Back in the day, when I was in pharmacy school we were taught that we were an IMPORTANT PART OF THE SYSTEM. We were to make sure that the pt was not allergic to a new medication(s), the new medication(s) could cause some serious drug to drug interaction – especially a level 1 interaction, or the dose was too HIGH or too LOW! Back in the day, if I was not sure about the pt’s new medication(s) and the three major “don’t go there”. I had my best luck with trying to get the prescriber to make some changes/adjustments to what he/she had prescribed, was to tell the prescriber that the FDA professional literature did not support whatever I had a question about. I found that more prescribers would reconsider their choices. As I matured, I changed my tactics. I would ask the prescriber, if the could help me understand why I shouldn’t be concerned about whatever he/she was prescribing for this pt?
I took the position, that if the prescriber justified his beliefs, I documented that I spoke with the prescriber and prescriber has no interest in changing the pt’s prescription. I would also consult with the pt to my concerns of what the prescriber had written for them and whatever adverse events that they need to be on the lookout for. If things “went off the rails” for the pt. The prescriber and the pt made their own decisions and I had CYA myself.
Below is a email that Dr Ibsen sent me and asked me to share!
Kirsten was fired from her job.
I spent several hours of my time, finagling faxes and emails and FMLA forms.
I am beyond upset about this.
Kirsten has allowed me to share this story
I am sending it to Steve Ariens
For his blog to publish
This is a sickening situation. She came to me for help because her pain was untreated due to her severe inflammatory illness: ankylosing spondylitis.
Her previous doctor would only give her 10 mg of oxycodone four days a day.
At her request, I put her on 15 mg of oxycodone four times a day.
Her most recent prescription the pharmacist refused to Phil saying “I don’t know why she has to come to this Pharmacy”
This was very upsetting and destabilizing for Kirsten.
Eventually, she was fired from her job because of it.
A
Ankylosing spondylitis
P
Because of an interruption in her care, she lost her job. So now we have a person instead of working for a living and supporting her six-year-old daughter she now has to either look for work or take unemployment or file for disability. She was stable until this incident happened with her pharmacist.
I’m not sure what legal options Kirsten has, but I’m suggesting she talked to the insurance commissioner in the state of Montana. I thought it would also be a good idea for her to file a complaint against this pharmacist with the board of pharmacy because the pharmacist got her fired from her job. Whether or not she has a torque case or confined representation that will be up to Kirsten and her legal advisor.
Right now, I can categorically say she’s without work as a single mother because of the actions of her pharmacist.
Kirsten was fired from her job.
I spent several hours of my time, finagling faxes and emails and FMLA forms.
I am beyond upset about this.
Kirsten has allowed me to share this story
I am sending it to Steve Ariens
For his blog to publish
This is a sickening situation. She came to me for help because her pain was untreated due to her severe inflammatory illness: ankylosing spondylitis.
Her previous doctor would only give her 10 mg of oxycodone four days a week.
At her request, I put her on 15 mg of oxycodone four times a day.
Her most recent prescription the pharmacist refused to Phil saying “I don’t know why she has to come to this Pharmacy”
This was very upsetting and destabilizing for Kirsten.
Eventually, she was fired from her job because of it.
A
Ankylosing spondylitis
P
Because of an interruption in her care, she lost her job. So now we have a person instead of working for a living and supporting her six-year-old daughter she now has to either look for work or take unemployment or file for disability. She was stable until this incident happened with her pharmacist.
I’m not sure what legal options Kirsten has, but I’m suggesting she talked to the insurance commissioner in the state of Montana. I thought it would also be a good idea for her to file a complaint against this pharmacist with the board of pharmacy because the pharmacist got her fired from her job. Whether or not she has a torque case or confined representation that will be up to Kirsten and her legal advisor.
Right now, I can categorically say she’s without work as a single mother because of the actions of her pharmacist.
Filed under: General Problems
Interesting that I have the answer to end this type of attack, but people just aren’t interested in learning it. http://www.doctorsofcourage.org
That’s just asinine. Their statement appears to have been deliberately crafted in such a way that it isn’t directly accusatory of any specific action, yet still conveys the point that the pharmacist infers some type of suspicion clearly enough. We have reached a new low when they’ve found a way to get by with a refusal to fill without making any direct claim. Utterly reprehensible chickensh*t.
I’ve been disabled for awhile now. Once upon a time between my disability and a sweet little part time job I had I was doing alright. Then when I got cold cut I couldn’t do my job anymore and basically lost everything I had.