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Medical Forum / General / Pharmacy / October 2003

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Besides counting pills.....

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moniker@spamdump.org - 20 Oct 2003 01:41 GMT
(sincere question, not a troll). I was considering Pharmacy as a career, in
main due to the salaries and demand. But, what actually to most pharmacists
do, other than stand on their feet and count pills? I mean, at least on the
surface, there doesn't seem to be much to the job? Also, from the times I've
been to 3rd world countries, the profession seems to be only high paid in the
USA, at least judging from the characters I see behind the countre in some
of these countries. Maybe I'm thick, but I don't get it. Why the high salaries.
These guys don't advise patient much any more about drugs, they just read the
prescription, sometime verify with the doc by phone, go get the pills, count
them out and sell them to the customer. What's the big deal?
James Pinkerton - 20 Oct 2003 02:26 GMT
> (sincere question, not a troll). I was considering Pharmacy as a career, in
> main due to the salaries and demand. But, what actually to most pharmacists
[quoted text clipped - 6 lines]
> prescription, sometime verify with the doc by phone, go get the pills, count
> them out and sell them to the customer. What's the big deal?

Well the salaries of Pharmacists have only recently become high.  Most of
the time that I worked at Sinai Hospital in Detroit, MI years ago my salary
was not much higher than that of the automobile workers for Ford Motor
Company.  A staff pharmacists did not make that much money, nothing like
middle management Ford Executives.  We generally got a cost of living
allowance about equal to the inflation index.  There was no shortage of
pharmacists then, only people willing to work for what the hospitals paid.
The influx of women pharmacists has helped make a shortage.  A woman is
supposed to put her family and kids ahead of making money and that requires
part-time work or staying at home.

Filling prescriptions is liking flying an airplane.  Most of the time it is
very routine and must be very organized.  It is not very exciting.  More
like boring as most pharmacies do not have outside windows to look out of..
You DO have to know what you are doing with doctors scribbling prescriptions
and with all the similar sounding brand and generic names. Look up some
lawsuits involving pharmacies that have dispensed incorrect drugs which
resulted in the death of patients. A  liquid prescription just killed a kid
in Japan.  The hospital pharmacists dispensed a liquid ten times too strong.
Actually standing up all day, answering multiple telephone calls, doing
several important things at once, and dealing with irate customers and
insurance companies is not all that pleasant.
Paul Trusten - 20 Oct 2003 12:16 GMT
Healthsystem or hospital pharmacy, where I am,  is an alternative type of
pharmacy practice. There is a great deal more clinical involvement in
hospital practice, and since, in the case of my hospital,  we have no
outpatient division, none of the bother of community pharmacy practice (no
third party "negotiations", no angry public, no telephone ear, we have
regular meal breaks, and we do our work sitting down). Nurses and physicians
depend upon us for a range of drug information from the mundane to the
occasionally complex. Sure, there is some tedium, but there is a definite
sense of need. Dosage units (tablets, capsules and the like) are dispensed
by the unit dose, individually packaged, and we do what only a small number
of community based pharmacies do---prepare sterile products such as large
volume IV fluids and intermittent or continuous IV medications (antibiotics,
narcotics, cardiovascular).

I worked retail for 12 years prior to this, and hospital practice is far and
away the better environment. Also, the traditional salary gap between retail
and hospital practice has closed. Used to be hospital earned less. Not true
any more.

Signature

Paul Trusten, R.Ph.
3609 Caldera Boulevard Apartment 122
Midland TX 79707-2872 USA
432-694-6208
ptrusten@cox.net

"There are two cardinal sins, from which
all the others spring: impatience and laziness."

                                         ---Franz Kafka

> (sincere question, not a troll). I was considering Pharmacy as a career, in
> main due to the salaries and demand. But, what actually to most pharmacists
[quoted text clipped - 6 lines]
> prescription, sometime verify with the doc by phone, go get the pills, count
> them out and sell them to the customer. What's the big deal?
Anonymous - 20 Oct 2003 13:43 GMT
I am a community pharmacy and we do not count pills..our techs and robot do
that
There is not a day that goes by where I don;t make a difference.
Explain dosages to an elderly person
Catch wrong drugs or doses called in by offices
Catch wrong directions
Catch interactions

But if its the money, forget it.
You will be miserable in a short time.  We already have enough
of you and the profession is suffering
jp
Aimee G - 20 Oct 2003 14:00 GMT
Not only all this... but being in a community pharmacy gives you a chance to
be a part of your COMMUNITY. You may not get a lot of downtime in a busy
store, but never underestimate the power that a sympathetic smile and a few
kind words will have.

Come Christmas time, I get cookies from my customers. What can be a better
reward?

Aimee

> I am a community pharmacy and we do not count pills..our techs and robot do
> that
[quoted text clipped - 8 lines]
> of you and the profession is suffering
> jp
Nicole H - 22 Oct 2003 06:37 GMT
I use an independent pharmacy and absolutely love them.  They are an
intricate part of my health care.  I have systemic lupus and any questions
regarding meds I have, they take the time to look up and answer.  They know
me by first name, the moment I enter the door (i don't think that's a good
thing LOL)
I've used other pharmacies and always go back to them.  Will never leave
again!

Nicole who will remember to give a Xmas present this year
> Not only all this... but being in a community pharmacy gives you a chance to
> be a part of your COMMUNITY. You may not get a lot of downtime in a busy
[quoted text clipped - 19 lines]
> > of you and the profession is suffering
> > jp
jdarph - 21 Oct 2003 03:00 GMT
>But if its the money, forget it.
>You will be miserable in a short time.  We already have enough
>of you and the profession is suffering

At first I thought this remark was rather offensive. But after
considering the attitudes of the last couple of student interns I had,
I need to agree with you.

The current shortage is the only reason many of today's pharmacists
stay employed.
>jp
 
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