12 Behind-the-Scenes Secrets of Pharmacists

IStock
IStock

Though they often toil in retail settings next to candy bars and magazine racks, pharmacists are fully accredited medical professionals who process, check, and consult on the roughly 4.3 billion prescriptions physicians write every year.

To find out more about life behind the apothecary counter, mental_floss spoke with a few of the men and women in the nifty white smocks about frustrating quotas, illegible handwriting, and why you might see a little mayonnaise smeared on your pill bottle.  

1. THEY STOP DOCTORS FROM KILLING YOU.

Jason—he prefers not to reveal his last name—has been a retail pharmacist in the Midwest for more than 20 years. When he hears complaints about slow service from patients who think of the chain stores as glorified drive-throughs for prescriptions, he sighs.

“It’s not just putting pills in a bottle,” he says. “With a prescription, there’s a good likelihood of there being wrong information. We catch interactions that could kill you.” On an average day, Jason might see 200 orders. He estimates 10 to 15 percent contain errors in quantity, instructions, or dosing that need to be corrected by phoning the physician.

2. THEY USUALLY HAVE ABOUT 15 MINUTES TO ACCOMPLISH THAT.

Owing to the volume of prescriptions processed by major chains like CVS and Walgreens, the one or two staff pharmacists on the clock have precious little time to spare. While pharmacy technicians can count pills and perform other tasks, only the pharmacist can double-check a medication is accurate before it’s turned over. “We have a time limit,” says Aaron, a retail pharmacist in Texas. “Reports get printed out at the end of the week and we get reprimanded for not meeting metrics. People ask if there’s anything they need to know about their medication. Yes, lots, but I only have a few seconds to give you the highlights.”

3. DECIPHERING A DOCTOR’S HANDWRITING IS LIKE CRACKING A CODE.

One course not taught in pharmacy school: how to decipher the frenzied scribbling of your neighborhood physician. “You’re expected to learn it on the job,” Jason says. “You learn traits. Some doctors don’t learn any Roman numeral besides ‘I,’ so 11 of them means '11.' It’s like a puzzle.” Sometimes Jason will phone the doctor’s office to crack the secret of a handwriting habit. “The funny thing is, you can move 10 minutes away to another side of town and have to learn a whole new set of patterns.”

4. THEY OFTEN DON’T GET A LUNCH BREAK.

After graduating pharmacy school, Megan spent a little over a year at a retail pharmacy counter. “It was pretty much the worst year of my life,” she says, citing the fast-food pace of the job as a deterrent to continuing. How fast? Orders typically come in so quickly that pharmacists don’t take a lunch break. They have to eat portable meals or snacks while standing. “You don’t really get any breaks unless you take it upon yourself. Labor laws don’t apply. Employers aren’t saying we can’t, but when you’re in the weeds, it’s hard to make it actually happen.”

5. THEY HAVE FLU SHOT QUOTAS.

While it’s no secret pharmacies love to promote flu shots, the even harder sell is happening behind the scenes. “When [chains] found out they could get reimbursed by Medicare and make $15 a shot, it went from, ‘Let’s offer it,’ to becoming mandatory," Jason says. "Baby on the way? Get a flu shot. On the subway a lot? Get a flu shot.” Pharmacists who fall below parity risk having a percentage of their annual bonus taken away.

6. THEY WISH YOU’D STOP HANDING THEM DIRTY PRESCRIPTIONS.

Like sweaty money coming from a sock, prescriptions of vague origin can be repulsive to the person who has to handle them. “People hand you paper that looks like it’s been through a garbage disposal and act like it’s no problem,” Megan says. As a courtesy, try to avoid spilling food, water, or blood on your prescription. (She’s seen them all.)

7. THEY HATE ELECTRONIC PRESCRIPTIONS.

According to Jason, they don’t reduce errors—they just make them more legible. “There are over 200 systems in my state alone,” he says. With no continuity, “There’s a real disconnect.” Doctors don’t always understand the drop-down menu—advising patients to take a cream “one tablet daily,” for example—and patients think their medication will be ready in seconds. It won’t. “Imagine 100 people in your office sending you an email at once, then coming in and asking, ‘Did you read it yet?’”

8. DEFINITELY READ THE PAMPHLET. (JUST DON’T LET IT SCARE YOU.)

Many consumers have adopted a management system for the drug information document that typically gets stapled to every prescription bag: They toss it in the garbage. This is not wise. “I stress for patients to read it,” Aaron says, citing time constraints at the pharmacy. But he also cautions not to let the list of possible side effects scare you. “The side effects aren’t listed by how often they occurred in a clinical trial. 1 percent is different from 10 percent. You might see ‘psychosis’ and not know it happened in point-five percent of patients.”

9. THEY SOMETIMES DROP PILLS ON THE FLOOR. THEN YOU EAT THEM.

“It’s not supposed to happen,” Megan says. “The counting trays have a lip, but stuff still falls on the floor. Then it’s considered an adulterated drug and people aren’t supposed to put it back in the bottle, but it happens anyway.”

10. THEY KEEP NOTES ON YOUR BEHAVIOR.

Most pharmacy software has a prompt that lets pharmacists and technicians make a note when a customer is behaving oddly or is otherwise circumspect. “Some people have the same issue every month,” Aaron says. “They get a narcotic and insist we miscounted and gave them 10 fewer pills than prescribed, even if it was a sealed bottle.” Push your luck—one man got so irate having to wait at a drive-through he began filming on his phone, which is a privacy violation—and you can find yourself banned.

11. YOU’LL BE SEEING MORE OF THEM IN HOSPITALS.

Megan left retail to become a hospital pharmacist. “The last year of pharmacy school, you’re rounding with a medical team at a hospital,” she says. “To have all that knowledge in the wheelhouse and go to a fast-food type environment, I didn’t like it. I want to use those clinical skills. We go into a room and visit with a patient and can manage drug regimens." 

12. THEY TECHNICALLY DON’T NEED A PRESCRIPTION TO HELP YOU.

Not on an official prescription pad, anyway. “A pad is just a guide, with space for names and birth dates,” Jason says. “A doctor can technically write something down on a napkin and we have to honor it.” They will, however, still call the office to verify.

All images courtesy of iStock.

14 Secrets of McDonald's Employees

Justin Sullivan, Getty Images
Justin Sullivan, Getty Images

While there’s virtually no end to the number of fast food options for people seeking a quick meal, none have entered the public consciousness quite like McDonald’s. Originally a barbecue shop with a limited menu when it was founded by brothers Richard and Maurice McDonald in the 1940s, the Golden Arches have grown into a franchised behemoth with more than 36,000 locations worldwide.

Staffing those busy kitchens and registers are nearly 2 million McDonald's employees. To get a better idea of what many consider to be the most popular entry-level job in the nation—staff members on the floor make an average of $9 an hour—we asked several workers to share details of their experiences with errant ice cream machines, drive-through protocols, and special requests. Here’s what they had to say about life behind the counter.

1. McDonald's employees can't always deliver fast food all that fast.

While McDonald’s and other fast-service restaurants pride themselves on getting customers on their way, some menu items just don’t lend themselves to record service times. According to Bob, an assistant store manager at a McDonald’s in the Midwest, pies take an average of 10 to 12 minutes to prepare; grilled chicken, 10 minutes; and biscuits for Egg McMuffins, eight to 10 minutes. In the mood for something light, like a grilled chicken and salad? That will take a few minutes, too. Bob says salads are pre-made with lettuce but still need to have chicken and other ingredients added.

The labor-intensive nature of assembling ingredients is part of why the chain has more recently shied away from menu items with too many ingredients. “We are trained to go as fast down the line as we can, and if we have to stop to make something that has 10 ingredients, it tends to slow things down,” Bob tells Mental Floss. “Corporate has realized this and has taken many of these items off in recent years, [like] McWraps, Clubhouse, more recently the Smokehouse and mushroom and Swiss and moved to items that can go a lot quicker.”

2. McDonald's workers wish you’d stop asking for fries without salt.

A serving of McDonald's French fries is pictured
Joerg Koch, AFP/Getty Images

A common “trick” for customers seeking fresh fries is to ask for them without salt. The idea is that fries that have been under a heating lamp will already be salted and that the employee in the kitchen will need to put down a new batch in the fryer. This does work, but customers can also just ask for fresh fries. It’s less of a hassle and may even save employees some discomfort.

“People can ask for fresh fries and it's actually way easier to do fresh fries rather than no-salt fries,” Andy, an employee who’s worked at three different McDonald’s locations in the Midwest, tells Mental Floss. “For those, we have to pour the fries onto a tray from the fryer so they don't come in contact with salt. It can get awkward sometimes getting everything into position, especially if you have a lot of people working in close proximity and it's busy, so I've had some scalded hands a couple of times trying to get fries out in a timely way.”

3. McDonald's workers have to pay careful attention to the order of ingredients.

McDonald’s is pretty specific about how their burgers and other items are supposed to be assembled, with layers—meat, cheese, sauce—arranged in a specific order. If they mess it up, customers can notice. “In some cases it has a big impact,” Sam, a department manager and nine-year veteran of the restaurant in Canada, tells Mental Floss. “Like placing the cheese between the patties with a McDouble. If they don’t put the cheese between the patties, the cheese won’t melt.”

4. There’s a reason McDonald’s employees ask you to park at the drive-through.

A McDonald's customer pulls up to the drive-thru window
Tim Boyle, Getty Images

After ordering at the drive-through window, you may be slightly puzzled when a cashier asks you to pull into one of the designated parking spots. That’s because employees are measured on how quickly they process cars at the drive-through. If your order is taking a long time to prepare, they’ll take you out of the queue to keep the line moving. “My store has sensors in the drive-through that actually tell us exactly how long you are at each spot in the drive-through,” Bob says. “We get measured based on something we call OEPE. Order end, present end. [That measures] from the second that your tires move from the speaker until your back tires pass over the sensor on the present window. My store is expected to be under two minutes.” If an order will take longer than that, you'll be asked to park.

5. The McDonald's drive-through employees can hear everything going on in your car.

While the quality of the speakers at a drive-through window can vary, it’s best to assume employees inside the restaurant can hear everything happening in your car even before you place an order. “The speaker is activated by the metal in the car, so as soon as you drive up, the speaker turns on in our headset,” Andy says. “We can hear everything, and I do mean everything. Loud music, yelling at your kids to shut up, etc.”

6. The employees at McDonald’s like their regulars.

Customers eat inside of a McDonald's with an order of French fries in the foreground
Chris Hondros, Getty Images

With hot coffee, plenty of tables, Wi-Fi, and newspapers, McDonald’s can wind up being a popular hang-out for repeat customers. “[We have] a ton of regulars who come into my store,” Bob says. “I'd say at least 75 percent of my daily customers know us all by name and we know them all, too. It makes it nice and makes the service feel a lot more personal when a customer can walk into my location, and we can look them in the eye and say, ‘Hey Mark! Getting the usual today?’ and we've already started making his coffee exactly how he takes it.”

7. McDonald’s staff get prank calls.

Unless they’re trying to cater an event, customers usually don’t have any reason to phone a McDonald’s. When the phone rings, employees brace themselves. In addition to sometimes being asked a legitimate question like when the store closes, Sam says his store gets a lot of prank calls. “Sometimes it’s people asking about directions to Wendy’s,” he says. “A lot of inappropriate ones. Most are pretty lame.”

8. For a McDonald’s worker, the ice cream machine is like automated stress.

A McDonald's customer is handed an ice cream cone at the drive-thru window
iStock/jax10289

The internet is full of stories of frustrated McDonald’s customers who believe the chain’s ice cream machines are always inoperable. That’s not entirely true, but the machine does experience a lot of downtime. According to Bob, that’s because it’s always in need of maintenance. “The thing is, it is a very sensitive machine,” he says. “It's not made to be making 50 cones in a row, or 10 shakes at a time. It takes time for the mix to freeze to a proper consistency. It also requires a daily heat mode, [where] the whole machine heats up to about 130 degrees or so. The heat mode typically takes about four hours to complete, so you try to schedule it during the slowest time.” Stores also need to take the machine entirely apart every one to two weeks to clean it thoroughly.

Bob adds that the machine’s O-rings can crack or tear, rendering the unit inoperable. Seasoned workers can tell if a unit is faulty by the consistency of the shakes or ice cream coming out, and sometimes by the noises it makes.

9. McDonald's employees don't mind if you order a grilled cheese.

Contrary to rumor, there’s no “secret menu” at McDonald’s. But that doesn’t mean you can’t sometimes snag something not listed on the board. Andy says a lot of people order a grilled cheese sandwich. “I've made many a grilled cheese before,” he says. But it’s not without consequences. “Sometimes it can get a bit risky doing it because the bun toaster wasn't designed to make grilled cheeses so sometimes you get some burnt buns or cheese or the cheese sticks inside and it slows down the other buns from getting out on time so that causes more burnt buns.”

Another common request is for customers to ask for a McDouble dressed as a Big Mac, with added Big Mac sauce and shredded lettuce. “I think [it’s] a way more practical way to eat a Big Mac since there's less bun in the way, and it's also way cheaper even if you do get charged for Mac sauce.”

10. McDonald’s workers recommend always checking your order.

A McDonald's employee serves an order
Justin Sullivan, Getty Images

Nothing stings worse than the revelation that an employee has forgotten part of your food order. Contrary to popular belief, it’s not because the employees are being lazy or inattentive. According to Bob, it’s simply due to the volume of customers a typical location has to process in a given day. “We are human,” he says. “Mistakes do happen. We always feel terrible when they do but when we serve 1000-plus people a day, it's bound to happen.”

Bob recommends checking your bag before leaving the restaurant and not taking it personally if there’s an issue. “Be nice to us if you have a problem,” he says. “It's a huge difference between coming to us and saying, ‘Hey, I seem to be missing a fry from my bag,’ and ‘You bastards didn't give me my fries!’” If you want to check your bag at the drive-through, though, he recommends trying to pull ahead so cars behind you can move forward.

11. McDonald's employees don't recommend the grilled chicken.

If a menu item isn’t all that popular, it can wind up experiencing a low rate of turnover. Of all the food at McDonald’s, the most neglected might be the grilled chicken. Because it doesn't move quickly, workers find that it can turn unappetizing in a hurry. “That stuff has a supposed shelf life of 60 minutes in the heated cabinet, but it dries out so quickly that even if it's within an acceptable time frame, it looks like burnt rubber, and probably tastes like it, too,” Andy says.

12. Golden Arches employees aren’t crazy about Happy Meal collectors.

A McDonald's Happy Meal is pictured
David Morris, Getty Images

Happy Meals are boxed combos that come with a toy inside. Usually, it’s tied into some kind of movie promotion. That means both Happy Meal collectors and fans of a given entertainment property can swarm stores looking for the product. “The biggest pain involving the Happy Meals is the people who collect them,” Bob says. “I personally hate trying to dig through the toys looking for one specific one. We usually only have one to three toys on hand. It's especially a pain in the butt during big toys events such as the Avengers one we just had. There was like 26 different toys, and some customers get really mad when you don't have the one that they want.”

And no, employees don’t usually take home leftover toys. They’ve saved for future use as a substitute in case a location runs out of toys for their current promotion.

13. McDonald's employees can’t mess with Monopoly.

The McDonald’s Monopoly promotion has been a perennial success for the chain, with game pieces affixed to drink cups and fry containers. But if you think employees spend their spare time peeling the pieces off cups looking for prizes, think again. Following a widely-publicized scandal in 2000 that saw an employee of the company that printed the pieces intercepting them for his own gain, the chain has pretty strict rules about the promotion. “Monopoly pieces and things like them get sent back to corporate,” Bob says. “We aren't allowed to touch them, open them, or redeem them as employees.”

14. One McDonald's worker admits there have been sign mishaps.

A McDonald's sign is pictured
Tim Boyle, Getty Images

Many McDonald’s locations sport signs under the arches advertising specials or promotions. Some are analog, with letters that need to be mounted and replaced. Others have LED screens. Either way, there can be mistakes. “I've never seen anyone mess around with the letters,” Andy says. “But I do remember one time we were serving the Angus Burgers and the ‘G’ fell off of the word ‘Angus.’ Good times.”

14 Secrets of Cruise Ship Workers

iStock/Remus Kotsell
iStock/Remus Kotsell

From an outsider’s perspective, working on a cruise ship might seem like a dream job. What could be more glamorous than getting paid to travel the world by sea, without having to pay for housing or food? But as with many “dream” jobs, there are a few significant downsides to consider before you fill out an application. We spoke to a few cruise ship employees about what it’s like to live and work on a floating hotel.

1. Americans are the worst cruise workers.

On most large cruise liners, the majority of staff and crew are not American. “On any given contract, you’re working with about 64 nationalities,” says Kat, who spent three years working for a major cruise line. There are a number of possible drivers behind this statistic, but one is that cruise ship employees work really long hours and almost never get a day off, which isn’t particularly appealing to Americans used to a 40-hour workweek and relaxing on weekends. “On my worst contract, I was working close to 300 hours a month,” Kat says. “Yeah, you might be in beautiful places, but you’re so tired sometimes you don’t even want to go out and explore. A lot of times they won’t even hire Americans because the rate of people quitting is so high.”

Americans are also more expensive to employ, even if they do the same work as their counterparts from developing countries. Sam, who worked on Princess Cruises for two years, says her monthly salary of $1100 was higher than that of her Filipino boss. According to Sam, the official reason the ship gave was that the dollar is worth more to people from developing countries than it is to Americans.

2. Cruise ship workers are trained for pirate attacks.

It’s rare for pirates to take on a massive cruise ship, but it can happen, and if it does, the crew is prepared. Nolan, who worked for both Princess Cruises and Oceania Cruises, says he was trained to get all guests away from windows and spray the intruders with giant water cannons.

“Our ship can totally outrun their little dinghies,” he says. “We could spray them with water and they’d be helpless.” Other ships may be equipped with Long Range Acoustic Devices that emit loud, painful noises to deter attacks. That’s how a luxury cruise liner escaped a pirate attack off the coast of Africa in 2005.

3. Want to lose weight? Work on a cruise liner.

While passengers are feasting on steak and scrumptious seafood, the staff and crew aren’t so lucky. “Imagine eating at your high-school cafeteria three meals a day, seven days a week for a year,” writes one former cruise ship worker on Reddit. Kat recalls strange offerings like goat foot stew. The unappetizing food, combined with the many hours spent running the length of the ship, often mean crew members lose a significant amount of weight during their time at sea. “I would lose about 10 to 12 pounds per contract,” Kat says.

Gavin, who worked as a waiter for a major cruise line, said the crew would occasionally get treated to whatever leftovers remained from the passenger buffet, but “it would disappear so fast.”

4. Crew members sometimes mess with passengers.

Life at sea can get a bit monotonous. “It got mundane really fast,” writes one former worker on Reddit. “It was basically the same comedy of errors each day of the week, with a different ‘cast’ of passengers each week.”

Some crew members shake things up by getting a rise out of passengers in the form of good old practical jokes. According to another former crew member, “a favorite was while in a passenger area say to another crew member, loud enough to be heard by passengers, ‘Meet you in the bowling alley tonight!’” Of course, there wasn’t actually a bowling alley on board. “Then we'd wait for the comment cards to come in: ‘Why do crew get a bowling alley when we don't?’”

5. … and chance are the workers might be drunk.

When they’re not working, employees are probably drinking and partying. “We partied our asses off,” Gavin says. “We joked about how it makes a frat house look like a monastery.” The staff get their own designated watering holes on board, referred to as the crew bars, where the drinks are dirt cheap. “At the passenger bars they were charging like $15 for a drink and we’d go down into the crew bar and you could get a beer or mixed drinks for $1.25,” Sam says.

And what happens when you give copious amounts of cheap alcohol to people who are cooped up together for months at a time? “It seems like a cliche, but everyone was hooking up with each other,” Sam says. “In a lot of the crew areas there were these huge posters about STD prevention.”

The crew is regularly threatened with the possibility of random breathalyzer tests (and drug testing), but even this isn’t always enforced. “There was a strict limit on our ship of no more than .04 blood alcohol content at any time,” Gavin says, “but as long as you didn’t make a fool of yourself, you wouldn’t get randomly breathalyzed, so people would break that rule all the time.”

6. For the crew, hooking up with guests on the cruise is strictly forbidden.

So you spotted a cute crew member on your ship and are thinking of chatting them up? Good luck with that. Having sexual relations with a guest is one of the fastest ways for a crew member to get fired. This is mainly to protect the cruise line from reputation-damaging accusations of abuse. Ship security keeps a close eye on crew members day and night. That doesn’t mean hookups never happen, but if a crew member is caught in the act with a guest, they’re kicked off the ship at the next port.

7. Crew passengers are almost always being watched.

“It is safe to assume if you are outside of your cabin you are probably on camera,” Gavin says. “In the event of any kind of emergency, they could pull security footage at any time.”

8. Passengers have a lot of power over how much the crew gets paid.

At the end of a journey, you might be asked to rate your experience and share any praise or complaints on a comment card. These reviews are taken very seriously and often translate directly into salaries and bonuses for workers. “For most people, their salaries are quite low and they rely on those bonuses,” Kat says. So if you leave a bad review and mention someone by name, you can be sure they’ll feel the impact on their paycheck.

“The very best thing you can do for a crew member is to write a glowing review, mentioning them specifically on your comment card,” says a former cruise worker on Reddit. “Their superior’s superiors take note of that.”

9. Some cruise workers have double lives.

“You get a lot of married people that have their own separate lives on the cruise ship,” Kat says. “I’ve worked with couples that have wives at home and a whole different relationship while they’re on the cruise ship. It’s kind of like a don’t-ask-don’t-tell policy.”

Gavin says one of his fellow employees lived as an out-of-the-closet gay man while on board, but was still closeted on land.

10. They have no idea what’s going on in the world.

“You stop following news and sports and pop culture,” Gavin says. “You’re really kind of isolated out there.” It can be difficult (and expensive) to find an internet connection while at sea, so many ship workers completely lose track of current events while on contract.

11. They speak in code.

Crew members have shorthand codes for everything from fires to medical emergencies, which they can announce over the loudspeaker without alarming passengers.

Code Adam: a child is missing
Code Alpha: there’s a medical emergency
Code Oscar: man overboard
Code Bravo: fire on the ship

12. The cruise ship has many mafias.

But not the kind that will make you an offer you can’t refuse. According to Sam, the crew members on her ship were split into “mafias” based on their country of origin, and each mafia dealt in specific goods. For example, the Indian mafia was in charge of getting good food for the crew parties, she says. Because Sam worked in the youth center, she was tasked with providing art supplies for crew costume parties. “That’s just one of the economies of the ship,” Sam says. “Everyone is always trying to figure out what they can get from another person.”

One former cruise ship worker says the Filipino mafia was known for getting good booze at all hours. “If you wanted anything after hours, they would get it for you! The crew bar would close around 1 or 2. If you wanted to keep drinking, but were out of booze, you would just go to the Filipino mafia and get what you needed. You paid a huge markup obviously, but it was still pretty cool!”

13. There’s a morgue on board.

Roughly 200 people die on cruise ships every year, and cruise lines need some place to store the bodies safely until they get back to shore. As a result, many ships have small morgues on board that can hold five or six bodies. “We definitely had a morgue on board,” one former ship employee told me. “Because the line was for older demographics, we had people die on the ship pretty regularly.”

14. They will leave you behind.

If you leave the ship for an on-land excursion, make sure you get back before departure time. Cruise lines pay massive fines if they overstay their port time, so chances are high the ship will leave without you if you’re running behind. “You’re on your own,” Kat says. “They won’t wait.”

This list first ran in 2016 and was republished in 2019.

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