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	<title>Comments for danah boyd | apophenia</title>
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		<title>Comment on thoughts on Pew&#8217;s latest report: notable findings on race and privacy by Mary Madden</title>
		<link>http://www.zephoria.org/thoughts/archives/2013/05/22/pew-race-privacy.html/comment-page-1#comment-18886556</link>
		<dc:creator>Mary Madden</dc:creator>
		<pubDate>Thu, 23 May 2013 19:42:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.zephoria.org/thoughts/?p=5446#comment-18886556</guid>
		<description><![CDATA[As one of the authors of the report, I wanted to second Gianteye’s point that it’s always important to be aware of a study’s sample size. You’re right that the group of African-American teens in our nationally-representative sample is relatively small (total n=122 African-American teens ages 12-17), but that aspect of the sample design is, in fact, one feature that makes it indicative of the population at large. To your point about studying surfing habits among different subgroups, we have been conducting research on Americans’ internet usage—and differences in technology use among different groups—for over thirteen years, all of which is freely available on our &lt;a href=&quot;http://www.pewinternet.org”&quot; rel=&quot;nofollow&quot;&gt;website&lt;/a&gt;. In addition, all of our questionnaires and &lt;a href=&quot;http://www.pewinternet.org/Static-Pages/Data-Tools/Download-Data/Data-Sets.aspx&quot; rel=&quot;nofollow&quot;&gt; data sets&lt;/a&gt; are freely available to researchers who wish to conduct their own analyses on the data: 

As with any research method, there are biases and design effects that need to be accounted for—which is why we feel it’s important to be as transparent as possible about disclosing our methods in every report. The methods section of the “Teens, Social Media and Privacy” report is available &lt;a href=&quot;//www.pewinternet.org/Reports/2013/Teens-Social-Media-And-Privacy/Methods/2012-Teens-and-Privacy-Management-Survey.aspx”&quot; rel=&quot;nofollow&quot;&gt;here&lt;/a&gt;. 

But part of what I think danah was trying to get at with her post is how some of these differences among African-Americans have been echoed in her own ethnographic research as well as across multiple studies of ours (among adults and teens, and in both the survey data and focus group findings). With respect to Twitter use, in the latest report &lt;a href=&quot;//www.pewinternet.org/Reports/2013/Teens-Social-Media-And-Privacy/Main-Report/Part-1.aspx”&quot; rel=&quot;nofollow&quot;&gt;we point to previous studies of teens&lt;/a&gt; that have indicated higher usage levels among African-American youth. In addition, we have also noted the same gap repeatedly in our &lt;a href=&quot;//www.pewinternet.org/Reports/2011/Twitter-Update-2011/Main-Report.aspx&quot; rel=&quot;nofollow&quot;&gt;adult data&lt;/a&gt;. 

From our perspective, far from using that data to make sweeping claims to try and sell something, we think these multiple indicators suggest interesting questions to explore further in future research.]]></description>
		<content:encoded><![CDATA[<p>As one of the authors of the report, I wanted to second Gianteye’s point that it’s always important to be aware of a study’s sample size. You’re right that the group of African-American teens in our nationally-representative sample is relatively small (total n=122 African-American teens ages 12-17), but that aspect of the sample design is, in fact, one feature that makes it indicative of the population at large. To your point about studying surfing habits among different subgroups, we have been conducting research on Americans’ internet usage—and differences in technology use among different groups—for over thirteen years, all of which is freely available on our <a href="http://www.pewinternet.org”" rel="nofollow">website</a>. In addition, all of our questionnaires and <a href="http://www.pewinternet.org/Static-Pages/Data-Tools/Download-Data/Data-Sets.aspx" rel="nofollow"> data sets</a> are freely available to researchers who wish to conduct their own analyses on the data: </p>
<p>As with any research method, there are biases and design effects that need to be accounted for—which is why we feel it’s important to be as transparent as possible about disclosing our methods in every report. The methods section of the “Teens, Social Media and Privacy” report is available <a href="//www.pewinternet.org/Reports/2013/Teens-Social-Media-And-Privacy/Methods/2012-Teens-and-Privacy-Management-Survey.aspx”" rel="nofollow">here</a>. </p>
<p>But part of what I think danah was trying to get at with her post is how some of these differences among African-Americans have been echoed in her own ethnographic research as well as across multiple studies of ours (among adults and teens, and in both the survey data and focus group findings). With respect to Twitter use, in the latest report <a href="//www.pewinternet.org/Reports/2013/Teens-Social-Media-And-Privacy/Main-Report/Part-1.aspx”" rel="nofollow">we point to previous studies of teens</a> that have indicated higher usage levels among African-American youth. In addition, we have also noted the same gap repeatedly in our <a href="//www.pewinternet.org/Reports/2011/Twitter-Update-2011/Main-Report.aspx" rel="nofollow">adult data</a>. </p>
<p>From our perspective, far from using that data to make sweeping claims to try and sell something, we think these multiple indicators suggest interesting questions to explore further in future research.</p>
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		<title>Comment on thoughts on Pew&#8217;s latest report: notable findings on race and privacy by Patricia Moore</title>
		<link>http://www.zephoria.org/thoughts/archives/2013/05/22/pew-race-privacy.html/comment-page-1#comment-18886401</link>
		<dc:creator>Patricia Moore</dc:creator>
		<pubDate>Thu, 23 May 2013 19:20:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.zephoria.org/thoughts/?p=5446#comment-18886401</guid>
		<description><![CDATA[I just read this yesterday and found it very interesting on a couple of points.  

I would love to see the racial differences teased out by socio-economic status as well as whether they were rural, suburban or urban youth because I wonder if it&#039;s race or class that&#039;s playing the bigger role here. Will a black 16 year old from a middle class home in the suburbs more closely resemble the baits of other black youth or those of her or her white white neighbors? 

This report also seems to confirm something I&#039;ve seen within the past six months or so, young people don&#039;t seem to be as enthusiastic about FB as they were a year or two ago. Or at least that&#039;s my perception. In the past few months I know at least three teen agers who hid their FB profiles and another who deleted it. I also don&#039;t hear my nephew&#039;s 10 and 11 year old pals talk about wanting to be on Facebook.

While I don&#039;t think this bodes any imminent doom for the social network behemoth, I can&#039;t help but remember that looking at the history of social network sites you wrote with Nicole Ellison, SNSs seem to have a lifecycle. I think FBs was much longer than earlier SNSs for a couple of reasons but I also don&#039;t think they can remain king of the mountain forever. Like MySpace I think that they are going to one day contract and reinvent themselves. Of course I don&#039;t see this happening for about a decade but I think it will happen eventually.]]></description>
		<content:encoded><![CDATA[<p>I just read this yesterday and found it very interesting on a couple of points.  </p>
<p>I would love to see the racial differences teased out by socio-economic status as well as whether they were rural, suburban or urban youth because I wonder if it&#8217;s race or class that&#8217;s playing the bigger role here. Will a black 16 year old from a middle class home in the suburbs more closely resemble the baits of other black youth or those of her or her white white neighbors? </p>
<p>This report also seems to confirm something I&#8217;ve seen within the past six months or so, young people don&#8217;t seem to be as enthusiastic about FB as they were a year or two ago. Or at least that&#8217;s my perception. In the past few months I know at least three teen agers who hid their FB profiles and another who deleted it. I also don&#8217;t hear my nephew&#8217;s 10 and 11 year old pals talk about wanting to be on Facebook.</p>
<p>While I don&#8217;t think this bodes any imminent doom for the social network behemoth, I can&#8217;t help but remember that looking at the history of social network sites you wrote with Nicole Ellison, SNSs seem to have a lifecycle. I think FBs was much longer than earlier SNSs for a couple of reasons but I also don&#8217;t think they can remain king of the mountain forever. Like MySpace I think that they are going to one day contract and reinvent themselves. Of course I don&#8217;t see this happening for about a decade but I think it will happen eventually.</p>
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		<title>Comment on thoughts on Pew&#8217;s latest report: notable findings on race and privacy by Gianteye</title>
		<link>http://www.zephoria.org/thoughts/archives/2013/05/22/pew-race-privacy.html/comment-page-1#comment-18869636</link>
		<dc:creator>Gianteye</dc:creator>
		<pubDate>Thu, 23 May 2013 02:02:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.zephoria.org/thoughts/?p=5446#comment-18869636</guid>
		<description><![CDATA[These are interesting ideas, but it&#039;s important to note that to group of African-American teens interviewed was only 95 people in total. Although this is a large enough group to render statistically significant data, it&#039;s not necessarily indicative of the population at large. It&#039;s also important to remember these are teens who agreed to take part in a 76 question telephone poll with a stranger. Additionally, this data wasn&#039;t collected with the intent of distinguishing the differences between surfing habits between any of the possible subgroups, so it&#039;s subject to the kind of overextended interpretations that give us drug claims like &quot;Taxacorr is 100% effected in single Asian women between the ages of 41 and 45.&quot;

Thank you for the analysis. I&#039;m sincerely interested in the concept of social steganography and will be giving your paper a read through.]]></description>
		<content:encoded><![CDATA[<p>These are interesting ideas, but it&#8217;s important to note that to group of African-American teens interviewed was only 95 people in total. Although this is a large enough group to render statistically significant data, it&#8217;s not necessarily indicative of the population at large. It&#8217;s also important to remember these are teens who agreed to take part in a 76 question telephone poll with a stranger. Additionally, this data wasn&#8217;t collected with the intent of distinguishing the differences between surfing habits between any of the possible subgroups, so it&#8217;s subject to the kind of overextended interpretations that give us drug claims like &#8220;Taxacorr is 100% effected in single Asian women between the ages of 41 and 45.&#8221;</p>
<p>Thank you for the analysis. I&#8217;m sincerely interested in the concept of social steganography and will be giving your paper a read through.</p>
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		<title>Comment on why I&#8217;m quitting Mendeley (and why my employer has nothing to do with it) by Dorron Katzin</title>
		<link>http://www.zephoria.org/thoughts/archives/2013/04/11/mendeley-elsevier.html/comment-page-1#comment-18838286</link>
		<dc:creator>Dorron Katzin</dc:creator>
		<pubDate>Tue, 21 May 2013 19:09:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.zephoria.org/thoughts/?p=5386#comment-18838286</guid>
		<description><![CDATA[Would PLOS be an option?
http://www.plos.org/]]></description>
		<content:encoded><![CDATA[<p>Would PLOS be an option?<br />
<a href="http://www.plos.org/" rel="nofollow">http://www.plos.org/</a></p>
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		<title>Comment on Heads Up: Parenting Leave Coming Up by Margaret</title>
		<link>http://www.zephoria.org/thoughts/archives/2013/05/20/parenting-leave.html/comment-page-1#comment-18837711</link>
		<dc:creator>Margaret</dc:creator>
		<pubDate>Tue, 21 May 2013 18:07:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.zephoria.org/thoughts/?p=5431#comment-18837711</guid>
		<description><![CDATA[Congrats, danah! You seem to be reasonably well-informed about the unknownedness of becoming a new parent. So much will depend on things you can&#039;t plan for. (For example, all that travel you have planned? Might be fine and easy. Might be impossible. Just so you know.) Stay flexible. Stay creative. And enjoy your ability to sleep when you want while you still can!

P.S. If you find time for it, it would be wonderful if you could write up a detailed How To for email sabbaticals. (Unless you already have and I&#039;ve missed it.)]]></description>
		<content:encoded><![CDATA[<p>Congrats, danah! You seem to be reasonably well-informed about the unknownedness of becoming a new parent. So much will depend on things you can&#8217;t plan for. (For example, all that travel you have planned? Might be fine and easy. Might be impossible. Just so you know.) Stay flexible. Stay creative. And enjoy your ability to sleep when you want while you still can!</p>
<p>P.S. If you find time for it, it would be wonderful if you could write up a detailed How To for email sabbaticals. (Unless you already have and I&#8217;ve missed it.)</p>
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		<title>Comment on Heads Up: Parenting Leave Coming Up by Anna</title>
		<link>http://www.zephoria.org/thoughts/archives/2013/05/20/parenting-leave.html/comment-page-1#comment-18804471</link>
		<dc:creator>Anna</dc:creator>
		<pubDate>Tue, 21 May 2013 02:16:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.zephoria.org/thoughts/?p=5431#comment-18804471</guid>
		<description><![CDATA[Congratulations! Take time before, too! 

I always love to hear that people who I admire are becoming mothers.

That is one lucky baby.

Wishing you all the best in the world.]]></description>
		<content:encoded><![CDATA[<p>Congratulations! Take time before, too! </p>
<p>I always love to hear that people who I admire are becoming mothers.</p>
<p>That is one lucky baby.</p>
<p>Wishing you all the best in the world.</p>
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		<title>Comment on Heads Up: Parenting Leave Coming Up by mike lewis</title>
		<link>http://www.zephoria.org/thoughts/archives/2013/05/20/parenting-leave.html/comment-page-1#comment-18799731</link>
		<dc:creator>mike lewis</dc:creator>
		<pubDate>Tue, 21 May 2013 01:13:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.zephoria.org/thoughts/?p=5431#comment-18799731</guid>
		<description><![CDATA[danah!  I&#039;m so happy for you.  My wife and I had a baby about 7 months ago and it&#039;s been an amazing experience.  I think you&#039;ll be a great mom.]]></description>
		<content:encoded><![CDATA[<p>danah!  I&#8217;m so happy for you.  My wife and I had a baby about 7 months ago and it&#8217;s been an amazing experience.  I think you&#8217;ll be a great mom.</p>
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		<title>Comment on CVS refused to fill my prescription; is this legal? by Robert aka Bear</title>
		<link>http://www.zephoria.org/thoughts/archives/2008/12/02/cvs_refused_to.html/comment-page-2#comment-18783221</link>
		<dc:creator>Robert aka Bear</dc:creator>
		<pubDate>Mon, 20 May 2013 20:47:30 +0000</pubDate>
		<guid isPermaLink="false">http://ubuntu.my/wp30/archives/2008/12/02/cvs_refused_to.html#comment-18783221</guid>
		<description><![CDATA[My name is Robert and I am a 60 year old male and have chronic pain to to being injured on the job.  In 1996 I injured my lower back and ruptured dic (L4 &amp; L5) and needed emergency surgery.  I had all the best of emergency care and doctors that they are in the Torrance, California area.  After my surgery Dr. Came in to the recovery room and advise me that I had major damage to the S1 nerve and would probably have chronic pain all my life.  I have been seeing a pain management doctor once a month From the time of my surgery until today. My pain Dr. and myself have experimented with different types of medication to try and find the best combination so my quality of life would be better with the right medication.  For years I never had a problem getting my prescriptions filled and then for some reason when all the celebrities started overdosing and dying on the so called &quot;prescription drugs&quot; abuse and the news media reporting this over and over until everyone got sick of hearing it, then everyone must be abusing that type of medications. CVS is the worst pharmacy for this type of treatment.  I have been treated like a drug addict, have been told that the pharmacist is unable to order the medication that I need and the one I hear a lot from the pharmacist is that they are not allowed to fill type of drug. CVS in Santa Monica told me that they were not allowed fill my pain medication because they didn&#039;t even carry Oxycontin and the pharmacist said he would not fill it even if he had it in stock. I waited until later that night and called the same pharmacy on the phone and told them I have a prescription from an emergency room for Oxycontin and wanted to call first and see if they had that medication in stock and could fill it for me. I WAS TOLD THAT IT WAS IN STOCK and to bring the prescription in to fill it.
My pain medication Dr. Is very strict with this prescriptions want some months I have to take a drug test per his protocol and that shows that I&#039;m taking the medication not trying to sell it.  The Doctor and I make sure that I always take only one is prescribed for me to take each month no more.
My doctor and I do everything by the book and everything including pain we have been able to keep in check for years. Now my pain on a scale of 1-10 is always between a 4 and 7 when I have taken my pain medication. No matter what my pain is never under a 4 on that pain scale.
I do resent the way that I get treated by the pharmacist when I tried to get my prescriptions filled.  When they treat me like a criminal the one thing these so called outstanding citizens don&#039;t know about me is that before I was injured on the job now I am completely disabled, I started out working at 18 years old in emergency medicine (and latter a paramedic), then spent the rest of my work career in the south bay area as a law enforcement officer/paramedic until I was injured on duty.  I will not stand by the side that pharmacies or pharmacist treat us the way they do.  If anyone has any ideas (I&#039;m working on a few myself) please write them down because I will be checking back on this form.]]></description>
		<content:encoded><![CDATA[<p>My name is Robert and I am a 60 year old male and have chronic pain to to being injured on the job.  In 1996 I injured my lower back and ruptured dic (L4 &amp; L5) and needed emergency surgery.  I had all the best of emergency care and doctors that they are in the Torrance, California area.  After my surgery Dr. Came in to the recovery room and advise me that I had major damage to the S1 nerve and would probably have chronic pain all my life.  I have been seeing a pain management doctor once a month From the time of my surgery until today. My pain Dr. and myself have experimented with different types of medication to try and find the best combination so my quality of life would be better with the right medication.  For years I never had a problem getting my prescriptions filled and then for some reason when all the celebrities started overdosing and dying on the so called &#8220;prescription drugs&#8221; abuse and the news media reporting this over and over until everyone got sick of hearing it, then everyone must be abusing that type of medications. CVS is the worst pharmacy for this type of treatment.  I have been treated like a drug addict, have been told that the pharmacist is unable to order the medication that I need and the one I hear a lot from the pharmacist is that they are not allowed to fill type of drug. CVS in Santa Monica told me that they were not allowed fill my pain medication because they didn&#8217;t even carry Oxycontin and the pharmacist said he would not fill it even if he had it in stock. I waited until later that night and called the same pharmacy on the phone and told them I have a prescription from an emergency room for Oxycontin and wanted to call first and see if they had that medication in stock and could fill it for me. I WAS TOLD THAT IT WAS IN STOCK and to bring the prescription in to fill it.<br />
My pain medication Dr. Is very strict with this prescriptions want some months I have to take a drug test per his protocol and that shows that I&#8217;m taking the medication not trying to sell it.  The Doctor and I make sure that I always take only one is prescribed for me to take each month no more.<br />
My doctor and I do everything by the book and everything including pain we have been able to keep in check for years. Now my pain on a scale of 1-10 is always between a 4 and 7 when I have taken my pain medication. No matter what my pain is never under a 4 on that pain scale.<br />
I do resent the way that I get treated by the pharmacist when I tried to get my prescriptions filled.  When they treat me like a criminal the one thing these so called outstanding citizens don&#8217;t know about me is that before I was injured on the job now I am completely disabled, I started out working at 18 years old in emergency medicine (and latter a paramedic), then spent the rest of my work career in the south bay area as a law enforcement officer/paramedic until I was injured on duty.  I will not stand by the side that pharmacies or pharmacist treat us the way they do.  If anyone has any ideas (I&#8217;m working on a few myself) please write them down because I will be checking back on this form.</p>
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		<title>Comment on CVS refused to fill my prescription; is this legal? by azazel</title>
		<link>http://www.zephoria.org/thoughts/archives/2008/12/02/cvs_refused_to.html/comment-page-2#comment-18734971</link>
		<dc:creator>azazel</dc:creator>
		<pubDate>Mon, 20 May 2013 10:15:43 +0000</pubDate>
		<guid isPermaLink="false">http://ubuntu.my/wp30/archives/2008/12/02/cvs_refused_to.html#comment-18734971</guid>
		<description><![CDATA[I have run into the same problems with walgreens and i was thinking about switching to cvs, but after reading all your accounts cvs seems just as bad so i don&#039;t know what to do.  i take clonazopam for a severe anxiety disorder.  i would pass out on regular occasions before i was diagnosed. i suffered through years and years of being undiagnosed.  I wasn&#039;t able to live a life or keep a job.  I was barely able to leave my house.  I couldn&#039;t even connect to other human beings.  and to finally find something that makes it a little easier to go out into the world and live a life only to be labeled a drug addict.  this is very unfair to those of us who really have these conditions.

drugs have always been and always will be a problem for every society.  but those of us who the medications were designed for should be shown more respect.  just because you can&#039;t see my injuries doesn&#039;t mean they aren&#039;t there.  the only way i can even attempt to be a productive member of society is with medication.  and maybe i&#039;ll be on it for the rest of my life.  but i&#039;d rather be on it then the alternative.

and for the &quot;pharmacist&quot;  who doesn&#039;t believe my condition is real.  yeah maybe i won&#039;t die from it today or tomorrow but without the meds i wouldn&#039;t be able to live a productive life either. not to mention severe anxiety causes all kinds of other medical problems if left untreated.  but maybe i should wait till i get some of those other medical conditions before I&#039;m taken seriously.]]></description>
		<content:encoded><![CDATA[<p>I have run into the same problems with walgreens and i was thinking about switching to cvs, but after reading all your accounts cvs seems just as bad so i don&#8217;t know what to do.  i take clonazopam for a severe anxiety disorder.  i would pass out on regular occasions before i was diagnosed. i suffered through years and years of being undiagnosed.  I wasn&#8217;t able to live a life or keep a job.  I was barely able to leave my house.  I couldn&#8217;t even connect to other human beings.  and to finally find something that makes it a little easier to go out into the world and live a life only to be labeled a drug addict.  this is very unfair to those of us who really have these conditions.</p>
<p>drugs have always been and always will be a problem for every society.  but those of us who the medications were designed for should be shown more respect.  just because you can&#8217;t see my injuries doesn&#8217;t mean they aren&#8217;t there.  the only way i can even attempt to be a productive member of society is with medication.  and maybe i&#8217;ll be on it for the rest of my life.  but i&#8217;d rather be on it then the alternative.</p>
<p>and for the &#8220;pharmacist&#8221;  who doesn&#8217;t believe my condition is real.  yeah maybe i won&#8217;t die from it today or tomorrow but without the meds i wouldn&#8217;t be able to live a productive life either. not to mention severe anxiety causes all kinds of other medical problems if left untreated.  but maybe i should wait till i get some of those other medical conditions before I&#8217;m taken seriously.</p>
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		<title>Comment on CVS refused to fill my prescription; is this legal? by Tia Sercy</title>
		<link>http://www.zephoria.org/thoughts/archives/2008/12/02/cvs_refused_to.html/comment-page-2#comment-18535546</link>
		<dc:creator>Tia Sercy</dc:creator>
		<pubDate>Sat, 18 May 2013 05:57:51 +0000</pubDate>
		<guid isPermaLink="false">http://ubuntu.my/wp30/archives/2008/12/02/cvs_refused_to.html#comment-18535546</guid>
		<description><![CDATA[I would like to start off by saying that I have been in the medical field for over 12 years and just recently became a Family Nurse Practitioner.   I only mention this to support the legitimacy of my statements, as well as to disclose my background knowledge and experience regarding the topic.  I ran into a similar situation trying to fill my daughter&#039;s ADHD medication while I was out of town to attend a business convention.   The location was only 2 hours north of our normal residence and I took my daughter and one of her friends with me to enjoy the hotel amenities while I attended the conference during the day.  I planned on filling her prescription prior to leaving but I ended up running late and figured I would not have a problem filling this medication once we got to our destination considering she has faithfully been on this same medication for 5 years!! Unfortunately, this was NOT the case at all.  There are always several obstacles to tackle when it comes to filling this prescription:
     FIRST ISSUE:
It is usually difficult to find a pharmacy that has it in stock.  I have a friend that is a pharmacist at Walgreens &amp; she has told me that this is due to problems with the distributor, which is apparently an ongoing issue.  This in and of itself makes attempting to fill this prescription anything but a pleasant experience.  
     SECOND ISSUE:
As I have heard in many of the above comments, you are treated as if you are a junkie when you hand the pharmacy this small piece of paper which has been ordered and approved by a doctor!  I can guarantee if it were the doctor trying to fill the prescription that they would be treated with dignity &amp; respect!!   Not to mention the time, money and energy one has already expended just to obtain the prescription!  
     THIRD ISSUE:
I do not understand how pharmacists are excluded from the moral obligations that the rest of the medical profession is so rigidly mandated to uphold; to refrain from biased opinions, stereotyping, and making generalized assumptions about patients.  I can be dressed in a business suit with a stethoscope around my neck and still experience this type of treatment when I go to fill my daughters prescription!!  Now, if I were to treat my patients like this as a nurse, or as a provider, I would have to worry about being sued &amp; charged with patient abandonment &amp;/or harassment!!  

     According to the American Pharmacist Association (2013) “Pharmacists are health professionals who assist individuals in making the best use of medications”.  The Code of Ethics that pharmacists are supposed to abide by can be retrieved from: http://www.pharmacist.com/code-ethics.  I do not see anything on this list stating that a pharmacist has the right to make their own clinical decision regarding the patient’s need for the medication they are attempting to fill simply by observing the patient for the brief moment that they are standing in the “drop off” lane.  If this were the case then what is the need for the doctor’s visit in the first place??  I mean if pharmacists have some superficial power to make a clinical diagnosis by “simply looking at an individual for 3 seconds”, which would obviously mean they possess some form of supernatural, psychic ability, unknown by all other medical providers that have spent years in training to fine tune this skill, then PLEASE, by all means, let’s get these extremely talented individuals that have been granted a gift beyond the limitations of humanity to determine these complexed medical decisions!!   Why don’t we put them to work as a means to solve the shortage that is about to hit the medical field?? ……………  I hope my sarcasm is apparent!!  My point is that an array of information is gathered, including a thorough patient history and physical assessment, in order to arrive at such a medical decision.  I thought this was common sense, but apparently there are some individuals out there that are confused as to what their role is and need a little more detailed description.  This process, is mandated by law, to be determined by a skilled and competent provider that possesses the required amount of medical &amp; academic knowledge, as well as clinical expertise in order to make these type of clinical decisions. THIS IS NOT THE ROLE OF A PHARMACIST!!!  They dispense medications that the provider has decided on as the best treatment for that given person.   The pharmacists area of expertise is to know the pharmacodynamics and pharmacokinetics of the drug &amp; to determine any contraindications, or drug interactions that could potentially harm the patient by filling the prescribed medication, as well as to educate patients and help them with any concerns they may have (which all of these are also the responsibility of the provider).  If the pharmacist wants to refuse to fill the medication based on one of these principles, because they feel it may harm the patient, than this decision is well understood and expected.  They should NOT, and do not to my knowledge, have the authority to override a physician’s order for any other reason, unless they are given some reason to believe that the prescription is a fake! 
     In the situation that I experienced, the pharmacist’s REFUSAL to fill my daughter’s medication placed A CHILD IN HARMS WAY &amp; caused her to be at risk for withdrawals by withholding a prescribed medication that she had taken daily for years, which defeats the sole purpose of the pharmacist, which is to “assist an individual in making the best use of medications”!!!!  What really put me over the top with this situation was that the pharmacist’s excuse for refusing to fill it was because I was not a “local resident” although, she could see the long term history of her being prescribed this medication in the computer.  She also stated that she MUST verify the script with the doctor’s office and since it was after hours she would not fill it (it was 8pm, not in the middle of the night).  So, I put a call into the physician on call at her doctor’s office and asked the on-call physician to please verify the script with the pharmacy.  The doctor called while I waited next to the pharmacy window.  The pharmacist refused to get on the phone because the doctor on call wasn’t the doctor that actually wrote the script THIS TIME, although she was the doctor that had prescribed it for her in the past MANY, MANY TIMES!!!!  I must give credit to the doctor because she REALLY DID put up an argument with them and she filed a complaint of her own without me voicing that I wished she would!  She was great!!  I got the pharmacist’s name and the management’s information and I will definitely be filing a complaint of my own!!  Even if a pharmacist is going to “practice” outside the parameters of their ethical code, there are ways to do it with a bit more class and professionalism!  I know everyone makes mistakes and our medical system is far from perfect, but this type of discrimination happens far too often and someone needs regulate the ethical obligations of these pharmacists to prevent them from riding this power trip that they don’t have the clinical authority to navigate!!

   I MUST ADD THAT THERE ARE PLENTY OF GOOD PHARMACISTS OUT THERE AND I DO NOT  WANT MY CRITICISM TO BE GENERALIZED TO ALL PHARMACISTS ACROSS THE BOARD!!!  There are bad role models among all professions and my intention here is NOT TO place all pharmacists in this category by any  means.  It just happens to be that from my experience, the chances of me encountering this type of interaction are quite high and the script is not even for me, which I think reveals the severity of the issue!!  I understand that there is a lot of prescription misuse and abuse in Florida and I am all for putting this to an end, but this medication was for a minor and the pharmacist was provided sufficient validation for the  supposed concerns, and I still met resistance, and this is not right!]]></description>
		<content:encoded><![CDATA[<p>I would like to start off by saying that I have been in the medical field for over 12 years and just recently became a Family Nurse Practitioner.   I only mention this to support the legitimacy of my statements, as well as to disclose my background knowledge and experience regarding the topic.  I ran into a similar situation trying to fill my daughter&#8217;s ADHD medication while I was out of town to attend a business convention.   The location was only 2 hours north of our normal residence and I took my daughter and one of her friends with me to enjoy the hotel amenities while I attended the conference during the day.  I planned on filling her prescription prior to leaving but I ended up running late and figured I would not have a problem filling this medication once we got to our destination considering she has faithfully been on this same medication for 5 years!! Unfortunately, this was NOT the case at all.  There are always several obstacles to tackle when it comes to filling this prescription:<br />
     FIRST ISSUE:<br />
It is usually difficult to find a pharmacy that has it in stock.  I have a friend that is a pharmacist at Walgreens &amp; she has told me that this is due to problems with the distributor, which is apparently an ongoing issue.  This in and of itself makes attempting to fill this prescription anything but a pleasant experience.<br />
     SECOND ISSUE:<br />
As I have heard in many of the above comments, you are treated as if you are a junkie when you hand the pharmacy this small piece of paper which has been ordered and approved by a doctor!  I can guarantee if it were the doctor trying to fill the prescription that they would be treated with dignity &amp; respect!!   Not to mention the time, money and energy one has already expended just to obtain the prescription!<br />
     THIRD ISSUE:<br />
I do not understand how pharmacists are excluded from the moral obligations that the rest of the medical profession is so rigidly mandated to uphold; to refrain from biased opinions, stereotyping, and making generalized assumptions about patients.  I can be dressed in a business suit with a stethoscope around my neck and still experience this type of treatment when I go to fill my daughters prescription!!  Now, if I were to treat my patients like this as a nurse, or as a provider, I would have to worry about being sued &amp; charged with patient abandonment &amp;/or harassment!!  </p>
<p>     According to the American Pharmacist Association (2013) “Pharmacists are health professionals who assist individuals in making the best use of medications”.  The Code of Ethics that pharmacists are supposed to abide by can be retrieved from: <a href="http://www.pharmacist.com/code-ethics" rel="nofollow">http://www.pharmacist.com/code-ethics</a>.  I do not see anything on this list stating that a pharmacist has the right to make their own clinical decision regarding the patient’s need for the medication they are attempting to fill simply by observing the patient for the brief moment that they are standing in the “drop off” lane.  If this were the case then what is the need for the doctor’s visit in the first place??  I mean if pharmacists have some superficial power to make a clinical diagnosis by “simply looking at an individual for 3 seconds”, which would obviously mean they possess some form of supernatural, psychic ability, unknown by all other medical providers that have spent years in training to fine tune this skill, then PLEASE, by all means, let’s get these extremely talented individuals that have been granted a gift beyond the limitations of humanity to determine these complexed medical decisions!!   Why don’t we put them to work as a means to solve the shortage that is about to hit the medical field?? ……………  I hope my sarcasm is apparent!!  My point is that an array of information is gathered, including a thorough patient history and physical assessment, in order to arrive at such a medical decision.  I thought this was common sense, but apparently there are some individuals out there that are confused as to what their role is and need a little more detailed description.  This process, is mandated by law, to be determined by a skilled and competent provider that possesses the required amount of medical &amp; academic knowledge, as well as clinical expertise in order to make these type of clinical decisions. THIS IS NOT THE ROLE OF A PHARMACIST!!!  They dispense medications that the provider has decided on as the best treatment for that given person.   The pharmacists area of expertise is to know the pharmacodynamics and pharmacokinetics of the drug &amp; to determine any contraindications, or drug interactions that could potentially harm the patient by filling the prescribed medication, as well as to educate patients and help them with any concerns they may have (which all of these are also the responsibility of the provider).  If the pharmacist wants to refuse to fill the medication based on one of these principles, because they feel it may harm the patient, than this decision is well understood and expected.  They should NOT, and do not to my knowledge, have the authority to override a physician’s order for any other reason, unless they are given some reason to believe that the prescription is a fake!<br />
     In the situation that I experienced, the pharmacist’s REFUSAL to fill my daughter’s medication placed A CHILD IN HARMS WAY &amp; caused her to be at risk for withdrawals by withholding a prescribed medication that she had taken daily for years, which defeats the sole purpose of the pharmacist, which is to “assist an individual in making the best use of medications”!!!!  What really put me over the top with this situation was that the pharmacist’s excuse for refusing to fill it was because I was not a “local resident” although, she could see the long term history of her being prescribed this medication in the computer.  She also stated that she MUST verify the script with the doctor’s office and since it was after hours she would not fill it (it was 8pm, not in the middle of the night).  So, I put a call into the physician on call at her doctor’s office and asked the on-call physician to please verify the script with the pharmacy.  The doctor called while I waited next to the pharmacy window.  The pharmacist refused to get on the phone because the doctor on call wasn’t the doctor that actually wrote the script THIS TIME, although she was the doctor that had prescribed it for her in the past MANY, MANY TIMES!!!!  I must give credit to the doctor because she REALLY DID put up an argument with them and she filed a complaint of her own without me voicing that I wished she would!  She was great!!  I got the pharmacist’s name and the management’s information and I will definitely be filing a complaint of my own!!  Even if a pharmacist is going to “practice” outside the parameters of their ethical code, there are ways to do it with a bit more class and professionalism!  I know everyone makes mistakes and our medical system is far from perfect, but this type of discrimination happens far too often and someone needs regulate the ethical obligations of these pharmacists to prevent them from riding this power trip that they don’t have the clinical authority to navigate!!</p>
<p>   I MUST ADD THAT THERE ARE PLENTY OF GOOD PHARMACISTS OUT THERE AND I DO NOT  WANT MY CRITICISM TO BE GENERALIZED TO ALL PHARMACISTS ACROSS THE BOARD!!!  There are bad role models among all professions and my intention here is NOT TO place all pharmacists in this category by any  means.  It just happens to be that from my experience, the chances of me encountering this type of interaction are quite high and the script is not even for me, which I think reveals the severity of the issue!!  I understand that there is a lot of prescription misuse and abuse in Florida and I am all for putting this to an end, but this medication was for a minor and the pharmacist was provided sufficient validation for the  supposed concerns, and I still met resistance, and this is not right!</p>
]]></content:encoded>
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