Hi.
I haven't written in a while.
Today was so bizarre that I had to include some of the more memorable moments.
It started with my pharmacist having someone try to follow her in the employee entrance because they thought it was the lobby. Then, the person's significant other came storming out of their appointment, mad as hell at the doctor.
They apparently were mad because the doctor wouldn't give them a full prescription for their benzo. In her words:
"I want it filled as fast as possible so I can get out of here. I'm fucking pissed off at the doctor."
She then proceeded to smoke outside for 25 minutes.
So much for that.
We had another one walk up right after the gate came up asking if we filled her script yet. She's always doing this even though we haven't had a chance to fill it.
That was followed by one of the busier mornings we've had in a long time, filled with waiters, people wanting transfers, and just nonsense.
One prescriber tried to buzz in 6 times while my pharmacis was on the phone with an insurance company. He always does stuff like that because he refuses to actually write a script. He always e-scripts it or calls it in.
So when he can't get through to us the first time, he just keeps trying.
Overal, it's been a bizarre day.
Sorry for the lack of posts, but it's actually been pretty busy around here. Business is booming.
Monday, July 30, 2012
Sunday, July 1, 2012
I'm updating soon...I promise
I haven't posted in here in a while. To make a long story short, the new part-time pharmacist hasn't picked up on a damn thing in the four-plus months since they've been working there, a nurse practicioner who thinks giving everyone Gabapentin is the only way to treat anxiety, and the other tech STILL can't get to work on time even though they've been warned multiple times.
In short, it's been an adventure.
I know I should be posting regularly, but it just hasn't been easy to find time to get the posts up, plus I usually am just trying to forget about the shit that goes on from time to time with the aggravating people.
In the coming month though there should be a post about the Suboxone program that has been going on since last fall to mixed results, posts about the adventures we've had with the part-time pharmacist, and just random pharmacy posts about general pharmacy topics.
So stay tuned.
And lay off the Xanax already you crackheads.
Oh, and we can't forget the joyous inventory we just had, which was uniquely frustrating, which is saying something considering the inventory experiences I've had since the pharmacy opened.
In short, it's been an adventure.
I know I should be posting regularly, but it just hasn't been easy to find time to get the posts up, plus I usually am just trying to forget about the shit that goes on from time to time with the aggravating people.
In the coming month though there should be a post about the Suboxone program that has been going on since last fall to mixed results, posts about the adventures we've had with the part-time pharmacist, and just random pharmacy posts about general pharmacy topics.
So stay tuned.
And lay off the Xanax already you crackheads.
Oh, and we can't forget the joyous inventory we just had, which was uniquely frustrating, which is saying something considering the inventory experiences I've had since the pharmacy opened.
Wednesday, May 16, 2012
It must be the shirt
Mrs. Subtle: You are so fucking sexy in that red shirt you're wearing.
MPT: *crickets*
*click*
Yes, it was subtle. A few moments later, the same person called again, this time the other tech answered. The woman asked about me again, but then proceeded to tell the tech what she would do if I were single.
She was told not to call again.
This on the heels of a client who owed money, insulted everyone in the pharmacy, and showed up demanding an apology today.
Yes, it's been an odd day.
Needless to say, even if I wasn't in a happy relationship, I wouldn't give the solicitation a second thought seeing as the clients here are mentally unstable.
So thanks, but no thanks.
MPT: *crickets*
*click*
Yes, it was subtle. A few moments later, the same person called again, this time the other tech answered. The woman asked about me again, but then proceeded to tell the tech what she would do if I were single.
She was told not to call again.
This on the heels of a client who owed money, insulted everyone in the pharmacy, and showed up demanding an apology today.
Yes, it's been an odd day.
Needless to say, even if I wasn't in a happy relationship, I wouldn't give the solicitation a second thought seeing as the clients here are mentally unstable.
So thanks, but no thanks.
Tuesday, May 15, 2012
Hiding Mental Illness
Mental illness is a funny thing.
I've seen any number of people come in here who look like normal people. They talk friendly enough, and seem like they don't have much of an issue. In fact, in looking at them, they don't appear to have a reason to be coming here.
When you look in their note review however, the story is drastically different.
Some have dependency issues but keep them fairly well-hidden. Others have rage issues. Some are paranoid and think everyone is out to get them. And some do really hear voices telling them to hurt themselves.
The trick for some is to appear normal out in public. These are the people you see walking around in the mall, looking like they are the happiest people in the world. The people you see sitting in a restaurant with their significant other, having a lovely little conversation.
Seem blissful don't they?
Chances are, looks are truly deceiving. Over the last few months, I've taken the time to look at various people's notes to get an idea of what kind of client they are and to see if it's possible to tell what their issue is just from how they appear when they sit in the waiting area.
Granted, some are obvious. They walk around in circles aimlessly, have full-blown conversations with themselves, go from happy to angry in the time it takes to blink, and have panic attacks out of the blue. In some cases, it is easy to tell who has an issue and who doesn't.
One client who was sitting in here looked calm and well-kept. When I looked in their history, I saw a history of paranoia along with a poor relationship with both their mother, brother, and 18 year-old child. The client was afraid that their family was going to turn their child against them if things continued the way they were going.
Another note talked about someone who was convinced that their significant other was cheating on them while working at a bar. In the course of the relationship, there had been several fights, most of them ending with fisticuffs and the possibility of charges being brought.
What it shows is that some can be completely out of whack, out of touch with reality, or have some kind of serious mental issue, but when out in a public setting, can appear to have no problmes whatsoever.
There really isn't much depth to this entry though. It was just something I noticed and felt like posting since I hadn't written in a while.
To follow up my last post where I talk about growth, the pharmacy has continued to grow month to month, although we seem to have consistent issues with whoever the part-time pharmacist is here.
The first one is now the full-time pharmacist, the last one was fresh out of school and apparently this wasn't what he was looking for, and the current one seems to have issues remembering things and understanding what we're telling her.
Oh, and there's the issue of her not completing her CE in time.
I guess 3 years isn't enough time for some.
I've seen any number of people come in here who look like normal people. They talk friendly enough, and seem like they don't have much of an issue. In fact, in looking at them, they don't appear to have a reason to be coming here.
When you look in their note review however, the story is drastically different.
Some have dependency issues but keep them fairly well-hidden. Others have rage issues. Some are paranoid and think everyone is out to get them. And some do really hear voices telling them to hurt themselves.
The trick for some is to appear normal out in public. These are the people you see walking around in the mall, looking like they are the happiest people in the world. The people you see sitting in a restaurant with their significant other, having a lovely little conversation.
Seem blissful don't they?
Chances are, looks are truly deceiving. Over the last few months, I've taken the time to look at various people's notes to get an idea of what kind of client they are and to see if it's possible to tell what their issue is just from how they appear when they sit in the waiting area.
Granted, some are obvious. They walk around in circles aimlessly, have full-blown conversations with themselves, go from happy to angry in the time it takes to blink, and have panic attacks out of the blue. In some cases, it is easy to tell who has an issue and who doesn't.
One client who was sitting in here looked calm and well-kept. When I looked in their history, I saw a history of paranoia along with a poor relationship with both their mother, brother, and 18 year-old child. The client was afraid that their family was going to turn their child against them if things continued the way they were going.
Another note talked about someone who was convinced that their significant other was cheating on them while working at a bar. In the course of the relationship, there had been several fights, most of them ending with fisticuffs and the possibility of charges being brought.
What it shows is that some can be completely out of whack, out of touch with reality, or have some kind of serious mental issue, but when out in a public setting, can appear to have no problmes whatsoever.
There really isn't much depth to this entry though. It was just something I noticed and felt like posting since I hadn't written in a while.
To follow up my last post where I talk about growth, the pharmacy has continued to grow month to month, although we seem to have consistent issues with whoever the part-time pharmacist is here.
The first one is now the full-time pharmacist, the last one was fresh out of school and apparently this wasn't what he was looking for, and the current one seems to have issues remembering things and understanding what we're telling her.
Oh, and there's the issue of her not completing her CE in time.
I guess 3 years isn't enough time for some.
Wednesday, January 11, 2012
holy moly
It's been a minute since I wrote in here.
It isn't for lack of material. Anyone who works in a pharmacy knows there isn't a lack of material, ever.
In the last few months we've had our share of WTF moments.
Some of it is relationship-based. I am the type who'd rather spend time with their significant other rather than sit in front of a keyboard. Some of it is related to my computer going down the toilet a couple months ago. Some of it is being busier at work the last couple of months.
Yes, the little independent pharmacy where I reside has grown significantly in the last few months.
I'm convinced some of it is just because of the simple change that took place in late August. My previous head pharmacist, well she meant well, but she wasn't able to provide the type of leadership and stability that this little operation needed. In steps our current head pharmacist, and things are much more organized, much more structured.
They're just much, much better.
Of course, now the challenge becomes trying to break our newbie of some of the things he learned in pharmacy school. He has yet to completely understand that what they teach and what actually goes on are often two very different things.
In short, he's intelligent, but he lacks what we know as pharmacy common sense.
In the short time he's been here, he's questioned whether an allergy issue has been raised or not on a medication that the patient had been taking for months, questioned a dose that someone else had been on for over a year, and pretty much anything else he sees that goes beyond what is typically recommended.
This would be fine and all except we warned him he'd see things that aren't common or go beyond what is normally prescribed. We told him that he would have to adapt on the fly. He assured us he had retail experience and that he would be able to adjust.
I could spend the next several paragraphs detailing how opposite everything has been from what we thought we were getting, but frankly, I've vented enough about him as is. What I do know is the crap needs to stop soon before something bad happens. I understand wanting to follow proper procedures and all, but real life rarely follows procedure. You can be the smartest person in the world, but still be a bad pharmacist.
**Sidebar**
I worked with a girl for a few years as a tech who decided she wanted to be a pharmacist. Intelligence was never her issue, but she gave true meaning to all the blonde stereotypes you've heard over the years. She's pretty much about the glitz and has pretty much been the type of person who annoys me greatly. Anything her company wants its pharmacies to do, she follows blindly, no matter what. Every program, every phone call, everything. As a result, she's moving up the ladder fairly quickly, but she'd drive me crazy. I'm glad that I don't work in her store, well, the store she used to have as she's moving on.
In short, she's the type who knows a lot, but doesn't apply common sense to the equation. I'm happy she's made it where she has, but maybe it's just me, but she was awfully annoying to work with the few times she filled in at my store.
**End**
The main point is pharmacy isn't just about what interacts with what and is the dose too high. It's about what works for the patient within the legal limits.
The thing I've seen sometimes is a pharmacist thinking they're smarter than the doctor. Look, I'll take a pharmacist's side in a lot of things, and there are some doctors where I do wonder, but generally, the doctor knows what they're doing. It's one thing to ask why something is being prescribed, a different thing if you're trying to tell the doctor what they should do.
All I'm saying is it makes me wonder what they're teaching in pharmacy school more than ever. Are they being realistic? Or are they presenting students with what an ideal pharmacy operates like, rather than what reality dictates?
It seems to me that it isn't an accurate representation of what a normal pharmacy looks like.
In any case, one of the more interesting things to watch is Walgreens being involved with another spat with an insurance company, this time Express Scripts. Some will remember a few years ago they stopped taking (or were denied depending on the version of the story you received) Medical Mutual (processed by Medco). Some said Walgreens didn't like the dispensing fee that was offered, while a different story I heard was that Walgreens got caught with its hand in the cookie jar (in other words, improperly billing items) and Medco smacked it. Hard.
Regardless, the story going around is that Walgreens refused to take the cut that Express Scripts tried to push on them and thus let the contract expire without renewing. Some are lauding Walgreens for taking a stand against an insurance company, but to me it's a slippery slope. While insurances do drive me nuts generally (and have notoriously tried to squeeze pharmacies at every turn), it's easy to forget they're trying to make a profit as well as pharmacies (and there's no disputing that the larger retail chains took in a massive profit last year). So while they make me crazy, they are still a business trying to make money.
In short, there's a lot of concern within the pharmacy industry about reimbursement. One blog pointed out most major pharmacies make their money off brand name drugs and that the number of big name brand drugs is dwindling quickly. Very few are left any more and there isn't anything coming down the line to offset all the new generics coming out for the aforementioned big name brand drugs.
Independents tend to get hurt most in situations like this. They are the ones who get squeezed hardest by insurances just because they don't have the clout that a CVS or Walgreens has. They can't just sit up and say "we won't take your insurance then" and then cover their ass with the other plans they do take. If an independent loses a carrier, it's possible to lose a significant chunk of what little business they do have.
It's a slippery slope.
For now, a place like where I work is going to be okay. A majority of our business comes from people on welfare and right now, aside from Medicaid branching back off again into managed care providers, things are relatively stable. The spat between Walgreens and Express Scripts is nothing more than something to amuse us when we get bored.
Here, life is relatively good.
Let's hope it stays that way.
It isn't for lack of material. Anyone who works in a pharmacy knows there isn't a lack of material, ever.
In the last few months we've had our share of WTF moments.
Some of it is relationship-based. I am the type who'd rather spend time with their significant other rather than sit in front of a keyboard. Some of it is related to my computer going down the toilet a couple months ago. Some of it is being busier at work the last couple of months.
Yes, the little independent pharmacy where I reside has grown significantly in the last few months.
I'm convinced some of it is just because of the simple change that took place in late August. My previous head pharmacist, well she meant well, but she wasn't able to provide the type of leadership and stability that this little operation needed. In steps our current head pharmacist, and things are much more organized, much more structured.
They're just much, much better.
Of course, now the challenge becomes trying to break our newbie of some of the things he learned in pharmacy school. He has yet to completely understand that what they teach and what actually goes on are often two very different things.
In short, he's intelligent, but he lacks what we know as pharmacy common sense.
In the short time he's been here, he's questioned whether an allergy issue has been raised or not on a medication that the patient had been taking for months, questioned a dose that someone else had been on for over a year, and pretty much anything else he sees that goes beyond what is typically recommended.
This would be fine and all except we warned him he'd see things that aren't common or go beyond what is normally prescribed. We told him that he would have to adapt on the fly. He assured us he had retail experience and that he would be able to adjust.
I could spend the next several paragraphs detailing how opposite everything has been from what we thought we were getting, but frankly, I've vented enough about him as is. What I do know is the crap needs to stop soon before something bad happens. I understand wanting to follow proper procedures and all, but real life rarely follows procedure. You can be the smartest person in the world, but still be a bad pharmacist.
**Sidebar**
I worked with a girl for a few years as a tech who decided she wanted to be a pharmacist. Intelligence was never her issue, but she gave true meaning to all the blonde stereotypes you've heard over the years. She's pretty much about the glitz and has pretty much been the type of person who annoys me greatly. Anything her company wants its pharmacies to do, she follows blindly, no matter what. Every program, every phone call, everything. As a result, she's moving up the ladder fairly quickly, but she'd drive me crazy. I'm glad that I don't work in her store, well, the store she used to have as she's moving on.
In short, she's the type who knows a lot, but doesn't apply common sense to the equation. I'm happy she's made it where she has, but maybe it's just me, but she was awfully annoying to work with the few times she filled in at my store.
**End**
The main point is pharmacy isn't just about what interacts with what and is the dose too high. It's about what works for the patient within the legal limits.
The thing I've seen sometimes is a pharmacist thinking they're smarter than the doctor. Look, I'll take a pharmacist's side in a lot of things, and there are some doctors where I do wonder, but generally, the doctor knows what they're doing. It's one thing to ask why something is being prescribed, a different thing if you're trying to tell the doctor what they should do.
All I'm saying is it makes me wonder what they're teaching in pharmacy school more than ever. Are they being realistic? Or are they presenting students with what an ideal pharmacy operates like, rather than what reality dictates?
It seems to me that it isn't an accurate representation of what a normal pharmacy looks like.
In any case, one of the more interesting things to watch is Walgreens being involved with another spat with an insurance company, this time Express Scripts. Some will remember a few years ago they stopped taking (or were denied depending on the version of the story you received) Medical Mutual (processed by Medco). Some said Walgreens didn't like the dispensing fee that was offered, while a different story I heard was that Walgreens got caught with its hand in the cookie jar (in other words, improperly billing items) and Medco smacked it. Hard.
Regardless, the story going around is that Walgreens refused to take the cut that Express Scripts tried to push on them and thus let the contract expire without renewing. Some are lauding Walgreens for taking a stand against an insurance company, but to me it's a slippery slope. While insurances do drive me nuts generally (and have notoriously tried to squeeze pharmacies at every turn), it's easy to forget they're trying to make a profit as well as pharmacies (and there's no disputing that the larger retail chains took in a massive profit last year). So while they make me crazy, they are still a business trying to make money.
In short, there's a lot of concern within the pharmacy industry about reimbursement. One blog pointed out most major pharmacies make their money off brand name drugs and that the number of big name brand drugs is dwindling quickly. Very few are left any more and there isn't anything coming down the line to offset all the new generics coming out for the aforementioned big name brand drugs.
Independents tend to get hurt most in situations like this. They are the ones who get squeezed hardest by insurances just because they don't have the clout that a CVS or Walgreens has. They can't just sit up and say "we won't take your insurance then" and then cover their ass with the other plans they do take. If an independent loses a carrier, it's possible to lose a significant chunk of what little business they do have.
It's a slippery slope.
For now, a place like where I work is going to be okay. A majority of our business comes from people on welfare and right now, aside from Medicaid branching back off again into managed care providers, things are relatively stable. The spat between Walgreens and Express Scripts is nothing more than something to amuse us when we get bored.
Here, life is relatively good.
Let's hope it stays that way.
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