Legal Or Illegal (Page 3)

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My doctor has had me on 1 mg xanax 4 times per day for 15 yrs now and oxycodone 30 mg 4 times a day. I was supposed to see him last Thursday to get my refills but when I called to make the appointment I was told that he quit indefinitely so now I'm going cold turkey without anything...my pharmacist faxed my refill orders several times last week & they told me they couldn't find my medical chart....1st time in 15 yrs my chart got lost & my refills for xanax were never called in to my pharmacy... Can he legally quit on me without informing me here in Arkansas?

89 Replies (5 Pages)

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41

Hi, P450 — Had a terrible day today. Still working PRN because of the sequel to that accident, Don't need much oxycodone, though. That's a help. I just found out my Disability Checks had been hijacked on a technicality. Because I shrink submitted and update they consider CHF and Severe Head and Face Trauma, Deg Disc (C7, I think) are part of the same illness. I simply can have my shrink officially withdrawn his letter and state unequivocally that my psychological condition has notinh to do with two very separate accident. I was big good, having him explain how this exacerbated by PTST Panic Attack Disorder w/o Agoraphobia etc. I'm not taking a lot of meds, so I am NOT angry that I'm glad I got those English and Journalism degrees (BA/MA in both areas - Brown 1976). Too f-ing pissed off for words. My back was nice because I've been with them since my first day of college. my sister already called the Fibbies and she's SO pretty and harmless looking hate to use this analogy, but she's like a millennium old vampire who maintained her 30-y/o appearance. (She's 40.) It's all good until she unleashes her incredible vampiric powers. She had a 8=94% conviction rate in Sex Crimes and, as Chief, she took the hardest cases and every team assigned to a tough case included her, even if only as a member, not as "The Boss". (I do the same.) You would have LOVED my Mom and she would have loved you, too. I'm totally sure of that! She, my sister and I fought like ninjas to ensure her cousin, with early onset Alzheimer's to get proper and dignified care. There's a time to flaunt your credentials and this was one of them. "And what are YOU Board-certified in?" How old are you — 12?" It's all theater but a little intimidation and Ivy credentials can do more than rational argumentation sometimes...and that's said. My Cousin Laura write my Mom that Lynda Carter may always be the image of Wonder Woman, but Cousin J IS Wonder Woman. She wrote me a beautiful note and said she knew I put my rep and license on the line a few and she believed me when I said I'd do it again. My sister had a fistful of Federal Appellate Court Orders to keep those bozos in line. I've seen her in action in Court, but fighting for a loved one — I don't think Clarence Darrw could have out argued her (although I am a big biased; that's my kid sister!)

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42

Stace, I was confused about the dating, too but P450 has things under control — or so I thought. My professional assessment hasn't changed, but I do apologize for assuming your post was so damned old! Even or especially doctors make mistakes, too. But since I "slapped your wrist," please get yourself some help regarding the Xanax. There are alternate drugs, you need antianxiety meds and I'm NOT going to suggest Apical Antipsycholotics or old-line antipsychotics because long-term use is like making a deal with the devil — and if you've read "The Devil and Daniel Webster," Ol'Scratch always collects WITH INTEREST. (Webster outlawyered him in his instance, though.) Some antidepressants have marked anxiolytic properties and are a lot safer. I can't Ddx or Rx long-distance (it's not only unethical; it's stupid!), but I hope you find a reasonable" psychiatrist who's not afraid to think outside the box. I have a patient who abused Valium for years and got help. I started him on Xanax, but he had a problem with it's being so short acting. He's forget his pills and start having withdrawal symptoms! Since Klonopin also is effective for Panic Disorder w/o Agoraphobia and ha a far longer duration of effect, I changed the med one dose in the morning and one around 10 p.m. No problems and NO hint of abuse or addiction. I don't believe you've forfeited your rights to use this class of drugs for life, but, speaking hypothetically, I'd start with a good, safe antidepressant with antianxiety properties. I've had success prescribing Lexapro, Zoloft, and Paxil as well as the older drug, Elavil. Sorry I was harsh before, but sometimes, hon, we GOTTA be!

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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43

Give me a CITE or THREE that states the patient issues the risk of adverse reactions to addicting drugs. We don't know if she took the meds as ordered or abused them. I have attorney friends who don't read the law that way and they've won cases. It is OUR responsibilty to take additional time to explain the risks of addicting meds and if the doc prescribed to a pt with a hx of abuse — that changes everything. We have the keys to the Narcotic Cabinet as a Charge Nurse once told me, and THAT means we're responsible for what we prescribed and to whom.

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44

Joey, just read your story. Unbelievable it sounds like anesthetic shock, and an adverse reaction. I believe all things are relative to God and His power. I've died two times and crossed over. The first time when the next day comes there are three religious leaders brought to my room. I sure did not call them.

I find after they heard my story (who called them) that I had crossed over. What I realize today is when we return from death we "remember we died" and further people do not realize how short our life on earth is. Because before I died that first night my entire life went before me every action, minute second probably in less than 20 seconds then boom I was gone.

Those I loved were there to greet me. I was so happy to see my father.

Why would we in such supreme and perfect love and resolve think we were dead (we would not) unless we returned to this.

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45

What really threw me was that this "Recovery Room" looked like Sheltered Workshops I have seen and self-contained Special Education Classrooms for Developmentally Disabled Students, which my friend Rhia (legendary principal of the year for the whole 10 years until she became Superintendent of Schools) showed me as part of an additional to her school. Rhia was originally a Spoecial Educator and she appreciated my consulting pro bono because you wouldn't believe the low quality and meager qualifications of "Psychologists" evaluating these kids. (School Psychologists in my state are licensed only to give tests and interpret them according to the handbook.) I feel that I have been blessed with a wonderful mother who taught me how to give as well as receive and I donated my time. That there were patients who seemed to be recovering from NO procedures doing the same type of Sheltered Workshop tasks mentioned above was the final straw. My surgeon said he never heard more perfect New Testament Latin. "Jason, the most potent weapon against the most powerful Evil is the Power of God. He didn't just listen, he send the NYPD, the FBI and a DA Bureau Chief plus a few senior detectives. Despite the begging and pleading, these cases are going to trial in the Criminal Part. I gave my statement and found experts to thoroughly discredit their "affirmative defense" that I was hallucinating because of ketamine. Also had the Anesthesia Team locked up for Unlawfully Administering a Controlled Substance to a Patient Without His Permission. They made bail, but their careers are over. Their attorneys approached me and I said, "You're engaging in Witness Tampering. Get the f*** away from me or you'll face charges before the Bar and my sister knows a lot more of the Disciplinary Committee than you do and they'll believe me and her, especially because our testimony will be short, sweet and we'll ask for five-year suspensions." I specifically stated I don't like Ketamine I don't want Ketamine and actually said, "Do I have draw you a picture?" Kiss your licenses good-bye, because my "kid sister" who is a mistress of structuring charges to include Felonies made sure each and every arrested hospital employee was also charged – and rumor has it she made DAVance swear to adhere to her motto while in Sex Crimes: "You'll plead to the max and you'll serve the max, not one day less."

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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46

Don't listen to these two trolls and yes that's what they are I've seen them around.Just take the time to read what they say the truth I've heard is that he has or at least should have one.that self proclaimed doctor Joey what a laugh you and your buddy p450 should really get a room a private one..so you could go troll your selves.And sure that angel who had the original question well do just fine. I know she must be a angel because demons always go after the real heaven with sent...AMEN.....JESUS..

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47

Great name unfortunately not true.

Where did you see either one of us? Nowhere I personally base this name on a P450 test given me due to testing that shows my DNA profile as an ultra rapid metabolizer and clearly I am supporting the pain clients who ask for help and your name what is that name?

Sound familiar and posting from a cell phone.

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48

I wasn't aware God had resigned and left you his job. Addiction is addiction and how dare you invoke the name of Satan, unless you're calling out to your Master. You're a narcissistic, twisted possibly psychotic fundie who wouldn't recognize the meaning of a Biblical verse that wasn't spoon fed to him in words of one syllable or less, P450 has impressive credentials, as do I... but why bother casting pearls before swine? Tell me how you would treat Xanax addiction? The same Jesus Christ  — and when YOU use His Holy Name, it's blasphemy — created physicians and nurses and people with real intelligence. He doesn't cure dangerous addictions personally — I this he stopped doing flashy miracles about 2,000 years ago myself, but He uses us as tools to do so. My only malpractice is that I type too quickly and I try not to, because I know with drug names and med terminology, this can cause confusion, but not as much as an i****'s saying, "Just keep taking Xanax; you'll be fine." You wouldn't know an angel join Roma Downey bit you in the ankle. And where is your proof that we are on the side of the Adversary? You have none and, as I've read in many versions of the Scripture, "Satan is the father of lies" and specializes in confusion, You seem to fit more on HIS side of the Battle than we do, WE didn't "go after her," you jerk; we tried to point out that she needed help to detox from Xanax and then other medical assistance. We both know how to withdraw pts from benzos. We've done it often enough, Addiction is a DISORDER (NOT A DISEASE - !@ STEP CULT BS IS JUST THAT and they have no followup at all...ever...for NA, AA, CA...how very convenient!) that is characterized by recidivism, denial and self-deception. No competent physician writes for Xanax for teens. It's been too widely abused for years and P450 and I both have had patients prescribed some benozodiazepine, an ADD/AHDHD or other psych drug and didn't like the way it made him feel and called one of us. (I'm pretty sure P450 has the Prescriptive Privilege which means anything I can write for, she can, too.) Usual outcome is to throw out the offending pills, discuss options and write for something else. If you don't WANT pills you don't have to take them...and certainly not for years.

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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49

There are LOTS of serious "adverse fetch" from drug withdrawal, including seizures and death, stroke, HBP, etc.

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50

Hi Dr. J. I believe the post was written to cause outrage. I did notice that one poster inadvertently posts from his/her cell phone and the reason I notice is from several Neurologic forums I was on many years ago (when first injured) there was a guy who for some reason hated people with RSD. He would come on insult us and by the way as you know this horrific disease with pain 88 x worse then end stage cancer (now called CRPS) hits you in a manner where your body has never experienced such symptoms. The disease when it is systemic (my injury caused widespread RSD within two months) becomes a persona; it is the same as having an abusive husband or wife attached to every fiber. I believe RSD hit within twelve hours of my injury; I was taken to the ER from my floor (had gone back to work for my alma mater to get my Executive MSHA paid by the same they accepted 20 per year half were physicians and half were others).

The folks on that web site helped me understand that what I had was RSD. This is a time where old time veteran pain patients helped the health care professional. It used to be soaking in a hot tub caused bliss; after raising five girls less than two years apart one understands the tired body in the hot tub syndrome at the end of the day. RSD did away with this the feel of water on my skin sent me into such spams of utter despair (burning, a feeling of crawling bugs upon the skin you name it the bath went down the drain for a good long time). Also I loved cotton; cotton shrug socks, cotton sheets upon the bed. Well forget anything on the bed or me. At the time I was still married to my first husband and he knew it was hard to find me at times I could be found in flannel night gown wrapped in cotton sheets and ten blankets. Well RSD changed that for I would cry in agony if any such thing touched me. Mine was and is so bad although now that lovely title of Central Pain Syndrome (where inflammation of the brain occurs the one clear living proof of damage so severe that the brain gets inflamed and only one reason which is unbearable pain and irreversible), that I would banana clip my hair for my hair HURT I could feel each hair on my head and it hurt.

I remember filing these descriptions on one of my support forums in the archives perhaps one day I'll pull a few so others can see the colorful, horrifying descriptors of pain for we each experience pain subjectively. I learned from old times that "suicidal ideation" from RSD occurs the first year. Why you ask? Because those symptoms and body experiences never so realized are so bizarre almost psychotic that one cannot escape. I literally was unable to walk without making some type of cane the first few months. I'd drag about with a tree branch for I like so many was not using a cane!

The reason one is suicidal the first year is what I stated BUT one remembers "NORMAL" and longs for their body to stop these actions now "cease and desist" but there is no control. Brutal, terrifying and REMS sleep is the first dead giveaway. With true RSD you never have REMS again. These old time painers as I lovingly call them took me under their wing. I was seeing a specialized pelvic PT for from the injury the pelvis was off line about 1/4 inch enough to cause SI injury and make me "insane with the pain." Sure enough in my time with her I suddenly got black feet, red palms of the hands, and the pain already was totally unacceptable I had plans to dig my own grave and jump in.

The first rehab physician a very outgoing DO told me "P450 (that is not my real name lol) you are in fight or flight response nonstop. You will die of a MI and CVA a horrid death you must take something to kill this pain." I had fought the class 2's I'd swallow one Percocet 5 but anything more than that was "I'm a professional nurse I start my Masters in a few short months I need to be well none of that." She wrote my first prescription of Oxycontin keeping the other as my BT.

I could not walk. Without my varied stick canes and the first night I had dinner with the children and decided I'd take one of those Oxycontin enough already. I drank it down with a Coke, ate dinner and went to stand up. For the first time since the injury I could stand up. I did not allow that makeshift cane thing disappear but I went out in the cold night air and decided to drag myself around the subdivision. I had no idea.

One passes that first year when their body FORGETS what NORMAL is. However, my feet had forgotten already how to feel and walk. I did a little study and have used it on others with early RSD using my hands to move the toes, and feet (massaging them) and using my vision to remember patterns of movement. Without this I'd not be still walking today. Mind you RSD is only one of about 400 outcomes of this injury I've had one cervical fusion and need a revision we have put off the full BAK cage lumbar fusion, and have a host of immune disorders secondary to all this injury caused.

It is nice to be a professional and injured in pain and get kicked in the rectum by the overflow. Those who throw stones at those in pain for shame. God needs no defense HE created us all and it is up to each of us to do HIS work for HIS will does prevail.

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51

Joey oh no Ketamine they use that in vet anesthesia on animals. Kids are bumping it for that purpose to trip out like LSD. Why would they use that on a human?

I hope you have filed malpractice on the facility, the anesthesiologist and all other parties who likely had you in four point restraints, and otherwise sedated when that stuff drove your mind completely blotto WOW!

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52

Joey, appropriate diagnoses these days for Xanax:
1. PTSD
2. Major Panic Disorder
3. Anxiety NOS or related to an Axis I or Axis II (Borderline)
4. Intractable pain with increased anxiety due to uncontrolled pain.

In the last case the PM specialist must look at the overall level of pain control. Has the patient been on the same medications for a period of time. If so then they might be tolerant and need an increase. Or are they on a LA and BT of the same class? Oxycontin and Oxycodone? It might be a good idea to use a BT of another caliber for example HC or Morphine. Has their case changed? For example I supposedly have end stage DDD so someone just starting out may be going worse. Have they gotten too heavy? Some physicians will not write for obese in pain until they get on a weight loss routine and show 10% loss before starting therapy.

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53

TO THE "ONE" WHO PUT THE BULLIES N THEIR PLACE, THANK U!!!! ITS SAD TO SEE JERK OFFS & AS U SAID "SELF PROCLAIMED DOCTORS" WHICH I COMPLETELY AGREE WITH YOU ON THAT.....LOVE TO ACT LIKE THEY KNOW MY WHOLE LIFE HISTORY......I AM VERY THANKFUL FOR YOU TO JUMP IN AND DEFEND ME THE WAY YOU DID!!! KNOW THIS, NOT ONLY R U THE "ONE" WHO PUT THEM TWO HYPOCRITICAL LIARS N THEIR PLACE AND TO CALL THEM OUT LIKE YOU DID BUT U ALSO R "THE ONE" WHO HELPED ME OUT WHEN I WAS ALONE & I THINK YOU R THE ANGEL FOR LITERALLY COMING IN ON THIS RIGHT ON TIME AND FOR THAT I AM AND WILL BE FOREVER GRATEFUL!! I WILL NEVER FORGET THIS DAY THANK U SO MUCH & GOD BLESS YOU .....outta the dark, now I am n the light....what a wonderful person u r

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54

I'm on alot of meds from blood pressure to benzos an high doses of opiates an I never ever had no bad withdrawals cause I always had meds to take so I been on Diazipam 10mg3aday an oxycontin morphine oxycodone ir an I messed up an got locked up for possession of a cannabis plant they locked me up refused my meds not as much as getting a benadryl cold turkey off all my meds 12 bottles total daily I was withdrawing in jail after day 3i started getting bad had to wait days to see mental health they finally showed up on day 6 I was actually dying talking out my head got taken to er an they did nothing they said you will only die if we don't give you something for Diazipam so I can't take alot of other meds so they gave me 3 types I'm not supposed to take atavan buspirion an haldol an the lady said you won't die from opiate withdrawals but you will from not taking benzos they almost let me lay there an die nobody could get me out it took 9days an 15,000 on a lawyer I did research an it was a couple of meds I was on an they never give it to me an I could have died from a combination of deadly withdrawals on a few meds I needed an never got plus them giving me meds I was not supposed to take an it was in my records I had dillusions talking seeing an living stuff I thought was real but was not day 9i got out almost dead took 2plus weeks to stop seeing an living a nightmare an got all my meds back in me an that crap they had out but I wish I never had to the doctor prescribed meds cause now I'm dependant not addicted but I do depend on them to get me through my daily chores with less little pain versus needing help to get up out the bed or chair so to everyone if you don't already no stay away from benzos an opiates cause its good at first the the good goes away an your stuck in a cycle that I been chasing an still am now just to feel normal its hell

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55

Stace you should read the post from the man who was jailed.

He speaks the truth, and recognizes exactly what Dr.J. said addiction is a serious and VALID disease, and unfortunately if you were put on Xanax as a teenager with no proper mental diagnosis and left on that dosage (just under a BAR) for all those years you at the least are tolerant and can suffer seizures and death going off COLD, but in your case you mentioned nothing other then a car accident.

What did the MVA give you to need that level of opioids and anxiety medication for all those years?

Most posters here have valid diagnoses in their search for help.

I find your last post hysterical and insulting to a very kind physician I do not believe anyone here deserves his excellent words at this time.

The poster you had post on your demise is just as sad. I am sure I could get you an excellent psychiatric referral if you really have the need (diagnoses) for that medication.

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56

The One takes one to protect one I'd be glad to get you a psychiatric referral as well.

Don't foster someone who is seeking opioids for the wrong reason there is difficulty enough in those who need them for intractable pain then people searching the net for a fix.

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57

First of all....i never mentioned the wreck in my first post....doesn't matter and u finding me hysterical....wow BC the feelings are mutual what I find very unprofessional about u and that self proclaimed doctor is how you both just assume what my health conditions are for your own personal use "profiling online" I don't know how old you are but I can bet that not just at my age right now but at the age of 18-19 I have experienced evil traumatizing unfortunate events in life than u have ur whole entire life I'm definitely not gonna play n to ur stupid games now or ever & I'm right back on the same medications that I have been on by a different doctor u don't know my health conditions.

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58

Stace we are trained to assess actions by terms and descriptors. It's part of the job simply put.

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59

Assessing a patient in person in a clinical setting is not the same as attempting to assess someone based only on what they say on a public internet forum. The latter can be very dangerous.

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60

I've prescribed it more for DDxs 1, 2 and 3 than 4, but I've had a few puts shared with PM doc who were...well---apprehensive about writing for Xanax. Those are the proper indications, for sure, but most of us prescribe some short-term for plain old anxiety. For me, short term is 10-14 days of tx; no refills and further therapy.

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