my florida pharmacy door

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celticgreenman
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Triple 'scripts

Unfortunatly, Florida is the only state in the USA that does not use triple sheet prescriptions for Schedule II drugs (e.g.  morphine, percocet, oxycontin, etc).  Thus, addicts from all over the nation go to Florida with fake or suspicous medical records to see a "Pain Management Clinic".  There, they get 'scripts for hundreds of narcotics, sedatives, etc.  They may go to several of these "clinics".  When they get all their drugs they return home.  They can sell part of the drugs to pay for the trip and the rest of the drugs are theirs.

Until Florida goes to triple 'scripts (One for the pharmacy, one for the State, one for the doctor) the system will be abused.  Stores have the right to protect themselves and to determine who they will serve. It is a known fact that the under 25 year olds are the ones who use and abuse drugs the most.  There are plenty of pharmacies who will serve legitimate patients who are under 25 years of age.

 

 

 

HCandKROD
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Posting the doctors names

on the door may look bad but I Googled the first name that you can read Mubang I think and I got a lot of hits. The guy is truly a criminal. He is wearing an ankle bracelet now pending trial. If you have time Google Mubang in Florida and you will get a lot of info on this scumbag. I see why the pharmacy won't honor any of his prescriptions. Have a great one!!!  Greg

stormeevampira
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I chose the second. I finally have something to say!

Hey HCandKROD,

I did the second name, Heromin (Ronald J.) & he is not hitting on too much either. 

Thanks for the suggestion!

Your fiend in NC,

stormeevampira aka the verminator

PS ~ We do not have triple scripts in NC, at least where I go.  We get computer scripts, unless you are Medicade CII, then you get a duplicate hand written prescription, kind of a bluish green paper. (according to the docs office, this is required for Medicade CII's).  That really surprised me, you would think the computer printed script would be required, as it seems it would be much harder to tamper with.   I have only received the hand written duplicate script one time when the computer was down.   I had no idea what I had received when I first saw it, I am so accustomed to the computer printout.  How times have changed!

SoloCPhT
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 Michigan does not use

 Michigan does not use triplicate scripts for CII's and hasnt in probably atleast 10 years, which was around the time they iniated a controlled drug tracking system. Im pretty sure that most of the states that used to have stopped as well since something like more than 35 states have implimented tracking systems. Also, most doctors are writting there scripts on new security enhanced Rx's now. The medicaid/care system has required doctors to use new blue on the front white on the back security scripts that cant be washed, copied, etc. Im sure there are some doctors still using plain white pads for there cash and commercial insurance pt's and then the security ones only for medicaid/care patients, but it will get annoying eventually switching back and forth.

elderstatesman
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Ivy and Goat

I understand your views on believing that young people with true chronic pain should certainly be treated with long term opioids if that is truly the best or only option left.  And those that are just suffering from some temporary pain would be better served by finding another way to deal with it, or with only using opiods for a short time.

But how do you know which is which?  How does anyone know?  There are so many illnesses and pain syndromes out there now that people go for years before being correctly diagnosed, or not being correctly diagnosed at all.  The problem is now doctors are forced to make judgements that they are not educated or experienced enough to make.  Rather than take a chance of being wrong, the safe action is no action.  And our young people and even many of our middle age and elderly suffer because of it.

Dress it up any way you wish, it isn't moral and it isn't what they signed on for as a doctor to see patients suffering and to drive them away.  My simple opinion.

Ivy
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I agree.I was thinking about

I agree.I was thinking about that whenever I was finishing up my post and I thought about that.. then thought about deleting it,but wanted to see where the discussion went.

As we know that all pain is subjective and only the patient really knows if their pain is chronic enough to warrant long term opiate therapy,the discussion always goes back to the Dr giving the patient the benefit of the doubt,and we all would want to be believed and treated with the respect that we deserve.

It doesn't matter that I think some patients are abusing the system,that is only my opinion and I could be wrong and probably would be 50% of the time, but I'm not the Dr. A Dr can't afford these guesses or opinions,and a patient doesn't deserve them.

coonhoundban
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norcalwgfan, c'mon down, the

norcalwgfan, c'mon down, the weather's great and no need for confrence calls ???$* you dont even need a referral.  Well hopefully FL gets its system up and running soon so signs like this wont be necessary for long.  Its easy to belly ache and moan guys but think about the poor store store owners trying to make an honest living. What?....continued.....

elderstateman, you make some fine points. I started going to a pain managment doctor at 28, that was 11 yrs and 2 chronic lifelong diseases ago, so I know you cant judge a book/man by his cover.  At the same time if you havent seen it(FL) down here you just wouldnt believe it.  Personally I couldnt care less how many junkie scum shoot up talc, dye, and whatever else to get a high as long as pain patients get the treatment they need.  Unfortunately John and Joanie Homeowner do care, and they are the ones, the not in my back yarders, who are seeking to close down all pain clinics.  They dont know the differnce see the junkie scum are ruining it for us legitimate CPP.  I also could care less how many OD or get HIV as they are grownups and thats there choice, but the DEA and the FDA do care and their "tinkering" only makes it more of a pain in the @!^ for you and me.  Picture a regular run of the mill strip mall or shopping center.  Now picture that same one, just like the one in your neighborhood, but devoid of any customers except those crowded around the pain clinic.  Oh I forgot those just outside the view of the security guards, huddled around cars with liscense plates from KY, TN, Ohio, WVA, everywhere but FL.   And those who will ask you to use your phone for a "minute" or try to panhandle and leave the parking lot littered w/ cig butts, soda cans, assorted trash untill it resembles a stadium after a ball game.  Unfortunately, signs like those up at goat's pharmacy are due to these same junkie scum who just happen to all fit into the early 20's-early 30's age bracket.  I called several of these sham establishments.  Conversation goes something like this.  Do you take patients w/ autoimmune related chronic pain?  No, do you have an MRI of your back?  My back is fine, other than muscle spams, I do have a referral to pain management from Johns Hopkins University Hospital.(Top 20 in country) Uhhmmm, we dont take those ones.  Why not?  Have a nice day!     All my doctors are at the same major hospital in Jacksonville.  I did get a referral from my rheumatologist there to a well reknowned PM doc also there. My pulmonologist is located there as well.  Good hospital, great care, never had problems getting a script filled from there at any pharmacy. They are well respected and the doctors give you them a few days prior to needing them filled in case of stock or ordering problems.

So, that my friends is why there are signs like that on the pharmacy door.  Believe it or not as much business as these scum bring to a pharmacy, legitimate customers actually keep the place in business as they buy more than oxycodone and marlboros. Hopefully they will not be there for long.  Hopefully the snowbird junkie scum will be heading back to KY, WVA, Ohio, TN where they came from and all the commotion, judging, and stereotyping will die down a bit. Go FL tracking system!!

 

celticgreenman
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Triple 'scripts

To SoloCphT - sorry, I'm old.  I used triple'script to mean that Florida is the only state to not have some type of reporting on Schedule II drugs - be it triple 'scripts or computer reporting by doctor or pharmacists.

cgm

HCandKROD
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I don't have a problem in the world

with say a 23 year old with a valid medical complaint getting the help that is required. I also don't think it's all the doctors fault but unfortunately going to see a PM doc is a lot like a job interview. They claim a human resources person makes their decision in the first 90 seconds of seeing you. Even with age when I was looking for work 2 years ago as I was waiting for my interview I looked around at the 20,30 and even 40 something persons there too and me being 59 years old at the time I knew my chances even though my work records,letters of references, 2 Purple Hearts and a Bronze Star with V device were on my side. So, unfortunately with a doctor who has all the proper paperwork, MRI's, CT's and referrals from other doctors in front of them it all comes down to personal judgment a lot of times.Justice may be blind but doctors are not I'm afraid. My 2 pennies. Good thoughts for all !!!   Greg

Luckee
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Mubang

http://www2.tbo.com/content/2008/jul/16/162158/ex-hillsborough-jail-medical-director-arrested-dru/

Maybe it's me, but I was expecting more than TWO deaths out of 1,000 patients in a PM practice after the introduction of that article and not for at least one of those two to be an intentional overdose. This was a clinic for chronically ill people...some of them are highly likely to choose not to live no matter what they are taking. I don't care if the guy did just get custody of his kids the day prior to his overdose, he might have seen that through for his kids and family before he died...very typical of suicidal behavior...but no way he got the prescriptions two days earlier and consumed most of all of them without intention. The other death doesn't state how much was taken but I think most people would not expect a doctor to be blamed if they overdosed intentionally. I'd rather someone died in peace if that's what they choose than to live in horror, which is what it can be for many. Funny how insistent people are about keeping others alive but they have no interest in helping them at all while they are living.