It is currently Wed Aug 23, 2017 12:53 pm



All times are UTC - 5 hours [ DST ]


Our Sponsors





Post new topic Reply to topic  [ 49 posts ]  Go to page Previous  1, 2, 3  Next
Author Message
 Post subject:
PostPosted: Wed Dec 07, 2011 12:20 am 
Interesting

From your responses... its apparent that YOU don't even know what a physician assistant and/or a nurse practitioner is or even does.

First off...

ALL of the former military members here KNOW that all medical personnel are referred to as "Doc"...

“Doc" is the name called in the middle of the night when the tracers are hot and you catch one...
"Doc" is the name called in the middle of the night when the chute malfunctions, or you do a bogus PLF....
"Doc" is the name called when the "jimmy" don't look/feel quite right...
"Doc" is the title "Given" to the person you want standing right next to you should any of the above occur...

So the "Doc" in Nusum was EARNED 24yrs ago jumping out of planes with a medical bag on my back.

I have been called Doc (even by some DOCTORS) since 1987.

Second...
If and when I do give someone advice (which I never do on the internets)...
I DO expect them to follow it ... equally as I expect them to follow the advice of any clinician licensed to practice medicine and prescribe medications whether that advice comes from a MD/DO/PA/NP...

Third...
There is NO SUCH THING as a "Physician's Assistant."
No Physicians OWN assistants.

If people are ASSuming that I'm a MD based upon my avatar, Screen Name, and Signature... then its really their problem and indicative of faulty and incomplete education.

Especially when one considers that Physician Assistants and Nurse Practitioners have been practicing medicine in ALL specialties for well over 40 yrs and are licensed in ALL 50 states, UK, Scotland, Australia, Canada, ... or that "MDs" aren't the only folks out in civilization practicing medicine and that my signature lists some of my credentials and does NOT refer to me as a MD.

The really silly part of this back and forth is that it seems that you are suggesting that I need to be a "MD" to know what I'm talking about, or a "MD" to practice medicine and/or be a "MD" to be a clinician/specialist in behavior medicine and provider of "gold standard" Addiction Medicine.

Not so...

The MD students that I teach Clinical Behavioral Medicine to at the University of Washington seem to know the difference and don't seem to have a problem following the direction, or advice I give them concerning patient care... as do the 2 MDs and 1 DO that I employ in the Addiction Medicine/suboxone clinic that I own.

But Alas...
Somehow, I find myself in a very tedious, non-productive, fruitless discussion with you... because a poster responded rudely to a few of my posts... I responded in kind... you flew in with your Cape flapping in the wind and now want to perseverate on whether or not I'm a MD or not....

Yeah OK.

Got better things to do...???


Top
  
 
 Post subject:
PostPosted: Wed Dec 07, 2011 2:14 am 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Thu Jul 15, 2010 5:08 am
Posts: 1503
Nusum, nowhere did I suggest you don't know what you're talking about. I've said many times, both to you and to others, that you could be an asset to this place. Understand that this forum is not the military, and it is not your work.

I hope that in the event that someone mistakes you for a doctor, you will do the right thing and correct them.

Judging by the length of your response it seems this is a sore subject, so I'll let this one go for now.


Top
 Profile  
 
 Post subject:
PostPosted: Wed Dec 07, 2011 2:39 am 
J3rker... The name is DocNusum...

Actually, the length of my replies are modulated by the amount of AxisII-Cluster B nonsense I encounter by folks with persumed authority and is in direct response to the obtuseness of the respondant.

There is NO NEED to "correct" the ASSumptions about my credentials of anyone on here since:

1.) Its a anonymous and obscure internet forum on the open internet where anyone can be anything and NO way for YOU or anyone else to check. The absurdity of you even suggesting that only I correct someone on here is ludicrous "stinkin-thinkin." Hell... after reading a few of your previous posts in other threads... I mistook you for intelligent and reasonable. Should YOU be required to 'do the right thing" and correct me on that...???

2.) My credentials are listed in my signature at the bottom of each of my posts. If anyone has any questions about them... they can research them at will.

In case YOU forgot...
This seems to be a free open forum on the unlocked internet.
If YOU want to check MY credentials or insist that I spend time thwarting all misconceptions about my extensive medical background, experience and training in addiction medicine... or insist/suggest that I need to add some type of disclaimer to my posts/responses, then YOU and everyone else here should be doing the same thing.

Otherwise... "Pound-Sand"...


Top
  
 
Our Sponsors
 Post subject:
PostPosted: Wed Dec 07, 2011 3:40 am 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Thu Jul 15, 2010 5:08 am
Posts: 1503
Quote:
or insist/suggest that I need to add some type of disclaimer to my posts/responses, then YOU and everyone else here should be doing the same thing.


That sounds like a really good compromise DocNusum.

If I put a line in my signature reminding people that I am not a doctor, then you will be willing to do the same?

I'm all for it.

It seems like you're taking my queries like some kind of personal attack. Never did I suggest you were any less experienced or knowledgeable than an MD.


Top
 Profile  
 
 Post subject:
PostPosted: Wed Dec 07, 2011 3:53 am 
Cooool...
So EVERYONE on this forum (except Dr. JJ) needs to put a line in their signature reminding all who read here that they are NOT a doctor.

Lets get it crackin....!!!

And play "coy" all you want... but it IS a personal attack.


Top
  
 
 Post subject:
PostPosted: Wed Dec 07, 2011 4:40 am 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Thu Jul 15, 2010 5:08 am
Posts: 1503
Not really.

Only people who might be mistaken as one.

Being a moderator, people have mistakenly believed that my posts represent more than just my opinion. I've been meaning for some time to address this. This to-and-fro has actually motivated me to do something about it.

And believe me DocNusum. If I thought that asking you if you were a doctor would provoke this reaction, I would have gone about it another way. At the time, I did think you were a doctor. As did some other people. It's only after I posted the question that I googled your qualifications. It was my mistake, as I didn't read your introduction post closely enough.

I hope this can be water under the bridge now. I apologise if I offended you in any way.

PS: I've set my signature in my profile, but it's only appearing sometimes. Trying to get it sorted.


Top
 Profile  
 
 Post subject:
PostPosted: Fri Dec 09, 2011 5:39 pm 
Wow. Speaking of Axis II - Cluster B, we've got some serious 301.81 going on here!

-Travis


Top
  
 
 Post subject:
PostPosted: Fri Dec 09, 2011 5:54 pm 
Yep...
Lots of 302.83 here...

But it is par for the course as I learned long ago that Substance abuse and Borderline Personality disorder goes together like mashed potatoes and meatloaf...

http://untreatableonline.com/2009/07/su ... order.html

Quote:
DSM-IV Definition of BPD

A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

Frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behavior covered in (5).

A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation. This is called "splitting."

Following is a definition of splitting from the book I Hate You, Don't Leave Me by Jerry Kreisman, M.D. From page 10:

The world of a BP, like that of a child, is split into heroes and villains. A child emotionally, the BP cannot tolerate human inconsistencies and ambiguities; he cannot reconcile anther is good and bad qualities into a constant coherent understanding of another person. At any particular moment, one is either Good or EVIL. There is no in-between; no gray area....people are idolized one day; totally devalued and dismissed the next.

Normal people are ambivalent and can experience two contradictory states atone time; BPs shift back and forth, entirely unaware of one feeling state while in the other.

When the idealized person finally disappoints (as we all do, sooner or later) the borderline must drastically restructure his one-dimensional conceptionalization. Either the idol is banished to the dungeon, or the borderline banishes himself in other to preserve the all-good image of the other person.

Splitting is intended to shield the BP from a barrage of contradictory feelings and images and from the anxiety of trying to reconcile those images. But splitting often achieves the opposite effect. The frays in the BP's personality become rips, and the sense of his own identity and the identity of others shifts even more dramatically and frequently.

Identity disturbance: markedly and persistently unstable self-image or sense of self.

Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilating behavior covered in (5).

Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.

Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days).

Chronic feelings of emptiness.

Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).

Transient, stress-related paranoid ideation or severe dissociative symptoms.

Dissociation is the state in which, on some level or another, one becomes somewhat removed from "reality," whether this be daydreaming, performing actions without being fully connected to their performance ("running on automatic"), or other, more disconnected actions. It is the opposite of "association" and involves the lack of association, usually of one's identity, with the rest of the world.

There is no "pure" BPD; it coexists with other illnesses. These are the most common. BPD may coexist with:

Post traumatic stress disorder

Mood disorders

Panic/anxiety disorders

Substance abuse (54% of BPs also have a problem with substance abuse)

Gender identity disorder

Attention deficit disorder

Eating disorders

Multiple personality disorder

Obsessive-compulsive disorder

Statistics about BPD

BPs comprise:

2% of the general population

10% of all mental health outpatients

20% of psychiatric inpatients

75% of those diagnosed are women

75% have been physically or sexually abused



Top
  
 
 Post subject:
PostPosted: Fri Dec 09, 2011 9:51 pm 
The DSM code I cited has nothing to do with BPD and is instead referring to narcissistic personality disorder and how reading through your posts to date on this forum I'm left with the impression that you're letting some of your NPD 'shit' shine through; this is coupled with what is likely unacknowledged and therefore untreated chemical dependency or chemical abuse issues of your own makes for the perfect storm. It's unfortunate, but I think you gravitated toward the 'right' population as a medical professional with narcissistic leanings as addicts are typically not in a position to complain and even if they do who's going to listen, right? You come across as extremely disrespectful and closed-minded, PA Nosum, but who am I to say this to you...I'm just an ex active junkie from an online forum who's never had to really deal with DEA scrutiny.

-Travis


Top
  
 
   
 Post subject:
PostPosted: Fri Dec 09, 2011 11:17 pm 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Thu Jul 15, 2010 5:08 am
Posts: 1503
travispnorton wrote:
The DSM code I cited has nothing to do with BPD and is instead referring to narcissistic personality disorder and how reading through your posts to date on this forum I'm left with the impression that you're letting some of your NPD 'shit' shine through; this is coupled with what is likely unacknowledged and therefore untreated chemical dependency or chemical abuse issues of your own makes for the perfect storm. It's unfortunate, but I think you gravitated toward the 'right' population as a medical professional with narcissistic leanings as addicts are typically not in a position to complain and even if they do who's going to listen, right? You come across as extremely disrespectful and closed-minded, PA Nosum, but who am I to say this to you...I'm just an ex active junkie from an online forum who's never had to really deal with DEA scrutiny.

-Travis


Nailed it!


Top
 Profile  
 
 Post subject:
PostPosted: Sat Dec 10, 2011 12:05 am 
travispnorton wrote:
The DSM code I cited has nothing to do with BPD and is instead referring to narcissistic personality disorder and how reading through your posts to date on this forum I'm left with the impression that you're letting some of your NPD 'shit' shine through; this is coupled with what is likely unacknowledged and therefore untreated chemical dependency or chemical abuse issues of your own makes for the perfect storm. It's unfortunate, but I think you gravitated toward the 'right' population as a medical professional with narcissistic leanings as addicts are typically not in a position to complain and even if they do who's going to listen, right? You come across as extremely disrespectful and closed-minded, PA Nosum, but who am I to say this to you...I'm just an ex active junkie from an online forum who's never had to really deal with DEA scrutiny.

-Travis


Travis... Project Much...??

I'm well aware of the DSM-IV/ICD9 code you posted...

But I haven't seen yet where anyone posting in this thread meet the DSM criteria for the diagnosis.

I simply offered my impression of some of the posters in this thread and on this forum.

As for the whole undiagnosed/untreated chemical dependency issues... nahhh...

Personally, I haven't had a alcoholic drink, chemical substance or even a cigarette in a little over 4 yrs.
So nahhh... "right plan... wrong man"...!!!


Top
  
 
 Post subject:
PostPosted: Sat Dec 10, 2011 12:47 am 
docnusum wrote:
Travis... Project Much...??


I do project sometimes, no doubt about it, but in this case I don't think so. I think to a degree it "takes one to know one," and yes, I'm calling out some of your Axis II - Cluster B 'shit' as I see it….Errr read it, anyway!

docnusum wrote:
I'm well aware of the DSM-IV/ICD9 code you posted...

But I haven't seen yet where anyone posting in this thread meet the DSM criteria for the diagnosis.


I have seen someone posting in this thread and on this forum whose posts scream to me of NPD...That person is you.

docnusum wrote:
I simply offered my impression of some of the posters in this thread and on this forum..


As did I. See above. And below. Some other people on this board may have the legitimate ability to have clinical impressions also, Pa Nusum.

docnusum wrote:
As for the whole undiagnosed/untreated chemical dependency issues... nahhh...

Personally, I haven't had a alcoholic drink, chemical substance or even a cigarette in a little over 4 yrs.
So nahhh... "right plan... wrong man"...!!!


"nahhh..." seems a little hesitant to me...I say that ¾’s jokingly…Again, just impressions coming from the vibe I've gotten from your posts thus far. GRANTED, this is the internet, so who knows? BUT..."takes one to know one," to an extent, like I said, and if anyone knows how to see past potential junkie bullshit and many of the personality disorder traits, it's someone who has himself likely exhibited many of them at times in his own life.

I've seen at least two people ask you for information regarding PrimeCare PLLC but I haven't yet seen a direct response so much as continuous vague ones...IF PrimeCare does exist in Washington State it is extremely difficult to find, so you might want to make it a little more accessible, if nothing else, just for the sake of filling the other 225 Suboxone spots. PrimeCare PLLC's exist in NY and TN but not in the capacity 'your' PrimeCare PLLC does...Certainly not to any buprenorphine...sorry, Suboxone prescribing degree.

-Travis


Top
  
 
 Post subject:
PostPosted: Sat Dec 10, 2011 1:04 am 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Thu Jul 15, 2010 5:08 am
Posts: 1503
Quote:
This is really beyond tedious, so I'm bailing out...

Good luck and hope sobriety and recovery is better to you that addiction was...

"Dueces"


Didn't you say you were going PA Nusum?

I hate unnecessary goodbyes, you know. So please make up your mind.


Top
 Profile  
 
   
 Post subject:
PostPosted: Sat Dec 10, 2011 1:29 am 
Nope...

Said I was going out of that thread...

And unless YOU want us to start with the creative name calling... I suggest YOU stick to referring to me as my screen name is written.


Top
  
 
 Post subject:
PostPosted: Sat Dec 10, 2011 2:36 am 
Offline
Long Time Member
Long Time Member
User avatar

Joined: Thu Jul 15, 2010 5:08 am
Posts: 1503
Hows does PA DocNusum sound?


Top
 Profile  
 
 Post subject:
PostPosted: Sat Dec 10, 2011 3:26 am 
tearj3rker wrote:
Hows does PA DocNusum sound?


Like YOU don't get to choose MY user name for me...

Its "DocNusum"...


Top
  
 
 Post subject: Re: DUI on suboxone
PostPosted: Fri Aug 23, 2013 6:26 am 
Offline
New Poster
New Poster

Joined: Thu Aug 22, 2013 5:54 am
Posts: 1
So what happen to the case? Did you win? One of my friends had also been charge for a DUI because of a prescribed medicine, good thing he did the right move of hiring a DUI lawyer to help him out on winning the case.

_________________
Jim Forslund DUI defense attorney


Top
 Profile  
 
 Post subject: Re: re:
PostPosted: Mon Aug 26, 2013 3:51 pm 
Offline
Average Poster
Average Poster

Joined: Sat Jan 28, 2012 4:03 pm
Posts: 17
indigochild wrote:
I have a very strict code I abide by when dealing with dumbass cops: lie- its none of their f'in business what you take and i sure as hell wouldn't let anyonetake my blood


I agree 100%! IT'S NONE OF THEIR BUSINESS!! This should be a wake-up call to all of you. Each and every one of us are loosing our rights as citizens of USA. And when they know you're on Suboxone, they automatically deem you as an addict, a looser and a no good for nothing. Don't give them that chance to judge you.


Top
 Profile  
 
 Post subject: Re: DUI on suboxone
PostPosted: Mon Aug 26, 2013 4:33 pm 
Offline
Moderator
Moderator
User avatar

Joined: Sun Jan 02, 2011 12:35 am
Posts: 2802
Location: Southwest
Without being rude to the police who pull you over for some infraction, just don't mention you're on Suboxone. Why would you? If you read the information pamphlet given every time you get a prescription it says not to operate machinery or drive until you know how this drug affects you. A lot of drugs say the same thing, including OTC stuff like Benadryl.

If you have taken too much and are drowsy driving then you have a problem and may receive a DUI. Meaning, don't drive if you feel the least bit high from any drug.

To answer the question of what happened. The OP was charged with DUI because he/she told the arresting officer that they had taken Suboxone. That was their mistake. Learn from this.

rule

_________________
Don't take yourself so damn seriously


Top
 Profile  
 
 Post subject: Re: DUI on suboxone
PostPosted: Wed Apr 30, 2014 4:14 am 
Offline
New Poster
New Poster

Joined: Wed Apr 30, 2014 3:49 am
Posts: 1
Since you are taking it as prescribed there shouldn't be a problem. Just take your script with you and if they took blood test it should show whether you were taking it as you were supposed to. I would still get a lawyer though.

_________________
Fort Wayne Criminal Defense Attorney


Top
 Profile  
 
Display posts from previous:  Sort by  
Post new topic Reply to topic  [ 49 posts ]  Go to page Previous  1, 2, 3  Next

All times are UTC - 5 hours [ DST ]


Who is online

Users browsing this forum: No registered users and 1 guest


You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot post attachments in this forum

Search for:
Jump to:  
Our Sponsors
Suboxone Forum latest topics RSS feed Subscribe to the entire forum
 

 

 
Fond Du Lac Psychiatry
Dr. Jeffrey Junig, M.D., Ph.D.

  • Board Certified Psychiatrist
  • Asst Clinical Professor, Medical College of Wisconsin

Powered by phpBB® Forum Software © phpBB Group