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Medical Forum / General / Dentistry / December 2004GOT my DEA renewal form.
Man, they're asking almost as much as my license fee for this. I'm earning below poverty level this year and gotta pay malpractice and all that other junk like CE. I almost couldn't find the fee; you can hardly see it on the form. Anyway, what does mg/du mean? Never saw that before. I usually put down all the options except V ; seems the same drugs fall under more than one class. I'm forgetting what half these things are as I only Rx the same 3 or 4 meds almost all the time. ares > Man, they're asking almost as much as my license fee for this. I'm earning > below poverty level this year and gotta pay malpractice and all that other [quoted text clipped - 6 lines] > 4 meds almost all the time. > ares Do you need it? I never had one, never missed it. T >> Man, they're asking almost as much as my license fee for this. I'm earning >> below poverty level this year and gotta pay malpractice and all that other [quoted text clipped - 12 lines] > >T 2, 2N, 3, 3N, 4, 5 Don't apply for Class 1 -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com I didn't even see a choice for 1 anyway. I thought we needed to have this in order to prescribe narcotic pain killers or tranquilizers, etc. ares > >Do you need it? > > [quoted text clipped - 11 lines] > Take out the G'RBAGE > wubbabubbazG@RBAGEyahoo.com > I didn't even see a choice for 1 anyway. > I thought we needed to have this in order to prescribe narcotic pain killers > or > tranquilizers, etc. > ares Special application for schedule 1, which are ordinarily illegal except for experimental purposes. Heroin, THC are schedule I. Schedule II include narcotics incl. Demerol, morphine--require triplicate form. Look in the PDR to see DEA scheduling for specific meds. Steve >>On Wed, 22 Dec 2004 16:14:20 -0500, "Tony Bad" > [quoted text clipped - 15 lines] >>Take out the G'RBAGE >>wubbabubbazG@RBAGEyahoo.com  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > I didn't even see a choice for 1 anyway. > I thought we needed to have this in order to prescribe narcotic pain killers > or > tranquilizers, etc. > ares I have gotten along fine without ever prescribing anything more than antibiotics and recommending OTC pain meds. T >> I didn't even see a choice for 1 anyway. >> I thought we needed to have this in order to prescribe narcotic pain killers [quoted text clipped - 6 lines] > >T Inadequate for post op pain controll for impacted WT surgery. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com ... >>> I didn't even see a choice for 1 anyway. >>> I thought we needed to have this in order to prescribe narcotic pain [quoted text clipped - 10 lines] > > Inadequate for post op pain controll for impacted WT surgery. I find it *seldom* necessary to Rx narcotics (even after removal of patial bony impactions) -- ~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... >> Inadequate for post op pain controll for impacted WT surgery. > >I find it *seldom* necessary to Rx narcotics (even after removal of patial >bony impactions) That hasn't been my experience, then again I take out teeth most GP's wouldn't touch. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com I'll take it out if *at least one third of the anatomical crown is out of bone* (might be completely under the soft tissues). I refer out severe disto-angular impactions and horizontal teeth. Most times, if you put the patient on OTC analgesics before the numbness wears off, and keep them on it for the first 24 hours, they don't need narcotics. Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >>> Inadequate for post op pain controll for impacted WT surgery. [quoted text clipped - 10 lines] > Take out the G'RBAGE > wubbabubbazG@RBAGEyahoo.com >I'll take it out if *at least one third of the anatomical crown is out of >bone* (might be completely under the soft tissues). I refer out severe >disto-angular impactions and horizontal teeth. Most times, if you put the >patient on OTC analgesics before the numbness wears off, and keep them on it >for the first 24 hours, they don't need narcotics. MY experience. I love the teeth that are WAY below the bone. Believe it or not, they are easier to remove. And the patients are always very impressed. There is a reason for this. By the time the decay is well into the bone, the collagen within the periodontal membrane, and the bone itself is "softening." They are easier than what you described above. Plus I love to do those. It is a great service to the patient. Joel If I remove quite a bit of bone I usually Rx Tylenol 4, or Vicodin ES and Decadron for the swelling and in case there was nerve involvement. As far as the form I check everything since the fee is the same. Also the pharmacies get nervous if they do not have your DEA on file maybe they use it to make sure the RX is legit. Although theoretically for non narcotics you do not need DEA#. Also found this supplier that has cocaine as an example in a DEA order form. I always thought cocaine was not prescribable ie schedule 1 drug not schedule 2. check out their sample form222 http://www.southernanesthesia.com/epages/southernanesthesia.storefront/41cb6fb20 22912a6273f4389877306dd/UserTemplate/16 >Also found this supplier that has cocaine as an example in a DEA order >form. I always thought cocaine was not prescribable ie schedule 1 drug >not schedule 2. Yep, cocaine is schedule 2. Usually use 'in office' by ENTs. Don't try to write an Rx for it. You will get a visit from MiB -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >>I'll take it out if *at least one third of the anatomical crown is out of >>bone* (might be completely under the soft tissues). I refer out severe [quoted text clipped - 15 lines] > >Joel Impacted third's ? .. Stephen Mancuso, D.D.S. Troy, Michigan, USA Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting. yes full bony, ankylosed etc... >I'll take it out if *at least one third of the anatomical crown is out of >bone* (might be completely under the soft tissues). I refer out severe >disto-angular impactions and horizontal teeth. Most times, if you put the >patient on OTC analgesics before the numbness wears off, and keep them on it >for the first 24 hours, they don't need narcotics. There aren't many that I refer out. Deep verticals or severe dilacerations tend to get referred. By deep I mean the top of the anatomical crown is mid-root or deeper to the 2nd, upper or lower. Horizontals are easy if you know how. Don't see too many DAs but they are not that tough. Often use a Medrol dose pack in conjunction with other meds. The 'chipmunk' look is out. OTC's just don't cut it IME for these types of cases. Routine 'hop and pop' usually don't require as intense pain control modalities. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >>I'll take it out if *at least one third of the anatomical crown is out of >>bone* (might be completely under the soft tissues). I refer out severe [quoted text clipped - 3 lines] > >There aren't many that I refer out. An important reason for referring out is a patient suffering from, hyperpecuniousitis. Joel >Deep verticals or severe dilacerations tend to get referred. >By deep I mean the top of the anatomical crown is mid-root [quoted text clipped - 10 lines] >Routine 'hop and pop' usually don't require as intense >pain control modalities. > >I'll take it out if *at least one third of the anatomical crown is out of > >bone* (might be completely under the soft tissues). I refer out severe [quoted text clipped - 18 lines] > Routine 'hop and pop' usually don't require as intense > pain control modalities. I see you are talking about different extractions than the ones I routinely do, and understand the differences of opinion regarding pain meds! When I see extracts like the ones you describe, I think of that Kenny Rogers song..."You gotta know when to hold 'em, know when to fold 'em, know when to walk away, know when to run". I let the OS have fun with the toughies. T >I see you are talking about different extractions than the ones I routinely do, >and understand the differences of opinion regarding pain meds! Thanks. >When I see extracts like the ones you describe, I think of that Kenny Rogers >song..."You gotta know when to hold 'em, know when to fold 'em, know when to >walk away, know when to run". I let the OS have fun with the toughies. No doubt. I don't fold or run very often... But when it's time, bet you can't catch me. <8^]]> >T Happy holidays amigo, -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE > >> I didn't even see a choice for 1 anyway. > >> I thought we needed to have this in order to prescribe narcotic pain killers [quoted text clipped - 11 lines] > > W_B Not sure I agree. I have had no issues with the extractions I do myself, but send the impactions to the OS. Not sure what he does for each case, but sometimes he prescribes stuff like Tylenol 3, which I haven't found to be any better than OTC stuff. As for narcotics, I had one patient who did get some heavy duty stuff following OS, and passed out in her bathroom, and fractured all her upper incisors on the counter. In all fairness though, I also had a patient fractured an upper canine that had a post and crown when he tried to open a child-proof OTC med bottle with his teeth...so nothing is foolproof (;^P) T >> Inadequate for post op pain controll for impacted WT surgery. >> -- [quoted text clipped - 5 lines] >sometimes he prescribes stuff like Tylenol 3, which I haven't found to be any >better than OTC stuff. Could be my geographic location population. T3 is no better than OTC. Use Demerol fairly regularly. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >I didn't even see a choice for 1 anyway. >I thought we needed to have this in order to prescribe narcotic pain killers >or >tranquilizers, etc. >ares You are correct, if you Rx Class II and Class III narcotics you need the license. Note that the renewal is for 3 years. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com DEA license fee has always been much more money than the State license. Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > Man, they're asking almost as much as my license fee for this. I'm > earning [quoted text clipped - 9 lines] > 4 meds almost all the time. > ares |
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