Saturday, November 20, 2010

Instructions

Dear Mrs. Tremor,

I apologize for the misunderstanding concerning your medication.

When I wrote: "Take 1 each morning after you wake up", I meant to take it when you wake up, first thing in the morning, and are getting up for the day.

I DID NOT mean for you to take it when you get up to pee at 3:00 a.m., and are going back to bed. Or when you nod off after breakfast for 5 minutes, then wake up again. Or if you lie down for a nap after lunch and then wake up at 2:00 p.m. (which isn't in the morning anyway).

Thank you.

18 comments:

The Mother said...

Reminds me of Cosby's routine about sending his kids to the shower.

"Turn on the shower. USE SOAP."

thegooddrlaura said...

No wonder she ran out early.

JW said...

OMG!!! My grandma must have moved awawy and become your PT.

RehabNurse said...

Ah, reminds me of the patient who wanted his temazepam at 1800 so he could go to sleep, then wanted Ambien.

Hello...if you don't take these right AND practice sleep hygiene (i.e. not sleeping with all the lights and TV on all night), you'll never get to sleep and stay there.

Arrrgh!

Anonymous said...

This is why I always make sure "unwrap before inserting" is on the label instructions all suppository scripts.

Anonymous said...

be glad. he is waring up. he is taking his med. just needs a few tweaks.

Joann said...

Awww, poor thing, maybe it's time someone monitor her meds FOR her, I mean those instructions SEEM simple enough.

Not House said...

So, she was basically tripling up on her L-Dopa then? That must be going great for her :P

Crazed Nitwit said...

Now come on, you must be more specific in your instructions. LOL. I adore my patients who think PRN means any freakin' time even if they just had that med 10 minutes ago.

wellillbe said...

Happens more often than you think. Even with explicit instructions someone so,ewhere will screw up the administration of it...

EasilyAmused said...

Wow!!!

Lesson learned for future times when I need to educate someone on medicine timing!

And I wonder why they put warnings on straws "not for hot beverage consumption."

Texas Pharmacy Chica said...

Be specific. I have one patient for whom the directions "Take one tablet once daily with food" is as mysterious as the Rosetta Stone.

"So,....when do I take it?"

I have learned, the hard way, that I better give her specifics. It is better to say "6:25 am every day" than say in the morning, because that, once again, leaves some room for questioning.

"With food...if I am going to Taco Cabana and have the flautas with extra guacamole, is that Ok?"

Since that is considered 'food', the answer is 'yes'. I have to curb a tendency to be sarcastic, but....really, you had to ask if that was food????

Maybe she needs your services......

Kari Ulrich RN said...

LOL! Thanks for the giggle! But it is oh so true, even with the best intentions I seem to have difficulty following doctors directions all the time!

donna said...

I aam noticing a pattern here..
did you blog about another tremor gal who had almost same convo with you? Her deal was that if she woke
up late morning or afternoon, she
would have skip a dose? Since she slept most if not all of her a.m.
Then again it could have been a dream. I see a pattern among these
folks:cantreaditis. As my grand baby says...what ev'

WV: PORSALU ..is her name Sal? then this would translate to 'poor Sal and You'

Grumpy, M.D. said...

Donna- You're right, I did have a similar post a while, back except that time it involved a pharmacist, not a patient.

Flavius said...

This is why, regardless of the looks some people give me, I ask "How are you going to take this medication?"

If anyone gives me a hard time, or looks at me funny, I'm just going to point them to this post.

Thank you, Dr. Grumpy! :)

-Flavius

RxKerBer said...

Texas : I had a lady ask me if it was OK to eat a meatball with her meds when I said w/ food. I thought this was an isolated dumb question. Apparantly not.

And see my post regarding this time of day phenomenom.
http://soulsuckingpharmacy.blogspot.com/2009/08/dumbest-question-of-yearso-far.html

ndenunz said...

Reminds of the apocryphal story of the patient sent home with a presciption for suppositories. When he returned in a week to the Dr.'s office he complained that the "pills" didn't work. He said, "For all the good they did, I could have shoved them up my ass."

 
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