Comments on: A physician loses his license of over-prescribing antibiotics http://www.kevinmd.com/blog/2007/05/physician-loses-his-license-of-over.html Tue, 14 Feb 2012 22:28:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2007/05/physician-loses-his-license-of-over.html#comment-75249 Anonymous Sun, 20 May 2007 02:14:00 +0000 http://clients.emmense.com/kevinmd/2007/05/a-physician-loses-his-license-of-over-prescribing-antibiotics.html#comment-75249 So he didn't get throat cultures. Big deal. Either that board are a bunch of Nazis or he was a complet jerk about it "forcing" them to show him who was boss--or there were other more complex reasons they wanted to pull his license and just picked this. Maybe they thought he was getting demented or something. So he didn’t get throat cultures. Big deal. Either that board are a bunch of Nazis or he was a complet jerk about it “forcing” them to show him who was boss–or there were other more complex reasons they wanted to pull his license and just picked this. Maybe they thought he was getting demented or something.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/05/physician-loses-his-license-of-over.html#comment-75245 Anonymous Sun, 20 May 2007 02:03:00 +0000 http://clients.emmense.com/kevinmd/2007/05/a-physician-loses-his-license-of-over-prescribing-antibiotics.html#comment-75245 Prease to rite in Ingrish! Prease to rite in Ingrish!

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/05/physician-loses-his-license-of-over.html#comment-75241 Anonymous Sun, 20 May 2007 00:16:00 +0000 http://clients.emmense.com/kevinmd/2007/05/a-physician-loses-his-license-of-over-prescribing-antibiotics.html#comment-75241 Anon 9:28 & 10:12 -<br/>you have no 'friggin' what the retort is about, because you behave in such idiotic manner, since your bluff was called-out Anon 9:28 & 10:12 -
you have no ‘friggin’ what the retort is about, because you behave in such idiotic manner, since your bluff was called-out

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/05/physician-loses-his-license-of-over.html#comment-75223 Anonymous Sat, 19 May 2007 03:12:00 +0000 http://clients.emmense.com/kevinmd/2007/05/a-physician-loses-his-license-of-over-prescribing-antibiotics.html#comment-75223 Dear 4:17, Perhaps if you wrote your retort in English, I could address some of your concerns. As it is, I have absolutely NO friggin'(a common colloquialism in this country, by the way)what you're talking about! Dear 4:17, Perhaps if you wrote your retort in English, I could address some of your concerns. As it is, I have absolutely NO friggin’(a common colloquialism in this country, by the way)what you’re talking about!

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/05/physician-loses-his-license-of-over.html#comment-75211 Anonymous Fri, 18 May 2007 21:17:00 +0000 http://clients.emmense.com/kevinmd/2007/05/a-physician-loses-his-license-of-over-prescribing-antibiotics.html#comment-75211 Anon 9:28- are u implying to use documentation supporting a "suspicion" of a bacterial infection, to circumvent this "idiot[ic]" behavior?<br/><br/><br/>Seriously, the gurus and academics who premise their statements regarding antibiotic prescriptions for respiratory infections that are '80 + % viral" ad hominem... how do you not waste time convincing a medicaid client -not paying for the prescription; or the client paying for the visit, and expects to get antibiotic prescription on hand upon leaving the clinic [decide later if they will fill it or not, or if they will pay for the expensive antibiotic price...or fill it to reserve for later when they 'feel' they really need it, etc; recall, u have no control once rx goes out of your grip] that they are not getting an antibiotic prescription that particular time?<br/><br/>Do you artfully sell-out by convincing and rationalizing even to yourself that there is the approx 20% chance you are treating something bacterial; or 'get this rx and fill it if you are not better in x-days'; or call an antibiotic rx later to the pharmacy after x-days of waiting...[this last one is worst - it reinforces the expectation that antibiotics can be called in by so-and-so doctor]<br/><br/>And yes, the NPs and PAs will rx it anyway, especially to spite you after the frustrated clients give them your denial story...<br/><br/>seriously...let me hear your sage advise...you're fully aware of the element of odds in this paragigm Anon 9:28- are u implying to use documentation supporting a “suspicion” of a bacterial infection, to circumvent this “idiot[ic]” behavior?

Seriously, the gurus and academics who premise their statements regarding antibiotic prescriptions for respiratory infections that are ’80 + % viral” ad hominem… how do you not waste time convincing a medicaid client -not paying for the prescription; or the client paying for the visit, and expects to get antibiotic prescription on hand upon leaving the clinic [decide later if they will fill it or not, or if they will pay for the expensive antibiotic price...or fill it to reserve for later when they 'feel' they really need it, etc; recall, u have no control once rx goes out of your grip] that they are not getting an antibiotic prescription that particular time?

Do you artfully sell-out by convincing and rationalizing even to yourself that there is the approx 20% chance you are treating something bacterial; or ‘get this rx and fill it if you are not better in x-days’; or call an antibiotic rx later to the pharmacy after x-days of waiting…[this last one is worst - it reinforces the expectation that antibiotics can be called in by so-and-so doctor]

And yes, the NPs and PAs will rx it anyway, especially to spite you after the frustrated clients give them your denial story…

seriously…let me hear your sage advise…you’re fully aware of the element of odds in this paragigm

]]> By: Happymanhttp://www.kevinmd.com/blog/2007/05/physician-loses-his-license-of-over.html#comment-75200 Happyman Fri, 18 May 2007 14:59:00 +0000 http://clients.emmense.com/kevinmd/2007/05/a-physician-loses-his-license-of-over-prescribing-antibiotics.html#comment-75200 The minute-clinics staffed by NPs better stock huge amounts of zithromax & augmentin, for i'm sure every viral URI / sore throat will be given one or the other with instructions to "follow with your primary md if symptoms persist".<br/><br/>These clinics will surely feed the public's endless thirst for antibiotics for a cold. The minute-clinics staffed by NPs better stock huge amounts of zithromax & augmentin, for i’m sure every viral URI / sore throat will be given one or the other with instructions to “follow with your primary md if symptoms persist”.

These clinics will surely feed the public’s endless thirst for antibiotics for a cold.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/05/physician-loses-his-license-of-over.html#comment-75198 Anonymous Fri, 18 May 2007 14:28:00 +0000 http://clients.emmense.com/kevinmd/2007/05/a-physician-loses-his-license-of-over-prescribing-antibiotics.html#comment-75198 Big deal. This kind of behavior goes on ALL the time. This idiot made the mistake of not even bothering to do rudimentary documentation that he "suspected" a bacterial infection, or that the PE was consistent with Strep, etc.<br/><br/>The REAL travesty is that this is very much the "standard of care" in the community. It'sll certainly be the standard of care in teh WalMart "clinics." Big deal. This kind of behavior goes on ALL the time. This idiot made the mistake of not even bothering to do rudimentary documentation that he “suspected” a bacterial infection, or that the PE was consistent with Strep, etc.

The REAL travesty is that this is very much the “standard of care” in the community. It’sll certainly be the standard of care in teh WalMart “clinics.”

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