tag:blogger.com,1999:blog-18943510.post4780424512839060938..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Eliminating Waste in Health CareDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-18943510.post-64240497760971671502012-01-24T22:17:55.228-06:002012-01-24T22:17:55.228-06:00Please, do not bring up drug expiration dates. The...Please, do not bring up drug expiration dates. The date is NOT a lawyer's work of art; but is based in science. If there is a bone to pick about expired drugs, one might consider petitioning that drugs are available in smaller unit-of-use packaging, as well as more fair drug pricing? Since when does it really cost a chemist to manufacture topical fluorouracil, a product that has been around Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-86824554330547763442012-01-16T08:30:47.399-06:002012-01-16T08:30:47.399-06:00Hal Dall, MD said... "... She brought me a sm...Hal Dall, MD said... "... She brought me a small box of "outdated" microscope slides!"<br />Now, Hal, you know those microscope slides can be deadly if given to a patient when they're out of date!Tim Hulsey, MDnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-76636189423836081812012-01-12T18:55:43.563-06:002012-01-12T18:55:43.563-06:00I have a part-time employee who also works at a cl...I have a part-time employee who also works at a clinic recently purchased by a large organization. To meet Joint Commission standards, all out-of-date supplies are being tossed. She brought me a small box of "outdated" <b>microscope slides</b>!Hal Dall, MDhttps://www.blogger.com/profile/03853309002983404637noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-46335883330102125612012-01-11T19:14:16.974-06:002012-01-11T19:14:16.974-06:00Wes is correct that there arebig hurdles to jump ...Wes is correct that there arebig hurdles to jump trying to get supplies to third world countries. We also have to be safe about it. When you've been there and seen the need, it is difficult to watch supplies going in the dumpster that could improve the lot of many around the world. It is also maddening to think that bureaucrats who get cadillac health care are making decisions impeding Tim Hulsey, MDnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-81308950179280415702012-01-11T11:34:43.289-06:002012-01-11T11:34:43.289-06:00The army study from early 200's was a perfect ...The army study from early 200's was a perfect example of how much waste there is from 'automatic xpirations'.. near 90% of drugs were fine for years after the wexpiration date. And most bottles filled at pharmacies here have labeling that intimates they are no good after a year.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-76232577010371339392012-01-11T08:43:22.674-06:002012-01-11T08:43:22.674-06:00Wes said, "...most countries will not accept ...Wes said, "...most countries will not accept ANY expired medical equipment through customs due to WHO regulations... Wholesale dumping of supplies... competes with existing medical equipment suppliers... single shipments help once, but rarely satisfy long-term needs... you might be able to donate these items..."<br />Wes, you're thinking like an MPH. No, donations won't solve Tim Hulsey, MDnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-67287911242204052612012-01-10T16:28:24.132-06:002012-01-10T16:28:24.132-06:00Tim-
While third world county donations make comp...Tim-<br /><br />While third world county donations make complete sense, most countries will not accept ANY expired medical equipment through customs due to WHO regulations. <br /><br />There are other real concerns for these countries as well. Wholesale dumping of supplies on countries as tax write-offs has lead to landfill garbage concerns. Secondly, free items placed in circulation in those DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-75698064496508447682012-01-10T16:11:36.975-06:002012-01-10T16:11:36.975-06:00Efudex cream is a wonderful topical drug for treat...Efudex cream is a wonderful topical drug for treating pre-cancerous and early non-melanoma cancerous lesion of the skin. Frequently, its use obviates the need for surgical treatment. I use it so frequently that I keep pre-printed 'script pads in my exam rooms. It is about $200 a tube! Most of the patients who need it are in the Medicare age group. I always remind them that the expiration Tim Hulsey, MDnoreply@blogger.com