1-1banner
 
medpundit
 

 
Commentary on medical news by a practicing physician.
 

 
Google
  • Epocrates MedSearch Drug Lookup




  • MASTER BLOGS





    "When many cures are offered for a disease, it means the disease is not curable" -Anton Chekhov




    ''Once you tell people there's a cure for something, the more likely they are to pressure doctors to prescribe it.''
    -Robert Ehrlich, drug advertising executive.




    "Opinions are like sphincters, everyone has one." - Chris Rangel



    email: medpundit-at-ameritech.net

    or if that doesn't work try:

    medpundit-at-en.com



    Medpundit RSS


    Quirky Museums and Fun Stuff


    Who is medpundit?


    Tech Central Station Columns



    Book Reviews:
    Read the Review

    Read the Review

    Read the Review

    More Reviews

    Second Hand Book Reviews

    Review


    Medical Blogs

    rangelMD

    DB's Medical Rants

    Family Medicine Notes

    Grunt Doc

    richard[WINTERS]

    code:theWebSocket

    Psychscape

    Code Blog: Tales of a Nurse

    Feet First

    Tales of Hoffman

    The Eyes Have It

    medmusings

    SOAP Notes

    Obels

    Cut-to -Cure

    Black Triangle

    CodeBlueBlog

    Medlogs

    Kevin, M.D

    The Lingual Nerve

    Galen's Log

    EchoJournal

    Shrinkette

    Doctor Mental

    Blogborygmi

    JournalClub

    Finestkind Clinic and Fish Market

    The Examining Room of Dr. Charles

    Chronicles of a Medical Mad House

    .PARALLEL UNIVERSES.

    SoundPractice

    Medgadget
    Health Facts and Fears

    Health Policy Blogs

    The Health Care Blog

    HealthLawProf Blog

    Facts & Fears

    Personal Favorites

    The Glittering Eye

    Day by Day

    BioEdge

    The Business Word Inc.

    Point of Law

    In the Pipeline

    Cronaca

    Tim Blair

    Jane Galt

    The Truth Laid Bear

    Jim Miller

    No Watermelons Allowed

    Winds of Change

    Science Blog

    A Chequer-Board of Night and Days

    Arts & Letters Daily

    Tech Central Station

    Blogcritics

    Overlawyered.com

    Quackwatch

    Junkscience

    The Skeptic's Dictionary



    Recommended Reading

    The Doctor Stories by William Carlos Williams


    Pox Americana: The Great Smallpox Epidemic of 1775-82 by Elizabeth Fenn


    Intoxicated by My Illness by Anatole Broyard


    Raising the Dead by Richard Selzer


    Autobiography of a Face by Lucy Grealy


    The Man Who Mistook His Wife for a Hat by Oliver Sacks


    The Sea and Poison by Shusaku Endo


    A Midwife's Tale by Laurel Thatcher Ulrich




    MEDICAL LINKS

    familydoctor.org

    American Academy of Pediatrics

    General Health Info

    Travel Advice from the CDC

    NIH Medical Library Info

     



    button

    Wednesday, October 04, 2006

    The Eyes are Upon You: Sometimes, when a new patient comes to the office asking for drugs of potential abuse, you get a feeling that they aren't legitimate, but have no way of proving it. They may say they're visitng family and pulled their back out while lifting the suitcase, or that their insurance changed and they had to find a new doctor, and doggone it, they're out of their prescription amphetamine for their adult ADD. It's hard to deny them their request based on a gut feeling that they're lying. Short of saying, "Sorry, I think you're lying," which, of course, opens a whole 'nother can of worms, the doctor is stuck. In Ohio, that situation will soon have a new out:

    About 2,300 retail and mail-order pharmacies that sell to Ohio patients will be required to electronically report prescription sales twice a month to create the database, which has the ability to store 30 million to 35 million prescriptions.

    Doctors and pharmacists then will be able to get a report via the Internet to see if patients are visiting multiple physicians and pharmacies to obtain the same types of drugs - commonly called doctor shopping. And law enforcement will be more easily able to uncover criminal activity.


    I recently discovered that one of my suspected liars was indeed lying when her insurance company sent me a profile showing she had been going to other doctors in my neighborhood every two weeks for the same drug. I began to suspect her when she stopped by two weeks after her initial visit and said she needed her Adderall refilled two weeks early because she was going to Myrtle Beach and wouldn't be in town when it ran out. I told her she didn't need to worry about treating attention deficit disorder while lying on a beach. It would be OK if she missed a few doses. It would have been nice to be able to look her up during her initial visit when she requested refills to begin with.

    Now that they have their database, will they ease up on letting doctors send prescriptions to the pharmacy electronically?
     

    posted by Sydney on 10/04/2006 07:38:00 PM 0 comments

    0 Comments:

    Post a Comment

    This page is powered by Blogger, the easy way to update your web site.

    Main Page

    Ads

    Home   |   Archives

    Copyright 2006