Search found 30 matches

by Jeremy K
Thu Apr 24, 2014 6:21 am
Forum: Clinical Use of Buprenorphine
Topic: 100 years of solitude/opioid public health crisis
Replies: 8
Views:

Yeah, Dave, if the substantial majority of the sheeple and their masters were concentrated in one geographic area of the nation, it might be time to say 'when in the course of human events...' Unfortunately there are pockets of them all over the nation, mostly in and around the larger cities, both c...
by Jeremy K
Tue Mar 18, 2014 4:34 am
Forum: Clinical Use of Buprenorphine
Topic: Question about an inpatient on narcotics
Replies: 6
Views:

I greatly appreciate the responses here, thanks so much! FWIW, the pt symptomatically improved today, went home. The GI found nothing other than either viral GI'itis or w/drawals; he favors the latter dx as do I. She did receive a dose or 2 of parenteral narc's but no po; this a.m. when I saw her I ...
by Jeremy K
Mon Mar 17, 2014 11:24 am
Forum: Clinical Use of Buprenorphine
Topic: duration of treatment with buprenorphine
Replies: 72
Views:

Thanks for posting this. Been a while since I checked this forum, sorry for the delay in replying. I think I've asked elsewhere about length of treatment, recommendations, research, etc. There doesn't seem to me to be much out there, either in the way of recommendations from recognized 'experts', or...
by Jeremy K
Tue Feb 18, 2014 11:48 am
Forum: Clinical Use of Buprenorphine
Topic: DEA inspection.
Replies: 16
Views:

Thanks very much for posting this. Like someone else says, it allays anxiety knowing that someone else's experience with this was relatively painless. I don't think my state requires duplicates on narcotic Rx's, so my pads don't have a carbon nor do we xerox them. Of course I have a prescription ent...
by Jeremy K
Tue Feb 18, 2014 11:48 am
Forum: Clinical Use of Buprenorphine
Topic: DEA inspection.
Replies: 16
Views:

Wow third one! I've been Rx'ing Suboxone for ~ 3 years, so far no sign of the DEA. I remember reading somewhere the goal was they would inspect everyone Rx'ing Sub for OST; anyone know how close to that goal they are? Is it even a reasonable goal anymore, considering # of docs involved v.v. availabl...
by Jeremy K
Fri Feb 08, 2013 10:22 am
Forum: Clinical Use of Buprenorphine
Topic: Value of pill/strip counts
Replies: 23
Views: 5685

@sslonim:
Thanks for the viewpoint. I, too, do not do 'observed' urines, but I wonder about those as well. I think I'll start a thread about that, please consider contributing to it.
by Jeremy K
Fri Feb 08, 2013 10:22 am
Forum: Clinical Use of Buprenorphine
Topic: Value of pill/strip counts
Replies: 23
Views: 5685

Thanks all for the replies. "DON'T COUNT DRUGS"? Hmm...I'd be interested if anyone has any 'war stories' re DEA agents' comments about this. Do they check to see if pill/strip counts are being done? In re the issue of accusations that the count is being done inappropriately by staff, my staff on the...
by Jeremy K
Fri Feb 08, 2013 10:22 am
Forum: Clinical Use of Buprenorphine
Topic: Value of pill/strip counts
Replies: 23
Views: 5685

Dr P I appreciate what you're saying, and certainly I want to refine my practice to be most helpful to my patients. But in reality both the Fed and state gov'ts have power to influence what I do. For instance: the KY state board has a list of recommendations concerning Suboxone prescribing. It lists...
by Jeremy K
Fri Feb 08, 2013 10:22 am
Forum: Clinical Use of Buprenorphine
Topic: Value of pill/strip counts
Replies: 23
Views: 5685

Dr P

No need to apologize, no offense taken. I very much value your judgment on these very difficult issues as well as that of so many others who comment here. And I don't know if I would say KY was any more erudite, but I can think of some other adjectives... :-)
by Jeremy K
Fri Feb 08, 2013 10:22 am
Forum: Clinical Use of Buprenorphine
Topic: Value of pill/strip counts
Replies: 23
Views: 5685

I really appreciate everyone's contributions to this thread. It is fascinating and instructive to see the range of opinions and practices about pill/strip counts etc. I do unused strip counts, the pts being instructed to bring them in the packaging from the pharmacy so we can see how much was dispen...

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