Legal Or Illegal
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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?

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89

I think BL is correct. You were an adult and assumed the risk of addiction when you "signed on for this trip." Your bottles had Controlled Substances labels, etc. Don't freak — I'm on your side and I've made out clear that part of our job is monitoring scripts, quantities, etc., not just clinical signs and symptoms.

Also, you or your attorney can check on the status if your former doc's license online or, in the attorney;s case, with a telephone call. Sometimes a agreement to retire and surrender ones license covers the multitude if sins; if that;s what happened, he;d only show a "Retired - License Surrendered for Purpose of Retirement" and no details. Disciplinary action is public information, but you have to know where to look.

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88

Kipp, my friend you know with AS you cannot be off opioids anymore than I can. The pain will kill you.

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87

I fully agree. Nurse like P450 are as rare as diamonds but one who started with main now psychiatric a Psych NP (with an MSN) and with the prescriptive privilege as well. I alas treated nurses as equal partners in health care. What I don't like are those "streamlined" programs where the NP decides SHE/HE is the doc. I"m always open to collaboration, but that implies a discussion among equals.

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86

I pray every day for this not to occur.

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85

I've had Seconal and Nembutal pre-op. Seconal was IM and Nembutal p.o. I was hospitalized and my mentor stopped by and rained Hell on the nursing staff if they didn't "get off their asses and fill my medication order —NOW." AS with all god administrators, they were twosomes to Charlie, and these folks left me uncomfortable on 2 x .25mg of Halcyon (brand). I'm a CNS Reducer and these just don't work on me. I was mesmerized; I never saw this side of Charlie (or Chuck) but it seemed most staff knew not to release the "the 'bad' Dr. S.". Seco- and pentotbarbital are still around. I guess you have to know where to lok. And yes, I needed 200mg po of Nembutal and 200g IM for the Seconal. I did sleep, however, I called a snatch of conversation and Dr Charlie's saying, "He has his own MD. state license and DEA Registration — he could order 1,000 of those pills if he chose to, so obviously he's not a addictive risk. No, do what you're told or do I have to get the Chief of Medicine down here?

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84

Kipp,

They don't do Seconal anymore babe, long off the market.

It does knock you out. A sad loss of a good damn occasional sleeper.

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83

Untreated pain leads to panic attacks that is why the best in the U.S. and my deceased prescribed Xanax or Ativan in addition to your pain medications.

RSD destroys REMS for life. I have not had REMS in over 20 years people.

One more is that untreated pain (not enough opioids) will give you panic and no sleep.

Get your PM to prescribe what is needed if they can.

I may not be around if I do not get a replacement physician soon; I have told those close to me this is it for me. Peace people.

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82

Powerful sedative-hypntics prescribed in addition to opiates/opiids that can't "cover' the pain can lead to Mania. Hysteria, et. I'm not being mean to you; advising you of what it took a lot of PTS and DOCS to learn over the years, what it took generations for these docs and its to learn.I'm not sure if neuroleptics also compromised the analgesia of morphine or Dilaudid-type opiates/opioids. For a long time, my PM buds could send their pots and send them me for the tx of intractable insomnia,the pool of available hypnotics and docs wit the balls to do what ALL of us did back in the day has greatly decreased!

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81

I'm sorry i must have gotten a message that wasn't for me, forgive me. But I am starting to regret my choice. I haven't slept in three months which would be fine if my hip and back didn't hurt so bad after 10 min . Maybe I could get something done. I'm seriously getting very discouraged idk what to do. I have appt with him Friday so I'll ask him what he thinks. Wish I could just get like three nights worth of Seconal ornebutol. Something but I know they'll never allow that. Oh hell know God forbid I get a couple nights of sleep, lol stupid doctors I couldn't OD if I tried , unfortunately,

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80

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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79

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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78

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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77

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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76

Kipper,

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

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75

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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74

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

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73

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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72

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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71

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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70

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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