But I’m Just a Tech!!

Pharmacy Shenanigans from the Technician’s point of view.

Rude person of the month

Filed under: Uncategorized — justatech at 10:45 pm on Friday, October 12, 2007

Well… this tops it. For the length of time I have been in the pharmacy business, today we had the rudest person EVER. A very well dressed, older couple approached the counter while I was holding with an insurance company. I said that someone would be right over with them, and the pharmacist was, indeed with them in a short period of time.

Their situation? They were traveling and hubby was running out of his medication. They’re from the good old U. S of A. and they neglected to bring a proper amount of medication with them. They handed over a few bottles with labels on them to the pharmacist. Diovan and Metoprolol. One from a pharmacy inOttawa, dated from weeks ago for a very short supply and another from a pharmacy in the same province we are in, but prescribed by a pharmacist for 20 days worth of medication. This obviously means the people have known for probably close to three weeks that they should perhaps try to find a doctor to reissue a precription.

First things first. Yes, a pharmacist can help out by extending prescriptions or giving emergency supply medication. For people we know… or for people whom we can get documented rxs written by a physician.

Since these people are from New York.. we can’t help by extending the rxs, especially since they have been extended once already by another kind pharmacist. So, the pharmacist gets on the phone to the pharmacy in Ottawa that filled the rx three weeks ago. She gets the number of the physician who prescribed it. Then she calls the doctor to try to get a further extension on the rx. And is put on hold. He is gone for the weekend, it seems. Of course, they are 3 hours ahead of us. The receptionist jumped through some hoops to try to get another doctor to give an rx, but since no body knows who these people are, of course we don’t get one. I think finally the receptionist must have paged the doctor and he got on the phone. He has NO clue what we are talking about… he is an orthopedic surgeon.. why the hell would he have written an rx for a “heart medication” for a total stranger??? Dead end!!

Meanwhile the couple is leaning on the counter (blocking our entire drop off window)speaking in some foreign language.. I hear some German (which I speak) so I was trying to eavesdrop to see if I could figure out what they are saying. No luck, as only a word or two was German… maybe it was Yiddish?? Africaans? I don’t know. But in any case, I was asked to call a local Doctor’s office and try to get an appointment for this couple for today. It’s tough enough to get an appointment with your OWN physician in this city within a month or two, let alone getting an appointment for strangers for the same day. After waiting on hold for about 10 minutes, I finally speak to someone who says the doctor could see the person tomorrow.

We suggest to the couple that they could take one of these appointments, or make a stop at one of the local walk in clinics to get a new rx for their medications. They say they already have to go on Monday.. but they only have one pill left. We reiterate that they can see the nice doctor down the street tomorrow… but they don’t want to go there. They will go Monday.. but they still have to find a doctor to see. They are vehement that they have had to do so more than once on this trip, and every time they do, they have to pay 100-300 bucks for the office visit. Well… if you had had some foresight, and brought enough medication with you… this wouldn’t have happened!!!

Meanwhile we have filled a prescription for this couple’s friend/relative who has just been to a dentist for some obviously major work. She is from Toronto. This couple obviously gets around. If you have enough money to be traveling many many miles across the entire country of Canada…. having a few dollars to see a doctor shouldn’t be a problem. The pharmacist has now suggested that they DO go to the medicenter, at which point Papa nods and walks away. No “thanks for your time” “I appreciate what you have done” nothing.

Meanwhile Mama is wandering around the store calling for Papa, in the loudest possible voice. They reunite not far from the pick up window, and they come back to the pharmacist and Mama starts yelling about how we are not helping them. “what if Papa has a heart attack. It will be YOUR fault!! He is a sick sick man and you need to give him some medicine!!” Wait…. it’s OUR fault if Papa is sick? If he is so damned sick… stay home! If he is SO DAMNED SICK.. go to the hospital… or a doctor… cost shouldn’t be an issue. Why the hell would someone who could fall down and have a heart attack on the spot because they miss ONE day’s worth diovan and metoprolol, not go the hell back home when they found out instead of wandering around the whole country?

As I think I said in an earlier blog entry, I understand things can go wrong and you can neglect to take enough medication with you when you travel under extenuation circumstances. We bent over backwards for these people.. making multiple long distance phone calls ( one of which was at LEAST 1/2 hour long) and trying to get an appointment with a local doctor for them. T0 be yelled at, and berated and BLAMED for their problem which we gave them multiple avenues to solve.. what did we get?? A kick in the proverbial nuts.


5 Comments »

230

Comment by Pharmacy God

October 13, 2007 @ 3:23 am

Did they ask you to give them a few pills for free?

Several years ago I had a customer from California who had run out of her pills. It was a Saturday afternoon. She brought in her bottles and all of them said “No Refill”. I said that I could spot her a couple days worth of pills and call her doctor on Monday.

She said that she was flying back the next day, so I asked her if she just wanted to buy enough to get home. She became angry at that suggestion. How dare I charge her for the pills. She could die if she doesn’t get her pills.

By the way, my acquisition cost on those few pills was over fifty dollars. Sure b!tch, I’m gonna give you 50 bucks because of your irresponsibility.

232

Comment by Anonymous

October 13, 2007 @ 5:22 am

Just so you know, missing a day or two of metoprolol can be bad. You are not supposed to abruptly withdrawal from any beta-blocker as it can lead to reflex tachycardia and rebound hypertension. Just so you know and maybe next time, you can spot him a pill, it doesn’t cost that much.

236

Comment by justatech

October 13, 2007 @ 6:37 pm

Pharmacy God,

They were willing to pay for the medication, but after we practically jumped through hoops to get these people a legitimate prescription, and offered them several legitimate ways of getting a doctor’s appointment, they still refused to go about things the “right” way.

Anon,

Ultimately it was the pharmacist’s decision as to whether to allow this person to have the medication or not. As a technician, I don’t know all (or even any) the ins and outs of the meds, but I appreciate you giving me more information on what could happen to someone in the situation.

The whole issue wasn’t about the cost. Not one bit.
The fact that the couple had already been given a prescription for a 20 days supply of medication from another pharmacist shows that these people probably would have done the same thing to us.. taken the drugs and run, hoping to find another kind pharmacist down the road, and not going to a doctor as would have been appropriate in the situation.

237

Comment by pharmgal

October 13, 2007 @ 11:47 pm

on behalf of the USA, I apologize, LOL (I didn’t realize you were from Canada). I understand how frustrating it can be. Just remember…these people were from the north part of the country. I would hope that a “southern” friend would have enough manners to know not to act this way…haha (i’m from the South).

People will take advantage of you if you let them. You went out of your way to provide this couple several alternatives for getting their medication. While it could be dangerous to abruptly stop a beta-blocker, as stated above, I don’t feel that it’s your fault that he forgot his med and you should HAVE to “spot” him a couple of pills. And what if pharmacists everywhere kept spotting him all these pills - he could end up having a heart attack anyways because perhaps his blood pressure isn’t controlled but he wouldn’t know that because he won’t go to the freakin doctor to get a new script. But I digress…. At some point people have to take responsibility for their own health (I think I say that every day at work!). It’s the principle of the matter. And I like to be hard-core, especially with rude people.

240

Comment by The Ole' Apothecary

October 14, 2007 @ 12:06 pm

I think I can say that very few people understand the concept of pharmacy patient care. If any truth has emerged in recent years, it is that pharmacy care goes beyond the drug. Pharmacy care includes the process of evaluating drug therapy. The general public doesn’t give an airborne intercourse about pharmacy care. The general public cares only about the tablets, capsules, liquids, patches, inhalers, drops, and other drug delivery systems they know are on our shelves and believe that their possession of these are the only things important. The infrastructur of pharmacy care suddenly appears to them when they seek refills, but they cannot see it, nor do they recognize it. If you accept this, then you can understand why they are rude. It takes a special patient to appreciate the pharmacist’s role in healthcare. I haven’t seen more than one handful of such people in the decades I’ve been in practice.

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