Wednesday, March 2, 2011

Drug interactions

I'd like to thank Effenormous Pharmacy for this fax. They sent it yesterday, warning me that a drug I'd prescribed (Drug A) had a potential interaction with one from the patient's internist, Dr. Tutone (Drug B).

Except for the names and phone numbers, I haven't changed anything.

(click to enlarge)




And thank you Dr. Pissy for volunteering his handwriting!
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43 comments:

  1. The Plaid CowMarch 2, 2011 at 7:26 AM

    Jenny works for you? Awesome.

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  2. legalalienMarch 2, 2011 at 7:35 AM

    That combo is LETHAL, how could you be so complacent!
    This isn't just a headach, Doc, this is someones LIFE you're dealing with!

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  3. rnraquelMarch 2, 2011 at 7:54 AM

    How very clear and unambiguous.

    I wonder if Dr. Tutone's number is 867-5309?

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  4. AnonymousMarch 2, 2011 at 8:02 AM

    Dr Pissy sure has a neat handwriting for a doctor!

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  5. Grumpy, M.D.March 2, 2011 at 8:03 AM

    I told him to make it readable.

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  6. Kat's KatsMarch 2, 2011 at 9:24 AM

    OMG!!! How could Patient IDidNotKnowItWasSerious not realize that you had no idea they were taking " "?!? Didn't they realize that your telepathy was on the fritz? Of course Effernormous Pharmacy Company wouldn't realize it, they expect every physician to keep their telepathy up to date at all times. ::snicker::

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  7. laughingmomMarch 2, 2011 at 9:32 AM

    Should we be more worried about the fact that the prescription was filled?

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  8. SuFu PhDMarch 2, 2011 at 10:01 AM

    double blind prescriptions?

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  9. PretendDoctorMarch 2, 2011 at 10:31 AM

    Loving Dr. Pissy's handwriting.

    Sadly my witty comment section of the brain is on the fritz.:'(

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  10. AnonymousMarch 2, 2011 at 11:20 AM

    You should know that drug A interacts with everything and anything, and also, for that matter, everything the patient breathes, eats, and comes into contact at home and all work situations, and for that matter everything that's in any pharmacy. You may as well give up and discontinue drug A if you want your patient to have a normal life.
    Let that be a lesson to you, dear physician if you think that prescribing drug A is the best drug for this patient's headaches; by doing so, you've sent the patient to a life of tactile and all sorts of other deprivations. Is being migraine-free worth it?

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  11. AnonymousMarch 2, 2011 at 11:23 AM

    did Dr. Pissy ask why you wanted his handwriting? He didn't suspect you were plotting something to incriminate him, did he?

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  12. Grumpy, M.D.March 2, 2011 at 11:26 AM

    He's in on it with me, and is glad to contribute. He even bought me a Dr. Grumpy coffee mug for Hanukkah.

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  13. kate sweetenMarch 2, 2011 at 11:33 AM

    Clearly the drug that your prescribing may or may not interact with a drug that the other doctor may or not may be prescribing in a way that may or may not be dangerous to the patient.

    Maybe.

    Or something.

    What's so confusing about that?

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  14. Not HouseMarch 2, 2011 at 11:33 AM

    So.....drug A is water then?

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  15. PackerMarch 2, 2011 at 11:57 AM

    What am I missing here, I am just not seeing it.......This is going to bother me all day.

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  16. CarlaMarch 2, 2011 at 12:29 PM

    Can't say they didn't warn you ...

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  17. AnonymousMarch 2, 2011 at 12:46 PM

    Are you afraid someone will ID you by your handwriting?

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  18. AnonymousMarch 2, 2011 at 12:47 PM

    Yes, but does Dr. Pissy know that's his blog-name? Because that would be awesome!

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  19. Grumpy, M.D.March 2, 2011 at 12:51 PM

    Of course he does! He likes it.

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  20. FlaviusMarch 2, 2011 at 1:06 PM

    Can I guess it was random drug that increases 5-HT?

    -Flavius

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  21. J-Quell'nMarch 2, 2011 at 2:22 PM

    So...were the drugs artisanal?

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  22. JessMarch 2, 2011 at 2:31 PM

    Wow. I've never seen an alergic reaction so drastic you can't even write it down.

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  23. Li'l AzathothMarch 2, 2011 at 2:34 PM

    "I tripped out in the desert on a drug with no name..."

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  24. ChrisMarch 2, 2011 at 3:06 PM

    I think drug B is actually that new drug, "Charlie Sheen."

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  25. a.generic docMarch 2, 2011 at 3:20 PM

    You prescribed a drug for the patient's headache.

    The pharmacy gave you a headache.

    Is that the neurologist's version of transference?

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  26. DafeenahMarch 2, 2011 at 4:08 PM

    Ok could someone plz explain what it is suppose to be for the non medical folks b/c I don't get it?

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  27. Grumpy, M.D.March 2, 2011 at 4:09 PM

    Dafeenah- there is no drug listed for B. That's all.

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  28. PediadocMarch 2, 2011 at 4:29 PM

    Is dr pissy also a neurologist?

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  29. Grumpy, M.D.March 2, 2011 at 4:30 PM

    No. I avoid other neurologists like the plague. Maybe more.

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  30. PediadocMarch 2, 2011 at 4:45 PM

    Is he a URologist?

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  31. DocVMarch 2, 2011 at 5:00 PM

    The Evil Drug whose name shall not be spoken?

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  32. myoclonicjerkMarch 2, 2011 at 8:04 PM

    Jon, are you referring to Valdecort?

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  33. oceankissesMarch 2, 2011 at 10:56 PM

    Perhaps it's an early April Fools joke.

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  34. AnonymousMarch 2, 2011 at 11:17 PM

    Well CLEARLY they cannot disclose the name of the other drug because of HPAA! But by golly they covered their arses by sending that warning to Dr. Grumpy!

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  35. AnonymousMarch 2, 2011 at 11:41 PM

    You have to be careful with that Obecalp.

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  36. ERPMarch 3, 2011 at 12:50 AM

    LOL Jacqueline

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  37. JenniebeanMarch 3, 2011 at 12:50 AM

    must be some kind of top secret government medication :P

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  38. Ben SMarch 3, 2011 at 4:18 PM

    I'm going to guess that Dr. Pissy is a urologist..

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  39. GB, RNMarch 3, 2011 at 5:57 PM

    Adverse reaction to air???

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  40. AnonymousMarch 3, 2011 at 8:32 PM

    Maybe the pharmacist thinks that nobody should be on sumatriptan succinate for any reason whatsoever?

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  41. AnonymousMarch 5, 2011 at 2:01 AM

    Wait a minute - why did it take them a month and 3 days to notify you of this serious interaction?
    Or have you done some kind of weird time warp thing?

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  42. JenMarch 5, 2011 at 11:23 PM

    I'm curious...was it from a mail order or possibly an insurance company rather than a local retail pharmacy? I work the retail side of things and usually if there's an interaction we're actually concerned about we'll call. juuuuust wondering.

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  43. Grumpy, M.D.March 6, 2011 at 7:33 AM

    I really don't remember, sorry.

    Maybe Aricept is right for me. I'll ask my doctor.

    ReplyDelete

So wadda you think?