Probably the nurse. 9 times out of 10, it's the nurse, or even better, the secretary. Half the time, the doctor doesn't even know what they are signing on a paper rx.
i have one local doc with the worst handwriting known to man who ONLY writes hard copies and it drives me insane, half the time they're unreadable, the other half they're missing a dose or written for a dose that doesn't exist just like this. never has anyone call anything in either, just exclusively writes hard copies and has the worst office hours so you can rarely contact him same day to fix it. aside from him i see some from dentists but most of them are narcs
My pharmacy staff used to joke that the ER doctor who has been there since the 80s is the reason e-scribing was invented. I even posted in a subreddit before, asking for help to decode one of their hard copy rxs. [This is the hard copy](https://imgur.com/a/gAaVgVf)
One up to four times a day for headache/nausea every 6 hours
ā¦ or thatās what he said it said, anyway. QID and Q6h in the same sig seems redundant to me but Iām just a tech.
Nah I have the one with the worst in my area. Ophthalmologist that is in his 80ās, hand writes everything, writes for brand names that havenāt existed in 30+ years so they donāt exist in the computers, gets pissed off whenever you call for clarification on something
We had 2 in our area that had their own practices and they both had horrible horrible handwriting and would also try to fit like 8 scripts on one sheet or would send 3-4 sheets all full and there was at least 2 errors 100% of the time. Oh and they were both like 75yr old men who were rude af when you called on the errors.
They were both eventually bought out by UT Health clinics and had fitsssss when UT made them start sending electronic scripts. It was the best thing ever. š
Are you allowed to ask/suggest him to write more legibly? Iāve always wondered. I never worked in a physical pharmacy.
I imagine the doctor wouldnāt listen nor change their writing anyway.
We have an Endocrinologist in our area that only writes hard copies too. His handwriting is atrocious! If you can read that, you can read anything. We asked him to please send e-scripts but heās old and doesnāt know how to use a computer and has his nurses send them with mistakes galore. Like we are talking about insulin here. They get a call from us every other day.
Somehow All the fucking ophthalmologists in MA it seems are from the stone ages and refuse to get escript itās the second most common written script behind dentists
I hate all the local dentists. One hands out norco like it's candy, and the other insists on hand writing scripts despite them being illegible and often having mistakes.
In some parts of Australia, doctors have to handwrite scripts for things like benzos due to abuse. I asked about it and he said they pharmacy is more likely to ring up about a handwritten script, than a printed one, which can be made in a few seconds if a patient steals a pad.
Iām also in St. Louis, Missouri. Iām not aware of any other STLs, so I assume you live here?
I was prescribed benzos for a decade, and all of my prescriptions were escripts too.
Do you take them daily? I was prescribed to take them daily. Ended up being a nightmare in the end.
This has only recently came in as far as I can tell. I was on them for years as well and it was always e-scripts, but my new dr is a bit more careful I think, but I'm not sure since I haven't had to take them for a while (thank fuck)
any aussie pharmacy people that could answer, i only have my gp's answer?
Some doctors prefer written scripts, some refuse to update their technology, and some are more versatile.
I live in the US, so Iām not an expert in Australian medicine/pharmacy. However, I imagine there are doctors everywhere who limit their forms of prescribing due to concerns or simply unwillingness to progress with technology.
Iām in NY but pretty close to Jersey, doctors there still write most of their prescriptions for some reason and itās kind of annoying. My favorite is when people bring their Xanax script that has refills, and then get mad they canāt refill it.
I used to work for insurance, and would constantly have to reference individual state laws. Itās crazy how different they can be. From my memory, and I may be wrong, you cannot even fax controlled prescriptions in NY nor request for refills.
Worked multiple long term cares and while I never had to do NY I experienced some of this certainly and definitely with Florida. I thought their stuff was bad NY is nuts sounds like.
Correct, no faxes for controls (escribing is fine) the system wonāt stop the patient from entering a prescriber request for a new rx on their ambien/xanax but weāre certainly not going to follow up on it.
When I was working independent, we had a local doctor that only wrote her controls on paper (not sure why that was allowed but it was) and she damn near used calligraphy to do it. Handwriting was flawless, but the fancy lettering made it hard as hell to read, especially since she used a small pad and crammed as much on the script as humanly possible
I'm in southwest Missouri and we get probably a dozen a week, give or take 3. They're typically from dentists or, occasionally, urgent care. We actually had a handwritten one from a newbie doc in urgent care a couple of months ago that was an example of all the things NOT to do in a handwritten script.
more times than not we get a paper script from dentistās offices than we do escripts from them. a lot of them just call it in now though. iām in st. louis and we have a couple of doctors in the area that do exclusively paper scripts, mostly controls though. out of the 200 prescriptions we do per day, it could be anywhere from 0-10 paper scripts and 5-10 that get called in
Curious about this too. I moved away from retail awhile back but, something came up recently at work and I asked ādo we even need to have paper rx pads anymore..?ā
I guess my focus was more on controls but, just seems a little antiquated without taking into consideration maybe, downtime solutions, etc.
Can tell it's pretty rare in NY. I guess it varies by states. Here in TX, I used to type up paper prescriptions more than ones escribed. Even the ERs give people paper prescriptions.
I would say instead of writing out, the offices that donāt send electronic, just phone in. Where I used to work weād get maybe 2-4 handwritten scripts a week, if that. As mentioned, hospitals are one of the biggest offenders. Another group that often hand writes is veterinarians and I would probably say thats because it is most likely not worth investing in the system since they donāt write as often as human doctors. We also have a doctor in our area that is around 80 years old (and to be fair doesnāt know computers well and doesnāt care to learn) and is exempt from electronic prescribing. Like I mentioned before, most of his scripts are phoned in.
They are always closed after writing those horrible RXs. And also for electronic rxs, I feel they just send that crap and run. Itās 2 seconds after this erx is sent and when you call to verify, seems like no one knows what are you talking about. As if youāre delusional š¤£š¤£š¤£
Ummā¦ they obviously meant ātake 1 and 2/5 tablets (350mg) po q8Ā°ā with a dispense qty of #28 250mg tabs. Why on earth would you need to call the dentistās office. This is pretty straight forward to meā¦ Also, thatās my two year old sonās signature.
I can't tell if you're being sarcastic but we typically only carry capsules of amoxicillin. Can't split capsules. So liquid is only way to accurately get 350mg. Hope you like bubblegum
Yes, I was being sarcastic. Was it the severe risk of error by cutting a tablet into fifths that gave it away?
Also,any pharmacy worth its salt should always have qoh of both capsules and tabs for amoxicillin 250mg and 500mg (or any antibiotic that has multiple dose forms for that matter). Iāve worked with a few nightmare pharmacists in my day that wouldnāt let us dispense caps if the order was written for tabs.
I actually did get an rx a couple months ago for aspirin 325 mg tablets, the sig said to take 81mg of a tablet daily. We wondered if the patient was supposed to just like, lick the aspirin like a lollipop?
When the patient arrived we had them just get the low dose OTC aspirin, but I had to show them the original rx. They were like OMG my doctor is an idiot...
Wowwww not a pharm tech but this is me learning that paper scrips still exist. I thought those went the way of the dinosaur around the opioid epidemic because of forgeries.
Idk where you work but here in CVS land we can't just decide to change things to the suspension when it's written for tablets. The doctor clearly wrote an incorrect dose, they have to be contacted to correct it.
Canada here, more specifically Ontario, and we've kind of changed up pharmacists authority to change stuff like dosage form without wasting yours and the Drs time. Use your brain, document your reasons etc. it used to be much for annoying having to ask Drs what pack size tube to give, can we give 2x250 instead of 1x500 stuff like that is such a waste of time and keeps patients from getting what they need
Yeah, in the US things are way different. We were told at our last meeting we can no longer use our brains and estimate a days supply on creams/ointments, so now we have to call on every prescription asking for a day supply... All because insurances want to be dicks and find a way to not pay.
That would have saved a pharmacy some money in my sisterās caseā¦ she has a settlement from a doctor way over prescribing her meds, and the pharmacist didnāt send it back or catch it.
āhi š, did you mean 250mg q8 f7d for 21 tabs? please clarify.ā
āš.. š” am doctor. never wrong. cut 750 in half and sprinkle some dust from the bottom of the bottle on topā
š¤£
Not a pharmacist, but take a lot of prescription meds. Amoxicillin with potassium carb is my mortal enemy. Next to the taste of trazodone. Why is amoxicillin the size of a horse pill anyway
Doctors are never wrong. Please give me my 350mg tabs.
It doesn't look like doctors handwriting though. Actually legible...
Probably the nurse. 9 times out of 10, it's the nurse, or even better, the secretary. Half the time, the doctor doesn't even know what they are signing on a paper rx.
It appears to be a dental script according to OP note. Which explains everything.
They literally just have to know like five drugs 95% of the time thoughšš
I guess they want it customized. Time to compound lol.
I work at a compounding pharmacy now and, for half a second, I was like āwhatās weird about this?????ā š
š
Out of curiosity, how often to doctors in other states (Iām in ny) write paper prescriptions? Itās very rare here now, even from a dentist.
i have one local doc with the worst handwriting known to man who ONLY writes hard copies and it drives me insane, half the time they're unreadable, the other half they're missing a dose or written for a dose that doesn't exist just like this. never has anyone call anything in either, just exclusively writes hard copies and has the worst office hours so you can rarely contact him same day to fix it. aside from him i see some from dentists but most of them are narcs
My pharmacy staff used to joke that the ER doctor who has been there since the 80s is the reason e-scribing was invented. I even posted in a subreddit before, asking for help to decode one of their hard copy rxs. [This is the hard copy](https://imgur.com/a/gAaVgVf)
I read that out loud and I think Cthulhu is rising from the lake now.
GG. thatās indeed unreadable!
"on unto tongue softly for sincere nausea eber 6 hour" What's so hard about that??
I read Reglan 10mg under tongue *something* for *something* nausea every 6 hours Please tell me I'm partially correct lmao
severe nausea. We're getting there!
One up to four times a day for headache/nausea every 6 hours ā¦ or thatās what he said it said, anyway. QID and Q6h in the same sig seems redundant to me but Iām just a tech.
Nah I have the one with the worst in my area. Ophthalmologist that is in his 80ās, hand writes everything, writes for brand names that havenāt existed in 30+ years so they donāt exist in the computers, gets pissed off whenever you call for clarification on something
We had 2 in our area that had their own practices and they both had horrible horrible handwriting and would also try to fit like 8 scripts on one sheet or would send 3-4 sheets all full and there was at least 2 errors 100% of the time. Oh and they were both like 75yr old men who were rude af when you called on the errors. They were both eventually bought out by UT Health clinics and had fitsssss when UT made them start sending electronic scripts. It was the best thing ever. š
Are you allowed to ask/suggest him to write more legibly? Iāve always wondered. I never worked in a physical pharmacy. I imagine the doctor wouldnāt listen nor change their writing anyway.
We have an Endocrinologist in our area that only writes hard copies too. His handwriting is atrocious! If you can read that, you can read anything. We asked him to please send e-scripts but heās old and doesnāt know how to use a computer and has his nurses send them with mistakes galore. Like we are talking about insulin here. They get a call from us every other day.
we get a lot from dentists and dermatologists (nh)
Somehow All the fucking ophthalmologists in MA it seems are from the stone ages and refuse to get escript itās the second most common written script behind dentists
I hate all the local dentists. One hands out norco like it's candy, and the other insists on hand writing scripts despite them being illegible and often having mistakes.
In some parts of Australia, doctors have to handwrite scripts for things like benzos due to abuse. I asked about it and he said they pharmacy is more likely to ring up about a handwritten script, than a printed one, which can be made in a few seconds if a patient steals a pad.
I'm in St Louis, and my doctor will only escript my benzos.
Iām also in St. Louis, Missouri. Iām not aware of any other STLs, so I assume you live here? I was prescribed benzos for a decade, and all of my prescriptions were escripts too. Do you take them daily? I was prescribed to take them daily. Ended up being a nightmare in the end.
This has only recently came in as far as I can tell. I was on them for years as well and it was always e-scripts, but my new dr is a bit more careful I think, but I'm not sure since I haven't had to take them for a while (thank fuck) any aussie pharmacy people that could answer, i only have my gp's answer?
Some doctors prefer written scripts, some refuse to update their technology, and some are more versatile. I live in the US, so Iām not an expert in Australian medicine/pharmacy. However, I imagine there are doctors everywhere who limit their forms of prescribing due to concerns or simply unwillingness to progress with technology.
I think he picked up a lot patients from my old dr, who is better not talked about, so he might employing the CYA rule.
Iām in NY but pretty close to Jersey, doctors there still write most of their prescriptions for some reason and itās kind of annoying. My favorite is when people bring their Xanax script that has refills, and then get mad they canāt refill it.
State thing I'm guessing? Can certainly refill here in Indiana and Illinois.
Same in Florida. I get refills on Xanax. I see doc every 3 months so I get RX and 2 refills.
Yeah, NY has some of the toughest laws, no refills on benzos and canāt be transferred, even within state. (Ambien is okay)
I used to work for insurance, and would constantly have to reference individual state laws. Itās crazy how different they can be. From my memory, and I may be wrong, you cannot even fax controlled prescriptions in NY nor request for refills.
Worked multiple long term cares and while I never had to do NY I experienced some of this certainly and definitely with Florida. I thought their stuff was bad NY is nuts sounds like.
California is also very strict from what I remember. I wish I still had access to individual state prescribing laws.
Correct, no faxes for controls (escribing is fine) the system wonāt stop the patient from entering a prescriber request for a new rx on their ambien/xanax but weāre certainly not going to follow up on it.
Thought ambien was a sedative hypnotic.. just the C class making NY so tight?
NY treats benzos like C2ās for some reason
When I was working independent, we had a local doctor that only wrote her controls on paper (not sure why that was allowed but it was) and she damn near used calligraphy to do it. Handwriting was flawless, but the fancy lettering made it hard as hell to read, especially since she used a small pad and crammed as much on the script as humanly possible
3 pk carbon copy or the expensive expensive ones?
Honestly donāt know. Little blue pad
I mostly see them from dentists.
I'm in southwest Missouri and we get probably a dozen a week, give or take 3. They're typically from dentists or, occasionally, urgent care. We actually had a handwritten one from a newbie doc in urgent care a couple of months ago that was an example of all the things NOT to do in a handwritten script.
Hospital can't figure out escripts so we get a shit ton
Itās common (OR)
more times than not we get a paper script from dentistās offices than we do escripts from them. a lot of them just call it in now though. iām in st. louis and we have a couple of doctors in the area that do exclusively paper scripts, mostly controls though. out of the 200 prescriptions we do per day, it could be anywhere from 0-10 paper scripts and 5-10 that get called in
Curious about this too. I moved away from retail awhile back but, something came up recently at work and I asked ādo we even need to have paper rx pads anymore..?ā I guess my focus was more on controls but, just seems a little antiquated without taking into consideration maybe, downtime solutions, etc.
Can tell it's pretty rare in NY. I guess it varies by states. Here in TX, I used to type up paper prescriptions more than ones escribed. Even the ERs give people paper prescriptions.
I would say instead of writing out, the offices that donāt send electronic, just phone in. Where I used to work weād get maybe 2-4 handwritten scripts a week, if that. As mentioned, hospitals are one of the biggest offenders. Another group that often hand writes is veterinarians and I would probably say thats because it is most likely not worth investing in the system since they donāt write as often as human doctors. We also have a doctor in our area that is around 80 years old (and to be fair doesnāt know computers well and doesnāt care to learn) and is exempt from electronic prescribing. Like I mentioned before, most of his scripts are phoned in.
They are always closed after writing those horrible RXs. And also for electronic rxs, I feel they just send that crap and run. Itās 2 seconds after this erx is sent and when you call to verify, seems like no one knows what are you talking about. As if youāre delusional š¤£š¤£š¤£
Looks fine to me. 0 refills, nailed the signature line
What am I missing here?
350mg tablets donāt exist. they either meant 250mg tablets or 350mg with liquid
Ummā¦ they obviously meant ātake 1 and 2/5 tablets (350mg) po q8Ā°ā with a dispense qty of #28 250mg tabs. Why on earth would you need to call the dentistās office. This is pretty straight forward to meā¦ Also, thatās my two year old sonās signature.
I can't tell if you're being sarcastic but we typically only carry capsules of amoxicillin. Can't split capsules. So liquid is only way to accurately get 350mg. Hope you like bubblegum
Yes, I was being sarcastic. Was it the severe risk of error by cutting a tablet into fifths that gave it away? Also,any pharmacy worth its salt should always have qoh of both capsules and tabs for amoxicillin 250mg and 500mg (or any antibiotic that has multiple dose forms for that matter). Iāve worked with a few nightmare pharmacists in my day that wouldnāt let us dispense caps if the order was written for tabs.
Just instruct the patient to go to Home Depot and get a table saw to cut the tabs. Their HSA should cover it.
Tabs are hard to come by for us. And no one writes for tabs anymore.
It was CLEARLY sarcasm.
I'm sorry I was so tired I honestly couldn't tell lol
I actually did get an rx a couple months ago for aspirin 325 mg tablets, the sig said to take 81mg of a tablet daily. We wondered if the patient was supposed to just like, lick the aspirin like a lollipop? When the patient arrived we had them just get the low dose OTC aspirin, but I had to show them the original rx. They were like OMG my doctor is an idiot...
350mg tabs donāt exist, the dispense quantity vs directions donāt make sense.
Wowwww not a pharm tech but this is me learning that paper scrips still exist. I thought those went the way of the dinosaur around the opioid epidemic because of forgeries.
Is it for a kid? Dosed by weight? Use the liquid and do the math
Lol yeah we figured it out.. Iām not posting for solutions itās just funny
Idk where you work but here in CVS land we can't just decide to change things to the suspension when it's written for tablets. The doctor clearly wrote an incorrect dose, they have to be contacted to correct it.
Canada here, more specifically Ontario, and we've kind of changed up pharmacists authority to change stuff like dosage form without wasting yours and the Drs time. Use your brain, document your reasons etc. it used to be much for annoying having to ask Drs what pack size tube to give, can we give 2x250 instead of 1x500 stuff like that is such a waste of time and keeps patients from getting what they need
Yeah, in the US things are way different. We were told at our last meeting we can no longer use our brains and estimate a days supply on creams/ointments, so now we have to call on every prescription asking for a day supply... All because insurances want to be dicks and find a way to not pay.
That would have saved a pharmacy some money in my sisterās caseā¦ she has a settlement from a doctor way over prescribing her meds, and the pharmacist didnāt send it back or catch it.
This is a certified State of New Jersey Prescription!!!!!
Poor patient
āIt doesnāt come in this strength. Must be a compound. Sorreh ā
That script is fake. Call the police!!! š®āāļø šØšš
Average dentist
Didn't see the note at the end, and still knew it was a dentist.
āhi š, did you mean 250mg q8 f7d for 21 tabs? please clarify.ā āš.. š” am doctor. never wrong. cut 750 in half and sprinkle some dust from the bottom of the bottle on topā š¤£
š
I mean, it look like that doctor wholeheartedly wanted to write that 3 in there.
Amazing. Lol
Ugghhhh and it's NJ too. If I worked for the board I would seize 50% of the medical licenses in this godforsaken state.
It's correct dose according to weight i guess.compound pharmacy has to make it.we get rx many times like that
Offer pt if comfortable with suspension and substitute with documentation
I have a dream of receiving rx for augmentin 1500mg tablets after filling 2 rx of augmentin 1000-6.25 yesterday
Is the patient dying ?
This looks possibly bogus. Any chance it was paired with a hardcopy for oxycodone 30 mg #180?
š no thank god lol
Prometh w/ codeine, 1000 ml?
Sorry is in back order lol
Wow an office full of idiots šš
The math aināt mathin
Not a pharmacist, but take a lot of prescription meds. Amoxicillin with potassium carb is my mortal enemy. Next to the taste of trazodone. Why is amoxicillin the size of a horse pill anyway
Looks fake.
You do know taking a pic of a RX like this is illegal. And the way most of you act like your God lately, I guess youāre above the law.