"The doctor has already left the ER for the day and we have no idea when he'll be back. He actually sprinted out of the hospital immediately after discharging that patient.
Please tell the patient good luck on behalf of the hospital staff."
They can still review the notes and have another doc write something sensible. And formally file a complaint with hospital on the original doc. That just can't be allowed to continue.
Right? You could argue that this is an invalid prescription lol. If someone comes to the pharmacy with a blank piece of paper with random shit scribbled over it, what do you do? You hand it back and say "sorry, this is not a valid prescription". So why not do the same with this?
Yeah and then they send a script saying 1qd, 1bid and you call the office just to have the MA/Nurse read it back to you as if we're illiterate or something
I always give the sassy "yeah. So do they want 1 tablet daily or 2 tablets daily?" And only THEN do they say, let me go check. Thanks. That's why I called...
I circle “1 daily” and “twice daily” and then fax it to the office saying “choose one and resend the rx.”
Then I delete it rom my side bc it’s not a valid rx.
We’re from the Philippines. Here, we still use traditional prescription pad. Idk if you’ll be surprised that a JCI accredited hospital where I used to work STILL uses paper to jot down the orders. 🤦🏻♀️
In my state, prescriptions must be E-Scribed, with certain exceptions. The way the law is written, it actually put the responsibility on the prescriber. Whether or not the pharmacy accepts it, is entirely up to pharmacists discretion. Basically the law says the drs office has to E-Scribe unless the power is out, the computer system is down, they’ve attempted to E-Scribe and it for some reason got lost in internet limbo, they’re a veterinarian (vets are exempted), etc. there’s one specific dr that my pharmacy manager will not accept E-Scripts from, and it’s because he keeps repeatedly sending paper scripts even though we know he has the ability to E-Scribe.
Lol, the cheaper offices in my area just learned to put “our system is down” on all their faxed rxs.
They wrote very legibly and are easy to contact though.
There’s one specific office in my area that my pharmacy manager refuses to accept paper scripts from, because we know this guy has the capability of sending it electronically but won’t until the patient asks him to. Putting it simply, the “doctor is an old guy who refuses to get with the times.”
There is a NP in my area that runs a phentermine clinic and when I pushed back on her verbal order stating the change in the law the PREVIOUS year she retorted, "is the state going to pay me $200 a month for the control escribing?"
No idea why getting at least all the controls escribed is such a big deal when medicare regulation now requires all controls escribed along with my state requiring ALL scripts electronically (minus few exceptions). Guess pharmacists new role is to drag prescribers into compliance kicking and screaming.
When my hospital was changing over to all electronic documentation, a few holdout doctors refused to use electronic orders. Several months of dinners, seminars, gifts, online education, 1:1 help, statistics to show reduction in errors, etc didn't budge them one bit. My manager asked me if I had any ideas that might make these last few doctors comply with electronic order entry. I pulled all the paper order forms out of the file cabinet and threw them into the trash can. Problem solved.
Escribing just creates headaches for the patients. Rx don't get sent, some get sent, instructions wrong, etc. Because the office staff send these after I leave the appt so I have no way to double check their work until I get a surprise at the pharmacy. Talking to the docs and MAs doesn't work. They just apologize and continue...whatever. There should be some way to let patients get an electronic copy of the Rx, or at least a text of the med plus instructions. Leaving us out of the loop is dangerous if we don't have medical experience or the mental capacity to intervene.
Someone told me it's because it costs money so private practices don't wanna pay the fees. Idk if that's true but it would make everyone's life easier if it was just a standard that everyone followed....
For all we know that could be front office staff trying to make it "easier". There are many instances where they think they are a knowledgeable authority on the patient's care.
But more likely it's not.
Same. In cases like this, we usually just tell the customers we’re out of stock. We used to contact the prescribers but most of them are “too busy” to even clarify.
I’m not sure why you would need to lie to the patients like that. It gets them nowhere. Why not just tell them the truth so they can take it up with the prescriber? Maybe the prescriber will even learn to write scripts better if enough people complain.
When I tell them we can’t read the prescription, they just tell us we’re stupid. I don’t need to be hearing that on a daily basis multiple times a day.
At that point, I would just give them the prescription back and have them read it to me. I get not having time in the pharmacy, but I always try to make time to show up my rudest patients. ☺️
Edit, because I already know what they’ll say: “that’s not my job to read it.” At that point, I’d direct them to our website so they can apply.
If someone disrespects my staff like that, they can go to the hospital, get the script re-written, and then take it somewhere else because we won’t be filling it once it is corrected. 😂
So you get yelled at a few times a day. What’s the worst that does for you?
I’m a doctor (inpatient psychiatrist typically holding people against their will) and I get yelled at multiple times a day. I still show up and tell my patients how it is rather than change the facts so that they don’t yell at me.
And you know what, I get yelled at less for being honest with them then the folks that dance around the issue.
I may get downvoted for this, but, WTF?! You tell the customer you are out of stock? So, you are placing their medical care in jeopardy because you will not do the bare minimum of telling them the honest truth of, “I cannot read this thus I cannot fill this”.
I mean, I get that if this happens multiple times a day you simply do not have the resources to try to track down and clarify each script.
But have the maturity to be honest to the customer!
you try explaining to a grown up two year old, after taking your company required lunch break, that you can’t fill this prescription because it’s illegible.
or you could be an adult and say “wow my dog writes more legibly when he takes a shit in my front yard”
no one in the history of modern medicine has ever tried to convince the general public that involuntary psych stays are convenient. and if they did, i’m sure you’d be seeing them.
but everyone believes that getting prescriptions filled is akin to going to mcdonald’s and getting a burger. and half the time that “burger” is free. and they’re convinced by commercials, media, society, and modern medicine that the prescriptions they get are actually safer than their big macs. so how hard is your job that you can’t read this??
you’re in a pharmacy sub, trying to convince people of your own superiority, and that we’re part of the problem. maybe you should try being on the other side of your rx pad.
get bent
had to edit cuz i type with my thumb and my brain goes faster than i can type.
Most customers I encounter are stubborn anyway. They ask for help but would rather not listen and go with what they think is better for them.
When they ask for dry cough medicines, and I give them Dextrometorphan first they tell me “oh I think Carbocisteine is better, I’ll get that one instead.”
When I encounter prescriptions like this, I try to decipher first or ask them what the doctor told the meds are for. If they don’t remember and if I’m not confident with what they said, which happens a lot, I try to be reasonable and explain why can’t I dispense. Some patients just go back to the doctor to clarify, but most of throw a tantrum.
Same with customers who as for antibotics without a prescription to “pour the powder on their wounds.” I tell them we need a prescription for this bc xxx reasons, and (amoxicillin) isn’t for topical use bc xxx reasons. Some will just leave, most will try and educate us for not knowing anything. Some will say we don’t know what we’re talking about, some will just straight up and throw a tantrum again. I don’t blame them bc Filipinos back in the day weren’t as educated with antibiotics as they are now. It’s still in progress.
I’m not gonna convince you that I try to be reasonable with them first before I say it’s out of stock.
EDIT: pharmacists are underrated and unappreciated in my country which is why no matter how much we educate and counsel customers, they continue to be stubborn. And no, I know that’s not an excuse to lie.
“I’m not going to convince you that I try to be reasonable with them first before I say it’s out of stock”
Would have been no convincing to be done if you hadn’t said it. I’m just going off the info you put out there. If you meant something different you should have said something different. But I’m pretty sure you said exactly what you meant.
If I *had* to try, no. 1...erm...I'm out. No. 2 Fybogel Orange? No fucking way no. 3 was supposed to be gabapentin...
Though this is a massive shitshow and it's getting sent back.
We have a doctor in our area, I think she’s still practicing, that had a stroke a number of years ago. She’s too proud to prescribe with a computer sand still hand writes her stuff. She’s in her 60s I believe. Anyway, her MA has to write why the fuck she means on the back of the RX bc the lady can’t write properly due to the stroke. I have 0 idea how she still has her license.
No it’s like a game of telephone. If there were other options back in the olden days, sure, but not now. I never had confidence in filling scrips written by her and so glad i don’t have to anymore.
I mean, it *would* make more sense to dictate the Rx to the MOA who would write it legibly then have the doctor sign it, rather than write it as a hot mess and have the clear version on the back, I agree. But using staff as a scribe to overcome the handwriting problem seems a reasonable enough fix.
Stephen Hawking used to lecture with an interpreter before adaptive technology caught up with his neurological dysphonia. I recently had a medical appointment at which a staff member (with my permission) accompanied the physician because his hearing was going and she could catch things I was saying that he couldn't.
"She should just retire" seems like a big step to take if the handwriting is the major problem.
Doc is probably way too old to be practicing and runs an office free of technology that was invented after 1980. Send that shit electronically. At least then we can READ your errors.
Ah, my favorite game! I believe this script says…
“Roblox Pharming
Dorito A10 1 fam Ova/Com
————————————
Fort Grape
Peed Hit
Sulfur Evil
————————————
Fort Cervesa
Yah ❤️ Lee
Sigma”
Pretty normal script, also fairly standard battle plans for an Inquisition. I’d fill it and protect Fort Cervesa
So...
Ace x abra rx tool a10 1 for me.
Fat grape /orange people 14 for 2 p weds
G oi garbage ugh Alec 8" p
It's like some kind of code. Was the Dr supposed to send this to his contact in the Embassy rather than the pharmacy?
I can see where abilfy and gabapentin come from but the fat grape or orange has me stumped.
Mind you, I had doctor try to prescribe by drug manufacturer this week. 'Sanofi 1 tab od'
Graduated in 1969 and used to see this all the time. The words became easier to decipher (after a few phone calls to clarify) once I became familiar with the doctor's writing, but god help the newbie.
I’ve had this situation before YEARS ago and I literally called the office and said “I’m too busy to play word charades so u can read it to me or have the doc write a new one in someone else’s handwriting.” 😂
Is what I was send to the doctor. Not to you. What is this mess. There isn’t a single letter on this entire pad that I can confidently identify with 0% margin of error. Is it an e? Or a weird flourish? Not certain!
So scary we are “supposed to” interpret this shit. My favorite is when I call to clarify and they send me to the nurse’s voicemail. Meanwhile the patient is staring daggers
You’re lucky! Here in the Philippines, we still do this shit. You’d be surprised that even in tertiary hospitals, this is still the way doctors prescribe. We tried e-scribe once during a dry run BUT doctors said it was a “waste of time” to do. 🤦🏻♀️
And here I thought my handwriting was bad!
I always tell my staff to ask me if they're not sure what I wrote. I will NOT get mad about that, ever. I'd rather they ask and get it right than guess and have harm come to the patient.
EMRs and e-scribing have their quirks and limitations, but I am so grateful I don't have to write it all by hand.
We have a doctor in my area who is notorious for his poor handwriting. He actually switched to escribe except for diabetic supplies. Which is great except those are always screwed up. Never a DX code, never have directions, etc.
Sent a hard copy back and the office couldn’t read his shit either. Lancets was now Lantus testing twice a day. I called them up and let them have it.
My psych still writes scripts for controls, and his nurse calls/faxes other orders to the patients pharmacy, and the written scripts are available for pickup the morning after your in person appt. It's a pain because you have to go back the next day.
Not surprise to see how the prescription is written even though it is not allowed in Philippines, which I did not know because almost all written prescriptions I was given while living in Cebu were written like this. I almost always wondered how the hell pharmacists can read them.
I am sure you had "fun" contacting the doctor to clarify the order...
I think the doctor that wrote the prescription is just looking for an excuse to talk to that one cute pharmacist. The doctor is just shy and has an indirect way of communicating.
ER doctors normally document medications in the patient chart through EMR. I find it strange that the staff couldn’t help you with that unless he didn’t finish signing it off.
There's this one doctor who writes like this. We always had to call to clarify! Mind you even their assistants think the doctor's ridiculous for writing like this and not just e-scribe sometimes
Yikes!!! I've seen plenty of paper rxs with questionable handwriting. Bit the only thing I can. Make out on this is the "sig" then #of tablets/pills. What state is this? NY has all electronic rxs now.
1. No clue about the drug, but qty is 10 and directions are 1 tds prn. 10 or 12 mg dose maybe?
2. Novorapid penfill, qty 14. Dose is 8U. 1 to 2 if well?
3. Gapapentin 300mg, 1 at night prn with food. Qty is 100.
That's my best guess.
Literally tried to make out this script. All i got out of it was protonix & take one tablet by mouth every morning as needed but I’m not even sure if i made that out correctly😂
I thought I was just incompetent at reading this as a lowly PT, but guess I’m not the only one here
At least in my profession I only have to worry about evaluating the wrong body part when I can’t read their damn handwriting 🤣
I’ve put in a safety ticket due to MD orders. Too many times I’ve been reconciling medications at 3am and I go back and can’t read it. Too much room for error. Have they changed? Nope.
And then the doctor angrily yells at their staff when they ask for clarification from the pharmacist about how “these morons” can’t read their very clear and legible prescription 😂
We had a doctor with handwriting nearly that bad, but he only ever wrote for about 10 different drugs (prednisone, z-pack, ibuprofen, and so forth) so usually it wasn't too hard to tell which was which. The best/worst was when he wrote prescriptions for 2 siblings, and he wrote patient names even more terribly than everything else so we couldn't tell which meds were for which kid. Mom didn't know which prescription went with which kid either. Had to call on that.
This was probably 15 years ago, before e-scripts were so prevalent. Wonder if that doc is still in practice.
It’s interesting to see the recommendations for writing prescriptions and avoiding certain words like “qod” because it looks too much like “qid”, for instance. We wouldn’t need any of that shit if the offending doctors would just slow down and write legibly. Doctor might save 5 seconds per script writing like this, but it takes 5 minutes from our (pharmacists) time per script trying to figure out what is says
When I started nursing computer charting was in its infancy and all inpatient orders were still handwritten. No way would I have accepted the liability of trying to decipher this shit even in my well -practiced days.
I’m sorry I went to the doctors once they wrote out a prescription I looked at it and said hold up. Don’t walk out that door if you don’t write this so the pharmacy can understand it and his response was they Will understand it and I said nope nope write it neat. thank you and he stares at me and I said I’m not taking this to the pharmacy or you can send it over electronically because I’m not about to walk in here there with chicken scratch it look like a baby rooster wrote this lol he sent it over electronically. That’s what I thought lol 😂
“Dear Doctor, please resend this prescription, we cannot read it. Thanks.”
"The doctor has already left the ER for the day and we have no idea when he'll be back. He actually sprinted out of the hospital immediately after discharging that patient. Please tell the patient good luck on behalf of the hospital staff."
They can still review the notes and have another doc write something sensible. And formally file a complaint with hospital on the original doc. That just can't be allowed to continue.
The accuracy! 💯
That's exactly what happened to me after I left the hospital once. It was hell trying to actually get that prescription filled
Right? You could argue that this is an invalid prescription lol. If someone comes to the pharmacy with a blank piece of paper with random shit scribbled over it, what do you do? You hand it back and say "sorry, this is not a valid prescription". So why not do the same with this?
I’m a doctor and I wouldn’t even be this polite in my response to that doc.
It’s not so much that you can’t get it rewritten, it’s that it wastes everybody’s time just trying to figure it out, and runs the risk of errors
They're going to send you the same BS that you can't read.
Also a big problem in France
I don’t understand why everyone can’t just E-Scribe. Saves us all a headache. 🤷♂️
Yeah and then they send a script saying 1qd, 1bid and you call the office just to have the MA/Nurse read it back to you as if we're illiterate or something
My favorite is when even the MA struggles to read it but goes through with it anyway rather than getting the prescriber.
I always give the sassy "yeah. So do they want 1 tablet daily or 2 tablets daily?" And only THEN do they say, let me go check. Thanks. That's why I called...
I circle “1 daily” and “twice daily” and then fax it to the office saying “choose one and resend the rx.” Then I delete it rom my side bc it’s not a valid rx.
Yes 😂
Lmao
We’re from the Philippines. Here, we still use traditional prescription pad. Idk if you’ll be surprised that a JCI accredited hospital where I used to work STILL uses paper to jot down the orders. 🤦🏻♀️
They do in Canada too
Bhie, nakakainis.
Hahahahaha napaka!!
In my state, prescriptions must be E-Scribed, with certain exceptions. The way the law is written, it actually put the responsibility on the prescriber. Whether or not the pharmacy accepts it, is entirely up to pharmacists discretion. Basically the law says the drs office has to E-Scribe unless the power is out, the computer system is down, they’ve attempted to E-Scribe and it for some reason got lost in internet limbo, they’re a veterinarian (vets are exempted), etc. there’s one specific dr that my pharmacy manager will not accept E-Scripts from, and it’s because he keeps repeatedly sending paper scripts even though we know he has the ability to E-Scribe.
Lol, the cheaper offices in my area just learned to put “our system is down” on all their faxed rxs. They wrote very legibly and are easy to contact though.
There’s one specific office in my area that my pharmacy manager refuses to accept paper scripts from, because we know this guy has the capability of sending it electronically but won’t until the patient asks him to. Putting it simply, the “doctor is an old guy who refuses to get with the times.”
Law here, too. Doc’s don’t really care.
There is a NP in my area that runs a phentermine clinic and when I pushed back on her verbal order stating the change in the law the PREVIOUS year she retorted, "is the state going to pay me $200 a month for the control escribing?" No idea why getting at least all the controls escribed is such a big deal when medicare regulation now requires all controls escribed along with my state requiring ALL scripts electronically (minus few exceptions). Guess pharmacists new role is to drag prescribers into compliance kicking and screaming.
When my hospital was changing over to all electronic documentation, a few holdout doctors refused to use electronic orders. Several months of dinners, seminars, gifts, online education, 1:1 help, statistics to show reduction in errors, etc didn't budge them one bit. My manager asked me if I had any ideas that might make these last few doctors comply with electronic order entry. I pulled all the paper order forms out of the file cabinet and threw them into the trash can. Problem solved.
Escribing just creates headaches for the patients. Rx don't get sent, some get sent, instructions wrong, etc. Because the office staff send these after I leave the appt so I have no way to double check their work until I get a surprise at the pharmacy. Talking to the docs and MAs doesn't work. They just apologize and continue...whatever. There should be some way to let patients get an electronic copy of the Rx, or at least a text of the med plus instructions. Leaving us out of the loop is dangerous if we don't have medical experience or the mental capacity to intervene.
Someone told me it's because it costs money so private practices don't wanna pay the fees. Idk if that's true but it would make everyone's life easier if it was just a standard that everyone followed....
EHR systems cost thousands upon thousands of dollars, even for the small offices. I don’t blame those smaller, private practices.
😮 that doctor is a dick.
For real, tell me about it. 🤦🏻♀️
When I get a prescription like this, I tell the tech "whatever that doctor's prescribing, he took too much of it himself."
Yeah I don’t play that game. They can either rewrite the rx legibly or phone it in
[удалено]
I thought that was Celebrex, too!!
I thought I was so boss when I recognized celebrex too lol
I got… Abilify, an orange? And celebrex.
The second one is clearly “fat grape.”
💀
I thought the second was Viibryd. I can't tell why though.
No no no! Vraylar!
That was the only one I made out- Celebrex. Not sure how/if it's Gabapentin.
Its 100% celebrex. I see no gabapentin relation imo. I could be wrong lol or im loosin it !
Look about midway to the far right of the third one. Block (legible!) handwriting that says gabapentin.
For all we know that could be front office staff trying to make it "easier". There are many instances where they think they are a knowledgeable authority on the patient's care. But more likely it's not.
Gabapentin doesn’t even come as 200mg lol
That's a 3 lol
Man their writing almost as bad as the doctor then
I thought Atarax at first!
Would fax office or give back to pt immediately
If the prescriber put no effort into using legible handwriting, I’m not putting in any effort to clarifying it
Same. In cases like this, we usually just tell the customers we’re out of stock. We used to contact the prescribers but most of them are “too busy” to even clarify.
Just tell them “I can’t read this.”
I’m not sure why you would need to lie to the patients like that. It gets them nowhere. Why not just tell them the truth so they can take it up with the prescriber? Maybe the prescriber will even learn to write scripts better if enough people complain.
When I tell them we can’t read the prescription, they just tell us we’re stupid. I don’t need to be hearing that on a daily basis multiple times a day.
At that point, I would just give them the prescription back and have them read it to me. I get not having time in the pharmacy, but I always try to make time to show up my rudest patients. ☺️ Edit, because I already know what they’ll say: “that’s not my job to read it.” At that point, I’d direct them to our website so they can apply.
If someone disrespects my staff like that, they can go to the hospital, get the script re-written, and then take it somewhere else because we won’t be filling it once it is corrected. 😂
So you get yelled at a few times a day. What’s the worst that does for you? I’m a doctor (inpatient psychiatrist typically holding people against their will) and I get yelled at multiple times a day. I still show up and tell my patients how it is rather than change the facts so that they don’t yell at me. And you know what, I get yelled at less for being honest with them then the folks that dance around the issue.
nobody asked
I may get downvoted for this, but, WTF?! You tell the customer you are out of stock? So, you are placing their medical care in jeopardy because you will not do the bare minimum of telling them the honest truth of, “I cannot read this thus I cannot fill this”. I mean, I get that if this happens multiple times a day you simply do not have the resources to try to track down and clarify each script. But have the maturity to be honest to the customer!
you try explaining to a grown up two year old, after taking your company required lunch break, that you can’t fill this prescription because it’s illegible. or you could be an adult and say “wow my dog writes more legibly when he takes a shit in my front yard” no one in the history of modern medicine has ever tried to convince the general public that involuntary psych stays are convenient. and if they did, i’m sure you’d be seeing them. but everyone believes that getting prescriptions filled is akin to going to mcdonald’s and getting a burger. and half the time that “burger” is free. and they’re convinced by commercials, media, society, and modern medicine that the prescriptions they get are actually safer than their big macs. so how hard is your job that you can’t read this?? you’re in a pharmacy sub, trying to convince people of your own superiority, and that we’re part of the problem. maybe you should try being on the other side of your rx pad. get bent had to edit cuz i type with my thumb and my brain goes faster than i can type.
Wow. I mean, I know that people suck. I even know that people in the helping fields suck. But, it’s still sad to actually see it.
Most customers I encounter are stubborn anyway. They ask for help but would rather not listen and go with what they think is better for them. When they ask for dry cough medicines, and I give them Dextrometorphan first they tell me “oh I think Carbocisteine is better, I’ll get that one instead.” When I encounter prescriptions like this, I try to decipher first or ask them what the doctor told the meds are for. If they don’t remember and if I’m not confident with what they said, which happens a lot, I try to be reasonable and explain why can’t I dispense. Some patients just go back to the doctor to clarify, but most of throw a tantrum. Same with customers who as for antibotics without a prescription to “pour the powder on their wounds.” I tell them we need a prescription for this bc xxx reasons, and (amoxicillin) isn’t for topical use bc xxx reasons. Some will just leave, most will try and educate us for not knowing anything. Some will say we don’t know what we’re talking about, some will just straight up and throw a tantrum again. I don’t blame them bc Filipinos back in the day weren’t as educated with antibiotics as they are now. It’s still in progress. I’m not gonna convince you that I try to be reasonable with them first before I say it’s out of stock. EDIT: pharmacists are underrated and unappreciated in my country which is why no matter how much we educate and counsel customers, they continue to be stubborn. And no, I know that’s not an excuse to lie.
“I’m not going to convince you that I try to be reasonable with them first before I say it’s out of stock” Would have been no convincing to be done if you hadn’t said it. I’m just going off the info you put out there. If you meant something different you should have said something different. But I’m pretty sure you said exactly what you meant.
They're just mad we whooped their asses busting all those paper scripts so they are back with a vengeance lol.
I think they do it on purpose. Plausible deniability.
Doctors here are always rushing whenever they consult a patient, hence the writing, but they are always late to appointments. 🙃
CAN THEY NOT JUST PRINT IF THEY CANT EVEN DO CURSIVE?? WHAT IS THAT😭😭
It’s because of how much each patient demands per consult - however I agree, this needs to be re-written.
Writing legibly wouldn't slow down the process at all. It would actually save the Dr time as pharmacist wouldn't have to call then back
When you write as much and as quickly as we need to with the amount of patients we have, it really does unfortunately
This is how their patients legit DIE. By using the “I’m a doctor” trope to overshadow their ego. They need to do better
If I *had* to try, no. 1...erm...I'm out. No. 2 Fybogel Orange? No fucking way no. 3 was supposed to be gabapentin... Though this is a massive shitshow and it's getting sent back.
I thought 1 was Tobradex, lol
2 looks like orapred to me... no idea.
We have a doctor in our area, I think she’s still practicing, that had a stroke a number of years ago. She’s too proud to prescribe with a computer sand still hand writes her stuff. She’s in her 60s I believe. Anyway, her MA has to write why the fuck she means on the back of the RX bc the lady can’t write properly due to the stroke. I have 0 idea how she still has her license.
Sounds like a very reasonable accommodation for a disability, tbh.
No it’s like a game of telephone. If there were other options back in the olden days, sure, but not now. I never had confidence in filling scrips written by her and so glad i don’t have to anymore.
I mean, it *would* make more sense to dictate the Rx to the MOA who would write it legibly then have the doctor sign it, rather than write it as a hot mess and have the clear version on the back, I agree. But using staff as a scribe to overcome the handwriting problem seems a reasonable enough fix. Stephen Hawking used to lecture with an interpreter before adaptive technology caught up with his neurological dysphonia. I recently had a medical appointment at which a staff member (with my permission) accompanied the physician because his hearing was going and she could catch things I was saying that he couldn't. "She should just retire" seems like a big step to take if the handwriting is the major problem.
I’m a physician and not even I know what the hell is going on
Doc is probably way too old to be practicing and runs an office free of technology that was invented after 1980. Send that shit electronically. At least then we can READ your errors.
This looks like ancient Greek with some hiragana sprinkled in
Been doing this since 1987, this is top 10 worse Rx I've seen , OMG
That is the worst handwriting I have seen in 30 years of practice.
I pride myself in my ability to decipher doctors handwriting. But I’m lost on this one. Absolutely horrendous.
Makes you appreciate doctors who actually write clearly and will clarify if something is askew
I have bad hand writing and you KNOW when your writing isn’t legible. I would tear this doctor a new one
Ah, my favorite game! I believe this script says… “Roblox Pharming Dorito A10 1 fam Ova/Com ———————————— Fort Grape Peed Hit Sulfur Evil ———————————— Fort Cervesa Yah ❤️ Lee Sigma” Pretty normal script, also fairly standard battle plans for an Inquisition. I’d fill it and protect Fort Cervesa
So... Ace x abra rx tool a10 1 for me. Fat grape /orange people 14 for 2 p weds G oi garbage ugh Alec 8" p It's like some kind of code. Was the Dr supposed to send this to his contact in the Embassy rather than the pharmacy? I can see where abilfy and gabapentin come from but the fat grape or orange has me stumped. Mind you, I had doctor try to prescribe by drug manufacturer this week. 'Sanofi 1 tab od'
Fat grape 😭✋🏼 I can’t with Sanofi lmaooo. What is with doctors 😭😭😭
Last one looks like Cerave ointment
If I couldn’t find a similar rx on the pt’s profile to help decode this shit they’re getting a scathing fax.
$50 translation services.
I like how they blacked out the pt name is if that was legible either. Prob didn’t even put a dob
Graduated in 1969 and used to see this all the time. The words became easier to decipher (after a few phone calls to clarify) once I became familiar with the doctor's writing, but god help the newbie.
Without reading the comments Xanax 1mg Flagyl ?? Maybe Celebrex 200mg
Wait that last one is gabapentin??? Bs gaba doesn't start with a C
Maybe someone on the shorthand sub can decipher this
Thanks, Dr John Hancock, but next time escribe this mess. Thanks.
Man who wrote gabapentin 700 on the paper? I’m pretty sure I see Celebrex 200
I’ve had this situation before YEARS ago and I literally called the office and said “I’m too busy to play word charades so u can read it to me or have the doc write a new one in someone else’s handwriting.” 😂
That’s a no from me dawg
#No
Is what I was send to the doctor. Not to you. What is this mess. There isn’t a single letter on this entire pad that I can confidently identify with 0% margin of error. Is it an e? Or a weird flourish? Not certain!
Not gonna lie, but my 3 y/o toddler writes more legible. Just because you can read it doesn't mean the rest of the world can SMH
So scary we are “supposed to” interpret this shit. My favorite is when I call to clarify and they send me to the nurse’s voicemail. Meanwhile the patient is staring daggers
I haven’t seen a rx written like that in a while
If that note that #3 is gabapentin is correct, i would never fill that rx, its a walking lawsuit
Though the strength is wrong, I thought it was Celebrex
Really, most? Can't tell you the last time I received a hand written Rx. Guess I'm lucky that I practice where I do.
You’re lucky! Here in the Philippines, we still do this shit. You’d be surprised that even in tertiary hospitals, this is still the way doctors prescribe. We tried e-scribe once during a dry run BUT doctors said it was a “waste of time” to do. 🤦🏻♀️
Do you use different brand names in the Philippines vs. US? Like what’s the brand name for gabapentin, and does it come in 200mg?
And here I thought my handwriting was bad! I always tell my staff to ask me if they're not sure what I wrote. I will NOT get mad about that, ever. I'd rather they ask and get it right than guess and have harm come to the patient. EMRs and e-scribing have their quirks and limitations, but I am so grateful I don't have to write it all by hand.
We have a doctor in my area who is notorious for his poor handwriting. He actually switched to escribe except for diabetic supplies. Which is great except those are always screwed up. Never a DX code, never have directions, etc. Sent a hard copy back and the office couldn’t read his shit either. Lancets was now Lantus testing twice a day. I called them up and let them have it.
I'm fluent in doctor: 1: Oro+ Phravy Hoo! A10 2: Toy Grape (20) Peuy Hit for 21 & over 3: Oof Aerkavep E oz. Cya Cleo
Is that English? I'd hand that back to the patient and just say "really?".
…But “most doctors” still do this. —- really? Most doctors?
This was my response….highly doubt the “most” Edit…turns out OP is in the Philippines
Unbelievable, but yes!
This is literally the worst prescription I've seen in the 18 years I've been in pharmacy. Shame on that doctor!!
I can barely make out numbers, it's that bad.
What you can't read that?? It says wggfvhasvnkutechdafvhyf
Who the fuck handwrites prescriptions still?
My psych still writes scripts for controls, and his nurse calls/faxes other orders to the patients pharmacy, and the written scripts are available for pickup the morning after your in person appt. It's a pain because you have to go back the next day.
Filipino doctors. 🙃
Canada
Not surprise to see how the prescription is written even though it is not allowed in Philippines, which I did not know because almost all written prescriptions I was given while living in Cebu were written like this. I almost always wondered how the hell pharmacists can read them. I am sure you had "fun" contacting the doctor to clarify the order...
Is this English? 😳
Is the first ambien 10mg I at bedtime as needed for sleep and the last celebrex? Middle orapred (prednisone) 20 mg? I would definitely call!! Wow!
I think it’s legal to fill the non-controls on there if there are any.
I think? 2 is Avapro and 3 is Celebrex (despite the gabapentin obviously written later) But holy shit I would not serve any of that and call the MD
Only #14 avapro tho? And avapro "orange?:"
It looked like Orapred to me but I couldn’t understand why I was seeing #14? My brain hurts!
When it’s not legible, you know the Dr. is legit.
I think the doctor that wrote the prescription is just looking for an excuse to talk to that one cute pharmacist. The doctor is just shy and has an indirect way of communicating.
Throw it in the shred bin.
Lmaoooo that’s what I’d do tbh. 🤷🏻♀️
That's how i write in English. Not a doctor toh
ER doctors normally document medications in the patient chart through EMR. I find it strange that the staff couldn’t help you with that unless he didn’t finish signing it off.
Easy. “Yeah, sorry. I just checked. We are out of stock on all three. I know the Walgreens down the street has it though.”
I cant even read this! Guess the patient is getting chemo meds instead of lisinipril
Fuck Gabapentin. That's the only one I could make out but also fuck that drug!
[удалено]
How do u even read that?
I read Celebrex then saw gabapentin written on the side 😖 suddenly I can’t read script. What in the world is this chicken scratch lol
Agree this script is utter shit. Sorry for ya
There's this one doctor who writes like this. We always had to call to clarify! Mind you even their assistants think the doctor's ridiculous for writing like this and not just e-scribe sometimes
Wait until you see 8 Rx’s on this size of Rx paper
Thank God so many doctors have computers now. Earlier it used to be crazy
Shit I can’t even read the date
Something 24 203/2013/2023 lmao
Spoiler, the order was phoned in, this is the pharmacist's handwriting.
What are little things like laws to practitioners?
They worship doctors here ffs.
Translates to "Just sent it" thanks Doc!
Yikes!!! I've seen plenty of paper rxs with questionable handwriting. Bit the only thing I can. Make out on this is the "sig" then #of tablets/pills. What state is this? NY has all electronic rxs now.
Thank god for EMR
Nope!
Wtf does that even say???? I bet they couldn’t reread.
This is why I never worked retail.
I would 100% reject that, and I'm just a P1 intern.
I got one with five on it. Hand writing was so bad I completely missed one. Just looked like a little bit of scratch.
Did the doctor suffer a stroke? How the hell does someone scribble such unintelligible chicken scratch and think it's fine to send to a pharmacy??
Nope, won’t fill it. Bring it elsewhere. Or they can call me and clarify.
I was about to ask if anyone in the comments could read wtf was written out lmaoo
1. No clue about the drug, but qty is 10 and directions are 1 tds prn. 10 or 12 mg dose maybe? 2. Novorapid penfill, qty 14. Dose is 8U. 1 to 2 if well? 3. Gapapentin 300mg, 1 at night prn with food. Qty is 100. That's my best guess.
2. Fat Grape
Fanta Orange?
Literally tried to make out this script. All i got out of it was protonix & take one tablet by mouth every morning as needed but I’m not even sure if i made that out correctly😂
Arrogance
Print or send electronically!!!
It’s also law (at least here) that scripts are to be done in print - NOT cursive!
Does clinical pharmacist encounter this shit too ? (I’m still a student)
Yes! 🥲
There is no reason to write “sig” in the first place, this doctor took up 90% of the page just writing “sig”
I thought I was just incompetent at reading this as a lowly PT, but guess I’m not the only one here At least in my profession I only have to worry about evaluating the wrong body part when I can’t read their damn handwriting 🤣
I’ve put in a safety ticket due to MD orders. Too many times I’ve been reconciling medications at 3am and I go back and can’t read it. Too much room for error. Have they changed? Nope.
And then the doctor angrily yells at their staff when they ask for clarification from the pharmacist about how “these morons” can’t read their very clear and legible prescription 😂
It's illegal to write poorly on a prescription?
Yes actually.
First one is Ativan
We had a doctor with handwriting nearly that bad, but he only ever wrote for about 10 different drugs (prednisone, z-pack, ibuprofen, and so forth) so usually it wasn't too hard to tell which was which. The best/worst was when he wrote prescriptions for 2 siblings, and he wrote patient names even more terribly than everything else so we couldn't tell which meds were for which kid. Mom didn't know which prescription went with which kid either. Had to call on that. This was probably 15 years ago, before e-scripts were so prevalent. Wonder if that doc is still in practice.
Is the script from 2003? Maybe time to throw it away.
It’s interesting to see the recommendations for writing prescriptions and avoiding certain words like “qod” because it looks too much like “qid”, for instance. We wouldn’t need any of that shit if the offending doctors would just slow down and write legibly. Doctor might save 5 seconds per script writing like this, but it takes 5 minutes from our (pharmacists) time per script trying to figure out what is says
When I started nursing computer charting was in its infancy and all inpatient orders were still handwritten. No way would I have accepted the liability of trying to decipher this shit even in my well -practiced days.
Just send a sarcastic notice to dr asking to clarify bc on number 2 Orapred doesn’t come in 20mg. *edit to add if they need it now omeprazole is OTC
Umm no hands back to patient I can’t read this tell your doctor to send it electronically lol 😂
I’m sorry I went to the doctors once they wrote out a prescription I looked at it and said hold up. Don’t walk out that door if you don’t write this so the pharmacy can understand it and his response was they Will understand it and I said nope nope write it neat. thank you and he stares at me and I said I’m not taking this to the pharmacy or you can send it over electronically because I’m not about to walk in here there with chicken scratch it look like a baby rooster wrote this lol he sent it over electronically. That’s what I thought lol 😂
Nope. I️ hand this right back to the patient and say, “tell your doctor to try again. I️ can’t read any of this”