I Am Back, So.. Let’s Go.

Jp Enlarged

Jay Pee says: “I am back, you guys.  It has been a month since I got the essential grown up scare of my lifetime.  I am still affected.  I am tired every day.  I rest more than before and nap regularly.” 

Our sister, Cathy Lane, R.Ph., gave me good advice.

”What I heard, Jim, was to keep your brain active and get your sleep to allow the recuperation from neuroregenerative repair on the night shift. I know intensive physical therapy helps retain tone and improve function. Who cares if you’re not planning to win first place at the jitterbug contest anytime soon? The slurring is the nod that it’s time to relax and allow healing effects in a different venue.”

Cathy has been stopping here to express herself for years. I respect her and will take her advice.  Physical Therapy is working.  It is really tough.  I deal only with my left hand and, Geezuz, after 45 minutes, I am wasted. 

My neurologist said, “walk a quarter mile three times a day.”  Interesting, the leg pain has been minimal.  Enough of that.

After a whole battery of tests.  Including a look at a thyroid ‘mass’ and my aorta… I am back to Factory Default.  Pretty cool.

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Let us get back to the task at hand.  Working to restore DIGNITY, SELF-RESPECT and INTEGRITY to the job of working In retail pharmacy.

I am recruiting Pharmacy Steve to assist in managing YOU. Steve and I share a matching basic strategy that cannot miss if you simply pay attention and practice pharmacy at a high level.  I trust that Steve will want to participate and we will wait for his confirmation.

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Goose, a battlefield commander better than Goose, you are not going to find.  Goose is a Pied Piper with the youngsters and the young pharmacists we need to carry our flag.  They have the energy.  They have a righteous indignation about how you are treated.  The kids will do the right thing.  Officially, I am asking Goose to play.

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Peon. Keith has important Internet managing skills.  We will want to spread the ugly stories around.  To the media, State Board and individual ‘Yellow Journalism’ writers. Peon can do this.  Peon, are you up for this?

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I like the message that Steve Moore presents. There has never been a better time to own your drug store.  You can get the loan easily.  Start with the U.S. S.B.A.  Those of you who paid your dues in the industry when you were a kid have invaluable training.  Just remember DO NOT TRY TO COMPETE WITH CVS.  MAKE CVS TRY TO COMPETE WITH YOU.

CVS, WAG, RAD, KROGER, TARGET, WAL-MART. They will fail if they believe that Robo-Dispensers can compete with real pharmacists, drug store merchants like you.

From: Steve Moore

I’m an owner, and admittedly biased, but the answer is to do something different.  I am paraphrasing but Einstein said the definition of insanity is doing the same thing over and over and expecting different results.  For some pharmacists something different may mean changing jobs and others changing the way that they do their current job.  I am not saying that these are easy things to do, but I do not see why they aren’t considered viable real world suggestions.

If we want the benefits of the profession we’re going to have deal with with some of the ancillary, nonclinical, issues too.  I personally think that we would all be better off if more pharmacists had a financial stake in the profession.  Whether that be as owners I don’t know, but everytime Medicare tries to cut physician payment rates, the AMA and all of its members are up in arms.  When pharmacy reimbursement rates get cut, the vast majority of pharmacists have no clue about it and are left complaining about how they have less tech hours all of a sudden.

Pharmacists need to find a way to change the game.  There are pharmacists who are doing so and more who will.  I know of a pharmacist that switched his business to a cash model based on providing 6 or 12 months worth of scripts at a time instead of 1 or 3 month supplies. He focuses heavily on generics and ships all over his state. Unfortunately, I also think that there are going to be pharmacists that get left behind wondering why they aren’t making 6 figures anymore just for having a pulse and a license.  I hope there are more of the former than the latter.

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From: Pharmacy Steve

@slave.. we have discussed what needs to be done over and over…

You document… document.. document.. all the wrong/questionable doing of your employer.. Keep it off site.

If you find yourself.. in the position of being “set-up” to be shown the door.. you contact an attorney and have them send a letter to COO/Legal.. that will stop them in their tracks of showing your the door.. at least in the short term.

If your company gets called to task in the media.. if the documentation you have supports that your company in fact did what they shouldn’t have done.. share it with the media

If one of your colleagues finds themselves in trouble and hasn’t documented well.. share yours with them .. and again the media..

Encourage your unhappy pts to file a BOP complaint against the company. If you have documented well.. you can support that you were just following the company mandate.

I have heard rumors how the major corporations are making changes to make it harder for employees to secure documentation.. do you ever wonder why?

I have stated over and over.. if you have a one to one conversation where you are told to do something that you consider questionably legal, unethical or increases the risk of med errors.. send the person telling you a email confirming your understanding of the conversation..

When Whistle blower gets thru with his former employer in court.. IMO.. you are going to see a whole bunch of attorney firms .. interesting in following down that same path.

Actions or lack of actions will depend on how much documentation individual RPH’s have in their possession.

Sit on your hands.. do nothing.. whine .. bitch.. moan.. your results will equal your input.. NOTHING !

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These comments From: Pharmacy Slave started this whole path.  Slave is right.  Go ahesd and whine and moan. it is good entertainment, but you will get nothing. 

“These anecdotes are great to call attention to what is occurring in our profession, but we already know about it. My question is, “What do we do about it”? Everyone says, “grow a pair”, “stand up for yourself”. Ok, who is going to be the first to martyr themselves? What difference is a few pharmacists who’ve “grown a pair” getting fired going to make? We didn’t get to this point overnight and we’re not going to get out of this situation anytime soon, if ever. There is no white knight who is going to swoop in and rescue the profession. Unless there are some viable, real world suggestions on how to make things better, there is no need to rehash sob stories.”

“What do we do about it?” 

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We have gotten CVS stories to the tune of 20 to 1 over other companies.  You are simply Galley Slaves to CVS.  Your bosses are Galley Slaves also.  Next time you see him/her, yank the chain.  Trust me, they have metrics too.  Their biggest problem is that they do Not hold the cards you do.  Your hand is a winner.  It is time to play it.

Let’s build a portfolio of CVS stories.  I do not really know how this will shake out, but people with the intelligence, experience and tradecraft skills like PharmacyGal, Peon, Goose, Steve and me as well as anyone else who wants to join in, we will get this done.

We need Indians and Chiefs.  Tell us what you want to do.

Write a comment. Include your name (We will keep it private if you want),personal E-Mail address, your employer, town and phone #. Go ahead and tell a grim story if you want. 

 

 

3 Comments

3 Comments

  1. pharmaciststeve  •  Feb 10, 2014 @5:09 pm

    I’m on board.. but.. I have been on board for the last couple of years..

    For those of you out there in the trenches .. I understand that the wholesalers are giving you grief by rationing controls.. want to get back at them ?

    Recent ADA settlement/fine to Rite Aid.. IMO.. just gave you ammunition to help you take yourself out of the line of fire..with chronic pain pts and redirect it to the wholesalers..

    read here http://www.pharmaciststeve.com/?p=4950

    Why should you have to take all the grief for their decisions and actions or lack of actions.

    Senior RPH’s or Legacy RPH’s as one chain refers to them.. are being pushed out the door.. We don’t hear about all of them.. but the number that we do hear about is disturbing.

    If you are not willing to stand up for yourself.. at least stand up for your pts.. There are a number of state/Fed agencies that most pts are not aware of .. that will go to bat for them..

    IMO.. to date .. if pharmacy was a rowing team.. either the boat would barely move or would go around in circle because the vast majority of the rowers are to scared or lazy to put their oar in the water.

  2. The Redheaded Pharmacist  •  Feb 13, 2014 @4:25 pm

    Jay Pee, it’s good to see you back! Sorry to hear about your health problems. We need more fighters like you and Pharmacist Steve in this profession. It just seems like big business has taken over community pharmacy and all of us who call ourselves community pharmacists are simply along for the ride.

    I am however more optimistic about the younger pharmacists coming out of school these days. I see intelligent young professionals who want to make a difference. I think they are hindered by a fear that they will find themselves unemployed so soon after joining the ranks of or profession. I can hardly blame them for those concerns. They are seeing what the likes of CVS and company are doing. It’s enough to scare even the most seasoned veteran among us.

    Oddly enough despite all the negatives I could focus on, I’m remaining positive regarding my outlook for pharmacists. We just need to better organize and fight for our best interests and our patients. That unfortunately is easier said than done my friends.

  3. RalPh  •  Feb 20, 2014 @2:56 pm

    Here’s a link to specifics about the case Steve mentioned.

    http://www.ada.gov/riteaid.htm

    Steve is right on with this. For example denying a patient’s prescription can be filled that day when everyone else without chronic pain gets theirs on that day would be treating them differently based on a disability.

    So by filling it if it’s legally valid, you’d be looking out for the patient, yourself, and the employer. Once that employer has been discriminatory and found liable, their life is made he’ll with hoops to go through. All parties are served.

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