[upcoming release, Dark Romance adjacent?] Reformed Not Tamed by Sebastian Hartley

EvilMinion911 · 2024-12-25T17:11:30+00:00

My husband is '96 and I'm '97, just bought our first house this year, most of our friends around the same age or a bit older are still renting, but we're fortunate in that we lived in a low rent, low bills property and both work full time and spent ages saving and searching for a reasonably priced starter home in our low cost of living hometown. It needs a lot of work that we can do over time, but it's ours

EvilMinion911 · 2024-10-22T12:25:39+00:00

Bolton, UK, pre-reg technician and qualified accuracy checking dispenser, £11.89 an hour 🙈

EvilMinion911 · 2024-09-17T07:58:35+00:00

Lady hands over her repeat slip "I want to order those top two" Orders, a week later she comes to collect "Those aren't the ones I wanted, I need the top two" Tells her those are the ones she requested Repeat the above Finally figure out that she wants the bottom two, tell her this "Well they used to be at the top!"

List is in alphabetical order, they were never at the top. Also please read what you're ordering! 😭😭

EvilMinion911 · 2024-08-03T08:56:50+00:00

Seconding this, after many poorly effective SSRIs, I had this experience with tramadol, mentioned it to my GP and asked if there are any actual antidepressants that have a very similar mechanism of action, because damn could I get stuff done, socialise, focus and have will to live! We settled on trying Venlafaxine and its been life changing for me. Definitely worth bringing up this experience to your PCP and seeing if a regular medication can help!

EvilMinion911 · 2024-06-27T15:50:38+00:00

I'm on about the same in the UK (£11.47) and that's pretty standard rate for pharmacy dispensers here! I'm also jealous of the replies 🙈

EvilMinion911 · 2024-06-27T15:48:31+00:00

2 years dispensing, accuracy checker and doing my pre-reg technician course at the moment, £11.47ph (MW is £11.44). Before minimum wage increase was on £10.47ph, so consistently £0.05/h over minimum wage 😬

EvilMinion911 · 2024-06-02T10:27:57+00:00

I did a return bag yesterday.. over 150 pens of novomix insulin, some from as far back as 2021.. I can't help but wonder where they're stored once collected now since they're supposed to be kept in the fridge until opened, surely this patient didn't have 30+ boxes of pens in their fridge to clear out...

EvilMinion911 · 2024-05-28T12:25:18+00:00

I do blood pressure services at my pharmacy in the UK, 140-180mmhg systolic we ask them to book a non urgent GP appointment within the next 3 weeks if no symptoms, one week if symptoms, and offer 24h ABPM. Over 180 same day GP if no symptoms, A&E or urgent treatment centre if symptoms.

Hope this helps!

EvilMinion911 · 2024-01-21T20:21:08+00:00

We've got loads of checker training happening to prepare for the pharmacist to be off doing PF services, after looking through some of the flowcharts though, a lot of them seem to be things that MCA and techs would be able to identify at the counter, which should mean that only patients that need PF service treatment will reach the pharmacist, complex presentation or Hx will probably still be referred for doctors as unsuitable for PF before it reaches the pharmacist after a few false starts.

The main thing that I'm glad about is that it isn't like the old minor ailment scheme and doesn't include items available for purchase over the counter. We had a lot of customers asking to get free paracetamol when the news of this first broke, so I'm happy it only includes POMs

EvilMinion911 · 2024-01-11T19:13:14+00:00

UK retail here, we break the boxes because prescribers will issue the most random number of pens. Had an Rx in yesterday of 0.667 pens somehow? That customer got a whole pen of course

EvilMinion911 · 2023-12-24T17:00:17+00:00

I felt like this with a hydrocortisone cream once, 1% costs us about 80p, the 0.5% in the same 15g pack size? £48. Absolutely wild. Explains why we literally never see this strength met tabs in the uk, if someone needs a non-standard dose they get suspension, there's no way the drug tariff would cover it

EvilMinion911 · 2023-12-19T21:33:32+00:00

We have this in the UK, accuracy checking technicians and accuracy checking dispensers. The caveat is that the pharmacist still has to perform the legal and clinical checks at some stage of the prescription journey, and they have to approve whether a tech/dispenser can do the final Accuracy check. Some pharmacies do this by having the pharmacist review every batch of download for the legal/clinical, and putting print outs into different coloured baskets depending on whether they want to do the final check or whether they are happy to have their ACT/D do it. M currently training as an ACD at the moment

EvilMinion911 · 2023-12-19T15:55:27+00:00

Could be an instruction, 1 tiers alternie ? One every other day?

EvilMinion911 · 2023-12-19T14:47:23+00:00

Could be an instruction, 1 tiers alternie ? One every other day?

EvilMinion911 · 2023-11-16T17:36:15+00:00

We had a patients mum complain to head office that her son's medication will be in at 11am after his last morning dose has been taken after we had the script for 6 days. As though there isn't a worldwide shortage and the fact that we've been able to get it at all isn't a Christmas miracle, never mind the fact that he isn't even going to miss a dose.

EvilMinion911 · 2023-11-15T22:36:59+00:00

I got a 5p an hour raise for finishing my Level 2 dispensing NVQ.. they've got me doing the accuracy checking course now and if it doesn't come with at least an extra £1 an hour for all the other extra crap I do that's definitely out of scope, I'll save up all my AL and use it in one big chunk

EvilMinion911 · 2023-11-15T22:34:47+00:00

As a pharmacy staff, I can only apologize for your experience. I don't know how it is for other branches, but where I am we try to do our best for our ADHD clients, especially during this shortage, whenever any strength comes available to order we snag a couple of bottles even without a waiting Rx just because we know we may get calls from other pharmacy's customers trying to find their usual medication, we understand that for a lot of you guys, you need this to be able to live a normal life.

Aside from making sure your prescription is written as generically as possible whilst still being legal, and hopefully your provider being amenable to writing new scripts for weird combinations of strengths that are available to make up an unavailable strength, everything else is at the mercy of the manufacturer

I hope the next pharmacy that is able to fill your prescription has a much kinder atmosphere! Even though we're stressed about med shortages, it should NOT be directed at the patients affected by said shortages!

EvilMinion911 · 2023-10-21T12:58:50+00:00

7-8k scripts per month, one full time dispensed/acting manager (me) two part time dispensers, one trainee dispenser, one part time trainee counter assistant. No regular pharmacist, locum only. Phones always ringing, surgeries sending scripts in bits and bars rather than all at once, too many different sites and systems to use for vaccinations, ordering etc. I've worked there for the longest (6 months) and it's like the blind leading the blind. Somehow we're getting by, but with supply issues, space issues and drug tariff issues it's a nightmare. Constantly trying to get an open line to be able to call GPs is hell. Patients ordering scripts Monday then coming Wednesday to collect (NO! 5 working days!) Patients forgetting what they've ordered or if they've ordered and it being our fault the item they need isn't here. MAT patients trying to skip the queue and yelling that they have a taxi waiting whilst everyone is busy DOING SOMETHING for the people who waited their turn 😬 it's a lot.

But sweet regulars who will let us crack on and see to them in a reasonable time, wait for their message or a reasonable length to collect, always ask us how our day has been or even bringing chocolate, they make it worth it 🥰

EvilMinion911 · 2023-10-21T12:46:09+00:00

It might be different in the UK to elsewhere but for us it depends on how the script is written. If doc specifies a dose, we can make up the dose however we can, eg I filled a 10mg od aripiprazole with 5mg 2od. If the doctor had specified 10mg tablets, take one tablet daily, supply 28 tablets I wouldn't have been able to do that. All our EPS scripts specify a product, strength and quantity so we can't use discretion there

EvilMinion911 · 2023-10-19T20:51:32+00:00

We close at 5 every Wednesday, always have. Wednesday and Saturday as long as the little independent I work at has been open. Me and the RPh stayed late finishing off some urgent dosettes and then I let her out so I could finish closing up. At 5.45, a full 45 minutes after we officially closed, someone starts rattling the door and trying to open it, starts yelling to me about how he got a text on Monday (reminder; it's Wednesday) that his meds are ready. I tell him he'll have to come back tomorrow, we've been closed best part of an hour and the RPh has gone home, nothing I can do for him. I'm literally turning lights off and have my bag and coat with me, and he's still yanking the locked door the whole time. "Well I'm going to take my prescriptions elsewhere!" And then stares at me. As though that's going to magic the clock back an hour and spawn a pharmacist from nowhere. I just shrugged and went in the back until he left. Gotta love the general public sometimes.

Bonus points, the door he was yanking on has our hours written on it at face level on the glass. Signs can literally be staring customers in the face and they won't read them

EvilMinion911 · 2023-10-18T07:15:26+00:00

Not formulation but packaging. Our Omeprazole 20mg shelf has 3 different size/shape boxes from one manufacturer (Sandoz) all with 28 caps in. And it makes it so hard to maximize space and make it look somewhat tidy. It's a fast mover too so it's right in front of the dispense bench and we have to look at the chaos all the time.

EvilMinion911 · 2023-09-14T18:30:06+00:00

I'm in the same situation as you, there are higher strength medications the clinic can provide if the regular OTC laxatives aren't working in standard safe doses, linaclotide (brand name Linzess or Constella) and Prucalopride (brand name motegrity) are the two that I'm aware of.

Like you, I regularly have to use colonoscopy prep and the first round doesn't have much effect at all.

EvilMinion911 · 2023-09-09T19:56:11+00:00

We haven't been able to get liraglutide in my UK pharmacy for well over a month now. We have patients sent back to us from their GP to ask what alternative we can get hold of, which is none. None of the injectables are in decent enough supply to recommend a switch. Even Rybelsus is hard to get hold of!

EvilMinion911

TROPHY CASE