I was walking through the mall tonight, and there it was -- right in front of me. There was a very pretty college-aged girl standing there, wearing one of the t-shirts I created and sell. It was white, long-sleeved, and said on the front "Can't afford your copayment? ... Let me have 10 of your cigarettes." [It also showed 10 cartoon cigarettes scattered about] 

My face lit up like a kid a Christmas, although she wouldn't notice me in such a crowded place.

As she turned and walked away from me, I smiled when I saw:

Last year, for Christmas, a non-pharmacist friend bought me what he thought was the "perfect gift." He told me not to get him anything -- it was just a trinket that he found on the internet that I would enjoy. A few days after Christmas we met up for lunch and he handed me this mug. I smiled and thanked him cordially, but I didn't tell him the full truth. He bought me a mug I sold him...So, I got the mug AND a royalty fee...:-)

Of course, this now gives me the perfect opportunity to hock my stupid shirts, but I'm not going to waste it. I'm proud of some of them -- while some of them are complete crap. However, since it is very close to Christmas again, and I have noticed a recent upswing in sales. I'll share the main link to the page, the best of my gallery / highest sellers, and give you the opportunity to check them out...or not...whatever...

The Angriest Pharmacist Main StoreFront

Best Seller:   "Your doctor had one semester of pharmacology..."

Lady's Choice: "I married a pharmacist..."

TAestP's Personal Favorites: "Not good with Advice" - "Believe and Doubt" -
"Pharmacist: ALL things to ALL People ALL of the time!"

Recently sold 10 to University of the Pacific's Admissions Dept: "There are two people..."

Favorite of asshole men (like me): "I have a doctorate in pharmacy..."

Best selling inanimate object:  "Pharmacist Blend..."

Stupid Patient Excuses: "Believe me, I've heard it ALL..."

Toddler's Favorite: "Daddy sells drugs..." or "My dad sells Norco and Soma to losers..."

Fibromyalgian's Favorite: "Fibromyalgia..." and "Fatsomyalgia"

Most likely to be bought the The Angry Pharmacist: "Fuck off...I'm drinking" or "Alcohol"

Most likely to be bought by @PimpinPills: "It's the fanclub I can't stand..."
or "These don't fill the prescription..."

So, that was a little longer that I would've liked. I guess I'm just proud of my silly shit. Thanks for looking. Have a good one...

Below, I'm going to post several different things that came to me via email or the CONTACT link. I'll lead with the user's name, and if you wish to reply to one, just reference that name....or don't...I don't care...

---------------

Liz writes:    In the past few weeks, our pharmacy has started checking ID for controlled drugs, scanning in new Rx and scanning in hard copies.  All of a sudden, our workload has tripled, but our company is cutting tech help.  Is anyone else finding this hard to manage?

---------------

Rodney writes:   I work as a reimbursement specialist at an LTC Pharmacy, and I'm writing to share an interesting exchange I've had with representatives at Prescription Solutions over the past few days.

I've had a few basic rejections which, were the representatives at Prescription Solutions even modestly intelligent by today's decidedly low standards, should have been able to resolve with much rapidity. Instead, I got stuck with slack-jawed yokels and embittered, defensive inner-city youth. They turned requests for overrides to simple rejections into drawn out, unintelligible arguments, and once they'd been cornered or otherwise became bored with the exchange, they hung up on me mid-sentence.

I may not be the bubbliest person in the world. On the contrary, I'm frank and to the point, but never did I become enraged, and never did I insult or otherwise disrespect the reps in any way. Prescription Solutions - hell, the insurance industry as a whole - has no shortage of stupid, rude, and disinterested people, but I've never had any with the gall to abruptly hang up on a service call. Now, over the past two days, it has happened to me four times.

Though I feel somewhat vindicated by the fact that return calls yielded exchanges with intelligent reps who applied the necessarily overrides with absolutely no hassle, I am perturbed by this sudden shoddy treatment. I know PS has seen extraordinarily long hold times as of late, what are the odds the reps have been granted free reign to terminate calls from "problem callers" (that is, of course, callers who question the rep's ill-informed initial judgment)?

Any thoughts? Similar experiences?

[TAestP's thoughts: I believe the reasoning behind this is, as always, money. When the question is, "Why?" most of the time, the answer is money. In this case, I'd bet if you timed your calls, you got hung up on at specific intervals....something like 3 minutes, 59 seconds. If the agents keep their calls (or a certain percentage) less than 4 minutes, they probably get higher ratings or a bonus at the end of the day. They may also have rewards/cut offs at 10 minutes or 15 minutes. Of course, the person could have just been an asshole, accidentally hung up, or hung up on you because they are lazy and/or didn't know the answer.]

---------------

Lillian writes:     I found your blog a few days ago and I love it so far. From your posts, you seem to know a lot about retail pharmacy so I was wondering if you could answer a question for me: Is it true that the field is getting very saturated, very quickly?

A few of my professors warn us that it will be much harder to find a job in retail by the time we graduate (2016). And I've been hearing a lot of people saying that retail is going downhill.

I know there will be more competition for the jobs in several years because of there are more students going into pharmacy now. And I get the feeling that maybe one of my professors is exaggerating the situation to encourage us to go into other pharmacy fields. But do you think this saturation is something to be seriously be worried about?

For the record, I would try to go into retail no matter what the situation is...I just don't want to be completely caught off guard after graduation.

---------------

Kristin Writes:
Dear TAestP,
I know someone who filled a Rx at a CVS.  The pharmacist later called and texted her saying "Remember me from CVS?  Would love to get coffee with you some time?--Weirdasspharmacist [sic] "  She responded that she wasn't interested. She didn't get any more fills there, but she was afraid of contacting his manager or pharmacy baord because CVS had her information on file and the pharmacist could look it up and perhaps do something scary like stalking.

TAestP, what would you recommend doing?

[TAestP's thoughts: If this is true, it is creepy as hell. You are right that CVS would have the info, and he would have access to it. But, he's already pretty much risked his license by doing this -- taking it from creepy to full on stalking would definitely result in a meeting with his state's Board of Pharmacy. If he is not the pharmacy manager at that location, I would call and speak with the pharmacy manager about the incident. Tell her it made you (or her) uncomfortable and that you would like the manager to give your information to their district manager so he/she can call you at their earliest convenience. Then discuss the matter with the DM. I'd be almost anything this would squash absolutely any issue -- cause that DM does NOT want you making a formal complaint with the board. If he is the manager at that store, call a nearby store's pharmacy manager and do the exact same thing. If this does not get you to an ends that you are happy with -- or you get blown off at any level -- google the state's board of pharmacy. One call to them with an accusation like this would definitely result in an investigation and something would be done. Tell your friend I'm sorry my text creeped her out -- she's not gonna like the photos I'm sending tonight....just kidding of course.....:-D]

---------------

Mike writes:   so...i witnessed a patient ingest 90mg of methadone...the patient's prescribed dose was 40mg...i gave him the wrong bottle

i'm getting kicked out of pharmacy school 4 months before graduation...what do i do now?  should i submit my resume to the nearest McDonald's?

[TAestP's Thoughts: Either this is untrue and you're trying to waste my time, you're just a general dumb ass,  or you have done a ton of other stupid bullshit.  Regardless of what anyone may think, there is only one person responsible for what pill goes out the door and into the hands of a patient -- the pharmacist on duty. I don't care if the technician accidentally typed in Oxycodone instead of Omnicef for an infant, I still believe the ultimate responsibility should lay on the pharmacist that verified the prescription. (intentional bullshit and other types of lying and deceit aside -- I'm talking about true accidents by ancillary staff not caught by the pharmacist)   However, it does sound like you are in some other kind of facility or setting. Since you witnessed the patient do it -- not sure what that means as a patient should never be handed a pill by pharmacy staff to take -- that changes the role from dispensing to administering which we cannot do (in terms of pills).

If the school threw you out, and this is a true story, you're probably fucked. Sorry dude. I guess you could appeal and plead to the school, but that's the thing with private universities, they can do whatever the hell they want whenever the hell they want. Other than that, see if another school will take you or get a lawyer....or get a job and good luck paying back all those loans....]

---------------

That'll do for now....check back for the next post coming soon....

2. Had a very rotund person (never seen her before -- so not a regular) came in and ask me about getting a shingles vaccine as she did not want to catch it from any of her friends. I told her that it was in no way contagious. She goes on to say that 2 or 3 of her friends have it or have had it and that her doctor told her that "IT. WAS. CONTAGIOUS!" I told her that "I will back off my previous statement a very small bit -- If a person comes into contact with a shingles rash, for instance if they are covering the wounds and come into contact with the actual seeping wound, they could potentially catch CHICKENPOX if they had not previously had CHICKENPOX or the CHICKENPOX Vaccination. Shingles, meaning the form of chickenpox that comes back up later in life and causes serious pain, cannot be transmitted from on person to another." [Source: http://www.immunize.org/askexperts/experts_zos.asp] Her response was a steadfast, "Well, my doctor doesn't agree. He says you can get it from anyone that has shingles on their skin or has ever had it."

At this point, I once again took the position of not giving a fuck. Either listen to reason or go away. I told her, "If your doctor is telling you this, and he is serious, I think you need to get a new doctor. As I can print out several different papers and references in just a few minutes that would disprove that notion."

Her response was, nothing less than I expected, "Maybe I should get a new pharmacist..." I just sad, in a trailing voice but loud enough for her to full figure out what I PROBABLY said, "I think you should do that you stupid fat bitch..."     Believe me...she was being a standoffish, stupid, fat bitch.

3. Had a lady come to pick up a refill for, of course, Xanax. It was later in the night -- slowed down immensely. I was completely caught up and actually listening to the radio a bit. She came to the pickup window, I looked up her name and immediately saw that we had requested refills, and we had not heard back. She looks me right in the eye and says, "Is it in you box? I mean...can you check your box?...Is it in your box?"    I really wanted to say, "Why no, have you checked YOUR BOX? I'm sure we could hide a set of car keys in there!"  Instead, she goes into a long diatribe about how a 3 months ago she came to pick up her refill and we told her it wasn't called it...only to find out that after she drove "all the way to the doctor's office," [a gas-chugging 4-5 minutes away] "it was sitting on the counter as there was a problem with it." [The doctor faxed it back sans signature] So, I stand by the statement that the doctor hadn't really done his job! At that juncture, we had faxed them back for ANOTHER Auth. Today, I told her that our inBOX didn't receive prescriptions (just email). She asked me to check our voicemail BOX, and I told her I didn't need to as our number of VMs is displayed on screen [I had ZERO]. No other BOXes to check...cept yours, biggun'!

-=+=-

"REFILL TOO SOON," GUYS. That means, in pharmacy lingo, your insurance will not pay for your prescription until the resubmit date. One late night at the pharmacy, which by the way is in the ghetto, a woman comes in to refill her son’s prescription. As I processed the prescription I explained to her that it is a REFILL TOO SOON and the insurance wouldn’t pay for the refill until tomorrow morning. She obviously wouldn’t accept that answer and went into a rant against me (a technician), the pharmacist working with me, and our drug store. As I recall it went something like this:

“My baby needs his medication! He is sick! He needs it NOW!!!!! You stupid white bitch you had better fill my prescription or im going to kick your ass! Her's too. That other bitch pharmacist! What you think yous better than me? I want it now! Ima get me suma that shit now and my momma gon' pay for it! Make it now! Get it ready, Bitch!”

I looked at her, looked at the pharmacist, and explained to the woman that if she would WAIT ONE MORE DAY [less than 18 hours, actually], the prescription wouldn’t have copay because this woman was on state assisted insurance.

I told her that the medication would be $45 and if she wanted it, she could pay for it, but that amount wouldn’t be refunded the next day. Her response, although not responsive to the information, went something like this:

“What you think I’m broke, bitch? I can’t pay for my babay's medicine? Fuck you ima just buy it ima just buy it you can’t tell me what to do, this my babay, THIS MY BABY AND HE NEEDS HIS MEDICINE NOW GET IT READY DUMB BITCH.”

You're not broke? Oh, okay. Then I guess you’re just one of those lazy folks who doesn’t work and just expects the government to pay for your prescriptions. I can safely assume you are probably on food stamps too? Welfare? You're yelling at me, and I am partially paying for your prescription by paying taxes? I have no choice but to have my tax dollars used to pay for “your babay's medicine,” and I have no choice but to abide by your every wish and want because 'the customer is always right,' right? So, I swallowed my insults, and I bottled my anger, and filled the prescription.

By this time, her mom (the "babay's" grandma) came to the counter and apologized profusely with the accurate explanation that woman was mentally retarded. MENTALLY RETARDED. And she has children? What the fuck. You can draw your own conclusions on that one. And by the way, after all that, she didn’t, or better yet, her mom didn’t buy the medication because she, having some sense about her, WANTED TO WAIT UNTIL THE NEXT DAY. By the way, the drug was for SEASONAL ALLERGIES. Not seizures, not juvenile diabetes, not horrible psoriasis, not dangerous asthma, not epi or glucagon. SEASONAL ALLERGIES. Couldn't wait 18 hours, and *I'm* the dumb bitch.

-=+=-

Do you want to submit a guest post [since I don't post nearly enough]? Type it up and email it to me via the same contact page. Also, let me know if you want your name/email address shared publicly, what POLL question you would like to accompany it (if any), and anything else you think is important. Guest Posts will be edited for grammar and spelling. I may also add emphasis, clarification, funny links, or other silly stuff [I might remove inappropriate stuff as well]. I will NOT alter the content/message of your post.

I get talked to like I'm a piece of shit all day. I'll be damned if I'm gonna come home and take e-shit from some nameless fuck over the internet (I do realize the hypocrisy of using the term 'nameless fuck' as I am one). But, what I mean is, people stumble upon this site and give me shit -- non-pharmacists, non-healthcare workers, nobodys.  I'm not that bad. I'm not a horrible person. Some of this is a joke. It's an act. It's a persona in some ways.

I do (or envision and reimagine) the things that you want to do but can't. A favorite comment from these nameless fucks is that I would/should be fired in their business for doing X or saying Y. Who are they to judge me or question what I do.

I can't fully express how much this pisses me off. Nor can I adequately express how some of these hatred and anger is misplaced. I'm not a bad guy. I'm not an unethical dick. 'You' just don't like THAT post.

Now, don't get me wrong -- I'm not deleting these comments because they person questions my judgment or doesn't like what I did. I can handle a dissenting opinion. That's not the issue. I would be FINE with that. But, I've yet to have a dissenting opinion posed in a professional manner worthy of being posts. For instance, in response to, "Unfortunately, this is  a true story" I got the following comment:

"This was written in a humorous way I’ll give you that.. Guy sure was stupid LOL!! I would fire you ASAP but I suspect you probably own or manage the pharmacy in the story, which is even more repulsive. You sir sicken me, and should be ashamed of your profession."

Now, do you see how that has no point? That serves no purpose other than to push me down (as well as the profession of pharmacy. Now, I can accept that this situation could have been handled a different way. But, unless you present a clear and concise rebuttal without resorting to belittling me or our pharmacy, I don't give a fuck what you have to say. Now, you don't have to be a kissass, but you can bring about a different POV without being a prick. Here's what you could say:

"While I agree that was frustrating, you handled it dead wrong. You're a pharmacist and obviously have some education. Not everyone in the world is a smart as you. Some people need things spelled out to them. Some people have learning disabilities. Did you ever things of that? Did you do what they taught you in school and ask him to show you how he will use the inhaler after you educated him? Oh, I forgot, you barely did educate him. This situation is nothing but a failure of a pharmacist to counsel a patient effectively.

See how that works? With a little cunning, you can tell me I'm wrong, pose your opinion, maybe even take a jab at me, have your comment posted, and not get permanently banned from my site WITHOUT BEING A SNIVELING PRICK. I'm not saying you can't swear. I'm not saying you can't question me or what I did. Just don't be a jerk. Don't attack me -- unless it is REALLY fucking funny and REALLY fucking good.

So, how do I remedy this? I thought about deleting all comments and blocking all future comments/discussion, but I value that input from fellow pharmacists and technicians. Instead, I've decided to require registration. That means that initial registration will require a name, verified email address, and maybe some other information as I see fit (such as an acceptance of terms of service). Then you can post comments on the site. After a certain number of approved comments, you will get the ability to post comments that skip my moderation -- after earning trust so to speak.

http://www.theangriestpharmacist.com/wp-login.php?action=register

We'll see how this goes for a while. Maybe a little bothersome registration will prevent assholes from doing what they do best.

----------------------------

"I was wondering, if I brought a list of my medicines up here, could you tell me how much each of them would cost?"

"Are you on file here? And do you have insurance?"

"I've never been here before, but I have Paid insurance."

"Well then, unfortunately, I cannot. Your best be would be to look on the back of your card and call the Member Services or Customer Service number listed there. They can tell you exactly how much each prescription will cost. All I can give you here is the cash price which doesn't do you any good when your insurance will foot the bill in most cases."

"I don't understand. Can't you just put it in the computer and see?"   [Gotta love that all-powerful, "computer" that does all and knows all!]

"That's not how it works. If I had valid prescriptions on file for each one, I certainly could just push a button or two and tell you, but you aren't on file here. So, I can't do anything to help you. If you'd rather bring me a stack of prescriptions I can get you prices then..."

"Well. That doesn't make any sense. I've got a list at home with all the prices on it. Why can't you just tell me what they cost? You're a pharmacist!"

"Wait. You have a list of all the medicines, what they cost, and you want ME to tell you what they cost? You want me to tell you what that list already says?"

"Noooo....well, not exactly. You see, at the last pharmacy I went to they gave me special prices on some medicines. Not the expensive ones. They ran those [the expensive ones] on my insurance, but there were some that were cheaper if they didn't use my insurance."

"Are you talking about the '$4 list' generics?"

"Yeah! That's it. How much are those here?

"Well, they are $4...we honor that program. Unfortunately, I don't have them all memorized, but if you bring in what you got, I can figure it all out."

"Well, I've got a list of the ones that are $4 at Wal-Mart at home. Don't you have that list?"

"Wait. You have the list of what your prescriptions cost on your insurance at home. You ALSO  have the list of ALL the $4 prescriptions at home. But, you want to bring me a list of your prescriptions. You want me to look at those two lists that you have at home in your possession and tell you what those lists, that you have in your possession, say. And you want me to compare those two numbers and tell you which is cheaper."

"Exactly. Which is cheaper HERE..."

"Really? ..........[Long Pause of disbelief].......... Sure...bring everything you have to me...I've got nothing better to do. I'll show you how to do one and we'll see if you can get it from there....If not, I'll get you a quote."

What he got from our conversation: That nice pharmacist will put my prescriptions in the computer and tell me what they cost if I bring him a list.

He came back in...as angry as every. I asked him what the problem was and his exact response was precious: "I asked you what I'd need to do if I get this inhaler home and it didn't work and you SWORE UP AND DOWN IT WOULD. Well guess what -- the motherfucker don't work. Ya'll are selling defective shit in here, and I've done spent like $80 bucks on these sumbitches and you, yeah, you...right here [pointing at me as if I were the master of all things Ventolin HFA]...are gonna give me my money back....plus some, find out whose got one of these Gaht DAMN things that work, and transfer this prescription there."

Can you hear a big bellied redneck saying this? HAHAHAHA!

He brought all this stuff with him so I said, "Okay...calm down just a second. Pull out the inhaler you got the other day, and let's take a look."

He pulled it out and I nearly laughed because the answer was INSTANTLY OBVIOUS to me what this guy had done. He handed me the Ventolin HFA inhaler. It was in fine shape. I even squirted it in the air to check. I saw the medicine come straight out in burst of air.

Then, he handed me the Aerochamber. It still had the little plastic piece in it from a Proventil HFA inhaler that they had used once upon a time!

He was either removing the canister from the Ventolin HFA, inserting it into the Proventil HFA inhaler (sans canister), and trying to use the mismatched pair which was obviously unsuccessful [and EXACTLY how he broke the 1st Ventolin HFA - which he attributed to manufacturing flaws and ME!!!], OR he was spraying the Ventolin HFA IN TO the Proventil "plastic piece" and bitching about how the medicine wasn't making it into the chamber.

If only he would have removed his head from his ass and the stupid little Proventil HFA shell from the Aerochamber, he might have wondered, "I wonder what goes in this little inhaler-shaped hole on this Aerochamber." And then, combined that statement with the thought, "I just BETCHA this masked end of the Aerochamber, that's shaped like a nose and mouth covering, goes over the nose and mouth!"

So, I removed the yellow Proventil HFA 'shell' and held it up and said, "this is trash." I flipped the cap off 0f the Ventolin HFA and inserted it into the chamber. I held it up to my mouth, depressed the cannister, and low and behold, the chamber filled with a life-saving aerosol. To hammer the point home, I held the mouth piece near my face and feigned a big breath as if to say, "This is how you inhale the medicine."

Now, ignorance and common sense aside, this is obviously an example where I thought I had counseled a parent sufficiently, but I failed to account for the aforementioned confounders (ignorance and lack of common sense).  I mentioned this in the last post -- he showed up and I thought THEN, I didn't explain well enough how to use it. Him coming back a second time, just shows ignorance...plain and simple.

When he calmed down and realized that he now knew how to operate an inhaler, something that I had mastered at the age of 4 years old as I was strickened with childhood asthma, he didn't apologize for his swear-laden rant. He merely tried to shift blame onto me.

"Well, the other day when you were showing me how to use it, you didn't take that little piece out of there!"
"That's because I just thought you had the rest of that yellow inhaler at home. I didn't realize that was from something different. See how this Ventolin HFA has a metallic canister and plastic shell. That yellow shell is a Proventil HFA that, once-upon-a-time had a metallic canister with medicine in it as well. I just thought you would've assumed it fit into this chamber much like the other. I had no idea my not removing it would lead you to believe it were a part of this chamber itself. I'm sorry for the miscommunication."

Then...he did the thing that pissed me off more than anything so far -- more than pointing at me like a child, more than cursing at me, more than calling me an idiot to my face. He just walked away. He gathered his things and walked away.

Now, in this whole debacle, I wasn't all that rude, testy, or unkind/unthankful. I was just average...if anything I was a touch condescending. But, I would contend that if he weren't smart enough to grasp the use of an inhaler and chamber, he could not recognize the presense of condescension. But just to up and walk away? To just turn your back without a thank you, fuck you, or hell, even a thanks for nothing, that's just bogus. With all due respect, you fat bastard, eat shit and die old man...

The title of this post really says it all, amiright? If you've worked in service of customers/patients, in any field, some jackass has uttered (or hollered) these words in an outlandish attempt at getting their way by bartering all of their money for future services rendered in exchange for instant gratification in the form of (most likely) you compromising your better judgment.

Obviously, this has happened to me quite recently...and it pissed me off royally because I was the nice guy being lied to and this fat bitch was the fat bitch that altered her prescription and lied to a(nother) pharmacist.

She presented a prescription from a doctor for that read as follows:

Pt: Janice Sanveritas

Hydrocodone/APAP  5/500
Sig: 1-2 tabs po q4-6h prn pain.

Dr. Ima Schmuch, DDS

Now, most reasonable people can see that this prescription LACKS A QUANTITY. She brought this to me at, we'll say 1pm on Sunday. After I IMMEDIATELY pointed out that it lacked a quantity and would require a phone call the next day, she remarked that she thought that this was the case, but she convinced herself that the word "SIG" which was scribbled was in fact the word SIXTY. Of course, this would be ridiculous because it is very UNcommon for a dentist to write for SIXTY FUCKING VICODIN. So, we argued about this a bit and decided that she was mad at the dentist for not writing a quantity and not me, but she was pretty sure he told her sixty....considering this lady had been a problem in the past, I didn't care what she thought, I wasn't even gonna give her 1 or 2 for that night (which I might CONSIDER, for a second, if she was a consistent, good, nice, polite patient).

So, she left script in tow. She came back at about 3pm. Now, the script had a convenient #60 written in right beneath the Sig. The ink didn't match. The hand writing didn't match. The story made no sense. She told me the drove over to this dentist's office and caught him just as he was leaving and he apologize profusely as he wrote in that #60 in a different handwriting from 6 or 7 days prior. I called his office the first time she came in and of course, nobody answered. In fact, it went straight to voicemail as if no one were in the office. I left a message at that time, but I knew no one would get it until Monday. Luckily he was there, right?

I told her, right when she handed it to me that I was going to have to call and verify the quantity...and the drama and bullshit began. You all know how this went.

"I have to call and verify this."
"Why? He wrote the quantity in plain as day. You can see it right there."
"Yes, but you must understand why I have to verify this. It's Sunday afternoon. I've seen this script without a quantity and you bring it back and now it has a quantity written on it. If your dentist DID write this in, he should have called or at least initialed next to the quantity that he wrote it in a different colored ink. He knows better. He knows how things are these days with all those druggies out there."
"Ohh so now you're calling me a druggie?"
"I don't recall saying that specific phrase. Did I say that?"
"Well, you might as well. I'll tell you what I'm fucking sick of this place. Every time I have fucking problems because you're a fucking idiot. I'm NEVER COMING HERE AGAIN!"
"And that's completely fine with me. I just want you to at least accept that you know where I'm coming from. I have to verify that quantity on that script. You've had it for several days. What's 18 more hours? I can call in the morning before I even open."
"No, just give it back to me. I'm going somewhere else. This is ridiculous. I've been coming here for 10 years. [Note: this pharmacy has only been open for 4-5 years] I'm going somewhere else, and I'm transferring all my meds away, and I'm never coming here again. Someone else would be more than happy to accept my business."
"Okay...fine...good bye" [and good fucking riddance]

-=+=-

I wanted to say, "Do you really think, for one second, that I'm not going to call every pharmacy in town the SECOND you walk out of here and let them know that you are leaving here with a prescription that I believe to be altered?"    But, that would ruin all the fun of wasting her time! I WANTED her to take it to another pharmacy -- or several if possible -- only for her to be turned away for the EXACT same reasoning. I also wanted to write something on the prescription, but that would've also kept her from mustering up the gaul to take it elsewhere.

So, I took to calling all 8 pharmacies in my vicinity. Turns out this fat bitch was already BANNED from Wal-Mart, a Medicap, and a Medicine Shoppe.  Now, she can add one more pharmacy to that list for her bullshit.

The winner of the "where this bitch ended up" contest was CVS. I'd talked to their pharmacist Remy, and she politely called me back. She let her drop it off and return 30 minutes later. Remy told her that the quantity's ink did not match the rest of the prescription and that she had no choice but to call the next day and verify it. This bitch politely said, "Okay, thanks a lot!" and putted her ass right on out of there...after showing her ass real good right in front of my eyes!

Today rolls around and I head in there and first thing call that dentist's office and apprise them of the situation. I told them that I believe that she modified the prescription, but CVS currently possessed the hard copy and would be calling. I just wanted to tell them my side of the story. Their side of the story? He intended on giving her 20 tablets and was nowhere near the office on Sunday.

Cut ahead to Remy calling me later on...She verified the script was altered by someone, and the DDS intended on 20 tablets. However, he went ahead and AUTHORIZED TWENTY TABLETS TO BE FILLED! I could not fucking believe it. Remy couldn't believe it. Hell, the fucking patient probably couldn't believe. This was the only doctor in the fucking NATION that would approve that script. He is enabling her addiction -- no doubt about it. This fucking doctor is a problem. I am debating whether or not to call the Board of Pharmacy and the Board of Medicine. I'm not sure if there's grounds for any sort of investigation -- or if I would just end up looking like a tight ass, punk pharmacist...

What are your thoughts?

Additionally, he had the plastic device jammed into a Aerochamber in reverse -- so if you somehow were able to dispense a dose, it would spray upwards rather than into the chamber.

Now, I can see how one could say that this is merely a failure on the part of the pharmacist to effectively counsel on proper use of the inhaler...and you're probably partially right. In all likelihood, when he picked this up for his child, we BOTH assumed that a grown man would have sense enough to either use an inhaler with aerochamber or read one of the three separate inserts / literature that were purposefully put into the patient's bag. The assumption was proven incorrect. This patient was obviously too intelligent to be bothered with reading those stupid papers that patient's so often vehemently deny and exclaim, "throw all that crap away I've got tons of it at home," only to attempt to jam a square peg in a round hole and break the entire contraption. Wow...just wow...

Finally, this gentleman was mad at ME for not repairing the inhaler OR replacing the inhaler at my cost. I got him an override for an early refill (the TIME spent was my cost...right?). As he left he asked "when the boss was gonna be back." I, of course, don't do well with this comment because it's a slap in the face and passive aggressive. Just tell me what your fucking problem is and assume I have sense enough to come to a reasonable end-game.

Prior to this I took the time to look up the number to GSK for him to call and see a coupon or refund for the product he obviously broke. He was mad about it still, and his only concern was "What if I pay for this one, get it home, and it don't work neither?" -- Well, considering you broke the first one, I'd say the likelihood of you breaking another is rather high considering you still haven't opened up to me trying to show you how to effectively use it...Alas, you have more copies of the literature (illustrated ones this time -- for the kids!). If you don't break this one and it "still don't work" -- it's STILL NOT MY FAULT.

I'm sorry, I don't service inhalers. No pharmacy does. If it doesn't work, it's the manufacturer's fault. If you don't know how to use it -- that's my fault. I've done what I can to help on that front. You're gonna have to be a big boy and make a phone call for the rest -- rather than "gimme gimme gimme gimme..." like usual...

Here's the Abstract: