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Medical Forum / Diseases and Disorders / Arthritis / January 2005

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I am grouchy!!

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RoseB - 05 Jan 2005 06:36 GMT
At the end of today's staff meeting, as I tried to stand, my hip "gave
out" and I was not able to weight bear for several minutes on that
side. Most of the people left but my good friend and colleague had to
help me until I was able to walk.  This is not a great thing to happen
to someone who does not like people to see her in pain.

I am still having pain in the area, and am not sure how well i will be
able to walk in the morning.  This is my prosthesis, that is now 22
years old, and is loosening. I do have an appointment with the surgeon
again next month, and no there is nothing I can do to bring that
appointment forward.

After I got things going again, I went to the pharmacy to see how
things were progressing with my remicade. It was not in. There was
some sort of a garbled story about there being two Roses both on
remicade, and because of the holiday none of the refrigerated items
came in. I ordered my remicade a week ago, checked on Friday, and was
told it would be in Monday at the latest.  It should not take a week,
The story about two Roses is not plausible. The nurses at the hospital
have told me on several occasions that I am the only remicade infusion
that they do.

These pharmacists don't seem to care that I am in a great deal of pain
as a result of their inefficiency.

My methotrexate prescription was written as once every two weeks. When
I questioned the pharmacist, he said he would have to find the
original script. He could not. He then said he would call the Rd. That
was Friday. When I asked him whether he had or had not called, I was
informed that he had not. I spoke with my Rd's office yesterday, and
was assured that my prescription had not changed. Hmmm

The last two times I have gone to pick up a prescription they have
had difficulty finding them and once told me that the reason they
could not was that they had to contact my Rd. A lie. My prescrription
allowed for refills, and if they had contacted the Rd, they would have
found out the mtx was  logged in incorrectly. Hmm. Another lie.

This is the same pharmacy that I have had difficulty with all along. I
have not changed for a variety of reasons,  but after this round, I
will change. Going to a different pharmacy will be a lot less
convenient, but at least I will have peace of mind. Parking is one
problem that I will have to face at the smaller pharmacy. It is on the
main street, and there just isn't a great deal of parking. Hours of
operation are another problem.

On a happier note, My friend's daughter that is in Thailand is fine.
She had been in Phu Ket up til two days before the tsunami. Then
someone convinced her to go further inland, and she took their advice.
She was two hours away when the tsunami hit. The other young fellow
was fortunately in Toronto over the holidays visiting with his mother.
It seems that there are several folks from this area in Thailand and
they are all fine. That is great news and is a huge weight that has
been lifted.

Our intermediate teachers were concerned that only about half of our
students knew about the tsunami. It seems they don't watch the news or
read the print media. It is sad really. Although so much of the news
is bad and not really appropriate for young children, this has global
implications and they should be aware. We will raise funds as a school
and the students will decide which organization these funds will be
sent to. We are allowing them to take charege of the whole operation
to develop global citizenship.

So that is my whine for the day.
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
d'huit - 05 Jan 2005 07:20 GMT
well, crumbs!  that really was a rotten day!  (((((((((((rose))))))))))))
seems like there should be a board of pharmacists (or some such
regulating/overseeing organization, maybe governmental) that your awful one
could be reported to.  maybe they'd straighten his act out.  he's the pits!
worse than that, he's heartless.  grrrrrrrrr . . .

and your hip situation sounds so painful.  i'm so sorry you are going
through this, rose.  sigh . . . wish i could offer some useful idea to you,
but i don't have a clue.  i just hope you felt better, sweetie, all the way
around.

i'm glad at least there was a bright spot, for you.   there somehow always
seems to be a sweet moment or two, even in the worst days.   that definitely
is great news about your friends' children in thailand.  and that global
citizenship participation idea is a very fine one.  should be done
everywhere.

will keep you in my thoughts and prayers.  you are cared very much about,
rose.

kate

> At the end of today's staff meeting, as I tried to stand, my hip "gave
> out" and I was not able to weight bear for several minutes on that
[quoted text clipped - 66 lines]
>
>     Please remove "Ima" to reply.
firechief - 05 Jan 2005 07:50 GMT
RoseB

> Our intermediate teachers were concerned that only about half of our
> students knew about the tsunami. It seems they don't watch the news
> or read the print media. It is sad really. Although so much of the news
> is bad and not really appropriate for young children, this has global
> implications and they should be aware.

A local school teacher was scuba diving - the safest place to be when
a tsunami strikes - off one of those islands.  He returned to the class-
room Monday with tales that keep his students "all ears" all day.
RoseB - 05 Jan 2005 14:24 GMT
> A local school teacher was scuba diving - the safest place to be when
> a tsunami strikes - off one of those islands.  He returned to the class-
> room Monday with tales that keep his students "all ears" all day.

Wow! I can well imagine.

    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
debbie m. - 05 Jan 2005 13:01 GMT
((((((((((((((((Rose))))))))))))))

I would change pharmacies, it will be worth it in the long run.  It's bad
enough they mess things up but to lie on top of it is not good.  What would
be the chances that two Roses would be on Remicade.  Not very likely.

I'm sorry about the hip, but 22 years seems like a long time for the older
prothesis.  Keep us posted on what the doc says.

debbie m.
http://www.angelfire.com/ga2/angels1/

> At the end of today's staff meeting, as I tried to stand, my hip "gave
> out" and I was not able to weight bear for several minutes on that
[quoted text clipped - 65 lines]
>
>      Please remove "Ima" to reply.
RoseB - 05 Jan 2005 14:23 GMT
Thanks Kate and Debbie. My sentiments exactly. The fact that two Roses
should come up is totally ridiculous anyway. I have dealt with that
pharmacy since 1980, and am well known there. For the first twenty
years there were never any problems, but now there are many more
pharmacists and it doesn't seem like there is communication between
them. What would happen in a hospital if one person's drugs were
administered to another just because they share the same first name?
In fact in a hospital they have to check three times, even if they
know the patient.

I only wish now that I had documented everything as it happened so
that I would have the correct dates when I write my letter of
complaint.

(I usually am easy to get along with. Too easy, so I don't think that
they can argue that I am being too critical.)

    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
d'huit - 05 Jan 2005 16:08 GMT
gee, rose, since you've been going there for nearly 25 years, i'm wondering
if the place was sold or changed management during that time period.  and if
that's the case, perhaps the new ownership/management doesn't know what's
going on with his/her pharmacists/employees?  i think i'd want to talk to
the owner/manager of the place and inform him/her how long you have been a
patron there and that you are considering reporting everything that happened
to whatever regulating authority is available to you.  let them "just think"
you documented everything, thoroughly.  i think you might not have to write
that letter or go to a different pharmacy, if owner/manager got a whiff of
that----unless the owner/manager IS the pharmacist, that is.  just a
thought.

kate

> Thanks Kate and Debbie. My sentiments exactly. The fact that two Roses
> should come up is totally ridiculous anyway. I have dealt with that
[quoted text clipped - 18 lines]
>
>     Please remove "Ima" to reply.
RoseB - 06 Jan 2005 01:53 GMT
>gee, rose, since you've been going there for nearly 25 years, i'm wondering
>if the place was sold or changed management during that time period.  
Yes they changed owners, and then changed again just recently. The
real owners are off shore somewhere in the Pacific, so it is difficult
to get in touch with them. LOL

It seemed much simpler before. Now there are so many pharmacists and
PAs that I think everyone has difficulty keeping track of what is
going on. I htink the communication is suffering as a result. They do
havea  computerized system, but it seems people log information
incorrectly, such as my two week dosing schedule for remicade.

I have  had to fax my Rd very frequently to have scripts clarified or
rewritten. I have argued about preservative in mtx. I don;t know what
people do who are not informed. Maybe they just don't notice.

My friend at work told about a problem she had that resulted in a few
thousands of dollars of additional charges.

They are all nice people as individuals, however they are not
efficient.

    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
d'huit - 06 Jan 2005 20:18 GMT
>>gee, rose, since you've been going there for nearly 25 years, i'm
>>wondering
[quoted text clipped - 20 lines]
>
>     Rose   @}>->--

well, poop!  bummer, rose.  then, you've only one recourse and that's going
over the head of the owner/manager to a regulatory authority.

my soapbox------and the broader "they" wonder why businesses have difficulty
surviving?  it's so convenient to blame failure on business climate and
such, when it really is more basic than that, in so many cases.   it's not
too hard to guess at the real reason why businesses fail, since those with
the vested interest in success have a decided disinterest in keeping
apprised about what is occurring at the most basic levels of their
business/es.  distance can indeed create disinterest and subsequent lack of
oversight can lead to sloppy performance at lower levels.

my dad had a millionaire uncle, in new york city, before the great
depression.  to hedge his fortune against what he foresaw, he got out of the
real estate business he was most familiar with and bought diversified
businesses, he had no accumen for and no personal experience with, all over
the country.  naturally, he couldn't personally manage them (because he
didn't understand those businesses and because they were so dispursed), as
he did with his high rise office properties.  it was a huge mistake.  the
only thing that survived of his fortune was the small office complex he
kept, because his own office was in it.

as was said in the very beginnings of the computer era, "garbage in/garbage
out".  it's not computers that are supposed to be intelligent.  that logging
in of incorrect information is as basic as it gets and could wind up costing
somebody their life and huge lawsuits.  if that pharmacy survives with its
existing incompetency supporting it, i'll be amazed.

that pharmacy is simply too potentially dangerous a situation for me to want
to give my business to.   it's downright scary---like what if you let down
your own guard?  they definitely do need to have a regulating agency looking
into their practices, considering the history you've stated you've had with
them.  you'd possibly be saving somebody's life, in the future, by turning
the pharmacy in.   makes me wonder how many others have had much worse to
contend with because of their incompetency.  personable personnel is a nice
bonus, but competency is primary, especially when dealing with medications.
i'm sorry you have that pharmacy complicating your life like this, rose.

kate

>     Being educated means that rather than fearing the unknown, one seeks
> to understand it. RB
>
>     Please remove "Ima" to reply.
Nann Bell - 05 Jan 2005 15:19 GMT
((((((((Rose)))))))))  you have good reason to be grouchy!

would you like some of the yummy sharp provolone in our fridge to go with the
whine?

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

RoseB - 06 Jan 2005 01:48 GMT
>would you like some of the yummy sharp provolone in our fridge to go with the
>whine?
YES!
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
Cindy - 05 Jan 2005 16:06 GMT
Rose,
How rotten....And then to lie to cover up thier rotteness...
I am very lucky to have my pharmacy...Only open 5days a week until 5:30
pm...But they know me...I can talk to them ...they know my whole
family...when the computer and the insurance company don't get along....they
will fill my rxs and rerun it through the next day...short of money between
paydays..no problem...pay when you can....
I love them and letters like yours just makes me appreciate them more than
ever...He has always been in the same building that my doctor is
in...Actually my old doctor...He died of lung cancer and his son...who went
to school with Mike and I....is now our doctor....And Leons the
pharmacy...HE has always been here...Now that he is partially retired and
only works everyonce and a while...The lady that takes his place...So sweet
and helpful as all of his staff....

So I am glad to have them....Just an oppurtunity here to tell you about
them....
I pray that your hip is better...I hope that next month the surgeon can give
you some good options...

Hope you feel better soon...
Cindy
> At the end of today's staff meeting, as I tried to stand, my hip "gave
> out" and I was not able to weight bear for several minutes on that
[quoted text clipped - 66 lines]
>
>     Please remove "Ima" to reply.
Janet R - 05 Jan 2005 16:29 GMT
{{{{{{Rose}}}}}} I hope you hip feels ok till you can see the surgeon
and get his advice.

Now that Pharmacist.....I understand completely!  I go to a Rx almost
within walking distance to my house, but in the last 6 months they are
screwing up everything.  I came home with someone else meds?!  They
can no longer count pills... 2 x 30 = 60...not 15!  They are building
a new Pharm just a little further down the road so I will switch when
it is completed.

I'm starting to think that these Pharm. are too busy raking in the
money.  I explained that every time they make a mistake or delay, I
have to make another trip out of the house.  Some days I don't want to
get of bed!  I also reminded them that going home with someone else's
Rx is 1. likely to harm me 2. violating that person's privacy 3.
likely to have me complain VERY loudly. 4. and if I accidentally take
it....hire a lawyer.

Pharmacist are licensed so there must be some agency you can complain
to about the situation.

More hugs....{{{{{{{{{{Rose}}}}}}}}

Janet R

| At the end of today's staff meeting, as I tried to stand, my hip "gave
| out" and I was not able to weight bear for several minutes on that
[quoted text clipped - 65 lines]
|
|     Please remove "Ima" to reply.
Lurker at Large - 05 Jan 2005 17:24 GMT
> {{{{{{Rose}}}}}} I hope you hip feels ok till you can see the surgeon
> and get his advice.
[quoted text clipped - 5 lines]
> a new Pharm just a little further down the road so I will switch when
> it is completed.

    A couple years ago this happened to me too.  Once at one pharmacy, and
after I switched it happened again at the new pharmacy.  Both happened within 6
months of each other.  They have little machines to count the pills now too,
so there's no excuse for it.  

    With the cost of medications, even if it's mostly paid by the insurance
company, giving me 30 pills and charging for 60 pills is not acceptable. The
way I saw it they might have been trying to rip off the insurance company, so
I sent a polite email complaint to my BCBS customer service people.  Well, it
wasn't so much a complaint as a heads-up, like "this is what happened, *twice*
at different places which makes it hard to believe it's accidental, so you
might want to investigate to see if they're scamming you".

    They replied to say they called the last pharmacy that hosed me to
"correct" their procedures, and apologized profusely for my inconvenience.  It
was nice.  I haven't had a miscounted refill since, although I've moved to a
few different pharmacies since then.
melodymom - 05 Jan 2005 18:50 GMT
{{{{{{{{{{Rose}}}}}}}}  No wonder you're grouchy!  Hope you get your rx
soon.

Good to hear about the people who were safe.  For various reasons (one
of them being fibrofog) I can miss a lot of the news.  I hold the
newspaper in my hands every day, and don't always take in what I'm
seeing, so hear about the big stuff from my daughters or the newsgroups.
 This one I caught, but my husband didn't hear about it.  It's not that
we don't care about the rest of the world.  Really!

Have some cheese and chocolate with your whine, Rose. And have a good
day anyway.
luv&stuff,
Denise

> At the end of today's staff meeting, as I tried to stand, my hip "gave
> out" and I was not able to weight bear for several minutes on that
[quoted text clipped - 65 lines]
>
>      Please remove "Ima" to reply.
Caroline Marold - 05 Jan 2005 23:07 GMT
So refresh me -- where do you live? I am thinking a
call to the state department regulating Pharmacy would
be in order. If they are doing that to you, they have
to be doing it to others. Reminds me of that pharmacist
who watered down chemo drugs so he could steal.
Gentle hugs and tell that hip to hold on. Just another
month, hold on...
Duckie

> At the end of today's staff meeting, as I tried to stand, my hip "gave
> out" and I was not able to weight bear for several minutes on that
[quoted text clipped - 65 lines]
>
>      Please remove "Ima" to reply.

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RoseB - 06 Jan 2005 01:42 GMT
You folks are too kind to me when I am on a whine. I was able to get
my remicade, and I have an appointment for after school tomorrow.

My hips are not doing well though, and the same thing happened after
school today. I think that wearing boots without the lift is partially
responsible, but I can not put a lift on boots because i need to feel
the ground to know when it is slippery. It may not make sense, but you
have to get feedback from the bottoms of your feet sometimes to know
how to walk on ice and snow. While the lift would even me out, I would
not experience the same sensation.

I received feedback on my paper from my faculty advisor and she said
it was a good paper. She did make some suggestions, and I will look at
them in greater detail later. I am one step further ahead in that
regard anyway. Now on to revisions and public presentation.

    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
JLee - 06 Jan 2005 05:48 GMT
((((((Rose))))))

Feel Better :-)

Janet N
firechief - 06 Jan 2005 21:01 GMT
Rose wrote:

> After I got things going again, I went to the pharmacy to see how
> things were progressing with my remicade. It was not in. There was
[quoted text clipped - 5 lines]
> have told me on several occasions that I am the only remicade infusion
> that they do.

Is there somewhere you can go online and determing the owner's name
and address?  The California attorney general's office does have that
for residents.  We can check the status of every professional who has
to be licensed in the state.  Also check the status of businesses that
have to have a state-issued license.
Squirrely - 07 Jan 2005 03:02 GMT
Rose,

I am so sorry to hear about your hip. I hope it is doing much much better
today.

I hope you get your remicade soon.

I hope you can change pharmacies so that this stuff doesn't keep happening.

I am glad you hear good news about the Thailand people.

Signature

Love and hugs to all
Good thoughts coming your way too.

Squirrely Jo

> At the end of today's staff meeting, as I tried to stand, my hip "gave
> out" and I was not able to weight bear for several minutes on that
[quoted text clipped - 65 lines]
>
>      Please remove "Ima" to reply.
 
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