I just do not have a category other than Interesting Cases to file this one under. This one scares the heck out of me because my father is a diabetic and takes daily insulin injections.
From the Frederick News-Post...
A $50M wrongful death lawsuit has been filed in Maryland against WalMart. Keith Scofield (age not provided) died after receiving his prescription from a Wal-Mart pharmacy. Mr. Scofield was taking a drug, Humulin u-100 (where the u-100 is representative of the dosage). He was given u-500. The lawsuit alleges, in summary, that Wal-Mart had poor process control -- that the employee was ill-trained and that the prescription did not have an adequate warning label. Upon injecting the medicine, Mr. Scofield reportedly went into a diabetic coma and passed 20 days later.
From me...
My wife is a pharmacist. My father is a diabetic. This hits a little close to home: I can easily imagine this impacting my life. For every pharmacy patient out there....please, please check your warning labels and make sure you are getting the appropriate medication. Be assertive; it is your health on the line. If you do not have a warning label, then that is a warning sign to you. Take it up with your pharmacist immediately. Even if a process flow at a pharmacy is 99.99% correct, then 1 out of 10,000 prescriptions can be misfilled under this hypothetical scenario. Not every mistake will be life or death, but why take chances? Please take an active role in managing your care -- here is some advice.
(1) Ask questions. It is OK to ask. If something seems amiss, do not be bashful. The pharmacy staff, regardless of whether it is Wal-Mart, Walgreens, CVS, or whereever, receive a paycheck to take care of YOU. They are there for you. Pharamacists play a valuable role in the health care chain.
(2) Read your warning labels. If you do not understand something, see Rule (1).
(3) Know what medicines you are taking. All of them. You are not expected to know all of the interactions, but if you do, that helps because you can play a more active role in managing your care.
(4) To the extent possible, get all of your medication from ONE PHARMACY. The larger pharmacy chains will typically have an electronic file of all of your medications. The pharmacist can then see if there are any dangerous interactions etc.
On that last note, you need to understand that your pharmacist is a health care professional. They are not clerks. They are not paid to "count to 50 by 5." Pharamacists today typically will have an advanced doctoral degree called a PharmD. They are not medical doctors, with all the rigors of medical school, but they are highly educated, highly specialized health care professionals. They can wax ad nauseum on the details of pharmacokinetics (if I spelled that correctly), etc. etc. Note that the Pharmacist has an education that the Pharmacy Technician does not. If you are talking to a technician and want to speak to a pharmacist, say so. That is OK. It is your right. Your pharmacist is there to help.
Oh, let's just continue this one step further. Often, either my wife or I are asked, "What good is a pharmacist? I mean, my DOCTOR prescribed the medicine." Yes, your doctor prescribed the medicine, and yes, your doctor is also highly educated and went to medical school. And yet, the answer is two-fold. First, doctors are human and as humans are prone to error. In this case, the pharmacist serves as a "quality assurance" step in the patient care process. Second, you likely see MANY doctors. Not every doctor knows what the others have prescribed you, and maybe you do not either. In this case, it is quite possible that one doctor will prescribe a drug that interacts dangerously with one prescribed by another doctor. Who looks out for you in this situation? Your pharamacist. This is why it is SO IMPORTANT to adhere to Rule (4) above.
All of this said, I realize this is all too little, too late for the Scofield family. None of this is meant as either an excuse for or a condemnation of Wal-Mart, as the facts of the case will determine if there is negligence. But, because I can emphathize with the Scofield family, I was inspired to write this article this morning. I am reminded how easy it is to be lulled into a sense of safey in filling my own prescriptions. I personally renew my commitment to following my own, limited advice above.