The Pharmacy Chick

Flying the coup in retail

Walk walk walk..til you can walk no more!

Filed under: Uncategorized — pharmacychick at 3:35 pm on Wednesday, February 4, 2015

I am pleased to say that Mr Chick is on his path to recovery….literally. He had is first post op check up and Doc said  his number one exercise is to walk.  And since I have wanted a walking partner for a while I have one right in my wheelhouse…and a captive one at that!.  Mr Chick had his first day at work on monday after a 10 day lay off.  He came home pretty tired, and while he is still under lifting restrictions he can at least stand all day and do his job.

I still prefer being the provider over the patient, that is for sure, but it gives me a chance to reflect a bit on this week I had being both a provider at work and a caregiver at home.  It was the first time in literally forever that I put nothing on the “plate” so to say on my days off.  We pencilled in nothing for the week that Mr C had at home.  And while I had to work a couple of those days, the other days were completely empty.  NO dinner plans, no shopping lists, no errands , no nothing!.  It was very odd waking up on those days and the only duty we had to accomplish was to walk.

Sure, I kept the house clean, bought groceries, cooked meals, did laundry and stuff like that…that never changes, but there  was a strange calmness  about having a block of time where nothing had been scheduled. It was actually rather relaxing. As a person who tends to map out a day like a military mission, to have nothing on the calendar is strange. Mr C spend a lot of time snoozing, and that is one of his favorite activities, and while he was sleeping I was putzing around the house keeping it clean.

Don’t think for one moment that it stayed clean by itself.  PC may be a neat freak but Mr C isn’t..the guy can leave a trail of debris like a tornado.  Geez.

At least he has his short term memory back.  It was amusing at the time,  because I knew what was going on , but I had a difficult time convincing our friends that he may appear totally lucid he will likely not remember much of the conversation he just had tomorrow. And, sure enough he didn’t. :-)  At least when he would text people he had a written  record of his efforts. which he referred to when he forgot stuff.

I appreciate your kind words in the comments.  Its nice to know some people are still reading this little blog.  I occasionally get these ridiculous thing that happen at work that literally BEGS to be blogged about but as one who is still stinging from the comments of haters ( and still get them on old posts), I think I will just find other things to write about.

Blessings!

 

PC

 

Surgery Centers and Lets make a deal Part II

Filed under: Uncategorized — pharmacychick at 6:01 pm on Saturday, January 24, 2015

Mr Chick survived his surgery.  Of course I knew he would, God is good and is in control.  The doc came out ( who I hadn’t noticed until now was built like a brick #$@&house and  appeared to lift logs as a hobby I think) and said it seemed to be successful and they achieved a “nice decompression of the nerve root”.   I was ready to see him and he said soon, but not right now because ” we gotta wake him up”.

Waking him up can be an issue with Mr C.  He is known as an anesthetic lightweight. Once he had some dental work and the doc gave him two pills to take 1 hour before the procedure.  He was wiped for the rest of the day. No memories what so ever.  Even the dentist was amazed at how  he was.  I brought some humor into the situation when I picked him up ( almost literally) and said ” come on honey, lets go to the Jewelry store…”  The dentist said ” Hide your wallet!!”

Ultimately he did awaken after surgery ( sort of) enough for me to come and sit with him.  If you have ever heard the term “chemo brain” you can understand this.  “anesthesia brain” is the same.  He wavered in and out of lucidity, and asked me the same questions over and over. I didn’t care. I just sat there with my kindle in one hand and his hand holding my other one while he snoozed and then asked his same set of questions. Slowly he awoke enough to accomplish two requirements to leave:  Stand up and pee. I never did go back to the waiting room. They had a special exit for the patients, so I never found out if the guy talking to the TV ever came back out and made peace with the contestants on Lets make a Deal.

Unlike the dental work, THIS anesthesia took a lot longer to work out of him than a couple of hours.  He slept most of the first and second day.  But I got him up every hour for a walk, critical for clot prevention and healing.  He trundled across the house back and forth then back to bed. Id hold him in one place over the potty so he could piddle…his balance wasn’t so hot yet.

He can have very intelligent conversations with people..and remember little to none of it 2 hours later. This morning we went for a walk, our first foray outside and we walked to our little park near our house with a beaver dam in it.  we looked at the dam and walked home.  2 hours later we walked to a different part of the same park to look a the other beaver dam.  He said ” I dreamed about a beaver dam I think”. I said ” no honey, You SAW a beaver dam today”  He said ” I did? when?” and I said ” Today, 2 hours ago when we walked”. He looked at me and said ” we did?”  …Yup, we did. This is post surgery 48 hours.  He is managing on very little oxycodone ( 5 tabs in the last 48 hours) so I am pretty sure that anesthetic isn’t totally out of his brain yet.

Its too early to tell how successful the surgery is in treating the numbness. That can takes weeks to go away. I am optimistic and have faith that all will turn out good.

Time to wake him up and take him for another walk.  I need another beaver dam to show him I guess!

 

Surgery centers–and Lets make a deal! part I

Filed under: Uncategorized — pharmacychick at 6:35 pm on Thursday, January 22, 2015

There was a day many years ago when a person needed a type of surgery, no matter what kind and the experience was more like checking into a medical hotel than a hospital.  One would arrive the night before,  enjoy the evening with a prepared meal, tv, hang around the room and wait for the procedure that would occur the next day.  That day is gone.  I totally get why.  I mean what is the point of having a perfectly healthy person spending the night in a hospital under the tutelage of qualified medical personnel?

The day arrived finally for us to check in for Mr Chicks procedure.  We had been given a list of things to do ahead of time: Fill out this medical survey online ( 30 minutes of agony for Mr C who hates surveys),  sleep on clean sheets, wash body twice with Hibiclens, quit these meds, TAKE these meds,  wear all clean clothes. etc etc.  With the military like precision, we dutifully did all our tasks as to have NO chance of being sent home.

Our arrival time was to be 630 am.  Still dark we arrived just before 630 to find the doors locked, but with a button to hit for the surgery center.  They buzzed us in.  ” Surgery Center”.  That is another concept that has been foreign to me.  The last time I needed surgery ( age 16) I went to a hospital….in an operating room…and spend 3 days there…for a simple knee surgery.  This was going to be a ” day” surgery, something I thought would be reserved for hang nail removal and perhaps toe nail clipping accidents.  No,  they do pretty big stuff as day surgeries now.  Once you are awakened, can pee and fart, out you go. Real operating rooms, real doctors, anesthesiologists, etc!

Ill give them all credit tho, they are as efficient and as professional as any big hospital. If anything, its more personal because there is just a few people there.

They took Mr C away to be prepped and came to get me after about a half hour and I got to see him in his paper dress and blue hair net.  By then he was hooked up to his IV and speaking to the Anesthesiologist…who looked very familiar to me. She sounded just like one of my customers and had the same last name. Turned out to be her sister.  Small world. We told her that Mr C was considered an anesthetic lightweight.   A few minutes later and a shot of versed and Mr C was off in lala land. I left for the wait room with my phone, kindle and a puzzle book.

In one corner of the room was a nice man working on his Mac and on the other side of the room was me with my kindle.  It was so quiet and peaceful with the puffy couches and enough magazines to  keep me busy for hours if I wanted.  About 20 minutes into the wait a couple walked in.  They were obviously of little means, which means nothing in needing health care, but they were heavy smokers and both rather “odd”.  He cared for her deeply as he seemed to like touching her ( and I wondered if I should leave or they should get a room). The problem was the strong odor that came along with them of smoke and alcohol.  If they got the same directions we did about wearing clean clothes and bathing twice in soap, she didn’t do it.  The smoke smell was bothersome to my nose and lungs.  I didn’t want to just get up and move so I pretended to need to use the bathroom and took the key and left.  When I came back I returned the key and looked at the magazines on the OTHER side of the wait room.

Sadly he had found the remote for the one tv in the small space, and was trying to get the TV on. It wasn’t working very well and I was praying ” Thank you god for keeping it off”.  But he finally figured out the remote and ” Lets make a deal ” was filling the room instead of quiet Muzak. Then it got weird when he started talking to the TV and the contestants. He was engrossed in the proceedings on TV, and always seemed to need to move.  Kinda of a twitchy writhey kinds of person. The odor was manageable now that I was about 20 feet away in stead of 5. He wasn’t happy with some of the choices the contestants made and let the TV know.  Thankfully the nurse came out to collect him to go and see his wife/partner. After he left I went over and turned off the TV.  Mr Mac looked at me and said “Oh, THANK YOU!”. I just said ” I work in noise all day every day, its nice to have some quiet”.

I quietly waited for the dr.’s return.

 

 

The Patient Patient III A date in stone

Filed under: Uncategorized — pharmacychick at 12:03 am on Sunday, January 18, 2015

Becoming a patient when we are used to being providers has been quite the experience.  When a prescription that had been promised never arrived at the pharmacy of choice ( mine), we waited a couple of days then checked with the office.  ” no chart notes indicated that a script was supposed to be called in” she said. ” But I’lll check on it…”  Later that day the RX in question eventually arrived at its intended destination.

But…that got me to thinking.  If no chart notes were ever dictated about the rx, were there any chart notes bringing us to a surgery date?? That he was a candidate??  Should I call?

Yup, I should call. So I rang up his assistant and explained the reason for my call. She was very understanding and said she would look into it.  Now I have no idea what happened behind the scenes.  It could very well have been all in the works or it could have been completely forgotten, Ill never know.  What I do know is that 2 days later she called me up and we chose a surgery date.

Jan 22.  So, if you are a follower of my little blog, say a prayer that day that all goes well :-) and that I can start blogging on perhaps more fun topics!

I’m sure that much fun will be written about whatever happens in the paper dress on the 22nd.  Mr Chick is quite the lightweight on anesthesia.  He can be very entertaining whilst on these drugs! Remind me to share about his adventures on Halcion  when he got his crown last year!

 

The patient patient: II Visiting the holy of holies: the surgeon

Filed under: Uncategorized — pharmacychick at 5:19 pm on Thursday, January 8, 2015

One might think that visiting a neurosurgeon ( or any specialist for that matter) is akin to asking for a private audience with the Pope, President or somebody of equal stature and significance.  AND you would be right…at least in the opinion of our insurance company AKA the GATE KEEPER ( insert a deep bow here). We must seek permission ( a referral) in order to see somebody.   We were both grateful that our request to be seen was granted without much delay, but “delay” is relative  because when we called to make an appointment with his Holiness, it was met with ” our first appointment is somewhere in 2017″.

Ok, that is a bit of an exaggeration.  It was 2015. However thru a bit of creative maneuvering ( an intervention of sorts) from our friend Dr PCP, Dr Holiness was able to see us earlier.  Well, NOT HIS exact Holiness, but another Holiness in the same clinic because there were 5 Holinesses and Dr PCP liked one the best but he didn’t want to look at Mr Chicks case. While Mr Chick was quite uncomfortable, he wasn’t totally incapacitated so Dr Holy I  said ” I declare thee not worthy of my time”.  So Holy II accepted our case ( MRI, chart notes etc).

Im going to pause here to reflect on something I found very profound when it comes to health care providing.  Tho I have moved away from speaking of the business of pharmacy, Id like to draw a comparison/contrast of seeing various health care providers. Pharmacists are quite like the great unwashed when it comes to providers…at least in my opinion..based on many years of being one.

When we walked into the surgeons office the first thing I noted with the distinct lack of noise.  It was quiet. You won’t see that in a pharmacy. The woman at the  desk would address me at precisely the moment she wanted to…after she finished her phone call.  There is no rush at the counter, or pushing or shoving and certainly no LINE. The phone rings very quietly in stead of the annoying SHRILL that my 6 lines have. Its very “library”-like.

Doctors offices pretty much know ahead of every day what kind of work load they will face..its on their appointment list….APPOINTMENT list.  THAT is the major difference between what I do and what they do.  I have no idea what is going to happen every day. I am at the mercy of the patient. I have to see and wait on every person what walks up to the counter regardless of what else I am doing or how many prescriptions I already have.  THEY rule not me. And if they don’t  get what they want all they have to do is whine and some middle manager with a white shirt on will make sure I am embarrassed an humbled by my behavior. In a doctors office, the staff rules.  You sit quietly and wait. You don’t get to see the doc until he is ready to see you. And he pretty much minds the time.  If you think that your 30 min appointment is going to be stretched into an hour because you have a hundred questions, good luck with that.  But if some Joe Doe wants to hijack me and agonize over Dayquil or Sudafed for a half hour, God help me. Back to Dr Holy II

Dr Holy II was a very amicable man. Tall and thin, both in stature and hair, he reminded me very much of my first boss. I like to see doctors who have some level of physical fitness and his pictures in the office seemed to indicate he pursues a lot of activities. Once the niceties were over Holy II gave Mr Chick an assessment of his back health and thru various modalities discovered he had a significant reduction in function and strength on his left side from the herniation. He produced the MRI and brought out a skeleton of the back, showing what he’d LIKE to see and what he ACTUALLY saw.   They were miles apart.

In summary, he felt that he was a suitable candidate for what he figures to be a highly successful microdiscetomy.  He feels that the nerve is being damaged  by the compression but is likely salvageable if we get the pressure off before the damage is permanent.  He said this, that, and the next thing about what we need to do over the next several weeks until he can schedule surgery including trying Gabapentin.

He said ” we will e-script in a prescription into your pharmacy of choice”  The pharmacist in me said ” this should be interesting”.

Guess what was never received at the pharmacy?  The E-script.  Mr and Mrs Chick. Just another patient waiting for something that isn’t going to come.We actually had a good laugh as we waited 3 days before we called the office to inquire about the awol rx. The answer wasn’t encouraging:  ” oh, we have no chart notes that any prescription was to be sent”.

Nice.  More to come later :-)

Mr Chick, the patient patient.

Filed under: Uncategorized — pharmacychick at 3:18 pm on Tuesday, January 6, 2015

Sept 20 2014 proved to be the day that the Lord moved us from one path to a detour  not of our choosing.  Whilst doing nothing more than pondering the selection of a pair of trousers from the closet, Mr Chick reported to have been struck by lightning that started at his hip, moved south to his foot and permanently resided there like a barbecue fire.  At that moment, he went from a perfectly well functioning adult to a man who couldn’t stand up, sit down or walk without great discomfort.  About all he could do comfortably was to lie down…and that wasn’t much of an option.

And in that moment, we went from “provider” to “patient”

Being the trooper that he is, he went to work.  How he got there while driving flat was somewhat of an endeavor but he did get there.  He is no slouch, his job requires attendance as obligatory as mine does so ” calling in sick” might as well be grounds for treason or a guillotine. Calling in sick usually requires a death certificate, and that is iffy.  Employees are required to die on their days off and find appropriate replacement coverage.

While neither of us are physicians we are pretty well versed in the human body and we knew he had either herniated or ruptured a disc.  Our first call was to our PCP whom also happened to be our friend.  He said ” MRI” first step.  He also said ” by the way, I am retiring at the end of october and going overseas to do some medical missionary work”.  Well, that wasn’t the best of timing but at this point we didn’t have much we could say about that.

Getting an MRI isn’t just as easy as walking into the imaging center and saying ” Get er done”, unless you plan on paying full price out of your pocket. No,  we  ( being the doctor) had to request a PA.  Then the fun began.  The office sent us via phone to a imaging center near our house….that had closed 2 years ago.  The phone still worked but it re-directed us to its remaining office about 50 minutes away.  We talked with person 1 who said they do appointments on mon, wed and thursdays only.  Then we talked to person 2 who said person 1 was incorrect.  Person 3 said we had to pay a 500.00 “deposit” on  the procedure.  But the insurance said our copay was about $100.00.  One lady at insurance said NO PA required and next person on the line said it was required.  It was frustrating to call and get different answers every time a different person picked up the phone.

An aside:  on a scale of 1-10,  I would rate myself a solid 9 as far as knowledgeable about  insurance and its rules and procedures.  Only an insider in the insurance industry might have a better go at it, but after all these years, I  know the verbiage, the routes and how to say WHAT to get what we need.  Nevertheless….

It took nearly 2 weeks before it was all straightened out–correct information, correct pricing and correct location about 4 miles from the house. It confirmed what we had believed:  Herniated disc right on the sciatic nerve and moderate to severe stenosis.  Ouchie.

Dr PCP said the first step would be to have a cortisone shot injected in to the site to reduce the swelling.  Getting that authorized was about as simple as navigating razor wire buck naked.  You may actually survive it, but you will be shredded in the process. It  took nearly 3 weeks of waiting, a dozen phone calls and actually required a hospital admission ( give me your clothes, here is your paper gown). The doc was very nice, very thorough and said basically ” ya, it may or may not help”.

It was a 5 minute procedure that took about 5 HOURS from  parking lot to parking lot. It was a process nearly identical to getting the MRI. Only this procedure cost us out of pocket about 700.00.  So we are now into it about 800.00 give or take.  We got the itemized bill later ( much later) on.  The “cost” of the triamcinolone injection ( drug only) was 125.00.  I should have bought it from my wholesaler and handed it to the doc…” here, this is same med only you won’t charge me a ten-thousand fold price increase for it”  ( that might have not gone over so well ya think??)

They said it would take 2 weeks before we might see a benefit.

No benefit was seen after 2,3 or 4 weeks.  More to come.. Time to see his holiness the surgeon…

Merry Christmas!

Filed under: Uncategorized — pharmacychick at 12:27 am on Thursday, December 25, 2014

Merry Christmas to everybody!  Its hard to believe that another year has passed.  2014 was  generally a good year for the Chick family.  We brought another dog into the family: a foster that somehow took permanent residence into our home.  I wrote about our blind boy earlier this year.  We played a lot of golf during a year where our area enjoyed some of the best summer weather in years.  We  enjoyed the time we had with each other and despite a hectic work schedule, managed to have a lot of “us” time: something very important to us.

As we look forward to 2015  we have to face a couple of challenges.  Mr chick hurt his back in late september.  We hoped it as just a strain of some sort but it proved to be a bit more involved.  He herniated a disc at the base of his spine.  All the traditional measures were  profound failures, and we moved from “provider” to “patient”.   Its been quite the journey experiencing many of the same frustrations my patients go thru trying to obtain medical care: The primary difference?  I’d like to think we are behaving a bit better than many of my patients often do.

It may make an interesting perspective to blog about since I gave up writing about the business of pharmacy. Its already been nearly comedic in what we have been dealing with, if you all are interested :-)

Blessings to all!

PC

 

The Long Goodbye

Filed under: Uncategorized — pharmacychick at 6:42 pm on Monday, November 3, 2014

Ive been trying to write more in recent days.  The Joy is just not there….the desire, urge, whatever…to put the proverbial pen to paper ( which of course few people do anymore) but in this case, fingers to key board… has been gone.  No will whatsoever to really write my thoughts and place out for the world to see.  I no longer find it interesting to write about my job.

It’s been a good ride and with all rides…eventually they come to an end. This will be that end. I just have run out of interesting things to say and re working or hashing out the same old things seems silly. Obviously I am not alone. The heyday of pharmacy blogging has ebbed tho there are but a few interesting posts that occasionally shows up. I miss Angry and Angriest as only they could weave profanity into poetry. I miss Ole apothecary for his wisdom from the ages. I don’t care about politics very much and because the boards of pharmacy don’t care about pharmacists, doing battle with them is usually fruitless.

When I started to write, I was inspired to write for an audience that I assumed would be fellow pharmacists…those who could relate to what I wrote about…the day to day life of a retail pharmacist.  I was surprised to see that more of my readers came from the non pharmacy variety.. patients, nurses, a few doctors..etc..based on the comments I received.

I’ve written on just about every subject I could think of. I’ve had comments from people who could relate and some from people who totally missed the point and released venom only a rattlesnake could appreciate.  I still get comments filled with hatred about my posts on the oxycontin error made at a different store. The comments descended into a war of words on narcotics use and abuse when that wasn’t the topic. Yet I am trashed to this very day. I also get comments on the post about the Norco rx I got where the person wanted it 14 days early and was mad when I said NO because he felt that paying cash meant he could fill it at will. Clearly any post about a narcotic or controlled substance hits a nerve.  Any other drug in the same situation gets merely a yawn.

Ive been called judgmental and mean by people who think my job is to fill any prescription handed to me, no matter the circumstance. And of course that isn’t the case, legally or ethically.  We have a corresponding responsibility to only fill prescriptions for a legitimate medical use and I could face suspension for failing to do that.

I have been vilified for having an opinion. Apparently pharmacist cannot have an opinion.  we are to be robotic in our demeanor and actions.

Ive been carved a new orifice for not feeling sorry for every train wreck  that comes to my pharmacy.  Apparently being able to say no to an unreasonable request makes me an insensitive a$$hole.

Ive been shocked at the unkindness of strangers who read blogs for the sole purpose of spewing hate anonymously.  After a while I had no more tolerance for their crap and would either not allow their comments or would dish it right back.

Ive also cried with customers who have lost their loved ones after valiant battles with cancer.  Ive sat at the end of a death bed hearing stories about ballroom dancing with a woman whose feet will never touch the floor again. Ive sat in a dark pharmacy long after closing waiting for people also working late so they can pick up their own prescriptions.  Ive had mothers lose their children to cancer and children lose their mothers to the same.  I found Melanoma on the back of one customer who thanks me every year when he gets his flu shot, and called 911 with one hand while a customer on the phone believed he was having a heart attack ( and called ME for some reason…)

Ive made errors…I have caught errors. Ive written about my errors, and written about the errors of others.  Most recently I caught an error where a Dr prescribed Serophene 50mg for a pregnant woman.  Nothing made sense about this prescription and it took a great deal of effort to make the office research it. It was supposed to be Seroquel.  I asked the nurse. “Do you realize the gravity of this error that your nurse practitioner signed off on??”  She only said they picked the wrong drug on a drop down menu. I said ” We have procedures in place for when something like this happens in a pharmacy.  I hope that your office has the same because this could have been a tragedy.”

Ive written about the things I care deeply about and then later wondered about my lack of caring after all these years. I think my lack of caring has made it easier to quit writing because I walk away from work each day not fretting about stuff.  I give 100% of my efforts to doing the right thing in every circumstance even if its not popular. I’ve come to understand that what I do isn’t a popularity contest and doing what is right and legal isn’t always going to make me a star in the eyes of a patient.  Sometimes doing the right thing means somebody has to wait longer so I get an answer from a dr office about a drug interaction, a drug selection, or verifying the legitimacy.

Ive shared my private life with readers. Ive shared the loss of my mother, the death of my pets, my faith challenges, the thrill of the victories and the agonies of my failures. Every day I struggle with my inadequacies, so reading hurtful comments made that worse.

I wrote for my own personal enjoyment and after a while it became more work than fun as I struggled to come up with interesting ideas to write about. I attribute this to being not emotionally attached to my job anymore. Don’t get me wrong…  I care about doing a quality job. I care about doing the best job I can, in fact. I devote a great deal of effort to making sure that my employer gets his money’s worth. What I no longer do is derive emotional support FROM or get emotionally INVOLVED with the activities of the store or its customers.  I am friendly and funny, and happy and all that, because that is precisely what is expected of me. but I am no longer emotionally invested.   I don’t miss it when I am not there, and I don’t feel any special loyalty to the company.  Part of this emptiness can be blamed on emotional exhaustion.  Retail pharmacy can suck the life right out of you, just like the Dementors in Harry Potter… but part of the blame goes to the company itself who has demonstrated over and over that I am merely an expense, a person of no value, to be controlled, manipulated, and monitored.  I am weary. My work is for the Lord. It is only for his Glory that I expend the effort.  I have never wanted applause or accolades, awards or recognition.  Im a total introvert, those things STRESS not impress me. At the end of the day all I want is to have happy customers, accurate work and a clean pharmacy for the next day.  That is it.

And so, after trying ONE more time to post interesting thoughts and being not only disappointed in the quality of the material but the fact I doubt too many people even read me anymore because of the infrequency of the posting, Ive decided to sail off into the virtual universe.

So THANK YOU, for having taken this ride with me.

Blessings to you all.

PC

 

 

And..the opposite of liar liar..

Filed under: Uncategorized — pharmacychick at 10:12 pm on Sunday, November 2, 2014

When you think that all my faith in human nature is broken by liars, cheats, seekers and abusers,  this happens.

And no, oxy guy did not come clean and confess.

Then phone rings and one of my regular customers asks to speak to me.  I get on the phone and she says ” Chick? you remember when you rang me up the other day?”  I replied with  an affirmative answer. She said ” You forgot one”.  She and her friend had about a dozen prescriptions between them.  Two older ladies, friends for many years ( maybe partners, I dunno) but when friend 1  developed early onset dementia, Friend 2 moved in and became her caretaker.  2 manages all of 1’s affairs, house and finances so 1 can stay home in a familiar environment as long as possible.

When we check people out, each prescription  comes with a plethora of paper. We sometimes end up with 3 sheets of paper for each prescription. Therefore with a dozen prescriptions there is a serious stack of paper. Obviously I missed one.  To my credit, most of these ladies’ prescriptions are in the single digits.

This one was not.

” You forgot to scan the Zetia,” she said.  ” $237.00″.  oops.  ” I am going to put a check in the mail and address it to your attention.  I couldn’t  just let that go”.

She didn’t have to do that.  I didn’t know I had forgotten that receipt.  In the pile of papers two receipts stuck together and one got missed.  But she is a honest person and felt it had to be paid. I thanked her profusely.

________

A few weeks ago, I left the grocery store with some toilet paper in the bottom of my cart that I hadn’t paid for.  I walked back in, and asked if I can pay for it at the courtesy counter since I had forgotten. They also thanked me. I also couldn’t ” let it go”.  Once, years ago ( when I was working  in my old independent pharmacy) this guy came in with a bag of peat moss.  The clerk hadn’t rung it up.  I also thanked him for his honesty and he laughed and said ” I’m not going to hell over a bag of dirt”

Maybe it was Karma that she called me.  Then again, we shouldn’t be surprised if people are honest, because that is really what is expected of us.  Sadly in today’s world we are more surprised by honesty than dishonesty.

It made for a good day.

 

Liar Liar pants on fire

Filed under: Uncategorized — pharmacychick at 8:10 am on Saturday, November 1, 2014

Its said that telling the truth is easier than remembering a lie.  That is true in pretty much every aspect of our lives.  Our deepest part of the brain would prefer to tell the truth because its easier. Pretty much every part of our bodies prefer EASY.  The truth is rooted in our unconscious because it actually  happened. The lie has to be manufactured.

We had a prescription filled yesterday for oxycodone 5mg.  The quantity was 60 and the back counted amount was 90.  One part of the label had 60, and the remaining inventory 90 was on another part of the label.  The tech flipped the two and gave the patient 90 and back counted 60.  He realized what he did, but the rx had just been dispensed.  He called and left a generic message at the home of the patient to call back to the store.

About an hour later I received the call.  The patient wanted to know why we called.  I would have preferred to not reveal all my cards so I said we wanted to perform a visual inspection of his medication because we believe an error was made. He wanted to know what kind of error so I said ” a possible miscount —” and before I could verify LONG or SHORT, and with no provocation whatsoever, he blurted out ” There were 90″ and I said ” EXACTLY,  and there were supposed to be only 60, so we would like to have you return—”

He  interrupted again went into total back pedaling mode… “um, I meant 60 I counted them , there were 60″.  I said.  ” You just told me 90 and I didn’t tell you how many I thought there was in there.  I believe you just told me the truth.”

I tend to give people the benefit of the doubt.  but this guy….he was caught in a lie.  His mouth blurted out the truth before he could fabricate the lie. He wasn’t budging tho and started rambling on how he mis spoke, and CERTAINLY he only got 60 and would bring it back to show me.
I said ” I have no doubt that if you bring that bottle to me NOW, it would contain only 60, but you told me you had 90, which is exactly the amount in that bottle  and I didn’t tell you if we were long or short.”  I wasn’t going to get into a war of words.  I had my answer.

I just said “I have to document our conversation, and will do so.  I will notify the doctor of the contents of our conversation and file it with the actual prescription.”

I really hate to be lied to.

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