Archive for April, 2007


Code 69, Code Red

For those of you not in the know, insurance companies use code numbers for various rejections (for non matched card id, prior authorization, plan limits exceeded, etc.)

It just so happens that for one particular insurance processor, the code for “filled after coverage terminated” is 69. (It might be the same for all processors; I’ve never really paid attention before now.)

That got me to thinking: “So, if you get a 69, is your insurance company screwing you both ways?” Too dirty? Yes, I know. The pharmacist got a kick out of it though.

The more I think about that CVS pharmacist that was shot yesterday, the more angry I am that pharmacies even have drive-through windows. On top of the fact that it just puts patients in that fast food state of mind, they’re just plain dangerous. They allow robbers (or a would-be robber in this case) to quickly make a getaway, making pharmacists and techs more of a target.

Anyway, after all of the news of the past few weeks, from Virginia Tech on through the KC mall shooting, I wonder what will happen next. To quote Jerry Springer: “Why can’t we all just get along?”

Busy news morning

Since I was up taking care of my mom, I decided to switch on the local news. The first thing I saw was that Eastern Market, a DC landmark, was set ablaze in a 3-alarm fire. This will surely be a setback for the local community, which has been seeing revitalization.

Secondly, a tanker truck flipped over on a highway in San Francisco this morning, causing a fire that melted the overpass above it, eventually falling to the ground. Thankfully, nobody was killed, and only the truck driver was injured, coming away with only minor burns. Governor Schwarzenegger declared that public transportation, including trains, buses, and ferries will be free for the Monday commute.

Closer to home (for me and others in pharmacy, anyway), A Frederick, MD CVS pharmacist was shot yesterday afternoon after refusing to hand over narcotics to a would-be robber. From DC’s Fox5:

FREDERICK, Md. (AP) — Frederick police say a pharmacist was shot during a robbery attempt at a CVS drive-through window this afternoon.

It happened around 2 p-m [Sunday] at the C-V-S on Rosemont Avenue.

Police say a man walked up to the pharmacy drive-through and demanded narcotics when the pharmacist opened the window.

Police say the pharmacist closed the window and the man fired at least three shots hitting the pharmacist once in the upper chest.

The shooter then got into his car and drove away.

The victim, a 63-year-old man substituting for the regular pharmacist, was flown to Washington County Hospital. His injury is not considered life-threatening.

Police have not yet found the shooter.

All my hopes go out to that pharmacist that he will make a full recovery.

Finally, there was a shooting at a Kansas City, MO mall yesterday afternoon, ending with a death toll of four, including the gunman, who was killed by police inside the mall. My chain has a location in that mall, so I hope none of my fellow employees are among the casualties.

All in all, it’s been a busy news morning, and it’s not even 6:30am yet.

Scared out of my wits

I’ve just had one of the scariest moments of my life. My mom was in bed, restlessly dreaming, when she suddenly rolled out of bed and onto the floor between the bed and her dresser. It took us about 10 minutes just to get her back into the bed.

I’m just glad she’s not bleeding and is now sleeping relatively calmly, though I’ve probably lost ten years off of my life. How am I going to leave for work tomorrow, knowing it might happen again and nobody will be around to make sure she doesn’t hurt herself?

I wanna be a Toys R Us Kid

I think I finally have an idea of what it’s like to have to take care of a parent.

My mom has been recovering from pneumonia and, combined with her asthma and COPD, nearly coughed a lung out (figuratively speaking of course, but not by much). Well, she must have coughed in the wrong direction, because now, she is in a world of pain, specifically in her upper back.

She called me Saturday afternoon and asked me to come by. She had been taking medicine for the pain, and was starting to forget what (and when) she had taken. Being the smart lady that she is, she decided it wasn’t safe for her to be alone. (This is also when I found out that this had been going on since Thursday night.)

Since I use public transportation (and one bus was over 30 minutes late due to breaking down), it took me a couple of hours to get to her apartment. In the mean time she also called her current SO, who happens to have a truck.

Tom arrived about 20 minutes after I did. After googling for urgent care centers in the area (and finding that all of them had closed down at 2pm) we decided to take her to the local emergency room. Four hours (and a blood test, an EKG and a Valium) later, we left the hospital and had dinner at a Fuddrucker’s restaurant.

Since then, I’ve been taking care of her. I don’t just mean staying with her to make sure she’s ok, but actually “taking care” of her; managing her pills (she does have a pharmacy tech for a son after all), making sure she eats when she’s supposed to, and helping her back and forth from her bed to the living room floor. (She says it’s the most comfortable for her back, relatively speaking anyway.)

I’ve been keeping her relatively doped up on the Valium (on a doctor’s advice), as well as other meds, so, while she’s in pain now, hopefully she won’t remember it when she’s better.

This is the first time I’ve had to take care of someone, especially to this degree. Up until this point, it’s always been my mom taking care of me. I’m worried that I might mess something up, cause her to overdose, or not be there when she falls (hasn’t happened yet, thank [insert deity here]).

I’ve been told this is part of becoming an adult, having to take care of a parent. I think I just wanna be a kid again.

Ok, well, I’m not anywhere near fluent in Spanish, but I know the basics. “Hi, how are you?” “Take one tablet every day,” etc.

Today, I had a patient come in that spoke very little (and very broken) English. I greeted him, first in English, then in Spanish when I saw that he didn’t understand me. I got his name and d.o.b., then went to the computer to see if he was in the system, and of course he wasn’t.

So, I put a pen and profile form (in Spanish) in front of him. Did he start writing? No; he handed me his ID card. Well, I just copied down his name and address, asked him his phone number and other pertinent info. When I got to drug allergies, though, we hit a snag:

Andrew: “

Housecleaning

FYI, I’ve added a few more links to the blogroll to the right (all pharmacy blogs) that I’ve found while surfing. I’ll probably have more to add tonight after the Blogger meetup (is it that time of the month again?)

Assessment

Today, we had our yearly pharmacy “assessment,” where the district pharmacy manager comes in to make sure we’re following “best practices.” (i.e., what some schmuck at HQ thinks makes a pharmacy run more smoothly.)

Thankfully, our DM is a really nice lady. We did very well, with only 1-2 areas that “need improvement.” It didn’t hurt that our customer survey scores are really high this month (highest in the district in fact), along with with our “metrics,” the numbers that keep track of things like how often we fill brand over generics as well as our sales numbers, etc.

She quizzed me on things like, “How do you stage a bag?” and “What do you do when a patient comes to the counter?” Thankfully, I passed with flying colors.

Also thankfully (and some might say mercifully), today was a relatively slow day, so we weren’t trying to complete the assessment and a ton of scripts at the same time.

P.S.: In case you’re wondering, my leg is doing a lot better. The brace is off, and I can even walk up and down stairs (very carefully). I still have to be careful how I walk; sometimes I find myself wobbling about on my left leg, hoping I don’t twist it too far in the wrong direction. I have an appointment next week with an orthopedist, but I might end up canceling it if my knee’s recovery continues as it has.

If you’ve been reading for a while, you may remember that I twisted my knee running for a bus a few weeks ago, right before my trip to Philadelphia. Well, since then, it had started to heal; or so I thought.

Sunday night, I was at my mom’s house for Easter, and when I went to stand up from a chair, my left leg sort of just gave way and pain shot from my knee up to my hip. So, after work yesterday (I cut out about 30 minutes early) I took the bus to the hospital and checked myself into the ER.

When I first got there, there were two ambulances parked outside, and more came by while I was registering. So, I figured I was going to wait for a while. In the waiting room, there was a woman whose 1&1/2 year old had decided to clear the kitchen table by pushing everything off. Unfortunately, there was a hammer on the table, and it landed on her foot.

There was also an older lady who had fainted at home, and her husband was determined to make sure she was going to receive prompt care. He kept going up to the window and asking how long it would be, receiving the standard response of, “I don’t know.”

Well, about 45 minutes after I arrived (a fairly short time, considering), I was called back by a medical assistant, and he took me to the “Cast Room.” There, he had me dress in a hospital gown and lay down on a gurney so I could be taken to X-ray.

The X-ray was fairly standard; the technician took four pictures from various angles, only one of which was difficult to maintain. Then, I was wheeled back to the Cast Room, where I waited for the doctor to see me.

The doctor asked me questions about how it had happened, what I’d been doing to take care of it (obviously not enough.) He prescribed me Naprosyn 500mg and Tylenol #3 for the pain and inflammation, which I’ll fill at work today.

He also gave me a “knee immobilizer,” which is essentially a splint for the leg. While he said it was optional, he agreed that considering my job (walking around all day), it would probably be a good idea to keep it on to keep me from injuring myself any further.

So now, I’m getting ready for work. (Have you ever tried to put a sock on a leg you can’t bend?) I’ll see an orthopedist in a few weeks to make sure everything is healing properly and I don’t need surgery. My only thought now is, “How much is all this going to cost me?”

So, I’m not gonna die?

Friday, a lady came up to the counter to ask if she could take Claritin with other drugs she

Interesting things

Some other interesting things that happened to me today:

We had a prescription brought in for Zyrtec liquid for a kid that has hives. The nurse had written #1 (as in one bottle, which comes in 16oz. bottles.)

I was ringing up a man out for his Viagra. He purchased a few other items, bringing the total to… $69.69. Prophetic or what?

Today seemed to be copy (rx transfer) day. It seems Shopper’s has a $30 giftcard coupon (and we always match those). Plus, the closest Shopper’s closed down and moved all the scripts to another store further away, so we’re getting a lot of them. Well, at least it raised our script count.

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