I am going to make a loooong story as short as I can...
Since my 6 week postpartum check up I have been on the minipill (since I am still nursing this is the only birth control pill I can be on). I had the perscription filled at the CVS by me. Well - a week or two after that my insurance changed and CVS no longer took it - so I went to a local very small pharmacy to have them transfer the perscription.
Fine...no problem - I take the mini pill no worries...and last week I went back to refill the perscription. Well I noticed the pill he gave me was different...so I called him to verify I got the right thing - and he said that I did...I asked 3 times if it was the minipill and that I am nursing and he assured me he gave me the right thing.
So today I go to my ob/gyn and I said to her - I dont think this is right - aren't these sugar pills? (minipill doesn't have sugar pills) I swear her face went white - she said not only have I been taking the regular pill - but it has a VERY high dose of estrogen (which I shouldn't be having at all!!)
I am so upset - she advised me to call my pediatrician to make them aware and talk to them about it....not to mention I have been sooo sick this week - I took a pregnancy test yesterday because I thought for sure I was pregnant (negative thank goodness!) I had all the symptoms.
In addition I mentioned to my DH that my milk supply seems to have disappeared overnight (which is a problem since I am nursing twice a day still) - the dr. told me that is from the pill so I am not even sure I can nurse now because I dont think she is getting enough - if any milk!!!!!!!!!!!!!
In the end my dr. said the pharmacist never even transferred the perscription - so he technically filled it without ANY paper work at all...oy! My Dr. told me that she suspects he might not even be a real pharmacist - can you believe that?? She asked me all sorts of questions about him so she can look into the situation...what a mess...long story short I just hope it doesn't effect the baby (besides the nursing issue). I don't know whether to cry - or strangle the guy!!!!!
OMG - i have no idea what to say but this is so scary! I'm so sorry you are having to deal with this. what effects does estrogen have on the baby? I guess my question is why you are supposed to stay away from it while you are nursing? This is such malpractice....
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Who do you have to probe around here to get a Chardonnay? - Roger the Alien from American Dad
I would contact the pharmacy immediately and speak with the highest manager that you possibly can - have you considered contacting a lawyer?
As far as getting your milk back, have you hear of Fenugreek and Mother's Milk tea? Both helped a friend of mine who had supply issues from the start - it enabled her to breastfeed for over a year where it really would have otherwise been impossible. And maybe throw a pumping session in there somewhere, or an extra if you're already pumping?
Gah! I am positively ticked on your (and Talia's) behalf .
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To be yourself in a world that is constantly trying to make you something else is the greatest accomplishment ~ {Ralph Waldo Emerson}
oh man, i am furious on your behalf! that is terrible! the silver lining is that it sounds like your OB/Gyn is very conscientious and doing what she can to get to the bottom of the situation. i am sure you already are, but keep records of what people are telling you and copies of any paperwork--it sounds like you might want to sue the pharmacy at some point.
can you put talia on formula for a few weeks until things go back to normal? how long did they say it would be until those hormones worked themselves out of your system?
i am so so so sorry. i will keep you guys in my prayers that everything is okay.
Laken the baby can't have estrogen - I don't know all the reasons but my dr. mentioned that it has "feminizing effects" - My ped. told me she should be fine (Whew!)
Luckily I am nursing and formula feeding - and my instincts told me that she wasn't getting enough milk - so I was supplumenting - and confused as to why she seemed to be so hungry after I nursed her. I guess it's back to pumping for me (I stopped for a while since my supply was leveled off and just where it should be.) Ugh that damn pump....
It's just so frustrating - I live and breathe Talia - my whole life right now is based on doing everything good for her - and this @ss just got in my way - and it upsets me. I know I can't control everything - but my gut told me it wasn't right...I should have called the dr. that day.
Oh well...I just have to be grateful I figured it out when I did...and that the medication isn't anything life threatening!!!!
oh jen!! and Talia!!! I am livid for you! i am glad you figured it out and hopefully your dr. or you can get this guy for what he did to you and Talia!
Errrrrrr.... This made me so mad, Im currently a pharmacy student, and this is just horrible that something like this can be allowed to happen! At all the pharmacies Ive worked at there were double checks upon double checks, although never worked at CVS. The best advice I can give you is change pharmacies. Ive never had experience with CVS, but it may sound weird, but Target Pharmacy is really one of the most technologically advanced, patient oriented, Saftey conscious Pharmacy around right now. We have guest speakers talk to us all the time, and we had target come in and I was soo impressed. They have recently changed the entire design of prescription bottles etc... a milllion upon million upon million dollar project, all to meet the needs of the patient and ensure the utmost safety. ITs actually pretty cool how it happened, a art student doing her thesis, designed these new bottles, and target saw it and said yes we have to have that. The National Pharmacy director of Target was the person who spoke to us, and she was the one who developed Target using these new botttles. Here is the article below, Sorry im probably a complete pharmacy nerd, but i think this is revolutionary in terms of Retail pharmacy. But again I feel for you and hope you never experience a mistake like this again.
Feature The Perfect Prescription How the pill bottle was remade—sensibly and beautifully.
By the time an object, or an apartment, or a company hits the half-century mark, it’s usually been through a redesign or two. Yet the standard-issue amber-cast pharmacy pill bottle has remained virtually unchanged since it was pressed into service after the second World War. (A child-safety cap was added in the seventies.) An overhaul is finally coming, courtesy of Deborah Adler, a 29-year-old graphic designer whose ClearRx prescription-packaging system debuts at Target pharmacies May 1.
Adler grew up in a family of doctors in Chappaqua, New York, but escaped medicine for an M.F.A. at the School of Visual Arts. She was inspired to return, at least tangentially, after her grandmother Helen accidentally swallowed pills meant for her husband, Herman. The drugstore prescription bottle, it occurred to Adler, is not just unattractive, it’s actually dangerous. Statistics back her up: According to a recent poll conducted for Target, 60 percent of prescription-drug users have taken medication incorrectly.
For her SVA thesis project, called Safe Rx, Adler revamped the familiar canister, then approached the FDA—but one of Target’s creative directors saw her work last summer, snapped up the patent, and rolled it out in record time. It’s already approaching design-classic status: ClearRx will be included in a MoMA exhibit this October. Your medicine cabinet is next. Here’s how Adler got from A to B.
(Photo credit: Davies + Starr)
Step 1 The Industry Standard
Inconsistent labeling. Every pharmacy’s bottle has a different style and placement of information. At Duane Reade, the drug name appears at the bottom of the label, with the quantity below; at Metro Drugs, the quantity appears before the name of the medication, on the same line.
Branding trumps all. The first and largest piece of type on a label is often the drugstore’s logo and address—not the name of the drug and instructions on how to take it, which should be given priority.
Confusing numbers. Numerals are often printed without explanation. The number 10 floating in empty space, for example, could be read as ten pills or “take ten times a day.”
Poor color combinations. Color-coded warning stickers—like those that say take with food, for example—don’t contrast strongly enough with either bottles or text. Black type set against a navy background is hard to decipher. An orange sticker can hardly be read against an orange bottle.
Curved shape is hard to read. Existing pill bottles have no flat surfaces and are too narrow for an entire label to be visible at once. In order for all pertinent information to be observed, the bottle must be rotated.
Tiny type. The FDA requires a separate information sheet to be included with all medication. The long lines of tightly spaced type mean it’s usually discarded unread.
(Photo credit: Davies + Starr)
Step 2 The Prototype
Function over form. Adler’s initial sketches had an antique apothecary design. She eventually realized that this approach sacrificed clarity for aesthetics. “People want to know the name of the drug first,” she says, “then how they should take it. But it’s never presented that way.”
Color coding. To avoid confusion, the label on each family member’s medication was given a different color. This concept was later modified owing to the expense of supplying pharmacies with color printers.
Intelligent expiration. A Condé Nast security badge that develops a large red X after 24 hours gave Adler the idea to add a similar marker to the label. A version that works over months, not hours, will be ready in 2006.
(Photo credit: Davies + Starr)
Shaping the bottle. After rejecting triangles and squares as too extreme, Adler decided on a D-shape—a wider front and a flat back would be easier to read. It was abandoned owing to the time required to certify the unusual semi-circle cap for child safety.
Info attached. Full medication details are normally stapled to a paper bag—and thrown away. Adler created grooves on the bottle that would hold a paper card with text set in columns. This plan was altered when the shape changed.
Close reading. In case the type was too small to read, Adler included a thin magnifying lens. It’s still under consideration.
Intake schedule. Instructions on when to take medication originally peeked over the top of the bottle. But doctors don’t pinpoint time so precisely, and pharmacists don’t want to be held responsible for such specific directions.
(Photo credit: Davies + Starr)
Step 3 The Solution The ClearRx system Adler designed for Target includes bottles for pills and liquids and a measuring syringe. Here’s the pill bottle that hits shelves in May.
(1) Easy I.D. The name of the drug is printed on the top of the bottle, so it’s visible if kept in a drawer.
(2) Code red. The red color of the bottle is Target’s signature— and a universal symbol for caution.
(3) Information hierarchy. Adler divided the label into primary and secondary positions, separated by a horizontal line. The most important information (drug name, dosage, intake instructions) is placed above the line, and less important data (quantity, expiration date, doctor’s name) is positioned below.
(4) Upside down to save paper. Klaus Rosburg, a Brooklyn-based industrial designer hired by Target, came up with an upside-down version that stands on its cap, so that the label can be wrapped around the top. Every piece of paper in the package adds up to one eight-and-a-half-by-fourteen-inch perforated sheet, which eliminates waste and makes life easier for pharmacists.
(5) Green is for Grandma. Adler and Rosburg developed a system of six colored rubber rings that attach to the neck of the bottle. Family members choose their own identifying shade, so medications in a shared bathroom will never get mixed up.
(6) An info card that’s hard to lose. A card with more detailed information on a drug (common uses, side effects) is now tucked behind the label. A separate, expanded patient-education sheet, designed by Adler, comes with three holes so it can be saved in a binder for reference.
(7) Take “daily.” Adler avoided using the word once on the label, since it means eleven in Spanish.
(8) Clear warnings. Adler decided that many of the existing warning symbols stuck on pill bottles don’t make much sense—the sign for “take on an empty stomach,” for instance, looked like a gas tank to her—so together with graphic designer Milton Glaser, for whom she now works, she revamped the 25 most important.
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"Deep down you may still be that same great guy I used to know. But it's not who you are underneath, it's what you do that defines you" Rachel Dawes, Batman Begins
I used to be a pharmacy technician and this just infuriates me that they filled your RX without actually transfering it. You should really report it. That pharmacist should be fired.
I'm so sorry - good for you though. Your instincts seem to have been right on target through this whole thing. Talia is lucky to have such a smart mom!
I personally would have gone right into that pharmacy and given that guy a chewing out right there in front of everyone in the store! But I'm one for scenes, especially if it involeves the health and wellbeing of my children!
OMG Jen I am SO angry for you!! I would definitely find out the guy's name and if he *is* a real pharmacist, I would absolutely report him to the state board/agency that regulates and licenses pharmacists. He should undergo some serious disciplinary action for that! Thank God Talia is okay, and that you trusted your instincts and supplemented with formula! hang in there, sweetie!
OMG Jen I am SO angry for you!! I would definitely find out the guy's name and if he *is* a real pharmacist, I would absolutely report him to the state board/agency that regulates and licenses pharmacists. He should undergo some serious disciplinary action for that! Thank God Talia is okay, and that you trusted your instincts and supplemented with formula! hang in there, sweetie!
I agree with alb, he should definitely be held accountable. I'm so glad that you and Talia are ok!