August 7, 2024
The owners of a small pharmacy that operates in a space just off the lobby of Carney Hospital are sharing the anxieties of their customers this week. Like them, they are scrambling to figure out their future in an information void that has followed the announcement by Steward Health Care that the Carney will close by the end of this month.
“It’s hard because for a lot of patients here, this is going to significantly deteriorate their quality of life and health,” according to Junghwa Lee, 50, who runs Community Care Pharmacy with her daughter, Taeyeon Kim, 22. They fill prescriptions for about 11,000 patients, about 40 percent of them residents of Dorchester.
While they also face an unknown future, they are now most concerned for their clients, who cannot get refills on critical medications because so many primary care doctors (PCP) have left their Carney practices.
“Our patients are afraid they are going to die,” said Kim. “We’re afraid they are going to die. They call us crying because no one is talking to them. We can’t tell them what is happening because we don’t know, either. The city, state, or public health hasn’t come to tell us how this will be done in a way that’s safe…We’re 28 days from closing with no plan in place.”
Elderly customers are particularly worried, particularly those who need controlled-substance medications for pain requiring monthly approvals.
“Patients feel completely abandoned and so many are just giving up,” said Kim. “These patients no longer have a PCP and they need refills of prescriptions and they can’t get a PCP in order to get refills. We can’t fill their medications, so they get sicker and end up in the Emergency Department…We’re recognizing that pattern could get really, really dangerous, really quickly.”
Lee has worked in the pharmacy since 2015. The business model allowed them to fill prescriptions for patients inside the hospital as well as for those in the community at-large, often through a home delivery service. She began the process of buying the pharmacy last year and finishing the transaction on Jan. 1 of this year.
They are now in limbo with their lease, not evicted, but informed that no one will open the door for them to operate after Aug. 31.
Both women faulted state leaders for not acting earlier. “If the state had gotten ahead of this a lot earlier and made it clear Carney was unstable, patients and providers would have had time to transition. “We probably wouldn’t have bought this pharmacy…It’s a lot to search through when no one knows what’s going on and none of the officials are talking to us,” said Lee.
Suzanne Koenig, an ombudsman appointed by the federal bankruptcy court to ensure patient care during the process, shares that sentiment. After a visit to Carney on July 30, she reported concerns over bad communication between corporate offices and staff at Carney.
“The senior leadership on the ground at Carney had few details regarding the closure process and steps,” read her report. “This communication needs to improve to ensure that the staff ‘on the ground’ understand the closure plan and are focused on implementing that plan safely and caring for the patients remaining at the hospital.”
At Community Care Pharmacy, their day-to-day routine now includes tearful visits and worried calls from patients asking questions that the pharmacists can’t answer.
“We have to take those calls all day from really, really scared patients telling us not to abandon them and we have no control,” said Kim. “I think Maura Healey or the officials that aren’t doing enough or who are trying to balance their own interests should have to listen to some of these things like we do before they make their decisions.”