Treating a pt without seeing them…

Corresponding_Responsibility_Guidance_Document

The above link is a email/pdf that I received from the Indiana Board of Pharmacy today.  In Indiana, our opiophobic AG Zoeller, “forced” the Medical licensing Board to put in regulations and limitations on physicians who are treating chronic pain pts.  Apparently AG Zoeller is more concerned about the < 5% of the population that will abuse some substance – NOT JUST LEGAL CONTROLLED DRUGS  – than the estimated 30% of the population that suffer from chronic pain. Or it could just be that AG Zoeller is just trying to seek a more visible public profile .. to help him to get elected to a higher office… Governor Zoeller has certain “ring” to it !

I always was told that it was ILLEGAL for a physician to treat a person without doing a physical exam.. BUT.. the IN Medical board has placed limitations on the amounts of opiates/day at patient can have prescribed. Isn’t that “prescribing”…   and if AG Zoeller … “forced” the Medical Board to impose these limitations.. isn’t he “practicing medicine without a license”. But then.. I guess when you are the chief law enforcement officer of the state.. you can do what you damn please. We have certainly seen that at the Federal level.. so maybe AG Zoeller is just following the example of our Federal Attorney General ?

If you read the several pages of vague bureaucratic BS.. you will see that pt are now REQUIRED to submit to a urine test… which the ACLU has sued the state over… an invasion of privacy… or some other legal BS..

It is funny that one of their “red flags” is the cocktail of .. opiate, benzo, & muscle relaxant.. which is the typical initial treatment for most Fibromyalgia pts .. so in the state of Indiana and you have Fibromyalgia .. you and your disease state are RED FLAGS.

Here is also a link to the DEA’s Pharmacist’s Manual “An Informational Outline of the Controlled Substances Act Revised 2010”   http://www.deadiversion.usdoj.gov/pubs/manuals/pharm2/index.html

just more bureaucratic BS.. full of “there is no black and white line to determine if you crossed it”… “but if we have determined that you did cross some arbitrary line”… YOUR ASS IS OURS .. but a paraphrase 🙂

Here is one of yesterday’s post on a one of the dozens of Face Book pages devoted to the chronic pain community …

I used Walgreens almost exclusively for about 8 years. They would fill my pain scripts after my car/truck accident. Then all of a sudden, with no explanation-no more, and they were/are nasty to me!! I don’t understand? What did I do? I’m 59 yrs old, I don’t abuse drugs or drink alcohol, I was an LPN. I feel like I did something terrible to them, but don’t know what it is.I’m really sorry that truck rear ended me twice at dusk. But, WHAT DID I DO???

Here is a second one posted yesterday..

Last July, WALGREEN at Rowan Rd. & Massachusetts in New Port Richey refused my script and the pharmacist was extremely rude to me! I’m 51 yrs. Old, i have no criminal record and certainly didn’t deserve to have to go home to bed and wait for help while my life is going down hill!
Walgreen and others must be held accountable!
I know its wrong thinking but i wish for them to experience what i go through on a daily basis!
Im a prisioner to pain. Shut in my home. Soon to be on the street if i can’t get help and go back to work

I don’t pick on WAGS because I like to.. I used to use them for our Rxs until I was personally “back-handed’ by their Good Faith Policy “.. it is that I see the most posted from chronic pain pts.. that are or have been using them.. of course they profess/advertise  to be “AMERICA’S PHARMACY”

Is America’s Pharmacy – and other pharmacies/Pharmacists… causing pts to be house/bed/chair confined… unable to work… unable to be a good spouse.. unable to be a good parent.. and like the one post above.. may be causing them to be HOMELESS..
Wouldn’t it be nice if WAGS, CVS, Rite Aid, NACDS and others who claim to have a interest in appropriate pt care.. took that BIG F-ING PILE OF MONEY that they use every year lobbying Congress.. for some narcissistic need…to get Congress to put a muzzel and leash on the DEA and help get  opiophobic AG’s like IN’s Zoeller and FL’s BONDI out of office?

Opiophobia is a DISEASE.. it needs to be treated.. unfortunately… IMO — it is ignorance.. encased in ARROGANCE..  you have a fair change of correcting ignorance.. it is difficult getting pass the arrogant to resolve the ignorance !

 

One Response

  1. Not trying to pick a fight or anything, but since when is opiate/benzo/muscle relaxant the initial treatment for FM? I remember learning in pharm school that opiate analgesics are to be avoided in FM and may be linked to opioid-induced hyperalgesia.

    Per steve:
    Since about the early 90’s.. the typical FM pt has pain, trouble sleeping,muscle spasms, sub clinical hypothyroidism, hypotensive, subnormal body temp and fatigue.. what does “the book” suggest.. All I know is the anecdotal evidence of working with FM pts.. Maybe once we figure out just what FM really is and its cause.. we can treat FM.. right now.. to the best of my knowledge.. all you can do is treat the symptoms.

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