Is there any truth to this rumor?

Posted by The *Angriest* Pharmacist as --Not Pharmacy--, Disgusting, Education, Government, Just a question, Laws, Lazy People, Me hating others, Politics, Stupid People, True Story, Welfare

The following piece of literary magic was forwarded to me from my conspiracy theorist friend. I get emails from him every week — I usually take the first sentence, google it with the word “snopes.com,” and send him back the link to the DEBUNKING of his trite. He never searches snopes first. He never sends my debunking back out to his email listserv….

I still enjoy out little chats — I’m always curious to see what will come out of his mouth next…:-)

Anyway — if you have any knowledge of these issues please post a comment. Debunk it. Post a supporting link if possible. I just cannot accept all of this as fact….

“I live and  work in a state overrun with illegals. They make more money  having kids than we earn working full-time. Today I had a 25-year old with 8 kids – that’s right 8; all illegal anchor babies and she had the nicest nails, cell phone, hand bag, clothing, etc.. She makes about $1,500 monthly for
each; you do the math. I used to say, “We are the dumbest nation on earth.” Now I must say and sadly admit: WE are the dumbest people on earth (that includes ME) for we elected the idiot idealogues who have passed the bills that allow this. Sorry, but we need a revolution.. Vote them all out in 2010.

REMEMBER IN NOVEMBER 2010, WE HAVE A GOLDEN OPPORTUNITY TO CLEAN OUT THE ENTIRE HOUSE AND ONE-THIRD OF THE SENATE!

This is an insult and a kick in the butt to all of us…

Get mad and pass it on, I don’t know how, but maybe some good will come
of this travesty.

If  the immigrant is over 65, they can apply for SSI and Medicaid and get more than a woman on Social Security, who worked from 1944 until 2004 .

She is only getting $791 per month because she was born in 1924 and there’s a ‘catch 22..’

It is interesting that the federal government provides a single refugee with a monthly allowance of $1,890. Each can also obtain an additional $580 in
social assistance, for a total of $2,470 a month.

This compares to  a single pensioner, who after contributing to the growth and  development of America for 40 to 50 years, can only receive a monthly maximum of $1,012 in old age pension
and Guaranteed Income Supplement.

Maybe our pensioners should apply as refugees!

Consider sending this to all your American friends, so we can all be ticked off and maybe get the refugees cut back to $1,012 and the pensioners up to $2,470. Then we can enjoy  some of the money we were forced to submit to the Government over the last 40 or 50 or 60 years.

What a Putz

Posted by The *Angriest* Pharmacist as Drug Companies, Engrish, Government, Insurance Companies, Me being a dick, Politics, Stupid People, True Story, Welfare

Yup…sure would hate to see that…

To be completely honest, while I have my issues with them, Medicare and Medicaid are well-run programs. They allow their money to be spent all helter-skelter, they are the most efficient programs in the entire government. The overhead of CMS is abysmal compared to your other big players like BCBS, Paid, Anthem, and Caremark.

I’m not sure why the post office is always busy. I’m not sure why the DMV is slow as hell — these are subcontracted out anyway, so blaming the government is stupid. It’s like blaming Dr.Reddy’s for having to wait too long for your Glimepiride in my pharmacy.

• индивидуалки долгопрудный

You can see the video or the original comments in its entirety here. In all honesty, it was probably just a slip of the tongue. But, calling someone else stupid and making fun of them makes me feel better about myself…:-) просмотор порно

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Pharmacy Optimization With Enterprise Re-engineering: My Disdain, Thoughts, and CALL TO ARMS

Posted by The *Angriest* Pharmacist as APhA, Drive-Thru, Drug Topics, Education, Government, Hospital Pharmacy, Just a question, Management, Me being a dick, Me hating others, Money, PHARMACY SECRETS!, Politics, TPA, True Story, Work Sucks

P.O.W.E.R. — (n. – ENG) Pharmacy Optimization With Enterprise Re-engineering.

It’s okay. It hasn’t hit my area yet, but my fellow citizens aren’t stupid. They are asking what it is, what my thoughts are, and what they should do. [Again, you have my word that I do *NOT* work for Walgreens -- at all...] Anyway, my marquee is exactly as I said it would be (Yes, heart included):

Your Rx Filled RIGHT HERE
by OUR Pharmacist ♥

It’s going over good. Some people know and they like it. Others don’t know and they ask…so I’m starting the word of mouth of all the rumblings and grumblings. All the fodder I need is on the Student-Doctor Network or other various message boards.

Everyone has a problem. No one has stated, supported, backed, and pushed a solution….We all know what it is. We all know what it would take. We all know what it would stand to gain. A TRUE Pharmacist’s Union is necessary, with the focus on us and the preservation of the profession as a primary goal and focus on the patient being synonymous with that — i.e. without a happy pharmacist, you cannot have confidence in the safety/best medical practices for the patient. It would be ridiculous in the power it [Such a union] could hold.

There are close to 60,000 pharmacies in the United States. With a diverse (randomized amongst the chains/businesses/clincal/hospital) group out of the some 220,000 pharmacists working those stores/locals, we could nearly control the flow of pharmaceuticals in this country (bring balance to the force).

Would we ever go on strike and grind the pharmacy business to a screeching halt — less the SCABS? I doubt it, but we have to be willing to do so to foster/compel change. We have taken Oaths to serve the public in positive manner (like the hippocratic oath). But, a collective bargaining agreement, could be much in our favor due to the 100% necessity of our presence at all times in every pharmacy in the country and governed territories. We could also bargain/work to set ‘maximum-allows” and work-flow/safety standards. So, a pharmacist cannot exceed say 300 scripts checked per 10 hour shift (Contradicting MY EXAMPLE, I exceed that on certain occasions, but all I do is check, no count – no type [mostly ALL single RX refills] which bugs the fuck out of me!), let’s say 5 techs working at a time to be monitored per RPH (again, examplenshot out of a cannon), required 30 min lunch taken outside of the pharmacy as well as maybe even a 15 minute break, otherwise your company must pay you $200 to miss lunch and/or $75 to miss a break or something egregious (I may go hungry for a price!). I bet I don’t swallow a sandwich laying on the counter under that deal.

I’ve said this all before….there’s just nothing to protect the pharmacist and his/her interests — only punish them severely after an incident/issue. We’ve given up control of our pharmacies for longer-term financial security and reduction/elimination of short term risk, and in doing so, given away basic job-related / human rights — like going to the bathroom when one must micturate.

Over time we’ve gotten used to not having these simple things that were rights and are now seen as luxuries, and that lackadaisical attitude absolutely sucks…it causes much of us disdain and could be attributed to many errors we may be responsible for….

Now, who’s prepared to lead the charge? Who shares a vision with the majority of people? Who can rally massive support and inspire people to rally to the cause? Who is intelligent enough to see through the bullshit pushed out by the corporations and trustworthy enough to bring the truth to those interested? We need to find that person. Pharmacy needs a ’savior’ — an advocate capable of achieving big things — huge things. It’s gonna be a long, bump-filled, gravel road (which will only lead you to a rowboat with which to sail across the ocean!).

If we don’t find this person(s)…we are going to find ourselves in a position we never planned for. We are going to have our backs against the wall (essentially) begging for another punch to the face.

Pharmacists are currently salaried management making between 50-65 dollars per hour for starting/initial staff jobs right out of school (per my snap judgment/absolute guess on 8/30/09). I’d say store and district management make more / MUCH more (150k/250k respectively on the low side).

Pharmacists — think about the debt you have right now. Let’s really say you’re in deep.
120,000k School Loans (I’d bed the MEDIAN)
7,500k Credit Card Debt (Playstations, Wii, and Drinking)
45,000k You needed a fucking Lexus SUV didn’t you asshole
+/- HOUSE NOTE — Depending on the location and the house this could be a starter at 80-100k or a huge house at 250k if you qualified for the loan (meaning you had less school debt most likely).

If you go from a dollar a minute to a dollar every two minutes due to an artificial decreased demand for your specialty (and you are the unlucky fired)….how fucked are you? Entirely, a lot, a little, not at all (due to mom and dad saving my ass), or this is good for me. Personally, I’d be fucked a lot — even taking into account my wife, and her job, makes more than I do!

It’s cliche as fuck, but UNITED WE STAND, DIVIDED WE FALL. Come together as a single unified profession with a loud voice, or fall apart quietly….as 250 thousand single, quite voices that have been put in their place.

Who let the QUACKS LOOSE?

Posted by The *Angriest* Pharmacist as Disgusting, Doctors, Government, Me being a dick, Me hating others, Politics, Stupid People

I’ve done nothing but battle with crazy ass QUACKS this last two weeks. From the battle with SmartMoney.com to my letters to the editor, I’ve been a busy little bee!

Pharmagirl10 brought this crap to my attention: One Doctor’s Quest to Cut Unneeded Treatments (Behold These Six Common Medical Procedures That Do No Patient Any Good)

What happened to responsible journalism? What happened to not scaring the shit out of uneducated, not-all-of-them-are-fucking-doctor Americans? You simply CANNOT tell patients this kind of stuff and expect them to not go jumping off a cliff. There is no such thing as a grain of salt. If it’s on ABC news, it’s fact. The average American is naive and actually believes in responsible journalism. They believe that articles like this have been meticulously disseminated and combed over for errors.

They do not differentiate shitty, poorly written OpEd from high end fact giving expose. They are in the paper or on the website, they are each of the same high caliber —– Except this fucking garbage. Let’s see what Dr. Nortin Hadler, professor of medicine and microbiology/immunology at UNC, thinks is unnecessary:

1. Oral Hypoglycemic Drugs (Because they do not spare one from heart attacks, strokes, kidney failure, skin ulcers, or anything else you might care about, including death before your time)
- So, should I stop my cholesterol medicine because my knee hurts? While I understand the correlation between diabetes and all of the things you list, your logic is flawed and irrational. Oral hypoglycemics were created to keep blood sugar lower and therefore prevent morbidities related to hyperglycemia, such as neuropathy, PROGRESSION of CKD, retinopathy, and basically everything else you speak of. While Dr. Hadler believes that they don’t DIRECTLY do those things, the American Diabetes Association DIRECTLY DISAGREES. The STANDARD OF CARE contradicts your retarded dribble [The PDF is info on ALL approved Diabetes Drugs]. The rest of the ADA Guidelines proving you WRONG are here: http://care.diabetesjournals.org/content/32/Supplement_1
2. If you think coronary artery bypass surgery (CABG) or angioplasty with or without stents can save your life or improve your angina, think again.
- This one is humorous because, again, the logic is completely FLAWED! This statement is the equivalent of me saying to a person with one lung, “Don’t use Albuterol thinking it’s going to make it easier to breathe after exercise — IT WONT!”  — CABG is WAY down the line for the treatment of fucking ANGINA. CABG and angio are treatments following STEMI (ST-Elevated Mycardial Infarctions — HEART ATTACKS) which is different than angina. Angina treatment algorithm: Nitrates (ASA or Plavix to reduce risk) —> LA Nitrate –> Calcium Channel Blockers –> Beta Blockers –> Change to different CCB –> Ranexa (Ranolazine) –> THEN CONSIDER Angio.
- This guy is just a stupid dick.
3. No one should submit to a screening test unless it’s accurate, the disease is important, and we can treat the disease. Tests that fail: MAMMOGRAPHY, PROSTATE SPECIFIC ANTIGEN (PSA), HbA1c, and CHOLESTEROL.
- This guy is going to get himself shot by at least one major health organization. Now he’s going to fuck with Susan G. Komen? Right after Mother’s Day? Sorry guy…while it’s not perfect, mammographies save lives. The problem is that women don’t get them soon enough, often enough, and they are subject to MASSIVE amounts of OPERATOR ERROR due to LACK of experience. PSA is one that has gotten a bad rap. The issues with it is that levels can elevate if a man has prostatis, and they increase we age regardless. So, we really don’t have set guidelines on at what age they become erroneous and what level we need to biopsy at. General consensus right now is that we biopsy over 4 after retesting 30 days later. Nonetheless, simple, cheap blood test that has some NEGATIVE PREDICTIVE VALUE. Meaning, if your PSA is really low, you don’t have prostate cancer. If it’s through the roof, you MAY have prostate issues or it may just be high due to other causes. A1c? See those Diabetes guidelines linked above. Everything diabetes is centered around that value. He’s an idiot for questioning it. Finally, we have cholesterol. I have no idea what his beef is with either LDL, HDL, TG, or Total Cholesterol.  They are accurate tests so long as the patient has been fasting. The disease is important as cholesterol can break of and plug veins all over the body, and we can easily treat high cholesterol. It’s quackery I tell ya!
4. The argument that arthroscopic surgery for your knee will do something good for you in the short or long term is an example of the power of belief over science.
- This statement is an example of a retarded blanket statement which is misguided. I’m sure that he is referring to something specific. Because, I myself had several TORN TENDONS/LIGAMENTS in my fucking knee. I couldn’t walk as my bones had no intact ligaments holding them together. I had arthroscopic knee surgery where they were sewn back together and after many months and lots of rehab, I could walk (and play basketball) once again! To say that my surgery did nothing for me in the short or long term is absolutely wrong — I cannot fathom how one could even begin to believe that I could merely ice my knee, rub some dirt on it, and I’d be fine in a few days after some Ibuprofen.
5. Anyone who thinks that any form of surgery can benefit isolated low back pain has been fooled.
- Another very broad statement that I’m sure can be burned. Any orthopedic or back surgeons reading today? I cannot speak here as I have no knowledge in this area. I once again think he’s probably full of shit, but I have no basis here — other than the previous 4 examples where he has proven himself insane.
6. Any well woman who thinks treating a low bone mineral density will result in anything meaningful for them has been sold another old wives’ tale. Since this is so, bone mineral density screening of well women is foolish.
- If this were the case, there would be about 10 drugs not currently approved by the FDA. Granted, the bisphosphonates have pulled the wool over the eye of many doctors — THEY DO NOT BUILD BONE! They merely reduce the resorption of bone. They keep us where we are. Only the injection called Forteo can rebuild bone. It’s only indicated for use for 2 years, but it is PROVEN to rebuild bone and strengthen weakened bone — especially in the lumbar spine. After 2 years, you switch to the bisphosphonates to keep you from losing those gains. The test, T/Z-Score is very straightforward. I think it is best to do a full body scan rather than scan the ankle — I’ve read studies calling that into question for accuracy. But the drugs? They cannot be argued. The numbers prove that compression fractures as well as breaks upon falling are reduced after bone is rebuilt and maintained.

He makes a few other political claims about the stimulus bill and “comparative effectiveness trials” — I’m sure he’s talking about something he knows little about….

My work here is done…