What do you all think of this?

Posted by The *Angriest* Pharmacist as Stupid People, True Story, Work Sucks

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…

-=+=-

On a completely different note, in the next few days I am going to change a few things on the site. I love the great discussion I get in the comments. I learn a lot, and I enjoy hearing other people bitching about the same things I’m bitching about. My site has grown in popularity. I literally get a ton of hits each day. I’ve also awakened the spam beasts. My webmaster email address gets swamped, and I get about 50 erroneous comments each day urging me to buy tramadol or vote for Ron Paul. Some good comments get filtered away with those because I cannot spend a ton of time scouring for the one good comment in 100 or so shitty ones.

So, to counter this growing trend, I’m going to require that all commenters register prior to commenting. We all know that I’m not going to dick people over and sell their address or publish it anywhere. On the upside, when you register, you should get an email every time I make a new post. Then you can come and comment again! Update 8-16-07 — I’m already going back on this. I tried it and my comments from valid readers completely stopped…So, I turned if off already.

Sincerely,
webmaster[at]theangriestpharmacist[dot]com

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