Shane Jerominski
@AccPharmacist
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5,192
Following
567
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869
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A certified expert in absolutely nothing but ready and willing to bloviate about anything.
Indio, CA
Joined October 2012
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What is the pharmacy hill you’re willing to die on?
I’ll start. Patients should be permitted to buy as many syringes as they want without question or judgment. My logic? I’d rather a drug user pay $5 for clean needles than taxpayers for HIV or hepatitis treatments.
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What drug name do you take pleasure in pronouncing after a patient butchers the shit out of it?
Don’t lie and say Levetiracetam, even Jesus calls it Keppra.
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“How could you people not have amoxicillin and Tylenol in stock?”
~ Random Angry Mom
Because ma’am, the current pharmaceutical supply chain couldn’t get any worse if it was run by Ticketmaster.
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To every media outlet running stories about CVS reducing their operating hours, THERE IS NO SHORTAGE OF PHARMACISTS. Full stop. Unsafe script volumes, demand for vaccinations and COVID testing all with minimal support while shouldering all the liability - it’s no longer worth it.
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Dear patients,
So we are clear, there’s no nationwide pharmacist or technician shortage. Your local
@Walgreens
or
@cvspharmacy
is closed due to a shortage of people who want to be treated like dog shit in careers where they feel like indentured servants.
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I got this question from a 12 year old kid during my first month as a pharmacist. Let’s hear your answer.
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I’m told this was actually presented with a deadass straight face to a pharmacy in Florida. Thank you anonymous for the photo! 😆😆
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Dear CVS & Walgreens,
Corporate in its infinite wisdom has decided there should be caps on pharmacist and technician salaries. Therefore, we have determined there should also be a cap on the amount of prescriptions we can safely process per day.
Sincerely,
Everyone.
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Patient at drop-off: Why is this prescription going to take 15 minutes? It seems pretty straight forward when I read it.
AP: We will get it right out for you, sir.
Patient *10 minutes later at pick-up: Can you tell me the difference between Tylenol and Motrin.
AP: *explains the
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Don’t forget to call on those doxy salt changes too!
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I’d send them a check decorated with expletives and body fluid.
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Wanna play a game? Do you think this store manager and pharmacist interaction took place at
@cvspharmacy
or
@Walgreens
?
Thanks PizzaIsNotWorking, California for the photo!
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Thanks Anonymous for this unspeakably terrible….prescription?
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Hey CVS, imagine creating a work environment so toxic that every day is a struggle just to do your job safely then claiming a lack of pharmacists and technicians is the problem. More pharmacy schools is not the answer. Don’t blame the fire you started on a shortage of water.
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Please don’t call the pharmacy with questions like, “If I come by in an hour, how long will the wait be?” Mf this place could be dead now and a war-torn hellscape with Disneyland size lines full of Karens in sixty minutes.
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The starting salary for pharmacy technicians should be $25/hr. Anyone who disagrees with this simply does not understand, highly skilled, career technicians make pharmacies safer. Without a living wage the ones who should stay, never will.
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Patient: Why does it take so long to transfer a prescription?
Well, when calling CVS you listen to hours of operation, lunch break exceptions, vaccine availability, and promotions. Then after working your way through 36 prompts, you’ve earned the right to be on hold for an hour.
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I’m possibly the poorest person ever to be mentioned by name in The Wall Street Journal twice in the same year.
A factory sealed bottle, no visible signs of tampering, purchased from a secondary wholesaler with the accompanying required pedigree - that’s what I checked in. Just
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I cannot believe I was just on
@FoxBusiness
. Neil Cavuto wanted me to feel sorry for
@Walgreens
and
@cvs
because their stock prices are under pressure. Sorry Neil, pharmacists are not willing to throw safety out the window to preserve corporate bottom lines.
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You know you’ve been a pharmacist too long when an elderly woman comes in looking for “An Ass Drizzle” and you know exactly what she wants.
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Legend has it that if you fill a C2 on 2-2-22 at 2:22 the Norco fairy will visit and leave a bottle Colace under your pillow.
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What it’s like in Retail Pharmacy Example
#1
:
Imagine sending your husband to Taco Bell without telling him what you want. Then later you call the restaurant livid because he brought home the wrong shit.
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Our pharmacy is fiercely divided. What’s the plural of Eliquis?
Is it Eliquises or Eliquii?
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Dear every practitioner in America,
When instructing a patient to increase his dosage from once to twice daily, your next step needs to be sending over a prescription to reflect that change.
Thank you for attending my TED Talk.
#butmydoctorsaid
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Six cases of a rare blood clot and the government does its job by halting the J & J vaccine. Quick question. How many mass shootings or murders of unarmed black men will it take to get those issues so promptly addressed?
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The individual who penned this review understands it’s not our fault. One person can only do so much. What’s most unfortunate though is when a catastrophic medication error finally does occur that pharmacist will be held responsible. Not CVS.
#TwitterRx
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I’m thinking about starting an OnlyFans and marketing it as “every retail pharmacy employees deepest desires.”Then when you subscribe it’s just pictures of X’d bottles, tidy shelves and fully functional equipment.
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A guy came to fix the store’s AC unit today. Upon completion he handed me an invoice indicating his rate of $84/hr. I made a copy and will gladly forward it to anyone with teenagers considering pharmacy school.
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January 27, 2015:
Ancient Egyptians built the pyramids, we as a species have been to the moon and have over the years constructed marvels of human engineering. That being said, today my technician and I were scolded by a woman claiming to have a master degree because she spent
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We had a patient at Walgreens throwing a fit because the script his dentist called in wasn’t covered. He said, “Do you know who I am? I could get you fired in a minute.”
I said, “Who are you? The Commander-in-Teeth, the PreviDent of the United States. It’s still not covered.”
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The newly minted Pharm Ds will be strutting across stages over the next few weeks. If you could dispense to them one piece of advice what would it be?
Don’t let others tell you what a successful career looks like. I’ve witnessed misery and joy in every practice setting.
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Our profession is unique. It’s filled with individuals who absolutely love being pharmacists and technicians, yet wouldn’t wish this godforsaken life on their worst enemy.
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Popular opinion / unpopular opinion Pharmacy Edition:
Popular: Technicians are grossly underpaid.
Unpopular: 90% of leaders within our profession wouldn’t last a day doing the actual job of checking orders and filling scripts in a hospital or retail setting.
Let’s hear yours?
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Happy That’s Never Been My Copay Before Day, you people!
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Is there any worse promotion than becoming a Pharmacist-in-Charge?Congratulations, here’s an extra $1/hr. There is your pile of extra work and by the way, if anything goes wrong it’s now officially your fault.
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It’s not often that we get a prescription where an office rubs in your face they eatin’ better than you. Enjoy that smoked salmon with cheese curds, Michael. I just ate two day old donuts, expired chips and a Red Bull.
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Is this what happens when you can make up your mind which drug you’d like to forge a script for?
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Do other pharmacists get overly excited when long term backordered medications become available, or is it just me? Like, I have no use for them personally but I’ll be doing the viscous lidocaine and Adderall dance the day I open that tote.
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I forgot to order a patient’s Namenda XR two days in a row. During my apology he smiled lightheartedly and said, “It’s alright, it happens. You know if there’s something you can take for that?”
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The newly minted Pharm Ds will be strutting across stages over the next few weeks. If you could dispense to them one piece of advice for the future what would it be? (Try to be nice or if you can’t, at least be funny.)
Don’t let others tell you what a successful career looks
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@KarenSLynch
@CVSHealth
I’m more impressed by the independent pharmacies across this country that are still managing to keep their doors open. If it were up to CVS no alternatives to filling in your understaffed, unsafe stores would exist. Substandard care yields massive profits, no surprise there.
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The most infuriating electronic prescriptions have to be these obscure vitamin combos. Sorry doc we don’t have any fol-methylcobal-Fe-B6-Ca-Mag Er Caps 1-5000-325-500-400. Whatever the hell that is.
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If you asked 30 physicians the difference between doxycycline hyclate and monohydrate do you think they would know? Or care?
Be brave, change that shit.
#okaypermdcall
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When did I know it was time to change companies?
During my 5th year at Walgreens, a floater had a non-fatal heart attack in the store. After the ambulance left, the manager walks back and asked if anyone clocked him out.
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The hottest pharmacy costume is all sold out…. You’re not going as Adderall either.
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Which catch phrases irritates you most in the pharmacy?
1.“It worked at the doctor’s office.”2.“I’ve never paid that much before.”
3.“Just fill everything.” (then proceeds to take 2 out of 10)
4. “My Dr. said it would be ready when I got here.”
5. “Can’t you just look it up?”
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WAG is scheduling two COVID appointments every 15 min. That doesn’t sound bad. Until figuring in the 3 MD calls, 1 transfer, 30 to verify, checking PMP for a control, totes to put away, counseling a pt., hitting all metrics and showing some dude where the roach spray is located.
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When I graduated from
pharmacy school in 2007 Walgreens had flu shot clinic days. They also had technician budgets that didn’t whimsically change, Christmas bonuses, personal days and stock options. Retail pharmacy working conditions are getting worse not better. Happy Labor Day.
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We need pharmacists in every practice setting to care about this. If you think this doesn’t affect you, wait.
PBMs charged Medicaid (taxpayers) $147 for a heartburn med. PBM only paid the pharmacy $17 & pocketed $130 for themselves as payment processors. Imagine buying milk & paying the credit card co $130 for processing. Only corruption would allow this to continue.
#StopPBMabuse
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Do you think kids getting ready to graduate Rho Chi from pharmacy school are aware that many will be up-selling vaccine bundles, pointing out cockroach spray and unlocking a Walgreens toilet by this time next year?
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Let me see if I can just sneak this little guy in there without anyone noticing.
#TwitterRx
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These new weight loss drugs Wegovy, Saxenda and Mounjaro, lack any real excitement. Bring back the old stuff. Phentermine roars, “Who needs food when your heart’s racing?” Xenical would laugh, “Go right ahead, eat that cheeseburger. Wait till you see what I do to your asshole.”
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Sex is great but have you ever had a patient call back to apologize after they cursed you out? Swearing up and down at ‘you people’ they never received the medication last month only to find a full damn bottle moments after a tantrum.
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I can’t believe it’s December 13th already. Only 11 days until everyone has a medication refill emergency and ‘you people just want them to die.’
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A home health nurse calls today to refill a patient’s Potassium Citrate. I explain the patient has no Potassium Citrate on file but there is history of potassium chloride 10mEq on record. “They’re the same thing. He’s on two different potassiums, citrate and losartan potassium.”
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Cardinal, Amerisource and McKesson have these stringent guidelines for how returns are to be packaged in order to receive credit. The same companies will deliver 36 totes. 32 with one item each, three overflowing and one with cream tubes crushed by leaking lactulose pints.
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Insurance paid for a 90gm tube of Santyl every 90 days for an entire year exactly as the prescriber wrote it. Audit a year later: “Are you sure that’s what he meant? Yeah, we’re gonna need a written statement from the MD in the next 14 days or that $3000 back.”
#PBMsAreBullshit
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I’m trying to get the word out through every media outlet that wants my two cents. This is for patients, pharmacists, technicians and the profession at large. Pharmacy on!
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Imagine if pharmacies charged for every extra phone call or fax they sent.
#pharmacy
#pharmacist
#pharmtech
#TwitterRx
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Ten short days from now March Mathness begins. Pharmacy employees across America get to reeducate patients on how a 30 day supply works in relation to February.
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You guys ever think about all the time in pharmacy school learning about arachidonic acid metabolism or the Krebs cycle? They left us so ill-prepared for retail. I mean what’s the best roach spray? Which aisle has the gluten free tampons? And why aren’t they covered by insurance?
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The newest duty of an independent pharmacist is to counsel their local CVS, Walgreens and Rite Aid’s patients. Why? Because, “I just can’t seem to get those guys on the phone.”
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So let me get this straight. Most
@Walgreens
pharmacists haven’t received raises in God knows how long. Now magically there are $75K incentives for any RPh willing to step in and run one of their train wrecks for 2 years?
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Is it just my pharmacy or are people mad at you every day that there’s not a buffet line of free COVID tests and KN95 masks when they walk in?
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The NFL displayed a modicum of decency when they suspended play following the collapse of Damar Hamlin. Trust me, if a pharmacist went into cardiac arrest CVS or Walgreens would call up their second string before the ambulance left the parking lot.
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Every pharmacist knows a quality technician is worth their weight in gold. Every DM knows their worth their weight in pizza, and every corporate executive still isn’t sure what a pharmacy technician actually is.
Thanks for all that you do!
#PharmacyTechnicianDay
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How do you get a room full of pharmacists and technicians to erupt in vicious arguments? Just ask everyone how many drops are in a milliliter.
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Patient
#1
Monday morning:
Diclofenac gel 1% - Not covered, Pregabalin 75mg - PA required, Hydrocodone/APAP 10/325 quantity 180 tablets - covered with no issues.
The lesson here? Insurances don’t care if you become an opiate addict as long as the margins remain acceptable.
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It’s a Christmas Miracle! This little guy’s in pretty good condition for having been in hiding over 15 years…
From Anonymous:
Just found it on the floor in a pharmacy I’m working in 😂
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I just spent $138 on a list of mandatory school supplies for my 4th grader. It would have totaled $150 but we figured the offspring of two pharmacists should inherently be able to steal enough pens.
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What have you explained the most to patients in your pharmacy:
A). The difference between Medicare Parts A&B vs Medicare Part D.
B). What a deductible is.
C). What a donut hole is.
D). What a prior authorization is.
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To those Walgreens pharmacy teams giving 80 COVID shots a day, filling 500 scripts with no STARS events, all while maintaining VBT and calling hold times. Remember, you are killing it! Even if all that seems to matter to management at present is how many red noses you’ve sold.
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CVS Executive: Mr. Merlo, this scathing article in The NY Times is causing an enormous public outcry for change. How do you suggest we handle it sir?
Mr. Merlo: The CVS way.
Executive: Sir?
Mr. Merlo: Issue a statement denying any wrong-doing, and send the Times a gift card.
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That Undercover Boss show would never work in the retail pharmacy world. Any CEO’s level of ineptitude would be so apparent the employees would know something was up 5 minutes into filming.
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At least once a year some patient will call demanding a replacement for a broken insulin pen. They’ll come to CVS per my request, at which time I’ll change the pen needle, load up a dose and shoot Lantus juice all over the consultation counter.
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Older Pharmacist: Back in my day we didn’t have GLP-1s for weight loss. Your choices were either diet and exercise, phentermine and teeth grinding or Alli and a grease leaking b-hole.
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Dr. Shikha, CVS would gladly sell crack to pediatric patients if it was deemed profitable. The problem is that pharmacists are frightened they’ll be offered up as tribute when the finger pointing and lawsuits commence. I do all I can, within the confines of the law, for every
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This is worth 5 minutes of your time.
Hi Shane,
Just wondering if you might want to post this (anonymously):
I just had the great luck of starting a job at an independent pharmacy after 15 years at the Corner (30 years total in retail almost all the rest at Spark). I’ve
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I had a dermatologist tell me last week that they, “don’t get paid enough to do prior authorizations.” Thanks to the bite marks on my tongue I didn’t respond with, “neither do patients who can’t afford this $900 cream you habitually insist on prescribing.”
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Tell me what relatively minor inconvenience in the world of pharmacy really irritates you. I’ll go first. Trulicity, Bydureon and Veltassa take up far too much room in the fridge.
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Shout out to every Walgreens and CVS employee who can utter in that condescending friendly voice, “Like I said” but in reality it means, “listen here bitch.” You’re the real MVP.
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We are pushing 3 three years now and I never had the rona. Where are my fellow humans that are still not COVIDY enough for the COVID club? What’s your secret? Mine is either exercise, red wine and burritos or I’m already dead inside.
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Dear Anti-Vaxxers,
If the 600K Americans dead from COVID doesn’t concern you, yet somehow the 1200 cases of myocarditis reported after administration of nearly 300 million vaccinations does. You’re not woke, just bad at math.
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Me: What did you do for World Pharmacists Day?
KC Pharmacists & Techs: Set the pharmacy world on fire and start a revolution.
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Yeah sex is cool but have you ever cleared the queues, filled all prescriptions, had no voicemails, doctor calls, transfers or consultations waiting, thanks to adequate staffing? You just walked leisurely to bathroom and pissed the minute your bladder was full. Nah, me neither.
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Pharmacists/technicians are amicable, kind-hearted and most importantly non-judgmental. Unless they’re online and the topic happens to be HIPAA, breaking boxes of insulin pens or how many drops are in a milliliter.
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@amyfaithho
Wouldn’t it be ironic if a real doctor tweeted on a social media platform that real doctors don’t like to admit they’re real doctors, under their handle that indeed showed the world their credentials as a real doctor?
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Management 101:
Pizza is not Working when CVS or Walgreens buys it. The pharmacist announcing they’re buying lunch just hits different.
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Just a few more days till everyone’s copay is wrong. I can barely contain myself.
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