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9 Responses to “Pharmacy: Like The DMV…Only Slower”

  1. Epador

    Great Discussion. Many good points.

    There are pharmacies and there are pharmacies. You can not make generalizations, but there are long waits at some that are driven by the system work flows and software and not real work. In my current town the big chains are harried systems with poorly designed software. The techs and pharmacists don’t see a script that’s more than three days old and send refill requests for Med’s I sent a week or so ago, and waste their time and my time and money sending electronic requests that are already somewhere in their system. The small pharmacies and grocery store pharmacies provide much more efficient and exact responsive services here.

    The last place I lived and worked, the big chains in town were fantastic and the grocery store pharmacies were a nightmare.

    • (((toyboata)))

      given you knowledge regarding hematologists i’m not feeling confident regarding this post re: your knowledge on pharmacy software systems/P&P

  2. Epador

    Rearding warfarin management, would you rather have a Board Certified Hematologist managing your anticoagulant or a pharmacy tech and or nurse using a software program?

    • Kacie Ballantini- Monson

      Bahaha……#1 pharmacy techs do NOT manage warfarin, pharmacists with a doctorate degree in pharmacology do (and many with 1-2 years of residency training)(🙄😒)

      #2 managing warfarin takes experience, understanding timing/effect of drug interactions on the INR, how diet/tube feeding affect INR, how acute illness (sepsis, ADHF, etc) affects the liver’s production of clotting factors and INR……I’m sure you sir can do it, but there are plenty of pharmDs that manage just as well…..esp those like me who practice in internal medicine, and see patients in the acute care setting ever day

      #3 Get over yourself sir, And I hope you get up to date with current times……taking care of patients is a TEAM approach and has been for a while now

    • Kacie Ballantini- Monson

      And I’m also wondering why a board certified hematologist would want to manage warfarin…….there should be so much more interesting cases, critical decisions, procedures, etc that could be priorities (all also much better income generators than managing warfarin)…… warfarin management is about the least exciting thing I do all day as a clinical internal med PharmD

      • Anne Jarrett


    • Kacie Ballantini- Monson

      Not sure how my original post was deleted, but abbreviated version reposted:

      Pharmacy techs do NOT manage warfarin, pharmDs do.

      Managing warfarin requires experience, understanding how and when drug interactions with warfarin will affect the INR, how diet/vit k will affect the INR, how tube feeding affects absorption of warfarin, how acute illness (sepsis, ADHF, etc) will affect the liver’s production and activation of clotting factors, watching trends and making predictions…..all of which PharmDs can do too 😘

    • (((toyboata)))

      LOL, mkay.

  3. Shane Sanders

    As a patient, I have had great experiences with my local pharmacists. The only real problems I have had with them as a doctor, not where they have legitimate concern as that is my fault and not theirs, is prescribing drugs in an off-label manner. For example, in ophthalmology we prescribe azithromycin 250mg Qweekly for its anti-inflammatory properties (MMP9 inhibition) in many diseases like ocular rosacea and other chronic inflammatory cases. The Qweekly dosing of a ZPak, no matter how often we send it, almost always gets a phone call to the office. This is an area where healthcare 3.0 and direct, easy collaboration would solve many of these problems.