problem with doctor and not sure how to handle it

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Serina
Regular Member


Date Joined Aug 2008
Total Posts : 431
   Posted 10/10/2008 9:09 AM (GMT -7)   
My GP doctor has unreliable office staff.  One time they wrote my prescriptions for the doctor to sign, and increased my metroprolol to 200 mg instead of 50 miligram.  I let that slide because I could still use it by breaking it in half.
 
this time they decreased my doxepin from 200mg, (50mg four times a day) to 50mg one time a day.  I called them showed them the mistake, and they promised to call the drug store to correct it.  called them three times on three separate days and still it is not corrected.  finally called and asked to speak to the doctor and they said he would call me as soon as he got through with the patient he was seeing.  that never happened.
 
Also four of the prescriptions I know they did not write at all.  they only wrote nine, and I have 13 precriptions that I take every day.
 
I have two choices.  Let it go for this month, for I have some left over meds I can use.  and go back to see him later this month.  After I see the rheumy.  And tell him about these things that are happening, including the Nexium not being authorized again when all it takes is for them to fill out the form that cvs sends to them, and fax it to silver script.
 
Sorry this is so long.  I think differently now Ginny as you said.  this forum has helped me to achieve a better place in my life.  I am still a wimp many times, but now I can get angry at stuff like this, instead of just depressed.
 
All of your ideas would be welcomed
Hester
Lupus diagnosed 1996, Heart by-pass 1998, breast cancer 2000, stroke2002, vascular surgery 2005, heart attack in 2007, and had a stint put in, Sjogren's Syndrome 2008
 
******
aspirin, multivitamin, Arthrotec , Meclazine ,  plaquinil, Metoclopomide, Doxepin , Metoprolol, synthroid,  Amlodipine, Crestor, Lasinopril, Plavix, phenagrin,  Restasis  


Ginny
Veteran Member


Date Joined Feb 2003
Total Posts : 5514
   Posted 10/10/2008 11:44 AM (GMT -7)   
Hi Hester,
 
You have every right to be angry about this.  I've dealt with this sort of thing in the past too.  It's completely unacceptable. What I would do is make it very clear to your doctor that any future mistakes like this will not be tolerated.  You will take your complaints to HIS boss.  He and his staff are working for you.  You pay him.  He needs to be aware of the mistakes that are happening, and make sure that he is taking this seriously and being proactive. 
 
This is how people die from their drugs!  We hear the stories all the time on the news, right!  There is an abundance of malpractice going on in the health industry.  That is why we have to be so incredibly "on the ball" with our health care needs, and being so very careful to examine our medication scripts when we get them. 
 
I wouldn't wait to tell him about this.  If you let it go a month, it will be a red flag to him that it really isn't that big of a deal and it might happen again.  Get on this right away.  Another plus to getting it dealt with in a timely fashion is that you won't have the anxiety or constant nagging of it on your mind.... Nothing worse for our health than procrastinating on important things.  That's my experience!
 
You're doing well Hester.  Don't be afraid to stand up for yourself.  You're worth it! 
 
Love
Ginny
I can do anything through Jesus Christ who strengthens me. I have learned in whatever state I am in,to be content. Phillipians 4:11-13

34 years old. Diagnosed with lupus in 2000. Fibromyalgia, anti-phospholipid syndrome(APS)(stroke),Sjogren's, Raynaud's, seizure disorder-(miraclulously disappeared!), Libman Sach's Endocarditis, vasculitis, sacroiliitis, arthritis (neck) . Prednisone, Imuran, Coumadin, Clobazam, Amitriptyline, didrocal, Cozaar, Tramacet, calcium, Cykolokapron, multi-vitamin, vitamin D, Magnesium, vitamin B6, Acidophilus


Lynnwood
Forum Moderator


Date Joined May 2005
Total Posts : 7019
   Posted 10/10/2008 11:52 AM (GMT -7)   
Call his office, fax his office, email his office -- BOMBARD his office -- once you get their attention and get things righted, I bet you won't be the patient they mess up in the future!

(Or go sit there and wait till he sees you)

Such a mess when they do this stuff -- do it once, shame on you, do it twice, I'm finding another doctor!

ARGGGG!!!

Lynnwood, Co-Moderator: Lupus Forum
SLE(’00), Sjogren's Syndrome, Raynaud's Syndrome, SAD, Depression, Herpes Simplex 1
Piroxicam, Plaquenil, Prednisone(was 15mg, now 8mg), Cellcept, Xanax, Trazodone, Boniva(3mth shot), Wellbrutrin SR, Valtrex
Links: DIAGNOSING LUPUS (4 of 11), LUPUS INFORMATION, LUPUS RESOURCES, Donate to HealingWell, Drug Interactions


Ginny
Veteran Member


Date Joined Feb 2003
Total Posts : 5514
   Posted 10/10/2008 11:59 AM (GMT -7)   
Amen Lynnwood!!  That's exactly what you need to do Hester.  Don't sit back on this.  I know this is taking you out of your comfort zone..... That's good.  It'll make you stronger and more confident for the issues you'll face in the future...
I can do anything through Jesus Christ who strengthens me. I have learned in whatever state I am in,to be content. Phillipians 4:11-13

34 years old. Diagnosed with lupus in 2000. Fibromyalgia, anti-phospholipid syndrome(APS)(stroke),Sjogren's, Raynaud's, seizure disorder-(miraclulously disappeared!), Libman Sach's Endocarditis, vasculitis, sacroiliitis, arthritis (neck) . Prednisone, Imuran, Coumadin, Clobazam, Amitriptyline, didrocal, Cozaar, Tramacet, calcium, Cykolokapron, multi-vitamin, vitamin D, Magnesium, vitamin B6, Acidophilus


AlwaysRosie
Veteran Member


Date Joined Jan 2005
Total Posts : 8616
   Posted 10/10/2008 12:44 PM (GMT -7)   
Hi Hester,

AKKKKKKK!!! I always worry about the scripts. I actually take my prescriptions, notes, lab requisitions, results, etc. and SIT BACK DOWN in the waiting room. I sit there and look over everything and make notes if I need to. Then, if there are any questions, I walk back up to the receptionist and ask her to have someone explain.

In my case, I've had a 'misunderstanding' about which prescription I needed refilled, and resolved it right then . . . and some questions about the dosing and times per day ect. But, it just seems so much easier to deal with it while I'm there.

I also do NOT understand why your doctor is having other staff fill out the prescriptions. I've never seen that happen in all the doctors I've visited. One doc used to have pre-printed scripts for things like plaquenil, prednisone, salagen, amitriptylene etc. . . . but HE would pull the proper slip and sign it in front of me. It is the doctor's responsibility to ge those scripts right.

I hope you'll keep us posted on this. Its a GREAT reminder to all of us on how assertive we need to be on our own behalf.

Blessings!

In His Grip

AlwaysRosie           "We can't control the waves, but we can learn how to surf!!"

Psalms 139

Co-Moderator - Lupus Forum

UCTD, Inflammatory Arthritis, Diverticulosis, (recent dx - Sjogrens, Crohn’s 4/08)

Clickable Links:  Lupus Resources    Lupous.Org   Lupus Criteria (4 of 11)   Lupus Chapter Locator


redrose77
Veteran Member


Date Joined Sep 2005
Total Posts : 2573
   Posted 10/10/2008 2:21 PM (GMT -7)   
my rheumy's office staff calls in meds once a day, but all the meds are now done via fax/phone. They do not do written scripts at all anymore. BUT I have to give them dosage and number of times a day and how many if I call in for a refill. If I am seen for a refill my doctor writes a page with what I need and what my doses are and such and then the office staff sends them electronically. This is to reduce the number of mistakes. My rheumy said always double check because I know what I am supposed to take and sometimes weird stuff happens- like the pharmacist can't read it if it is hand written and such.

I would never tolerate such mistakes, it is why my rheumy does 99% of my meds now, everyone else kept screwing up so she gradually took them over until now only my lasix is handled by anyone else.
Dx:fibromyalgia 2002, systematic lupus 2005- definate CNS involvement dxed late 2005, psoriasis 2006, rheumatoid arthritis 2006, PTSD 2007, multiple allergies 2005, migraine, compression fractures T11 & T12, Sjögren's, damaged periphrial nerves 2007, exema
Tx: plaquenil, Enbrel, Tramadol, Singulair, Skelaxin, Baby Asprin, Imuran, Prilosec, lasix, Evoxac, Celebrex, Darvocet when things get too bad, prednisone again, various vitamin/mineral supplements


Butterflake
Forum Moderator


Date Joined Jun 2006
Total Posts : 1548
   Posted 10/10/2008 4:47 PM (GMT -7)   

Hi Hester. First, I have certain, routine meds filled by my GP and the rest are filled by my rheumy. Second, listen to Lynnwood and badger them. There is one person in my rheumy's office- call her IW (incompetent witch)- with whom I always have problems. I was very sick recently and often couldn't drive, yet I drove one day with the intent of camping out until IW gave me letter she had weeks to write. Another staff checked and promised if I came back the next day IW would have it ready. It was ready and I didn't even need to have a house drop on IW. Try to fluff up your feathers Hester and kindly poop on them so they'll know not to mess with you. smilewinkgrin   Love, Butterflake


Dx: SLE ('05), depression, diabetes, fibromyalgia, gerd, sleep apnea, hypertension, IBS Tx: CellCept, plaquenil, prednisone, lisinopril, actos, lipitor, nexeum, prozac, seroquel, celebrex, actonel
prn: arthritis tylenol, neurontin, promethazine, ambien.  multi vit, C, flaxseed oil, acupuncture
Donna
 


Tá mé breá
Regular Member


Date Joined Aug 2008
Total Posts : 140
   Posted 10/10/2008 8:34 PM (GMT -7)   
I use walgreens pharmacy. They fax the Dr. for any refills because I have them auto-refill. other than changes to my meds I don't have to deal with it at all. you should see if CVS offers that service.

and as Forest Gump would say - "One less thing..." rolleyes
Marie-43 yr old mother of 6 grandmother of 1 going on 2!
dx 2008 - myelofibrosis - possibly autoimmune, osteoarthritis in spine, testing for possible MS or CNS lupus / vasculitis. family history - mother RA/Lupus maternal gma - lupus.
rx-cymbalta, propranolol, clonazapam, prednisone, progesterone cream, b6, b12, flaxseed oil, C.

"All we have to decide, is what to do with the time we are given" ~ Gandalf


puccini914
Regular Member


Date Joined Jun 2008
Total Posts : 363
   Posted 10/11/2008 6:00 AM (GMT -7)   
I would make an appt to see the doc and talk to him, that is if you like him. These types of errors are gross malpractice and could possibly kill you if you weren't one to stay on top of your own scripts. Imagine what would have happened if you took those meds as they had ordered them. That is soooo scary. If you like your doctor and have a good relationship with him he would surely be as angry as you are that his staff is putting your care and your life in jepardy. If you don't love this doctor, I'd get a new one. This is so crazy, I'm fuming, like we don't have enough to deal with without someone playing around with our meds. I'm so blessed that I found an awsesome PCP. His staff is very careful because they understand that Lupus is horrible and they really want to be able to help me. Prayers of strength and peace coming your way. God Bless.

Jennifer

PCP DX Lupus and Fibro, Taking plaquenil, Cymbalta, Flexeril,Claritin, Zantac,Ambien,vitamin B-12, multi- vitamin, Darvocet.  Homeschooling Mom of 2 boys 1 and 6.  Symptoms: Fatigue, joint pain, heat/sun sensitivity, mouth and nose sores, malar rash, migranes, awful hives, positive ANA, and RF.

 

 


Serina
Regular Member


Date Joined Aug 2008
Total Posts : 431
   Posted 10/11/2008 9:24 AM (GMT -7)   

thank all of you so much for your responses.  It is all that I needed.  I am going to see if I can get a copy of the original prescriptions signed by the doctor but written out by his staff.  and will try to compare it to the note I gave them when I went in before.  I am going to pretend that I am there for refills, until I get in the doctor's exam room and I am talking to him.  I want him to see for himself how they messed up my meds.

Also about CVS.  they do have this auto refill thing and they do call the doctor when it is needed.  His office staff ignores CVS also.  CVS sent a fax that was a form that the staff needed to fill out, and get the doctor to sign it, and fax it to silver script.  Silver script told me that the prescription for Nexium woud be probably be approved if the doctor sent in the fax.  he never sent it.  i doubt if he ever saw it.

An intern that used to be one of Aganobi's office staff was a patient when I was the other day.  I asked her who fills out the forms to get prior authorization from Silver script for Nexium.  She said that no one in the office does this.

part of the reason that i hesitate to confront the staff and the doctor is because it is so easy to get prescriptions from him.  the easy ones like doxepin and arthrotec, and some other meds. 

But I am going now to make a list of the new prescriptions and compare them to all the meds in my cabinet just in case they threw my note away.  and Monday I will be at his office with my little note again listing all the meds that I take and need refills for.  once I get him out of the way, then I can concentrate on the questions I need to ask the rheumy on the 23rd.
 
all I needed was all of you supporting me so strongly.
 
The internist who was a patient when I was, also told me that my doctor was easy to work for, but he would get  very angry at anyone who messed up someone's medicine.  so apparently this has happened before. and knowing he will be angry is a plus for me.
 
thanks again yall.  you really provided all that I needed to make this decision to see him Monday, if he is open Monday.  If it isn't a holiday he will be open.  Shoot I could have went today.  He is also open on Saturdays.  I need time though to prepare my note that I will take with me, and compare it to the note that I wrote the last time.  and he closes around 12 or 1 on Saturday.  But Monday definitely.  Will let you know the results.
 
Hester
Lupus diagnosed 1996, Heart by-pass 1998, breast cancer 2000, stroke2002, vascular surgery 2005, heart attack in 2007, and had a stint put in, Sjogren's Syndrome 2008
 
******
aspirin, multivitamin, Arthrotec , Meclazine ,  plaquinil, Metoclopomide, Doxepin , Metoprolol, synthroid,  Amlodipine, Crestor, Lasinopril, Plavix, phenagrin,  Restasis  


redrose77
Veteran Member


Date Joined Sep 2005
Total Posts : 2573
   Posted 10/11/2008 11:30 AM (GMT -7)   
I hope all goes well. My rheumy took over a bunch of my meds because I couldn't find a pcp who did it right. Now I may have a new pcp so we will see how she does for the next few months.
Dx:fibromyalgia 2002, systematic lupus 2005- definate CNS involvement dxed late 2005, psoriasis 2006, rheumatoid arthritis 2006, PTSD 2007, multiple allergies 2005, migraine, compression fractures T11 & T12, Sjögren's, damaged periphrial nerves 2007, exema
Tx: plaquenil, Enbrel, Tramadol, Singulair, Skelaxin, Baby Asprin, Imuran, Prilosec, lasix, Evoxac, Celebrex, Darvocet when things get too bad, prednisone again, various vitamin/mineral supplements


Serina
Regular Member


Date Joined Aug 2008
Total Posts : 431
   Posted 10/11/2008 12:07 PM (GMT -7)   
I had thought about doing this too, asking my rheumy to write my meds for me, but did not know if it was appropriate or not.  My heart doctor is satisfied with prescribing my heart meds, but letting my GP doctor write the refills.  and I am satisfied with that too, if my GP would do as he is supposed to do.
 
Good luck and prayers for your new doctor.  Hopefully she will be a good one.
 
Hester
Lupus diagnosed 1996, Heart by-pass 1998, breast cancer 2000, stroke2002, vascular surgery 2005, heart attack in 2007, and had a stint put in, Sjogren's Syndrome 2008
 
******
aspirin, multivitamin, Arthrotec , Meclazine ,  plaquinil, Metoclopomide, Doxepin , Metoprolol, synthroid,  Amlodipine, Crestor, Lasinopril, Plavix, phenagrin,  Restasis  


AlwaysRosie
Veteran Member


Date Joined Jan 2005
Total Posts : 8616
   Posted 10/11/2008 1:00 PM (GMT -7)   
Serina . . . .

Ummmm . . . I really think this is more a problem with the doctor. HE is ultimately the one who signs these scripts and HE should be either writing them himself, or doing a double check to make sure they are correct. Just my humble opinion.

Blessings!

In His Grip

AlwaysRosie           "We can't control the waves, but we can learn how to surf!!"

Psalms 139

Co-Moderator - Lupus Forum

UCTD, Inflammatory Arthritis, Diverticulosis, (recent dx - Sjogrens, Crohn’s 4/08)

Clickable Links:  Lupus Resources    Lupous.Org   Lupus Criteria (4 of 11)   Lupus Chapter Locator


Serina
Regular Member


Date Joined Aug 2008
Total Posts : 431
   Posted 10/11/2008 6:35 PM (GMT -7)   

It is more the doctor's problem.  He tells them what to do, they take the case and line it up on the counter with other case files, records, and he walks down the line signing all the prescriptions on each case record, that they have written.  He doesn't check them, he doesn't compare the scripts to the note I send or to the meds listed inside the records.  It reminds me of an assembly line the way he does this.  This way I am assuming he can see many patients in less time, and makes more profit.

Your opinion is very vauable to me. 

Hester

 

AlwaysRosie said...
Serina . . . .

Ummmm . . . I really think this is more a problem with the doctor. HE is ultimately the one who signs these scripts and HE should be either writing them himself, or doing a double check to make sure they are correct. Just my humble opinion.

Blessings!


Lupus diagnosed 1996, Heart by-pass 1998, breast cancer 2000, stroke2002, vascular surgery 2005, heart attack in 2007, and had a stint put in, Sjogren's Syndrome 2008
 
******
aspirin, multivitamin, Arthrotec , Meclazine ,  plaquinil, Metoclopomide, Doxepin , Metoprolol, synthroid,  Amlodipine, Crestor, Lasinopril, Plavix, phenagrin,  Restasis  

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