doctors cutting back on tabs?

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reality

Paducah, KY

#1 Aug 21, 2012
I think this is a messed up situation considering there are people that honestly need them but on the flip side..there are people that abuse them and doctor-shop to get them. Doctors around here are really cutting back..any thoughts?
cns

Wickliffe, KY

#2 Aug 21, 2012
It's like everything else in this country. Programs that ate started to help and assist end up in abuse of the system. Sure their are ppl that don't get complete pain control. However numerous people have abused the system. DEA has cracked down on the physicians. They have an oath to behold. They also have to feed their families. It's never going be an easy fix. Drugs destroy lives when abused. The percentage of people that start out with legitimate pain is the highest in the prescription drug world. The psychological and physical dependency is overwhelming.
reality

Paducah, KY

#3 Aug 21, 2012
cns wrote:
It's like everything else in this country. Programs that ate started to help and assist end up in abuse of the system. Sure their are ppl that don't get complete pain control. However numerous people have abused the system. DEA has cracked down on the physicians. They have an oath to behold. They also have to feed their families. It's never going be an easy fix. Drugs destroy lives when abused. The percentage of people that start out with legitimate pain is the highest in the prescription drug world. The psychological and physical dependency is overwhelming.
I'm in total agreement but just like SNAP benefits, welfare, disability, etc. programs are abused and taken for granted. My biggest issue with the whole thing is doctors have people addicted to these prescription drugs because of their willingness to hand them out, so now, people are not going to face the withdrawals and buy them illegally. People may even turn to methadone to keep from withdrawals and become addicted to the methadone.
Paducah Guy

Paducah, KY

#4 Aug 22, 2012
I am a local Paducah doctor. I give out pain medicine very infrequently. From a physician's point of view, prescribing pain meds. is very unrewarding. One prescription to help the pain is never enough and the patient is always back in your office after they blow through the pain meds. looking for more. My policy was instituted by myself a long time ago. I do not prescribe it at all. The state now has new regulations on pain medicine. This is not a bad thing. We pull a report off of the internet that shows all narcotic and controlled substances for a given patient in the last several months. You would be surprised at what you see. Hundreds of Lortabs given by different physicians and the patient getting them at multiple pharmacies in multiple towns. At first I thought the state was again instituting a regulation that would be more of a pain in the ass then they already are, but after having used the reports for the last two weeks, I think the state regulation does just what it needs to do. It makes the physician aware of a patient who is trying to con them out of a prescription. I give the state a pat on the back for this one.

Since: Mar 12

Location hidden

#5 Aug 22, 2012
Paducah Guy wrote:
I am a local Paducah doctor. I give out pain medicine very infrequently. From a physician's point of view, prescribing pain meds. is very unrewarding. One prescription to help the pain is never enough and the patient is always back in your office after they blow through the pain meds. looking for more. My policy was instituted by myself a long time ago. I do not prescribe it at all. The state now has new regulations on pain medicine. This is not a bad thing. We pull a report off of the internet that shows all narcotic and controlled substances for a given patient in the last several months. You would be surprised at what you see. Hundreds of Lortabs given by different physicians and the patient getting them at multiple pharmacies in multiple towns. At first I thought the state was again instituting a regulation that would be more of a pain in the ass then they already are, but after having used the reports for the last two weeks, I think the state regulation does just what it needs to do. It makes the physician aware of a patient who is trying to con them out of a prescription. I give the state a pat on the back for this one.
I totally agree with you but, it doesn't stop the ones who buy them on the streets!
cns

Wickliffe, KY

#6 Aug 23, 2012
Paducah Guy wrote:
I am a local Paducah doctor. I give out pain medicine very infrequently. From a physician's point of view, prescribing pain meds. is very unrewarding. One prescription to help the pain is never enough and the patient is always back in your office after they blow through the pain meds. looking for more. My policy was instituted by myself a long time ago. I do not prescribe it at all. The state now has new regulations on pain medicine. This is not a bad thing. We pull a report off of the internet that shows all narcotic and controlled substances for a given patient in the last several months. You would be surprised at what you see. Hundreds of Lortabs given by different physicians and the patient getting them at multiple pharmacies in multiple towns. At first I thought the state was again instituting a regulation that would be more of a pain in the ass then they already are, but after having used the reports for the last two weeks, I think the state regulation does just what it needs to do. It makes the physician aware of a patient who is trying to con them out of a prescription. I give the state a pat on the back for this one.
Rude joke: in Troy's case this reminds me of a song by Prince. The government can get control of anything.
dave

Paducah, KY

#7 Aug 23, 2012
I am a doctor too. Thats why Im on here!
pill tech

Paducah, KY

#8 Aug 23, 2012
I understand the new regulations on prescription meds, but I also think we will have more epidemic drug problems. We will have people that would never believe that they would sell or buy off the streets doing it in a major way.The price of these drugs on the black market will skyrocket, and some that have them and in a tough situation may choose to sell them to survive,and those that have a dependency will be buying.Crime will increase and still the same problem
just me

La Center, KY

#9 Aug 23, 2012
What about the people in severe pain that take their meds like they should but have no insurance and cant afford to go to pain management are they just screwed because their family doctor can't give out pain meds
agree

La Center, KY

#10 Aug 23, 2012
Hell even if.you have insurance and a legit problem, you.cant get them..... but if.your.a lowlife on welfare your in good shape....
venalpeni

United States

#11 Aug 23, 2012
Life is about pain and suffering, it makes us stronger in the end. Giving us something to dull, eradicate or, as often is the case, to rid our minds of the pain, only serves to make us weaker.
cns

United States

#12 Aug 23, 2012
just me wrote:
What about the people in severe pain that take their meds like they should but have no insurance and cant afford to go to pain management are they just screwed because their family doctor can't give out pain meds
I Call the BS card!
cns

United States

#13 Aug 23, 2012
agree wrote:
Hell even if.you have insurance and a legit problem, you.cant get them..... but if.your.a lowlife on welfare your in good shape....
That's not true!
agree

La Center, KY

#14 Aug 23, 2012
Yea maybe that was a lil harsh, bit a good.majority of the time that be true
whos your daddy

La Center, KY

#15 Aug 24, 2012
Arent all of you people just full of comments & ideas?If some of you people would stop & research the pain meds you"ll find out whether or not he said she said that it isnt the drs prob but it"s our own for letting ourselves get in this condition.By yr 2014 there will be no more 5.5,7.5 or10.5 tabs any of the cet families for the leading manufactures by law cannot install over 300mg of acetaminophen because again we did it to ourselves so dont blame no one but yourself.When we were younger we done some things that were paying for now because we all have a vise and we all have a pleasure so now some of us in our 50"s& late 40"s know what i"m talking about.All the hard work,overtime when we were in our 20"s + wknds so when we"d get a day or two off we indulged in some good sex,drugs & rock n roll now it"s catching up.Needless to say not all done this kinda stuff but whether you want to admit it or not their isnt one of you people bitching about your losing pain meds that dont have ghost in your closet because we all have a past so back off the drs & try understanding why your on them then get pissed @ yourself instead of the ones trying to help because we are the ones that done this to ourselves.
Seen it all

La Center, KY

#16 Aug 24, 2012
PLEASE! From my point of view...there are legitimate pain patients. They follow the rules, they try all the different modalities (physical therapy, injection therapy)and yes...some do take their pain meds as prescribed. Problem is, pain management centers have become a dumping ground. Other doctors start patients on these pain meds, and then after they have been on them for some time, they say they can no longer prescribe and send them to pain management. They come in, tell the doctor "what they want" and then get pissed when they don't get their "TABS". Let me give you a hint...if you call them "tabs" you don't need them. True sign of somebody who likes pain meds too much! They come alot without ever having the first xray. So, we get xrays and MRI. When the test comes back showing a "bulging disc", they think this is BAD! They don't realize, if you pulled 100 people off the street, 95 of them would have a bulging disc, and 75% of those people would not even have symptoms! Next...they don't follow the rules set by the facility. They want to do their meth, smoke their weed, and snort their coke! But when they get caught...there is always some excuse! Its never their fault! When they are drug tested...they don't show for their meds, but show for illegal substances! They whine because they can't afford their meds, but they can afford illegal drugs, tatoos, and iphones! And yes...most of these people are on medicaid. MANDATORY DRUG TESTING FOR ALL MEDICAID PATIENTS SHOULD BE MANDATORY...AND IF YOU FAIL...NO MORE MEDS! Believe me... I have seen it all and heard it all! So please save your stories...they are all OLD!
Haah

Paducah, KY

#17 Aug 24, 2012
They are easier to get on the street than at the Dr. Most who do get them anymore need money worse than medicine. Sad but true!
right on

Chicago, IL

#18 Aug 24, 2012
Seen it all wrote:
PLEASE! From my point of view...there are legitimate pain patients. They follow the rules, they try all the different modalities (physical therapy, injection therapy)and yes...some do take their pain meds as prescribed. Problem is, pain management centers have become a dumping ground. Other doctors start patients on these pain meds, and then after they have been on them for some time, they say they can no longer prescribe and send them to pain management. They come in, tell the doctor "what they want" and then get pissed when they don't get their "TABS". Let me give you a hint...if you call them "tabs" you don't need them. True sign of somebody who likes pain meds too much! They come alot without ever having the first xray. So, we get xrays and MRI. When the test comes back showing a "bulging disc", they think this is BAD! They don't realize, if you pulled 100 people off the street, 95 of them would have a bulging disc, and 75% of those people would not even have symptoms! Next...they don't follow the rules set by the facility. They want to do their meth, smoke their weed, and snort their coke! But when they get caught...there is always some excuse! Its never their fault! When they are drug tested...they don't show for their meds, but show for illegal substances! They whine because they can't afford their meds, but they can afford illegal drugs, tatoos, and iphones! And yes...most of these people are on medicaid. MANDATORY DRUG TESTING FOR ALL MEDICAID PATIENTS SHOULD BE MANDATORY...AND IF YOU FAIL...NO MORE MEDS! Believe me... I have seen it all and heard it all! So please save your stories...they are all OLD!
110% correct !

Since: Apr 12

Location hidden

#19 Aug 24, 2012
cns wrote:
<quoted text>
I Call the BS card!
hey...lol...
Anonymous Op

Gilbertsville, KY

#20 Aug 25, 2012
if you are posting on topix about tabs, chances are you dont really need them, go talk to your dr and stop being trash.

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