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  #1  
Old 01-01-2009, 11:50 PM
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Quote:
Originally Posted by statdoc
That's not remotely true, unless the drug was something exotic, or if the med is a controlled substance (narcotic, etc). If the patient knows the name of the medication and the dosage (since they are from another country, preferably the generic name), the doctor surely won't have a problem prescribing an amount that will cover their trip (usually a month or less, without refills).
You think they will take the risk...most of the urgent cares around here don't have much in the way of a facility, you go there for a cold or a minor burn
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Old 01-01-2009, 11:53 PM
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Quote:
Originally Posted by mrkbbd
You think they will take the risk...most of the urgent cares around here don't have much in the way of a facility, you go there for a cold or a minor burn
Again, we have not been told by the OP what the actual medication in question is. If it is something as simple as a blood pressure med or heart rhythm pill, I cannot imagine the family doctor or internist (who usually staff such doc in the boxes) being reluctant to renew that. It is done all the time. Easy money for those walk-in clinics.
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Old 01-02-2009, 01:17 AM
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it is sold here and called lotrel...

insurance fraud might work but your dr friend had better be willing to put up in case of an audit... though unlikely

norvasc and lotensin are sold here as separate generic pills and as a cash price should be much cheaper than lotrel

you said they were russian? find a pharmacy that services mostly russians, explain the situation and probably the pharmacist will fill for cash price.

don't flame me...
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Old 01-02-2009, 01:45 AM
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Quote:
Originally Posted by LazyDog149
it is sold here and called lotrel...
Lotrel is NOT the same thing that his family member is already on. Lotrel is the amlodipine/benazepril combo I already mentioned. Benazepril and lisinopril are both ACE inhibitors, so substituting one for the other is generally possible, but why take a chance on screwing up things when the man can get the two meds he is already used to taking, in dosages that apparently work for him? He takes two pills each morning for his visit, rather than one. Big deal.
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Old 01-02-2009, 01:21 AM
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you said they were russian? find a pharmacy that services mostly russians, explain the situation and probably the pharmacist will fill for cash price.
That's what I'm going to try first thing tomorrow morning. If it does not work out, I'll take him to PrimaCare.

Local CVS pharmacist was not willing to talk about filling for cash with no prescription
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Old 01-02-2009, 01:32 AM
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don't go to a chain pharmacy as that will prob be a waste of your time... go to a mom and pop pharmacy in a russian community with them and have them explain it to the pharmacist in russian
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Old 01-02-2009, 04:32 AM
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I have no clue. I've never been to Parkland in Dallas. But it would be my guess that if this person urgently needs to get this HP medicine then any effort one makes would be better than sitting around arguing about what might happen.

All they could say is "No we can't help you or "yes we can give you a few pills to tie you over".

If it really is as important as the OP makes it out to be what's the harm in giving it a try. As I said it's a suggestion. Take it or leave it. I was just trying to help.
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Old 01-02-2009, 10:19 AM
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Quote:
Originally Posted by statdoc
How do you think this would play out? He takes his non-English non-US citizen into any local county hospital (Parkland in Dallas, for instance), and translates the need for the medicine to the Triage Nurse. What will you imagine will happen then?
Quote:
Originally Posted by Quicksilver
I have no clue. I've never been to Parkland in Dallas. But it would be my guess that if this person urgently needs to get this HP medicine then any effort one makes would be better than sitting around arguing about what might happen.

All they could say is "No we can't help you or "yes we can give you a few pills to tie you over".

If it really is as important as the OP makes it out to be what's the harm in giving it a try. As I said it's a suggestion. Take it or leave it. I was just trying to help.
Ah, my obviously self-reliant, healthy friend. Let me take you down this path.

Triage nurse takes vital signs, fills out 10-15 minutes worth of computerized forms, asking all sorts of info on past medical, social and family history issues. All will have to be done via translator, mind you.

Triage nurse then sends patient out to registration desk, where the financial info gathering begins. Without a US insurance card, they will be asked to sign all sorts of forms, IOU's, etc, probably making them feel as if they are cheats.

After every heart attack, gunshot wound, broken leg and asthma attack is treated, they will squeeze patient in to be seen. Might be 1 hour later, might be 7. Overworked, frazzled nurses and doctors will look at this situation as an annoyance. In comparison to the life & death struggles they are geared up for, someone is here because they left a prescription bottle at home? Sort of like asking a Navy Seal to teach a high school ROTC class. Just not the battle he is used to fighting.

The patient may grudgingly be written a prescription, after a cursory exam. An hour later, when the nurse is able to get to it, she will discharge the patient.

All that, compared with a walk-in clinic?The very concept of triage (prioritizing the sick) ensures this patient will be put at the back of the line in an ED. ED's are great when you are really ill or injured. However, minor stuff is really better seen & handled in an office/clinic setting.
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