July 15, 2019

The Good: Spoke with a woman on the phone that isn’t my patient but was referred to me by a friend as I “know a lot and can be trusted”. That was a beautiful compliment. We discussed Xifaxan use for IBS, and she asked if she should take a probiotic. I recommended against it since the prescriber thinks there is bacterial overgrowth. I told her “There really can be too much of a good thing”. She thanked me for the advice and told me she really appreciated the information. Yay for satisfying conversation that really uses my knowledge.

The Bad: Helped a woman in drive thru who wanted to pick up an RX for her daughter. Daughter had never filled with us before, so we didn’t have insurance information (and couldn’t find it with our search tool). Mom hands me a medical only insurance card that doesn’t even list which PBM they use. Mom tells me that she uses all these other pharmacies without any trouble. I find Mom’s info in our system and transfer it to daughter’s profile. Claim processes but med is non-formulary, so they refuse to pay anything on it. Mom refuses med and claims I don’t know what I’m doing. Ugh.

The Fun: Regular patient comes up to my counter. He’s snarky about waiting so I give him a hard time jestingly. He puts a six-pack of hard cider on the counter and tells me he also needs to pick up his wife’s “medicine”. We both laughed. His wife walks up and joins in the banter. It was a fantastic way to start the day!

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