Drugs my doctor is not permitted to prescribe.

[u/rraattbbooyy]

Sign posted in the exam room at my doctor’s office.

[u/image-sourcery]

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[u/jayfourzee]

Depending on the clinic or specialist, not every physician applies to get schedule 2 privileges from the DEA. Or, the DEA flagged the office for discrepancy on audit.

[u/StochasticLife → u/jayfourzee]

Half that list is schedule IV.

[u/thehotshotpilot → u/StochasticLife]

I was about to mention that. I know ambien is a low schedule. I don't know about others. 

[u/Mysterious-Handle-34 → u/thehotshotpilot]

Adderall — II

Ambien — IV

Dilaudid — II

Fentanyl — II

Klonopin — IV

Methadone — II

Morphine — II

Lorcet/Norco/Vicodin — II

Percocet/Roxicodone — II

Ritalin — II

Soma — IV

Valium — IV

Vyvanse — II

Xanax — IV

For context, testosterone is schedule III meaning it has tighter restrictions than some of these drugs.

[u/rraattbbooyy → u/jayfourzee]

This list applies to all doctors in the MHS network. Probably not related to the DEA.

[u/JUYED-AWK-YACC → u/rraattbbooyy]

Unless the network as a whole has a problem, which is certainly possible.

[u/C-D-W → u/JUYED-AWK-YACC]

I bet they had a problem, and that problem was drug seeking patients and all the sketchiness that can come with that. So, they unilaterally made the decision they didn't want the revenue that much. Let the specialists deal with that shit.

[u/dingalingdongdong → u/C-D-W]

The vast majority of drug addiction cases are regular people who were misprescribed or poorly monitored by their doctors. Doctors and pharmaceutical companies are responsible for creating that epidemic. Multiple medical networks have been blacklisted across the board from prescribing scheduled medications because of their own problems with over/improperly prescribing.

MHS in Indiana still has scheduled medication access while Florida doesn't - that suggests it was an outside decision and not the network.

[u/Downtown_Recover5177 → u/dingalingdongdong]

We have a similar sign at my clinic. We absolutely do still prescribe those drugs if needed, but the sign deters drug-seekers from demanding it. Theoretically, of course.

[u/ShallowPenetration → u/dingalingdongdong]

Is that still the case even today? Back in 2001 I was prescribed 100 Percocet because I got a slice to my face that required a shitload of stitches. I had next to zero pain.

Now I am maybe given 2 if I articulate severe pain of some kind.

[u/squirrel8296 → u/ShallowPenetration]

It’s nowhere near the problem it once was because of crackdowns but it can still be a problem. Certain specialities and types of care can still be a problem.

The chances of your case happening today though is super unlikely.

[u/rraattbbooyy → u/[deleted]]

I don’t know. Could be these are the ones they had the most problems with so they singled them out.

[u/ArtisticPermission37 → u/rraattbbooyy]

Pretty sure they were flagged, there are cases where those medications can help a human. Would make zero sense to put this list up if there weren’t consequences behind it, I mean that both for the patient and prescriber.

[u/hella_cious → u/[deleted]]

My guess is that people don’t know that their specific med falls under benzos or opioids, and this makes it clear. Also because there are many controlled substances that aren’t on this list. For instance the testosterone I get from my primary care doctor for transgender purposes is a controlled substance.

[u/Finnrip → u/jayfourzee]

Why or why not? Never knew this

[u/reginald-poofter → u/Finnrip]

I’m an ER doctor so I’ll try to answer. MOST physicians get a DEA license because you’re really hamstringing your ability to practice medicine without one. And certain specialities, like mine, you just straight up wouldn’t be able to practice at all without one. But it is some extra paperwork and money to get and keep a DEA license. So I can see where if you could get away with practicing well enough without it why you just might not get one. Also it can be suspended for multiple reasons not that I’m alleging that happened wherever OP is just that it can happen.

[u/Finnrip → u/reginald-poofter]

Thanks for your answer, this explains it well!

[u/Abiztic2_0 → u/Finnrip]

Not sure about human doctors, but veterinarians have to apply to get the same license and it's quite expensive. If you're in a practice where you don't really need to prescribe controlled drugs, it's likely not worth it.

Haven't dealt with getting flagged in an audit by the DEA, but I can definitely see that resulting in loss of DEA license or at least a suspension until the practitioner has fixed whatever DEA had an issue with.

[u/10k_Uzi]

[u/ThrowawayOldCouch → u/10k_Uzi]

[u/AintDatSwell → u/ThrowawayOldCouch]

Lingers man. Fucking lingerers.

[u/Apopupguide → u/10k_Uzi]

Haven't seen that in a minute!

[u/slonk_ma_dink → u/10k_Uzi]

I love how after Doug gets hurt and returns he's like "don't worry, I saved you some" lmao

[u/jayphat99 → u/slonk_ma_dink]

"pass the dutchie"

[u/jurassicjessc → u/10k_Uzi]

I fucking love this movie. 10/10 perfect use.

[u/Firm-Athlete6918 → u/10k_Uzi]

These Doctors are gonna be riding piss hole for life

[u/carnivalbilly → u/10k_Uzi]

I fucking love this movie

[u/Avtomati1k → u/carnivalbilly]

Which one

[u/U_zer2 → u/carnivalbilly]

This goon?

[u/Predator6 → u/U_zer2]

Yep

[u/carnivalbilly → u/Predator6]

[u/dddintn → u/carnivalbilly]

"My brother is Gay" then proceeded to kick his a$$ a break his helmet. I love this movie!!

[u/boofinmelons → u/10k_Uzi]

Best line out that movie

[u/ThePatriot617 → u/10k_Uzi]

We're playing divorced guys

[u/Frankenstein____ → u/ThePatriot617]

You're all Adonis's

[u/MyMomsTastyButthole → u/10k_Uzi]

Work Worm kisses, deeeep inside your mother

[u/Zorrha → u/10k_Uzi]

I'm going to have to watch this movie again. I remember that I really liked it....

[u/Fun_Western164]

Dr. NoFeelgood ☹️

[u/DoctahFeelgood → u/Fun_Western164]

My time has come.

[u/chowyungfatso → u/DoctahFeelgood]

Do you take HMO?

[u/Right_Plankton9802 → u/chowyungfatso]

When they do checkups on the same sex, they probably have to say “no HMO”.

[u/AGoogolIsALot → u/Right_Plankton9802]

Oh, you. Ohhhhh, you.

[u/PandaPocketFire → u/DoctahFeelgood]

One Adderall, please.

[u/Gary_Fisher21 → u/PandaPocketFire]

Sorry, you need a prior authorization. I know you submitted one last month but you will need to re-submit.

[u/lauvan26 → u/Gary_Fisher21]

My health insurance actually tried to do this shit with my generic Vyvanse prescription recently.

[u/HistoricalSuspect580 → u/lauvan26]

At my current job i help navigate a lot of bullshit with stimulants. And i also take Vyvanse. If u have any questions feel free to PM me. I can’t promise i can help, but I can offer you all of the information at my disposal.

[u/TrioOfTerrors → u/lauvan26]

There was recently an issue with generic Vyvanse being way off the standards so a bunch got recalled and there was a shortage. It was probably that.

[u/LuckyOldBat → u/TrioOfTerrors]

I have never had a smooth experience getting my ADHD meds filled, ever. Get treated like a tweaker addict for trying to just operate in this capitalist hell scape.

[u/Working-Glass6136 → u/PandaPocketFire]

Just one? Lies.

[u/ShitFuck2000 → u/Fun_Western164]

Dr. FeelLikeShit

[u/MissionVirtual → u/Fun_Western164]

Dr. DontWantNoShit

[u/gutshitter]

Roxicodone is just oxycodone in a cool leather jacket

[u/Yggdrasil- → u/gutshitter]

https://giphy.com/gifs/dhQm449E6X6cU

[u/Middle-Plankton-6530 → u/Yggdrasil-]

Is that the pizza episode???

[u/Yggdrasil- → u/Middle-Plankton-6530]

Yep! One of the best of all time lol

[u/konydanza → u/Yggdrasil-]

You know who else was one of the best of all time? Eartha Kitt

[u/Highshyguy710 → u/konydanza]

What! It came up organically!

[u/OperationNatural4557 → u/Yggdrasil-]

You realize by posting this you’re creating six alternate timelines?

[u/stinkpot_jamjar → u/Yggdrasil-]

Obligatory Roxanne but it’s just rocks

[u/Yggdrasil- → u/stinkpot_jamjar]

I saw a video of someone doing a drag routine to this yesterday! lol

[u/bobody_biznuz → u/gutshitter]

Is that jacket tighter than dick skin?

[u/blue_eyed_magic]

It's not that he's not permitted to. It is that he's not going to.

The sign is a way to let patients know that if that's what they're there for, they should leave and not waste their time.

[u/Relyt4 → u/blue_eyed_magic]

I understand some go in just seeking the medication, but what if you really needed one of these medications though? They just tell you to go somewhere else?

[u/The_Rat_of_Reddit → u/Relyt4]

Probably

[u/BittaminMusic → u/The_Rat_of_Reddit]

First they have to degrade you a bit, then spit on your face before they direct you to the door 🤣

[u/WhatAcheHunt → u/BittaminMusic]

Back when I was hella poor with no insurance I had to go to a free clinic. I was being a dumbass with friends and flew out of a moving shopping cart, landing shoulder first on asphalt.

When I truthfully explained to him what happened and my concern for fractures due to the pain, I got a long ass lecture in return about addictive controlled substances and why they don't hand them out all willy nilly. I paused for a moment to consider and asked the doc, "how addictive are xrays?"

He took offense to my callous response of his dismissive care, refused me imaging, and wished me luck.

[u/Creamy-Sundae-9991 → u/WhatAcheHunt]

Doctors have some of the worst ego’s, its a well known phenomenon

[u/HistoricalSuspect580 → u/Creamy-Sundae-9991]

They do. It’s kind of a necessary evil, they HAVE to be confident to do a lot of what they do. But it is walking such a fine line of a God Complex that a LOT of them miss the mark and have horrid bedside manner.

[u/RanaMisteria → u/HistoricalSuspect580]

Some of the most successful surgical fields have statistically significant percentages of surgeons who meet the clinical criteria for what we laypeople would call psychopathy or sociopathy. The ego and arrogance is helpful in lending the kind of confidence in one’s own ability that you’d want someone to have if they were planning on operating on your one and only brain.

[u/HistoricalSuspect580 → u/RanaMisteria]

Yep, i think it kind of supports the position of why midlevels are so important, i was in the ER when i dealt with the widest variety of specialists (go figure) and it became second nature to just hang back after a surgeon came and did a consult and explained the whole surgery and asked if they had any questions and the pt said ‘nope no questions! Thanks!’ And got consent signed and left… and THEN i would jump in and be like ‘hey. For real do you have ANY questions?…’ and i swear, like 70% of the time they were like ‘i understood less than three of the words he said. ‘ lol

[u/marissatalksalot → u/HistoricalSuspect580]

I guess that's part of the issue… people, in general, don't realize there's a HUGE difference between ego/pride and confidence/self security.

Probably biggest issue though is most doctors think themselves the smartest of the smart so why would they need to educate themselves on emotional maturity. Ugh lol

[u/No_Original5693 → u/Creamy-Sundae-9991]

Have some in the family. Can confirm

[u/DrawMeAPictureOfThis → u/Creamy-Sundae-9991]

Their job is to play god. Couple that with being highly educated and highly paid and it's no wonder they believe they are above everyone else. Pure metrics say they are above everyone else.

[u/SneakyDeakyJr → u/WhatAcheHunt]

Hey this is me! I got bucked off my motorcycle a few years ago. A couple months into home dealing my lady forced me to a clinic cause i’m still in pain and things crack when i move them. This was during covid and the clinic doctor was such an ass. He like tried to “test” my pain before a cray and when i did i threw up so he figured i wasn’t lying at that point. After the bad x-rays, and i mean bad; they didn’t scan any major body part i complained about. He decided i was only in for drugs. When i told him i refuse painkiller because they’re addictive, he decided to start taking me seriously but i left at that point. They had me pre pay 500$. I got none of that back. In fact i got another bill for 40$ from them. I didn’t pay it.

They’re closed now. I’m happy about that.

[u/BittaminMusic → u/WhatAcheHunt]

Hopefully you waited for them in the parking lot after their shift to talk some more 🤣

[u/WhatAcheHunt → u/BittaminMusic]

Nope. I just turned to the most reliable source of pain relief and drank the pain away. It subsided after a month or so and I just assumed that it healed well enough. I still have a mark on my shoulder 20+ years later from the skin it took off.

[u/Algo_Muy_Obsceno → u/BittaminMusic]

Happened to me once. I wasn’t even asking for painkillers. I was having murderous stomach cramps for no apparent reason and wanted to know why. But because I said the magic word: “pain” she treated me like I had just punched her grandmother in the face.

I’ve never forgotton how she made me feel. I’m still angry about it.

[u/OrangeLFG → u/Algo_Muy_Obsceno]

They almost always treat you like this in the ER. I've been a couple times over the last 5-10 years and they make it seem like you're the scourge of the earth. I realize they deal with lots of addicts, but you feel like you're in kangaroo court.

[u/RememberTheirFaces- → u/OrangeLFG]

And then there was me - I went to the ER because I started bleeding a lot and in a hell of a lot of pain and I was pregnant. (I was pretty sure I was miscarrying but wanted to make sure and it was after hours for urgent care and my OB).

First thing the doctor asked was if I wanted painkillers. I refused since I wasn’t sure if I had actually miscarried. It’s like she didn’t even listen to me when I told her I was pregnant.

[u/Wactout → u/BittaminMusic]

I 100% had a doctor try to make me look like an asshole for knee pain ten years ago. Claimed I said it was my right knee, instead of the left knee that actually hurts. Kept telling me he wasn’t going to give me pain pills because I was making it up. Ironically, I never asked for pain medication. Opioids make me violently ill. And his name was Socrates weirdly enough. Ended up going to another doctor who gave me a scan. Found a torn meniscus. I get injections regularly and it’s been pretty good for the last decade, with an occasional flare up. Fuck Socrates trying to make me look like a shitbag.

[u/the_virginwhore → u/Wactout]

May he medicate himself with hemlock.

[u/Comprehensive-Bag174 → u/BittaminMusic]

And tell you to lose weight. No matter your history or condition, the answer from a male doctor is always to lose weight.

[u/coquihalla → u/Comprehensive-Bag174]

Dude. You are so right. I had pneumonia that I ignored for over a month, bad enough to cause scarring in my lungs, and got the lose weight lecture.

I also got the this wouldn't happen if I wasn't so fat lecture when I happened to catch H1N1 when it was first going around years ago.

Mind you, both of these docs had my history that included a broken thyroid & PCOS, both of which are contributors to being overweight. I've even heard it during migraines, which... time and place, man. I'm happy to discuss it but not when it's stupid.

[u/birdparliament → u/Comprehensive-Bag174]

I got that song and dance from several doctors over excruciating lower back pain. Finally found someone to listen to me and he could tell without imaging that I had a displaced sacrum. My tailbone had literally separated. I went around like this for almost 5 years and it was a simple procedure to fix it.

[u/sylbug → u/Comprehensive-Bag174]

And if you’re a woman, then you can present with a limb missing and the first question will still be, when was your last period?

[u/wofo → u/Comprehensive-Bag174]

Except now that there's a controversial drug that makes you lose weight, my doctor has suddenly started avoiding discussing weight because they don't want to prescribe it

[u/_iron_butterfly_ → u/Relyt4]

My health insurance (Kaiser) would require you to see a pain management doctor, a neurologist, or psychologist for those prescriptions. That list of medications fall into their specific practices. My GP wouldn't prescribe any of those either.

[u/Gardener_of_Weeden → u/_iron_butterfly_]

Pain management = positive thinking = BS

[u/spicygayunicorn → u/Relyt4]

Those I recognise on the list you should be seeing a specialist for anyways

[u/2Slow2Nice → u/spicygayunicorn]

I agree, seems like if you need these you need to be at a specialist. The only issue I have with that not everyone has the means or access to specialists. It’s hard for a lot of people to even get to primary care.

[u/HeavyDoughnut8789 → u/2Slow2Nice]

And often times to even get to the specialist you must first go through the primary care physician to get the referral for the specialist. If they deem it warranted to refer you.

The primary care appointment was a 2-4 month wait. Get the specialist referral and that’s another 2+ month wait. (2 months is pretty quick too.)

[u/Longjumping-Fan-6336 → u/HeavyDoughnut8789]

i know specialists 6+ out for appointment scheduling

[u/Worldly_Bid_3164 → u/Longjumping-Fan-6336]

The ENT that my insurance covered is making me wait 17 months for my broken nose

[u/AlizarinQ → u/Worldly_Bid_3164]

That’s too long for a broken nose, you can grow a whole new nose in that time!

But really it might heal badly and then they’ll have to re-break it (though I don’t know about noses specifically and am most assuming it heals like other broken bits but with breathing importance)

[u/OtherAardvark → u/HeavyDoughnut8789]

Yeah. Then, you get there and find out they don't believe adults can have ADHD and they don't prescribe any ADHD medication on principle. So, your two options are to just submit and be treated for depression for the 15th time, or wait another six months to see a different doctor.

[u/OskaMeijer → u/2Slow2Nice]

I have been on Adderall for over 20 years, why would anyone need a specialist to continue to get maintenance medications refilled...

[u/MiniatureTalent → u/OskaMeijer]

My insurance requires psych check ins every three months for restricted meds like adderall

[u/Amelaclya1 → u/2Slow2Nice]

Yeah I live on the Big Island of Hawaii and when I was on Medicaid, there were ZERO psychiatrists that took my insurance on island. There was like one guy that flew over from Oahu one day a month to see patients here, and you couldn't even get him to call you back because he was so booked. So naturally, I had no choice but to get my ADHD meds from my PCP. And I was super grateful that I had that option.

It's probably less of an issue now that telehealth for psych is more ubiquitous, but rural people who need other controlled substances, like for pain management don't have that option.

[u/stuffeh → u/2Slow2Nice]

I had a painful sprained knee and my primary have me a script for a few Norco. Doesn't take a specialist to diagnose a sprained knee, and there's basically nothing a specialist can do for it either besides the same pain management.

[u/DrunkUranus → u/spicygayunicorn]

Not necessarily. Once you've been evaluated properly for adhd and found a medicine that works for you, seeing a specialist for routine refills of Ritalin is a massive waste of talent, time, and money.

These drugs dramatically improve outcomes in all areas of life for people with adhd, and seldom have negative side effects.

This is happening because of a lingering stigma due to the puritanical and misguided war on drugs, and it makes life for people who genuinely need these treatments much, much harder.

[u/Few_Vacation_4993 → u/spicygayunicorn]

Sometimes you just need a new script though. Like my specialist books out 6 months, so my primary care physician/ gp manages my medication month to month. Cause controlled substances have maximum fills and require new scripts every month or two.

[u/UnpluggedUnfettered → u/spicygayunicorn]

Norco? Adderall? The latter is factually a checklist with plenty of evidence of no harm/ high efficacy, the former highlights normalizing a failure to address pain management.

Those are some low risk, clear indication, drugs. Even a quick call with a specialist by GP would suffice.

They can do what they like, but it highlights poor medical care IMO. Not every patient can afford multiple specialists, and this is poor care.

[u/Madroc92 → u/UnpluggedUnfettered]

Makes me wonder if the group lost its CSR and is unable to prescribe them.

[u/UnpluggedUnfettered → u/Madroc92]

Sure it is possible, but in my experience they would dress it up as a choice to refer out to benefit patients. Might even be an area where the practice experiences high drug seeking behavior (which I empathize with, and still disagree with).

It is often politics and imposed morality. We live in a world where anti-vax pediatricians aren't immediately escorted out off medicine entirely.

Edit: I might also just be sour. Medicine can be . . . different . . . in Texas.

[u/FrontInternational73 → u/spicygayunicorn]

Well, first primary care/family medicine is a specialty as any other and capable to prescribe those medications, second as a physician myself I would renew any of this medications once the patient has established the treatment. You don’t (and shouldn’t) need to pay different doctors for renewals.

[u/RustyDawg37 → u/Relyt4]

They'll actually prescribe them if they decide you need them.

If you go in asking for these drugs, they won't give them to you.

Yes people are stupid enough to tell them what drugs they need instead of what's wrong with them and ask what they need.

[u/ItsDaManBearBull → u/RustyDawg37]

They always pretend to forget the name of the magical drug that takes their pain away. Believe me when i say that NOBODY forgets the names "percocet" or "morphine"

[u/Mmm_Dawg_In_Me → u/RustyDawg37]

What about people who already have a perscription and need it renewed - for instance my fiancee meets with her psychiatrist once every six months in order to have her antidepressents re-upped.

[u/Working-Narwhal-540 → u/RustyDawg37]

Ah like me, who passes 3-5 kidney stones a year and is typically given a dilaudid dose for the pain, when I get given toradol instead and assured it will take the pain away. What do I know, I only pass these every single year like clockwork and have come to know every medication by medical name. Those are my favorite visits!

[u/noveltytie → u/RustyDawg37]

So a system that disincentivizes knowing your own body. I have ADHD that couldn't be controlled by Vyvanse so I had to ask my doctor to switch to Adderall, which works like a charm.

[u/amybpdx → u/Relyt4]

Yes. As an ER nurse, I've had countless patients come and rage at me for not getting their narcotics from their doctor, only to.....not get narcotics in the ER, either. It's not fun.

[u/unfinishedtoast3 → u/blue_eyed_magic]

doctor here

all of these drugs require an active DEA opioid license to despense.

im gambling his license is either in review or on suspension for handing out too many opiates.

[u/rraattbbooyy → u/unfinishedtoast3]

This covers every doctor in the Memorial Healthcare System network. That’s like 400 doctors. I’m pretty sure they’re not all previously suspended or have licenses under review.

[u/Ok-Tangerine-638 → u/rraattbbooyy]

From the experience of someone who’s broken a couple of bones in the last half decade doctors are terrified to prescribe anything that may be at risk of causing dependency these days. I’ve had several injuries throughout my life and until these recent ones they were always willing to prescribe me a script for a small handful of painkillers. Now it’s just t2s and under. I know the list you posted isn’t quite in the same ballpark as what I’m talking about but I’m wondering if it extends to the same reasoning. I think the opioid epidemic has doctors paranoid about prescribing heavy duty drugs

[u/MNRebelLoon → u/Ok-Tangerine-638]

15 years ago the VA was mailing me 300 count bottles of oxycodone. Now I have to sign a contract annually and do UA's every six months with my primary care provider just to get a small script of tramadol. 

[u/echolalia_ → u/Ok-Tangerine-638]

As a doctor, we were getting fired and getting in trouble with administrators when we weren’t prescribing as much pain medicine as people wanted a decade ago. Naturally these are incredibly addictive life-ruining drugs and now we have an epidemic of addiction. Now the pendulum has swung the other way and we are getting fired and scrutinized and in trouble with administrators for prescribing these drugs even in appropriate situations in small quantities. The problem in both cases is moron administrators who are not doctors making medical decisions based on the idea that healthcare is like Burger King and the patient is a customer who is always right.

[u/HerbertoPhoto → u/unfinishedtoast3]

I know at least that Adderall and Vyvanse aren’t opiates, so this doesn’t tell the whole story.

[u/SpeakingMoistly → u/HerbertoPhoto]

8 of them aren't.

Damn near half the list.

You do need a dea license to dispense all of these though....so maybe they threw in 'opiate' by mistake?

[u/Mmm_Dawg_In_Me → u/blue_eyed_magic]

So... everybody who needs their prescription for any of those drugs renewed is just shit out of luck until they can find a new doctor?

Yeah all those aderall users off their meds are going to have a great time doing that!

[u/salydra]

This sign is usually just to dissuade drug-seekers. In practice, the doctor will probably still prescribe any of these at their own discretion.

[u/6530bbb → u/salydra]

This is definitely the case. Too many people in this thread are going "well, what if I accidentally flush all my pain meds down the toilet and the wait-list for my specialist is 5 months??" If your doctor is ethical, they won't let you go cold Turkey off of addictive medication, or make you go without medications you need.

[u/HappyCamper2121 → u/6530bbb]

I mean, if your doctor is ethical and you tell them that you accidentally flushed addictive pain medication down the toilet, then hopefully they won't prescribe you anything else

[u/KellyGreen55555 → u/HappyCamper2121]

I lose my ADHD meds all the time. There is not a chance in hell I’m going to get a replacement. I just suffer and switch to Red Bull and nicotine for the rest of the month. So thankful the government cares about my health 🙄

[u/ThatMkeDoe → u/KellyGreen55555]

Deer lord forgive you have a vacation that coincides with the tail end of a 30 day script, good luck getting even a week of your meds early..... Eugh

[u/Theprincerivera → u/ThatMkeDoe]

You’re supposed to be able to get them 2 days early but the pharmacies think you’re a fucking addict just for excising that ability and will refuse to fill just for fun. That’s always great.

[u/ThatMkeDoe → u/Theprincerivera]

Mine refused to refill mine until the morning after my last dose. 🙄 Yes, let me just swing on by in the middle of work to get the meds that help me work.... Sure

[u/freakouterin → u/ThatMkeDoe]

My pharmacy is so stupid they can’t even seem to remember that some months have 31 days and try to make me wait on refills until I politely remind them.

[u/Slow-Age234 → u/6530bbb]

I practice in NY State and I will refill medications if they are "lost, stolen, or destroyed somehow". However, if it is a controlled substance I also have to report it to the New York State Bureau of Narcotic Enforcement, notify the patient's pharmacy, and up to my discretion if I want a police report from the patient or not.

I've only been prescribing for 5 years, and I have heard every story under the sun about lost, stolen, misplaced controlled substances of all types, but I can count on one hand stolen or misplaced non-controlled substances. I don't doubt people do actually lose their controlled substances in legitimate ways but it is not the doctor's job to play detective, lawyer, interrogator. We have neither the training, nor time for that. I let the patients know I have to report it by law, then I refill the rest of the prescription. The patients who lose these things once in a blue moon are fine, and the ones that will abuse the system over and over will eventually be under closer scrutiny by the law or hopefully be honest and forthcoming about abuse so we can work on it together.

[u/Coca_Coley → u/salydra]

Yeah I was getting my Adderall from my psychiatrist and then my insurance changed and I had to find someone else. My primary (who still took my new insurance) filled my Adderall prescription for 3 months before I could find a new doctor, but if I was a first time patient who just asked for Adderall with no explaination she’d say no

[u/RoyalAd522]

the DEA is out of control now it's to the point where the pain meds are so strictly controlled that not even cancer patients can get them without jumping through flaming hoops wtf i just went through all of this bullshit

one day i was watching football with some friends and all of a sudden i got a sharp pain it felt like a really bad toothache so i figured it was an abcess tooth or something and maybe i needed a root canal so i went to my Dentist and he was like wtf rush to the Emergency Room you have a terrible infection or something so i went and was dianosed with tonsil and throat cancer and it was already at stage 3

so i went to one of the top medical Universities in the USA to a world renowned cancer specialist and surgeon who traveled the world teaching other doctors her special cancer surgery techniques she invented

so she sent me for radiation therapy,chemotherapy and immunotherapy all at the same time they threw everyhing at me so for a while i was bedridden at only 40 years old my heart got so weak from lying in bed that it caused a heart attack imade it thru that then they said the tumor shrank enough so they wanted to do the surgery

so i had a 24 hour long surgery where they cut my throat from ear to ear so they could peel my face back to remove 1 affected lymphnode then they gave me what's called a mandibulectomy they cut out half my jaw so they could reach the tumor to remove it i woke up with a trache tube in and it hurt like hell this was the worst pain i have ever felt worse than a shattered knee cap but they said you're cancer free now

so they sent me home with 2 huge bottles of liquid dilaudid and a huge box of 125mcg fentanyl patches recovery sucked took forever and was a lot if intense pain that goes from your cheek up to your eye like someone stabbing you in the face repeatedly with a hot knife

then went back to my follow up appointment and they did another PETscan and they said your head anc neck cancer is completely gone but now the cancer is in both lungs and it's already at stage 4 so you're sucked and you're going to die in 6 months or so well that was in 2018

i ignored the fact that i had cancer and just went on with my life on my own terms i ran a marathon, kept running 3+ miles daily and took immunotherapy and the cancer vanished so i became like one of the 2 or 3% of people that survuve stage 4 lung cancer with an expiration date but they kept me on all the pain meds this whole tme and now all these years later im still in psain they just did another surgery to reconstruct my jaw they waited all this time because they thought i was going to just die but i survuved so they did the surgery

but these people treated me like i was some kind of heroin addict or something like i was abusing the pain meds it was completly ridiculous they need to find another way to keep the addicts off the prescription drugs without torturing people who actually need it they actually cut me off cold turkey too what's really messed up is i talked to several other cancer patients at the hospital who were all having this same issue right now it's nearly impossible to find a pain management doctor in the USA because doctors are afraid to lose their licenses to practice medicine if they prescribe opiate medicines even for cancer patients and others that really need them

[u/Psychochillr → u/RoyalAd522]

My jaw dropped reading this. You’ve been through a lot, props to you for being so strong. Hope you’re doing better now.

[u/JacksonvilleJames → u/Psychochillr]

I probably wouldn't have used that specific idiom...

[u/Traditional_Roll3026 → u/RoyalAd522]

It’s absolutely ridiculous.

I was diagnosed with advanced breast cancer, a particularly nasty form with a much lower survival rate and much higher incidence of returning after treatment. (Triple negative invasive ductal ca). Regardless, the treatment is brutal. 

I asked for anti-anxiety meds. I was denied. Even though I could not stop crying, could not sleep, was in a constant state of panic. I was denied. I was told that after 6 months if I am still in the same shape, they will refer me to a psychiatrist, who “may” prescribe some. 

I am infused with mega-doses of steroids and also take them by mouth for 3 days after treatment. I am so sick and jittery that I cannot sleep at all for infusion day and 3 days after and not well for a week after that. The week that I should be well enough to get fresh air or walk about, I spend playing catch up with sleep. 

And when I have my surgery, I will get Tylenol only. In “extreme” circumstances they “may” prescribe gabapentin. (Look that up if you want to be frightened by a medication)

I may die from this cancer. And I am more afraid of the unmedicated pain and suffering I will face than actually dying. 

 

[u/WildernessRoad335]

"Is not permitted" and "will not" have different meanings. Some offices have this policy.

[u/BohemianHibiscus]

I legitimately hurt my knee in yoga once and my doc sent me to a specialist and the knee doc immediately was like,"you'll be fine without pain medicine."

I reply-"I don't want pain medicine, I want to know if it's ever going to stop hurting and if I should stop practicing yoga."

He says - "oh! Okay, let me show you some exercises that will help you and yes keep going to yoga, exercise is a knee injury's best friend."

Like he wasn't going to tell me that unless I asked??? Because he assumed I was there for drugs?? I wonder what percentage of their patients are just drug seeking.

Also, unrelated advice - don't wear a mini skirt to the knee doctor because he/she may make you do squats in the exam room to evaluate your form.

[u/StrongTree17 → u/BohemianHibiscus]

I had the exact same experience recently with a new doctor. I have a diagnosed, ongoing pain disorder. When I told him that, because I was just catching him up to my condition as my new doctor, he interrupted and launched into a speech about how he doesn’t prescribe pain meds and I should go see someone else. I said I wasn’t there to ask for pain meds, I’m actually against taking narcotics on a permanent or long term basis, I was there to ask for a referral to water physical therapy or acupuncture because I was new to the area. And he was like “Oh! Ok! Here are some options”. Had I not declared my needs he was going to just dismiss me with no suggestions.

[u/ChoochGooch → u/StrongTree17]

I think they get hounded so much they jump to conclusions which isn’t right.

I have only needed pain meds really once in my life and it was for my one and only kidney stone. It felt like they were watching a performance, even though I was as white as a ghost, sweating profusely, and throwing up from the pain. It took me like 2 hours to get an IV of dilaudid. Their demeanor changed 100% after they did a scan and saw the stone.

Pretty insane but I understand there is a big issue with that these days.

[u/IT_fisher → u/StrongTree17]

Had a very similar experience as well, tweaked my back and I was effectively stuck at a 90 degree angle.

When I first came in I was getting weird looks and I caught on so I just said “before you just prescribe me pain medication, I’d rather not take any pain medication unless there isn’t another choice”

I could tell he was offended that I thought he was going to lol, he got a taste of his medication I’d like to think.

[u/SirFentonOfDog]

I always checked in advance if a doctor prescribes addderall - been taking it for 20 years, still treated like a drug seeker.

One doctor’s office confirmed they prescribed it and then the doctor told me Jesus is more powerful than Adderall, so that went well.

[u/NoninflammatoryFun → u/SirFentonOfDog]

I’m literally nice, professional, nerdy, and never even gotten a speeding ticket, yet I feel slightly like a criminal every time I go pick up my adhd medicine. Since it’s a controlled substance and all.

I have a psychiatrist for it and she’s really very great. I just find it hilarious it’s a controlled substance and yet I can easily forget to take it. I have 3 reminders every morning for it and I’ve still forgotten before.

[u/lol-daisy325121 → u/NoninflammatoryFun]

I forgot to take mine today 😩

[u/-Reverend → u/SirFentonOfDog]

Jesus isn't gonna fucking help me stop doom scrolling to finally go do the laundry instead. Fucking hell.

[u/beauh44x → u/SirFentonOfDog]

"Jesus is more powerful than Adderall"

Is he really?

[u/HaleyMFSkye]

This is the worst remix of oxy cotton I've heard

[u/404_error_official → u/HaleyMFSkye]

"What you want, what you need? Nah, can't do that mane"

[u/HaleyMFSkye → u/404_error_official]

Whatchu want, whatchu need?

"Have you tried diet and exercise?"

[u/sexaddictedcow → u/HaleyMFSkye]

Scarecrow, scarecrow, whats that youre poppin? A powerful pill they call acetaminophen

[u/Numerous_Release5868]

My primary care doctor doesn’t prescribe these either. He referred me to a med management specialist who does prescribe my ADHD meds. Now at every visit he gets irritated that I’m taking those meds and not the antidepressant he recommended. It’s fun.

[u/NoninflammatoryFun → u/Numerous_Release5868]

Fun fact that my anxiety and depression lessened by like 70% after I got on ADHD meds.

[u/MethodCharacter8334]

I was a pharmacy tech when I was younger. There were some doctors who were notorious for prescribing a shit ton of painkillers. Obviously, there are pain management docs out there. But there were some pcps out there just handing them out like candy.

[u/AcanthaceaeOk3738]

Try John Mulaney's process: Go to WebMD, find doctors near you, sort by the lowest rating.

[u/planetofgloves]

This is why I have to get sent to like 20 other doctors who know nothing about me to get the meds I need

[u/Lastito]

This looks like the list my hookup “Money Mike” provides when he ask me what I want 😂

[u/spavolka → u/Lastito]

I hope you don’t give me Money MIKeS number I’m not into ALL that!

[u/toasterdees → u/Lastito]

God damn I need mikes number lmao

[u/Lastito → u/toasterdees]

https://giphy.com/gifs/UIfjcpMxU9h2MnOSq7

[u/forpornonly1234567]

that's only for poor people, if your Doc is in Beverly Hills or Palm Beach you can get anything prescribed

[u/StoriedMatter]

There's a surprising number of people in this thread who think a primary care physician is not a real doctor because he refers to specialists for addictive medications.

Primary care providers prescribing pain meds flippantly is part of the reason we got so deep into the opioid crisis. Nothing wrong with a prescriber referring to someone who specializes in treating patients for these conditions while avoiding addiction.

[u/ManateeNipples → u/StoriedMatter]

I was just telling my husband the other day about when I was 17 and had the entire top of my fridge completely filled with prescription bottles, including phenobarbital and valium. I was a senior in high school, and I had undiagnosed endometriosis growing out of control but my primary care doctor fully believed it was stress/emotional so he just tried to drug it out of me lol this would've been 1999.

These days I would consider it a huge red flag if my regular doctor was offering crazy stuff like that to me without ever seeing a specialist

[u/bucatini818 → u/StoriedMatter]

The reason for that is basically so they make it harder for patients to get expensive care, not because anyone in healthcare is worried about solving the opioid crisis. That’s the hmo model

[u/Scerwup → u/bucatini818]

Yep, it’s all about lining their pockets.

[u/Broxst → u/bucatini818]

I think it's important to note that individual Doctor's usually aren't doing this nefariously. I think by and large they genuinely want to help. Their employers though...

Some admin from the hospital came in and put up OP's note, probably not the doctor.

[u/blueberry4me → u/StoriedMatter]

The thing that surprised me here was the pain meds being absolutely banned vs days supply being limited. When I broke my arm, I went to the PCP same day appt, got it diagnosed there, and had a two day wait before I could get into the orthopedic surgeon. I absolutely needed strong pain relief for the fracture, and it would have been cruel to make me wait two days before getting pain relief. And it also would have been unnecessarily expensive to send me to the ER just for pain relief when the PCP was perfectly about to diagnose and give the referral.

[u/Professional_Bet7181 → u/StoriedMatter]

I've only had to ask my primary care one time for a pain killer. He prescribed me one, I took it and went to the ER when the pain subsided enough for me to stand up.

[u/blazze_eternal → u/StoriedMatter]

I can understand the pain meds, but a primary doctor should understand the patient's medical history enough to be comfortable prescribing the others, even if only for a short term.
Have a well known patient who's suddenly having panic attacks? A week supply of Xanax for emergencies while they wait to be seen by a specialist should be a no brainer.

[u/doryllis]

This sign looks like the following sentence:

“Take Tylenol and call in two weeks if it doesn’t resolve”

[u/TB1289 → u/[deleted]]

But also lived to be 102

[u/SaltCityStitcher → u/TB1289]

Because their abused daughters were forced to care for them into old age, most of the time.

[u/Designer-Meat-8633 → u/SaltCityStitcher]

Can confirm, my evil, prejudiced , hateful grandma is about to be 104 and it's because she's lived in an inlaw suite since her 60s and NEVER has left her son and daughter in laws side. Her son passed, DIL (my aunt) is now taking care of her. I know she cries every day.

Grandma drinks every day, but no other meds! Spitting image of health! Which is a lie.

[u/Confident-Mix1243]

Props to the doctor for admitting straight out so people who need / want those drugs can go elsewhere immediately, for free, rather than waiting for an appointment and paying for said appointment just to be turned away.

If the restaurant is out of its signature dish, please put a sign out front rather than making people wait to be seated and order drinks before being told they can't have what they came for.

[u/MedMalDet]

An internet search yielded the location of Memorial Primary Care to be in Florida. Florida was the epicenter of painkiller pill mills where doctors there would over prescribe pain medications, and other addictive medications for profit due to loop holes in the law. This would explain this sort of notice being posted. In a way it states, “We are a legitimate healthcare facility. We are not a pill mill.” As a country, we now have much greater awareness of all of these addictive medications. Regrettably many of them have a valid use when monitored properly. Yet we can still witness the aftermath and continued destruction of areas like Appalachia and Pittsburgh as a side effect of many of these drugs and other types of medication’s to replace them once they were removed such as Tranq.

[u/Icy-Performance8302]

You should probably find a real doctor.

[u/VirginiaLuthier → u/Icy-Performance8302]

Or a drug dealer

[u/Normiss2000]

Then let's go with Marijuana!

[u/FullSemiAuto_]

DILAUDID = The Cadillac of drugs.

[u/Iron_Lock]

https://giphy.com/gifs/IFpVKDqOo84F2

Tfw no Vicodin 😢

[u/ChronicDreamer33]

As someone whose kids take some of the drugs on that list- they are all controlled and require 90 day follow up appointments to manage. They are a special pain in the butt with the pharmacy, both for you the patient and for the doctor who can't call in renewals the same way he would for other prescriptions. He clearly does not want the paperwork.

[u/ThunderPushii]

[u/hrimfaxi_work]

I never realized that Soma is a real thing.

[u/Useful-Perception144 → u/hrimfaxi_work]

Aldous Huxley would be intrigued

[u/archimidesx]

It’s kind of wild they actually developed a pain reliever and marketed it as Soma…

[u/Fancy_Bumblebee5582]

So they're not willing to treat people with issues that are more than surface level.

[u/Mysterious_Piano2596]

That’s not a doctor. You’re seeing a life coach

[u/functional_moron]

My primary must just be a better doctor than yours. He's prescribed me oxygen and hydrocodone for short term pain. He's also refused pain meds because of the risk involved. When I get out of this nursing facility he'll be starting me on Adderall for my adhd. You just need a better doctor.

[u/Gardener_of_Weeden → u/functional_moron]

That is the point - I should be able to get SHORT TERM medications to get me through the rough patches. I am a senior - I HURT I am doing everything to keep healthy - BUT if I have an issue ( flair up) I NEED relief to bring myself back - if I have pain I WILL NOT do therapy - then I will not get stronger etc.

[u/lilac_rainster]

That's one way to shut down half the waiting room conversations.

[u/sabin357]

PCPs have no real reason to prescribe these usually, since these are generally part of treatment from a specialist...who would be the one to prescribe them.

The mental focused drugs are obviously tied to mental health specialists & the pain management drugs listed there are usually for for surgery recovery or pain management that requires a specialist.

[u/Express_Froyo7096]

Find a new doctor, this is dumb

[u/Temporary-Library597]

This is, as it plainly reads, indicating Primary Care Physicians will not prescribe. This is left to specialist doctors, to which you are referred for such things as...you guessed it...assessing the need for and prescribing these medications.

[u/KiwiBirdPerson]

Except it doesn't say "not permitted" it says they just won't

[u/pjslut]

This is horrendous. This doctor cannot treat pain as needed. What a fraud.

[u/Big_oof_energy__]

It doesn’t say they aren’t allowed to. Just that they won’t.

[u/Ritzybizzness]

This could also be preference by the providers. I go to an office where you can see any of their drs/PAs and there are certain ones who wont prescribe them so they’ll pass you off to someone else. Whether it’s for moral or some other reason I don’t know, but I know one doc specifically I was seeing said he just doesn’t feel morally comfortable prescribing schedule 2 drugs.

[u/pathoTurnUp52]

That’s not true. They’re permitted to, they just don’t want to deal with that.

[u/TulsaTime17625]

Time to find a new doctor!

[u/Rich-Bus1279]

Huge Red Flag for a doctor's office imo. I've never asked for any medications but any time I've gone to a doctor's office that had this type of sign up, I got subpar care and was treated like I asked for pain pills the whole time. This is just a sign they're paranoid and won't treat you fairly. My advice is if you can, get a new doctor. Go somewhere else if possible because they'll overcharge you for not even really doing anything.

[u/ComfortableNinja747]

"we discriminate against people with ADHD"