How Often Do Doctors Know About Another Doctor Prescribing?

[Poppyseed123]

Big Brother: it's a comin' read today's NYT's re: PK's....forcing us more to IL activity. Shameful, shameful...shameful country in how it treats CP patients.

 

[Renegade]

My 3 cents about med databases-

 I have found that most doctors may not want to 'find out' who is taking what, so they do not look at the state database, much less National. Or, they simply are not use to the idea of checking it or paying (they have to pay to access it).

Except, I did have one look me up and it was embar assing!  They just said, 'go to one of those docs', not here. They did not tell the other docs.

Mostly this is all 'for us' to help us not get hooked, okay? and after that is I suppose scoping out dealers.  I didn't come across a serious threat from database from what I read about it, or experienced.

Btw, Missouri is the only one that still does not have a state or other med database!  (as of this date)

but they are so highly scrutinized that if you went there for meds you have to watch out for the do-gooder at the pharmacy turning ya in.

Moreover you have to watch for the pharmacist looking you up - more than doctors. The last doc I went to even told me to keep with the same pharmacy so they get to know me!  Once you keep going to the same doc, its more likely you are 'in' and wont be outed - and they become on your side too!

I found C*V*S the most unlikely to check 'anything'

 

[2earls]

I had a friend that got caught doctor shopping and hitting up the urgent cares by a doctor that did decide to check her. She was embarrassed but she wasn't careful because she didn't realize this could happen. I try to keep my record "clean" and have even gotten a printout from Walmart of my last year's prescriptions. If I supplement my prescriptions I do it through vendors on here and although my doctor has yet to pee test me, I always make sure I am clean of anything else when I go to see her. Unless of course I have oral surgery or something documented for use of other drugs. It's so hard to find a doctor to prescribe pain meds in the first place that you have to be very careful not to blow it. My friend said it took at least 10 minutes to check her so that may be another reason doctors don't check besides the cost.

 

[Renegade]

I agree, building a relationship with one doc is key. Even the doc I see peed test me at the beginning and then she stopped. The last one she even caught me on some extra pks and I just said I borrowed a few! I really don't understand she didn't bust me but hey...I'm not complaining!

Ya, its possible that time matter to these docs too, to check a database is probably a time waster. Thanks for input.

 

[kindsty]

Some states have the online drug database you can find out online if yours is one not all states have it in my opinion it is very unconstitutional it have invaded the psnts/doctors privet relationship and made many docs afraid to write scrip's it has made the demand jump for H and other street drugs but the only way they can tell is if the clinic/office is linked with the other docs for the most part they are not and the database is only for control substances.

 

[Allhoney75]

Why are they targeting pain meds? I mean really? People are on harder drugs and they are targeting pain meds. This all seems outlandish to me. I'm not a big conspiracy theorist but this one has me wondering what the heck is really going on. What next.....muscle relaxers, antihistamines, I mean come the phuck on! Just stupid. People are out here suffering just because they want to get  political. Just dumb.

 

[Wicked4209]

In Maryland it seems most docs are tied into the system. I have lupus so I see a couple different docs and they are not necessarily tied into the same medical system. Yet almost each specialist Ive seen has asked me questions related to other appointments. When I was looking for a new rheumatologist, the last one asked me about an appointment I had just the day before. I didn't receive any meds or tests as I was only "interviewing" a few to make sure I liked them. I was surprised how all of my appointments were readily available to her in just a couple clicks. 

 

[timothy329131]

I'm getting mixed signals on how it actually is in the US. At first I thought there was no such nationwide coverage, so you could go to one state and then another, pay with cash, doctor shopping basically, and get what you need. Now I hear about stuff like PMP. 

In the UK and other state run health services, your notes are all centralized so there's no way the doc wouldn't know, even if you moved to the other end of the country.

 

[A.C.]

A LOT of Doc's don't look cuz they DO trust us(i.e. My P.Care doc of 20yrs, who convinced me to use the same pharmacy every time) hell even my pain doc, but.. he knows I'm not putting him at risk, I like him and he takes a good 45mins w/ me each appt, roots me on.. IDK how to tell him this taper.. wasn't my idea, I got pushed out by my P.Care doc who had me on all my meds, then, after 5+ u/a's for thc, he was told he couldn't write for me anymore, WHICH I would HAVE understoood had HE not been the one to tell me to "go ahead and use it if it really helps and is helping you take less" jump ahead 3yrs, one day he just said "I can't anymore?" After 30-40x's telling me he'd NEVER cut me off... this was during a "med break" I had em switched so the one that worked best would start to again... well.. here I am almost 2yrs later and I've been "out", meaning going out, less than most hermits.. let alone most people my age. My quality of life got a huge dent.. and like all dents and the such, if not fixed they get worse and worse as time goes by. I NEVER wanted to be on 'Done again full time, this was supposed to last 2.. 3 mo's max then back to my normal meds. I'm pissed, my P.Care doc even had the balls to say "I can't write you anything" after I came in complaining of pain after a fall.. I DIDN'T ASK I just wanted a MRI and a few other pics, to make sure nothing was worse(ya anxiety and chronic pain go hand in hand, and if ya let it, one can eat you up while the other.. spits you out).. I NEED to move to a Mmj compassionate state, my state did not have a "linked in" system til May or June last year.. I just want my damn life back.. not to end up cut off and reverting when I've done SO much work to keep myself at a lower level.. My past CAN haunt me even if I was under 21.. Honesty is NOT the best method w/ every doc.. and once MMJ is approved in the next yr or 2, what are they ALL gonna do? I mean SERIOUSLY "Hey! Lets kick this chronic pain pt of 7yrs off all his pain meds, so he's in full blown w/drawls and HAS to go to the streets to find something!!" It's the gov't alright.. we took all aphies poppies.. it's almost like population control or something like it.. Let's cut em off their meds and maybe they'll run for street d0p3, and OD!! I do hate most politicians and imagine 90% of em speak just like that, right after taking their morning adds, desox.. then poppin a few of deez and those through out the day and lest not forget they NEED stuff so they can sleep.. because if they didn't take something, could any of you sleep ok knowing the amount of agony you've caused, cuz usually only narcissists and sociopaths can.. the rest, just threw their morals out the window for power.. $$

"It's the same story the crow told me; it's the only one he knows. Like the morning sun you come and like the wind you go. Ain't no time to hate, barely time to wait, wo, oh, what I want to know, where does the time go?"

 

[sociopathicbombshell]

Ive found a nice doctor as crooked as a pawn shop. Works out of his house. I referenced his first name from an Obscure Greek Lit book and now he says I mustn't worry about payment? Psychiatrists, I have found, enjoy their sessions to be more like peer counseling than an actual visit. They're as crazy as we are to have such an interest...My bf goes to see Madame cat eye glasses q 2 wks and she vents to him about the current state of affairs with regards to healthcare in the state. "And yes, while the methylphen is working wonders..it seems to have perhaps exacerbated my heart rate, and thus...my anxiety. ..." Back to the nodding and empathetic looks of one mental health worker to another while she absent mindedly scribbles away on a control rx pad. ♥♥

 

[Suzie]

I'm getting mixed signals on how it actually is in the US. At first I thought there was no such nationwide coverage, so you could go to one state and then another, pay with cash, doctor shopping basically, and get what you need. Now I hear about stuff like PMP. 

In the UK and other state run health services, your notes are all centralized so there's no way the doc wouldn't know, even if you moved to the other end of the country.

​I'm in the US and my doctor can see everything on her computer when I go see her.  I used to get subs from a psychiatrist which I think would not count as dr. shopping but he didn't take insurance so had to quit him.

 

[sociopathicbombshell]

The PMP is sponsored by the DEA and feds because so many people were using their wifes insurance at one doctor, using their VA insurance with their VA Dr, paying cash at another provider, and so on and so forth.

 

[A.C.]

Ive found a nice doctor as crooked as a pawn shop. Works out of his house. I referenced his first name from an Obscure Greek Lit book and now he says I mustn't worry about payment? Psychiatrists, I have found, enjoy their sessions to be more like peer counseling than an actual visit. They're as crazy as we are to have such an interest...My bf goes to see Madame cat eye glasses q 2 wks and she vents to him about the current state of affairs with regards to healthcare in the state. "And yes, while the methylphen is working wonders..it seems to have perhaps exacerbated my heart rate, and thus...my anxiety. ..." Back to the nodding and empathetic looks of one mental health worker to another while she absent mindedly scribbles away on a control rx pad. ♥♥

​I wish I had better insurance.. I WAS having a blast w/ the student residences for a good 6+ yrs and they LOVED me cuz I'd tell em ANYTHING... One even recommended and got Marinol approved for my Fibro flares, they listened!! WHICH is what you NEED a shrink to do, but a lot could care less and you're a # to them. Like this jackass they locked me to.. Would you wanna go see a shrink, for anxiety/panic disorder & dealing w/ chronic pain if EVERY FREAKIN time you went in he said "Oh, so you still on X and Y? Yes you are going to die soon my friend, you take those meds for years then one day you just die, happens all the time, number 1 reason for death" OK so I'm anxious before I go in, as well as when I get in knowing what's coming.. He knows I don't care what he says, he also knows and can see my history. I'll probly have to find a new one after this next visit, cuz I'm not putting up w/ it.. he's prolly 70, he doesn't speak English well(swing and a miss strike 3!)

Ya the guy I'ma tell my problems to, is always gonna tell me I will die(I've told him yes, we all will) I don't understand 1/2 of what he says.. I really liked the students(well residences) they learned way more from me than I did from them, but that's ok.. it was the conversations, my total honesty.. I felt GOOD coming outta those appt's, I've had both since my mid 20's.. Anxiety started when I stopped touring and I realized I was NEVER gonna fully come down off all the acid I took.. so I embraced it as well as myself.. I LOVE BEING A FREAK!! The docs not so much?

Now IDK that I wanna go back. So this will be it. He doesn't help me, I have more anxiety about appts w/ him than when I'm done.. I'd LIKE to get a new one who treated me like a peer, the residences all did that and were all my age or a year or 2 younger. Since I have medicaid no dr would even see me if they were $ only. So.. I get to go hunting yet again. I think once they get to a certain age, any patient who knows as much as I do, makes em mad? Especially when they're the "Top" dr there. I had a great one for 5-6 yrs before I got hurt.. he was like that but.. he's not with us anymore. This jagoff I see said he was irresponsible and musta been a young excited kid(all my regular ones have been old dudes), I said no my friend, he was the Dr who had YOUR position before you.. he ran this place and did sattelite office work for you guys. He was a GOOD man, worked til he couldn't for the V.A,, The one before him, at 19 had me on 4 beans and would write w/e I told or asked for.. which weren't more beans, he just kept giving em to me, then.. they got a new counselor who dug into my records and had him kick me out of the whole program, no reason given.. she was a mean bitter woman.. A LOT of social workers are, IDK why they get into the field, if they've never "been there"? 

 

[sociopathicbombshell]

Its rather sad to see the Hippocratic oath be completely ignored by someone not having enough confidence behind their carpals. For the love of God, what is the sense in even studying disease concept and etiology and pathophysiology if once you recognize the issue at hand, you simply state it as an ICD 9 code for insurance?!

 

[A.C.]

Its rather sad to see the Hippocratic oath be completely ignored by someone not having enough confidence behind their carpals. For the love of God, what is the sense in even studying disease concept and etiology and pathophysiology if once you recognize the issue at hand, you simply state it as an ICD 9 code for insurance?!

​I agree, I tried to like your post but.. I now can only like 3 posts/day... I LIKED the 10/day MUCH better cuz I'm not on here EVERYDAY.. so I try to "catch up".. I am gonna tell this guy on Weds, I need a new one, one who SPEAKS clearly, LISTENS to me and cares more about my past and me, than what meds I've been on or am on.. when that's their #1 concern, they don't care about YOU as a patient. 

 

[sadminion]

reading your guys posts make me think, I loved and i mean loved my pain management doc and my old psyc doc. both helped me so much and they listening,.  Something very rare to find these days.  They dont look at your seriously and if they do look at you at all they look at you in judgment!.  I also have severe anxiety that goes along with my Asp syndrone and depression. Anywho, I was so scared to go to a pain doc in the first place. I was scared they judge, was scared it wouldnt work.  I was so physically ill and in pain when i first went too all sorts of things went through my head and i thought i would be chucked to the curb.  Here came this white night on a horse and listerally saved me.  Gave me somewhat back my life as the pain consumed it so badley.  Honestly didnt even know what pain meds where when I first started.  They would put me on a all DAY meds and then I would have break through meds. Ah and life flooded back.  All the sudden that thing clamped onto the world of pain management right when my doc went on  leave for having a baby.  So the person filling in didnt know me and treated me like I was some drug addict.  Mind you MY  doc would lower and raise my pain meds as to quAlity of my life...These guys took me off EVERYTHING out of noplace....

leaving me in a huddled ball of detox, which i knew nothing about, flaring up every ailment i had in resistant!!  I went through utter six weeks of damn hell.....and calling and crying begging for help..

THEY TOLD ME THEN I NEEDED TO SEE THERE SHRINK AND WOULDNT GIVE ME AS MUCH AS A MUSCLE RELAXANT UNLESS i SAW HIM...i said i see a shrink and he works with you guys in keeping me sane and well. There like no! Our shrink,,,,there excuse is im now to depressed to even gets meds...Ummm HUH???  THEY SAID CUZ I WAS CRYING TO MUCH..AGAIN UMM HUH?

IM  crying because the pain is soooo bad I cant even breathe,...

anywho, my doc finallllllllllllly came back and i thought wahhoooo!! Now i can get back on MY MEDS and slowley go back into living life again..WRONG!! she woudlnt give me my scripts..

she said i wasnt used to them anymore so she needed to put me on something that wasnt as strong....again, um huh, what???  She put me on 12 hour oxy something that was 10 mg,

i was used to taking fentynil 100 mcg and roxies 30 mg twice daily....

what the heck was 10 mg going to do it for me...she then proceeds to tell me try it and if i need more she will up it...

well within two days im calling her crying, cant even put weight on my legs....

she then informs me that was all i was getting and that she couldnt give me anymore, that if she did SHE would end up in trouble and fired, so my care went from do you need something else and are u living a good quality of life each month,,,,to im sorry, we cant help you anymore...

i cried and said ur my doctor, your supposed to take care of me and not hurt me....this is physically hurting me.....

this country really sux!!!!!

sorry if i rambled but im so mad my docs let my life deminish so badley !!

 

[A.C.]

@sadminion I've been there too.. I went from climbing around Red Rocks for 3 days, spending a few weeks in diff cities.. I got altitude sickness, that blew.. but I was living. And I had no problem w/ it. I never thought I'd end up here and it sucks, I don't even want what I was on.. just what I think I'd need. I'm sure it could be adjusted. But I won't find one that'll treat me, til I take a 3 month break off the pain med that is the only reason the others work,, as well as works better on my nerve pain than anything I've tried.. the natural medicine.. no no no you don't do that! You take this poison, and drink if ya wanna... that's ok. But the days of pain maintenance seem to be nearing an end, soo is the gov't getting ready to use the herb as a substitute to get rich, cuz it's gonna put some outta business. I just wanna get back to visiting places, people.. seeing live music at the best venues. 6 mo's after the change.. I struggled to get out. I did, but usually didn't wanna. And it's hard now. Pain is getting more and more ridiculous. I know what'll make me feel better.. BUT if I can barely move, due to pain, I can't move and that's what helps.. I moved a lot.. last summer didn't bother using my pool, canceled R.Rocks, lost a lotta $ on tickets. I've done the best I can, w/ something I didn't realize I was getting into.. I really tried. If I was able to live more I'd still be trying, I've been this low before. But that was years ago. Before I had all the neck surgery, the problems sucked but the pain was bearable. I always had a headache, still do.. never goes away. Doc told me that it'd get worse, but I couldn't move my right side due to a disc on the spinal nerve. Otherwise I woulda waited. I guess I need to make some appts. Somewhere's gotta be ok w/ what I want, it's almost = to the converter which imo, is WAY off.. but I'm opiate specific, 'oids don't work for me even w/ max doses. I've been on em all max er and ir, only Ms worked, patches did but not 3 days, and I needed 2, 100 & 50, I got em for awhile, they helped, but.. it didn't last. After awhile I just got tired, which would be high to most.. so I went back. Was on 450mg/day, I could get by w/ 175-205, w/ ir's.. so less than 1/2. I'm so low I short myself cuz I get worried smh. I end up in w/drawls cuz I don't take the right amount cuz I'm so afraid I'll get low, or run out a day early.. I used to have an extra 20 or so every month... now I may have 2-3. 
I kicked my shrink and my barz to the curb.. I can't deal w/ him anymore, so I'll TRY to find someone who'll least keep me on 3mg/day.. I don't *need* 5 and rarely take it. I wish the US used Lexill!um, IDK why they don't? 

I think this, had a lot to do w/ why '10-13 were much better, as well as the meds that worked.. but for a few years they stole all my emotions, feelings.. I was on way too much.. then light broke through.. I don't wanna go back to that.. but I DO wanna go back to how I felt around 18-mo's ago.
 

 

[sadminion]

looks like we are in the same boaT, SORRY UR SUFFERING AC, ..my life is not what it was and i really think nobody cares.  The patches never worked more then 30 hours for me too...

seriously do not know what on earth to do ..

new gp today so ill seeif he is empathetic..fingers crossed

 

[sadminion]

back from new doc...sending me for zillion tests and to other doctors..gees louis, i been there done that soooo many times,...I just wish they would freaken treat me already without doing this six month dance, from test to test and from doctor too doctor ..

 

[A.C.]

Good luck, I'ma try to find a new one next month,, I'd WELCOME all the tests as I can feel more is wrong. They never do a full spine work up w/ contrast? I know I have a nerve root, being totally squished, due to stenosis, and no one seems to think it's a big deal yet I have days, several at times.. I literally can't move due to the intense pain it causes in my spine and hips.. I can't sit, get comfortable in any position.. so ya, you're not alone.. it does feel like no one cares most of the time.