Certified legal drug dealers.

[LilOlLady]

CERTIFIED LEGAL DRUG DEALERS.

Some doctors are nothing more than certified legal drug pushers do pharmaceutics a favor by prescribing their drugs and receiving kick backs. Doctors will prescribe pain killers more often to White people than Blacks or Hispanics. I took a Black friend to the ER with an ankle sprain and she was told to go home and take Tylenol and the white woman in the next cubicle he gave Vicodin.

There should be a national data base with patients name and the name of the control drug there are being prescribed.

Doctors in rehab centers are the real drug pushers. They push drugs like sleeping pill, pain pills and laxatives as the norm whether the patient needs them or not because they usually don’t know or care what they are given.

When their patient over dose on control drugs, the doctors should be held responsible. At least share the responsibility. Oh, yes. Black doctors ARE held responsible.

 

[g5000]

I've had a physician who was a pill pusher. Even his name tag had a pharmaceutical logo on it!

After speaking with a few of his other patients, it was pretty obvious what his game was. He had tried to prescribe a new anti-depressant to every last person I spoke with. Even if they had gone to see him for a fever!

I quickly dumped that guy.

Quack.

 

[geauxtohell]

CERTIFIED LEGAL DRUG DEALERS.

Some doctors are nothing more than certified legal drug pushers do pharmaceutics a favor by prescribing their drugs and receiving kick backs. Doctors will prescribe pain killers more often to White people than Blacks or Hispanics. I took a Black friend to the ER with an ankle sprain and she was told to go home and take Tylenol and the white woman in the next cubicle he gave Vicodin.

There should be a national data base with patients name and the name of the control drug there are being prescribed.

Doctors in rehab centers are the real drug pushers. They push drugs like sleeping pill, pain pills and laxatives as the norm whether the patient needs them or not because they usually don’t know or care what they are given.

When their patient over dose on control drugs, the doctors should be held responsible. At least share the responsibility. Oh, yes. Black doctors ARE held responsible.

"Kickbacks"?

You'll have to expand on that.

You don't need a narcotic for a sprained ankle. Unless you were looking in the medical record of the woman in the next cubicle (a felony) you have no idea what she was being treated for.

 

[g5000]

"Kickbacks"?

You'll have to expand on that.

You don't need a narcotic for a sprained ankle. Unless you were looking in the medical record of the woman in the next cubicle (a felony) you have no idea what she was being treated for.

Crackdown on Doctors Who Take Kickbacks - NYTimes.com

The move against doctors is part of a diverse campaign to curb industry marketing tactics that enrich doctors but increase health care costs and sometimes endanger patients. Taken together, the new measures are likely to transform the relationship between medicine and industry.

Over the past year, for instance, prosecutors have greatly increased fines that are collected as part of plea agreements with drug and device companies charged with illegal marketing tactics. In January, Eli Lilly announced it would pay a record fine of $1.4 billion to settle federal criminal charges that it illegally marketed Zyprexa, an antipsychotic medicine. Two weeks later, Pfizer announced that it had set aside $2.3 billion to pay an expected fine over charges that it illegally marketed Bextra, a painkiller that has been withdrawn from the market.

Also, as part of plea bargains, federal health officials are forcing a growing number of drug and device makers to post publicly all payments made to doctors who serve as consultants or speakers. Manufacturers have repeatedly used consulting payments in illegal schemes to persuade doctors to prescribe drugs or devices in inappropriate and unapproved ways, according to federal charges.

A common problem in illegal drug and device marketing cases is doctors’ willingness to delude themselves into thinking that cash, lucrative trips and other kickbacks do not affect them, said Mr. Morris, the chief counsel.

“Somehow physicians think they’re different from the rest of us,” Mr. Morris said. “But money works on them just like everybody else.”

Mr. Sullivan, the United States attorney, said officials hoped to send a strong message to doctors. “I have been shocked at what appears to be willful blindness by folks in the physician community to the criminal conduct that corrupts the patient-physician relationship,” he said

 

[geauxtohell]

"Kickbacks"?

You'll have to expand on that.

You don't need a narcotic for a sprained ankle. Unless you were looking in the medical record of the woman in the next cubicle (a felony) you have no idea what she was being treated for.

Crackdown on Doctors Who Take Kickbacks - NYTimes.com

The move against doctors is part of a diverse campaign to curb industry marketing tactics that enrich doctors but increase health care costs and sometimes endanger patients. Taken together, the new measures are likely to transform the relationship between medicine and industry.

Over the past year, for instance, prosecutors have greatly increased fines that are collected as part of plea agreements with drug and device companies charged with illegal marketing tactics. In January, Eli Lilly announced it would pay a record fine of $1.4 billion to settle federal criminal charges that it illegally marketed Zyprexa, an antipsychotic medicine. Two weeks later, Pfizer announced that it had set aside $2.3 billion to pay an expected fine over charges that it illegally marketed Bextra, a painkiller that has been withdrawn from the market.

Also, as part of plea bargains, federal health officials are forcing a growing number of drug and device makers to post publicly all payments made to doctors who serve as consultants or speakers. Manufacturers have repeatedly used consulting payments in illegal schemes to persuade doctors to prescribe drugs or devices in inappropriate and unapproved ways, according to federal charges.

A common problem in illegal drug and device marketing cases is doctors’ willingness to delude themselves into thinking that cash, lucrative trips and other kickbacks do not affect them, said Mr. Morris, the chief counsel.

“Somehow physicians think they’re different from the rest of us,” Mr. Morris said. “But money works on them just like everybody else.”

Mr. Sullivan, the United States attorney, said officials hoped to send a strong message to doctors. “I have been shocked at what appears to be willful blindness by folks in the physician community to the criminal conduct that corrupts the patient-physician relationship,” he said

Right. Kickbacks are illegal as the should be. The vast majority of physicians don't incorporate illegal actions in their practice.

 

[Big Black Dog]

Every time I try to buy some cardiac drugs from the guys on the street around where I live all they want to sell me is either pot or crack.

 

[Gagafritz]

Doctors have a responsibility toward the patients for whom they are prescribing. If they are going to prescribe controlled substances, they have to be responsible for monitoring the use, side effects, and effectiveness of the substances they prescribe. This has become a serious problem. You cannot simply cast blame at the feet of the patient. When someone is handing someone a powerfully addictive and chemically brain altering substance to a patient, they are assuming the responsibility of monitoring , treating and realizing the potential addictive nature and powerfully altering substance that they are prescribing. There are useful, necessary and good legitimate uses for opioids, benzos and other medications. They have helped millions of people to ease pain, suffering and treat conditions. But, it needs to be looked at. Perhaps some of these medications should be dispensed weekly instead of giving someone a 6 month supply. When the scrips are filled and other computer data information of other medications filled by the patient shoud be part of the doctor's file and monitoring. It really wouldn't be hard to know if a patient is getting multiples of the same medication from different doctors. The fact that we somehow need 24 hour pharmacies on every corner tells me that the medical and pharmaceutical industry has simply turned a blind eye and are more interested in pushing than alleviating whatever the presenting ailment was in the first place. Perhaps these medications should NOT be prescribed by GPs or others who are not Specialists in their dispensing. And, certainly, perhaps it is time especially for doctors to have to refer patients with a history of addiction to an Addiction Specialist if they need things like opioids, etc who then should manage them.

 

[Gagafritz]

But, i would say the vast majority of physicians are truly trying to do what they believe is in the patient's best interests. However, it is time for the medical community to start realizing this is a serious problem, is harming and not helping and to start to research and come up with better protocols and evidence based practice on how best to treat, monitor and manage when these medications are employed.

 

[geauxtohell]

Doctors have a responsibility toward the patients for whom they are prescribing. If they are going to prescribe controlled substances, they have to be responsible for monitoring the use, side effects, and effectiveness of the substances they prescribe. This has become a serious problem. You cannot simply cast blame at the feet of the patient. When someone is handing someone a powerfully addictive and chemically brain altering substance to a patient, they are assuming the responsibility of monitoring , treating and realizing the potential addictive nature and powerfully altering substance that they are prescribing. There are useful, necessary and good legitimate uses for opioids, benzos and other medications. They have helped millions of people to ease pain, suffering and treat conditions. But, it needs to be looked at. Perhaps some of these medications should be dispensed weekly instead of giving someone a 6 month supply. When the scrips are filled and other computer data information of other medications filled by the patient shoud be part of the doctor's file and monitoring. It really wouldn't be hard to know if a patient is getting multiples of the same medication from different doctors. The fact that we somehow need 24 hour pharmacies on every corner tells me that the medical and pharmaceutical industry has simply turned a blind eye and are more interested in pushing than alleviating whatever the presenting ailment was in the first place. Perhaps these medications should NOT be prescribed by GPs or others who are not Specialists in their dispensing. And, certainly, perhaps it is time especially for doctors to have to refer patients with a history of addiction to an Addiction Specialist if they need things like opioids, etc who then should manage them.

Pain management doctors won't see the uninsured. Addiction specialists are usually psychiatrists and far removed from medical management. I really don't think banning doctors from prescribing narcs is the answer. For acute pain they are great. The problem is when they are used for chronic pain.

The medical community knows this is a problem. All the evidence and clinical guidelines are in place. The problem is getting people to adhere to them.

 

[Gagafritz]

All the evidence and clinical guidelines are in place. The problem is getting people to adhere to them.

No. "All the evidence and clinical guidelines" are NOT in place. Medicine is an evolving and changing field and protocols and guidelines are reevaluated based on research, evidence, patient safety and so forth. Just because there are current protocols in place doesn't mean we don't update, have new recommedations or whatever. There are serious and potentially fatal consequences to patients and this has come to light.
As for the "no insurance" point, obviously patients are seeing doctors and getting these meds from somewhere either insured or uninsured. That has nothing to do with whether or not safer protocols need to be enacted. We don't see GPs prescribing chemotherapy. Letting every doctor have carte blanche on every medication may be allowed but we have seen that specialities have arisen and that as fields become more specialized, then certain medications become the domain of certain specialities. And, my point is for KNOWN ADMITTED ADDICTS like Whitney or Michael or JoeBlow, that these patients should be referred to doctors equipped to treat, manage and monitor. Not saying every healthy patient would require that to get an anxiety pill or whatever but that it is time to make changes.

 

[geauxtohell]

All the evidence and clinical guidelines are in place. The problem is getting people to adhere to them.

No. "All the evidence and clinical guidelines" are NOT in place. Medicine is an evolving and changing field and protocols and guidelines are reevaluated based on research, evidence, patient safety and so forth. Just because there are current protocols in place doesn't mean we don't update, have new recommedations or whatever. There are serious and potentially fatal consequences to patients and this has come to light.
As for the "no insurance" point, obviously patients are seeing doctors and getting these meds from somewhere either insured or uninsured. That has nothing to do with whether or not safer protocols need to be enacted. We don't see GPs prescribing chemotherapy. Letting every doctor have carte blanche on every medication may be allowed but we have seen that specialities have arisen and that as fields become more specialized, then certain medications become the domain of certain specialities. And, my point is for KNOWN ADMITTED ADDICTS like Whitney or Michael or JoeBlow, that these patients should be referred to doctors equipped to treat, manage and monitor. Not saying every healthy patient would require that to get an anxiety pill or whatever but that it is time to make changes.

Relax. I didn't say their was no room furor improvement, just that currently, no one recommends NARCS for long term pain control. You should read the guidelines so you know what you are arguing against.

There is no need to prevent physicians from using narcs. What are you supposed to do with a GSW or broken bones? Consult pain management to treat something that anyone with a license has been trained to treat? Absurd.

My point about addiction specialists is that they are usually shrinks. The physician will have to know how to treat the medical condition before they worry about relapse.

 

[Gagafritz]

I think i made it clear that i was not talking about specific situations and not "oh you can't prescribe a narc for broken bones' kind of thing if you would kindly read my posts.

 

[editec]

Yup.

Some Doctors are obviouly CROAKERS who make their living handing out scripts for narcotics. They're not really the major problem this nation is facing. We have LAWS to discourage that.

But many otherwise honest doctors are also, in their own way, prescribing drugs because they gain perqs for doing so from the pharmaceutical companies that make them.

The perqs cannot be proven to be OUTRIGHT bribes because very often the perqs (dubious) medical conferences in Bermuda as an example are given BEFORE the doctors ever heard of the drugs in question.

And one can easily see how an otherwise honest man can rationalize why taking those perqs isn't also a kind of legalized bribery.

 

[Douger]

CERTIFIED LEGAL DRUG DEALERS.

Some doctors are nothing more than certified legal drug pushers do pharmaceutics a favor by prescribing their drugs and receiving kick backs. Doctors will prescribe pain killers more often to White people than Blacks or Hispanics. I took a Black friend to the ER with an ankle sprain and she was told to go home and take Tylenol and the white woman in the next cubicle he gave Vicodin.

There should be a national data base with patients name and the name of the control drug there are being prescribed.

Doctors in rehab centers are the real drug pushers. They push drugs like sleeping pill, pain pills and laxatives as the norm whether the patient needs them or not because they usually don’t know or care what they are given.

When their patient over dose on control drugs, the doctors should be held responsible. At least share the responsibility. Oh, yes. Black doctors ARE held responsible.

Open the yellow pages to " physicians", read the names.Then you'll understand the core of the problem.

 

[geauxtohell]

I think i made it clear that i was not talking about specific situations and not "oh you can't prescribe a narc for broken bones' kind of thing if you would kindly read my posts.

You didn't mak it clear. Maybe you aren't as articulate as you think.

 

[geauxtohell]

Yup.

Some Doctors are obviouly CROAKERS who make their living handing out scripts for narcotics. They're not really the major problem this nation is facing. We have LAWS to discourage that.

But many otherwise honest doctors are also, in their own way, prescribing drugs because they gain perqs for doing so from the pharmaceutical companies that make them.

The perqs cannot be proven to be OUTRIGHT bribes because very often the perqs (dubious) medical conferences in Bermuda as an example are given BEFORE the doctors ever heard of the drugs in question.

And one can easily see how an otherwise honest man can rationalize why taking those perqs isn't also a kind of legalized bribery.

The culture of big pharma sponsored trips was a problem, but due to internal pressure has been done away with. It's to the extent that they have done away with labeled pens.

 

[Gagafritz]

Try again geaux:

And, my point is for KNOWN ADMITTED ADDICTS like Whitney or Michael or JoeBlow, that these patients should be referred to doctors equipped to treat, manage and monitor. Not saying every healthy patient would require that to get an anxiety pill or whatever but that it is time to make changes.

But, if you don't want to actually discuss and make snide remarks instead, whatever. I won't bother.

 

[geauxtohell]

Try again geaux:

And, my point is for KNOWN ADMITTED ADDICTS like Whitney or Michael or JoeBlow, that these patients should be referred to doctors equipped to treat, manage and monitor. Not saying every healthy patient would require that to get an anxiety pill or whatever but that it is time to make changes.

But, if you don't want to actually discuss and make snide remarks instead, whatever. I won't bother.

I am referring to you statement that GPs and other physicians shouldn't be able to prescribe narcs.

 

[Gagafritz]

If you would decide to read carefully, you will see that is NOT what i said.

 

[geauxtohell]

Perhaps these medications should NOT be prescribed by GPs or others who are not Specialists in their dispensing. And, certainly, perhaps it is time especially for doctors to have to refer patients with a history of addiction to an Addiction Specialist if they need things like opioids, etc who then should manage them.

Yes you did. If that's not what you meant, then you have an artivulation problem.

BTW, codeine is a narcotic and I've seen GPs use Percocet as a cheap and highly effective antitussive.