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Posted on 9/29/18 at 11:32 pm to TheCaterpillar
quote:
They are a target, you just don't hear about it as much
Ive worked in the industry for 18 years. Doctors are scared of opioids now, to the point where many who don't abuse them can't get them. But it's also true that virtually all primary care physicians think it's the other doctors patients who are abuing them, and that's a huge part I'd the problem.
This post was edited on 9/29/18 at 11:33 pm
Posted on 9/29/18 at 11:34 pm to TheCaterpillar
quote:
agree, however there are thousands of stories of doctors giving patients with relatively minor surgeries or injuries, several weeks worth of Vicodin or Lortabs and these people followed their doctor's orders and developed an addiction.
This is also changing. Most schedule 2 scripts now are for about 5 days.
Posted on 9/29/18 at 11:47 pm to el Gaucho
quote:
Crucifying nice doctors who just want to help their patients is wrong. My cousin has a disease that the only treatment is pills called fibromyalgia and it is so sad to see him suffer. If he didn’t have his pills he would probably be forced to turn to dangerous street narcotics like marijuana
This story you have is played out like a bad OT joke. Dare I say, I’ve seen worse fibromyalgia in the quad on a Tuesday afternoon.
Posted on 9/30/18 at 12:11 am to WaWaWeeWa
Fibromyalgia is no joke but it's also mostly women who get it. It's also not correct to say that opioids are the only treatment. They are one of multiple treatments for the symptoms.
This post was edited on 9/30/18 at 12:13 am
Posted on 9/30/18 at 7:25 am to SeeeeK
Posted on 9/30/18 at 8:33 am to REG861
quote:
the company that manufactures Oxycontin, Purdue, deliberately and falsely advertised it as non-addictive for years. Literally hundreds of thousand of people were being prescribed that poison by doctors and taking their advice under the impression it wasn't addictive. They more than anyone are responsible for this.
This. It's also a shame the excutives avoiding being prosecuted back in 2007 (I think). They knew about the addictiveness and abuse of oxycontin for about 10 years at that point. They continued to market oxycontin as non addictive even though they knew it was being used like street drugs (crushed and snorted,etc).
Posted on 9/30/18 at 8:39 am to SeeeeK
quote:
but the legalized drug dealing doctors aren't even a target???
Yes, they are. The first big "pill mill" case in the country was tried in Mobile, Alabama. The Feds through the book at the docs in this case:
LINK
quote:
Dr. Couch and Dr. Ruan Sentenced to 240 and 252 Months In Federal Prison For Running Massive Pill Mill Acting United States Attorney Steve Butler of the Southern District of Alabama, announces that Dr. John Patrick Couch and Dr. Xiulu Ruan were sentenced to 240 months and 252 months, respectively, in federal prison for running a massive pill mill in Mobile, Alabama.
Posted on 9/30/18 at 9:34 am to dcrews
quote:
I'm not denying that Pharma companies can be sleezy, but at the end of the day, you as an individual are responsible for what you put into your own body.
True. But you also generally listen to your doctor, right? It’s not as if the majority of the people are asking for these pills. They were pushing them out there for a long long time because they were paid to do that.
Posted on 9/30/18 at 9:45 am to GetEmTigers08
quote:
I have a legit question for anyone in the know with all this: with all of this attention on stopping opioids is there anything being done with pain clinics and methadone clinics? As far as I know in MS, people are being sent to pain clinics by their family docs and trying to punt the responsibility to them, and I don’t blame em. It just seems to me that the issue is being moved to someone who is likely more than willing to continue prescribing for. And are methadone clinics only able to work with people trying to get off opiates, or can they put someone with no abuse history on a regiment for pain?
Probably going to depend on the state laws.
In Virginia, theyve instituted a whole of host of new laws.
Post surgical pain opioid Rx are limited to 7 days at a time up to 14 days total. After that you have to start treating as a chronic pain. Chronic pain management here now requires that you gave patients sign a pain management contract, agree to drug testing to ensure that 1) they aren't taking exogenous opiates or other illicits that you aren't prescribing or 2) to ensure that they are actually taking the meds and aren't just selling them.
There are databases that track opiate Rx filling to ensure that patients aren't doctor shopping.
It's a lot of work and frankly most pcps and other doctors don't won't to deal the hassle. So people are referred to chronic pain docs to manage this. Some docs don't have time nor the desire to start managing chronic pain pts every month.
This post was edited on 9/30/18 at 9:46 am
Posted on 9/30/18 at 10:44 am to SeeeeK
quote:
legalized drug dealers pushing them on their patients for kickbacks, vacations, cash payments.
This isn't a thing.
quote:
I have a derelict buddy who worked at Chrysler, hurt his shoulder, and he doesn't even have to come into the office to get new pills. He called w/out any contact of his doctor for almost 2 years and immediately got 1 month+ 2 month of refills for heavy pain killers.
Your buddy had a bad doctor. This is being cracked down on. Standard of care would have you see the doctor every 90 days while receiving controlled substances at a minimum frequency. There are a ton of reasons to see you more. If you've got a doc like this, find another one. Plenty of these pill mills are going down. I've seen a few in the last couple of years alone.
quote:
For fricks sake, when are the legalized drug dealers going to be held accountable for all of the people they have killed or have strung out?????
The ones that do shitty things are held accountable for the most part. Call the DEA if you suspect one of being not so great. They love investigating white coats.
Posted on 9/30/18 at 10:50 am to Hopeful Doc
Just an FYI You cannot get Opioids in Mexico they are outlawed.
Heard the lawsuits were going to be a lot of posturing by the states and the politically connected lawyers that are going to get paid. The payments to each state are pretty much determined.
Heard the lawsuits were going to be a lot of posturing by the states and the politically connected lawyers that are going to get paid. The payments to each state are pretty much determined.
Posted on 9/30/18 at 11:16 am to SeeeeK
Just more $$$ for the shysters to go after, they couldn't care less about the "opioid crisis".
Posted on 9/30/18 at 11:18 am to el Gaucho
(no message)
This post was edited on 6/14/20 at 9:28 pm
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