Page 116 - 633 102 Professional English for Pharmacists E-Course book

Examples:

Case study 1: Patient Conversation that is not MI adherent

Nicholas Anderson is a 56-year-old man with diabetes and hypertension who has had
medications filled by Delta Don's Pharmacy for the past 10 years. According to pharmacy
records, the patient has been taking metformin 1000 mg twice daily, glyburide 10 mg twice
daily, and lisinopril 20 mg daily for the past 6 months. The patient is overweight, exercises
little, and is not following a healthy diet. However, the patient has a history of obtaining
timely refills. A note in the computer profile dated 2 months earlier provides the patient's
laboratory results (including A1c of 10.0%); these lab values were brought in by the patient
at that time for discussion. Today, the patient brings the prescription for Lantus 10 units
injected at night, which was dated 3 weeks ago.

Mr. Anderson: Instead of filling the insulin prescription, could you call my doctor to renew
my other diabetes medications? I don't really want to start insulin and poke myself with a
needle. It's bad enough I have to stick to myself to check my sugar four times a day.

Pharmacist: I understand (the pharmacist states while staring at the prescription). Mr.
Anderson, do you realize this prescription is dated for 3 weeks ago? What took you so long
to get this filled?

Mr. Anderson: Can you just call Dr. Purdy like I asked? I've already explained why I haven't
gotten the insulin filled yet.

Pharmacist: Mr. Anderson, we are really busy today. I'll call later if you really want me to.
Are you afraid to stick yourself with a needle? Think it's going to be too painful?

Mr. Anderson: No (glaring at the pharmacist). I already told you I stick myself four times
a day. I'm a retired bricklayer and have dropped tons of bricks on myself in my time. I'm
not afraid of pain. Never mind (grabs the prescription back)! I have an appointment next
week with the doc. I'll ask him myself (storms out of the pharmacy, leaving in his wake
other patients confused and upset at the altercation they have just witnessed).

Pharmacist (muttering to nobody in particular): He'll be back.

Case study 2: Patient Conversation that is MI adherent

Mr. Anderson: Instead of filling this insulin prescription, could you call my doctor to
refill my other diabetes medications instead? I don't really want to start insulin and poke
myself with a needle. It's bad enough I have to stick to myself to check my sugar four times
a day.

Pharmacist: Sure, we can call your doctor, Mr. Anderson. You are really doing a great job
by checking your blood sugar four times a day. What did Dr. Purdy say about the insulin
last time you met with him?

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