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I hope all doctors don’t write this horrible.

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So some ignorant horrible spelling doctors decided to harass the *Angriest* Pharmacist over a rant I made about some idiot with 4 degrees who couldn’t write coherently to save his life.
Now I may rag on the Angriest Pharmacist for stealing my idea and stuff, but I got his back when some uppity fuck decides to give him both barrels.

for all you uninforned assholes,first notice this is not in caps!!my parnter and best friends wife is a pharmacist at a major grocery store ad she will admit it is the easiest job and when i read last week i was actually published i got a dictionalry and learned how to spell vicoden and even lortab which is hydrocodone which in the 33 years i have been practicing i have never prescribed the frug and refuse to,when i do surgery they get ultram and or darvocett. then i can count on a pharmacist callinf and asking if i realized i gave 2 pain meds an always when i give anti biotics its for 7-10 days and then a 25 year old dr. want to be pharmacist will call and ask why 10 days the book says no more than a week. we also have a system for fraud which we rarely get taken and i do press charges, ill write 38 in 2008 and 39 in 2009 never with refills and pharmacys know if it is mine, we get a few “losts” scripts but we handle individually and if its stolen we need a police report to take to pharmacy and i still get calls. all replacements must have notorised letter to be replaced and controlled drugs are only replaced once. on major surgeries i might prescribe 18 oxycontin,6 times in 2007 all over 65 years old. i explain all medications as well as side effects and how the medications react with any other current meds.then the nurse brings in the rx and goes over questions,so by the time they see the pharmacist all needed is count the pills and run through insurance unless patient has questions and in our area its the tech the pharmacist doesnt have time.most pharmacists earn thier money and do have responsiblity its the young ones that i have to pay for 2 extra phone lines and they still want to tell me how to prescribe.we do recommend mail order to low income if it is long term usage on our internal medicine practice as long as they keep thier appointments or we give them samples but i keep no controlled. in 33 years i have had 4 malpractice cases, 3 dismissed and the 1982 casse was settled out of court in 1988 for a medicaid person who had no injuries just wanted to never work again,so my dea number is last of my concerns. so the assholes who say i have no degrees and speak 6 languages, does that mean i am smarter or above you i think not, i make mistakes like should have retired in 1996 when i was making 450k instead of 6 day work weeks 10-12 hour days for 125k, but i would do it for free. anyone want to put up something about my credentilals? I COULD BE A LYING DRUGGY WANTING ATTENTION. sorry i got carried away with the caps. glad i could raise your rating for your website, i thought it was a joke. maybe ill send a couple movie clips youve probably seen me before even though i am not a house hold name but bottom line the world needs to hear all sides before making a judgement. im not a dr. because i dont proof read and use large and small letters, i can live with it. t. elway,md facs

Wait, this guy doesn’t know how to spell Vicodin or Lortab however in his 33 years just prescribed Darvocet and Ultram? Uh, isn’t Vicodin and Lortab a generation older than Ultram? This post is like a brain-dump with no sort of flow or break. It makes my brain burn.
If that wasn’t enough:

Sorry, address must include host name. (#5.1.3)
— Below this line is a copy of the message.
Received: (qmail 9342 invoked from network); 31 Jan 2008 23:44:12 -0000
Received: from unknown (HELO DJ7K1K81)
by with SMTP; 31 Jan 2008 23:44:12 -0000
To: “‘prescription’” <>
Subject: RE: Dr “4 Degrees” and the Caps-Lock key eludes him – The Angry
Date: Thu, 31 Jan 2008 18:42:09 -0500
MIME-Version: 1.0
Content-Type: text/plain;
Content-Transfer-Encoding: 7bit
X-Mailer: Microsoft Office Outlook, Build 11.0.5510
Thread-Index: AchkC9H1X2XPRgMPTzWrPB+8Ad/cOgAVUFwA
In-Reply-To: 4F258D9E03DE43A884B4FB1BDFF804F4@RHooverPC
X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.3198
Did you get the email today from dr.e and his numbers as well as dea to
prove you and your readers that you can be wrong?? For something that was
toungue in cheek it sure got you a lot of readers we all read it 1/25/08 and
it was a good laugh enough that we have it hanging in our waiting room and
after blocking our 3 of every 10 words out of the 95 patients a day at least
15 make a comment that it must be a real pharmacist that is disgruntled and
hates his job.tried not to use caps or bad grammer or caps in an informal
note,had no idea what your site was but have started reading it as we
phycians get a good laugh after double shifts and watching the pharmacist at
Albertson asleep, like I said my wife is a pharmacist and that doesn’t make
her dumb or lazy she knows how well she has it plus benefits and
retirement,she is way up the ladder as well as most pharmacists versus the
audiologists we put up with dailey, one of our specialities is otology, that
is ear infections,hearing and aids as well as stapedectomy surgerys invented
by dr. shea in Memphis tn, say for not proof reading this also but I think
you can read it if a couple words are turned around you are a phd,and
thankfully not an md with that language that you use. God bless you and we
pray for your soul and that you find happiness. C.r.shultz,md f.a.s
From: hoover [cut]
Sent: Friday, February 01, 2008 8:20 AM
To: hoover
Subject: Dr “4 Degrees” and the Caps-Lock key eludes him – The Angry

Well, first of all I’m glad people read my site. I have no idea how the TA’estP got the email bounce. If you want this dillhole’s email address go to TA’estP site and look it up. I’m a big vagina and took out his email address.
All I have to say about this is:
i sure hope this doctor treats his patients more than he treats proper puncutation and grammar i know that i dont ever, use proper grammar but at least i know that the keys,on the keyboard are used to signify when sentences stop and start and i dont place,commas in places where they dont belong i have letters after my name like f.a.s and other crap that makes people think,that i am smart but really i dont know what i am doing because i like to type with only the letters because all of the other key,scare me like chicken.
DrugNazi was right, these websites just write themselves.

Comments #

Comment by KDUBZ on 2008-02-01 01:43:18 -0800 #

TAP you rock, keep it up guy!
I just have to ask, would any intelligent person every consider asking a coworker to send an email standing up for them over comments made on a blog site? More importantly, if asked by a coworker to do so would anyone actually send that email?
I Call B.S., this guy is either the stupidest M.D. ever minted (with his partner being the second), or full of crap (I vote the second).
Oh and anyone can steal someone else’s DEA#

Comment by greensunflowerRN on 2008-02-01 02:22:26 -0800 #

Shouldn’t it be “horribly” my dear critic?

Comment by noelle on 2008-02-01 04:25:10 -0800 #

I couldn’t even make sense of that email. I still don’t think that guy is a doctor

Comment by ArkieRN on 2008-02-01 04:57:08 -0800 #

Notice the idiot couldn’t spell Darvocet either.

Comment by e on 2008-02-01 06:14:27 -0800 #

oh good…he writes for darvocet like that is a better drug. Here is some tylenol with some constipation and sedation for you. Maybe he should read some pain control studies before tooting his own horn over his fabulous prescribing–oh that’s right…some MDs think that because they are a god, they don’t need to read clinical studies. At least if he would write for “vicoden” his patients might get some pain relief with their sedation.
I am proud to be part of the “easiest job.”

Comment by youngrph on 2008-02-01 07:37:07 -0800 #

As much as I hate to say it, if you’ve been a doctor or pharmacist for 33 years, it’s time to retire because the shit you know 33 years ago is not going to cut it. How old is this doctor now…maybe in his 70s and 80s? I have doctors in this age range as my pharmacy patients and believe me they are in no position to practice, let alone left by themselves. Sorry to say this, granted there are a few exceptions, but it’s time to retire and shut the fuck up.

Comment by Rebecca on 2008-02-01 09:22:33 -0800 #

hhmmmm…maybe he isn’t the best doctor in the world, considering that Darvocet is a total dog drug and doesn’t have any better efficacy than acetaminophen alone. oh – and it has those lovely common side effects of disorientation and increased respiratory depression. all of the side effects, none of the pain control – what a fantastic medication to prescribe to your patients following surgery!!!!!
per the monograph for propoxyphene: [U.S. Boxed Warning]: When given in excessive doses, either alone or in combination with other CNS depressants (including alcohol), propoxyphene is a major cause of drug-related deaths; recommended dosage must not be exceeded
on a side note, my husband is an attending physician at the same institution where i work as an in-patient pharmacist. he was the one to support me when i chose to get out of retail so that i didn’t have a nervous breakdown. ask him how hard pharmacy is; he always said he couldn’t have done it and he didn’t know how i had the strength to be in that environment for 15 years.

Comment by PharmDStudent on 2008-02-01 10:44:16 -0800 #

Dear Lord this MD is an idiot! Maybe he should remember that in all but 8 states (soon to be 7 hopefully with Missouri) pharmacists CAN PRESCRIBE! O dear what will the MD do?

Comment by Matt, RPh on 2008-02-01 14:22:25 -0800 #

I think it’s obvious this guy is a troll, or a foreign retard Dr with WAY too much time on his hands. If he is so important, why is he monopolizing his time by writing out this long, nonsensical drivel? What kind of a real physician would post internet discussions in his waiting room? If I ever saw that in my doc’s office, I would think, “Oh hell no, I’m not getting seen by this cracker-jack motherfucker” and leave. Usually a man who at one point purportedly made 450k a year wouldn’t have the insecurity and the need to post emails on a lowly pharmacist’s website. I dunno, but this has to be some sortof parody or just another guy sitting in his dorm wearing nothing below his waist pounding out nonsense and posting it on the internet.

Comment by rph3664 on 2008-02-01 16:34:26 -0800 #

I’ll tell you what that story (for want of a better term) reminded me of.
“Fakers” are a huge problem on multiple birth websites – people who claim to have had a high order multiple pregnancy but didn’t; they are usually teenage girls seeking attention since it’s really obvious to anyone who has been pregnant, or has a few years of adult life experience, that the story isn’t true.
The pregnancies are impossibly easy, the babies are enormous (i.e. triplets weighing over 9 pounds each), they are always girls with an occasional token boy thrown in, (and here’s the dead giveaway) they always have really cutesy names with lots of “Y”s in them.
Ever heard of “Pills-a-Go-Go”? It’s been a while since I have seen the website, so maybe it doesn’t exist any more, but I do have the book. It’s a hoot, and even though it’s aimed at people who enjoy the inappropriate use of prescription drugs, the people who put it together can at least write coherent sentences, or at the very least the editor can correct them.

Comment by IAPhrmr on 2008-02-01 18:38:58 -0800 #

Okay, first off, if some friend’s wife is a pharmacist and a GROCERY store and it is easy, apparently they do not do too much all day. I have friends that work at grocery stores and do 35 rxs per day, and yes they do have it easy! Come down to my store and do 1500 scripts a week or more, have fund having an “easy” day. The job varies widely, some days a great, some are crazy.
I’m sorry if you sit an talk to a patient about their meds and interactions etc, you must have all the time in the world with your patients! I have local docs that prescribe Naproxen or Ibuprofen readily when a patient is on Lithium, and then I call to ask them if they really want to do that and they say “HOLD ON, LET ME CHECK THE PDR”. Like I don’t know what I am talking about!
Your nurse is answering medicine questions? Most nurses I know have about 1 semester of Pharmaceutics, I have 3 YEARS, I think I know more about the drugs than anyone else, it is MY JOB.
I trust the physicians to diagnose properly, that is about as far as my trust in your knowledge goes. When it comes to drugs I am the man, it is how I make my living, so if you have questions, call the pharmacy I will help you out, and then I will counsel your patients properly.

Comment by on 2008-02-01 23:01:16 -0800 #

This is wrong on so many levels…
Yeah because Ultram and Darvocet are so much safer and are never ever abused. What?
” on major surgeries i might prescribe 18 oxycontin”
That’s funny because OxyContin is for chronic pain and usually opioid-tolerant patients only, you’d think an M.D. would know that..?
“my parnter and best friends wife is a pharmacist at a major grocery store ad she will admit it is the easiest job”
Maybe she should start doing her job. Or you know, maybe it really is the easiest job in the world.
I thought we were in the healthcare field to, I don’t know, help people? Not bicker like it’s a contest over whose job is more challenging and who is more critical to the system and who gets stuck doing all the work, and who is the victim here.
Yes new PharmD.s can be uppity, and so can M.D.s. Wait, maybe its their personalities, not their professions, that dictate their behavior? Gasp!!

Comment by on 2008-02-01 23:35:59 -0800 #

Woah, what a dillhole. and yes in the last 33 years he couldnt have given ultram cause it is a rather new drug, and just became generic within the last 10ish years or mabey before.
I think that was a dude that thought he was a doctor, and decided to jack you off. seriously, for all of the papers that docs write in med school, and all of the other bullshit. the misspelling and grammer errors are not going to happen unless hes a dumbass who is shooting what he writes. But all could be wrong lol. it might just be an old timer who does not kno his ass form a keyboard. mabey he should take that dudes free cd(but you pay for shipping) off the tv commercial to learn how to use a computer.:)

Comment by DownonthePharm on 2008-02-02 07:42:14 -0800 #

I think you should write on this topic.. ADHD
WHen i worked in retail i remember parents coming in and asking “is this bad for my child..” you think?

Comment by c.d. shultz,md on 2008-02-02 08:25:12 -0800 #

as stupid as we are we were able to get into your site two different ways one you even admitted to not knowing how it went though. the truth is anyone can,you dont have to be a dr. Who said we prescibed ultram in 1975? We also must have prescribed prozac!!some of you readers cant read darvocett unless it is spelled with one t, sorry in medical school they didnt teach us to spell or use paragraphs. Get off your high horse and get a life!! from the quack

Comment by limari on 2008-02-02 21:07:16 -0800 #

Granted, I’ve only been a CPhT for 10 years, but I’ve never seen darvocet spelled any other way except with a single ‘t’.
Hehe..”the quack”. Yep. That about sums it up.

Comment by TheDruggist on 2008-02-02 22:33:11 -0800 #

This doc doesn’t seem to be reviewing the latest guidelines on pain management. We are now using Laudanum instead of the highly potent and addicting Darvocet-T.

Comment by ArkieRN on 2008-02-03 04:18:47 -0800 #

Dear Quack,
I’m sorry I hurt your feelings by calling you an idiot. May I respectfully suggest that if you are going to prescribe a medication that you learn how to spell it.
The lowly RN who can read, capitalize, punctuate, spell and organize her thoughts in paragraph form.

Comment by Leslie on 2008-02-03 18:49:54 -0800 #

Was that the same guy in both? Because if so he needs to get his story straight. The first e-mail he said his friend’s wife was a pharmacist and then in the second he said his wife was the pharmacist.

Comment by WTF on 2008-02-03 18:58:25 -0800 #

I feel bad for his patients who have surgery and then get prescribed ultram and darvocet(t).
What a dick.

Comment by Drug Dealer in Training on 2008-02-04 07:43:32 -0800 #

Brace yourselves-I’m about to make a comment that has been made many times before, but apparently “the quack” and his cohort haven’t noticed: What kind of site did you think you were going to find here? Did you think that something entitled “The Angry Pharmacist” was going to lead you down a primrose path filled with rainbows and sunshine? If you’re going to get offended, quit reading it. Let’s face it people, everyone complains about everyone else; everyone thinks they have to put up with more than the other. This is the site people in the pharmacy field come to for a little humor. I, for one, am glad that it exists and to know that I am not the only one who feels this way. And the bottom line is, if you attack TAP, we attack right back.

Comment by such-a-pharmacist on 2008-02-04 16:44:53 -0800 #

JUst had an idea for an invetion for every Pharmacist….. It would be a BS meter. It would go off with lights and sireens when ever your “best friend” customer..i.e. Major druggie would come in. Don’t these idiots know the cardinal rule for getting their narcs filled. Less is more. They always give you a song and dance about how sick they are, How they left their last prescription in in the glove compartment of their brothers friends car in Lithuainian and need their refill 2 weeks early because they are going on a vaction . ((run on sentecnce good enough for an MD) , The lights go off and they know that the BS is too deep. Either that or I will wear waders on friday nights……

Comment by WannaBeDrInTraining;) on 2008-02-04 18:37:21 -0800 #

As per the PI tramadol is a Mu agonist, one that has a “morphine type” dependency associated with it. The fact that he doesn’t use effective treatment (ultram/darvocet are just as effective at APAP alone except for you add addiction risk and respiratory depression risk and seizure risk) just means he’s a negligent doctor and I’m not sure who he is protecting with that. As well typical surgical prophylaxis is 1g cefazolin just prior to surgery, and if they have a skin or soft tissue infection that requires 7-10 days of treatment it’s because he’s a sloppy surgeon and didn’t use proper aseptic technique. Otherwise if he has just a blanket policy of providing 7-10 day courses when its not indicated he is just adding to antibiotic over use, thus adding to the resistance problem. Thanks for that doc, when I get necrotizing fascitis caused MRSA I’ll be sure to go to you to amputate my leg with inadequate pain control.

Comment by Biggest Fan on 2008-02-05 16:40:00 -0800 #

As a doc, I find it unfortunate that many physicians don’t see how their practices could be augmented by a good relationship with a pharmacist. I guess I am in the hospital for the most part – but, I don’t think I could make it without our pharms. I can’t know everything and you can’t know everything…sounds like a perfect arrangement to me. If someone comes in with more drug allergies than meds they are on – I need help if they need covered for aspiration pneumonia, infected diabetic foot ulcer, and a yeast infection….PLEASE TELL ME WHAT I CAN GIVE THEM!!!!!!!!! As always, Biggest Fan here respects what you guys/gals do – I’m certainly not smart enough for it. Thanks for keeping an eye on me and saving my ass when I do something stupid!

Comment by Pete on 2008-02-05 20:06:28 -0800 #

My absolute favorite customer is the uninsured guy who cant do math in his head. They always come in after a “car accident” yet you have seen the same person walking to your pharmacy every day for the last three months. Obviously they are in pain and thier 12 percocets and a couple of shots of segrams is just what the doctor ordered. Of course they dont have insurance because they just got layed off and they want to pay cash. They ask how much it will be if they pay cash you tell them 34.99 or whatever and you can actually see them trying to see how much 12 times 5 is to see if they can turn a profit. The worst part is you cant do anything except tell them you’re out and then they have to go all the way one block down the street to another pharmacy

Comment by Goerge on 2008-02-07 08:37:12 -0800 #

Has anyone seen the report bout pill dust cross contamination on scriptpro’s website? Pretty good info, check it out, it’s done by Alburty Lab? Thought some of you would like to see it,

Comment by one_angry_tech on 2008-02-07 13:30:19 -0800 #

TAP.. I need a humana blog.. badly..
Please help figure out why they choose MONDAY.. caps lock again MONDAY! to be down.. of all the days.. 6 other days.. they choose MONDAY!

Comment by Crusty Rph on 2008-02-09 06:28:57 -0800 #

I hope all doctors don’t write this horribly. Lolly needs an adverb here and so does TAP. Look what ESL has brought to the table this time. I call “Bull Shit” – no way this guy is a DR– a wanna be proctologist who has discovered himself. I think the batteries on his tool of trade have gone dead.

Comment by Chris, Pharm.D. on 2008-02-11 18:03:50 -0800 #

When did they remove English 101 from the Pre-med curriculum?

Comment by indietech on 2008-02-11 21:15:01 -0800 #

crusty rph gets bonus points for the schoolhouse rock reference!

Comment by Just-A-Tech on 2008-02-15 21:03:03 -0800 #

I think we’re all forgetting, the lowest passing grade in the class is still passing. I had to post on this one after my conversation today with an MD where she argued with me telling me that PSE was no longer available over the counter and the only way to get it was with prescription. It took me about 30 minutes of explanation to get her to understand that the only thing a patient needs to get PSE is an I.D. card or driver’s license.
I’d say once or twice a week I speak to an MD that I just have to make mental note of their name in my head so that I never….. EVER… pay for their services for my own health and well being.
/rant off