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Started By
Message
OT Docs: how good are you at catching malingerers?
Posted on 6/20/14 at 11:44 pm
Posted on 6/20/14 at 11:44 pm
I accompanied a relative to their Dr. appointment today. While there, I watched another patient motivating around the waiting room without a problem, then develop a pronounced limp and foot drag when they called him back for his exam 
.
I figure he was trying to score some prescription meds or has a personal injury claim. Not that it matters, but to keep the thread from derailing, this was a thirtyish white dude.
. I figure he was trying to score some prescription meds or has a personal injury claim. Not that it matters, but to keep the thread from derailing, this was a thirtyish white dude.
14
Posted on 6/20/14 at 11:46 pm to Jim Rockford
Symptom magnifiers are also fun
Posted on 6/20/14 at 11:46 pm to Jim Rockford
Piss tests usually catch the pill heads.
With the new e-scripting docs have to use now, it's pretty damn hard to get a bunch of stuff filled at multiple pharmacies.
With the new e-scripting docs have to use now, it's pretty damn hard to get a bunch of stuff filled at multiple pharmacies.
This post was edited on 6/20/14 at 11:47 pm
Posted on 6/20/14 at 11:48 pm to CT
quote:
With the new e-scripting docs have to use now
what is that? My doc gives me whatever I want. But I am a professional white dude. I love being a white male.
Posted on 6/20/14 at 11:50 pm to Jim Rockford
Maybe he has aids
Posted on 6/20/14 at 11:52 pm to Zappas Stache
When I was 14 I had an infected knee that landed me in the hospital for 8 days. When I was released the Dr. told me to stay off of it until I saw him. I entered the Dr's office on crutches and walked out carrying them. One guy said damn that Dr. is a miracle worker.
Posted on 6/20/14 at 11:53 pm to Zappas Stache
They submit your prescription electronically to the pharmacy. No paper copies for people to forge.
Not sure if they have to do it by law.....yet.
Not sure if they have to do it by law.....yet.
Posted on 6/21/14 at 12:33 am to offshoretrash
quote:
When I was 14 I had an infected knee that landed me in the hospital for 8 days. When I was released the Dr. told me to stay off of it until I saw him. I entered the Dr's office on crutches and walked out carrying them. One guy said damn that Dr. is a miracle worker.
Posted on 6/21/14 at 12:37 am to boosiebadazz
quote:
Symptom magnifier
Nice. You know.
Posted on 6/21/14 at 12:39 am to CT
quote:
They submit your prescription electronically to the pharmacy. No paper copies for people to forge.
Naw, my doc is old school. I'm not sure he knows what Photoshop is.
Posted on 6/21/14 at 12:47 am to CT
Controlled substances actually have to be submitted via a physical pad for some reason
Posted on 6/21/14 at 5:25 am to TigerBait1127
(no message)
This post was edited on 5/20/17 at 11:39 pm
Posted on 6/21/14 at 5:53 am to Jim Rockford
If the patient volunteers to show they know more pharmacology than I do, I start to get suspicious...
Posted on 6/21/14 at 6:05 am to MDTiger 13
I love busting someone with the state monitoring program, ill egg it on and then be like "what about the X pills from Dr. y, did those not help"
Instant deer in headlights.....
Instant deer in headlights.....
Posted on 6/21/14 at 7:52 am to Jim Rockford
Waddell's signs
Also a good tell is "allergies" to NSAIDS and ultram.
Also a good tell is "allergies" to NSAIDS and ultram.
This post was edited on 6/21/14 at 7:54 am
Posted on 6/21/14 at 8:02 am to Jim Rockford
It's pretty hard to fake it in the ER now with EMR and you see they have been here 4 x in the past month. We all use the state controlled substance Rx program. Like the earlier poster said, I'll let them go on for a few minutes then pull out a printed 6 page list of all the narcotics they've received in the last year and say nope.
Our hospital has backed us up with pamphlets saying we don't treat chronic pain in ER too, so I can always blame it on the hospital why I can't give them their crack
Most of the time once you catch them in the act of drug phishing, they leave AMA
Our hospital has backed us up with pamphlets saying we don't treat chronic pain in ER too, so I can always blame it on the hospital why I can't give them their crack
Most of the time once you catch them in the act of drug phishing, they leave AMA
Posted on 6/21/14 at 8:07 am to Jim Rockford
I know a couple of people that have legitimate physical problems but because they've Doctor shopped and done other things such as that,they'll always raise suspension either at a Doctor or a Pharmacy.
I've had the same Doctor for 12 years and have used the same Pharmacy.They're both great.
I've had the same Doctor for 12 years and have used the same Pharmacy.They're both great.
Posted on 6/21/14 at 8:33 am to Ric Flair
My favorite thing in the world. "No i can't have morphine i'm allergic to it but I can have that dilaudid though"
Posted on 6/21/14 at 8:36 am to OhFace55
Or I'm allergic to Tylenol but I can have Vicodin or Percocet
Posted on 6/21/14 at 8:39 am to Jim Rockford
This post was edited on 4/19/21 at 8:56 pm
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