[Magdalen] Ravages of Time.

[Roger Stokes]

As Grace said, she could have used a different pharmacy - qiote likely 
if the daughter was getting the script made up.  That would also have 
made it more problematic to ask what other medication she was on.  The 
prescribing doctor should perhaps have said "finish this bottle and then 
go on to the one I am prescribinh now" or "here is your refill 
prescription."

Roger

On 07/07/2015 03:35, Jay Weigel wrote:
> ​I once admi​tted a patient with a massive lower GI bleed. As part of the
> admission process, I was attempting to get a list of the patient's
> medications, and the patient's daughter handed me a discharge sheet from
> the patient's previous hospitalization and a collection of pill bottles.
> While trying to make sense of this, I found two bottles of blood thinner,
> one labeled "Coumadin 4 mg" and the other labeled "Warfarin 4 mg". I asked
> the daughter which one she was taking, and the daughter looked at me like I
> was stupid. "Well, both of them, of course," she said. I pointed to the
> discharge summary and said, "This is the one she's supposed to take," and
> the daughter said, "But this is the one the doctor wrote the prescription
> for on her last visit." I asked her if the pharmacist had said anything to
> her about the medication and she said, "No, I didn't ask him." Complete
> communications breakdown had resulted in the patient taking a double dose
> of medication and a near fatal occurrence. Who was at fault? I blame the
> pharmacist, but they are so overworked it's hard to fault them. Still, the
> buck has to stop somewhere.