Whats the issue with people and keeping a loaded lancet device in their diabetic meter case. I mean its bad enough that I get handed this meter that looks like its been used as a tampon, but when I look at the lancet device (dont get me started) it has a friggin loaded lancet ready to go.
Im sorry, but its bad enough that I need to touch your nasty ass meter, but leaving your lancet device loaded it just asking for trouble. What if I stick myself on it? Then what? Do you also keep loaded guns in your child’s bedroom? Do you drive drunk or under the influence of Soma or Vic-er.. never mind that part. The point is, when you bring in your meter to be looked at by me (who’s already swamped with work), PLEASE remove any uncapped lancets from your device. Whenever I get one (today I got 2), I always say “oh, thats nice, ready for me to stick myself on”. They don’t get it. Seriously, they just don’t fucking get it. Pisses me off to no end this does. What makes it even better? Is when they receive the meter from a mail order pharmacy and expect ME to show them how to use it. Fuckers, I wish i could kill them with my brainpower.
Another thing. For some reason, Medicaid and Medicare people always seem to think that ANY copay is too much. You got $150 bucks worth of Levaquin for $3.10? Too much. $2000 worth of Epogen for $3.10? No way. It has to be fucking free. Im sorry Medicare reciepients, but its not MY fault that you didnt save your money when you were young. Cricket and the ant man. All of us working people are the ants, and your sorry ass are the Crickets. Winter is a coming.
Also, Its not MY fault that i’m paying a good deal of my check into this ‘system’ for which I will never be able to draw a dime off of. Im sorry you’re poor and on a fixed income and forced to eat dog food. But yanno what? I gotta eat, I gotta pay my power bill too, and to hear you bitch about your $3.00 copay on your $2000 prescription really isn’t worth my time. In fact, its insulting, because 2 years ago you would of gotten NOTHING covered under MediCare part A and B. So QUIT FUCKING BITCHING and go watch Jag reruns.
Now, heres the best of them all. Why do MediCare/MediAid folk think they are entitled to Ensure? Why is it you NEVER see a private pay or someone with private insurance get an Rx for Ensure? For you at home, Ensure is one of those food replacement drinks that you take when you cant take solid food. Now I’ve gotten tons of prior auths for people with AIDS+HepC wasting, and throat cancer where they cant swallow, or people with GT Tubes. But when some fat son of a bitch waltz’s in with an Rx for Ensure because “I’m losing weight” I want to stab him and his doctor in the face with my pen. Does Medicare/aid pay for a loaf of bread? Can I bill /my/ lunches to /my/ insurance? NO! So why should Medicare/aid pay for your Ensure unless you have a good fucking reason to be on it?
Seriously, I had to do a Prior Auth from (where else) the County Hospital for this patient who “hasnt eaten in 2 weeks”. I thought she was a chemo patient, or had some serious problems. She was out in the car, so I asked her “caretaker” (don’t get me started) for her to come in so I could ask her some questions for the PA. Well, she didn’t walk in, she waddled in. She wasn’t eating food for 2 weeks, she was eating bacon fat soaked twinkies for 2 weeks. I seriously turned to the other pharmacist behind me (and the techs) and gave the “What the FUCK” look. Immediately they retreated to the back room to laugh. This chick was large. She started into this sob story how she needed this because she didn’t eat for 2 weeks, blah blah blah, brain turned off. I seriously had to make a conscious effort to remove the “you have got to be fucking me” or “wheres the hidden cameras? This has to be a joke” look on my face. Did she just want Ensure so she didn’t have to raise the fucking BigMac to her fat face?
So I get the info, and contact her doctor to find out exactly what the diagnosis and her latest BMI (Body Mass Index) was. The doctor called, and first thing after she gave some diagnosis about “not eating for 2 weeks” was “Have you seen the patient?”. Yeah, to make a long story short, when I submitted the Prior Auth I got a phone call from the insurance company asking me if maybe I transposed some numbers when writing down the BMI. I said no, and they promptly denied it with laughter in their voice.
Oh, and if you think you can somehow convince me to feel sorry for this lady, please dont invite me to your pity party. You have no idea what she milks out of our tax dollars.
- Paying the PBM’s to service them.
- Im dreaming of a Crackhead Christmas.
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- An open letter to my patients.
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- How to make your pharmacy career less painful.