Sunday, November 23, 2008

Are You Leaving The Pharmacy With YOUR Meds?

This post may open the eyes of many patients that must visit the Pharmacy often, picking up prescribed medications for pain, or other illnesses. Many of us just run in or drive through, pick them up, pay, and leave.

When you pay for those medications, and leave the pharmacy, you are now responsible for what is in your bag. How do you really know that your meds are in that already closed and stapled bag? Have any of you ever gone home to find that not only are the wrong medications in the bag, but there may be an indiscriminate amount of the meds that are yours; but not the amount, or dosage your doctor prescribed.


Also to look for on the bottle are the main things that the Pharmacy has the responsibility to fulfill, and these are the things that they check to make sure that the correct dosage has been prescribed and filled, the correct amount filled, to the correct person, by your doctor, with their name on the bottle, their phone number, your phone number, and your address.

Yes, this seems like double checking what the Pharmacist has already double checked. They usually fill meds automatically with a computer-only ability to access certain schedules of medications. Then, they count the meds by hand, for the double check. We all know how busy most Pharmacies are, and considering all the different people they fill for, all the range of meds they must work with, and all under a certain amount of time, when requested prescriptions come in from the doctors office, that is a lot of work. As in any job, there are mistakes to be made, hopefully inadvertently.

I am no way putting down Pharmacies, I respect very highly what they all do there, whether the Pharmacist, the pharmacy Technicians, or the cashier, who is usually one of the above two. I just know, from a great Pharmacist friend, that they are usually over worked, and there are many times they are either short an actual Pharmacist, putting the one left there to fill all the scripts, putting more pressure on them. Some companies, especially the bigger ones, may need to call in a Pharmacist that is a fill-in, and who is not familiar with the store, where everything is, does not know the regular patients, and may be either over-worked, or over the top on who you really are when you pick up your meds.

I have always found it very disturbing that basically anyone can go in, say they are picking up for "Joe Smith", and receive Joe Smith's meds without showing ID, and here we run into a problem that is not easily rectified. What if Joe Smith just had surgery and literally cannot pick up his own meds, and sends his family members, or a friend to pick up his meds. There are people who are in such pain when meds are due and ready, that they must send someone else to pick them up. This is a situation that I find no answer to. But if someone is hanging around the Pharmacy, hears the patient at the counter leave their scripts, enough is usually talked about between the staff and the patient to alert that person that a script or 2 will be ready to be picked up in an hour or so. When the time comes for pickup, that person could easily go to the counter, say they are picking up for ''Joe Smith", and usually no questions are asked, unless the patient had made a point of telling the staff that they will be picking them up, waiting for them, or shopping in the store while they wait for the meds to be ready. What about "Joe Smith's" meds that were turned in by someone, and the person hanging around in a waiting chair hears enough to be interested in the meds, he/she can then go to the counter, say they are picking up for 'Joe', and basically pay and walk out with someone else's medications. HIPPA rules and regs say the privacy of patients comes first, but I have never heard low voices used when a Tech asks for your phone number, address, etc., which can be easily written down and used by the false person who then picks up 'Joes' meds for 'him'.


To save yourself the problem of taking home either someone else's meds, or ending up with a short amount of your own meds, there is a solution. As 'silly' as it may sound, or look to others waiting in line, remember they are not the ones to worry about here in this situation. These are your meds, your lifeline to be able to lead a life of some sort, and those that have to pay the full price amount, will not feel shortchanged.

When the Pharmacist or Pharmacy Technician, brings your already stapled bags to you upon check out, do we really know what exactly is in those closed bags? Remember, as soon as you leave the Pharmacy, they do not know if you have reached in and scooped out some, then gone back and complained that the full amount was not there.

I am not saying that you need to count out every single medication. To do that properly, you need the little blue counter that they use to hand count your meds, and then pour them in the bottle. You can not pour them out on the counter, (unsanitary), or try to count them while in the bottle, but if you have been taking the same meds for a long time, it is quite easy to eyeball the amount dispensed.

I am suggesting that you: Open the stapled bag and look at the label, make sure that you check that it is prescribed to you, it is the right medication, the right dosage, the right amount, and the right price. After that check in front of the Pharmacy Tech or Pharmacist, you have made sure that you are getting YOUR meds! If you can make this fill on a Monday through Friday, (I know that is not always possible), at least if there is any problem, the Pharmacy can call your doctor then and there for you, if there are any discrepancies.

This is just one more bag unstapled in our lives of the many stapled bags that will liberate us, and allow us, the patient; to have full control over a most important part of our pain or illness therapies.

Gentle Hugs to all....





"The Only Constant in Life....is Change."

Monday, November 17, 2008

Guest Blogger Rosalind Joffe Today

Here is the Guest Post from Rosalind Joffe, THE resource for Professionals with Chronic Illness! She writes about the subject of: How people of different age groups respond to the news of a life before them, living with Chronic Illness. This is fantastic information, and is found in her Book; Women Work and Autoimmune Disease: Keep Working Girlfriend.


Rosalind writes:



How do people respond to living with a disease that is unstable and chronic? Swedish researchers (on young people with juvenile rheumatoid arthritis) found that it takes them time to digest this news and get used to it. It “…. involves complex challenges on coping strategies and adjustment processes”.

I have a hunch that if you’re reading this blog, this isn’t news to you. I’ve seen - - from my own experience, that of my clients and the people whom I interviewed for the book, Women Work and Autoimmune Disease: Keep Working Girlfriend!, -- that how you respond to disease diagnosis is strongly influenced by other life events, such as your job/career and your personal life.


As I described in my book, people who live with illness from a young age (childhood through the teen years) usually respond in one of two ways: either they over correct by severely limiting their hopes and expectations or they draw strength from the experience and clarity about what they are capable of so they can make realistic life and career plans that are likely to succeed.


On the other hand, when disease hits in early adulthood, typically you have completed your training and are building your career. These are also, for women, the prime years for childbearing and raising a family. When you’re adjusting to a new diagnosis or disease symptoms, you generally don’t have much “wiggle room” to explore other options. Too often, balancing family and career doesn’t leave energy, time nor the money to re-tool your career to adjust to your health needs.


Finally, in the middle years, (ages 40 – 55) disease onset can be emotionally tough. You’ve created a life around being a healthy person. You need time to integrate this new information. Most people are usually sufficiently well established in their personal lives and careers and make adjustments without tremendous upheaval. Their children are older and not as physically demanding, marriages are more durable and they’ve built a track record in their career that allows them to step back with more flexibility.


Developing unpredictable and chronic disease isn’t easy at any stage in life, regardless of whatever else you’re dealing with. One thing, however, is for certain. Nothing can prepare you for living with chronic illness. And no matter when onset occurs, you’re going to need time to adjust to this as being a part, although not all, of your life.


Written by: Rosalind Joffe, co-author of Women Work and Autoimmune Disease: Keep Working, Girlfriend! is president of cicoach.com http://cicoach.com a resource for professionals with chronic illness. She is also a chronic illness career coach and a blogger, WorkingWithChronicIllness.com http://workingwithchronicillnness.com.

Saturday, November 8, 2008

Guest Blogger Rosalind Joffe on Nov. 17th!!

I am more than excited to announce that Rosalind Joffe, The Chronic
Illness Coach, and THE resource for Professionals with Chronic Illnesses, will be a Guest Blogger here on Monday, Nov. 17, 2008. A great way to start the week!!


Her "Women, Work, and Autoimmune Disease: Keep Working, Girlfriend" virtual book tour has begun, and she will be a Guest Blogger on other fantastic disability/ hidden illnesses/ pain blogs in the month of November.


Please stop by on Monday, Nov. 17th, and read Rosalind's guest writings on my Blog. I have never had a guest Blogger so I am very happy about her being here!!


Below is Rosalind's information. Her website is full of information, and you can sign up for her wonderful posts. Hope to see you here on the 17th!!


I wish you a low or no pain day....

Shauna


Rosalind Joffe
http://www.cicoach.com
The resource for professionals living with Chronic Illness
Rosalind@cicoach.com
617.969.1930
Visit our blog at http://www.WorkingWithChronicIllness.com



"The Only Constant in Life....is Change."