Commentary on medical news by a practicing physician.

  • Epocrates MedSearch Drug Lookup


    "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 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


    Medical Blogs


    DB's Medical Rants

    Family Medicine Notes

    Grunt Doc




    Code Blog: Tales of a Nurse

    Feet First

    Tales of Hoffman

    The Eyes Have It


    SOAP Notes


    Cut-to -Cure

    Black Triangle



    Kevin, M.D

    The Lingual Nerve

    Galen's Log



    Doctor Mental



    Finestkind Clinic and Fish Market

    The Examining Room of Dr. Charles

    Chronicles of a Medical Mad House



    Health Facts and Fears

    Health Policy Blogs

    The Health Care Blog

    HealthLawProf Blog

    Facts & Fears

    Personal Favorites

    The Glittering Eye

    Day by Day


    The Business Word Inc.

    Point of Law

    In the Pipeline


    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





    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



    American Academy of Pediatrics

    General Health Info

    Travel Advice from the CDC

    NIH Medical Library Info



    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


    Post a Comment

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

    Main Page


    Home   |   Archives

    Copyright 2006