State’s pharmacist shortage may not wait

drugs1.jpgThe 2009 budget passed by the Kansas House this week would deliver on some important priorities for Wichita, including aviation research and training. But among the items deferred for the wrap-up session is one of huge benefit to the whole state as well as Wichita — a proposed $50 million bond issue for an expansion of the University of Kansas pharmacy school. To its credit, the House has approved $1 million to get the planning started for the expansion. But time is short: Seven counties in the state have no pharmacy, and another 30 have only one each. KU now has more applicants than places in its pharmacy school, which would grow by 45 students at the Lawrence campus and by 40 in Wichita under the expansion. “This is a priority not just for KU, Lawrence and Wichita, but for the whole state,” said state Rep. Raj Goyle, D-Wichita.

41 Comments

  1. Door King
    Posted March 21, 2008 at 5:37 am | Permalink

    Except the entire idea of a licensed pharmacist is a rip. Basically, they have to read instructions, type proper labels, and take pills from big bottles and put them in little bottles. It’s really a job of competent clerking. You don’t need organic chemistry and physics to perform it. You should be able to train a pharm cleck in 12 weeks. The Army does.

  2. Mary Caruso
    Posted March 21, 2008 at 6:02 am | Permalink

    I think the job involves a little more than that. Often pharmacists know more about medications than the doctors who prescribe them. I know when I have a question about a drug, I call a pharmacist, not a doctor. I have many patients that I case manage and they’re a valuble resource for my practice.

  3. Door King
    Posted March 21, 2008 at 7:09 am | Permalink

    Yes, I admit there are pharmacists who know a lot about drugs and perhaps a justification for all the high powered education would be to give them the background to absorb such information, but the vast majority of perscriptions do not require much information. Take once every three hours for pain? Now don’t take the whole bottle, you’ll either die or get high?

  4. Door King
    Posted March 21, 2008 at 7:13 am | Permalink

    I would also point out that the medications wrongly given by hospitals are almost always issued from a pharmacy. An anal retentive clerk who does not make mistakes might actually be a better choice than a pharmacist in many cases. Of course, knowing the difference between 1000 mg and 10 mg might be helpful for everyone involved.

  5. Frank
    Posted March 21, 2008 at 7:35 am | Permalink

    Door King, you are clearly ignorant of what a Pharmacists’ profession consists of. My wife is a Pharm.D at an area hospital. And “counting pills” is a very small part of her job. In fact, most of her time is spent correcting the mistakes of the prescribing doctors.

  6. Regular
    Posted March 21, 2008 at 7:39 am | Permalink

    Shortage of pharmacists? I don’t think so.

    Can go to any Walgreens and count the number of pharmacists behind the counter and come up with a pretty good number. And, there are several Walgreens in Wichita. That’s just one chain of pharmacies, not including all the independents.

    Seven counties in the state have no pharmacy, and another 30 have only one each

    This may be due location of said counties (out in the boondocks where there are a slow payers and no-payers.)

    With mail order pharmacy in vogue, routine and recurring prescriptions are not a problem.

    Emergency prescriptions can be done by Physicians.

  7. American Way
    Posted March 21, 2008 at 8:04 am | Permalink

    I’ll ask the same question that I asked the last time this subject came up:

    Is there any certainty that pharmacist/doctors trained in Kansas will stay in Kansas?

    Young people are fleeing rural states for what they consider greener pastures. They take their degrees and go where the money is.

    The loss of medical professionals in rural counties and states is a symptom of a larger problem.

  8. RPh
    Posted March 21, 2008 at 8:27 am | Permalink

    Obviously, a few people responding to this blog have absolutely no idea what a pharmacist really does. Granted, there are tasks that can be done by trained technicians. However, knowing therapeutics, proper dosing protocols, kinetics of medications, and adverse reactions takes a little more than twelve weeks of vocational training. Usually, six years of college is required to obtain the proper training to be a competent pharmacist. Following that, success at passing the national certification exam is required. If you would care to read any of the articles about hospital mistakes, you would notice that the majority of the mistakes are made by nurses, not pharmacists. Even in a retail operation, counting is a very small part of a pharmacist’s responsibilities. Much of the true work is called judgment. A competent pharmacist must make many judgments that include, but are not limited to: the validity of the prescription, the actual medication name, appropriateness of dosage, and length of time that it is prescribed, the possible interactions with other medications that the patient is taking, and even suggest to the prescribing physician an alternate choice of medication based on effectiveness and cost. This brings in the factor of needing to know something of the insurance industry, because a vast number of the insured don’t understand their coverage. Add to this the expectation that pharmacists and technicians always give the patient exactly what they want, when they want it, for the price they want to pay, without question, and do it with the most courteous manner achievable. Perhaps if you spent a day with a pharmacist and experienced what is truly involved, you would have a better appreciation for what they do.

  9. Door King
    Posted March 21, 2008 at 8:43 am | Permalink

    Yeah, I’ve watched them take the little spatula and count the pills, usually, they short me one if it’s a pain med.

    And I don’t think it takes a genius to call the doctor when he prescribes 10,000 miligrams of a med that is usually given in 100 mg doses. Not only that, the phar companys already have formulated the dosages for you. Anyway, much of what you say about pharmacists may be true in a best case scenario, but I’ve never been asked about what other medications I take, nor warned of any of the henious side effects that accompany most drugs.

    95 percent of your work is filling scipts for the same 50 drugs. You ought to get good at it after a while.

  10. Regular
    Posted March 21, 2008 at 8:48 am | Permalink

    So RPh, explain the shortage of Pharmacists in 30 counties?

    Profit margin?

    I don’t think the topic requires an in depth understanding of what Pharmacists do.

  11. Truth Police
    Posted March 21, 2008 at 8:59 am | Permalink

    “usually, they short me one if it’s a pain med.”

    I really doubt this. If it’s true, and you didn’t report it - shame on you. If it happened more than one, the idiot is not the one behind the counter.

  12. Door King
    Posted March 21, 2008 at 9:52 am | Permalink

    O.K. I’ll make two points and quit.

    When has ANY pharacist ever warned you about possible interactions/dangers/worthlessness of over-they counter medications/beebalm/snake oil/royal jellies sold in his/her pharmacy?

    Why is there in every small community in the U.S. a large number of drug addled old people who go to the local pharmacy to get their 27 different inter-reacting scripts. If you were really doing what you say you do you would be trying to get these people off as many meds as possible instead of doing everything you can to profit off of their misery.

    Good day.

  13. Mary Caruso
    Posted March 22, 2008 at 6:04 pm | Permalink

    Once again, Dork King shows his true ignorance.

  14. Door King
    Posted March 23, 2008 at 7:55 am | Permalink

    Not so, Mary Caruso. I examined pharmacy requirements in other countries, many of which have better overall healthcare than the U.S., and found the path to becoming a pharmacist is much less time consuming. In fact, in the U.S., most drugs are dispensed by pharm techs. You can do your own freaking research, which you won’t, as I have learned through time all of your opinions are based on your own experience. In other words, you commit the fallacy of generalizing from a sample of one, that sample being yourself.

    I repeat. In the U.S.A. pharmacy is a phony profession, codified in state laws. It doesn’t take five to seven years to train someone to dispense drugs, thus the “shortage” is caused by stupid requirements.

  15. RPh
    Posted March 23, 2008 at 10:25 am | Permalink

    Door King, you give the example that it doesn’t take a genius to call a doctor regarding prescribing 10,000 mg versus 100 mg. This is exactly when a competent RPh must have judgment. A well educated RPh must know when it is wrong to prescribe 10,000 mg versus 100 mg and why. Your lack of understanding of this difference between professional and technical is a glittering example of ignorance.
    Perhaps you have not been counseled regarding drug interactions because you refuse to be counseled, or you are not at risk for adverse reactions. Pharmacists are not compelled to counsel anyone who is interested in using over the counter products, but are more than willing to do so, without charge, to anyone who asks. People are are likely to resent an invasion of their privacy, for instance, when purchasing incontinence products or condoms.
    You say that pharmaceutical companies formulate the dosages for the pharmacists. Again, the pharmaceutical company does not know what exactly their product is being prescribed for (some drugs have multiple uses) nor the weight of the patient, nor the other medications that the patient is taking. Once again, the elusive component of judgment comes into play.
    You say that you have examined pharmacist requirements in other countries, and apparently are satisfied that their system is preferable to that of the U. S. A. I wonder if you may be equally satisfied to be operated on by a doctor who is required to have a level of education equivalent to that of a technical person in the U. S. ?
    As far as elderly people who are overmedicated, there are many RPhs who make a judgment call when presented with a prescription that, according to the person’s profile, the new medication should not be consumed. That RPh will tell the patient as well as the physician. As for those people who are in custodial care, the pharmacists who fill those prescriptions are responsible for making those judgments and taking action to remedy the situation.
    In the end, it is up to the consumer to be responsible for their healthcare decisions and to have the freedom to accept or reject the advice of their physician and pharmacist.
    You have made it abundantly clear that you have no respect for the professional on the other side of the counter. I imagine that you demonstrate it as well when you go to the pharmacy to get your pain medication by being rude and arrogant to someone who could kill you with a dispensing error.

  16. Door King
    Posted March 23, 2008 at 2:09 pm | Permalink

    the person on the other side of the counter couldn’t kill me with a despensing error because no drug company makes lethal doses of their products for adults, idiot.

    Valium 10 mg, 5 mg, 2 mg. Get it asshole?

  17. Door King
    Posted March 23, 2008 at 2:16 pm | Permalink

    Besides, not only can I read the doctor’s script, I can read the label on the bottle, and look up for myself what is indicated for my condition. I know what a physicians desk reference is, and believe me, before I swallow anything I check it. And you don’t address the fact, do you sir, that many other countries train pharmacists in much less time. Equating doctors with pharmacists is like equating mechanics with parts clerks.

  18. Regular
    Posted March 23, 2008 at 2:27 pm | Permalink

    Maybe the pharmacist will give you some female hormones by mistake the next time instead of the prescription you asked for. Then you can start growing your own breasts.

  19. Door King
    Posted March 23, 2008 at 2:47 pm | Permalink

    Regular, you’re s-o-o-o-o stupid. Prescriptions are prescribed by doctors.

    Let’s see just how good you are Rph:

    A doctor prescribes up to four 200 milligram over-the-counter ibuprofen pills to be taken four times per day for arthritis pain/swelling. (up to 16, 200 mg pills) The patient asks to consult with you. What is the first thing you should ask?

    A patient says he has been diagnosed with plantar faciitis, and asks for an appliance to help with the pain. What would you advise him?

  20. cosmos
    Posted March 23, 2008 at 2:58 pm | Permalink

    Door King posted March 23, 2008 at 2:16 pm

    Equating doctors with pharmacists is like equating mechanics with parts clerks.

    If a parts clerk gives a mechanic the wrong part, the mechanic can go back to get the right part.

    If a pharmacist gives a person the wrong medication, dosage, or one that causes an interaction, the person could die.

  21. Regular
    Posted March 23, 2008 at 3:08 pm | Permalink

    Beats me Door King, I’m not a Physician and don’t practice medicine.

    But if it were me, I would wonder why so much Ibuprofen is being prescribed as it can cause some organ failure.

    And if the podiatrist didn’t prescribe a proper appliance, I certainly wouldn’t depend on an off-the-shelf appliance from a drug store. I’d go to a specialty shop, like Hanger here in Wichita.

    :)

  22. Door King
    Posted March 23, 2008 at 3:23 pm | Permalink

    I didn’t ask you pissant.

  23. Door King
    Posted March 23, 2008 at 3:34 pm | Permalink

    You people will believe in anything, including pharmacy. Yes, a well-trained pharmacist would be worth his weight in gold, that is, if pharmacists actually did what RPh claims they do. What they do is sell drugs and manage drug stores. You can see that emphasis if you look at the pharmacy curriculums.

    You don’t need no stinking three years of training to learn what drugs shouldn’t be taken with others, and I suspect most of that knowledge is learned from drug company reps and experience, though the curriculums do show about 12 hours of course work dealing with drugs in the body, and inter-reactions.

    What you need to demonstrate is the ability to absorb such knowledge.

    When have you ever been asked ANYTHING by a pharmacist, or received any consultation, except to explain to you what is printed on the label, or rarely, to warn you of a possible complication, and what to do it it occurs.

    “Now don’t drive a car while taking this” is about the only consultation I’ve ever gotten. But that again, is only my experience, and worthless in making a generalization.

  24. cosmos
    Posted March 23, 2008 at 3:34 pm | Permalink

    Door King,

    I have a friend who is a RPh. He has caught errors made by MD’s, like interactions.

    We need high-quality RPh’s, and careful checking of the prescriptions.

  25. Door King
    Posted March 23, 2008 at 4:14 pm | Permalink

    No doubt, cosmos, but it doesn’t take seven years to train one. That’s all I’ve ever said. They have the same skills as paint clerks in the hardware store.
    Oh, I do enjoy insulting “professionals” whenever I get the chance. And relying on the testimony of a pharmacist regarding pharmacy — well it’s like listening to bush on the war. Another generalization of one.

  26. Door King
    Posted March 23, 2008 at 4:15 pm | Permalink

    Or like the stockbrokers of the Fed tinkering with the economy.

  27. cosmos
    Posted March 23, 2008 at 4:34 pm | Permalink

    Door King, go ahead and enjoy insulting RPh’s.

    Hopefully they will never miss a problem from an MD, or cause a problem themselves, that causes “consequences” to you, or someone you know.

  28. Door King
    Posted March 23, 2008 at 5:23 pm | Permalink

    The ultimate argument of someone who uses too much toilet paper, cosmos. Do you fold it?

  29. Posted March 23, 2008 at 5:29 pm | Permalink

    “They have the same skills as paint clerks in the hardware store.”

    Yeah, paint and drugs that could kill you if improperly administered.

    Damn near the same thing.

    Of course, I have never heard of someone dying from having the wrong shade of beige on their living room walls.

  30. RPh
    Posted March 23, 2008 at 6:34 pm | Permalink

    Door King, you sound just like apophis, another rude, arrogant entrant in the WE blogs. You, like him, are probably a government indoctrination center employee. You are overbearing, insufferable, and not worth my time. May your next prescription cause you many adverse reactions such as diarrhea, headaches, blisters and vomiting. Just find your local vocational school graduate to consult with to alleviate your symptoms. Good luck. AMF.

  31. Door King
    Posted March 23, 2008 at 6:53 pm | Permalink

    You’ve got to be kidding! You people go to pharmacy school to make money; and that’s what you do. Some of you are very good, but most of you are just working stiffs like me. Stop putting on such airs.

  32. Door King
    Posted March 23, 2008 at 6:54 pm | Permalink

    By the way.

    The answers are: How much do you drink?

    And.

    Faciitis is most often treated with exercise.

  33. cosmos
    Posted March 23, 2008 at 6:59 pm | Permalink

    Door King,

    I wasn’t making an “argument”, just stating the facts.

    The RPh is there to catch possible errors made by the MD.

    The RPh is responsible for properly filling the prescription.

    The “consequences” of an error can be serious.

  34. Apophis
    Posted March 23, 2008 at 7:14 pm | Permalink

    RPh
    Posted March 23, 2008 at 6:34 pm | Permalink
    Door King, you sound just like apophis, another rude, arrogant entrant in the WE blogs. You, like him, are probably a government indoctrination center employee. You are overbearing, insufferable, and not worth my time. May your next prescription cause you many adverse reactions such as diarrhea, headaches, blisters and vomiting. Just find your local vocational school graduate to consult with to alleviate your symptoms. Good luck. AMF.

    Hey RPh, stick it……………..I’ve not been part of this conversation until now. Talk about me being rude and arrogant proclaiming me a “government indoctrination center employee.

    Stick it in your ass……..those “government indoctrination center employees” make it possible for Pharmacy Schools to exist.

    For the record, I do not agree with the criticism of pharmacists. They earn what they deserve and we must address the critical shortages in the more rural parts of our state.

    Finally, thanks for the compliment. I appreciate the fact that you see me as “rude and arrogant”.

  35. RPh
    Posted March 23, 2008 at 7:31 pm | Permalink

    Apophis, you are very welcome. No, I won’t stick it in my rear end, nor anywhere else for that matter. I made your name part of the conversation, and you have come to your own defense. It is up to you to remove yourself from the conversation at this point. Tally ho!

  36. Apophis
    Posted March 23, 2008 at 7:37 pm | Permalink

    You have defiantely outed yourself as a reichwinger RPh.

    Care to start apologizing for everything bush has done the past 7+ years?

  37. cosmos
    Posted March 23, 2008 at 7:40 pm | Permalink

    Door King posted March 23, 2008 at 6:53 pm

    Some of you are very good, but most of you are just working stiffs like me.

    So in your job, your making an error can cause illness, or death?

  38. Door King
    Posted March 23, 2008 at 8:55 pm | Permalink

    Fold your t.p., cosmos.

  39. cosmos
    Posted March 23, 2008 at 9:50 pm | Permalink

    Door King,

    I will take your response as a “no”.

    And that you do something as “life-critical” as selling paint. /sarcasm OFF.

  40. Mary Caruso
    Posted March 24, 2008 at 7:41 pm | Permalink

    Yes, maybe I do go by my experience of being in the health profession for over 22 years. My experience has taught me how valuble pharmacists are to the health profession…and just like nurses or PAs, the more training they have, the better.
    But excuse me, I’m not an “expert” on the subject like Dork King.

  41. RPh
    Posted March 25, 2008 at 8:35 pm | Permalink

    Does anyone think the Dork King is Apophis? He is without a doubt. By the way Apophis, the Third Reich were fascist. Bush is no fascist. however all liberals, including yourself, are.

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