Guess “Rock Doc” sounds better than “Quack Prac”…
This Nurse Prac (who called himself the “Rock Doc”) just landed a LONG federal jail sentence for illegaly prescribing opioids:
Tennessee nurse practitioner known as 'Rock Doc' gets 20 years for illegally prescribing opioids
A Tennessee nurse practitioner who called himself the “Rock Doc” has been sentenced to 20 years in prison for illegally prescribing thousands of doses of opioids including oxycodone and fentanyl in return for money and sex, federal prosecutors said Tuesday. Jeffrey W. Young Jr., was sentenced...
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Source: Student Doctor Network - March 21, 2024 Category: Universities & Medical Training Authors: DirtDocMD Tags: Anesthesiology Source Type: forums
Benzodiazepines in palliative care
70 year old pancreatic cancer patient, unclear what stage, but receiving chemo/surgery for it. Also on fentanyl patch and oxycodone IR TID 5mg. Whats your overall policy with benzos in palliative care with a patient already on opioids? Are you more lenient, if patients respiratory function is being monitored? (Source: Student Doctor Network)
Source: Student Doctor Network - February 19, 2024 Category: Universities & Medical Training Authors: annoyedpsychiatrist Tags: Psychiatry Source Type: forums
Why is Morphine not popular?
It’s 1:1 equivalent with Hydrocodone. Doesn’t have the same euphoric effect of Oxycodone. Morphine IR for acute relief and ER for around the clock relief should be lot more common than it is.
Yet, I rarely see a Morphine script. Shouldn’t it be preferred over Oxycodone or Hydromorphone ? (Source: Student Doctor Network)
Source: Student Doctor Network - December 9, 2023 Category: Universities & Medical Training Authors: Chrish Tags: Pharmacy Source Type: forums
Dinitrophenol: What have we learned from oxycodone? - Treatment and Research Not Legislation
(Source: BMJ Comments)
Source: BMJ Comments - October 31, 2023 Category: General Medicine Source Type: forums
Tramadol
This report describes CDC’s updated clinical practice guideline for prescribing opioids for pain.
www.cdc.gov
So 2 tramadol a day is now a higher MME dose than oxycodone 5 BID? (Source: Student Doctor Network)
Source: Student Doctor Network - October 18, 2023 Category: Universities & Medical Training Authors: fathead88 Tags: Pain Medicine Source Type: forums
Real or BS
Alex Murdaugh claims he was taking up to 2000mg oxycodone a day
Can you really do that much without dying? (Source: Student Doctor Network)
Source: Student Doctor Network - February 26, 2023 Category: Universities & Medical Training Authors: Agast Tags: Pain Medicine Source Type: forums
Fraud Rx for oxy as an Escript
This is new and scary, lately fraud rx's are getting better and now its being sent in as an escript. Will there be/what are the serious repercussions if you accidentally fill a fraud oxycodone unintentionally? This is Texas for reference. Caught some incidences of it happening and was curious to know (Source: Student Doctor Network)
Source: Student Doctor Network - February 3, 2023 Category: Universities & Medical Training Authors: musinglaiying Tags: Pharmacy Source Type: forums
Pediatrician prescribing oxycodone as a maintenance pain control rx? Out of scope?
So I encountered an rx from a pediatrician for an adult for oxy 30mg month supply. I refused to fill because it was out of scope since any high dose maintenance pain control rx should be by a pain management specialist. Was this the correct way? Thank you (Source: Student Doctor Network)
Source: Student Doctor Network - December 30, 2022 Category: Universities & Medical Training Authors: doublehh03 Tags: Pharmacy Source Type: forums
Controlled Rxs- fill or refuse?
Hey everyone,
When do you feel it's appropriate for a patient to be on high doses of Norco, oxycodone, lyrica, modafinil and xanax? Considering it's not a cancer patient and the doctor has been disciplined in the past by the medical board for over-prescribing. Would you keep filling these prescriptions? Or how would you go about refusing to fill them? What would you say to that regular customer and doctor? Do you often see people being on 2 short acting opioids?
I'd appreciate your input...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 16, 2022 Category: Universities & Medical Training Authors: mimi06bg Tags: Pharmacy Source Type: forums
Pills for Pokes Hall-of-Famers and Ballers...You in Here??
12 physicians sentenced to prison for $250M billing fraud
Twelve Michigan- and Ohio-based physicians were sentenced March 9 to prison for their roles in a scheme to perform and bill for unnecessary procedures in exchange for opioid prescriptions.
www.beckersasc.com
The physicians aimed to hide their actions, perpetuated from 2007 to 2018, by working only a few hours per week, yet they were still among the highest oxycodone prescribers in Michigan, according to the Justice Department. The physicians then performed facet joint injections, which are.....
Source: Student Doctor Network - March 14, 2022 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Chronic abdominal pain and nausea?
I'm taking care of an outpatient patient: 60y/o woman with chronic abdominal pain with prior history of gastric bypass, appendectomy, incisional hernia repair. Her pain had been previously controlled with oxycodone 10mg a couple times a day, but recently less effective due to emesis. GI is following now, has her on Zofran, Reglan, Promethazine but the nausea is still pretty severe. Patient is cachectic and having trouble with PO intake. Utox is appropriate.
I'm considering a Fentanyl patch...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - September 22, 2021 Category: Universities & Medical Training Authors: CarabinerSD Tags: Pain Medicine Source Type: forums
Non-paying patient?
Strange circumstance but I have a patient seen at my clinic for the past few months due to widespread body pain with fibromyalgia (in hindsight also psych overlay such as h/o trauma, gastric bypass), maintained on low-dose Buprenorphine by another physician whom she's no longer seeing due to insurance changes. She was reasonable for the first few visits with continuation of Buprenorphine. However at the last visit, she requested for increase to Oxycodone 15mg for pain....and I obviously did...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - September 10, 2021 Category: Universities & Medical Training Authors: CarabinerSD Tags: Pain Medicine Source Type: forums
Why don't pharmacies fill my tylenol prescription?
Hello All,
I'm an Oral and Maxillofacial Surgeon practicing in NY. My post-operative pain regimen usually entails stacking ibuprofen 400 Q4H or 600 Q4H and tylenol 500 Q4H, and a few oxycodones (4-12) for breakthrough pain. HMy oxycodone prescription tells patients to take the ibuprofen and tylenol first, wait 30 minutes, then take the oxycodone, to drive home the idea of breakthrough pain. The only other medication I'll prescribe is an antibiotic, in probably half the patients.
What...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 17, 2021 Category: Universities & Medical Training Authors: Contach Tags: Pharmacy Source Type: forums
Belbucca initiation in opioid tolerant
I have no experience with Belbucca. Used Butrans a few times and Suboxone quite a few times when it first became available. Reading the product literature they suggest tapering opioid naive patient down to 30 MED and then dosing based upon PRE-TAPER dose of opioid. Is that really how people are doing this. I'm thinking about it in a refugee left stranded on 100mg Oxycodone/day. (Source: Student Doctor Network)
Source: Student Doctor Network - December 18, 2020 Category: Universities & Medical Training Authors: NJPAIN Tags: Pain Medicine Source Type: forums
Weird pain consult
I just got sent a consult request to take over care for a 35 yo with anxiety disorder on benzos and 150 MME's. Seems like her current pain doc's clinic had to close due to pandemic-related financial hardship.
Her progress notes from her last pain doc said she's on a combination of oxycodone and buprenorphine tabs... I thought that had to be a typo, but I pulled her PDMP and yup, she's on buprenorphine and oxycodone together... What am I missing? Does this make sense to anyone? I'll probably...
Weird pain consult (Source: Student Doctor Network)
Source: Student Doctor Network - October 31, 2020 Category: Universities & Medical Training Authors: William Sparrow Tags: Pain Medicine Source Type: forums
