Getting Prescriptions From 2 Different Doctors For Pain Meds But There Are Conditions (Page 12)

Updated

Well I just really need to know if what I am doing is considered doctor shopping. I fell at at department store and injured my knee. Now I have to go to the doctor the lawyer sent me to. He prescribes pain meds for me but the only thing he can treat is my knee. I started having back problems. My primary care doctor sent me to a different doctor and he also gives me meds. But the pharmacy said they would call the doctors and tell on me. So I went and ahead and told the doctors myself so that it would not look as bad. What do you think will happen to me? The pharmacy refused to give me back my prescription. Can they do that?

528 Replies (27 Pages)

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221

Jenifer what mental hospital are you talking about? What did you read it was not about me. I am a published scholarly researcher and lawyers have used my research which is psychiatric in tort trials to prevent forced neuroleptic depot injections.

I am sure it will take you awhile to figure that out. I am a suit and tie professional for your information and regulatory expert. I do hospitals and nursing homes that are shut down; I get court orders on family members who interfere in treatment and get them a "POA" to replace that family when abuse is uncovered.

I'm a professional witness for physicians.

Other then that I need a pain specialist I've had the best and will settle for one with a M.D.

Editor's note: We do not verify the credentials of our users and nothing stated in our forums is intended to be taken as medical advice.

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222

P450 writes one post stating she is working, but in another post has workman's compensation and is doing an appeal for SSDI. It can't be both. She can't understand that it is up to each person that reads her posts how much credibility she has. Because this is a public internet board anyone can claim anything without having to prove it.

She said she sent her credentials to the Administration here but they have no reason to verify them because she is the same as everyone else when she posts her answers/advice. I can't remember seeing anyone regularly write long posts like she does. The posts usually include what she calls her credentials, the settings she has previously worked in, job descriptions. etc over and over, according to her. But she can't comprehend that none of that matters and no one cares.

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223

I would love to know how you are helping all these people (by your words #205) without that information being posted. The admin on this site does not let anyone share emails or personal information with anyone. They certainly are not going to give you any information either. In fact you keep on stating that you have all these credential but the administration states they do not verify this information and you word should not be used as medical advice. Or is your inflamed ego allows you to just assume that your posting are helping just because people don't post back. I have read other posts that you have written under other topics and the same thing keeps popping up. Your attempt to convince others that you are some well noted medical professional ( a nurse) and researcher who is giving medical advice that is nothing more then what anyone can find on the internet with a few minutes of time. If there was a award on who has the largest ego on this site by there postings you would win top honors.

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224

BL and Jenifer and Victor it will not work. None of you can articulate and coordinate anything more then petty commentary and hits.

Frankly I'm amazed the Owner of this site allows all of you to post other than he is getting a huge laugh out of seeing NON pain clients fight with addicts, and inferential criminal elements.

Have I forgotten anything you need like perhaps a sense of decency no certainly not.

Those with bipolar disorder, and borderline cannot comprehend and trolling is a methodology they do understand further alienating them from the real people who may no longer post here.

Clearly you lack of humanity three don't realize that both Dr. J. and myself are posting you are just being protected for a brief moment from the truth. I am quite sure though you face it every day.

BL WC regulations differ in every state. Let me tell you something Mr. Louisiana your state has crap I have a 100% medical award for life and that MUST pay my medications and care including surgery first. My injury is almost 20 years ago and therefore yes there are two processes but wait you are one of the rectums who voted for ODUMMA that should really increase your popularity here.

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225

This discussion thread has been locked for one day. Those arguing need to simmer down, as we would like to steer this discussion thread back towards a constructive sharing of knowledge.

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226

Ok, this discussion thread has been reopened. Everyone, please try to cooperate, and if you cannot remain objective, state facts, or focus on the topic at hand (and instead feel the need to lash out at others on this or any other thread) - don't do it. You will receive a permanent site-wide ban.

Thank you and happy Friday!

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227

Thank you Medschat Admin and your credentials are? Just kidding! TGIF

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228

As I understand the definition of Doctor Shopping in MY STATE is for the same pt to obtain Rxs for Controlled Substances from various MDs without letting each of them know what else she's taking. For example, I recently had to start taking Percocet 7/5/325 for what looks like the start of a DDD. (YIKES!) I called my shrink, my dentist, my cardiologist. When I asked about sending notification in writing, they all said, "We KNOW you, DR J - just the name of the other doc and the script is fine." I couldn't expect my shrink for prescribe for my orthopedic issues, could I? I've always let PCPs or Internists know what I'm writing for their patients. I've seen the printouts and sometimes they REALLY f*** up. MY shrink got a health informing him of my possible exposure to dangerous quantities of Schedule IV hypnotics. The list was ALL scripts for Restoril 22.5mg #60, all about a month apart and HE was the prescriber on ALL the scripts. No mention of the Ambien 2 x 10mg qHS that I also needed to take. Theoretically, this law was designed to stop the ind of patients who patronize with cold, hard cash SCRIPT DOCTORS. However, you can't makeup names any longer audit's very difficult to steal official NYS Rx blanks. Even to phone in a script for Fioricet #3 (a Schedule III drug) for my sister, I had to tell the pharmacist what the serial number is on the script I'd be using and fax it ahead of me. (I won't have E-Script in my home...yet! Enough is enough!) That NYS treats benzodiazepines as Schedule II drugs is unscientific, unfair and probably wouldn't withstand Constitutional Scrutiny. That's nuts. And that's why, we shrinks write for a whole month's supply of Xanax, Klonopin, Tranxene, Librium, etc. I generally prescribe Klonopin TID, bit I now make it QID in case my patients get stuck in a pinch. It's not an OD by any means and I have to trust the patient to let her know that this is an "For Emergency Run-Outs" only, not part of her daily dose. Knowing that I've have residual pain from a severe auto accident, my dentist will write for Vicodin 10/600 #30 because we've been friends for years.

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229

DR Joey What you have just mentioned (228) about having a doctor friend write a prescription would be considered a problem in every state in the country today. If you are having pain due to your back your pain medication should be prescribed by a MD or DO and not a DDS (dentist). I mean you are the one who stated your shrink should not be expect to give pain medication for your back. Then why do you thing the dentist should? Every time your dentist friend gives you a prescription for any thing other then your teeth you are putting his license on the line because he does not have the records to prove he did the dental work to warrant the medication. You are also putting your license on the line because certainly know this is not legal no matter if all doctors do it. Why should doctors be above the rules and the law? Also a dentist rarely prescribes as much as 30 pills at a time and he can only do this a few times before someone like the pharmacy questions why a dentist is giving you so much pain medication. I know the most I have ever got was 20 pills after having 3 implants put in. Why not ask your primary care doctor to give you your medication since your dentist friend will not be able to help you forever. You mention drugs like Xanax and benzo types drugs should not have to be controlled like schedule II medication'. I disagree because these drugs also have a high potential for abuse and frequently are.

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230

Jenifer they have not cleared my message in response to this and Dr. Joey's choices right now, however, he is a physician just as I am a professional nurse, and am more than sure that whoever "writes for him" knows his history and when he writes the medication documents the same.

Many dental professionals treat painful IP disorders and on a regular basis.

Dr. J. has pain but has not gotten to a level where he may have to be on LA and other medications.

My first famous PM specialist was a psychiatrist for 40 plus years. He was assigned the infamous Charles Manson's forensics evaluation out in California. Psychiatrists as you seem to not know undergo further biochemistry training and are some of the BEST PHYSICIANS to treat chronic pain in the health care industry. Their knowledge, training, and background make
them perfect candidates.

I was accepted to medical and law school by the way since my injury, and know in my heart to have to go through either a residency or the extensive work for law school would likely not be worth it; in my case any stress increases pain that can be GOOD or BAD stress; my old brain (SNS or ANS) sorry my autonomic nervous system does not differentiate.

Peace out!

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231

scratching my head, hmmmmm all these doors look the same, wheres my room

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232

He usually prescribes #20 - so he added another #10. Given the dental work he's doing on me this is quite reasonable. Nlp early refills. Not even an Rx every visit. My Domestic Partner got clocked by a falling fan blade as we left his office and he tod me to call if he needed pain meds I did call. I had prescribed topical Cleocin 1% Gel,m Augentun x-R and he needed Vicodin or percocet. You cool with ny writing this fry; he's not a patient's only 20 'Percocet 10/300'. I was OK with it and my DP recovered wither incident our infection. If this was a crime is truly was victimless.

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233

There are LOTS of procedures my Oral Surgeon friend performs that are more painful that "walk-in-the-part implants". He's rebuilding my teeth and my mouth after a great Reconstructive Surgeon rebuilt my cheeks and nose. If he opted to,he could give me scripts of Dilaudid 3mg #20 on every "working: visit, but he's also a great acupuncturist, a Board-certified Anesthesiologist and knows how to minimize pain. Besides, how would YOU explain these minor yet painful injuries in an ER (where they'd do what I tell them to do anyway without) generating (I don't even know how many) reports identifying my friend as the owner of that building. I took him at his word that he'll and out what's wrong and correct it; he already has.

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234

Hi Posters, due to new laws and in different states there are different applications.

A physician may overwrite (new medication) an opioid when for example a patient is not getting relief from the current opioid. I am writing this in regards to two physicians (same practice) writing Percocet because Lortab was not working.

The DEA does not repeat does not have licensed professionals on staff and many fine physicians have lost their licenses and ended up in federal prison due to "set ups" with DEA agents. First time a physician must put up $1,000,000 innocent or not, and obtain a lawyer for more to defend. Right or wrong the DEA keeps the million it might be higher now.

Further and more important to pain clients (which as a professional nurse with a catastrophic injury I am) is that your QUACK QUACK physician when arrested if having low or absent documentation can get you in the cell next to his when he goes down.

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235

Did you ever stop to think we may write for a two-week supply of Xanax or Klonopin, provided it was treated as a refillable schedule Controlled Substance. The "bad guys" always win anyway. Bogus DDxs....and the shrinks are the worst because we deal wth intangibles.

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236

In Florida when they finally cracked down with the pill mills they rarely went after the patients if they were legit. Just because these doctors prescribe to just about anyone who said they had pain somewhere does not mean all the patients going there were or are not in the need for opiate medications for legit chronic pain needs. Maybe the DEA does require the million dollar thing but I know of a doctor who 8 months ago got into some trouble for not having the proper records for a patient he was prescribing pain meds to. All his records were reviewed and that was the only case. He was fined $10,000.00 and required 20 hours education on proper record keeping and could not write schedule II medications for 90 days. (He was allowed to have another doctor to come in to prescribe the pain medications for his patients. I know one thing if he was required to hand over 1 million dollars his practice would be closed. He was certainly not a rich man and was going though a divorce. All this was handle with the FL state license board and not the DEA. I doubt the DEA would get involved when just 1 or 2 patients are lacking complete records for prescriptions especially since the rest of the other 600 records in the office were fine. Just like I doubt the DEA would go after someone who is caught doctor shopping once. Multiple times is another thing. In fact in MN before someone is deemed doctor shopping the doctor and law enforcement must ensure the person was doctor shopping for the purpose of selling or misusing the medication and not see more then one doctor because there pain is still severe due to the lack of the doctor not prescribing enough opiate medication. However if I were a addict I would not try using this as a excuse and expect it to work more then once or even if at all.

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237

Joey,

The one pain specialist I revere and he died after 10 years of being both pain specialist and I took advantage of his Freudian psychoanalysis (I'm a Freudian) was the best PM I ever had regardless of the big T in California who has the bedside manner of a manic off Tegretol or Lithium I need not say more other than "don't get your panties in a wad going out to the West Coast he was retired people do die and and no physician is God et al." but psychiatrists are trained in the biochemistry of the brain and neurotransmitters, hormones and so forth.

Some of the best psychiatrists have the capacity to be PM specialists. Speaking of which if you do not see me about I am getting near the jumping off point and would rather die of my own volition then lacking control for intractable pain....

No government agency, no lack of president which Odumma has proven to the world he is fully 100% an a hole, a liar, a non American, and further a hater of the chronically ill he is giving financial incentives not only to physicians to OFF those with chronic illness BUT kickbacks to other federal agencies are showing up around the country.

Would be socialists never get it right. I abhor Hitler but he was brilliant in his hatred of one specific group of people MORE so he came from a NOTHING family, left his own country where he was a LESS THAN NOTHING, and found in Germany a susceptible group of people that allowed his own neurotic thinking to manifest to a psychosis (psychotic de troix sp.) known rarely in familial psychosis (have you ever treated this Dr. J. I've seen it in the V.A. in one family I studied who all were incestuous and all evolved to AIDS lots of government funding at my alma mater for this type study), but Odumma could not tie Hitler's tennis shoes (did he have them likely not he was a sot who did not exercise) BUT Odumma should have celebrated the simple pleasure of bringing this country to an election of a mixed leader in a country that veered from this practice. That should have been a start his finish was his lack of intellect and his own reverse racism. Due to Odumma there have been more murders of whites in this country which is underplayed because we are now becoming a minority (I happen to be what was considered a WASP does anyone use that term anymore?)

We both suffer pain mine is life threatening or intractable I hope my new friend that you get through your repairs and also do not have chronic pain if so utilize your ability as a physician to NOT let people like myself DIE from intractable pain in the one FREE country in this world. Start a fight I did mine for many years but when I lost medication I will take my own life.

Peace out brother.

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238

Jenifer,

Sigh my dear that guy just got smacked by your medical board.

You guys will need to ask Joey some stuff for I may not be on this lovely earth much longer.

One promise I made in regards to intractable pain is that without medication I will die and the heinous excuses that physicians are making is getting old.

All it takes is one patient and a M.D. or D.O. is capable of getting the million my dear they just mortgage the second or third home or a few sports cars it happens all the time.

By the way it is Florida where pain patients are innocently arrested there is one who is a complete CRIPPLE in a wheel chair serving 20 years after her PM got shut down and her records pulled. She near went down (died) when she went full blown withdrawal within 48 hours and what did they do THEY GOT HER THE MEDICATION she is sitting in jail for and will (at least) spend the next years on PM while she serves time for her physician's lack of documentation. Another tactic of DEA and those in Florida should always be ready is to "prop" as pain clients; they are fitted with the walk, the talk, MRI's and wonderful proof they are in pain for years.

I encourage everyone to keep pain journals as I've outlined before hand your PM a copy each month and have it put in your chart. I guarantee you when that doctor gets hit and patients are arrested you won't be.

Ok I am suffering guys good luck here.

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239

Thanks, my dear. As it happens DR NoPain (one of his usernames) and I were born within months of each other...he chose Dental School first and became interested in Anesthesiology and Pain Control. WE remained good friends and colleagues for — WOW — 40 years and if he doesn't know any particular medical fact about me, he'll ASK. I treated his daughter by firing her other shrinks — and with a good team — diagnosed, evaluated and prescribed for her. One of "my guys" was a crack Child & Adolescent Shrink and Bill and I asked him to take charge. She's improved immensely. He once said, "If you think I'm extra careful because I"m worried you will
call Dr Joey, it' only because I am; we're ALL very good, but he's gifted." (Nice unsolicited compliment, really!) I have him the push toward an offshoot MD program limited to holders what Bill called "a license to cut" and "A license to write for all Controlled Substances." The work was grueling, but Bill was bright enough and he just needed to learn how to answer such questions in the essay format required (as of the patients ever quiets down while I review 8 of tx plan or review of meds prescribed. I did contribute the pseudonyms and DDXs and TXs of about 100 of my psych patients because they expected him to stop working about about nine months. No paid work would be acceptable. I signed off as the Cooperating Physicians for Psychiatry and Neurology and we got it done. Now, he's a better and more effective oral surgeon/Family Practitioner than ever and he CAN prescribe what is appropriate. Your instincts usually are correct and they were here, too.

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240

Joey,

Since I had to travel to California for five years from Texas ask Dr. NoPain if he could see me as a referral I'll send him some records I could use the help before it's too late.

Well?

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