Fills deez fer me
I filled 9 scripts today for three different kids.
Jimbo Jones -- Flintstones Vitamins, Iron Drops, and Rondec DM
Jackson Smith -- Flintstones Vitamins, Iron Drops, and Rondec DM
Cameron Sledgehammer -- Flintstones Vitamins, Rondec DM, and Augmentin
Several things piss me off about this situation:
1. This mother was pregnant again (likely with a 4th man's seed).
2. Five of the nine prescriptions are OTC Products (Flintstones x 3 and Iron x 2)
3. All of these children were on State Aid - meaning part of my taxed wages paid for these five prescriptions.
4. The cost of these 5 OTC prescriptions is negligible (Generic Flintstones cost $4-5 bucks for 100 of them and Iron drops cost $3-4 for 2 ounces -- total cost: $23 or $9 if the kids shared the bottles).
5. Reimbursement on these types of scripts is absolutely pathetic because it's OTC. It's something like cost + $0.50 -- And there's always problems with submitting and getting them to work. So, you have to transmit several times at like 15-20 cents each to get it to adjudicate.
And WORST of all:
6. The prescriptions were dated 2/13/08 ---- TEN FUCKING DAYS AGO!
Are you fucking kidding me? The kids probably aren't sick anymore and don't need the Rondec or the Augmentin, YET she still took these little kids to the doctor (again, on my dime) and got the scripts. So, I'm filling prescriptions for NOW healthy babies. She wasted the time of the doctor since she didn't get the scripts immediately filled. She wasted my time (as well as my tech's time) because I'm filling scripts for babies that aren't sick. She's obviously neglecting the children to some extent since she failed to get the scripts filled in a timely fashion (which, in my opinion would be within 24 hours -- preferably 12). They were sick enough to take to the doctor, right?
So, again I ask: Are you FUCKING KIDDING ME?
I say another government baby is exactly what this chick needs.
As always in my posts - there's one final thought that ties this all together -- that makes my points really hit home -- that makes the reader go "what the fuck" -- that makes me want to cringe in disgust.
She works [part-time] in the grocery store CONNECTED to my pharmacy. I'm sure she'd been there more recently than 10 days post-doctors-appointment.
Movie annoyance, speech impediments, and pacifiers
I'm back! I've been a little under the weather, very busy, and overall lazy lately. I've gotten somewhat addicted to a new flash game called ONSLAUGHT. Anyway, the first thing I wanted to bitch about was something that really pissed me off at a movie I went to recently. We've all been irritated by a crying baby (for fucks sake), a cell phone ringing (or a fucking asshole that answers a call, "I can't talk, I'm in a movie!"), or some punk ass 14 year olds that won't shut the hell up or keep their grubby ass hands off of their neighbor's new trainer bra.
I found a new thing that irritated me today...a blinking light. Some hotshot sat in front of me - and he wanted all of us to know he had a bluetooth headset. He left it on -- I guess in case someone gave him a call during the movie -- and a little blue light blinked every 5 fucking seconds the entire movie. I handled the problem as maturely as I know how, I began by throwing popcorn at him repeatedly...every time in blinked. That didn't seem to work and he chalked it up to some Emo faggots sitting behind me. I think upgraded my arsenal to Jujyfruits. By the time he realized it was me, I'd wasted too much Jujyfruit goodness to warrant a continued assault. Finally, I brought out the cannons. I began kicking his chair. Sure, I could've asked him to turn it off, but then I can't be a complete dick. So, after I kicked his chair about 5 times he turned around and asked me in a real pissed off tone (rightfully so), "What's the problem here?" -- "Ohh, sorry. I keep seeing a blinking light from the corner of my eye and it keeps startling me. It's a knee jerk reaction."
My response got the action I wanted. It also made the emo faggots chuckle in emo faggot delight. Good for them. Maybe they won't cut themselves tonight.
-=+=-
I've never called an insurance company and spoke with a "customer care representative" with a legitimate speech impediment before. Sure, I've talked with Indians, Brits, Ebonics-speakers, and flat out idiots, but I've never called and gotten someone that was 100% unintelligible. I politely asked for her to repeat hersself 5 times before I got pissed off. I didn't realize it was a speech impediment at first - I thought the person just had a real shit-ass attitude and was giving me her "hoe-hum-I-don't-want-to-be-here-so-fuck-you-and-the-world" voice. I couldn't understand a damn thing.
"What's your NPI and name" sounded like "Where are pirates drinking cum?"
"What's the RX number and fill date" sounded like "Do you like gays that eat cake?"
"How can I help you today" sounded like "Man, you need a fucking lay."
Now you can see why I handled the problem professionally by merely hanging up and calling back. I got someone different the next call, thankfully.
Get a clue insurance companies - speech impediments and jobs that require 100% conversation and communication should not be left to the cleft of mouth.
Or perhaps everything is going directly to plan for them. I hung up - maybe I won't call back next time and just force the patient to pay cash. Sometimes I wonder if that's why the cards they give out lack any applicable information used in billing.
-=+=-
Finally, pacifiers - foofoos - binkies - dummy - comforter - whatthefuckever. Fine for babies. Once a child is mobile (i.e. it can crawl or walk or move under its own power) those things need to hit the bricks. That's my rule.
Of course, the American Academy of Pediatric Dentistry says you don't have to worry about removing them from the child's pie-hole until the permanent teeth begin coming in. The Brits, however, say to avoid using them altogether and discouraging thumbsucking at all costs because it eventually causes problems with how the teeth grow and develop. They ultimately cause the child to need oral braces.
Today, I saw a child sucking on one of these fucking things that was much too old to have their face covered with a pacifier. The kid was about 6. Maybe no permanent teeth...but definitely old enough to know that these things were for babies. Too big to be placed in the seat of a shopping card.
Absolutely ridiculous. Sure, you can't control your kid. Sure, you can't keep your kid appeased or keep its mouth closed (and therefore quiet and not screaming). So, you take the easy way out and stick a RUBBER TIT in its mouth. Wow.
My kids will grow up wondering what the fuck those things are for - that's a promise.
Happy filling...
How to lose weight…
Two or three times a week someone comes to the counter with a few over-the-counter "weight lose medicines" and asks the fateful question, "which one of these is better?" Most pharmacists know the answer, "Both of those suck...in fact, all of them suck."
I always tell these people the same thing -- the weight loss meds sold over the counter are all worthless. They are nothing more than vitamins filled with green tea. If you want to lose weight, you have to modify your lifestyle. Eat healthier, exercise regularly, cut down on sweets. Everyone knows this, but they refuse to accept it. Why is that? Cause we can treat every other fucking disease on the planet, why can't we make fat people skinny? I can give someone a pill that works on the beta-cells of the pancreas to increase insulin output, why can't someone take a pill to make them lose weight?
The pessimist in me would say that drug companies don't want to make fat people skinny. What's a risk factor for every disease? That's right, boys and girls, obesity! It's the same concept as a man's razor. Bic and Gillette could make a blade that stayed sharp forever, but what's the point with that if we can bilk 30 bucks a month out of us grizzled guys?
I know Alli works, and I suggest it to the people holding a McDonald's cup while they ask about the diet pills. After outlining the sludgy fart side affect, most people decide to just stay fat than modify their diet.
I started practicing what I preach, recently. I am 6'3" and I weight in between 235 and 240. I wasn't fat, but you could see I had an extra chin and some meat on my bones. I quit drinking soda. There goes about 900 calories (4 sodas on average) a day! At 900 cal x 30 days = 27,000 cal/month = 7-8 lbs! Just by doing that I could lose 8 lbs. Wow! So, I switch to water. My body is hydrated and burns calories dealing with that water. More calories burned! I also stopped eating sweets. I still have some candy now and then but not daily like in the past. I even started doing a little exercise...Not a lot -- let's not get crazy! I walk/jog a few days a week. Not very far either...just around the neighborhood.
The Tally as of now? I'm at 215. That's a weight loss of 25 pounds in around 2 months. That's a little fast I know (1-2 lbs of loss/month is suggested), but the with the sudden lifestyle modifications I made, the weight melted off.
If people would only listen to my fat normal-sized ass.
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No, that was *not* your question…
"La Pharmacia, this is TheAngriestPharmacist. How can I help you?"
"Yes, I had a question." [Yes is not the answer to the question I asked]
"Alright, go right ahead..."
"What is Paroxetine for?"
"Well, it's actually approved for lots of different things. It's mainly used for depression, but it can also be used for generalized anxiety disorder, post-traumatic stress disorder, and even obcessive compulsive disorder..."
"I see...is it the generic for Paxil?"
"Yes, ma'am, it is..."
"Okay, that was my question...Thanks!"
*Click*
No, that was not your question. The problem here is that people are so poor at communicating what they actually want an mean, they immediately pretend like it was YOU who was not effectively answering their question or communicating with them. Should I have answered the question, "What is Paroxetine for?" with "It's the generic for Paxil," this lady would have called me retarded and told me that was not what she asked. Then she would have asked what it were for -- and THAT would have been her question!
Freaking crap...
-=+=-
The following jobs must be done daily at my pharmacy: Put away the order, take out the trash, put the HIPAA trash where it needs to be, Return Scripts to stock that are older than 7 days (call the patient if they are a regular), attempt to rectify any outstanding "problems" from the day/previous day, call the doctors that have overnight voicemails to get them out of the way, vacuum, package and put stamps on any Rxs we mail out, sanitize the trays and counters, refill all bottles and lids, label the day's prescriptions, and make the pharmacist smile at least once with an anecdote.
That list is hanging in my pharmacy (mine is verbatim). My question is, why in the hell does none of that shit ever get done? My tech help is limited, and I can admit we are a little understaffed. But, why am I the only person willing to hang out a few minutes after or come in a few minutes early to insure they get done -- it only makes the day run smoother and more efficiently. Not only am I the only person willing to do it, I'm the only person that cares if it even gets done...especially the important shit.
Anyone else have a pharmacy that isn't efficient because the little stuff isn't done in a timely fashion?
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