A. Is the patient's mom going to give her more hydrocodone suspension if she's coughing really bad? If you give her a range -- definitely. But in a rail-thin 11 girl it doesn't make a damn bit of sense to go over the minimum.
B. Why the hell is the nurse telling me how to dose this shit? How is she the pinnacle of clinical skills -- for all she knows I'm the goddamn pharmacist and drugs are my profession. For example: I don't tell her how to clean bedpans, do I?
C. What happens if she tells me that the script isn't fudged and leaves me hanging? Do I give the script back to the patient and say I can't fill it and make an OTC recommendation if she wants? Personally, I'd consider counter-fudging it. If the doctor can fudge the original dosing and be squeaky clean with his respective board, I can fudge the keying of it (how clumsy of me)to protect his patient from his dumb ass and be equally squeaky clean -- watch me.
On to current events:
One doctor's quest to put healthcare in the toilet
Yeah, according to this medtard we shouldn't ever use oral antihyperglycemics because "they don't [protect against] heart attacks, strokes, kidney failure, skin ulcers or anything else you might care about, including death." The biggest problem with this phrase is...well pretty much every word of it, actually. Also, just forget about basic health screening (including mammograms -- WHAT???) -- you can't treat breast cancer/high cholesterol/diabetes/prostate cancer -- except for the fact that you can. I understand the knock on A1C testing is that it can vary and isn't highly specific, but if someone's a horribly uncontrolled diabetic and they just control themselves well for a week or less their blood glucose may reflect them being better off than they actually are. E.g. whats your better alternative, doc? Blood sugar testing is like your dentist looking at your teeth once a year and saying "yep, you brushed," while A1C testing is like your dentist living in your medicine cabinet and watching you brush every morning of life -- its the "Santa is watching you" of diabetes tests.
This is the cliffnotes version of ripping this dumbass a new one -- The Angriest Pharmacist does a much thorough blow-by-blow abuse of him
Awesomeness:


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