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"No more Furosemide." Now I wasn't asking, I was demanding. "You've seen his rash. He didn't have it when he came to
care unit."
"You're not qualified to say what he should or should not have."
"What am I doing," I wondered, "arguing with a doctor who should be helping?" I wish I'd spoken
words I thought next. "Bye-bye! You're fired!"
But, in that moment, I resolved to be fully in control of all my father's drugs. I would learn everything I could and provide drugs direct to
facility. . .or not. There would be no more ordering drugs without my specific authorization
I enlisted
expertise of a pharmacist I found just down
street. She graciously took time from her crowded day to answer all my questions and explain anything I didn't understand. She took a brief history of my father's illness, made note of his allergies, and offered money-saving suggestions. She focused on providing excellent service. In short, she was, and is, an angel.
I immediately began to look for another physician to take over my father's care, but I was too slow. Within a few weeks, my father died of complications from a massive insulin overdose.
Was my experience unusual? Probably not, according to a study from
Medical Expenditure Panel Survey (MEPS). On
subject of
increased cost of pharmaceuticals for people over-65,
study's author, Marie Stagnitti, MPA, reports:
Every year from 1997-2000,
average out of pocket expense for prescription medicines for those with a purchase and age 65 and older was more than three times as high as
average out of pocket expense on prescription medicines for those with a purchase and under age 65.
The potential for overmedication in
elderly is clear in Stagnitti's chart showing an average 23.5 prescriptions in both 1999 and 2000 for
over-65 group that used prescription drugs. The number of prescription drugs used by
under-65 group seemed high to me as well: 9.5 for 1999 and 10.1 prescriptions for
year 2000.
Overmedication is not only crushingly expensive for our elderly, it represents a real and present danger. You can do something about it. Please, learn about and oversee medications. You will help elders save money. You might even save a life.

A native Texas, Phyllis Staff lives in Dallas with her family. She is a writer and photographer whose work has appeared in scholarly journals and popular magazines. She is the CEO of thebestisyet.net (http://www.thebestisyet.net) and author of How to Find Great Senior Housing: A Roadmap for Elders and Those Who Love Them (2nd edition).