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Medical Forum / General / General / March 2004Legal recourse, where is the line?(somewhat long)
Hello and sorry about the crossposting, but I thought this issue would be related to all the newsgroups. My question has two parts, what is legal and what actions can a person do if they feel wronged. I recently lost my primary general Dr. to retirement, and have been searching for a good replacement. I have several conditions/diseases, but the main symtoms consist of fatique, secondary depression, and extreme pain. I went to a new office, and have gone through several doctors there, with mixed results. Their office made a mistake and sent my complete medical records to two seperate medical offices where I had previously had blood tests taken. For several reasons, I didn't want this to happen and I assume it is illegal? Just recently I found a Dr. at this clinic who seemed good and we started making good progress. I was taken off my older pain meds and given a RX for a hydrocodone/APAP combination that the dr. wanted to try out, and I was told to come back in two weeks with a two week supply of the Rx. Two weeks later I find out that doctor was on vaction that week, and I couldn't make an appointment for another week. I finally managed to talk to a doctor who quickly wrote a refill until my dr. returned. This has resulted in me being out of any pain medication twice, each time having to deal with extreme pain and mild withdrawl. I hope my dr. just forgot, otherwise it would be very, very calus. Maybe I'm letting my anger get the better of me, but what recourse could I have, through the courts or through the clinic? Is there anything criminal about these actions? Would there even be a case in cival court, or a complaint to a regulatory authority? I don't want money or to ruin an innocent doctor's name, but I do want to be taken seriously and not let these things happen again. Thanks for reading this far, and if any of you have anything to say thank you in advance. Any comments would be welcome, and I know much worse things could happen, but I want get off to a good start so I'm not presented with these problems and have to suffer worse. >Hello and sorry about the crossposting, but I thought this issue would >be [quoted text clipped - 52 lines] >with >these problems and have to suffer worse. Be a good American and Sue. It is the American way. Of course you don't have a case and will lose, put please don't let that stop you from clogging up our legal system. Whining and threatening legal action isn't going to get you taken seriously. Grow a pair and let him know whats what. More then likely he'll tell you to piss off, but hey, you need to get a new Doc anyways. If you do not like the way your Dr treats you, find another one. Do you actually think that the thought of you crosses his mind once you leave his office? About the only time he'll think of you other then during an office visit is when he is reviewing his accounts receivables. -- "Y'know I remember when things were a lot more fun around here When good was good and evil was evil Before things got so fuzzy" Don Henley, The Garden of Allah > Maybe I'm > letting my > anger get the better of me, but what recourse could I have, through > the courts > or through the clinic? Is there anything criminal about these > actions? About WHAT actions? About you needing to call for a prescription refill?!? Are you f**king KIDDING ME??? No wonder you go through doctors like most people go through Kleenex. Find a new doctor. Maybe you'll find one you like, and I'll hazard a guess that your current doctor will be happy as well. I had the same doctor for over twenty years until he recently retired, so I must go through doctors like most people go through childhoods. Sending out my medical records to two places I did not give them permission sounds criminal to me. Also starting me on a time sensitive diet and medication, then leaving on vaction is cruel at the least. My current dr. seems good, and perhaps with some time we will have better communication. Thanks for the unhelpful reply though. > About WHAT actions? About you needing to call for a prescription > refill?!? Are you f**king KIDDING ME??? No wonder you go through > doctors like most people go through Kleenex. > > Find a new doctor. Maybe you'll find one you like, and I'll hazard a > guess that your current doctor will be happy as well. By all means, sue. You'll lose and hopefully have to cover the court costs. By preoccupying yourself with meaningless endeavours, you will not contaminate the gene pool. >Hello and sorry about the crossposting, but I thought this issue would >be [quoted text clipped - 52 lines] >with >these problems and have to suffer worse. I don't want to sue, I just didn't know who to talk to. Congrats for using four big words in your post, it might make your smartass comments impressive to idiots. Please don't reply unless you have something to say. > By all means, sue. You'll lose and hopefully have to cover the court > costs. By preoccupying yourself with meaningless endeavours, you will > not contaminate the gene pool. >I don't want to sue, I just didn't know who to talk to. Congrats for >using four big words in your post, it might make your smartass >comments impressive to idiots. Please don't reply unless you have >something to say. How about this...confront the doctor and clinic with your concerns. Why are you asking about recourse? As for my smartass comments, you're the one that's mentioning banana skins and cough syrup. What is it next? Peanut skins? You drug seeker you. What do you suffer from? Fibromyalgia? A subluxation perhaps? In other words, do you have a valid medical complaint (it's been a while and your wordwrap is messed up). Shulgin. >> By all means, sue. You'll lose and hopefully have to cover the court >> costs. By preoccupying yourself with meaningless endeavours, you will >> not contaminate the gene pool. I responded to a person who stated that I was doctor shopping and I was mad that I had been caught. That was not the case, but I was not surprised somebody said it. It can be a catch-22; if you stay with a bad dr it is your fault, and if you look around for a better dr you are doctor shopping. I'm not sure what peanut skins contain, but if they contain Neurontin or something similar please let me know, and my wallet would thank you. Sorry about the wordwrap, I noticed my mistake a few minutes too late. I suffer from several things, but I'm not sure what exactly I do have. My main treatment has been toward fibromyalgia, and that is the largest official Dx. I also have just been told I have sprue. Since I was a middle-schooler I have taken large amounts of NSAIDS. I was once diagnosed with some sort of child arthritis, and have tested positive twice, ten years apart on the ANA test. Of course with FMS I have been told I have depression, but if one's always in pain that isn't really breaking news. I have several valid medical complaints, and as I have previously said I had the same doctor for many years, who recently retired. I'm not sure what all is the matter with me, and every couple of months I am told I may have lupus, or I may have some other disease I can't pronounce. I am a drug seeker, in the sense I want medications that help me live a more normal life. If it's a narcotic, that's okay. If it is not, even better. So, Shulgin I responded in a tone I felt appropriate to your comments. If I was not clear(and I don't think I was) in my first posting, I am sorry. Maybe you were in a bad mood, or wanted to start a flame war, because your first post added nothing to the discussion. BTW, from your e-mail address it looks you may know about the cough syrup part, and what drugs are excluded from scheduling in the CSA. Anyhow, nice to meet you and don't take anything I say too personal. I'm not here to make enemies or have a flame war. dxm@potassium.com wrote in message > How about this...confront the doctor and clinic with your concerns. > Why are you asking about recourse? As for my smartass comments, [quoted text clipped - 6 lines] > > Shulgin. >Hello and sorry about the crossposting, but I thought this issue would >be [quoted text clipped - 44 lines] >but I do >want to be taken seriously and not let these things happen again. Step 1. Sit down your doc and talk about your concerns. bob Thanks bob, you are right. I hope that step will end up taking care of everything, I was just worried if it didn't work. > Step 1. Sit down your doc and talk about your concerns. > > bob > Hello and sorry about the crossposting, but I thought this issue would > be [quoted text clipped - 52 lines] > with > these problems and have to suffer worse. Regarding your medical regards you must first answer a question yourself. Did you sign a release? Either specifically to the offices your records were sent to or, heaven forbide, a blank release? At any time? If so you are SOL. If you did not it would probably a violation of the new HIPPA act. As far as your second problem you would need to prove malpractice. Doctors are human and make mistakes too. Unless it is an unreasonable mistake you have no case. Is this unreasonable? Better ask an attorney. If I were you I would be looking for a new doctor. sz "rsdman" <hurt@pain.com> wrote in message news:<sle_b.15453> Regarding your medical regards you must first answer a question yourself. > Did you sign a release? Either specifically to the offices your records > were sent to or, heaven forbide, a blank release? At any time? If so you [quoted text clipped - 6 lines] > > sz I signed a release to send to my previous clinics. They messed up and sent my records instead. It was their mistake and they admit to it. I know their office was busy at the time, in the middle of flu season. They just keep making mistakes on records, appointments, and perscriptions. Many of their patients are becoming upset, but I live in a rural area and most the people here don't have much choice in the matter. Thanks for the HIPPA act information. > Hello and sorry about the crossposting, but I thought this issue would > be [quoted text clipped - 44 lines] > but I do > want to be taken seriously and not let these things happen again. Civil proceedings? One look at your "chronic pain" diagnosis and narcotics dependence in your medical record and every plaintiff's attorney with half a brain would send you packing. And nothing you have described falls under the definition of "malpractice". Complaint to regulatory authority? Hah. Those "regulatory authorities" are investigating and censuring doctors right and left for overprescribing narcotics. Complain through his clinic? He may be an owner of the clinic. Even if not, I can assure that no doctor is going to force another doctor to prescribe narcotics. Ruin his name? I can gaurantee you that won't happen. You would only succeed in getting yourself terminated from that clinic. Here's a tip...no doctor has to take you as a patient. HMc "Howard McCollister" <nospam@nospam.net> wrote in message news:<40397494$0 > Civil proceedings? One look at your "chronic pain" diagnosis and narcotics > dependence in your medical record and every plaintiff's attorney with half a > brain would send you packing. And nothing you have described falls under the > definition of "malpractice". No narcatics dependence yet, and I don't like most lawyers anyways. > Complaint to regulatory authority? Hah. Those "regulatory authorities" are > investigating and censuring doctors right and left for overprescribing > narcotics. Unfortunately you are correct. It is a shame when people live in pain and doctors don't know the difference between dependence and addition. > Complain through his clinic? He may be an owner of the clinic. Even if not, > I can assure that no doctor is going to force another doctor to prescribe > narcotics. Actually the second I talked to another doctor(by phone) they called in a RX, as they realized what was happening. > Ruin his name? I can gaurantee you that won't happen. You would only succeed > in getting yourself terminated from that clinic. > > Here's a tip...no doctor has to take you as a patient. > > HMc Yes, in the small town I am in I could ruin their name, but with the clinic's reputation it would be like throwing mud in the garbage. No doctor has to take me as a patient, but if they do they have an obligation to do their job, since I did my part of the contract by paying them money. If a mechanic didn't fix your car you can deal with them, but some(not all) doctors don't think they have to account to anyone for any of their actions. *"Howard McCollister" <nospam@nospam.net> wrote in message news:<40397494$0 *> Civil proceedings? One look at your "chronic pain" diagnosis and narcotics *> dependence in your medical record and every plaintiff's attorney with half a *> brain would send you packing. And nothing you have described falls under the *> definition of "malpractice". *No narcatics dependence yet, and I don't like most lawyers anyways. * Not to be rude, but - if you are not dependent on something, why do you say you were going through withdrawal when you ran out of it? I hope you manage to ease your pain.  Signaturehillary israeli vmd http://www.hillary.net info@hillary.net "uber vaccae in quattuor partes divisum est." not-so-newly minted veterinarian-at-large :) hillary@hillary.net (Hillary Israeli) wrote in message > Not to be rude, but - if you are not dependent on something, why do you > say you were going through withdrawal when you ran out of it? > > I hope you manage to ease your pain. I was on hydrocodone, 30 mgs total a day. However, I also am on 4-5 medications(with some major interactions with narcotics, such as xanax) and a specific diet(maybe sprue). My doc made it clear that I had to come back in the two weeks, for results and more tests. My problem was the doctor's insistance on a certain time period, then not showing up. I should say I was not addicted to anything, but I had naturally become slightly physically dependent on the hydro. So for a few days I started feeling halfway decent, then had to go back to feeling like crap. I had a good talk with my dr. today and ironed out some of the bubbles, and I think my doc and I will help with the pain problems. Thanks for your kind words, and I hope I didn't confuse you more. *showing up. I should say I was not addicted to anything, but I had *naturally become slightly physically dependent on the hydro. So for a What exactly is the difference, do you think, between addiction and physical dependence?? Addiction is pretty much physiological dependence on a substance beyond the user's control. *Thanks for your kind words, and I hope I didn't confuse you more. Well, I'm just not understanding your point here, i guess. I do hope things improve for you in the long term. -h. Signaturehillary israeli vmd http://www.hillary.net info@hillary.net "uber vaccae in quattuor partes divisum est." not-so-newly minted veterinarian-at-large :) > *showing up. I should say I was not addicted to anything, but I had > *naturally become slightly physically dependent on the hydro. So for a [quoted text clipped - 9 lines] > > -h. I'm not sure where you are reading and posting from as this is a crossposted message and I've never seen your name before but if you really don't know the answer to your own statement of: "What exactly is the difference, do you think, between addiction and physical dependence?? Addiction is pretty much physiological dependence on a substance beyond the user's control." I would suggest you look it up and learn something new. There are major differences -- well know and well documented. Comments like this in sci groups let me know why I don't look for information there. *I'm not sure where you are reading and posting from as this is a crossposted *message and I've never seen your name before but if you really don't know *the answer to your own statement of: * *"What exactly is the difference, do you think, between addiction and *physical dependence?? Addiction is pretty much physiological dependence on a *substance beyond the user's control." * *I would suggest you look it up and learn something new. There are major Excuse me? Ok, let me rephrase. What is the difference between "physical" and "physiological" dependence? They are the same. After reading your response I double checked with two medical dictionaries from my shelf here, and I don't find anything to contradict this... Signaturehillary israeli vmd http://www.hillary.net info@hillary.net "uber vaccae in quattuor partes divisum est." not-so-newly minted veterinarian-at-large :) hillary@hillary.net (Hillary Israeli) wrote in message > What exactly is the difference, do you think, between addiction and > physical dependence?? Addiction is pretty much physiological dependence on > a substance beyond the user's control. I think you answered your own question. Dependence is physical, while addiction is in your mind. I am dependent on water, but not addicted to it as my want of water is rational. Someone could be a sex addict, but they do not have a physical dependence on it. There is a thin, but very real line between the two. I come from a mode of thinking where the two are very different, from both personal experience and philisophical thought. It is sad that there are many people in the health care field who don't know the difference, but our culture has confused the issue for various reasons and agendas. > What exactly is the difference, do you think, between addiction and > physical dependence?? Addiction is pretty much physiological dependence on > a substance beyond the user's control. there is actually quite a big difference. most people who use opitates/benzos, etc for a long enough time will develope physical/physiological dependence and display "withdrawal" when the drug is stopped. addiction is quite another thing altogether. it generally involves drug seeking behavior and other socially unacceptable behaviors including preoccupation with obtaining drug, criminal activity, doctor shopping, multiple providers, etc. (pseudo-addiction can look somewhat similar to this sometimes) the difference is huge when trying to convince people in pain to take medication for relief. trying to overcome the "i don't want to get addicted" concerns can be daunting, especially in elderly patients. not recognizing the difference between the two "conditions" is a barrier to adequate pain relief for many sufferers of chronic pain. there are many people who use opiates chronically on a scheduled basis who do not become "addicts". in fact, the incidence of "addiction" is very low in the general population of those who chronically use opiates. but they are indeed physcially dependent. *> What exactly is the difference, do you think, between addiction and *> physical dependence?? Addiction is pretty much physiological dependence on *> a substance beyond the user's control. * *there is actually quite a big difference. most people who use *opitates/benzos, etc for a long enough time will develope *physical/physiological dependence and display "withdrawal" when the *drug is stopped. * *addiction is quite another thing altogether. it generally involves *drug seeking behavior and other socially unacceptable behaviors *including preoccupation with obtaining drug, criminal activity, doctor *shopping, multiple providers, etc. (pseudo-addiction can look *somewhat similar to this sometimes) I disagree. You can be addicted to something without being a criminal, or anti-social, or whatever. Where do you get this idea that the word "addiction" implies all this other stuff? Assuming a legal and constant supply of drug, an addict has no need to behave in the ways you describe, right? *there are many people who use opiates chronically on a scheduled basis *who do not become "addicts". in fact, the incidence of "addiction" is If you can't stop without a problem, you're an addict, in my book. I don't mean anything bad by that. I'm a caffeine addict. Signaturehillary israeli vmd http://www.hillary.net info@hillary.net "uber vaccae in quattuor partes divisum est." not-so-newly minted veterinarian-at-large :) >*> What exactly is the difference, do you think, between addiction and >*> physical dependence?? Addiction is pretty much physiological dependence on [quoted text clipped - 22 lines] >If you can't stop without a problem, you're an addict, in my book. I don't >mean anything bad by that. I'm a caffeine addict. In a way I agree. I am also a caffeine addict as well as a nicotine addict as well. Sex might have fallen into that category once upon a time as well. There are also food addicts and those infamous Chocoholics are a real menace to society as well. It all really is a name game. I minor version of semantics. After all the dictionary definition uses the word dependant to describe the word addict. To cause to become physiologically or psychologically dependent on a habit-forming substance: The thief was addicted to cocaine. To occupy (oneself) with or involve (oneself) in something habitually or compulsively: The child was addicted to video games. -- "Y'know I remember when things were a lot more fun around here When good was good and evil was evil Before things got so fuzzy" Don Henley, The Garden of Allah > I disagree. You can be addicted to something without being a criminal, or > anti-social, or whatever. Where do you get this idea that the word [quoted text clipped - 7 lines] > If you can't stop without a problem, you're an addict, in my book. I don't > mean anything bad by that. I'm a caffeine addict. well, i develop signs of withdrawal if i stop caffeine but i'm not an addict. it's really just terminology in some respects. disagree if you wish, these are the distinctions that are utilized by practitioners. i think it's important to realize these distinctions, even if the may seem somewhat "artificial", to assure adequate pain control for those who need it. the "addiction" terminology puts up quite a barrier to good pain control for practitioners and patients alike. http://www.endonurse.com/articles/381staffing.html http://salmon.psy.plym.ac.uk/year3/DrugAbuse/drugtolerance.htm http://www.medsch.wisc.edu/painpolicy/domestic/combguid.htm see section 8 http://www.medsch.wisc.edu/painpolicy/domestic/combguid.htm see paragraph on dependence vs addiction. *> *> I disagree. You can be addicted to something without being a criminal, or *> anti-social, or whatever. Where do you get this idea that the word *> "addiction" implies all this other stuff? Assuming a legal and constant *> supply of drug, an addict has no need to behave in the ways you describe, *> right? *> *> *there are many people who use opiates chronically on a scheduled basis *> *who do not become "addicts". in fact, the incidence of "addiction" is *> *> If you can't stop without a problem, you're an addict, in my book. I don't *> mean anything bad by that. I'm a caffeine addict. * *well, i develop signs of withdrawal if i stop caffeine but i'm not an *addict. it's really just terminology in some respects. disagree if *you wish, these are the distinctions that are utilized by *practitioners. The distinction this practicioner makes is as previously described. My personal physician also states that physiological dependence equals addiction; criminality and antisocial behavior are not required. I guess you know a few practicioners who say differently, and that's fine, but in my personal experience, that is not how addiction is defined. Among the anesthesiologists with whom I socialize (and there are actually several), "addiction" means physiologic and sometimes psychological dependence, regardless of legal/illegal status of drugs and other attendant behaviors. Believe me, the topic comes up often enough :) Anyway, I understand what you're trying to say, so, I guess we can stop going on about it now. *control for those who need it. the "addiction" terminology puts up *quite a barrier to good pain control for practitioners and patients *alike. Not IMO or IME. In fact, when I was being treated for severe discogenic pain, my doctor specifically said to me "you are most likely going to become addicted to this medication. Don't worry about it. We'll deal with that problem later." I had no issues with that, didn't take it as an insult or anything, had no reason to believe my doctor thought I was going to be out stealing cars to support my prescription drug habit or anything. He was simply describing what physiological effects were likely to happen! Signaturehillary israeli vmd http://www.hillary.net info@hillary.net "uber vaccae in quattuor partes divisum est." not-so-newly minted veterinarian-at-large :) > The distinction this practicioner makes is as previously described. > [quoted text clipped - 3 lines] > I guess you know a few practicioners who say differently, and that's fine, > but in my personal experience, that is not how addiction is defined. that's unfortunate your doc feels that way and also an outdated use of the term. it's that use that creates a barrier to effecitve treatment of pain. you inform an elderly patient that they will become "addicted" (but hey, it's OK we can fix you) or not be able to calm their fears about addiction by neglecting to make that distinction and you'll have a patient refusing treatment and toughing it out. very sad, indeed. *that's unfortunate your doc feels that way and also an outdated use of *the term. it's that use that creates a barrier to effecitve treatment *of pain. you inform an elderly patient that they will become I think it is simply misunderstanding of the definition of addiction that creates a barrier to effective analgesia, but whatever. My 90 year old grandmother (well, 89 til 4/20 but who's counting?) understands the word addiction, and isn't bothered if her physician prescribes something addictive. I don't think it's appropriate to change terminology just because someone gets upset. What is appropriate is to educate the people. But I'm not in charge of the world last i checked, so if that's what's going on, so be it. Signaturehillary israeli vmd http://www.hillary.net info@hillary.net "uber vaccae in quattuor partes divisum est." not-so-newly minted veterinarian-at-large :) My MDs do not use the word addiction. They understand the difference. Nicole Signature3 of every 10 Americans Know Someone With Lupus Help find the cure. www.lupus.org > > *that's unfortunate your doc feels that way and also an outdated use of [quoted text clipped - 10 lines] > educate the people. But I'm not in charge of the world last i checked, so > if that's what's going on, so be it. Do you know how many Americans are afflicted with Lupus? > My MDs do not use the word addiction. They understand the difference. > Nicole [quoted text clipped - 12 lines] > > educate the people. But I'm not in charge of the world last i checked, so > > if that's what's going on, so be it. It's estimated between 500,000 & 1.5 million. Mostly women of child bearing years. Nicole Signature3 of every 10 Americans Know Someone With Lupus Help find the cure. www.lupus.org > Do you know how many Americans are afflicted with Lupus? > [quoted text clipped - 21 lines] > Checked by AVG anti-virus system (http://www.grisoft.com). > Version: 6.0.644 / Virus Database: 412 - Release Date: 3/26/2004 when someone here's addiction, the term junkie usually goes along w/that... it makes it very hard for chronic pain patients to get proper treatment w/o all the stigma involved. i wish my pain dr was reading this cuz he would explain it very well... he once told me addiction is when you take meds for your emotional pain dependency is when you take your meds as directed... your body can become dependent on many drugs not just pain meds... i know there's a blood pressure medicine that has horrible withdrawal symptoms.. same with SSRI's, and other meds. I take a lot of medications every day and do not consider myself an addict. I live a relatively normal life because of my meds. With out them, I'm in pain constantly and that makes it hard to be a good mother, wife, employee, volunteer, etc. JMO Nicole Get in the loop. Someone you know has lupus. >when someone here's addiction, the term junkie usually goes along w/that... >it makes it very hard for chronic pain patients to get proper treatment w/o >all the stigma involved. Perhaps, but the phrase junkie has a very specific connection to a type if person for a lot of people. It is most often used in connection with Heroin addicts. A junkie has a whole set of predefined behaviors that makes him/her a junkie. You can be one of the many different types of addicts without being a junkie. For example you could be a drunk if addicted to alcohol. >i wish my pain dr was reading this cuz he would explain it very well... he >once told me addiction is when you take meds for your emotional pain >dependency is when you take your meds as directed... An even more apt description would be an addict does not take medications/substances as prescribed by a Dr for a condition requiring them he/she does so for pleasure. >your body can become >dependent on many drugs not just pain meds... i know there's a blood [quoted text clipped - 7 lines] >Nicole >Get in the loop. Someone you know has lupus. -- "Y'know I remember when things were a lot more fun around here When good was good and evil was evil Before things got so fuzzy" Don Henley, The Garden of Allah In sci.med Absolut_B <jesushatesspam@yahoo.com> wrote: : hillary@hillary.net (Hillary Israeli) wrote in message > Not to be rude, but - if you are not dependent on something, why do you : > say you were going through withdrawal when you ran out of it? : > : > I hope you manage to ease your pain. : I was on hydrocodone, 30 mgs total a day. However, I also am on 4-5 : medications(with some major interactions with narcotics, such as : xanax) and a specific diet(maybe sprue). My doc made it clear that I People still prescribe Xanax? OMG. Emma > People still prescribe Xanax? OMG. > > Emma Tell us, Emma, what you know about Xanax that clincians do not? Enquiring minds want to know. >People still prescribe Xanax? OMG. Commonly. Why do you say OMG? >>People still prescribe Xanax? OMG. > > Commonly. Why do you say OMG? I don't see a problem with Xanax or Ativan for panic problems, when it isn't taken every day. In my Mom's case, and a male friend of mine (panic, 35yrs old), they seldom/never take more than 10-20 doses per month. Sometimes Buspar or SSRI aren't the right answer. (There are probably some cases where TID is okay -- but if I was a Dr, I doubt that I'd write many scrips like that.) In my own case, I wouldn't touch a Xanax nowadays for stress -- simply because I get a rebound anxiety from hell from almost any benzo (anxiety on the next day.) Some people can tolerate them better than I can. I find that my normally prescribed beta blocker helps enough for panicky stress that I wouldn't want to take anything else. John >>People still prescribe Xanax? OMG. > > Commonly. Why do you say OMG? My question, too. I take Xanax for occasional panic. >>>People still prescribe Xanax? OMG. >> >> Commonly. Why do you say OMG? > > My question, too. I take Xanax for occasional panic. I suspect that alot of the propaganda against certain meds (e.g. Benzos, narcotics, etc) is counterproductive. Even though it is VERY TRUE that Benzos have been over-prescribed, and too many wrong people seem to get narcotics, there also are VERY VALID reasons to use narcotics and very valid reasons to use benzos. As a 'patient' (in the sense that I'll never be a doctor), I would tend to avoid Xanax (and other benzos) unless there was a very serious reason for them. For casual anxiety, I'd try to avoid them. (That isn't to say that I'd decline a Xanax scrip if I really, really needed them.) John > Yes, in the small town I am in I could ruin their name, but with the > clinic's reputation it would be like throwing mud in the garbage. No [quoted text clipped - 3 lines] > with them, but some(not all) doctors don't think they have to account > to anyone for any of their actions. I can assure you that you are vastly overestimating your ability to "ruin his name", even in a small town. The issue of "doing their job" is open to interpretation. It's no surprise to me that your opinion of "doing their job" relative to the issue of prescribing narocotics to a new patient who is narcotics dependant might be different than your doctor's. HMc "Howard McCollister" <hmacXX@nospam.net> wrote in message news:<403e0f85$0$44401 > I can assure you that you are vastly overestimating your ability to "ruin > his name", even in a small town. [quoted text clipped - 5 lines] > > HMc Do you know how small towns are? I know most of the cops by name, and see doctors and nurses I know in the grocery store. My doctor told me the situation at hand, and the problems have been worked out. I was not a new patient who was narcotics dependant, as I have previously stated I have never, needed narcotics before, except for T3's at a dentist, which made me light headed and I think I threw the bottle away. It was "this" dr. that prescribed me my first ever hydrocodone Rx. There was no ethical issue here for the dr to consider. They just acted in an careless way, and have since made amends for their mistake. Doctors perform a service, abeit a difficult one, and they should be held to at least the same standard as a plumber. Did I say something in my post that offended you? I notice you throw around the word narcotic as if it was dirty. To many people narcotics make their unbearable life bearable. You assume too much to have your opinion carry any weight. I'll leave you and your inflamatory remarks alone because it is not worth the bandwith. Please don't troll if you have nothing important to say. The man question is who to talk to when doctor(s) pull questionable actions. I haven't considered sueing anyone, and I have seen clear violations that I don't push hoping to build a better relationship. This is an honest, non-confrontational question. Who do doctors answer to? Anyone who is a doctor or has had a similar experience please respond, and thanks for your answers in advance. I hope things with my new doc works out, as at times they seem to understand. ps. trolls please leave this post alone, thanks. >Please don't troll if you have nothing important to say. The man >question is who to talk to when doctor(s) pull questionable actions. [quoted text clipped - 6 lines] > >ps. trolls please leave this post alone, thanks. They report to their mommies. -- "Y'know I remember when things were a lot more fun around here When good was good and evil was evil Before things got so fuzzy" Don Henley, The Garden of Allah ZombyWoof <Zomby-Woof@Zappa.net> wrote in message > They report to their mommies. Excellent idea. Now I must just track their mothers down. Of course, with the average age of the doctors around here I may need a shovel. >ZombyWoof <Zomby-Woof@Zappa.net> wrote in message >> > >> They report to their mommies. > >Excellent idea. Now I must just track their mothers down. Of course, >with the average age of the doctors around here I may need a shovel. Whatever gets you through the night. -- "Y'know I remember when things were a lot more fun around here When good was good and evil was evil Before things got so fuzzy" Don Henley, The Garden of Allah let me guess.. you didn't want your medical records forwarded to the other clinics because then they'd see that you've been prescribed narcotics by multiple physicians? > Please don't troll if you have nothing important to say. The man > question is who to talk to when doctor(s) pull questionable actions. [quoted text clipped - 6 lines] > > ps. trolls please leave this post alone, thanks. > let me guess.. you didn't want your medical records forwarded to the other > clinics because then they'd see that you've been prescribed narcotics by > multiple physicians? Nope, but thanks for guessing. I once had tylanol 3's for a tooth ache, which was the only previous time I had EVER had narcotics; I have never had any surgery that required it. Actually, I didn't want my medical records sent to an education medical place where I have blood testing done cheap, as I have no medical insurance. I had been treated with 800 mgs motrin 4x a day, not a narcotic the last time I checked. I don't like having my medical history going into the hands of students who only do blood tests when they are called for. Not everyone trying to figure out what the hell disease(s) they have are drug fiends. I just found out I have sprue and have a speckled pattern on my lupus test, but I just want to get high off of cough syrup and bannana peels, give me a break. Doctors answer to the medical licensing board of their respective states. In some states they are very effective at regulating doctors, in others they aren't so commanding. In AZ, it's the Arizona Medical Board. I am more familiar with the inner workings of the Arizona Dental Board of Examiners, when they tell a dentist to do something he does it, and fast. That is where I would look if i were you. ref > Hello and sorry about the crossposting, but I thought this issue would > be [quoted text clipped - 52 lines] > with > these problems and have to suffer worse. > Doctors answer to the medical licensing board of their respective > states. In some states they are very effective at regulating doctors, > in others they aren't so commanding. In AZ, it's the Arizona Medical > Board. I am more familiar with the inner workings of the Arizona Dental > Board of Examiners, when they tell a dentist to do something he does it, > and fast. That is where I would look if i were you. Thanks, I don't know how they handle things in my state. However, the way the local clinic is being run there are many people up in arms. I have heard horror stories much worse than anything that has happened to me. A person close to me recently died after being treated there. There was a state investigation, but I don't know of any action that was taken. Just a few days ago another person I knew died under the same care, and their family is looking into what can be done. >> Doctors answer to the medical licensing board of their respective >> states. In some states they are very effective at regulating doctors, [quoted text clipped - 10 lines] >was taken. Just a few days ago another person I knew died under the >same care, and their family is looking into what can be done. Let me get this straight. You are going to a clinic that supposedly is killing people and you want someone to give them a stern talking to so you can continue going there? Yeah, that makes sense. -- "Y'know I remember when things were a lot more fun around here When good was good and evil was evil Before things got so fuzzy" Don Henley, The Garden of Allah >Let me get this straight. You are going to a clinic that supposedly >is killing people and you want someone to give them a stern talking to >so you can continue going there? Yeah, that makes sense. If he lives in a remote area, he may well not have any other choice. Few doctors want to work in remote areas when they can work in or near a major city, just like anyone else. With no competition and some difficulty in getting qualified and competent support staff, it isn't surprising that there may be longstanding and serious organizational and administrative problems resulting in bad communication and potentially serious errors and omissions. To the original poster: I think you got all those unfriendly replies because you didn't explain your situation at first, and "legal recourse" is a hot button for many people. There are few things as demoralizing as chronic pain, and I hope you can find adequate treatment. > To the original poster: I think you got all those unfriendly replies > because you didn't explain your situation at first, and "legal recourse" > is a hot button for many people. There are few things as demoralizing > as chronic pain, and I hope you can find adequate treatment. Very true, on all your statements. I tried to use a phrase that would best describe my question. My intentions were to have "legal recourse" being exclusive, and not any recourse, such as anything illegal. I did not make it clear that I wasn't wanting to sue, or take action against any criminal liability. I understand the torrent of information and legalities doctors must endure, so many doctors have my respect. I was wondering about where to go when I felt backed into a corner. I was tossed around by several door-knob doctors(a phrase my new doctor uses) and wanted to know what I could do to receive better treatment, and without insurance it is difficult. My state of mind has changed, as my newest dr. has become more responsive to me and my condition. I still am confused on the motivations of a new doc, but I know more now then I did then. Thanks to all for the help I did receive, as I have been a lurker of these groups for quite sometime and perhaps I felt like I was a regular, while to other posters I was an unknown thorn with no credibility. >> For several reasons, I didn't want this to happen and I assume it is >> illegal? Hi, well it just might be a HIPPA violation. -- |
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