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http://query.nytimes.com/gst/abstract.html?res=FA0813FB39540C7B8CDDAF0894DB404482

Magazine Desk | June 8, 2003, Sunday
The Toxic Pharmacist

By Robert Draper (NYT) 3111 words
Late Edition - Final , Section 6 , Page 83 , Column 1

LEAD PARAGRAPH - He worked in an obscure little room, 9 feet by 9 feet. For several hours a day, he sat in his white lab coat before a white table in the center of the room, mixing powders and creams in a sterile compartment beneath a ventilator hood. The labor, though humdrum, required great dexterity and care: smoothing gritty chemicals into paste, drawing precise dosages of toxins into saline solutions and, in the end, creating medications from scratch. For nostalgia-prone types in the pharmacy profession, drug compounding was something of a lost art, conjuring up images of cloaked and bearded apothecaries hunched over foaming test tubes. Such romantic notions held no sway over Robert Courtney. He was, at the bottom of his soul, a man of commerce.

His customers at Research Medical Tower Pharmacy in Kansas City, Mo., had no inkling of this. After Courtney would emerge from the sterile compounding room with their medications in hand, he greeted them with an Old World civility that complemented his fastidious haircut and the crisply professional dress beneath his lab coat. ''What a gentleman,'' Delia Chelston exclaimed to her husband after the pharmacist offered her a seat while he filled her prescription. Through her oncologist, Chelston also received from Courtney's pharmacy the chemotherapy medication known as Taxol, which she was taking to battle ovarian cancer. By early 2001, it dawned on her that she had been experiencing none of the drug's crippling side effects. After considering the spectrum of possibilities, Chelston did as most cancer patients would. She took the Taxol's seeming benignness as an encouraging sign that she was defeating the odds.



 

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