Thursday, April 11, 2019


THE VA HARLINGEN IS BEYOND BROKEN 

I am not unreasonable.  The nurses and aids at Methodist Stone Oak were grateful I understood the nursing shortage and not them is the problem with getting help sometimes.  So I get it.

I was at the VA today from about 11:15 until 4:15.  I knew the prescription included hydrocodone, but it appeared to have another prescription.  Had I known it was only for hydrocodone I never would have filled it.  The ibuprofen is doing the job just fine.

At 12:30 the nurse finally asked for the prescription.  She came back a few minutes later and said the doctor was putting it in the system.  The pharmacy would have it in minutes.

THIS IS NOT ABOUT THE WAIT - WAIT FOR THE END

I go to the pharmacy and am told to give it a half hour and it should be posted.  So I go to the other building to turn in my surgical notes so they are put into my medical records.  Oh, the doctor also sends them but there is a near 100% guarantee they will be lost.

I go back and the pharmacist  tells me to give it a bit longer and go get lunch. STILL, THE NIGHTMARE IS NOT THE WAIT - JUST HOLD

I go fill the tank and get lunch.  I go back and now it is 3 p.m.  I am then told my doctor will not approve the hydrocodone until I undergo training in use of Naloxone.  I am thinking it is the other medicine I thought was on the script.

Then I am told the person who gives the training is not available, but I can teleconference with someone in another state.  Then the social worker claims that person is not available today.  But minutes earlier the pharmacist told me she just got off the phone with the person.

I demanded the prescription back so I can go to CVS and just pay for it.  The reality is I was going to just shred it when I got home.  I really think the ibuprofen is all I need.  At this point I am called to the back office and magically appears on the teleconference is the person who gives the training.

STILL NOT THE KICKER 

It turns out under new regulations by the VA this medicine must be given with all hydrocodone prescriptions.  It is the antidote for hydrocode overdose, or the mixing of certain medications.  I will go off the interacting medicine once the full effect of the brain surgery takes effect.  Up to 8 months.

But I have had four surgeries on this  combination with no problems.  And no my surgeon did not ask for the antidote.  Why? from the reaction, you have 60 seconds to use the antidote and call for an ambulance and hope a second dosage keeps you alive until the ambulance gets to your house.

OKAY THE REAL KICKER - IF YOU READ NOTHING ELSE READ THIS

The VA does not stock the antidote so they give you the hydrocodode, and send you on your way after this nightmare. 

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