my right on drug testing by my pain management doctor

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Latest post Mon, Aug 29 2016 3:01 PM by ca19lawyer2. 35 replies.
  • Sun, Sep 23 2012 10:49 AM In reply to

    Re: my right on drug testing by my pain management doctor

    johnny 999999991:
    First it is not a medically needed test other than to protect the physician from charges of over prescribing medications for which he must pay for.

    Clearly you have no medical training.  It IS medically needed testing.  Every medication carries side effects and risks.  specifically narcotics can be liver toxic and some cause problems with blood counts.  It is also imperative that a prescribing physician ensure that the patient is not taking more than prescribed or even LESS and is selling the drugs for profit.

    johnny 999999991:
    Third, he is being humiliated every time he has to piss in a little cup under the supsicion of drug abuser.

    You don't know that.  The reality is legitimate pain clinics have their patients sign a narcotic contract agreeing to random drug testing to ensure compliance with therapeutic regimens.  If the patient doesn't like the terms they are free to find another physician.

    johnny 999999991:
    The doctors doing this are nothing more than cowards afraid to stand up for what is right for their patients

    No, the doctors doing this don't want to enable those who are addicted and aren't actually pain patients and they don't want to end up in jail with hundreds of thousands of dollars in fines for running a pill mill.

    johnny 999999991:
    No physician will prescribe pain medicine now except pain management doctors and they all demand a contract saying the same thing.

    The sheer number of addicts abusing narcotics has forced physicians into being both medical provider and law enforcement.  Not a role they want but reluctantly must accept.  The other option is pain clinics close and legitimate patients have no providers at all.  The reality is legitimate pain patients have no trouble living and functioning within the boundaries of a narcotic contract.  It is the addicts, borderline pain, and dealers that struggle to remain in compliance.  

    "That's just my opinion, then again I might be wrong."  Dennis Miller

     

  • Sun, Sep 23 2012 11:23 AM In reply to

    • Cica
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    Re: my right on drug testing by my pain management doctor

    johnny 999999991:
    as my mother who is elderly with sciatica has to undergo the same abuses

    Incidentally, your mom is not being treated only for sciatica.  That is not a medical condition of its own; rather, it's symptomatic of another medical problem -- for which, undoubtedly she is also taking medication.  All the more reason why she has to be tested.

     

  • Wed, Sep 11 2013 8:03 PM In reply to

    • rbw63
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    Re: my right on drug testing by my pain management doctor

    I have been a pain management patient for almost 14 years. This new law that went into effect giving doctors the power to drug test is a scheme to make money. The labs charge almost 1000$ to read the results, which if it is out of network that bill the patient for 800$. Who can afford to pay almost 1000$ a month for medical care? Another point the lawyer missed is all Rx are now wriiten on computer and any drug store or any doctor can pull your name to see what you take. You can not doctor shop any longer. Final point is yes we agree to ocassional surprise test, but it has become monthly. It is a money scheme. Anytime the law requires something and insurance pays the bill it will lead to abuse,

  • Wed, Sep 11 2013 8:08 PM In reply to

    Re: my right on drug testing by my pain management doctor

    rbw63:
    This new law that went into effect giving doctors the power to drug test is a scheme to make money.

    No it is an attempt to control the "pill mills" that are creating thousands of new addicts.

    rbw63:
    Another point the lawyer missed is all Rx are now wriiten on computer

    While many practices have gone to electronic prescriptions there are just as many who have not.  Another issue is that in many states a prescription for a Schedule II narcotic MUST be in writing with the physician's actual signature to be valid.

     

    rbw63:
    any drug store or any doctor can pull your name to see what you take.

    This also is not true.  Pharmacies and physicians must pay and subscribe to the electronic service that allows them to do this.

    rbw63:
    You can not doctor shop any longer

    Patients most certainly CAN and DO.  While your practice providers may have found a way to prevent it that does not mean it applies to every doctor who deals in pain management.

    rbw63:
    Final point is yes we agree to ocassional surprise test, but it has become monthly. It is a money scheme.

    If you don't like the terms you are free to find another provider or method to manage your pain.

    "That's just my opinion, then again I might be wrong."  Dennis Miller

     

  • Wed, Sep 11 2013 10:58 PM In reply to

    Re: my right on drug testing by my pain management doctor

    I agree with the sentiment that people with legitimate reasons for taking prescriptions should not be subject to unnecessary drug tests, and only those who abuse drugs should be subject to regular testing. 

    But this begs the question:

    How do you tell the two types of patients apart, without the use of the tests?

    Therein lies the problem, and is the reason why ALL must be subject.

  • Thu, Sep 12 2013 3:36 AM In reply to

    Re: my right on drug testing by my pain management doctor

    rbw63:
    Another point the lawyer missed is all Rx are now wriiten on computer and any drug store or any doctor can pull your name to see what you take.

    Not so. At least not in the states in which I practice. There are plenty of doctors here who still write paper prescriptions. And only the pharmacy that fills the prescriptions will see the prescriptions sent to it — pharmacies owned by a different company will not have access to those prescriptions and thus won't know what drugs you've gotten elsewhere.

    rbw63:
    You can not doctor shop any longer.

    Unfortunately it is still possible. The DEA still busts people for it.

    rbw63:
    Anytime the law requires something and insurance pays the bill it will lead to abuse,

    The law doesn't mandate the exact schedule of testing. What the DEA requires is that doctors and pharmacies, including pain clinics, have sufficient procedures in place to help curb abuse. If they don't, they can lose their DEA license, which they need to prescribe and dispense drugs. The pain clinics have to be extra careful because the volume of narcotic pain killers that they prescribe puts them under more intense DEA scrutiny. 

    Yes, it's inconvienient and may be costly to chronic pain patients to have to go through the testing. But like it or not, that's the present state of things. The practice of testing is not illegal (nor is it really new). As I said before, I think the DEA has gone a bit overboard in some of the policies it uses. The present polices I think makes it difficult for patients with chronic who truly do need these drugs to get relief. The problem is the many people who abuse it — they are the ones who have pushed the DEA, doctors, and pharmacies to into the restrictive measures they employ. It wasn't primarily money from the testing industry that lead to this. 

  • Thu, Sep 12 2013 9:31 AM In reply to

    • cbg
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    Re: my right on drug testing by my pain management doctor

    There are plenty of doctors here who still write paper prescriptions.

    Here too. My husband's doctor and mine both write only paper prescriptions. Electronically filed prescriptions are still the exception rather than the norm. And I might point out that I am writing this from the medical Mecca of the US.

  • Thu, Sep 12 2013 9:43 AM In reply to

    Re: my right on drug testing by my pain management doctor

    cbg:
    Electronically filed prescriptions are still the exception rather than the norm. And I might point out that I am writing this from the medical Mecca of the US.

    Yet oddly enough I am NOT in a medical mecca and my current PCP does use electronic scripts.  I do have to admit I LOVE the convenience especially if I am sick.  By the time I get to the pharmacy the script is typically ready.  However, our state law does require narcotics scripts to be written so those are still done the old fashioned way.  

    "That's just my opinion, then again I might be wrong."  Dennis Miller

     

  • Thu, Sep 12 2013 7:21 PM In reply to

    Re: my right on drug testing by my pain management doctor

    ClydesMom:
    I do have to admit I LOVE the convenience especially if I am sick.

    Electronic systems do offer a number of advantages. The large practice my doctors affliated went to all electronic records a few years ago. They have direct online connections with pretty much every pharmacy in the area. The doctors are able to send prescriptions for most drugs (except narcotics) directly via computer and they arrive instantly. No more problems reading doctor's handwriting, no more waiting while the pharmacy enters the prescription by hand into a computer. It sped most things up for the doctors and staff, and most of them seem to like it. Unfortunately, I had one very good specialist who hated computers (though he was no older than I am and grew up in the computer era) and left the practice rather than be forced to keep his records, do prescriptions, etc., by computer. He went to a practice that still does most everything but billing by paper. I think as more practices convert to all electronic systems and certain standards for them become commonplace, we will see fewer and fewer paper holdouts. HHS has initiatives to encourage doctors and hospitals to do this, and the PPACA (known as Obamacare) will accelerate that. It is not, however, legally required that they do it.

  • Thu, Sep 12 2013 8:06 PM In reply to

    • cbg
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    Re: my right on drug testing by my pain management doctor

    Oh, I'm not saying that electronic scripts don't happen - clearly they do. And I truly wish my husband's doc, at least, would use them. But I am disputing the poster's claim that all scripts are managed electronically, which is a gross exaggeration.

  • Thu, Sep 12 2013 8:59 PM In reply to

    Re: my right on drug testing by my pain management doctor

    cbg:
    I am disputing the poster's claim that all scripts are managed electronically, which is a gross exaggeration.

    Wasn't trying to argue with you but point out to the poster that DID make that assertion that it doesn't even have to be major known medical centers that aren't doing it. My small city practice is yet large scale hospitals haven't switched yet. It is not as common as they are assuming.

    "That's just my opinion, then again I might be wrong."  Dennis Miller

     

  • Sun, Sep 28 2014 6:13 AM In reply to

    • jjmyers
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    Re: my right on drug testing by my pain management doctor

    Beth3:

    No law requires you to continue seeing this doctor - you have complete freedom of choice.  If you don't care for his medical treatment plan (which now includes monthly testing) you are free to seek treatment from another doctor any time you wish.

    Your wrong there, I was forced to go to my doctor by workmans comp and couldn't choose my own doctor. Workmans comp sent me to a doctor 63 miles away in the worst town around trying to get me to settle my case i believe. Florida law says one time doctor change in the life of the case and I did that change because my frist doctor caused my death with lung blood clots, Yes, obviously they brought me back. Workmens comp sends you to the crapppest doctors out there. Sad thing is it happen twice. all I want is the pain to stop so I can move on in life., They make me fell like an X con visiting my probation officer.

     

  • Sun, Sep 28 2014 8:14 AM In reply to

    Re: my right on drug testing by my pain management doctor

    jjmyers:
    I was forced to go to my doctor by workmans comp and couldn't choose my own doctor. Workmans comp sent me to a doctor 63 miles away

    They didn't do it because they want to but because they HAVE to.  You cannot choose your own physician on workman's compensation because you have to use one that participates in the WC program.  The time for a WC patient is double that of a regular patient for half or one third the pay.  That doesn't even include the forms that are contstantly asked for or time in court if it goes that far.

    Most physicians do not participate in WC because of those reasons.  So if you are being sent that far away it is because no local physician will work with the WC board at their low rate of pay.  Most of the doctors I work with won't do it.  

    "That's just my opinion, then again I might be wrong."  Dennis Miller

     

  • Sun, Sep 28 2014 8:22 AM In reply to

    • jjmyers
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    Re: my right on drug testing by my pain management doctor

    ClydesMom:

    jjmyers:
    I was forced to go to my doctor by workmans comp and couldn't choose my own doctor. Workmans comp sent me to a doctor 63 miles away

    They didn't do it because they want to but because they HAVE to.  You cannot choose your own physician on workman's compensation because you have to use one that participates in the WC program.  The time for a WC patient is double that of a regular patient for half or one third the pay.  That doesn't even include the forms that are contstantly asked for or time in court if it goes that far.

    Most physicians do not participate in WC because of those reasons.  So if you are being sent that far away it is because no local physician will work with the WC board at their low rate of pay.  Most of the doctors I work with won't do it.  

    A lot of good point you made, Thats. My doctor was more then willing to take me on and he does work with others from this ins carrier for the same treatment. The system is so badly flawed and unbalanced.

  • Sun, Sep 28 2014 9:04 AM In reply to

    Re: my right on drug testing by my pain management doctor

    jjmyers:
    My doctor was more then willing to take me on and he does work with others from this ins carrier for the same treatment.

    The same under writeer and WC are two different things.  WC generally does not want your personal doctor treating you as they are biased.  They aim for neutral physicians.  

    The system is unbalanced because they pay so low for the amount of work required and the high rate of fraud by workers seeking a free check.

    "That's just my opinion, then again I might be wrong."  Dennis Miller

     

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