14

May

7 to 10 of the 10+ Things Your Pharmacist Won’t Tell You

Posted by The *Angriest* Pharmacist as Disgusting, Drug Companies, Education, Insurance Companies, Laws, Me being a dick, Me hating others, Patient Education, Pharmacy School, Stupid People, TPA, True Story, Update, Welfare, Work Sucks

The first part of this post containing number 1 to 6 can be found at: http://www.theangriestpharmacist.com/2009/05/12/1-to-6-of-10-things-your-pharmacist-wont-tell-you/

Let’s get back to ripping this bitch up… [The Article was originally published in "Smartmoney Magazine" on April 28th, 2009. No primary author was identified -- that was smart...otherwise I would be CALLING him/her.]

Update: Their main source for information is a man named Larry Sasich of Pennsylvania. I visited the PA Board of Pharmacy and he is NOT a registered pharmacist in the state of PA. Way to verify your sources there Smartmoney.com — BTW, I’m sure he’s a nice man and very smart. You can’t be an idiot and make it to his position at what seems to be a very innovative, accredited  pharmacy program/school. I’m merely calling in to question every single fucking what that came out of his mouth. It’s all junk, bogus, and bullocks.

Update 2: His bio on the schools website says Larry D. Sasich, Pharm.D., M.P.H., F.A.S.H.P. — also says he’s a nuclear pharmacist and the creator of that trainwreck of a site called Worst Pills, Best Pills (WorstPills.org). DrugMonkey has a link to it — it’s how I first found it. Most of it is trash, but it opened my eyes on how they found this guy for the article. Scaring people into questioing everything and being insanely/overly cynical is right up this guy’s alley.

Update 3: I have posted a comment on the article at SmartMoney.com — You can view the comment HERE. I also sent an email to Dr. Larry Sasich who is a main contributor to items 7 through 10. You can view the email I sent him HERE.

-=+=-

7. “Paying out-of-pocket? The price of your prescription just went up.”
- I love how this article completely ignores the way businesses operate in every other sector — assuming that the business aspect of pharmacy should run differently than say, the grocery business. Does a gallon of milk cost the same at the gas station ($5.95) as it does Schnucks ($4.15), Walgreens ($4.60) or Walmart ($3.95)? [Prices made up but the point remains]. Of course NOT! It’s all based on the contract your business can garner with the milkman, the amount you sell, what portion of your business milk sales account for, et cetera, et cetera, et cetera! Why should pharmacy be different?
- Larry Sasich (Chair of Pharmacy Practice Dept at LECOM School of Pcy in Erie, PA — Year round 5 yr Pharm.D. program) seems to think “The pharmacist has to figure out his break even point.” The article also says, “Among the variables is the % of rxs filled covered by insurance. If there are lots of covered patients, the BEP (break even point) is shifted heavily to pts paying full price….generally the elderly on Medicare or the working poor….” — And again Sasich chimes in with his inane babble, “pharmacists can’t push around a big HMO, but they can push arounnd a little old lady.”
- I’m not sure what pharmacies Larry has worked at in the past, but pharmacists do not concern themselves with break even points (I doubt indy pharmacists even do — Angry, care to share?). The ratio of covered customers to cash paying customers also has little to do with how we go about charging patients. I don’t even know what my ratio is! I know that I’m a Medicaid Majority with Medicare not too far behind. Considering only primary coverage I’d guess I’m 40% Medicaid, 35% Medicare,  20% Insurance, and 5% Cash/Self Pay. This is just a WILD guess, and I know it’s off because that 5% self pay seems way too low, but the numbers aren’t working out, I’m tired, and I’ve drank about 4 beers — just enough to feel a baseline buzz and start to get sleepy.
- Next take a glance at the bolded text. This essentially says that pharmacies prey on the elderly on medicare and the poor (I’m assuming uninsured.) This is completely retarded because those over the age of 65 now have access to Medicare Part D. Even those that are poor can qualify for SOMETHING to cover their medicines. Those below 150% of the poverty level (or whatever the exact number is) as defined by MY state qualify for Medicaid. So really, the groups he’s saying pay the cost that pharmaciSTS recoup after poor  reimbursement from insurance payors DON’T REALLY EXIST due to our socialized systems set up to protect those very groups.
- Finally, we end the section by saying pharmacists can’t push around big HMO, but they can push around granny grunt. I’m offended by this statement. Firstly, I don’t need to push around HMOs or insurance companies. I have my corporate counterpart to deal with those dickheads. And, for what it’s worth, there’s no such thing as pushing around HMOs. The run the show, and not even Walgreens has the balls to stand up to them. Sure, they could drop them, but they won’t A pharmacist personally has no business dealing with HMOs in most circumastances. So, that is a pointless statement. What offends me is this dickwad insinuating that pharmacists, since they cannot wheel and deal with HMOs take out their frustration on innocent elderly women. That’s asinine. And, once again, they have Part D to cover them as well as Medicaid.

8. “This medication is stale.”
- This has an example of a crooked pharmacist diverting short dated drugs from a nursing home distributor in NINETEEN NINETY-ONE — that’s right, 17 years ago! He bought them cheap and dispensed them and some of them were out dated in some instances. It also talks about buying quantities of meds that are “far bigger than they’re legally allowed to handle.” I wasn’t aware that there was limitations on how much you could carry. I understand limits on compounding as a percentage of your total sales — as well as the likelyhood that there are limits on the number of CIIs you can order or have on the shelf….but I don’t know what the article is referring to.
- Anyway, this bullshit point is just another example of fear mongering. Believe me, the likelyhood of a person getting a short dated drug or expired medication is getting less and less each day. I know it’s hard to catch, but I always try and check the date on drugs that I don’t dispense often as I am checking them. I also put red stickers on drugs that expire within the next 3 or 6 months just as a way to ENSURE I check the bottle each time.
- And like many chains do, I return drugs that expire within the next 100 days. Picked that tip up from Wally world.
- I wouldn’t say this to a patient, but from what I’ve been told and picked up along the way, medication expiration dates are usually just a guess. They really have no idea, but the FDA requires them to have an expiration date…so they stick on on there. I, personally, will take most medications that are way expired (I dunno, a year maybe?) unless of course smell funny or have aspirin in them. [Aspirin DOES expire - sometimes before it's date Acetylsalicylic Acid breaks down into ACETIC ACID (Vinegar) and Salicylic Acid (Wart Remover)] — I love my in-laws to death. My father-in-law and I are very good friends. I wish we lived closer because I enjoy him so much, but they are PACK RATS! I’ve found meds in their closet that expired when I was still in high school. I had a headache, and their 800mg Ibuprofen was filled in July of 1997…worked fine. Don’t say placebo effect…:-)

memberbuttonmortarsmall

9. “I don’t just sell drugs. I make them.”
- More fear mongering. If the mass produced product is available, you are going to get it in 99.9% of pharmacies out there. While many pharmacists may ENJOY compounding and are completely qualified to do so, I doubt ANY of them would ignore the stock bottle on the shelf so they can brush up on their aliquots and punch 30 capsules or break out the mortar and pestle to crush tablets for a suspension. It’s irresponsible, not profitable (contrary to what this article says), and TIME CONSUMING.
- Again, I’m not sure where Larry Sasich got his pharmacy experience, but I think he’s done nothing but talk out of his ASS. If he had an RETAIL pharmacy experience, he would KNOW that NO insurance company is going to pay for a compounded drug when the same thing is available commercially. He’d also know that when you take into account the time taken to compound something, you actually lose money while considering the big picture.
Example: I made an Omeprazole Suspension the other day. It was 20mg/5ml #150mL. 30-20mg Omeprazole capsules costs what? Less than 5-10 dollars? It also requires 30mL Cherry Syrup, Baking Powder, and distilled water. Total cost of goods? We’ll say 15 dollars. I had to triturate the contents of the capsules. Wash the mortar with cherry. Incorporate the baking soda. Wash again. Shake well and wait some time as it fizzes HORRIBLY, and QS to 150 with water. My total time spent was like 20 minutes (counting my interupptions). So, my reimbursement was fair. I got back the cost of goods sold and something like 13 dollars on her insurance plan. Good deal right? WRONG. As a pharmacist, I make a dollar a minute (I know, life’s a bitch). Since I spent between 15 and 20 minutes doing it, my 12 or 13 dollar profit is GONE as I didn’t make back my own salary. Of course she might have bought a lot of shit, but I doubt it.
- The Ole’ Apothecary and I often exchange emails. He sent me one last night not long after Part 1 of this post went up alerting me to the necessity of Excedrin prior to completion of the smut published by SmartMoney.com — He also produced a very good point concerning compounding. In the “olden days” Pharmacist was *THE* healthcare worker. There were no doctors. There were no manufacturers. Compounding was the LIFEBLOOD of pharmacy. That is precisely why the mortar and pestle are still the logo of pharmacy. That is precisely why pharmacy students are still trained thoroughly in what is all but a dying art. It’s cheaper to mass produce. There’s also less chance of error and CONTAMINATION.
-Contamination brints me to my next point. The example they use in this section is “some pharmacists compound drugs that already exist such as INJECTABLE MORPHINE or HRT…because it’s cheaper…they do that so they can make more money,” says Larry (flying by the seat of my pants) Sasich. Now, think about what’s wrong with this picture? INJECTABLE MORPHINE CANNOT BE COMPOUNDED IN RETAIL PHARMACIES. Why, you ask? Because it would have to be a STERILE product as it is going to be used intravenously. Products for injection are required to be sterile (or delivered from the manufacturer as sterile) due to the potential for injection if contaimnated. Have you every seen a LAMINAR FLOW HOOD IN A RETAIL PHARMACY? I haven’t. I’m sure there are a FEW out there that have them, but certainly not enough to make this statemtn not seem retarded,

10. “You can get any prescription you like online.”
-Yep, you can also pay hundreds of dollars for Pez. There are a few legitimate websites out there, and if they are legit, I’m not 100% opposed to them in CERTAIN circumstances. The circumstance? The patient is taking the medication LONG term, on a stable dose, and completely versed in the medication being delievered to them.
-But, before someone does this, I want them to ask themselves this: What do you pay for at a pharmacy? You pay for the drug, granted. But, a lot of the cost is for ME — you pay for me! And what happense? You don’t get the drug on time, or something gets CFed and you come crawling back!
- Here’s what scares me about the situation (aside from the lack of direct pharmacist intervention or counseling or people getting grifted by shady pharmacies) – people getting adulterated medications that did not come out of an FDA inspected pharmacy. Drugs that came from Canada or Mexico — an area of the world that cannot even sanitize its own drinking water for safe human consumption. Awesome….

There you have it folks — my take on the TEN THINGS YOUR PHARMACIST WON’T TELL YOU

I am going to come up with a REAL list tomorrow to share with the world. A legitimate list of things your pharmacist won’t tell you along with the explanation. Something that people can ACTUALLY benefit from without trying to scare the shit out of them.

Buy TAestP a drink if you agree with this post.


[...] Click to read #7 through #10 [...]

Well, I gotta say, I completely agree with you. I love how so many times the media loves to scare the general public about all things.
Thank you for showing us this stupid article, and then taking each point and crushing it with mortar and pestle!

The other day I was filling in for another tech at another store. I had this lady who came up with a new script (she was 85) for alendronate and alprazolam 0.25mg. I asked her if she ever took the alprazolam before and if not what questions I could answer (damn school for open-ended questions) and she was so surprised she started questioning my motives. She said she did have questions, and never had been asked like that before. She also wondered if I ask every patient that question. I was flabbergasted that at that store NO ONE had asked her if she had questions before.

I have an idea, maybe someone should create a “ten things you pharmacist will tell you if you ask the right questions” or “ten things a pharmacist won’t tell you–and you don’t give a rat’s about”

Additionally, I love how as you drank more, the article had more grammatical errors. I’m not a stupid grammar Nazi, but it is funny enough to buy you a drink!

Looking back through, you are right! It did get worse as the night went on…HA!

Thanks for the beer, David!

Obviously this chump has no idea how a pharmacy works yet gets paid money to write a book where he is an “expert”.

I’m going to write a book exposing nuclear pharmacists as a bunch of douchebags who can’t cut it in the real world.

I am in favor of getting a TAestP mob together to go lynch this douchebag Sasich. Clearly he has never worked in a pharmacy, anywhere, ever. The bile is rising in my throat here…I think if I keep reading these posts I’ll have to double my HTX meds…

Loved what you had to say. Someone forwarded me an e-mail a while back with many of the same lies. Single Malt Irish Whiskey was my drink of the evening that night so I’m sure my reply was livid, colorful, and ripe with grammatical errors, LMAO!

This was definitely worth buying you a beer!

7. Dickhead wrote:
“pharmacists can’t push around a big HMO, but they can push arounnd a little old lady.”

Damn, that’s why I want to be a pharmacist – to bully the elderly and the infirm. Throw paras and quads out of their wheelchairs and shit. But now I’ve been outed. Shit!.

M. Augustine says May 14th, 2009 at 5:12 pm

The writing in that article is nowhere near the level of responsible adult journalism and clearly smacks of The Enquirer. To publish something like this with fabrications, fallacies, inadequate references, etc. makes it seem like the whole thing was concocted on a blind date between Larrry and the writer.

Has Larry been approached as to his input? If he validates his input to this written outcome, then my suggestion would be that he receive an official reprimand, and someone to look into what he does at his job.

Somewhere along the line, there needs to be a public retraction at this publishing site, maybe a little expose as to how this trash was written, and a more detailed correct version of the things that pharmacists can see that patients don’t take seriously when their pharmacists talk with them.

I don’t take any partiality with whatever environment the pharmacist works in; retail, institutional, office practice, industry, public health–this take on what pharmacists do is just plain wrong, and defamatory. I cannot imagine how the writer ever had a prescription filled and came up with this bizarre scenario.

Usually writers have editors; I cannot see the motives behind the Wall Street Journal in letting this trash get out with their endorsement.

I don’t see any need to get all ‘het up’ with a lynching. The obvious falsehoods brought people to the website which is what the site providers wanted, but there does need to be a respectful follow-up; 1) an apology from the writer for irresponsible journalism–I mean she actually stated that these were things that pharmacists condone and participate in!–we are not called the most regulated profession for nuthin’–if a pharmacist did any of the things purported in the article, they would be stripped of their licenses, 2) statement from pharmacy (maybe an association? reiterating professional ethics and explaining how some people have such a poor concept of reality that someone will actually believe this garbage), and 3) comments from the public and their venting about their perception of pharmacists, with the actual data on the value of pharmacists.

How could anyone paint an entire health profession with all this smeared tar? I mean, what could the writer possibly say about nurses, radiologists, and physicians? Far better had she delved into something really educationally informational for the public such as how people can read quack information on the internet and delay proper therapy, or tactics the FDA is using to curb the black market supply, or even practical things pharmacists might suggest individually or as policy. (It seems some of the thinktank stuff going on in Washington could get valuable input from frontline pharmacists!)

M. Augustine says May 14th, 2009 at 5:15 pm

The writing in that article is nowhere near the level of responsible adult journalism and clearly smacks of The Enquirer. To publish something like this with fabrications, fallacies, inadequate references, etc. makes it seem like the whole thing was concocted on a blind date between Larrry and the writer.

Has Larry been approached as to his input? If he validates his input to this written outcome, then my suggestion would be that he receive an official reprimand, and someone to look into what he does at his job.

Somewhere along the line, there needs to be a public retraction at this publishing site, maybe a little expose as to how this trash was written, and a more detailed correct version of the things that pharmacists can see that patients don’t take seriously when their pharmacists talk with them.

I don’t take any partiality with whatever environment the pharmacist works in; retail, institutional, office practice, industry, public health–this take on what pharmacists do is just plain wrong, and defamatory. I cannot imagine how the writer ever had a prescription filled and came up with this bizarre scenario.

Usually writers have editors; I cannot see the motives behind the Wall Street Journal in letting this trash get out with their endorsement.

I don’t see any need to get all ‘het up’ with a lynching. The obvious falsehoods brought people to the website which is what the site providers wanted, but there does need to be a respectful follow-up; 1) an apology from the writer for irresponsible journalism–I mean she actually stated that these were things that pharmacists condone and participate in!–we are not called the most regulated profession for nuthin’–if a pharmacist did any of the things purported in the article, they would be stripped of their licenses, 2) statement from pharmacy (maybe an association? reiterating professional ethics and explaining how some people have such a poor concept of reality that someone will actually believe this garbage), and 3) comments from the public and their venting about their perception of pharmacists, with the actual data on the value of pharmacists.

How could anyone paint an entire health profession with all this smeared tar? I mean, what could the writer possibly say about nurses, radiologists, and physicians? Far better had she delved into something really educationally informational for the public such as how people can read quack information on the internet (or in some questionable ‘health practice sites’ e.g. spinal manipulation and laetrile, and delay proper therapy, or tactics the FDA is using to curb the black market supply, or even practical things pharmacists might suggest individually or as policy. (It seems some of the thinktank stuff going on in Washington could get valuable input from frontline pharmacists!)

If I saw a retail pharmacy with a Laminar Flow Hood, you can bet your ass I’d be working there. That shit is SWEET.

Alternatively, there’s a pharmacy that wants to interview me, they specialize in compounded meds, since all the walgreens in the area have their heads up their asses. My old boss (before he got fired) wouldn’t compound NTG 0.2% Ointment. Said it was “too scary” a liability. Meh. I did it myself.

NTG ung is commercially available isn’t it? Or is it just the cream? If that’s the case, i would wonder why cream wouldn’t do…

Becky the Techie says May 14th, 2009 at 9:11 pm

The most inept intern RPh I’ve worked with yet was from LECOM. I think I see why. Thank god we only had her for 3 months (and most of our interns come from Duquesne)!

suggestion for one to go on the list: a pharmacist will never tell a pt. their med is an atypical antipsychotic. srsly. there’s no way in hell you can explain yourself outta that one. i’ve tried. (rookie mistake, but i’m learning!)

I just emailed Larry Sasich. I doubt he’ll respond:

-=+=-

Dr. Larry Sasich,

I recently had the pleasure of reading an article posted on Smart Money.com that utilized you as a source for information. The article was titled, “10 Things Your Pharmacist Won’t Tell You.” As a colleague, I must respectfully tell you that I am very ashamed of the light you allowed to be shined upon our prestigious profession. Pharmacists are often referred to as America’s Most Trusted Healthcare Professional. In your comments, coupled with the ridiculous slant used by the authors, you pegged pharmacists as nothing more than under-educated, reckless, sneaky/underhanded, unethical, unprofessional, profit-driven thugs.

As a nuclear pharmacist that graduated from pharmacy school decades ago and is currently in Academia (and not a licensed pharmacist in PA, NY, or MI), I contend that your opinion over the day-to-day operations of a modern day pharmacy is worth about as much as my opinion concerning nuclear pharmacy operations or the management of major theme parks. Point Blank — you have no right to make the comments that you’ve made, and since you had no idea what you were talking about you’ve shed a very bad light on pharmacy. After googling your name and finding some of your other endeavors, I see that you often peg pharmacy to be a very untrustworthy and ignoble profession. I’m not a fan of this train of thought and believe you to be completely wrong on all accounts.

The Article can be found at:
http://www.smartmoney.com/spending/deals/ten-things-your-pharmacist-wont-tell-you-3937/

Comments on the article:
http://www.smartmoney.com/comments/?EntryID=3937&EntryType=SMStory

My rebuttal is in two parts:
http://www.theangriestpharmacist.com/2009/05/12/1-to-6-of-10-things-your-pharmacist-wont-tell-you/

http://www.theangriestpharmacist.com/2009/05/14/7-to-10-of-the-10-things-your-pharmacist-wont-tell-you/

—-

Now, should you wish to defend your comments, the slant of the article, or amend what was said, please feel free to post comments on my website. I assure you that you will be treated with the utmost respect (contrary to how I occasionally treat unwanted/uninvited guests on my website.

I’m very curious to see what you have to say in response to my post. I just hope your comments are constructive and our discussion allows us to learn something from one another.

Regards,
TheAngriestPharmacist
webmaster@[my domain.com]


Best Wishes,
TAestP http://www.theangriestpharmacist.com
webmaster@[my domain.com]

Disclaimer: While I am a licensed pharmacist in my state of residence, I am not YOUR pharmacist or your physician. I do not know you or your medical history. I only know the information that YOU have provided. I am providing this advice/guidance free of charge and for nothing more than entertainment purposes. If you decide to proceed or utilize the information provided, you should first contact your pharmacist or primary care physician. While I will not lie or purposely mislead you, I cannot guarantee the information provided is correct as it has not been verified in any medical literature or textbook unless specified and cited. Of course, if you are experiencing a medical emergency, rather than email you should call for emergency services immediately.

If you enjoy having access to this free service, please buy your pharmacist a beer. These funds will also pay for server/webhosting costs and the time taken to maintain the website and answer questions just like these.
http://tinyurl.com/Donate-To-TAestP

Thank god someone had the balls to stand up to this b-s.. This site makes my life as a pharmacist worth bearing since I know someone else deals with the same crap on a day to day basis. thanks

love it! but the pussy probably wont return your email…..fucking pussy……grrrr…. well, keep up your good work!

I am a master compounder. There is little I don’t know about it, and few who know more than I do. Above all, one cannot compound anything that is available as a commercial product. Period. Lots of folks found that out when they tried to duplicate Merial”s omeprazole paste ( a vet product). For those of you who think compounding is cool, like I did after 20 years as a chemist (stupid me, I thought that’s what pharmacists did….) fugeddaboutit. The FDA has a hard-on bigger than John Holmes’ for compounders, especially after the recent fiasco in Florida where Franck’s managed to kill a couple dozen multi-gazillion dollar horses. That is why I too, to my shame, have sold out and now work for the Scum of the Earth with a drive-through window. Nevertheless, Sasich needs a good whupping…. how do the know-nothing douchebags get airtime?

HERE’S A COPY OF THE EMAIL I JUST SENT TO THE EDITORS (AND HOPEFULLY THE AUTHORS) OF THIS TRASH!

—————————————-

Dear Editors and PR Dept of SmartMoney.com

I’m writing you this note to let you know that I, along with the other 200,000+ pharmacists in the United States of America, take offense to your column titled, “10 Things Your Pharmacist Won’t Tell You” (http://www.smartmoney.com/spending/deals/ten-things-your-pharmacist-wont-tell-you-3937/). Now, I’m not questioning your right to blow the whistle on what’s wrong with pharmacy — hell that’s the main purpose of the website I write and maintain. What I take issue with is your methods, your iffy/shaky sources, and your lack of knowledge in retail pharmacy. The sources you used had no right to say what they said considering one is in Academia at LECOM, holds no current pharmacist’s license, is a NUCLEAR pharmacist (which is in NO way related to retail or provides experience nor knowledge of such), and is a known enemy to pharmacy whose claims borderline on quackery. [WorstPills.com is known to MANY pharmacists as a fear mongering based on skewed sources, shotty analysis of literature, and loose interpretation of available material.]
Your second source is a 70+ year old man who graduated from pharmacy school in 1954. Now, I am not questioning his right to practice pharmacy or have an opinion on the games some pharmacists may play, or the validity of his comments. I just want you to realize that a man who graduated pharmacy school so long ago may not be the best source of information as he may have fallen out of touch with the direction of pharmacy as a whole. One of your claims was that pharmacists don’t understand all their merchandise — with all of the advances in even the last TEN years, do you think Mr. Mayer has kept up? You could have done better!

In spite of your sources, the author of the article (whose name was not appended to the article itself) made some pretty boisterous claims whilst having little knowledge of the inner workings of pharmacy or the way pharmacies really run in 2009. You question the validity of generic drugs while I can provide you with COUNTLESS primary literature articles from PubMed (a government funded site where all primary literature and research MUST be posted after completion/publication). You call in to question the privacy practices without seeking the comment of the companies safeguarding the information. You say that we sell the info for marketing purposes — while selling of aggregate data that is stripped of private information is legal in the USA, no pharmacy does that anymore for FEAR of glitches and problems resulting in expensive fines and HIPAA violations. You bring up an example of a shaky pharmacist — your sources? A member of a PAC that lobbies against pharmacy and pharmacists. Finally, you provide ONE example of a pharmacist busted for purchasing short dated drugs and use that to label all pharmacists as money grubbing, unethical bastards.

FOR SHAME SMARTMONEY.COM

While I refuse to use the words, “I DEMAND A RETRACTION” — I will say that I request you REMOVE the article from your website and make an attempt to come up with something a little less skewed, a smidge more ethical, and a touch closer to reality. You also need to use some reputable sources — not quacks. Try calling your local Walgreens and talking to a new Pharm.D. right out of school. They’ll give you a good, honest answer, and they have a fresh mind, full of information.

Sincerely,

TheAngriestPharmacist

PS – If you are so inclined, you can view my FULL rebuttal to your sad excuse for an article at the following URLs:
- http://www.theangriestpharmacist.com/2009/05/12/1-to-6-of-10-things-your-pharmacist-wont-tell-you/
- http://www.theangriestpharmacist.com/2009/05/14/7-to-10-of-the-10-things-your-pharmacist-wont-tell-you/

Those links will tell you in depth why every word of this article was garbage. Best!

I have a question. Please do not me mean as I now know I was completely wrong. First of all let me say I deeply respect pharmacist and what you have to deal with daily from rude undeserving customers.
I have been on the same dose of Oxycontin for almost fourteen years and have only had my dose upped one time. I started out on two 20mg twice a day and just last year it was upped to three times daily. I was not getting relief from being on it for so long as I have three ruptured disc and yes fibromyalgia and sciatica and other problems as well. I started seeing two PM doctors to be able to get enough medication and I went to pub lix to fill one of them and they seen I have had others filled as well and called both doctors. I am not an addict yes I am dependant on my medications for pain. I was seeing two docs to get the amount I needed as they will not give you but so much. I was taking 40mg three times daily. How did Publix know about the other scripts as I always use one mom and pop for my one doc and then publix for the other and have no insurance?

It’s a conspiracy! They’re out to get you!

I wanted to add that I am so sorry for lying to my docs and the pharmacist but I am in pain and need help and this is the only way I knew how to get the meds I need.
A lot of people take wayyyyy more than me and I have kept my dose down really low. taking it for almost 14 years and just now on 40mg three times daily is not bad is it?
I do not know if I posted my question in the right place I am sorry If I did not:)

Shit guys isn’t anyone going to answer this “lady’s” question?

It would be funny if it wasn’t so sad.

fuck Larry and his 2 inch dick with a #10 bastard round file and an M80. I’m usually more articulate but I’ve had a lot to drink and am in a really pissy mood when the stupidest people with the least knowledge have the most credibility…

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