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re: "The Pharmacist"... Netflix Documentary Premiered Today!
Posted on 2/10/20 at 12:46 pm to xxTIMMYxx
Posted on 2/10/20 at 12:46 pm to xxTIMMYxx
quote:
dilaudid Yea, when people say prescribed heroin. This is the stuff. I had that after back surgery. Unbelievable
In my dental school prescription class (not our main pharmacology course, but a smaller course about the stuff you’ll actually prescribe in common practice), they straight up told us not to prescribe dilaudid. Too addictive and stronger than needed for dental pain. I remember when Oxycontin first came on the scene. Had very few patients brave enough to ask for it, but no way in hell were we writing that.
Two patients that were known druggies died from Oxy overdoses, though they obviously didn’t get it from me. But both were obvious druggies - come in with a legit problem, get antibiotics and a few days of hydrocodone, then fail to show for their appointment and always call to try to get a refill. Or they are allergic to everything you try to prescribe - the only thing they can take is...uhh...can’t remember the name.....Oxy-something. They were always very easy to spot.
Posted on 2/10/20 at 4:41 pm to TigrrrDad
I think part of what was left out was that CMS rolled out a campaign calling pain the fifth vital sign. I remember going to trainings stating that pain was whatever the patient said it was. That you were not doing your job as a provider if you were not treating pain.
Now CMS has taken it a step further and tied reimbursements to patient satisfaction. A patient can show up to the ER saying he is allergic to everything but Dilaudid. If he is told to kick rocks, he can trash the hospital on the survey. This has a direct effect on the hospital’s reimbursement rate.
The government has some ownership in this problem as well.
Now CMS has taken it a step further and tied reimbursements to patient satisfaction. A patient can show up to the ER saying he is allergic to everything but Dilaudid. If he is told to kick rocks, he can trash the hospital on the survey. This has a direct effect on the hospital’s reimbursement rate.
The government has some ownership in this problem as well.
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