Tuesday, April 19, 2011
Just Give Me The Damn Meds
Another snake bite. This one wasn't provoked. Poor guy was cleaning his shed and the damned snake latched on. Somehow he killed the thing and brought it in. It was a copperhead, which is never good news.
The bite was to his right hand. He was swelling quick and it was moving up his arm. He needed CroFab right away.
So I ordered the standard loading dose and asked the pharmacy to make sure they had enough vials ready...this guy was sick.
The pharmacy kept farting around, and we had to keep calling to rush them. Then the charge nurse came up to me and said, "ER Doc, the pharmacy wants to make sure you know how expensive the CroFab is. They said it is $2,000 dollars a vial." My reply was simple, "Get the pharmacy on the phone now please."
Me to pharmacy boss: "This is ER Doc. I heard you have concerns over the price of the crofab for my rapidly declining patient. You know I am not giving him CroFab for fun. Do you want to call the manufacturer and ask for a discount? Was there a new magic medicine made for this I don't know about? Or how bout I have Ortho come down and chop off his arm because that might be cheaper? Or....maybe I should just let him get worse and die? What do you think of all that? Do you have any suggestions since you are so concerned?
Pharmacy Boss: "Uhhhhhh"
Me: "Then just give me the damn meds."
The CroFab arrived shortly after.
Posted by SerenityNow at 8:56 PM