The *Angriest* Pharmacist You want your prescription filled when? Eat shit…

Do you want me making assumptions on all your prescriptions?

Posted on January 3, 2011

Late this afternoon, I got an electronic prescription sent in from, let's call him Dr. Lou Pressor. It was written as follows:

Metoprolol 50mg
1t po qd #90+0rf

What's missing here? That's right -- a salt! We have two different drugs we could fill this with. It could be Metoprolol TARTRATE (Lopressor) or Metoprolol SUCCINATE (Toprol XL). Both are available in a 50mg dose, but since the doctor did not specify, we have no idea.

Upon looking at the patient's history, we have no way to guess what the patient should get as this is an entirely new drug for him. I called the patient to see if he could tell me exactly what he was getting, and unfortunately, he had a touch of elderly dementia / senility and was unhelpful. I will, from time to time, ask a patient to fill in the blank here. If, without any prompting, they can tell me exactly what medicine they are supposed to be getting I will go ahead and fill it based on that fact with a quick note jotted down. Now, if that's correct or not, I don't know, but it sure beats the hell out of waiting on hold for a nurse for 20 minutes and waiting 3 HOURS for their return call!

So, since Mr. Magoo was unhelpful, I reluctantly made the call to the doctor's office. I relayed the message to the nurse and about an hour later, a jerk ass doctor called me back.

"And what was your question about Mr. Magoo's prescription?"

"Well, we got an electronic prescription that just said Metoprolol 50mg, one a day, #90, but it did not say succinate or tartrate. So, I wasn't sure which it would be. The patient wasn't capable of filling me in so...."

"Well, you must have been able to assume it was succinate since it was a once a day dose..."

"Not necessarily. There are tons of people that take the tartrate once a day and do just fine."

"That's ridiculous. Tartrate has to be dosed B-I-D. "

"You'd be surprised. In any event, I simply can't make assumptions in my position. Would you want me making assumptions on all your prescriptions? If you wrote Diltiazem 240mg daily, would you want me to assume you meant CD or XR because it makes sense to me? While the world should operate based on logic and reasoning, it simply doesn't..."

"Guess not...Thanks for calling..."

The Angriest Pharmacist -- converting doctors into pharmacy fans one at a time....

California Gurls (The MTM Remix)

Posted on December 29, 2010

This was emailed to me by a student -- I assume the author. I thought it was pretty good so I'm posting it to share with the world. Well done, professional, and as funny as I'd expect from an NCPA group...:-)

California Gurls (the MTM remix)

Back for the third time…

Posted on December 29, 2010

Hello faithful readers...

I'm BACK! Over the next 24 hours, you will be seeing drastic changes on this site, the addition of all archives, and the beginning of the next era of pharmacy blog entertainment.

Why am I going to all this work? I have a manager now. I'm working on a sitcom for a major television network, and he wants me to get the site up and going ASAP to rebuild my user base and begin building steam for the PILOT!

As you can tell, many of my old posts have been restored. This wasn't an easy process, and I'm lucky to have figured it out. Here's what I need from you. Please go to the CONTACT section and alert me to EVERY PROBLEM YOU FIND. There's lots of little sections where the import scrambled text, and it will look like this "_@$T^@#$" --- Please send me the URL to those posts so I can fix the problem (if you notice spelling/grammatical errors, tell me about those too -- within reason). Also, there are a lot of broken links and broken images. Let me know what you find.

Unfortunately, all posts from 2009 have been lost -- as far as I can tell. My backups were run in May 2010 -- encompassing my entire archives. But, those posts were not to be found. This tells me that there was some sort of virus or injection attack that corrupted those posts...or perhaps that's where the virus itself is...I don't know. Regardless, everything appears to be operational, and I can begin posting regularly again. My main job: I'm going to be go through every old post and purging a lot of the crap. I'm going to delete everything that is TOO brash, abrasive, rude, or attacks anyone personally. I'm done being a super dick...I'll stick with jerk from now on.

Also -- I deleted all old comments. They served no real purpose other than to make me look bad for being an ass. We can start the conversation(s) over if need be.

Now, grab a broom and get to work!

TheAngriestPharmacist

You do NOT have *that* right

Posted on November 3, 2010

I'm filled with passion about many subjects. Not to the least of which is our wonderful country, the glorious United State of America. We are all blessed with rights, freedoms, and privileges that those from other countries can't even fathom. We are blessed to a degree that other countries are jealous of what we have -- jealous to a degree that they desire to hurt and kill us. I believe that our disregard for that which we have is one of the most disgusting things on the planet. While some walk miles for mildly clean water and may make a dollar a day, several times a day we go into the next room and piss into clean water and spend hundreds of dollars per MONTH on bottled water-- which is really no better than that which comes out of that silly faucet. We take for granted minutiae that others would die for the right to enjoy.

A few days ago was Halloween. Another right of passage for the American childhood. The under thirteen crowd walk around with Mom and Dad to all the neighbor's houses for goodies and sweet to rot away their teeth. The over thirteen to eighteen crowd is, of course, too cool and too old to trick or treat, but they want to enjoy the atmosphere. They want to be out and about on Ghoul's Night. They do what we all did -- toilet paper and/or egg friend's houses.

This time, however, one of these little bastards went too far. I was on my way home from work. It was about 4pm on Monday 11/1/2010 (A binary day!). Cold but still a bit a daylight left. I was making my way through my little town's Memorial Park -- all towns have them these days. A quaint little square for public use. There may be a little bit of playground equipment. Trees. A sidewalk path next to a dirty pond, perhaps. But, the hallmark of the Memorial Park is the source of it's name -- the memorial. This is usually in the form of a retired fighter jet, a huge tank, or in my town's case, both. I live in a small town -- actually, I live miles outside of it. It's like Mayberry. The population is about 5-600. There's not a lot of business -- just a gas station where the old men hang out and drink coffee from 4am until they hit the fields, a hair stylist place, a daycare, and a mechanic. The closest big town (population of 13-14,000) is 15 minutes away. That's the nearest grocery store / Wal-Mart.

So, you get the picture. It's a town full of pride. Everybody knows everybody. Everyone would give their neighbor the shirt off their back. I'm new to the town as we moved here about 5-6 months ago. I'm probably still known as the "snotty pharmacist" as I haven't gone out and made a huge effort to inculcate and meet lots of people. They have a Mason temple -- maybe I'll join that and meet some friends.

Anyway, as I drove through the Memorial Park that day, I saw that the entire park had been "rolled," if you will. It was hanging from all the trees. There must have been a hundred rolls used. The town only has one cop and the sidewalks roll up after 9pm, so if these punkass kids did this after midnight, there's a good chance that no one knew/saw except them and God himself. Now, what burned my ass up was the face that they covered the park's tank in toilet paper. Secondary to that -- why was this not cleaned up by the townspeople sooner as it's now 4pm. I screeched to a stop and parked next to the tank -- I snapped a picture with my cell phone planning on sending it to the newspaper with some commentary. Parents should be ashamed if their children were responsible for this. Perhaps a rant on patriotism. And definitely a photo of the tank cleared of all disrespect (while adjacent trees still bear the evidence) -- showing that I still have a shred of passion for this country and respect for the icons that made it what it is.

As I climbed on top of the tank, I wondered how could kids do this? I only have a dog, but she knows better. I guess the fact that these kids have the privilege to walk down the street at midnight on October 31st was lost upon them as they desicrated one of our relics.

Honestly, I think I blame everyone else more than the children. I blame their parents for not showing them proper respect for our country -- probably by talking on their cell phone during the national anthem or taking their own freedoms for granted. I think I blame our school system by not instilling that fire in them. Sure, they may say the Pledge of Allegiance every morning, but did we teach them what the words mean? You can read Shakespeare all day but if you don't learn what the words mean, it's useless.

So, parents out there. Instead of raising little bastards like the people in this town. Please teach your children to be respectful off all that we enjoy.

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