RANT HERE thread

Started by flyhi
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@Elkhart, I'm not going through the same experience as you, but navigating coming out at work has been a big source of concern/worry for me in the past. Would it make sense to start dropping hints or testing the waters at work? For instance, bringing up some LGBTQ issues and gauging reactions? That's how I tested the safety at my last job, gave me an idea of who I needed to be discreet around. Obviously that's a little less applicable for you given physical stuff will be happening, but it might give you an idea of who your allies are. Especially if management/supervisors are on your side, they can be helpful in keeping you safe and supported.

Overall, sending you a WHOLE LOT of love & support throughout this. I'm so happy to see your mental health is starting to improve, and so happy you're getting a chance to express yourself better!
 
SkiOtter said:
Hahahahahahahahhahahahaha my dad called the insurance (I’m still on the family plan) to get them to fix it LAST MONDAY. They said it was all good. And guess what. It’s still not fixed. So now 3 PT claims have been denied and will need to be rebilled, my dad has to call AGAIN, AND cvs had to change my birthday in the system to get my inhaler approved on Friday. This is ****ing ridiculous and I absolutely hate my insurance company.
OH. AND THEY SOMEHOW HAVE MY ADDRESS WRONG ON THEIR WEBSITE TOO EVEN THOUGH ALL OF MY EOBs AND THE CARDS ALL GO TO THE CORRECT ADDRESS.
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My dad called the insurance again today. GUESS WHOS BIRTHDAY IS STILL LISTED WRONG ONLINE!!!!!!!!!!!!!!!!!!!
 
Hubs totaled the car last week. He’s completely fine and the damage wasn’t really that bad, but the car is older and has a ton of miles so it just wasn’t worth it to fix it. But this means we need to get a new car, and go car shopping and by the way we’re going to be having babies in a few weeks which is not exactly the cheapest life endeavor. Sigh.
 
that redhead said:
Hubs totaled the car last week. He’s completely fine and the damage wasn’t really that bad, but the car is older and has a ton of miles so it just wasn’t worth it to fix it. But this means we need to get a new car, and go car shopping and by the way we’re going to be having babies in a few weeks which is not exactly the cheapest life endeavor. Sigh.
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So sorry. Had to go through the same last year after my old car was stolen (seriously) right after the vet school dismissal. It bites, especially when you're not in a good place financially. 🙁
 
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Elkhart said:
So sorry. Had to go through the same last year after my old car was stolen (seriously) right after the vet school dismissal. It bites, especially when you're not in a good place financially. 🙁
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Ugh, that’s awful!

Luckily we have a third vehicle his grandfather gave us a few years back so that we have time to investigate our options. It’s old and I’m not sure I trust it 100% but we’re very fortunate to have the option and the financial security to pick a new car.
 
For those of you who know about my accident, I felt like the biggest dingus yesterday when I first got the ER. The pain was excruciating, which makes sense now with the injuries I have. It took what felt like nearly an hour for them to give me pain meds. They did triage exam imaging and everything without it 😕 one of the LPNs even told me to stop being so rude whenever I cried out. what they finally did give me on the way to CT was a fentanyl bolus that didn’t last very long. When I was painful again in 20 minutes I couldn’t help but cry and I started having a panic attack. My room was in front of the nurses station with the door open and they kept looking over at me and ignoring me. Someone finally brought me more pain meds. This is the worst pain I have felt in my young life. Thankfully I have switched care teams and whenever I tell them I’m hurting, they take it seriously. I was skeptical when I got here yesterday but at least I feel like I’m in better hands.
 
Almost two years ago, my husband and a neighbor spent a couple of weeks installing plank flooring in our hallway, living room, entry way, dining room and kitchen. (it is all one area, flowing into the next--you can walk in a circle and be in each area) anyway, lots of work, blood, sweat, tears, and curse words--but the end result was beautiful.

Two days ago, my hubby was going to bleach our kitchen sink, it is white, and stains pretty easily. So, he plugged the sinks, poured in the bleach, and turned the water on. then walked away to do something else. 30 minutes later, he remembers...and the kitchen is flooded.

He called the insurance people at 330, ServPro was at our door at 4:50. would have been sooner, but he had to come into town to get me.

they had to tear out the kitchen floor. and part of the dining room. and the living room. Because it was wet underneath.

There is no way to match what was torn out. It has been discontinued.

then they discovered that underneath the house (pier and beam) the insulation was soaked. So now, that has to come out. I have drill holes in the bottom of my cabinets. And 11 fans and 1 huge dehumidifier running. the noise is indescribable. The dogs are freaked out. and this morning, I was told that I would need to put all the Christmas stuff up by Monday, so they can redo the floors. O, and pack up four china cabinets.
 
itsrocky said:
For those of you who know about my accident, I felt like the biggest dingus yesterday when I first got the ER. The pain was excruciating, which makes sense now with the injuries I have. It took what felt like nearly an hour for them to give me pain meds. They did triage exam imaging and everything without it 😕 one of the LPNs even told me to stop being so rude whenever I cried out. what they finally did give me on the way to CT was a fentanyl bolus that didn’t last very long. When I was painful again in 20 minutes I couldn’t help but cry and I started having a panic attack. My room was in front of the nurses station with the door open and they kept looking over at me and ignoring me. Someone finally brought me more pain meds. This is the worst pain I have felt in my young life. Thankfully I have switched care teams and whenever I tell them I’m hurting, they take it seriously. I was skeptical when I got here yesterday but at least I feel like I’m in better hands.
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human medicine is so so bad about triage pain management. I understand the drug seekers ruin it for everyone, but still... I have dogs come in HBC or attacked or whatnot and they get pain management within minutes. Because **** hurts yo.
 
Trilt said:
human medicine is so so bad about triage pain management. I understand the drug seekers ruin it for everyone, but still... I have dogs come in HBC or attacked or whatnot and they get pain management within minutes. Because **** hurts yo.
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My boss was in the hospital for a bad MRSA infection a few years back and she literally told them she would never treat a dog as badly as they treated her. I think there are definitely a lot of opportunities for improvement within the human medical field, although I do recognize they have different complicating factors to consider than we do for our own patients.
 
Trilt said:
human medicine is so so bad about triage pain management. I understand the drug seekers ruin it for everyone, but still... I have dogs come in HBC or attacked or whatnot and they get pain management within minutes. Because **** hurts yo.
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Right?! Not to mention they placed my chest tube completely awake. Luckily my current nurse doesn’t mess around. I don’t have to even tell her half the time.
 
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Oh lawd it was a day at work today

Oh the patients were fine, but like all the prescribers got that vacation brain today.

1. Had a doc call in a tramadol and left off the DEA number. Tried to call back later and the on call doc couldn't give it to me and I had to leave a message.

2. Had a doc call in a script with no directions.

3. Had a doc fax in a script that was neither signed nor noted "electronically signed by Jane Doe, MD." Another prescriber (who may or may not have been from the same office) faxed a birth control script with quantity 1 tablet and default directions (think like "insert sig here"). Personally I would've let the 1 tab thing slide because some EMRs put 1 tab when the prescriber meant 1 pack, but…

4. Had a patient present a written Robaxin (methocarbamol) prescription with the dispense as written box marked. Some prescribers think this means that we shouldn't sub to Flexeril (cyclobenzaprine), but really it means we shouldn't sub to generic (which has been available for years) and those prescribers, while relatively rare, really grind my gears. Oh also there was no quantity written.
 
capri1722 said:
4. Had a patient present a written Robaxin (methocarbamol) prescription with the dispense as written box marked. Some prescribers think this means that we shouldn't sub to Flexeril (cyclobenzaprine), but really it means we shouldn't sub to generic (which has been available for years) and those prescribers, while relatively rare, really grind my gears. Oh also there was no quantity written.
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Y I K E S
knowing how much my generic robaxin costs and how much my insurance does not want me to have it (I have gotten a letter before saying I need preauthorization :dead: )
 
Stroganoff said:
I haz methocarbamol but haven't tried it yet. Some doc a few years ago gave me like 8-10 drugs and was like "Ok, I'm not trying to kill you, but experiment with these, look up what they do, and take notes on how you feel. And don't take them all at once." Lol.

*mashes them and snorts them*
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It helps my back so so so much more than flexeril ever has. Sad I didn’t know it was an option the first two times I had major back problems.
 
@capri1722 I've definitely had a couple written rx oops- forgot to write a quantity once, forgot to write in refill numbers once. My favorite was this summer when I wrote the date as 2017 and the pharmacist rightly declined the client. I was like no way I wrote that! But when I double checked it absolutely looked like 2017 and nothing close to 2019 :laugh: That’s what my local chain gets for constantly asking for my DEA for non-controlled drugs 😉 don’t get me started!
 
that redhead said:
@capri1722 I've definitely had a couple written rx oops- forgot to write a quantity once, forgot to write in refill numbers once. My favorite was this summer when I wrote the date as 2017 and the pharmacist rightly declined the client. I was like no way I wrote that! But when I double checked it absolutely looked like 2017 and nothing close to 2019 :laugh: That’s what my local chain gets for constantly asking for my DEA for non-controlled drugs 😉 don’t get me started!
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Can't speak for other chains but where I work we technically can look up a vet without their DEA, but it's made harder if you have a common name (or conversely we don't know how to spell your name), if you're not in our system (not super common), or if the patient has never filled with us before. I've been in the situation where we genuinely could not find a vet in our system without their DEA and had to call them to ask for it on a non-control.
 
MixedAnimals77 said:
Chronic kidney disease sucks on it's own but even more so when it's one of your pets and you know what's happening and there's absolutely 0 things you can do to fix it.
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I feel that. My old lady kitty was diagnosed in my first semester of vet school. Sending well wishes to your fur kid <3
 
capri1722 said:
Can't speak for other chains but where I work we technically can look up a vet without their DEA, but it's made harder if you have a common name (or conversely we don't know how to spell your name), if you're not in our system (not super common), or if the patient has never filled with us before. I've been in the situation where we genuinely could not find a vet in our system without their DEA and had to call them to ask for it on a non-control.
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We had a class dedicated to how to fill out prescription and at least a quarter of that class was, if you don't have a DEA number you can prescribe drugs, it just makes the pharmacists life difficult. They only need your license number. By the way they were ranting I think they may have gotten in a few phone battles with pharmacists :laugh:
 
Coopah said:
We had a class dedicated to how to fill out prescription and at least a quarter of that class was, if you don't have a DEA number you can prescribe drugs, it just makes the pharmacists life difficult. They only need your license number. By the way they were ranting I think they may have gotten in a few phone battles with pharmacists :laugh:
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I have definitely had some phone battles :laugh: The biggest issue was I didn’t have a DEA at the time so it wasn’t like I was withholding it to be an ass. Now that I have one, I more want to withhold it based on principle but I don’t.
 
capri1722 said:
Can't speak for other chains but where I work we technically can look up a vet without their DEA, but it's made harder if you have a common name (or conversely we don't know how to spell your name), if you're not in our system (not super common), or if the patient has never filled with us before. I've been in the situation where we genuinely could not find a vet in our system without their DEA and had to call them to ask for it on a non-control.
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But if you have my name, place of work and phone number/address on the RX pad is it still that tough? I’m sure the DEA is easiest but I’ve had like two pharmacists refuse to fill a non-controlled substance even when given my state license number, so I actually called the regional boss people and grouched at them and now it’s suddenly no problem.
 
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Coopah said:
We had a class dedicated to how to fill out prescription and at least a quarter of that class was, if you don't have a DEA number you can prescribe drugs, it just makes the pharmacists life difficult. They only need your license number. By the way they were ranting I think they may have gotten in a few phone battles with pharmacists :laugh:
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Can confirm phone battles. The last pharmacy tech who wanted my DEA number for antibiotics finally got all huffy on the phone and said “fine, I guess we’ll have to look up your information some other way.” Which is what I wanted her to do in the first place. I had prescribed through them before without issues, so I don’t know why they were being difficult about it that time.
 
It is against DEA regulations to use the DEA number for identification, this shouldn't be an issue and pharmacists should know this. My veterinary license is easily verifiable via the state vet license lookup, anyone can look up a professional license number. I had a pharmacy refuse to fill insulin for a client without DEA, same insulin that anyone can get without a script, it was damn absurd. They quickly changed their tune when I called demanding names to report to the pharmacy board and DEA... suddenly they were able to figure it out.
 
Coopah said:
We had a class dedicated to how to fill out prescription and at least a quarter of that class was, if you don't have a DEA number you can prescribe drugs, it just makes the pharmacists life difficult. They only need your license number. By the way they were ranting I think they may have gotten in a few phone battles with pharmacists :laugh:
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that redhead said:
But if you have my name, place of work and phone number/address on the RX pad is it still that tough? I’m sure the DEA is easiest but I’ve had like two pharmacists refuse to fill a non-controlled substance even when given my state license number, so I actually called the regional boss people and grouched at them and now it’s suddenly no problem.
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Again, I'm only familiar with one chain so this only applies for them.

We can look up prescribers a few ways for a non-controlled prescription:
  • Last Name, First Name, State
  • Last Name, First Name, Phone #
  • Last Name, Phone #
  • NPI (LOL)
  • DEA (already covered)

We can't look up by state license number, which is dumb. It's stored in our system but we can't use it to search. Same with address or practice location. I did briefly shadow at a grocery store that could do first & last name only, but we can't.

Another problem is whatever we enter has to match what corporate has on file because corporate keeps the central records of prescribers. So the name spelling has to be right, and if you've changed practices recently we may not have your current office phone. We could add you in as a new prescriber, but then we also need your address and phone and fax and all of that, plus we run the risk of you being in there multiple times (potentially with various mistakes, like misspellings).

And lastly, like I mentioned earlier, if you have a common name, sometimes the system will just refuse to search for you. This happens most often with the search that includes the state.

Legally, y'all are right, we don't need your DEA on non-controls. On a practical level, usually we can get around it but sometimes we just get unlucky. Personally I do try to get around it because I want to phone battle as much as you do, but some techs/pharmacists are lazy, or may not know another way to search.
 
capri1722 said:
Again, I'm only familiar with one chain so this only applies for them.

We can look up prescribers a few ways for a non-controlled prescription:
  • Last Name, First Name, State
  • Last Name, First Name, Phone #
  • Last Name, Phone #
  • NPI (LOL)
  • DEA (already covered)

We can't look up by state license number, which is dumb. It's stored in our system but we can't use it to search. Same with address or practice location. I did briefly shadow at a grocery store that could do first & last name only, but we can't.

Another problem is whatever we enter has to match what corporate has on file because corporate keeps the central records of prescribers. So the name spelling has to be right, and if you've changed practices recently we may not have your current office phone. We could add you in as a new prescriber, but then we also need your address and phone and fax and all of that, plus we run the risk of you being in there multiple times (potentially with various mistakes, like misspellings).

And lastly, like I mentioned earlier, if you have a common name, sometimes the system will just refuse to search for you. This happens most often with the search that includes the state.

Legally, y'all are right, we don't need your DEA on non-controls. On a practical level, usually we can get around it but sometimes we just get unlucky. Personally I do try to get around it because I want to phone battle as much as you do, but some techs/pharmacists are lazy, or may not know another way to search.
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Yeah, this is what I've heard from pharmacists I work with as well. I usually go out of my way to chat with the pharmacist if they aren't busy at my local chains because I don't want to use my DEA to do that and my partner doesnt have one.

I think what pisses off vets most is being told that they're going to withhold our prescriptions or that it's impossible to look up without a DEA. Instead of being told the truth
 
My attending just screamed in my face for asking what the plan for today was. Sorry I was sedated when we had our initial talk an could not remember much. Yes I understand that you have other patients, my intent was never to take you away from them. I wouldn’t have been mad if you sent a PA in to brief me. I don’t appreciate getting accused of being agitated and having abuse slung at me.

Bedside manner score of 0

On the bright side I’m walking today. Wish I had known I was cleared to do that before 4 pm and I would have been moving all day.
 
itsrocky said:
My attending just screamed in my face for asking what the plan for today was. Sorry I was sedated when we had our initial talk an could not remember much. Yes I understand that you have other patients, my intent was never to take you away from them. I wouldn’t have been mad if you sent a PA in to brief me. I don’t appreciate getting accused of being agitated and having abuse slung at me.

Bedside manner score of 0

On the bright side I’m walking today. Wish I had known I was cleared to do that before 4 pm and I would have been moving all day.
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PLEASE file every formal complaint you possibly can. None of what you’ve experienced in this hospital is okay at all and they ALL need to be reported. Withholding drugs, doctors screaming at you, nurses ignoring a patient in pain, EVERYTHING. NOT OKAY.
Edit: I found who you report them to. Reporting Your Concerns | KRMC | Kingman Regional Medical Center
 
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