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Archive for March, 2010

I’m toiling away at work and I see a prescription that is commonly used for chlamydia and gonorrhea infections. I snicker a little (yes, I’m still an immature jerk about these things), but I obviously remain professional about it. Then I see the name on the script. Something about it rang a bell.

It was for the SAME GUY WITH CHLAMYDIA IN THE ASS 3 WEEKS AGO.

This time the doc wasn’t as detailed about the diagnosis, but still wrote a vague description of “STD exposure” on the script. Seriously dude? Either he’s sleeping with all the wrong people, or he clearly didn’t learn his lesson from 3 weeks ago.  Needless to say, this is a case where the saying “If at first you don’t succeed, try try again” does NOT apply.

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A guy brings in two prescriptions for a 7 month old baby. They’re both for antibiotics. My technician takes in the scripts, and we go about filling them like usual. Then I noticed that the two antibiotics are pretty similar, which means that I could be giving the poor baby a double dose of antibiotics when it wasn’t necessary, so being a good ol’ pharmacist, I asked the guy about them.

Me: Sir, these are two very similar antibiotics…did the doctor give you specific instructions on how to give your son these antibiotics? Are you supposed to give them both at the same time, or are you supposed to finish one and then give him the other?
Mr. Clueless: I don’t know…
Me: Uh..ok, so how did you have two prescriptions to begin with?
Mr. Clueless: Um…one was from last week, and the other one was from when we took him to the doctor 2 days ago
Me: *I check the scripts…sure enough, one is dated from 2 days ago, but unfortunately the other one is missing a written date, so I have no idea when it was actually written* Ooook….so is there a reason that the one from last week wasn’t filled before taking him to the doctor again?
Mr. Clueless: I don’t know, my wife took our son last week and then we went again a few days ago

Clearly this guy doesn’t seem to know what’s going on, so I decide to call the doctor just to double check. Because dammit, when a 7 month old baby is involved, I’m not going to take any chances. I get the doctor on the line, and the following conversation happened:

Me: Hi Dr. Pediatrician, I’m calling from BigPharm Pharmacy, and I just wanted to verify a few prescriptions for patient Baby Clueless.
Dr. Pediatrician: Sure thing, what are the prescriptions for?
Me: Well, one’s for amoxicillin and the other’s for cefdinir…both are pretty similar to each other, so I just wanted to double check to see if you wanted Baby Clueless to take them both concurrently, or if you wanted him to have one, and then start the other.
Dr. Pediatrician: …wait, I signed for both of those?
Me: Yup, both have your signature and your name printed on them.
Dr. Pediatrician: …I wrote both of those??

Even the doctor was perplexed as to why she’d write two scripts of similar antibiotics. I explained further…

Me: Well, Mr. Clueless brought in the scripts, and he says one was written last week, and the other was written 2 days ago. I see the cefdinir was written two days ago, but script for amoxicillin didn’t have a date written on it, and I don’t know why it wasn’t filled to begin with…

And that’s when I could practically FEEL the “Are you f*ckin’ kidding me” moment:

Dr. Pediatrician: OHHH…(in a sarcastic tone) uh, maybe THAT’S why the baby didn’t get better. That’s kiiind of a small detail they left out when they brought the baby in again this week. They never filled the amoxicillin?
Me: Nope.
Dr. Pediatrician: Maybe if they had just given the baby the medicine that I wrote for last week, they wouldn’t have had to bring in the baby AGAIN this week complaining that he didn’t get better, huh?
Me: Yuuuup…looks like it.
Dr. Pediatrician: Ugh…yeah, just cancel the amoxicillin. We’ll stick with the cefdinir.
Me: Will do, thanks Dr. Pediatrician!

Mr. and Mrs. Clueless let their baby go on with an infection for over a week with NO treatment, even though they had a perfectly good prescription to use for it. And when the baby didn’t magically get better, they decided to take the kid to the doctor AGAIN, instead of just filling the freakin’ prescription. Modern medicine may be able to cure infections, but it clearly doesn’t cure a lack of parenting skills.

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A prescription came my way, and it was for a very distinct dose of an antibiotic. It’s distinct because it’s always used for chlamydia (or sometimes gonorrhea)…either way, if I see it, I know some poor soul has a burn goin’ on down south. 😛 And typically, the doctor would simply write “Azithromycin 500 mg tablets, 2 po x1 dose”, which is medical code for “Azithromycin 500 mg tablets, take 2 tablets by mouth for 1 dose”…in which to the medically trained, it’s almost like a secret code that says “HELP ME IT BURNS.” To this day, I’m still an immature jerk about it and every time I see this particular prescription, I silently snicker a bit, but I do my job, make sure the medication reaches the poor patient with the firecrotch, and let them be on their way.  However, this time around, it looks like the doctor decided to add WAY more information that I’m used to seeing, because I had to do a double take when I saw the following written on the prescription:

“For chlamydial infection of rectum and anus.”

AND it was for a dude. I got WAY more information than I bargained for on that one.

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