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re: Who is to blame with regards to the prescription drug dependency in America
Posted on 6/1/16 at 3:26 pm to lsunurse
Posted on 6/1/16 at 3:26 pm to lsunurse
Yep.
That Panera Bread lunch is so powerful it can overcome years of medical training and clinical experience and just FORCE them to do whatever I want!
That Panera Bread lunch is so powerful it can overcome years of medical training and clinical experience and just FORCE them to do whatever I want!
2
Posted on 6/1/16 at 3:30 pm to BamaChick
Well their strawberry poppyseed salad is pretty damn delicious
Posted on 6/1/16 at 3:30 pm to tiger1014
I will finish reading this thread after I complete something, but to answer the question I think pharmaceuticals is where the root of the problem started. Their job is to increase profits so they have to sell their product to doctors.
When I watched the Anderson Cooper special on this topic, I didn't buy the fact that doctors didn't think they were as addictive as they are. They knew opioids were addictive, isn't that the reason they limited the amount of morphine patients received?
There were doctors who said they also didn't want to deprive patients who did suffer from pain all the time.. But thats no reason to give people a prescription for 90 pills. Why not prescribe a minimum amount then if patients keep complaining of pain then prescribe on a case by case bases? The drug companies pushed the doctors to prescribe their products, the doctors dished them out like M&Ms and look at what it has created.
When I watched the Anderson Cooper special on this topic, I didn't buy the fact that doctors didn't think they were as addictive as they are. They knew opioids were addictive, isn't that the reason they limited the amount of morphine patients received?
There were doctors who said they also didn't want to deprive patients who did suffer from pain all the time.. But thats no reason to give people a prescription for 90 pills. Why not prescribe a minimum amount then if patients keep complaining of pain then prescribe on a case by case bases? The drug companies pushed the doctors to prescribe their products, the doctors dished them out like M&Ms and look at what it has created.
Posted on 6/1/16 at 3:35 pm to BamaChick
What's sad is that there really are people who believe I get a check in the mail for writing a prescription.
My life would be a hell of a lot easier if that were actually the case.
My life would be a hell of a lot easier if that were actually the case.
Posted on 6/1/16 at 3:36 pm to GEAUXT
quote:
Ok, well it is glaringly obvious you have no idea how the practice of medicine, or the billing thereof works
oh so you don't get paid by appointments? Then why take any at all?
What's your office charge for making someone come in so that you(a nurse) can take their Heartbeat & Blood Pressure, before issuing a refill(only thing you do)?
Posted on 6/1/16 at 3:41 pm to Kujo
quote:
What's your office charge for making someone come in so that you(a nurse) can take their Heartbeat & Blood Pressure, before issuing a refill(only thing you do)?
I'm not an internist. I don't see patients to refill prescriptions. Any other great theories you want to try?
Posted on 6/1/16 at 3:45 pm to GEAUXT
quote:
I don't see patients to refill prescriptions
So you just call them in for them?
While you personally may not be the problem there are millions of doctors who don't give a frick and just hand out meds to anyone for anything.
Posted on 6/1/16 at 3:48 pm to NorthGwinnett LSU
quote:
So you just call them in for them?
No, I seldomly manage patients with prescriptions. Furthermore, for most of the treatments I provide there is a global period which means I can't bill for subsequent follow up visits for some times up to 90 days.
However, I shouldn't have to tell you this because you seem to be an expert on the subject.
Posted on 6/1/16 at 3:49 pm to NorthGwinnett LSU
You do realize there are not "millions" of doctors in the U.S.?
Posted on 6/1/16 at 3:57 pm to GEAUXT
I don't get what a lot of these folks have created in their minds eye.
Here's how it generally works. Patient comes and sees doc with a legit complaint, and really goes on about the pain. Say, arthritis, sinus headache, or back pain. Often a non-narcotic is given, they come back tomorrow with "it isn't working". Well, they do have a diagnosis. A few pain pills are written, maybe 20. They disappear. Couple months later, it repeats. Doc may write 50 pills in a year. BUT, they went to the ER. They went to the primary MD. They went to Ortho, ENT, GYN. They may have gone to 2-3 of each.
Eventually, the pharmacy record shows up, and doc sees that he wrote 20 Lortabs but over the last 2 months there have been 150 written from all sources. Cuts patient off.
But, in the beginning, there was a legit issue. Sure, maybe a bit of a stretch as far as degree of pain but not outside the realm of possibility. And remember, patient satisfaction is now a real measuring stick.And a lot of folks are surprisingly poor at tolerating pain.
So, either no one should get an Rx for narcotic for anything but post-op pain ( even that one gets fishy. Most people may only need meds 7 days, but what about the guy who is still in pain day 9? SOL? Or just give a small rx for a few more?), or we kind of are stuck where we are. And I doubt anyone really wants to be denied meds when THEY have real pain.
Here's how it generally works. Patient comes and sees doc with a legit complaint, and really goes on about the pain. Say, arthritis, sinus headache, or back pain. Often a non-narcotic is given, they come back tomorrow with "it isn't working". Well, they do have a diagnosis. A few pain pills are written, maybe 20. They disappear. Couple months later, it repeats. Doc may write 50 pills in a year. BUT, they went to the ER. They went to the primary MD. They went to Ortho, ENT, GYN. They may have gone to 2-3 of each.
Eventually, the pharmacy record shows up, and doc sees that he wrote 20 Lortabs but over the last 2 months there have been 150 written from all sources. Cuts patient off.
But, in the beginning, there was a legit issue. Sure, maybe a bit of a stretch as far as degree of pain but not outside the realm of possibility. And remember, patient satisfaction is now a real measuring stick.And a lot of folks are surprisingly poor at tolerating pain.
So, either no one should get an Rx for narcotic for anything but post-op pain ( even that one gets fishy. Most people may only need meds 7 days, but what about the guy who is still in pain day 9? SOL? Or just give a small rx for a few more?), or we kind of are stuck where we are. And I doubt anyone really wants to be denied meds when THEY have real pain.
Posted on 6/1/16 at 4:11 pm to tiger1014
The whole system has issues, but at the end of the day, the end user has the ultimate responsibility to understand when it becomes a problem in his or her life.
Posted on 6/1/16 at 4:13 pm to yallallcrazy
I think it's really just a reflection of the lack of accountability in modern society.
Narcotic pain meds are perfectly safe if taken as prescribed and in moderation. They are an excellent portion of a complete treatment regimen when necessary.
No one wants to admit they're an addict so instead we have to have these special investigative reports trying to discover the secret of pain meds.
Narcotic pain meds are perfectly safe if taken as prescribed and in moderation. They are an excellent portion of a complete treatment regimen when necessary.
No one wants to admit they're an addict so instead we have to have these special investigative reports trying to discover the secret of pain meds.
Posted on 6/1/16 at 4:13 pm to tiger1014
I didn't go to a Doctor til I was 40 as far as needing something for pain.I'll be 55 July 1 and had a Total Knee Replacement November 9.
My PCP of 13 years would always prescribe me Norco 10 mg 2 x a day but he Referred me to a PMD.
It blows my mind how much is on the street for sale.Everything a Doctor prescribes is available.I think a big problem is patients selling their prescriptions.
I have monthly drug tests to make sure I'm taking my Meds and no others.Doesn't care about Marijuana.
Pill Poppers are getting younger and younger.When I was in H.S. I didn't know what a pain pill was.I was actually scared of pills.
Now there's a pill for everything.
Everything you think, do and say Is in the pill you took today
My PCP of 13 years would always prescribe me Norco 10 mg 2 x a day but he Referred me to a PMD.
It blows my mind how much is on the street for sale.Everything a Doctor prescribes is available.I think a big problem is patients selling their prescriptions.
I have monthly drug tests to make sure I'm taking my Meds and no others.Doesn't care about Marijuana.
Pill Poppers are getting younger and younger.When I was in H.S. I didn't know what a pain pill was.I was actually scared of pills.
Now there's a pill for everything.
Everything you think, do and say Is in the pill you took today
This post was edited on 6/1/16 at 4:34 pm
Posted on 6/1/16 at 4:18 pm to GEAUXT
A couple years ago I had a serious back injury that required surgery. The time between the injury and surgery I was written a prescription for Lyrica (non-narcotic) and one for Percocet. Went to fill them both and the Lyrica was ~$500 with insurance and the Percocet was ~$20. Obviously I filled the Percocet and told them to keep the Lyrica. That's the big problem imo.
Posted on 6/1/16 at 4:20 pm to tiger1014
canada
Posted on 6/1/16 at 4:23 pm to GEAUXT
quote:
Narcotic pain meds are perfectly safe if taken as prescribed and in moderation.
Right, and many studies have shown you can be addicted by two weeks.
quote:
Narcotic pain meds are perfectly safe if taken as prescribed and in moderation.
Yet patients are allowed to take opioids for months via prescriptions.
When you are forced to pay for, and watch these people take intense prescriptions drugs for months/years at time...you see exactly who is at fault.
Exactly why insurance companies rarely allow doctors to dispense medication from their own clinic.
Posted on 6/1/16 at 4:33 pm to More beer please
quote:
When you are forced to pay for, and watch these people take intense prescriptions drugs for months/years at time...you see exactly who is at fault.
Please expound on this
Posted on 6/1/16 at 4:34 pm to tiger1014
The addicts
Posted on 6/1/16 at 5:18 pm to Gaston
quote:
They have, and that's why we have a huge heroin problem.
Absolutely. We went after the supply but didn't address the demand. Much more politically expedient to blame physicians than a belief system that every person has a right to be completely pain free.
I would really like to see legislation that would forbid the use of pain as a vital sign. This cancer on the practice of medicine holds physicians professionally liable for an objective numeration of a completely subjective event.
Posted on 6/1/16 at 5:40 pm to tiger1014
It's the addict's fault for being weak minded.
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