Coronavirus & Retail Pharmacy Outrage Update w/ZDoggMD

[@FlyingDoctor60]

For years I have believed that healthcare administrators should be licensed just as doctors and nurses are, and should face the same personal liability for the consequences of their decisions that we do (I'm an MD with 36 years of experience). I guess that idea should be extended to the folks who run PBM's and big pharmacy chains too. If the only skin you have in the game is financial, the only outcome metrics you are going to care about are financial. If you have a deeper stake in the outcome (like professional survival) then true quality outcomes will matter more than financial ones.

[@mollycule2792]

Randy Waskin wow, I never thought of that but definitely agree. The metrics are draining and I’m not even a MD. I can’t imagine how you feel.

[@ridiculousverbage5158]

PERSPECTIVE?! How dare you, sir?! How dare you inject reason into my self-absorbed panic?! This is no time for reason and rationality! Do you expect me to rely on the judgment of mere physicians and specialists? I will spend MY time and money panic buying essential oils and hardware store dust masks, and I pity anyone who believes that knowledge, reason, and intelligence will see us through this catastrophe!

[@MacLoyal]

Watch ‘The Pharmacist’ on Netflix to see a hero in action and the tragedy of the non-response to his warning.

[@neospriss]

Large Corporate Pharmacies are ruining the practice of pharmacy.

[@pietersteenkamp5241]

They are also ruining most of the rest of economy &society so why is anyone surprised!

[@LRHOGFAN]

PBMs are helping to ruin the practice of pharmacy.

[@coffeefish]

This message I just shared with the president. "Mr. President, American professionals are the children of blue collar workers. We need help. Many professions are 20% staffed with foreign visa holders. Healthcare, tech, and engineering. 20 percent is too high. This is destroying our careers." I encourage you to send a similar message to your elected officials.

[@pietersteenkamp5241]

@@coffeefish If only they were the children of blue collar workers maybe they would have class consciousness but they aren't and they have a hard time thinking about anything other than surviving under the pressures not faced in similarly developed countries.

[@coffeefish]

@@pietersteenkamp5241 Pharmacy has always been an entry into the professional class for working families. The same is true with other health care professions, computer programming and engineering. I'm not sure what you're trying to say. If we don't control the number of imported pharmacists (and other professionals) we will forever destroy something special.

[@mocajrx1047]

I was a retail pharmacist for close to 30 years. I bucked metrics continuously until my physical and mental health were gone. I had an excellent relationship with my fellow healthcare professionals, but didn’t see eye to eye with the employers demands. I am now retired and so glad to miss the corona virus experience!

[@christinecortese9973]

There’s a huge difference between panicking and being prepared. I don’t know a single person who is panicking or even would. But a lot of people are taking steps on their own to get ready for this. Better to prepare and not need it than otherwise.

[@MNP208]

Exactly. We are definitely not panicking, but we are not prepared in the U.S. at the clinic level. We haven't even held a single meeting to discuss the issue.

[@AnnaBee2012]

Shout out to DeAnn Mullins, and Mullin’s Pharmacy! Thank you ZDoggMD for being a voice for pharmacists, and bringing awareness to others. The suffering is real. 🙏🏼 Praying for positive change

[@mwebb1495]

A Pharmacist I deeply respect is on the chopping block because he has said "screw the metrics". I have said "screw the metrics". I don't think this is fair. He has learned how to draw a line and take breaks during his shift so he does not make mistakes. He does not want to endanger anyone. Over decades, he has experienced repetitive ulnar nerve compression from the counters we have

[@TheMabes69]

I'm so sick of health care and corruption BS. I think I'll quit and work in a homeless shelter. At least I'll be making a difference.

[@FGuilt]

Work in dialysis. We always have needs and we keep people alive directly. Plus you can actually make money so that's good.

[@coffeefish]

This message I just shared with the President. "Mr. President, American professionals are the children of blue collar workers. We need help. Many professions are 20% staffed with foreign visa holders. Healthcare, tech, and engineering. 20 percent is too high. This is destroying our careers." I encourage you to send a similar message to your elected officials. As long as our market are flooded with pharmacists, nothing we say matters. It's supply and demand. There's a Senator in Utah (Lee) who is all about more professional flooding. It's great for corporate profits, horrible for working Americans.

[@lorettab6092]

#stopPBMabuse PBMs (Optum RX, CVS Caremark, & Express Scripts) are destroying our pharmaceutical care.

[@coffeefish]

The head of DHS, Chad Wolf, served as a lobbyist for NASSCOM outsourcing, which imports most of the H-1B workers. These Indian and U.S. companies use the H-1B program to extract salaries from American college graduates (PHARMACISTS, and computer engineers) and they split the gains among executives and investors, the visa workers, their managers, and the Indian government.

[@FGuilt]

What would we do without our public health officials (like JC)? THEY FINALLY HAVE SOMETHING VALUABLE TO DO OTHER THAN MICRO MANAGING NURSES AND DOCTORS.

[@erynlasgalen1949]

At least in my healthcare system (Prohealthcare) my NP at least has enough time to talk to me rather than ticking off boxes on a monitor. I got much better treatment when I was self-pay, before I qualified for Medicare.

[@oakimpala6001]

Flexing his Patagonia jacket

[@jfunkship]

Make compassion more important than efficiency. From Fred Lee's book about if Disney ran a hospital (from 2004). All of healthcare needs this today.

[@jfunkship]

@@bear67b Will do, thanks for the book suggestion. I'm always on the look out for suggestions to broaden and deepen my understanding and knowledge.

[@lenells12]

Thanks for being on the same team with pharmacists.

[@tomsteinberg8106]

ZDogg -- you continue to amaze me -- favorably.

[@janeseum3703]

Business metrics make for bad care...I do not go to large chain pharmacies for that reason. I can attest that this effects home health care and wound clinics also! I am a semi retired RN and although I love my career, looking forward to full retirement!

[@voidvenus99]

I'm spending my junior and senior years of high school at a local career center. Right now, I'm in an application development program for my junior year, but my senior year I will be switching to the Pharmacy Technician program. I watched your reaction to Jubilee's Doctors vs Anti-vaccine debate, and continued watching more of your videos, so when the corona virus started popping up more in America, I was naturally inclined to hear about what you had to say. That's how I got to this video (though I am a bit late), but that's not the reason why I'm leaving a comment... After hearing what you have to say about the Retail Pharmacy Outrage, I couldn't help but be scared about what would happen when I finally go out into the field as a pharmacy technician, nor am I really sure what to do with this information. Though I'm not surprised that retail chains are pulling these kinds of stunts, it's still really scary, especially because this would actually affect me personally. I don't know if I would be able to live with myself knowing that I could have possibly killed someone because I made a mistake trying to meet a quota to keep my lights on. How should I deal with this? To clarify: I do not plan to study to become a full-fledged pharmacist. I am planning to move to Canada some time after high school. Lastly, I have already been accepted into the Pharmacy Tech program for next year, so I can't switch programs again. I doubt you'll read this, but if you do somehow stumble upon this comment, I have one more question: How is the corona virus affecting the pharmacy industry?

[@ChiDraconis]

If you want career satisfaction memorize the official pharma agit-prop; Seems to be from what I have found that a few conceding remarks here and there assists things; I am resistant and have gone anti-vaxx for decades with consistent results confirming betterment yet there are occasions when I have to revert to proven medicare; I can about answer your question; Not much;Some but business as usual;

[@bresev8958]

You don't want to work in Pharmacy!! Chain pharmacies are cutting hours, cutting staff, and generally expecting employees do an enormous work load with a very small staff. People are now expected to do the work that previously 2-3 did.

[@LordPadriac]

Wow. He pulled out a fucking maize reference. I think as a white person I'm now supposed to correct him with my fire stick.

[@Lizo128]

Being prepared for worst case scenario is not panic. If I install smoke alarms in my house I’m not panicking. Same-o. Nothing wrong with stocking up if you need to hunker down for a few weeks should a cluster break out in your hood. 🤓

[@MNP208]

Case in point here. We all need to be prepared for this to happen: www.theguardian.com/world/2020/feb/13/london-coronavirus-patient-turned-up-hospital-uber-taxi

[@cvukwriter9132]

Your contributor on the live said it was 30 children die of malaria per hour rather than minute. Your updates are super sensible and helpful, I appreciate you :)

[@grendelum]

I am totally using that _”my people call it maize”_ line...

[@chrisdancy6191]

70s commercial. m.kzbin.info/www/bejne/maaynXdmf7-bg5Y

[@ChiDraconis]

On March 4, the CDC of the Centers for Disease Control and Prevention tweeted that they would no longer announce the number of covid-19 patients and the number of negative Pt

[@ellenlewis9860]

Info change every day. Airborne? No panic, just watching and waiting and preparing if need be.

[@Fordgroup00]

Ellen Lewis Same

[@helgabluestone2407]

What are we going to do about the proposed budget cutting Medicaid, SSDI, health and science research?

[@SpiritualPrepper999]

Thank you for this information..🌎🦋🕊🙏💯

[@pietersteenkamp5241]

It's striking how we can't trust the best educated and talented people in our society to stand up for even their own health to say nothing of those of their patients and the larger society...

[@ErikaEmody]

Omg the Cameron maize reference. Lol

[@onepawatatime7925]

Ebola’s mortality rate ranges depending on the strain but can be up to 90%. However the 2014 outbreak was about a 53% mortality rate.

[@UniversalOmm]

Dude, you are really behind the power curve. Dr. Paul Conttrell is so way ahead of your information on this video. If you are truly concerned about people get in touch with those who are ahead and get it out on your channel to save people from panic. Prepare not panic, but do some more digging.

[@edwinhinds2162]

Criminal felons These drug companies

[@bear67b]

Just sickening..

[@shadowbird8954]

Well done! Thank you for sharing! #empowering

[@apocalypse487]

The leadership is bad. Our metrics are the reason why we have problems and who creates this? Upper leadership.

[@coffeefish]

This message I just shared with the president. "Mr. President, American professionals are the children of blue collar workers. We need help. Many professions are 20% staffed with foreign visa holders. Healthcare, tech, and engineering. 20 percent is too high. This is destroying our careers." I encourage you to send a similar message to your elected officials. As long as our market is flooded with pharmacists, nothing we say matters. It's supply and demand.

[@joevolpe512]

My medical school (UTMB) is working on the vaccine. As with Ebola. The CDC National Lab there does a lot of work

[@mikepict9011]

I like energy medicine so of course I wanted to use non ionizing radiation to target viruses. Resonance or resonance x11 had a problem because it's an ultra fast laser , cavitation works but only to the tune of 50-80% and ultrasounding your entire body for 30 min to reduce your viral load by 80% might not be worth it except, it significantly reduces infectivity AND is the same frequency for fat removal....... so got any obese nurses you want to experiment on ?

[@humanhunter2322147]

3:36 Zdogg discovers anarchosyndicalism

[@JeffthePharmacist]

Nice job again ZDogg

[@Rahul-xw2wi]

Volume based medicine there is no quality any more

[@erinwilliams7560]

ZdoggMD, The tension between MDs and NPs is weak sauce compared to what is going on between pharmacists and MDs in WA state right now. The medical board is questioning the legality of collaborative practice agreements, which is the legal mechanism that allows pharmacists to immunize. What do you think about legally recognizing pharmacists as providers? Re: Don Downing’s recent article in The Hill

[@coffeefish]

This message I just shared with the president. "Mr. President, American professionals are the children of blue collar workers. We need help. Many professions are 20% staffed with foreign visa holders. Healthcare, tech, and engineering. 20 percent is too high. This is destroying our careers." I encourage you to send a similar message to your elected officials. As long as our market is flooded with pharmacists, nothing we say matters. It's supply and demand.

[@chrisdancy6191]

My people call it maize.

[@carolinechase614]

the incubation may be at 4 weeks......thats a long lock in time but worth it, I guess......

[@tomsteinberg8106]

Li Wenliang

[@gman064]

Captain Trips no one gets that ref

[@bkrone2]

Uh, reverse your image on the camera.

[@nathandugger7083]

Some metrics are business in nature, but many are actually targeting markers for patient success. Patients are more likely to be compliant if they get 90 days supply at a time. Synchronized refill programs for maintenance medications are important for patient compliance for the same logic. Less trips to the pharmacy equals less chance for delay in fill and missed doses. On top of that, the metrics that are actually scored are primarily based around customer surveys and patient satisfaction (satisfied with time to fill, drug in stock, etc...). The metrics pertaining to efficiency and productivity haven’t been scored in a while. They’re still reported but have no impact on the weekly “scorecards”. I suppose two opinions of these metrics exist. Either they are to drive business, or they are to encourage patient compliance. I argue it’s both because they are directly correlated. While it is true that workflow optimization is affecting quality of care, the metrics are not the culprit. Workflow optimization is designed to work under optimal conditions, with experienced and capable CAREER technicians. The pay rates for technicians is not competitive enough to draw enough quality technicians that consider it a CAREER and not a job. So, a high percentage of stores cannot function properly when “adequately staffed” according to workflow optimization. The technicians are too young and inexperienced because it’s just a job. The turnover rate is too high to have this ideal setting actually work. Looks good on paper, but doesn’t translate to real world success.

[@samantha22lynnable]

Hi ZDogg!!

[@rebeccahartman6710]

Aloha!

[@thomasgronek6469]

Latest update indicates that it is AIRBORNE.

[@MNP208]

I'm reading the rumors, but has this been confirmed?

[@thomasgronek6469]

@@MNP208 yes

[@MNP208]

@@thomasgronek6469 According to one WHO official today, airborne transmission has not been proven.

[@thomasgronek6469]

@@MNP208 The WHO is in the back pocket of the Chinese officials.

[@cryptaveli]

Woah

[@r.chrism.d.3001]

I think your gonna regret this one, zDogg

[@pietersteenkamp5241]

If you are going to be this cryptic i think you can just as well not say anything but lets reconvene in a couple months?