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Sometimes you just need a pill….

February7

It’s been an insane few days in my world. And I’m tired of dealing with it all. You trust that the people you work with for your healthcare and medical needs will follow through on the things that need done – and most importantly – communicate with you. That is quite obviously not happening in the situation I’m dealing with. I’m not sure what the trigger of it all is, or why it happened the way that it did – but I am frustrated, and more than a little annoyed with things.

First off, let me just preface this with I am OK. I have what I need for now, and I’m not too worried about things. There will be some changes in the near future so this doesn’t happen again – but in this instant, I’m okay.

Yesterday, I called my pharmacy to get refills on some standing meds that I take. Maintenance meds – things I’ve taken for years. I recently had to change doctors due to my insurance changing – and when I met with the new doctor, we decided that we would allow the current prescriptions I had from Doctor A to run out before she wrote new prescriptions for the maintenance meds. Well, when I called the pharmacy yesterday, Doctor A had cancelled my script. (WTF). Now, I understand that I’m not her patient any longer – and she isn’t liable for my healthcare. I GET that. What bothers me, is I got NO contact from Doctor A saying she was going to do that. No heads up that my maintenance meds now needed to be taken care of by Doctor B. (That would have gone far in preventing this issue) So, that was Frustration A.

Frustration B – the pharmacy can’t call the doctor, the doctor needs to call the pharmacy about the new prescription. Again, I understand this. So, I logged into my patient portal, sent a request, and asked for a call back on my cell phone. (We’ll get back to this one later) I mentioned that I was completely out of a maintenance med and needed a new script same day. (We’ll get back to this one too).

Charles was stopping at the pharmacy to pick up some stuff of his later in the afternoon, so I asked him if he’d check on my stuff. When he was there – he asked, and the pharmacy hadn’t heard anything. I know that things aren’t always the fastest in a doctor’s office, so i gave them a call. The phone system regarding refills kept having me call the pharmacy – who if we see above, can’t call the doctor in this case. But I couldn’t get a human to save my life. (I really dislike these systems that have very little wiggle room when you don’t fit their construction) Finally got through to the receptionist, and started telling her what was going on. She fowarded me to the NP/PA on duty – who said that my doctor was out of the office for the week, and they’d handle the request when she returned.

I’ll wait while that sinks in.

My note clearly said – I need ASAP – I’m out of this med – and they were going to wait a week to even process it. (Frustration C) Nor did they CALL me to tell me this – they left me to figure it out on my own. And that’s not acceptable communication to me.
I asked if there was any possible way the physician on call for coverage could call in a short term script for me until my doctor is back and I can get in to meet her. They said that they could do, and they would call me on my cell number to let me know when it was going to the pharmacy. (Make note of this).

About a half hour later, I get a note from Charles – the pharmacy has the prescription, and they will be processing it. The doctors office called the house. You know, the number I’m not at – the one I told them NOT to call. (Frustration D) Can’t fix it, can’t do anything about it – so I head out of work and to the pharmacy. At the drive through, (because I’m too cranky to go in the store) they tell me the charge is 55.00 Fifty Five Dollars. The usual cost to me for this script is about 5.00 So, 55 is a wee bit of an increase. (it’s not the money that’s the concern here, it’s the drastic increase in cost). I pay it, because I need it, and figure I’ll check on things when I get home and feel less….stabby.

At home, I pull the pills out of my bag – it’s one of those off the shelf sealed bottles – (I get the whole bottle instead of them counting it out). That’s not a huge deal, a little unusual, but no biggie. They gave me 2 refills – which is good, will give me a chance to fit a doctor’s visit into my schedule, so I’m feeling okay about things….Until I read the label.

Extended Release. They are extended release meds. Now, for a normal person, this isn’t a big deal. For ME however? This is a bit of a problem. Because of my RnY, I can’t take extended release meds. My stomach doesn’t have the acid and other stuff it needs to process them, and they’ll pass into my gut (and bypassed intestines) and everything will not absorb like it should. SOOOO I’m paying 55.00 for meds I won’t be getting the full effect out of. There is no reduction on the feeling of stabby. Nope. Not even a little.

No Extended release is on my medical record, along with why. So, to me, this means they didn’t READ my record – they just wrote a script to shut me up – which ended up costing me more – and won’t work like they should. grumble

This morning, I did a little research through my insurance company into the pricing. If they would have prescribed the dosage/delivery that I normally get, it would have been the expected cost, around 5.00. The jacked up cost is because it’s the extended release (which makes me even more angry all over again).

I can’t blame the pharmacy for this one – it’s between Doctor A and Doctor B (and their associated practices) and honestly, I’m really considering finding a new doctor – because this does not give me the warm fuzzies that they’ll be taking care of me like I need. I definitely need to think this one through before I make any rash decisions.

posted under A Day in the Life

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