DISQUS

A Happy Hospitalist: http://thehappyhospitalist.blogspot.com/2009/01/polydementia.html

  • RantingAndRavingAngryPharmacis · 11 months ago
    My guess is more than one physician has been prescribing for this patient and none of the physicians know what the other prescibers are doing. Why hasn't the pharmacist filling all these prescriptions questioned the duplicated of therapy? The patient must have really good insurance--most insurances would have been questioning the duplicate of therapy, especially in the high cost drugs.
  • alexy · 11 months ago
    will this medication be significant to my patient? thats the question that many physician forget to ask sometimes. medications are meant to improve quality of life. in this case the goal of medication could be to kill the patient.
  • Nurse K · 11 months ago
    The goal of treatment is for the physician to avoid talking about end of life issues with the family.
  • neon · 11 months ago
    Any why bother going over the Medication list to see if they are all needed? A new complaint-give'm another pill.
  • Frank Drackman · 11 months ago
    No Viagra!?!?! Oh the Humanity...
  • Strong One · 11 months ago
    Err.. uhh.. thoroughness?? LOL
  • And so it goes · 11 months ago
    good God, i hope that pt has no c/o constipation...
  • Anonymous · 11 months ago
    Constipation, or bowel obstruction secondary to 37 tablets?!?!? How very sad and lazy and wasteful, and how very frequently this goes on. Shameful.

    Happy, please be encouraged to slash and burn. DC DC DC while this patient is in your capable hands. Maybe the poor soul's dementia will improve without all the CNS effects, and if the primary-psych-specialists get mad, who cares. They aren't worth getting such crappy referrals from anyway.

  • kris · 11 months ago
    improve quarterly statements of pharmaceutical companies?
  • kath8562 · 11 months ago
    Has stomach problems--naproxyn and asa ? oops.
    And think they've got him on enough CNS depressants? Cut some of those out, starting with the Seroquel-- atypicals and dementia--no no! Bad!
    Buspar and ativan? why?
    There are so many things wrong with this list, even I, a lowly pharmacy tech, know that this guy would be much better off taking about half this crap!


  • Anonymous · 11 months ago
    Combine felodopine and fosinopril with generic Lotrel. Why THREE different antidepressants? Is pt on MAX dose any ONE of these? Is buspirone maxed out so ativan can be PRN? Is quaitiapine (Seroquel) contributing to the increased blood sugar? If so, d/c it and metformin. Is the grim reaper lurking in this guy's closet?
  • Toni Brayer MD · 11 months ago
    This list wins the
    "poor medical care" award. Awful, shocking. And so many potential drug interactions! She might be less demented with fewer meds. Her physician should be reviewed by the medical board.
  • Anonymous · 11 months ago
    Wow, just wow.
  • Anonymous · 11 months ago
    Looks like a fairly typical list we might get on a NH patient at our hospital. If you don't address them all on d/c, you get multiple phone calls from the floor staff asking if they can resume the pt's home meds.