Drug testing

[GLOCKMAN23C]

 

[GregD]

 

[SkullDaddy.45]

 

[jdmack79]

 

[Trigger Time]

It eliminates a lot of those "new patients" that you only see once and don't really want to establish continuous care (the type Medicare/Medicaid tie your reimbursements to) but rather the type that come in for an initial appointment and on the phone they are healthy as a horse and just need a check up...and when they show up they keep your physician tied up in the exam room for hours with sob story after sob story...all the while your waiting room is backing up with sick patients who need to be seen or health patients rescheduling because they can't wait anymore. They leave with a dozen referrals to specialists they have no intention of seeing, and a script or two. And people actually wonder why care givers are just over it some days. This is a "people" job and you get "shat" upon day after day. You are danged if you do and danged if you don't, so now there's a law to take a little of the heat off the docs.

It's the annoyance of every Friday afternoon in the doctor's office being RX day! The same handful of patients calling, calling, calling, is my script ready? Why not? "I DEMAND TO SPEAK TO MY DOCTOR? "No, I can't come in for a visit!" "I will sue all of you, this is neglect of your patients!!!" I know people may not like this new law, but the physicians have to abide by it. I have been chewed out by patients who are taking medications as prescribed, and I've been threatened by those who are abusing. Now our physicians have rules they must abide by and whether patients like it or not, rules are rules.

If you don't like government intervention vote for candidates who will shrink this cancer we call "government".

I know all about that side of the coin and do feel sympathetic to caregivers who actually care and try. Someone I know had their first (regular monthly) appointment under the new law. Surprise drug test surprise contract. No problems because they don't abuse anything and take only what they are prescribed. I all for accountability as long as it's equally across the board. I don't however believe the govt or it's agents (state or federal) should have any access to my records or what medications I take.
the doctors who sell drugs should not be doctors. But I don't want all doctors to be afraid to prescribe any pain meds to a patient who needs them. And I've seen those kind. Same with antibiotics.

 

[HoughMade]

This is the kind of thing that continues to happen when people don't govern themselves...

More true words were never posted.

 

[Mackey]

It is long overdue.TONS of people with "chronic pain" simply sell the pills. If you test negative for it, then you ain't taking it and thus don't need a script.

more people die as a result of prescription pain meds than illegal narcotics. This also will help curtail docs who simply charge $100 cash for a visit and drop script for high dose benzodiazepines and narcotics without bothering to do any background work.

Ain't it the truth. I was in a patient's home and people kept coming buy hollering to the son, "did she get her prescription filled yet?"
Sad but this lady was in real pain but her family (house full of deadbeats) depended on the extra money to survive (survival including beer and smokes).

 

[poptab]

Yea more government to the rescue!

Woo hoo

 

[Bunnykid68]

I know all about that side of the coin and do feel sympathetic to caregivers who actually care and try. Someone I know had their first (regular monthly) appointment under the new law. Surprise drug test surprise contract. No problems because they don't abuse anything and take only what they are prescribed. I all for accountability as long as it's equally across the board. I don't however believe the govt or it's agents (state or federal) should have any access to my records or what medications I take.
the doctors who sell drugs should not be doctors. But I don't want all doctors to be afraid to prescribe any pain meds to a patient who needs them. And I've seen those kind. Same with antibiotics.

They will not have any problem getting that information, who do you think is going to enforce those laws, so they have to have access to all of your information to do so. Sounds like part of Obamacare

 

[Bunnykid68]

In other news, black market drugs now lead to more overdoses.

 

[.452browning]

I won't respond to the original topic but I will tell you this bit of info.

I have had chronic lower back pain due to a servere L5-S1 break. I have titanium hardware in my back. EVERY time I go to the doctor she offers pain meds to me even though I haven't taken anything other than ibuprofin for it in 6 years. In fact most of the time morning stretches help the best. She said she is supposed to ask because of my condition if I want pain meds.

 

[Trigger Time]

I won't respond to the original topic but I will tell you this bit of info.

I have had chronic lower back pain due to a servere L5-S1 break. I have titanium hardware in my back. EVERY time I go to the doctor she offers pain meds to me even though I haven't taken anything other than ibuprofin for it in 6 years. In fact most of the time morning stretches help the best. She said she is supposed to ask because of my condition if I want pain meds.

The ibuprofen is killing your liver man. Try other options. You know what works beat for you. I'm not saying prescription meds are needed.

 

[forgop]

I won't respond to the original topic but I will tell you this bit of info.

I have had chronic lower back pain due to a servere L5-S1 break. I have titanium hardware in my back. EVERY time I go to the doctor she offers pain meds to me even though I haven't taken anything other than ibuprofin for it in 6 years. In fact most of the time morning stretches help the best. She said she is supposed to ask because of my condition if I want pain meds.

It's all about patient satisfaction scores. If they don't ask, it's real easy for you to say they haven't done anything or offered to treat your pain. Decreased patient satisfaction scores=decreased reimbursement.

 

[.452browning]

The ibuprofen is killing your liver man. Try other options. You know what works beat for you. I'm not saying prescription meds are needed.

I take it maybe once a month, and my back has to be hurting pretty dang bad before I take it. It's almost never needed with stretches.

 

[.452browning]

It's all about patient satisfaction scores. If they don't ask, it's real easy for you to say they haven't done anything or offered to treat your pain. Decreased patient satisfaction scores=decreased reimbursement.

Ahh the wonderful world of medicine.

I could make a good living selling pain meds I don't use.....

purple intented

 

[forgop]

Ahh the wonderful world of medicine.

I could make a good living selling pain meds I don't use.....

purple intented

Yeah, gotta love bureaucracy that undermines the doctor's job to do what they see fit. If you're a drug seeker with an INSPECT report a mile long and the doc doesn't prescribe anything, you can complain in your survey. Complaints means docs don't get paid as much for treating you whether it was appropriate to give you more pain meds or not.

Now, see why docs are so happy to prescribe pain meds?

 

[88GT]

This is the kind of thing that continues to happen when people don't govern themselves. (Patient and doctor). Yeah people ought to have a right to kill themselves or whatever. But when spouses and kids watch their loved ones ruin their lives, when doctors don't uphold their oaths, people are going to demand action to stop it. And you're right BK, the law abiding always get wrapped up in the mess because of the ones that cannot/will not hold up their end of the responsibility.

Accepting this mindset is part of the problem. They can ***** and moan and demand "somebody" do "something" all they want. The only reason this kind of behavior continues to maintain traction is because we let them get away with it. We are subsidizing stupidity. And the unintended consequence is more nanny statism.

Of course, none of this is an issue if people were free to determine what to put in their bodies.

 

[Lucas156]

I disagree with the drug test. I have a kidney stone right now but the pain is intermittent. I haven't had a pain in three days and only take the medication(hydrocodone) when I have pain. I still have most of the pills in the prescription bottle. I guess I would fail the test because the drugs aren't in my system. How is that fair?

 

[Bill of Rights]

Ibuprofen (Motrin) is hard on your kidneys.

Acetaminophen (Tylenol) is what's deadly to your liver.

The rest of your post is spot on.

The ibuprofen is killing your liver man. Try other options. You know what works beat for you. I'm not saying prescription meds are needed.

 

[forgop]

I disagree with the drug test. I have a kidney stone right now but the pain is intermittent. I haven't had a pain in three days and only take the medication(hydrocodone) when I have pain. I still have most of the pills in the prescription bottle. I guess I would fail the test because the drugs aren't in my system. How is that fair?

I don't think this is really to go after acute users of pain medication. For a one time diagnosis such as a kidney stone, it means nothing to you. For the chronic low back pain jackboot on disability at the age of 35 and prescribed hydrocodone 4x a day for 10 years, it means a lot more.