You did not misread that. You misinterpreted it. Pharmacies used to be hidden. Pharmacists were accessible if they walked out to you. Which we often did. And we were more valued as a result. You could no more stare at us over the tops of the shelves than you could hear us whispering on the phone in a corner. Times have changed. While the whole open floor plan concept works great in building a house, it does not suit the pharmacy. I say close it.
We are truly a few metal bars and a coin-operated food dispenser away from being animals in a zoo. People stare at us. They yell at us from anywhere in the store. They throw stuff at us (one bag with 3 boxes of Lovenox coming at my head is enough). They put their kids on our counters. I swear someone took my picture at my last store too. Seriously. What other profession allows its professionals to be treated as such?
I say close it. If the "centralized pharmacist" concept is going to work, make the rest of it happen behind the scenes. This way, when I have 3 techs each on a phone line and I am checking something, no one can smart off saying "there's 4 people back there not helping me". Piss off. Now you see me, now you don't.
I want the pharmacist to be the focal point. I want to perform my professional duties. You just don't need to know what else goes on. "Pay no attention to the man behind the curtain." I don't really want or need to see how my food is prepared in the kitchen (Hibachi is exempted from this) nor how my friends' colonoscopies are performed. I don't care. All I want is for my profession to be taken seriously again.
Close the pharmacy. Put up a wall. Put a pharmacist out front in a consultation room or at the counter, in a chair. Give her an iPad to assist patients while their medications are being filled. Slow down the whole process. Focus on the professional aspect of our jobs. Focus on our knowledge. Focus on why we spent so much time and money at school. If we stop trying to squeeze blood from a desiccated idea (profit margin on pills?) then we can look at new ways of highlighting our place in the health care world and getting paid for it.
Doctors live an insular experience, hiding behind layers of staff and walls. They visit with patients, one-on-one, privately going over medical history, diagnoses, and treatments. Pharmacy needs to examine this concept. I have an outline for this model.
Thursday, February 14, 2013
Wednesday, February 13, 2013
Take a number
At my pharmacy in the phuture...
...Now calling Number 27. Number 27? 27? Anyone #27? No? Okay, Number 28. Number 28?
I'm torn. We should either go full-out deli counter or lottery ticket luck for our wait times.
1. Deli Counter/DMV-find the red ticket machine, take a number, sit down. When your number is called, come to the counter and drop off your prescription. We will process it right in front of you. This includes data entry and insurance billing only. Hold on to your ticket and have a seat. When the actual filling and checking process have been completed, we will recall you to the checkout station.
2a. Lottery System: We will place random wait times in a hat. They will be weighted according to our approximate wait times and may fluctuate hourly. They will be represented as follows:
2 tickets---10 minutes
3 tickets---15 minutes
15 tickets---30 minutes
50 tickets---45 minutes
100 tickets--tomorrow
2b. Carnival!: We will have a dart board with balloons covering little tickets with times. Pay a fee, throw a dart, get your wait time. Here's your prize! Done. If successful, we could expand to a pond with little rubber duckies. Kids could play while you wait. Imagine how fast that 45 minute wait time will seem while your little darling is splashing around trying to win a goldfish. Ah, the joy!
Since I'm a friendly pillar of the community and everyone loves me, there will obviously be a game for emergency waiters. If your prescription meets the criteria laid out clearly at the kiosk (*), you will have 2 choices for wait times: 6 minutes or 11 minutes.
(*some restrictions apply--must be for a sick child, an antibiotic, from an ER or a hospital discharge, must be written the same day. Applicable exemptions may occur and final say rests solely with the carnival barker, um, pharmacist.)
Maybe we could employ all of these. Let's make the pharmacy a destination for the whole family. Young, old, well, infirm; bring them all. Watch as the pharmacist and staff juggle bottles and perform amazing tricks with their samurai spatulas and acerbic wit.
Tuesday, February 12, 2013
The Subway Treatment
I say pharmacy should just go all out with their removal of the profession of pharmacy from the actual practice of pharmacy. Let's become even more marginalized and transparent. Let's become Subway.
At Subway, no one cares if the lines to order food snake out the door. They can clearly see and hear the entire process. In pharmacy, while they can view the whole process, it is from a distance which leads to a misinterpretation of what we are actually doing. No one is close enough to truly SEE the process. Let's change that. It'll work like this:
Place Order Here: Present your prescription to the first technician. He will input your "order" into the computer. He will grab an appropriate-sized vial and place it on a tray so you can identify with it as your own down the entire line.
Second Station: Second Technician will make any necessary changes to your order. He will call your doctor to clarify the incomplete or illegible order. He will do this right in front of you so you can hear them say "Oops. Must have been a computer error."
Third Station: Third technician will fix your insurance and billing information right here. She will call your insurance right in front of you so you can hear the complete conversation and understand why your copay is so high; why your deductible is so high; why this needs prior authorization.
Fill Station: This is where they will select the pills and count by fives right before your very eyes. Prepare to be dazzled as they deftly maneuver your little capsules with a shiny spatula on the tray before you.
Wrapping: You get to watch up close as the professional label slapper expertly rolls your freshly printed label clearly, neatly, and straightly around your circular bottle. (Tips and applause are welcome.)
Checkout: Pay up. Simple. No arguing, fussing, fighting, or cursing allowed. No whining that the Subway across town is independently owned and operated and they only charge blah blah blah...
Extras: Those a la carte, impulse buys of a bag of chips and a cookie can now be purchased. Here they are called Pharmacist Consult. As these items are not free, but do complete your meal, neither is her advice free. So make it a meal and have a chat. Enjoy your prescription and get to know your pharmacist here at Subway Pharmacy.
At Subway, no one cares if the lines to order food snake out the door. They can clearly see and hear the entire process. In pharmacy, while they can view the whole process, it is from a distance which leads to a misinterpretation of what we are actually doing. No one is close enough to truly SEE the process. Let's change that. It'll work like this:
Place Order Here: Present your prescription to the first technician. He will input your "order" into the computer. He will grab an appropriate-sized vial and place it on a tray so you can identify with it as your own down the entire line.
Second Station: Second Technician will make any necessary changes to your order. He will call your doctor to clarify the incomplete or illegible order. He will do this right in front of you so you can hear them say "Oops. Must have been a computer error."
Third Station: Third technician will fix your insurance and billing information right here. She will call your insurance right in front of you so you can hear the complete conversation and understand why your copay is so high; why your deductible is so high; why this needs prior authorization.
Fill Station: This is where they will select the pills and count by fives right before your very eyes. Prepare to be dazzled as they deftly maneuver your little capsules with a shiny spatula on the tray before you.
Wrapping: You get to watch up close as the professional label slapper expertly rolls your freshly printed label clearly, neatly, and straightly around your circular bottle. (Tips and applause are welcome.)
Checkout: Pay up. Simple. No arguing, fussing, fighting, or cursing allowed. No whining that the Subway across town is independently owned and operated and they only charge blah blah blah...
Extras: Those a la carte, impulse buys of a bag of chips and a cookie can now be purchased. Here they are called Pharmacist Consult. As these items are not free, but do complete your meal, neither is her advice free. So make it a meal and have a chat. Enjoy your prescription and get to know your pharmacist here at Subway Pharmacy.
Thursday, February 7, 2013
The Bank Heist...
Drive-Thru Bank Teller: How may I help you today?
Lost Pharmacy Customer: I'm here to pick up my money.
DTBT: So you're making a withdrawal?
LPC: No. I'm here to pick up my money. I need to buy gas for my friend from yesterday's post. And post his bail.
DTBT: I don't have anything here for you.
LPC: Yes you do. My company sends it directly to you every Wednesday. Today is Friday. I gave you people 2 extra days and it's still not ready!? You lost my money?
DTBT: No sir.
LPC: You sent me an email telling me it was here and now it's not. What is going on there? All I want is my damn money. All you do is just slip it in the drawer or slap it in that tube. I come here every week and get the same thing. I've been out for over a week now and my family is going to starve and it's all your fault.
DTBT: We do get your direct deposit every week sir. In fact, we receive them from thousands of companies for thousands of employees all over our great nation. As we have informed you previously, you must actually make a request for a withdrawal. You can accomplish this through your online account or those little slips of paper designed to be completed by you and placed into my little drawer or tube. Perhaps the ATM attached to the wall immediately behind you could be more accommodating for you.
LPC: You people do this to me every time. It's your job to know how much money I get in my account each week and how much I want when I come here. I put enough money in here that I could own this bank by now.
DTBT: Technically not. You're not even close to paying off that pneumatic tube you're holding right there. Besides, you keep withdrawing it.
LPC: Then give me all my money so I can transfer to the bank across town.
DTBT: Fine sir. However you'll have to come inside for that transaction.
LPC: Can't...No shoes.
DTBT: I shall allow it this one time since no one is waiting in here.
LPC: Can't...No shirt.
DTBT: No worries sir. For a fine, upstanding gentleman such as yourself, I shall make another exception.
LPC: Um. Can't... Got no pants either.
DTBT: Do you do this at the pharmacy too? Arguing with someone but not listening to reason or fact? Maybe your doctor sent it. Maybe it needs a prior authorization. Maybe there was a delay, like your paycheck. Maybe you forgot to reorder it yourself, like your withdrawal. You could come inside to discuss this further, but please go home and add clothes.
"What would happen if a bank appeared at my pharmacy" or
"How banks would be treated if people thought they were pharmacies."
Maybe we should switch signs one day...
Lost Pharmacy Customer: I'm here to pick up my money.
DTBT: So you're making a withdrawal?
LPC: No. I'm here to pick up my money. I need to buy gas for my friend from yesterday's post. And post his bail.
DTBT: I don't have anything here for you.
LPC: Yes you do. My company sends it directly to you every Wednesday. Today is Friday. I gave you people 2 extra days and it's still not ready!? You lost my money?
DTBT: No sir.
LPC: You sent me an email telling me it was here and now it's not. What is going on there? All I want is my damn money. All you do is just slip it in the drawer or slap it in that tube. I come here every week and get the same thing. I've been out for over a week now and my family is going to starve and it's all your fault.
DTBT: We do get your direct deposit every week sir. In fact, we receive them from thousands of companies for thousands of employees all over our great nation. As we have informed you previously, you must actually make a request for a withdrawal. You can accomplish this through your online account or those little slips of paper designed to be completed by you and placed into my little drawer or tube. Perhaps the ATM attached to the wall immediately behind you could be more accommodating for you.
LPC: You people do this to me every time. It's your job to know how much money I get in my account each week and how much I want when I come here. I put enough money in here that I could own this bank by now.
DTBT: Technically not. You're not even close to paying off that pneumatic tube you're holding right there. Besides, you keep withdrawing it.
LPC: Then give me all my money so I can transfer to the bank across town.
DTBT: Fine sir. However you'll have to come inside for that transaction.
LPC: Can't...No shoes.
DTBT: I shall allow it this one time since no one is waiting in here.
LPC: Can't...No shirt.
DTBT: No worries sir. For a fine, upstanding gentleman such as yourself, I shall make another exception.
LPC: Um. Can't... Got no pants either.
DTBT: Do you do this at the pharmacy too? Arguing with someone but not listening to reason or fact? Maybe your doctor sent it. Maybe it needs a prior authorization. Maybe there was a delay, like your paycheck. Maybe you forgot to reorder it yourself, like your withdrawal. You could come inside to discuss this further, but please go home and add clothes.
"What would happen if a bank appeared at my pharmacy" or
"How banks would be treated if people thought they were pharmacies."
Maybe we should switch signs one day...
Wednesday, February 6, 2013
It's not the price of gas...
...the setting- a long, lonesome highway. East of Omaha. Along the route, miles back, in a quiet car dealership the phone rings, breaking the solitude of closing hour with its shrill announcement...
Irate Customer: I'm going to sue you.
CP: Go ahead sir, everyone else is doing it these days. You'll have to get in line behind the woman that died in yesterday's post. Why are you so special?
IC: Your car tried to kill me.
CP: Christine?
IC: Um, no.
CP: What happened?
IC: The gas ran out.
CP: It ran out. I see. And how is that my fault?
IC: No one told me it was going to happen. I've been sitting on the side of the road, without gas, for over 3 days now.
CP: Sir. There's a light. Did you see a light? And a "ding" sound. Did you hear a "ding"?
IC: Yes to both, but YOU didn't call me. I don't pay attention to those things.
CP: So despite a light that shows "Low Fuel" and an audible signal indicating you are running low on fuel, you kept driving? How many gas stations did you pass from the first signal until you actually ran out of gas?
IC: It doesn't matter. You should have called me or told me before I left here. It's not my job to know car things, that's your job. I'm going to use another dealer down the street.
CP: How can they help?
IC: They wash my car for free and they have a lady there who calls me when my tires need rotated and oil needs changed.
CP: We offer those services as well but she is not a real woman. You do know that, right? She's a computer.
IC: I'm also out of washer fluid.
CP: But how? We gave you a 6-month supply when you got the car.
IC: I used extra.
CP: Who told you you could use more?
IP: They said I could use whatever I needed whenever I needed it. The guy that reviewed everything about my new car with me when I bought it.
CP: I bet he also showed you where the gas tank and washer fluid reservoir were too?
IP: That's neither here nor there. The point is you should be held accountable for my car running out of vital fluids.
CP: I bet you drive your pharmacist nuts too. You're probably "that guy". The one that sits in his chair, every single day, taking his medications and somehow not noticing the bottles are getting empty. This, despite obvious visual (diminishing quantity) and audible (the bottle sounds emptier when you shake/pick it up) clues begging you to refill them. You probably "don't pay attention" to the labels either. You know, the ones that tell you "no refill" and how much you are allowed to use at a time.
Sorry, our service desk is closed right now. You'll have to call for a tow.
This has been "What would happen if people treated their cars as they do their prescriptions".
Or..."5pm at the pharmacy counter would have nothing on rush hour".
Irate Customer: I'm going to sue you.
CP: Go ahead sir, everyone else is doing it these days. You'll have to get in line behind the woman that died in yesterday's post. Why are you so special?
IC: Your car tried to kill me.
CP: Christine?
IC: Um, no.
CP: What happened?
IC: The gas ran out.
CP: It ran out. I see. And how is that my fault?
IC: No one told me it was going to happen. I've been sitting on the side of the road, without gas, for over 3 days now.
CP: Sir. There's a light. Did you see a light? And a "ding" sound. Did you hear a "ding"?
IC: Yes to both, but YOU didn't call me. I don't pay attention to those things.
CP: So despite a light that shows "Low Fuel" and an audible signal indicating you are running low on fuel, you kept driving? How many gas stations did you pass from the first signal until you actually ran out of gas?
IC: It doesn't matter. You should have called me or told me before I left here. It's not my job to know car things, that's your job. I'm going to use another dealer down the street.
CP: How can they help?
IC: They wash my car for free and they have a lady there who calls me when my tires need rotated and oil needs changed.
CP: We offer those services as well but she is not a real woman. You do know that, right? She's a computer.
IC: I'm also out of washer fluid.
CP: But how? We gave you a 6-month supply when you got the car.
IC: I used extra.
CP: Who told you you could use more?
IP: They said I could use whatever I needed whenever I needed it. The guy that reviewed everything about my new car with me when I bought it.
CP: I bet he also showed you where the gas tank and washer fluid reservoir were too?
IP: That's neither here nor there. The point is you should be held accountable for my car running out of vital fluids.
CP: I bet you drive your pharmacist nuts too. You're probably "that guy". The one that sits in his chair, every single day, taking his medications and somehow not noticing the bottles are getting empty. This, despite obvious visual (diminishing quantity) and audible (the bottle sounds emptier when you shake/pick it up) clues begging you to refill them. You probably "don't pay attention" to the labels either. You know, the ones that tell you "no refill" and how much you are allowed to use at a time.
Sorry, our service desk is closed right now. You'll have to call for a tow.
This has been "What would happen if people treated their cars as they do their prescriptions".
Or..."5pm at the pharmacy counter would have nothing on rush hour".
Tuesday, February 5, 2013
But her Refrigerator was still running...
<fade in> camera opens behind a young woman, seated at a kitchen table. Hands placed beside her plate. A fork in the left hand, knife in her right. Camera moves around the table, slowly panning up to show the gaunt, emaciated face staring back through hollow, lifeless eyes.
Enter Cynical Patrolmen...
First Responder: What happened?
Second Responder: She died.
FR: Obviously. How?
SR: Murder. Definitely murder. Yes. Murder by starvation.
FR: But how? She's just sitting here, peacefully.
SR: Precisely. Apparently she grew so accustomed to having everyone else take care of her that she didn't notice she wasn't eating.
FR: Who can we blame?
SR: No one. Perhaps the grocery store, her local market, everyone. Everyone else except her, I guess.
FR: But she died.
SR: As happens when people do not eat. It's sad, really. Notice her refrigerator is empty. Her cupboards are bare. No one called to tell her she was out of food. No one called the grocery store to place an order to refill her pantry. No one called to tell her any food was ready to be picked up at the store. No one billed any food to her credit card for her or ensured delivery of it to her house for her. She waited and waited for someone to tell her she was out of food and needed to eat to live. This poor woman suffered needlessly because no one had the decency to do their job. She waited until she just died.
FR: She must have been out of food nearly 2 weeks. Too bad she never thought to go to the market herself. All of this could have been avoided <starts to cry> if only...
SR: If only?
FR: If only she had taken initiative. Taken her life into her own hands. She was so young. She had a cell phone. A car. Money. She could have called the store. Visited it personally. Paid for food herself. Why did this have to happen? Why CP?
SR: People have become so accustomed to having everything done for them, they don't remember how to do anything for themselves. I bet if we check her medicine cabinet, all of her bottles will be empty too. They'll probably all have refills available, but since no one called her to remind her to fill them, to pick them up, or to actually put them in her mouth, she never took these either.
This has been a production of "If people took care of their kitchens like they take care of their health" or "What would happen if pharmacies stopped all of their compliance calls".
Enter Cynical Patrolmen...
First Responder: What happened?
Second Responder: She died.
FR: Obviously. How?
SR: Murder. Definitely murder. Yes. Murder by starvation.
FR: But how? She's just sitting here, peacefully.
SR: Precisely. Apparently she grew so accustomed to having everyone else take care of her that she didn't notice she wasn't eating.
FR: Who can we blame?
SR: No one. Perhaps the grocery store, her local market, everyone. Everyone else except her, I guess.
FR: But she died.
SR: As happens when people do not eat. It's sad, really. Notice her refrigerator is empty. Her cupboards are bare. No one called to tell her she was out of food. No one called the grocery store to place an order to refill her pantry. No one called to tell her any food was ready to be picked up at the store. No one billed any food to her credit card for her or ensured delivery of it to her house for her. She waited and waited for someone to tell her she was out of food and needed to eat to live. This poor woman suffered needlessly because no one had the decency to do their job. She waited until she just died.
FR: She must have been out of food nearly 2 weeks. Too bad she never thought to go to the market herself. All of this could have been avoided <starts to cry> if only...
SR: If only?
FR: If only she had taken initiative. Taken her life into her own hands. She was so young. She had a cell phone. A car. Money. She could have called the store. Visited it personally. Paid for food herself. Why did this have to happen? Why CP?
SR: People have become so accustomed to having everything done for them, they don't remember how to do anything for themselves. I bet if we check her medicine cabinet, all of her bottles will be empty too. They'll probably all have refills available, but since no one called her to remind her to fill them, to pick them up, or to actually put them in her mouth, she never took these either.
This has been a production of "If people took care of their kitchens like they take care of their health" or "What would happen if pharmacies stopped all of their compliance calls".
Monday, February 4, 2013
Where is it?
Two roads diverged in a wood and my, my script took the one less traveled...
By nature, I just have to know. I was the kid that observed and studied everything around me to figure out how it all works. I am still possessed of the need to know. I will always find the answer but I wish it were not so difficult some times.
Two family members were seen in the same office at the same time for the same reason.
Two family members arrived at my pharmacy looking for their e-scripts.
One e-script was in my queue.
One was not.
It was noon. Doctor was at lunch.
Waiting.
Waiting.
Waiting.
Patient returns just before 5pm.
I call the office to request a verbal order. And, as inquiring minds are wont to do, to ask what happened to the other e-script.
Nurse: It says it was sent.
CP: When?
Nurse: Same time as the other one.
CP: Funny.
Nurse: I get this all the time where the system says it was sent but the pharmacy calls and didn't receive it.
CP: Funny.
Nurse: What's that?
CP: It says "refill too soon. filled today". Can you tell me WHERE it was confirmed as sent?
Nurse: Oh. Somewhere else...
CP: Please walk back there and slap your doctor for me.
By nature, I just have to know. I was the kid that observed and studied everything around me to figure out how it all works. I am still possessed of the need to know. I will always find the answer but I wish it were not so difficult some times.
Two family members were seen in the same office at the same time for the same reason.
Two family members arrived at my pharmacy looking for their e-scripts.
One e-script was in my queue.
One was not.
It was noon. Doctor was at lunch.
Waiting.
Waiting.
Waiting.
Patient returns just before 5pm.
I call the office to request a verbal order. And, as inquiring minds are wont to do, to ask what happened to the other e-script.
Nurse: It says it was sent.
CP: When?
Nurse: Same time as the other one.
CP: Funny.
Nurse: I get this all the time where the system says it was sent but the pharmacy calls and didn't receive it.
CP: Funny.
Nurse: What's that?
CP: It says "refill too soon. filled today". Can you tell me WHERE it was confirmed as sent?
Nurse: Oh. Somewhere else...
CP: Please walk back there and slap your doctor for me.
Friday, February 1, 2013
Pharmacy of Choice
You picked me. Thank you. I will do my best job for you. Thank you for selecting Cynical Pharmacist when there are so many other, rather vanilla options out there. Special services and hours aside, you really are picking a pharmaCIST not a pharmaCY.
...Some time later, the novelty wears off and another suitor enters the picture with promises of delivery, or in-home medication swallowing classes, or chocolate-dipped KCl 20mEq tabs...
As with all new relationships, some troubles lie ahead.
Everyone is perfect until you get to know them.
New suitor only has hours from 7:15am until 3:45pm. They deliver after they close until 3:59pm. They are closed all weekends and holidays, including non-government and non-U.S. ones (Boxing Day, Canadian Flag Day, Canberra Day, and in observance of the equinoxes).
Anyway, now you find yourself without medication for an unexpected long weekend. Who knew that May starts off with May Day, Constitution Day (Japan), Greenery Day (Japan), Cinco de Mayo, Bank Holiday (UK), and National Teacher Day and your new pharmacy observes them all? Now you call me...
Traitor Patient: Please, former favourite pharmacist, can you not help me this one time?
CP: You left me.
TP: I thought they were going to be better.
CP: Uh-huh.
TP: They promised me flowers with every prescription. Gift Cards galore. They said I'd have no side effects from THEIR generics
CP: And?
TP: Now they are closed and I am without. I will most certainly meet an unfavourable fate should you not find it in your heart to provide a few pills to save mine.
CP: Nae.
TP: Prithee, why not?
CP: You left. You broke the sacred bond and trust we had developed. I knew everything (that was wrong) about you. I was always there for you, not just when it was convenient.
TP: And it can be that way again.
CP: Alas, it cannot. It has to be a clean break. I can't have you crawling back to me every holiday or weekend or every night wanting me to be there for you.
TP: We were good once. You used to help me.
CP: And you turned to the Dark Side. You made your bed with them, you have to accept their failings. I'm not taking you back. It is for the best. Through this, you shall grow. Through this, you shall learn preparedness. It has to be this way. "Don't want to be your fall-back crutch anymore."
TP: At first I was afraid. I was petrified.
CP: You will survive.
...Some time later, the novelty wears off and another suitor enters the picture with promises of delivery, or in-home medication swallowing classes, or chocolate-dipped KCl 20mEq tabs...
As with all new relationships, some troubles lie ahead.
Everyone is perfect until you get to know them.
New suitor only has hours from 7:15am until 3:45pm. They deliver after they close until 3:59pm. They are closed all weekends and holidays, including non-government and non-U.S. ones (Boxing Day, Canadian Flag Day, Canberra Day, and in observance of the equinoxes).
Anyway, now you find yourself without medication for an unexpected long weekend. Who knew that May starts off with May Day, Constitution Day (Japan), Greenery Day (Japan), Cinco de Mayo, Bank Holiday (UK), and National Teacher Day and your new pharmacy observes them all? Now you call me...
Traitor Patient: Please, former favourite pharmacist, can you not help me this one time?
CP: You left me.
TP: I thought they were going to be better.
CP: Uh-huh.
TP: They promised me flowers with every prescription. Gift Cards galore. They said I'd have no side effects from THEIR generics
CP: And?
TP: Now they are closed and I am without. I will most certainly meet an unfavourable fate should you not find it in your heart to provide a few pills to save mine.
CP: Nae.
TP: Prithee, why not?
CP: You left. You broke the sacred bond and trust we had developed. I knew everything (that was wrong) about you. I was always there for you, not just when it was convenient.
TP: And it can be that way again.
CP: Alas, it cannot. It has to be a clean break. I can't have you crawling back to me every holiday or weekend or every night wanting me to be there for you.
TP: We were good once. You used to help me.
CP: And you turned to the Dark Side. You made your bed with them, you have to accept their failings. I'm not taking you back. It is for the best. Through this, you shall grow. Through this, you shall learn preparedness. It has to be this way. "Don't want to be your fall-back crutch anymore."
TP: At first I was afraid. I was petrified.
CP: You will survive.
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