The Pharmacy Chick

Flying the Coop in Retail

Would I do it all over again?

Filed under: Uncategorized — pharmacychick at 7:37 pm on Thursday, June 26, 2008

I was ringing up a sale at the register when a long time customer asked me Do you like being a pharmacist? It seems like a fun job. After I checked to see if she had alcohol on her breath I took a moment to respond. I didn’t want to lie and tell her I had the coolest job on the planet, but I also didn’t want to make it sound like my job was akin to mucking out port-a-potties either. Since she had asked a sincere question, I decided that a sincere, honest and to-the-point answer was in order: I said “Depends on the day”.

I told her the truth. The business has been good to me financially. I have made a good living in a field that to date, has been largely immune from the trials and tribulations of economic instability. For 20+ years we have weathered pharmacist shortages that has virtually guaranteed that I will not have to stand in the bread line anytime soon. I could walk off my job tomorrow and by the middle of next week I could have my pick of any number of jobs. Granted, they may not be GREAT jobs, but they would put food on the table. For a lot of people, that is a lofty aspiration and one that I do not take for granted. Neither do I consider myself indispensable (forgive the pun). Everybody is replaceable even if it DOES take a while.

I told her that the job however is rarely “fun”. The cost of this good income is long hours, working in a retail setting that is open 363 days a year, and dealing with the public who comes to me largely because they HAVE to and not because they WANT to. My hours are decided by somebody else, not myself. I cannot choose to close early because I am tired or sick. For the priviledge of being a retail pharmacist, I also forfeit uninterrupted lunches and working in a quiet unhurried environment. I cannot choose my workload. The wearer of the white coat lives under a microscope most of the time, micromanaged by the company she works for, and pressured all day by the demands from whomever is the most persistent.

“Line 1, Guess who?” Like I’d have to guess. For the 6th time today Harold has called to see if his Doctor has ok’d his Vicodin. AND, despite my promises that I will call him the very moment its authorized, Harold calls about every hour….and demands to talk to me.

“Line 2, Guess who also?” Harold just hung up so it has to be Dina, who just picked up her prescription. We play 20 questions every time she comes in. No human on the planet has called our store more often than Dina. While I like her, I wish she would go away. “Can I take Aspirin when I am using Patanol?”, “Can my son take Ibuprofen with his Amoxicillin?” “If I have an allergic reaction to Claritin, can I take Benadryl?” “What happens If I have a reaction to Benadryl?” “Can I take Benadryl and Tylenol at the same time?” “Will I overdose if I take Claritin and Patanol?” There will be, in fact, at least 2 followup phone calls for every single rx she picks up, whether it be new or refills. She has even called us while she is on vacation.

When you are a pharmacist, there is no closed door to retreat behind (but the potty) when you’ve had enough. Go ahead, try… somebody will demand your attention before the aforementioned door closes…and you will again be at somebody elses beckon call. Thats what its like to be a retail pharmacist. I should have a mantle full of Oscars for the performances of a lifetime I have played out in the white coat.

This customer then asked me if they took it all away, would I go to pharmacy school again? Tougher question: Its a good thing that I was an uninformed college student when I chose Pharmacy as my major. I worked thru each quarter, one at a time, always amazed that I survived to pass on to the next one. It was harder than I had imagined…and its even harder now with the Pharm D as the entry degree. Ignorance is bliss I think. There are a lot of things that I have done in my life that were harder than I had thought when I started them. I have completed a lot of things that if I had the opportunity to repeat, I probably wouldn’t simply because I would remember the effort involved. “Glad I did it once, don’t want to do it again” might be a good motto for the things in THAT category.

I guess I didn’t have an answer for her. I dont remember exactly what I said, but in retrospect, if I was 20 years old and had my life before me, yes I’d probably do it again. If I was 45 and starting over with a new career, not so sure.

What made me write about this was the following conversation:

A nurse called me the other day on a refill auth to inform us that at the end of the month, the Dr was closing her practice. I casually asked “Having a baby?”. No, the nurse replied, she is giving up medicine to go to Law School. WHOA. Pharmacy school was one thing, that took 6 years. But Medicine? This physician likely had a dozen years or more in school and residency before she hung her shingle…and she is giving it all up. I wish I knew her well enough to ask her why.

I know the nurses name and when I go back to work next week, I am gonna call her and ask her. I’ll let you know.

For now I put the same question to you–Would YOU do it all over again? or better yet, If you were going to start over, what WOULD you do?

Thats an easier question for Pharmacy Chick–I am passionate about animals, I’d be a vet.

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18 Comments »

Comment by Pharmacy Mike

June 26, 2008 @ 7:52 pm

I’d do it again… in a heart beat.

It’s not that I necessarily love my job. It’s just the right job for me. It perfectly suits my skill set. Plus, there’s almost no other way I could be making the money I do now if I had gone into any other field. If I chose to be a doctor, I’d be just graduating medical school now instead of already having 2 years of making $100,000+.

I rarely go home from work mad or stressed out anymore. I rarely ever get home and say, “man, this day sucked.” I like my job. I don’t love it, but I do like it.

I think that’s enough for me.

Comment by pharmacychick

June 26, 2008 @ 8:02 pm

I loved my first 5 years, in a small independent store, drugstore, card shoppe, gifts, etc. Lots of labor, great people. I’d like to rewind the clock.
I miss those days

Comment by Alana

June 26, 2008 @ 8:27 pm

I actually just quit my secure teaching position to go back to school for nursing. Everyone thinks I am crazy to give up the time off that I have, but I just can’t do it anymore. It would be wonderful to have a day or two off each week rather than having to put things off until the next break.

I have a new baby, and having her last fall made me realize that I want to work with mothers and babies, rather than 5th graders. It’s going to be hard to go back to school with two kids, but I think it will be worth it in the long run.

Comment by RPh Guy

June 27, 2008 @ 12:05 am

I don’t think I’d do it again. I find the job to be pretty easy, but it’s already gotten quite monotonous over the three years I’ve been working. I don’t dislike it per se, but there isn’t much that’s work-related to get excited about. Also, the profession as a whole doesn’t seem to get a lot of respect from the general public.

I’d like to be some sort of military black-ops special forces guy. That would undeniably be an exciting job and, aside from the threat of capture, interrogation, torture, death, etc, it’d be quite cool. Plus you’d be able to walk around with one of those I-have-a-profession-of-violence airs that invariably elicit respect…or at least fear. Realistically, though, I guess I’d probably end up being some sort of business or finance lawyer if I were doing it again.

Comment by Current Intern

June 27, 2008 @ 10:57 am

Very interesting post - I’m almost (not quite that old) the “45 and starting over” person that you mention. Pharmacy will be a 3rd career for me. I worked as a tech for quite a few years before I went back to school, so I have at least some idea of what I’m getting myself into, and obviously I don’t intend to have a 30 or 35 year long career. Just out of curiosity, why did you leave the independent??

Comment by thepharmacykid

June 27, 2008 @ 12:49 pm

If I wasn’t studying pharmacy, I probably would have become a dentist or a veterinarian. A dentist makes a $h!tlo@d of money considering they don’t have to do residency, but I could never get over the idea of constantly handling mouths. As for being a vet, they don’t have a good starting salary ($40000-$50000). My state’s vet school has the same tuition as my pharmacy school ($20000/year). For me, it was not going to be easy paying off over a minimum of $80000 loans with $40000 starting salary. So pharmacy was the good medium for me.

Comment by Chris

June 27, 2008 @ 4:31 pm

Not a chance. I have been doing retail pharmacy for 13 years and I still do this job for just the money and security. The things that we have to deal with in retail are just ridiculous and it gets worse every year.

I would have liked to go into something in IT and I may still do that. My high school guidance counselor said there wouldn’t be any jobs in computers :)

Comment by pharmacychick

June 27, 2008 @ 6:24 pm

Current Intern,
The reasons I left the Independent were multifaceted but the primary reason was I could see the end in sight. He was getting ready to retire and would sell his business to a chain. He did it less than a year after I left and At least this way, I chose the chain I worked for and not the other way around. I was also tired of the commute (20 miles round trip 5 days a week) in traffic that was increasingly difficult.

Comment by sickofstupidpeople

June 27, 2008 @ 7:15 pm

I spent the first 13 years in pharmacy working in a hospital, in a highly clinical position. I had prescriptive authority, writing TPNs, anticoag orders, infectious disease consults, doing pain management (both inpatient and outpatient), and conscious sedation. I had my own DEA#. I could start IVs & draw blood. I taught ACLS. Intellectually, it was very fulfilling, and I had the utmost respect from nurses and doctors. I wouldn’t give that experience up for anything, but I didn’t get the respect I deserved from my own peers - my boss was an ASS. So I turned to retail. Now, the kudos I used to get from doctors, I get from my patients. Not all of them (some are asses, others are idiots), but the ones who respect and love me make up for the ones who treat my like crap. There’s a lot of beurocratic (did I spell that right?) junk, but I know that my boss supports me 100%. So, for now, I’ll stick with it.
But, if I could make this kind of money being a travel photographer, I’d quit pharmacy in a heartbeat….

Comment by Jaded Rx Intern

June 27, 2008 @ 7:49 pm

Interesting question. Being as I’m in my last year of pharmacy school and *finally* seeing the light at the end of the tunnel, I wouldn’t change gears now. I’ve enjoyed the education I’ve received so far, and the experiences I’ve had while working in retail have been memorable - filled with gracious and amazing patients as well as the “you’re not going to believe this shi*t” stories. I thoroughly enjoy the chain I work for now, and am lucky to have pharmacists that know how I work, how to push me, and have plenty of advice to guide me.

Now, if the clock was turned back, would I take a different path? Honestly, I don’t know. The job I have now guided me to pharmacy. Prior to my decision to go into pharmacy, I was planning on getting a degree in accounting, as my mind is very numbers-oriented. But right now, I look back at that decision and think, what kind of life would that be? I enjoy patient interaction; I doubt I could get that kind of interaction with the other path I had decided.

Great post, PC.

Comment by RxMomma

June 27, 2008 @ 8:47 pm

For me pharmacy has been a great career. I’ve worked fulltime for 5 years in hospitals BK (before kids). then the next 10 years part-time in retail, and now back part-time in hospital land. I went thru school in the pre-pharmD era when tuition rates were very affordable and came thru with very little debt. My career has allowed me to work part-time, keeping a balanced home-life for my family which I greatly appreciate. I’m not sure if I’d do it over again given the very high cost ot tuition and longer education time required. I strongly believe that most clinical pharmD’s are over-educated for retail jobs and think the profession would be better served by a 2 tier education system. I think if I had to do 8 years of college that I’d probably go for a master’s in chem or biology and work in a lab somewhere. (I always loved labs!)

Comment by The Ole' Apothecary

June 27, 2008 @ 11:50 pm

PC, I think the key line in your post is that this isn’t about port-a-potties. Therein lies PERSPECTIVE.

My present hospital position has its drawbacks–it’s full of scut work that I think could be delegated to the now-licensed technicians–but, oh, how much worse it was! And, it isn’t the content, but the comrades, that make this job great. I am blessed with the most LIKEABLE and COMPETENT co-workers I’ve ever had in pharmacy.

Would I trade this job to become a starving author? I enjoy writing. My blog is a year old today, and I write in several other venues, too. Would I risk the entire status quo to go on an unchartered adventure, and do a Jethro Tull-style “skating away on the thin ice of a new day?” I just don’t have the guts. But I could be persuaded to do it, either by a brainstorm or by circumstance. It would have to be a real emotional paroxysm, i.e., a fit of rage, a fit of frustration. It would take real courage to look my life right in the eye and say, “I reject you. I am going out on a limb.” I’d need a flag, or an anthem, and a Bible, and much prayer. Well, I’ve got the Bible.

Comment by The Ole' Apothecary

June 27, 2008 @ 11:51 pm

Some writer. I meant “unCHARTED adventure.” Well, I guess it would be unchartered, too. No patron but myself.

Comment by PharmacyJim

June 28, 2008 @ 2:54 pm

PC, you have asked a great question. I graduated in 1980 (yes, I’m old) and have basically worked for 2 small, similar chains in that time. My bosses have all treated me with respect, but make no mistake, they got their money’s worth. My situation now is that I close before 8PM, am off every Sunday and holiday, and work four eleven hour days. I am pretty happy (MOST days!!). I am the Pharmacy and overall store manager. I choose to do that…some days I wonder why….but most days I very much love what I do. I don’t love everything, and yes, I have some bad patients and prescribers, but they are the exception.

Would I do it again? I think, perhaps, I would. This profession has been good to me and my family. That’s why I try to stay involved in my state Pharmacy assn. and with my school of Pharmacy. This profession is ever changing and many days I am concerned for it’s future. Other days, most days, I believe the future is bright. Yes, I would do this again. I’m sure of it. Ah, I dunno, ask me again next week.

Comment by John Johnson

June 30, 2008 @ 12:53 pm

PC,
I have been a Pharmacist for about 12 years. Technician for 7 years prior to that. Before that, I served in the US Marines. I can honestly say, that if I had it all to do over, I would have stayed in the Marines long enough to retire, if not for life. (Yes, I could have retired by now). If I did not own my own Pharmacy, I would probably be looking for another career (44 YO). The financial aspect of the profession of Pharmacy definitely provides opportunities to advance your life. What other profession would allow you to work part-time, make about 60k per year and pursue another career if you wanted? I would say that Pharmacy allows us to do pretty much what we want with our lives - within reason. I guess I said all that to say that I probably would have gone to Law School, instead of Pharmacy School. I still might, some day. Depends on what I want to do when I grow up, an event that I hope never occurs.

Comment by The Intern

June 30, 2008 @ 6:06 pm

I chose pharmacy after completing one year of medical school and realizing I didn’t want a 24/7 career that left me stressed and “on-the-clock” at all times. I took a couple of years off after med school and spent that time deciding pharmacy was for me. I’m now about to start my 3rd year of the PharmD program (I have a BS) so I have 2 years to go. At this point, I’ve realized I’ll like my career (probably in retail) as long as I have coworkers that I enjoy working with. I think the people you work with (namely, techs) will decide whether or not you enjoy your job. I sure enjoy the people I work with now as an intern.

Comment by Cathy Lane RPh

July 2, 2008 @ 2:27 pm

Yesterday I worked as a pharmacist in an animal drug supply facility. We filled scripts for entire herds of farm animals e.g. pigs, lactating cows, beef cattle, for operations with names like ‘Better Beef’, and Porkland.

When given the assignment, I had imagined dispensing a gross of dog heart worm medicine to the vet’s office, but had also wondered what was in the job description at a warehouse for veterinary products for what I might be paid pharmacist’s wages, thinking that perhaps someone would need to count controlled drugs (as I recalled ketamine and fentanyl were developed as large animal tranquilizers), or check doses so that that animals would receive proper doses of pain medicine, or anesthetics, like on horse farms, or what might be supplied to dog kennels, or pet stores.

Little did I realize that a pharmacist might be necessary to maintain certain requirements for drugs to be used in animals basically for our nation’s food supply, working somewhat hand-in-hand with the FDA to to ensure meat wasn’t poisoned, by maintaining guidelines of antibiotic dosing (mastitis treatment in cows) and filling script with a line on the bottom listing how soon the drug should be discontinued before slaughter, checking on vaccination storage, and a few other prescription drugs; ceftiofur, ampicillin, amoxicillin (cherry and bubblegum flavor), some popular veterinary macrolide, sulfa/trimethoprim, prostaglandins, oxytocin (for milk letdown), etc.. I figured that a large majority of the vet’s practice was caring for unnamed animals used as a food source.

(As a hospital pharmacist, I had to chuckle silently as I saw that there was only one size and kind of 2% lidocaine injection on the shelf (100 mL) whereas on the hospital shelf we have every type of lidocaine known e.g. percentages, for use intrathecally, epidurally, topically, etc.), but the practice was rather sobering, sort of like in Charlottes’ Web, and the part about the spider writing ’some pig’ in her web. Put me off my breakfast bacon this morning.

Comment by PharmaRPH

July 3, 2008 @ 11:42 am

Great question. If retail was the only option, definitely not. I graduated with a BS in 95, worked five years in retail (from staff to manager to DM). During that time I realized I might want to settle down one day and have a family that I could see. I went back for the PharmD in 2000. I specifically took a rotation in the Pharmaceutical Industry (not drug information) to get the contacts. I was offered a job (taking a huge pay cut to what I made in 95) and started running clinical trials. Today I make more money than I could as a retail pharmacist, work flex time from 7-3:30, have an hour lunch, no evenings and no weekends. I don’t want to seem like I’m boasting about how great my job is, I just want the interns, RPHs to be, and even current RPHs to know that there is another life out there. We have a great medical degree that can be used in many places. Granted, you have to sacrifice the big check at graduation day, but the potential is so much more. Also, most Pharma companies will pay for further degrees. I am currently in a MBA Finance program paid for by the company. With that, I hope to move on to investment banking. Great post PC.

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