
abby
30 posts



Nice article about the medicalisation of dying "Death is increasingly seen as a failure, rather than a natural stage of life" #medtwitter


A pharmacist at @Walgreens blocked my prescription today. A person with a significant alcohol problem decided to go sober (with much support and encouragement) and I @james_clinic have been managing the withdrawal at home--saving an expensive inpatient admission and rehab stay. After 2 weeks on meds, the pharmacist refused to fill the ativan refill today because "the dose is only supposed to be X". The patient has been taking the meds properly and perfectly tapering them. Said patient had WALKED into the pharmacy to pick up the rx--so the pharmacist could see that said patient was awake, coherent and functioning well. I asked if the pharmacist evaluated the patient, and he said NO. I clarified I wanted the rx filled as ordered and he refused, stating it was 'his right to refuse to fill a script'. This places a vulnerable patient at risk for an ER visit, admission, regression and relapse based on a pharmacist with a big ego and very little clinical experience. THIS HAS GOT TO STOP!!!!!!!!!!!






treatment needs to focus on re-stimulation of the GABA receptors with barbiturates (phenobarbital), benzos (lorazepam), propofol... Dexme doesn't treat the underlying problem, it just masks the adrenergic symptoms & should never be used alone as therapy for etoh withdrawal


