Showing posts with label pharmacy. Show all posts
Showing posts with label pharmacy. Show all posts

Wednesday, 27 July 2011

Several spoons saved! One-stop pharmacy comes to town

A bridge too phar - macy? Not this time!


Forgive me if I was a bit sceptical.


When a new 24-hour 7-days-a-week chemist opened up within my local GP practice last month on the outskirts of Rotherham, I wasn't immediately dancing with enthusiasm (supposing dancing is ever on the agenda since M.E. struck!)

My village has several pharmacies: my usual one is the Co-operative chain chemist at the far end of the main parade of shops. Then there's another attached to a clinic near the roundabout at the other side of the dual carriageway. As well as a small herbalist who dispenses aromatherapy oils and blank looks if you ask for something in particular.

Enough pharmacies to go round, methought.




As an M.E. patient, I have several problems with the new arrangement. The counter of the new pharmacy faces back into the GP waiting room opposite where the windows are for the doctors' receptionists.

More noise.

Less quiet places to sit.

Less time to brace myself against the glare and hubbub. The voices of the pharmacy staff and the receptionists, not to mention the waiting patients has upped the volume, muddle and cross-babble in my sensitive eyes and ears. On a bad day for me, or when the surgery is busy. Insurmountable and inevitable, of course, in most public places!


You have to come in further off the street to stick your prescription in a box now. The other was a slot not far from the automatic outer door. After all these years this apparently constituted a security risk. This coincided with the opening of the new pharmacy, of course, but nobody could be just honest enough to say that caused the relocation!

For me it means a few extra energy 'spoons' spent in and out, a more awkward juggle with prescription, lid of box, walking stick and whatever else I'm trying to carry if it's a day when I have nobody with me to help in any way.




This sounds so nit-picking. Honestly, if you knew me IRL you'd know I'm not thinking this in a whiny voice but with tongue often in cheek and usual clown's hat on. I'm blogging it here because I know those who visit my blog will understand these things. And maybe find relief that somebody else understands the daily challenges they face too! 


Returning from Diabetic Clinic late one afternoon (when is Diabetic Clinic not late, plus draining, agonising bus journeys there and back?) I had a new prescription from the hospital pharmacy as I went on the way home to collect a repeat prescription for some of my usual drugs from the GP surgery. The new one was for Atorvastatin, a low dose the Diabetic consultant wanted to try because the old Simvastatin was playing havoc with my M.E. and because stopping taking it had rocketed up my cholesterol again!




When I was too brain-addled and eager to get home to protest, one of the pharmacists who filled my other regular order asked if I'd like to fill in a form. To make things 'easier' and 'smoother'. Oh yes. Why not? I'm so full of energy, clarity and co-ordination, here, aren't I? But I smiled my usual smile, listened to his spiel and dutifully filled it in/out. It was simple:  just name, address and signature on a note to my own GP authorising the dispensing of the drugs on a regular basis.




Only when I came this week to need a repeat of some other stuff did the questions start to intrude. Would they need my diabetic medical exemption card flashing round in public like the Co-op does as they bawl your particulars around to the crowded shop?

No stress, in fact. While I had been filling the form that evening, the pharmacist had made a note of my exemption card's details for future reference.

Previous scenario: need to get the prescription from the GP reception, fill in my details, exemption etc after finding somewhere quiet to sit, a pen, recall the current date, locate a surface to write etc (the chemist itself was always too chaotic for me to attempt this on their premises) then trail round to the far end of the mall, queue, find out they can't fill the prescription for twenty minutes or an hour. So kill time slumped in an impossible armless chair contemplating the incontinence aids and remaindered Girls Aloud false eyelashes.



Next find out, when your name is hollered out and you manage to remember your address in front of the deadpan staring shoppers, that at least one item is inevitably unavailable and you have to make the whole return at an unspecified hour the next day when stocks would or would not be delivered. 

If all this joy was denied and no physical prescription was given into my hands, how would I fill in the next drug list, from the old prescription, ticking the boxes by each of the drugs that stretch to a couple of sheets? Fear not, O ye of little faith! This afternoon all was explained.



My exemption card kindly waved away, all the medicines dispensed correctly in one go with no backchat, bawling, or public humiliations, I found my prescription drug list discreetly enclosed in the package. Plus an ad for the upcoming flu jab for we vulnerables (???) at the surgery in October!


All this and, miracle of all miracles, the new statin had seamlessly replaced the old on my medicine list. Unlike in the past, when the list was never updated and I often had to write on my own drugs' names and dosages in Biro and draw myself a little box at the side to tick.


We are in the 21st century guys! I've grinned so much now I really need a lie down!

Thursday, 7 April 2011

So pharmacy, so good

 Went to collect my repeat prescription stuff this morning and got collared for the usual annual review with the pharmacist to make sure your meds are still right for you and that you understand what they're all  for. This is a good plan, I think. Helps to give people a chance to ask any questions without taking time at GP, and maybe catches any mistakes or abuses.

Once in the little office (bang next to the queue waiting for the till who can hear every word of the review through the door!) the pharmacist went through my diabetic stuff item by item and on to my Ramipril: "Yes, that's right, for high blood pressure."

Finally it was the turn of the Simvastatin. A well-timed opportunity to ask for a professional opinion. I explained that a diabetes nurse had suggested I try coming off the statins a couple of years ago to see if there was any improvement in symptoms. I also asked if she could check exactly when I was first put onto them. Can't trust my own foggy memory of it being not long before massive M.E. flare-up!

Trouble is, I've come back home without finding out. So much concentration to explain and listen and sit and stand and juggle the heavy doors etc etc that it completely slipped my mind. I know she'd started to look on the computer as I asked! Also, the doc has filled the order for needles instead of Ibuprofen painkillers. Both these items are on the second sheet of my repeat prescription. Did I tick the wrong item in my brainfoggy state? Probably!

The upshot was that the pharmacist agreed that it might do no harm at all to stop taking the statins for a while, and if I find an improvement in symptoms, then I can update my GP and go from there. 

All good. What surprised me a bit was that the pharmacist had never heard that statins could deplete the body's CoQ10. It seems widely documented online. It's even used as a selling point for CoQ10 outside the context of M.E./CFS, for those on statins! But she was still in the dark!

Given that, I was less surprised that she hadn't heard that many patients with M.E./CFS were also deficient in CoQ10.
But then, nothing surprises me about general lack of awareness of M.E. both in the medical world and the wider public and media!

Sneezing and shivering today which is just a cold, no doubt, not M.E. related at all. Slamming headache and achey now either with the virus or the after-effects of this morning's energy-heavy local outing. I felt less brainfogged before that, I think, and only woke twice or three times through the night (once at 2am with a hypo, when I stumbled out to get the restorative jelly babies from the bedside drawer and ended up tipping them all over the carpet. Still finding them this afternoon! Lol!)

Time will tell, but I'm still more than up for it!