18

Oct

Walgreens Bashing FOOL - UPDATED!

Posted by The *Angriest* Pharmacist as Doctors, Education, Errors, Patient Education, Stupid People

I recently got this crackpot email from a certifiably insane man by the name of Leroy Jacobs (leroyjacobs@mail.com). It was long, full of colorful text, and lots of space. What was it about? It was about how Walgreens Co. is directly responsible for the deaths of many citizens — it listed their names, the lawsuit number (where the person’s family sued — NOT criminal charges, mind you). It even listed exact numbers on how many people Walgreens killed during the last 4 years with the ominous words, “ARE YOU NEXT?” printed under it. Since it is so long, I have saved the document as a PDF. You can open the document here. You can visit the website LEROY claims to own HERE

Before I give my view on this, let me say this: I do NOT work for Walgreens. I worked for Walgreens for one (1) semester in college, and I quit because I did not have enough time to work at the time. If anything, I hate Walgreens. I believe that this adds more weight to my beliefs in that Leroy Jacobs is a crazy asshole with a vendetta.

This guy has sent me stuff like this before. In the past, I just deleted it as it is asinine. This time, I called him out on it. Here’s my initial reply:

Leroy,
I’m not sure what your vendetta is against Walgreens, but I do not agree
with the way you are going about this at all. Every pharmacist in America has
had a misfill happened to them. Some of us have been responsible for this misfill
making someone sick — some have even killed a person as a direct result of
the misfill. It is always regrettable — whether someone is injured or not.

However, you CANNOT blame this on Walgreens entirely. Pharmacists
are ultimately responsible for what goes out the door, not the corporate
entity. Walgreens may be responsible for having understaffed stores and
making workflow too fast for some pharmacists — but the pharmacist is
charged with working at the speed they feel comfortable…even if that means
a 2 hour wait. It is not the fault of the corporation, and I’m sorry that you do
not completely understand that.

I also think that you are making a huge deal out of a small number of
bad instances. While one misfill is too many (especially one that kills a
person or animal), we fill more than 3-4 BILLION prescriptions each year
in the USA. I want you to impartially look at these posts then reanalyze what
you are trying to accomplish with these smear campaigns.

http://www.theangriestpharmacist.com/2008/02/26/the-real-numbers/
http://www.theangriestpharmacist.com/2008/02/26/my-letter-to-the-usa-today-journalists/

I can’t believe defending a business that I absolutely loathe (and quit working
for after one semester in pharmacy school), but I do not agree with your tactics.

So, I feel like I made some valid points in my email. I mean, this guy is blaming Walgreens, the Corporation, for the misfills a pharmacist is responsible for letting out the door.

Note: I am not trying to invalidate the death of the people listed below. I am not trying to say that their life is worth any less than anyone else’s life. I am merely trying to show that it is the responsibility of the pharmacist to ensure that people achieve the best results from their medicines, and that it is the pharmacist that is responsible for the medicine that leaves the pharmacy — ensuring that it is the right med, right person, right dose, right strength, et al. I’m merely trying to show that it is NOT the fault of the pharmacy owners or corporate entity.

Let’s take a look at the merit of these cases:
1. Leonard Kulisek died Nov 2002 of MENTAL ANGUISH AND DISFIGUREMENT.
- I was not aware that someone could die of mental anguish and/or disfigurement. His FAMILY was awarded 31 MILLION dollars. A Google search says that the man was given Diabetes Medication instead of Gout Medication and died of renal failure — after already being on the brink of death it seems. While the names of the medications are unknown, Allopurinol could exacerbate hepatic and/or renal failure (monitoring and dosage reductions are needed for both). Colchicine is metabolized by the liver and eliminated 10-20% unchanged by the kidneys. It’s not unreasonable to think that EITHER of these medications could cause problems in an ill person — especially Colchicine due to the incidence of blood dysgrasias — which shouldn’t have been given to him anyway.

2. Patricia Rees died May 2006 after “SKIN FELL OFF.
- I was not aware that one’s skin could just fall off. Mine is pretty well attached. No information could be found on this case via Google search. Maybe her name is misspelled; maybe this is entirely made up. Who knows? I bet LEROY JACOBS DOES!

3. Beth Hippely died Jan 2007 of BREAST CANCER.
- I’m not sure how Walgreens is responsible for someone dying of Breast Cancer. Women (and men) have been dying of cancer in the breast forever. Google search turned up that she was given a Coumadin dose 10-times more than was intended. ABC News pins this on a 19-year old pharmacy technician. Well, that’s fucking bullshit. It is not the job or purpose of the pharmacy technician to prevent errors getting out the door. It is the pharmacist’s job to verify that the right drug, right dose, right everything get to the right person. While the techs play a role in this system, the burden is not on their shoulders. How DARE anyone lay this on the shoulders of a mere college freshman. Anyway, the high dose cause her to have a massive stroke (I think hemorrhage would be a more appropriate word, but that’s semantics). This incident cause her doctor’s to discontinue her chemotherapy causing her breast cancer to ultimately kill her. Well, that’s a hell of a line of thought to blame Walgreens, now isn’t it. Why don’t we blame Anheuiser Busch In-Bev for the deaths of thousands? Someone gets drunk, drives, and hits a bicyclist who dies. It’s the same train of thought this jury had. Sad? Yes. Fault of pharmacist? Yes. Fault of Walgreens? No.

4. Alexandra Gerhke suffered PERMANENT BRAIN DAMAGE at 7 months old.
- Pharmacist dispensed Glipizide tablets instead of Phenobarbital tablets. First off, these two drugs are nowhere near each other when stored in the pharmacy. Secondly, how in the fuck did they give tablets to a baby? Obviously, the pharmacist compounded this — Making this misfill even more eggregous. Nonetheless, it was the fault of the PHARMACIST — not the fault of Walgreens Co.

5. Eric Warren died Dec 2002 from “POISONOUS DRUGS INTERACTION TRAMADOL & METHADONE
- For such heinous accusations, the guy has poor grammar and no concept of medicine. Firstly, why was the man given methadone — what is it usually given for? Opiate Addition? Ding! Ding! Ding! So, you’re telling me this guy was addicted to Tramadol, given Methadone to get off the tramadol, then died from the combination? I get it. Do you see the problem? He’s a fucking addict — he could have died from either one alone. Should he have been educated about the combination? Yes. However, I contend that if you take one of each, or even two of each, you will not die. Especially if you have an opiate tolerance built up as would someone on Methadone. This guy took a handful of each and died of the subsequent respiratory depression. He should have had some ownership of his own medical therapy. This death cannot be entirely the fault of the non-educating pharmacist…and it sure as shit isn’t the fault of Walgreens Corporation.

6. Chanda Givens (baby) died April 2007 after mother was given “potent chemotherapy drug instead of Materna, a prenatal vitamin“.
- She was given Matulane (Procarbazine) instead. There’s no reason for this. For fuck’s sake, I’d never even heard of Matulane, but I sure as shit can tell the difference between the two. This makes me wonder, however, if perhaps the doctor’s handwriting fucking sucked.

7. Terry Paul Smith died July 2001 of METHADONE POISONING.
- This is another case where I believe patient’s must play a role in their healthcare. USA Today says that Smith took 22 pills over a day and a half’s time (after trying and failing various other painkillers like NEURONTIN and oxycontin — yes, USA Today called Neurontin a painkiller). Why? Because the directions said “Take 4 tablets by mouth twice daily as needed” instead of “Take 4 tablets by mouth twice daily.” — The OBRA-90 requirements were met as testified by the patient. So, the words AS NEEDED (which are always on pain medicine prescriptions) are the reason for the overdose — whereas they are usually the reason people DO NOT OD. I don’t fucking get it. We put as needed, people OD because it means they can take it whenever the fuck they want. We don’t put as needed, people OD because it means they can take it whenever the fuck they want. You can’t have both sides of the road sue-happy Americans. You’re not cyclists.

8. Devon J Alvarez (toddler) died October 2001.
- The cause of death was dextromethorphan intoxication. This one proves that this fucking prick, Leroy Jacobs, is merely out to get Walgreens. This child’s parents took him to the doctor. The doctor told them to get some OTC Infant Cough and Cold Product. Mommy followed the directions the doctor gave her — and gave the child the suggested amount. Devon’s body could simply not metabolize dextromethorphan for whatever reason. He died because of a physiological insufficiency — not because ANYTHING Walgreens pharmacists, technicians, cashiers, maintenance men, shelf stockers, or managers did. Fuck, for all we know, they didn’t even buy the medicine at WAG! This is pure libel — and this dickhead is peddling it around the internet as fact.

Now, as you see, I have debunked several of these little Walgreens-Induced-Deaths. I have proven that Leroy Jacobs is a dumbass. I have proven that he has a vendetta — I assume because they refused to fill is Vicodin and Soma early. What does he have to say about all this?

Thanks for  your comments, I love you!!
Have a great week-end.

~lj

and subsequently:

Who else shares your opinions?
Peace,
~lj

So, I replied with the names of those I’ve conversed with on the blogosphere and would consider respectable pharmacist/colleagues. I merely assumed that they would side with me — I also made fun of his name via a World of Warcraft Video from a few years ago:

The Angry Pharmacist, Pharmacy God, Jim Plagakis, Paul
Trusten (The Ole Apothecary), Pharmacy Chick, and everyone
else out there in the pharmacy blogosphere.

You see, we pharmacists have common sense. We don’t approve
of today’s sue-happy mentality of today’s society — which is exactly
what you are promoting.

Every other pharmacist in the free world would see right through
what you are attempting to do.

LEEEEROOOOYYYY JEEEEENKIIIINNSSSS!
http://www.youtube.com/watch?v=LkCNJRfSZBU

He didn’t quite enjoy my reply I assume — based on his curt reply:

The people that you have just mentioned, did they see the information I sent you on walgreens?
Good try, but no cigars

~lj

Well, Leroy, they’ve seen it now. I’m sure they’ll enjoy reading this note. I’m positive that all my fellow pharmacy bloggers and the readers of this site will chime in with some biting comments towards what you’re doing — analyzing your motives along with my valid, cited explanations. Perhaps next time, you’ll review what your sending out, include a few sources, or think about trying this one: SHUT THE FUCK UP!

People like Leroy Jacobs and those he inspires are the reason healthcare costs are so high in America. He’s pretty much instructing people to sue — “LOOK HOW MUCH MONEY THESE PEOPLE MADE OFF WALGREENS! YOU CAN GET A PIECE OF THE PIE — AND MOVE TO A DELUXE APARTMENT IN THE SKY!”

What I don’t get is, why Walgreens? Every chain has misfills. I’d bet every chain has killed someone because of a misfill. I wonder what Walgreens did to LJ — shit in his cornflakes? More importantly, I wonder where LJ plans on getting his child’s prescriptions filled.

UPDATE

I’ve discovered the vendetta. See this link: http://www.pharmacychoice.com/News/article.cfm?Article_ID=48931 — It would seem that ‘Leroy Jacobs’ could be an alias for Bruce Johnson, 44, who sued WALGREENS for racial discrimination in February 2007. In the suit, 4 men claimed that a WALGREENS photo lab clerk shouted a racial slur at them, slammed a door (OOOHHH THAT BIGOT!), and denied them service after they complained about the quality of their photos in 2003.

The jury deliberated for less than an hour before ruling for WAG after suffering through 7 days of this baseless testimony.  Their lawyer was quoted as saying they would accept $1 as justice served but deserved millions. Wow - millions for being called a racial slur. I just heard Chris Rock say it on television 250 times in a one-hour special…and these guys wanted millions? Fucking sue-happy society — just as they are trying achieve with their libel against WAG. They didn’t win their case, so they want to make damn sure WAG has the worst image possible — so someone else sues and wins the battle that they tried to fight and lost (cause their case had no merit).

Johnson, a gospel singer, said pursuit of justice in the case became his calling and he launched a Web site, stopalldiscrimination.com, to help others facing a similar plight.

“Every time somebody has a bad experience, you can’t sue. Every time somebody does something you don’t like, you can’t sue and try to turn it into money,” Clark Vellis, atty for WAG said in his closing argument.

Leroy has replied to my email — after he crawled out of his hole of course:

I am against walgreens, not the pharmacists!
You got it? I will send you a copy of a lawsuit I filed against walgreens.

~lj

So, angry from lack of sleep, pissed from his non-existant rebuttal, I tore into Leroy with a vengeance.

I don’t care about this case — you lost. What difference does it make? Your allegations were bogus, and the jury saw through your shit.

You need to reevaluate what your goal is with all this. You also need to look at your methods and whom they may hurt.

You are presenting this as if Walgreens is the only enemy on your radar. If you are going to talk about misfills spread it around. Everyone does it. I don’t care that you make a big deal out of it. I wish there was a public education campaign, but, there’s not. Maybe you can serve as that outlet - but you need to shift gears
a bit. You have a chubby to make WAG look bad, and that’s bullshit. It’s the PHARMACIST’S fault for these misfills. You think I’m sticking up for my colleagues? No way — throw them under the truck when they make an atrocious mistake due to their ineptitude.

I’m glad you finally said your against WAG, but the point is, you are blaming WAG for something that is NOT THEIR FUCKING FAULT.

Motherfucker’s like you sue the  company, the man, some other coworker just because, the mcdonalds down the street, and the grocery store the plantiff frequents. You are the lowest common denominator. You can’t even respond eloquently to my posts or thoughts. You have replied with single sentences — yet to explain yourself except with the PDF of your putrid case.

Don’t fucking email me ever again. I don’t even want to hear from you.
You’re dead to me, Leroy Jacobs. DEAD!


He just sent me a new email:
Are you in “LOVE” with MS. WALGREENS? huummm????

So I replied with this:
No, Leroy, you fucking idiot. I actually hate Walgreens. As I said, I
don’t work for them. But, what I hate more is people like you — who
condone America’s sue-happy behavior.

You are making things worse — not better. If you want to help, don’t
print out bullshit like this — outlining when people have died. You should
focus your energy into educating people about how to protect themselves
by knowing what medicine their getting, how to find what the pills look
like (can be done online), helping them find out what medications are for,
what their side effects are, and how to use them safely.

All you’re doing is putting out negative junk (and what you have sent me
is all junk, with no merit). Nothing positive can come from what you are
doing — unless one has a vendetta against WAG and wants to see them
fail.

I hate WAG, but I love pharmacy. You are being detrimental to my only
profession — so therefore you are an enemy. I have fired a nuclear missile
in your direction — BOOM — it hit.

http://www.theangriestpharmacist.com/2008/10/18/walgreens-bashing-fool/

Are you going to lie down and die? Probably.
Are you going to apologize and change your ways? I hope.
Are you going to lose this little tiff? Yup.

Have a nice day,
TheAngriestPharmacist

Toolbags like this gives pharmacy a bad name. He is one of those people that runs to ABC/NBC/Weekly World News, or whoever he can get in touch with. Go back to raiding villages, you’re 15 minutes of fame is up

by the way, your skin sloughing off is called necrotizing fasciitis. it’s caused when your immune system makes antibodies to collagen which is a very rare side effect of many different drugs. i think there’s some evidence with simvastatin. it is in no way the fault of walgreens. it is actually the person’s body’s poor response to an “offending” agent. this is so rare they don’t know the markers for it, but they do realize it happens more in people with autoimmune diseases and people with allergic conditions. the person should be suing themselves
dm

Sorry, kiddo, but NF isn’t autoimmune that I know it. It’s a result of a toxin produced by bacteria. There may be a disease state like what you’re talking about, but I dunno what it is…can SLE do that? Who knows…

It could have been caused by some sort of Clostridium — it goes after the skin — especially perfringens. That sure as shit wouldn’t be WAG’s fault, but since that one was completely fabricated — or received no press whatsoever — we can’t say anything about what cause it.

http://en.wikipedia.org/wiki/Necrotizing_fasciitis

I want to know what the “discrimination” is that he’s spouting on about.

Look at the ages, races, and sexes of the people killed by “walgreens”. Thats not discrimination, its equal opportunity misfills!

Also, Walgreens has over 6000 stores, and only 8 deaths in the past 4 years. Thats a hell of a lot better record than any airline mishap, hospital error, shark attacks, lightning strikes, lawnmower accidents, or most any other activity.

Oh, and the guy shot at walgreens? Shoplifter, who then attacked the security guard, punched him in the face. The rent-a-cop, a former felon, pulled a gun and shot the guy. How is that the fault of walgreens? They rent those guys from security companies.

Excellent, Excellent comment.

My apologies for posting so close to my previous post, but did anyone follow the link and visit the forums?

They have 178 members, 95% porno rate, and only 1 real article, some four year old (at time of posting!) BS story about a photo clerk with anger management issues!

I’ll post the link so you guys don’t have to navagate through all the smut.

http://www.stopalldiscrimination.org/forums/showthread.php?t=2

Perhaps its poetic that the latest member is “BuyViagraNow”


HAHA! I didn’t even waste my time on their worthless website, but I’m sure glad you caught that. That’s hilarious — adds even more validity to the bullshit Leroy is spouting.

I love how pharmacists can chop down an argument better than anyone with knowledge, facts, and, what’s that called, oh, COMMON SENSE!

is it just me or is his website the ugliest thing you’ve ever seen on the internet? however, that point aside, i think it’s time that patients start taking responsibility for their health care as well. doctors make mistakes, which usually a pharmacist catches, but when the pharmacist makes a mistake, who catches them? the patient is the last line of defense. if you usually take a small, white round pill and you’ve been given a blue capsule, don’t just shrug your shoulders and swallow it anyway. call your pharmacy! feel free to ask questions! i’d rather have 50 simple/silly questions every day then have one person get seriously hurt from a mistake in my entire career. questioning us may save your life.

Dumbmedicine may be thinking of Toxic Epidermal Necrolysis / Steven’s-Johnson Syndrome. It is a potential reaction to some drugs that can cause your skin to slough off, it looks quite similar to burns and is treated similarly.

Ahh yes, the kiss of death left by Lamotrigine.

I work for walgreens as a pharmacist and I have never been told to discriminate against any race. This guy acts like it’s part of our training! You rock angriest, keep at it!

There is the possibility of medication induced Stevens-Johnsons. It does have a tendency to make “skin fall off”. ..but that was posted already…

…drat. back to metabolic pathways. /icepick to brain

I totally agree that this litigation happy society of ours has reduced healthcare to a joke…. how many clinical decisions are made where the tie-breaker for a given set of choices is determined by the thought “Will I get sued for this?”

I don’t know who this Leroy Jacobs is, but this fucker needs to get a reallity check.

And for the record, in cases 3 and 4 that you mentioned above, if you get the chance to read the details, the lawyers for the defendants do mention that they felt that the pharmacists were overworked.

Even though I firmly agree that the pharmacist has the final responisbility for every script that leaves under his/her watch…. I’m not willing to let the big corprorations like Walgreens/Rite/CVS etc off the hook. I can’t give them a pass when they are responsible for the work conditions in some of their stores. We all know what it like, working at a store that does hundreds of scipts a day, with the constant interuptions, lack of staff, lack of properly trained staff, etc. , under these conditions the potential for errors is always going to be higher. And I agree that the pharmacists on duty has to take a stand and work at the pace he/she feels comfortable with, but it takes time before a pharmacist develops the thick skin needed to stand up to patients and management and say “This is as fast as it gets, any faster, and I risk making an error.” I came to Walgreens with 5 years under my belt, so I already had the balls to stand my ground. But I’ve seen a lot of new grads who just haven’t learned that yet, and they get walked all over , and mistakes happen. So when I see Walgreens cutting hours, management running back to question pharmacy every 15 minutes whenever some whining asshole complains about waiting 15 minutes, or when the corporate suites deny repeated requests for more help, then I don’t think it’s unreasonable for walgreens to share responisbility for errors when they themsevles contribute to sub-standard work conditions by neglecting appropriate staffing levels in favor of saving a buck or two.

I repeatedly ran into conflict with my supervisors over this very issue. I got frustrated and called my state board of pharmacy … their response was that I should “vote with my feet and change jobs”. They will shit all over you if you forget to councel a patient who may or may not be able to read the printed instructions, and thus take their meds incorrectly. But, try and get them to take a stand on working conditions in certain pharmacies … good luck. Those dickheads are useless. So I called the local APhA rep… this guy was just as fucking useless. He might as well have been on walgreens/CVS/Rite-Aids payroll. So my response to all this was to say fuck it, and I started to work nights. At least now, I have complete control over everything that goes on, including the pace I work at.

I can’t stand some of the shit that Walgreens head office feeds us when we ask for more help. And to be fair, I think it’s an industry wide problem, not just Walgreens. And I’m not trying to defend crappy pharmacists… there are too many of them, and they give the rest of us a bad name. But I have to say, I’m not willing to let the big chains off the hook that easily or that completely. If I was a juror on such a case, I wouldn’t give them a pass.

Actually, given your previous posts, I find it surprising to see you come to the defence of big chain pharmacies. Didn’t see that coming.

I know! I can’t believe it either. I guess I am just more angry with the way the information was presented — as a smear campaign — rather than professionally as a “Look what the working conditions are doing.”

If he changed it to that — he could get a shit ton more people on board. His current shit just drives intelligent people away.

Leroy just emailed me a link to a video of a guy protesting against Walgreens — it’s probably of Leroy himself. I watched it on mute cause I could care less what dribble that assclown had to say.

http://www.youtube.com/watch?v=c31cz4MlXxo

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