Ugh, dermatologists

What is the fucking deal with dermatologists? As a group, they prefer to write for brand only medications far more often than any other group of physicians. I have yet to see a generic version of Mycolog formulated in cow shit instead of your typical excipients and fillers. Never mind that probably more variation in absorption and end net effect results from unpredictable use, globbing that goo on thicker than necessary and lack of compliance. No, they insist that only the brand will do. Do they really think that any of the inert ingredients is really going to have that much of a significan clinical effect? Afterall, that really is all that can be different in the generic version. Their kick backs from the pharma companies must be huge.

The one that really takes the cake is Adoxa. Its fucking doxycycline, and its oral. Fuck that. Cram your studies and shove it. Its doxycycline, plain and simple. Just prescribe the generic.

Okay, I'll grant physicians that they may not be totally familiar with the specifics of how generics compare to their branded counterparts. But, around my area, the primary abuser of this brand-a-thon is also a pharmacist! WTF? I don't get it. Maybe its just me. Hopefully not all dermatologists are this bad.

Anyone happen to see the episode of Scrubs where they call for a derm. consult? The dermatologist just about shits his pants he finally has something to do. If it weren't for skin cancer dermatologists would be completely worthless. Right up there with chiropractors. I hate chiropractors.

The patients I hate

I haven't be at this pharmacy game for too long now, but I am recognizing a general pattern in the types of people that shamefully leave their homes and bother me at work. Lets discuss a few;

The early riser-
They beat you to work. They're waiting for you, and they are pissed as hell that today isn't the day you mistakenly showed up for work an hour early. How dare you?! Get to work slacker.

Oh guess what? The script was dated for 2 months ago. YOU HAD ALL THE TIME IN THE WORLD! I can remember the last specific day and time you were last in my pharmacy, and this Rx is older than that.

The supervisor-
Fuck you. When you interrupt me checking my email for the 57th time today, and I say your prescription will take a couple minutes, that is not an invitation for you to hold up your end of the counter and stare into my eyes. Go walk around, go check out the merchandise, and let me check my email. This ain't fast food. Lets take our time, make an event out of it. Nevertheless, let me do my job. I want to do it right, and do it under my clock, not yours, so go take a look around.

But you my friend, you are a double edged sword. You can be the best part of my day. Why? Because I can be the worst part of your day very easily. You are ready to go, you want to get going, but, oops, I can't just quite read what your physician wrote. I think I'll give them a call. Whoopsie daisy, I had to leave a message. Get your fucking hands off my counter and call back tomorrow. Thanks with a smile.

Fucker.

The completely clueless-
This one is pretty simple. They are their own self-written joke. What are you here to pick up? What is it for? What letter does it start with? What does it look like?... I dunno. Even asking them what their name is results in a pathetically long pause. The truly sad part is, they aren't drunk, they aren't high, they are just dumber than rocks. Part of me feels really bad for them, but then again, my feet hurt and I don't really like standing longer than I have to while they figure out if they want to form an intelligent thought or not.

Shit, I wish Aricept actually improved memory and made people smarter. Suddenly I would be making a shit ton of mis-fills.

The spelling bee champ-
"Hi, pick up for Davis, D - A- V- I- S."

Me, "N O F U C K I N G S H I T"

Tell me where my fucking car keys are in the morning if you want to help me out, but the next time you tell me how to spell a common, American last name, I am going to punch a baby. Apparetly you think a pharmacy degree can be obtained by buying enough boxes of Cap'n Crunch and sending in for it. Apparently you think the job is limited to putting pills from a big bottle into a smaller bottle. Wait... anyways, the fact that I am upright and breathing should prove that I can spell your damned name. Thanks for the tip asshat.

Greetings

This first post kicks off my blog. In the spirit of other blogs floating around out there, the general theme here will relate directly to the place between hell and insanity that is retail pharmacy. Yes, I am a pharmacist, and this blog is what I am prescribing to myself. Hopefully a little venting will get a smile out of you, and keep me going back to work tomorrow. Both are equally unlikely.

Any how, lets get going with rant number one.