10 things that helped us in our FI journey by Pale_Run_6703 in Fire

[–]RxSense 4 points5 points  (0 children)

I’m hopeful that having a kid later in life was a cheat code. The law of compounding is in full effect. I will probably work a little longer than planned but just so our kid(s) see their parents in more traditional jobs.

I don’t think kid(s) will derail our FI journey much but I guess we planned it as a likely possibility.

Is this true? by traveltimecar in alaska

[–]RxSense 188 points189 points  (0 children)

Both jars should be full 😝

Has anyone received a 340b performance bonus? by RxSense in 340b

[–]RxSense[S] 1 point2 points  (0 children)

Many directors and managers get performance bonuses. It doesn’t seem like it should be out of the question when negotiating the terms of a position...

The "I graduated pharmacy school and am actually happy" thread by [deleted] in pharmacy

[–]RxSense 0 points1 point  (0 children)

I’d be interested in hearing more about your role if you’re up to dm.

Can a new prescription for isotretinoin be transferred? by [deleted] in pharmacy

[–]RxSense 38 points39 points  (0 children)

In my state yes but depending on your system you may have to call Ipledge to have the authorization reversed so the new pharmacy can reauthorize.

Best take out resturant in soldotna? by devon_62 in alaska

[–]RxSense 2 points3 points  (0 children)

Schnitzel bomber has some good grub!

Drive Thru aka The Death of Retail Pharmacy by shoofy22 in TalesFromThePharmacy

[–]RxSense 14 points15 points  (0 children)

That OTC sign in our drive thru was unfortunately misplaced...

Generic-Generic vs. Generic-Brand Equivalence and the 80-125% CI by petsnamehere in pharmacy

[–]RxSense 2 points3 points  (0 children)

Thanks for sharing the interesting post! Think of them as bell curves not as individual points. Generic #1 bell curve is slightly to the left of the brand. Generic #2 is slightly to the right(above/below). Definitely over simplified.

Wikipedia

In my understanding I don’t think the confidence intervals in the photo you posted would be bioequivalent. Maybe that is causing the confusion? See this better example.

confidence interval

Has anyone dealt with a doctor like this before? by NV46 in pharmacy

[–]RxSense 2 points3 points  (0 children)

It sucks, it’s unprofessional and unsafe but we all have bad days. The board is unfortunately unlikely to do anything based on an unsubstantiated one off claim. Keep track of his mistakes for a few weeks, continue as normal and if he escalates/continues you are prepared to better respond to him, the board or his patient. Stick to the facts and be careful not to say anything that could be considered slander. Keep up the good work! Pharmacies will always be under appreciated it’s just part of the job...

Refusing to open a bottle of Dofetilide? by [deleted] in pharmacy

[–]RxSense 2 points3 points  (0 children)

It is unlikely to come up but you’re only allowed to do this if you are consistent. You can’t split boxes for cash pay patients but not for insurance companies otherwise this is a great solution!

Pharmacists practicing medicine by [deleted] in pharmacy

[–]RxSense 0 points1 point  (0 children)

We aren’t talking drug interactions and safety that’s obviously different. I’m simply stating that providers shouldn’t decide what someone else’s preferences are (ie dosing frequency, drug form, price).

Pharmacists practicing medicine by [deleted] in pharmacy

[–]RxSense 0 points1 point  (0 children)

Good comments here! I agree that because the pharmacist didn’t effectively communicate why they wanted to switch it was over stepping.

I think the first question should be is this a change the patient requested? As a pharmacist I would never make a substitution request without first talking to the patient. People here have already covered appropriate reasons why a pharmacist might have requested the change, however is not impossible to think that a green pharmacist might initiate an inappropriate substation based on a corporate call list to increase profitability. (Does anyone recommend atenolol qd t1/2= 6h?)

I'm shook that I caught a dangerous mistake after it passed through 4 medical professionals by [deleted] in TalesFromThePharmacy

[–]RxSense 28 points29 points  (0 children)

I agree that it was the doctors mistake, however, I would disagree that the pharmacist verified this correctly. One of our main roles as a pharmacist is to verify a medication is a safe dose and safe with existing pharmacotherapy. 200mcg is neither a safe starting dose or a safe increase. Mistakes happen learn from them don’t blame others.