FAST FOOD Pharmacy

We bring the FAST and laughs to pharmacy.

Sunday, March 2, 2014

Alaska has nothing on Congo

Just returned from a 13-month stay in Africa. I thought Alaska had flies.(!) my heart tells me to go back and help the children but getting held at gunpoint for drugs 7 times make the father think. now I have Obamacare to deal with. I should have become an airline pilot. Sorry, my wife still sick of hearing me rant.

Wednesday, November 20, 2013

Blame It On Obamacare

Oh yes, it's super easy to blame all your healthcare woes on Obamacare!  I'm not gonna let you do that in 2014 because there are certain truths that will always be:

Drug copays increase January 1
Deductibles reset January 1


I am going to preemptively set out a cheese plate in the waiting room so you have accompaniment for your whine.  Your copays go up every January and you are still gonna bitch and moan like a 5 year old that didn't get a balloon at the birthday party.  Well suck it up cupcake because I am gonna get all grinchy poo on your whiney ass when the first syllable of Obamacare bounces off your pathetic little lips.

Why would I not be sympathetic to your plight? You or your spouse chose that insurance plan. Like 99.9% of the nation you didn't read the fine print in the contract that says copays can increase periodically without notice.  You also went el cheapo on your monthly payment and chose the high deductible plan so your drugs will only be slightly discounted until you meet the $5000 deductible.  On top of that after meeting the deductible you will still have copays so don't give me that stupid doe eyed stare of disbelief when a copay pops up.

The formulary also changes periodically without notice (again it's in the fine print you didn't bother to read) so that ridiculously overpriced brand new super duper awesome drug will cost you $55 or more and heaven help you if you bring in a copay discount coupon that you didn't call the toll free number to activate!  I hate coupons and even worse the moron that does not activate it then throws a tantrum when it doesn't work!

Moral to the story: a verbal smackdown awaits anyone who blames the inevitable on Obamacare!


Monday, September 9, 2013

Shots!

Apologies for the long absence! I have been super busy completely gutting and remodeling the short sale property I purchased to stay in until the day I die. I have also been under the spell of Candy Crush saga and the easy randomness of Twitter... To make up for this terrible slight I gift you with a seasonal song of my retail pharmacy people. 

Sing to "Shots" by LMFAO


If you not immunized ladies and gents
Get ready to get pricked up
Let's stab it, Haha
LMFAO

You know what
Providers
Yeah
All the pharmacists
Where you at
Let's go

When I walk in the store
All eyes on me
I'm with the pharmacy crew
Get shots from me
We got Fluvirin
We got Fluzone
We came to immunize
Everybody it's on

Shots shots shots shots shots shots
Shots shots shots shots shots
Shots shots shots shots shots shots

Everybody

Shots shots shots shots shots shots
Shots shots shots shots shots
Shots shots shots shots shots shots

Everybody

The patients love us
When we give shots
They need it now
So we have lots
I came to give shots
How 'bout you
Needles up
Let's go round two

Shots shots shots shots shots shots
Shots shots shots shots shots
Shots shots shots shots shots shots

Everybody

Shots shots shots shots shots shots
Shots shots shots shots shots
Shots shots shots shots shots shots

Everybody

If you ain't immunized get the frak in the store
If you got your copay get the frak in the store
If you need some drugs get the frak in the store
Now where my pharmacists let me see you glove up

What you shootin in?
Zostavax
Pneumovax
Recombivax
Gardasil
Boostrix
Menactra
Needled all that shit
Get me some in

Drugs in hot and I'm ready to give shots
Supervisor happy every time I give shots
So needles in the air pharmacists let's give shots
If you giving shots put your hands in the air
Now say I'm immunizing (I'm immunizing)
I'm immunizing (I'm immunizing)
I'm immunizing (I'm immunizing)
I'm immunizing (I'm immunizing)

Shots

Fluzone in the fridge and I'm ready to give shots
Patients come in here every time I'm giving shots
It's a quick turn around every time I give shots
Flu scare in the air pharmacists let's give shots

I needled up

La dad a da
La dad a dad a da
La dad a da
La dad a dad a da
La dad a da
La dad a dad a da
La dad a da
La dad a dad a da
La dad a da
La dad a dad a da
La dad a da
La dad a dad a da
La dad a da
La dad a dad a da
La dad a da
La dad a dad a da

Gummy Tummy

A morbidly obese middle age male came to the pharmacy to get an rx for Reglan.  He was telling me about how he had problems with his stomach emptying but his physician was sure the issue could be fixed with bariatric surgery. He then complained that one lady at the office told him he wouldn't have to follow any diet plan then a different lady told him he would have to follow a diet plan.  He also complained that the surgery needed to happen soon because he was losing health insurance coverage at the end of the year.  He purchased five boxes of $1 movie theater candy (Mike & Ikes, Gummy Lifesavers, etc) with his rx.

So I'm thinking to myself "Self, in what world does waxy, gooey candy help with stomach motility?  What a whiney dumbass.  I know when I open my mouth to tell him about the woes of gummy candy and surgical complications he's gonna look at me with stinkface."

Anything I tried to tell him about diet restrictions with his surgery were just plain wrong. What would a pharmacist know about post-surgical care?   This patient is gonna have complications after surgery and eventually will gain back any weight lost in the first few months.

One of the main criteria for bariatric surgery is that the patient is "Committed to lifelong healthy eating and physical activity, medical follow up, and the need to take extra vitamins and minerals." (from Medline Plus website)

Fail #1  Not gonna follow a diet

Fail #2  Not gonna do physical activity

Fail#3  Not gonna follow up due to loss of insurance

Fail #4  Not gonna take extra vitamins/minerals when he won't take a multi-vite anyway

Fail Fail Fail Fail Fail Fail Fail Fail Fail Fail Fail Fail Fail

Thursday, September 6, 2012

Um Houston, We Have Problem!

Our world is full of amazing and wondrous things that like to hijack our cells and reproduce themselves.  They also have the ability to mutate rapidly in response to outside threats and maintain their stealthy lives.  These things are viruses.

My concern is with the H1N1 virus.  It has been prominent in the news for a few years now and since 2008 a small amount of cases have popped up that are the A(H1N1) pdm09 virus with H2754 neuraminidase substitution.  So you are like "What does this mean for me?"  For all of us this particular little beastie is immune to the effects of Tamiflu (oseltamivir) which has been the preferred first line treatment for the past few years.  There was a point in time where every child that went to the ER got tamiflu and amoxicillin which I find completely ridiculous.  Test for it don't guess and just prescribe shit and pat yourself on the back to feel like you treated the patient.  Antibiotic over prescribing is just as big a problem for bacterial resistance and also perpetuates the populace myth that antibiotics treat the common cold.

If this strain becomes prominent and resistant to all of the currently available antivirals we will run out of viable treatments and have to rely on vaccination as the only means of defense.  I pose the question "Will we ever reach a point in time where vaccination is no longer a viable preventative for H1N1?"  Can a virus mutate enough that our immune system cannot make a viable weapon out of its vaccine formulation to protect us? I probably need to consult with the CDC for that answer because if anyone would know it would be them.

The future could hold a worldwide population decline greater than when Bubonic plague wiped out most of Europe.  Could this be the tipping point for humanity?  Sweet dreams!

Monday, August 27, 2012

I Still Hate F*cking Coupons

It is infuriating to run a claim, fill a prescription and bill the copay discount card.  The prescription sits in the ready bin like the perfect little Christmas gift and the patient decides to pick it up at a different location.  Not a problem. The magic of technology will reverse both claims at my store so the other store can bill them.

Phone rings. Shit! The secondary claim did not reverse and the other location called the card hotline but they need someone from out location to call to reverse the claim.  Shit! Now I have to waste my time on the phone with these discount card f*ckers to do something this f*cking computer system was supposed to do for me.

AAAAARRRRRGGGHHHH!!!!

Happy f*cking Saturday... Just a tech and me in the pharmacy, lines blowing up with people and phones ringing off the hook.  Customer service is in the shitter and it won't get any better unless a miracle happens and we get more tech hours.  Does it take a human sacrifice? At this point I know several pharmacists and pharmacy managers who would be willing and have a list of names for the ritual.


I need a vacation more than a naked Randy Travis needs cigarettes...

What Broils My Patty

You know what broils my patty?  When some jackass in a suit says "Hey I have a great idea on how to make sure people refill prescriptions! We will have an automated phone call tell them they have medications that should be renewed."  All the other suits agree and after a round of congratulational hand jobs they have the squints in the tech department make it happen.

They send out some bullshit memo that doesn't really explain what is going on, make it a HUGE pain in the ass to take people off this particular call list, and don't make any type of announcement to the public at large who will receive these particular calls.

And in

3,

2,

1,

We get a hundred or so people in the drive thru pissed off because the automated system called them and why isn't their take-home-a-sack of 20 drugs ready like the robot voice said.   "You need to fill them now because the machine called and said they were ready!" "I have this problem every time I come to McDruggie's!"  "Your staff isn't intelligent enough to run a pharmacy!"  "How do you expect to keep us shopping here with such terrible service!"  "I need your manager!" The list of complaints goes on and on and on.....

So a big FFP "F*CK YOU!!!" to the jackass that came up with that wonderfully painful idea that gets the already horribly understaffed and underappreciated workers on the front line yelled at repeatedly.  You wonder why employee morale is in the shitter and the satisfaction surveys for most stores are below 50%...