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Posted: 5/29/2019 3:23:11 PM EST
Link Posted: 5/29/2019 3:24:44 PM EST
[#1]
Doctors fall for that shit all the time.

PAs and NPs, however, do not.
Link Posted: 5/29/2019 3:25:47 PM EST
[#2]
Yes.

Addicts are so blinded by their addiction they honestly believe people can't see through their shit.
Link Posted: 5/29/2019 3:26:08 PM EST
[#3]
Good luck my friend, I hope you feel better soon.
Link Posted: 5/29/2019 3:26:53 PM EST
[#4]
Link Posted: 5/29/2019 3:27:47 PM EST
[#5]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Doctors fall for that shit all the time.

PAs and NPs, however, do not.
View Quote
Doctors were hamstrung by the .gov.

Pain is what the patient says it is after all...
Link Posted: 5/29/2019 3:28:10 PM EST
[#6]
Link Posted: 5/29/2019 3:28:45 PM EST
[#7]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Doctors fall for that shit all the time.

PAs and NPs, however, do not.
View Quote
Link Posted: 5/29/2019 3:28:49 PM EST
[#8]
Yep we heard all the stories, excuses and pleas. And people keep coming in.
Link Posted: 5/29/2019 3:29:59 PM EST
[#9]
I have the opposite problem, stated in another thread recently, but I usually have to refuse pain meds and beg for antibiotics for a few hours.
Link Posted: 5/29/2019 3:30:44 PM EST
[#10]
Differences in Opioid Prescribing Among Generalist Physicians, Nurse Practitioners, and Physician Assistants.
Ellenbogen MI1, Segal JB1,2.
Author information
Abstract
OBJECTIVE:
To determine if there are differences in opioid prescribing among generalist physicians, nurse practitioners (NPs), and physician assistants (PAs) to Medicare Part D beneficiaries.

DESIGN:
Serial cross-sectional analysis of prescription claims from 2013 to 2016 using publicly available data from the Centers for Medicare and Medicaid Services.

SUBJECTS:
All generalist physicians, NPs, and PAs who provided more than 10 total prescription claims between 2013 and 2016 were included. These prescribers were subsetted as practicing in a primary care, urgent care, or hospital-based setting.

METHODS:
The main outcomes were total opioid claims and opioid claims as a proportion of all claims in patients treated by these prescribers in each of the three settings of interest. Binomial regression was used to generate marginal estimates to allow comparison of the volume of claims by these prescribers with adjustment for practice setting, gender, years of practice, median income of the ZIP code, state fixed effects, and relevant interaction terms.

RESULTS:
There were 36,999 generalist clinicians (physicians, NPs, and PAs) with at least one year of Part D prescription drug claims data between 2013 and 2016. The number of adjusted total opioid claims across these four years for physicians was 660 (95% confidence interval [CI] = 660-661), for NPs was 755 (95% CI = 753-757), and for PAs was 812 (95% CI = 811-814).

CONCLUSIONS:
We find relatively high rates of opioid prescribing among NPs and PAs, especially at the upper margins. This suggests that well-designed interventions to improve the safety of NP and PA opioid prescribing, along with that of their physician colleagues, could be especially beneficial.
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Link Posted: 5/29/2019 3:30:56 PM EST
[#11]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Doctors fall for that shit all the time.

PAs and NPs, however, do not.
View Quote
Lol.

Sad thing is that people often find it easier to give them what they want so they will shut up. I had a guy a few months ago that came in to get his usual dilaudid dose up for his "Crohn's flare." Just before I went to asses him, I peeked in and saw him laughing while watching his phone. As soon as I went in, the "10/10" abdominal pain and tears started. I told him he looked comfortable a minute ago. He promptly got up, said "fuck you, I'm leaving." I pissed him off even more by telling him to hold up (long pause) we need that IV out first.
Link Posted: 5/29/2019 3:31:14 PM EST
[#12]
Link Posted: 5/29/2019 3:32:40 PM EST
[#13]
"Hey Doc!"
Link Posted: 5/29/2019 3:33:52 PM EST
[#14]
I had to take my wife to the hospital for acute abdominal pain a few years ago.  They were polite, but I swear they were treating her like a drug seeker.  Took forever to get her any relief, and she was in agony.  Turns out she had a bowel obstruction.
Link Posted: 5/29/2019 3:34:08 PM EST
[#15]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
I have the opposite problem, stated in another thread recently, but I usually have to refuse pain meds and beg for antibiotics for a few hours.
View Quote
Me too. The fakers make things hard for those that really need pain meds.
Link Posted: 5/29/2019 3:35:16 PM EST
[#16]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
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lol

I learned here on this website that PAs and NPs are better care providers than MDs. And peer-reviewed studies are globalist propaganda used by the left to alter the way people think (unless the peer-reviewed study agrees with my opinion, then it is the epitome of science and should be the gold standard of evidence).
Link Posted: 5/29/2019 3:36:04 PM EST
[#17]
I broke 2 toes and they wouldn't even give me ibuprofen
Link Posted: 5/29/2019 3:36:57 PM EST
[#18]
Hell, it seems like the opposite these days.

While back I had my wisdom teeth pulled.
When I was checking out I asked if I got any sort of pain meds given that I had an abscess and had all 4 wisdoms yanked in one sitting.

Dentist looked at me like I was the biggest junkie POS on the face of the earth and gave me the most condescending "NO, that is what Tylenol is for" before huffing out of the room.

Umm, ok.
Link Posted: 5/29/2019 3:37:54 PM EST
[#19]
Then someone who's really hurt comes in and they get the "LOL" treatment from the staff.  Double edged sword.
Link Posted: 5/29/2019 3:38:59 PM EST
[#20]
They get their script 9 times out of 10....who's fooling who?
Link Posted: 5/29/2019 3:39:24 PM EST
[#21]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Hell, it seems like the opposite these days.

While back I had my wisdom teeth pulled.
When I was checking out I asked if I got any sort of pain meds given that I had an abscess and had all 4 wisdoms yanked in one sitting.

Dentist looked at me like I was the biggest junkie POS on the face of the earth and gave me the most condescending "NO, that is what Tylenol is for" before huffing out of the room.

Umm, ok.
View Quote
Had minor surgery a few years back.  They gave me a script for pain meds.  The incision didn't hurt to I didn't bother filling it.
Link Posted: 5/29/2019 3:41:12 PM EST
[#22]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Doctors fall for that shit all the time.

PAs and NPs, however, do not.
View Quote
Doctors don't fall for it either.  ER doctors just usually don't GAF, and sometimes it's easier to throw an unneeded prescription at someone than for that person to occupy your ER and yell at the top of their lungs for 12 hours.

It's the same reason why people still get antibiotics for viral infections from their PCP.  Your PCP could spend 30 minutes explaining to you why antibiotics will do nothing for you, or he could spend 2 minutes writing for a Z-PACK.  And he'll get paid the same.
Link Posted: 5/29/2019 3:43:04 PM EST
[#23]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Doctors fall for that shit all the time.

PAs and NPs, however, do not.
View Quote
I have seen the exact opposite. PA's & NP's are often restricted on giving out schedule drugs. Not always but often.

I find the ones making the loudest noise are the fools. The ones with angulated Fx's often are quiet in their pain. Plus, the seekers always say the same stuff.... it is crazy.
Link Posted: 5/29/2019 3:43:09 PM EST
[#24]
I went to the ER a few years ago for an injury and they did not want to give me any pain med at all even though I was about to pass out during the x-rays from the pain.
Link Posted: 5/29/2019 3:44:39 PM EST
[#25]
Link Posted: 5/29/2019 3:45:22 PM EST
[#26]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Doctors fall for that shit all the time.

PAs and NPs, however, do not.
View Quote
LOL.  NPs can't even prescribe controlled substances in all states, so I guess they won't fall for any shit will they.
Link Posted: 5/29/2019 3:46:29 PM EST
[#27]
Discussion ForumsJump to Quoted PostQuote History
Quoted:

Thanks, at least I can brush hog and get things ready for june15th.  I did send you an IM didn't I?
View Quote
Nope. It's the 15th?
Link Posted: 5/29/2019 3:46:41 PM EST
[#28]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Doctors were hamstrung by the .gov.

Pain is what the patient says it is after all...
View Quote View All Quotes
View All Quotes
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Quoted:
Doctors fall for that shit all the time.

PAs and NPs, however, do not.
Doctors were hamstrung by the .gov.

Pain is what the patient says it is after all...
Bingo.  Medicare/Medicaid reimbursement is based on "patient satisfaction".  Thanks for that, .gov.  
Link Posted: 5/29/2019 3:48:58 PM EST
[#29]
Scratched the shit out of my cornea. It was throbbing, spasming, watering, and I could barely open it. I just wanted numbing drops so that I could sleep. They wouldn't give me numbing drops, because reasons.

They examined it, confirmed that it was scratched to shit, and offered to set an appointment with eye doc for three days later. Bitch please, the epithelial cells will fill back in an harden in 48 hours. I just need it to be numb for the night.

Eye drops. They wouldn't give me eye drops.

So, instead of topical anesthetic drops I had to drink myself into a stupor. Thanks, cunts.
Link Posted: 5/29/2019 3:50:13 PM EST
[#30]
Scratched my cornea on Sunday thanks to my daughter's razor sharp fingernails.

I got one pain pill that "should last me through the night" and I woke up 2am in nauseating pain

Meanwhile the ER waiting room was full of two dozen regulars all waiting their turn for their candy.
Link Posted: 5/29/2019 3:50:32 PM EST
[#31]
If you were in Florida they'd still look at you as a drug seeker despite it being obvious that you have a reason for having pain in your leg. Everybody gets treated or looked at like that here. After 3 months you would qualify for a chronic, long term pain management clinic where you wouldnt be treated like that anymore and would get put on a plan to control the pain and get weaned off of it at some point.
Link Posted: 5/29/2019 3:51:54 PM EST
[#32]
I imagine if it didn't work they wouldn't keep doing it.
Link Posted: 5/29/2019 3:55:44 PM EST
[#33]
Discussion ForumsJump to Quoted PostQuote History
Quoted:

Had minor surgery a few years back.  They gave me a script for pain meds.  The incision didn't hurt to I didn't bother filling it.
View Quote
It is a good idea to get it filled for a future thing.  I missed with a 5 pound sledge and hit my hand really hard.  After keeping pressure on to slow the hematoma, and assess for breakage, I was happy that I had a bottle of Vicodin in the meds cabinet from a previous injury.

Same thing for Flexoril.

Fairly recently I got a script for Oxy.  I took exactly half of one pill.
Link Posted: 5/29/2019 3:57:05 PM EST
[#34]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
I broke 2 toes and they wouldn't even give me ibuprofen
View Quote
But, admittedly, you couldn't afford their ibuprofen anyway.  Not many of us could.   Hospital ibuprofen is most expensive ibuprofen.
Link Posted: 5/29/2019 3:58:33 PM EST
[#35]
She like all pain suffers she will have to buy off the street and risk fetanal at 1 times the dose or 10,000 times the dose....wonder why people are dying including old ladies with chronic bone diseases from opioids who can no longer get low grade Vicodin from 'doctors'? I can't imagine why this pain prohibition drug 'crisis' is having the opposite effect intended like alcohol prohibition did as well...
Link Posted: 5/29/2019 4:03:42 PM EST
[#36]
Posting from a ER right now.

Working, not a pt. -  I do Respiratory therapy.

Nobody gets any pain pills, policy states no more than 3 pills prescribed from ER. See your prescriber for more.

Thing is they don't give out any either.

Local pain clinic closes in 1 month so no pain pils and no plan for chronic patients.

Welcome to this towns plan to "help" end the "opioid crisis".
Link Posted: 5/29/2019 4:04:18 PM EST
[#37]
Discussion ForumsJump to Quoted PostQuote History
Quoted:

LOL.  NPs can't even prescribe controlled substances in all states, so I guess they won't fall for any shit will they.
View Quote
I'm an NP and I can't prescribe schedule 2s in Texas (Norco, Percocet, Xanax, etc.)

And I'm elated, because as soon as seeker patients start with their theatrics, I tell them that and ask if they have any other issues to address.

I could easily move to another state where I could prescribe schedule 2s, but I have zero desire to.
Link Posted: 5/29/2019 4:04:40 PM EST
[#38]
I don't quite get why we don't hand out whatever drug a person wants, in whatever quantity they want it in.

We aren't going to stop them, and we are causing people in real pain, to be in agony.

Give them what they want.
Link Posted: 5/29/2019 4:06:22 PM EST
[#39]
A friend of mine who’s an ER doctor up in northern New England got the all-time Oscar winning seeker:

Dude comes in screaming in pain with a phony eye bandage & some of his blood.  He won’t even let the ER doctor examine him, which is pretty true with his story— a drill bit broke and pierced his eye.

My friend the eye doctor gets called in, consents the guy he might lose his eye...and in the OR—his eye is absolutely & 100% perfect.

That’s right—no injury.  When recovered, he walked out, not talking to anyone or signing papers, and the towns are so small, the police can’t hang out & wait for the peckerwood to wake up post-op.

He did this trick at like 4 area hospitals.  I don’t know if they ever caught him, but they circulated a notice to all hospitals in VT, NH and Maine.

I gave the dude an “A+” for creativity.
Link Posted: 5/29/2019 4:06:35 PM EST
[#40]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
I don't quite get why we don't hand out whatever drug a person wants, in whatever quantity they want it in.

We aren't going to stop them, and we are causing people in real pain, to be in agony.

Give them what they want.
View Quote
I agree in theory, but then you have the case of things like antibiotics.  If antibiotics were OTC, people would take them like candy and none of them would work anymore.
Link Posted: 5/29/2019 4:08:07 PM EST
[#41]
Link Posted: 5/29/2019 4:08:44 PM EST
[#42]
pain doesn't exist, patients are drug addict scum
Link Posted: 5/29/2019 4:09:48 PM EST
[#43]
I went in recently and the first thing they asked is what I wanted for pain.  After I told them that wasn't really my first concern and I really didn't need anything they gave me the red carpet treatment.
Link Posted: 5/29/2019 4:11:32 PM EST
[#44]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Bingo.  Medicare/Medicaid reimbursement is based on "patient satisfaction".  Thanks for that, .gov.  
View Quote View All Quotes
View All Quotes
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Quoted:
Quoted:
Doctors fall for that shit all the time.

PAs and NPs, however, do not.
Doctors were hamstrung by the .gov.

Pain is what the patient says it is after all...
Bingo.  Medicare/Medicaid reimbursement is based on "patient satisfaction".  Thanks for that, .gov.  
Yep hit the nail on the head. That is a thing at work,patient satisfaction scores, I had to go classes in how to talk to people. I stood up in the class and said "the problem isn't the attitude of your employees, it's the attitude of you clientele, go check out the ER on a hot Friday or Saturday night."

I got a talking too by my manager for that.
Link Posted: 5/29/2019 4:15:14 PM EST
[#45]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Scratched the shit out of my cornea. It was throbbing, spasming, watering, and I could barely open it. I just wanted numbing drops so that I could sleep. They wouldn't give me numbing drops, because reasons.

They examined it, confirmed that it was scratched to shit, and offered to set an appointment with eye doc for three days later. Bitch please, the epithelial cells will fill back in an harden in 48 hours. I just need it to be numb for the night.

Eye drops. They wouldn't give me eye drops.

So, instead of topical anesthetic drops I had to drink myself into a stupor. Thanks, cunts.
View Quote
Might be a reason for that...lookup cornea melt.
Link Posted: 5/29/2019 4:15:59 PM EST
[#46]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
I had to take my wife to the hospital for acute abdominal pain a few years ago.  They were polite, but I swear they were treating her like a drug seeker.  Took forever to get her any relief, and she was in agony.  Turns out she had a bowel obstruction.
View Quote
This happened to me when I had major medical issues.  I was in agony and they were treating me like I was an addict or something.  It worked out in the end, but fucking a...
Link Posted: 5/29/2019 4:16:05 PM EST
[#47]
When I went to the ER with kidney stones a few years ago the staff left my laying there moaning in pain for about an hour because I asked for something for the pain. After I asked for something, my wife, who is very familiar with what goes on in hospitals, said that asking for something was drug seeking behavior. I told her that's because I am seeking drugs, it hurts like hell! I guess I was damned if I ddid, and damned if I didn't.
Link Posted: 5/29/2019 4:16:46 PM EST
[#48]
Every so often I have to go to the ER for IV pain meds. Always felt like a junky going in till I told the ER doc I felt bad about it.

He said "don't feel bad.. it's kinda hard to fake a MRI".
Link Posted: 5/29/2019 4:17:32 PM EST
[#49]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Yes.

Addicts are so blinded by their addiction they honestly believe people can't see through their shit.
View Quote
This is the truth. They think they’re smarter than everyone in the room.
Link Posted: 5/29/2019 4:18:21 PM EST
[#50]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Scratched the shit out of my cornea. It was throbbing, spasming, watering, and I could barely open it. I just wanted numbing drops so that I could sleep. They wouldn't give me numbing drops, because reasons.

They examined it, confirmed that it was scratched to shit, and offered to set an appointment with eye doc for three days later. Bitch please, the epithelial cells will fill back in an harden in 48 hours. I just need it to be numb for the night.

Eye drops. They wouldn't give me eye drops.

So, instead of topical anesthetic drops I had to drink myself into a stupor. Thanks, cunts.
View Quote
So the explanation I had for the drops was, people used to get them and then return to the ER the next day or so with significantly worse injuries to their eyes.

The numbness doesn't tell you when you have something in it, you'll rub it, and scratch the hell out of your eye even further. So "you need to feel the pain" to know something is wrong.
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