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  #221  
Old 12 January 2018, 18:00
256 256 is offline
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Originally Posted by dustyrebel View Post
Use of pain meds is also due to satisfaction scores given to the hospital. It is my understanding that reimbursement from Medicare and Medicaid is directly tied to the satisfaction score given in the surveys.
So..if a patient doesn't think that they received the "appropriate" treatment for their pain, they give a crappy satisfaction score, Medicare and Medicaid reduce the amount of money reimbursed to the facility.
This is absolutely the truth.
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  #222  
Old 12 January 2018, 18:09
dustyrebel dustyrebel is offline
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So how many times do see the frequent fliers, who have a complete understanding of the system, complain......
" I was here yesterday for my ______( fill in the complaint) and I got fentanyl, dilaudid, morphine...and today I only get Toradol....

I see this on an ambulance, with repeat customers, I can't even imagine how bad this is in a hospital.
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  #223  
Old 12 January 2018, 19:44
CAVmedic CAVmedic is offline
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Went on my AEMT rides with Firefighters, most of the calls were BS junkies. All with a laundry list of pain symptoms from prior surgeries and a list of what they are allergic to.
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  #224  
Old 12 January 2018, 20:05
foxcolt13 foxcolt13 is offline
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Quote:
Originally Posted by GPC View Post
Need that wall built and drone strikes on the cartels.
Yeah That will be great! I hope for it.
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  #225  
Old 12 January 2018, 21:27
Jakers Jakers is offline
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Quote:
Originally Posted by Kneisel256 View Post
Yeah, I get it. Iím not going to get into an argument about this, Iím new to the site. Iíll say this: Iíve seen doctors plead with people to try different means of treatment. Iíve heard them explain the oath they took as doctors to explain the importance of their treatment. People in general donít give a crap about the docís oath or what it took them to get there, the amount of insurance they have to pay for to cover them when they TRY to save lives, just to get sued when they canít. Again they arenít without sin, we just tried to arrest a doctor for pushing pills, then he shot himself. But thatís the exception to the rule, in my experience.
A doctor in the ER prescribing 3 days worth of oxy because he works in a hospital that hasn't outlawed emergent prescriptions of narcotics in a state without a statewide database of narcotic prescriptions because some jackass decided Press-Ganey and other patient satisfaction surveys actually meant something isn't the problem.

A primary care doc prescribing and permanently reissuing prescriptions for narcotics for chronic pain is a part of the problem but shouldn't be dealt with as a criminal case. Reeducation and suspension of his DEA license maybe...or not, that depends.

The doctors running pill mills under the guise of "pain clinics" who hand out a scrip for anyone with the cash...yep, that's a big part of the problem. To bad your guy didn't off himself years ago.

Sales reps pimping doctors and handing out incentives and free shit for prescribing narcs for any and all pain complaints...big part of the problem.

Pharmaceutical bosses who withheld data that showed that their drugs were HIGHLY addictive, who pumped more and more resources into selling and advertising their drugs for use in situations where they were never intended and then ignoring all red flags for better profits...yep, also the problem. Yet none of those people have been held personally accountable. And likely never will.

I'm all for personable responsibility, and someone who out of the blue decides to try out heroin gets no sympathy from me. But there's a lot of people who got prescribed oxy for a chronic or temporary acute condition who got fucked. Because, hey! It's medicine, a doc gave it to me and I feel better when I take it, so it must be working! Right?

Narcotics have a very limited window of use in medicine and very little use in chronic pain. To late now though.
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  #226  
Old 12 January 2018, 21:44
JonDW JonDW is offline
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Join Date: Apr 2005
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Enforcement

One of the biggest problems facing us with the opoid epidemic is our federal law enforcement model to challenge it is broken. Without typing a paper on this topic, Congress needs to create one, centralized counter-drug agency with wide enforcement power--and no, I'm not talking about the DEA. Basically, between DEA, HHS, FDA, HSI, and FBI, you have an ever present turf battle on these cases, and with varying jurisdictions and agency priorities, many of these cases do not get worked adequately and criminals end up slipping through the cracks.

If anybody wants more on the topic or has questions, please feel free to PM me. I have spent the past 5 years fighting the opoid epidemic.
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  #227  
Old 13 January 2018, 07:36
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Polypro Polypro is offline
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Quote:
Originally Posted by GPC View Post
Need that wall built and drone strikes on the cartels.
Or do what Portugal did, probably save a few wedding party caravans that way.
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  #228  
Old 14 January 2018, 10:34
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Justaclerk Justaclerk is offline
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You forgot fuckbag Congressmen.

Quote:
Originally Posted by Jakers View Post
A doctor in the ER prescribing 3 days worth of oxy because he works in a hospital that hasn't outlawed emergent prescriptions of narcotics in a state without a statewide database of narcotic prescriptions because some jackass decided Press-Ganey and other patient satisfaction surveys actually meant something isn't the problem.

A primary care doc prescribing and permanently reissuing prescriptions for narcotics for chronic pain is a part of the problem but shouldn't be dealt with as a criminal case. Reeducation and suspension of his DEA license maybe...or not, that depends.

The doctors running pill mills under the guise of "pain clinics" who hand out a scrip for anyone with the cash...yep, that's a big part of the problem. To bad your guy didn't off himself years ago.

Sales reps pimping doctors and handing out incentives and free shit for prescribing narcs for any and all pain complaints...big part of the problem.

Pharmaceutical bosses who withheld data that showed that their drugs were HIGHLY addictive, who pumped more and more resources into selling and advertising their drugs for use in situations where they were never intended and then ignoring all red flags for better profits...yep, also the problem. Yet none of those people have been held personally accountable. And likely never will.

I'm all for personable responsibility, and someone who out of the blue decides to try out heroin gets no sympathy from me. But there's a lot of people who got prescribed oxy for a chronic or temporary acute condition who got fucked. Because, hey! It's medicine, a doc gave it to me and I feel better when I take it, so it must be working! Right?

Narcotics have a very limited window of use in medicine and very little use in chronic pain. To late now though.
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  #229  
Old 14 January 2018, 13:19
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litepath litepath is offline
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Quote:
Originally Posted by Polypro View Post
Or do what Portugal did, probably save a few wedding party caravans that way.
No. Sorry! haha. We'll have none of that here. Whether in Big-Biz/Healthcare or .gov, we'll not look and learn from the success of others. We're better than that! /
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