An Embarrassing Allergy

Edgar Bowler relies on his much younger wife, who sees one of my partners, to help him keep track of his appointments and drive him to the office. Both of them have multiple medical problems and between them they take well over a dozen different medications. She usually handles their prescription refills and pill minders. Some of their medications are quite expensive and not all of them are covered by their insurance, so our office sometimes helps them out with samples.

Recently, Jane Bowler had eye surgery and Edgar had to step in with the help of his son-in-law, Jonathan, and take care of their medications. They came in to pick up a bag of several kinds of medication samples we had saved for them.

A few days ago, Edgar made an urgent appointment for hives. He was literally covered with them. Fortunately, he didn’t have any trouble with his breathing, but I did prescribe both steroids and antihistamines for him. At first, he had no idea what had caused the hives, but as I went down the usual list of considerations, he exclaimed:

“New medications, yes, there was a new one in the bag Jonathan and I picked up a while ago, that might have been it!”

“But I haven’t prescribed anything new for you,” I protested.

“You didn’t?”

“I think we need to take a look at those pills, Edgar. Could you bring them in for us to look at later on?”

Edgar left with his allergy medication prescriptions. Later the same day he returned with all his pills, neatly laid out in his two-week pill-minder.

The ones that seemed to have caused his hives were off-white, oblong, and imprinted with “LILLY 4165”.

The offending drug turned out to be Evista, a selective estrogen receptor modulator, used occasionally for postmenopausal women such as his wife, Jane, and never for men.

How does one explain that on Edgar’s list of allergies in his medical record?

1 Response to “An Embarrassing Allergy”


  1. 1 Rachelle November 25, 2012 at 10:41 pm

    My partner and I stumbled over here by a different web page and
    thought I should check things out. I like what I see so
    now i’m following you. Look forward to exploring your web page again.


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s




Enter your email address to subscribe to this blog and receive notifications of new posts by email.

Bookmark and Share

Mailbox

contact @ acountrydoctorwrites.com
© A Country Doctor Writes 2008-2017. Unauthorized use and/or duplication of this material without express and written permission is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given.