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Posted: 8/22/2018 6:12:43 PM EDT
[#1]
Quote HistoryQuoted:
I hit a deer on my motorcycle and broke my spine, wrist and ankle. Gave me 2 oxycodone there and a script for 10. Wrist and ankle doc gave me a script for 20. Spinal doc gave me a script for 100....with a refill. It's pretty bad, but if docs use common sense it wouldn't be an issue. |
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Posted: 8/22/2018 6:15:48 PM EDT
[#2]
Once the shit patient satisfaction scores start rolling in for leaving patients in pain that hospital will revise thier policy.
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Posted: 8/22/2018 6:18:23 PM EDT
[#3]
they got the docs running scared. its all tracked on computers now, both the prescriptions that the docs write and the prescriptions the folks fill. for the docs its often easier to just say no.
they can prescribe within fairly strict guidelines but some of them wont do it anymore under any circumstances. about 99.99% of the 'opiod crisis' comes out of mexico with chinese fentanyl boosters. the legal stuff has mostly dried completely up. folks that are od'ing are doing so on street drugs. the lawmakers finally wized up and realized that if you gave someone a month supply of 80mg oxycontin (1 or more a day for 30 days) at the end of that 30 days, you had a physically addicted person. some folks (i know an old man for instance who tookl it for an issue for over a year) can simply stop taking it when they no longer have pain. but many cant. so the move is to limit the amount given out at any one time so that it cant be take for more the 5 or 6 days. theyre about to do the same thing with benzodiazipines. |
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Posted: 8/22/2018 6:19:40 PM EDT
[#4]
wonder if its doc dependant?
had a friend dying of cancer years back and the doc gave her morphine pills by the truck load. |
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Posted: 8/22/2018 6:27:02 PM EDT
[#5]
Quote HistoryQuoted:
Interesting the 2 red areas in ND seem to match Williston an area with high oilfield work and the turtle lake Indian reservation Quote HistoryQuoted:
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The current 'epidemic' has been caused by degenerates with a lack of personal responsibility -- not doctors. Not in my opinion, at least.  https://www.AR15.Com/media/mediaFiles/265139/20170311_woc097-647472.JPG Nevada certainly fits the bill though, no offense nevadans  |
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Posted: 8/22/2018 6:36:43 PM EDT
[#6]
Quote HistoryQuoted:
It must be regional because, in these here parts, it's now the norm. The only place I can't e-scribe a post-op schedule II to is on base. Quote HistoryQuoted:
Quoted: It has to have a certain level of encryption on both ends, doctor’s office and pharmacy. Most don’t have it so it’s a moot point. Quoted:
Quoted: It has to have a certain level of encryption on both ends, doctor’s office and pharmacy. Most don’t have it so it’s a moot point. |
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Posted: 8/22/2018 6:39:37 PM EDT
[#7]
Quote HistoryQuoted:
How long does Oxycotin's potency last in a bottle? I was given some (maybe 30 pills) a few years ago for a kidney stone but it passed and I only used one. I recently found it and what with the hub-bub over the whole opiates thing I figured I'd better hold on to them in case I needed something and could not get anything.....They are secured in one of my safes. Kept dry and out of the heat, it loses very little of its potency over time. Many years. |
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Posted: 8/22/2018 6:40:47 PM EDT
[#8]
Quote HistoryQuoted:
Years. Ive taken some of mine that were ten years old. Worked just as good as a fresh script. Quote HistoryQuoted:
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How long does Oxycotin's potency last in a bottle? I was given some (maybe 30 pills) a few years ago for a kidney stone but it passed and I only used one. I recently found it and what with the hub-bub over the whole opiates thing I figured I'd better hold on to them in case I needed something and could not get anything.....They are secured in one of my safes. |
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Posted: 8/22/2018 6:43:25 PM EDT
[#9]
Quote HistoryQuoted:
You are full of shit, sir! Federal law prevents any doctor from phoning in schedule II drug prescriptions to the pharmacy. You have to physically obtain a written prescription from the doctor's office and take it to a pharmacy to be filled. You didn't have a script for Oxycotin waiting for you at a pharmacy, as you said. Why lie about it?? Quote HistoryQuoted:
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Now these are the stories I can't figure out... I had a toothache a few months ago under a crown. It was hurting. I called my dentist and left a message. He called me back and an hour later I had a script for Oxycontin and amoxicillin waiting for me at a pharmacy. I went in to pick them up and was expecting it to be something like buying a machine gun but nope; showed ID, and walked. FWIW I thought Oxy sucked as a drug. Helped with the pain but hated the buzz. My mom in her last days a few years back was on a fentanyl patch for months. Wasn't a big deal. Doctors can now send the prescription online direct to the pharmacy. |
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Posted: 8/22/2018 6:45:53 PM EDT
[#10]
Quote HistoryQuoted:
You are full of shit, sir! Federal law prevents any doctor from phoning in schedule II drug prescriptions to the pharmacy. You have to physically obtain a written prescription from the doctor's office and take it to a pharmacy to be filled. You didn't have a script for Oxycotin waiting for you at a pharmacy, as you said. Why lie about it?? Quote HistoryQuoted:
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Now these are the stories I can't figure out... I had a toothache a few months ago under a crown. It was hurting. I called my dentist and left a message. He called me back and an hour later I had a script for Oxycontin and amoxicillin waiting for me at a pharmacy. I went in to pick them up and was expecting it to be something like buying a machine gun but nope; showed ID, and walked. FWIW I thought Oxy sucked as a drug. Helped with the pain but hated the buzz. My mom in her last days a few years back was on a fentanyl patch for months. Wasn't a big deal. |
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Posted: 8/22/2018 6:46:35 PM EDT
[#11]
Quote HistoryQuoted:
The shit is insane, I have to take my Mom to a pain clinic to get her prescription where she is treated like a criminal and they count her pills. Also the doctors are idiots and will call in scripts that have to be written and hand delivered to the pharmacy. My Mom had to go through withdrawl over a weekend because her Doctor's office screwed up her Rx and Walgreens and her Dr's after hours service could no nothing until the next Monday. Oh yeah, if the doctors are idiots, go to medical school so you can show us how to deal with pain management patient day in and day out. I can't see how they are worth the trouble involved running a pain clinic. |
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Posted: 8/22/2018 7:30:46 PM EDT
[#12]
Quote HistoryQuoted:
Yup. The molecule is very stable. Quote HistoryQuoted:
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How long does Oxycotin's potency last in a bottle? I was given some (maybe 30 pills) a few years ago for a kidney stone but it passed and I only used one. I recently found it and what with the hub-bub over the whole opiates thing I figured I'd better hold on to them in case I needed something and could not get anything.....They are secured in one of my safes. 
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Posted: 8/22/2018 11:09:07 PM EDT
[#13]
Quote HistoryQuoted:
The shit is insane, I have to take my Mom to a pain clinic to get her prescription where she is treated like a criminal and they count her pills. Also the doctors are idiots and will call in scripts that have to be written and hand delivered to the pharmacy. My Mom had to go through withdrawl over a weekend because her Doctor's office screwed up her Rx and Walgreens and her Dr's after hours service could no nothing until the next Monday. I think they know what they are doing is wrong and have to find someone else to blame. Funnily, I've never met a doc that ever seemed to have not had pain meds when they needed them. How the fuck did the DEA get between me and my doctor? |
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Posted: 8/22/2018 11:16:44 PM EDT
[#14]
It isn't just because they're afraid he will become addicted to pain killers. It's also because a lot of those poor suffering cancer patients like to sell their pills. Or because their caring famiky gets them to get multiple prescriptions. Or they run out (sold by themselves or family members or taken by family members) and then need more because as you well know, they can be in excruciating pain.
I recently had an acquaintance lose her mother to cancer. She had a whole grocery bag of pills from her mom who kept getting more refills and was frequently in the hospital and getting them there this not using her pills at home. |
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Posted: 8/22/2018 11:18:17 PM EDT
[#15]
As a former LEO, I was on the side of stricter regulation of opioids. It was sad to have to arrest the soccer mom in the Walgreens pharmacy drive thru waiting on her oxy after handing over her forged script. A month ago I saw the other side of it when my wife was injured during a liver biopsy and nearly bled to death. After 4 days in the ICU and leaving with large blood clots around her liver and in her pelvis and in extreme pain, she could only get 3 days worth of pain meds that weren't really sufficient to get her pain under control. We had to go to the ER to 'seek' more pain meds until we could get to a good general practitioner who was able to write her a 30 day script with enough to get her pain somewhat under control. Every doctor I talked to was not happy with the politicians in Florida limiting their ability to properly manage their patients pain. I wouldn't condone it, but I could certainly understand someone who is suffering going outside the legitimate medical system to look for alternatives. I had a P.A suggest possibly drinking alcohol with the meds to enhance the drugs effects. It's absurd that it's come to that in this state.
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Posted: 8/22/2018 11:58:23 PM EDT
[#16]
I used to have a nurse GF. She worked in PACU/Post-Op stuff. If you or anyone you knew was a patient of hers, I feel for you, because if you were prescribed any opioids for pain control, I guarantee she was taking half that shit for herself, leaving the patient with less than prescribed pain meds to deal with post-op pain. She thought she'd never get caught, but eventually she did, and was fired for it. She played victim throughout the whole ordeal. I was shocked that the hospital didn't pursue prosecution, as I would imagine that kind of behavior opens the hospital up to all sorts of liability. She became my no-longer GF when that all came to light.
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Posted: 8/23/2018 12:07:35 AM EDT
[#17]
Sorry that happened to your father. I can assure you that from what I have seen from the inside, restricting cancer patients from receiving opioids is exceedingly rare. These are the ONLY patients now that have a clear indication for opioids.
When I was an intern we were prescribing pills like candy. I bet half of my ED discharges back then (circa 2010) came with a script for hydrocodone. That was a mistake - not every pain is going to go away completely and immediately and not worth the side effects. Oxycontin =/= oxycodone. It is shear malpractice to prescribe Oxycontin for any dental pain. It is the long acting form of oxycodone meant for chronic users of oxycodone so that they can take twice daily instead of 6 times daily. I'm sure what was meant is plain oxycodone or percocet (oxycodone + tylenol ... so that people will not take more than prescribed because they will develop liver failure from the tylenol) and not oxycontin, a common mistake. Not being able to call in opiates mixed with tylenol (norco/percocet) sucks. Being able to E-prescribe is a rare thing around here. Where I work we do not have it anymore. We had it briefly while we had the Epic EMR but even that was pretty useless - often it would not work. |
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Posted: 8/23/2018 12:53:45 AM EDT
[#18]
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Electronic scripts are a thing. But you know it all so stay ignorant. Edited to add that it does seem to be allowable but is seemingly not wide spread. I know that I have held a valid DEA number for 30 years and cannot do it. |
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Posted: 8/23/2018 12:56:01 AM EDT
[#19]
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here in oregon alot of the doctors use escript and still escript schedule 2 meds to a pharmacy during daylight or working hours. er`s always give a written script if they give any at all. so yes escripting a schedule 2 happens every day. |
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Posted: 8/23/2018 12:57:21 AM EDT
[#20]
The core of the opioid crisis is a few bad apples overprescribing. After the subject went national, politicians decided it's a nice topic to mobilize for votes.
This is what happens when politicians dabble in your healthcare and take medicine into their own hands. They have no medical training and have no idea what they're doing. |
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Posted: 8/23/2018 12:57:53 AM EDT
[#21]
Quote HistoryQuoted:
Disagree. Opioids took off after governments said that their constituents were suffering from pain and it was the prescribers duty to treat all pain and the "5th vital sign" bullshit. 20 years ago pain after surgery was "expected", today we need to cope people into unconciousness or they file a complaint because God forbid they feel pain after open chest or knee replacement surgery. |
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Posted: 8/23/2018 12:59:19 AM EDT
[#22]
Quote HistoryQuoted: NC has gone escript for all drugs. It's actually more secure than paper scripts. I've had several people over the years try to falsify my paper scripts so I am now all electronic. With two-factor authentication, escripts are very much more secure than paper. |
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Posted: 8/23/2018 1:00:21 AM EDT
[#23]
Quote HistoryQuoted: You guys know that E-scribe for schedule II is now a thing, yes? |
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Posted: 8/23/2018 1:01:25 AM EDT
[#24]
Man, that's just not right.
If you're in stage 4 cancer, what should happen is they should hand you the keys to the hardcore pain reliever cabinet, here, take what you want. If you don't want to OD let the nurse help you with safe dosages. If you do want to OD, here's how to do it as peacefully as possible. However, that'd be in a locked down environment. None of those drugs leaves the room unless they're in your body or flushed down the toilet. I think the depths of human stupidity are explored every time someone who's healthy chooses to get wasted...especially on opioids and other medications that can very easily kill you. Then again, I don't think much of drinking or smoking, either. I have no desire to be other than completely sober and clear headed. |
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Posted: 8/23/2018 1:02:38 AM EDT
[#25]
Quote HistoryQuoted:
It's interesting to see the correlation between Purdue Pharma marketing Oxycontin and the sudden interest in undertreating pain, considering pain the 5th vital sign, declaring opiates safer in geriatric patients than NSAIDS due to renal/GI effects, tying reimbursement to patient satisfaction surveys (guess what addicts did with *that* leverage), declaring the patient's perception of pain the basis for treatment algorithms, tying pain control to the current standard of care (legal liability), etc during the late 1990s-early 2000's. It's almost like a self-induced problem created when industry lobbyists paid off legislators to involve themselves in the practice of medicine, instead of letting the profession exercise good clinical judgement. Odd coincidence, indeed. But of course, it's really all the fault of greedy rogue doctors overprescribing for profit, you know, so the DEA finally decides to wave its dick around in protest. |
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Posted: 8/23/2018 1:04:15 AM EDT
[#26]
Quote HistoryQuoted: Nope, perfectly legal in AL Now your MD may not have the required certified software, but it is perfectly legal. https://www.AR15.Com/media/mediaFiles/99571/AB844CBB-6248-49B5-8D5D-638C830FB2B0-647910.png |
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Posted: 8/23/2018 1:09:02 AM EDT
[#27]
Quote HistoryQuoted:
The core of the opioid crisis is a few bad apples overprescribing. After the subject went national, politicians decided it's a nice topic to mobilize for votes. This is what happens when politicians dabble in your healthcare and take medicine into their own hands. They have no medical training and have no idea what they're doing. It's just a thing pushed by the media and politicians, made more obvious by Narcan. Now one person can make the OD stats dozens of times. |
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Posted: 8/23/2018 1:09:25 AM EDT
[#28]
The druggies have ruined shit.
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Posted: 8/23/2018 1:16:41 AM EDT
[#29]
Quote HistoryQuoted:
Phone? It's 2018, no one "phones" in anything. Quote HistoryQuoted:
Quoted: You are full of shit, sir! Federal law prevents any doctor from phoning in schedule II drug prescriptions to the pharmacy. You have to physically obtain a written prescription from the doctor's office and take it to a pharmacy to be filled. You didn't have a script for Oxycotin waiting for you at a pharmacy, as you said. Why lie about it?? |
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Posted: 8/23/2018 1:26:58 AM EDT
[#30]
Quote HistoryQuoted:
You are full of shit, sir! Federal law prevents any doctor from phoning in schedule II drug prescriptions to the pharmacy. You have to physically obtain a written prescription from the doctor's office and take it to a pharmacy to be filled. You didn't have a script for Oxycotin waiting for you at a pharmacy, as you said. Why lie about it?? Quote HistoryQuoted:
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Now these are the stories I can't figure out... I had a toothache a few months ago under a crown. It was hurting. I called my dentist and left a message. He called me back and an hour later I had a script for Oxycontin and amoxicillin waiting for me at a pharmacy. I went in to pick them up and was expecting it to be something like buying a machine gun but nope; showed ID, and walked. FWIW I thought Oxy sucked as a drug. Helped with the pain but hated the buzz. My mom in her last days a few years back was on a fentanyl patch for months. Wasn't a big deal. 
FINALLY! After 20 years here I have been called out as a liar. 
WTF would I lie about something so banal and trivial. I have no idea how it works. I'm a long time patient and we are casual friends. I assume there is some kind of vetting process to facilitate this. Maybe it helps being a responsible citizen and all. YMMV. Don't call me a liar though. Refer to the COC under personal attacks. |
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Posted: 8/23/2018 1:35:34 AM EDT
[#31]
Quote HistoryQuoted:
It may be the law, but I've never had a pharmacy agree to dispense it around here without a paper prescription brought in by the patient. They have insisted on it even though I have explained the exception to them. Quote HistoryQuoted:
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Now these are the stories I can't figure out... I had a toothache a few months ago under a crown. It was hurting. I called my dentist and left a message. He called me back and an hour later I had a script for Oxycontin and amoxicillin waiting for me at a pharmacy. I went in to pick them up and was expecting it to be something like buying a machine gun but nope; showed ID, and walked. FWIW I thought Oxy sucked as a drug. Helped with the pain but hated the buzz. My mom in her last days a few years back was on a fentanyl patch for months. Wasn't a big deal. https://www.deadiversion.usdoj.gov/pubs/manuals/pract/section5.htm In an emergency, a practitioner may call-in a prescription for a Schedule II controlled substance by telephone to the pharmacy, and the pharmacist may dispense the prescription provided that the quantity prescribed and dispensed is limited to the amount adequate to treat the patient during the emergency period. The prescribing practitioner must provide a written and signed prescription to the pharmacist within seven days |
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Posted: 8/23/2018 1:38:32 AM EDT
[#32]
Quote HistoryQuoted:
How long does Oxycotin's potency last in a bottle? I was given some (maybe 30 pills) a few years ago for a kidney stone but it passed and I only used one. I recently found it and what with the hub-bub over the whole opiates thing I figured I'd better hold on to them in case I needed something and could not get anything.....They are secured in one of my safes. I go to a pain clinic and have tried everything from injections, implants, pain pumps. |
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Posted: 8/23/2018 1:41:57 AM EDT
[#33]
Quote HistoryQuoted:
Ummmm........we phone in stuff everyday. Quote HistoryQuoted:
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Quoted: You are full of shit, sir! Federal law prevents any doctor from phoning in schedule II drug prescriptions to the pharmacy. You have to physically obtain a written prescription from the doctor's office and take it to a pharmacy to be filled. You didn't have a script for Oxycotin waiting for you at a pharmacy, as you said. Why lie about it?? I'm guessing it varies state to state. |
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Posted: 8/23/2018 1:50:02 AM EDT
[#34]
Quote HistoryQuoted:
https://i.kym-cdn.com/photos/images/original/000/954/917/530.jpg FINALLY! After 20 years here I have been called out as a liar.
WTF would I lie about something so banal and trivial. I have no idea how it works. I'm a long time patient and we are casual friends. I assume there is some kind of vetting process to facilitate this. Maybe it helps being a responsible citizen and all. YMMV. Don't call me a liar though. Refer to the COC under personal attacks. Quote HistoryQuoted:
Quoted:
Quoted:
Now these are the stories I can't figure out... I had a toothache a few months ago under a crown. It was hurting. I called my dentist and left a message. He called me back and an hour later I had a script for Oxycontin and amoxicillin waiting for me at a pharmacy. I went in to pick them up and was expecting it to be something like buying a machine gun but nope; showed ID, and walked. FWIW I thought Oxy sucked as a drug. Helped with the pain but hated the buzz. My mom in her last days a few years back was on a fentanyl patch for months. Wasn't a big deal. FINALLY! After 20 years here I have been called out as a liar.
WTF would I lie about something so banal and trivial. I have no idea how it works. I'm a long time patient and we are casual friends. I assume there is some kind of vetting process to facilitate this. Maybe it helps being a responsible citizen and all. YMMV. Don't call me a liar though. Refer to the COC under personal attacks. |
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Posted: 8/23/2018 1:50:57 AM EDT
[#35]
Quote HistoryQuoted:
It has to have a certain level of encryption on both ends, doctor's office and pharmacy. Most don't have it so it's a moot point. Quote HistoryQuoted:
Quoted:
Quoted: You are full of shit, sir! Federal law prevents any doctor from phoning in schedule II drug prescriptions to the pharmacy. You have to physically obtain a written prescription from the doctor's office and take it to a pharmacy to be filled. You didn't have a script for Oxycotin waiting for you at a pharmacy, as you said. Why lie about it?? |
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Posted: 8/23/2018 2:02:36 AM EDT
[#36]
Quote HistoryQuoted:
I've said it before.... ...All of these middle-aged and older boomer types are about to have a rude fucking awakening when they're all fucked up with some illness and the doctor prescribes them Advil 800mg. They literally have no idea the monster they've created with all of their 'opiods R bad, Mmmmmmkay' nonsense. Frankly, the evil side of me kind of hopes that the ones who advocated for it are forced to live in pain at some point in their lives. Unintended consequences are a mother fucker.  |
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Posted: 8/23/2018 2:03:13 AM EDT
[#37]
Quote HistoryQuoted:
You might want to re investigate that assertion. You cannot e transmit a schedule 2 narcotic. Against DEA regulations. Edited to add that it does seem to be allowable but is seemingly not wide spread. I know that I have held a valid DEA number for 30 years and cannot do it. I've had my DEA registration for a mere 17 years and have been e-prescribing Schedule 2-5 for the last 3 years. Much more secure than handing the patient the paper script. And it's very widespread. A large percentage of all the physicians in my state send scripts this way. Every major pharmacy here is set up for it. |
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Posted: 8/23/2018 2:08:37 AM EDT
[#38]
Quote HistoryQuoted:
Over 34 years in healthcare here and I have seen the "rules" change 4 times at least. Swings from "opioids cause addiction so don't prescribe them" to ""we undertreat pain so opioids are OK. Use them" The current epidemic has been caused by a handful of knuckleheads overprescribing to line their pockets, The overprescribing has lead to a number of deaths around the country. So now we over react and cast all prescribers into the same "guilty" pool. Sound familiar? We now have a current generation of prescribers who are both afraid to prescribe opioids responsibably, and are sanctioned by medical boards if they do, and who actually don't know how to prescribe them. Stupid is as stupid does. I probably won't live long enough to see the next swing, but it will come. old man yells at clouds The narcan actually happened to my dad when he lost a toe a few months ago. 15 fucking Vicodin 5mgs and they made him also buy a shot of narcan or the script wouldn't be filled. |
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Posted: 8/23/2018 2:16:56 AM EDT
[#39]
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The opioid crisis is bullshit. I have ZERO care for those that OD. It is my opinion that addicts should have unfettered access to their poison of choice. All those assholes have done is make it damn near impossible for legitimate pain sufferers to get. Someone I was very close to was put through hell at least twice a year because of this BS. One "OD" story was a local teen. Dipshit's granny was in the short rows of terminal cancer. Found out, after his OD that the creep had been stealing/using and selling her pain drugs. What kind of lowlife does it take to do that? I cannot even fathom that kind of thinking. Dying granny, living her last in agony and you're getting high off something that will give her an easier way out. I grin knowing he OD'd. A bunch of my "friends" back in HS got hooked on dilaudid and shit like that. They were buying it from a guy who was selling his mothers terminal cancer pills. From what they said they were able to pretty much on demand buy morphine, diluadid and something else from the guy. I always wondered how miserable his mom was when her meds were walking out the door and she was left with a pittance to deal with cancer. Takes a special kind of fucked up to do that. The "friends" got their karma back in spades though. Couple of them recently decided to rob a friend of theirs and I saw this on the news: The vehicle left the area and continued down Main Street. The officer followed the vehicle near Shopping Center and saw the front passenger’s door open; it appeared as if someone was trying to jump out of the moving vehicle, the police department said. The police department said the victim was treated at the scene and released. The police department did not release details on the victim’s identity, injuries or what the victim reportedly was robbed of. All of the people involved knew each other, and there is no danger to the public, the police department said. The three arrested are held without bond and have all been charged with robbery, abduction and malicious wounding. Guess being a junkie finally caught up to em. He had good parents who tried to send his ass to rehab 5 times but he just kept choosing to get high and the final straw for them was when he robbed his own sister for a ton of money and stuff in her house. |
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Posted: 8/23/2018 2:19:30 AM EDT
[#40]
I view ODs the same way I view suicides---good riddance.
More resources for the rest of the population that wants to be here. I'm a social darwinst and these are just cases of natural selection in my book. |
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Posted: 8/23/2018 5:30:36 AM EDT
[#41]
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All of the junkies around me are switching to Benzos, Zanny bars, and meth Here, well give you a different drug with all sorts of bad side effects that will have to be taken daily instead. Yep. Fuck that |
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Posted: 8/23/2018 5:33:43 AM EDT
[#42]
Quote HistoryQuoted:
You are full of shit, sir! Federal law prevents any doctor from phoning in schedule II drug prescriptions to the pharmacy. You have to physically obtain a written prescription from the doctor's office and take it to a pharmacy to be filled. You didn't have a script for Oxycotin waiting for you at a pharmacy, as you said. Why lie about it?? Quote HistoryQuoted:
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Now these are the stories I can't figure out... I had a toothache a few months ago under a crown. It was hurting. I called my dentist and left a message. He called me back and an hour later I had a script for Oxycontin and amoxicillin waiting for me at a pharmacy. I went in to pick them up and was expecting it to be something like buying a machine gun but nope; showed ID, and walked. FWIW I thought Oxy sucked as a drug. Helped with the pain but hated the buzz. My mom in her last days a few years back was on a fentanyl patch for months. Wasn't a big deal. |
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Posted: 8/23/2018 5:50:38 AM EDT
[#43]
Quote HistoryQuoted:
You are full of shit, sir! Federal law prevents any doctor from phoning in schedule II drug prescriptions to the pharmacy. You have to physically obtain a written prescription from the doctor's office and take it to a pharmacy to be filled. You didn't have a script for Oxycotin waiting for you at a pharmacy, as you said. Why lie about it?? |
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Posted: 8/23/2018 7:46:24 AM EDT
[#44]
Quote HistoryQuoted:
wonder if its doc dependant? had a friend dying of cancer years back and the doc gave her morphine pills by the truck load. This opioid epidemc bullcrap is a last 4 or 5 years thing. It's a regular part of the news cycle now. |
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Posted: 8/23/2018 8:06:51 AM EDT
[#45]
Quote HistoryQuoted:
Very interesting - the dual end security must be impressive. |
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Posted: 8/23/2018 8:25:32 AM EDT
[#46]
Quote HistoryQuoted: Based on military technology, IIRC. You sign up for the system, pay your fees, go through both State and Federal DEA for approval and you get a "dangle" (I think that's what the IT guy called it). You have your own unique password that you memorize and when you hit "send" on a scheduled Rx, you put in that password and then hit the button on the dangle and then it gives you an 8 digit code unique to that prescription only. Thus BOTH your individual password and the unique code are required to have the Rx go through. It's much more secure than paper scripts. Fun fact: It was invented by a guy named Don Gill, hence the term. |
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Posted: 8/23/2018 8:42:32 AM EDT
[#47]
Quote HistoryQuoted: Dongle. A physical security apparatus that has to be present on a computer to access something. Fun fact: It was invented by a guy named Don Gill, hence the term. I thought it was because the dongle dangled from the device
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Posted: 8/23/2018 9:32:55 AM EDT
[#48]
Quote HistoryQuoted: It may be the law, but I’ve never had a pharmacy agree to dispense it around here without a paper prescription brought in by the patient. They have insisted on it even though I have explained the exception to them. Quote HistoryQuoted: It may be the law, but I’ve never had a pharmacy agree to dispense it around here without a paper prescription brought in by the patient. They have insisted on it even though I have explained the exception to them. Quoted: It has to have a certain level of encryption on both ends, doctor’s office and pharmacy. Most don’t have it so it’s a moot point. |
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Posted: 8/23/2018 9:38:59 AM EDT
[#49]
Quote HistoryQuoted:
It's interesting to see the correlation between Purdue Pharma marketing Oxycontin and the sudden interest in undertreating pain, considering pain the 5th vital sign, declaring opiates safer in geriatric patients than NSAIDS due to renal/GI effects, tying reimbursement to patient satisfaction surveys (guess what addicts did with *that* leverage), declaring the patient's perception of pain the basis for treatment algorithms, tying pain control to the current standard of care (legal liability), etc during the late 1990s-early 2000's. It's almost like a self-induced problem created when industry lobbyists paid off legislators to involve themselves in the practice of medicine, instead of letting the profession exercise good clinical judgement. Odd coincidence, indeed. But of course, it's really all the fault of greedy rogue doctors overprescribing for profit, you know, so the DEA finally decides to wave its dick around in protest. |
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Posted: 8/23/2018 10:17:36 AM EDT
[#50]
Quote HistoryQuoted: Degenerates the canuck says. Why no blazing red in most big cities? https://www.AR15.Com/media/mediaFiles/265139/20170311_woc097-647472.JPG Nevada certainly fits the bill though, no offense nevadans Sorry if I seem incredulous... |
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