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	<title>Comments on: On April 1st, Canadaian Pharmcists will be Allowed to Prescribe</title>
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	<link>http://www.kevinmd.com/blog/2006/12/on-april-1st-canadaian-pharmcists-will.html</link>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/12/on-april-1st-canadaian-pharmcists-will.html/comment-page-1#comment-70030</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 02 Jan 2007 04:37:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/on-april-1st-canadaian-pharmcists-will-be-allowed-to-prescribe.html#comment-70030</guid>
		<description>As an ER nurse I get threatened with my life all the time.  Law enforcement just laughs if charges want to be pressed.  the reply is usually something on the order of &quot;He is just drunk&quot;,  &quot;That is part of your job&quot; (to deal with the abuse).  To be fair I am sure cops get threatened by the same human scum all the time.</description>
		<content:encoded><![CDATA[<p>As an ER nurse I get threatened with my life all the time.  Law enforcement just laughs if charges want to be pressed.  the reply is usually something on the order of &#8220;He is just drunk&#8221;,  &#8220;That is part of your job&#8221; (to deal with the abuse).  To be fair I am sure cops get threatened by the same human scum all the time.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/12/on-april-1st-canadaian-pharmcists-will.html/comment-page-1#comment-70025</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 02 Jan 2007 03:49:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/on-april-1st-canadaian-pharmcists-will-be-allowed-to-prescribe.html#comment-70025</guid>
		<description>If he threatened to KILL you then why was he still out in public being able to commit murder? Isn&#039;t it a crime to threaten to kill someone? Did you call the police and file charges against him? Better yet, why didn&#039;t you admit him to the psych ward?</description>
		<content:encoded><![CDATA[<p>If he threatened to KILL you then why was he still out in public being able to commit murder? Isn&#8217;t it a crime to threaten to kill someone? Did you call the police and file charges against him? Better yet, why didn&#8217;t you admit him to the psych ward?</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/12/on-april-1st-canadaian-pharmcists-will.html/comment-page-1#comment-70003</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sun, 31 Dec 2006 05:12:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/on-april-1st-canadaian-pharmcists-will-be-allowed-to-prescribe.html#comment-70003</guid>
		<description>&quot;when drug-seekers skip the ER and harass pharmacies. &quot;&lt;br/&gt;&lt;br/&gt;A few weeks ago I had to get security to physically remove a guy from my ER when he threatened to Kill me and Sue me (in that order) because I wouldn&#039;t give him narcotics. 2 Nights ago I saw him on the news. He killed a woman when she wouldn&#039;t give him her pocketbook. No, keep them out of the pharmacies so they can only abuse us ER docs.</description>
		<content:encoded><![CDATA[<p>&#8220;when drug-seekers skip the ER and harass pharmacies. &#8220;</p>
<p>A few weeks ago I had to get security to physically remove a guy from my ER when he threatened to Kill me and Sue me (in that order) because I wouldn&#8217;t give him narcotics. 2 Nights ago I saw him on the news. He killed a woman when she wouldn&#8217;t give him her pocketbook. No, keep them out of the pharmacies so they can only abuse us ER docs.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/12/on-april-1st-canadaian-pharmcists-will.html/comment-page-1#comment-70002</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sun, 31 Dec 2006 05:09:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/on-april-1st-canadaian-pharmcists-will-be-allowed-to-prescribe.html#comment-70002</guid>
		<description>They can sue for malpractice in Canada, right? Only in cases of blatant malpractice, not like the bullshit U.S. &quot;Lawsuit lottery&quot; system. I&#039;m sure no-one involved in the decision took &quot;risk of litigation&quot; into account. That&#039;s a purely U.S. cancer.</description>
		<content:encoded><![CDATA[<p>They can sue for malpractice in Canada, right? Only in cases of blatant malpractice, not like the bullshit U.S. &#8220;Lawsuit lottery&#8221; system. I&#8217;m sure no-one involved in the decision took &#8220;risk of litigation&#8221; into account. That&#8217;s a purely U.S. cancer.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/12/on-april-1st-canadaian-pharmcists-will.html/comment-page-1#comment-70000</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sun, 31 Dec 2006 04:13:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/on-april-1st-canadaian-pharmcists-will-be-allowed-to-prescribe.html#comment-70000</guid>
		<description>I&#039;m waiting for the first lawsuit...they can sue for malpractice in Canada right?</description>
		<content:encoded><![CDATA[<p>I&#8217;m waiting for the first lawsuit&#8230;they can sue for malpractice in Canada right?</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/12/on-april-1st-canadaian-pharmcists-will.html/comment-page-1#comment-69996</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sun, 31 Dec 2006 00:37:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/on-april-1st-canadaian-pharmcists-will-be-allowed-to-prescribe.html#comment-69996</guid>
		<description>&quot;Have we learned absolutely nothing from the scandalous activity of oncologists who are the only doctors who sell the drugs they script for?&quot;&lt;br/&gt;&lt;br/&gt;Yes some oncologist&#039;s did take advantage of the old system. HOWEVER, medicare never paid for the specialized chemo nursing/facilities. Just how did you expect oncologists in the old system to make ends meet if they didn&#039;t mark up the drugs? The present system though imperfect is more fair (and will be tweaked even more) but your comment shows a complete lack of understanding why oncologists had to mark up the drugs in the old system in the first place.</description>
		<content:encoded><![CDATA[<p>&#8220;Have we learned absolutely nothing from the scandalous activity of oncologists who are the only doctors who sell the drugs they script for?&#8221;</p>
<p>Yes some oncologist&#8217;s did take advantage of the old system. HOWEVER, medicare never paid for the specialized chemo nursing/facilities. Just how did you expect oncologists in the old system to make ends meet if they didn&#8217;t mark up the drugs? The present system though imperfect is more fair (and will be tweaked even more) but your comment shows a complete lack of understanding why oncologists had to mark up the drugs in the old system in the first place.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/12/on-april-1st-canadaian-pharmcists-will.html/comment-page-1#comment-69991</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 30 Dec 2006 21:16:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/on-april-1st-canadaian-pharmcists-will-be-allowed-to-prescribe.html#comment-69991</guid>
		<description>Couz, i think the article was unclear about narcotics. It made it seem like they wouldn&#039;t be able to prescribe new cases, but WOULD be able to provide emergency supply.  Fuzzy for sure.&lt;br/&gt;&lt;br/&gt;Diagnosis is definitely part of the package.  First, you can&#039;t tx if you don&#039;t have a dx. If you have a dx, then you&#039;ve been to an MD and they could prescribe.  Second, the article states that Manitoba allows PharmDs to order/recieve diagnostic labs = diagnosis.  &lt;br/&gt;&lt;br/&gt;Are PharmDs going to have to take any tests to prove/check/verify their dx skills? New boards, exams, CMEs of anykind? So they get new privileges w/o new training test? If so, lets let OR nurses do surgeries</description>
		<content:encoded><![CDATA[<p>Couz, i think the article was unclear about narcotics. It made it seem like they wouldn&#8217;t be able to prescribe new cases, but WOULD be able to provide emergency supply.  Fuzzy for sure.</p>
<p>Diagnosis is definitely part of the package.  First, you can&#8217;t tx if you don&#8217;t have a dx. If you have a dx, then you&#8217;ve been to an MD and they could prescribe.  Second, the article states that Manitoba allows PharmDs to order/recieve diagnostic labs = diagnosis.  </p>
<p>Are PharmDs going to have to take any tests to prove/check/verify their dx skills? New boards, exams, CMEs of anykind? So they get new privileges w/o new training test? If so, lets let OR nurses do surgeries</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/12/on-april-1st-canadaian-pharmcists-will.html/comment-page-1#comment-69990</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 30 Dec 2006 21:11:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/on-april-1st-canadaian-pharmcists-will-be-allowed-to-prescribe.html#comment-69990</guid>
		<description>Yeah, I don&#039;t think anyone wants angry, manipulative drug-seekers in the pharmacy out in the open and scaring off other customers.  Sounds like a recipe for inappropriate administration of narcs.</description>
		<content:encoded><![CDATA[<p>Yeah, I don&#8217;t think anyone wants angry, manipulative drug-seekers in the pharmacy out in the open and scaring off other customers.  Sounds like a recipe for inappropriate administration of narcs.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/12/on-april-1st-canadaian-pharmcists-will.html/comment-page-1#comment-69989</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 30 Dec 2006 21:06:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/on-april-1st-canadaian-pharmcists-will-be-allowed-to-prescribe.html#comment-69989</guid>
		<description>Please tell me that it is true!!!&lt;br/&gt;&lt;br/&gt;That would be so awesome if the drug seekers could skip the ER and go straight to the source.</description>
		<content:encoded><![CDATA[<p>Please tell me that it is true!!!</p>
<p>That would be so awesome if the drug seekers could skip the ER and go straight to the source.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/12/on-april-1st-canadaian-pharmcists-will.html/comment-page-1#comment-69988</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 30 Dec 2006 20:13:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/12/on-april-1st-canadaian-pharmcists-will-be-allowed-to-prescribe.html#comment-69988</guid>
		<description>It was my understanding that narcotics would not be among the drugs included in this act. And diagnosis wouldn&#039;t be part of the picture.</description>
		<content:encoded><![CDATA[<p>It was my understanding that narcotics would not be among the drugs included in this act. And diagnosis wouldn&#8217;t be part of the picture.</p>
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