Thursday, January 17, 2008


News flash to a patient who chewed me out at work the other day because we didn't have the dosage of theophylline in stock that her pet dog had been prescribed (100 mg capsules, to be precise):

No one is on theophylline. Yes, I know theophylline is an asthma drug and that in theory that means it is an important, life-saving medication. There might be two people in this whole state on theophylline. Your suggestion that we should stock theophylline because it is a life-saving drug is analogous to being upset that we don't have a huge supply of thalidomide on hand. Thalidomide is used for renal cell carcinoma. We don't stock it because we might get one prescription for it by the end of this century.

You should train your dog to use an albuterol inhaler. We have one patient whose cat uses one. I don't know how she managed that, but she deserves some sort of award.

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