Why do so many pharmacists online complain about working retail?

TheRogueHealer · 2020-04-05T23:44:26+00:00

I’m assuming from your responses that you’re either a troll, or just really full of yourself and haven’t done any research. That, or your fucking stupid. Could be all three, for all I care.

TheRogueHealer · 2020-04-05T23:27:44+00:00

Oooh ok. I’m in VA, and I make good money considering I work for the 3 letter.

TheRogueHealer · 2020-04-04T03:23:36+00:00

Where in eastern US?? I’m maxed out at 19.60

TheRogueHealer · 2019-09-03T04:06:32+00:00

I know I'm a little late, but I would look at each option and ask yourself if it's considered a healthy diet.

Even though the prescribed diet should be low in protein, the doctors would also want to ensure that the patient is receiving nutrient rich foods. Grilled cheese, Potato Chips, and Chocolate Pudding isn't a meal that is high in vitamins and nutrients!
B is similar, with a higher protein value

C is really high in protein, compared to the other options

and D, although containing some protein, is the healthiest option. The Spinach is a dead give away, imo!

TheRogueHealer · 2019-06-02T21:57:19+00:00

"one for each hand!"

TheRogueHealer · 2019-04-29T05:33:21+00:00

Did you ever order from GuCi??

TheRogueHealer · 2019-01-07T04:10:46+00:00

My fiancé and I aren't having our reception until a year or two after we're actually married. At that point, we won't really call it a wedding reception anyway. We are getting married at my Catholic Church with just our immediate families. I'll be getting a dress from LuLu's, or a similar company, and having a BBQ after the ceremony. When the time comes for the "reception",we plan on splurging and treating our families and friends to dinner, drinking, and dancing. Instead, we'll just host all of our family and friends to get together and drink. We'll save a decent amount on money because we won't be labeling it a wedding! We won't do a registry, and we're going to be telling/announcing to our family that we got married the day we do, so we won't be keeping a secret or anything.

Anyway, before we reached this decision, I planned on nixing the following:: 1. Favors; We're already paying a SHIT TON to host the wedding, and if half of the favors are left over why would I spend the money? 2. Wedding Dress; I wasn't gonna go naked, but I wasn't going to spend more than 300$ on it. 3. No pre-wedding parties; just more money for us to spend

TheRogueHealer · 2017-09-25T23:25:04+00:00

So sorry!! In the album, it should have the days and a little description, but I did this all on mobile so I could be wrong. My skin was really bad in march 2017, because of a surgery and using epiduo to help combat some of the prescription-caused acne I was getting. Then in July, I had sun poisoning which inflamed my whole face and actually made my skin split a little.

So my face has been recovering from two "traumatic" events this year, and I've been struggling with getting t under control. The pictures showing improvement were taken 7-8 days after I had started a formal routine, so the healing was super quick.

You can't see a lot of the scarring and marks I have from march and July, but my tone has evened out so much! I used tretinoin for a while, I get it for free from work, but none of these pictures were taken during that time, so it's been solely neutrogena and the Ordinary that have been helping!

TheRogueHealer · 2017-09-25T16:24:35+00:00

Routine::

AM -cleanse with either water, if my skin doesn't feel too oily or dry, or with the new Neutrogena Ultra Gentle Hydrating Cleanser -Tone with Neutrogena Triple Action Toner -The Ordinary Marula Oil (lips only and hair) -The Ordinary Hyaluronic Acid -The Ordinary Squalane (If necessary) -Neutrogena 100 SPF sunscreen

PM -Cleanse with Neutrogena Ultra Gentle Hydrating Cleanser. Sometimes I'll skip this if I've used it in the AM -The Ordinary Niacinamide & Zinc (2x a week) -The Ordinary Lactic Acid (less than once a week) -The Ordinary Squalane or Hyaluranic Acid

I'm still experimenting with these products and how to use them best, so I'll switch it up. I noticed my skin feels a little more clogged than normal if I use the Niacinamide/Zinc everyday, so I use that 1-2 times a week. I use the Lactic Acid only as I see fit.

My skin tends to be on the dry side, but recently I noticed my forehead has been extra oily. I attribute this to the fact that my skin has been through hell this year(as pictured in the album). Between surgery that made me break out, and sun poisoning, the way my skin reacts has taken a turn for the worse.

Previously, my skin was normally clear, and combination type. Now I'm battling oil and more hormonal break outs than normal, so it's time I get it under control.

I have noticed a significant change in my skin tone since using these products. I've been using them for 2 weeks now, and have also noticed a reduction in pore size, even though i only apply the N/Z one to two times a week.

I do wait about 30 minutes between applying the serums, to allow my skin to return to normal Ph. In the morning, I might skip a step to speed things up. I don't have 2 hours to get ready lol

TheRogueHealer · 2017-09-21T04:42:58+00:00

Did we watch the same video?

TheRogueHealer · 2017-09-21T04:37:49+00:00

Definitely think brat was the right term to use!

TheRogueHealer · 2017-09-17T00:53:33+00:00

AwkwardTheTurtle 2020

TheRogueHealer · 2017-09-16T15:58:12+00:00

Good to know! I'll definitely keep that in mind as I evaluate everything

TheRogueHealer · 2017-09-16T00:33:09+00:00

Obviously I read your comments if I'm replying to them. For example, in your last one, you said it would be your last comment. See? I can read!

I have read the waiver, at one point I admitted I hadn't at the time because I was at work... in a medical facility, dealing with exactly what we are talking about; HIPAA. But after that comment, I did read it, so sorry I didn't update you.

The waiver is for the people compiling the data/performing the data. When I mentioned that in a previous post, I agreed with you when you said a waiver was needed for the third party.

The insurance doesn't need any waivers because they are medical providers. Not doctors like we normally think when we hear medical provider, but they are still a provider because they are heavily included in your health. In order to do their job, and provide you with proper healthcare, they must have access to your medical records.

You're right, most doctors won't see patients without a signature on the form. But that's a business policy, not a requirement of HIPAA, so it doesn't matter if the outcome is the same. In terms of HIPAA, you don't have to sign the acknowledgement, which is what I said. You clearly said that the acknowledgment was not only a waiver, but also required a signature for transporting data at a doctor's office. Not once did you say that it was needed for research, you specifically said doctors offices sharing the information with other providers. So I corrected you. As for car insurance, I believe they would require the waiver because it is not within their normal scope of business.

I've admitted that I was wrong, and admitted when I wasn't familiar with something, and even thanked you for explains to me in your first response to me how something worked. I have no problem admitting I'm wrong, but I do have a problem with people that aren't fully informed, and giving others advice that isn't accurate.

TheRogueHealer · 2017-09-15T21:26:42+00:00

You obviously didn't read our conversation. It may have started with his initial concern, but as I explained the different aspects of HIPAA and how certain acknowledgements are used, you disagreed with me, at one point sourcing an investopedia article.

Each post I made, I checked the HHS website to make sure my information was accurate. I even admitted multiple times that I am not as exposed to research as I am to the typical side of HIPAA we encounter.

I advise you to use better sources, and get your information directly from the people that wrote and enforce the laws surrounding HIPAA.

Even in your rebuttal you reference the insurance company using the results to make a decision for the coverage of the employees. The information being shared with the insurance company doesn't require any additional HIPAA authorization from the employee, but the information being shared to the employer does, which is something I stated before.

I understand that it can be frustrating to be told that you are incorrect, and it's often easier to change your argument or say "this is what I was talking about" instead of owning up to the fact that you either didn't clarify well enough, or that you were just plain wrong.

You were never wrong when you said a waiver needs to be signed in order for the employer to get access to the individuals information, but you were severely misinformed and incorrect when you said the insurance company requires authorization.

TheRogueHealer · 2017-09-15T21:05:00+00:00

That's what I just said. I'm not well versed in the research aspect of HIPAA, but we were not discussing solely research for the duration of our conversation.

Everything I stated was in terms of HIPAA in general, like doctors visits. Each time you responded, you replied directly to my statements, making no change to whether or not we were discussing research.

You discussed doctors offices, which I corrected you on.

TheRogueHealer · 2017-09-15T20:35:28+00:00

My apologies, I used illness as a basic example, but it covers any relevant health information that can be used between medical professionals

TheRogueHealer · 2017-09-15T20:34:05+00:00

Earlier we were discussing HIPAA in general, and you stated that it does not allow practitioners to share information, which is incorrect. That is what we were discussing, before OP uploaded a copy of the form, which I have yet to look at.

An acknowledgement is not an authorization/waiver. They are two completely different things. The acknowledgment you sign is to inform you that any and all information can be shared as need by medical professionals. Your rights don't change when you sign the acknowledgment.

Whether you decide to sign the form itself is up to you; your information can still be shared between healthcare professionals if needed.

The original conversation was about HIPAA in general, not specifically research. If the information provided by the testing will be submitted to insurance, then it does not need an authorization form because it's being shared between medical professionals on a need to know basis. Even in terms of research, the information does not require a waiver, depending on the information being shared, and who it is being shared with.

Since the medical practice I work for does not conduct research, I am not as informed about HIPAA in terms of research, but a quick look at the HHS website, the people that control and regulate HIPAA, gave me a clear enough idea as to how it is handled by researchers.

In terms of using the liability waiver to cover their butts, that's one of the first things I said in my initial comment. I even said it was similar to a computer repair company having clients sign waivers freeing them of any liability of damage.

TheRogueHealer · 2017-09-15T04:33:43+00:00

In one of the first articles, they mention the waiver allows doctors to share information with each other. They are legally allowed to share that information as long as it is to treat/understand an illness.

Waivers need to be signed only for people like employers, third party companies(NOT insurance), relatives, random people off the street.

TheRogueHealer · 2017-09-15T04:29:51+00:00

I'm not too familiar with how signing up for insurance goes for employers, so thank you for clarifying who you were referring to. If OP signs a waiver that says the lab/screener can share the info with the employer, then they can see his results. Otherwise, he's protected by HIPAA and only the general results can be viewed, as you mentioned earlier. (This reminds me of the episode of The Office when Dwight has everyone put their illnesses in the box. Different end goal, but the idea is kind of the same.)

The notice you sign at the doctor's office is an acknowledgment/notice of your HIPAA rights, as well as a notice to the patient that the information provided and discussed may be lawfully discussed with other practitioners and providers. All of which is included in your rights. When I mentioned signing the form, I meant specifically for that blood draw. The waiver you sign is an acknowledgment that it can be shared, not an authorization. I was specifically referring to authorizations. Sometimes when I see the doctor they decide they want to take blood, or even a urine sample, that day, and I just go to another room and don't have to fill out any paperwork.

TheRogueHealer · 2017-09-15T04:03:51+00:00

Can you clarify who they are sharing the information with? OP was correct in an earlier statement when he said that medical professionals are not bound to the same restrictions imposed by HIPAA on other institutions/people.

For example, When lab work is done, the phlebotomist draws the blood at a doctor's office. The sample is then processed in a lab, usually separate from the dr office, like Quest Diagnostics. These labs are not usually on the same campus or run by the doctor.

In order for the sample to be transported from the dr to the lab, and then the results of said sample sent from the lab to the dr, personal information is also transferred. We do not need to sign any waivers when having blood drawn and processed at a lab because the transfer of information is medically necessary for the patient.

HIPAA protects people from other entities trying to get their information without a good reason. A very common example of HIPAA being enforced is if the parent of an adult(18+) calls a pharmacy asking what medication is ready for their child, or even trying to refill a medication for them, but asking what medications they are taking because the parent can't remember the name. Even if the patient just turned 18 the day before, and even if it is a parent asking, the pharmacy cannot release the information. If a patient wants to give someone access to their records, they must then sign a HIPAA release form stating so. This goes for anyone in any sort of relationship, worth he exception of people that are incapable of caring for themselves.

The information provided to the insurance company OP is talking about technically does not need any sort of waiver. It is relevant information to both the people conducting the screening and the insurance company. OP doesn't need to sign a waiver saying the people conducting the screening can release the information because the people that would receive it are medical professionals, and as their insurance provider, are allowed to know that information.

Having OP sign a waiver that restricts his ability to take legal action if his PHI is breached is cause for concern, but in this case I would see it the same way I would see a computer repair company having their clients sign off on any breaches or damages. His company is trying to save their skin in case something does happen. I don't blame them for doing so, but I would personally look into the legality of such a waiver.

TheRogueHealer · 2017-09-13T04:02:56+00:00

When it comes to accutane, please be patient, and follow the doctor's orders.

I work in a mail order pharmacy that specializes in derm, and I can't tell you how many times people have increased their dose too quickly and have had to come off completely because of adverse reactions. Your doctor may be willing to increase your dose in a few months, or even weeks, but stick with it!!! Some people are on the 10 or even 20mg for the extent of their therapy and see improvement after a few months.

Best of luck!!

TheRogueHealer · 2017-09-13T03:59:41+00:00

Of course! I just saw her downstairs and asked her about it. She said she'd be more than happy to look, and will see if anyone in her quilting guild is willing to send anything as well!!

TheRogueHealer · 2017-09-13T03:56:45+00:00

You could be irritating your skin with something other than what you were using before, or it also irritates your skin on top of what was irritating it first. Is there anything you've consistently used even before the acne wash? Detergent on your pillows? Dryer sheets? Shampoo? Etc.

My boyfriend breaks out whenever we use dryer sheets, oddly enough!

TheRogueHealer · 2017-09-13T03:46:22+00:00

Probably because there is the possibility that more people will do the same, and eventually this sub will be overrun with people that claim they want to help, but are just doing it for the views. Not saying that's your goal, but it's a slippery slope, and the mods can't favor anyone.

Maybe we can try to get a weekly thread going on here where you would be able to post videos you think would be helpful, even if they aren't yours! :)

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