this morning. I’ll pick something up. Do you want to eat with us?”
“No, it’s okay. Derek’s grilling chicken breasts for us tonight. I’m sure he’ll start dinner as soon as I get home.”
“Okay, I won’t be long. See you in a bit.”
Kelly handed the prescriptions to the pharmacist who looked them over.
“I’m sorry. We can fill her prescription strength NSAID, but we don’t fill DMARDs.”
“You don’t fill them? Where am I supposed to go? Who does them?” Kelly questioned, trying to figure things out.
“Well, most patients who take them have to do mail order pharmacies; most insurance companies require it.”
“Mail order? You mean my daughter has to wait for her prescription to come in the mail?”
“Again, I’m sorry. That’s just the way it is. If you’d like, we can fill this portion of the prescription and fax a copy of this over to the mail order company, and they can fill the DMARD portion.”
Kelly was at least glad the pharmacist was willing to help her. “Okay, that’d be great. Do you know how long until they typically send it out?”
“I don’t know.”
Kelly nodded. “Okay. How long for this one to be ready?”
“Oh, say about 30 minutes. We can page you when it’s ready if you’re going to wait for it.”
“Yes, please. Page me when it’s ready.”
After the prescription had been filled, Kelly inquired as to which mail order pharmacy they faxed the DMARD drug to.
“We ran your insurance, and it appears MaxCare is covered under your insurance, so we sent it there. They should contact you soon to obtain all of your information.”
“Thank you,” Kelly said as she paid for her daughter’s medicine and headed home.
Along the way, she stopped to pick up dinner for her and Emma. Her thoughts raced as she replayed what the pharmacist told her. Why don’t doctors tell you these things, she thought, so you’re not shocked at the pharmacy? It would have been nice to have a clue as to what was going on before I got there. At least Emma didn’t seem too upset about her condition; the most she was worried about is whether the kids at school would know or not. Never mind the fact it could progress into something much worse, but I didn’t tell her about that.
Later that night, Dave called to check on Emma after she had gone to sleep. Kelly was so relieved to hear his voice. She filled him in on tidbits of information she’d read from the literature. He agreed it was scary that a disease could leave a child crippled as it progressed. The two talked on the phone until wee hours in the morning as they made plans to barbecue together that weekend.
On Monday, Kelly called Dr. Berringen’s office to schedule the first appointment with the specialist. She was nervous, scared, anxious and excited at the same time. The potential for this doctor to pinpoint exactly how severe Emma’s disease had grown was something she wanted to know but frightened her at the same time.
“I’m sorry Ms. Hall, but Dr. Berringen’s schedule is booked solid for the next three months. The earliest we can get her is after the school year starts this fall.”
“There’s no way you can squeeze her in? Her pediatrician said it was important to determine how far the disease has already progressed so we can closely monitor it.”
“No, we don’t have any available openings. If you’d like, we can go ahead and schedule the appointment today. We can also put you on an on-call list if there should be a cancelation, we’ll call you to see if you can make the appointment.”
“Okay, let’s go ahead and do that.”
Her next call was to MaxCare, the mail order pharmacy. The end of the day was drawing near and they still hadn’t contacted her from the prior week when her local pharmacy faxed over the prescription.
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