Two weeks ago, when The Dormouse was throwing up her toenails, I got an anti-nausea prescription from the pediatrician. It was a nightmare getting it filled because I went to FIVE (5) pharmacies, who all said, "Oh we don't have that in stock. We can order it though; it'll be here in about three days."
It's not like any of them didn't have the actual med, it was just that the pediatrician had prescribed it in suspension form and they, I guess, didn't have the form of the medication that would mix in a suspension.
The last pharmacy I went to was Target - which was also the largest. When they didn't have the suspension form in stock, and I could see the box of pills on the shelf behind them, I was exasperated. "Look, can you call the pediatrician and see if it's possible for her take the pill? Since the whole point of taking this med is to get something to stay in her stomach today before we have to go to the ER for IV fluids tonight, I'd really like to not have to wait three days to get it filled." Then the pharmacist there suggested I go to each and every pharmacy I'd already been to:
Pharmacist: "How about CVS?"
Me: "I've been there; they don't have it."
Pharmacist: "Or Rite-Aid."
Me: "They don't have it either."
Pharmacist: "Medicine Shop?"
Me: "Nope."
Pharmacist: "Costco?"
Me: "Yes, I went there too. Like I said, I've been to FIVE pharmacies and no one has it. You're the biggest one in the area and if you don't have it, I'm pretty sure just driving around to other random pharmacies isn't going to yield any success either. She's old enough to take a pill so would you please call the pediatrician and see if he'll allow her to take the pill instead so I don't have to end up in the ER with her when a simple pill might keep her away?"
Pharmacist: *heavy sigh, stomps off to the phone and dials the number*
Woman in line behind me: "They HATE to call the doctors here. You go girl, make them work!"
After another discussion on the phone wherein the doctor asked to speak with me because apparently the pharmacist said "Zoloft" instead of "Zofron" on the phone and he couldn't figure out why the mother was asking for an anti-depressant instead of an anit-nausea med, everything got cleared up and we got sixty (60!!) doses of some sublingual equivalent of Zofron. They didn't have the entire sixty pills, so they filled thirty and told me to come back later and pick up the other half. I got home, stuck one pill in The Dormouse's mouth and fifteen minutes later, she was able to keep down the pedialyte and tylenol we'd been poking into her gob for two days only to watch her throw it back up again. So, needless to say, I didn't really make the effort to go back for the other thirty pills.
/background
Now, fast forward to this week when I hurt my back. Don't know how; I just got out of bed one morning last week feeling fine and then twenty minutes later while walking through the kitchen, I stepped down and pain shot up my leg like an exploding firecracker. The rest of the day, I couldn't stand up straight and I went to work looking like a question mark. My colleagues finally tired of working with Quasimodo and pretty much pushed me out the door to see their chiropractor across the street (we should just pay that woman a bulk fee and have her come to the office). I'm not really a chiropractor person, but I bow to public opinion way too often so I went over there. She got me standing up straight again, which was nice, but the damage to my back muscles had been done and three days later, I still felt like I would rather stick a fork in my eye than bend over.
I finally realized I had a prescription for tylenol+codeine that still had a refill on it hanging around the house leftover from some other purpose, so I asked The KoH to go to a pharmacy to get that filled. He chose Target, got the meds and left them on the kitchen counter when he came home. When I went in a little later to find my precious, precious painkillers, all I found was a filled prescription for The Dormouse.
"Didn't you get my codeine?" I yelled from the kitchen.
"It's right there on the counter," he yelled from the living room.
"No, it's not."
"It's the red and white bag."
"The only thing here is the other half of The Dormouse's prescription."
"I didn't get anything for The Dormouse; it's RIGHT THERE."
"No, this is the other half of The Dormouse's prescription from last week."
"No, it's yours."
This when on in a very Who's on first? style until I finally opened the bag with The Dormouse's name on it and looked closely at the bottle with The Dormouse's name on it. It was my prescription for codeine, but they'd accidentally put her name on it instead of mine.
...!!
This is a huge mistake. If we had not been paying attention, it would have been very easy to accidentally dose our little forty-two pound girl with codeine prescribed for... let's just say a more than forty-two pound adult woman -- especially, if The Dormouse was still taking the other medication. I keep meaning to go back to the pharmacy and show them their mistake, or report them to the American Pharmaceuticals Association, but given that we're all sick in one way or another, I haven't really gotten out of the house to do this. I will though.
I'm not really even sure why I'm writing about this now except for the fact that yesterday the balance of the original prescription was delivered here by UPS -- apparently because I didn't pick it up -- and it reminded me of the whole fiasco.
I just want to offer these words of advice to whomever might be reading: know what your doctor is prescribing and check it once it's filled. Most, if not all, pharmacies include in the printed information that comes with each prescription a written description of what the pill/medication should look like. Make sure it matches what's in the bottle; don't just take the pharmacy's word that what's written on the outside of the bottle is what they put in the bottle. It seems to me that it's very easy to make a small mistake while filling a prescription that could have drastic consequences, just ask Dennis Quaid. Add to that, the problem we have in my neighborhood where 90% of the pharmacists only have the smallest grasp on the English language and it just makes sense to take some responsibility for managing your own health care.
The End
It's not like any of them didn't have the actual med, it was just that the pediatrician had prescribed it in suspension form and they, I guess, didn't have the form of the medication that would mix in a suspension.
The last pharmacy I went to was Target - which was also the largest. When they didn't have the suspension form in stock, and I could see the box of pills on the shelf behind them, I was exasperated. "Look, can you call the pediatrician and see if it's possible for her take the pill? Since the whole point of taking this med is to get something to stay in her stomach today before we have to go to the ER for IV fluids tonight, I'd really like to not have to wait three days to get it filled." Then the pharmacist there suggested I go to each and every pharmacy I'd already been to:
Pharmacist: "How about CVS?"
Me: "I've been there; they don't have it."
Pharmacist: "Or Rite-Aid."
Me: "They don't have it either."
Pharmacist: "Medicine Shop?"
Me: "Nope."
Pharmacist: "Costco?"
Me: "Yes, I went there too. Like I said, I've been to FIVE pharmacies and no one has it. You're the biggest one in the area and if you don't have it, I'm pretty sure just driving around to other random pharmacies isn't going to yield any success either. She's old enough to take a pill so would you please call the pediatrician and see if he'll allow her to take the pill instead so I don't have to end up in the ER with her when a simple pill might keep her away?"
Pharmacist: *heavy sigh, stomps off to the phone and dials the number*
Woman in line behind me: "They HATE to call the doctors here. You go girl, make them work!"
After another discussion on the phone wherein the doctor asked to speak with me because apparently the pharmacist said "Zoloft" instead of "Zofron" on the phone and he couldn't figure out why the mother was asking for an anti-depressant instead of an anit-nausea med, everything got cleared up and we got sixty (60!!) doses of some sublingual equivalent of Zofron. They didn't have the entire sixty pills, so they filled thirty and told me to come back later and pick up the other half. I got home, stuck one pill in The Dormouse's mouth and fifteen minutes later, she was able to keep down the pedialyte and tylenol we'd been poking into her gob for two days only to watch her throw it back up again. So, needless to say, I didn't really make the effort to go back for the other thirty pills.
/background
Now, fast forward to this week when I hurt my back. Don't know how; I just got out of bed one morning last week feeling fine and then twenty minutes later while walking through the kitchen, I stepped down and pain shot up my leg like an exploding firecracker. The rest of the day, I couldn't stand up straight and I went to work looking like a question mark. My colleagues finally tired of working with Quasimodo and pretty much pushed me out the door to see their chiropractor across the street (we should just pay that woman a bulk fee and have her come to the office). I'm not really a chiropractor person, but I bow to public opinion way too often so I went over there. She got me standing up straight again, which was nice, but the damage to my back muscles had been done and three days later, I still felt like I would rather stick a fork in my eye than bend over.
I finally realized I had a prescription for tylenol+codeine that still had a refill on it hanging around the house leftover from some other purpose, so I asked The KoH to go to a pharmacy to get that filled. He chose Target, got the meds and left them on the kitchen counter when he came home. When I went in a little later to find my precious, precious painkillers, all I found was a filled prescription for The Dormouse.
"Didn't you get my codeine?" I yelled from the kitchen.
"It's right there on the counter," he yelled from the living room.
"No, it's not."
"It's the red and white bag."
"The only thing here is the other half of The Dormouse's prescription."
"I didn't get anything for The Dormouse; it's RIGHT THERE."
"No, this is the other half of The Dormouse's prescription from last week."
"No, it's yours."
This when on in a very Who's on first? style until I finally opened the bag with The Dormouse's name on it and looked closely at the bottle with The Dormouse's name on it. It was my prescription for codeine, but they'd accidentally put her name on it instead of mine.
...!!
This is a huge mistake. If we had not been paying attention, it would have been very easy to accidentally dose our little forty-two pound girl with codeine prescribed for... let's just say a more than forty-two pound adult woman -- especially, if The Dormouse was still taking the other medication. I keep meaning to go back to the pharmacy and show them their mistake, or report them to the American Pharmaceuticals Association, but given that we're all sick in one way or another, I haven't really gotten out of the house to do this. I will though.
I'm not really even sure why I'm writing about this now except for the fact that yesterday the balance of the original prescription was delivered here by UPS -- apparently because I didn't pick it up -- and it reminded me of the whole fiasco.
I just want to offer these words of advice to whomever might be reading: know what your doctor is prescribing and check it once it's filled. Most, if not all, pharmacies include in the printed information that comes with each prescription a written description of what the pill/medication should look like. Make sure it matches what's in the bottle; don't just take the pharmacy's word that what's written on the outside of the bottle is what they put in the bottle. It seems to me that it's very easy to make a small mistake while filling a prescription that could have drastic consequences, just ask Dennis Quaid. Add to that, the problem we have in my neighborhood where 90% of the pharmacists only have the smallest grasp on the English language and it just makes sense to take some responsibility for managing your own health care.
The End
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October 19, 2008 at 3:46 PM
Ugh. I would be livid if/when that happens to me. I don't care how sick I'd be, I'd march back down to those irresponsible twerps and let them have it... making sure they knew full well that mistake could have KILLED somebody. And of course I would report them too.
In aviation, whenever a pilot requests his/her aircraft to be fueled up by the FBO fuel truck (i.e. having someone else come fuel your aircraft for you), we are reminded time and again to never assume that the fuel truck guy filled your aircraft up as requested, or with the right fuel type, or that s/he replaced the fuel caps, etc.
But time and again, some pilots just assume that it was done correctly. They take off and end up having some kind of fuel exhaustion/fuel starvation emergency. And in the worst cases, people get killed.
Your situation is no different. That pharmacy could kill somebody with their inability to pay attention to detail.
You are correct in your advice: NEVER ASSUME ANYTHING!
October 19, 2008 at 3:48 PM
(Of course, I forgot to add: never assume, and double-check other people's work before trusting that they did what they said or should have done... i.e. when it comes to fueling an aircraft, taking medication, etc.)
October 19, 2008 at 7:11 PM
I remember when grandpa used to do woodwork he always said, "measure twice, cut once." I guess the same principle applies to other industries as well... :)
October 19, 2008 at 9:12 PM
Ahh! So many reasons to put our trust, not to mention our lives in our health care system. Sorry you had such and ordeal.
October 19, 2008 at 9:45 PM
My addendum to the make sure you double check the pharmacy's work is to make sure you check the label on the bottle before giving it to your kid. We had a scare when some prescription cough medicine (which had codine in it) was in an identical bottle to some of my baby's medicine. We gave him the wrong one by accident. Fortunately, everything was fine and they amount he got was so minimal it didn't affect him at all, but after emergency calls to the pediatrician and poison control, there were two VERY worried parents!
October 20, 2008 at 6:58 AM
@chefsara: One thing that Target does do that I haven't seen at any other pharmacy, I think is a work of genius. They assign a different colored ring to each family member in your account. The ring goes around the neck of the prescription bottle once it's filled. The Dormouse's color is purple, mine is yellow, etc.
That way if there are identical looking bottles in the house, they can be more easily identified by the parents (however, I still say, don't assume anything: read the label). Even if you don't go to a Target pharmacy (and I obviously won't be going to this one again), it seems it would be really easy to employ that technique in your own house with colored key markers or something. One more safeguard in keeping medications straight among different members of your family, couldn't hurt.
Interestingly, in our case, they put the correct color ring on the bottle (yellow for me) but the wrong name on the label. I just happened to see the mistake on the label before noticing there even was a color on the bottle.