Mequell and Adam discuss the previous week (when Mequell was decidedly UN-lovely) to pinpoint the difference when a generic medication was swapped out by the new pharmacist for a different manufacturer. According to Jeremy A. Green, MD, PhD of John Hopkins University, generic medications are not fully identical and that is why they don't always work exactly same. Or in Mequells case, why they don't work at all no matter what New Slice pharmacist says.