Sunday, October 26, 2008

Why I abhor Pharmacists

We all know what doctors do; they diagnose diseases & decide on a treatment plan.
We all know what nurses do, they administer medication, apply dressings, chart patient info & attend to day-to-day patient necessities.
We all know what radiology technologists, physical therapists or midwifes do.
All these healthcare professionals have skills the average person doesn't have or cannot acquire without going through a rigorous educational program.
And then we have pharmacists. Those guys in white coats in retail drugstores who take your prescription, count the number of pills, give it to you & you're done. Somehow they claim to be healthcare professionals.
I hardly know what great skills these guys have. OK, they can count upto 90 (& not always correctly, I've on several occasions gotten the wrong number of pills). And apparently they can read, but even there I've my doubts, so many times we hear wrong medicine being dispensed because the pharmacist couldn't read properly. One particularly funny case is the Alzheimer's drug galantamine, intially its trade name was Reminyl, after several pharmacists in the US wrongly dispensed Amaryl (a diabetes drug) by misreading Reminyl, the manufacturer changed the name to Razadyne only in the USA (I guess pharamcists in other countries are more literate, or at least take the time to check if they aren't sure). Guess what? Now they are confusing Razadyne with Rozerem, a sleep drug!!
As someone who believes in bodily autonomy, I believe there should be no such thing as a presciption drug with the possible exception of narcotics or other drugs that may induce one to harm others. Otherwise, if I suddenly have an epiphany to take a calcium-channel blocker, an incontinence drug or a muscle relexant, it is my body, my money & I should have the right to do so. In fact in many countries one can get most drugs without a prescription & no, their streets are not littered with corpses of those who took an excess of, say, pimozide! Drugs are expensive, & little pleasurable effect would be obtained by taking most of them. In fact the no-prescription rule may save lives; I once asked a pharmacist what he would do if I walked in with acute angina & wanted nitro, he glibly said if I didn't have a prescription for nitro he would call 911 but wont give me any medication even if that meant the difference between life & death...he couldn't risk his license. Therein lies the problem - the regard the license more important than the real person. So much for being healthcare professionals!
"But we counsel patients of medication" say these pill-dispensing princes behind the pharmacy counter, "and we check drug interactions!" I have in my entire life never seen anyone stop and ask the pharmacist any health-related question, in fact since it takes a whole 30 minutes or more for them to count 30 tablets, most people are all too eager to leave once they get their medicine. Myabe in Wisconsin, where the law says so, resulting in many irritated, impatient customers. As to drug interactions, there are now so many free drug interactions checkers on the internet (& pretty reliable ones) one doesn't need a pharmacist - chances are he/she is using the same program. That doesn't mean people can't go to their doctors & get prescriptions in circumstances they feel the need to, nobody is saying that option wont exist-just that it shouldn't be a necessity.
Now I am not that familiar with inhospital pharmacists - maybe they do some good, when they're not killing patients with overdoses of heparin, that is. And I guess they also compound drugs, although judging from the fact many college dropouts can make illegal drugs in their kitchen sink (however reprehensible that may be), it doesn't sound like a complex skill.
And finally, and this is the most laughable, when pharmacists demand to be called Doctor becuase they have that PharmD! Now, I have no problems with a PhD in Comparative Literature or Poultry Science being called Dr so-&-so in an academic or professional setting, but in the healthcare environment, Doctor means physician. MD, DO & other professionals who diagnose & treat, like chiropractors, optometrists, podiatrists, dentists. Not PharmD, not Doctor of Nutrition, not Doctor of Aromatherapy.

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