5 ms·

Do you come across as not very respectable looking or sounding? Or do you come across as aggressive? My experiences really don't match yours at all. From worki

Do you come across as not very respectable looking or sounding? Or do you come across as aggressive? My experiences really don't match yours at all. From working as a tech a couple years back I know 1000% that every pharmacist I worked with made judgment calls on whether or not to help people out. If you had a sketchy vibe, you weren't helped out. If you were a regular and amicable enough to be liked we'd figure out something we could do for you if it was legally possible. You can see how this falls apart when you're traveling or going to a non-usual pharmacy because of how subjective it all is. (Ex: for Texas if it was actually illegal to say CII stock over the phone it wouldn't be "some pharmacies", it would be "all". I don't know of anyone that would fill a CII early, too much professional risk. I've also only met a single pharmacist that would do 90 day CIIs despite that being legal if written exactly for that. Pharmacists are generally very risk adverse.) My experiences as a patient don't match yours either, at worst I went to a clinic that had on-site drug tests very infrequently. Never had any issues with doctors or PAs telling them how I actually took the meds, but I also wasn't dumb in the way I went about telling them. I also never ran through primary care physicians for any of this. The fact that you said 3/10 of them would terminate the relationship just makes me wonder how much personal experience you have with that exact situation. It just feels extremely sketchy.

DontchaKnowit 4y ago
Ive never had a doc terminate the relationship but I did have one threaten to do so after I told him that I tried my cousins adderall in an attempt to self diagnose my adhd. 100% my fault there, ill admit, that is not appropriate. That some doc later prescribed me 2mg ativan and told me to "keep taking it till you feel it" which is how I ended up passing out in missouri and waking up in florida 48 hours later. That same doctor gave me mometesone and after nearly 2 years of using it told me "oh by the way forgot to tell you : dont use that for more than 2 weeks consecutively because it can be life threatening" My experience with healthcare professionals is consistantly that they do an awful job of listening and seem to think they can tell you more about how you feel than you can. I am unusually educated about pharmacology and I think some doctors are suspicious of that. Fair enough I guess.
DontchaKnowit 4y ago
Also I would just like to say that I find it absolutely disgusting that "do you look respectable" is some kind of proxy for the quality of medical care someone deserves, or the level of suspicion or ire a person deserves. No, I do not look sketchy or aggressive. I am literally just a normal looking dude. Rather healthy, rather well kempt. Now what the fuck should that have to do with my medical care? I sure am glad I can afford nice clothes, glad I was raised to speak proper english, and glad I have adequate dental care, cause it sounds you are suggesting pharmacists will not work with you if you are an "undersireable". I think that is pretty fucking gross. If you gave 50 junkies their drugs but it meant you didnt hassle even 1 legit patient Id call it a win. What bizarre moral high grounds peoppe take. Also I was at no point complaining about pharmacists - theyve always been super helpful to me, as much as they legally could anyway. I was complaining about the law itself, and complaining about primary care physicians. And you are correct I should have said "some states" instead of "some pharmacies" - it was, in fact, in Texas where this happened to me and you are correct, The first pharmacy I called told me that no texas pharmacy could legally fill the script from an out of state doctor.
- not_a_shill 4y ago
  From a pharmacy POV that doesn't address your problems with Healthcare in general: Everyone gets a baseline minimum level of care, but there are varying levels of "working with" when problems arise when you have a fixed amount of time you can get everything done in. If you don't have time, you have to use SOME other heuristic to determine priority. (Mainly speaking to how much leg work the patient wants the pharmacy to put in, vs themselves) From other Healthcare POV: There's a reason why so many people burn out. The people that make a career out of it without getting jaded are actually incredible. >If you gave 50 junkies their drugs but it meant you didnt hassle even 1 legit patient Id call it a win. But the other moral hazard comes into place when you're the one okaying questionable prescriptions that could result in someone's death. Insulin syringes was another case where junkies would lie to your face about what they were using them for. I worked with a pharmacist that wouldn't sell them to people that didn't have a reasonable way of proving that they needed them for legitimate purposes. Why? A junkie ODed outside his pharmacy after buying them. How many junkies would you have to kill before changing your own personal policy? If you don't care about killing people, it's extremely easy to just say you'll sell them to everyone. >I was complaining about the law itself, and complaining about primary care physicians. My point was some of the blame should be on the pharmacists or techs when they aren't telling you the full truth. (And it felt like they weren't when I read your post) The out of state script is a good example of what I'm talking about. If it was a CII paper script they couldn't legally fill it. But they could have also told you that an out of state doctor could eScribe in a CII if they really cared to do so.[1] And if it wasn't a CII but still scheduled they might have been legally able to fill it anyways based on the criteria in the link I posted. I've gotten hassled for even out of city CII scripts, and it's the same play where they create just enough friction to make it easier for you to go somewhere else. 1. https://www.pharmacy.texas.gov/files_pdf/QUICK_REFERENCE_GUIDE.pdf https://www.pharmacy.texas.gov/files_pdf/QUICK_REFERENCE_GUI...

DontchaKnowit 4y ago

Ive never had a doc terminate the relationship but I did have one threaten to do so after I told him that I tried my cousins adderall in an attempt to self diagnose my adhd. 100% my fault there, ill admit, that is not appropriate. That some doc later prescribed me 2mg ativan and told me to "keep taking it till you feel it" which is how I ended up passing out in missouri and waking up in florida 48 hours later. That same doctor gave me mometesone and after nearly 2 years of using it told me "oh by the way forgot to tell you : dont use that for more than 2 weeks consecutively because it can be life threatening" My experience with healthcare professionals is consistantly that they do an awful job of listening and seem to think they can tell you more about how you feel than you can. I am unusually educated about pharmacology and I think some doctors are suspicious of that. Fair enough I guess.

DontchaKnowit 4y ago

Also I would just like to say that I find it absolutely disgusting that "do you look respectable" is some kind of proxy for the quality of medical care someone deserves, or the level of suspicion or ire a person deserves. No, I do not look sketchy or aggressive. I am literally just a normal looking dude. Rather healthy, rather well kempt. Now what the fuck should that have to do with my medical care? I sure am glad I can afford nice clothes, glad I was raised to speak proper english, and glad I have adequate dental care, cause it sounds you are suggesting pharmacists will not work with you if you are an "undersireable". I think that is pretty fucking gross. If you gave 50 junkies their drugs but it meant you didnt hassle even 1 legit patient Id call it a win. What bizarre moral high grounds peoppe take. Also I was at no point complaining about pharmacists - theyve always been super helpful to me, as much as they legally could anyway. I was complaining about the law itself, and complaining about primary care physicians. And you are correct I should have said "some states" instead of "some pharmacies" - it was, in fact, in Texas where this happened to me and you are correct, The first pharmacy I called told me that no texas pharmacy could legally fill the script from an out of state doctor.

not_a_shill 4y ago
From a pharmacy POV that doesn't address your problems with Healthcare in general: Everyone gets a baseline minimum level of care, but there are varying levels of "working with" when problems arise when you have a fixed amount of time you can get everything done in. If you don't have time, you have to use SOME other heuristic to determine priority. (Mainly speaking to how much leg work the patient wants the pharmacy to put in, vs themselves) From other Healthcare POV: There's a reason why so many people burn out. The people that make a career out of it without getting jaded are actually incredible. >If you gave 50 junkies their drugs but it meant you didnt hassle even 1 legit patient Id call it a win. But the other moral hazard comes into place when you're the one okaying questionable prescriptions that could result in someone's death. Insulin syringes was another case where junkies would lie to your face about what they were using them for. I worked with a pharmacist that wouldn't sell them to people that didn't have a reasonable way of proving that they needed them for legitimate purposes. Why? A junkie ODed outside his pharmacy after buying them. How many junkies would you have to kill before changing your own personal policy? If you don't care about killing people, it's extremely easy to just say you'll sell them to everyone. >I was complaining about the law itself, and complaining about primary care physicians. My point was some of the blame should be on the pharmacists or techs when they aren't telling you the full truth. (And it felt like they weren't when I read your post) The out of state script is a good example of what I'm talking about. If it was a CII paper script they couldn't legally fill it. But they could have also told you that an out of state doctor could eScribe in a CII if they really cared to do so.[1] And if it wasn't a CII but still scheduled they might have been legally able to fill it anyways based on the criteria in the link I posted. I've gotten hassled for even out of city CII scripts, and it's the same play where they create just enough friction to make it easier for you to go somewhere else. 1. https://www.pharmacy.texas.gov/files_pdf/QUICK_REFERENCE_GUIDE.pdf https://www.pharmacy.texas.gov/files_pdf/QUICK_REFERENCE_GUI...