prodigal primary care.
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INFORMATION

Knoxville, TN

#1 Sep 23, 2011
DOES ANYONE KNOW ANYTHING ABOUT THIS PLACE?
Yoyo

United States

#2 Feb 11, 2012
INFORMATION wrote:
DOES ANYONE KNOW ANYTHING ABOUT THIS PLACE?
Pain clinic!
momofthree

Sevierville, TN

#6 Feb 11, 2012
I actually go to this as my primary care and have always received good care. There are people who I am sure get pain medications there as at most primary care clinics however I am not one of them (neither good or bad) and they are always careful to check my health issues that some past primary care office's have not been as diligent about. I do not know the owner as I am sure that most patients don't of their healthcare owner however I have not felt uncomfortable going there or taking my kids there for their primary care. I am not for pill mills however, and do not like the idea of the place that I go to for primary care being labeled that due to one person's opinion. I think that doing so and labeling patient's pieces of **** is a problem for many many reasons! You can not look at someone and know what they are doing or going through- it sounds to me like the person who commented like that is judgemental or maybe has had a negative experience with some pain medication or person in their life with a problem- this clinic is not in my opinion a pill mill.

Since: Aug 11

Ooltewah, TN

#7 Feb 11, 2012
momofthree wrote:
I actually go to this as my primary care and have always received good care. There are people who I am sure get pain medications there as at most primary care clinics however I am not one of them (neither good or bad) and they are always careful to check my health issues that some past primary care office's have not been as diligent about. I do not know the owner as I am sure that most patients don't of their healthcare owner however I have not felt uncomfortable going there or taking my kids there for their primary care. I am not for pill mills however, and do not like the idea of the place that I go to for primary care being labeled that due to one person's opinion. I think that doing so and labeling patient's pieces of **** is a problem for many many reasons! You can not look at someone and know what they are doing or going through- it sounds to me like the person who commented like that is judgemental or maybe has had a negative experience with some pain medication or person in their life with a problem- this clinic is not in my opinion a pill mill.
I have never heard anything bad about Prodigal Primary Care nor David. He is a good person who truly cares about his patients and that's not something we are seeing less and less of; providers that truly care. If you want good care, go there. If you just want pills, you will have to go somewhere else. I'm not sure why people feel the need to put others down. That person must have some type of grudge or something.
no time to waste

Tazewell, TN

#12 Mar 12, 2012
real bigT wrote:
<quoted text>Really now?Enlighten us would you?
What else do you want them to enlighten u about?

Since: Aug 11

Ooltewah, TN

#15 Mar 12, 2012
no time to waste wrote:
<quoted text>
What else do you want them to enlighten u about?
Maybe about why he would wait to say anything if he were truly worried about his mother. I WOULDN'T wait. I would go to the doctor with my mother and discuss it with them myself. I certainly would not sit back and wait to see what happened.

Since: Aug 11

Ooltewah, TN

#16 Mar 12, 2012
no time to waste wrote:
<quoted text>
Better do it before they contribute to your mothers death! I watched this happen to someone I love!
The only person responsible for an addicts death is the addict. People need to start placing blame where it needs to be and stop trying to blame others for a persons addiction.
Advance

Elizabethtown, KY

#17 Mar 13, 2012
PS Here wrote:
<quoted text>
The only person responsible for an addicts death is the addict. People need to start placing blame where it needs to be and stop trying to blame others for a persons addiction.
Actually the case law is pretty clear that when a prescriber continues to supply a known addict with substances that are the proximate cause of the death of the user, then the prescriber is liable. This has even extended to criminal liability, not just civil. This makes sense as the prescriber is making money, and is in the best position foresee adverse outcomes from continued narcotics use.
No Fan

United States

#18 Mar 13, 2012
We don't have too many wealthy superstars in this neck of the woods. I do believe what is being discussed in this thread is, someone trying to garner actual information about a clinic. We all know there are some very good and closely monitored clinics, here. I don't know about all the physicians, but I can't imagine anyone that would risk losing his license, to supply some "addict" with narcotics, just my opinion. Also, new laws have really tightened the physicians ability to prescribe, in fact, some PCPs no longer prescribe at all, due to the abuse of prescription meds, by "addicts". I agree with PS on this one, it's no one's fault, other than the person that chooses abuse the medication.
No Fan

United States

#19 Mar 13, 2012
Final thought, I do realize there are physicians that have lost their license, so before all you ppl decide to jump on board, I am making that correction. I also know there are legitimate clinics that have been in business for over ten years, in this area!

Since: Aug 11

Hickory Corners, MI

#20 Mar 13, 2012
Advance wrote:
<quoted text>
Actually the case law is pretty clear that when a prescriber continues to supply a known addict with substances that are the proximate cause of the death of the user, then the prescriber is liable. This has even extended to criminal liability, not just civil. This makes sense as the prescriber is making money, and is in the best position foresee adverse outcomes from continued narcotics use.
If the person is abusing medications and the provider KNOWS of the abuse and continues to provide the person with narcotics instead of getting them help to get off the medications, then I have to say that would agree with the prescriber being held liable. But that is IF and only if, the prescriber knows for CERTAIN that the person is abusing the medications. That is hard to prove and hard to tell sometimes. Addicts lie and manipulate in incredible ways. The provider, unless served with documented proof that the person is abusing, should continue treating the person. Otherwise ANYONE could call and report that a person is abusing their medication. See the dilemma with that one?
No Fan

United States

#21 Mar 13, 2012
PS Here wrote:
<quoted text>
If the person is abusing medications and the provider KNOWS of the abuse and continues to provide the person with narcotics instead of getting them help to get off the medications, then I have to say that would agree with the prescriber being held liable. But that is IF and only if, the prescriber knows for CERTAIN that the person is abusing the medications. That is hard to prove and hard to tell sometimes. Addicts lie and manipulate in incredible ways. The provider, unless served with documented proof that the person is abusing, should continue treating the person. Otherwise ANYONE could call and report that a person is abusing their medication. See the dilemma with that one?
I think you're being set up, in more threads than just this one. I think they are trying to trip you up. Be careful, PS.....these people are not soliciting advice when they have done nothing for a week, but trash you in every possible way. I'm NOT trying to scare you, just WARN you, these "pack" people, are doing nothing but trying to take you down, BE CAREFUL!
Advance

Elizabethtown, KY

#23 Mar 13, 2012
PS Here wrote:
<quoted text>
If the person is abusing medications and the provider KNOWS of the abuse and continues to provide the person with narcotics instead of getting them help to get off the medications, then I have to say that would agree with the prescriber being held liable. But that is IF and only if, the prescriber knows for CERTAIN that the person is abusing the medications. That is hard to prove and hard to tell sometimes. Addicts lie and manipulate in incredible ways. The provider, unless served with documented proof that the person is abusing, should continue treating the person. Otherwise ANYONE could call and report that a person is abusing their medication. See the dilemma with that one?
Yes, however, there is the issue of wilful blindness or deliberate indifference on the part of some providers. The "if I don't know for certain, then I don't have to do anything" defense. There is an affirmative obligation to explore that possibility with the patient. After all addiction is a disease and needs to be appropriately treated. But to simply ignore the possibility in the absense "service of documentation" is irresponsible at best and likely negligent. As you know, according to your assertion that the addicts "lie and manipulate," it may be very difficult for a loved one to serve conclusive documentation on a provider. However it is the prescriber that has the tools such as drug testing, controlled substances monitoring program checks, actually checking for signs of abuse, actually preforming diagnostic testing to determine need, using treatments besides narcotics such as physical therapy, and finally actually talking to the patient and asking questions. While there are no doubt people who need chronic pain medication, there is equal certainty ther are a lot of people getting it that don't need it for pain... at least not the physical pain it's intended for.

Since: Aug 11

Hickory Corners, MI

#25 Mar 14, 2012
No Fan wrote:
<quoted text>
I think you're being set up, in more threads than just this one. I think they are trying to trip you up. Be careful, PS.....these people are not soliciting advice when they have done nothing for a week, but trash you in every possible way. I'm NOT trying to scare you, just WARN you, these "pack" people, are doing nothing but trying to take you down, BE CAREFUL!
Thanks :) And I will be careful. I answer questions honestly but know there are people just trying to get me to say something they can use against me...lol

Since: Aug 11

Hickory Corners, MI

#27 Mar 14, 2012
Advance wrote:
<quoted text>
Yes, however, there is the issue of wilful blindness or deliberate indifference on the part of some providers. The "if I don't know for certain, then I don't have to do anything" defense. There is an affirmative obligation to explore that possibility with the patient. After all addiction is a disease and needs to be appropriately treated. But to simply ignore the possibility in the absense "service of documentation" is irresponsible at best and likely negligent. As you know, according to your assertion that the addicts "lie and manipulate," it may be very difficult for a loved one to serve conclusive documentation on a provider. However it is the prescriber that has the tools such as drug testing, controlled substances monitoring program checks, actually checking for signs of abuse, actually preforming diagnostic testing to determine need, using treatments besides narcotics such as physical therapy, and finally actually talking to the patient and asking questions. While there are no doubt people who need chronic pain medication, there is equal certainty ther are a lot of people getting it that don't need it for pain... at least not the physical pain it's intended for.
Yes, unfortunately there are a lot of people getting pain medications for reasons other than pain. Right now though, the rule of thumb is "pain is what the patient says it is." We have no medical way to truly measure pain. If a pain clinic is doing their job correctly they will be able to weed the patients out that don't need to be there. Pain medication should be a last resort UNLESS the person does not have insurance. Without insurance a person can't afford alternative treatments and unfortunately medication is the cheapest treatment. Pain clinics should be doing regular drug screens while also doing randoms with pill counts. Every patient should sign a contract understanding that there is a risk of addiction but also be educated on the difference between dependency and addiction. Studies show that only 10% of people in chronic pain management will cross over into active addiction.

As I said, if the provider is doing their job they will catch the ones that don't need to be there. I can't speak for anyone but myself on how things are done or should be done. I know how I do things. I opened my clinic so it could be an example of how a clinic SHOULD be. I didn't want a bad clinic opening where I live and furthering the mindset that all clinics are bad. I don't care who walks in my clinic. They will see it working the same way every day, for everyone.

Since: Nov 11

United States

#29 Mar 28, 2012
I have an appt set up to discuss painmanagement. Any body going there currently and how are you treated. Do they listen?? Do they manage your pain to your satisfaction?? Staff friendly ? Doc or np concerned? Any help would b great!! Thanks

Since: Aug 11

Ooltewah, TN

#30 Mar 28, 2012
Volfan1 wrote:
I have an appt set up to discuss painmanagement. Any body going there currently and how are you treated. Do they listen?? Do they manage your pain to your satisfaction?? Staff friendly ? Doc or np concerned? Any help would b great!! Thanks
You're going there for pain management or for your primary care to get a referral for pain management? Just curious...I've got some unanswered questions in my head about a couple things (nothing to do with you personally) and your answer could clear them up a bit. Thanks :)

Since: Nov 11

United States

#31 Apr 11, 2012
PS Here wrote:
<quoted text>
You're going there for pain management or for your primary care to get a referral for pain management? Just curious...I've got some unanswered questions in my head about a couple things (nothing to do with you personally) and your answer could clear them up a bit. Thanks :)
Yes for pain management. Their website said they do that and I am only looking to transfer to them. I already pay each month for ins premiums thru work and they take insurance. I just can't keep affording to pay 250 cash for a visit when prodigal takes insurance. I don't sell my pills so this has been very costly but I needed someone for PM. Hope all is well with you!!

Since: Aug 11

Hickory Corners, MI

#32 Apr 11, 2012
Volfan1 wrote:
<quoted text>Yes for pain management. Their website said they do that and I am only looking to transfer to them. I already pay each month for ins premiums thru work and they take insurance. I just can't keep affording to pay 250 cash for a visit when prodigal takes insurance. I don't sell my pills so this has been very costly but I needed someone for PM. Hope all is well with you!!
Check your messages :)
NancyF

United States

#36 Apr 13, 2012
PS Here wrote:
<quoted text>
I agree with everything you said. Unfortunately, there are people on here that don't care about others or that there are people that live with pain every day.
I'm new to topix, and judging by lots of the posts I've been reading....unfortunately, I see exactly what you mean!

I currently am a pain management patient (not with Prodigal), and for the most part, have been fairly satisfied with the treatment I've been receiving. However, during the past month and a half I've been hospitalized with cellulitis once and must now undergo surgery Wednesday, on a lymph node in my throat.
My problem is that although I do receive medications monthly to control my existing pain, I know that after surgery the medication I'm already prescribed is not likely going to be sufficiant in controlling this additional pain.
I've already seen my pain doctor this month and at the time, had no idea I would be having surgery. This has all kinda came up rather quickly.
So, do I call my pain management doctor and request another appointment, that she call in more medication of what I already receive, ask for a new medication..??... They stay so booked up I'm not even certain if they'll be able to fit me in before Wednesday and did just see her about 9 days ago.
What is the usual protcol for this type of situation???? Any help would be greatly appreciated

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