No, that was *not* your question…
"La Pharmacia, this is TheAngriestPharmacist. How can I help you?"
"Yes, I had a question." [Yes is not the answer to the question I asked]
"Alright, go right ahead..."
"What is Paroxetine for?"
"Well, it's actually approved for lots of different things. It's mainly used for depression, but it can also be used for generalized anxiety disorder, post-traumatic stress disorder, and even obcessive compulsive disorder..."
"I see...is it the generic for Paxil?"
"Yes, ma'am, it is..."
"Okay, that was my question...Thanks!"
*Click*
No, that was not your question. The problem here is that people are so poor at communicating what they actually want an mean, they immediately pretend like it was YOU who was not effectively answering their question or communicating with them. Should I have answered the question, "What is Paroxetine for?" with "It's the generic for Paxil," this lady would have called me retarded and told me that was not what she asked. Then she would have asked what it were for -- and THAT would have been her question!
Freaking crap...
-=+=-
The following jobs must be done daily at my pharmacy: Put away the order, take out the trash, put the HIPAA trash where it needs to be, Return Scripts to stock that are older than 7 days (call the patient if they are a regular), attempt to rectify any outstanding "problems" from the day/previous day, call the doctors that have overnight voicemails to get them out of the way, vacuum, package and put stamps on any Rxs we mail out, sanitize the trays and counters, refill all bottles and lids, label the day's prescriptions, and make the pharmacist smile at least once with an anecdote.
That list is hanging in my pharmacy (mine is verbatim). My question is, why in the hell does none of that shit ever get done? My tech help is limited, and I can admit we are a little understaffed. But, why am I the only person willing to hang out a few minutes after or come in a few minutes early to insure they get done -- it only makes the day run smoother and more efficiently. Not only am I the only person willing to do it, I'm the only person that cares if it even gets done...especially the important shit.
Anyone else have a pharmacy that isn't efficient because the little stuff isn't done in a timely fashion?
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Transient People or Societal Degradation?
Maybe it means the profession has grown where everyone trusts every pharmacist (and pharmacy) fully, or maybe it means our society has degraded into a transient grouping of people with no urge to support a single pharmacy or better their healthcare experience by staying true to a single pharmacy or pharmacist, but today, I encountered something that lies somewhere in the middle.
I received a bottle for a script from some small town outside of Indianapolis. Not such a weird occurance. I’m pretty near to a major interstate. Here’s where it gets silly. The script was written by a doctor in Atlanta, Georgia. The first fill was in Milwaukee, Wisconsin where it was subsequently transferred to the store in Indiana. The man lives in Iowa. Maybe he’s a truck driver? I don’t know, but he used three different chains in all.
Of course, it was for Viagra, and he wanted only one tablet. Again, not that weird, but we’re talking several thousands of miles between all the different pharmacies.
Is there anyone that is a diehard Walgreens, CVS, Walmart, or Costco customer anymore? Even if they end up somewhere else, they still go to that pharmacy? I don’t know anymore.
What does it mean? Someone explain it to me…
-=+=-
Why does someone want to buy 96 tablets of 30-mg Pseudoephedrine before they go on vacation? I got that today and was perplexed. You’re gonna be gone for 7 days, and you think you’re going to take 13 tablets of PSE per day? C’mon! I don’t even take that much in a year.
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Walgreens causes me trouble…go figure
I had their bottle. I got all the info. It was filled once...one month ago. I had every bit of info I needed. All I wanted was to speak with someone, give them my name and my phone number. I wanted nothing more.
I called. I got a tech and put on hold. I waited five minutes.
Someone answered. I told them I wanted a copy and it would be super quick. I have all the info. I got put on hold again. I waited five minutes.
I hear ringing. A man answers. I tell him what I want. He tells me he is the Store Manager and not in the pharmacy at all. He'll hafta transfer me back. He transfers me to the pharmacy. A tech answers, and I tell her what I want and how quick it'd be. She puts me on hold. I wait five minutes...I rock out to Van Halen.
The pharmacist answers. I tell him what I want and how quick I'll be. He tells me his computer is locked up and puts me on hold. I wait 5 minutes. I get disconnected.
I call back. I get a tech. He tells me to hold. I wait 5 minutes. Pharmacist answers. I tell him what I want. He asks me what I need. I tell him nothing. 30 seconds later, I hang up happy.
Total time spent dicking around with Walgreens: 22 minutes, 30 seconds.
Number of prescriptions I filled with a phone at my ear: 7
Number of other calls I answered and tended to in that time: 4
Cash Price of the prescription I transferred: $5.75
Amount I want to drink: Gallons of beer
Ugh...
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What do you all think of this?
MD calls in Ceftin 500mg BID #20 for patient, Mrs. Anaphylaxis Abound.
I check Mrs. Abounds profile and see the following note, "Patient is deathly allergic to penicillin. Even tactile contact with Penicillin will put her in the hospital. When filling for her son, we must let her know if her son gets a penicillin. He has no allergies." While I've never heard of a topical penicillin induced anaphylaxis (Septra not withstanding), I'm not going to be the guy that finds out if 2nd-generation Cephalosporins will do the that (The crossover is ~8%).
I called the doctor. One hour later (with her waiting the entire time RIGHT in front of my face), he calls back and asks me what would work for a complicated UTI. I said Septra. He said it was ineffective. I said Cipro. He said it didn't hit it on the spectrum. I said you have the spectrum, why the hell am I dictating the therapy (in nicer words). He asked me to keep going. I finally decided upon Macrobid. Wow.
The patient was pissed at waiting so long.
I was pissed because I could have just changed the therapy to begin with.
The doctor was happy because he was drunk and bowling...I'm assuming...
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