On: Warning Physicians

I had been waiting since 10:00 AM to talk to this doctor. It was now after 3:00 PM. My first hurdle was the maternal receptionist.

“You will have to fax the request,” she said.  “We do not okay prescriptions over the telephone.”

“I’m not faxing this one,” I said.  “I need to talk to the doctor and I need to talk to the doctor today.”

“Why can’t you fax?”

“What’s your name?”

“Why is that important?”

“Because I am documenting every conversation I have about this transaction.”

“Well, if it is about this woman, good luck.  She has not paid her bill.”

The nurse was next, around noon.  “The doctor will not okay this prescription.  She owes us over $100.”

“Taking this patient off this drug abruptly could be dangerous.  The doctor needs to make a more informed choice about this prescription.”

“The doctor knows about the prescriptions he orders.”  Huff, huff!  Imagine her eyes wide. How dare simple pharmacist questioning her doctor.

“He does not know enough about this one.”  This doctor was dangerous.  He was my age, stuck in his ways.  He did medicine by the numbers and memory.  Drugs the same.  He finally called around 3:00 PM.

“What is the problem?  Both Virginia and Doris told you that I will not refill the clonidine for this woman.”

“Because she owes you money?”

“That’s right.”

“Okay.  I will not refill without your permission, but you need to be fully informed about the drug before you make that decision.”

“I know all about Catapres.  I have been prescribing it for years”.  Harrumph!  Posture!

“I am talking to you about this because I want full documentation that you refused after my telling you exactly what is in the literature.”

“I know what is in the literature.”

“No one knows exactly what is in the literature, Doctor.”

“What difference does it make?”

“You and I are supposed to know.   Any jury would agree that you and I are responsible for knowing the dangers and that both of us need to protect the patient.  It would not even take a good lawyer.  Any lawyer could make the case.  If something bad happens, it’s going to be on you for refusing to refill.”

“What are you talking about?”

“I’m not getting sued, man, because I am making sure that you know what is in the literature. If you refuse and this woman suffers withdrawal, you are on your own.”

There was a long silence, then a huff.  “What is in the literature that is so damned important.”

I read it to him:

Catapres should not be stopped suddenly. Headache, nervousness, agitation, tremor, confusion, and rapid rise in blood pressure can occur. Severe reactions such as disruption of brain functions, stroke, fluid in the lungs, and death have also been reported. The doctor should gradually reduce the dosage over several days to avoid withdrawal symptoms.

 “That enough for you, Doctor?”

“Fill it,” he said.  A pause.  A sigh.  Then, “Thanks for the warning.”

The truth is that every single prescription is a potential lawsuit.  With thousands and thousands of pages about drugs available on the Internet, a smart rat patient could choreograph a law suit.  A hungry attorney would be all over it.

The worry is that the drug could cause damage, even minimal damage.  We are supposed to know.  We are supposed to warn.  Hell, you don’t even have time to warn your patients about what metronidazole is going to do to their comfort level.  When was the last time you warned about clonidine?

If it is in the literature, a judge and jury will agree that it is your job to know and to warn.

You work in a mine field, my friends.

Written by Jim Plagakis in: Jp Enlarged | 

Accidently OD'd a little on sleeping pills the other day...

Yeah this is a bit long but it’s kinda interesting I guess…

I took 7 Catapres 150um, so like 1.05 mg?

Well, I just wanted to sleep, Friday night was so shit I can’t explain, but basically I spent my first night on the street. Well in a park but yeah.

So Saturday morning, I got home, and I was so overtired and numb, I just wanted to sleep. So I took like 2 or 3 pills, then half an hour later I didn’t feel too different, so I took the others.

I THOUGHT I should just sleep for a while then wake up fine, but, something very very STRANGE happened.

For that day, I kept  drifting between very light sleep, half asleep and conscious.

And the whole time I was dreaming, just loads of random insignificant dreams. But the best part;

I kept dreaming when I was conscious.

Like I was awake, but I’d still be seeing the same thing, until I blinked, sometimes I couldn’t even see my room at all, I knew I was here but I was just seeing my dream.

I guess the best way to describe it, hallucinating. Yeah.

And Several times I became conscious and in the dream I was drinking out of a glass or bottle, but I felt it disappear from my grip and I opened my eyes, and I was actually holding my hands and lips like I was trying to drink.

I think during nighttime I actually managed to just SLEEP. after several hours of lucid reality…

The BAD part though, yeah even though seeing shit is pretty cool, (especially when it was accidental) is I couldn’t even sit up without passing out. That happened for a while, (I somehow managed to get to the toilet by crawling, even that was hard) and only this arvo I managed to get up long enough to move rooms, then till just a few hours ago before I could stand without getting that massive, horrible, unimaginable head-spin.

It’s all been about prescription drugs drugs drugs this past week. On Friday I took some dexies my friend gave me, but technically that’s not like ‘drugs’ because they actually made me normal for a day.

Oh and Friday I had like 2 draws of a joint, first weed in months, so I got a nice headspin :)

 I am so sorry if I have just bored you to death, I just felt the need to say the odd thing that happened to me.

Watch on chasehergraphy.tumblr.com

Nagtaas BP nanay 😷⌚️😷.. #hypertension #sphygmomanometer #BPAp #iCanTell #catapres #feelingNarS #dahilsaAmpalaya

Hypertensive Emergencies– Causes, Symptoms, Diagnosis, Treatment and Ongoing care

Numerous terms can be used in the literature and often overlap (see Synonyms). Some definitions include a specific diastolic or systolic BP reading, whereas others emphasize an acute change in the BP or the presence of specific clinical syndromes.
Hypertensive Emergencies– Causes, Symptoms, Diagnosis, Treatment and Ongoing care
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