Wende Wood
332 posts
Wende Wood
@psychrx
She/her. Phormer Psychopharmacologist to the stars and now running kd lang's dad's old pharmacy in the middle of nowhere rural Alberta. Harm reduction advocate.
Katılım Şubat 2011
39 Takip Edilen45 Takipçiler
#SNL50 Character Bracket 🔜
Reply with your favorite characters and check back next Monday when the first round of voting begins
English
@MgtmMoisan @TheMorrigan47 @cspotweet @Alberta_UCP @AdrianaLaGrange @ABDanielleSmith @ShopprsDrugMart They all did in my remote rural area in Alberta & colleagues in Ontario reported the same. Not for the whole pandemic; in the first weeks. After that there were strict clinic screening while we saw anyone who walked in with no PPE because the govt said we weren't front line.
English
@psychrx @TheMorrigan47 @cspotweet @Alberta_UCP @AdrianaLaGrange @ABDanielleSmith @ShopprsDrugMart Physicain clinics closed? I don't recall that....
English
Shoppers Drug Mart announce that the chain will have 103 pharmacy care clinics in Alberta by end of 2023, part of a plan they say will help ease wait times and strain on health care system.
They add it backstops provincial health care system by increasing options to primary care
English
@andrewkujavsky @sandi89701936 @CBCQueensPark @gmacofglebe Same is true for pharmacists. We do many things for no reimbursement. All. Day. Every. Single. Day.
English
@sandi89701936 @CBCQueensPark @gmacofglebe I will confirm that we MD's pay out of pocket to give vaccines. And to do most other procedures as well. We have to pay for all our equipment and supplies and get paid close to zero for performing these important procedures.
English
NEW: Why do 2.2 million people not have a family doctor in Ontario? Some physicians say one key factor: how family doctors get paid.
They say the rising costs of running a family practice + the growing amount of unpaid admin work are outpacing OHIP fees.
cbc.ca/news/canada/to…
English
@CaffeineScene @cspotweet Good question. There are things I'm comfortable diagnosing & not. The level of comfort will vary between pharmacists & there expertise in different therapeutic areas. Pharmacists in general are very risk averse.
English
@DrNoelGrisdale @vettergreenart The minor complaint could be more serious & then we'd refer. We do know what we don't know. Most pharmacists are risk averse. Many chefs are ok if there is communication, and we must according to our SOP. There are also times when there are no other cooks than a pharmacist.
English
@psychrx @vettergreenart I appreciate that perspective. I’m concerned it’s a slippery slope. “Minor complaints” can morph into the unusual/complex & more serious. Outcomes best when a pt has a team practicing longitudinal comprehensive care. There’s a reason for the saying “too many chefs spoil the soup”
English
I can barely keep my clinic afloat managing complex patients…but Shoppers can open 103 clinics where pharmacists with no training in diagnosis and physical exam can do my job? No offence to pharmacists, their skill set is critical—but we are not the same
Courtney Theriault@cspotweet
Shoppers Drug Mart announce that the chain will have 103 pharmacy care clinics in Alberta by end of 2023, part of a plan they say will help ease wait times and strain on health care system. They add it backstops provincial health care system by increasing options to primary care
English
@TheMorrigan47 @MgtmMoisan @cspotweet @Alberta_UCP @AdrianaLaGrange @ABDanielleSmith @ShopprsDrugMart A large published study in Alberta showed pharmacists diagnosed, treated and monitored hypertension cheaper and BETTER than physicians. We were primary care providers early in COVID when physician clinics closed and often are the only provider in remote rural areas.
English
@psychrx @MgtmMoisan @cspotweet @Alberta_UCP @AdrianaLaGrange @ABDanielleSmith Pharmacists are highly trained in their practice, but they are NOT family doctors and this is another bullshit scheme between the #UCPUnfitToGovern and @ShopprsDrugMart
English
@TheMorrigan47 @MgtmMoisan @cspotweet @Alberta_UCP @AdrianaLaGrange @ABDanielleSmith @ShopprsDrugMart All pharmacists already offer the services these clinics will. Other pharmacies and chains have these clinics. SDM and others calling them clinics is just marketing.
English
@sandi89701936 @mverbora @CBCQueensPark @gmacofglebe Every $1 spent on pharmacist services the system saves $2.50. The dispensing fee paid by the Ontario government is $6.83. Over $2 billion has been cut from pharmacist services. I was laid off & had to move to Alberta & live with my mom. Sorry if I'm not crying for physicians.
English
@sandi89701936 @mverbora @CBCQueensPark @gmacofglebe Pharmacies get paid $75 once per year for a thorough med review. With prep and documentation a 20 min call actually takes 1 hr. Most pharmacists do that. If it is a 5 to 10 min call then they aren't doing it ethically.
English
@mverbora @sandi89701936 @CBCQueensPark @gmacofglebe Misleading much? Pharmacists get paid $5 for flu shots and also have to pay for supplies. The $20 is for non-publically funded shots and is billed to the patient. Pharmacies have higher overhead than physician offices. The dispensing fee is $6.83. The cost to the pharmacy is $14
English
@sandi89701936 @CBCQueensPark @gmacofglebe Full disclosure. I get paid $4-5 max per vaccine. I have to pay for the syringe, alcohol swabs, needles, diluting agents, fridge with temperature alarms, monthly fee for sharps container, bandaids and nurse. I lose money on every injection.
Pharmacy charges $20 private per shot
Toronto, Ontario 🇨🇦 English
@CBCQueensPark McGunity cut $1.5 billion from pharmacies. I was laid off and had to go to Alberta to live with my mother! Ford has cut millions as well. No raises for pharmacy services. We worked during the pandemic when clinics closed. Pardon me if I don't feel bad for docs.
English
@CBCQueensPark It's misleading to compare to pharmacists medication reviews. A dispensing fee paid by the government is $6.83. Pharmacies have higher overhead than your average family physician so the average cost of filling a prescription is $14. Do the math on that one.
English
@CaffeineScene @cspotweet Yes pharmacists can diagnose and/or refer. And yes, these clinics are just marketing. As you say any pharmacist out there already do that.
English
@MgtmMoisan @cspotweet @Alberta_UCP @AdrianaLaGrange @ABDanielleSmith The government is NOT giving them $77 million. Shoppers is investing that money into pharmacist clinics, which is really just marketing. All pharmacists already do what these clinics say they will. We also do a lot of it for no reimbursement.
English
@cspotweet WHAT??? The Alberta government is handing $77 MILLION to Shoppers Drug Mart clinics. I'd bet my life on fees for services since @Alberta_UCP says they're not funding. Win win only for @AdrianaLaGrange @ABDanielleSmith & likely Peterson's shares in SDM.
edmontonjournal.com/news/politics/…
English
@LastStopJimbo @DrNoelGrisdale Pharmacists are trained in diagnosis, with an emphasis on minor ailments. We know when to refer. We don't want to be mini physicians. We can help primary care by taking less complex cases. Last I checked more physicians are sued than pharmacists.
English
@DrNoelGrisdale If anyone is foolish enough to get a Pharmacist's diagnosis, I would recommend everyone record the interaction for future legal use. There are dozens of "Background video recorder" apps for a phone. This allows you to record front or rear camera even when the screen is locked.
English
The HUGE difference here is that MD owned private clinics are not operating in a massive conflict of interest whereas the SDM pharmacy care clinics will be….and the “patient” will be harmed either via their wallet or via inappropriate care or likely both
Courtney Theriault@cspotweet
Minister LaGrange reiterates Alberta is not funding pharmacy-led clinics. Adds it is a complex model, says it is a private clinic that is publicly funded, not unlike how many doctors operate their own businesses.
English
@DrNoelGrisdale Please educate yourself before you go denigrating a professional you clearly know nothing about *end rant*
English
@DrNoelGrisdale Finally (I think!), there us a Uof A study that showed pharmacists diagnose, treat and monitor hypertension not only cheaper but BETTER than physicians. As per your harm quote, pharmacists no more harmful than physicians can be.
English
@DrNoelGrisdale We're not trying to replace physicians (although to some extent we did at the beginning of COVID when many physician clinics and ERs closed and we stayed open). We can take on the more minor ailments so physicians can handle more complex cases.
English
@DrNoelGrisdale We know what we don't know. We're health care professionals with a minimum 6 years university. We know when to refer to a physician, just as I hope you know when to refer to a specialist. We have no more conflict of interest than professionals such as physicians and dentists. 2/
English
@DrNoelGrisdale Patients at pharmacist clinics can take their prescription, if they get one, to any pharmacy. And frankly calling them clinics is just marketing, as pharmacists in your average pharmacy do this work anyways. BTW pharmacists including myself catch physician errors every day. 4/
English