You can't make this up
Pharmacy Mike has posted quite possibly the funniest anecdote I've ever read. I apologize to him for not asking permission to reproduce this here, but I'm sure he won't mind. You can read the rest of his post HERE.
...I get a call from an 85-year woman looking to refill her prescription. I asked if she had her prescription number. She said yes. The next thing I heard was "BEEP BEEP BEEP BEEP BEEP BEEP BEEP." Yes, she was dialing the prescription number into the phone as if I could decipher the touchtone sounds. I couldn't help but laugh. While she was dialing away, I did my best to suppress my laughter and literally started yelling into the phone, "NO, SPEAK THE NUMBER TO ME!" A hot girl who was at the counter picking up a prescription started laughing at me before rolling her eyes and walking away. Alas, the elderly woman could not hear my desperate pleas, and it took about 2 minutes before I could get her attention. I honestly think she thought she was speaking to a machine the entire time.
You just can't make that shit up. How funny is that?
Anyone else ever had that happen to them? Lemme guess, the script was for Aricept...
Insightful comment
I received a pretty solid comment from "southernpharmer" in response to Non-Drowsy Claritin.
I have found (in my limited experience) that people ask for your professional opinion only to hope that it agrees with what they already had in mind because that is what they are gonna do regardless. I want to help, but WHY WHY do these people waste both mine and their time???
That sums it up completely. People don't care what I think. People don't care that I have a doctorate in pharmacy. People don't care that I know how to treat almost any disease that they could seek OTC meds for or that I can look it up very quickly and easily if I don't know. People don't care that I've been in pharmacy for many years and damn near heard it all.
All people believe deep down that they are actually intelligent. Here's the fact: they are not. The average American IQ is 98 (that's a weak source, if you find a better one, I'll change this). As we all know, there is going to be an equal distribution about that mean. Those above that likely don't ask the pharmacist for help -- they go to the cough and cold aisle, read the boxes, and pick the product they need. Those at or below that ask a friend, family member, or watch TV (also considered a family member). Then they come to the pharmacy and ask me -- to see if I'm as smart as the television that said "MUCINEX GETS THE MUCUS OUT!" If I am as smart as that there picture-box, they say, "That's what I thought!" IF I say something different than what they wanted, it could go one of three [main] ways.
- They accept my professional opinion, thank me, and purchase the product I recommended.
- They hold the product in their hand, thank me, put it down (in the wrong spot) after I walk away, and buy the product their friend or television told them about.
- They listen to me, potentially believe me, but then argue with me about the product their friend (or television) told them is the BEST available -- even if it doesn't treat the problem they are having (Like pseudoephedrine for chest congestion or plain Mucinex for a cough).
Non-Drowsy Claritin
"My husband has been sick for the last month. He's had a really bad congestion, headache, sneezing, itchy/watery eyes, and been unable to sleep. We've tried a bunch of stuff. Does he need to try that Mucinex stuff I've been seeing ads for?"
"No, no...absolutely not. Mucinex is for chest congestion, and based on what you told me, your husband is not having that problem. First, is he taking any prescription medicines? [NO]. Okay then. What have you tried?"
"Well, we've tried the Tylenol cold stuff [There's no telling which product they got], and he's been taking 24-hour Wal-Phed."
"I think he's probably having some allergy problems -- It's not a cold since it's been going on for a month. I'd say he needs to try taking a generic Claritin every day. He could also use some Benadryl at bedtime to help him sleep. I'm betting he's having trouble sleeping because the products you've tried have Sudafed in it -- which can cause people to have trouble sleeping. By taking that Claritin, we can get ahead of the symptoms and prevent them from occuring. It's a better route that treating the congestion once it's a problem."
"Okay. Great. Can you show me where these product are?"
"No problem. Here's the Claritin. One of those a day. It'll take about two weeks for that to reach it's full potential -- and he should just take that until the end of this allergy season which is roughly the beginning of winter in this area. The generic Benadryl is right here. It will help him sleep since it causes drowsiness. It is an antihistamine as well, but because of the drowsiness, it's best to take that at night until the Claritin kicks in. For his congestion, he can try using this generic Afrin nasal spray. Limit that to 5 days though otherwise it will make the congestion worse."
"Now, this Claritin says 'non-drowsy.' He's already having trouble sleeping and you want to give him something that is a stimulant?"
"Ohh no -- not at all. Sudafed has pseudoephdrine in it, which is essentially a low grade amphetamine. It is what is keeping him up. Claritin isn't stimulant or sedative. It's neutral. He won't notice anything except his allergies clearing up and those symptoms subsiding."
"Yes, but it says NON-DROWSY right here!"
"I see that, but that doesn't mean it will keep a person awake. It just means that it won't make him sleepy. That's why we're gonna give him this Benadryl -- to help him sleep and treat overnight allergies until the Claritin kicks in in about two weeks or less. It won't keep him awake."
"Then why do they put this on here?"
"Well, that's because all these other allergy medicines can cause drowsiness -- it's usually known that Benadryl causes people to get drowsy -- it's used as a sleep aid as well. You've probably heard of Unisom. It's just Benadryl and repackaged. They just want people to know that this product is different from those. It's a newer generation antihistamine, so it doesn't cause the drowsiness."
"That's confusing. You should tell them to take that off of there."
"Okay. I'll send them a note. Hope he feels better!"
-=+=-
Has anyone else had this issue? Do people really think that NON-DROWSY means insomnia?
Does Non-Profit mean that an organization is designed to LOSE money?
Just wondering...
The most popular question
I get a lot of questions asked of me via my CONTACT ME page. They range from drug information, to theoretical questions, and even 'online mental statust exams' as I've come to call them. ["I think I'm depressed. What's good for that?"] Of all the questions I get, there's one that I get every other day -- at least.
I'm thinking about going to pharmacy school. What are the requirements? Will I get in? I heard it's hard from my friend. Would you do it again?
Well, as everyone knows, that question is a mouthful. Let me address each question in separate sections. What are the requirements? Well, the assumption that I know the requirements of every pharmacy school in the United States is quite humbling. I realize people are just 'thinking out loud' when they ask this. If you really wanna know the requirements for a specific school, find their webpage. It'll be on there. If it's not, call them. They'll tell you -- it's not a secret. I would GUESS that most schools want at least a 26 on the ACT. A 28 is probably a given. IF you have a 30+, you can get into any school you want. I would imagine most schools look more heavily at ACT than GPA these days, but your GPA should at least be in the top 20-25% [Top 10% would be better]. Most schools are also going to want you to have some extra curriculars: Student Council, National Honor Society, Sports, Math/Physics Clubs, Future Business Leaders, etc.
Now, I'm assuming that your applying to a 6-year program, where you are in pharmacy school right after high school. If someone is inquiring about a 8-year track, where you get a 4-year undergrade, apply to pharmacy school, then do 4-year of actual pharmacy school -- that's a completely different ballgame. That's going to be based MOSTLY on your PCAT (Pharmacy College Admission Test) score. I didn't take that, so I don't know how it's scored or what you need to get into pharmacy school. In this route, they are also going to want you to have a much better GPA -- at LEAST Top 10% I'd assume. Organizational involvement is also a plus: Student Government, fraternities, Young Democrats/Republicans, etc.
Will I get in? That question is totally based on the requirements and what each specific institution is looking for. Honestly, being a minority does not hurt in some cases. In my class, I had 4 black females and zero black males. Does that mean my school is racist? No. It means none applied, otherwise they would have been accepted if they met the minimum requirements for admission. Of course, I went to school with a lot of Indian and Chinese students -- so it wasn't all white. [Just throwing that in there]
I heard it's hard, would you do it again? First, I want to direct your attention to the image below. It is a picture of a poll that I ran on my website from March 5, 2008 to June 10, 2008.

As you can see, a whole lot of pharmacists would go again (if 18-years old of course), but a whole lot wouldn't. I, myself, would go to pharmacy school again if I were 18. You aren't wrong, pharmacy school is difficult, but in the long run it is worth it. I came out of pharmacy school with $100k debt, but I make $100k+ per year before taxes. I plan on having that paid off in 15 years from my graduation date.
Pharmacy school is hard, but it was a lot of fun for me. The difficulty of the curriculum makes the atmosphere on Friday night very interesting. People drink for a reason -- to forget the pain of failing that test, quiz, etc. My school was far from a party school, but there were a ton of great times and wild parties. Some people party a little too hard, and they fail out...actually, lots fail out. My class started at ~220, and I graduated with about 150-160 -- I think. Why is it so hard? To weed out the fools. My school always said they didn't weed out students, but that's bullshit. Every school has to do it in graduate level programs to reduce class size, and for the reason I said -- removal of idiocy.
In pharmacy school, however, the students really form a bond. In an environment where the school is fighting against you day-in and day-out, a very overwhelming aura of US versus THEM develops. The class really sticks together -- especially in the latter years. Why? Because there's no reason for competition. The C+ student gets the same Pharm.D. as the A+ student. Now, don't get me wrong, everyone hates transfers for busting the curve, making it harder on everyone, and asking asinine theoretical questions extending class time, but that aside, we stuck together. Because of this 'bond,' I really think the friends you make in pharmacy school mean a little more to you than friends you meet in college that may not even be in the same school of study as you. I met my wife, my two best men, a ton of fraternity brothers, and lifelong friends at pharmacy school. To this day, I have 40-50 numbers in my cell phone of people in my pharmacy school. I may not call them -- we may not have been close friends in pharmacy school. But, I bet if I called them and asked them a question or for a small favor, they'd do it for me. We worked together to get the best of the school -- and not let that motherfucker get the best of us.
So, would I do it again? Yup.
Would everyone do it again? Obviously not.
But, I bet those pharmacists didn't make the most of their school. They spent their nights in their rooms studying...not associating with everyone else and getting the most out of their connections.
-=+=-
Are you sad that you didn't go to Med School? Sometimes, I get this as an added variation. From reading the answer to the above question, it's quite obvious that I'm NOT sad that I didn't go to Medical School. I got accepted into a 6-year medical school program. It would have been year-round, guaranteed mental illness, and very tough. But, I'm sure it offered the same bond-like benefits I spoke of about pharmacy school. Anyway, I don't think I would have enjoyed it. I love my Profession. Sometimes, my job sucks -- but I love pharmacy -- I love drugs -- I love educating people about their drugs, therapies, and general healthcare. Personally, I think I have too much common sense to be a medical doctor. I couldn't imagine making some of the stupid ass fucking mistakes these jokers make on some prescriptions -- like not signing them, writing for blatant obvious interactions (which are the big ones that even someone that only took a semester of pharmacology should know -- Bactrim DS and Coumadin, anyone?), and continually failing to follow simple instructions (Testing Strips -- For Medicare must have diagnosis code and EXACT directions/quantity -- yet I call the same idiot-bastards 2x/wk for this wasting everyone's time). The thought of med school after pharmacy school did cross my mine for 0.0004 seconds. But, it's a round about way to get an MD, and would've added at least 8 more years, 150k more debt, and a ton more headache. Would it have been worth it for another 150k/yr (minimum, of course) and more worries in practice (like crazy malpractice)? I dunno. For some, I guess.
I have a theory though -- your either a doctor or a pharmacist. You can't really be both. You have to know. The personality is different. The profession is different. What you do on a daily basis is completely different. One is diagnosis, the other is treatment. There are a ton of differences. While pharmacy is considered a practice, it is, in my mind, an exact science. Everything in order -- everything in an exact, precise way -- 1, 2, 3, 4, 5. Sometimes, medicine has to be different. Diagnosis may sometimes be 4,2,3,5,1. That just doesn't click with pharmacists. Recipes are a must with pharmacists. Doctors may be a little bit more abstract. Just a random, late-night analysis. Take it for what it is.
How much money do you make? This is another question that sometimes gets tacked on. While that's a very rude question to ask someone, coming from someone looking to spend the next 6 (or 8) years of their life studying to be a pharmacist, it is acceptable in this case. As of writing this, I gross about 110k per year and bring home about 80-85k depending on my donations, income from my other business (not pharmacy related), and some other factors I know nothing about. This is about average for pharmacists, and I work VERY little overtime. It may be lower than what some of you have heard, but I live in a somewhat smaller town and the cost of living is fairly low. Now, keep in mind that when I left college, I had over 100k in student loans. I'm still paying those back, and I will be for another 15+ years. So, again, take it for what it is. We make more, but we are stretched thin until those loans are gone. However, if you live modestly, you can pay them back very quickly. Don't run out and buy a hummer. Wait, save, and spend it later on...:-)
So, does that answer the question? I sure hope so! Any follow up questions or comments?
Further information for those that would ask this question:
Request from 2008 Graduate (2-16-08) - The 2nd most commented post I’ve ever had. My advice for successful inculcation into the trenches for 2008 Pharmacy School grads.
So you are going to Pharmacy School (3-7-08) - Similar to the post for Pharm.D. graduates, but this one is directed to high school grads or those entering pharmacy school.
PCAT Sources:
PCAT practice test
Kaplan PCAT
Barron's PCAT
Peterson's PCAT Success
http://www.pcatprofessor.com/
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