For Pete’s sake
Do people not understand that if it’s filled at a pharmacy across town that that is not my pharmacy? “Filled at Walgreen’s in BFE†is not the same as “Easily picked up at my counter, RIGHT NOW.†I dealt with this crap today with no understanding from some lady. I wound my way through the labyrinth of “Push 1 for X, push 2 for Y†only to be hung up on when some punk kid didn’t understand what I wanted. I called back and got someone with two or three remaining brain cells (luckily that’s just enough to hand the phone to the pharmacist). Then, I transferred her Z-Pak from across town. All the while this lady is down at the counter, leaning over glaring at me as if to say, “Well, where is it, jackass?†I busted my ass and got it filled in a few minutes (listening to her tap her credit card on the counter the whole time).
I took it down to her, and she has the nerve to say, “Ohh, I wanted the Effexor as well.†Are you shitting me? Did you not listen to me when I said, “I’ll call and have them cancel it, transfer it to me, and get it ready for you. It should be about 15 minutes� The same thing goes if I have to start over at point A (i.e. the labyrinth)!
Ugh. So, I started over, and yes, those idiots hung up on me again. Why is Walgreens so notorious for that? Are phones that difficult? We’re dealing with drugs that have the potential ability to kill people hundreds of times over if mistaken or misused, and you can’t master the damn phone system? Anyway, ten minutes later I got the whole thing done (listening to that fucking credit card tap the whole time). I got back down to the cash register. I rang her out. She told me she didn’t understand why it took so long. I just shuttered and told her it would have been faster had we done both at the same time rather than separate. What else could I say other than that? I wanted to sock her one for wasting 30 minutes of my time, but alas…I am a true gentleman.
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Here’s some healthy stats for you
I just saw a commercial. It really made me think. It was merely a statement with some ‘moving’ pictures. “One out of every three black babies in America is aborted. That’s more than any other disease or cause among any race.†It went on a little bit, but that was the jist of it. Anyway, here are some other stats to consider (these are the numbers I remember from school - correct in comments if wrong):
When considering unprotected sex, only 80/1000 girls will get pregnant the first time (this is called fecundity for those that don’t know). Emergency contraception reduces this number to 20 if used within 72 hours.
In the first year, 85/100 will be preggo just using chance.
Spermicides alone drop that number to 6/100.
Withdrawal only? Yeah, it works okay with 4/100 getting knocked up.
Condoms only? That also drops it to 4/100.
Birth Control pills alone? Hmm…Let’s see…Ahh, yes - that’s 0.1/100!
Norplant is 0.05, but that’s expensive and long term. It also worked too well so it was pulled from the market citing “irregular menses.â€
Nonetheless, some of these numbers are pretty low. Let’s fathom this: What would happen if we combined these methods? Ohh my gosh, unplanned pregnancies might cease to exist! But, some punk wants to get his peter wet and we have the problem of 1/3 black babies being aborted. It’s bogus.
Have your homeboy use a fucking rubber *and* pull out if you don’t want mommy and daddy knowing someone is laying the pipe to you by getting some birth control like a person that’s responsible and adult enough to have sex.
Don’t cite expense to me either. That’s bullshit. B/C is cheap. Medicaid in every state pays for it with little to no copay. There are Planned Parenthoods in every major city that GIVE away three months worth merely asking for donations. If you can’t make a donation…oh well, at least you aren’t pregnant or back there asking for an abortion.
In closing, don’t waste millions of dollars putting these gut-wrenching, horseshit commercials on - I’d rather see commercials about beer and Doritos. You pie-in-the-sky people need to pump your advertising and PR budget into something worthwhile, like educating your little bunny rabbits in either a) not making babies or b) using some sort of method of protection when fucking. I’ve adequately outlined what works and what doesn’t above.
Have a nice day…
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In steps the pharmacist
Okay, I’m not an MD….not even close. Occasionally, I feel that I do have the knowledge (albeit basic) to suggest some therapeutic substitutions to a doctor, however. Today, I had to listen to a poor (monetarily), 85-year old man tell me how much his medicines cost him each month. I felt bad for him. He had never even filled at my pharmacy. He merely wanted some prices to save a few dollars. He had Part-D, but was in his donut hole. He couldn’t meet the out of pocket expense. It was drugs or food in his mind. I reviewed his drugs and jotted the following note:
Eplerenone —> Spironolactone (he’s 85, he can deal with gynocomastia)
Tiotropium —> Ipratropium (Tio breaks the BBB anyway)
Xopenex —> ProAir HFA (Is that inactive isomer really that freaking dangerous?)
Flomax —> Doxazosin (Seriously…come on…)
Toprol XL —> Metoprolol (BID dosing though)
Revatio —> Warfarin, Diuretics, Beta Blockers, ACE-I, Digoxin, O2 Therapy (these aren’t going to decrease M/M, but they will help with QOL. He was already on some of them…of course) - I couldn’t even fathom this one. The SE’s alone would kind of suck…I thought it was just used for PAH in women. BTW, it’s 900 bucks a month. Way to go Pfizer….eat it.
If the above changes were made/considered, it could potentially save this person THOUSANDS of dollars a year…and TONS each month. The substitutions are not lesser therapies. They are equivalent. They are generic. They are cheaper.
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Did I ask you that?
“Yeah, I have a prescription to pick upâ€
“What’s your last name?â€
“It’s Johnson….Frank…3/14/1957…â€
“1422 Front Street Apartment B…Clonazepam…Dr.Sheets…â€
“Okay…here it is…â€
-=+=-
This can go many different ways. My personal favorite is when I get the person that comes up and tells me the drug and doctor BEFORE their name…because that’s how we file them anyway right? Right?
All I asked for was this guy’s last name. I got that, and I got his birthday. Granted, I would have asked his birthday regardless. In addition to that, I got his address, drug, and which doctor he sees. It’s mind boggling how much information people will give up when not even prompted. It’s like it’s not even a big deal there are 5 people behind them in line.
And we need HIPPA why? People don’t give a shit…
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