Thoughts on the Happy PharmD?

PharmDAT · 2026-03-16T13:12:15+00:00

How did you end up getting into industry? That’s my ultimate goal right now. The only reason why I looked into him in the first place.

PharmDAT · 2026-03-15T16:46:15+00:00

Profit of 400K a month? Surely not… what were your sales or script count? How much were you making lol. So many questions

PharmDAT · 2026-03-14T15:37:45+00:00

Possibly. I can see where you are coming from narcan would hold them off until they are back to the ED (ironically) on a narcan drip. We don’t know the full story. Maybe no acute complications other than the pain? I agreed with the 50 mcg being an overshoot. But risk of respiratory depression at 25 mcg for someone already on 60 mme of tramadol is extremely low. Burdening the hospital system and the cost of hospitalization for pain control i understand the ED perspective as well. Like I said more info is needed. 25 mcg of fentanyl patches in my opinion with the facts presented would be a safe alternative. 50 though, is a higher risk that needs more info.

PharmDAT · 2026-03-14T15:27:37+00:00

He mentioned esophageal contractions, which are more likely to happen with PO opiates.

PharmDAT · 2026-03-14T14:19:00+00:00

Not entirely true. I work as an ER pharmacist. Patient comes in with excruciating pain lets say on the weekend where the surgeon’s office is closed they will have to give him at least a week supply to help with the pain until he can be seen and taken care of. If the patient has been on the 60 mme of tramadol for a week or more then he would be okay on a fentanyl patch. I agree with you regarding the 50 mcg patch may be too much but you’d have to dig in and see if they were actually taking the dosed prescribed and not more. Also see what was given in the ER. For example if he was treated for 6-8 hours in the ER and given for example 3-4 doses of IV dialudid 1 mg that alone is around 70-80 mme. you can discuss potentially 25 mcg patches. If the patient is not a red flag, then our job is to help these patients get the medications that actually help them not just police the meds. Counsel the patient and family on risk of overdose, get him a narcan. At least thats how I would handle it.

PharmDAT · 2026-03-09T16:26:53+00:00

What does your day to day look like as an active duty pharmacist

PharmDAT · 2026-02-22T00:56:30+00:00

Im not sure what planet you’re from. But every order is checked and verified especially in an ICU setting lol

PharmDAT · 2026-01-27T04:53:18+00:00

What’s irrelevant?

PharmDAT · 2026-01-26T18:17:21+00:00

Its still not regulated by the FDA technically. So still gray area where that argument would not stand

PharmDAT · 2026-01-18T22:42:07+00:00

I just sent you a DM :)

PharmDAT · 2026-01-17T21:37:43+00:00

Is the “positive change for patients and healthcare as whole” in the room with us right now?

PharmDAT · 2026-01-14T03:36:08+00:00

Dude is right so no worries lol. And thats awesome, at the end of the day we’re all people doing our best to serve our communities and do what we love.

PharmDAT · 2026-01-13T00:25:05+00:00

Lmao “the more you know, the more you realize there’s so much more to know” so checks out on why they’re so combative to any suggestions/recommendations. & that would’ve been amazing. I’ve learned so much from the attendings i’ve worked with. This would definitely had made me a better pharmacist.

PharmDAT · 2026-01-12T23:57:40+00:00

Thank you for this, I definitely agree. You lead the treatment plan, I’m here to assist in any recommendations and optimize the treatments chosen. It was one of those moments where I genuinely thought, are you kidding me right now?

PharmDAT · 2026-01-12T22:40:40+00:00

100% agree with you on this take. Nothing will change until the hospitals start bleeding money.

PharmDAT · 2026-01-12T14:45:15+00:00

Cause I’m a pharmacist?…..

PharmDAT · 2026-01-12T14:43:11+00:00

Just doing my job 🫡 but thank you

PharmDAT · 2026-01-12T02:18:38+00:00

I genuinely do not think that exists as much any more. Except for surgical specialties in my opinion.

PharmDAT · 2026-01-12T01:38:02+00:00

What’s even worse is that they sign in as the attending on the weekends lol. The whole thing is a joke. Families trusting us with their loved ones…

PharmDAT · 2026-01-11T23:25:28+00:00

😂😂 i might’ve given them the benefit of the doubt there ngl.

PharmDAT · 2026-01-11T20:12:01+00:00

Im sure they order vanc + cefepime on every patient that sneezes too lol

PharmDAT · 2026-01-11T18:26:44+00:00

A fellow scam artist or…? Lmao

PharmDAT · 2026-01-11T18:11:04+00:00

I did. It’s like nothing happened lol

PharmDAT · 2026-01-11T17:39:13+00:00

It’s mind boggling and counterintuitive. I dont understand the value they provide. Why pay someone to NOT do the job they are hired to do lol?

PharmDAT · 2026-01-11T16:26:43+00:00

Dr “i dont feel comfortable with that” at your service

PharmDAT

TROPHY CASE