About this ebook
The U.S. Healthcare system is, at best, cumbersome and confusing. We all have wondered: Who can I turn to with questions? Who can I trust? What resources are available to me? How can I get healthy? How can I stay healthy? Why is my health insurance so complicated? Am I paying too much? What is my doctor telling me?
For more than 40 years, Joe Goldstein has been helping people to understand and improve their health. As a pharmacist, medical assistant, medical practice manager, consultant, teacher and author, Joe has been delivering the highest quality goods and services to his patients, and continues to provide accurate and understandable healthcare information to students, patients, colleagues, and to his community.
Recipe for Health is written in plain words with artwork, humor and stories drawn from more than four decades of contributing to good health and care.
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Book preview
Recipe For Health - Joe Goldstein
Recipe for Health
Navigating the currents
and eddies of the
American healthcare system while getting the most
for your healthcare dollars
by Joe Goldstein, R.Ph.
© 2018
CONTENTS
Dedication
Disclaimer
In The Beginning…
Money, Money, Money
R-E-S-P-E-C-T
Time Won’t Let Me
Pharmacy Technicians
Technology Rears Its Ugly Head
Cleanliness and Appearance
My Own Experience
The Visit
Self-Care: Nutrition
Monitoring
Self-Examination
Weight Control
Alcohol, Tobacco, Drugs & Sex
For The Girls Only
Now For The Boys
Hope For The Future
Appendix I-----How To Perform
Breast Self-Exam
Appendix II----Conversion Chart
Blood Glucose to HbA1C
Appendix III—Nutritional Plate
About The Author
ISBN: 978-1-62249-440-8
Published by
The Educational Publisher Inc.
Biblio Publishing
BiblioPublishing.com
DEDICATION
This book is dedicated to everyone who has ever been involved in the manufacturing of medicine, prescribing medicine, dispensing medicine, or who has ever taken medicine, as well as to everyone in the healthcare industry. It is especially dedicated to those young, brave, misguided students of the healthcare disciplines, eager to embark on their careers. Good luck.
My special thanks go to Kirk A. Knowlton, who, with the assistance of three fingers of Balvenie, helped me to see the errors of my ways, and encouraged me to spread my wings and reach out.
DISCLAIMER
All mention herein of drug or other treatments or therapies are made for illustrative purposes only, and are not intended as recommendation to treat symptoms, diseases or disorders, real or imagined. Questions about health should be directed to a trained, licensed healthcare professional. You should never take or use any prescription medicine prescribed for someone else. Self-treatment with any over-the-counter medications should be limited to three days; if no improvement is seen, consult your licensed healthcare provider. Treating yourself, and especially using any books or internet sites as medical guides, is strongly discouraged. There is no substitute for the judgment of a trained, educated, skilled and experienced licensed practitioner.
All of the anecdotes printed here are true. Some involved me, some involved colleagues. For simplicity, I have made most of them first person. But all did happen. They are interspersed throughout the book, in bold font, following no pattern, and without rhyme or reason. Chuckling is encouraged.
Some of the contents of this book are reprinted by permission from Recipe for Success by Joe Goldstein, R.Ph. ©2016, The Educational Publisher/Biblio Publishing.
Recipe for Success is a prescribing guide for physicians and others with prescriptive authority. It helps them to enhance patient care and safety, and improve their efficiency by reducing unnecessary phone calls and interruptions about prescriptions. It is an interesting read for everyone, and available in paperback or for e-readers.
A Pharmacist’s Tablets
IN THE BEGINNING…
Archaeologists have often found evidence that mankind has tried, for thousands of years, to alleviate pain and suffering and cure disease by using substances foreign to the human body: rocks and minerals (sulfur, for example); plant matter (tree bark, for one); animal and insect extracts (honey); and even living creatures (maggots for wound care, leeches for their anti-clotting properties). Ancient Egyptians, Greeks and Romans practiced the preparation and application of medicines, usually as a part of the physician’s duties. In truth, pharmacy came into being when man first took a part of a plant and pressed it onto a wound. Or, maybe an ancient Peruvian chewed some leaves containing cocaine (Maybe we haven’t advanced that much!). Perhaps it wasn’t in Europe or Asia. Maybe a tribesman living on an Eastern Caribbean island cut a piece of an aloe plant and rubbed it on a burn. More than twelve hundred years ago the art and science of pharmacy developed into its own being, separating from the practice of medicine. Physicians no longer made their own poultices, mixed their own potions, or crushed and ground their own herbs. That was the role of the apothecary (and the snake oil
peddlers). The prescriber decided what potion was needed, and wrote instructions to be taken by the patient to the apothecary (or chemist or druggist, if you prefer) with a list of ingredients to be ground, pulverized, mixed, washed, strained, molded, filtered, and packaged. Some physicians, however, could not let go of their ancient roots, and, even today, still write in hieroglyphics. Pharmacists somehow develop remarkable interpretive skills. Ideally they develop the wisdom and judgment to know when to call the prescriber for translation.
MACRODANTIN 50mg, #30, 3 refills. SIG (directions): Take one capsule by mouth at bedtime.
ALBUTEROL PREMIX (1.25mg in 3ml NS) [normal saline], 7 refills. USE WITH NEBULIZER EVERY 4 HOURS X5 DAYS. DISPENSE 2 WEEK SUPPLY.
In my book Recipe for Success I make the following observation and give advice to physicians and other prescribers:
"Make your prescriptions legible. If I can’t read it, then you will receive a phone call. And I will not risk the health or safety of the patient if you can’t be easily reached. I have also called your covering colleagues, who may or may not feel comfortable trying to read your mind. So please, make sure your notes get into the medical record immediately. Hand-written prescriptions are the minority, but still do come to the pharmacy. Illegible prescriptions are dangerous and time-consuming. They serve no purpose. They are the butt of many jokes. They are a waste of your time, my time, and the patient’s time. They can cause