The Pharmacy Chick

Flying the coup in retail

Happy Thanksgiving!

Filed under: Uncategorized — pharmacychick at 8:07 am on Thursday, November 22, 2018

Id like to wish you all a happy Thanksgiving. If you’re an international reader ,no matter, be thankful for something today.

Mr Chick has been through heck and back with his multiple back surgeries but he can still walk and do most of the things he prefers… so while he isn’t whole… he’s here..we aren’t guaranteed perfection… so for that I’m thankful.

My job is hard and often thankless.. but it’s mine and I collect a salary that allows me a fair lifestyle  so for that I am thankful

My heart hurts for those I’ve lost but I have their memories and for that I am thankful.

We don’t have to look far to find things to be thankful for  just as we don’t have to look far to find someone in a worse spot of bother than ourselves.

Im thankful for those readers who still find some joy in this writer who may just resurrect the pen and post a little more…

Give love freely… give love much…. you never know who’ll be thankful for YOU today…

with love and thanksgiving to you…

The Pharmacy Chick

Emptying the rant box a bit. A new post from the Chick herself!!

Filed under: Uncategorized — pharmacychick at 8:02 pm on Tuesday, November 6, 2018

Its been a bit since Pharmacy Chick did a pharmacy rant.  I prefer original material so I generally don’t repeat the same rants over and over despite the fact I deal with the same crap day in and day out. You’d think that after nearly 33 years in the same biz that something might be different but other than a change in technology ( which creates almost as many problems that it solves) the day to day chronicles stay the same.  Therefore I am going to empty my rant box into 3 piles: one for the patients in my practice and one for the doctors and one for the insurance companies

Patients first:  To my patients ( and patients world wide) :  I know that it seems like an impossible suggestion, but you are responsible for your own health care. You wake up each and every day, shower ( I hope), dress, go to your jobs ( also, I hope), pay your bills ( your creditors hope), and go about your daily business.   Amongst your responsibilities is taking some modest care of your health. Why does it seem so impossible for many of you to manage something as simple as the bottles of pills  that your pharmacy gives you?  As a pharmacist I see all the silly things that you do and watch as you somehow try to shift the blame to anybody but yourselves.  Ive actually been told TO MY FACE that if you die, its my fault because you failed to order your  medicine in a timely manner and you had no pills left.   Allow me to clarify a few details?  1.  It is never ever my fault if you fail to take your medicine.  2. its never my fault when you run out of medication  and don’t call for a refill 3. Its never my fault that your doctor retired and you didnt get a new one. 4. its never my fault that you didnt pack your pills when you went on vacation. 5. Its never my fault that you didnt read the materials I provided you. And yet, time after time, I am told I am responsible to fix these problems.

I work long and hard to service you in the best possible way.  I look for drug interactions,  disease and allergy conflicts and compliance issues but when I ask you about any of these things you look at me like I am intruding into your personal life and disrespect me and staff.  About the only thing you ever seem to care about is ” how long is this going to take and how much is it going to cost?”.  I don’t exist, my staff  doesn’t exist, and more importantly, the other patients don’t seem to exist.

To  the doctors:  We are supposed be a team…a team of health care providers to help our patients get well and be well.  So why are so many of you so antagonistic to the work that we try to do? Part of YOUR patient care is to prescribe medications to your patients.  And So therefore my friend, is to REFILL them.  If you aren’t going to authorize any more than 3o days at at time then you really better expect to get thousands of refill requests from pharmacies city-wide and have a plan to get them back to us in a timely manner.   Its complete and utter crap to make you patient wait 3-4 days to get a simple refill.  Its my belief that if you don’t want to see a patient for 6 months then you should prescribe for 6 months at at a time.  Seems reasonable. Enough said…

In addition, you may want to prescribe a bar of gold bullion ( i.e. Expensisiva capsules), but it may not be covered, And when we send you a request for a prior authorization we would at least hope you might acknowledge it. If you don’t want to mess with prior authorizations then dont prescribe expensive medications. At the very least you can check to see if Expensisiva is covered before you ship it off to me

And speaking of shipping it off to me, does anybody in the office actually READ your scripts before you send them?  Ive seen some of the strangest things actually sent to me.  Ive had shit sent to me that wasn’t even for the pharmacy….lets see…a massage….an IUD…. an X-ray….Really? Ive also seen some of the most glaring errors ever send over escripts, but worse yet would be to receive several of the same scripts with several different variations…but no clarification or phone call to cancel or modify it, which require a phone call to clarify.

And speaking of phone calls,  getting thru to the POTUS is easier than getting thru to you most days. Would it kill you to have a phone system that didn’t require listening to an entire speech before choosing an option? Could we actually speak to a human when we request to? And lastly remember we are representing your patients… we have no vested interest in annoying you… if it were up to us we have every patient call you instead of making us do their dirty work.

And lastly the insurance industry… you are the other woman in the medical care marriage.  You looked so pretty and inviting when In fact you were nothing but trouble. Once you got into this relationship you began your infiltration and extortion and pretty soon have managed to break the entire institution. Yea it’s a metaphor but it rings with truth. Drs don’t practice medicine anymore… they bow before thee to ask for permission …. “ is this covered? What must I do first? “ and the list goes on.  You’re all in cahoots with the manufacturers getting kickbacks to put a drug on the formulary list regardless of whether it’s really the best or not. You put more hurdles on the filling process than one might see on an Olympic track! And god forbid the audit process. Do you know how much we hate you? Especially when I’m sitting in a room with 150 files in a pile while some batfaced auditor with a pen  in her hair is calculating that a 30.5 days supply of Rytary was supposed to have been submitted as 31 not 30. May I open the door of Hell for you? They’ve been waiting for you. One might hope you never experience insulin dependent diabetes and need a script for insulin… because if you come to MY pharmacy I’m gonna be sure that you get exactly 30 days worth even if I have to throw the rest away. But  noooo I’m not bitter. Ok well maybe I am.. but I can be.. 33 years in the biz has left a certain taste in my mouth.

I’m an expert in the pharmacy business. But I’m a tired one. I’ve seen more changes in the last 33 years than I care to admit.  That’s another post for another day.  Time to step off the rant box for a moment . Let’s see if anyone still reads the Chick..

cheers!

Clean as a whistle

Filed under: Uncategorized — pharmacychick at 10:11 pm on Friday, March 30, 2018

Truth be told Pharmacy Chick cannot whistle.  It comes out like I have a mouthful of crackers actually, but it seems a fitting title for a post to report that night mare of Suprep did the job nicely, even tho I couldn’t finish the entire product…

The result was not one single polyp.  Happy to report that the actual procedure was a piece of cake…once all checked in..and naked…yes all ya get is a paper dress and some warm blankets… I was escorted into a colonoscopy barracks area with all of the others undergoing the same procedure separated by a plethora of curtains. Fully counseled, interviewed, re-interviewed..just incase some imposter was posing as me ( as if anybody would actually sneak into a place like this)…then rolled away to be put to sleep.

It was probably the nicest nap I had experienced for a while.  I didnt really want to wake up to be honest. Gotta love that propofol.  Once I was awake enough to get my stuff together and dressed I got the news that all was well and I figured Id go home, sleep off the rest of the anesthesia and enjoy a good meal.

nope.

Mr Chick had the car because of course I was not allowed to drive…or sign any contracts..or buy a house …or a car…or make a will ( yes they actually said that) and Mr Chick decided we were going shopping.  He drug me all over town, here and there and didnt seem to understand why all I wanted to do was sit in the car…even at a golf shop!
” you dont wanna come in?”.. ” um no honey, I just got out of general anesthesia with a hose up my arse.. I think ill just stay here if thats ok…”

Im glad its over…All the counseling I give patients has proved to be accurate…” the prep is worse than the procedure”, and Im glad that Ive got 10 years before I have to drink that god awful stuff again.

Cheers!

A pharmacists perspective on Suprep?

Filed under: Uncategorized — pharmacychick at 4:59 am on Thursday, March 8, 2018

Pharmacy Chick  has reached the golden age upon which certain “procedures” shall we say, have been ordered.  Actually, she reached that age a while ago but had decided that certain body parts had been posted “exit only, do not enter”.  Finally after prodding from friends, she decided to take the plunge and get it over.

As I sit here at 3: 30 in the morning gagging down the last of the bowel prep, the only thought in my mind is this:  Never shall I, in the rest of my life, do….this…..again…..

I know this prep is worse than the experience…Ive heard about it and have counseled patients on how to use the various bowel preps.  But until you’ve stood over the last 12-16 ounces of that stuff, you just never appreciate how awful the experience is.

The first session wasn’t as bad.  Ill be honest, that first bottle and the subsequent water intake was mostly a cake session.  But the second one was beyond bad.  Firstly, I still have the horrible memory of the taste of that stuff in my mouth and getting most of it ingested was a lot harder on the second round without vomiting it all up in the sink. Secondly, drinking another 36 ounces of water seems like trying to drink the contents of a swimming pool….in an hour.

Ill never get that last 6 ounces of water down. Fail me if you must…aint gonna happen.

Now its wait and see….more later…

PC

Who needs Tide Pods?

Filed under: Uncategorized — pharmacychick at 10:55 am on Wednesday, February 14, 2018

I ponder the wisdom of our people when I hear stories of some of the stupid things that we humans do.  The most recent of all is the concept of eating Tide Pods.  OMG can we be any more stupid?  There was a movie quite some time ago called “Idiocracy”.  Without saying more, if you want to literally waste 2 hours of your life, watch it and see if it is life in 2018.

I recently had my own Tide Pod-ish experience.  ( By accident).  I was doing a cookie project in the kitchen.  Washed my hands well, then went about doing my cookies.  Somehow I got a wad of peanut butter on my finger and did what any normal person does…lick it off.  With in 10 seconds I was retching in the sink and barfed up the peanut butter, breakfast ( eaten about 1/2 hour before) and about everything I had eaten in the last 30 days…and I’m pretty sure I barfed up my toenails too… What was the offending substance?

Dawn Dishwashing liquid.  A small droplet was still on top of my hand that I had missed.  That stuff had me puking in less than 10 seconds.  I mean, this stuff is vile..

Not that I would ever professionally recommend it as an emetic, but if I had to barf something up quickly it would only take a minute amount of that stuff on the tongue and BAM, puke-0-rama.

Even looking at the bottle to this moment in time, I get a little nauseated  when I remember how Dawn made me feel.

So you Tide Pod eaters?  you got nothing on DAWN.

( gag, Im still sick thinking about it)

Cheers!

PC

Insurance 101 ( a January refresher)

Filed under: Uncategorized — pharmacychick at 7:49 pm on Monday, January 15, 2018

Now that we have launched into a new year, it seems appropriate to offer up a quick course offering in what can only be called “Insurance 101″ for patients . I really should be doing this every year…copy and paste…for my own customers because over the course of a year many seem to suffer from selective amnesia each and every January…

So lets launch into the basics of Insurance:
1. Its a contract between YOU the patient and your insurer. Either you are paying the premiums or your employer is ( or a combination of both) The insurance company takes your money and in exchange agrees ( in theory) agrees to pay claims for health care. Please note they are in the business of paying as few as possible and keeping as much of YOUR premiums in THEIR pockets. They in NO WAY actually care about your health no matter what their ads may say. Don’t let their propaganda sway you. They are a for-profit entity and they definitely like their profits. The only reason they want you healthy is so they make more profits.

2. Your pharmacy has a contract to accept claims. Imagine a naked man over a barrel. We are that naked man. You also are a naked man over a different barrel. We are both naked. The insurance company has all the clothes….and they own the barrel. Pretend there is a guy with a whip over that naked man. THAT is the insurance company.

3. The pharmacy does 2 things with your insurance and thats all: we fill a prescription under their guidelines and we collect the copay. we do not:
a. set the copay ( they do)
b. decide what is covered( they do)
c.have any say in how many is covered ( they do)
d.choose how often you can pick up the prescription. ( they do)
Do you see a trend here? ( I do)

4. These are the wrong things to say to your pharmacist
a. ” that price is wrong”probably not, in fact, if I have a properly submitted claim, its definitely not but if you can convince your insurer to change the price, you have my blessing and support

b. ” thats not what I paid last time”  might be true…but completely irrelevant. especially if its in a previous year

c. ” can you call….” stop right there…no, I don’t call insurances to discuss price because I am not involved in that, nor will I call a doctor to change a prescription because you don’t like the price.  I will however FAX the price or rejection information to the DR and let him decide how to proceed. Your therapy is between you and your physician.  I don’t have access to preferred formularies unless its transmitted to me and 99% of the time its not and its not generally appropriate or appreciated for me to approach the doctor about changing treatments .

d. ” Its your fault if I die”.  nope its not, and it will never be unless I have made a grievous error in the prescription.  If you refuse to take a prescription because of price, or refuse to follow up with your physician because something isn’t covered that isn’t my fault or my problem.

5. The insurance company would prefer you to have substandard care…FALSE  They expect you to have a high standard of care but that doesn’t mean that they have to pay for the most expensive drugs on the market.  There seems to be a common misconception among people  that when Expensivicon 100mg comes out  that all of a sudden that Cheapolol  is substandard and ineffective.  That is highly incorrect.  For the most part, the recent trends in “new” drugs is to retool an old one to simply keep a patent a little longer, without providing  any great therapeutic  advance or benefit.  Believe it or not Cheapolol has kept people alive for many years and will continue to do so despite the presence of Expensivicon !

6. Prior authorizations are becoming more common place so its probably a good idea to familiarize yourself with that terminology. This happens when a drug is not covered but MAY be if  certain criteria are met.  If its not met, then the answer is NO, but if it is, it may be covered.  Usually if its granted it will be at your highest copay level so be prepared for that. We don’t get them, the DR asks for them and they can take a few days to a few weeks depending on who takes ownership of the process. We sent a notice to the Dr’s office once and then they have to do the rest.

7. Cards…those plastic things they give you?  Carry them and show them to me EVEN if they look the same as last year…. Really..because something as small as a BIN  or PCN change will make you ineligible for coverage and while those TLA’s mean nothing to you, they mean everything to me.

8.  There is a big difference between December 31 and Jan 1.   It may be only a few hours, but its an entirely different benefit year and its a whole new game. Im sorry if you ordered a refill on December 31 and the Doc didnt authorize it until Jan 2.  When you asked for it may have no bearing on when its actually filled when its out of refills.

9. Read everything they send you! Dont just rip open the mail, extract the card and pitch the rest.

I know this doesnt cover all the nuances of the insurance mess that pharmacies deal with every day but this is a good start.  So, to distill it down to the basics….   1.  New year, new deductibles.2. Keep your card close and show it to us.  3.  Read the materials they send you. 4. Pharmacies dont write the rules.  5 Benefits change.

 

Cheers! Pharmacy Chick

 

 

 

I’m S.A.D

Filed under: Uncategorized — pharmacychick at 10:54 pm on Saturday, January 13, 2018

I don’t write much anymore, you all know that, so I am  sure that this post won’t reach as many people as it used to…and that’s ok. But be that as it may I want to share with somebody ….the face of SAD.

SAD is seasonal affective disorder, and for those who have it, it’s a nightmare.  Pharmacy Chick has had SAD for many years… some years aren’t as bad as others but this year is awful. The last time I remember feeling this bad was 2009. That year I contemplated suicide…a scary notion for someone who has access to the means to do it. SAD wasn’t recognized as a major depressive disorder for a long time but it is now and for that I am grateful. It’s onset corresponds with the onset of short days and the lack of sun. It’s symptoms are varied but the common thread is an overwhelming depression.

I will weep for no reason. Thought of dying will occupy my mind. I “know” that the world would be a better place with me out of it. That is SAD. It defies all logic. Pharmacy Chick is a logical person. She knows she has a good life…a loving family…good friends..a decent job..a comfortable home..but SAD tells me that I am unworthy and useless.

I am the master of deception. I have the ability to hide this from everybody. They don’t know of the urges to drive off cliffs or poison myself with pills and alcohol. I also am convinced that I am saved by the fact that I’m also a  bit of a coward… for I am more afraid to fail than succeed in my attempt to end my life. If I fail then I am forever marked as one who tried to kill her self…

The cure is the sunshine.  Nothing works as well as that hot orb.  Ive taken antidepressants…got a light box…taken exercise… nothing works like the sun.  I went away for a week at the years’ end and that certainly helped, but its fleeting…a week later I can feel the body tank.

I recently  joined a closed group on Facebook, members all have SAD. Their posts are gutwrenching. Some manage better than others, and while it feels somewhat comforting that there are others like myself, its also painful to know that others are suffering the same as or worse than I am.

Pharmacy Chick doesnt share where she lives to retain her anonymity…But suffice to say that its not the Sun-Belt.  I deal with the depression by refusing to stay in the house.  I go to the driving range and hit golf balls til I can hit no more… what ever I can do to keep moving forward…til the sun spends a few more precious minutes fueling my brain.

One day , after I retire to the spot where we hope to end up, SAD will hopefully be a piece of my past.  Til then its a daily reminder of my frailty…the common bond I have with many of my customers…and the sad reminder of the un-logical burden my heart carries this year.

 

 

 

 

The Impatient Public

Filed under: Uncategorized — pharmacychick at 5:43 pm on Tuesday, December 19, 2017

Pharmacy chick has always felt that civilization is a thin veneer.  Remove that veneer of infrastructure then people descend into behavior that can be considered rude at the least and barbaric at the most.  Pharmacists are no stranger to rude, demanding, cruel people.  If we filmed the behavior of certain people and put it on Facebook ( truly a Hipaa violation haha) it would go viral like the ones we see at fast food restaurants.

Yesterday was an unpleasant day in the pharmacy. It seemed that all the world had an axe to grind on my patience, and no matter what I did, it was never enough.  I couldn’t get the escripts filled fast enough ” its not ready YET!! I left the doctors office a half hour ago!”.   The order was late due to some event, ” You said it would be ready at X time”..and it went on and on.  I made the comment to my tech ” Good God, this day couldn’t get any worse…”

Well, that was dumb.

POW, the power went out. Yes, ma’am, it could get worse.

And there, my friends is when that thin veneer cracked a bit, for when the power goes out, my ability to do my job goes a little wonky.  Oh, we have auxiliary power so there are some things I can do but one thing I cannot do is operate a cash register for a while.  it takes 30 minutes for our cash register to “boot” into auxiliary power.  OMG, 3o full minutes when I cannot sell an item.  You’d have thought that Zombies had invaded the city and taken over the store….. the antichrist had taken power….and a sea of locusts had eaten all our food.

The world was coming to an end because I couldn’t sell somebody their prescription at the exact moment in time that they wanted it.

Get.over.it.

Some wanted to leave exact change on the counter. Fine. you got it. here’s your bag.  But a few, cashless and only possessing their credit cards wanted me to write their number down and charge them later ( no can do, company policy forbids it) and another wanted to (yes people like this do exist) text me a picture of their credit card to charge later…Are you serious.  TEXT me…on my own personal phone YOUR credit card so I can charge you later.  I can’t think of all the policies I would have broken doing that.

The point is, that we lost power for a grand total of 2 hours.  it took 30 minutes for the store’s cash registers to transfer to aux power and be functional.  THIRTY minutes.  Most people piss more than 30 minutes away each day futzing  on Facebook.

The funny thing is, this same stuff happens when we get a winter storm.  Our power is above ground here so we lose power rather often…comparatively to the rest of the US. you’d think that we who live in this neighborhood MIGHT get used to it.  NOPE. WE have about 30 phones lines that ring into the store in a fully functional situation.  IN  a storm or a power outage we have 1, I am assuming is a landline that rings into the store…and lucky for me ( she says rolling her eyes) it rings into the pharmacy.

For some it was a piece of cake.  I love these people…these are my homies and represent the people I grew up with..” no power? ok, see you tomorrow ( walks away ..all is right with the world..he’ll go home, put on a sweater and start a fire.)

Then, we have Nervous Nellie who calls us on the one line that still rings in the store and plays 20 questions ” Do you have power?  Do you know when it will come back?  Are you gonna close?  Is my prescription ready?  Can I still get a flu shot? Are the traffic lights out? DO you have Ice? my fridge is out too will my food get warm?  Do you sell flashlights? in that order…NO, NO. NO. Yes. NO. Yes. Yes. Probably, Yes.

We also have the Apocalyptic Polly ” OMG OMG OMG….Can you refill everything in my profile and Ill come and get it in 15 minutes just in case the power never comes back on..” no can do.  you have no refills and the faxes don’t work.

Theres Angry Andy ” WELL DAMMIT ALL ANYHOW ( loud and wants to be heard)  I HAVE THINGS TO DO AND HAVE NO TIME FOR THIS KIND OF SHIT. DID YOU CALL THE POWER COMPANY AND WHY DOES IT TAKES SO LONG TO HAVE THINGS HANDLED AROUND HERE. WHERE IS YOUR MANAGER? ( who happens to be calming down a bunch of angry andy’s elsewhere in the store who are convinced we are solely responsible for the power outages, the storm and the downed power lines draped across the street.)

and lastly the Utterly Clueless who wanders around as if nothing has happened and is caught completely by surprise by the utter darkness of the pharmacy, the store, the streets and can’t grasp the fact that there is a SLIGHT alteration in what we can do.   ” But you said it would be ready at 4?”  well yes, that was before the power blew and at this very moment we have 1 bank of lights to work from in the pharmacy, 1 terminal  and 1 printer functional, no faxes, and 1 phone line which is mainly occupied by people calling to see if we have power…or if we are open. 

At the end of the day, tho nobody cares,  we hung around til the power came on…the world didn’t end, all the scripts were filled and life went on…until the next power outage….

Cheers!

Things I wish I could tell every pharmacy customer.

Filed under: Uncategorized — pharmacychick at 7:05 am on Thursday, July 13, 2017

You know how you scroll thru your Facebook feed and you see all those suggested posts that include such incredulity such as “15 things your vet will never tell you” and “25 things your doctor hates about you”  or ” 10 things you should never say to so and so”.

Well I’d like to make my own list. X Things your pharmacist wishes you knew/understood.

  1. We don’t just count pills.  Actually, I hardly ever count anything.  I have techs for that.  I spend a great part of my day checking final prescriptions and counseling patients and doing a lot problem solving. We solve problems patients don’t even know they have, before they ever set foot into the pharmacy. God Willing, we get most of the solved before arrive.
  2. E scripts don’t fill themselves.  How many times per day do I have to tell a patient who has left a doctors office that the e-scripts sent  15 min ago isn’t ready because its unrealistic to expect it to be? They aren’t instantaneous  and they have to sit in a queue with a hundred other incoming e-scripts until they are pulled. Trust me, we fill them as fast as we can, but they often come in faster than they can be pulled.
  3. Your insurance is our biggest headache.  Your insurance is not a contract between me and it..its between YOU and it.  We are subject to whatever they have agreed to pay on your behalf.  If they don’t pay, then you have to..or go without.  There are some things we can fix, but most involve issues that are out of our control. I cannot magically make a non-covered item covered.
  4. We aren’t emotionally involved with your prescriptions…really.  You are, we know that, but for us its business. We don’t go home at night agonizing over your nexium copay, or the fact Dr Slovenly hasn’t returned our refill request. Its just another prescription.We also don’t take any joy in denying you anything.  REALLY. All we want to do is get your rx to you with the smallest amount of drama.
  5. You are the center of YOUR universe, and thats fine, but you have to share OUR universe with about 300 other people each and every day. someone gets to be no.1 and somebody has to be no. 300.  be gracious when you are closer to 300 than 1. We aren’t oblivious to priorities however.  If the person next to you is bleeding on the counter Ill probably rush that a little more than your birth control. Forgive me and them .
  6. We work very long hours and probably longer than you do without a lunch or a break.  My longest shift is 14 hours and my shortest shift is 8 hours..my “half” day.   We don’t find it funny when you comment about us eating on the  job.  can you go 14 hours without eating?
  7. True fact:  the worst day to ask for a refill when you are OUT of refills is FRIDAY.   You can pretty much expect not to see that RX until Tuesday.
  8. Drs really do not like phone calls from pharmacies…nope they really don’t, so unless you have a REALLY good reason to have ME call the dr on your behalf, I suggest you do it yourself.  He is accountable to you, not me…and he knows it. If you want something done above what the dr has decided is his normal policy and routine, YOU ask not me. I probably will not get past his receptionist, will end up in a voice mail and will be effectively blown off.
  9. If you abuse controlled substances, we will figure it out…usually LONG before the dr does.  Sad but true, and we aren’t afraid to share that information with him/her, and we are, in fact, legally expected to.
  10. We are part of your health care team, not your babysitter, your mother or your caregiver.You know that -ism about leading a horse to water?   You  are responsible for being responsible…
  11. Talking on your cell phone still is and will always be exceedingly inappropriate when we are trying to talk to you.
  12. You cannot return medications that didnt work or you don’t want.  Thats a federal law.  Once it leaves the pharmacy counter its yours…forever.  The only exception to that is if an error is made by the pharmacy. We try to keep those to a bare minimum.( and then it is destroyed)  Every patient deserves to know that every drug that passes into their hands has only been handled by the manufacturer, the distribution center and the pharmacy.
  13. Drs offices make a shockingly large amount of errors that you the patient will never see. Wrong drugs, wrong dosages, and wrong directions top the list.  And, unlike the pharmacy that has to report every error we make, there doesn’t appear to be any “chain of command” that the Dr’s offices have to report when we discover an error they have made.
  14. “I must be your best patient” is a comment I’ve heard a thousand times over the years.  My best patient has never said this. My patent answer is always ” You’re close”.
  15. ” I know you aren’t a doctor but…” is another comment Ive heard a thousand times also. Don’t say that anymore please.  Every pharmacist that has graduated in the last 10 years IS a doctor…and holds a doctorate of pharmacy and is indeed a doctor. I however am an old pharmacist and hold a BS in Pharmacy.  Sometimes its BullSh$% in pharmacy .These young pharmacists are very smart but don’t seem to know how to relate to the patients.  That is my gift.
  16. We like our patients but we’d really prefer NOT to speak to you while we are filling prescriptions.  Its a distraction and a source of errors.   Most of us have routines that we like to follow to ensure an accurate fill.  When we hear ” EXCUSE ME , can you…yada yada yada”, breaks that routine of concentration.
  17. WE like cookies at christmas too.  Cheers!

Fat Shaming

Filed under: Uncategorized — pharmacychick at 5:03 pm on Monday, April 10, 2017

It seems to be rather commonplace nowadays to surreptitiously take pictures of people in various states of dress and shape and post them on social media/websites for the sole purpose of making another person laugh at the photo victim.  Personally I find this kind of activity abhorrent and I wish people wouldnt do it.  Its rather intrusive to one’s personal privacy to have one human taking a picture of another without that person’s knowledge and consent and posting it for the world to see. Whether or not that person is readily identifiable is not relevant.

70% of Americans are “overweight” and 40% are obese by definition.   Overweight is defined as having a BMI of 25-30 and Obesity is a BMI of over 30.  Making FUN of somebody who is fat is neither  appropriate or likely to cause a change in behavior.  These people have mirrors and probably know that they are overweight.  What they decide to do about it neither hinges on taking secret pictures or laughing at them.  This is fat shaming.

There are people who are perfectly happy being “fat”.  They embrace their bodies and love them regardless.  Obesity is not a healthy way to occupy a body regardless of how that person feels about their weight because your brain may be happy about your weight but I assure you, the heart, pancreas, and bones are not. This is not fat shaming, its science.

Doing appropriate counseling in the right setting to enable and empower a person who wants to make a change, do it, is also not fat shaming.

My mother was obese.  She gained an unbelievable amount of weight after the birth of her two children.  Tho she would never divulge her actual weight I knew it to be pretty close to the 250-300 range.  She didnt like it, didnt “embrace” her fatness and often would “diet” and yo yo back and forth.  She didnt live a healthy lifestyle, and her yo yo-ing would just produce temporary weight loss followed by another bout of gain.  She had “fat clothes” and “skinny clothes”, and most of the time the “skinny clothes” were in the closet downstairs, unworn.  In the end the only permanent weight loss program she had was cancer…and death.  She didnt like to exercise, she didnt like portion control, she didnt like behavior modification…She , like most of us wanted a quick fix.

Our culture is partly to blame.  We eat too much.  Nearly every restaurant gives portions that way outstrip our need for calories to the point that when I eat out, Mr Chick and I often share one item.  Everything is supersized, oversized, gigantisized!  The fact that we eat a significant portion of our meals OUT also contributes to obesity in america.  When I eat at home I know I eat less.  I don’t have 5 course meals at home and by that I mean, an appetizer, salad, bread, main course and then dessert.  At home we eat 1 plate of food generally and a beverage, and I don’t use a lot of sauces, gravies, cheeses and rarely do I have an alcoholic beverage.

its been rather shocking to see the calories in a meal at a restaurant since the calories have been printed on most menus.  Even a salad, traditionally a diet type food has been upsized into a calorie hound. Its not uncommon to see a nearly 2000 calorie meal on a plate by the time its all said and done.

Not cool.

The flip side to this is the shaming people also do to the exceptionally fit.  Yes people shame those who love the gym as if there is something wrong with spending 15 hours a week at the gym.   Not for me mind you, I like getting a little exercise but I usually prefer a walk with a golf bag over my back.  If you are a person with 12 pack abs, way to go…not for me! Id never have the patience or determination to get that fit and if I did, I’d probably  die in the process.  Some people hate the exceptionally fit as if their fitness is an affront to their general lack thereof.  This is untrue just as my normal-ness shouldn’t be an affront to somebody is overweight.

I wrote this post today when I saw yet another meme where somebody fat was photoshopped with a “muffin” under their derriere, eating some fast food.. Im sure its travelled the internet over and over.

I didnt find it particularly funny but Im sure many will.  I would only close with this:  If you are obese and want to change, find a way to empower yourself to make that change, steadily and slowly.  If you don’t care to change, understand there may be a price to pay someday in the form of diabetes, or heart disease.

PC doesn’t care either way.  Live and let live but don’t blame me for not knowing.

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