michelerx1416's blog
Focus on topics and challenges of community pharmacy
Pass Me a Xanax!
19 Comments
Maybe someone can help me? For the life of me I can’t figure out at what point people in this world have turned into such a miserable @* #%*. (Insert your own word here) Was it during one of my personal days off? I’m usually so busy at the pharmacy that I don’t have time to evaluate just how rude people are or maybe I’ve just become so numb to it. But today on a beautiful laid back Sunday where people should be out enjoying time with their families and enjoying the nice spring weather that we’ve had none to my surprise, all of the P.I.A’s (Pains in the you know what) were out in full force and in my pharmacy.
Since when do people find it acceptable to get in line to either drop off or pick up their scripts while in the middle of a conversation on their cell phones and then look at me as if I’m interrupting them with my questions? Haven’t they heard of cell phone etiquette or is there none? Why is it my problem that you waited to the last minute to refill your birth control pills? You are out of refills, it’s the weekend, and now you have to wait until Monday to reach the doctor. But I’m the bad guy who won’t give you your pills. Why is it that when your doctor told you he would be sending a prescription electronically you didn’t verify which pharmacy it was going to before screaming and insisting that it was my pharmacy when in fact it was sent to my competitor down the road? And since when is it my sole responsibility to get your prescription authorized when I’ve made 3 attempts to contact your doctor and he or she has not responded? You take the initiative and make the call instead of insulting me by telling me that I’m not doing my job. And how come you never know what or how many medications you are coming to pick up? Do I take these medications or do you? Why is the pharmacy, or more specifically the pharmacist on duty, always to blame and left to explain your ridiculous co-payments and not your employer? Take the initiative to figure out what your benefits are instead of expecting someone else to decipher it for you.
What I realize is that even after going above and beyond to help people out nowadays you can’t get a simple thank you or have a nice day. Oh, I’m sorry I guess I don’t deserve that. I’m simply here to serve you. Where did that sense of entitlement come from?
I truly don’t have the answer but I would like to offer a possible explanation or what may sound like an excuse to some. Could it simply be that this is just the world we live in today? Is it because we have technology at our fingertips that everything can be done on our phones eliminating the 8 hr work day forcing people to in essence never leave work behind? Maybe people are just overworked, over tasked and feel undervalued and unappreciated? This would make sense. After all, people face more deadlines than ever and seem to have very little to no time at all for themselves and employers seem to take full advantage by squeezing every last drop out of their employees.
This is the simple concept of supply and demand. You must put up with everything that is asked of you or they will hire someone else that will. And in this economy jobs are few and far between. It’s like being stuck in an abusive relationship with no way out. Maybe it’s more than work-related and finances. Perhaps it’s personal or has to do with family, friends etc. Whether it’s one thing in particular or a culmination of things, all I know is people are going bonkers! No one has the slightest bit of patience or consideration for others. Whatever the case may be, there is evidence of more stress and anxiety which I can attest to first-hand by the increase in antidepressant and anti-anxiety medications that I fill on a daily basis. In my opinion at least 1 out of 3 people fit into this category. If something doesn’t give, then dealing with these people is going to make me a statistic!
So will it ever get any better? Will people ever go back to treating each other with respect or is this just the world we live in and take it or leave it? All I ask for is common courtesy, but apparently that’s no longer common.

Comments
Location: Fresno, CA
Posts: 7
Acting out ones frustrations make yours more so. The customer, as you know, often is feeling stressed out. Their day isn't going well. You have three lines on hold. Looks like a ten minute lunch only. The drive through's are in double digits. Triple checks? I doubt it. The more educated the more empirical your trouble? I like the challenge of doing a good job when the rough get's going. Rushing will lead to oversight. That's not always a bad thing though. Some companies are volume oriented. Some are inflexible and complete to the letter of the law. I read 75 to 80% of the pharmacy boards decisions. It takes several DUI's or many times grand theft of thousands of and in some cases tens of thousands of missing medications before they take action. I read arson,attempted murder, and worse. A case of a 19 year old tech withholding a # 90 Valium refill as it's one day early is....well laughable.
Location: Fresno, CA
Posts: 7
RE: Lack of civility,lack of requisite proper manners, waiting your turn,disrespecting the pharmacists intellect. Improper lack of allowing the older patients to be served first. Yes, those days of yesteryear aren't dead,just in a hurry. How about, good morning,how is your day going? Say, have you five or ten minutes to discuss a indication? Are flu shots available? Do you recommend any nutraceuticals? If later would be more amenable,I can return another time. For goodness sake, don't pile on ETOH or a lot of non pharmacy items on the counter.Don't you dislike that! We don't garner enough relegated thanks. It's kind of, next customer please. Sensitive issues demand some sensitivity, does it not. Poor or not, one MUST give a good accounting of respect as you yourself would want.
Location: Fresno, CA
Posts: 7
A Few suggestions to patients and others: We ALL wish for good service and some management therapy from the pharmacy. The fact is: The pharmacist does NOT always have the time to give you precise info on your profile. You may be asked to pay for quality individual treatment management. Be advised,do your homework. Put your questions in writing to your Dr. Ask him/her what your concerns are. Example: Question, Dr. Smith,As you know, I'm taking so and so. The labs are OK,but the medication isn't as effective as before. I have reviewed the references, and included them here. On our next session, could we discuss...so and so. Now, show up early,Dress smart. Be well rested. Get to the point. Ask specific questions and offer possible answers to the question you propose. Don't avoid eye contact. Insisting will get you little but resentment. Cursory exams offer little help. Do NOT discount lab tests and explaining the probable reasons for red flagged out of parameter blood work. If incomplete relief is your issue,consider psychotherapy and possible further research with or without a script. Read issues regarding liver enzymes. They are one of the most important parts of your cytochrome stereo isomer enzymes. CYP 450 is just one. Pain issues are common.The Dr/other wants specific hard answers to indicative incremental CII and even CIV increasing increases.i.e. resistance, exacerbations,diagnosis,lack of life quality issues. Know the reasons for the adjustments. If you request additional pain medications be prepared to drop a benzodiazepine. Offering to eliminate a addictive drug for a non habit forming one will show your willingness to lower the chance of forming a untoward reaction. Psychoneurosis is best dealt without continuous treatment with anxiolytics. NOTE: This is not medical advice. It is common sense suggestions that will likely serve you well with your mentor.
Location: Fresno, CA
Posts: 7
As for common courtesy, it would be wonderful to live in Mayberry. As a senior citizen who gladly contributes assistance where it is most needed -the County hospitals and the Veterans Admin. Some wonder why? Why would anyone put in a M-F day shift without pay? Although only a Tech.,I feel something for these Vets and elders whom fall between the cracks of the health care system. Forgive my bleeding heart. When the Pt. is in protracted agony,I 'try' to offer some solace. Over burdoned and overworked the DR's and nurses, physical therapists and lab folks are inundated. It gives me some feeling of a job well done if I can offer the staff some 15 minutes of rest to gather together enough sanity or company to ease a persons hectic day. The retail level is not so acute. Still, "I just want my pills!" sounds familiar. Navigating the course of therapy for a busy consumer unaware of the perplexity and sheer demands of- a busy pharmacist or tech unable to fulfill the Rx because of insurance companies criteria or duplication or other full speed ahead, damn the torpedoes!ends up a delemnia unhindered with some patients. We all try to do the best we can. Drugs with the most abuse and that Pt with little time to wait is suspect. We all hope and wish that those under treated are treated well. The line gets blurry.
Location: Lynnwood, WA
Posts: 1
Michelle,
I worked in retail pharmacy for 32 years. I retired and enjoyed my time off. The thought of returning left me with PTSD feelings. Now I am at a point where my husband has retired, and to follow our dreams of traveling, I should return to pharmacy. Unfortunately, because of my past experiences, I will only work part time and as a relief pharmacist.
I am so sad that this is the life other pharmacists must look forward to.
Sincerely
Location: Benton, AR
Posts: 1
I so agree with you Michele. I think people are just getting meaner and the corporate people just make it worse by promising customer everything under the sun!!! We just had our budge cut again for the 3rd time this year but the corporate people want us to do more, promise more and do it faster than ever but with less help. I have been with this pharmacy 10 years and I have never felt so unappreciated in my entire life. I am now looking for another job but with graduation time here jobs are few and far between.
Location: North Brunswick, NJ
Posts: 18
I remember while working as a tech, the pharmacist at the time said that retail pharmacists last about 10yrs before the job takes a real toll. I've been doing this now for 12 yrs. I have my good days as well as bad and I'm sure you do too. I try to treat every day as a new day and go to work with a positive attitude. Fortunately, my main full time tech and I are great friends and really enjoy working with each other. She picks me up when I start feeling overwhelmed and we try to make each other laugh. I don't think I would survive if it wasn't for my coworkers. I hope that you have some type of outlet. Oh and I have to add, I joined kickboxing and boy what stress relief that is!! I get to release all of my pent up anger and frustrations. I highly recommend it!! I wake up the next morning feeling rejuvenated. My hope for us retail pharmacists is that corporate will hear us and realize that we are human and that we are capable of only doing so much and can only handle so much stress before we completely burn out or worse make a mistake that can cost us our license and cost them big in law suits. It's a lose, lose situation. Thanks so much for your comment.
Location: Missouri City, TX
Posts: 1
I worked retail for just short of 3 years. I ran, screaming and crying, from the environment that you just described. That was 22 years ago and I now have my own Assisted Living/Dementia Care consulting firm. However, now that I am the mother to 3 children, I think I could handle the rudest customer with my "mom" voice and look. Even as a "newbie", I could look the assistant manager of the Walgreens in the face and say, every so sweetly, "when you're a pharmacist, you can tell me how to treat my customers". Retail sucks...
Location: North Brunswick, NJ
Posts: 18
Hello, thank you for your comment. I think having my two children has taught me to have incredible patience. I ask myself on many occasions how it is that I have managed to survive for 12 yrs in this setting. Going home to my family at the end of a rough day always seems to reinforce why I put up with the things I do and I guess at the end of the day, I am able to support them and provide them with a decent living. I hope to eventually open myself up to other opportunities but at the moment nothing has presented itself. How did you get into consulting? Sounds really interesting.
Location: Philadelphia, PA
Posts: 1
OK .... so we all have the same problems with our respective patients/customers ... However the question is..... is it really their fault? If a two year old wants to stay up until 2AM and is miserable the following day is the child or the parent to blame? If pharmacists demanded the respect that a professional deserves it most probably would follow, I know that i do and it usually does. There are always patients and/or supervisors that feel differently and attempt to exert their authority but it is my responsibility to to accept their lack of courtesy or not.
Education does not create respect we do.
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