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re: Why Are All the Doctors Leaving Comprehensive Pain Management in BR?
Posted on 1/11/18 at 11:50 am to Scruffy
Posted on 1/11/18 at 11:50 am to Scruffy
I will say this...I had a serious MVA back in 2001. Multiple fractures (too many to list- but will say I ripped open my calcaneous and crushed it...missing half of a patella and crushed my femur...i wont go on with my arms) and ripped a damn hole in my aorta. Some days I feel like dog shite when the damn weather changes (fatigue)...I have to walk down stars at times one at a time...and constant dull and aching pain occasionally ...I DO NOT TAKE PAIN MEDS. Scruffy is right, it is all about lifestyle changes.
If I can live dealing with my aches and pain with Alleve and swimming my arse off on a masters swim team, it can be done.
Granted, some folks had it worse then me (saw it during my rehab)
If I can live dealing with my aches and pain with Alleve and swimming my arse off on a masters swim team, it can be done.
Granted, some folks had it worse then me (saw it during my rehab)
0
Posted on 1/11/18 at 12:08 pm to cas4t
quote:
elaborate? I place medical malpractice insurance for self employed and hospital employed physicians, and have seen their costs go through the roof. A large reason for that is this epidemic.
You think a manufacturer buys a doctor a steak dinner and a stripper and he's going to write more opiate scripts?
That's what I was referring to as horseshite.
BTW I work for the world's largest distributor of medicine.
Posted on 1/11/18 at 12:23 pm to saint tiger225
quote:
We used to go to one in New Orleans. For $450, he'd give you an MRI, with your name on it but obviously someone else's MRI, and scripts of Percocet, roxy and valium. He used to give oxycontin until they fricked that up. The first visit was the only one that was $450, bc of the MRI. After, you had a "legit" MRI and the monthly
In the New Orleans area, one of the major operations has a doc that owns the pain clinic, and several imagining centers, where you get your MRI, which is read by the Doc who is not a radiologist or board certified in any medical specialty, then you can get your pain meds from the pharmacy down the street owned by his brother who is a pharmacist.
Posted on 1/11/18 at 12:25 pm to deeprig9
not the manufacturer, per say. pharma companies. I could have worded better. But there was a study (I'll see if I can find it, but it's been a while) that 1 in 10 docs are paid by companies that distribute pain meds.
eta this isn't the study I was looking for, but close enough I guess. 1 in 12, not 10.
LINK
Idk, maybe. How big are the rep's tits?
eta this isn't the study I was looking for, but close enough I guess. 1 in 12, not 10.
LINK
quote:
We were most surprised by the large number of physicians who received an opioid-related payment. In fact, one in 12 physicians (and one in five family doctors) accepted a payment related to a prescription opioid product during in the study period. These figures demonstrate the extent to which pharmaceutical companies are broadly marketing these medications to physicians in almost every part of the country.
quote:
You think a manufacturer buys a doctor a steak dinner and a stripper and he's going to write more opiate scripts?
Idk, maybe. How big are the rep's tits?
This post was edited on 1/11/18 at 12:32 pm
Posted on 1/11/18 at 12:34 pm to cas4t
From your study-
Sorry, but a Panera box lunch for some CEC credits aren't at the root of the opioid epidemic.
quote:
Although the average payment to physicians was $15, the top 1 percent of physicians reported receiving more than $2,600 annually in payments related to the promotion of opioid products.
Sorry, but a Panera box lunch for some CEC credits aren't at the root of the opioid epidemic.
Posted on 1/11/18 at 12:37 pm to deeprig9
Offshore manufacturers smuggling in the drugs are part of the problem, and plain old fashioned greed by crooked Dr's/Pharmacists are the other end of the problem.
Posted on 1/11/18 at 12:38 pm to deeprig9
Blaming distributors or manufacturers who actively track and report all transactions to the DEA is like the fat people blaming Mcdonalds and the agriculture industry for giving them heart disease.
Posted on 1/11/18 at 12:38 pm to deeprig9
quote:
Sorry, but a Panera box lunch for some CEC credits aren't at the root of the opioid epidemic.
I didn't say that, or even close. I said the reason roger was having trouble getting a prescription was because physicians are nervous about writing them, and a large reason for that is because docs who are paid by pharma companies over-prescribe.
It's certainly not the only reason, and I've listed numerous others in this very thread. Such as doctors being duped by "doc shoppers" and no way to know their drug history.
I didn't pin it down to JUST big pharma, but it is an issue and undoubtedly plays a role.
quote:
Sorry, but a Panera box lunch for some CEC credits aren't at the root of the opioid epidemic.
we all know how this works. It has nothing to do with the Panera box lunch.
Posted on 1/11/18 at 12:43 pm to deeprig9
quote:
Offshore manufacturers smuggling in the drugs are part of the problem, and plain old fashioned greed by crooked Dr's/Pharmacists are the other end of the problem.
These are fair points. No argument whatsoever.
Posted on 1/11/18 at 12:45 pm to cas4t
I left out government. DEA isn't doing their jobs. They go after a doctor, doctor says frick off, my patients needed it, DEA says prove it, doctor says frick off, you don't have a right to see those medical records, DEA says sorry for bothering you.
Posted on 1/11/18 at 12:48 pm to deeprig9
I don't know the answer to the DEA getting around HIPAA. Didn't they recently temper HIPAA laws to allow doctor's to share more info? Although I don't think that's with law enforcement, but with family.
Posted on 1/11/18 at 12:48 pm to EA6B
quote:
the New Orleans area, one of the major operations has a doc that owns the pain clinic, and several imagining centers, where you get your MRI, which is read by the Doc who is not a radiologist or board certified in any medical specialty, then you can get your pain meds from the pharmacy down the street owned by his brother who is a pharmacist.
This is the root of the reason why many pain docs are getting out. Most pain docs made the vast majority of their money through ancillary services like toxicology. CMS has cut those services way back so that there isn’t nearly enough money to share with doctors. As a result many pain docs are bailing on the hassle of the opioid crisis.
Posted on 1/11/18 at 12:50 pm to el Gaucho
quote:being dopesick is no joke.
if he doesn't get his medicine for it it's almost like the flu. Soreness, vomiting, nausea, diarrhea, the whole works
Posted on 1/11/18 at 12:52 pm to Scruffy
Vast majority of physicians are just employees. They come and go now.
This post was edited on 1/11/18 at 12:53 pm
Posted on 1/11/18 at 12:52 pm to cas4t
quote:
I don't know the answer to the DEA getting around HIPAA.
They have to do it through sting operations which are expensive and take alot of time and resources, just to bust a single place. Meanwhile cocaine and heroine and meth are in use all over town.
Posted on 1/11/18 at 1:01 pm to Robin Masters
quote:
This is the root of the reason why many pain docs are getting out. Most pain docs made the vast majority of their money through ancillary services like toxicology. CMS has cut those services way back so that there isn’t nearly enough money to share with doctors. As a result many pain docs are bailing on the hassle of the opioid crisis.
Curious where you stand on this, because since the new CLFS rates have been released, CMS is saying they will save close to 700M on medicare part B. Idk much about it, I'm just an insurance dude. I know some smaller, rural, critical access hospitals are going to take a lab hit and likely simply not offer lab services. At least that's what I've read.
This post was edited on 1/11/18 at 1:05 pm
Posted on 1/11/18 at 1:02 pm to deeprig9
quote:
They have to do it through sting operations which are expensive and take alot of time and resources, just to bust a single place. Meanwhile cocaine and heroine and meth are in use all over town.
well, that's not good..
Posted on 1/11/18 at 1:09 pm to FCP
This is just a theory but perhaps these Doctors relocated to Vermillion Parish for the nationally renowed school system
Posted on 1/11/18 at 2:13 pm to deeprig9
quote:
They have to do it through sting operations which are expensive and take alot of time and resources, just to bust a single place. Meanwhile cocaine and heroine and meth are in use all over town.
And after they do those sting operations, Judges have a hard time sending doctors to prison.
Posted on 1/11/18 at 2:34 pm to BengalBlood81
quote:
Comprehensive pain management is a dump. It was owned by a horrible lady, Dr. Weitz. She moved out of Baton Rouge. She would promise the incoming doctors a piece of the practice and then a year later pull the rug out from underneath them. The turnover there is for the same as any other business. Terrible people at the top.
Yeah Dr. Weitz sold it to Dr. Patel & the only ones left were his wife who is a PA and 2 NP's.
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