7
Exam of Dean Ast
By Mr. MacKay
Thursday, February 3rd, 2005

1effects, let alone drug interactions. And

2ultimately we will dispense that medication

3with some verbal advice of how to take it,

4what possible side effects that may occur or

5what to watch out for. And we also may

6supplement that information with written

7documents.

831QAlways or just sometimes?

9AI would not guaranty always. I would suggest

10for a new prescription, it would be most of

11the time, if not close to always, but -- and

12the reasons for that are is that sometimes new

13prescriptions, somebody has been on some

14samples, might be one example, they've had

15that medication already and have been

16explained a number of different things.

1732QSo it's common for patients to come to you

18then and indicate that they've had samples

19from their doctor?

20AIt's fairly common. It's also one of the

21questions that we do regularly ask our

22clients.

2333QAnd if you know that a person has been

24provided samples, does that -- how does that

25affect your questioning of that person?

26AWell, if they've obviously been taking the

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8
Exam of Dean Ast
By Mr. MacKay
Thursday, February 3rd, 2005

1medication already, we will find out how they

2have been taking it, when they've been taking

3it, and we will be asking them if they have

4any side effects. We may lead them down the

5road with specific questions of more common

6side effects that we might expect, I guess

7just to verify that everything's going okay.

834QOkay, now you indicated that you sort of have

9an interviewing process, you look for

10complications or evidence that some side

11effects have demonstrated themselves. Do you

12have -- like, is this all from memory?

13ANo.

1435QHow is that?

15AOur computer system. We log each and every

16prescription to each -- according to each

17patient. So it's organized as per each

18patient and organized chronologically. We

19also do keep a variety of notes on patients as

20we see fit for any issues, problems,

21questions, things that come to light that we

22feel may be worthwhile to add to their file.

2336QSo you keep an actual hard file for a patient?

24ANo, the only hard file that we keep is the

25actual hard copy prescription that is either

26provided to us or that we reduce to writing if

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9
Exam of Dean Ast
By Mr. MacKay
Thursday, February 3rd, 2005

1it's a verbal prescription when that

2prescription is brand-new. Every other record

3for refills is kept on computer.

437QAll right. And so how do you check the

5notes? Like, where do you keep your notes?

6Are they also logged into the computer?

7AA number of the notes are logged into the

8computer. Some of the notes, depending on

9what they are, may be logged with that

10original prescription.

1138QOkay. And how long have you been tracking

12prescriptions that way? Or clients? I'm not

13sure which is the better way to put it,

14tracking prescriptions or tracking --

15AWell, written prescriptions, from as long as I

16can remember we've always had to keep the

17original copy of that prescription. In my

18time of practising, we were on a manual system

19in the early to late 80's. And we had a

20manual patient profile that we would log the

21type of information I've just described to

22you, and if I believe correctly it may have

23been 1988 that we went onto a computerized

24system.

2539QAnd has that system under gone any significant

26changes between 1988 and 2002?

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