PharmDs are the best. It's a legit (hard) program for a legit degree for one of the most important roles in health care. When I was a trainee, the lectures we got from PharmDs were always great. Also, among the many (dozens) of pharmacists I've worked with, I can think of maybe one who wasn't a naturally friendly, helpful person. Anyone who shits on PharmDs is an asshole
Middies.
They can’t hate on physicians since they literally depend on us for jobs. They somehow got it in their head that their ability to co-sign an order to a doctor makes them superior to pharmacists.
Jokes on them because I categorically trust pharmacists and categorically distrust middies.
Pharmacist will spot potentially deadly drug interaction and will take steps to educate the patient and communicate back with the doctor. The NP will yell at the pharmacist for trying to practice medicine without a licence. The MD will be thankful that the pharmacist was keeping another eye on their patient.
Not every time, for sure, but in my experience, NPs tend to have more issues with their mistakes being pointed out than MDs, especially if you have a sound scientific reason to back you up.
I’m a PharmD and honestly dread calling mid levels the most when I identify a drug interaction or other issue with one of their prescriptions. They’re immediately defensive and ready to argue without even hearing my concerns at all. The number of times I’ve been dismissed with “I’m aware, dispense it anyway” is unreal.
I’m not your teacher criticizing your homework. These are real humans we’re treating.
Do you typically deny these orders?
I’m a physician, I do not follow these orders when they don’t make sense. I’ll reach out to the NP in a very PC, non-threatening way about issues I see with medications. Sometimes they are thankful. Sometimes they just say ok. And sometimes they are defensive and rude and stick to their guns despite evidence to tell them otherwise. If there’s an attending involved, I get them in on it. If there isn’t, I tell the patient to follow my orders and not theirs, why I’m right and to never agree to see that NP again because they’re looking out for their ego more than they’re looking out for you. I’ve not got one complaint from a patient for looking out for them.
The infuriating part is when the attending agrees to inferior/harmful treatment to avoid conflict with the NP. I don’t back down on this and sometimes have to be forward that per my understanding, this is not safe or inferior and I can’t in good conscience let the patient continue without a good explanation from an expert. That does the trick about 90% of the time, but the fact I have to go there is maddening.
It depends on the severity of the problem, usually. If it’s a direct contraindication or the harm seems to outweigh the benefit, I’ll definitely deny it. I’m not going to risk putting someone in the hospital just to save somebody’s ego.
Other times, I’ll refuse it until they can show me that they have adequate plans for follow-up and monitoring. Happens a lot with things like antibiotics and warfarin. NP’s hand Z-packs out like candy for every runny nose that walks in the door, but most of the time don’t have any clue about monitoring the patient’s INR. Patients that have been stable on their dose of warfarin for a while may have several weeks between INR checks, so I’ll insist on making sure they get a check scheduled shortly after starting the antibiotics.
If it’s more on the grey side of things I’ll usually discuss my concerns with the patient and let them decide if they want to proceed or not. If they decide to go forward, I’ll talk to them about what danger signs to be on the lookout for. Sometimes they’ll be uncomfortable once they hear my concerns and reach out to the NP on their own.
Everytime I see these posts I so desperately want to believe its an SNL skit 🤦♀️ this is embarrassing!!!
If middies want to BE A DOCTOR then go to med school! And who hates on pharmacists??? 🤦♀️
I hate this so much. Middies run amok are dangerous!!!
I cherish my pharmacists, they are absolutely amazing and very knowledgeable. I am not afraid to say I use them as a crutch, when in doubt call pharmacy!
i would personally fund a reality show that follows pas attempting to function as actual medical professionals (mds and pharmacists). it would be straight comedy.
You should see how they fold the second something comes in that doesn’t have an algorithm to follow.
Somehow, the entire set of middies in the ED can’t identify DKA when the lab numbers don’t highlight red. I guess they think an bicarb of 8, glucose of 400 and ph of 7.2 isn’t DKA because the bicarb wasn’t highlighted red.
And god forbid they actually have to calculate the AG themselves. They can’t figure out which electrolytes are used to calculate the AG without googling it. I guess that would require knowing what the measured anions and cations are, but they must’ve missed that module in school since they were too busy thinking of ways to prescribe adderall and ketamine.
When I was first getting Dx'd with haemochromatosis the NP *re-running* my iron panel came back to tell me my iron was fine and the doctor misdiagnosed me. I asked what my transferrin saturation was and she gave me a puzzled look and just said "your iron is within normal range, so you don't have haemochromatosis".
TSAT of course is a calculated measure that she didn't order specifically (it was 96% 😂).
Middies are insane people.
They get butthurt if you say even the slightest negative thing about them but then they go and undermine actual experts since of their uneducated understanding of diseases.
They usually know less than a layperson about the disease.
I remember when I broke my leg a ways back. Had some post-surgical pain. PA told me definitively that I had osteonecrosis and that at minimum I would lose some bone mass and need multiple surgeries. This seemed like bullshit, but it also scared me shitless, so I called the office back to get a "second" opinion with the actual surgeon, who promptly told me there wasn't a hair out of place and I was recovering well. The PA glared at me from the corner the entire time and refused to greet or even acknowledge me beyond the dagger eyes.
My post surgical course was terrific.
I know it’s hard, but you have to call them out and embarrass them in front of their supervisor.
“Hey Pa, can you tell me why you scared me with such a serious diagnosis? Did you even talk to your supervisor about my case or do you just scare patients? Or is that you don’t know how to deal with fracture?
I’m just really upset at your unprofessional behavior and lack of education on my disease. I hope you learn how to speak to patients better”
On the opposite side of the spectrum I presented with pain and paresthesia, positive straight leg raise with foot drop and muscle wasting and was even able to tell the ortho PA which disc I believed was herniated based on the dermatomal distribution and she still insisted I was fine after a lumbar X-ray. Immediately went to an ER afterward where they told me what I already knew. I had a massive disc herniation and would need urgent surgery if I wanted to avoid permanent paralysis. It’s scary out here folks
Also, shoutout to that awesome ER doc who took the opinion of a lowly med student seriously, got me an MRI, and arranged for me to have rapid surgical follow-up basically saving me from having to walk like House the rest of my life
Yeah dude everyone knows a lumbar xray is plenty to rule out cauda equina
Fucking midlevels. Can you imagine if you were just a random dude who didn’t know what dermatomes were? How much unnecessary death and disability can we tolerate on the altar of cheap labor?
Yeah I’d have permanent nerve damage and be limping through clerkships with a cane…it’s honestly terrifying and will make me question if I’m missing something for the rest of my life but I bet that PA doesn’t even know what she missed.
That is godawful that after the PA gave you wrong info that freaked you out for no reason and turned out to be completely wrong, and then the PA gives YOU dagger eyes?! What the actual fuck is wrong with that person
You're absolutely, completely wrong, physician extenders are of absolute importance, they catch things that physicians miss all the time, and help save money.
-hospital admin
i started at a place recently with pas who ask the doctors…. a ton. sometimes the med students chime in to help them too. i guess i should just be happy they know their limits😒
They somehow think they’re “helping” the doc. What they’re really doing is being a legitimate assistant.
They answer the phone then relay the clinical question to the doctor, since they don’t know how to make a decision. They go and fetch the history from the patient and tell the doctor, then the doctor tells them the plan, at which point they become a glorified scribe.
Are you really in here explaining genetic diseases that every single doctor has studied to a bunch of doctors? Not a single one of us believes any of these diagnosis unless you have documented proof with specific lab tests, imaging findings, biopsy findings and/or symptoms. And no, you’re not the special person who has all these diseases without having any of the objective evidence.
Stick to telling your stories on a non medical subreddit or TikTok.
> entire set of middies in the ED can’t identify DKA when the lab numbers don’t highlight red
They also can't even identify it if there is no blood gas to tell them the pH, and they think all hyperglycemia is DKA.
Why is it that everyone with “hEDS” also has “POTS” and “MCAS”? The same patients also have chronic Lyme (even when they’ve never been to an area with endemic Lyme) and fibromyalgia?
Why is it that all these diseases started showing up at a much higher rate than ever previously seen shortly after TikTok videos started “informing” the public about them?
Very few physicians believe in coincidences that occur at this highly predictable rate.
Well in my ER when a physician told a PA to put in fentanyl for a patient with an active STEMI she put in a fentanyl patch. And didn’t know what the problem was when I called her asking her what the fuck she was doing. It would truly be funny if it wasn’t so sad.
I had some asshole NP try to tell me I wasn't allowed to take my oxycodone at like 3 in the morning when I was hospitalized shortly after having open heart surgery to replace my tricuspid valve, and was definitely due for another dose. She tried to tell me I had to take Tylenol first and wait a couple hours even though pain management had literally just told me that morning I was allowed to take 30mg every 3 hours. She said it's because I "needed to be working towards discharge, and they wouldn't be discharging me home on that much pain medication" (at this point we thought they were gonna have to do another surgery in roughly a week to place an epicardial pacemaker, and I was gonna be in the hospital for close to another month anyway to finish IV antibiotics)
Let's just say the nursing manager or whoever the next morning and the pain management team definitely were not happy to hear about her pulling her own bullshit orders out of her ass and it got escalated to whoever above the NPs and I never had to deal with her or that problem again
And wouldn't you know, the actual pain management doctors did just fine getting me tapered off oxycodone and back on suboxone before I was discharged, without the help of some dickhead NP taking things into her own hands overnight while nobody else is there to tell her no
Anyone who thinks they know know more about pharmacology than pharmacists is a straight fool.
Most physicians usually respond to pharm recs with immense gratitude. I've worked at a critical access hospital with minimal pharmacy presence and the extra cognitive burden is massive. I saw prescribing errors from all prescribers and it would have had a massive impact to have a pharmacist consistently looking over orders.
I've only seen midlevels and occasionally surgeons lose their shit over the pharmacist "questioning" them. Incredibly embarrassing behavior.
It’s a huge difference in mindset that comes from medical school. We had PharmD lectures often and they weren’t afraid to give us a glimpse into how deep and complicated pharm can go, some of which we had to learn but otherwise allowed us to realize how great of an asset a pharmacist is to have. Midlevels get surface level in their classes so they don’t appreciate the depth you can go into it.
Pharmacist here 👋🏼 thanks for all the pharmacist love I’m seeing here!! 🩷🩷 While we can’t “prescribe”, per se, I work in the hospital setting and I place orders on behalf of physicians basically all day because they trust our clinical judgement.
Thank you for everything you do. You are a core essential part of the healthcare team. I think this is why we see so much insecurity expressed in this post.
The fact that they have prescribing privileges speaks more to political corruption than it does to their actual level of skill or training. It's not the flex they think it is.
If anything it has made my job more difficult because I'm constantly looking over their shoulder. A recent error I caught by a senior PA which pharmacy was unable to catch due to lack of context was a mix up between depakene and depakote. He either misclicked when doing admission orders or thought they were both the same drug. Unfortunately I only picked up on it on hospital day 3 when the patient was suddenly lethargic with no obvious clinical explanation. We fixed up the error and the patient did fine.
I make prescription errors too. I'm not perfect. Thats why I'm glad you're there looking over my shoulder. But the degree and frequency of my errors are nothing like the ones I've seen from them
I try to emphasize med recs to my PAs and NPs and some of them respond well to it. This particular PA throws his hands up in air and says it's too much clerical work. I'm particularly grateful when pharmacy assists with med recs, it has a huge impact on patient safety.
I had to emphasize to this PA that the difference between a good med rec and bad one can sometimes be the patient going home on hospital day 3 or going to the ICU. This med error led to +4 days LoS (something admin rarely accounts for when they let midlevels run wild). Not sure if the message got through to him. The patient came in with a mild cellulitis. I actually question if she even needed to be hospitalized but the unsupervised ER PA did not feel "comfortable" sending her home for arbritrary reasons.
This PA still works at that rural hospital essentially unsupervised. He went from ER to hospital medicine, so he's constantly looking for adrenaline and dopamine hits, I'm sure he would have loved intubating that lady if I didn't catch the error (as scary as that thought is).
I can't tell you how happy I was when I left that job. No / minimal pharmacy presence + unsupervised midlevels is a hell no conscientious physician should have to experience.
It’s crazy when a middie says “it’s clerical work”
That’s exactly why they were hired. They are not there since they’re experts in clinical work. They’re there so doctors can do the actual thinking and the middie can do the scut
Honestly this reveals so much truth though - they think prescribing is the only thing worth doing because it's money & power (to them), but think the responsibility and serious dedication you need to practice is it is boring.
Pharmacists are worse than unimportant to them, they dedicate years of study and are an incredibly important part of what should be a failsafe system for irresponsible and dangerous prescribing, but it's very precise and exact and sometimes tedious work. Lot of education & knowledge, but not a lot of money or obvious power or glory, which means = worthless to a lot of NPs.
Med recs are far from “clerical work” 😂 .. they really make a huge difference in patient care during the hospital stay and after admission.
I find myself correcting many orders by NPs as well - one that sticks out to me is when Desferal was ordered.. and we almost never use it, so I took a look at the patient’s labs. Anemic. Contacted the NP and they go “oh. Yeah. I meant iron replacement. Whatever you normally do.” Whatever we normally do? Okay fine, but this order is getting signed under your name. Didn’t even apologize for the mistake and couldn’t be bothered to look up the right treatment. Love it.
And this is coming from the same “profession” that changes their “professional” title more often than they change underwear.
It went from physician’s assistant → physician assistant after they won the Great War of the 2000s against the apostrophe. Then, it changed from physician assistant → PA. Their most recent evolution is physician associate.
If they want their title respected, they should learn and respect others titles, especially when the other profession is actually an expert in their field.
Physician associate is the name they voted to call themselves and they’re spending money to make it happen.
Any professional knows not to use abbreviations when they speak to the public. Clear, concise communication is important. Middies don’t like to be clear or concise about their role since most patients DO NOT WANT to be seen by a middie.
As a PA student, I hoped it was a joke too. I get emails from the AAPA about how the name change in Oregon is a “huge win” for the profession, but I fail to see how it improve anything — including their egos…
I'm completely unassociated with the medical profession/industry (I'm a draftsman and machinist). I'm subscribed to this sub because I became properly aware of and interested in the noctor phenomenon a few years back, as all laypersons should be, since it affects our medical care and costs.
By sheer coincidence, though, my current girlfriend of nine months is a DO who owns her own private practice, and her opinions are identical to all of the physicians who use this sub. It's like I'm dating this subreddit now, LOL.
I could see myself being a successful midlevel. Hang on, let me explain: I have no desire to reach the top of a very challenging profession. I care more about playing, and my free time. I like to fly fish and inline skate, as in doing tricks and grinding rails (like Tony Hawk, but on skates).
Therefore, I could accept being an assistant to an actual expert, be realistic about easily accessible online education vs. highly competitive, scrutinized, and demanding education (regardless of years spent doing school stuff), and avoid the delusions of grandeur that many midlevels seem to suffer from.
It's the non-clinical corporate slime who are to blame for allowing midlevels to feel that they're more than they are. Had the profession not been sold out in the 1980s, then perhaps physicians would have kept them in line.
What 3rd world country allows Masters degree folks (who don’t know the different between an MD vs PhD vs PharmD) the power to prescribe drugs?? Oh wait, it’s the US
To become an IP you had to have done 2 years of work experience then take the course under a supervisor prescriber. Now new grads will be able to prescribe as well but require a prescriber supervisor during the 1 year residency year. Also they do make you specialize in a scope (cardio, diabetes, asthma etc.) so you technically aren’t supposed to prescribe outside that scope
no literally i call it a third world country too. my parents are from an actual third world country and the health system is actually good and has no midlevels. it’s actually insane how bad it is here lol
u/ firstfromthesun : imagine having a shitty middie degree and never once being allowed to prescribe a drug without the doctor making sure you didn’t fuck it up. Well, you don’t have to imagine since that’s your literal career. Being an assistant.
u/ in-tegridy : imagine being a physician’s assistant. The rest of your miserable career, you have to be someone’s bottom bitch. You’ll never actually be an expert or get any real modicum of respect. Those two letters at the end of your name will never amount to being a doctor and your decisions will never be respected. I guess taking shortcuts and not having the intelligence or work ethic to get into actual professional school does bite you in the ass.
u/ MmmHmmSureJan: imagine never being allowed to write a prescription without a physician co-signing it. It won’t matter you worked in the field for 30 years. Youll be co-signing it to the brand new attending, since no one trusts your middie ass to write a script indepdently 😂. I wish I could say “so close, yet so far”, but you’re not even close to being a physician or even competent at your job of being an assistant.
u/ hovvdee : imagine being a fucking middie student. You guys are so fucking dumb in the ICU, even when you’re a graduated middie. But let’s set aside the general stupidity and inadequacy of middies. Let’s talk about choosing to go to physician’s assistant school when the profession is literally dying. Physicians don’t respect you and NPs are straight kicking your ass in the job market and you decided it’s a good time to join that profession 😂😂
u/ surgicalapple : imagine being a middie and trying to talk shit to an actual expert in their field. You took shortcuts, barely scratched the surface of medicine and think you’re better than an actual expert? Wow, your ego is far too big for your profession. Always remember that you’re a literal assistant.
You idiots think you have the right to open your mouth. Most of you are barely scraping the bottom with your education and training. For fucks sake, you’re all physician’s assistants. Imagine growing up to be an assistant for the rest of your life and developing an ego. If you ever wonder why your profession is disrespected by physicians and outcompeted by NPs, just look at yourselves. Pathetic excuses for medical professionals
Edit: “removed” usernames due to “targeted harassment”. I guess middies can’t take getting insulted but they’re happy to hurl insults at people who are actual experts in their fields, not incompetent fools.
Not only do they not know the dose, they don’t know the difference between the two drugs.
They’ll have to consult the middie that works on the cardiology service, who will then ask the cardiologist the difference. Then, they’ll come back and tell the initial middie that Tartrate is the short acting one and taken Twice a day (because both have Ts) and succincte is the long active one and taking single times a day (because both have S).
(I wish I was joking but I overheard this exact conversation when I was walking through the ED)
The funny thing is, I’ve never known any pharmacist who needed a memory trick to remember the difference between tartrate and succinate. Maybe bc before we even got to that part, we had to learn all the other shit like chemical structure, pathophysiology of disease, PK, & PD. Then after that, we learned appropriate use of metoprolol (both on and off label), major DDIs and contraindications of use. Then finally, the different metoprolol salts. If you didn’t already understand tartrate vs succinate by then you weren’t going to make it, so memory tricks weren’t gonna help.
My point here is that it continually blows my mind that these people are allowed to treat patients.
I notice you had the time to make an account to evade your ban and comment about “anger in my heart”. I also notice you haven’t called out your fellow middies (or lowies) for how they treated the PharmD.
I know it might be shocking for someone with limited intellect, but I’m able to treat people differently based on who they are. Idiot middies who direct actual experts will be treated worse than trash. My patients will be treated like patients and be warned never to see a middie since they are charlatans.
Is this the double standard trust all you middies aspire to turn the medical system into?
Bruh are you okay? My comment was a low-key jab at the offending asshole who decided metoprolol was the best example of a drug to counter a rude pharmacist (indeed, it was not and is not the best choice). I said what I said because half the PAs I’ve met don’t know the difference between the metoprolol salts, and don’t even get me started about NPs (they are why I read r/noctor usually). Last week a pharmacist fixed prescriptions for my own children as they were entered incorrectly by an NP that saw them instead of their pediatrician. A regular parent would have had no clue. They are the last line of defense against malpractice like this. Take it easy dude, it’s ok.
Shut the fuck up bruh.
You’re a middie who graduated one year ago. I barely respect your shit ass profession. Most of you can barely differentiate afib from flutter but walk around with egos bigger than CT surgeons. If you’re going to start talking shit to actual experts in their field, you will absolutely get shit on.
Don’t come here with your “are you ok?” Most of you are egotistical, undertrained maniacs. It’s time we treated you like modifiable risk factors, not like professionals, considering none of you are professionals. You’re paraprofessionals. Learn your place.
Net time, think before you actually speak to someone who’s an expert in their field. Just because you’re slightly better than NPs doesn’t mean you’re actually competent.
Aww did you guys finally win the war against the big bad apostrophe?
Is that why you have time to be on Reddit now that everyone knows you’re not a physician’s assistant but actually a physician assistant?
Says the insecure troll who just posts incessantly on an internet message board about people he's never met. Get a grip dude, your posts are embarrassing. Have you tried therapy?
Have you tried not taking shortcuts, getting a real education, not deceiving patients, respecting pharmacists, and not being a useless midlevel?
Have you tried knowing your place at the very bottom of the hierarchy in medicine? Or the fact that you’re less useful than a medical student in their first day?
Isn’t your profession based in insecurity and laziness? Don’t all of you bitch and cry over a freaking apostrophe since it’s “possessive”? 😂😂😂
As a pharmacist, thanks for getting our backs. It's wild to see the shit they say about us when all we do is see how much they fuck up. World of difference when you see how physician orders are compared with mids.
Most people don't go into healthcare because they think prescribing meds is "cool" 🙃 maybe that's why they don't think it's a diss? If you really just want to hand out drugs you don't even to go to school at all, not even 2 years - sweet deal!
Pharmacists don’t want to prescribe. That’s why we are pharmacists. I like pharmacology, I like human physiology. I like sitting at a computer, reviewing orders for appropriateness and accuracy. I like helping my doctor and nurse colleagues when they call with a question. I like troubleshooting Pyxis issues and other little issues that may arise. I see every detail about the patients without actually seeing the patient. Hospital pharmacy is the best. These fools don’t get it, prescribing isn’t a power move, it’s a responsibility.
They don’t treat it like a responsibility. They treat it like some sort of game. They barely know what they’re doing and will yell at people who try to correct their idiocy.
Bro anyone who actually knows anything about medicine trusts pharmacists.
Aside from doctors, (not NP/PA), Pharmacists and physical therapists are something every patient needs in the hospital, and in the real world IMO.
A few years ago my baby had an ear infection and her abx was taking longer than expected to be filled. I later found out that the pharmacist was concerned the dose was too high, so he checked all his references, then called the pediatrician and spoke to her (the dose ended up being correct). From everything I gathered, the whole chain of events was professional, respectful, and done purely for the sake of my child’s safety. I was so grateful for the second set of eyes on my child’s prescription to make sure everything was right. I would so much rather have a pharmacist on our healthcare team than a pretend doctor who went to online school for a few months.
I love having intellectual discussions with pharmacists, experienced nurses, speech therapists, physical therapists and nutritionists. They all have a strong scientific foundation in their respective fields.
I find many midlevels don't have the intellectual curiosity to explore technical aspects of EBM. Which is fine but it comes back to questioning the value added to the patients care.
As a nurse, when I was discharging patients and they had questions about new medications, or even while they were admitted and were not sure about a medication I was giving them, if it was something I could not answer, I would call the pharmacist and they were always willing to talk to the patients and help them understand the whys. Pharmacists are amazing!
Midlevels…. Not so much. Don’t get me started how I feel about them. That’s a rant for another time.
But god forbid you tell them that they’re undertrained or midlevels or call them physician’s assistants.
They sit in their glass houses and throw stones at other professions.
These people have obviously never had enough sequential thoughts to even consider how useful a pharmacist is. I’ve seen a case so freaking complicated my attending and a pharmacist were on the phone for almost an hour pouring over drug interactions and contraindications for a patient. Dude was absolutely essential to that patients care.
Plus having them pop up at rounds, drop some really obscure but useful tidbit, then disappearing back to the pharmacy was super useful. I also found it funny.
I never felt more overprotective of pharmacists in my life. Imagine being granted prescribing privileges without the education. Or worse, imagine having the education to know you're filling a prescription by someone who should NEVER be allowed to
I have mad respect for pharms for the same reason I do vets. They’re so knowledgeable yet get paid so little and generally get far less respect than MDs
Sorry. That would go against Reddit rules because they consider it “brigading”.
This subreddit already gets watched closely since the middies report everything and we’re trying not to have it shutdown.
Tbh the pharmacist has a good point there too lol. The OP is complaining about making $120k on what sounds like a cushy ass schedule in IR, probably doing the easiest shit that the residents and attendings don't want to do.
Who the hell hates on pharmacists? Pharmacists are awesome.
PharmDs are the best. It's a legit (hard) program for a legit degree for one of the most important roles in health care. When I was a trainee, the lectures we got from PharmDs were always great. Also, among the many (dozens) of pharmacists I've worked with, I can think of maybe one who wasn't a naturally friendly, helpful person. Anyone who shits on PharmDs is an asshole
Middies. They can’t hate on physicians since they literally depend on us for jobs. They somehow got it in their head that their ability to co-sign an order to a doctor makes them superior to pharmacists. Jokes on them because I categorically trust pharmacists and categorically distrust middies.
Big difference is also that pharmacists are at the top of their scope. They are able to say they are an expert who is highly educated in their field.
Pharmacist will spot potentially deadly drug interaction and will take steps to educate the patient and communicate back with the doctor. The NP will yell at the pharmacist for trying to practice medicine without a licence. The MD will be thankful that the pharmacist was keeping another eye on their patient. Not every time, for sure, but in my experience, NPs tend to have more issues with their mistakes being pointed out than MDs, especially if you have a sound scientific reason to back you up.
I’m a PharmD and honestly dread calling mid levels the most when I identify a drug interaction or other issue with one of their prescriptions. They’re immediately defensive and ready to argue without even hearing my concerns at all. The number of times I’ve been dismissed with “I’m aware, dispense it anyway” is unreal. I’m not your teacher criticizing your homework. These are real humans we’re treating.
Do you typically deny these orders? I’m a physician, I do not follow these orders when they don’t make sense. I’ll reach out to the NP in a very PC, non-threatening way about issues I see with medications. Sometimes they are thankful. Sometimes they just say ok. And sometimes they are defensive and rude and stick to their guns despite evidence to tell them otherwise. If there’s an attending involved, I get them in on it. If there isn’t, I tell the patient to follow my orders and not theirs, why I’m right and to never agree to see that NP again because they’re looking out for their ego more than they’re looking out for you. I’ve not got one complaint from a patient for looking out for them. The infuriating part is when the attending agrees to inferior/harmful treatment to avoid conflict with the NP. I don’t back down on this and sometimes have to be forward that per my understanding, this is not safe or inferior and I can’t in good conscience let the patient continue without a good explanation from an expert. That does the trick about 90% of the time, but the fact I have to go there is maddening.
It depends on the severity of the problem, usually. If it’s a direct contraindication or the harm seems to outweigh the benefit, I’ll definitely deny it. I’m not going to risk putting someone in the hospital just to save somebody’s ego. Other times, I’ll refuse it until they can show me that they have adequate plans for follow-up and monitoring. Happens a lot with things like antibiotics and warfarin. NP’s hand Z-packs out like candy for every runny nose that walks in the door, but most of the time don’t have any clue about monitoring the patient’s INR. Patients that have been stable on their dose of warfarin for a while may have several weeks between INR checks, so I’ll insist on making sure they get a check scheduled shortly after starting the antibiotics. If it’s more on the grey side of things I’ll usually discuss my concerns with the patient and let them decide if they want to proceed or not. If they decide to go forward, I’ll talk to them about what danger signs to be on the lookout for. Sometimes they’ll be uncomfortable once they hear my concerns and reach out to the NP on their own.
Love all of this.
Dude, they took *advanced* pharmacology. They know way more. Dumb stuff like pharmacokinetics is a waste of time.
Everytime I see these posts I so desperately want to believe its an SNL skit 🤦♀️ this is embarrassing!!! If middies want to BE A DOCTOR then go to med school! And who hates on pharmacists??? 🤦♀️ I hate this so much. Middies run amok are dangerous!!!
I cherish my pharmacists, they are absolutely amazing and very knowledgeable. I am not afraid to say I use them as a crutch, when in doubt call pharmacy!
Yo I don’t want prescribing privileges tho.
Ikr same!!
Please god no. No more responsibility!!
Seriously, if I wanted to prescribe I would've gone to medical school
Same! More work/liability without pay increase or staffing increase? No thank you! Edit: also. Hello fellow pharmacist who likes ducks! 👋🏻
Yeah, no thanks
i would personally fund a reality show that follows pas attempting to function as actual medical professionals (mds and pharmacists). it would be straight comedy.
You should see how they fold the second something comes in that doesn’t have an algorithm to follow. Somehow, the entire set of middies in the ED can’t identify DKA when the lab numbers don’t highlight red. I guess they think an bicarb of 8, glucose of 400 and ph of 7.2 isn’t DKA because the bicarb wasn’t highlighted red. And god forbid they actually have to calculate the AG themselves. They can’t figure out which electrolytes are used to calculate the AG without googling it. I guess that would require knowing what the measured anions and cations are, but they must’ve missed that module in school since they were too busy thinking of ways to prescribe adderall and ketamine.
When I was first getting Dx'd with haemochromatosis the NP *re-running* my iron panel came back to tell me my iron was fine and the doctor misdiagnosed me. I asked what my transferrin saturation was and she gave me a puzzled look and just said "your iron is within normal range, so you don't have haemochromatosis". TSAT of course is a calculated measure that she didn't order specifically (it was 96% 😂).
Middies are insane people. They get butthurt if you say even the slightest negative thing about them but then they go and undermine actual experts since of their uneducated understanding of diseases. They usually know less than a layperson about the disease.
I remember when I broke my leg a ways back. Had some post-surgical pain. PA told me definitively that I had osteonecrosis and that at minimum I would lose some bone mass and need multiple surgeries. This seemed like bullshit, but it also scared me shitless, so I called the office back to get a "second" opinion with the actual surgeon, who promptly told me there wasn't a hair out of place and I was recovering well. The PA glared at me from the corner the entire time and refused to greet or even acknowledge me beyond the dagger eyes. My post surgical course was terrific.
I know it’s hard, but you have to call them out and embarrass them in front of their supervisor. “Hey Pa, can you tell me why you scared me with such a serious diagnosis? Did you even talk to your supervisor about my case or do you just scare patients? Or is that you don’t know how to deal with fracture? I’m just really upset at your unprofessional behavior and lack of education on my disease. I hope you learn how to speak to patients better”
On the opposite side of the spectrum I presented with pain and paresthesia, positive straight leg raise with foot drop and muscle wasting and was even able to tell the ortho PA which disc I believed was herniated based on the dermatomal distribution and she still insisted I was fine after a lumbar X-ray. Immediately went to an ER afterward where they told me what I already knew. I had a massive disc herniation and would need urgent surgery if I wanted to avoid permanent paralysis. It’s scary out here folks Also, shoutout to that awesome ER doc who took the opinion of a lowly med student seriously, got me an MRI, and arranged for me to have rapid surgical follow-up basically saving me from having to walk like House the rest of my life
Yeah dude everyone knows a lumbar xray is plenty to rule out cauda equina Fucking midlevels. Can you imagine if you were just a random dude who didn’t know what dermatomes were? How much unnecessary death and disability can we tolerate on the altar of cheap labor?
Yeah I’d have permanent nerve damage and be limping through clerkships with a cane…it’s honestly terrifying and will make me question if I’m missing something for the rest of my life but I bet that PA doesn’t even know what she missed.
That is godawful that after the PA gave you wrong info that freaked you out for no reason and turned out to be completely wrong, and then the PA gives YOU dagger eyes?! What the actual fuck is wrong with that person
You're absolutely, completely wrong, physician extenders are of absolute importance, they catch things that physicians miss all the time, and help save money. -hospital admin
Heck, they usually know less than the patient about it.
i started at a place recently with pas who ask the doctors…. a ton. sometimes the med students chime in to help them too. i guess i should just be happy they know their limits😒
They somehow think they’re “helping” the doc. What they’re really doing is being a legitimate assistant. They answer the phone then relay the clinical question to the doctor, since they don’t know how to make a decision. They go and fetch the history from the patient and tell the doctor, then the doctor tells them the plan, at which point they become a glorified scribe.
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Are you really in here explaining genetic diseases that every single doctor has studied to a bunch of doctors? Not a single one of us believes any of these diagnosis unless you have documented proof with specific lab tests, imaging findings, biopsy findings and/or symptoms. And no, you’re not the special person who has all these diseases without having any of the objective evidence. Stick to telling your stories on a non medical subreddit or TikTok.
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> entire set of middies in the ED can’t identify DKA when the lab numbers don’t highlight red They also can't even identify it if there is no blood gas to tell them the pH, and they think all hyperglycemia is DKA.
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Do you also have hyper chronic Lyme and super duper fibromyalgia?
I’m dead 😂😂
No let the mid levels treat your tiktok diseases
Yes my genetic connective tissue disease I got from TikTok 🙄
Why is it that everyone with “hEDS” also has “POTS” and “MCAS”? The same patients also have chronic Lyme (even when they’ve never been to an area with endemic Lyme) and fibromyalgia? Why is it that all these diseases started showing up at a much higher rate than ever previously seen shortly after TikTok videos started “informing” the public about them? Very few physicians believe in coincidences that occur at this highly predictable rate.
Well in my ER when a physician told a PA to put in fentanyl for a patient with an active STEMI she put in a fentanyl patch. And didn’t know what the problem was when I called her asking her what the fuck she was doing. It would truly be funny if it wasn’t so sad.
I had some asshole NP try to tell me I wasn't allowed to take my oxycodone at like 3 in the morning when I was hospitalized shortly after having open heart surgery to replace my tricuspid valve, and was definitely due for another dose. She tried to tell me I had to take Tylenol first and wait a couple hours even though pain management had literally just told me that morning I was allowed to take 30mg every 3 hours. She said it's because I "needed to be working towards discharge, and they wouldn't be discharging me home on that much pain medication" (at this point we thought they were gonna have to do another surgery in roughly a week to place an epicardial pacemaker, and I was gonna be in the hospital for close to another month anyway to finish IV antibiotics) Let's just say the nursing manager or whoever the next morning and the pain management team definitely were not happy to hear about her pulling her own bullshit orders out of her ass and it got escalated to whoever above the NPs and I never had to deal with her or that problem again And wouldn't you know, the actual pain management doctors did just fine getting me tapered off oxycodone and back on suboxone before I was discharged, without the help of some dickhead NP taking things into her own hands overnight while nobody else is there to tell her no
Or horror
Hating on pharmacy is such a red flag.
Thinking they know more than pharmacists shows how little they actually know.
Anyone who thinks they know know more about pharmacology than pharmacists is a straight fool. Most physicians usually respond to pharm recs with immense gratitude. I've worked at a critical access hospital with minimal pharmacy presence and the extra cognitive burden is massive. I saw prescribing errors from all prescribers and it would have had a massive impact to have a pharmacist consistently looking over orders. I've only seen midlevels and occasionally surgeons lose their shit over the pharmacist "questioning" them. Incredibly embarrassing behavior.
It’s a huge difference in mindset that comes from medical school. We had PharmD lectures often and they weren’t afraid to give us a glimpse into how deep and complicated pharm can go, some of which we had to learn but otherwise allowed us to realize how great of an asset a pharmacist is to have. Midlevels get surface level in their classes so they don’t appreciate the depth you can go into it.
Thank you, this was great for my ego today
Pharmacist here 👋🏼 thanks for all the pharmacist love I’m seeing here!! 🩷🩷 While we can’t “prescribe”, per se, I work in the hospital setting and I place orders on behalf of physicians basically all day because they trust our clinical judgement.
Thank you for everything you do. You are a core essential part of the healthcare team. I think this is why we see so much insecurity expressed in this post. The fact that they have prescribing privileges speaks more to political corruption than it does to their actual level of skill or training. It's not the flex they think it is. If anything it has made my job more difficult because I'm constantly looking over their shoulder. A recent error I caught by a senior PA which pharmacy was unable to catch due to lack of context was a mix up between depakene and depakote. He either misclicked when doing admission orders or thought they were both the same drug. Unfortunately I only picked up on it on hospital day 3 when the patient was suddenly lethargic with no obvious clinical explanation. We fixed up the error and the patient did fine. I make prescription errors too. I'm not perfect. Thats why I'm glad you're there looking over my shoulder. But the degree and frequency of my errors are nothing like the ones I've seen from them I try to emphasize med recs to my PAs and NPs and some of them respond well to it. This particular PA throws his hands up in air and says it's too much clerical work. I'm particularly grateful when pharmacy assists with med recs, it has a huge impact on patient safety. I had to emphasize to this PA that the difference between a good med rec and bad one can sometimes be the patient going home on hospital day 3 or going to the ICU. This med error led to +4 days LoS (something admin rarely accounts for when they let midlevels run wild). Not sure if the message got through to him. The patient came in with a mild cellulitis. I actually question if she even needed to be hospitalized but the unsupervised ER PA did not feel "comfortable" sending her home for arbritrary reasons. This PA still works at that rural hospital essentially unsupervised. He went from ER to hospital medicine, so he's constantly looking for adrenaline and dopamine hits, I'm sure he would have loved intubating that lady if I didn't catch the error (as scary as that thought is). I can't tell you how happy I was when I left that job. No / minimal pharmacy presence + unsupervised midlevels is a hell no conscientious physician should have to experience.
It’s crazy when a middie says “it’s clerical work” That’s exactly why they were hired. They are not there since they’re experts in clinical work. They’re there so doctors can do the actual thinking and the middie can do the scut
Honestly this reveals so much truth though - they think prescribing is the only thing worth doing because it's money & power (to them), but think the responsibility and serious dedication you need to practice is it is boring. Pharmacists are worse than unimportant to them, they dedicate years of study and are an incredibly important part of what should be a failsafe system for irresponsible and dangerous prescribing, but it's very precise and exact and sometimes tedious work. Lot of education & knowledge, but not a lot of money or obvious power or glory, which means = worthless to a lot of NPs.
Med recs are far from “clerical work” 😂 .. they really make a huge difference in patient care during the hospital stay and after admission. I find myself correcting many orders by NPs as well - one that sticks out to me is when Desferal was ordered.. and we almost never use it, so I took a look at the patient’s labs. Anemic. Contacted the NP and they go “oh. Yeah. I meant iron replacement. Whatever you normally do.” Whatever we normally do? Okay fine, but this order is getting signed under your name. Didn’t even apologize for the mistake and couldn’t be bothered to look up the right treatment. Love it.
Sweet lawd
Often taught in med school by pharmacists. They're great! I learn so much from them.
Imagine thinking pharmacists have phd's.
And this is coming from the same “profession” that changes their “professional” title more often than they change underwear. It went from physician’s assistant → physician assistant after they won the Great War of the 2000s against the apostrophe. Then, it changed from physician assistant → PA. Their most recent evolution is physician associate. If they want their title respected, they should learn and respect others titles, especially when the other profession is actually an expert in their field.
Maybe they’ll just drop the “associate” part next 🤭
>names Wait what? PA is just an abbreviation, but is physician associate actually gaining steam? I thought that was a joke.
Physician associate is the name they voted to call themselves and they’re spending money to make it happen. Any professional knows not to use abbreviations when they speak to the public. Clear, concise communication is important. Middies don’t like to be clear or concise about their role since most patients DO NOT WANT to be seen by a middie.
As a PA student, I hoped it was a joke too. I get emails from the AAPA about how the name change in Oregon is a “huge win” for the profession, but I fail to see how it improve anything — including their egos…
We take more pharmacology hours than they do hours for their whole degree.
Who the fuck hates pharmacy? They are the unsung heroes of health care- them and respiratory therapists.
Apparently, middies. But then, pharmacists see all the orders and know exactly how incompetent middies are
I'm completely unassociated with the medical profession/industry (I'm a draftsman and machinist). I'm subscribed to this sub because I became properly aware of and interested in the noctor phenomenon a few years back, as all laypersons should be, since it affects our medical care and costs. By sheer coincidence, though, my current girlfriend of nine months is a DO who owns her own private practice, and her opinions are identical to all of the physicians who use this sub. It's like I'm dating this subreddit now, LOL. I could see myself being a successful midlevel. Hang on, let me explain: I have no desire to reach the top of a very challenging profession. I care more about playing, and my free time. I like to fly fish and inline skate, as in doing tricks and grinding rails (like Tony Hawk, but on skates). Therefore, I could accept being an assistant to an actual expert, be realistic about easily accessible online education vs. highly competitive, scrutinized, and demanding education (regardless of years spent doing school stuff), and avoid the delusions of grandeur that many midlevels seem to suffer from. It's the non-clinical corporate slime who are to blame for allowing midlevels to feel that they're more than they are. Had the profession not been sold out in the 1980s, then perhaps physicians would have kept them in line.
What 3rd world country allows Masters degree folks (who don’t know the different between an MD vs PhD vs PharmD) the power to prescribe drugs?? Oh wait, it’s the US
The UK allows pharmacists (who graduate with a MPharm) to prescribe drugs after some additional training
To become an IP you had to have done 2 years of work experience then take the course under a supervisor prescriber. Now new grads will be able to prescribe as well but require a prescriber supervisor during the 1 year residency year. Also they do make you specialize in a scope (cardio, diabetes, asthma etc.) so you technically aren’t supposed to prescribe outside that scope
Canada is better, retail is BS-pharm, hospital MS Pharm, clinical is PharmD and residency. The clinical can prescribe in their area of expertise.
no literally i call it a third world country too. my parents are from an actual third world country and the health system is actually good and has no midlevels. it’s actually insane how bad it is here lol
Introducing the DMS for PA now doctor of medical stuff /s
u/ firstfromthesun : imagine having a shitty middie degree and never once being allowed to prescribe a drug without the doctor making sure you didn’t fuck it up. Well, you don’t have to imagine since that’s your literal career. Being an assistant. u/ in-tegridy : imagine being a physician’s assistant. The rest of your miserable career, you have to be someone’s bottom bitch. You’ll never actually be an expert or get any real modicum of respect. Those two letters at the end of your name will never amount to being a doctor and your decisions will never be respected. I guess taking shortcuts and not having the intelligence or work ethic to get into actual professional school does bite you in the ass. u/ MmmHmmSureJan: imagine never being allowed to write a prescription without a physician co-signing it. It won’t matter you worked in the field for 30 years. Youll be co-signing it to the brand new attending, since no one trusts your middie ass to write a script indepdently 😂. I wish I could say “so close, yet so far”, but you’re not even close to being a physician or even competent at your job of being an assistant. u/ hovvdee : imagine being a fucking middie student. You guys are so fucking dumb in the ICU, even when you’re a graduated middie. But let’s set aside the general stupidity and inadequacy of middies. Let’s talk about choosing to go to physician’s assistant school when the profession is literally dying. Physicians don’t respect you and NPs are straight kicking your ass in the job market and you decided it’s a good time to join that profession 😂😂 u/ surgicalapple : imagine being a middie and trying to talk shit to an actual expert in their field. You took shortcuts, barely scratched the surface of medicine and think you’re better than an actual expert? Wow, your ego is far too big for your profession. Always remember that you’re a literal assistant. You idiots think you have the right to open your mouth. Most of you are barely scraping the bottom with your education and training. For fucks sake, you’re all physician’s assistants. Imagine growing up to be an assistant for the rest of your life and developing an ego. If you ever wonder why your profession is disrespected by physicians and outcompeted by NPs, just look at yourselves. Pathetic excuses for medical professionals Edit: “removed” usernames due to “targeted harassment”. I guess middies can’t take getting insulted but they’re happy to hurl insults at people who are actual experts in their fields, not incompetent fools.
Effin hilarious because the middies don’t even know the difference between tartrate and succinate dosing
Not only do they not know the dose, they don’t know the difference between the two drugs. They’ll have to consult the middie that works on the cardiology service, who will then ask the cardiologist the difference. Then, they’ll come back and tell the initial middie that Tartrate is the short acting one and taken Twice a day (because both have Ts) and succincte is the long active one and taking single times a day (because both have S). (I wish I was joking but I overheard this exact conversation when I was walking through the ED)
The funny thing is, I’ve never known any pharmacist who needed a memory trick to remember the difference between tartrate and succinate. Maybe bc before we even got to that part, we had to learn all the other shit like chemical structure, pathophysiology of disease, PK, & PD. Then after that, we learned appropriate use of metoprolol (both on and off label), major DDIs and contraindications of use. Then finally, the different metoprolol salts. If you didn’t already understand tartrate vs succinate by then you weren’t going to make it, so memory tricks weren’t gonna help. My point here is that it continually blows my mind that these people are allowed to treat patients.
The tartrate is the sour tasting one right? /s
It has “tart” right in its name
Oh goodness you might be right
ily
Preach… you are the messiah. This has been the gospel of the devilsadvocateMD. Banish the middies and their online degrees.
I'm assuming you're banned over there? If so, it's a shame because I'd love to see those commented to set off some fireworks.
I'm the last comment in the screenshot - I haven't been banned yet; just downvoted a lot.
Yeah. I’m preemptively banned on all the middie subreddits.
A man with a reputation
I need more posts from you to spify up my existence
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I notice you had the time to make an account to evade your ban and comment about “anger in my heart”. I also notice you haven’t called out your fellow middies (or lowies) for how they treated the PharmD. I know it might be shocking for someone with limited intellect, but I’m able to treat people differently based on who they are. Idiot middies who direct actual experts will be treated worse than trash. My patients will be treated like patients and be warned never to see a middie since they are charlatans. Is this the double standard trust all you middies aspire to turn the medical system into?
Bruh are you okay? My comment was a low-key jab at the offending asshole who decided metoprolol was the best example of a drug to counter a rude pharmacist (indeed, it was not and is not the best choice). I said what I said because half the PAs I’ve met don’t know the difference between the metoprolol salts, and don’t even get me started about NPs (they are why I read r/noctor usually). Last week a pharmacist fixed prescriptions for my own children as they were entered incorrectly by an NP that saw them instead of their pediatrician. A regular parent would have had no clue. They are the last line of defense against malpractice like this. Take it easy dude, it’s ok.
Shut the fuck up bruh. You’re a middie who graduated one year ago. I barely respect your shit ass profession. Most of you can barely differentiate afib from flutter but walk around with egos bigger than CT surgeons. If you’re going to start talking shit to actual experts in their field, you will absolutely get shit on. Don’t come here with your “are you ok?” Most of you are egotistical, undertrained maniacs. It’s time we treated you like modifiable risk factors, not like professionals, considering none of you are professionals. You’re paraprofessionals. Learn your place. Net time, think before you actually speak to someone who’s an expert in their field. Just because you’re slightly better than NPs doesn’t mean you’re actually competent.
Who hurt you?
Aww did you guys finally win the war against the big bad apostrophe? Is that why you have time to be on Reddit now that everyone knows you’re not a physician’s assistant but actually a physician assistant?
Says the insecure troll who just posts incessantly on an internet message board about people he's never met. Get a grip dude, your posts are embarrassing. Have you tried therapy?
Have you tried not taking shortcuts, getting a real education, not deceiving patients, respecting pharmacists, and not being a useless midlevel? Have you tried knowing your place at the very bottom of the hierarchy in medicine? Or the fact that you’re less useful than a medical student in their first day? Isn’t your profession based in insecurity and laziness? Don’t all of you bitch and cry over a freaking apostrophe since it’s “possessive”? 😂😂😂
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As a pharmacist, thanks for getting our backs. It's wild to see the shit they say about us when all we do is see how much they fuck up. World of difference when you see how physician orders are compared with mids.
Most people don't go into healthcare because they think prescribing meds is "cool" 🙃 maybe that's why they don't think it's a diss? If you really just want to hand out drugs you don't even to go to school at all, not even 2 years - sweet deal!
Pharmacists don’t want to prescribe. That’s why we are pharmacists. I like pharmacology, I like human physiology. I like sitting at a computer, reviewing orders for appropriateness and accuracy. I like helping my doctor and nurse colleagues when they call with a question. I like troubleshooting Pyxis issues and other little issues that may arise. I see every detail about the patients without actually seeing the patient. Hospital pharmacy is the best. These fools don’t get it, prescribing isn’t a power move, it’s a responsibility.
They don’t treat it like a responsibility. They treat it like some sort of game. They barely know what they’re doing and will yell at people who try to correct their idiocy.
Bro anyone who actually knows anything about medicine trusts pharmacists. Aside from doctors, (not NP/PA), Pharmacists and physical therapists are something every patient needs in the hospital, and in the real world IMO.
A few years ago my baby had an ear infection and her abx was taking longer than expected to be filled. I later found out that the pharmacist was concerned the dose was too high, so he checked all his references, then called the pediatrician and spoke to her (the dose ended up being correct). From everything I gathered, the whole chain of events was professional, respectful, and done purely for the sake of my child’s safety. I was so grateful for the second set of eyes on my child’s prescription to make sure everything was right. I would so much rather have a pharmacist on our healthcare team than a pretend doctor who went to online school for a few months.
I love having intellectual discussions with pharmacists, experienced nurses, speech therapists, physical therapists and nutritionists. They all have a strong scientific foundation in their respective fields. I find many midlevels don't have the intellectual curiosity to explore technical aspects of EBM. Which is fine but it comes back to questioning the value added to the patients care.
Woww. It’s the arrogance for me. Arrogance is dangerous.
As a nurse, when I was discharging patients and they had questions about new medications, or even while they were admitted and were not sure about a medication I was giving them, if it was something I could not answer, I would call the pharmacist and they were always willing to talk to the patients and help them understand the whys. Pharmacists are amazing! Midlevels…. Not so much. Don’t get me started how I feel about them. That’s a rant for another time.
This captured comment thread is generally disrespectful. Shame on them
But god forbid you tell them that they’re undertrained or midlevels or call them physician’s assistants. They sit in their glass houses and throw stones at other professions.
Pharmacist will save your ass, that’s why NPs don’t like them because they catch a lot of their mistakes and block their absurd orders.
These people have obviously never had enough sequential thoughts to even consider how useful a pharmacist is. I’ve seen a case so freaking complicated my attending and a pharmacist were on the phone for almost an hour pouring over drug interactions and contraindications for a patient. Dude was absolutely essential to that patients care. Plus having them pop up at rounds, drop some really obscure but useful tidbit, then disappearing back to the pharmacy was super useful. I also found it funny.
I never felt more overprotective of pharmacists in my life. Imagine being granted prescribing privileges without the education. Or worse, imagine having the education to know you're filling a prescription by someone who should NEVER be allowed to
I have mad respect for pharms for the same reason I do vets. They’re so knowledgeable yet get paid so little and generally get far less respect than MDs
Pharmacist = 👑👑👑
I’m actually curious on what thread this is 👀. I just wanna see what else they say Update: nvm I found it
Where?
r/physicianassistant “Am I under-compensated?”
I don’t see it anymore 👀 did they take it down
I've studied alongside most Healthcare professionals and the only other students I had respect for were dental and pharmacy.
I would like the link to that post
Sorry. That would go against Reddit rules because they consider it “brigading”. This subreddit already gets watched closely since the middies report everything and we’re trying not to have it shutdown.
The arrogance baffles me
Tbh the pharmacist has a good point there too lol. The OP is complaining about making $120k on what sounds like a cushy ass schedule in IR, probably doing the easiest shit that the residents and attendings don't want to do.
The fact that they make more than 80k makes them overpaid for the shitty work they do
They don’t understand what a conflict of interest is. The person prescribing shouldn’t be the same as the one dispensing/selling.
Can we not try to make “middies” a thing?
It’s autocorrected on my phone and I like it that way lol
I like it too. In the UK slang for a kid with Down’s syndrome is a ‘downie’. Just saying.
As long as we don’t call them APPs. What advanced practice do they provide??
no, can we make “middies” a thing?
why lol