I've had enough

[WVUPharm2007]

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Sorry....I am obviously defective and a huge loser. I know I sound like it. I fail at life and I feel worse after posting here. I really need to make this all go away; I can't stop crying. Thanks to the kind people who PMed me. I am so fragile right now and I don't want to make you all think I am worthless.

Go see a psychiatrist. I'm not being mean or sarcastic. Google one in your town and call them. Today.

 

[TemSirolimus]

Go see a psychiatrist. I'm not being mean or sarcastic. Google one in your town and call them. Today.

Or else, find a Crisis number for your area. CALL IT. Obviously you are smart and productive enough to have become a pharmacist in the first place. Truth is, there is no consolation in a forum like this.

Seek help immediately.

 

[type b pharmD]

Or else, find a Crisis number for your area. CALL IT. Obviously you are smart and productive enough to have become a pharmacist in the first place. Truth is, there is no consolation in a forum like this.

Seek help immediately.

yep

 

[rxforlife2004]

come on...your job can't be worse than this:

"Hi, My name is Hans Dowwen and I come from Sweden. My job is crap - literarily! Yes I am a toilet attendant. Now I know that there are many toilet attendants in the world but I think my job is worst of all. Why? Because I work in the Stockholm Constipation Clinic. So what's so bad about that - well people come to the clinic because they have not been able to crap. Sometimes there have people who have not had a good **** for weeks. An what happens - well they are given tablets and potions and have things stuffed up there bums. And what happens next - yes that's right weeks of pent up festering **** comes hurling out. This vile smelling disgusting stuff blocks up the WCs and I need to unblock it. It also comes out at such a force it goes all over the walls and floors. And who needs to clean up - yes me! So what do I get paid for this disgusting job - 80,000 Swedish Krona - about $11,000. Not a lot for all the crap I take".

cheers

 

[Pharmacy Kid]

IHS or PHS in general isn't for introverted loners.

 

[SHC1984]

I am miserable. stressed. my hours are awful and I am not with a consistent crowd of people (I have social anxiety). I am really to throw in the towel right now as I can't stare down 30 more years of doing this God-awful job. It's killing me. Does anyone else relate? I just don't know how people can stand being a pharmacist.

Wow and I thought I hated my job at Walgreens. LOL...You hate with a passion!

 

[RNtoPharmD]

Go see a psychiatrist.

Naf- not psychiatrist. Go see career counselor/psychotherapist or psychologist instead because you don't think you need medication yet. I can relate to you when thinking about my previous nursing jobs. Some people want to find meanings in what they do and reach their full potential. As a result, they are quite idealistic about finding a working environment that fit them. There is nothing wrong with this sort of feeling. "Maybe" the most working environment in pharmacy do not match you personality. You cannot change what you have done (taking out school loans and becoming a pharmacist) but you can plan for the next steps. Planning may give you hope and purpose in life. Talk to psychologists/mental health counselor.

 

[Pharmavixen]

I am miserable. stressed. my hours are awful and I am not with a consistent crowd of people (I have social anxiety). I am really to throw in the towel right now as I can't stare down 30 more years of doing this God-awful job. It's killing me. Does anyone else relate? I just don't know how people can stand being a pharmacist.

I also have social anxiety, and working retail was therapeutic, far as that goes. When you have all these people screaming at you, being whiny jerks, etc, it forces you to grow a thicker skin. Ultimately, though, I felt in the long term the stress was going to kill me, and I got out of retail about 12 years ago (except for a one-day-a-week 4 year gig in a methadone clinic that I left 2 years ago after discovering that I hated retail much as ever).

 

[Pharmavixen]

Sorry I won't post anymore. I am not looking for medical help here. I just want to see if its me or pharmacy and it seems like it is me. Goodbye and I am sorry.

I read further down and saw this. There are lots of options in pharmacy. I hated retail with a passion bordering on mania - I'm convinced the stress caused me to have my 2nd daughter 1 month premature. I have worked in a jail for the past 13 years, and it's WAY better than retail - not trying to be funny.

 

[sundogoh]

I am miserable. stressed. my hours are awful and I am not with a consistent crowd of people (I have social anxiety). I am really to throw in the towel right now as I can't stare down 30 more years of doing this God-awful job. It's killing me. Does anyone else relate? I just don't know how people can stand being a pharmacist.

These are some of the feelings I had when I worked retail. I left to work in hospital about 8 years ago. It was a paycut and 2nd shift hours (although fewer weekends). However, it was well worth it and I no longer dread going to work. Sounds like a change of scenery would do you well. I don't think it's you. You just need a position better suited to you.

 

[MountainPharmD]

These are some of the feelings I had when I worked retail. I left to work in hospital about 8 years ago. It was a paycut and 2nd shift hours (although fewer weekends). However, it was well worth it and I no longer dread going to work. Sounds like a change of scenery would do you well. I don't think it's you. You just need a position better suited to you.

Read the whole thread....the OP works in a hospital.

 

[sundogoh]

Read the whole thread....the OP works in a hospital.

Sorry. Thought I read the whole thread but I guess I missed that post. OP's initial post reminded me so much of the feelings I had in retail. I think seeking a new position still applies. Made a huge difference for me.

 

[MountainPharmD]

Sorry. Thought I read the whole thread but I guess I missed that post. OP's initial post reminded me so much of the feelings I had in retail. I think seeking a new position still applies. Made a huge difference for me.

I did the same thing. I assumed he worked at CVS or Walgreens.

 

[crazybob]

So what about all of my classmates who went from working retail to hospital and said it's less stressful and they like it so much better? Does it just depend on the person?

 

[Filler]

So what about all of my classmates who went from working retail to hospital and said it's less stressful and they like it so much better? Does it just depend on the person?

Could also depend on the hospital, I work in one that's being managed like a zoo. For once in my life I think I am looking forward to school again in the fall...

 

[PharmaTope]

how are some of you posting about hot drug reps on here without posting a picture?

no women on the internet are hot until proven otherwise.... Internet Rule #1

 

[Medwell]

no women on the internet are hot until proven otherwise.... Internet Rule #1

That is NOT rule #1. That's rule #32.

 

[tungsten87]

you can tell Spiriva is hot from her avatar... duh.

 

[crazybob]

you can tell Spiriva is hot from her avatar... duh.

I've also heard that too. I've seen someone say that Spiriva looks similar to the way she does on her avatar, but that was only one person's opinion. I think it was a pharmacist who said it.

 

[Style]

I've also heard that too. I've seen someone say that Spiriva looks similar to the way she does on her avatar, but that was only one person's opinion. I think it was a pharmacist who said it.

Why did you mention the underlined portion? Is that suppose to add some level of credibility?

 

[Style]

I am miserable. stressed. my hours are awful and I am not with a consistent crowd of people (I have social anxiety). I am really to throw in the towel right now as I can't stare down 30 more years of doing this God-awful job. It's killing me. Does anyone else relate? I just don't know how people can stand being a pharmacist.

What do you dislike so much about it besides the inconsistent crowd? What are your awful hours? Evening shift? I'm curious about why you dislike your hospital job, because many pharmacists seem to enjoy it compared to retail.

 

[bacillus1]

OP's not posting here anymore, I even think they said that they're not posting here anymore. I hope the OP is OK.

 

[Sparda29]

What do you dislike so much about it besides the inconsistent crowd? What are your awful hours? Evening shift? I'm curious about why you dislike your hospital job, because many pharmacists seem to enjoy it compared to retail.

From what I've seen so far at a hospital pharmacy, perhaps how some physicians and nurses are absolute idiots. It can get to you after a while. We got this medication order yesterday.

Renagel 400 mg TID for GERD. 😕 I'm sure they probably meant ESRD, but does it take that much time to make sure?

 

[rxlea]

From what I've seen so far at a hospital pharmacy, perhaps how some physicians and nurses are absolute idiots. It can get to you after a while. We got this medication order yesterday.

Renagel 400 mg TID for GERD. 😕 I'm sure they probably meant ESRD, but does it take that much time to make sure?

The nurses....gaaaawwwwdd. Not all are bad but some of them, I do wonder...We had one ask if you can crush enteric coated aspirin the other day and then there was one who asked how they can split pregabalin capsules <<<doctor entered the order incorrectly and the pharmacist didn't catch it hahahaha

 

[Sparda29]

The nurses....gaaaawwwwdd. Not all are bad but some of them, I do wonder...We had one ask if you can crush enteric coated aspirin the other day and then there was one who asked how they can split pregabalin capsules <<<doctor entered the order incorrectly and the pharmacist didn't catch it hahahaha

I wonder what does it take to become a nurse. Something I've noticed when I'm out on the floors. I always hear patients calling out for the nurse or sometimes they ask me for something, and I've been told to just ignore them. What's the reasoning behind this?

 

[rxlea]

I wonder what does it take to become a nurse. Something I've noticed when I'm out on the floors. I always hear patients calling out for the nurse or sometimes they ask me for something, and I've been told to just ignore them. What's the reasoning behind this?

They tell you to ignore them? That is odd...at least that would be odd at my hospital. Sometimes when I have gone up to deliver stuff, patients have called out to me and I ask them what they need and then get their nurse for them.... or the patient's family has asked me for some juice or cereal so I get it from the med room fridge for them.

As far as schooling...some nurses go to some really great schools and others go through those for profit accelerated programs where you can pretty much be as smart as a bag of rocks and still get through - at least that is what one of the nurses told me who went through such a program. She said the school did NOT prepare her AT ALL for becoming a nurse. I have noticed that the nurses in the ICU and hem/onc are especially competent, compassionate, and kind. I guess they would have to be since they see so much death...

 

[Sparda29]

They tell you to ignore them? That is odd...at least that would be odd at my hospital. Sometimes when I have gone up to deliver stuff, patients have called out to me and I ask them what they need and then get their nurse for them.... or the patient's family has asked me for some juice or cereal so I get it from the med room fridge for them.

As far as schooling...some nurses go to some really great schools and others go through those for profit accelerated programs where you can pretty much be as smart as a bag of rocks and still get through - at least that is what one of the nurses told me who went through such a program. She said the school did NOT prepare her AT ALL for becoming a nurse. I have noticed that the nurses in the ICU and hem/onc are especially competent, compassionate, and kind. I guess they would have to be since they see so much death...

Yup, they tell me to ignore them. For example, the other day a patient asked me to move her (in her wheelchair) from the general television watching area back to her room. Nurse looked at me and just rolled her eyes and told me to ignore them. Today, a different patient asked if he could use my cell phone and offered me $600 cash If I let him make a call. I was tempted to do it, but I suspected a trap.

 

[confettiflyer]

I'll save you the time. There ain't **** in Philly except high level hospital and a safeway floater position over in joisey.

they have safeways in jersey? i haven't seen one. but yeah you're right, my hospital & a few others have been hiring specialist/quasi-specialist spots (ID, IT). we've been hiring other staff too (techs, interns).

 

[Filler]

I have noticed that the nurses in the ICU and hem/onc are especially competent, compassionate, and kind. I guess they would have to be since they see so much death...

Completely agree, the nurses stationed at the Units (CCU, MICU/SICU, Telemetry, etc) are the BEST.

 

[crazybob]

Why did you mention the underlined portion? Is that suppose to add some level of credibility?

I think there are some pharmacists on this forum who talk to her quite a bit, so I was just guessing. Conversations between a student and a pharmacist can be quite different from conversations between two pharmacists.

 

[PharmDstudent]

Nafcillin- Have you ever taken a personality test?

I think you're an INTp (NiTeFiSe). Ni would be your primary, Te your secondary, Fi your tertiary, and Se your last and least-developed function. The application of "what works and what doesn't" suggests that you use introverted intuition to apply extroverted thinking. Ni builds the "pattern" and Te applies it. Fi may manifest as depression or social ineptness, if your work environment is too hostile towards you. An uneasiness and dislike for an inconsistent work environment could be your least developed function coming through and struggling- Se.

My close relative is INTp, and she has social anxiety and anger issues, too... but she's successful. 🙂

Ni makes for a hard life. People don't understand my train of thought, a rock hits my stomach every time management comes in because I *know* they'll find something wrong, and coupon cards have gotten the best of me- because they *always* suck. I'm INFp (NiFeTiSe), and it only takes 2 or 3 times of something happening for me to see the "pattern".

Fe saves my ***. If it weren't for Fe, then I would be rude and condescending towards everyone, because I wouldn't care to interact with people.

Anyway... As an INTp pharmacist, I would go into academia or become an entrepreneur, both of which would utilize Ni and Te well. And Fi would be less of an object, I would think, since those fields require and value functions like Ni and Te.

 

[jinga]

OP's not posting here anymore, I even think they said that they're not posting here anymore. I hope the OP is OK.

The OP is doing fine, but they won't be posting for awhile.

 

[RNtoPharmD]

I'm INFp (NiFeTiSe), and it only takes 2 or 3 times of something happening for me to see the "pattern".

I thought you were INF"J". 🙂 I think the poster is "F" instead of "T". Most people with "T" have ability to s**k it up and tell themselves that "yeah, this is just a job that I have to do to survive" It won't bother them to the extent that they feel depressed or anxious.

I am INFP too. Yes. I can feel you. it is very difficult to live in the "S" world. Most pharmacy jobs emphasize S(sensing characteristics) such as "efficiency", "speed", and accuracy (details and facts). They care only for the results (mistakes, productivity). Academia is best for me but it doesn't pay much.

Is this the reason why you want to further you education (med schools??) where you may be able to use your "N" function more?

 

[charfdorn]

Jesus...you guys are scaring the crap out of me with retail.

Everything in life is about perspective. You can take the attitude of the OP, and freak out over it, or you can take Industry PharmD's approach and look for something more fulfilling. In the mean time, look for the positives in your current situation. Almost everybody in this world ends up doing a job they don't like, either in part or in whole. That doesn't mean you have to be an unhappy person.

 

[PharmDstudent]

I thought you were INF"J". 🙂 I think the poster is "F" instead of "T". Most people with "T" have ability to s**k it up and tell themselves that "yeah, this is just a job that I have to do to survive" It won't bother them to the extent that they feel depressed or anxious.

I am INFP too. Yes. I can feel you. it is very difficult to live in the "S" world. Most pharmacy jobs emphasize S(sensing characteristics) such as "efficiency", "speed", and accuracy (details and facts). They care only for the results (mistakes, productivity). Academia is best for me but it doesn't pay much.

Is this the reason why you want to further you education (med schools??) where you may be able to use your "N" function more?

I'm INFJ or INFp. They're the *same*.
I'm not INFP, which is the same as INFj.

MBTI uses J/P and Socionics uses j/p. With introverts, the judging and perceiving letters will flip between systems. With extroverts, the judging and perceiving letters are the same. So, ESFP is the same as ESFp, but ISFP is the same as ISFj.

If you're INFP, then you'd be INFj. The functions for that type are: FiNeSiTe.

T's are bothered by depression and stress, too. Every type has an F function, even though it's not a primary or secondary function for T's. They aren't machines (without feelings)... 😛

 

[PharmaTope]

Nafcillin- Have you ever taken a personality test?

I think you're an INTp (NiTeFiSe). Ni would be your primary, Te your secondary, Fi your tertiary, and Se your last and least-developed function. The application of "what works and what doesn't" suggests that you use introverted intuition to apply extroverted thinking. Ni builds the "pattern" and Te applies it. Fi may manifest as depression or social ineptness, if your work environment is too hostile towards you. An uneasiness and dislike for an inconsistent work environment could be your least developed function coming through and struggling- Se.

My close relative is INTp, and she has social anxiety and anger issues, too... but she's successful. 🙂

Ni makes for a hard life. People don't understand my train of thought, a rock hits my stomach every time management comes in because I *know* they'll find something wrong, and coupon cards have gotten the best of me- because they *always* suck. I'm INFp (NiFeTiSe), and it only takes 2 or 3 times of something happening for me to see the "pattern".

Fe saves my ***. If it weren't for Fe, then I would be rude and condescending towards everyone, because I wouldn't care to interact with people.

Anyway... As an INTp pharmacist, I would go into academia or become an entrepreneur, both of which would utilize Ni and Te well. And Fi would be less of an object, I would think, since those fields require and value functions like Ni and Te.

id like to take one of these tests. where can i take one?

 

[Praziquantel86]

The nurses....gaaaawwwwdd. Not all are bad but some of them, I do wonder...We had one ask if you can crush enteric coated aspirin the other day and then there was one who asked how they can split pregabalin capsules <<<doctor entered the order incorrectly and the pharmacist didn't catch it hahahaha

So why is the nurse the only one who's an idiot there? It seems that three people made the same mistake.

 

[rxlea]

So why is the nurse the only one who's an idiot there? It seems that three people made the same mistake.

With the pregabalin, she wasn't the one who made the mistake. I just thought it was weird how it made it all the way to the nurse.

 

[Thumper17]

The nurses....gaaaawwwwdd. Not all are bad but some of them, I do wonder...We had one ask if you can crush enteric coated aspirin the other day and then there was one who asked how they can split pregabalin capsules <<<doctor entered the order incorrectly and the pharmacist didn't catch it hahahaha

We continually have nurses calling down asking if they can crush extended release products. 😡

 

[Quiksilver]

The nurses....gaaaawwwwdd. Not all are bad but some of them, I do wonder...We had one ask if you can crush enteric coated aspirin the other day and then there was one who asked how they can split pregabalin capsules <<<doctor entered the order incorrectly and the pharmacist didn't catch it hahahaha

you do know that people chew aspirins after having MIs, right?

 

[IndustryPharmD]

you do know that people chew aspirins after having MIs, right?

And that enteric coated/delayed release =/= extended release? 😉

 

[Quiksilver]

And that enteric coated/delayed release =/= extended release? 😉

EC is designed to prevent degradation in the stomach, after that is removed, there is no delayed release aspect of that particular formulation.

Delayed release products are different from enteric coated.

 

[IndustryPharmD]

EC is designed to prevent degradation in the stomach, after that is removed, there is no delayed release aspect of that particular formulation.

Delayed release products are different from enteric coated.

Delayed release only means that it will not be released immediately. In case of EC aspirin, enteric coated IS delayed release (meaning, it releases in the intestine, not in the stomach). Enteric coating is one of the ways to create a delayed release formulation.

 

[Quiksilver]

Delayed release only means that it will not be released immediately. In case of EC aspirin, enteric coated IS delayed release (meaning, it releases in the intestine, not in the stomach). Enteric coating is one of the ways to create a delayed release formulation.

I am aware of that. Taken from Clin Pharm:

Aspirin is absorbed via passive diffusion as unchanged drug and hydrolyzed salicylic acid from the upper intestine and partly from the stomach. Approximately 70% of an aspirin dose reaches the circulation unchanged; the remaining 30% is hydrolyzed to salicylic acid during absorption by esterases in the GI tract, plasma, or liver. The rate of absorption is dependent upon many factors including oral formulation, gastric and intestinal pH, gastric emptying time, and the presence of food. Effervescent and soluble tablets are most rapidly absorbed, followed by un-coated or film-coated tablets, and then enteric coated tablets and extended-release formulations. Food decreases the rate, but not the extent, of absorption. Salicylic acid is more ionized as the pH increases; however, a rise in pH increases the solubility of ionized salicylic acid and increases the dissolution of aspirin tablets. The overall effect of increased pH is an increase in absorption. Time to peak aspirin concentrations is 15&#8212;240 minutes depending upon the formulation. Plasma aspirin concentrations decrease as salicylic acid levels increase. Peak plasma salicylate levels occur in approximately 30&#8212;60 minutes for effervescent tablets, 45&#8212;120 minutes for film-coated tablets, 4&#8212;12 hours for extended-release tablets, and 8&#8212;14 hours for enteric-coated tablets. Steady-state salicylate serum concentrations are similar after administration of plain, uncoated tablets and enteric-coated tablets.[23554]

So in short,
There are delayed release formulations beyond enteric coating for ASA. In fact all formulations of ASA have different absorption characteristics. This includes regular ASA, chewable, effervescent, EC and delayed release

Even still when you chew an EC ASA. You are effectively ruining the "delayed release" characteristics and at that point its no different from taking a regular, plain old ASA. SO for an MI you can chew an EC ASA

 

[IndustryPharmD]

Even still when you chew an EC ASA. You are effectively ruining the "delayed release" characteristics and at that point its no different from taking a regular, plain old ASA. SO for an MI you can chew an EC ASA

That's a nice post that would be very relevant in a pharmaceutical science class, but it doesn't answer the question of clinical relevance of crushing enteric-coated aspirin. 😉

 

[crazybob]

...

 

[Quiksilver]

That's a nice post that would be very relevant in a pharmaceutical science class, but it doesn't answer the question of clinical relevance of crushing enteric-coated aspirin. 😉

You are going to make me dig up literature why we chew ASA for heart attacks?

 

[Quiksilver]

You are going to make me dig up literature why we chew ASA for heart attacks?

Am J Cardiol. 1992 Jan 15;69(3):258-62.
Rapidity and duration of platelet suppression by enteric-coated aspirin in healthy young men.

Jimenez AH, Stubbs ME, Tofler GH, Winther K, Williams GH, Muller JE.
Institute for Prevention of Cardiovascular Disease, New England Deaconess Hospital, Boston, Massachusetts 02215.
Abstract

The recent demonstration of aspirin's ability to prevent and reduce the severity of myocardial infarction has led to a marked increase in its use and to a need for information regarding the time-course of onset and offset of its antiplatelet effect. A study of healthy men was conducted to determine (1) the rapidity of onset of inhibition of platelet aggregation in response to adenosine diphosphate, and thromboxane A2 production after chewed enteric-coated aspirin (325 mg, n = 10); and (2) the duration of platelet inhibition after cessation of enteric-coated aspirin (325 mg) every other day for 14 days (n = 10). When chewed, enteric-coated aspirin greatly inhibited platelet aggregation response to adenosine diphosphate and thromboxane A2 production within 15 minutes. Complete recovery of platelet aggregation occurred in half of the subjects by day 3, and in 80% of the subjects by day 4; the platelet response was not affected by exercise. This study demonstrates a rapid onset of aspirin's antiplatelet effect and provides information relevant for optimal timing of initiation of aspirin for acute conditions such as myocardial infarction and unstable angina, and cessation of aspirin before surgery.

That's a nice post that would be very relevant in a pharmaceutical science class, but it doesn't answer the question of clinical relevance of crushing enteric-coated aspirin. 😉

boom, roasted. 🙂

 

[Sparda29]

Why chew the enteric coated tablets when you have chewable tablets right there next to them? Chewables taste much better.

 

[Farcus]

Jesus...you guys are scaring the crap out of me with retail.

Yeh same here lol, luckily i'm 100% decided to go residency first.