[Aracne]

Well, last week I was stuck with the cancer drugs and today I find myself lost in the maze of antibiotics....of course there are zillions of them, and apparently naplex expects us to know brand/generic, Cephs generations, what goes in the fridge, what comes IV/IM/Susp/Solid, what cures what and in the best order!!, side effects, controindications... I mean really?
Do they know that I'm trying to remember the same kind of info for another 1000 drugs already? Oh, I forgot, maybe by memorizing the dosage for each single drug in each single patient with each possible infection everything will come togheter.
I officially hate the board of pharmacy and this stupid exam!!
Where I work they let me do all the tasks as a pharmacists and are very happy and confident in me, if I am not sure of something I have the integrity and responsability to look it up before saying farewell to the patients... that's what they should be testing in my opinion... don't know how though.
Now, is there any case where the pharmacist says: you have pneumonia, considering your age it's definitely a strep. infection, I'd give you zithromax 250mg QD if you were going home, but since you are in the hospital I rether give you claforan (cefotaxime) 1g IV BID, oh wait, did you say you got pneumonia in the hospital? OK then , it sure is Staph aureus, let me give you garamycin also (gentamicin) 210mg IM QD and you should be fine in a couple of days. Ops I forgot, the doc has told you your kidneys are not functioning well? well, no gentamycin then, I am out of solutions, there are a couple of options though:
1 start writing your will.
2 go see that doctor again and see if he needs me to do his job.
3 shut up and give me 5 minutes alone with the computer so I can save your life.
4 if you come back in a few weeks I will have passed the naplex and I sure know what to do then.

I'm 5 years in US, went once to the doctor for a weird rash I had and after meeting with a world renown dermatologist he desappeared for 30 minutes in the computer room, still not sure he called 3 other collegues to share opinions, I was ordered labwork for scabies, syphilis and another bunch of horrible diseases that I didnot want to list to my wife and friends, I was also treated for this stuff but it seems they were still wrong; out of options and at my 4th visit with the rash that was now hitching to no end and covering half of my body they said: let's wait for the other labwork, try 1% hydrocortisone (OTC) and we'll see you next week.
Next week I didnot even go back because the 3$ tube of hydrocortisone (I'm against brand drugs if there is an alternative) worked the very 1st day and when they called me to see why I didnot show up the Doc said: "right what I thought, it was an ID reaction", I hang up. True story.
Now, tell me that US has the best healthcare system and socialized medicine will lower the quality of treatment.
Everywhere in the world the best doctors are the public ones because they have contact with all variety of patients and in high volume.
Ops that's going far out of topic.
I just needed to vent a little