my florida pharmacy door

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In Georgia, my CII med

In Georgia, my CII med scripts come printed out on standard 8x11 paper, signed by the doctor; there is no triplicate script.  Something probably goes into the computer database somewhere (state-wide or institution wide I don't know), but I've rarely gotten scripts that haven't been printed out on Emory letterhead with my Dr's signature.  They say it's so there's no confusion for the pharmacist over quantity, instructions, and medications.  They're probably less tamper-proof than hand-written scripts.  (Oh, the 8 x 11 DO have watermarks that say VOID on them if held up to the light).  I think it's to eliminate any confusion as to meds, dosage, and quantity.

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In Texas

My PMD prints prescriptions on 8X11 also and they are only valid with a seal.  Here in Texas, they have been actively lobbying to have some CIII and CIV medications changed to CII. Had to go back and find my bookmark of this but it gives an idea of how things are here.

The DPS in this state has access to our pharmacy records, and I find that hugely problematic from a privacy and security standpoint. Also, the fact that their access to those records is not made publicly known is scary, as is law enforcement being trained in "addiction" to these medications without sufficient training with regard to the legitimate reasons/conditions a patient has for taking them. There are too many other things that need government and law enforcement attention more.

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Hey Luckee

this is off subject but does your screen name have anything to do with the movie "Napoleon Dynamite"?      Greg

jamie L
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Ignorance is bliss ???

Somewhere on here I explained how I have been ignorant in regards to my own health issues. My health issues started in my early twenties and back then I completely trusted doctors. Now twenty something years later I do not trust doctors completely and find it necessary to do my own research. When I was originally diagnosed with one of my health conditions I was in my early twenties and will never forget the Doctor saying "You are to young for this" while looking at my tests however this same doctor gave me something equivalent to an aspirin for pain while I was just recently stuck in bed wearing depend diapers because I could not move. I did not know much then but I did know something was terribly wrong with the entire situation. So I fast forward to today... Has it always been this way??? Twenty years ago was the media in a frenzy? Were pharmacies putting posters on the door? Were there pill mills? These are not rhetorical questions I am truly asking. I went to my doctors and to the pharmacy and I do not recall any of this but maybe it was the area I was in. I also went to wikipedia and saw that oxycontin has been around since 1915 or so. If I am correct in saying that 20 something years ago this was not an issue like it is today then how did it become such an issue? I understand people have abused drugs, overdosed, and so forth but has that not been going on for as long as time? I feel like I am missing something here. Maybe one of the factors is this is the age of technology. In my early twenties we did not have PC's in every home, or hundreds of television channels to choose from, the internet was barely existent it was more like a big bulletin board. Even the media only had a few news stations and it was (or atleast appeared) more like news then what I see today (a different topic). I know I am dating myself here but I feel like this has to be what is going on. Also through the years there are more specialists then ever before. I just thought I would add my 2 cents in and see what others thought about this. Okay I am done with this for now. When I am not ridden with the flu bug I will get back in to this! Jamie

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I cant attest as to my

I cant attest as to my personal treatment about "20 years ago", however I do now that 10 years ago when I was first diagnosed with a painful condition I didnt really have a hard time getting pain meds at all. Well, actually I had completely no trouble getting properly treated and the first doctor I went to for my condition has been my doctor for 10 years now. I do know that my grandmother was in chronic pain probably from the late 70's through the late 90's when she died and during this time she had no trouble getting medications either.

 That being said, over the years there have been spikes in prescription drug abuse which has caused media attention resulting in government attention, which eventually makes the doctors cut back Rxing medications even to patients that truly need them. Like in the middle 60's Percodan had become a very popular drug of abuse also during the 50's-60's Darvon was a popular drug of abuse, as well as Talwin during the 70's. Once it became known that so many people where abusing it doctors did start cutting back on Rx's. Or in Talwins case, came the addition of Naloxone.

 Another thing that has made opiate prescriptions such an everyday thing has been that the DEA had finally agreed that it was okay for doctors to treat pain as a condition and not just a symptom. Im sure there have always been "pill mills", I know theyve been around the Detroit area for much longer than theyve been popular in Florida. It used to be that pill mills were only seen in the "bad" parts of town. That has definitly changed. Ive personally never seen a sign on a pharmacy window as in Goats' post, however Ive been told plenty of times that "we dont carry that medication" or "we just ran out and it will take a week to order" or "we cant even order that, that medication is a CII" (I was told this by a pharmacist at Target,as if it were illegal or they for some reason arent allowed to order CII's!)It used to not be so in your face when pharmacies didnt want to deal in certain meds, which usually results in them just lying to you. Atleast goats' pharmacist is being straight up, regardless of the age discrimination. Im sure the pharmacist would make exceptions to the 25 rule when the pt is in true and obvious need of the med.

 Just like there are more legit doctors turning there once profitable and honest practise into a combination legit/pill mill office. You have to remember that people with professional degrees are effected by recessions as well. Once patient numbers go down because regular people with the sniffles, cough, cold, tummy ache, etc. cant afford insurance or cash visits doctors will seek ways to pay there student loans, mortgage payments, lease payments, car payments, and general everyday payments to keep up there lifestyle. This here is a prime example of why some doctors, like Dr.Heromin may have started doing the whole pill mill thing. When you look at how many people are willing to pay $125-300 or more cash versus $45-75 for normal PCP office visits, Im surprised more doctors dont go crooked. If you are a crooked doctor that see's 15 pt's a day at $200 a visit and your open 7 days a week, that comes out to over 1 million a year, usually to sit in an office and have the nurse bring the person in or just there chart. Plus when you deal strictly in cash you can report whatever you want to report on your taxes, since the Fed has no idea how many hours your open.

According to someones addition to wiki Oxycodone was available in the US, I believe they wrote 1939, which Im sure wouldve been a spoils of war patent. The government allowed US companies that were big players during WWI and WWII to buy German patents for something like $1. However this being said, Percodan didnt receive approval until 1950, Percocet in 1976, Tylox 1982 and Roxicodone not until 1998. So, Im going to assume that the person who posted 1939 on wiki is either wrong or is refering to compounded prepertations being availble at the early date. Oxycodone itself really didnt become a household name probably until the middle 50's-60's once Percodan became popular.

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In reply to jamie;

I think the opposite is true,and that the rich were the ones who were able to find pain medication many years ago,or get treated by their Drs.,either in a way that was needed or not.People with either very good insurance or a lot of money,and this usually went hand in hand years ago.I don't think it was until the new laws were passed making treatment of pain easier and more accessable to a wider area of society as a whole,(even the poor *gasp*) that the real "war on drugs" began to take over.

I don't think ignorance is ever bliss,but the lines have been blurred in regards to how much they care now that everyone has the same right to proper pain management,and I think this has always been true in our country as far as people who are classists. 

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Lukee-That is rather

Lukee-That is rather disturbing information.

Solo-I read in a post here somewhere that malincrodt methadone was inferior to other manufacturers.  When my prescription changed to methadone,  I called Target to see which brand they had.  I wasnt so blatant that I came out and asked which one they had but rather first asked if they carried methadone 10mg tablets.  The pharmacist answered-"no we do not have THAT, HERE" w/ bold letters to convey the emphasis on these words you can get the picture. I was a little shocked so I didnt think to ask why.  I got the opinion though that this woman(head pharmacist by the way) associated this drug w/ methadone maintanence rather than pain management.  I get many prescriptions filled and have verifiable chronic lifelong diseases.  I am treated very well there.  My girlfriend had worked at Target for over 8yrs, 3yrs at this one when she was elevated to management, she just took a new job (nothing to do w/ this issue). For a head pharmacist or any pharmacist to react this way to a medication request is troubling.  I want to tie this in with another comment someone made about pharmacists and their right not to fill certain prescriptions if they feel uncomfortable(for ANY reason).  I am a little concerned.  What happens if so many feel 'UNCOMFORTABLE" because of robberies, heat from the DEA, or whatever reason, that we REALLY have a hard time finding our needed medicine.  It worries me.

Right now I am being seen at a major hospital an hour away in Jacksonville FL. I started going there to see a rheumatologist that was rated the best w/in 100miles of me.  Long story short we live in a small town in SE GA but are moving an hour north so that makes it about 2hrs to my hospital where I see not only my rheumy, but my PM doc and pulmonologist.  I am ok w/ this as good docs are hard to find and they try to schedule appts/testing for the same day if they can.  The only one I see every month is my PM the others every 3mos.   But what happens when and if we were to have to move again?  Are there any of you out there that have moved recently?  I cant imagine starting fresh in a new city, it scares the bejesus out of me.  It took me about 2yrs after moving here to get myself to a point that I can say I am not majorly depressed and severely restricted in what I can do, I have been through this process twice in the last 12yrs.  I dont know if I could do it again, I aint getting any younger.  I hope I am worrying over nothing but I dont think so... too many signs point to a trend.  I believe it is a backlash against "overprescribing" that happened after they made doctors ask about pain and it is now considered a vital sign(big joke)supposedly.  A Doc/patient conversation like this one could fulfill this:Doctor:How is your pain? P:Pretty bad, it took me an hour and a half to get moving around this morning doc.  D:Now then what brings you in today, it looks like your blood pressure is a little high, blah blah blah...on to the next subject.  This happens, they asked you and supposedly recorded your response, but it doesnt mean they intend on doing anything about it. Its not just opiates.  The first doctor I saw when we moved here looked at my Rx list.  He wanted to discontinue my xanax.  When I protested, he asked me if I intended to be on xanax for the rest of my life(i had only been on it for 3-4mos at .25mg as needed #30 per month.  Miniscule dose(lowest they make) and allotment.  I started on these for the first time in my life after a house fire killed our 3 dogs and cat while we were out of town during xmas no less, and lost everything we ever had.  About a month prior to this office visit I had learned it was officially ruled to be an "incindiary fire" basically arson. Needless to say, I moved on but still I cannot believe the insensitivity, unbelievable. His office has since moved right next to the Soc. Sec. office, perhaps he was having problems keeping patients.

My post about the junkies and the tracking systems earlier was because I truly believe that this situation in FL has to die down before the media and law enforcement will "chill out" over prosecuting a war against its citizens who require opiate medications.  While a good percentage of these people are indeed addicts w/ no real reason to visit these "pill mills" I truly feel sorry for the ones who have real health issues but are presently undiagnosed.  In some instances these places are a last option for them. I have already heard of CPP declaring themselves addicts in order to gain entrance to methadone maintenance facilities extensively to treat their pain.  That could cause real problems for them in the future whenever/if they are finally diagnosed w/ something.  

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My  one pharmacy in Daytona Beach has signs up all over that No Scripts Will Be Filled By Any South Florida Doctors.  So Its making its way north.


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I hope it doesn't make it's

I hope it doesn't make it's way to state up.  Not really worried about my pharmacist, but I hope that GA doesn't become the next "pill mill" state....I only bring that up because a local TV news station hyped-up and  did an "investigation" because a billboard popped up for a pain clinic, whose number actually led to an attorney's office.  I guess he knows a doctor that will prescribe meds, do MRI's, etc in case you decide to sue due to or need an expert witness in a drunk driving case.  Ambulance chaser stuff to some, but who am I to judge - both the attorney and doctor were up front about the need for them to do their due diligence (make sure there was an accident, see police reports, etc) and if someone is seriously damaged in an auto accident, I can totally relate - been there.  What I thought was going to turn into a hit piece turned out to be chance for a doctor to explain CP and his rules for being a patient, and the lawyer had his chance to explain his right to practice as well.  Billboards are usually shady, but the TV news station were left with their foot in their mouth.

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op meds

I have a brother in law who has been on oxy 80s  for many years and his dr,s switched him to opana and he says he dont like it at all