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  • GP's Attitudes

    Hi Everyone

    So on Friday I had a guy who comes in regularly to a place I work at most Fridays. His wife has depression and had been on Mirtazapine (Zispin) 30mg daily for a few months.

    The nice old guy said the Dr had doubled his wife's dose as she's having a bad time at the moment. My ears immediately "pricked up" as I instantly think to myself "I'm sure the max daily dose for that is 45mg" so I asked him to wait while I checked it out.

    The BNF states 45mg daily max (single dose at bedtime/split during the day) so I phoned the company who manufactures Zispin and spoke to their drug information department.

    We talked about how 45mg daily is their max licensed and recommended daily dose, but they have had some studies back where 60mg has been used with no problems reported.

    I phoned the GP, left a message with his secretary/receptionist (she typed on the PC most of what I said) and about 15mins later I had a phone call back from the secretary/receptionist where I was told to change that dose to 15mg mane and 30mg nocte. I asked if there was a "thanks for doing that for my patient etc etc" kind of message, and she said "no, sorry nothing like that. You'll never get a thanks out of Doctor X. We appreciate you though" - I guess she meant the other secretaries or receptionists.....

    So my question my friends, is how do you work closer, develop relationships, influence prescribing and do all these other things that make this an exciting time for pharmacy when you don't even get a simple thanks.

    I know I was doing my job.

    I know I was helping the patient.

    I only had the patients interests at heart.

    I am glad he followed my advice.

    I learned something I can use for CPD.

    BUT.........is a "thanks" too much to ask for............... or do I sound like a complete weak little wimp?

    Thanks for taking the time to read this.

    Love and kisses from Elaine X X X
    Lively debate is encouraged but please respect the opinions and feelings of others.
    Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
    Thank you for contributing to this site.

  • #2
    Re: GP's Attitudes

    No a "thanks" wouldn't be too much to ask.

    Not trying to defend GP but working in surgeries 5 days a week has given me some insight into GPs - some of them think that checking doses etc is exactly what we are there for and so we are just doing our job and so do not need any thanks. I regularly spot errors that have come from misinterpreting discharge letters etc and get no thanks for sorting it out - to the GP that is what I'm there to do....

    Does get to me some days, especially when I spot a clanger
    Titch

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    • #3
      Re: GP's Attitudes

      Originally posted by admin View Post
      So my question my friends, is how do you work closer, develop relationships, influence prescribing and do all these other things that make this an exciting time for pharmacy when you don't even get a simple thanks.
      Talk about patients and your concerns - NOT about prescribing mistakes. No-one likes to be told that they are wrong

      Ever had a letter from a multiple saying that you made a dispensing error? Did you write back to say thanks for pointing it out?

      Jeff

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      • #4
        Re: GP's Attitudes

        Particularly when label prepared during your shift but dispensed following day. See case report in PDA mag.
        johnep

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        • #5
          Re: GP's Attitudes

          Originally posted by johnep View Post
          Particularly when label prepared during your shift but dispensed following day. See case report in PDA mag.
          johnep
          What mag - when did you get that John?
          Lively debate is encouraged but please respect the opinions and feelings of others.
          Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
          Thank you for contributing to this site.

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          • #6
            Re: GP's Attitudes

            Originally posted by Jeff View Post
            Talk about patients and your concerns - NOT about prescribing mistakes. No-one likes to be told that they are wrong.
            Jeff
            I did Jeff - I didn't ring up saying "you've made a mistake". I couldn't get to speak to him and left a message saying I was just checking the dose was what he wanted etc. I rang the company to check my initial thoughts were correct.

            What got me thinking about this was someone was trying to get me to apply for one of those PCT pharmacist jobs a couple of weeks ago. I was told they just couldn't get anyone to apply. My point is how can you work with people who won't even say thanks? If a dispenser passes me a packet of paracetamol I say thanks to them, even though I know they are doing their job!

            Ever had a letter from a multiple saying that you made a dispensing error? Did you write back to say thanks for pointing it out?
            Never had a letter, but I've tried to learn from any I've ever done and changed how I work if I can.

            Thanks for the replies - if any of you guys want a PCT job I might know where there's one going...........

            Elaine
            Lively debate is encouraged but please respect the opinions and feelings of others.
            Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
            Thank you for contributing to this site.

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            • #7
              Re: GP's Attitudes

              Insight mag sent to all PDA members. Mainly concerned with stressing that NPA insurance is for the employer not employee.
              johnep

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              • #8
                Re: GP's Attitudes

                Originally posted by johnep View Post
                Insight mag sent to all PDA members. Mainly concerned with stressing that NPA insurance is for the employer not employee.
                johnep
                Insight? Did that have a bible picture on the front, or something like that?

                E
                Lively debate is encouraged but please respect the opinions and feelings of others.
                Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
                Thank you for contributing to this site.

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                • #9
                  Re: GP's Attitudes

                  Yes, that's the one- I think it was an illustration of David and Goliath's fight...
                  Ze genuine Article, present & perfect!

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                  • #10
                    Re: GP's Attitudes

                    Originally posted by Zoggite View Post
                    Yes, that's the one- I think it was an illustration of David and Goliath's fight...
                    Oh that's just great - excellent marketing, having a picture from the bible on the front - that really attracts athiests to take a closer look!

                    I took one quick look at it, put it in the mental "Watch Tower" slot and binned it along with the other six pieces of junk mail I got that day!

                    Lively debate is encouraged but please respect the opinions and feelings of others.
                    Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
                    Thank you for contributing to this site.

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                    • #11
                      Re: GP's Attitudes

                      It was representing David the locum vs Goliath the multiple. Go get it from your bin, or I can send you my copy if you wish.
                      johnep

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                      • #12
                        Re: GP's Attitudes

                        Getting back to the original question "thanks" is not too much to ask but too much to demand. If an individual is rude you don't assume all members of the same profession are rude.

                        I was involved in a serious dispensing error recently (my fault, no-one else's) and the doctor was incredibly sympathetic. He bought me a pint and pointed out that we alone have no safety net. They can rely on us as a "back stop" but who do we rely on.....?

                        The fact that this humane, compassionate and decent man is a doctor doesn't indicate that they are all like this. Some I count my fingers after shaking hands with them!
                        http://uk.youtube.com/watch?v=Hmbyj0XFUhA

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                        • #13
                          Re: GP's Attitudes

                          Interesting... for my experience... I spoke to the nicest specialist doctor ever.... she was very polite and modest on the phone when I discussed about the dose of Topamax (topiramate), probably she is a paediatric specialist, that's why!?

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                          • #14
                            Re: GP's Attitudes

                            im sure if elaine had got to speak to the doctor s/he would have said Thank You. Once had a doctor writing concerta capsules (handwritten), spoke to him and he provided a changed script, so thought had it sorted out until next time another Rx for "concerta XL 18/36mg Capsules", turned up, patient said the doctor said it is ok to write concerta like that as they look like capsules and if we had any queries to ring him, we told the patient we would have to get it changed, on which point the patient asked for the Rx back sayin a certain multiple will do 'em.

                            so even with all the effort with the doctor, we were back to square 1 and lost a customer/patient in the process. (And someone dispensed an invalid Rx)

                            and actually I was the one to point this out to the pharmacist, When the doctor was previously talked to (by me while a pre-reg), he said he'd been writing like that for years and had experienced no problem previously, sayin thankyou was the last thing on his mind.

                            actually ive served the same patient as a pharmacist, in the same pharmacy, points out that patients will go for convenience over wateva else. we were the closest pharmacy and she was willing to come back to us with a similar Rx despite being disappointed last time and having had to go to another pharmacy last time. (this time was a printed Rx by GP so was ok)
                            Last edited by SolomonQ; 9, August 2008, 10:32 PM.
                            We are the music makers, We are the dreamers of dreams and God damn we are that good

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