Bullhunter
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Post by Bullhunter on May 19, 2010 12:24:07 GMT 9
Got my Rx for plavix from the Hospital today, on official paper, doctors orders & name, and nurses signature. Its very expensive so we drove over to the U.S Navy Hospital pharmacy to get it filled with out paying a high co-pay. Navy wouldn't fill it because the doctor printed his name and they refused to call the doctor. A big verbal debate started and I... See More asked for the Officer In-Charge. To damn lazy to make a phone call. He would not give an answer they refused the Rx and why the wouldn't call the doctor.The debated got loud and he said, "I'll call security!" He didn't scare me and I said got ahead call security, but they will tell you to answer my questions as there is a (Patient's Bill Of Rights) hanging on the wall. Drove back to our doctors office and he gave use a box of free samples and a new RX to give them. After I get my RX filled tomorrow my next stop will be the Hospital Commanders Office. I'm not going to take crap of a two year butter bar Lt. :angry
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catman
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Post by catman on May 19, 2010 19:42:44 GMT 9
:fire_missle_ani Go get them but keep the blood preasure down.
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Post by jimpadgett on May 19, 2010 21:28:31 GMT 9
Lot of folks nowadays looking to see how they don't have to help you. Think you might have gotten a civilian pharmacy to call the doc because they know you have butter for their bread ($) and don't care which side it is put on. We have had good luck with Andrews' pharmacy, but they have some individuals who are sticks in the mud too. The doc or his staff should have known a signature would be required anywhere. Think pharmacies are tough, try banks, but that's another story.
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Post by Jim on May 19, 2010 22:47:00 GMT 9
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Bullhunter
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Post by Bullhunter on May 20, 2010 3:36:04 GMT 9
I will be doing that but the trouble is it takes a week or more for the express-scripts to arrive. As soon as the stent is installed you need a pill everyday. I was told to never miss a dosage! The stent needs the plavix to keep platelites sliding through it smoothly without sticking. The body sences the stent is an illegal item and wants to cover it. The plavix makes it smooth and slock in time so nothing attaches to it and cloggs it. I do most all my Rx’s with express-scripts. The wife does not because she has great insurance. She is the company’s Human Resourses Director. Her insurance pays almost everything and then the QFC store pharmancy bills triecare & they pay the rest. Express - scripts will not bill a second insuranse. Too lazy?
I’m going to be sending one hell of a letter to the Commander of the Navy Hospital.
That 2nd LT. wonder butter bar is going to get lots of attention.
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Jim Scanlon (deceased)
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Post by Jim Scanlon (deceased) on May 20, 2010 5:34:03 GMT 9
Gary, I'm not real sure, but I think I know one source of stress you have. A BUTTER BAR at the Naval Pharmacy. I suspect that is also the one whom you owe a kick. Seems like a simple thing to call a doctor, but Will be praying for you. Jim Too :god_bless_usa
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Post by Gene on May 20, 2010 7:16:11 GMT 9
breath in...breath out....repeat. hopefully several billion more times... this is a good test to stay calm... don't let these things get to you... everything will straighten out...and if they don't there no sense in getting worked up about it...it won't make things better...
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Bullhunter
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Post by Bullhunter on May 20, 2010 13:20:07 GMT 9
The pen is surely mighter that the blade. In this case maybe mighter that security.
Tomorrow I will hand carry this letter to the hospital Commanders office while my wife waits on my Rx.
I'll let you all now the out come.
Dear Commander,
On May 17th I had completed 3 ½ hours of angioplasty and spent that night and morning in Harrison Hospital, East Bremerton. Only one of my 3 restricted arteries of 90% or better could be reopened. I have another angioplasty scheduled for next month. As you could imagine I was not in good spirits with that news.
My cardiologist had prescribed Plavix 75mg tab to be taken daily without fail. He said the stent he installed required and need it daily.
A copy of the Rx is attached. Ordered by my Cardiologist, Dr. __________ of the _______itsap Cardiology Consultants, P.L.L.C.; and it is on an official Harrison Medical Center Rx Form #691.
On that afternoon of May 18th after being discharged from Harrison Medical center my wife and I went to the Pharmacy at Naval Hospital Bremerton to get the Rx filled. I got my ticket and waited patiently for my Rx to be filled. My doctor instructed me to avoid stress.
After time passed, I heard my name “yelled” across the waiting room twice. I went back up to the window. The lady said, “We are not filling this.” I asked, “Why?” She replied that, “A nurse can’t prescribe medication!!!”
Upset over this I went back out to our vehicle and spoke to my wife who is a RN. As we looked over the official Hospital Rx Form it surely has my Cardiologist’s name (Dr. _________) as being the ordering doctor. After his name is a backslash (/) and the nurse that took the order. With this information I went back inside your pharmacy and asked the lady that yelled my name to explain why they refused to fill this medication ordered by a medical doctor. Her reply in a raised voice was, “We are with paitents!” She wanted me to take another number and wait again.
At that point I decided and said, “ I want to talk to the Officer In Charge (OIC).” I was left standing there and about 2 minutes later a man in a tan uniform showed up. I explained to him that I needed this Rx for plavix as I was just discharged from Harrison Hospital cardic progressive ward and had a stent put in a heart artery. He made it clear that he did not care and said, “I’LL CALL SECURITY!!!!” I told him , “Go ahead.” I knew very well that as a medical patient the hospital has a Patient’s Bill Of Rights posted and I was entitled to a full explanation as to why I was being refused medication ordered by medical doctor.
His threat of “I’LL CALL SECURITY” ment nothing to me. I was a cardic paitent freshly discharged off a local cardic ward. What did he expected, security to come, slam me to the floor, handcuff me, and drag me to jail? Just to show he was a big and powerful Naval Officer capable of waving his hand and bring security forces down on a disabled military veteran with 24 years service because I wanted an answer.
A reasonable person (OIC) would have responded something like this, “Sir, may I see you prescription form and we will see what the problem is.” A caring and helpful individual would have at least made a call to the doctor and confirmed the RX.
I expect an apology from the Hospital and that Officer that was on duty and threatened me with “I’LL CALL SECURITY!
Gary H. Price, MSgt., USAF Retired
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Post by Gene on May 20, 2010 15:32:34 GMT 9
hopefully, you won't explode in the mean time... i run into numb nuts all the time.. i just ask to speak to the boss or i make note to go some place else...things just seem to straighten out...
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Post by pat perry on May 20, 2010 23:39:14 GMT 9
Gary, In spite of my motto (see left), there is nothing quite as powerful as a professionally written letter of complaint that calmly addresses the facts and sets forth the expectation for remedy. You have written a fine letter and when rolled up and coated with Vaseline or KY Jelly can be appropriately inserted in the correct location to bring about the desired change of behavior in the offending party(ies). The act of writing such a letter is also a great stress reliever. Especially if the recipient writes back and thanks you for bringing this to his attention. I learned in my business life that the "customer who complains" may not always be right, but they will always WIN. Pat P.
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Bullhunter
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Post by Bullhunter on May 21, 2010 6:57:00 GMT 9
We arrived at the naval hospital this morning about 8:30AM and I got my ticket and checked in my Rx. I had maybe 20 to 30 minutes wait time so I walked to the information desk and asked, "Can you tell me where the commander's office is?" In return I got a strange confused face from the Navy troop. Then he answered my question with a question - "Commander's Office?" My first thought was, what is being drilled in basic training these days? I politely restated with abit more information, "Yes as in the Hospital Commander? He replied, "I'm not sure let me check." Within 30 seconds he directed me to the 3rd floor. I traveled up to the 3rd floor and look around for a sign or directory for a room number. As luck would happen a LT. walking by asked if he could help me. I responded that I was looking for the Commanders Officer. He said, I'm headed that way myself." So I followed. Arriving at the CO's Office the secretary did not great me and just asked, "Do you have an appointment?. I responded in a calm relaxed voice, "No I do not, but the Commander is going to want to see this." I was holding up my letter typed on nice American Flag stationary that was very noticeable. Her response was, "The Commander is not in now." as she held out her had to take my letter. From a side office a tall slender high ranking Naval Office walk out and glanced over at the secretary then introduced himself to me as the Commander's Executive Officer (XO) and offered me a hand shake asking if he could help. With respect and sharpness in my voice I replied "Yes Sir, I believe the Commander would want to see this." He took my letter looked at it and said, Thank-you." As He started to read it I decided to make my exit and I said "Thank-you" and walked out. I did not want to seem pushy, demanding, or looking for a reaction. I quietly and calmly left the office. I was 50 yards down the hallway waiting for the elevator when the Officer came trotting out of the office yelling, "Mr. Price - Mr. Price!" My first though was, "WELL, THERE IS THE REACTION." I respond with, "Yes Sir." He assured me that he and the Commander would get into it and get back to me. I again thanked him and we shook hands again. I went down to the pharmacy and my medication Rx was waiting for me.
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Jim Scanlon (deceased)
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Post by Jim Scanlon (deceased) on May 21, 2010 7:45:21 GMT 9
Gary, it looks like you got someone's attention. It sounds like the receptionists at Bremerton need to be taught how to be pleasant to visitors. Wonder if they treat everyone in civvies that way. Good job. Hope the meds work, and the one blood pipe gets opened on your next Roto-Rooter visit. Jim Too
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Bullhunter
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Post by Bullhunter on May 21, 2010 10:57:22 GMT 9
The Naval Hospital Commander called me about an hour ago with appologies. Under the law the doctor must sign his name not print it. I'm OK with that. What happened was the doctor called in the Rx by telephone to the hospital. The RN wrote the Rx Form and put T.O. infront of the printed doctors name which means telephone order (Its done all the time mostly in nursing homes). The military pharmancy does not honor faxed Rx's or T.O. Rx's. The whole problem was they refused to fill my Rx and didn't give me a clear reason, just said its the law. When I ask to see the Officer In Charge of the pharmancy and wanted a full explanation and asked him to call my doctor the officer just said its the law and threatened to call a military security team on me. So, I said, "Call Them." Likely not the smartest reply by me. I stepped outside the door and my wife had called my doctor and he wanted us to come buy his office for some free pills and a new Rx Form that I could get filled in the next few days. So we departed. The Commander assured me he would be dealing with the individual I had the conflict with. Its understood they were by law not authorised to fill the Rx, but the junior officer handled it all wrong. The Pen is mightier than the verbal threat of "I'll call security". It's a shame it all had to come to this. None of us can say we have handled every situation in our past in a perfect manor. : I've learned from this situation and from reading your comments that its often best to take a step back and some deep breaths than to push your issue wheather you are right or wrong.
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Post by Gene on May 21, 2010 11:44:55 GMT 9
as long as you don't blow a gasket while doing it... glad to hear things are back on track... now try and find that peaceful state of mind and start recovering... :2thumbsup
:us_flag
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Post by lugnuts55 on May 21, 2010 23:07:56 GMT 9
Way to go, Gary. I've been following this story and I think you did it the right way. Besides getting it resolved peacefully and professionally, you also didn't get over-excited by it. Now, do as Gene suggested, relax and start recovering. :2thumbsup
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Bullhunter
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Post by Bullhunter on May 22, 2010 2:14:30 GMT 9
I'm relaxed and at peace, as I know hundreds of family members and friends across the country are praying for me. Recovery will only be possible after my Cardiologist is able to open up the problem heart artery on June 21st. He said it is restricted greater than 90% and not able to get the balloon through it to open it more so he can send the rotor-rooter tool through it and stent it. This x-ray photo shows the >90% restriction.
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Bullhunter
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Post by Bullhunter on May 22, 2010 2:30:32 GMT 9
This x-ray photo shows the othere restricted artery before the doctor worked on it. 95% restricted! This picture show the artery after the ballooning and rotor-rooter tool reamed it out and a stent was put in it. 100% blood flow! Modern medicine is awesome. This is what the doctor hopes to accomplish after treating the restricted artery. Failure to open it up more may and likely will result in a mild heart attack because of the artery's mediun size and length. He said the attack when it comes, I will survive it. He can't work on it sooner because my body's kidneys and liver need to process out the dye he used in my blood stream prior to putting more in there. I asked about a bypass if he couldn't open it. Seems this artery's size is not a good prospect for grafting a bypass as it is just abit too small. This is my situation until June 21st. I'll be resting and relaxing until then.
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Post by lindel on May 22, 2010 21:30:45 GMT 9
You'll be in my prayers Gary. My blockages were such they couldn't even attempt balloons or other procedures. I had to have the bypasses for mine.
Hopefully that won't be the case for you, bypasses are not an easy ordeal.
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Bullhunter
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Post by Bullhunter on May 23, 2010 2:38:00 GMT 9
I had a single bypass in 1990 when I was 36 years old and a MSgt in what I thought was pretty good shape. That thing about looking good on the outside but not knowing whats happening on the inside. Everyone needs to know their family's medical history. Mother, Father, Aunts, Uncles, & Grandparents.
lindel,,,I'm glad yours were large enough to bypass and it went well for you.
Seems my only option is for my Cardioligists to get this artery opened alittle more so he can get the balloon through it and expand it a little more. Then he will be able to run his rotor-rooter tool through it , thus reaming it out clean and then stenting it.
Thats my hope - that is my prayer.
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Post by Jim on Jun 23, 2010 13:19:18 GMT 9
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