1 doctor in WV wrote 335,000 opioid prescriptions in 8 years

[NeverMarryAStripper 21912]

They'll probably round up as many of the users as they can to put in prison

Edited September 27, 2018 by NeverMarryAStripper

[Nice Guy Eddie 13515]

7 hours ago, tx 3 putt said:

the dr / the pharmacist / the drug reps / drug reps managers / drug reps director, should all hang from a tree for crimes against humanity 

Everyone on that list tells themselves that it’s the doctors responsibility and they’re only part of the process to follow the doctors orders.    We assume that every doc will do what’s right.  But if you have 1 or 2 docs that don’t care or whatever, all of the drug seeking behavior will find them.  And we know it’s wasnt only 1 or 2.

and what about any oversight by a state board of physicians?   Were They not recognizing certain doctors writing an obscene number of opioid scripts, or were they busy collecting speaking fees from the pharm companies and their non addictive opioid like drugs?

[Onboard 2.0 9083]

6 minutes ago, Nice Guy Eddie said:

Everyone on that list tells themselves that it’s the doctors responsibility and they’re only part of the process to follow the doctors orders.    We assume that every doc will do what’s right.  But if you have 1 or 2 docs that don’t care or whatever, all of the drug seeking behavior will find them.  And we know it’s wasnt only 1 or 2.

and what about any oversight by a state board of physicians?   Were They not recognizing certain doctors writing an obscene number of opioid scripts, or were they busy collecting speaking fees from the pharm companies and their non addictive opioid like drugs?

Does the board monitor Doctors prescriptions ?  Seems like a tough task.  

[Nice Guy Eddie 13515]

15 minutes ago, Onboard 2.0 said:

Does the board monitor Doctors prescriptions ?  Seems like a tough task.  

I’m not suggesting they review every patient record but look at the aggregate and find the edge cases.   It’s hard to believe that someone in oversight wasn’t seeing a massive increase in opioid scripts.  Of course it’s possible that data wasn’t reported due to the idea that all regulation is bad.

sad that we still have many lives being destroyed daily and this doctor is on her Bahamas island probably nursing carpal tunnel symdine from writing so many prescriptions.   Govt failed us by refusing to protect Americans. 

[Onboard 2.0 9083]

10 minutes ago, Nice Guy Eddie said:

I’m not suggesting they review every patient record but look at the aggregate and find the edge cases.   It’s hard to believe that someone in oversight wasn’t seeing a massive increase in opioid scripts.  Of course it’s possible that data wasn’t reported due to the idea that all regulation is bad.

sad that we still have many lives being destroyed daily and this doctor is on her Bahamas island probably nursing carpal tunnel symdine from writing so many prescriptions.   Govt failed us by refusing to protect Americans. 

Oh, I have no idea about what they look into, I'm just wondering if they even review prescription histories to look for fraud. Seems like they'd be looking to pharmacists records to verify that kind of info.   I'd think you'd have to have some kind of readily available data base to be able to monitor that in a realistically effective way. Is that something other states (with deeper pockets) currently do ?  

Doctors are pretty regulated as it is I'd guess.  I'd wonder even if regulated by on the book statutes, what's the follow up, investigatory arm of those current regs like ??

[CooterBrown 18015]

https://projects.propublica.org/checkup/drugs/1726/states/texas
 

My friend’s dad wrote over 8,000 scripts in a town of 5,000.

[FondrenRoad 4378]

6 hours ago, NeverMarryAStripper said:

They'll probably round up as many of the users as they can to put in prison

WV will have a population of zero after that. 

[Reagan1k 3024]

1 hour ago, CooterBrown said:

 

My friend’s dad wrote over 8,000 scripts in a town of 5,000.

 

Yeah....that's an interesting link and has a ton of data....% of scripts that are opioids, etc.

Now, some of those docs are anesthesiologists so you have to be mindful of conclusions you draw.....of course 90% of their scripts are pain killers for post-op use......but damn.....

If a doc-in-a-box is practicing family medicine out in the sticks and is writing +80% opioids then there might be an issue.

Edited September 27, 2018 by Reagan1k

[ShaggyBevo RIP 3868]

1 hour ago, CooterBrown said:

 

My friend’s dad wrote over 8,000 scripts in a town of 5,000.

 

That link is using medicare claim numbers so who knows how many more those docs wrote.

[VinyVango 694]

1 hour ago, CooterBrown said:

 

 

My friend’s dad wrote over 8,000 scripts in a town of 5,000.

 

That seems like a red flag simply population to scripts #'s wise, even if he's a board-certified pain management physician with a practice comprised of solely of complex, chronic pain patients who legitimately require numerous scripts each per year.  Though that ratio in and of itself shouldn't be assumed as substandard.  If's he's not a pain-management specialist, that's another red flag.  But again, numbers alone can be deceiving.  You have to look at patient census, what types of patients (clinical indication wise) the practice is prescribing opioids for, and what the scope of the practice is (family practice, surgical, OB-GYN, etc...) for starters.

The trend with the broad Govt crackdown mandates and bad PR looks to be causing many doctors to refer their chronic cases (patients who require more than a one-time script of opioids) to pain management specialists, many of whom run large practices comprised almost completely of the worst cases of chronic pain.  Hopefully, the regulating bodies develop an unbiased, non politically motivated, objective way to monitor the pain management specialists, because if they just knee-jerk, chop away without a fair practice by practice analysis, the legitimate, most-debilitated patients will end up with no recourse except illicit efforts to get pain relief or suicide. 

[Whitman 694]

On 9/26/2018 at 9:22 AM, Onboard 2.0 said:

Look dammit, it's WV. of course everyones in pain.....

Almost as much pain as in Blacksburg last week from losing to f-in ODU......😀

 

PS: Interesting timing of the story for me.  This morning with my coffee and breakfast, I consumed a Toradal and a Percocet.  Nice combo.  This is my second bout with a kidney stone.  Wouldn't wish it on anyone.  

Edited September 27, 2018 by Whitman

[Onboard 2.0 9083]

1 minute ago, Whitman said:

Almost as much pain as in Blacksburg last week from losing to f-in ODU......😀

 

PS: Interesting timing of the story for me.  This morning with my coffee and breakfast, I consume a Toradal and a Percoset.  Nice combo.  This is my second bout with a kidney stone.  Wouldn't wish it on anyone.  

Now THAT was totally uncalled for !!!

 

Yeah kidney stones are a grade A bitch. most painful thing I've ever experienced. Had one on vacation about 5 years ago.  Pain goes from a 10 to 0 when it passes.  The pain just builds and builds.  Ya think yer having an appendicitis issue. I was putting my body in any position I could to try and relieve the pain.  Doubled over and gagging on the pain... sorta like last Saturday......

[tbone_ 14134]

So when you pass a kidney stone, what happens...a big rock just comes out of your dick when you pee eventually?

[Whitman 694]

You keep peeing and it is often mixed with blood.  Never heard of one completely blocking the passage.  You may or may not feel it coming out depending on the size (stone, not penis).  I haven't had to have lipsotripsy to bust them up into smaller pieces.  What is weird is when they are moving and you can feel them around back (in the kidney) and then eventually around front as they slowly make their way out.   My CT scan last week showed several in both kidneys.  Ugh.  Currently drinking lots to try and flush them and keeping my drugs close by.  As Onboard mentioned, the pain is excruciating.  I've been on my knees vomiting and in tears before.

 

[zork 629]

chanca piedra aka phyllanthus niruri 

[Onboard 2.0 9083]

2 hours ago, tbone_ said:

So when you pass a kidney stone, what happens...a big rock just comes out of your dick when you pee eventually?

You'd be surprised how small that spiky concretion is. I had to look pretty closely at the jar of piss it was in to see it.  It was damned small a centimeter or so  in length maybe.

[Deej 76858]

27 minutes ago, Onboard 2.0 said:

You'd be surprised how small that spiky concretion is. I had to look pretty closely at the jar of piss it was in to see it.  It was damned small a centimeter or so  in length maybe.

A centimeter doesn't seem that small, close to half an inch. 

[RPM 26327]

3 hours ago, tbone_ said:

So when you pass a kidney stone, what happens...a big rock just comes out of your dick when you pee eventually?

Someone hasn't watched Deadwood.

 

[tbone_ 14134]

Correct. I have not.

[Onboard 2.0 9083]

2 minutes ago, Deej said:

A centimeter doesn't seem that small, close to half an inch. 

 Well when you're hung like a horse. Meant to say a couple millimeters. 

[C-Man 27237]

5 hours ago, Onboard 2.0 said:

Now THAT was totally uncalled for !!!

 

Yeah kidney stones are a grade A bitch. most painful thing I've ever experienced. Had one on vacation about 5 years ago.  Pain goes from a 10 to 0 when it passes.  The pain just builds and builds.  Ya think yer having an appendicitis issue. I was putting my body in any position I could to try and relieve the pain.  Doubled over and gagging on the pain... sorta like last Saturday......

This. Had them twice. They are the devil.

[Whitman 694]

1 hour ago, Onboard 2.0 said:

 Well when you're hung like a horse. Meant to say a couple millimeters. 

1) I'm hung like a mouse.

2) They said I have several small ones, and then a 5 mm coming through on the right side (that's what put me down) but also a 4 mm on the left still thinking about moving.

[Onboard 2.0 9083]

2 minutes ago, Whitman said:

1) I'm hung like a mouse.

2) They said I have several small ones, and then a 5 mm coming through on the right side (that's what put me down) but also a 4 mm on the left still thinking about moving.

Heh heh, well I didn't say it was a very  big horse.....

[pch 1259]

On 9/27/2018 at 10:33 AM, Whitman said:

You keep peeing and it is often mixed with blood.  Never heard of one completely blocking the passage.  You may or may not feel it coming out depending on the size (stone, not penis).  I haven't had to have lipsotripsy to bust them up into smaller pieces.  What is weird is when they are moving and you can feel them around back (in the kidney) and then eventually around front as they slowly make their way out.   My CT scan last week showed several in both kidneys.  Ugh.  Currently drinking lots to try and flush them and keeping my drugs close by.  As Onboard mentioned, the pain is excruciating.  I've been on my knees vomiting and in tears before.

 

This sounds like my life this past Saturday.  Started with dull pain in my left kidney walking to my car from the Cotton Bowl after the OU win.Increased as we went to dinner-left halfway through as pain was 6/10 and got nauseous.  Went to doc in the box where dinner was deposited in wastebasket due to 10/10 pain.  Told the nurse no opioids but help me Jeebus.  Phenagrin, Tramadol, and finally, a shot of morphine did the trick.  5mm stone due for urologist on Tuesday.  Not the way I wanted to celebrate a win over the Sooners, but really avoided the usual opioid prescriptions that I am often prescribed.

[conVINCEd 21469]

I didn’t read this whole thread, but this is the definition of adverse selection.

[Bevo 13590]

On 10/13/2018 at 6:51 AM, pch said:

Told the nurse no opioids but help me Jeebus.  Phenagrin, Tramadol, and finally, a shot of morphine did the trick.  5mm stone due for urologist on Tuesday.  Not the way I wanted to celebrate a win over the Sooners, but really avoided the usual opioid prescriptions that I am often prescribed.

Huh? Opioids are narcotics that act on opioid receptors to produce morphine-like effects. Here is a list:

• Codeine (only available in generic form)
• Fentanyl (Actiq, Duragesic, Fentora, Abstral, Onsolis)
• Hydrocodone (Hysingla, Zohydro ER) 
• Hydrocodone/acetaminophen (Lorcet, Lortab, Norco, Vicodin)
• Hydromorphone (Dilaudid, Exalgo)
• Meperidine (Demerol)
• Methadone (Dolophine, Methadose)
• Morphine (Kadian, MS Contin, Morphabond)
• Oxycodone (OxyContin, Oxaydo)
• Oxycodone and acetaminophen (Percocet, Roxicet)
• Oxycodone and naloxone

And Tramadol (Ultram) is an opiate. It is just considered less addictive. However, it is addictive and withdrawl effects are similar to the other opiates