Mrs. Kittymom: Well, Dr Awesome, we've been following the cardiologist's medication recommendations exactly, but it doesn't seem to be helping TinyKitty.
Me: Ok, we may need to increase the medication dose. To review, he's getting 1/2 of the 12.5mg pills every 12 hours?
Mrs. Kittymom: Well....not exactly...
Me: How "not exactly?"
Mrs. Kittymom: Dr. Kittyhearts sent us home with prescription for the 12.5mg tabs, but CostClub only carries the 20mg tabs. The Farm Acyst at CostClub said we could just give TinyKitty 1/4 of the 20mg tabs, because 5mg was close enough to the 6.25mg TinyKitty is supposed to be getting. But I think maybe they don't know what they're talking about because TinyKitty isn't getting better.
Review consult notes from Dr. Kittyhearts - nope. No mention of a dose change or a phone consult with the Farm Acyst from CostClub. During a follow up phone call with Dr. Kittyhearts, casually ask about medication changes - nope. Decide to quit beating around the bush and outright ask - nope. Neither of the veterinarians caring for TinyKitty authorized a modification of the prescription.
Me: How about we get you the right sized pills so that its easier for you to properly medication TinyKitty? I have some in our pharmacy, I'll get them for you right now.
Mrs. Kittymom: Well...how much will they be from you? See, the reason we wanted to go to CostClub is because we can get 4 months worth for $20.
Me: Yes, I can appreciate wanting to save money. And now you've spent $20 on the wrong medication and would have been money ahead to have just gotten the correct stuff in the first place.
Mrs. Kittymom: Okay, I guess you're right.
After spending over $2500 in cardiology consults and follow ups for their beloved cat, this family was trying to cut corners and buy the medicine from the warehouse store to save a few bucks. And the pharmacist gave them the wrong medicine and suggested changing the dose without consulting either veterinarian.
Yes, I turned the pharmacist into the state pharmacy board. And I'd do it again in a heart beat.
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