- Joined
- May 7, 2005
- Messages
- 22,783
- Reaction score
- 346
You have to admit this failure in communication between providers happens in all of medicine and would not be limited to rphs if they got in on the game. If I had a dollar for every time I heard a case presentation (by physicians, not rphs/students/whatever) where we had drugs on board without an indication from an outside dr, I'd be going to the caymans this year.
Oh gawd... some of my MTM patients. The regimens they are on... I wish there was an easy way for me to post a de-identified screen shot. Three different insulins + glyburide + prandin + Januvia, three different drugs that affect the RAAS (including Tekturna, no longer recommended in patients with diabetes), 2 NSAIDS (great in hypertension, right???), 75 mg of HCTZ/day (regular HCTZ tabs plus 25 mg in a combo product), aspirin + Plavix + aggrenox, multiple SSRIs or SSRI + Cymbalta, dual bisphosphonate therapy, PRN albuterol inhalers (no max dose per day), PRN Advair (ummm....no), and so on. I could go on, but my hand is tired.