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    That’ll be 240 ‘blue roxys’ please

    The man in front of me was every pharmacist’s nightmare—or at least the type of pain in the neck we’d much rather do without. He had evidently had driven over 300 miles to fill a prescription for 240 tablets of oxycodone 30mg tablets.

    I would like to think he had travelled from so far away because I had developed a reputation as one of the best pharmacists in California, and that it was his welcome involvement in his own treatment plan that led him to ask specifically for the “blue roxys.” But everyone reading this article knows better. The man who had been prescribed a medication appropriate for a terminal cancer patient looked physically fit enough to be a contestant in the next Ultimate Fighting Championship bout. It was obvious what was happening here. I was expected to be the “wholesaler” for this man’s drug dealing business.

    One emotion ran through my mind as a looked at the prescription. Gratitude.

    As I looked at the paper in front of me I was reminded of one of my most unpleasant experiences working for chain pharmacy. It involved a customer irate over being unable to refill a benzodiazepine 23 days early and a District Manager pressuring us to do just that.

    The other pharmacist in our store was dependent on our employer for her visa to stay in this country, so it was I who stood up to look a firing in the face. The clash went on for days until I finally called the customer myself to diffuse the situation.

    “She was much more reasonable about this than you were,” I told our District Manager after that phone call. The District Manager really . . . really, did not like hearing that.

    David Stanley, RPh
    David Stanley is a pharmacy owner, blogger, and professional writer in northern California. Contact him at [email protected]

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    • Anonymous
      This comment was left in regards to his you're not a doctor your a pharmacist blog. I'm not sure why it posted under this blog. I find it not only rude but very unprofessional on the things pertaining to pharmacist or any other medical profession that he has written on his blog. Please allow me to clarify anything it is that he may have confused many on. First, Dr. and we all have earned our doctor title by pursuing education in the medical field. As you may or may not know, I'm hoping you do, there are multiple types of doctors. With that being said we have all educated ourselves in some type of medical studies and schooling in order to obtain our doctorate title. With that being said, no matter what type of field they may have specialized in or focused on as far as studies, we are all entitled to our doctorate and Dr. name being that we have completed our studies and earn the title. I find it very rude and unprofessional for a fellow doctor or to blog about a pharmacist to stay in their lane, for a better lack of words. Every doctor has specialized or focused in a particular area. Does that make me less of a doctor then another type of Dr.? The answer is no! I may not be as educated on certain aspects or areas of the medical field then a different type of doctor but again that doctor may not be educated on certain aspects or parts that I may be educated on. Does that make that doctor any less of a doctor? The answer again is no! For any fellow Dr. to discredit another doctor is in my opinion, not only unprofessional but very rude, disrespectful and ignorant. Should you be allowed to wear your white coat that you so proudly earned? You may think you are and others may think you're not because of the ignorant comments you leave on your blog. We fellow doctors must not discredit other doctors. If for example a doctor that specializes in a certain field attempts to give medical advice on another field that they did not have certifications, knowledge or education about then that's a different story. But for one fellow doctor to discredit another doctor is beyond unprofessional and ignorant. I, or any of my fellow doctors are not any less of a doctor than you or any other. We all have studied and educated ourselves in the medical field, in some shape or form. I am taken back in disbelief after what I just read. How insensitive and ignorant can you be? Do you think that your comment was at all professional in any aspect? The answer, if I may, is absolutely not! You should be ashamed of yourself for trying and attempting to discredit any fellow doctor. You being a doctor are very well aware of how hard we strive to educate ourselves to earn the doctorate title and attend our white coat ceremony upon completion of our studies. That alone marks a huge milestone for many and is a huge accomplishment. For you to discredit any one of us again, is not only rude and insensitive but very ignorant. I hope you don't utilize your ignorance in your practice because if you do, I deeply, wholeheartedly feel sorry for your patients. With that said I will end my comment because I will not subject myself to your level and express what I really feel. I will say a prayer for you in hopes that you wake up one day and realize that we all have worked hard to earn our title and our white coats. I pray that your God helps you with your ignorance and you one day realize we all are Doctors, just different and unique in our own ways. Signed, A very irritated Dr that does not ever want to be associated with this ignorant waste of a human brain. SHAME ON YOU! It gives me no honor to be affiliated with such beings like yourself. Doctors like you make me embarrassed to call myself a fellow Doctor.
    • Anonymous
      I have been a Pharmacist for 25 years and can tell you that the biggest change I've seen is the lack of leadership in the profession. When I first became a Pharmacist it was not uncommon to have a Pharmacist Supervisor or Owner work the counter on occasion. While we have never made anyone wait unnecessarily sometimes it did occur due to a clarification or drug interaction and we knew that the Owner/Supervisor had our back. Now filling a prescription is like a cashier scanning items per minute and professional judgement is scoffed at. If you are a new grad realize that most Supervisors do not make better decisions than you do and the work environment may dictate your success. As one Technician so eloquently put it "We are not counting M & M's back here!" Unfortunately many who are new to the profession cannot financially strike out on their own which may be the best path to professional satsfaction.
    • Anonymous
      I realize that it is impossible in many cases for a doctor to determine to what degree the patient is being truthful about their pain, but I still do not understand why the DEA can not revoke licenses of the indiscriminate narc prescribers. Nor why big box chain stores (and some independents) refuse to stop filling rxs from certain docs Follow the money ? I do not do the "best" thing, but this is what I do I am a "partner" RPh at a big box chain and fortunately the PIC has a similar philosophy to me. We fill the monthly narcs for our existing patients, most who get other meds as well. In general we fill the small quantity ER or ortho rxs Patients we do not regularly see ? You know the answer by now A note to some of our fellow RPhs You fill virtually every narc that walks in the door, including people you have never seen before, then by the 20th of the month you are out of stock and the DEA will not release more to you until the 1st So your regular folks flood my store, highly ticked off that they got it from you the last 4 months but now you are out of stock. They take out their anger on me. Their anger is a result of you being a jerk. Thanks a lot We actually have responsibility in the multitude of daily DEATHS
    • LAMPRX@------.COM
      a) who wrote the rx? b) did he get his depo-testosterone refilled at the same time? c) no xanax bars to accompany the oxy? MD must be slipping. At least he wasn't Medicaid..or was he?
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