Daycamp72
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Reged: 06/29/02
Posts: 283
Loc: Tara
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The first of this week, my Mother went to this clinic near her home to be treated for severe chest congestion and cough. This is the type of place where you see whichever doctor is working that particular day. She was unfortunate enough to get a rude female PA.
Anyway, after examining my Mom, the PA wrote her a script for Zithromax and proceeded to walk out of the room. Mother stopped her and asked for a script for Tussionex, as her cough was terrible. This PA told her that all PROVIDERS had gotten a letter from her PHARMACY not to prescribe her any more Tussionex and started walking out of the room AGAIN. Mother stopped her and asked what a PROVIDER was and the PA replied "doctors" and started to walk again. Mother was quite confused and upset and the PA named several narcotics and said that Tussionex is one, too.
I asked Mom how many times this year she's had a script filled for Tussionex and she said FOUR times; she had a bout with the flu the first of the year.
Is my Mom tagged an ABUSER? Did this "letter" really come from the PHARMACY? Her INSURANCE company? The DEA?
Guys, this is a NORMAL little old lady. Is she in trouble? Of course, I'm going to call this idiot.
Any ideas or comments? I've never HEARD of this happening to anyone, much less my MOTHER!
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apkjezebel
Enthusiast
Reged: 03/01/04
Posts: 214
Loc: Florida
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I can't give you any help or advice on your question, but did you happen to go to a clinic in leesburg, fl? Sounds like one of the doctors there that told me to quit my pity party and get a job and my own insurance to be able to afford my meds. I can barely walk, let alone get a job. I would have liked to slap this lady, but didn't feel like going to jail, lol. It's people just like that that i wan't to tell to step into my body for a week then tell me i'm not in pain. Take care.
Lisa
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"I promised myself somewhere in teenage life Id never submit to the ones I will not be like Live in a hole But stay close to my kind Cause they understand what burns in my mind ~Pantera~ "
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Tiff151
Newbie
Reged: 11/30/03
Posts: 25
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a similar sitcuation happend to my husband he had migrnies and the doctor felt he was abusing his meds the doctor atully had my husband return a filled presciption for hydro 7.5 to him at his office then he would try a new med for more relief...but anyway the dr.ended up calling the pharmacy and told them no nore refills or new scipts I think what happend to your mom and my hubby is a breech of confidentialty he doc patient privlage though i dont have much advice to give but my prayers go out to your mom hope she finds relief soon 
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buey
Old Hand
Reged: 01/15/03
Posts: 453
Loc: USA
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This is horrible. I feel so badly for your mother. I jjst went through the same thing with my mother. Just this week in fact. She had oral surgery. The oral surgeon gave her Vicodin ES. As she resides at a nursing home at this time (she broke her foot) she has no access to her own meds. They have to be given to her by the staff. Anyway, her regular GP came in on the day she had the surgery to exam her. He took her off the Vicodin and told the nursing staff to give her plain tylenol. He did not discuss this with her, or anyone in our family. To make a long story short, I called his office on Monday. First they tell me the nursing staff prefers tylenol. I told the nurse there that this was a lie. I saw her chart with his writing on it that said Dr. so and so prefers to give Mrs. Buey's Mom tylenol. Then the nurse became nervous and said the home just faxed over a letter and they have requested Ultracet for her and he approved it. that's a lie too. The home doesn;t request certain meds.
The bottom line here is that her doctor pulled a script wrtten for her by another doctor. I asked the nurse what legal right he had to do this. She said she didn't know anything else about what happened, but she is faxing an order back for Ultracet (a far cry from Vicodin ES and I told her this) I asked that the jerk doctor call me back to explain himself. Of course he never did. I wrote a two page letter to him and I am sending it off this week. In the letter I told him if she needs narcotics she is to get them period. He can discuss with me, but undertreatment of pain is a serious issue and I will not tolerate it.
If I were you I would make a call and maybe write a letter. Be an advocate for your mother. I think the behavior of some health care professionals towards the elderly is abuse and it's reprehensible.
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yawkaw3
Pooh-Bah
Reged: 03/22/03
Posts: 1193
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You said she's been prescribed it 4 times this year...we're about halfway done with month 5. While Tussionex is a great drug, it's going to lose its effectiveness over time. Continued congestion and cough that lasts this long would be troubling to a doctor- he really needs to figure out what is causing this. If it started with a viral infection, the lung can remain inflamed for up to 2 months. Longer than that, it is worth figuring out what is causing her so much discomfort.
Here are some things that can cause chronic cough:
1) Asthma
2) Related Lung Diseases that she should be checked for
3) GERD (acid reflux)
4) Post-nasal drip, possible sinus infection
In an elderly person, this can be serious.
If she is wheezing, that needs to be taken into consideration too.
Did the doctor (or PA, in this case) just cut her off from Tussionex and imply "that's it, you're abusing it" - or did he want to stop that because he knew it wouldn't be effective anymore and was just covering up the real problem, which he needed to do more tests to figure out?
A person is not supposed to be having so severe of a cough that warrants a new bottle of Tussionex every month for 5 months...that really is cause for concern.
Giving her Zithromax seems like a cop-out to me...like he assumed it was simply an infection that wasn't killed the first time. That may be the case, but a cough that is lasting this long, I don't really think so. Is she diabetic, by any chance? Having fevers?
-yawkaw
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buey
Old Hand
Reged: 01/15/03
Posts: 453
Loc: USA
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The poster did not say when his/her mother has the scripts filled. The mother had the flu in January. She could have had small bottles with refills. About 5 yrs ago I had the flu and came down with a secondary bacterial infection. I was given 4 bottles of cough syrup during that time alone. 1 for a syrup with codeiene that did not work, one for hycodan that wore off too soon, and one for tussionex which worked and they gave me a refill on that. So that was four bottles for one bout of flu and then bacterial bronchitis that lasted 6 weeks altogether.
If she is taking one bottle per month, there is an ongoing problem with her lungs. But the PA should have explained things to her, not just treated her like garbage.
Just my two cents.
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yawkaw3
Pooh-Bah
Reged: 03/22/03
Posts: 1193
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Quote:
If she is taking one bottle per month, there is an ongoing problem with her lungs. But the PA should have explained things to her, not just treated her like garbage.
She was first given it in January. She has gotten it four times and requested it several days ago in month 5. To me, if she has been prescribed it 4 times, that most logically means she's gotten it every month.
I would hate to think that this poor woman god forbid has lung cancer (which for the majority of people does not have symptoms in the beginning when treatment would've been most effective), and while she does have a legitimate cough, she's not getting the best treatment- getting more Tussionex would solve nothing, it would just cover up her problems more and make it impossible to diagnose any serious condition until it's too late. It sounds to me like she just got cut off, and that is horrible- I agree she should not have been treated like that.
I don't believe any patient should be treated like garbage. But it's not like this PA just gave her an antibiotic and walked out of the room- she had to have done an exam and listened to her lungs and asked questions.
I think this PA may have had her best interests at heart, even if it's not what she wanted to hear by denying her the quick fix. Cough meds are not like pain meds- a long-term condition is serious in some cases, especially in the elderly. Occasionally, there is a need for long-term therapy with those meds, even though they lose a ton of antitussive function over time. But if she just had flu, this warrants a lot closer look at her problems.
My advice is to get a referral to a pulmonologist and explain all this. She is likely to get more cough syrup from him in the mean time until test results come back. A PA is really not the answer here.
Best of luck to her. I really think she would benefit from more tests, something is up here.
-yawkaw
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PrivateRealm
Threadhead
Reged: 03/18/03
Posts: 879
Loc: usa
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Well, considering that this is just the 5th month of the year, that would be a bottle a month. And the fact that she asked for it. That will turn heads. Older people can be labeled just as easily as younger people can, just as they can be under treated as younger poeple can. The can also become addicted. Tussonex containes hydrocodone which is used for accute, short term conditions. I can just see myself asking for a bottle of Tussonex. I would be lucky to get the 1st one.
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KeriAnne~~~
"Life is not measured by the number of breaths we take - but by the moments that take our breath away."
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purppoptart
Journeyman
Reged: 04/28/04
Posts: 83
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Just chiming in....I get DuratussHD (2.5 mg HC cough syrup)from my allergist (about 3-8oz. bottles once a year). After much testing, it was determined that something in my environment is acting as an irritant and causing me to cough uncontrollably when I lie down. Perhaps the original poster's mom has something a little less serious than lung cancer - further testing is probably indicated. Good luck - I know what it's like to cough all night!
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......and his hair was.....PERFECT!!
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IMSUSCOT1
Threadhead
Reged: 10/23/02
Posts: 875
Loc: usa
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One thing you have NOT considered is that when a patient has a cough PLUS congestion, prescribing a cough syrup that will DEPRESS the cough reflex actually does more harm to the patient than good. THE ONLY TIME a cough supressant is appropriate is when a patient has a DRY cough, with NO chest congestion! If you suppress the cough reflex in someone who has fluid(s)/infectious debris and/or lungs that are atelectatic(essentially collapsing), you INCREASE the numbers of infectious agent(s) breeding in the lung and DECREASE lung capacity...which coughing naturally does. I spent YEARS working in an ICU, and patient's admitted with PNEUMONIA are NEVER given a cough suppressant! Instead, they are given respiratory therapy, which includes a bronchodialator, chest percussion (to loosen congestion), deep breathing and then either spontaneous coughing or if all that chest percussion & deep breathing didn't cause the patient to cough spontaneously, we suctioned the patient, DEEPLY, which I assure, causes violent coughing. This is done anywhere from every 1-4 hours AROUND THE CLOCK...wonder why that is? There is ONLY ONE WAY for the congestion present in the lungs to exit the lungs & that is by coughing! IT DOESN'T DISAPPEAR MAGICALLY!! There are countless people who worsen the severity of a chest infection to severe & LIFE THREATENING pneumonia by continually taking cough suppressants when inappropriate and the physicians who prescribe them inappropriately, just to get the patient out of the office, do far more harm than good. There is either more to this story than you KNOW or more than your telling...either way, if your mother or ANYONE has chest congestion, a cough suppressant is INAPPROPRIATE. God gave you a cough reflex for a reason...think about it.
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tortie2
Journeyman
Reged: 04/20/04
Posts: 59
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IMSUSCOT1 -
In scanning your post just now I noticed that you say that cough suppresants are never given to patients with pnemonia. That is not the case. I have had several bouts of pneumonia, one of which required 6 days hospitalization; the other 11 days. I was extremely ill on both occasions and, in addition to significant lung infiltrates on CXR and MRI studies, I had terrible intractable coughs. I coughed so much during the first episode that I broke several ribs - I was given some Vicodin but it wasn't sufficient to entirely suppress my cough. During the second episode I had such a bad cough that patients on the whole ward could hear me coughing. My drs. ended up having to put me on a Morphine drip to suppress the cough (hydrocodone syrup and various other meds were not strong enough). I coughed so much that I was in extreme pain from coughing: all my chest wall muscles were strained so much that the pain became almost unbearable. Even when I left the hospital I was sent out with a prescription for Roxycodone (p.o. tabs) which I used for a couple of weeks. My cough finally disappeared at that time and I didn't need any meds anymore. Now, I realize this is an extreme example and doesn't apply to the woman described above, I think it is important to understand that pneumonia can be accompanied by a cough which can be so severe as to require cough suppressant medication. This is not to say, however, that it should be suppressed to the point at which the patient cannot cough at all. (I agree that it is important for patients to be able to cough enough to clear their secretions).
I hope this isn't too harsh! I agree with the yawkaw et al who say that 5 months is too long to keep getting cough syrup without attempting to work-up a possible underlying lung problem. I think sigmund2's suggestion that she go to a pulmonogist is an excellent idea.
tortie2
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IMSUSCOT1
Threadhead
Reged: 10/23/02
Posts: 875
Loc: usa
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Gee....did you NOT receive respiratory therapy???? You mean they NEVER allowed you to cough....where did the pneumonia go? There's only ONE route for it to come out & thats via the bronchus, past the trachea & out the mouth...so while they may have given you multiple narcotics...I doubt seriously they NEVER did anything to encourage the expectoration of the fluid/congestion in your lungs....not saying I don't believe your story...but I spent 7 years in ICU & NEVER SEEN IT. Amd btw. breaking ribs while coughing is usually because there is some other pathological process going on...as the ribs are "floating" attatched by cartalige...lot's of "bend" there..all that anatomy & physiology pays off...I've seen lots of people die from pneumonia, because by the time they got to us, they'd taken cough suppressants for so long the bacteria had become blood borne & they became septic....a risk NO ONE should take....no coutghing is not fun, yes, it disrupts your sleep, but if you were in ICU, you know you DON'T get any sleep there anyway...and I know this from BOTH sides of the stethescope....I was an ICU patient for a week just last month....bottom line...cough suppressants ARE NOT appropriate for someone with chest congestion....especially someone who is healthy yet enough to go to the doctor & go home...the doc did the right thing in this case by prescribing an antibiotic and hopefully sent the pt home with the suggestion to drink PLENTY of liquids to thin the secretions & COUGH them UP.
THis is first year med stuff....and without knowing all the details & symptoms encountered in YOUR ICU stay...I'm not conceding cough suppressants are appropriate therapy for ANYONE with the flu, or chest congestion...
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tortie2
Journeyman
Reged: 04/20/04
Posts: 59
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IMUSCOT1 - You are certainly entitled to your opinions, I will not argue with that - and I have no desire to engage in a tit for tat kind of ongoing message exchange with you. What I do object to is the vehemence with which you express your views. IMHO it detracts from your message. I merely wanted to point out that there are exceptions at times to what you may consider to be standard medical dogma (e.g., not giving cough suppressants to a pt. with pneumonia). To reiterate what I said earlier, I am NOT saying that the situation I described applies to the lady in this thread - but I think looking at medical cases in absolutist terms can sometimes have unfortunate consequences. By the way, it is NOT true that breaking ribs during coughing fits implies that there is an underlying pathology, it is actually fairly common. I think if you check with your friendly neighboring radiologist you'll find out that this is the case. With regards to pneumonia only being cured by "coughing" it up via the tracheobronchial tree that is not true. Pneumonia is a pathologic inflammatory process involving the bronchi and bronchioles primarily (hence the term "bronchopneumonia") or, in other cases, the interstitial tissue. The former is more common in bacterial infections; the latter, in viral infections or in pneumonia associated with exposure to chemicals, heat, etc. Inflammatory infiltrates in acute pneumonia consist mainly of PMNs (i.e., polymorphonuclear leukocytes) and are often accompanied by an inflammatory exudate. The exudate consists of PMNs and necrotic tissue associated with fighting the infection. This is what mucus and phlegm consist of (in the setting of acute pneumonia) - and some of this is what is coughed up. As the pneumonia resolves and healing takes place, much of the debris containing dead cells and necrotic material is ultimately ingested by macrophages and broken down at the cellular level. So, resolution of pneumonia occurs as there is clearing of the inflammatory infiltrates in the lungs with the return of nomal lung tissue and function. Antibiotics directed at whatever the causative organism is attack the bacteria and interfere with their replication (if it's an acute bacterial pneumonia) and thereby augment the human body's own inflammatory response to the pathologic invader. This, in turn, speeds up the whole healing process. Of course it is important not to let secretions pool in the pt's tracheobronchial tree and, as you said, suctioning and coughing help with that - but that is not how pneumonia per se resolves. With regard to "fluid in the lungs": that usually refers to either pulmonary edema or pleural effusions, neither of which can be "coughed up". Regards - tortie2
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tortie2
Journeyman
Reged: 04/20/04
Posts: 59
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I do not know why my paragraph spaces do not appear in the preceding post...?? I tried to edit it 2X to correct that but the message kept reverting back to one big solid block!!
tortie2
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tray1
Enthusiast
Reged: 11/22/03
Posts: 241
Loc: US
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Im no expert on this but I tend to agree with Imsuscot1 on this, I think your case was more the exception then the rule, I have had pneumonia twice and had to cough up everything in my lungs, they gave me stuff to enchance the cough (expectorant) rather then supress, One of my friends actually had a very long bout with bacterial pnuemonia and was treated exactly as Imsuscot1 decribed, she had been in ICU for 4 weeks then moved to ICU at Beth Isreal in Boston about 1-and a half weeks and then to a reg room for a couple weeks then rehab for like 4 more, she had something like 6 operations on one of her lungs becasue of the damge the bacteria did, now as much as this hurts like a SOB, they were constantly suctioning her and making her cough.
I do think you were the exception rather then the rule. I even had plueresy wih is fluid build up on the outside lining of the lung and was told to keep coughing.....Brace and cough.
Just my .02 Tray
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IMSUSCOT1
Threadhead
Reged: 10/23/02
Posts: 875
Loc: usa
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I believe I SAID antibiotics are the appropriate therapy for pneumonia...and I've read literally 100's of am xrays of patients with pneumonia, pulmonary edema, which can actually be further claissified depending on the source.....
YES antibiotics "heal" or overcome bacterial pneumonia...but that fluid, exudate, phlegm etc,don't go away by itself...and it doesn't "magically" resolve with the resolution of the infection....and breaking of ribs with coughing IS NOT COMMON...it's most UNCOMMON....if it were COMMON, we'd see 10000's in the ER's every flu season with broken ribs...which we do NOT, so when you can get the numbers to back up your gross exaggerations...bring them on....the ribs FLOAT...that's the beauty of the system....not saying it doesn't EVER happen, but when it does it is almost ALWAYS in the presence of some other pathology, whether diagnosed or not....strange...after more than 7-10 years in the hospital & most of those in ICU...I've NEVER seen a case like yours....and it was spent in a major metropolitan area....so I stand by ever thing I said...
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buey
Old Hand
Reged: 01/15/03
Posts: 453
Loc: USA
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As I sated here in this thread, I had the flu and then came down with a secondary bacterial infection; bronchitis. The coughing was so bad I was literally coughing every 30 seconds, day and night. It was not even a productive cough. Just hacking and hacking. I could not sleep at all, was miserable and totally worn down, thus my infection was sticking around for weeks. While it may be difficult to crack a rib from coughing, it is not difficult to crack cartiledge (sp?) I've done it.
I was given 10 days of antibiotics plus cough syrup with codeine which didn't touch it, then hycodan which wore off after 2-3 hours and was finally given Tussionex and an albuterol inhaler. That worked. I was able to cough on my own, which brought up the phlegm but surpressed the urge to cough my head off til the point of hurting myself.
I don't undertsand the reasoning that giving cough syrup is detrimental. Since you can still cough voluntarily while on a cough supressant, there should not be any danger. Like I said, when I was not on the cough syrup I hacked and hacked and brought up nothing. When I was given the syrup, all I had to do was take a deep breath and cough hard, and tons of junk would come up. Seems a more sensible way to go then making a patient hack senselessly, with no sleep, getting weaker and weaker. I am lucky I have a physician who believes in giving cough syrup for a serious bronchial infection. The doctor he had on call for the weekend when this happened, told me it was not a good idea to prescribe cough syrup and he would not give me anything. The next day I saw my own doc who was happy to prescribe the Tussionex and the inhaler for me, agreed that I was totally worn down from a lack of sleep and said it was going to be more difficult to get better if I could not sleep a wink. And if it is so terrible to give Tussionex, why do they make it?
I am curious as to the original posters mom and how she is doing. He/she has not posted since the original post. If she was being prescribed a bottle per month, then I have to agree with the PA in not giving her more. But like I said, I was given four bottles for one infection when I had bronchitis. It is not that unusual.
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tortie2
Journeyman
Reged: 04/20/04
Posts: 59
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IMUSCOT1 - You once again missed the point of my earkier message. While it is true that one doesn't wish to totally suppress the cough reflex in someone with pneumonia, it is also true that it is foolish to make absolute generalizations about things. As a subsequent poster states, he became exhausted from continuous coughing (as did I) and benefitted from cough syrup. Perhaps I forgot to add that most cough syrups have an additional component called an "expectorant" which serves to loosen the secretions and actually make it easier to bring them up (i.e., cough) As far as broken ribs from coughing, you are entitled to think whatever you want.....but, I have some knowledge to support my statements (my entire family is in Medicine including a brother who is a Radiologist plus 3 more drs in my immediate family). As far as the anatomy of ribs : the ribs are attached to the sternum on the anterior chest wall and to the vertebral column posteriorly and the joints are, indeeed, cartilaginous, but the term "floating rib" is used for something else. It refers to an extra (i.e., 13th rib) which is attached posteriorly but is too short to connect to the sternum in front. One end is thus "free" - hence the term "floating rib". None of this is helping the original poster so let's just end this ongoing exchange of posts! The most important thing for this lady (as I and other earlier posters have emphasized) is that she seek help from a very good internist or pulmonologist without delay! She definitely needs to be evaluated properly! Regards - tortie2
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oldnavy170
Board Addict
Reged: 05/12/03
Posts: 357
Loc: New York
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I have to say that my doctor prescribes me Robitussen w/codeine everytime I have a bad cough. He tells me just to take it at night to help me sleep. As long as you use it as precribed than I find nothing wrong with using this type of cough medicine.
So with this in mind I have to say that I believe tortie2.
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yawkaw3
Pooh-Bah
Reged: 03/22/03
Posts: 1193
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Only a nonproductive cough should be suppressed. There was no clear answer as to what kind of cough the original poster's mom had. You can still be congested and have a non-productive cough- sometimes when people have inflamed nostrils they think they're congested with phlegm/mucous, but they're not.
But sometimes, enough becomes enough, and the patient can't sleep and is begging you for a cough syrup and you know that a few ounces of cough syrup won't turn someone into an addict, so you prescribe it. Even for a productive cough. No it's not why it should be prescribed, but it can and does happen frequently.
-yawkaw
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daisyhess
Journeyman
Reged: 04/16/04
Posts: 61
Loc: Far, far, far Northern Minneso...
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I do NOT concur with the notion that ONLY a non-productive cough should be supressed. Many coughs start out quite productive. However....... Once that "nerve" has been tickled so to speak it can be extremely difficult to turn off. So the productive cough that in some ways can make a person feel better (and do a lot to facilitate expulsion of the phlegm, which in the case of infection could really be called pus) can become a nightmarish out of control hack in short order. There are definately times where a cough supressant is indicated in productive cough. You cough up a mouthful the first few times, then the retching begins and can be a devil to stop. Not only difficult to stop but dangerous. I can't tell you how many cold/flu/pneumonia patients I had over the years that presented the next day with broken ribs. Sustained while suffering from a 'productive' cough.
As to the Tussionex issue. I am very sorry about your mother. Has anyone been to the doctor or pharmacy lately? If so then you have surely signed the new HIPA forms. These forms rather clearly outline what your doctor/pharmacy/dentist/hospital........ can discuss about you and with whom. So your pharmacist is well within his/her rights to contact your doctor and vice versa to communicate an abuse concern. The reason they can do this is that abuse is of medical concern, and communicating such concern falls well within the guidelines of providing you with the 'best care possible'. Also, you signed your name acknowledging that you are aware of this. I would bet that anyone refusing to sign would at the least have to find a new pharmacy where they would be required to sign again, and at worst be refused medical care except in emergencies of course. Peace, Daisy
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Pickledoo
Old Hand
Reged: 09/20/02
Posts: 402
Loc: New England
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I had pnumonia. I refused to go to the hospital (my daughter was 18 oms. old at the time and I was a stay at home mom). I was given Augmentin, an inhaler, and Tussonex.
I also pulled some of the "knuckles" that connect yout ribs to your sternum. I was in bed for 5 days.
Thank goodness my Mom was there to pitch in.
My 2 cents.
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night_shade
Threadhead
Reged: 08/26/03
Posts: 907
Loc: The State of Hockey
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I, too, hate hospitalization and have had pneumonia annually for the past several years. The last 2 years, rather than spend 3-5 days in the hospital, my doctor has given me the option of coming in for IV antibiotics every day and adjunctive oral antibiotics (sometimes injected antibiotics as well.) EVERY time I had pneumo, I was given VicodinTuss and also told to use it only at night so I didn't have to sleep sitting up in a chair. I had most of the day to bring up the phlegm while still getting a few hours of decent sleep at night without the body-wracking coughing that literally feels like it's tearing out your insides.
Whether or not the use of the cough syrup was wholly "appropriate" in my case, I have survived every time and still been made a bit more comfortable at night with the cough syrup.
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Never underestimate the predictability of stupidity.
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purppoptart
Journeyman
Reged: 04/28/04
Posts: 83
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I had Pneumonia 2 years ago and I was never so sick in my life. I had atypical symptoms (swollen lymph nodes in my lungs that they thought might indicate lymphoma). Finally, a blood test and a repeat full body CAT scan (THAT was an experience)showed it was pneumonia. I was unable to sleep lying down for 2 weeks - what a nightmare! Even the DuratussHD I was given didn't help. I wouldn't wish that illness on my worst enemy.
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......and his hair was.....PERFECT!!
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Daycamp72
Enthusiast
Reged: 06/29/02
Posts: 283
Loc: Tara
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Thanks for everyone's support for my Mom on this thread. I haven't responded, for we've been in Barbados on holiday. MAN! That resort is heaven on earth. We were waited on hand and foot...
Anyway, Mom just got ONE tiny bottle for cough each time she visited the doc, no refills. I believe it was 2g. or something. Mom just has a cough at night and she's been checked out for pulmonary conditions.
Fact is, SOMEONE out there thinks Mom is an abuser, thus the LETTER to the providers saying No Tussionex, according to this doc.
Thanks, you all. Mom still coughs, though.
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