Doctors cutting back on perscribing

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Rocker Dan
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My doctor and from what I hear many doctors ever doctors at pain clinics are stepping up the inhumane practice of cutting back on writing nessacary medications for patients some of which have been going to them and other clinics before.I was already cut on my Diaezapam(from 40mg to 10mg)  along with my Morphine and Oxycodone(for break thrrough.) Now  at my last appointment I was told that i will not be given any benzos along with my Morphine.My doctor(whoom i long have admired)said i would have to choose between them!!! Oh boy are you fooling??? I have to choose if i want pain meds or tranqs?so i kinda blew up and said How can i choose two medicnes? Morphine and Oxys are for pain and the Diaezapam is for my nerves which you are now scraping witha butter knife.So i was given all 3 medications  for two months and sent on my way. All this comes from the news media as several opiod storys preceeded my showdown with my doctor. Last week the numbers were released saying  that 60,000 people died from opiod overdoses last year . 16,000 more than the prior year(2015 2016)Break it down and it goes like this 46,000 were from that powder or a couple of powders mixed 12,000 were from polly pharmacy or drinking and opiods that were percribed and the other 2000 were elderly miss doseing.So i have to put all this down,type it up and add any numbers or articles to show my proof to ensure my still obtaing medicnce......Happy hunting and stay informed!!!   ( ps may have my kids sign a form as well as myself say in that no one will sue the good doctor!!! RD.

gtrplayer
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Unfortunately, as you know,

Unfortunately, as you know, this has become quite common. The big issue I have with this whole opioid situation is the lack of context in which these deaths are reported. 

In my county, there has been over 300 overdose on H. This gets written up as "opioid overdose", versus it's illlicit sister drug. What is even more troubling, in my mind as a chronic pain patient, is that states are trying to sue pharmaceutical opioid manufacturers as a knee-*^!& reaction to the H epidemic. I want to see a full listing of names of the overdose victims, as well as their medical history to see whether or not these overdose victims ever had a valid prescription for an opioid. Sure, some patients will have been a patient who got cut off of their drug, and resorted to H. But for states to go public and declare pharmaceutical companies are the problem is just plain stupid. The whole legal case is predicated on a false accusation that all H addicts were once patients receiving opioids legitimately at some point, yet turned to illegal opioids. 

To be honest, I have a problem with the DEA asking Opana to be removed because of addicts getting around the time release mechanism. Yes, ultimately, the company is responsible for their product. They took steps to implement a better abuse deterrent technology, but addicts beat it. Is the Opana maker responsible? Not in my eyes. I'm sure the drug, when taken properly, had minimal, if any, overdose issues. Addicts are a cunning bunch. The next best abuse deterrent drug to come out will be found to be abusable by addicts within a month. 

Not sure how I got off on that tangent.

Rocker Dan
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The blame game

 

Yes gtrplayer, Blame the big pharma companys instead of the ilegal pushers.Why? Because the drug companys have a name and a location so go afer them instead of the real problem.I am going to go way out on a limb,but i think the goverment or factions of would like to put everyone they can on Suboxone!!! Money on a reguler basis! Back in the 1930s when weed was demonisied William Randolph Hearst  found out that hemp was a better source of paper,and Herast had land in the pacific northwest acres of trees on that land. And trees were just what the newspapers needed to survive,so crush the hemp and Hearst could sell his trees which were needed and in demand to role out papaer for news print.So now go after the doctors and factorys that produce the medication needed fo use in medical pain relief.The war on drugs and the trillions it spends need a face or faces as a target so they go after the doctors and big pharma instead of the cartels and goverments who thrive off  of the ilegl profits.We the patients are caught in the middle.I am so tired of prepairing to go to my doctor every two months and have to have explanations for all of the current opiod storys at hand,it is like going to court to plead my case!! So all we can do at this time is write and deseminate the knowlage that "there is a difference between opiod use and miss use," Peace RD

Rocker Dan
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pain patients needed

Pain Patients needed,with all the negitive storys in the news we the patients need a voice or voice's to counter all the negitive or false reporting being done as it does harm and afect us.My doctor is an inteligent man however he is human and has told me that all the opiod storys are building up and having a negitive effect on persribing by he and other doctors in the pain field.I have zero idea of how we can apporch this without many celebs coming out in force to tell of why and how opoid pain medicne has changed thier lives for the better!!(and thats not going to happen)so where are our voices of reason going to arive on the scene and make the public and the doctors sit up and listen??? Doctor Sanja Gupta tried to speak up on that Town Hall that CNN aired right after Prince overdosed(on Fentanyl that was not persrbed)So that leaves this serious subject up to us.Start speaking up for sane and humane persribing practices for people in pain and also in pain programs!!!

Rocker Dan
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THINNING OUT THE HEARD

After seeing several "Opioid" stories this past 2 months I went to my every two-month pain clinic appointment a bit more nervous than usual.I awaited my doctor who sees me himself as he has a nurse practitioner who attends to the rest of the people as well as prescribes to most patients with the exception of me and new patients.I was told that the nurse practitioner has "left the building" and my doctor is on his own at least for now.He comes in almost 2 hours late(my doctor)And gets right to his work without delay or any small talk.Now I LIKE small talk with this gentleman as he is both knowledgeable and kind(when he wants to be)Doc tells me that the "home office" wants him to make yet another decrease in the amount and or strength of my medications again.I tell him that I quit smoking(again)and we leave it at that for now, he has me read and sign a new pain medicine contract with his office and guess what??? Now the pain clinics are asking me and soon you to sign a piece of paper allowing them to not only test urine and blood but hair as well.Yes, HAIR now will be up to our doctors, not just law enforcement your DNA is now on trial..Well as it was coming up on 6 o'clock and I still had to get a taxi to my pharmacy I, of course, did sign.It is a good thing I did sign, his nurse a few minutes later informed me that she really likes me I did not cause trouble when it came down to putting my John Hancock on the line.I can only surmise a few people DID have an issue when it came to that, so brace yourselves now it is "how far are you going to lower yourself" in order to obtain your medicine.RD

Hexel
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The Constant News Feed "Opioid OD" Stories

The counsel on substance abuse has asked President Trump to actually declare Opioid Abuse as a national state of emergency. (Yeah, that will really do a lot...)

I see these ever present "news" stories about addiction and overdoses related to opioid as one of the factors that doctors are being squeezed so hard. Not to mention the 'Physicians for Responsible Opioid Prescribing (PROP)'

 

gtrplayer
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Prop is misguided

My biggest issue with this "epidemic", aside from lumping opioids and H as one in the same, is this ridiculous notion that the CDC, DEA, and FDA suddenly found all of the answers. The CDC cautions against opioid and benzodiazepine being prescribed at the same time. Even Drugs.com now lists every known benzodiazepine as a "major/ clinically significant" interaction when you compare them against any opioid, but the reason why is a convoluded flustercuck of cherry picked data (overdose deaths), without regard to an overdose victim's medical history prior to death. I'm sure that overdose victims do abuse benzodiazepine medication when their H supply is low, but why on Earth should that have an impact on me as a legitimate chronic pain patient who also has terrible panic disorder? 

I guarantee you that I have not become more likely to overdose on a combination of medically supervised, and prescribed medications just because the H users are thinning themselves by abusing these two drugs. Yet, organizations like PROP will be the first to say "you should never prescribe these medications together for fear of death", thereby eliminating their legitimacy as a patient safety driven organization. The CDC and DEA are equally to blame for the H epidemic, seeing as how one group passes "recommended guidelines", while the other hunts down those drs who disregard those guidelines, but both will be the first to tell you the guidelines are not law. Unfortunately, some patients will turn to H in the face of withdrawal when their Dr becomes unwilling to risk his/her career, but those patients should not be the criteria for which to establish guidelines for our own protection. 

I'm sorry for the rant, but the FDA, DEA, and CDC, with support from PROP, are making receiving care a real burden. I'm all for safety, but don't instill fear into the public under the guise of protection. 

 

 

gtrplayer
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2012 PROP review

Here is a link to A December, 2012 issue of MdMag containing a very well thought out opinion piece regarding PROP. 

For those who want to bypass the backstory of the contribution physician/editor, at least scroll down to the last paragraph. 

 

Coroner25
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It's all nonsense

As a former death investigator and chronic pain sufferer I can say the narrative the media and politicians are spewing is nonsense!  Elected officials and DEA representiives make claims of an "opioid crisis" releasing false information to scare people. Have people died from legally prescribed medication, absolutely, but the vast majority of deaths are not in this category. They are people taking anoher persons medication, people crushing or smoking time release pills, people mixing other medications to increase the effects, or people using street drugs in connection with legally prescribed pain killers, these are the problem. I know this next statement will sound callous to folks that have lost someone to opioid addiction but it needs to be said, people who take any drug whether legally prescribed or not by means not intended (smoked, [filtered word], injected or any other method) and in excess of the prescribed dosage are playing Russian roulette with their lives. They have chosen to do so and some will die from their actions. Pain sufferers should not be forced to be treated like they are the problem because of the actions of 3-5% of the population who abuse pain killers. The solutions being talked about are so ridiculous it would be like saying no one can have a drivers license anymore because 30,000 people die each year from motor vehicle accidents or no one can build a swimming pool because people drown everyday. Stop penalizing the people who need these medication to function based on the actions of the few. BTW over 200,000 people die each year from "Medical Misadventure" which is the legal term for something going wrong during medical treatment and no one is saying we need to ban doctors!  

spacednow
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Are there more new guidelines??

In July I go tof fill my script.. now only 60 5/325 hydros. Pharmacy says insurance denied. I call ins. company and they tell me its above new qty guidelines. It should be eledgible for override since I've been on them awhile. But I can pay cash and when they get a form from the Dr next month it'll be covered. So I go back into the pharmacy and they say OK but have to call my Ins. to verify. I thought this was odd...but whatever.

August - I go get my script. Same again. They call the ins. to verify cash OK. (not sure who they talked to this time) So I figure I'll call the ins. and get this figured out today. I call the insurance and am told they did not get a form from my Dr- (he says they didn't get one). So I get the Dr office and ins on the phone to verify the fax being sent. Now the kicker. Insurance Company tells me that it is not legal for any pharmacy to fill a narcotic pain med without insurance. Explains why they had to call ins company both times, but when did this become law?? And to think I used to get 120 10/500s just a few years ago without any problems.