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Started By
Message
re: Louisiana has more opiod prescriptions than people
Posted on 10/7/16 at 5:12 am to LesMiles BFF
Posted on 10/7/16 at 5:12 am to LesMiles BFF
Call it what you want chief, it happened. I didn't fill them, threw them in the trash when I got home.
0
Posted on 10/7/16 at 5:42 am to Jim Rockford
This is a sad but not surprising stat.
Posted on 10/7/16 at 5:57 am to LSUSkip
quote:
You almost get pain killers for every visit to the doctor now. Drs are getting kickbacks from Pharma, meanwhile people are getting addicted, what do they do next? Prescribe more medicine. It's ridiculous.
You realize most of these drugs are generic now right? If it is a tamper proof concoction that may be written as branded to prevent diversion or abuse but otherwise most are generic. And if you are concerned about kickbacks go to the CMS database and see who got what from pharma and you can pick a doctor accordingly.
Posted on 10/7/16 at 5:59 am to Sao
quote:
There is no national database for doctors to refer to in terms of medical history per patient SSN.
I know I'm taking this snippet and commenting on something not entirely related to the opioid problem, but this fact above blows my mind.
Why do we have to fill out a medical history form every time we visit a new doctor? Why can't this information be shared? I'm assuming HIPPA, privacy concerns, etc?
Posted on 10/7/16 at 6:16 am to Sao
quote:
Issue is the percentage of out of pocket scripts adjudicated at pharmacy. Off book, no insurance fills. Valid fills will refill too soon due to PBM benefit edits. In other words, an addict using insurance can use the insurance to legally fill only so often. The issue lies with addicts running from internist to internist or FP to FP due to "pain". There is no national database for doctors to refer to in terms of medical history per patient SSN. Use a different pharmacy for each Rx and it's invisible.
False. There is an easily accessible state-wide database that shows records of precisely which controlled substance prescriptions were filled by any individual patient. It shows exactly which prescription was given, the date it was attempted to be filled on, and which pharmacy the patient went to. It is used frequently by ER physicians who deal with drug seekers on a daily basis, less so by the family practitioners and internists.
Posted on 10/7/16 at 6:20 am to Volt
quote:
It's called patient satisfaction.
You can thank Obama and his Affordable Care Act for that.
Many MDs/PAs/NPs are told to make the patients happy, and this means give them what they want.
This. And they're not just being told. Their reimbursement will soon directly depend on patient satisfaction scores. Chew on that.
Posted on 10/7/16 at 6:55 am to mstald1
quote:
is. And they're not just being told. Their reimbursement will soon directly depend on patient satisfaction scores. Chew on that.
My wife told me that, sad.
Posted on 10/7/16 at 7:06 am to smuphy72
quote:
really is an epidemic. My mom is dependent on them. She had a minor back surgery 7 years ago. She bounced back after that one and ruptured another disc and has been stuck on them since then. It's a sad thing, but she won't admit she needs any kind of help.
It sounds like she is getting the help? You ever think her pain is such that an opiod is required to allow her to function? I don't know her story, though, so don't take this as me being a dick.
My mom has 7ish opiod prescriptions. She rarely fills more than a couple a month, though. She is on pain management for multiple back surgeries. Most were successful. But one wasn't in time, and a torlov cyst on her spinal column caused irreversible nerve damage that causes pelvic pain and a sensation of having to urinate really, really bad. She equates it to child birth pain 24/7. No fun.
I probably have a dozen bottles in the medicine cabinet of various hydro-something or another's that docs have prescribed for some of the simplest shite. They are way over prescribed. But let's not lose sight of the fact that there are some people who do actually need and use them as they are intended.
Posted on 10/7/16 at 7:07 am to Jim Rockford
I know I was one when I got wisdom teeth taken out
Posted on 10/7/16 at 7:09 am to Jim Rockford
quote:
He's in pretty much constant pain but wont take anything stronger than tylenol. I can't say i blame him.
As someone who has personally witnessed someone else with pill addiction, I can't say I blame him either. Prescription pain killers are scary shite.
And to the person that mentioned the CMS database where you can lookup and see the $ value of the relationship your provider has with pharma companies, there is the link:
LINK
Posted on 10/7/16 at 7:09 am to member12
quote:
Realistically what can be done to address this?
End Marijuana prohibition.
LSU is growing medical marijuana as a cash crop.
Posted on 10/7/16 at 7:14 am to Jim Rockford
Wtf nobody gave me one
Posted on 10/7/16 at 7:16 am to Jim Rockford
No one thinks they know drug addicts but you know plenty.
Posted on 10/7/16 at 7:17 am to Jim Rockford
This information is too vague to be meaningful
Posted on 10/7/16 at 7:19 am to RoyalBaby
quote:
I'm not surprised. I went in for a planters wart and came out with 3 scripts: 1 for Percocet, 1 for lorcet, and 1 for hydrocodone. I asked which one would get rid of the wart and they recommended
Is there a pill for compulsive lying? If so you should have gotten that script too ..
Posted on 10/7/16 at 7:21 am to member12
quote:
Realistically what can be done to address this?
Allow pharmacists primary care status
Posted on 10/7/16 at 7:21 am to LSUballs
quote:
1 for Percocet, 1 for lorcet, and 1 for hydrocodon
No doctor gave you any of that for a wart unless they're a pay for pills type place in which case you would've paid about 400$ at the door. But anyway,
First off lorcet isn't made anymore and hasn't been for years
second its called lortab or just norcos now
third that is hydrocodone, there is no hydrocodone free pill from the otc component. There is a liquid but not a pill. At least not given in the US there is such a pill in other countries.
fourth no doctor is gonna give you 2 Pks with acetaminophen, or they shouldn't, they would have you on norcos and 5mg Roxies for breakthrough pain in this example.
This post was edited on 10/7/16 at 7:34 am
Posted on 10/7/16 at 7:23 am to Breesus
quote:
Allow pharmacists primary care status
This would work but will never happen.
Posted on 10/7/16 at 7:24 am to Jim Rockford
Lots of pain management docs out there
Posted on 10/7/16 at 7:36 am to Fratigerguy
quote:
But let's not lose sight of the fact that there are some people who do actually need and use them as they are intended.
sure but as a tolerance arises, the help provided diminishes and i don't most of these heavy painkillers are viable long term solutions for most people.
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