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emergentmd said:
The BIG problem for pharmacist is that they do not affect outcome on a daily basis. Truthfully, in retail, how many times in a month do you catch something that really affects outcome without the help of the computer. If the computer catches it, then all you are is a middle man.
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I respectfully disagree. A computer "catches" hundreds of interactions each day. A pharmacist is still needed to decide which ones to override and which ones are significant enough to warrant a call to the prescriber.

You might have encoutered that inexperienced or OCD pharmacist that would call and question everything that you thought was a waste of time. If you find that annoying to you then wait until a computer does it.
 
emergentmd said:
The BIG problem for pharmacist is that they do not affect outcome on a daily basis. Truthfully, in retail, how many times in a month do you catch something that really affects outcome without the help of the computer. If the computer catches it, then all you are is a middle man.
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Careful, your speaking blindly toward the ins and outs of another profession that I'm willing to believe has covered your past errors without the assistance of a computer.
 
honestly the computer is a tool to help you. If are not a pharmD you don't know what the computer can do for you. Its like a reference book but online now. Unless you really want no pharmacist and do the dosing yourself and want no one to check your work. The machine can code but can you explain the code to students? same thing. Or hey you use a reference book

Its like asking not to go to the guideline. Computers are helpers but you have a degree and use professional judgement
 
Well mcpickles could come back with a different account lol. Not really sure if she is in engineering though. I remember in the prepharmacy forums, she did a bachelor in pharmaceutical sciences, dropped out in 3rd year of pharmacy school/ took LOA, went to pharm school bc of parents, and then needed some counseling due to her having mental issues. I'll stick around until another cyber form of her comes back.
 
doubletwenty said:
Well mcpickles could come back with a different account lol. Not really sure if she is in engineering though. I remember in the prepharmacy forums, she did a bachelor in pharmaceutical sciences, dropped out in 3rd year of pharmacy school/ took LOA, went to pharm school bc of parents, and then needed some counseling due to her having mental issues. I'll stick around until another cyber form of her comes back.
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Mental issues? Wow. Wonder what the doctors here think on the diagnosis
 
Lubeckd said:
honestly the computer is a tool to help you. If are not a pharmD you don't know what the computer can do for you. Its like a reference book but online now. Unless you really want no pharmacist and do the dosing yourself and want no one to check your work. The machine can code but can you explain the code to students? same thing. Or hey you use a reference book

Its like asking not to go to the guideline. Computers are helpers but you have a degree and use professional judgement
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Yeah I don’t get all the hate for computers. They’re tools. Who doesn’t use a computer? Of all the things to use as an insult that is one I can’t wrap my head around.
 
owlegrad said:
Yeah I don’t get all the hate for computers. They’re tools. Who doesn’t use a computer? Of all the things to use as an insult that is one I can’t wrap my head around.
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especially towards pharmacist. Had some guy tell me hey all you do a computer can do. And they stay on stackoverflow all day long. Everyone uses references including financial analyst who want a definition of iron butterfly to implement a strategy, no one has time to remember everything including doctors and new guidelines coming up.
 
I was more disappointed in the nonsensical arguments than the rudeness. I can tolerate a little rude if I can at least get some intelligent interaction out of it. This endeavor was a lose/lose on that front.
 
sb247 said:
I was more disappointed in the nonsensical arguments than the rudeness. I can tolerate a little rude if I can at least get some intelligent interaction out of it. This endeavor was a lose/lose on that front.
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Sorry dude, you got trolled. It happens.
 
sb247 said:
I was more disappointed in the nonsensical arguments than the rudeness. I can tolerate a little rude if I can at least get some intelligent interaction out of it. This endeavor was a lose/lose on that front.
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I tried warning you, and everyone else!

All that typing, all the way around, was a lot of wasted energy.
 
I don't see why we can't just all get along! Pharmacists have their role and from what I see on this forum, have a lot of problems with their own profession that has to do with a lot of capitalistic greed by companies who honestly are monopolizing the market (Walgreens, Walmart, Rite Aid, etc). Pharmacists are victims when their pay is slashed because drug prices are artificially sky rocketed, forcing companies to make cuts where they need to, and of course no CEO is going to take a pay cut over their employees. I don't speak for all physicians and obviously the ones commenting negative things don't either, but having pharmacists as the last line of defense for patient safety is critical and could not be done by some Pharm-tech, even when the computer makes a call, there has to be clinical judgement behind overriding that call. I hope for all your sake eventually the pendulum swings the other way.

I am biased in that im going to medical school, so obviously I don't want to see physician salaries cut (I'm going to have 400k debt), because while it may seem like a "Golden ticket" to cut down on the cost of healthcare, I honestly don't think that will be the case. As soon as their is "Excess" money (like that would ever be the case) where does that money go? Would the cost of healthcare actually go down? No. I truly believe if all physicians had, lets say a 30% pay cut, you would see bonuses and CEO/CMO/executive salaries raise 20%. Unfortunately unless there were laws put in place that literally controlled the salaries of every single person - from the janitor cleaning the floors in the hospital to the CEO of big pharma and hospitals - there is no way to just "lower the cost of healthcare". Everything costs soooo God damn much in America, from running MRIs, to prescription drugs, to the brand new computers, to the software, to the new beds in the hospital, etc. and everything is way more money than if it were bought in other countries.

So, I just don't know how to reconcile a socialist medical system in a capitalistic society where everything inside the system is controlled, except everything outside the system isn't?

For example: You make a budget on a national level- but then a private company comes out with new technology that costs way too much, but it saves lives. So a hospital does something, it goes wrong, and they get sued. Then the government passes a law (like EMTALA) that states the standard of care requires this new technology. But now the private company is like "Oh, they NEED my technology - JACK UP THE PRICES!!" - suddenly the government can no longer afford the budget it had set.

I just don't know how it would work unless all aspects at all levels were controlled, but that goes against everything our government and capitalistic society does.... so idk man XD I guess I don't know enough about economics or policy to even go about making a plan, but hopefully healthcare professionals come out in a good place with whatever happens, because I truly believe our jobs are hard and deserve to be well compensated and well compensated people are happy people, and happy people provide better care.
 
Lubeckd said:
especially towards pharmacist. Had some guy tell me hey all you do a computer can do. And they stay on stackoverflow all day long. Everyone uses references including financial analyst who want a definition of iron butterfly to implement a strategy, no one has time to remember everything including doctors and new guidelines coming up.
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You would have expected them to utilize their technology skills to allow more telecommuting. They claim they are making the world a better place using technology, yet they still can't solve the problem of themselves having to cram themselves into tiny apartments in San Francisco for sky high rents (while displacing former residents).

Not everything can be solved with robot arms and a few lines of code.
 
KeikoTanaka said:
I don't see why we can't just all get along! Pharmacists have their role and from what I see on this forum, have a lot of problems with their own profession that has to do with a lot of capitalistic greed by companies who honestly are monopolizing the market (Walgreens, Walmart, Rite Aid, etc). Pharmacists are victims when their pay is slashed because drug prices are artificially sky rocketed, forcing companies to make cuts where they need to, and of course no CEO is going to take a pay cut over their employees. I don't speak for all physicians and obviously the ones commenting negative things don't either, but having pharmacists as the last line of defense for patient safety is critical and could not be done by some Pharm-tech, even when the computer makes a call, there has to be clinical judgement behind overriding that call. I hope for all your sake eventually the pendulum swings the other way.

I am biased in that im going to medical school, so obviously I don't want to see physician salaries cut (I'm going to have 400k debt), because while it may seem like a "Golden ticket" to cut down on the cost of healthcare, I honestly don't think that will be the case. As soon as their is "Excess" money (like that would ever be the case) where does that money go? Would the cost of healthcare actually go down? No. I truly believe if all physicians had, lets say a 30% pay cut, you would see bonuses and CEO/CMO/executive salaries raise 20%. Unfortunately unless there were laws put in place that literally controlled the salaries of every single person - from the janitor cleaning the floors in the hospital to the CEO of big pharma and hospitals - there is no way to just "lower the cost of healthcare". Everything costs soooo God damn much in America, from running MRIs, to prescription drugs, to the brand new computers, to the software, to the new beds in the hospital, etc. and everything is way more money than if it were bought in other countries.

So, I just don't know how to reconcile a socialist medical system in a capitalistic society where everything inside the system is controlled, except everything outside the system isn't?

For example: You make a budget on a national level- but then a private company comes out with new technology that costs way too much, but it saves lives. So a hospital does something, it goes wrong, and they get sued. Then the government passes a law (like EMTALA) that states the standard of care requires this new technology. But now the private company is like "Oh, they NEED my technology - JACK UP THE PRICES!!" - suddenly the government can no longer afford the budget it had set.

I just don't know how it would work unless all aspects at all levels were controlled, but that goes against everything our government and capitalistic society does.... so idk man XD I guess I don't know enough about economics or policy to even go about making a plan, but hopefully healthcare professionals come out in a good place with whatever happens, because I truly believe our jobs are hard and deserve to be well compensated and well compensated people are happy people, and happy people provide better care.
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Thanks Keiko - it will be great working with you in the future.

A good pharmacist understands that the physician is the captain of the ship. We offer our support to the captain and we strive to add value to the patient care team.

When a physician (like an earlier poster on this thread) comes along and calls us useless - it only shows a lack of insight on their end.

I work clinical pharmacy and I partner with a team of 5 physicians on a daily basis. Most of the questions I get are the “difficult cases” which I often step aside and research while other matters are tended to. The recommendations that I offer are often highly appreciated by the team and certainly change outcomes. This is because I work with a group that understands collaboration.

If you ever need support I encourage you to consult a pharmacist. Not all of us are capable, or willing (as is the case anywhere), but when you find the right pharmacist it’s a match made in heaven

If, in the future, you want to help us in this deteriorating environment we find ourselves in - utilize our services, find the value, and help advocate for us when the time is right. Do that and we will always have your back.
 
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JustFillIt said:
Thanks Keiko - it will be great working with you in the future.

A good pharmacist understands that the physician is the captain of the ship. We offer our support to the captain and we strive to add value to the patient care team.

When a physician (like an earlier poster on this thread) comes along and calls us useless - it only shows a lack of insight on their end.

I work clinical pharmacy and I partner with a team of 5 physicians on a daily basis. Most of the questions I get are the “difficult cases” which I often step aside and research while other matters are tended to. The recommendations that I offer are often highly appreciated by the team and certainly change outcomes. This is because I work with a group that understands collaboration.

If you ever need support I encourage you to consult a pharmacist. Not all of us are capable, or willing (as is the case anywhere), but when you find the right pharmacist it’s a match made in heaven

If, in the future, you want to help us in this deteriorating environment we find ourselves in - utilize our services, find the value, and help advocate for us when the time is right. Do that and we will always have your back.
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I have an IPE thing coming up at my school in February, hopefully there will be pharmacist students there! I love the idea of collaboration and making our lives easier for all of us. I'll try to be an advocate... but right now I can't even stop studying for more than an hour without feeling guilty so I'll look into all that when I'm back out in the real world xD
 
KeikoTanaka said:
I have an IPE thing coming up at my school in February, hopefully there will be pharmacist students there! I love the idea of collaboration and making our lives easier for all of us. I'll try to be an advocate... but right now I can't even stop studying for more than an hour without feeling guilty so I'll look into all that when I'm back out in the real world xD
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IPE events are the worst
 
sb247 said:
IPE events are the worst
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Yeah... I only hope its 'benign' - we had one last year. It was actually really educational. I thought it was going to be lame - but it actually opened my eyes to something I never thought I'd really witness/deal with: MRI technician.

Other people had DPTs, Pharmacists, EM NPs.... I was glad I didn't get a "provider" - because its kinda self-explanatory what they do. We've all been the patient to a physical therapist, pharmacist, or ended up in the ED.... but I never really had any insight into like a Radiology department of a hospital (Obviously I haven't done rotations yet) so that was neat I guess.... plus I got to check out the Hospital where I might be doing rotations so it wasn't too bad. This next one however will be with other RNs or w/e so who knows... Prolly will be a waste of time lol
 
Good think McPickle switched to engineering, because s/he is clearly a numbers person and has little reading comprehension.

Mcpickle said:
Well see if you have the same stance and how you hold up when you statistically lose your job/insurance. We all agree of the decline in economics of pharmacy and the lay-offs are not predictions anymore. Making assumptions like working people are healthier and then correlating that to not needing to use insurance is insane. You can be a careful driver and still get into a car crash. You can do all the right things and still get sick and need insurance coverage to see a doctor.
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I said "generally", obviously there are always exceptions, and even a lot of exceptions. Most people do use their health insurance (hey like UTI's!), they may even need it for big self-limiting events (like appendicitis or pregnancy. Everyone needs insurance, I never said they didn't. What I said was that the bulk of a doctor's business comes from Medicare/Medicaid, I see this in my hospital, and I see it when I work retail. So your statement that "most" doctors don't take Medicare/Medicaid is completely wrong, because the vast majority due.

Who healthier? A super old person with chronic illnesses that doesn't work or a young active person that does? HINT: One of them is employed so that's the trick. That's the determent of health. Which one is it?
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Nobody here ever said that. Your absolutest thinking will do you will in your engineering career, but not in healthcare.

Only those who can afford it should have healthcare because those people are smart therefore rich so they deserve it. If that's not a horrible human being, I don't know what is and Tiktok liked it.
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Nobody here said that. Once again, I'm glad your future career involves working with numbers and not reading comprehension.

owlegrad said:
Hmmm. All children are unemployed, correct? And the vast majority would be considered healthy although some of course are not. OTOH many seniors are unemployed and often have health issues although some of course do not. Then there are all the unemployed people in-between that likely have the full range of healthinesses.
I am actually curious if this "unemployed people are less healthy" idea is valid or not. When you factor in the millions of healthy unemployed children I suspect it is not.
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Nobody made that argument. McPickle said that "most doctors" don't take Medicare/Medicaid because there is no money in it (or maybe s/he said they hated poor people, I don't remember.) I said that wasn't true, that "most doctors" absolutely do take Medicare/Medicaid, and the reason they do is because chronically ill people have Medicare/Medicaid. I never said that all or most Medicare/Medicaid patients are chronically ill. I never said that people with private insurance weren't chronically ill. I said that most hospital/patient visits are from Medicare/Medicaid patients, I have no idea what the percentage of Medicare/Medicaid patients using doctors/hospitals are. Maybe only 20% of Medicare/Medicaid patients are hospitalized each year, but those 20% make up 80% of hospitalizations? My statement would still be true.

Mcpickle said:
You acknowledge the premise for Medicare4all. And that it would make it illegal for doctors to practice on private insurance?
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Medicare4all is a general term (unless you are talking about a specific politician's plan?) Medicare4all/socialized healthcare *may* make it illegal for doctors to practice on private insurance, but it doesn't have to make it illegal. Germany is one country with has both socialized healthcare, but still offers private health insurance

stoichiometrist said:
I respectfully disagree. A computer "catches" hundreds of interactions each day. A pharmacist is still needed to decide which ones to override and which ones are significant enough to warrant a call to the prescriber.
You might have encoutered that inexperienced or OCD pharmacist that would call and question everything that you thought was a waste of time. If you find that annoying to you then wait until a computer does it.
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So true! People have no idea how many dubious interactions pop up. Like prednisone and amoxicillin......gee, is this a true allergy? No, the allergy is triggered by common ingredients in both the drugs (in this case dyes in certain strengths/formulations of the drugs.) If the patient doesn't have a dye allergy, then the warning is completely irrelevant. But the computer doesn't say that it's a dye, it just says allergy. There is where the pharmacist is need to know the allergy warning is completely irrelevant. Many interactions are more iffy, like combining potassium and lisinopril, the computer will say no that these are a dangerous combination. Reality is, it depends on the patient and the specific situation, it can be a dangerous combination, but at the same time many people do safely take the combinations. One day computers may be smart enough to compensate for all the nuances, but at present they are a LONG way from that. That is why we have pharmacists who can differentiate between these warnings.
 
BidingMyTime said:
Off topic, but why is Student Doctor showing me ads on "Meet Chinese Women?" I guess my avatar looks like he needs some excitement in his life?
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I don’t think it should be doing that. Maybe you have computer herpes?
 
BidingMyTime said:
Off topic, but why is Student Doctor showing me ads on "Meet Chinese Women?" I guess my avatar looks like he needs some excitement in his life?
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Lol! No judgement it’s cool.

What do they say - don’t knock it unless you try it?
 
JustFillIt said:
Lol! No judgement it’s cool.

What do they say - don’t knock it unless you try it?
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SDN only gives advertisement for other things you have been looking up on the internet lmao which is why I get incessant advertisements by LL Bean. Maybe it has to do with what you're looking up online 🙄
 
TikiTorches said:
I have seen numerous missteps by mid-level I've had to clean up. There are cases that are much more complex than meets the eye.
Insurances are reimbursing them the same so it's not bringing the overall cost of healthcare down. Just more profit for employer
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I had A mom come in..fortunately it was slow..her infant was sick...not eating..vom iting..fever...turned away about an hour before from a local ER......kid was on MA...Told her to turn around (and don't pass) go to the University teaching hospital in town......meningitis.....Sooo we all catch boo boo's
 
BidingMyTime said:
Off topic, but why is Student Doctor showing me ads on "Meet Chinese Women?" I guess my avatar looks like he needs some excitement in his life?
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A couple days ago I saw an ad here with a very interesting drawing of Trump that stated Obama's policy was dropped and I could be eligible for a great reduction on my student loans. I couldn't tell if the ad was real or a joke
 
APN-59 rph said:
I had A mom come in..fortunately it was slow..her infant was sick...not eating..vom iting..fever...turned away about an hour before from a local ER......kid was on MA...Told her to turn around (and don't pass) go to the University teaching hospital in town......meningitis.....Sooo we all catch boo boo's
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I don't know who the patient saw in the ER.
And more errors caught determined by education or something else? Because no degrees do not require alot of experience anymore and some are online.
 
APN-59 rph said:
I had A mom come in..fortunately it was slow..her infant was sick...not eating..vom iting..fever...turned away about an hour before from a local ER......kid was on MA...Told her to turn around (and don't pass) go to the University teaching hospital in town......meningitis.....Sooo we all catch boo boo's
Click to expand...
TikiTorches said:
I don't know who the patient saw in the ER.
And more errors caught determined by education or something else? Because no degrees do not require alot of experience anymore and some are online.
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Maybe it’s just me - but this exchange of words is super difficult to understand. I feel like I am having a seizure as I read it.
 
owlegrad said:
I don’t think it should be doing that. Maybe you have computer herpes?
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Oooooh probably, do you think my dentist could write me an RX for that?

JustFillIt said:
Lol! No judgement it’s cool.
What do they say - don’t knock it unless you try it?
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Hmmmm, fair enough.....although I will have to run this by my SO.

KeikoTanaka said:
SDN only gives advertisement for other things you have been looking up on the internet lmao which is why I get incessant advertisements by LL Bean. Maybe it has to do with what you're looking up online 🙄
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😵😵😵 Ummmm, maybe I'd better find out what my SO has been looking up on the computer!
 
BidingMyTime said:
Good think McPickle switched to engineering, because s/he is clearly a numbers person and has little reading comprehension.



I said "generally", obviously there are always exceptions, and even a lot of exceptions. Most people do use their health insurance (hey like UTI's!), they may even need it for big self-limiting events (like appendicitis or pregnancy. Everyone needs insurance, I never said they didn't. What I said was that the bulk of a doctor's business comes from Medicare/Medicaid, I see this in my hospital, and I see it when I work retail. So your statement that "most" doctors don't take Medicare/Medicaid is completely wrong, because the vast majority due.



Nobody here ever said that. Your absolutest thinking will do you will in your engineering career, but not in healthcare.



Nobody here said that. Once again, I'm glad your future career involves working with numbers and not reading comprehension.



Nobody made that argument. McPickle said that "most doctors" don't take Medicare/Medicaid because there is no money in it (or maybe s/he said they hated poor people, I don't remember.) I said that wasn't true, that "most doctors" absolutely do take Medicare/Medicaid, and the reason they do is because chronically ill people have Medicare/Medicaid. I never said that all or most Medicare/Medicaid patients are chronically ill. I never said that people with private insurance weren't chronically ill. I said that most hospital/patient visits are from Medicare/Medicaid patients, I have no idea what the percentage of Medicare/Medicaid patients using doctors/hospitals are. Maybe only 20% of Medicare/Medicaid patients are hospitalized each year, but those 20% make up 80% of hospitalizations? My statement would still be true.



Medicare4all is a general term (unless you are talking about a specific politician's plan?) Medicare4all/socialized healthcare *may* make it illegal for doctors to practice on private insurance, but it doesn't have to make it illegal. Germany is one country with has both socialized healthcare, but still offers private health insurance



So true! People have no idea how many dubious interactions pop up. Like prednisone and amoxicillin......gee, is this a true allergy? No, the allergy is triggered by common ingredients in both the drugs (in this case dyes in certain strengths/formulations of the drugs.) If the patient doesn't have a dye allergy, then the warning is completely irrelevant. But the computer doesn't say that it's a dye, it just says allergy. There is where the pharmacist is need to know the allergy warning is completely irrelevant. Many interactions are more iffy, like combining potassium and lisinopril, the computer will say no that these are a dangerous combination. Reality is, it depends on the patient and the specific situation, it can be a dangerous combination, but at the same time many people do safely take the combinations. One day computers may be smart enough to compensate for all the nuances, but at present they are a LONG way from that. That is why we have pharmacists who can differentiate between these warnings.
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en.m.wikipedia.org

Straw man - Wikipedia

en.m.wikipedia.org en.m.wikipedia.org
Straw man arguments here. No one said that lol
 
pharmDcanwishIwasnt said:
I've been treated by many PAs for nora virus. I've been treated by NPs for my foot fungus and UTIs. I had to memorize charts up and down to indicate which insulin is the most cost effective and effective in treatment. I've had many pharmD/MDs and MD students tell me they do not go anywhere near that sort of dept in pharmacology. I don't think there's a need to see a doctor for general "sicknesses". It's not rocket science, you follow a flow chart. I just need a prescription for an anti-fungal an antiviral, and antibiotics. Getting an appointment with doctors can be difficult/expensive and sometimes need to planned weeks ahead of time. So mid level providers are way more accessible and therefore serve a purpose, especially to those without good insurance. I don't believe a doctor would have been more or less effective in the treatment that I got. I understand that you have some sort of bias towards NPs I feel, but they have a place. But again, there's no need to jerk each others egos/titles off. I want a job that's not in pharmacy with my science undergrad and if there's a market for mid-level providers there's a reason: it works.
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Thats false. I learned in my pharmacy school what drugs are cost-effective and effective in treatment. I have seen poor patient care from NPs even for the most chronic disease state: HTN. Not every condition or disease state is cookie-cutter, especially ID and Oncology
 
emergentmd said:
Not this Midlevel vs physician again. I know many MLs can do probably 75% of the primary care/ER/specialty clinic stuff competently. Its the 25% that they will screw up on and that is why you need an MD supervision. Docs probably make 3-4x more than a midlevel so the question remains is screwing up 25% of the time worth paying 50-75% less?

Medicine like everything else is economics. If MLs can get things right 99% of the time, docs would be out of jobs b/c 3-4x cost is not worth the 1%. But 3-4x cost is definitely worth not screwing up 25% of the time.

The BIG problem for pharmacist is that they do not affect outcome on a daily basis. Truthfully, in retail, how many times in a month do you catch something that really affects outcome without the help of the computer. If the computer catches it, then all you are is a middle man.

Pharmacy will eventually die as a profession. Just like Taxi drivers.

Once Amazon can figure out how to give the public 2 day free prime/same day shipping with just a handful of pharmacists verifying at a central location, then all of the Walgreens/CVS will close down. This is why Amazon is killing all of the malls/retail stores.

Pharmacists also be careful in the hospital. I can't think of many times they have helped me in the ER that I can't look up from Dr. Google.

The only reason I call the pharmacist for advice is if I am too lazy or busy to do my own google search. What is more damning is almost every time I ask them a question, they put me on hold and do their own internet search. If this is their value to hospitals, they better watch our b/c they will be replaced with something cheaper.
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I agree with you, yet disagree with you. It depends on the speciality. I was in a infectious disease rotation as a pharmacy student. With exception of the ID doc obviously, most Physicians asked the ID pharmacist for a recommendation and a dose because prescribing antibiotics is not their expertise. The ID pharmacist makes an impact on a daily basis with Vancomycin dosing and changing from IV to PO antibiotics. When the ID doc is absent, the ID pharmacist makes sure that all patients on all the floors are prescribed the right ABX.
 
Rx1992 said:
I agree with you, yet disagree with you. It depends on the speciality. I was in a infectious disease rotation as a pharmacy student. With exception of the ID doc obviously, most Physicians asked the ID pharmacist for a recommendation and a dose because prescribing antibiotics is not their expertise. The ID pharmacist makes an impact on a daily basis with Vancomycin dosing and changing from IV to PO antibiotics. When the ID doc is absent, the ID pharmacist makes sure that all patients on all the floors are prescribed the right ABX.
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I spoke only from my experience as an ER doc. The issue with pharmacy now a days is you can find most everything needed doing a search. I used to call more often but only do it now when I am super busy or lazy to call. But it takes just as much time for me to call, get put on hold while they look it up, and then tell me.

There definitely is a place for pharmacists, but that scope get more narrowed as technology changes happens. I am sure many including some MD specialities will be gutted due to improved technology also.
 
emergentmd said:
I spoke only from my experience as an ER doc. The issue with pharmacy now a days is you can find most everything needed doing a search. I used to call more often but only do it now when I am super busy or lazy to call. But it takes just as much time for me to call, get put on hold while they look it up, and then tell me.

There definitely is a place for pharmacists, but that scope get more narrowed as technology changes happens. I am sure many including some MD specialities will be gutted due to improved technology also.
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When you work in a shop with pharmacists not keeping up you get experiences like this.
 
emergentmd said:
I spoke only from my experience as an ER doc. The issue with pharmacy now a days is you can find most everything needed doing a search. I used to call more often but only do it now when I am super busy or lazy to call. But it takes just as much time for me to call, get put on hold while they look it up, and then tell me.

There definitely is a place for pharmacists, but that scope get more narrowed as technology changes happens. I am sure many including some MD specialities will be gutted due to improved technology also.
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This is halfway true. The information is out there and readily available. But I catch so many bad ID errors (sorry to call anyone out, but NPs generally are the worst offenders. Their programs need more ID training). It’s almost as if many providers just don’t know how to use the available information.

Try explaining inducible resistance to some providers and you get blank stares and then they just add your recommended antibiotic that would fully cover the patient to the regimen rather than switching to that one appropriate antibiotic that won’t induce resistance.

Try explaining to a provider trying to cover suspected CA-MRSA (outpatient) that just because they read that “clindamycin and Bactrim cover MRSA”, it doesn’t need the patient needs both antibiotics. These examples are based on real experiences. These are separate examples (I’m aware of clindamycin inducible resistance as well; the first example did not involve MRSA or clinda).
 
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Rockinacoustic
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NonTradPharmStudent
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NonTradPharmStudent
NonTradPharmStudent
R
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watchfulwaiting1957
watchfulwaiting1957
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UNE relying on Corporate grants
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samven582
S
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