DRx

Interesting list, saving for later

If all physicians prescribed 100% according to guidelines? We would’ve been replaced yesterday. However, they don’t prescribe 100% according to guidelines. Have you ever heard the term “off-label”? It is where a medication is prescribed for a condition that the medication is not “approved” for. There is also a lot of “grey” areas in meds, for example: drug-drug interactions that are severe, but the physician feels the benefit outweighs the risk. OR what about drug allergies? Patient says they have a penicillin allergy, and the doc writes for Keflex. Well keflex is in the penicillin class, but it is a cephalosporin and cross-reactivity is about 3-5%. Will a machine approve the med for the patient?

That being said, mail-order pharmacies are just about getting to that point. Pharm Techs are only there to fill the robots and deal with insurance, and pharmacists are there for over-sight, final verification, and to answer questions. Someone still has to open the stock bottles and poor them into a robot, and what if a tech pours the wrong bottle into the wrong spot in the robot? could cause thousands of drug injuries.

I mean it is literally going on right now with abortion rights. Even before RvW was over turned, the hospital I work in (catholic of course) would have to consult a nun over religious ethics if an abortion was needed (even in times to save the life of the mother) which is ABSURD. I’m sorry, but if you want to be a “public” hospital, get tax breaks, and all other benefits that come with it, then a nun should not have a right of first refusal over someone’s life. Blew my mind when we got an email from the Cardinal of our local diocese that said that ectopic pregnancies were “now allowed” but the patient still needed to brought to the nun for further engagement. If I had to go through that, then be FORCED to talk to a nun afterward, I would freak the fuck out.

Pharmacists don’t take a Hippocratic oath… though 1st year in pharm school the school had us get in groups and sort of create our own, and while I would say for the most part it lines up with the HO, it wasn’t exactly the same and we didn’t recite it or anything. I think that in general ‘do no harm’ is a good over-arching ideal to strive for. This pharmacist did not live up to that ideal.

As a pharmacist myself, this shit pisses me off to no end. While we have a right to refuse, it should be used to save lives and mitigate problems (drug interactions, disease interactions, etc) … not CAUSE more problems.

Fortunately most pharmacists I know don’t give 2 shits about birth control or HRT or plan B… but those very very few ruin the profession for the rest of us. It is why I got out of retail and went hospital, plus I can have more direct impact on patient health than sitting behind a counter arguing with insurance all day long.

TLDR: Fuck this guy

Oh this is great! Thanks for the heads up!

My partner still hasn’t left Reddit yet, but because it’s a habit for her now AND Apollo still works… once Apollo is gone she’s already signaled she is moving on.

I wonder how many others are just waiting for the third party’s to be killed before moving on?

Tell me you don’t know what ‘landed gentry’ means without telling me you don’t know what ‘landed gentry’ means.

u/spez is a fuckwad with a little dick

Supaplex and Gorillas are my go tos!