Nov
Liberal is too Liberal
Posted by The *Angriest* Pharmacist as Doctors, Drug Seekers, Just a question, Laws, Patient Education, True Story, Work Sucks
I’ve got a problem. There’s a physician in my town wreaking havoc on the livers of everyone in the entire area. Drug seekers rejoice! If your drug of choice is Fioricet (Butalbital/Acetaminophen/Caffeine), Soma (Carisoprodol), or Ultram (Tramadol) you are in luck.
I’m not joking when I say that he has put them in the ground — 6 feet under. He’s got more people addicted to more drugs than should be possible. I’ve been told by several of his “patients” that do their trading with me that they enter his “exam room,” state a problem that they have, and he begins writing. He doesn’t touch them. He doesn’t ask any questions. I couldn’t tell you the number of times folks have gotten to the counter and not known what X-drug was written for as they aren’t having that problem at all — for instance, Detrol LA for a 24-year old male.
He’s also a big fan of Nubain, Promethazine, and Syringes. I call it the SCUZ-BALL COCKTAIL! They give they Phenergan so you can inject more NUBAIN! It’s a GREAT idea!
But, TAestP, why on earth is he writing for Nubain and Fioricet when he could write for Demerol and PERCocet. That’s because this fuck wrote so many controls (and neglected to chart a single word) that they took his DEA license from him! So, he’s been reduced to writing drugs that SHOULD be controlled rather than drugs that ARE controlled.
What I hate about this situation is that I feel like I am an accessory to his negligence. I don’t fill things early. I don’t do cash prices after insurance rejects. I make notes about an (8 per day max) on Tramadol even though his 1-2t po q4-6h prn pain #240 clearly suggests 12 per day. [Seizure anyone?]I don’t fill anything above the Tylenol limit per day.
I’m doing everything by the book on my end. What type of liability falls to me (and every other pharmacist in my area filling these scripts)? I’ve got documentation outlining reports / complaints that I’ve made to the DEA and Medicaid Fraud and Waste Department. I’m trying to get this felon off the streets — or at least get his pad taken from him!
Pharmacists are fighting tooth and nail to get just PPIs or Statins as behind-the-counter / prescriptive-authority drug classes for RPhs and this jackass can’t get his taken away fast enough!
Very simple. Refuse to fill the scripts. Its your right as a pharmacist. Get in touch with other local pharmacists on this guy so you can collude on him. Get them all to file multiple complaints to the Board of Medicine and other pertinent regulatory agencies. Strength in numbers my friend.
That’d prolly flop. WAG wouldn’t stand for it. I can’t even get them to loan me 60 atenolol when I ran short a week or two ago. They, or someone else, will see dollar signs of all the Fior, Soma, and Tram to be filled if they get every script these assclowns pump out! [And my dickhead PIC would likely look at it like that...]
I can tell you the same idiots are here in Canada and they make it very difficult for us legit pain patiences to keep their good name, we seem to be guilty by association. I had to quit my idiot and find a Doc who actually wanted to find out what was causing my pain. Sad world we are in. At least the pharmacists are looking out for us. Thank you.
That is just ridiculous. You’d think he’d have learned after having his DEA number taken away. I’m glad you’ve complained to the DEA and Medicaid, but other than that, I’m not sure what you can do. If you don’t fill ‘em, someone else will, and at least if you do it you can counsel about APAP limits and the addictive potential of these drugs.
Does his last name start with L and end in E? We had a “doctor” like that here in upstate NY who wrote for all the narcs and Soma. He got a bunch of people addicted and the people that were already addicted got worse. Every pharmacy in the county reported him. When the DEA finally busted him and took his license he just up and left. I would not be surprised if it is the same asshole.
Nope…it’s not him…
I agree with James, as a professional, if you think the prescription is wrong or dangerous and the Doctor refuses to correct the problem, then you must refuse to dispense it and explain to the patient why. In Europe, you cold be potentially struck off Pharmacy Professions’ register in many of the individual jurisdictions within Europe and possibly be sentenced to a time in prison, suspended or therwise. See this link: http://www.guardian.co.uk/society/2005/feb/21/health.shipman1
Here’s what you do. You set up several anonymous blogs with his full name and location (and maybe phone) in it and this rant written out in different ways. When people google him, they find out what he is about. At some point, something bad happens and the malpractice case comes and shuts him down. Another alternative is to anonymously notify his malpractice carrier, but that would take more work.
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