I'm a 60 year old man with the skin of a teenager. By that I mean, it's not young, youthful and smooth, but rather, if I don't take antibiotics, I break out in acne like a pubescent teenager.
I had been a patient of her father for over 35 years, staying with his practice through his moves from office facility to office facility throughout the years.
When he retired I decided to keep my business with the clinic and become a patient of Dr. Julie Maughan.
Obviously, she was determined to be out on her own and make her own mark, not be under his shadow anymore; fair enough. New building in a new location, etc.
My first visit with her, this became immediately apparent as a was promptly asked how long I had been on the medication I was taking, Amoxicillin. When I told her it had been years I was told they would not renew that RX. I would no longer be able to take the medicine for fear of contributing to antibiotic resistant super bugs. OK, again, fair enough.
I was then told that… because of my age and the location of my acne that unfortunately, I was limited in my choice of medications available to treat me. This was even though the Amoxicillin worked just fine for me for years. (by the way, as far as antibiotic resistant super bugs; myself, I've never been healthier, having not missed a day of work in over 8 years) I know it's more complicated than that, but whatever.
The end result was that in their opinion there was only one medicine that was worth trying. The hitch, instead of $9 a month for the amoxicillin, it was almost two hundred dollars a month and was only available at a special dermatological pharmacy 70 miles away from where I live. When I complained about the cost the reply was "Well, don't you have insurance?".
Really, are you kidding me? Well, yes, I have insurance but my out of pocket just went from $9 to $35 and now my insurance company and hence, my employers, mine, and everybody's costs, went up. I have real heartburn with rewarding a greedy pharmaceutical company with my business by paying hundreds when a $9 medicine did the job.
After using the medicine for a while it was clear it does not work as well, I now break out on my neck, behind my ears and on my scalp, when I never did before.
After my first year it was time for my yearly visit and an RX renewal. While there I mentioned that I thought I had developed a small, slight fungal infection on my forehead. She looked at it, didn't do a culture, and told me she thought it was precancerous and recommended a treatment called blue light treatment. Blue light treatment is used to treat actinic keratoses, sometimes referred to as solar keratoses. I'm not a doctor but I know people that have that and this is not what I was experiencing. I declined and after a couple of months my symptoms went away without the expensive treatments.
Today was the final straw. My second year has now gone by and once again it's time for my yearly checkup and RX renewal.
I went to get my medicine one morning this week and realized I had used my last one and had not gotten a refill. My bad. I had one refill left on my prescription but the year had lapsed, by one day. Yes, it was the 26th and the last day for me to get my last refill was the 25th. Not too bad of a situation I thought, my wife works in the pharmacy where I fill my prescriptions, they call doctors all the time and get a month refill till the patient can get in to see the doctor.
I went without my medicine that day and the next day she goes to work and phones in the request to the doctor. I got off work today and before I call the doctors office to schedule an appointment I call my wife to see if Dr. Maughan had called back with a small refill; she had not.
I called Dr. Maughan to schedule an appointment. I mention to Colleen, the office person that helped me with my appointment, that I was out of medicine and she was able to find a cancellation and get me an appointment in a week.
I then told Colleen that my pharmacy had called two days ago and requested a short refill until I could see the doctor and asked if I could have an RX for 7 pills until I could get in.
She informed me that no, I could not, it was against Dr. Maughan's policy.
What? Are you kidding me? This is an antibiotic acne medicine, not a controlled substance!
I had been a patient of the clinic for over 35 years and needed 7 days worth to hold me over till I could get in to see the doctor and they would not do that for me because it was not her policy.
I cannot believe that she is willing to let one of her patients go a week, or more, without their medicine, an antibiotic, mind you. Thank heavens I did not have to wait weeks for an appointment.
I have had enough, I'm shopping for a new doctor.
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