Showing posts with label foster care. Show all posts
Showing posts with label foster care. Show all posts

Friday, June 18, 2010

A bitter pill to swallow

The amount of money wasted on medicine for foster kids is amazing.  Sometimes it seems I destroy almost as many pills as I administer.

Here is an example.  Child goes to med clinic.  Dr. prescribes a certain med.  For this example, lets say 10 mg Adderall XR Zyprexa.  He writes out a 30 day prescription with two refills.  The Dr. also puts the child on a schedule II drug, which  can only be scheduled out for thirty days and cannot be refilled without another appointment.  (This also helps feed the coffers of the Doctors who do these med clinics)  I go and fill both prescriptions for the first thirty days.  Someone screws up and doesn't schedule the next med clinic within 30 days.  (This happens more often than it should as well)  I run out of the schedule II drug but do refill the Adderall XR Zyprexa, which has refills.  Three days into the 30 pills of the refill, we get into see the doctor for the schedule II drug.  While talking to the child, the child mentions to the doctor that he doesn't like the way the Adderall Zyprexa makes him "feel".  In turn, the doctor decides to take the child off of the Zyprexa and put him on something else.  I end up with 27 capsules of Zyprexa.

Thirty 10 mg capsules of Zyprexa costs around $475.  (http://tiny.cc/p2ti2) What am I to do with them?  I have to destroy them.  Who pays for the wasted meds?  You do!  All kids in foster care in PA receive their health care through Medical Assistance, which is funded with your tax dollars.  Sweet.

(Friend Jason Kramer, who happens to be a pharmacist and e-friendly small business owner (two links in there), corrected my error of thinking Adderall was not a C-II drug.  It is.  Good news(?), Zyprexa is not and it costs more than Adderall - making it an even bigger waste of money!  Sweeter.)

Thursday, June 17, 2010

Take A Pill!

It is no secret that I am not a fan of behavioral meds; especially when it involves kids I have in my home or at school.  It's not that I am totally against their use.  My father, depending on which doctor you ask, is either schizophrenic or manic depressive.  You wouldn't know it.  When he is on his medication he is as "normal" as the next person.  But get him off his meds . . . 


I was classified as a hyperkinetic child when I was in elementary school.  My parents nor my teachers (I just used "nor") gave me pills.  And, as much as I would like to say they did, they didn't apply a 2x4 or a paddle.  I did miss quite a few recesses.  There were some early bedtimes.  I was allowed to pace back and forth as I read books in fifth grade.  And I survived school.  


Most of the students I get that are labeled ADD/ADHD do just fine if they are given a little extra structure and, at times, leeway.  Same with foster children.  I've had kids, Thomas for instance, who have shown up on my doorsteps so doped up that they are doing a damn good impersonation of a zombie, except they can't even work up enough energy to growl "Brains".