Now I'm screwed
Well, I got myself screwed over today. There was nothing I could do about it. Essentially, a patient blackmailed me (That's a little too harsh of a word -- but it is what it is). A gentleman brought in a prescription for Metformin 500mg 2am and 3pm #qs 3months + 4 refills. For those playing along at home, this prescription is for FOUR-HUNDRED AND FIFTY tablets of Metformin 500mg. WOW.
So, I go to the shelf and see that I have a full 500-count bottle and about 10 tablets in a second bottle. After filling his prescription I would have had under 60 tablets. I called him back to the pharmacy and "leveled with him." I told him that I have enough to fill his prescription (first mistake that opened me up for attack), but if I filled it, I wouldn't have any tablets for any other patients until Monday afternoon. He did not have the same amount if empathy as I did for these patients-to-be. I was told to, "fill that prescription and fill it now." I kind of backed off and tried to speak with the man rationally -- he was having none of it.
Had I not told him I had enough Metformin, I would have not been in this situation -- my fault. However, I still had to weasel out of the situation I created.
I offered to do ALL of the following in this order:
- Give him enough for a week and mail him the remainder. ("I don't trust any of 'em -- USPS, Fedex, DHL -- they're all crooks!")
- Give him enough for a week and PERSONALLY deliver the remainder. ("You'd never find my house and I might be going out of town.") - I could give you as much as a month's worth. ("It might be an extended vacation. No tellin' where I'll be.")
- Comp the prescription cost if he just took a week's worth and waited for the rest to come via mail or delivery. ("It's only 10 damn dollars. What kinda favor is that?")
- Convert him to Metformin 1000mg as well as 500mg tabs to make the same dose. ("Those damn tablets are too big -- that's why I only take these 500s")
He did not oblige. He also threatened to move ALL of his prescriptions to another pharmacy (10 total scripts) if I didn't fill it, in its entirety, "right then and thar." Due to that fact, I was forced to fill all 450. However, he paid the cost and received a dirty look from me for being a stubborn ole cunt. Sounds a lot like blackmail doesn't it?
I'm very lucky my good friends at the Medicine Shoppe were able to help me out by loaning me a bottle of Metformin to cover me through the weekend. I'll get it back to them Monday -- unlike the customer, they were more than willing to wait. I'm lucky to have that relationship with them. I've loaned them stuff before as well -- to please a patient or make things easier. It's a good thing.
I'll also be increasing that order quantity in the computer...and, of course, no favors -- EVER for this man. He's out of refills and needs two to three days worth? Sorry, dude. I just can't do it! That's a professional courtesy -- not a pharmacy requirement...
How smart are you?
We all know that pharmacists are intelligent. Pharmacy school isn't easy. But, how smart are we? Do you know your actual IQ? Have you ever been tested? Do we have any MENSA Pharmacists out there?
I got tested in 1st grade. My IQ was registered at 126. I vaguely remember the experience. I remember going to a lady's house and spending the entire day with just her -- taking a series of tests but they seemed like games to me at the time. The only real test I remember was being shown a picture of a man walking down the street in the rain and being asked to identify everything wrong with the picture. So -- he was holding his umbrella rather than covering himself. The stop sign was shaped like a triangle. The sun and the moon were both showing in full. Stuff like that. Of course, that's a test performed over 25 years ago on a child. Is that still applicable now? Who knows....[Note: I know the results of the test because it's in my High School scrapbook -- not because I'm a weirdo.]
| 1-24 | Profound Mental Retardation |
|---|---|
| 25-39 | Severe Mental Retardation |
| 40-54 | Moderate Mental Retardation |
| 55-69 | Mild Mental Retardation |
| 70-84 | Borderline Mental Retardation |
| 85-114 | Average Intelligence |
| 115-129 | Bright |
| 130-144 | Moderately Gifted |
| 145-159 | Highly Gifted |
| 160-175 | Exceptionally Gifted |
| Over 175 | Profoundly Gifted |
I found an IQ test online that I believed to be rather reputable. It takes 40 minutes to complete and it is simple at first. However, it quickly escalates in difficulty...to the point where the last 3-4 questions I had absolutely no clue as to what the answer was. I still felt pretty good about the test. My result was 130. I, of course, didn't take a screenshot of the result because I'm a retard. The test was rather frustrating, so I don't want to do it again. I may though -- to see if I can better my score. I'm sure that the questions are different each time. If they are not, I wouldn't respect the results. If I take it again -- I'll post a screenshot.
Anyway, take the test. Let me know what your results are! Lets see how smart pharmacists, technicians, et. al are! Post your job as well.
It is mostly a test of spatial relationships, shapes, and such. I've heard that these types of IQ tests are biased -- favoring men for whatever reason. We shall see...
http://www.iqtest.dk -- Note: this link doesn't work in Firefox for whatever reason (It crashed my browser every time). I had to dust off Internet Explorer to take the quiz. If you have a ridiculously high score that no one would believe (idiot savant type stuff), email me a screenshot. I'll host it and post it for you.
Have a nice day
"Have a nice day." -- "Have a good day." -- "Have a great day." -- "Have a good weekend."
I refuse to say any variation of the above when I am working the register. It's not that I'm not polite to people, I just feel that it means nothing. Everyone hears it all day long, with every purchase they make, every person they have an encounter with. With everyone saying this, it just means very little. There's no power behind it. Also, does it really make you have a better day? Having a high school-aged cashier tell me, "Have a nice day," does nothing for me. It doesn't make me feel better, it isn't an ego booster, and it certainly does not mean that I am going to have a good day.
Additionally, do we care if the person has a nice day? Most of the time our patients are sick, so they are not going to have a nice day. Sometimes, they are rude, so we don't WANT them to have a nice day. Sometimes they are perfect, and we do want them to have a nice day. So, why don't we reserve that for the people we enjoy, care about, and want to have a nice day -- those great patients that love and respect us, that hug us and call in their refills early, that understand "the doctor did not call back" does not mean "the pharmacist won't give you your medicine." They deserve a great day. They get a little more out of me in terms of politeness. Everyone else does not get that from me.
So, is that rude? Am I wrong? I'm sure someone out there has some crazy reason for why I should say, "have a nice day" -- or why they do. It's not going to change my mind, but I will humor you.
What do I say to end a sale and say goodbye?
"Thanks a lot. We'll see you next time." -- because hopefully, if I've done my job right, they'll want to come back, whether for an Rx, beer, or a greeting card.
Have a nice day,
The Angriest Pharmacist
The life and times of a pharmacist
I got this emailed to me by "E" -- I did not write this.
Source: The Angry Pharmacist
Theres a lot of things that you will experience once you're a pharmacist:
You'll be asked questions.
You'll be praised.
You'll be thanked.
You'll see children grow up.
You'll see grandparents pass away.
You'll be the person to translate between medical speak and common english.
You'll give relief to an nervous mother.
You'll give people hope who have none.
You'll smile.
You'll laugh.
You'll joke with your patients.
You'll see your patients go to the prom.
You'll dispense that Plan B Rx to that girl who was in diapers just last week (so you thought).
You'll be asked questions that involve the word penis and vagina.
You'll be asked to look at rashes, and pink eye, and wounds.
You'll be trusted when their doctors cannot be.
You'll save lives.
You'll drive a nice car, have a house, and a good living.
You'll be hounded by family and friends for advice.
You'll be the first to hear about test results and what they mean.
You'll be the most trusted person in most people's lives.
However.............................
You'll be bitched at.
You'll be taken for granted.
You'll be the target of angry words, attacks, and threats.
You'll be lied to.
You'll be bullshitted.
You'll be overworked and understaffed.
You'll have no gratification from the people who owe you their lives and well being.
You'll be used.
You'll see the shit at the bottom of the pond of society.
You'll (somehow) be the person responsible for slavery, poverty, and all that is evil in the world.
You'll be cried at one min, and yelled at the next when you wont fill Soma early.
You'll be the target of con scams, stories, and shit.
You'll become callous and jaded to the world around you.
You'll see not things as right and wrong, but truth and bullshit.
You'll be able to tell a crackhead the moment they walk in the front door.
You'll see addiction, thievery, and diversion.
You wont have one min to yourself without being interrupted by an idiot.
You'll see stupidity.
You'll get a gun shoved in your face for money or narcotics.
You'll be the target of crime and theft.
Your car will be stolen or vandalized or hit in the parking lot by someone with no license, no insurance, and is here illegally (but gets more health benefits than you, on your tax dollar).
You'll sit there powerless to do anything about an addict because you lack proof.
You'll see crooked doctors write out gallons of Vicodin and get away with it.
You'll get audited by insurance companies and the DEA and the state board over stupid shit.
You'll see doctors who will rather listen to a big boobed drug rep than you.
You'll be fucked over by the chains and mail order pharmacies who are supposed to be on your side.
You'll get shafted by insurance companies.
You'll see that AWP-25% + 1.50 and think its a good deal.
You'll be left on hold for an hour because the doctors office is too cheap to buy a fax machine.
You'll deal with ignorant doctor office staff who should be cleaning toilets than calling in prescriptions. You'll get orders wrong because the fucking nurse cant speak clear english.
You'll get a glimmer of happiness when you see a cash customer, only to have it be snuffed out when he wants his Rx's transfered to a mail order pharmacy because its 'cheaper' (after you did all the work to fill them).
Your time will be worth nothing to the patients.
You'll get mad.
You'll get frustrated.
You'll consider going on medication.
You'll go on medication.
And at the end of the day, when you get home and stare down at the bottom of that third glass of gin; you'll wonder why in the fuck you went to school to deal with this.
Remember, 98% of the world are good people, but it just takes a fraction of the 2% of assholes to really ruin your day.
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