Sunday, July 21, 2013

I Love This Guy. Not The Commentator, But The Candidate Of Which He Speaks.

Because every time the GOP nominates a retard numbnut like this, it makes our job a little easier.

And by a little I mean a lot.

I can see the strategy meeting now:

"Ken...whatever you do just keep your mouth shut about rape and especially rape babies...OK? I know it's a sincere belief close to your heart, but those kinds of comments are a guaranteed loser with women. They easily cost us 2 Senate seats last time around."

"Yeah, that's pretty easy to understand actually. I was thinking of going on the record in favor of outlawing cunnilingus as a way to appeal to the woman vote."

"Brilliant!! A sex strategy that in no way mentions rape babies. I think we've found a winner!!!!"

BBBBBBWWWWWAAAAAHHHHHAAAAHHHAAAHHAAAAA!!!!!!! Someone, please....give Ken Cuccinelli as big a megaphone, as large a platform, and as much media exposure as he would like......

I'll do my bit right now.


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Sunday, July 14, 2013

I Publish A Spoiler From My Awesome First Book As A Rear Guard, Guerrilla Action In The War On Women

I knew this day would come.

I've watched for years as the forces waging war on a woman and her uterus have gathered and run rampant over the countryside. As they evolved from small cells born in the ashes of defeat after Roe v. Wade to the forces of reactionary Puritanism that have become marauding bands of sexual police barbarians. Sometimes highly educated barbarians, as in the case of Lloyd Duplantis of Gray, Louisiana, a pharmacist who won a few minutes of national notoriety  for, among other things, declaring that birth control pills are "the most dangerous chemicals on the market" and becoming the lab coat wearing face of the war on Plan B, the morning after pill. I wrote my first book primarily as a bitchslap against Lloyd and his ilk, and by any measure I was wildly successful, as that chemical that he thought so dangerous is now available for the asking for anyone 17 and up, and will soon be easier to get than Sudafed. Lloyd is no longer a figurative loser, but a literal one as well.

In my book I took Lloyd one further though. Rant and rave as he and his kind do that Plan B and other morning after pills cause an abortion, they do not. I won't go so far as to say Lloyd is lying, but anyone with a pharmacist's background should know that what he says about Plan B isn't true. Maybe Lloyd just isn't very smart. So I decided to educate him a bit by publishing another bit of information any pharmacist should know. How to induce an actual, real, abortion using the old time ulcer medicine misprostol  (Cytotec)

Isn't that ironically funny? Lloyd rants about a pill that doesn't cause an abortion so I tell the world about a pill that does. Ha ha ha ha......I should get some sort of an award.

The closest I've come to that so far though is leading the way for The New York Times, which told the world today that after the new....cough cough......"safety" regulations soon to be passed in Texas that will have the toooooooootallly unintended consequence of forcing most abortion clinics there to shut their doors, there will most likely be a run across the border, where Mexican pharmacies will sell you a pack of misoprostol with few or no questions asked. Here's a quote from that article:

"When asked how women should use the pills, some of the pharmacists said they did not know and others recommended wildly different regimes that doctors say could be unsafe,"

 Which means that State Senator Glen Hegar, chief sponsor of the Texas bill who says he wants not to limit abortion access “but to increase the quality of care.” Will be driving women in his state into the hands of Mexican pharmacists with their head squarely up their ass. Pharmacists stupider than Lloyd Duplantis even.

Yeah, I knew this day would come. It's nice to sell books and all, and even after two years that little book of mine still sells pretty well, but I always had a feeling that at some point making the information about how to use misoprostol as safely as possible would be more important than any book royalties earned. Here's another quote from the Times:

When used properly in the early weeks of pregnancy, misoprostol, which causes uterine contractions and cervical dilation, induces a miscarriage about 85 percent of the time, according to Dr. Grossman. But many women receive incorrect advice on dosage and, especially later in pregnancy, the drug can cause serious bleeding or a partial abortion, he said.

Yup. That day is here. This is a word per word copy of a chapter lifted right out of my book. It's copyrighted, but feel free to save it, send it, post it, or spread the information around as much as you'd like. Just don't sell it. And also know that I DON'T recommend this. I would much rather you see and be under the care of a real doctor with real experience in ending a pregnancy, but the authorities in Texas, and Ohio, Wisconsin, Arkansas, Arizona, North Dakota, and too many other states have seen fit to make that less likely to happen. When you have limited options, you make the best of what's left to you.

Here you go:

Chapter Title, "This One's For You Lloyd Duplantis"

Cytotec. That's the brand name of the anti-ulcer medicine misoprostol that has been around since 1988. Any doctor anywhere in the country can write a prescription for misoprostol, and while it's not as big a seller as it used to be, the chances are pretty good a pharmacy in your town has it on the shelf,  just like any prescription, and if you don't have any insurance, it should easily cost you less than $30.

It can also be used to induce an abortion. If that's what you want to do, have your doctor write a prescription as follows:

Cytotec 200mcg
#12 tablets
Take as directed

Then take four of the tablets and dissolve them under your tongue. Three hours later dissolve four more, then wait three hours and do it a third time. Another option is to insert four tablets vaginally and repeat with four more in 24 hours. Talk it over with your doctor and decide which way is best for you.

Also, please read the rest of this before you do anything.

First off, let's be clear. Unlike when you take Plan B, you will be ending a viable pregnancy when you take misoprostol. This is an abortion, and if an abortion is not what you want, than you should not take misoprostol. 

Misoprostol is not without side effects or risks. The drug works by expelling the fetus, which means you will experience cramps, possibly stronger than anything you've gone through with your period. You can take some over the counter Aleve (naproxen sodium) to help with these cramps if they are troublesome.

You may also experience chills, fever, nausea, vomiting or diarrhea after taking misoprostol. Fever can be treated with naproxen or Tylenol, but if it lasts more than 24 hours you should check with your doctor. Nausea can be treated with over the counter Dramamine. 

Misoprostol doesn't always work. It has a success rate of anywhere from 80 to 90%, and there is a chance if it fails it can cause birth defects. You should start to experience bleeding within the first day after taking misoprostol, if no bleeding occurs, than the abortion has failed. Misoprostol should not be used at all after the 9th week of pregnancy due to the risk of excessive bleeding, and should not be used if you have an IUD. 

Seek immediate medical attention if,  after using misoprostol, you experience heavy bleeding (soaking more than two maxi pads per hour for more than two hours), feel dizzy or lightheaded, or have a fever for more than 24 hours. 

If you end up in the hospital, the symptoms will be identical to a spontaneous miscarriage. The medical staff will not know you tried to induce an abortion. 

Now you know how you can get an abortion for the cost of a doctor's visit and your prescription copay. Do I think it's the best method? No, I don't. Misoprostol combined with Mifeprex is more effective, but I'm aware it won't always be an option, and unlike too many in the medical professions, I think you should be aware of all the options available to you. 

And now you are. 

__________________________________________

In your face Lloyd Duplantis, and now, in your face, assholes of the Texas legislature.  

Thursday, July 04, 2013

I Offer You A Chance To Put Up Or Shut Up. Or, Pharmacy Jesus Starts To Lead His Flock Away From Chain Tyranny

The retail pharmacist experience has never been good and it's not getting any better. You need someone to tell you that as much as you need someone to tell you the sun rises in the east or bears shit in the woods. The staffing is getting shorter, the corporate mandates dumber, the bounty on your head if you're over 40 higher, and the professional standards you pretend to uphold lower. Despite all the visionary feel good talk of pharmacy "leaders" over the last 20 years, all they have managed to accomplish is replacing "count, pour, lick and stick" with "count, pour, lick, stick, and stick," that second stick being as many arms as possible. Flu season is fast approaching my friends, and woe to the pharmacist who does not meet his immunization quota. We all seem to agree it's hopeless.

Except it's not. I am going to shortly offer you, right here, right now, a way out of your sorry-ass situation. I am not kidding you. Read on.

I wrote back in April about the Clinic Pharmacy in Happy Camp, California. How it's owner has built an honest to God clinical retail practice and makes money doing it. I am not kidding you. All the count, pour, lick and stick stuff is done by a technician. All of it. The pharmacist spends his time talking to patients, researching questions, charting outcomes and whatever else he wants. The closest he gets to your type of drudgery is when he compiles a CII order. He has pulled off what has previously been solely the fantasy of the APhA world. And he has done it while the APhA decides to give an award for professionalism to Walgreens for whatever reason.

"Great for him" you're thinking if you even believe me. "But what's that got to do with me?......woe is me.......woe woe woe......."

Because you have a chance to end your friggin woe right now buddy. Clinic Pharmacy is for sale. That means you can buy it and tell your DM to take his shortstaffing and quota enforcing and shove it up his ass. You have a chance to actually be a professional. To interact with patients and actually make decisions and influence outcomes.  

And if I know most of you, you're busy right now thinking of a million reasons why you can't.

"It'll cost too much" you'll whine. Nope. Its asking price is $230,000 If you bought a house you can buy this place. Form an S-corp with your partner you're looking at 115,000 each. Eligible to be financed through the Small Business Administration.

"But I won't make as much." Others of you will cry. Well with that attitude you won't. Remember as a business OWNER you are free to do whatever you'd like to drive sales and revenues. Not to mention that if you are willing to sell your soul for what the chains are paying, you absolutely deserve what you're getting. I don't want to hear another peep out of you, ever, no matter how bad it gets.

"But I don't want to live out in the middle of nowhere" OK, that one I'll cut you some slack on, as that's what ultimately drove my decision not to buy this place. But there's no reason not to at least go look and see what ideas you can take for your own, independent practice, like Pharmacy Jesus did. I'm sure the owner wouldn't mind talking to you at all. He's seriously a nice guy.

So there you are whiners. You now have a concrete plan of action out of the bullshit you are drowning in. Take it, or at least investigate it, or forever lose your right to bitch about the profession ever again.

Drop me a line, right now, and I'll give you all the contact info you need to get started.