tag:blogger.com,1999:blog-5883634615775822475.post7431442107907999417..comments2024-03-18T09:00:31.992-04:00Comments on Doctor Grumpy in the House: Annie's deskGrumpy, M.D.http://www.blogger.com/profile/09858110332436246760noreply@blogger.comBlogger15125tag:blogger.com,1999:blog-5883634615775822475.post-85661305167603346222016-02-15T11:52:31.218-05:002016-02-15T11:52:31.218-05:00Careful now, if anyone from a major insurance comp...Careful now, if anyone from a major insurance company is reading this you might give them new ideas lol. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-34384611908860053762016-01-31T11:35:36.525-05:002016-01-31T11:35:36.525-05:00@Holly- Cephalocaudal, proximodistal. Sounds about...@Holly- Cephalocaudal, proximodistal. Sounds about right to me! Isn't that what you're teaching your patients, too? ;)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-49713180869117248422016-01-30T11:42:49.199-05:002016-01-30T11:42:49.199-05:00It should shock me that people actually think this...It should shock me that people actually think this way. It doesn't. Had a couple whose premature baby went to the NICU. They were pleasantly surprised that their baby was "whole". They thought babies grew limb by limb. The head grew first with the legs growing last. They were simply expecting the baby to have no legs and they'd grow in later. The joys of patient education. Hollyhttps://www.blogger.com/profile/15949331684385755587noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-15922392079633090812016-01-30T00:51:03.220-05:002016-01-30T00:51:03.220-05:00Definitely agree....27 years of "prior author...Definitely agree....27 years of "prior authorization required" !! Big insurers with deep pockets have been charging more for less all my years in practice. Wish I had all the stats on how many people received less care due to this crap.DiTheRPhnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-55346688419724968652016-01-30T00:41:13.611-05:002016-01-30T00:41:13.611-05:00Re-pillageRe-pillageDiTheRPhnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-72570891523523910462016-01-29T09:00:21.303-05:002016-01-29T09:00:21.303-05:00"I was really worried they'd come for the..."I was really worried they'd come for the bottle"<br /><br />And that's exactly what you did in the next story :DDsru Binnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-76246028329053567352016-01-28T11:10:17.927-05:002016-01-28T11:10:17.927-05:00Too bad the insurance company doesn't have a p...Too bad the insurance company doesn't have a pharmacist license. If they did you could debate constructively. But, it's just pills, so what does it matter?<br /><br />Where I work, a hospital pharmacy, we have to dispose of outdated medications routinely. A company handles it nowadays, but long time ago we had a variation of the nurse dumping them out (in the toilet hopper) and the pharmacist witnessing or vice versa. EPA is involved, as well as DEA nowadays.<br /><br />But, before that, the pharmacist where I used to work, would keep the non-controlled (that is, the drugs that are not narcotics) in a big clear glass gallon pickle jar. The red transparent docusate sodium gel capsules looked so pretty in the sunlight when he'd take out the jar to dump a new lot of tablets and capsules into it. <br /><br />It was kept out of direct light so that the gelatin didn't all melt and clump together, but when the state inspector came through, it went into the safe after someone asked if they were 'real pills'.<br /><br />I've always wondered what pharmacists used to make the rose and purple colored water in the apothecary globes displayed in the corner drugstore.<br /><br />Seriously, how does Annie keep from laughing (snickering) outright in these snafus that Annie is involved? Mute button on the phone?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-47346865339135007542016-01-27T17:59:21.967-05:002016-01-27T17:59:21.967-05:00It is funny, yet sad at same time with regards to ...It is funny, yet sad at same time with regards to Health Literacy.<br />Legal Hospitalisthttps://www.blogger.com/profile/12592099726734960153noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-27977436695562581792016-01-27T12:41:10.668-05:002016-01-27T12:41:10.668-05:00Poor fellow. New to the "modern" health ...Poor fellow. New to the "modern" health care system, is he? Don't scare him any worse than he's already scared.<br /><br />Seriously, I am glad you and my docs can get a laugh out of this. I got a "you can save money now" letter from my insurance company a few weeks after a previous doctor visit. This doc has prescribed the same well-tolerated drug that has given good results for years. The insurance company sent me a "save money now" letter suggesting a different drug. I showed it to my doctor last visit, five months after the letter came, and she laughed.<br /><br />Seems she tried the "save money" drug when I first presented. I had a reaction to it. I did not recall the rxn, but it was there in the chart.<br /><br />Gee, I guess the insurance company would save money if I land in the hospital. <br /><br />I am glad she thought it was funny, and I am glad she was not angry about me showing her the letter. <br /><br />Thank God for charting, esp. when the pt. has memory issues.<br />Ms. Donnahttps://www.blogger.com/profile/11945753071493117365noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-43781849298456489562016-01-27T12:19:38.421-05:002016-01-27T12:19:38.421-05:00Take them all before the first, as a matter of fac...Take them all before the first, as a matter of fact I think you should take them all now !Packerhttps://www.blogger.com/profile/10790343423937405624noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-80359776677044779652016-01-27T11:46:36.979-05:002016-01-27T11:46:36.979-05:00No, they just send out a radio signal that turns t...No, they just send out a radio signal that turns the pills into cyanide.Yoko Drānonoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-33593889614296198442016-01-27T10:15:21.680-05:002016-01-27T10:15:21.680-05:00They get my pills... when they pry them from my co...They get my pills... when they pry them from my cold dead hands!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-82408357781716241572016-01-27T08:28:16.193-05:002016-01-27T08:28:16.193-05:00Obamacare? Hell, medication denials and authorizat...Obamacare? Hell, medication denials and authorization forms were common when I began practicing over 20 years ago!Grumpy, M.D.https://www.blogger.com/profile/09858110332436246760noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-72282625261874861642016-01-27T08:21:02.627-05:002016-01-27T08:21:02.627-05:00He could blame Obama-care.He could blame Obama-care.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-72480944537917374852016-01-27T05:14:02.610-05:002016-01-27T05:14:02.610-05:00Pill repo-man. Wouldn't that make an interest...Pill repo-man. Wouldn't that make an interesting reality show? I know there's a clever title for it, I just haven't had enough coffee yet this morning to think of one.Heidihttps://www.blogger.com/profile/02895701260577103928noreply@blogger.com