tag:blogger.com,1999:blog-5883634615775822475.post3676216716786588984..comments2024-03-18T09:00:31.992-04:00Comments on Doctor Grumpy in the House: I'VE GOT THE POWER!!!Grumpy, M.D.http://www.blogger.com/profile/09858110332436246760noreply@blogger.comBlogger59125tag:blogger.com,1999:blog-5883634615775822475.post-89845078215960184752010-04-22T08:58:27.068-04:002010-04-22T08:58:27.068-04:00SO jealous. Supposedly our state has one now, but...SO jealous. Supposedly our state has one now, but none of us can access it yet. Government at it's best!ShrinkingDochttps://www.blogger.com/profile/10867808515747730556noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-6223796527220714042010-04-20T23:22:20.162-04:002010-04-20T23:22:20.162-04:00How about a white cape with pockets?How about a white cape with pockets?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-46241914122818165092010-04-20T23:11:15.949-04:002010-04-20T23:11:15.949-04:00Dr. G, Our state has had this type of database for...Dr. G, Our state has had this type of database for awhile now (available to all pharmacists and MDs) and is tremendously useful. Especially regarding those pts who gets narcs from one doc (and fill that rx on ins) and then get narcs from another doc and go to another pharmacy and pay cash. Busted.Lipstickhttps://www.blogger.com/profile/04346441046070223404noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-76992243857160392552010-04-20T17:34:20.647-04:002010-04-20T17:34:20.647-04:00I'm of the opinion that the white coat is beco...I'm of the opinion that the white coat is becoming devalued as so many ancillary specialties have taken to wearing it. I'd totally go for the white cape...<br /><br />However the lack of pockets might be somewhat of an inconvenience. A utility belt may be in order.Joehttps://www.blogger.com/profile/04619202821864820972noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-33028595593233121692010-04-20T15:41:02.727-04:002010-04-20T15:41:02.727-04:00As a retail pharmacist, I personally like the moni...As a retail pharmacist, I personally like the monitoring program available in my state. However, it becomes frustrating when you "catch" someone who is abusing the system & as an Rph I can't just take away a legally written rx from someone. *I* can just refuse to fill it & try and get it, for lack of better terminology, revoked from the prescribing MD. Some of those MDs don't care. Patient get's mad, takes it back, goes down the street & gets it filled elsewhere. And where I am, I am NOT granted access easily. I had to fill out the app on my own (no biggie here) but I also have to check the system via my internet on my phone b/c the site is blocked on my work computers. Intentionally, probably not. but retail giants aren't as concerned about "seekers" & "abusers" as they are bottom lines. I, however, want my own cape & want it to make woosh noises!!Tiffanyhttps://www.blogger.com/profile/16520559045241016332noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-90945562293983245322010-04-20T14:35:34.398-04:002010-04-20T14:35:34.398-04:00Yes!
Louisiana maintains a similar registry, so d...Yes!<br /><br />Louisiana maintains a similar registry, so doctors with state licenses (anyone who has taken and passed step 3, AKA not interns... but give me 'til this summer, I hope) can look up the controlled substances a patient has been prescribed. One of my patients had been to every hospital between Houma and Baton Rouge.<br /><br />We ER docs call it the "troll tracker."gabbianahttps://www.blogger.com/profile/10355832713590932664noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-90047054872764819672010-04-20T12:20:42.089-04:002010-04-20T12:20:42.089-04:00While I am very glad for you, and all the other do...While I am very glad for you, and all the other docs that spend countless wasted hours (and dollars) seeing drug-seeking patients, I do chafe a little bit at the idea a doctor might form opinions about a person and/or decline to see me based on computerized (not always accurate, or complete) information. <br />The system also adds yet another incentive (and headache for victims) for identity theft. <br />Druggies, as stupid as they are, will find a way.Oliviahttps://www.blogger.com/profile/09983586189259538140noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-40254216953477546282010-04-20T09:15:21.227-04:002010-04-20T09:15:21.227-04:00I also have very mixed feelings on this one. I thi...I also have very mixed feelings on this one. I think its good in that it helps to catch those abusing the system but I also know a lot of people in the US who are in severe chronic pain due to a very painful condition that I also suffer from and they find it very difficult to get decent and appropriate pain treatment.<br /><br />I think its also partially a cultural issue with a lot of fear, misinformation and outdated stereotypes.<br /><br />I guess its a difficult issue. How to distinguish and prevent the abusers while also helping those in genuine need of decent pain relief. I don't envy you doctors having to navigate that minefield.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-45218785362015194372010-04-20T04:57:24.445-04:002010-04-20T04:57:24.445-04:00want to sign up here for my pharmacy but I doubt I...want to sign up here for my pharmacy but I doubt I would have access to the system through the 'intranet' I just have to get the form notarized and sent in. My hubbys neuro has access and tells us theyll be checking before refils. Fine by us, he only gets his meds there. And not early.TiredRPhhttps://www.blogger.com/profile/13294796830418609134noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-48434236824945736942010-04-20T01:54:41.878-04:002010-04-20T01:54:41.878-04:00@miss kitten:
your problems stem from the fact th...@miss kitten:<br /><br />your problems stem from the fact that the DEA and it's failed policies, practices, policing and prosecutions have an awful lot of MDs pissing in their pants at the mere thought of prescribing a controlled substance. And the criminal drug dealers with MDs, the Dr Feelgoods, don't help your cause much either.<br /><br />@Anonymous re: pseudoephedrine. Do you know what impact the pseudo-regulation of pseudoephedrine has had on crystal meth production?<br />Absolutely none. The cookers have just moved from batching large in residences to batching small in their cars.<br /><br />Three cheers for the DEA, the most corrupt, detrimental and worthless of all federal law enforcement agencies!What a wastenoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-90877186201188638932010-04-19T22:39:09.399-04:002010-04-19T22:39:09.399-04:00Wow...now if only all states would do that so DR&#...Wow...now if only all states would do that so DR's and Pharmacies could look up something like that. I know working in a pharmacy would be a heck of a lot better if we could give them junkies some just desserts!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-7793402918150310992010-04-19T22:05:01.552-04:002010-04-19T22:05:01.552-04:00I've got your cape right here. Impressive? Y...I've got your cape <a rel="nofollow">right here</a>. Impressive? Yes. Rippling in the breeze like Superman? Nope. These suckers are *heavy*.<br /><br />Oh, and the term "Superhero" is a trademark of DC and Marvel. Outside of those areas, we call them "underwear perverts".<br /><br />Seriously, congrats. I would've thought that checking on restricted meds would be standard procedure, but apparently not.lightninghttps://www.blogger.com/profile/01324277194228663914noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-45801161881143498672010-04-19T21:04:25.184-04:002010-04-19T21:04:25.184-04:00Moose - To be honest, the majority of people we do...Moose - To be honest, the majority of people we don't actually think are drug seekers, but are required to ask certain questions to ensure that you are getting the most appropriate treatment, or are required by law to ask. I'll use the example of pseudoephedrine, since I work in retail pharmacy. To sell a box of cold and flu, I need to assess the symptoms, how long they've been present, any other medications the patient may be taking, if they are pregnant/breastfeeding, any other medical conditions. Then we are required BY LAW (at least where I live) to run a drivers licence number through an internet system before handing out the cold and flu. I personally hate asking the questions and treating someone like a drug addict, but at least you're getting safe care. =)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-35447661920101867172010-04-19T19:49:55.103-04:002010-04-19T19:49:55.103-04:00nurses used to wear capes, but they disappeared be...nurses used to wear capes, but they disappeared before the caps.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-49431950408537915902010-04-19T19:07:24.834-04:002010-04-19T19:07:24.834-04:00Love it!! I usually tell my technicians to watch ...Love it!! I usually tell my technicians to watch out because super pharmacist is here today and I pretend to fly with my invisible cape. Perhaps I should invest in a real one. All health care workers need super human strength and capes of course <br />:)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-59729176378546491402010-04-19T18:39:13.910-04:002010-04-19T18:39:13.910-04:00I didn't know underoos came in doctor/superher...I didn't know underoos came in doctor/superhero.<br /><br />;)ER's Momhttps://www.blogger.com/profile/03203520439121823165noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-55782597908536761012010-04-19T18:24:54.431-04:002010-04-19T18:24:54.431-04:00dr bumpy- i agree. it allows appropriate practice ...dr bumpy- i agree. it allows appropriate practice with more confidence. beware toto.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-5722613186735670412010-04-19T17:50:07.429-04:002010-04-19T17:50:07.429-04:00Sarah- I agree. Thus far it's actually exonera...Sarah- I agree. Thus far it's actually exonerated more patients then its caught for me. Which is good.Grumpy, M.D.https://www.blogger.com/profile/09858110332436246760noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-81155931335685931492010-04-19T17:45:47.312-04:002010-04-19T17:45:47.312-04:00It was only a matter of time until it was revealed...It was only a matter of time until it was revealed that this was all about the presentation of the package. ;)<br /><br />I practice in Emergency Medicine and have recently gained access to our state's controlled substance database. It is a gamechanger. I have had shady people who I would have considered highly probable drug seekers who really did just have chronic pain and always get their meds from the same PCP at the same time each month, and I have had people who seemed relatively legit but I searched anyway and found that they were getting RIDICULOUS amounts of narcotics and benzos from lots of different docs in lots of different towns. I usually print it off and show it to them, explaining that if they want more narcotics they'll need to speak with their PCP as I do not feel comfortable giving them anything more. They rarely argue (except for the "my brother fills those scripts in my name!" patients). It's a great tool.Sarahhttps://www.blogger.com/profile/15606647860589550851noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-40571836062545315672010-04-19T17:25:26.882-04:002010-04-19T17:25:26.882-04:00Awww, come on gang. The tights make my package loo...Awww, come on gang. The tights make my package look bigger.Grumpy, M.D.https://www.blogger.com/profile/09858110332436246760noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-26596734505477278652010-04-19T17:24:29.305-04:002010-04-19T17:24:29.305-04:00All hail the great and powerful GRUMPY!! You might...All hail the great and powerful GRUMPY!! You might want to "Just say no" to the tights however...terri chttps://www.blogger.com/profile/09398808840234914275noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-64908897138625169182010-04-19T16:57:30.383-04:002010-04-19T16:57:30.383-04:00Coming from someone who works in a pharmacy, that ...Coming from someone who works in a pharmacy, that is awesome and I hope they do that in my state soon too!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-14585362329068629932010-04-19T16:46:10.822-04:002010-04-19T16:46:10.822-04:00My state does not have this program. It is harder...My state does not have this program. It is harder to figure out who is gaming the system and who is legit. I have to use my superhuman powers to ferrit out the abusers. The non-abusers get hurt in the process. This really needs to be a national program. We are very close to a few other states and people could easily cross state lines for this.stargirl65noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-18058540907870322972010-04-19T16:41:24.344-04:002010-04-19T16:41:24.344-04:00Now all Annie needs is a little window in the door...Now all Annie needs is a little window in the door to the office, through which she can say, "Nobody gets in to see Grumpy, the Great and Terrible! Nobody, nohow!"Johttps://www.blogger.com/profile/16520599099436383317noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-44228887764919162262010-04-19T16:15:17.071-04:002010-04-19T16:15:17.071-04:00All doctors should have that ability to check on s...All doctors should have that ability to check on suspected abusers.<br /><br />And Superheroes wear capes so they can fly, of course.Gloria Pnoreply@blogger.com