Saturday, June 4, 2016

I really didn't want to turn this blog into just another pharmacist bitch fest but sometimes the idiocy that we deal with has to be talked about.  Usually it's the customers doing the stupid stuff. Sometimes, it's me.  Physicians and nurses are pretty bright for the most part so if they pull something stupid they usually have a good reason for it.  Not the case this time.

A mom brought in a prescription for :
Augmentin ES 600mg
disp 200ml
sig: 3.5ml BID X 10 days

Now, me being a frugal sort of person, I did some math and decided that there was no need to dispense a 200ml bottle when the 10 day course required only 70ml.  So I prepared a 75ml bottle, wrote a note on the hard copy that I dispensed only that amount and counselled the mom accordingly.  Refrigerate, shake well, take with food, etc. and sent her on her way.

The following morning, I got a call from the mom saying that she didn't think that little bottle was going to be enough medicine for both of her kids.  I told her that the Rx she brought in was only for one child and there was plenty of medicine in that bottle for the full course of treatment and if measured out properly (I gave her a dosing syringe at no charge) she should even have a little bit left over at the end of ten days.  I told her that if the doctor intended for this drug to be given to a different patient as well, that patient should have been given a separate prescription.  Mom agreed and said she would call the doctor's office and request a prescription for the other child.

A short time later, my tech tells me there is a very irate physician on the phone demanding to talk to the pharmacist immediately.  I answered the call and proceeded to get an earful from this pediatrician (my third least favorite physician specialty, by the way - more on that later) about making a dispensing error on her order.   She told me that her intent was to save mom a copay by prescribing a large bottle that could be used for both kids. (Yeah, by this time I think I figured that out.)  She went on for a while about me not knowing what her treatment plan was and she didn't like when I pointed out that I knew exactly what her plan was because she had written it on the prescription which, by the way, is a legal document and should be treated as such.  She really didn't appreciate when I dropped the F-bomb on her.  Fraud.  I told her that as a pharmacist, I am required to take annual training on the topic of Fraud, Waste and Abuse.  I asked her if she might also be required to take such training since the large medical group she worked for was a Medicare/Medicaid accredited facility.  The icy silence was like a dagger in my ear.

The next words out of her mouth were an order for kid #2:
Augmentin ES 600mg
disp 75ml
sig: 3.5ml po BID X 10 days

I felt a wave of satisfaction wash over me.




Wednesday, May 11, 2016

My wife and I had some good Chinese Take Out the other night.  After we finished eating we cracked open our fortune cookies and mine said, "The true love of your life is right in front of your eyes."  Well, that was a big hit with my wife.  Until I turned the fortune over to see what my learn Chinese word of the day was.  It was Ginger.  My sister-in-law's name.
I guess we're not getting take out from that place again.

Friday, March 11, 2016

Hey, check it out...  I found my blog.  I wrote one thing, apparently 7 years ago and then forgot all about it.  Classic.  So, maybe I'll try again.  Or maybe not.

Friday, February 13, 2009

like a virgin...

Well, this is Bill's Blog #1. Questions I ask myself now... will anybody be able to find me? will anybody care enough to read? is this a huge waste of time and energy that I don't really have? Maybe this blog #1 will also be blog the end. Who knows... but time will tell.
So, just a little about me: I'm a pharmacist who enjoys his job (unlike so many angry RPh. bloggers out there). Of course, we all have our moments. But I think of myself as a kinder, gentler sort of pharmacist.
I like sports but I'm not a fanatic. I like music but probably not the music you like. I like food. I like wine. I like to travel but its always nice to come home. If I write often enough and if you decide to read, I'm sure you'll get to know more things about me as time goes by.
So, there it is. Bill's 1st blog. I am a virgin no more. I guess it wasn't spectacular but I hope to get better with practice. Thanks for reading. Hope to see you again soon.