Legal Or Illegal (Page 4)

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?

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REPORT

My baby sister, former Chief of the Sex Crimes Bureau for the Office of the New York County DA,has a lot of good friends, on both sides of the aisle. My surgeon kept trying to justify it and I said, "I had an MD while you were jerking off to Penthouse; hope you didn't sign off on any of this crap, because my sister's motto as a prosecutor was 'Arrest everybody and we'l see what sticks.'" Yes, I"m filing complaints against any licensed professional who signed off on ANYTHING with the Office of Professional Conduct; my high school boyfriend, Billy, today, managing partner of a large PI firm that does Med Mal, has a bunch of his guys working on that asp ect and I had to insist he's entitled to his 1/3 of any settlement; its a lot of work and tis atrocity occurred in Manhattan, where my sister worked for legendary DA Robert Morgenthau. HE made a call and his successor extended every courtesy, even that of Special Prosecutor."The wheels of the gods grind slowly/But they grind exceeding small." Thanks for caring!

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Don't forget that clinical experience plays a role for those of us with year on the job — there's also instinct or "guy feelings". Before med school, I was a reporter for a large metro daily and I learned my instincts usually were spot on.

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BL you are totally wrong. How many physicians are doing Skype work these days? Do you know how many suicidal pain patients I have pulled from a hole due to text messaging with follow up?

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Clinical settings have access to patient information that someone on a public internet forum does not have.

Tele Med is growing in popularity. But that is not the same thing as saying you can assess someone over a public internet forum.

You have no more authority here than others do. You or anyone else here saying they are assessing members is misleading because the necessary information needed isn't provided here. This site is not for the assessing of those that post here for any reason. You post your opinion and here your opinion is the same as everyone else's.

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Well Monday I went to my doc and in April was on 300 mg MS Contin, 10/325perc qid, 350mg soma qid plus my remicaid infusions of remicaid 900 mcg, and 200 mg imuran for Ankylosing Spondilitis, and be cause the scared docs locally weR so scared of me as I had so many medical problems they added 80 mg prednisone a day and it caused arterial necrosis causing no blood flow to my hip. It took the two years to figure that out an the head of my femur totally dissolved so I was walkingb with a cane of course on just my muscles, ligaments etc . I could see it narrowing on all the exrays but they said oh it's just ur arthritis, so for two years I lay in bed only able to lay in one position until finally I had to go life flight to emergency hip replacement. Omg these docs up north at rude, stupid and I'm pissed so now I'm highly addicted to high doses of orpine, Percs, diladid, etc. That god I got a good local doc the tapered me from 400 mg morphine plus down to only 37 mcg fentanyl patches every two days and BT PERCS AND STILL SOMA, but I feel so much better . I have good days and bd days but mostly just medium days. That doc that had me on such high doses of narcotics just cut me off with 12 days notice. In the last. Six months he even raised my pets for BT pain SO IS THAT LEGAL?

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Kipper, , yes it is legal. You were informed that the meds could be addicting and you agreed to take them. FDA Guidelines state 120 mg Morphine/ Morphine Equivalent Daily but that is not law only a guideline although few drs don't go by it now.

You didn't mention why the Dr stopped prescribing these meds for.you but it is up to the Dr to continue or stop prescribing. If you broke a pain contract, you were informed of the things that would leave you without pain meds and you agreed to them. You are very fortunate that you found a Dr to keep you on the doses you were on and decrease them slowly.

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Kipper excellent I'm glad with AS you are in serious pain and it appears you also have RA.

What state are you in? I need a physician also specialized due to my being an ultra rapid opioid metabolizer.

My normal was 80 of the 100's and 80 of the 75's brand.

Liquid Oxycodone no Tylenol the 500 mg/5 ml solution.

I'm happy for you.

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Kipper I did want to explain something about pain contracts. Depending on what state you are in they vary but it is a contract. That contract should NEVER state that opioids are addicting--physicians are not supposed to prescribe opioids for addicts and being an addict is a life threatening diagnosis generally handled by a psychiatrist.

The contract should advise that you become physically tolerant which is what happens NORMALLY when one has chronic pain and is treated.

For a licensed physician or nurse to EVER infer a legitimate pain patient is an addict is medical malpractice, and if this has happened to you then you can sue. It has been in years past a common practice in ER's who see many addicts to infer this and it is wrong.

Physically withdrawal makes inexperienced people who suddenly go off medication for various reasons like an addict but instead make sure you realize that you have these side effects due to medications that allow you to have some quality of life in my case keep me alive as I've progressed to Central Pain Syndrome. Don't sign a contract stating you are becoming an addict ever. Cross through that term for that puts you in another category and could prevent treatment in the future for your legitimate pain.

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It is not malpractice for a Dr to write in a pain contract that you may be prescribed meds that you can become addicted to. You also can't sue if a Dr puts it in a pain contract or tells you face to face. As a matter of fact some that have become addicted or their families if the patient's deceased, have sued because they say they weren't informed that the meds they were given could be addicting and became addicted to them.

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This information jibes with what I know and have learned over the years. Remember, I fired a 20-yearer nurse for calling a kid who happened to be my private patient as a "no-good, damned junkie." She lost her license, too.

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DrJoey, surely you don't think that the nurse lost her license because of what she called your private patient
You firing her isn't the same as her losing her nursing license.

The AAFP has a pain contract that lists addiction as a possible effect. Washington University Pain Management Center has several sample contracts, Opioid Agreement Sample 1 lists addiction as a possibility. You can put Opioid Agreement Forms in Google and read these and others.

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I did some research that I learned as an investigative reporter. There was more than met the eye. The hospital filed a complaint with the Office of Professional Conduct and I interviewed friends of my patient who were subjected to the same treatment. More than once I had to remind her that "you are NOT a licensed physician; so keep your moth shut when you don't now anything more than the rest of us do." Lots of stories and my sister got the kids Transactional Immunity for testifying —whatever they disclosed, they couldn't be prosecuted for — but that's what former Bureau Chiefs in the Manhattan DA's Office do. I do Forensics and I made an excellent witness. Don't forget that I'm not the only doctor in my family and I have a lot of friends. The Board voted to REVOKE. All it took was a little research...the PhD is a research degree and journalism experience can be invaluable. She narrowly avoided an indictment for Federal Civil Rights violations — seems "worthless junkie" equals the "n-word" in at least one Fed Appellate Court judge's eyes. One of the first rules of psychiatry (and of news reporting for that matter) is that people repeat patterns. Nothing comes de novo.

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Every experienced shrink has talked or "conferenced" a suicidal patient "off the ledge". I'm proud that my skills have been equal to the task, because that isn't easy, even face-to-face.

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Thanks for the scholarly medico-legal backup, Ms. P450!

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When a physician fires a nurse generally he or she is reported immediately to the nursing board and can immediately lose their license.

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Kipper,

I repeat "addicting" is a term that refers to "addict", no legitimate pain specialist writes opioids for addicts.

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BL,

Addiction is a 2% possibility (I learned this in nursing school 1,000 years ago burp) ONLY in someone who is an addict and hence not diagnosed.

Physicians like professional nurses (see my post describing the different levels of nursing so you know the educational requirements and hence critical thinking levels) are highly trained to note the difference.

Our ability means after years of training we utilize all of our scientific background in critical thinking along with the other very difficult
material we utilize.

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If a Dr suspects that a patient is an addict or abuses or diverts their pain meds they won't prescribe them pain meds. They may or may not refer them to a facility.or Dr that treats addictions.

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Hi, about four years ago as I was working I started feeling dizzy and my heart felt like it was going to burst out of my chest and I was sweating alot. Never in my life I felt that way before. So called the nurse hotline told her my conditions and said that I was having a panic attack, she told me to find a pycrathist and I did they said the same thing but they did not give out the medicine so I had to find a PCP who did. He suggested Xanax and I refused , I told him didn't want to be something that going to make me sleepy all the time and God knows what else. I have a set of twins with autism and very stressful as time pass the attacks was getting stronger and I could barely breathe and my blood pressure went sky high and I passed out. So I agreed to take it until I got better cause I was having chest pains also. Last year I had major surgery were I almost died from from lack of blood and the blood transfusions I always get was not working anymore, so my doctor referred me to someone and said she was good he knows her, she said this my best option and afterwards I will feel like a whole new person, I will have my energy back and not feel tired constantly and rgain my strengths. After the surgery I went to Fort Walton Beach airforce base so my brother and wife can help recover. This is where it get like crazy ,my doctor would send in my prescription and I would pick them up at CVS there been going to same place for 14years, but one his nurses sent it in at Walgreen's instead of CVS so I called CVS pharmacy and asked was my prescription ready but they never got it, so they emailed them and they sent it. What the nurse failed to do was cancel the one she sent to Walgreen's so after four months went by I recovered and went home. Went to see my doctor as as I always do every two months but instead sending in prescription they started giving it to me . AT my visit I had my son with me cause our visit at the same time, so as I waiting on him , he finished and they scheduled us to come back in two months and we left and went straight home and then I didn't think nothing of it until a couple hours later that they forgot give me my prescription, so I called and told them. This is the worst part this sweet nurse that have been seeing for three year's told me hold on to check to she printed it out she took thirty minutes and got back on the phone and yelled saying ,we are closing and they do not pay us overtime. I called them for two weeks with no return call , I had my insurance company call to see what the problem was and he finally called back, I was over my sister house at the time and I was helping plan a party ,so he called and put my phone on speaker phone cause I was blowing up balloons . he asked what the problem was and told him and he said by his records I have been getting my prescriptions at two different pharmacy's ,I said what no I haven't so he said your have enough and I will see you next month. I couldn't sleep for days, having server headaches and so much more . when my appt came he was very cold toward me ,didn't even take my blood pressure or do what he usually does when I visited. He stated that I was getting prescriptions from two different pharmacy's and his name on line and they were in my name and he wanted me got to pharmacy and ask to look at the security cameras cause his name was on the line. I told him why can't you do it since its your name on the line. I asked him which pharmacy's is this happening at he said Walgreen's and CVS I said don't even go to Walgreen's ,he had a sheet paper showing the times I was turning in my prescriptions and my name on it. I told him I dont what's going on and what was I supposed to do it wasn't me . So he called Walgreen's and they told him it was a guy and they paid with cash and that was all they could tell him and then started getting upset repeating his name being used and said it was one of my family members making copies of it, I said what the only family I got here is my sister and I referred her to you remember.So he said go to the police station and report this,so was upset and why can't you since its your good name they using ,what about mine what it don't mean anything. So I asked him for copy of the slip he had of the days this was happening and he said OK and walked out. So I'm thinking he going to get me a copy the nurse tells me we are not authorized to give you that information with attitude so I left and went to the someone I know very well to look in it for me, the person of the task force security system on there computers.I told him situation and he said he will look into it. So when I went to my appt cause he started making me come once a month now he walked and said it happened again ,my name is on the line, said I got someone looking into it since you saying its one my family members that's doing it and I didn't say I said yes you did my sister here you when you are on the phone I had it on speaker and he said you had other people listening to our conversation I said no I just happen to put it on speaker cause I was busy how was I suppose to know that you were going to so the things you said, he said I'm dropping you as a patient and I will give thirty days to find a new one, I said why I did nothing wrong I don't know who doing this and you want me to investigate this like I'm the CIA .So I said fine whatever, five days later task force calls me and told me that they saw the security tapes with me going in CVS handing my prescriptions, what had happened was the prescriptions that his nurse sent Walgreen's at the the time of my recovery was still in there system and it sits in there for 8months, one of the females that worked there noticed it been sitting in there for a long time and never came and got them, she sent her boyfriend up there when she worked to get them. I told them it to late have dropped me as his patient thinking it was me or a family member, so they said if he was smart he shouldn't have did that now we got investigate him now, two weeks later my son had a appt with him as they called us back I saw two new people working there and asked where is his one and only head nurse that I been seeing for three years ,they looked down and said she doesn't work hear anymore and I he walked in the room he was speaking to me so sweet and kind like best friends. But every since then I have been able find a PCP that will prescribe my Xanax here in Tennessee and its been three months now ,the emotional pain, lack of sleep, severe headaches, don't even want get out bed,chest pain's, the simplest thing sets me off,can't eat ,and my heart races and the sweating .I can't stand to long without feeling dizzy and now I can't even drive my on car to the places I need to go scared I will crash I almost did four times if I new this was going to put me in this state I would never have taking it, I feel like I need it ,when I wake up from a nightmare it feel like I'm having a heart attack.

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Why r u being so rude I am dependent on these drugs due to my disease of Ankylosing Spondylitis plus have had three surgeries in the last 2 years. I went to my dr and ask to be tapered off my opiates that I have been prescribed for 20 yrs almost. So wtf?

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