Saturday, October 26, 2013

With Apologies To Bill Maher, New Rule. You're Perfectly Free To Hate Obamacare, But....

....you have to pick a reason that's ACTUALLY TRUE. Because if you hate something for a reason that is false, you look really stupid.

Like when the people at your counter started complaining last year that they weren't getting the yellow Norco anymore and it must be because of Obamacare. Someone who would say something like that is a demonstrable idiot, and you know it wherever you fall on the political  spectrum. I'm trying here to keep you from looking like that guy. Doing you a favor really. You should thank me.

Thank me even though it may seem at first like I'm being a bit condescending. Stick with me though, because the journey to a reality-based reason to hate Obamacare  is fraught with peril. You may be making an effort to educate yourself about the issue by tuning into what passes for TV news in this country these days, and while that effort should be commended, sadly, it is not enough. Watching the shout shows is likely to leave you convinced that Obamacare is a threat to the sacred free enterprise system itself, as it becomes obvious that small business across the nation have been crippled under the weight of onerous regulation. Here's what an actual journalist wrote about the experience:

I happened to turn on the Hannity show on Fox News last Friday evening. “Average Americans are feeling the pain of Obamacare and the healthcare overhaul train wreck,” Hannity announced, “and six of them are here tonight to tell us their stories.” Three married couples were neatly arranged in his studio, the wives seated and the men standing behind them...

For those of you unaware, Hannity is one of the leading current affairs commentators on the television today. His ratings the envy of many an aspiring journalist.

As Hannity called on each of them, the guests recounted their “Obamacare” horror stories: canceled policies, premium hikes, restrictions on the freedom to see a doctor of their choice, financial burdens upon their small businesses and so on. 
“These are the stories that the media refuses to cover,” Hannity interjected.

Well they certainly are covering it now. Hannity is on the Fox News Network, on which millions of Americans depend for their information. He is the very essence of today's mainstream media. Back to the journalist:

I decided to hit the pavement. I tracked down Hannity’s guests, one by one, and did my own telephone interviews with them. 
First I spoke with Paul Cox of Leicester, N.C. He and his wife Michelle had lamented to Hannity that because of Obamacare, they can’t grow their construction business and they have kept their employees below a certain number of hours, so that they are part-timers. 
Obamacare has no effect on businesses with 49 employees or less. But in our brief conversation on the phone, Paul revealed that he has only four employees. Why the cutback on his workforce? “Well,” he said, “I haven’t been forced to do so, it’s just that I’ve chosen to do so. I have to deal with increased costs.” What costs? And how, I asked him, is any of it due to Obamacare? There was a long pause, after which he said he’d call me back. He never did.

Facts. Remember when news outlets valued them?

Next I called Allison Denijs. She’d told Hannity that she pays over $13,000 a year in premiums. Like the other guests, she said she had recently gotten a letter from Blue Cross saying that her policy was being terminated and a new, ACA-compliant policy would take its place. She says this shows that Obama lied when he promised Americans that we could keep our existing policies.
Allison’s husband left his job a few years ago, one with benefits at a big company, to start his own business. Since then they’ve been buying insurance on the open market, and are now paying around $1,100 a month for a policy with a $2,500 deductible per family member, with hefty annual premium hikes. One of their two children is not covered under the policy. She has a preexisting condition that would require purchasing additional coverage for $600 a month, which would bring the family’s grand total to around $20,000 a year.
I asked Allison if she’d shopped on the exchange, to see what a plan might cost under the new law. She said she hadn’t done so because she’d heard the website was not working. Would she try it out when it’s up and running? Perhaps, she said. She told me she has long opposed Obamacare, and that the president should have focused on tort reform as a solution to bringing down the price of healthcare.
I tried an experiment and shopped on the exchange for Allison and Kurt. Assuming they don’t smoke and have a household income too high to be eligible for subsidies, I found that they would be able to get a plan for around $7,600, which would include coverage for their uninsured daughter. This would be about a 60 percent reduction from what they would have to pay on the pre-Obamacare market.

This is what I'm trying to save you from my friends. This person was so convinced by the right wing echo chamber of the evils of Obamacare that she never even bothered to look before shooting off her mouth. She was more willing to go on national TV and spread the bullshit she'd been eating than to put any effort into finding out the truth and saving 60% on her health insurance costs in the process. I bet she wants the yellow Norco because it works better.

Don't be like this person.

But what's a loyal right-wing Obama hater to do when it comes to the challenge of opposing this law using the reality based world? To be honest, I'm not sure how much I'll be able to help you here, but for the sake of a civil debate that may serve the purpose of improving our public policy, let's do a little exploring and see what we can come up with.

I guess you could say the website sucks. That is an undisputed fact. But what you're really saying if you go down that route is that you want Obamacare to work better. So even though that seems to be the only thing Congressional Republicans have left in their arsenal after their delightfully suicidal shut down the government and piss everyone off maneuver, I'm not sure how far that'll get you, even though you will be miles ahead of that Hannity moron.

Here's an idea. You could say that Obamacare was an incredible wasted opportunity to implement the reforms our healthcare system really needed. That by leaving the insurance companies that have earned the hatred of their customers through so many types of abuse in charge of coordinating health care, it is the ultimate corporate welfare law. Forcing us to give our dollars to soulless, for profit entities with no care other than getting an extra nickel per share profit over last year, when we could have used far fewer dollars to create a public, single payer system which would be far more efficient and provide better outcomes than the numbnuts at Humana and the rest of their ilk could ever dream of.

Definitely fact based. Medicare has been shown time and time again to be more efficient with your tax dollars than Humana's ilk ever is with the ones they take from your payroll check. And I don't think even Hannity could come up with a panel willing to sing the praises of their current insurance plan.

So there's your talking point for those of you used to listening to Rush and having them given to you. You hate Obamacare because it is simply corporate welfare for the companies that have been abusing their policyholders for over a generation now. Say that and you'll never look like the yellow Norco guy. Your gratitude is appreciated but not necessary. A smarter public shall be reward enough for me.

Now, go forth and be less stupid.

Monday, October 21, 2013

I Was Fascinated By This Picture For A Long Time. Then I Figured It Out.

Look at it. Seriously, take a good hard look:



What is up with that face? I've...never seen an expression like this. Is it...

Fear? The eyes don't really give off a fearful vibe.

The mouth. It's perfectly straight. Not the slightest hint of smile or frown. I don't think I've ever seen anyone pull this off while showing teeth.

It is fear. Not in him, but in me. The longer I look at this humanesque...creature? The more frightened I become.

I just tried to mimic this expression in front of the mirror for five minutes and couldn't pull it off.

WHAT IS THIS MAN'S STORY?

For awhile I thought it would be the face one might make while undergoing a prostate exam. You don't want it to look like it's painful...but honestly, you really don't want to give the appearance of pleasure either. I've heard prostate massage can be pretty hot but you wouldn't tip the medical staff to that kind of thing I wouldn't think

And, why the suit? Wait. That's my clue. The suit. I was closer when I guessed "zombie" than I realized.

A little closer inspection told me I was looking at Jason Rubin, senior manager of immunization services for Walgreen's Corp. If you're plugging away at the corner of healthy and happy this is the man cracking the whip to make sure you hit that flu shot quota.

And this, I bet, is what he looks like when he is having his metrics read to him by his boss. Right after the soul leaves his body.

The numbed-out from the inside corporate drone. It's been so long I'd almost forgotten. This picture captures it perfectly.

Poor Jason. I fear him no longer.

Monday, October 14, 2013

Holy Crap I've Been So Busy I Forgot It's Been Over A Year Now Since The Fuckers At Rite Aid Have Had Any Power Over Me.

Since they forced me to make the best decision of my life. It's been a year and a couple months actually and what's embarrassing isn't how my time at the chain that keeps it personal ended. What's embarrassing is that I degraded myself by submitting to their power for so long.

Because this is the kind of thing they did with that power. Twisted the arm of educated professionals to fill prescriptions that everyone knew, or should have known, had no business being filled.

Not that Rite Aid had a monopoly on this. Both Walgreen's and CVS have run into far bigger problems for pushing obscene amounts of narcotics in the state of Florida. How embarrassing. For the people there deluding themselves by trying to maintain a veneer of professionalism in those sweatshops.

To those I left behind in the chains and to the person at corporate headquarters who's paid to do a Google search for "Rite Aid" every morning and will come across this post I say... it doesn't have to be like this. You do not have to sell your self respect for a fat paycheck that is destined to get smaller as the pharmacist surplus turns into a glut. You have no idea how good it feels to wake up in the morning and not be beholden to their bullshit. I work harder, and for far longer now than I ever did back then. But I have a bottle of scotch in the cupboard that I haven't felt the need to touch for months. And my self respect. And I haven't slept away a day for over a year now. Because now the days mean something to me.

It is deeply embarrassing it took me so long to stop being a coward.

To those of you left behind, it doesn't have to be like this.

__________________________________________________

Original Blogpost Air Date, January 25, 2009

Updated: I Am Fucking Tired, So The Quality Of This Post Will Suck. But I Feel Bad For Teasing You. My Personal Story Of Trying To Do The Rite Thing.

Because at work I like to keep things personal.

I think most of us in the profession can agree that making an effort to not have our customers become addicted to benzodiazapines would be the Rite thing to do. Our duty as health care professionals even. I think we can all agree on that.

At least I thought we could all agree on that. Evidently there is at least one exception. My Pharmacy District Manager, with whom I really don't have a personal relationship. I've never met him. He was of no Aid to me when I tried to do the Rite thing though. Benzodiazepines are high markup items, so maybe he's thinking the company needs the money. He could be right about that part.

Customer wanted a refill of temazepam that was filled 4 days ago for a 90 day's supply. While the other pharmacy was being contacted to confirm said 90 day supply was indeed picked up, the customer EXPLODES, and contacts the corporate office. She managed to find the Rite number to call without much Aid.

It's taking awhile to confirm the 90 day prescription. It was dispensed from a big mail-order outfit. I don't have to tell you what it's like to navigate through an organization like that to even find a person, much less one whose head is not up their ass.

I should say at this point I am asleep while all this is happening. I usually sleep until around 2 in the afternoon.

I should also say at this point the Pharmacy District Manager ORDERED THE OTHER PHARMACIST TO FILL THE PRESCRIPTION. Ordered the other pharmacist to dispense a 30 day supply of a controlled, habit forming medication when there was reason to believe a 90 day supply may have been dispensed 4 days before. A Pharmacy District Manager ordered this, which makes me think he may not be the Rite man for the job. Or perhaps he needs some Aid in his position.

The other pharmacist buckles. Don't blame her. She's here on an H-1 visa and if she's fired she's deported. She's also a good person and perhaps the best pharmacy manager I've ever worked for.

In stumbles the Drugmonkey in a caffeine-deprived haze. The other pharmacist is upset and doesn't want to talk about it, then leaves. At this point, the refill Rx has been filled, just as the District Manager ordered, and is ready to be picked up. The staff fills me in on the situation.

Step 1) Grab that refill off the shelf and make sure it ain't going nowhere.

Step 2) Sharpen the Drugmonkey claws.

I called the large mail-order operation and found someone with their head nowhere near their ass. There is a person working at a large mail-order operation whom if I ever meet in the real world, I will take out for dinner and as many drinks as they'd like. They were able to confirm delivery of the 90-day package and that it was signed for. As Kramer would say, Giddyup.

Oh, and the two prescriptions were from two different doctors.

I called the customer to tell her we would be unable to fill her 30 day refill request. You know what the customer said? The crazy customer who went ballistic only hours earlier?

"I understand. Thank you for calling."

Do you know what my District Manager said when I told him this? After putting me on hold for half an hour? That we still didn't have the power to deny the customer an early refill. My conversation with the customer was far more rational than the conversation I had with my District Manager. That's the saddest part of this whole episode.

The conversation with the District Manager quickly devolved into a semi-screaming match, at the end of which I reminded my District Manager there was a poster in every pharmacy in the state of California that spells out in clear terms the circumstances under which a pharmacist can refuse to fill a prescription. Preventing harm to the patient is one of them.

"Send me what this poster says in an e-mail" Said The District Manager who has sent out dozens of e-mails to every store he manages telling them the exact place to hang these posters. This was his way of blowing me off and ending the phone conversation.

My first thought was that my District Manager was a rookie under pressure from above to kiss customer ass who had a decision to make and blew it. After this phone conversation however, I realized I was wrong. He is a smug, arrogant, cocky power hungry bastard who has turned this into a pissing contest for no other reason than the need to feel his dick is bigger. He also is not an unintelligent man, which concerns me. I'm used to District Managers being kinda dumb and overwhelmed.

At any rate, I spent Friday in a nasty flame war with my District Manager. If I get fired, maybe I'll publish some of what I wrote here. There's some good stuff in there.

That's where it stands at the moment. A District Manager for a major pharmacy corporation maintains he has the power to order pharmacists to give out early refills of controlled medications.

Again I ask you Dear Readers, who the fuck needs cable? There is drama all around. I'll keep you posted.

Update 1/30- After almost a week, the District Manager decided to say he did not, in fact, order the other pharmacist to fill anything. The other pharmacist had documented in the patent's profile notes, however, that the DM did indeed order her to fill the early 30 day refill. Determined not to let him slip out of this, I sent an e-mail to the DM pointing this out, and thanking him for teaching us the importance of documentation. A meeting was held between myself, the other pharmacist, and the DM. The District Manager claims it was a case of miscommunication. The other pharmacist maintained she most certainly felt as if she was being ordered to fill this prescription. I made the District Manager look me in the eye and say he did not have to power to force a pharmacist to fill a prescription against his or her professional judgement. Outcome acceptable. Situation stable. For now.

Monday, October 07, 2013

The Tyranny Of Obamacare Explained Through My Own Eyes

Today was the day every freedom loving, right thinking, mostly middle age and most likely very white and healthy American has dreaded. I had waited for this moment for nearly two years. Ever since the man who has won two nationwide elections by a combined 14,400,000 votes signed into law The Affordable Care Act.

Obamacare. It was here. Tyranny had come to my own drugstore as my technician approached me with the news that she had just been to Covered California. The tyrannical website set up to trick poor unsuspecting souls who wish to see a doctor into committing treason.

It was worse than I expected. She reported that next year she would be saving over $5,000 in health insurance costs. $5,000 that could have gone to good, honest corporations such as Aetna, United Health Care, or Anthem Blue Cross. Companies that have been such good friends to the pharmacy profession.

I shudder to think what sort of hit Humana might be taking in all this.

Back to my own store though. I immediately ran through the impact of the bombshell my technician had just exploded in my face. With $5,000 extra in her pocket the pressure would be off me to give her a raise anytime soon. I looked down at the pharmacy's carpet as I gathered my thoughts. The money that I otherwise might have spent on a technician raise could now be used to replace the tissue paper thin fiber remnants that continue to cling to the floor. A faint echo of the glory my floor covering knew in the age of Don Draper.

So now my technician will have more money in her pocket and I will hire a local contractor to do something about my disgusting floor. If that isn't tyranny than I, and most tea party members, have no idea what is.

I've saved the worst revelation for last however. My friends I have a confession. I myself have been to Covered California. I could not resist the siren call of socialism and as a result I found out I will be paying 1/3 the price of what I was privileged to hand over for COBRA coverage. It wasn't enough that I was already taking advantage of one federal law that interferes with  free market health insurance companies who only want to do what is best for you. I would soon be paying far less to the corporations who never in their wildest dreams would ever do anything unjust to their customers.

My other technician, firmly in the grip of Medicare, is long lost to the cause of freedom. She is very healthy however, which I'm sure is a small consolation.

So this is the face of tyranny. A pharmacist taking advantage of no longer having a history of hypertension held against him, able to buy health insurance so he can go into business for himself. His employees happy, healthy, and with a significant amount of extra bank in their purse. A carpet layer hired and paid to perform work.

In short, a socialist hell.

And as soon as the parks open back up and the tourists come back....a more profitable one for me as well. I haven't looked up the meaning of the word "tyranny" in awhile, so I'm not quite sure when it started to mean "extra money and profits." One of you teabaggers will have to clue me in on that one.

   

Sunday, September 29, 2013

An Ode To Minastrin.....Chew Chew Chew Chew!!!!!!

Minastrin sounds like a soup, or other fine dish,
but if you're looking to eat, you won't get your wish,
stopping your babies is the name of the game,
and new Minastrin!! just isn't the same.

The ingredients are identical, that much is true,
and just as effective at stopping little yous
but if you want some Loestrin, that you won't find,
because you, my good friend, are now behind the times.
The difference, you see, between me and you,
is the miracle of jaw work....chew chew chew chew!!!!!

With everything else the same you might say,
why would we start this new birth control day?
The answer is as simple as the sky is blue.....
We love to watch women, go chew chew chew chew!!!!!

That, and the money. We get a new patent on this chewable bullshit you see, which means you bitches are gonna chew us all the way to the bank.

Now get chompin'

Sincerely,

Warner Chilcott

Tuesday, July 23, 2013

Sunday, July 21, 2013

I Love This Guy. Not The Commentator, But The Candidate Of Which He Speaks.

Because every time the GOP nominates a retard numbnut like this, it makes our job a little easier.

And by a little I mean a lot.

I can see the strategy meeting now:

"Ken...whatever you do just keep your mouth shut about rape and especially rape babies...OK? I know it's a sincere belief close to your heart, but those kinds of comments are a guaranteed loser with women. They easily cost us 2 Senate seats last time around."

"Yeah, that's pretty easy to understand actually. I was thinking of going on the record in favor of outlawing cunnilingus as a way to appeal to the woman vote."

"Brilliant!! A sex strategy that in no way mentions rape babies. I think we've found a winner!!!!"

BBBBBBWWWWWAAAAAHHHHHAAAAHHHAAAHHAAAAA!!!!!!! Someone, please....give Ken Cuccinelli as big a megaphone, as large a platform, and as much media exposure as he would like......

I'll do my bit right now.


Visit NBCNews.com for breaking news, world news, and news about the economy

Sunday, July 14, 2013

I Publish A Spoiler From My Awesome First Book As A Rear Guard, Guerrilla Action In The War On Women

I knew this day would come.

I've watched for years as the forces waging war on a woman and her uterus have gathered and run rampant over the countryside. As they evolved from small cells born in the ashes of defeat after Roe v. Wade to the forces of reactionary Puritanism that have become marauding bands of sexual police barbarians. Sometimes highly educated barbarians, as in the case of Lloyd Duplantis of Gray, Louisiana, a pharmacist who won a few minutes of national notoriety  for, among other things, declaring that birth control pills are "the most dangerous chemicals on the market" and becoming the lab coat wearing face of the war on Plan B, the morning after pill. I wrote my first book primarily as a bitchslap against Lloyd and his ilk, and by any measure I was wildly successful, as that chemical that he thought so dangerous is now available for the asking for anyone 17 and up, and will soon be easier to get than Sudafed. Lloyd is no longer a figurative loser, but a literal one as well.

In my book I took Lloyd one further though. Rant and rave as he and his kind do that Plan B and other morning after pills cause an abortion, they do not. I won't go so far as to say Lloyd is lying, but anyone with a pharmacist's background should know that what he says about Plan B isn't true. Maybe Lloyd just isn't very smart. So I decided to educate him a bit by publishing another bit of information any pharmacist should know. How to induce an actual, real, abortion using the old time ulcer medicine misprostol  (Cytotec)

Isn't that ironically funny? Lloyd rants about a pill that doesn't cause an abortion so I tell the world about a pill that does. Ha ha ha ha......I should get some sort of an award.

The closest I've come to that so far though is leading the way for The New York Times, which told the world today that after the new....cough cough......"safety" regulations soon to be passed in Texas that will have the toooooooootallly unintended consequence of forcing most abortion clinics there to shut their doors, there will most likely be a run across the border, where Mexican pharmacies will sell you a pack of misoprostol with few or no questions asked. Here's a quote from that article:

"When asked how women should use the pills, some of the pharmacists said they did not know and others recommended wildly different regimes that doctors say could be unsafe,"

 Which means that State Senator Glen Hegar, chief sponsor of the Texas bill who says he wants not to limit abortion access “but to increase the quality of care.” Will be driving women in his state into the hands of Mexican pharmacists with their head squarely up their ass. Pharmacists stupider than Lloyd Duplantis even.

Yeah, I knew this day would come. It's nice to sell books and all, and even after two years that little book of mine still sells pretty well, but I always had a feeling that at some point making the information about how to use misoprostol as safely as possible would be more important than any book royalties earned. Here's another quote from the Times:

When used properly in the early weeks of pregnancy, misoprostol, which causes uterine contractions and cervical dilation, induces a miscarriage about 85 percent of the time, according to Dr. Grossman. But many women receive incorrect advice on dosage and, especially later in pregnancy, the drug can cause serious bleeding or a partial abortion, he said.

Yup. That day is here. This is a word per word copy of a chapter lifted right out of my book. It's copyrighted, but feel free to save it, send it, post it, or spread the information around as much as you'd like. Just don't sell it. And also know that I DON'T recommend this. I would much rather you see and be under the care of a real doctor with real experience in ending a pregnancy, but the authorities in Texas, and Ohio, Wisconsin, Arkansas, Arizona, North Dakota, and too many other states have seen fit to make that less likely to happen. When you have limited options, you make the best of what's left to you.

Here you go:

Chapter Title, "This One's For You Lloyd Duplantis"

Cytotec. That's the brand name of the anti-ulcer medicine misoprostol that has been around since 1988. Any doctor anywhere in the country can write a prescription for misoprostol, and while it's not as big a seller as it used to be, the chances are pretty good a pharmacy in your town has it on the shelf,  just like any prescription, and if you don't have any insurance, it should easily cost you less than $30.

It can also be used to induce an abortion. If that's what you want to do, have your doctor write a prescription as follows:

Cytotec 200mcg
#12 tablets
Take as directed

Then take four of the tablets and dissolve them under your tongue. Three hours later dissolve four more, then wait three hours and do it a third time. Another option is to insert four tablets vaginally and repeat with four more in 24 hours. Talk it over with your doctor and decide which way is best for you.

Also, please read the rest of this before you do anything.

First off, let's be clear. Unlike when you take Plan B, you will be ending a viable pregnancy when you take misoprostol. This is an abortion, and if an abortion is not what you want, than you should not take misoprostol. 

Misoprostol is not without side effects or risks. The drug works by expelling the fetus, which means you will experience cramps, possibly stronger than anything you've gone through with your period. You can take some over the counter Aleve (naproxen sodium) to help with these cramps if they are troublesome.

You may also experience chills, fever, nausea, vomiting or diarrhea after taking misoprostol. Fever can be treated with naproxen or Tylenol, but if it lasts more than 24 hours you should check with your doctor. Nausea can be treated with over the counter Dramamine. 

Misoprostol doesn't always work. It has a success rate of anywhere from 80 to 90%, and there is a chance if it fails it can cause birth defects. You should start to experience bleeding within the first day after taking misoprostol, if no bleeding occurs, than the abortion has failed. Misoprostol should not be used at all after the 9th week of pregnancy due to the risk of excessive bleeding, and should not be used if you have an IUD. 

Seek immediate medical attention if,  after using misoprostol, you experience heavy bleeding (soaking more than two maxi pads per hour for more than two hours), feel dizzy or lightheaded, or have a fever for more than 24 hours. 

If you end up in the hospital, the symptoms will be identical to a spontaneous miscarriage. The medical staff will not know you tried to induce an abortion. 

Now you know how you can get an abortion for the cost of a doctor's visit and your prescription copay. Do I think it's the best method? No, I don't. Misoprostol combined with Mifeprex is more effective, but I'm aware it won't always be an option, and unlike too many in the medical professions, I think you should be aware of all the options available to you. 

And now you are. 

__________________________________________

In your face Lloyd Duplantis, and now, in your face, assholes of the Texas legislature.  

Thursday, July 04, 2013

I Offer You A Chance To Put Up Or Shut Up. Or, Pharmacy Jesus Starts To Lead His Flock Away From Chain Tyranny

The retail pharmacist experience has never been good and it's not getting any better. You need someone to tell you that as much as you need someone to tell you the sun rises in the east or bears shit in the woods. The staffing is getting shorter, the corporate mandates dumber, the bounty on your head if you're over 40 higher, and the professional standards you pretend to uphold lower. Despite all the visionary feel good talk of pharmacy "leaders" over the last 20 years, all they have managed to accomplish is replacing "count, pour, lick and stick" with "count, pour, lick, stick, and stick," that second stick being as many arms as possible. Flu season is fast approaching my friends, and woe to the pharmacist who does not meet his immunization quota. We all seem to agree it's hopeless.

Except it's not. I am going to shortly offer you, right here, right now, a way out of your sorry-ass situation. I am not kidding you. Read on.

I wrote back in April about the Clinic Pharmacy in Happy Camp, California. How it's owner has built an honest to God clinical retail practice and makes money doing it. I am not kidding you. All the count, pour, lick and stick stuff is done by a technician. All of it. The pharmacist spends his time talking to patients, researching questions, charting outcomes and whatever else he wants. The closest he gets to your type of drudgery is when he compiles a CII order. He has pulled off what has previously been solely the fantasy of the APhA world. And he has done it while the APhA decides to give an award for professionalism to Walgreens for whatever reason.

"Great for him" you're thinking if you even believe me. "But what's that got to do with me?......woe is me.......woe woe woe......."

Because you have a chance to end your friggin woe right now buddy. Clinic Pharmacy is for sale. That means you can buy it and tell your DM to take his shortstaffing and quota enforcing and shove it up his ass. You have a chance to actually be a professional. To interact with patients and actually make decisions and influence outcomes.  

And if I know most of you, you're busy right now thinking of a million reasons why you can't.

"It'll cost too much" you'll whine. Nope. Its asking price is $230,000 If you bought a house you can buy this place. Form an S-corp with your partner you're looking at 115,000 each. Eligible to be financed through the Small Business Administration.

"But I won't make as much." Others of you will cry. Well with that attitude you won't. Remember as a business OWNER you are free to do whatever you'd like to drive sales and revenues. Not to mention that if you are willing to sell your soul for what the chains are paying, you absolutely deserve what you're getting. I don't want to hear another peep out of you, ever, no matter how bad it gets.

"But I don't want to live out in the middle of nowhere" OK, that one I'll cut you some slack on, as that's what ultimately drove my decision not to buy this place. But there's no reason not to at least go look and see what ideas you can take for your own, independent practice, like Pharmacy Jesus did. I'm sure the owner wouldn't mind talking to you at all. He's seriously a nice guy.

So there you are whiners. You now have a concrete plan of action out of the bullshit you are drowning in. Take it, or at least investigate it, or forever lose your right to bitch about the profession ever again.

Drop me a line, right now, and I'll give you all the contact info you need to get started.

Sunday, June 30, 2013

Non-CVS Pharmacy Company Fined For Wrongdoing.

In a shocking press release made public this month, the Drug Enforcement Administration confirmed that the latest target of a pharmacy related investigation was not leading drugstore operator CVS.

"We have concluded an investigation into the diversion of oxycodone through legitimate pharmacies in the state of Florida and onto the streets of cities throughout the country, and have concluded that it in no way involves CVS." said lead field agent Dirk Bradford at a press conference at DEA headquarters this afternoon. "As unbelievable as it may sound, CVS is in no way accused of doing anything wrong at this time."

The investigation uncovered stores that had sold as many as 2,200,000 pills of oxycodone over the course of a year and not a one of them was a CVS. Seriously. The company that has over the years been accused of among other things, bribing state senators, employing fake pharmacists, overcharging both the Medicare system and individual Medicare recipients, as well as letting a customer have an asthma attack in one of their stores because they were a couple dollars short had nothing to do with this scandal.

I'm not kidding you. Six stores lost their DEA license in Florida over this. And a company that is not CVS will pay an 80 million dollar fine.

Walter Brombach, a retail analyst at Goldman Sachs expressed concern the company was losing its competitive edge.

"After being a trailblazer in showing just how far a corporation can go in skirting the law to profitability, these latest developments raise the specter that CVS' competitors may be catching up and developing their own ways of calculating the reward/risk ratio of defying accepted laws and social norms. That being the case I am immediately downgrading my rating on the stock from 'strong buy' to 'hold"

Other analysts were more optimistic, noting that CVS had its own oxycodone scandal in 2012 and this was simply a case of others mimicking the industry leader.

Reached at the company's headquarters in Rhode Island, CVS spokesman Mike DeAngelis said "We remain committed to serving our customers and will work with the proper authorities.....wait....no....this isn't us.....no comment."