Search found 90 matches

by kcairns
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:


The request for pt limit increase form is quite decent, maybe best try cooperate in good faith and get additional people helped as soon as they allow
by kcairns
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

Enlightenment at 4 AM...there will NOT be success in reducing opioid deaths ...the epidemic WILL continue to worsen because treatment of same has become main area in which "THEY" can regulate docs which for them has greater salience than does saving lives...disagree who will that in as much as it is...
by kcairns
Fri Aug 07, 2015 12:28 pm
Forum: Clinical Use of Buprenorphine
Topic: How do you order Suboxone for dispensing?
Replies: 18
Views:

ones coming in not even wanting to take the first dose is perplexing, are they faking being in mild/mod wdrl or did they fake their answers to dsm5...for all I see for induction have same story on dsm5, suffering physical and mentally, lost jobs, lost savings, lost or losing family, prison time, po'...
by kcairns
Fri Aug 07, 2015 12:28 pm
Forum: Clinical Use of Buprenorphine
Topic: How do you order Suboxone for dispensing?
Replies: 18
Views:

Fishdoc I think is giving some tough good advice and leads me to post too , in spite of financial hardships, for building even if slowly ones good safe correct practice rather than possibly finding oneself stuck in a less than safe for patients costcutting money making thing where a good doc might h...
by kcairns
Tue Jun 02, 2015 1:04 pm
Forum: Clinical Use of Buprenorphine
Topic: Patient Prefers Subutex
Replies: 53
Views:

above makes me hopeful also for ways to similarly decrease iatrogenic mistakes and diversion re bzd and opioid pain"killers" both of which have much greater documented morbidity/mortality than does bup and also how to mandate Psychiatry oversight of all rxed stimulants....but now for the fun, a cons...
by kcairns
Tue Jun 02, 2015 1:04 pm
Forum: Clinical Use of Buprenorphine
Topic: Patient Prefers Subutex
Replies: 53
Views:

I see a lot of people in various phases of opioid addiction care work..I see an awful lot desperate to get off heroin morphine fentanyl oxy dilaudid...i see pts having hard times w wdrl in process of bup taper but never one desperate to get free of wanting/seeking it..nor hurting from taking it...wh...
by kcairns
Tue Jun 02, 2015 1:04 pm
Forum: Clinical Use of Buprenorphine
Topic: Patient Prefers Subutex
Replies: 53
Views:

article on street bup abuse in "drug and alcohol dependence" march 31 2014 finds --"it serves a variety of functions - to get high, manage withdrawal sickness, as a substitute for more preferred drugs, to treat pain, manage psych issues, and as a self directed effort to wean off opioids...rarely pre...
by kcairns
Tue Jun 02, 2015 1:04 pm
Forum: Clinical Use of Buprenorphine
Topic: Patient Prefers Subutex
Replies: 53
Views:

Dave, I think quality in methadone maintenance clinics varies a whole lot. i have worked in one as one of my works for 5 years, we have 240 clients and 4 great caring full time counselors, the whole staff being high quality all around. full of clients who were down to last neck vein for their ms etc...
by kcairns
Tue Jun 02, 2015 1:04 pm
Forum: Clinical Use of Buprenorphine
Topic: Patient Prefers Subutex
Replies: 53
Views:

these folks are good human beings, I would encourage our good obot docs to consider putting in some hours in such work
by kcairns
Tue Jun 02, 2015 1:04 pm
Forum: Clinical Use of Buprenorphine
Topic: Patient Prefers Subutex
Replies: 53
Views:

Dave what you tell me I sure believe..because i believe in you and makes me sad tho not surprised re having health care practitioners doing wrong by their pts.sure some are here for conning and I know if you were here e me you would see a different story than what you encounter there .great majority...

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