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re: What exactly do Pharmacists do?

Posted on 8/1/17 at 12:43 pm to
Posted by Breesus
House of the Rising Sun
Member since Jan 2010
66982 posts
Posted on 8/1/17 at 12:43 pm to
quote:

Yes, but you still need the human element. Every person is different, so you may need exceptions to any rule that is built in a computer system


I always really liked how they covered that issue in iRobot

The single detective is saved by a robot after a car crash and an 11 year old girl drowns.

quote:

It calculated that I had a 45% chance of survival. Sarah only had an 11% chance. That was somebody's baby. 11% is more than enough.
Posted by Sao
East Texas Piney Woods
Member since Jun 2009
65918 posts
Posted on 8/1/17 at 12:46 pm to
quote:

It's not typically one way or the other. The pharmacists have the computer system that will warn them of contraindications, drug interactions, etc... they can choose to override the system if needed, though.


Pharmacists cannot enter DUR, copay changes, early fill or other overrides at point of sale. They can't even override an incorrect DOB. The PBM enters overrides based upon Plan approval. This is one reason for delays at Pharm.
Posted by Forkbeard3777
Chicago
Member since Apr 2013
3841 posts
Posted on 8/1/17 at 12:46 pm to
quote:

You sure? Did you go to law school?


Do you really think an attorney in litigation simply follows instructions? Yeah, I'm sure Gerry Spence, F. Lee Bailey, Johnnie Cochran just follow instructions in their closing arguments. The same can be said with a transactional attorney in drafting a complex contract. If any profession has a certain amount of creativity applied to it, it is the legal field.

quote:

The investor who analyzes stocks and the market o


Couldn't you just write a program for that?


Sure, and they have programs. However, there is a certain amount of risk and chance that you play as well. Can a computer system properly understand the ability to take a risk?
This post was edited on 8/1/17 at 12:48 pm
Posted by cajunangelle
Member since Oct 2012
147283 posts
Posted on 8/1/17 at 12:47 pm to
quote:

I don't trust people getting comfortable and assuming the computer can never "go wrong". Servers go down, programs get hacked, etc.
I always check a new presciption online pill Identification and appreciate the pharmacies that put the insignia/numbers lettering and shape of the pill on the bottle. I just know better. Also I never trust all docs like they are God like I used to. Always get a second opinion. Always ask your surgeon-if possible- when the last time he'she slept was.
This post was edited on 8/1/17 at 12:48 pm
Posted by castorinho
13623 posts
Member since Nov 2010
82056 posts
Posted on 8/1/17 at 12:48 pm to
quote:

Not really. The investor who analyzes stocks and the market or the lawyer crafting an ideal, persuasive closing argument isn't "following instructions". There are certain jobs that require an amount of intellect and creativity that cannot be reproduced to a "cookbook" like method.

<---- Not a broker or attorney.

ETA: Do you know anything about what I said earlier (once the pharmacist makes a recommendation, she is solely on the hook)? Is that true?
guess you haven't heard about Watson
Posted by Breesus
House of the Rising Sun
Member since Jan 2010
66982 posts
Posted on 8/1/17 at 12:49 pm to
quote:

Do you really think an attorney in litigation simply follows instructions?


Yes I do. . In fact, I think you'd be blown away if you knew how much most law suits are cookie cutter bullshite.

quote:

there is a certain amount of risk and chance that you play as well.


You don't think doctors do this with medications and diagnosis?

quote:

Can a computer system properly understand the ability to take a risk?


No. That was my earlier point.
This post was edited on 8/1/17 at 1:27 pm
Posted by Vastmind
B Ara
Member since Sep 2013
4992 posts
Posted on 8/1/17 at 12:51 pm to
What does the OP do for a living so that we can pick apart his profession?
This post was edited on 8/1/17 at 1:02 pm
Posted by Forkbeard3777
Chicago
Member since Apr 2013
3841 posts
Posted on 8/1/17 at 12:57 pm to
quote:

In fact, I think you'd be blown away if you knew how much most law suits are cookie cutter bull shite.


I've been involved in the legal process a fair amount with our company as it is always being sued. Attorneys argue and persuade over everything: the facts, the law and the elements, the evidence, how much weight is given to the elements, etc... it simply cannot be replaced by a computer system.

quote:



You don't think doctors do this with medications and diagnosis?


Risks? Maybe more as a last resort or some sort of aggressive treatment. Of course, after informing the patient and having 100% consent. Taking risks without the patient's knowledge and approval doesn't sound like a good idea, does it?

quote:

Can a computer system properly understand the ability to take a risk?


No. That was my earlier point.


I don't know if I want my pharmacist (or computer system)
"taking that risk". Which is why I think a computer system can be developed to at least supplement certain positions (pharmacist and accountants off the top of my head).
Posted by joey barton
Member since Feb 2011
11468 posts
Posted on 8/1/17 at 12:59 pm to
quote:

aren't you basically just following directions


Pharmacists mostly just supervise and direct elements of compounding that are basically just following directions. They'll figure out how to perform more complicated procedures. There is a definite art to nonsterile (e.g., creams) compounding, and the bulk of pharmacy compounding is sterile compounding where things can go really badly if people frick up.

quote:

Couldn't there be a software program that does this


There are. They suck, and the overwhelming majority of interactions they flag are acknowledged and ignored by prescriber and pharmacist.
This post was edited on 8/1/17 at 1:02 pm
Posted by cajunangelle
Member since Oct 2012
147283 posts
Posted on 8/1/17 at 12:59 pm to
Yes, the doc was asking the patient about what antibiotics he could take because of allergies. The patient suggested an antibiotic he had taken and the doc went on his laptop and said it interacts with his BP medication. (Yet the patient had been given the antibiotic before at his regular pharmacy) Maybe it was a low risk interaction but I didn't think so. The interaction caused the antibiotics and or was it? the BP meds, (I forget) not to work?
Posted by Vastmind
B Ara
Member since Sep 2013
4992 posts
Posted on 8/1/17 at 1:00 pm to
quote:

Clinical Pharamcist. Makes sure stupid doctors don't frick you up. this is definitely true. clinical pharmacists do a lot of monitoring of patient drug levels and manage doses accordingly. I always consult pharmacy for vanc levels and dosing


Retail pharmacists do this every day, especially with all of those mid level practitioners out there playing doctor.
Posted by yellowfin
Coastal Bar
Member since May 2006
97713 posts
Posted on 8/1/17 at 1:01 pm to
It's a solid second income if you're into your wife working
Posted by Goldrush25
San Diego, CA
Member since Oct 2012
33794 posts
Posted on 8/1/17 at 1:04 pm to
quote:

CVS pharmacist. Not a damn thing a few lines of code couldn't do.

Clinical Pharamcist. Makes sure stupid doctors don't frick you up.


Yeah, I did one of my clinical rotations at a cancer care center, and a pharmacist was on our care team. With the amount of medications some of those patients are on, having someone that's highly educated in the field of drug management is essential.
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
27811 posts
Posted on 8/1/17 at 1:04 pm to
My uncle was a C level executive at a huge pharm company and retired at 45.

About 3 years ago he said he was bored as shite so he went to work for CVS by his house. When i asked how he liked it, he laughed and said "I can't believe they pay me 150k to fill pill bottles all day."


He said he felt guilty after his first day, lol.

Posted by bencoleman
RIP 7/19
Member since Feb 2009
37887 posts
Posted on 8/1/17 at 1:07 pm to
Glorified pill counters. They're not needed anymore.
Posted by jlntiger
Member since Feb 2011
1442 posts
Posted on 8/1/17 at 1:09 pm to
I used to ask this same question then I married one. The do a lot more than count pills. Just remember your DR isn't always aware of what else your on and how new medication will affect you. Plus is the dosage right ? Plus the knowledge on medication and side effect is pretty impressive.
This post was edited on 8/1/17 at 1:10 pm
Posted by Breesus
House of the Rising Sun
Member since Jan 2010
66982 posts
Posted on 8/1/17 at 1:12 pm to
quote:

I've been involved in the legal process a fair amount with our company as it is always being sued. 


I bet your attorney loves you.

quote:

Attorneys argue and persuade over everything: the facts, the law and the elements, the evidence, how much weight is given to the elements, etc.


Non-substantive dog and pony show.
Posted by Forkbeard3777
Chicago
Member since Apr 2013
3841 posts
Posted on 8/1/17 at 1:21 pm to
quote:

I've been involved in the legal process a fair amount with our company as it is always being sued. 


I bet your attorney loves you.

quote:
Attorneys argue and persuade over everything: the facts, the law and the elements, the evidence, how much weight is given to the elements, etc.


Non-substantive dog and pony show.


Given the amount that is paid to them, I'm sure they love us.

I highly doubt it is a "dog and pony show" as well. They would hate to lose our business.
Posted by Breesus
House of the Rising Sun
Member since Jan 2010
66982 posts
Posted on 8/1/17 at 1:22 pm to
quote:

I highly doubt it is a "dog and pony show" as well. They would hate to lose our business.


They perform that show specifically to keep your business. Plus they enjoy arguing regardless of validity.
This post was edited on 8/1/17 at 1:24 pm
Posted by Vastmind
B Ara
Member since Sep 2013
4992 posts
Posted on 8/1/17 at 1:26 pm to
they fill your momma's Valtrex
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