Comments on: An ER doc tells off drug seekers http://www.kevinmd.com/blog/2007/04/er-doc-tells-off-drug-seekers.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: Colton Casehttp://www.kevinmd.com/blog/2007/04/er-doc-tells-off-drug-seekers.html#comment-94408 Colton Case Sun, 21 Jun 2009 20:02:04 +0000 http://clients.emmense.com/kevinmd/2007/04/an-er-doc-tells-off-drug-seekers.html#comment-94408 Let's be honest about why the drugs needed to end pain are so hard to get. The drugs that make the physical pain go away, are being replaced by Psyche Meds. something that really sums it all up. It is a way to control people by mind control. If you control the mind the body will follow along. If you dont believe this ask any body that has been incarcerated, ( and I dont mean incarcerated for drug related crimes). After being booked into the jail, the next stop is the infirmary and Psyche Meds are given. So by the time the inmate reachs the housing dorm , they can barely do the Thorazine shuffle. Thus you have docile zombies all in front of a TV provided in a day room. End results when the inmate is released from jail, it is a condition of their probation or parole that they continue to take these state prescribed Psyche Meds. Otherwise they violate their parole or probation. Let’s be honest about why the drugs needed to end pain are so hard to get. The drugs that make the physical pain go away, are being replaced by Psyche Meds. something that really sums it all up. It is a way to control people by mind control. If you control the mind the body will follow along. If you dont believe this ask any body that has been incarcerated, ( and I dont mean incarcerated for drug related crimes). After being booked into the jail, the next stop is the infirmary and Psyche Meds are given. So by the time the inmate reachs the housing dorm , they can barely do the Thorazine shuffle. Thus you have docile zombies all in front of a TV provided in a day room. End results when the inmate is released from jail, it is a condition of their probation or parole that they continue to take these state prescribed Psyche Meds.
Otherwise they violate their parole or probation.

]]> By: Colton Casehttp://www.kevinmd.com/blog/2007/04/er-doc-tells-off-drug-seekers.html#comment-94407 Colton Case Sun, 21 Jun 2009 19:55:25 +0000 http://clients.emmense.com/kevinmd/2007/04/an-er-doc-tells-off-drug-seekers.html#comment-94407 Isnt it better to medically prescribe the drugs than to have the patient have to buy medication from the streets? At an unreasonable price of $1.00- $5.00 a pill? If a person is in pain, they are going to seek relief ,be it in another persons prescription or alcohol. Isnt it better to medically prescribe the drugs than to have the patient have to buy medication from the streets? At an unreasonable price of $1.00- $5.00 a pill? If a person is in pain, they are going to seek relief ,be it in another persons prescription or alcohol.

]]> By: Colton Casehttp://www.kevinmd.com/blog/2007/04/er-doc-tells-off-drug-seekers.html#comment-94404 Colton Case Sun, 21 Jun 2009 19:51:52 +0000 http://clients.emmense.com/kevinmd/2007/04/an-er-doc-tells-off-drug-seekers.html#comment-94404 You can rest assured that the same "Keepers of the Key to the medicine chest" do not go through these same hassles. They do not take Tylenol for their extreme pain. Is it just a power play, to make a person"aka Drug Seekers" jump through hoops for the drug? You can rest assured that the same “Keepers of the Key to the medicine chest” do not go through these same hassles. They do not take Tylenol for their extreme pain.
Is it just a power play, to make a person”aka Drug Seekers” jump through hoops for the drug?

]]> By: Joehttp://www.kevinmd.com/blog/2007/04/er-doc-tells-off-drug-seekers.html#comment-93706 Joe Sat, 20 Jun 2009 01:39:54 +0000 http://clients.emmense.com/kevinmd/2007/04/an-er-doc-tells-off-drug-seekers.html#comment-93706 Dear "Doctor": I too am a Doctor of Medicine. I serve the subpopulation of patients that have chronic or acute severe pain conditions. Your rant is typical of burned out cynical physicians who have no business taking care of patients anymore. Like a seasoned police officer who sees every citizen like a potential or probably criminal after years of service, you see every patient in pain as drug seeking instead of a possible real patient suffering from pain. I have seen countless cynics like yourself who think that they know what "pain" is, that is until they suffer from a painful condition that may be life lasting such as chronic severe back pain. It's funny how when the pain hits home they become much more open about understanding chronic pain syndromes and much less concerned about "patients" trying to hit them up for drugs. Countless numbers of people are turned away from Emergency Rooms who have true pain issues because of cynical doctors like you, who blindly disavow their moral duty to alleviate human suffering. Time to retire old timer. Sincerely, Dr. "Joe" Dear “Doctor”:
I too am a Doctor of Medicine. I serve the subpopulation of patients that have chronic or acute severe pain conditions. Your rant is typical of burned out cynical physicians who have no business taking care of patients anymore. Like a seasoned police officer who sees every citizen like a potential or probably criminal after years of service, you see every patient in pain as drug seeking instead of a possible real patient suffering from pain. I have seen countless cynics like yourself who think that they know what “pain” is, that is until they suffer from a painful condition that may be life lasting such as chronic severe back pain. It’s funny how when the pain hits home they become much more open about understanding chronic pain syndromes and much less concerned about “patients” trying to hit them up for drugs. Countless numbers of people are turned away from Emergency Rooms who have true pain issues because of cynical doctors like you, who blindly disavow their moral duty to alleviate human suffering. Time to retire old timer.
Sincerely,
Dr. “Joe”

]]> By: ER NURSEhttp://www.kevinmd.com/blog/2007/04/er-doc-tells-off-drug-seekers.html#comment-92682 ER NURSE Wed, 17 Jun 2009 23:57:42 +0000 http://clients.emmense.com/kevinmd/2007/04/an-er-doc-tells-off-drug-seekers.html#comment-92682 HAVE YOU EVER WORKED IN AN ER ? I THINK NOT. A PAIN SCALE IS NECESSARY TO GET A BASELINE ON A PATIENTS STATUS. IT CAN GO UP OR DOWN,YOU NEED TO KNOW IF MEDS ARE HELPING OR NOT. BELIEVE ME THERE ARE PLENTY OF DRUG SEEKERS OUT THERE AND THEY WILL LIE AND DO MOST ANYTHING TO GET THIER DRUGS.ITS SAD BUT DR,S HAVE TO BE VIGILANT AND THEY ALSO HAVE TO KNOW WHATS WRONG BEFORE THEY CAN JUST DOLE OUT PAIN MEDS.IT COULD DO MORE HARM THAN GOOD IN SOME INSTANCES.ER,S ARE ONE OF THE TOUGHEST PLACES YOU CAN EVER WORK, ITS ALSO ONE OF THE MOST REWARDING. HAVE YOU EVER WORKED IN AN ER ? I THINK NOT. A PAIN SCALE IS NECESSARY TO GET A BASELINE ON A PATIENTS STATUS. IT CAN GO UP OR DOWN,YOU NEED TO KNOW IF MEDS ARE HELPING OR NOT. BELIEVE ME THERE ARE PLENTY OF DRUG SEEKERS OUT THERE AND THEY WILL LIE AND DO MOST ANYTHING TO GET THIER DRUGS.ITS SAD BUT DR,S HAVE TO BE VIGILANT AND THEY ALSO HAVE TO KNOW WHATS WRONG BEFORE THEY CAN JUST DOLE OUT PAIN MEDS.IT COULD DO MORE HARM THAN GOOD IN SOME INSTANCES.ER,S ARE ONE OF THE TOUGHEST PLACES YOU CAN EVER WORK, ITS ALSO ONE OF THE MOST REWARDING.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/04/er-doc-tells-off-drug-seekers.html#comment-85212 Anonymous Wed, 23 Apr 2008 18:51:00 +0000 http://clients.emmense.com/kevinmd/2007/04/an-er-doc-tells-off-drug-seekers.html#comment-85212 "Your stereotyping of patients in pain is why real patients in pain can't get back to see the doctor.Doctors and Nurses think all are drug seekers because theyv'e manifested that way in there minds."<br/><br/><br/>Where do you get that? We love to help people in real pain. It makes us feel like rockstars. We hate, however, to be lied to, manipulated, threatened, berated and belittled because some jerk thinks that the squeaky wheel always gets the grease. We aren't stupid and we know when we are being manipulated so spare us the lecture about stereotyping. <br/><br/>The real reason people in pain can't get back to see the doctor is because people take up our time knowing that medicolegally we have to work up certain complaints with the "million dollar workup" that takes hours. And the whole time all they really wanted was drugs. So they manipulated the system, willingly suffered some pokes, prods and irradiation just to get high. Meanwhile Jenny brokenleg has to wait for the room while the BS pancreatitis is ruled out and the dilaudid sponge is discharged. <br/><br/>And don't think its only the doctors. Family members are constantly coming to us saying- "My husband-son-etc has a problem with drugs. Please don't give him narcotics. He has been to 4 hospitals today for the same pain and has gotten prescriptions at each one" So then we have to go confront the sqeaky wheel.<br/><br/>There wouldn"t be as much of an issue if you would advocate for us to be absolved of the responsibility for what those who seek rx controlled substances for secondary gain. Then we would be free to treat anyone's pain without fear of DEA investigation and loss of our license. And for what?<br/><br/>It all boils down to an US vs THEM situation which has been created by the DEA. I (and many others) am not willing to prescribe scheduled substances to a known abuser (or even admitted abuser like one of the previous posters) and risk losing what I have worked so hard for so many years to attain. So it really does become me against them. Many many docs get letters from the DEA inquiring as to why he or she has prescribed so much vicoden this year...big brother is watching. In this hostile environment, you are right to think that known or suspected drug seekers will get hassled in the ER. I want to make it as unpleasant as possible for them to come to where I work for secondary gain. Now, if you want to take away my personal liability, that is a different story. But as it is, it is me and my family against their desire to get high and my family wins. “Your stereotyping of patients in pain is why real patients in pain can’t get back to see the doctor.Doctors and Nurses think all are drug seekers because theyv’e manifested that way in there minds.”

Where do you get that? We love to help people in real pain. It makes us feel like rockstars. We hate, however, to be lied to, manipulated, threatened, berated and belittled because some jerk thinks that the squeaky wheel always gets the grease. We aren’t stupid and we know when we are being manipulated so spare us the lecture about stereotyping.

The real reason people in pain can’t get back to see the doctor is because people take up our time knowing that medicolegally we have to work up certain complaints with the “million dollar workup” that takes hours. And the whole time all they really wanted was drugs. So they manipulated the system, willingly suffered some pokes, prods and irradiation just to get high. Meanwhile Jenny brokenleg has to wait for the room while the BS pancreatitis is ruled out and the dilaudid sponge is discharged.

And don’t think its only the doctors. Family members are constantly coming to us saying- “My husband-son-etc has a problem with drugs. Please don’t give him narcotics. He has been to 4 hospitals today for the same pain and has gotten prescriptions at each one” So then we have to go confront the sqeaky wheel.

There wouldn”t be as much of an issue if you would advocate for us to be absolved of the responsibility for what those who seek rx controlled substances for secondary gain. Then we would be free to treat anyone’s pain without fear of DEA investigation and loss of our license. And for what?

It all boils down to an US vs THEM situation which has been created by the DEA. I (and many others) am not willing to prescribe scheduled substances to a known abuser (or even admitted abuser like one of the previous posters) and risk losing what I have worked so hard for so many years to attain. So it really does become me against them. Many many docs get letters from the DEA inquiring as to why he or she has prescribed so much vicoden this year…big brother is watching. In this hostile environment, you are right to think that known or suspected drug seekers will get hassled in the ER. I want to make it as unpleasant as possible for them to come to where I work for secondary gain. Now, if you want to take away my personal liability, that is a different story. But as it is, it is me and my family against their desire to get high and my family wins.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/04/er-doc-tells-off-drug-seekers.html#comment-83147 Anonymous Tue, 29 Jan 2008 18:26:00 +0000 http://clients.emmense.com/kevinmd/2007/04/an-er-doc-tells-off-drug-seekers.html#comment-83147 Your stereotyping of patients in pain is why real patients in pain can't get back to see the doctor.Doctors and Nurses think all are drug seekers because theyv'e manifested that way in there minds. Your stereotyping of patients in pain is why real patients in pain can’t get back to see the doctor.Doctors and Nurses think all are drug seekers because theyv’e manifested that way in there minds.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/04/er-doc-tells-off-drug-seekers.html#comment-82872 Anonymous Sat, 19 Jan 2008 16:47:00 +0000 http://clients.emmense.com/kevinmd/2007/04/an-er-doc-tells-off-drug-seekers.html#comment-82872 I work at a community health clinic. OMG the redneck hillbillies here are worse than the junkies with abcesses in Detroit hoods (where I worked as a "scut monkey" in my salad days).<br/><br/>one guy admittedly messed his neck up in a helmetless motorcycle wreck-lucky he didnt leave his brain behind. Tough construction guy with tatooes. I explained beginning of visit we have to be careful we have many idiots coming in "so I'm an idiot b/c I have tatoos?" I even told him I check criminal records (and find people who have been busted for getting narcs under false pretenses).<br/><br/>He flipped and demanded his money back and went to my Boss.<br/><br/>I hate being a doc sometimes I work at a community health clinic. OMG the redneck hillbillies here are worse than the junkies with abcesses in Detroit hoods (where I worked as a “scut monkey” in my salad days).

one guy admittedly messed his neck up in a helmetless motorcycle wreck-lucky he didnt leave his brain behind. Tough construction guy with tatooes. I explained beginning of visit we have to be careful we have many idiots coming in “so I’m an idiot b/c I have tatoos?” I even told him I check criminal records (and find people who have been busted for getting narcs under false pretenses).

He flipped and demanded his money back and went to my Boss.

I hate being a doc sometimes

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/04/er-doc-tells-off-drug-seekers.html#comment-81906 Anonymous Thu, 29 Nov 2007 05:29:00 +0000 http://clients.emmense.com/kevinmd/2007/04/an-er-doc-tells-off-drug-seekers.html#comment-81906 so then what's 'typical pain that is totally the same as I usually get'?<br/><br/>my head/back hurts? so then what’s ‘typical pain that is totally the same as I usually get’?

my head/back hurts?

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/04/er-doc-tells-off-drug-seekers.html#comment-81298 Anonymous Wed, 24 Oct 2007 22:35:00 +0000 http://clients.emmense.com/kevinmd/2007/04/an-er-doc-tells-off-drug-seekers.html#comment-81298 People wouldn't have to lie at the ER if unsympathetic, judgmental Docs like this did their damn jobs! What this post did was confirm that docs profile patients, and often unjustly! People in real pain often exhibit signs of drugseeking because they are in fact SEEKING DRUGS for their pain. First, if they are lieing there is a chance that their could be a good reason. Example. Legitamate pain Patient has oxicontin script stolen by the guy fixing his AC guy and it is a weekend. Goes to ER 1 and tells the truth. Docs can't get a hold of his doc and give him some Vicodin because his levels are too high and they can't confirm. Patient not only has existing pain but starts WDs finally in agony goes to ER 2 where he has to lie about his name and conditions because telling the truth got him now where the first time and he doesn't want them to find out he was at another ER. Or, maybe it is just some vicodin addicted college kid who has never gotten help for his "disese". Yes, drug addiction is a disease, in which this ER Doc just had an opportunity to actually help and treat this person but instead chose to belittle, tease, judge and criticize this person instead. In any case, no one has the right to judge until you have walked a mile in that persons "drug seeking" shoes! People wouldn’t have to lie at the ER if unsympathetic, judgmental Docs like this did their damn jobs! What this post did was confirm that docs profile patients, and often unjustly! People in real pain often exhibit signs of drugseeking because they are in fact SEEKING DRUGS for their pain. First, if they are lieing there is a chance that their could be a good reason. Example. Legitamate pain Patient has oxicontin script stolen by the guy fixing his AC guy and it is a weekend. Goes to ER 1 and tells the truth. Docs can’t get a hold of his doc and give him some Vicodin because his levels are too high and they can’t confirm. Patient not only has existing pain but starts WDs finally in agony goes to ER 2 where he has to lie about his name and conditions because telling the truth got him now where the first time and he doesn’t want them to find out he was at another ER. Or, maybe it is just some vicodin addicted college kid who has never gotten help for his “disese”. Yes, drug addiction is a disease, in which this ER Doc just had an opportunity to actually help and treat this person but instead chose to belittle, tease, judge and criticize this person instead. In any case, no one has the right to judge until you have walked a mile in that persons “drug seeking” shoes!

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