I have really been thinking about this lately.   Have I become just another cynic that wants attention, or are my rants about pharmacy life substantiated.  I watched Tony Dungy talk about how hard it is to be a head coach.  He talked about how many hours he had to put in to be successful, missing out on time with his family, and alluded to the fact that he was often on call due to simply owning a cell phone.  After finishing his explanation he summed it up by saying, "...but we choose our profession."  Now, I think that I would put up with all of the things that he talked about to lead Peyton Manning the to Super Bowl.  Not to mention, make all of the millions that come with doing so. 

   I will say that I agree with Coach Dungy.  We do choose our professions, but like I said before, had I read all of the pharmacist blogs (see sidebar), I probably wouldn't have chose this job.  Being in pharmacy has totally changed my views on people in general.  Don't get me wrong, I love people. I really do.  I want to help them as much as possible, but it is hard when you see the inner demon come out of so many of them on a daily basis. Not to mention dealing with grown people whining like children because their insurance didn't pay or their doctor didn't get back with us, like its our fault.  These people are actually changing the way I think about things.

  I guess what I'm asking is, am I wrong for writing about this stuff?  Is writing about it actually helping anything or should I get up on my days off and go find something out there that is suitable for me?  Hopefully I will find the answer soon.  Until then, please enjoy my rants (as they serve as therapy for me - thank the Lord) and feel free to post any comments. 

Until next time,  have fun counting pills that it took 6+ years of education to be able to do (Doctor).  Like my favorite group (Bone Thugs-n-Harmony) says.... Everything's gonna be alright.

Thursday, December 9, 2010

A call to action

Why is it that being overworked, understaffed, and treated like a whipping boy is such a badge of honor for pharmacists? Why do we take such pride in not getting a respectable lunch break(for some of us), which leads to us swallowing foods whole in between fielding phone calls and questions. (I actually had a proffesor brag about being told that he can eat two pieces of pizza faster than anyone else). Is it true that we revel in being so busy that we don't have time to counsel someone about something like a zpak?

You may be thinking that I'm just being sarcastic, but I'm not. It seems like everytime I talk to a retail pharmacist, and ask how they're doing, they just grin and say "busy..." Like it's fun or okay?!!! Now I understand that some people are just holding back from really telling me how it is, but I truly think that (for some people) it's a badge of honor. I'm torn, my theology states that dying to yourself is the way to live, but my reasoning tells me that there is a different way. So for now I say enough is enough! If enough pharmacists start standing up for what is right, we can try to get this thing moving back toward a service oriented profession rather than the commodity based service (following the fast food model) that it has become.

How many pharmacists can the corporate robots fire before they lack a workforce. Let's face it, what can doctors really do if we decide not to give them a direct line to us, we don't have one to them! Also, why dont we let the doctors start fielding their own refills? What we have yet to realze is that the doctors are using us as laborers, without putting us on the payroll. Then they have the nerve to call and say "why do u keep sending this, it got approved already, you guys are wasting paper" (thanks automated faxing). Put us on your payroll, md's and do's, and we will comply, but until then.... You can do you, Ima do me(ima ima do me).

Wednesday, December 8, 2010

Long hours

Is anyone else out there required to work 14 hours a day with no relief? I will have my third 14 hour shift this week. How do they expect me to accurately dispense medications and care anything about customer service when I have to listen to everyone's sob story about their pain meds for 14 hours straight, multiple times a week? How does the board expect the drugs to be monitored all of those hours, when there is no one to relieve me to at least use the restroom? I mean do they really expect me not to drop duece in a whole day? Sometimes I need to do that like three times a day. Am I the only one?

Monday, December 6, 2010

Did I really go to pharmacy school for this?

  So tonight was extremely busy after about 4 o'clock. No surprise there. I just wonder, how is it that things can be almost normal when all of a sudden everything collapses?  Tonight everyone wanted to wait, and of course my tech complies with 15 minute wait times for everyone.  Then a medicaid patient comes in for his 20 day Lortab supply that he gets every month with a prescription written for 30 days.  So I am forced to talk to his doctor who says, "well I changed the sig... Man that is a lot of meds, I wonder why he is getting so many...." WOW!  I couldn't make this up if I wanted to.  Then, to top it all off, he says "he is supposed to be going through rehab or something." Yet you continue to supply him, and wonder why he is getting so many Lortabs.  I don't know..... maybe because you keep giving them to him. Just a guess.
   All the while I hear everyone that checks out saying, "no this is supposed to be a 90 day..." or "this isn't what the doctor called in..." or "wasn't there another prescription with this.." as my techs scramble to answer their questions.
   Needless to say, I was stressed.  Then 3 people show up to get flu shots.  Now I have a policy that we don't give flu shots during our peak hours of 4 pm to 8 pm.  Somehow, one of our employees told them that we give them until 7pm.  Or at least that was their understanding, or so I found out as they stormed off saying that they will never come back. The cherry on top of the sundae came from a patient that is a frequenter of the establishment.  She asked about her prescriptions, but made her true intentions clear by saying "is one of those hydrocodone?"

I am really going to lose it one day.  I mean I already say things that I shouldn't when people are around, and I feel myself getting closer and closer to losing my cool with some innocent old lady (or whoever happens to be there at the right time).  So I truly think that this begs the question.... "Did I really go to pharmacy school for this?"

What a horrible, horrible state this profession is in.  Now I truly think that God has a reason for me to be here, and that things will all work out eventually, but I can't help to wonder what I would have done differently if I had read all of the blogs of the disgruntled pharmacists out there.  Actually I know what I would have done differently, I wouldn't have gone into this career. It's too much, and not in the good way that you think of when someone asks "how would you like a career that challenges you. 

As a former bright-eyed, ambitious young person with delusions of grandeur, I implore all of you seeking to enter the field of pharmacy to reconsider.  At least, at least, do not let yourself be roped into this maniacal world that we call retail pharmacy.  It will suck the life out of you.  Seriously, just knowing that I went out and got a doctorate degree to be the keeper of pills is enough to drive me crazy.  Especially when I can hardly get away with telling some pill-head that they can't have their medications, just to have their doctor call and make it legal somehow.

Anyway, happy studying.

Saturday, December 4, 2010

Why does it take 30 minutes to get 30 pills? - Thats like a pill a minute

   Ever wonder why it takes so long to get your prescription filled at a busy retail pharmacy.  I mean all they have to do is take the pills from the big bottle and put it in the little bottle - right?  Well, if you really want to know the answer to that question, you must first ask yourself, "Do I really care?"  Honestly from my experience, most people don't care because this is a fast paced world where we can answer phone calls, emails, text messaging, and write on our blog all while sitting in a McDonalds eating fast food, drinking coffee, surfing the internet all inside the Wal-Mart that we just bought our groceries, clothes, toiletries, garden supplies, and electronics from. 
    In the world of fast paced customer service where the customer must "have it their way," do people really care what it takes for "the help" to do what it is that they need to do in order to provide the customer the service that they desire.  The answer is a BIG FAT NO! 

I have decided that the people in the very small suburb where I serve as a pharmacist must live in the new Rome of the world, because they are the busiest people with the most demands on their lives compared to anyone else out there. Now, occasionally you will get the nice elderly man or woman who has all the time in the world, but the others must be out making decisions that will make or break the revival of our economy.

They are in that big of a hurry.  They will call ahead and say, "will you just fill what I tell you is on the prescription, so that when I get there you will have it ready?"  WHAT?!! I'm sure that the moment I say yes, they will spout off some ridiculous order for Lortab 10mg #360.  So no, that is not possible. 

Okay back to the main question - why does it take 30 minutes for 30 pills?

  1. We have to type in the information into our system.  It has to be correct or we will not get paid by the insurance and we may possibly be fined by the state board.
  2. We have to try to decipher the doctor's horrible handwriting everyone (including people that can hardly read at all) complains about
  3. We have to bill the insurance, and handle any issue that may arise including when they have an incorrect birthday in their system, and it is up to us to figure out which is the right one.
  4. We have to correctly fill the medication and troubleshoot any technical errors that may arise with the printer/fax machine/computer.
  5. The pharmacist has to verify that everything that was previously done was done correctly, aaaannnddd determine whether or not the medication is appropriate for the patient based on
    1. drug interactions
    2. drug class duplications
    3. strenght, dose, and duration
    4. patients age
    5. diagnosis
    6. whether or not the patient recently received this medication (for narcotics and controlled substances)
    7. Drug allergies
    8. Etc......
  6. All the while we have to answer the phone, call the insurance company for problems, the pharmacist has to counsel the patients on new medications and answer any and all drug questions that arise, as well as receive new prescriptions over the phone
  7. We also have to try to answer the questions like "Hey where is the Loreal eye makeup?" or "Now isn't this on sale?" when the pharmacy and the front store are two separate entities yet one company. SO we don't know the answer to those questions nor do we care.  And another favorite is "do you have this?" -my response-  "No I don't think so..."-your response- "Well, why not?"  Again, don't know and I don't care.
  8. And the main reason why it takes so long..... We are completing these steps for the other 50 people that came in before you and said, "Can I get this right now????"
Don't get me wrong, pharmacists get paid a lot to do this, but it still sucks. However, if you ever asked the question, now you have the answer.  So don't come up and ask if I know about the daily special on the pens and pencils up front, I slang pills not merchandise,  don't get it twisted.

Thursday, December 2, 2010

A guide to OTC's - Over the counter medications

  Let me tell you what the big pharmaceutical corporations hope you don't find out..... When it comes to over the counter cold remedies, there are really only 5 main categories of medications that you can get.  No matter how many different brands, combinations, or brands of combinations there are; the medications are all the same.  Lets compare it to milk.  Milk is milk.  There is chocolate milk, strawberry milk, whole milk, 2%, etc...  No matter what kind of milk, milk is milk.  Okay, so the brands may taste different, but that is irrelevant to medications (unless you prefer the taste of one syrup/cough drop to another).

 The 5 main classes are.... (brand followed by generic in parenthesis)

1. Pain relievers - Tylenol (Acetaminophen or APAP), Motrin/Advil (Ibuprofen), Aleve (Naproxen), and Aspirin (Acetyl-Salicylic Acid or ASA). 

  - Brand name Tylenol is the same as the generic and so on and so forth.  All generic medications are put through extensive testing to ensure that the active ingredient (e.g. acetaminophen) is the same as what is in the brand.  So it doesn't matter which one you get, it will work the same.  And please do not come into a pharmacy and ask for  "name your pain reliever for arthritis" - it is the same drug but dispensed in a higher strength. For example, Tylenol Arthritis is acetaminophen 650 milligrams(mg) per pill where regular strength is 500mg.  This will be the same among all the different types of pain relievers.

  - Baby Aspirin is 81 mg ASA, no matter if it is Bayer, Ecotrin, or any other brand
       - EC is enteric coated - meaning that it will release the drugs in the intestines instead of your stomach -
             thus relieving some of the discomfort usually felt in the stomach after taking ASA (for more 
             information ask in the comments section and I will reply).

 - Do not give children under 18 ASA (aspirin) do to risk of Reye's Syndrome (you will have to look that one up).  The tricky thing is that Pepto Bismol contains salicylates that are related to ASA, so you would avoid this in children as well (except for infants brand Pepto which has the same ingredient as Tum's but labeled Pepto - isn't it ridiculous?)

- Tylenol is hard on your liver and the others are hard on your kidneys.

2. Antihistamines- These medications will stop the action of histamine in your body. When you are allergic or develop an allergy to something, your body responds to it.  This reaction is actually beneficial if you are infected with some kind of virus or bacteria.  However sometimes the allergen (what you are allergic to) is benign like ragweed or pollen. This can result in a runny nose, itchy/watery eyes, sneezing, itchy throat, etc...
Enter antihistamines.  These can help reduce the discomfort felt by allergies (especially seasonal ones). The major difference is this

    - Claritin will not make you drowsy.  Zyrtec is less likely to cause drowsiness. All the others (benadryl, chlorpheniramine, brompheniramine,doxylamine, etcc...) will probably have you dozing off soon.  This fact is not true in young children.  Benadryl (etc..) can actually cause a 2 year old to bounce off of the walls.

From there it is basically trial and error. What works for you. Some swear by one and think the other is garbage.

3.  Cough Suppresant.  There is only one - Dextromethorphan.  This is in Brand name Delsym and Coricidin.  Sadly this is why kids buy "Triple C's" and take 30 at a time (my friends in high school did that), because it can affect the brain at high doses.  Also, please avoid buying Coricidin anything or anything else that says its for people with high blood pressure - THE ONLY DIFFERENCE IS THAT IT LACKS A DECONGESTANT WHICH CAN RAISE YOUR BLOOD PRESSURE.

4.  Nasal Decongestants - Pseudophedrine and Phenylephrine are the only two.  Pseudoephedrine is kept behind the counter and requires a drivers license to purchase thanks to the meth heads in the world, and phenylephrine is over the counter.  From what I hear, phenylephrine is worthless, so you might consider pseudoephederine (Brand name sudafed). These can raise your blood pressure, but how high is your blood pressure?  Is it controlled? If it doesn't run very high, than it might be worth taking.  This medication is by far the best solution for symptom management in my experience. It takes away clogged sinuses, relieves sinus pressure, prevents post nasal drip (which in turn decreases cough) all by shrinking the blood vessels in your body especially your head.  If the theory is correct, it should also decrease headache pain because most headaches occur from dilated vessels in your head.

5. Expectorant - Guaifenesin or brand name Mucinex.  Don't forget that the generic is the SAME as the brand.  This medication will loosen secretions in your chest and help you get them out. Which can help prevent an infection by eliminating a favorable environment in which virus' and bacteria to tend to thrive. 

  So if it is important to cough that stuff up, then why do manufactures produce medications that are combination expectorants and cough suppressants?  Money money money  Dummy men aka crooked crooks.

Also, I have heard on multiple occasions that mucinex (guaifenesin) is no better than drinking plenty of water. Because water will ultimately work the same way.  So if you want to save money, then drink good ol' fashioned water. Of course I haven't read any studies, so I am not fully prepared to back this 100%.  I will have to say that I have felt a lot better after taking mucinex and coughing all that crap up.

Ultimately this post is to show you that when it comes to colds, there are only 5 main ingredients out there. So why then are there so many products? The answer is always money.  With money comes marketing.  Did you know that all sleep aids are anti-histamines with the exception of melatonin (which is questionable as to how well it works). So why not buy some benadryl and use it for all its purposes.  Also, anti-nausea medications are also anti-histamines (except emetrol, whose ingredients are very comparable to a soda). Anyway, lets stop making this harder than it is.  READ the ingredients, please, READ them.  A spade is a spade.

My recommendation is to buy a big box of each single ingredient and keep it on hand. Then treat the person based on the symptom, but be sure to read the dosing.  I would keep one box of benadryl (diphenhydramine) and one box of claritin/zyrtec (due to the drowsiness factor).

  Also, moms, you can get dye free, alcohol free, sugar free (diabetics as well) medications. Just look at the box.  And stop coming up to me and telling me how old your kid is and how much they weigh.  If their age/weight is not on the box, or says consult physician, or do not use...... that is my recommendation. The only thing out there for your precious little one's cold is childrens zyrtec/claritin and vicks baby rub - Unless the dr prescribes something else---

  The pediatrician has more experience with those meds than I do, so stop asking. I am new. Some old fogee pharmacists out there with kids or grandkids may tell you otherwise but not me. I really do love you and your child, so I don't want to have to get gangster on you okay.  I really feel that you come up to me and say, well can't I just give them half, and decide that you won't leave until I say yes.  Seriously, how many times do I have to say call the doctor before you will leave. That's right, you won't leave until I tell you what you want to hear, even if it isn't right.  When that happens I feel like a crip/blood who tells an opposing gang rival to leave my turf before I have to do something I regret.  Then I do something I regret and say, "it might be okay, just be sure to call your dr."

Anyway, these aren't the only OTC's out there, just the ones dealing with colds. Post with your questions if you want to know more.

I'm out.  Know what I'm sayin?

PS to see more of what I am talking about  go to, but be sure to come back here!

To be or not to be - should I go to pharmacy technician school?

  So let me tell you a little about pharmacy techs.  Techs do everything the pharmacist does minus a few tasks such as taking new prescriptions over the phone, final verification of a prescription, counseling, and a few other things.  They, however, do this at a much much much lower wage.  Technicians are at a disadvantage in that they get to share in the daily stress of a pharmacist without sharing in the pay that makes the pharmacists job almost worth it.  To top it all off people are being tempted daily by schools out there claiming to give them the edge that they need to become a tech, if they are willing to attend class and pay tuition (of course).

  First of all, technicians can start out as cashiers in a pharmacy.  They can work as a cashier and do everything that a tech does except fill prescriptions. While they do this, they are getting the training that is needed as well as GETTING PAID to do receive this training.  States differ in their requirements, but in my state, you can work and become a tech without going to school (GED or high school diploma is needed though).  "Tech school" is not required.  So why do it?  Well if you are sitting at home and you are unhappy with your job/life, and see a commercial that promises all the great things in life if you would just finish a program that their trade school has to offer, you would get pretty motivated to do look into it.  So people do.  If they are like one of my friends, they will enroll, realize its actually tough, and not finish.  Thus owing a school money for a trade never learned.  Furthermore, the information that is taught in those schools is more than is needed to work as a tech.  Trust me, you do not want to be an "expert" pharmacy tech.  The pharmacist will always know more, and there is a ceiling to how far you can go (in regards to pay and status).

  These schools remind me of what Bone Thugs-n-Harmony like to call "Dummy Men."  The guys that sell dope that ain't dope.  You know crooked crooks.  (Did I mention I'm from the streets?) They sell an education that can easily be learned on the job while being paid.  Also, a technician would need to learn the system and work flow of a company before he or she would be proficient at their job.  In other words, they may start a job after getting out of school and be lower on the totem pole than a person who didn't go to school (or even a cashier for that matter). 

  So take my advice.  Stay away from pharmacy unless you find a slow job where people don't try to rip your head off everyday.  Secondly, DO NOT go to a pharmacy technician trade school UNLESS your state requires it.  Pharmacy isn't for the faint of heart, you can't be any geek off the street, you got to earn your keep. You got to be a Regulator.

PS to see more of what I am talking about  go to, but be sure to come back here!

Wednesday, December 1, 2010

My first test...

  In the world of pharmacy, a common theme is "Professionalism." This concept is fed to you during your entire stay at a school of pharmacy. Its just that, pharmacy is changing.  I believe that pharmacy was originally filled with smart businessmen. What sells better than what people can't do without? Pills are now apparently one of those commodities. Now the profession wants to evolve into a clinical one, that will help people with their conditions and actually help them get healthier instead of just better.  Very admirable I think.  So we first have to maintain the trust of the people and get on the physicians' good side.  The physicians "own" the rights to prescribe or authorize others to prescribe.  Pharmacists now go through a doctorial coursework that not only deals with medications, but also disease states, so we want a piece of the action!!!!

  To get there, we have to maintain respect and be professional.  There is just one problem with that.  I'm ghetto. I am.....always have been.  Don't get me wrong, I am respectful, but I'm from the the streets. I was raised mostly in a small town, but I did time in the ghetto and that always changes you.  Grew up on food stamps and section 8.  I even hung around with thugs, even though they sold drugs, they showed a young brotha love (Tupac).  So when someone comes in and demands something from me, my instincts are to get hood with em. 

  I work in retail ( a large chain pharmacy). So one day, this guy comes in on workers comp (where you get hurt on the job and now the employer foots the bill).  Now I don't care who pays.  I just want to make sure everyone gets the right medication and good care. But he gets a med that has to be compounded (mixed) and wants it on workman's comp (same as above).  So, we spend an hour on the phone and get it to go through, but our company adds a $1.20 compounding fee and he throws a fit.  Again over $1.20.  Now I am new, but I know that workman's comp has limitations, and I figure that compounding fees are one of them.  So we call workers comp, but they say they covered the cost. So my company must have added the fee.

 I tell him that $1.20 is what he owes.  He says "NO they pay it all, have you EVER done a workers comp claim before, I work there so I know how it works!" 

 Now my first thought is....... I'm about to stomp this dude out.  Little skinny buster, you think your gonna come in here and talk to me like I'm some sort of punk.  NOT UP IN HERE YOU AIN'T! But the professional side comes out and I say... "yeah, every day. I know that there are some things they don't cover."  He says "NO they cover everything." ----- Well apparently not. He starts to insist that one of my staff added the charge on there. Now I work for a chain, I don't care if they get their money. They are gonna get their money to regardless, even if it means calling their customers everyday and begging (like they already do!).  Anyway, I took the charge off, and have now I have to every time he comes in for a refill.

Now pharmacy is lucrative, but this is the kind of stuff you deal with everyday and multiple times a day. Not to mention the volume of medication you deal with and all the struggles that brings. Is it worth it? Time will tell I guess. My main question for now is why are people so worried about everything that goes on in a pharmacy and why are they so demanding and rude.  When did a pharmacy become like a fast food restaurant?  Do you really want your pills as fast as you want your fries?  What do you think?

PS to see more of what I am talking about  go to, but be sure to come back here!

First of all....

  Okay.  Let me start by letting you know that I am a young pharmacist.  I am in my mid twenties, and have recently had the pleasure of completing my coursework in the field of pharmacy.  Let me just sat that the profession itself is a very dynamic profession that will challenge you and allow you some autonomy to be all that you can be (if you will).  However, the point of this blog is to let everyone in on a day in the life of a young pharmacist. This blog is not intended to inflate the egos of those that are pharmacists, in fact it may do the opposite. This blog will however give you an idea of what it is like to wear the white smock and feel like a schmuck.
  Like I said I am young.  I like to have fun, be goofy, and enjoy life.  I have come to realize that being a pharmacist does not allow you to do any of those things.  Instead, being a pharmacist allows you to be stressed out, get yelled at while being "professional", at feel like you could have a heart attack at any moment.  So, if you are interested, I will take you through many scenarios that may make you rethink what pharmacy is as a whole.  At the same time, you may rethink your decision to use certain pharmacies.  anyway lets begin.....