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PostPosted: Sun Oct 24, 2010 1:10 pm 
RALEIGH, N.C. (AP) - Dozens of states already operating databases that can be searched for signs of prescription drug abuse will begin knitting them together next year into what could become a coast-to-coast network.
States are being asked to sign onto an agreement allowing police, pharmacies and physicians to check suspicious prescription pill patterns. Thirty-four states operate databases that monitor prescription drug abuse.

The proposed interstate compact will be unveiled in time for legislatures to consider it when they assemble next year.

Civil liberties and privacy advocates have objected to the state databases, which monitor prescriptions filled for a range of drugs from powerful painkillers to diet pills


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PostPosted: Sun Oct 24, 2010 7:11 pm 
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I'm a bit uncomfortable with this. Not because I'm dishonest about my sub use, because I'm not, but because of privacy issues. I mean, doctors normally can't share ANYTHING with another doctor (or any person for that matter) without my expressed written consent. I guess I'm big on privacy issues.

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PostPosted: Sun Oct 24, 2010 10:39 pm 
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I hear you and agree with you Hat, but I have to tell you, (and no doubt you already know this) but this opiate addiction stuff really is at epidemic proportions. You would hope that they are using it to try to save peoples lives rather than a "gotcha" type thing - but in the end there is a little of both going on. I have seen many docs and nurses do the high five and happy dance when they "bust" someone. However, this does work both ways. The drug seeker who is getting multiple scripts from multiple doctors and visiting the ER once a week (or more) will no longer be able to do that. That really is a good thing. Also, the innocent patient, who really is from out of town and ran out of pills or really does have a toothache (just two common stories that they hear in the ER all of the time), can have their history checked and the doc can go ahead and write a decent amount of pills after finding out that the patient is for real. Without this database, they all have to guess, and when they guess, they sometimes guess wrong and that's where innocent patients end up suffering.

Now, where I totally agree with you and have a huge issue is with law enforcement access. I'm even surprised that they put that in that news story. The fact is that only a very few states allow access to law enforcement without a search warrant. I think as little as two or three states only do this. All of the others do not allow any access other than pharmacy and MD. I certainly hope that the national database does not allow law enforcement either. To me this is plain and simple, if they truly are doing this to save lives and for the good of patient care - that has nothing to do with law enforcement. Doctors, when finding out their patients are getting narcs from multiple sources can take steps to help that patient - perhaps get them on Suboxone. Law enforcement will throw them in jail for "doctor shopping". I would fight tooth and nail to deny law enforcement access - I am actually for docs and pharmacists having access. I really do think it will help with addiction and even save a few lives in the process.

Judging from the number of people here that have been baffled by the fact that their prescription history was available on-line in a database really should read this thread over. Big brother knows exactly what we are doing when it comes to filling controlled substances so we might as well be honest about because it looks much, much worse when we don't say anything at all or lie about our medications and then they find out anyhow. It just makes us look really bad. If you want to find out more, here is a good web site to start with:

www.pmpalliance.org

If you are not sure if your state has one of these prescription monitoring programs or not, they have a map that will tell you. At this point, there are only five states left that either don't have a program or are not in the process of setting one up. They are Montana, Nebraska, Missouri, Arkansas, and Georgia. Everyone else either already has one or soon will.


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PostPosted: Mon Oct 25, 2010 7:39 am 
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As usual, don, you make a lot of sense. In Michigan, when they passed the legislation for setting up the script monitoring database (not sure of the correct term), they also passed another bill with regard to criminal charges and sentencing guidelines for those people that are found to be doctor shopping, etc (If they do anything to obtain a prescription illegitimately). So I think Michigan is one of those states that includes law enforcement in some way having access, which is disappointing at best.

When it comes to helping the addict and saving lives I completely agree that it's necessary. It's just a damn shame that it will also be used punitively.

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PostPosted: Tue Nov 30, 2010 12:47 pm 
I know for a fact that this data base has been in use for sometime now... the laws are changing in holding the MD responsible for checking the data base before the write script. I dont think that is in action yet. My brother is a Doctor. He shared with me that he checks weekily on the scripts he writes for narcotics. He says he finds at least one a week that is doctor shoping and then he cuts them off. he said that most will threaten law suite when he cuts them off .... he then names the last doc they got a script and for what.

I think it ness to stop the poor MD that write rx for money.. esp in S fla. I use to travel weekly to S. fla and come home with about 1.000 oxys for myself and to sell. This data base will stop this behavior.

And if one uses ins to cash out a scipt that goes right into this data base.. in fact two data base. One that ins. keeps up with and one that the goverment states has to be updated. I was told that folks get a Number.. might be SS# but not sure. this is suppose to help with the Hippa regulation that is really a joke.

I kinda wish it was in action yrs ago... maybe I would have more time ahead of me clean. I am sure I would still be in jail due to it. I would use different id's when doing this run weekly... now the airports are cracking down on this and harder to use fake Id's to travel. I did do the drive when I felt like I was being watch at the air port .... you know how you get that sick feeling that on treading on thin ice... so then I began driving all the time.


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PostPosted: Thu Dec 02, 2010 2:57 pm 
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Wow, This is a weird thing, I feel paraniod & I don't even do anything wrong. I DO get two controlleds, But they are from 1- a shrink, & 2, A doctor for other issues. Should I be worried?

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PostPosted: Sun Dec 05, 2010 11:47 am 
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This is a good topic for us I think.

First to Scotcat: ARE you doing anything wrong? Only you know. Legit rx with both physicians aware of each other, not writing fake rx, dr. shopping, lying to the dr. about symptoms....it was interesting that you would ask that question.

I agree with a lot of the sentiment here....For the privacy issue is huge. I was thinking how so far these last five years my medical hx has been out there for everyone to know about...people who have to reason to know. WHERE is my freaking privacy here? It has to do with my ex being a physician, able to access quite a lot of info or lie and get it using his creds which he does often. This is MY medical hx. MINE. I am having a hard time right now with the fact that everyone who knows me in my city at this point, now knows I was on methadone. I'm very angry about that. I wanted to say something about that to the judge, that why is it that I don't have a chance to have any privacy about my life.
On the other hand, I am supposed to be living with rigorous honesty. I believe I should be doing that. That does not mean, however, that everyone gets to know about my recovery or my story or what I am taking to keep my addiction in remission. I still feel it is my right to choose who I tell my story to. But, when I took a job in mental health field I did NOT tell them about my recovery or my methadone. They didn't ua me prior to my working there either. Before the interview with them I researched and read their policies and procedures and nothing said I was to disclose my recovery. they didn't ask, I didn't tell. I had been very transparent during those five years of recovery I have talked about when living in a different town then I do now. That all back fired on me. I was hurt very badly because of it. I had made a decision when moving to the city that I was going to tone down the transparency thing. Maybe it was because I was using. LOL. but I was sick of being defined by this disease. My ex would tell EVERYONE about it. I finally told him that he should focus on telling people about his porn addiciton and leave my story to me. Anyway, I debated and debated about whether to tell my new work place about this. I talked to my counselor, my sponsor. I prayed about it. I didn't want to be deceptive and yet I also needed to work and i didn't think it was right that I not have a job because of being on replacement therapy.

I continued to feel guilty about it and like I was waiting for the other shoe to drop.....after i started working there i realized their feelings about bupe and methadone. Both were bad in their eyes. I had to talk my boss into changing the protocol about Sub. I finally got them to allow me to bring in clients who were on sub but needed treatment still. Initially they wanted me to "MAKE" them get off the sub within their treatment time frame. I said no way. Convinced them again that the sub rx was between their dr and them. I was there to deal with the other issues and I believed I could do that while they were on Sub. So, they changed the policy finally. But methadone? MY god, I might was well have murdered someone....it would have been more accepted. The day i got fired after my ex called my work and disclosed this info not only was my supervisor there, but also the CEO and the VP. It was like I was a criminal. They watched me, wouldn't let me back into the building. I was horrified. not to mention pissed.

Do I regret NOT telling them about it? Who knows. I probably wouldn't have gotten the job had I told them. I maybe rationalized not telling them with it is my privacy issue. (BTW, this agency will not let the txment providers disclose their own recovery, if any, to clients so it was not like I could tell my clients as a way to help them...) My plan was to be in private practice anyway, so that was the impetus to get going and I was ready for private practice by then.

So back to the original topic....When I think about the linked databases my first thought is "Thank god I am done with that crap". I'd be in jail for sure. Would it have been a deterrent? I don't know. it would have probably made me work harder doing more illegal things to get my drugs I am guessing. You know, we get it when we get it. Cliche, but true. I wasn't ready 4 years ago.
But, it maybe a bit like an intervention....interventions don't usually work but they can. They also plant seeds as we all know that recovery is a process, not one isolated incident. So, this linked database thing might be like that. One more step on the road to getting healthy....it takes what it takes and all that.

But I always go back to the privacy issue. I'm stuck there. I want to be able to know that I'm not monitored all the time. Especially after going through what I have with my physician ex. He will LOVE that he can access my records and believe me he will. I'm not doing anything wrong any more, but if this database is retroactive he will be able to see exactly what the last 6 years have been for me. THAT is scary for me.

Well, it's an interesting issue. No answers, lots of questions.


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