Dennis Miller, R.Ph. A Warrior On The Field of Battle. Find His Books at Amazon

The DEVICE AT THE BOTTOM OF THE PAGE is a bit expensive ($225.00), But it is a recording device masquerading as a BUTTON.  AMAZON HAS GREAT PRICES AND I FOUND A “BUTTON” for less than $30.00 at Wal-Mart.com.  Do this, you guys.  Protect yourself.  women have been putting up with sexual harassment for years.  It is time to do something about it. and nail them.   MAKE THEM PAY.  The big companies WILL PAY JUST TO GET THIS TURD OUT OF THEIR PUNCHBOWL.

                DENNIS MILLER WROTE:

Modern medicine is often maligned by critics who say things like “If you want to learn about health, physicians are the last people you should consult. Physicians trained in western medicine are educated about disease, not health.”

                Can the same criticism be leveled at pharmacists? Are we the last people the public should consult about health? Has our education focused too heavily on molecules, cells, chemistry, and pharmacology rather than health?

                Should the primary focus of pharmacy school be health or be pills? Some would say that pharmacy schools exist to teach about drugs. But when was the last time you used your knowledge of inorganic chemistry, organic chemistry, medicinal chemistry, and biochemistry in the drug store?

                One of the most shocking things for me about pharmacy school was that it seemed to have so little do with health. Students are taught a mechanistic and reductionist view that seems to completely remove Homo sapiens from the natural world.

                It is as if human health were completely dependent on the manipulation of molecular and cellular processes with synthetic chemicals. Mother Nature had these biological processes well in hand for thousands of years. Yet the message of pharmacy school seems to be that human health is directly proportional to the per capita consumption of pharmaceuticals.

                In pharmacy schools the focus of the curriculum is a chemical attack on human biology. Pharmacy students learn about health and illness based on attacking and overwhelming biological processes with synthetic chemicals. This militaristic model employs an endless number of inhibitors, antagonists, and blockers to conquer or subdue intricate biological processes that have been fine-tuned during the long course of human evolution.

                At these pharmacy “war” colleges, students are force-fed a curriculum based on a pharmacological assault on molecules and cells rather than being taught about health in its widest context. There are an infinite number of social, cultural, economic, political, psychological, environmental, dietary, and lifestyle factors in the causation of human illness that pharmacy schools seem to ignore.

                Pharmacy students have been led to believe that technology holds the solution to all health problems and that health is a commodity to be purchased in the marketplace as easily as one purchases a refrigerator or washing machine at Sears.

                As a consequence, many pharmacists are unfortunately narrowly competent but broadly deficient. A pharmacist who understands pharmacy—but nothing else—doesn’t really understand pharmacy.

                I encourage all pharmacists to read Western Diseases by Temple and Burkitt (Humana Press, 1994), which discusses how so many diseases prevalent in modern societies were rare or nonexistent centuries ago and remain rare today in many non-advanced societies.

                My experience in pharmacy school was profoundly at odds with what I saw in the real world. When students graduate, they soon discover that the real world is a brutal exercise in market efficiency where the only thing that matters is how fast we fill prescriptions, a case study in the massive overmedication of the population.

                In pharmacy school we were evaluated by how well we retained minutiae about drugs. In the real world we are evaluated by how well we satisfy industrial production metrics.  Health is not the primary focus in any of this.

                The militaristic approach to health has dominated pharmacy schools since synthetic chemicals replaced plant-based drugs.

                I am not recommending a return to botanical remedies. I am recommending a major shift to dietary/nutritional and lifestyle changes. If your primary interest is in preventing disease, pharmacy school and medical school are not your best career path.

                Dennis Miller is a retired chain-store pharmacist living in Delray Beach, Fla. He welcomes feedback at dmiller1952@aol.com. His books Chain Drug Stores Are Dangerous and Pharmacy Exposed are available at Amazon.com.

 

 

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From The Northern California Shock Troops

I would prefer both audio & video, but this audio only recorder certainly can be useful.  JP

I am going to hard ride this horse until it drops. Document Document Document. Use secret audio video recording equipment.   Any manager engaged in sexual harassment coercion is low hanging fruit. A manager who suggests that you bend or break pharmacy law is doing you a favor. Record Record Record. Need Advice? Call me, Goose or Steve Ariens.   Free counseling right now. That is usually reserved as a benefit of being a member of The Pharmacy Alliance.

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Everything below the line was written by three members of our California SHOCK TROOPS. Toni Mavrantonis, Mark Raus (Union Leader) and Fred Smith. It was routed thru Fred Mayer of PPSI fame.

Increased Pharmacy closings as well as Chain Drug Store buy-outs give employers the upper hand in demanding more work from their employees. Including more prescription volume with less help. It is an well known expectation that WALGREENS WILL BE FORCED TO CLOSE QUITE A FEW RITE-AID STORES IN ORDER TO SATISFY THE FTC ANTI-TRUST requirements. Another reason that employers will find desperate pharmacists who are willing to work under unsafe conditions in order to pay to pay their bills. We have to remember that just because the chain stores can get pharmacists to work there does not mean the working conditions are OK . The validation that there are unsafe working conditions is based upon the increasing volume of rx errors and the seriousness of the errors that are occurring.

Errors now must include inadequate or inappropriate handling of DURs and consultations.

The situation is serious enough at CVS THAT MANY EXPERIENCED PHARMACISTS HAVE ALREADY DEPARTED CAUSING CVS TO BE STAFFED WITH MOSTLY YOUNGER INEXPERIENCED NEWBIE PHARMACISTS                                                                                                Raley’s is closing two more pharmacies. The Vallejo store is closing wall to wall           The Lake Tahoe/Stateline store is just closing it’s pharmacy and selling the prescription files to the nearby CVS.                                                                                   I think that in todays job market, you might get fired. There used to be a shortage of pharmacists and the pharmacist could be more assertive. Not a shortage of pharmacists today thanks to all the new pharmacy schools. Also newly graduated pharmacists are owing lots of money and more likely to put up with stuff that they should not have to. The irony is thst CVS will state that the company is for the pharmacist not to work faster than the pharmacists feels is safe. At the same time CVS is pushing a number of metrics which are scored upon a beat the clock system (deadlines must be met or you are marked down on your performance                                                                                                                  I worked the opening shift one day at CVS and my tech called in sick. I closed the doors and told the store manager that I would not open for business until they gave me help from the front end to at least run the register. He said they did not have anybody. I received a call from the district manager and supervisor. They told me that I could not refuse to open. I told them I will open the pharmacy when you give me some help. They contacted the store manager and I was given a cashier. I then called the late crew and told everyone to come in early. I was not written up but was scolded. My response to them was that it was too dangerous for me to be waiting on customers, answering the phone and also trying to fill rxs.

            I don’t know what to do for the rank and file workers out there.  But there is apparently a clear perceived, or real, danger to the public, given all the press lately about errors and failure to counsel, etc.                                                                                       I’m old school.  If I was instructed to work beyond my physical and mental limits, I’d first warn, to give management a couple hours, or just shut the pharmacy down and explain to the patients waiting that we are currently being asked to work beyond what we as professional pharmacists feel is a safe work load.  We will address the needs of those patients that are in the que over the next hour or so, but no new work will be accepted till we can adequately staff the pharmacy.  We will not work faster than safety permits.    or similar.

            Otherwise, just shut it down and walk off.  Easy to say for a retired person without a debt, or family and mortgage to support.

            There needs to be a strong organization to negotiate with the employers, and the employers need a strong organization to deal with the payers, aka PBMs that are providing too little margin to the store owners to enable them to safely staff the pharmacy.  

            Price wants to exempt physicians from antitrust so they can negotiate with payers.   We should ask him to include all healthcare providers in the field in such a exemption.   For all his many yuge faults, he is an advocate for physicians making more money, and dislikes all third parties.  If he’s going to be around, we may as well seek his help.  I understand he’s in favor of pharmacists increasing professional roles, and being recognized as such for payers. 

 

 

 

Eddie Hits The Target. WE NEED TO UNIONIZE

I filched this from Drug Topice. I welcome them having a problem. Julia Talsma fired me after 25 years. She said that my writing was no longer relevant because I retired and did not haul Walgreens ashes anymore. Bullshit. Drug Topics had been bought by a British media company and you can bet your daughter’s dance lessons on the truth being that the new owner ordered Julia to cut overhead and my $400 for 750 words each month was low hanging fruit. Creatively, I was never impressed with Julia. The one with some real editorial chops is Julianne Stein. I BELIEVE YOU CAN TRUST Julianne, Eddie. She works in a foxhole, so give her a btrak.

The following is the work of Eddie Morales and clearly edited by Julianne. Make sure they pay you, Eddie.

There has been talk of unionization for years now among pharmacists, but so far, it has been only that — talk. What makes the union talk going on now any different? Why is it now more important than ever to seek out a union? Why should we even bother to join a union?

For one thing, the pharmacy industry is getting larger, and therefore, more out of our control. As chains strive to merge or to be the largest or to become No. 1, they have turned the “profession” of pharmacy into the “job” of pharmacy, and we are letting it happen.

Key Performance Metrics drive expansion

It is easy to see that an oligarchy can be just as dangerous as a monopoly. Key Performance Metrics (KPM) constitute the driving force behind this phenomenon, because they tell corporate headquarters exactly what it needs to know in order to expand the chain.

See also: Key performance metrics and aue discrimination in pharmacy

Corporations need brutal numbers, to which they can peg the minimum number of technician hours, less pharmacist overlap, increased workload, and increased managerial tasks, and they need to accomplish these goals by forcing pharmacists to work as many extra hours without compensation as possible.

Does being the No. I chain really call for mistreating pharmacists? Does being the No. I chain justify the disrespect pharmacists are getting across this country? I once overheard one pharmacy supervisor tell another, “I expect my pharmacy managers to put in 50 to 60 hours a week.”

The game-changer: Social media

In the past, such disrespect and abuse have gone unnoticed (or been ignored) by politicians, pharmacy boards, and the public. In the past, one of pharmacists’ major problems has been lack of public awareness of working conditions in the pharmacy. Until relatively recently, social media were not available to get the word out.

See also: Pharmacists’ futures and the math behind unionization

Now pharmacists have a fighting chance. FaceBook, Twitter, Instagram, Blogs, YouTube, and phone cameras now make it easy to report what is going on in chain-store pharmacies.

The public has been unaware of what is happening to pharmacists. Through public media, we can make it known, and politicians and boards of pharmacy will have no choice but to take action.

NOW FROM JP. TERRIFIC, EDDIE. KEEP THE PRESSURE ON. WE JUST HAVE TO WAKE THESE PEOPLE UP. PHARMACISTS ARE HIGHLY TRAINED MEDICAL PROFESSIONALS AND THEY LET COMMUNITY COLLEGE NIGHT SCHOOL DROP OUTS PUSH THEM AROUND. RPhs BREAK THE LAW ALL DAY LONG TO SATISFY THE HUNGER OF THE METRICS.

You guys do what I tellon you and nobody will push you around. Your job will be secure. They cnnot fire you, float team you or anything else. That would be retaliation and illegak.

I wrote about this in my first post. Do it. Call me or Goose or Steve Ariens. We will counsel you for free. That is usually only available to members of The Pharmacy Alliance.   Right now, we just want to see some guts, some steel in your back bones.

But one of the spy pens.  I will direct you to pharmacy Rite-Aid only because she had video of a non-pharmacist manager harassing her.  When he blatantly asked for a blow job if she wanted her the job, she took a copy of her files to Rite-Aid HR and Rite-Aid settled   JP

 

Rx Errors, malpractice, neglect.

There is a wealth of opinion and good reporting from pharmacists in my E-mail InBox.  I just have to figure out how to copy and paste all of it for you.  Stuff sent by iPhone is very difficult for some reason.  I will keep at it.  If you have anything you want to see published on this site., please send it directly to jpgakis@hotmail.com.  Put it into the body of the E-Mail.  Much of the problem stuff was sent to Fred at PPSI and then forwarded to me.

In the meantime check this out: Chicago Tribune 55% of pharmacies fuck up big time  This is a video sent by a pharmacist who is clearly a Guerrilla Pharmacist.

I have always depended on pharmacist readers to send me provocative stuff.  From what is in my InBox, we are back in business.  Stay tuned, I will do my best to catch up.  I am still learning the navigation tricks for the new Word Press.  Trial & error.

 

Most Important Theme Ever! Wake UP!

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You can spend from $15.00 to $500.00.  The technology will rock you.   The “Hidden Spy Pen Camera”  is a Walmart.com offering for less than $20.00.  I have asked California Union Leader Mark Raus to buy one and test drive it for us.   Look for his review.  The” HD 2K Camera Pen” goes for $149.00 retail.   Probably worth it.  When you go to the Chief Compliance Officer (Or the court) you want your AV files to be impeccable.

Hello, my friends.  I am back.  The everlasting theme is “Spy tools in every pharmacist’s pocket”.    The Guerrilla Pharmacist will make it easy for every single one of you to buy and use surreptitious video & audio recording devices.  We will try to make a deal with manufacturers to find the best equipment for the best price.  I did a few Internet searches.  You can be on your own.

WE have been advising DOCUMENT DOCUMENT DOCUMENT for 25 years.  Now, we get real.  You will record (audio & video)  your conversations with management and just hope they are stupid.

One comment like this,  “Your metrics are shit, Marie.  You counsel too much.  If you want your job, you will have to start paying attention to what your real job is.  So knock off this counseling bullshit and start making the metrics look good”.

One comment like this and you (and every other pharmacist) wins.  Your company’s Chief Compliance Officer, your State Board of Pharmacy or the Judge will find your recording compelling evidence in your favor.   How would it go if you had 12 files, A half dozen of sexual harassment.  Be smart, Marie.  Document everything the 21st Century way…………………………………………………………………………………..