08/10/2026
Iโve spent the past few weeks trying to get a prescription filled that is currently out of stock nationally. (Ladies of a certain age, IYKYK ๐คฃ) My pharmacy initially told me it would ship by Friday. I was surprised.
Then they canceled it because they couldnโt fill it. Not surprised.
They've got no idea when the supply chain will be able to fill the demand.
So I asked my doctor to prescribe an alternative...which the pharmacy flagged because I now had two prescriptions for the same thing.
No one noticed that the reason the second prescription existed was because the first one couldnโt be filled. I had to be the one to call and point that out to the pharmacist (!)
Eventually, the replacement prescription shipped and is apparently on it's way. Then I got a text telling me that prescription had been canceled too...which was particularly interesting, given that it was already in transit.
And while this has been frustrating as a patient, the business strategist in me has been fascinated, because this is what operational issues often looks like - and they're usually completely hidden from the people inside the business who need to know in order to fix it.
Every individual part of the system can be doing exactly what it was designed to do:
- The inventory system knows it's unavailable.
- The prescription system sees 2 active prescriptions and stalls without further input (from me, not my Dr).
- The fulfillment system ships the available prescription.
- The notification system accidentally sends a cancellation message.
It all works separately, but no part of the system has the whole story and they don't communicate. And when systems like this donโt understand context, humans have to fill the gap for them.
- I made multiple phone calls.
- Explained things to 6 different people (not kidding).
- Corrected mistakes made by the system.
- Then followed up. ALL UNPAID might I add.
Something that should have required one simple online transaction consumed the time and attention of 6 different people.
And yet, even in the middle of a personal frustration, I couldn't help but start reverse-engineering the system because I see these issues constantly inside my client's businesses.
I wonder what's lurking behind the scenes in yours. If you don't know, you can't fix it. It might show up as:
โCustomer service is overwhelmed.โ
โWe need to expand the customer service team.โ
โClients keep asking the same questions.โ
โThings keep falling through the cracks."
and if no one asks Why? then the symptoms are treated, but the true problem stays hidden and is never solved.
If it's time to look beneath the obvious problems to find whatโs actually costing your business time, money, focus and capacity, thatโs exactly what I write about on Substack (link in first comment).
P.S. It's just an AI-generated screenshot. I wouldn't actually share the real ones (with the national pharmacy name for all to see ๐คฃ Tempting though...)