The original post is here. TAestP didn’t want to field this one, so hell, its my duty to stand up for my loyal readers.
To the friendly, trusted neighborhood pharmacist who told my 74-year-old diabetic patient with coronary artery disease and arthritis to stop his Zocor because maybe that’s what was making his knees and hips hurt:
You fucking moron! Do you have any idea how hard I worked to get this guy to take this stuff in the first place? Do you know how long it took, how many visits over how many months of teaching, explaining, describing, convincing, persuading, cajoling and begging to get him to agree to even try this medication in the first place? Are you even aware of evidence-based guidelines that recommend statins for patients with diabetes and CAD? I assume you’re aware he has these conditions BECAUSE YOU FILL HIS FUCKING Avandaryl, Diovan and Procardia!
And guess what, asshole: his knees and hips still hurt. Think it might be osteoarthritis? You think you’d never seen that in a septuagenarian before.
So thanks for nothing, fucktard. No matter how hard I work my ass off trying to educate my patients about the need for their various medications, you go and undo it all — why? Because you can? Just to prove to yourself that patients hold you in higher regard than they do me? Think I can get you named as a co-defendant when he has a stroke and the wife sues because I wasn’t following the guidelines? No, of course not. You’ll just keep smirking there behind your counter, saving poor patients like him from us arrogant docs whom you claim don’t know one tenth as much about drugs as you do. Well guess what, you cum-burbling trout-fucker [thanks, CrankyProf!]: you may think you know all about drugs, but you don’t know the first motherfucking thing about using them in people.
So why don’t you go down a bottle or two of tylenol and chase it with a quart of vodka for good measure. Your basal metabolism is contributing to global warming, and there are slime molds who’d make better use of the oxygen you consume.
Are you mad because we undid your work with one statement what took you a while to accomplish? A bit bitter because your patients listen to US over you? Its okay, heres your ID card; Join the club. Not my fault that we spend more time with your patients than you do. Maybe if you didn’t take appointments and allowed them to just walk in to pester you they would think the sun rose and set on the crack of your ass like they do their pharmacist.
Now, after you have washed the sand out of your neither-regions, should you also maybe take what your patient says with a grain of salt? Say, like when YOUR patient comes to us and said “Doctor said I can have my Soma early”? Because we /all/ know that the PATIENT never gets what you say wrong. NEVER EVER.
Since the patient said that their knees and hips hurt, they probably pointed to their legs and said “It hurts me here”. I’m sure the pharmacist said “Talk to your doctor, the pain could be because of your Zocor” and the patient took that as “Stop Zocor”. Hell, the pharmacist could of said “Your Zocor is no longer covered, I’m faxing your doctor” as “Doctor told me to stop”. Old people don’t hear things correctly, you know this and I know this. I don’t care if another person “heard them say it”. If a doctor called me over something as stupid as this I would just say “yeah, whatever *click* ” just so you would stop wasting my fucking time. You don’t see us calling you to bitch you out for having a bunch of morons phone in your prescriptions and all of the retarded errors they make.
If the patient initially didn’t want to take Zocor (which you said that he didn’t) then don’t you think that MAYBE he was looking for the tiniest reason to stop taking it even if it meant taking things completely out of context? If your patient refuses to take it and dies, its not your problem. You said he should be on it, he doesn’t want to, end of story. Your patent could just be getting it filled and NOT taking it. Ever think that? Happens all the time. Just decided to rant on poor pharmacists over something stupid that your patient did.
Oh, and to shit in your punchbowl some more – if a 74 year old dies, I doubt they will sue you for not following guidelines considering HE’S FUCKING 74! Why doesn’t his wife sue God while she is at it. You should of made your story involve a 45 year old to make this point a bit.. uhh.. less retarded.
Heres an idea, Maybe you should have the Avandryl and Diovan reps talk with your patient, we all know that you’ll do whatever they say – maybe your patient will do the same.