Do US pharmacists use the title 'doctor'

[ZpackSux]

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we do well financially in private prac not in hospitals. i hope to just prescribe antibiotics and analgesics.

btw, md's discover efficasious doses, not pharmD's. you guys just follow orders. if the ada says rx viagra for cavities, then pharms fill it like a b***h

LOL... and with your attitude.. you'll be begging for customers...

MDs discover efficasious doses?? I like to think therapeutic doses of a new medication is not really "discovered" rather determined through clinical trials involving a team of reserchers including MD, PhD, PharmD, DDS... and also chiming in are some JDs...for legality.

Grasshopper..you have so much to learn.

 

[ZpackSux]

you suggest, you don't have scope to treat.

But you can clean my teeth and bleach.. and show me how to properly floss...

Credit card or Cash?? or Delta Dental??

 

[realysa]

So a dentist can practice medicine? Sweet, I'm gonna go get a prescription for some triamcinolone cream for my football game sunburn. If I ever need to be intubated, I'll ask for a DDS, I bet they are cheaper than the ER. I'll get one of those medwatch bracelets that read: DDS intubation. Yup. Dentists practicing medicine.

Dude, you're ******ed. Seriously.
A) Who gives a flying f$ck about the title thing
B) You can't even form a rational argument
C) Yo mama.

btw, this colleague of yours got me started. maybe he's only a bs pharm. props to all pharmD's. let's play nice, doctors

 

[realysa]

But you can clean my teeth and bleach.. and show me how to properly floss...

Credit card or Cash?? or Delta Dental??

sure i'll help. make sure you bring your own floss on your way out. aisle 5?

 

[sdn1977]

you suggest, you don't have scope to treat.

oh...but I do - did you say you wanted Plan B for your girlfriend (since by the age you are, you still don't know which condom fits properly & need to have a pharmacist find it for you...)? Well...its not OTC yet - do you want to wait until Dec or Jan or do you want me to prescribe it today?????

Also..I have the right to refuse to fill any rx which is inappropriate & I would have in both of these cases! Fortunately...the dentists felt my "suggestions" were appropriate - aaaah the beauty of interprofessional relationships - which you seem to be lacking...

Well...just try to get along - or not. Now...when someone asks me in the area for a good dentist....I'll remember your name as a "difficult" prescriber - go along to get along....right???? or not......in your world, referrals are the key....have you gotten to that class yet????

Anectodal????? Well....perhaps it was anectodal, but me & 98 of my classmates went to the same classes with 80 dental students & 110 medical students - thats a bit more than anectodal. I know about 50 practicing dentists personally since one of our friends is the president of the county dental society.....but, whatever...you're a dental student so you must know it all... Good luck with that!

 

[sdn1977]

btw, this colleague of yours got me started. maybe he's only a bs pharm. props to all pharmD's. let's play nice, doctors

now...I'm thinking a troll....bringing up issues of which he/she has absolutely no knowledge!

 

[ZpackSux]

LOL...hey Realysa.. I found your stat..

i've been out of school for over 6 years

submitted my app on july 31
processed on sept 15

overall gpa: 3.2
science gpa: 2.9
dat: 21 academic, 15 pat

applied to: stony brook, columbia, nyu, temple, boston

interviewed: stony brook (oct 1), temple (oct 15), nyu (nov 11), columbia (nov 15)

accepted: nyu, so far

i haven't heard anything from boston. do they send out rejection letters? anyone know?

You've been out of school for 6 years in 2002?? So you're almost 30?? I could swear you were much younger...

Science GPA 2.9???

Aren't you smart....

Hey..what brand of Floss do you recommend??

 

[sdn1977]

LOL...hey Realysa.. I found your stat..



You've been out of school for 6 years in 2002?? So you're almost 30?? I could swear you were much younger...

Science GPA 2.9???

Aren't you smart....

Hey..what brand of Floss do you recommend??

And still can't get his/her own Trojans or Magnums or find the tampons?😱

 

[ZpackSux]

And still can't get his/her own Trojans or Magnums or find the tampons?😱

That boy couldn't get into neither USC nor UCSF rx school... LOL..

 

[realysa]

oh...but I do - did you say you wanted Plan B for your girlfriend (since by the age you are, you still don't know which condom fits properly & need to have a pharmacist find it for you...)? Well...its not OTC yet - do you want to wait until Dec or Jan or do you want me to prescribe it today?????

Also..I have the right to refuse to fill any rx which is inappropriate & I would have in both of these cases! Fortunately...the dentists felt my "suggestions" were appropriate - aaaah the beauty of interprofessional relationships - which you seem to be lacking...

Well...just try to get along - or not. Now...when someone asks me in the area for a good dentist....I'll remember your name as a "difficult" prescriber - go along to get along....right???? or not......in your world, referrals are the key....have you gotten to that class yet????

Anectodal????? Well....perhaps it was anectodal, but me & 98 of my classmates went to the same classes with 80 dental students & 110 medical students - thats a bit more than anectodal. I know about 50 practicing dentists personally since one of our friends is the president of the county dental society.....but, whatever...you're a dental student so you must know it all... Good luck with that!

look, you as a pharm (nor the profession) don't decide what's appropriate. if the ama or the ada says viagra is effective for foot fungus or bad breath, then you fill it. pharms follow orders of clinicians.

 

[ZpackSux]

look, you as a pharm (nor the profession) don't decide what's appropriate. if the ama or the ada says viagra is effective for foot fungus or bad breath, then you fill it. pharms follow orders of clinicians.

actually...if we get a viagra order as an antifungal or for halitosis, first we deny the order then second, we start a peer review against the prescriber... Fun Fun Fun...

But we do use Sildenafil for pulmonary hypertension... and we'll fill it.

 

[ZpackSux]

Dood...did you really have 2.9 Science GPA????

 

[ZpackSux]

And Dood... you're getting your butt kicked pretty badly by a couple of lowly druggists... why don't you move on??👍 😍

 

[realysa]

LOL...hey Realysa.. I found your stat..



You've been out of school for 6 years in 2002?? So you're almost 30?? I could swear you were much younger...

Science GPA 2.9???

Aren't you smart....

Hey..what brand of Floss do you recommend??

r

i'm damn proud of what've done before school. how about you? did you want to count pills since high school? d id you do the pathetic 6 year pharmD program out of high school?

yes, gpa sucks, but went to top 20 undergrad. where did go? i bet community college to pharm school.

 

[genesis09]

Not a single pharmacy college I know of will want to accept a science GPA below 3.0. What makes you think our classes are watered down? It isn't practical for us to take class with the medical students. Their schedule is very different than ours. Plus, there is no lecture hall on the west side to really hold us. In my year, 2009, there were 162 pharmacy students and 210 medical students. The dental school had about 75 students in the year, and nursing had 100. Any health science student would know that pharmacy students take more pharmacology than anyone else.
Nursing students take their pharmacology combined with pathophysiology. MD students take no more than a year, at UIC, they do not even take a full year's worth.
For my two years of undergrad, I went to UIC. I was a member of the Honors College and kept a 3.5 GPA. Those two years were very intensive. I held my own against the pre-Meds. At UIC, there are only 2-3 true community college only students. 60% of my class already have a degree.
For the thousandth time, pharmacist do not count pills. In fact, I've never seen a pill in my life. Pills are not made any more. You see tablets and capsules etc, but not pills.

 

[ZpackSux]

r

i'm damn proud of what've done before school. how about you? did you want to count pills since high school? d id you do the pathetic 6 year pharmD program out of high school?

yes, gpa sucks, but went to top 20 undergrad. where did go? i bet community college to pharm school.

LOL... pissy pissy...

Yes, you should be very proud...

Actually, I wanted to count pills since Junior High... but I've never got to count any pills since I finished rx school...

I went to Texas A&M undergrad..with BS in Biochem. I got accepted to Princeton undergrad but A&M gave me a full academic scholoarship. Not bad for a New Orleans boy..eh?

 

[realysa]

actually...if we get a viagra order as an antifungal or for halitosis, first we deny the order then second, we start a peer review against the prescriber... Fun Fun Fun...

But we do use Sildenafil for pulmonary hypertension... and we'll fill it.

you're missing the point! you're an idiot. i think you're smart enough to understand, but just want to deny the fact that clinicians (as a body) decide what drugs get prescribed and pharms fill the order.

 

[sdn1977]

look, you as a pharm (nor the profession) don't decide what's appropriate. if the ama or the ada says viagra is effective for foot fungus or bad breath, then you fill it. pharms follow orders of clinicians.

Oh yes I do decide what's appropriate! And...no I don't follow orders of clinicians (were your referring to yourself as a dental student - which gives you absolutely no authority at all......) or were you referring to prescribers???? I use my judgement in which orders to follow & which I do not. Most are written by reasonable prescribers who have no trouble with communication. That does not seem to be your forte.

Oh....and as for who determines the "approved" indications for the drugs - neither the AMA nor the ADA have any say.....it is the FDA & the subsequent clinical papers which document the "off-label" uses. These papers are not usually published in the AMA nor the ADA Journals - those are usually the secondary or tertiary publications of the primary research.

You are going to have a very long & difficult career ahead! But...again - best of luck! You seem to be a very arrogant & insecure future dentist - have you passed a board exam yet???

 

[ZpackSux]

you're missing the point! you're an idiot. i think you're smart enough to understand, but just want to deny the fact that clinicians (as a body) decide what drugs get prescribed and pharms fill the order.

LOL...actually you're missing the point. I'm mocking you and you don't get it...

 

[realysa]

Not a single pharmacy college I know of will want to accept a science GPA below 3.0.QUOTE]

sure, what's the color of the sky in your world?

 

[ZpackSux]

Actually you don't get it... it's the Bean Counters and Pharmacoeconomists (pharmDs) who decide for PPMs which medications are on the formulary so the docs can prescribe..

I know, this concept is little beyond you...

 

[realysa]

Oh yes I do decide what's appropriate! And...no I don't follow orders of clinicians (were your referring to yourself as a dental student - which gives you absolutely no authority at all......) or were you referring to prescribers???? I use my judgement in which orders to follow & which I do not. Most are written by reasonable prescribers who have no trouble with communication. That does not seem to be your forte.

Oh....and as for who determines the "approved" indications for the drugs - neither the AMA nor the ADA have any say.....it is the FDA & the subsequent clinical papers which document the "off-label" uses. These papers are not usually published in the AMA nor the ADA Journals - those are usually the secondary or tertiary publications of the primary research.

You are going to have a very long & difficult career ahead! But...again - best of luck! You seem to be a very arrogant & insecure future dentist - have you passed a board exam yet???

who does the research? who takes it to the fda? you pharms! haha!

PhD's, MD's. DDS's, OD's, DPM's

 

[ZpackSux]

Oh yes I do decide what's appropriate! And...no I don't follow orders of clinicians (were your referring to yourself as a dental student - which gives you absolutely no authority at all......) or were you referring to prescribers???? I use my judgement in which orders to follow & which I do not. Most are written by reasonable prescribers who have no trouble with communication. That does not seem to be your forte.

Oh....and as for who determines the "approved" indications for the drugs - neither the AMA nor the ADA have any say.....it is the FDA & the subsequent clinical papers which document the "off-label" uses. These papers are not usually published in the AMA nor the ADA Journals - those are usually the secondary or tertiary publications of the primary research.

You are going to have a very long & difficult career ahead! But...again - best of luck! You seem to be a very arrogant & insecure future dentist - have you passed a board exam yet???

I feel bad for this kid's wife...or futre wife.. can you imagine trying to put up with his insecurities?? LOL

 

[ZpackSux]

who does the research? who takes it to the fda? you pharms! haha!

PhD's, MD's. DDS's, OD's, DPM's

OD? Optometrists? I guess they could...

 

[ZpackSux]

Hey... you want a titanium tipped shovel? It'll help you dig..deeper...and deeper...

 

[genesis09]

Do you know the action of methscopolamine and propantheline? That's what I'm studying right now.
Why is a specific drug chosen? Many times the answer is economic in nature. People want the drug with the low copay. How many times have we had to call the MD to change the script from a new expensive drug to a nice, reliable, old, cheap, generic drug? I say too many times. Most in practice MDs, respect the pharmacist's judgement. You might have problems with the older MDs, but the younger ones, are more respectful.

 

[realysa]

Actually you don't get it... it's the Bean Counters and Pharmacoeconomists (pharmDs) who decide for PPMs which medications are on the formulary so the docs can prescribe..

I know, this concept is little beyond you...

who's talking about formularies you make it sound like pharms created the drugs on the formulary. scientists create drugs, clinicians trial drugs, fda approves drugs, clinicians use drugs, if popular clinicians tell pharms to distribute, then get on formularies.

idiot

 

[ZpackSux]

Hey Realysa... I wrote a signature for you...please copy and post to your sig..


"I'm Realysa. I had 2.9 science GPA from a top 20 undergrad but Columbia Dental School accepted me. I took pathophys with med students and they are the top dogs. I like to belittle pharmacy because it allows me to compensate for my small... you know."

👍

 

[realysa]

Do you know the action of methscopolamine and propantheline? That's what I'm studying right now.
Why is a specific drug chosen? Many times the answer is economic in nature. People want the drug with the low copay. How many times have we had to call the MD to change the script from a new expensive drug to a nice, reliable, old, cheap, generic drug? I say too many times. Most in practice MDs, respect the pharmacist's judgement. You might have problems with the older MDs, but the younger ones, are more respectful.

did you know that bs pharms get the same pay as you! bs degree and pharmD same pay, same job description.

 

[genesis09]

No, PBMs, decide what is on the formulary. The PBMs are cheap; they like old drugs. Who is on that committee? Normally, a combination of pharmacist, MD, pharmacoeconomists. PBMs are notorious for changing around their entire formulary when a drug in a class is about to go generic. Look, at the statins. The first one just went generic, and pretty much all of them redid their lists to have all the other statins on a higher level than this one statin.

 

[ZpackSux]

if popular clinicians tell pharms to distribute, then get on formularies.

Dang... do you really believe what you type?? 🙄

Man..you give Columbia Dental Grads a bad name...I'm going to have to call my bro in Alpine to make sure his dentist isn't a columbia grad in the future.

I don't want you to touch his teeth.

😱

 

[sdn1977]

I feel bad for this kid's wife...or futre wife.. can you imagine trying to put up with his insecurities?? LOL

By the age of 30 he's no kid (or she's no kid)! This kind of dentist, in my experience with them, ususally works for large clinics....they can't afford the overhead & can't hold onto staff since their interpersonal skills are so poor.....but...whatever....there's always a place for a "drill & fill" or just "pull it" dentist. It takes a bit more finesse to convince a pt to actually follow an extensive treatment plan, especially when they make them bring their own floss!

But...whatever....its always good to know there are those out there who know our jobs better than we do. They still have to wait in line for their rx just like the next guy. (oh...and if this individual ever does get hospital privileges, which few dentists even want to have.....they have to get used to being bumped off the or schedule when a trauma or emergent case comes in).

Like I said....lots to learn....

 

[realysa]

Hey Realysa... I wrote a signature for you...please copy and post to your sig..


"I'm Realysa. I had 2.9 science GPA from a top 20 undergrad but Columbia Dental School accepted me. I took pathophys with med students and they are the top dogs. I like to belittle pharmacy because it allows me to compensate for my small... you know."

👍

here's one for you:

i'm a pharmacist. i pretend to be autonomous, even though, chuck, my store manager, pushes me to sell more goobers. i lecture to dental assistants at a local community college about the action of tylenol because it makes me smart and i don't want my doctorate to go to waste.

 

[ZpackSux]

By the age of 30 he's no kid (or she's no kid)! This kind of dentist, in my experience with them, ususally works for large clinics....they can't afford the overhead & can't hold onto staff since their interpersonal skills are so poor.....but...whatever....there's always a place for a "drill & fill" or just "pull it" dentist. It takes a bit more finesse to convince a pt to actually follow an extensive treatment plan, especially when they make them bring their own floss!

But...whatever....its always good to know there are those out there who know our jobs better than we do. They still have to wait in line for their rx just like the next guy. (oh...and if this individual ever does get hospital privileges, which few dentists even want to have.....they have to get used to being bumped off the or schedule when a trauma or emergent case comes in).

Like I said....lots to learn....

I call this troll "kid" because his behavior is equivalent to a drunk 19 year old college kid. Perhaps it's a fabricated internet facade he puts on... and he could be a nice guy with an awesome interpersonal skills... ok, Not...

 

[Caverject]

btw, this colleague of yours got me started. maybe he's only a bs pharm. props to all pharmD's. let's play nice, doctors

yeah...he's a bs pharm all right! idiot

 

[realysa]

By the age of 30 he's no kid (or she's no kid)! This kind of dentist, in my experience with them, ususally works for large clinics....they can't afford the overhead & can't hold onto staff since their interpersonal skills are so poor.....but...whatever....there's always a place for a "drill & fill" or just "pull it" dentist. It takes a bit more finesse to convince a pt to actually follow an extensive treatment plan, especially when they make them bring their own floss!

But...whatever....its always good to know there are those out there who know our jobs better than we do. They still have to wait in line for their rx just like the next guy. (oh...and if this individual ever does get hospital privileges, which few dentists even want to have.....they have to get used to being bumped off the or schedule when a trauma or emergent case comes in).

Like I said....lots to learn....

where's your rebuke of zpack? he's been nasty from the beginning. i guess pharms have to stick together.

 

[sdn1977]

here's one for you:

i'm a pharmacist. i pretend to be autonomous, even though, chuck, my store manager, pushes me to sell more goobers. i lecture to dental assistants at a local community college about the action of tylenol because it makes me smart and i don't want my doctorate to go to waste.

you didn't even do your homework! He's a dop of a hospital!!! He not only makes the formulary decisions for the hospital he handles millions of dollars of - what did you say - goobers???? where you referring to medications?

This more and more cements your professionalism. One day you'll insult the wrong person - perhaps the wife, child, cousin of your dean & you'll get your feet knocked out from under you.

But...you really are the best - I'm convinced now for sure😛 ! Your eloquent & professional manner is a testament to your standing....😎

 

[realysa]

you didn't even do your homework! He's a dop of a hospital!!! He not only makes the formulary decisions for the hospital he handles millions of dollars of - what did you say - goobers???? where you referring to medications?

This more and more cements your professionalism. One day you'll insult the wrong person - perhaps the wife, child, cousin of your dean & you'll get your feet knocked out from under you.

But...you really are the best - I'm convinced now for sure😛 ! Your eloquent & professional manner is a testament to your standing....😎

do dop's of hospitals, make personal attacks on pre-docs? i guess the best ones do.

 

[Caverject]

here's one for you:

i'm a pharmacist. i pretend to be autonomous, even though, chuck, my store manager, pushes me to sell more goobers. i lecture to dental assistants at a local community college about the action of tylenol because it makes me smart and i don't want my doctorate to go to waste.

holy schnikies! you are ******ed!!!

you just mixed in 4 different types of pharmacists into one! The amazing thing is zpack does none of the above

 

[Caverject]

do dop's of hospitals, make personal attacks on pre-docs? i guess the best ones do.

Only on ******ed ones that don't know shi+...

you're a pre-doc!?!? that just made my damn day!!!! roflmao

 

[ZpackSux]

do dop's of hospitals, make personal attacks on pre-docs? i guess the best ones do.

No...I only pick on dumb dental students...

mmm..your short term memory must not be so sharp...the flaming started with you.. here it is..

hey you pill pushers,

it's all historical. the ******ed point about why jd lawyers are not called doctors is because the jd equivalent was the llb (bachelors of legal letters) not too long ago.

pharmacy just followed the lead of law by creating a doctoral degree to get more respect from the public.

that's why the public doesn't call pharmacists nor lawyers doctors. give it another 50 years people start calling you doctors.

as a future dentist, i wonder why you pharmacists don't think we practice medicine, albeit dental medicine. if this is the case, why do you fill our Rx's? because we're doctors and you're registered pharmacists.

 

[realysa]

holy schnikies! you are ******ed!!!

you just mixed in 4 different types of pharmacists into one! The amazing thing is zpack does none of the above

what? napeleon complex, small package, gpa sucks. i just called him an idiot.

 

[ZpackSux]

holy schnikies! you are ******ed!!!

you just mixed in 4 different types of pharmacists into one! The amazing thing is zpack does none of the above

Easy..easy... but those are my aspiration in life!!!

 

[ZpackSux]

what? napeleon complex, small package, gpa sucks. i just called him an idiot.

Hey...I am an idiot.. I can live with that..

In fact..I would rather live with that than "napoleon complex, small package, and low GPA..

 

[realysa]

No...I only pick on dumb dental students...

mmm..your short term memory must not be so sharp...the flaming started with you.. here it is..

please refer to previous post from wvupharm. just defending dentists from ignorant pharms. i suppose you are doing the same, but with personal attacks on me

 

[sdn1977]

where's your rebuke of zpack? he's been nasty from the beginning. i guess pharms have to stick together.

He's been sarcastic - that is different from nasty.

On this forum we banter sarcastically back & forth all the time. You are welcome to banter sarcastically. However, calling people idiots & disparging degrees - BS & PharmD's have no place.

The original question was from a foreign grad (if I remember correctly) about the use of Dr when we are given PharmD's. This has been discussed at length over pages and pages.

When you accused WVU of being a BS pharmacist - that made it apparent you had no idea of how the US education in pharmacy proceeds. There is a whole thread on that, but the fact that he has not graduated yet makes it undeniable he does not have a BS nor will in pharmacy. You also are not aware of the drug approval process, the drug insurance formulary process, the hospital formulary process or the concept of medication management - all of which is a part of our jobs.

We do not try to disparage any clinician. Yes..we try to correct errors - mostly for the pts sake - that is our absolute primary objective. However, we sometimes try to educate our prescribers, as has been explained here. You, however, have chosen to feel our only role is to follow directions blindly. Well..that is your choice to belive such & there is usually no convincing someone otherwise unless a circumstance occurs which personally affects him/her.

Fortunately, we do not follow what you believe. Our purpose & goal is to do our jobs & that does not coincide with what you believe. OK - just leave it at that & stop the negative comments. Sarcasm is fine - just be nice about it!🙂

You've made your point - more than that is just mean spirited.....

 

[genesis09]

Nicely said, sdn 👍

 

[ZpackSux]

please refer to previous post from wvupharm. just defending dentists from ignorant pharms. i suppose you are doing the same, but with personal attacks on me

ohh...quit your whining.. you wanna dish it out...then be able to take it..

If not, then go away.

 

[realysa]

He's been sarcastic - that is different from nasty.

On this forum we banter sarcastically back & forth all the time. You are welcome to banter sarcastically. However, calling people idiots & disparging degrees - BS & PharmD's have no place.

The original question was from a foreign grad (if I remember correctly) about the use of Dr when we are given PharmD's. This has been discussed at length over pages and pages.

When you accused WVU of being a BS pharmacist - that made it apparent you had no idea of how the US education in pharmacy proceeds. There is a whole thread on that, but the fact that he has not graduated yet makes it undeniable he does not have a BS nor will in pharmacy. You also are not aware of the drug approval process, the drug insurance formulary process, the hospital formulary process or the concept of medication management - all of which is a part of our jobs.

We do not try to disparage any clinician. Yes..we try to correct errors - mostly for the pts sake - that is our absolute primary objective. However, we sometimes try to educate our prescribers, as has been explained here. You, however, have chosen to feel our only role is to follow directions blindly. Well..that is your choice to belive such & there is usually no convincing someone otherwise unless a circumstance occurs which personally affects him/her.

Fortunately, we do not follow what you believe. Our purpose & goal is to do our jobs & that does not coincide with what you believe. OK - just leave it at that & stop the negative comments. Sarcasm is fine - just be nice about it!🙂

You've made your point - more than that is just mean spirited.....

i never claimed to know much about the drug approval process nor about formularies.

please, concede the fact that clinicians (md, phd, dds) are the prime movers
in doing the basic research of creating a new drug. this is my point. pharms are not driving research. fda approval nor formulary acceptance was an issue for me. if clinicians don't prescribe it, then pharmacists won't put it on. it's not pharmacists put it on formulary, then clinicians prescribe it. i'm not talking about generics or drugs with similar action.

 

[Caverject]

He's been sarcastic - that is different from nasty.

On this forum we banter sarcastically back & forth all the time. You are welcome to banter sarcastically. However, calling people idiots & disparging degrees - BS & PharmD's have no place.

The original question was from a foreign grad (if I remember correctly) about the use of Dr when we are given PharmD's. This has been discussed at length over pages and pages.

When you accused WVU of being a BS pharmacist - that made it apparent you had no idea of how the US education in pharmacy proceeds. There is a whole thread on that, but the fact that he has not graduated yet makes it undeniable he does not have a BS nor will in pharmacy. You also are not aware of the drug approval process, the drug insurance formulary process, the hospital formulary process or the concept of medication management - all of which is a part of our jobs.

We do not try to disparage any clinician. Yes..we try to correct errors - mostly for the pts sake - that is our absolute primary objective. However, we sometimes try to educate our prescribers, as has been explained here. You, however, have chosen to feel our only role is to follow directions blindly. Well..that is your choice to belive such & there is usually no convincing someone otherwise unless a circumstance occurs which personally affects him/her.

Fortunately, we do not follow what you believe. Our purpose & goal is to do our jobs & that does not coincide with what you believe. OK - just leave it at that & stop the negative comments. Sarcasm is fine - just be nice about it!🙂

You've made your point - more than that is just mean spirited.....

don't you have a husband to make happy on a friday night? sheesh