Archive for October, 2009

Is there anything I can do about a pharmacists harassment?

Friday, October 30th, 2009

I need cartilage restoration srgery in both of my knees but they cldn’t use my own cartilage so I have wait for donor cartilage, 6 months ago our pharmacist ,the only one we can go to with my wifes insurance, started telling her that I was on a highly addictive narcotic and that I should stop which at the time didnt bother me because he was concerned and thats part of his job but he has kept informing the same thing ever since. 6 weeks ago I had my first restoration surgery and my surgeon said it will take 6 mnths to recover and I was prescribed alot more pain medication but I cut back to what I was taking before surgery and my srgn also referred me to a pain mngmnt spcst since it will be a year before I am able to be pain free and he gave me the same thing except a larger amount at a time but the pharmacist said he would not fill it because it had been faxed from the doctor and that I am not in pain but I am addicted. Is there anything I can do about this or do I have to take it?
My surgeon is a little over 50 miles away so getting a prescription every time I need one is very inconvenient and we can only go to that pharmacist because the place she works has there own doctors office and pharmacy.
My surgeon is a little over 50 miles away so getting a prescription every time I need one is very inconvenient and we can only go to that pharmacist because the place she works has there own doctors office and pharmacy.I did understand that he was just doing what he thought was right but when my wife comes home crying because he treated her like white trash I think he has gone to far.
My prescriptions have always been faxed and always have been filled in the past.

First of all there is no HIPAA violation since your wife is aware of your diagnosis and the medication you are on and you sent her yourself to the pharmacy to pick up your medication so you can ignore that previous answer about privacy violation.

Secondly, you did not state what particular drug you were prescribed. If it was for a Class-II Controlled Substance then, by law, it cannot be FAXed but must be brought it on a new handwritten prescription each month (or every 3 months if your state and/or insurance will allow it). Your doctor can mail the prescription to you or the pharmacy if it’s difficult for you to pick it up.

If it was for any other type of controlled substance did the pharmacist make an attempt to contact your physician to verify that the prescription was authentic, correctly prescribed, necessary, etc…? If not, and there is absolutely no other place that you can go to then I would definitely ask your doctor to call the pharmacist and explain your situation.

While this pharmacist may truly believe he is doing the right thing (and 99% of the time I bet he is), a person truly in pain should not have to go without proper treatment.

Why aren’t there warnings on psychiatric psychotropics…?

Friday, October 30th, 2009

I’ve been diagnose as having a mood disorder since I was a teenager. At first I was diagnosed as major depressive and I have tried pretty much all of the major SSRIs as well as a tricyclic. I was properly re-diagnosed as type 2 bipolar a few years ago and put on lamictal and lithium as mood stabilizers.

I have had HORRIBLE withdrawal symptoms from every SSRI and mood stabilizer I have been placed on, yet there are no warnings given either by psychiatrists or on the bottle/info insert about the possible side effects of physcial withdrawal from these medications. I know other people who have been through the same thing. I’m currently getting off lamictal, and it is hell on earth.

So my question is why is this not an acknowledged issue? Narcotics are supposed to be highly addictive and awful to get off of, but I have taken narcotics for chronic pain for months at a time, every day and not had ANY physical symptoms of withdrawal,
Just to clarify, I have ALWAYS tapered off medications. Never stopped cold turkey. Actually my shrink told me it was cool to stop lamictal cold turkey, even though doing so can cause seizures among other problems. I’d be in the hospital if I didn’t have common sense of my own.

I’m waiting for some class action suits, personally. The withdrawals for some are brutal, and you’re right, there are no warnings.

Is it possible to givebirth to twins vaginally if twin A is breech – (twin b is vertex)?

Friday, October 30th, 2009

so i am scheduled for a cesarean for monday and i really dont want it because i no that the recovery time is longer and i cannot take narcotics for pain relief, so i wanted to know if its possible to give birth vaginally given my circumstances…..i dont know the risks and i would really prefer a natural birth so anyone who has any info regarding this i would appreciate some advice, thx in advance!

Generally the answer is no. All the physicians I work with want the presenting twin (A) to be vertex if you are to attempt a vaginal delivery.

Obviously you have the ultimate control here and have the right to consent to surgery or not. Eventually you will go into labor at some point and if you refuse to consent to surgery they essentially are forced to deliver you. But I don’t think that’s a wise decision. Even though twins tend to be smaller and theoretically it would be less risky attempting a breech delivery, there is still risk of baby becoming stuck and then subsequently the baby can go into distress from low oxygen. IMO isn’t worth taking the risk of a breech delivery when it comes to your baby’s well-being / life.

Why are you unable to take narcotics? Allergies? Some other reason? There are many choices for medications, different types of narcotics. If you are concerned about breastfeeding and narcotics, the meds they prescribe are safe and very little passes through the milk, there is plenty of research to back that up. I think you should discuss your specific concerns with your doctor.

What Should Happen to this Mother?

Friday, October 30th, 2009

I read a story about a mother who "accidently" killed her daughter. This is just pain stupidity.
The 6 year old girl said she had a headache and when Children’s Motrin did not work, the mother stuck a Fentanyl patch on the child and told her to go to bed. The Fentanyl patch contains oxycodone, morphine, methadone and other narcotic pain relievers. The child died just an hour later in her bed of respiratory distress.
The patch was pescribed to the mother for her severe chronic pain after other pain relievers did not work for her, so she had to of know this was top serious stuff. I wanted to cry when I read this

That is terrible and obviously she should be charged with manslaughter. Ignorance is no excuse, she should have contacted a doctor. It’s common sense that you do not give prescription drugs to anyone they are not prescribed for, nevermind a child!

Mulitple Sclerosis?

Friday, October 30th, 2009

My mother just told me about a month ago that she has developed MS. She had been diagnosed with autonomic neuropathy about 6 years ago….she’s now 57. She’s had a past with narcotics, in which my brother blames her "crazy" episodes towards…I can vouche for that… (altough when people are in pain, they’re in pain!!). The only thing that is bothering us is… YES, she has had and has a problem with pills…so it’s hard for us to decipher whether or not she is telling us the truth…It’s hard for me not to believe my mother when she has been going through this and a lot of other physical things. She forgets a lot and is showing all the signs of MS. But, we (I) want to beware of all of the side effects. This is something that is very new to me. I’ve been researching a lot (crying a lot) and want to hear from actual kids that have or are dealing with this!! Please only answer this if you or a loved one has MS and knows what I am talking about….the rest just read and carry on..

I have MS as well as three other sisters with MS. This disease can affect people differently. One of my sisters went blind, another has lesions that are causing a lot of numbness and weakness in her legs. My other sister passed away in 2004 but not because of the MS. In my case I refuse to let the MS bring me down. I truly believe that our mind can play a large role in the way our body reacts to situations and conditions. If you mother really has MS then she is going to need your support and understanding as well as encouragement. They have made many advancements in MS. I would encourage you as her daughter to start a regiment of vitamin D of 800 I.U. per day as a preventative measure for yourself from developing MS. My neuologist stongly suggested that all of my children do the same. Check with your doctor about the advantages of vitamin D.

I hope this helps you.

do pain manangement doctors check a prescription history?

Friday, October 30th, 2009

My friend told me they will electronicly look up every narcotic prescribed to you EVER.if they dont like your script history they will not treat you what is this kindergarten do they do a cavity search to lol;) (my scrip history is clean so please no comments about me abusing drugs im just curious if they really go that far thanks)

It can really depend on the history of physicians seen by the patient. If the patient comes from a single source, and has not seen multiple providers in the past it is usually not necessary to screen a presciption history. However, there are some patients who "doctor shop" to obtain multiple narcotic prescriptions. If a patient has multiple presciptions, giving them high level pain medications could result in inadvertant overdose. So in those cases a presciption history is required.

The decision to screen a patient is made based on the actions of the patient and is not a routine, but is sometimes required.

It is a policy of our clinic that a patient select a pharmacy, and our prescriptions are pharmacy specific. They are non-transferable. This maintains the ability to provide the medication without repetitive screening. However, on occasion, we do have the staff screen histories, and have the patient sign releases so that we can contact all the area pharmacies for information.

It is unfortunate, but is necessary to provide safe care.

When insufflating a narcotic, how is the material absorbed, or how does it effect you?

Friday, October 30th, 2009

Like, if a person snorts some kind of drug, how does it enter the blood stream, if at all?

Thru the lungs and mucus membranes….practicing this type of drug abuse will also eventually totally destroy your nasal lining and sinuses! When you are 70 you will drip snot as much as pee!

What are supreme court judge John Roberts views on narcotics?

Friday, October 30th, 2009

How harshly or lightly does he treat narcotic trafficking and posession? What are some examples of sentances he has given people? Does he believe more in rehabilitaion of criminals and giving second chances?

He has a prohibitionist, punitive approach. He supports the police in search and seizure cases, based on some of his decisions. The whole court now is very conservative, in line with the Bush administration

Does Cocaine Help You Study?

Wednesday, October 28th, 2009

I’m asking this as a serious question. Has anyone used cocaine to help them study for a test or to take a final? There’s quite a few people here at Yale that will take a Ritalin or two to keep them focused during a major exam, and I’ve tried it before myself and it works alright, but I get really jittery in my desk and can’t stop moving my feet, and it bothers my focus. I have never tried cocaine before an exam before because I’m afraid to crash before I finish the test, but cocaine doesn’t give me the jitteryness Ritalin does. Anyways I would like to know if there are any experiances someone would like to share. Thank You.

*Yes, I understand cocaine is a highly addictive narcotic and has a lot of health complications and everything, but I am not a dug addict and only use any kind of drug for ‘legit’ reasons and not just to get messed up.

well… I dont know about it helping you study. I used cocaine many years ago and there was no way I could have studied on it. I became extremely full of energy but not the kind where you could sit at a desk and do work. I was more interested in totally blowing off work and going to have fun instead.

To me that mean cocaine does not make you focus, actually it helps you to totally not focus. Just my opinion.

I think good old fashioned coffee, maybe starbucks, would be the best bet for you. They have this really delicious white chocolate mocha latte… yummy…..

I have been on Percoset for 1-1/2 years. I am stopping for about 3 weeks.?

Wednesday, October 28th, 2009

Will I get withdrawal symptoms? What kind? I am stopping to try something else instead of narcotics, and, to be honest, so far the pain is incredible. I have a fractured spine, and have been given flexeril, naproxen and zanaflex (for at night) Help! I got my Dr. ok to try

Yes you will get withwrawl symptoms, you will feel like you have the flu, you will get restless legs and feel real achey all over. It depends on how much you were taking and for how long how bad the symptoms will be.