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New York City To Restrict Prescription Painkillers In Public Hospital's Emergency Rooms
http://www.nytimes.com/ ^ | January 11,2013 | Anemona Hartocollis

Posted on 01/11/2013 2:25:04 AM PST by Biggirl

Some of the most common and most powerful prescription painkillers on the market will be restricted sharply in the emergency rooms at New York City’s 11 public hospitals, Mayor Michael R. Bloomberg said Thursday in an effort to crack down on what he called a citywide and national epidemic of prescription drug abuse.

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; News/Current Events; US: New York
KEYWORDS: bloomberg; drugs; drugwar; littledictator; nyc; painschmainwinthewod; publichealth; sourcetitlenoturl; warondrugs; wod; wodlist; wosd
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1 posted on 01/11/2013 2:25:23 AM PST by Biggirl
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To: Biggirl

The abuse of Vicodin or OxyContin or Percocet is legendary. No one in the medical industry cares...most political folks don’t care....and public doesn’t care. As for Bloomberg’s effort? Well...folks will just go and make reservations every three days to get their prescription...so doctors will make another ten to twenty percent on profit per year.


2 posted on 01/11/2013 2:39:46 AM PST by pepsionice
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To: Biggirl
Some of the most common and most powerful prescription painkillers on the market will be restricted sharply in the emergency rooms at New York City’s 11 public hospitals, Mayor Michael R. Bloomberg said Thursday in an effort to crack down on what he called a citywide and national epidemic of prescription drug abuse.

Tinhorn f***ing dictator. Better they should writhe in pain, right? Bloomberg, you are Obama/Mao writ small.

3 posted on 01/11/2013 2:44:19 AM PST by Lazamataz (LAZ'S LAW: As an argument with liberals goes on, the probability of being called racist approaches 1)
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To: Lazamataz

What is left for this guy to restrict? I guess the percentage of alcohol in beer is his next target.


4 posted on 01/11/2013 2:47:11 AM PST by Buddy Sorrell ( John Boehner is our Pierre Laval. We need a Charles DeGaulle.)
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To: Biggirl

A doctor should be able to decide what is best for his patient and if that be morhpine or oxcycodone, or even fentanyl then so be it. If anything the hosptials need to have narcotic review boards and punish doctors who overprescribe or overoder medication.


5 posted on 01/11/2013 2:51:18 AM PST by LukeL (Barack Obama: Jimmy Carter 2 Electric Boogaloo)
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To: Biggirl
Financial-Media Guru, Nutritionist, Physician, Constitutional Scholar, in the arena of the 2nd Admendment, gee how did he ever have time for girls in College... ( sarcasm off )...

I am so sick of this know-it-all petty Dictator, perhaps he can take Hugo's place, lets give him a Country, and give us back NY.

6 posted on 01/11/2013 2:54:03 AM PST by taildragger (( Tighten the 5 point harness and brace for Impact Freepers, ya know it's coming..... ))
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To: pepsionice
Well...folks will just go and make reservations every three days to get their prescription.

I am surprised New Yawk is far behind the times. Hospitals on the Mississippi Coast imposed similar restrictions to drug seekers in the early 1990s. They (the six larger hospitals) maintain and share a database of known drug seekers.

ER physicians are NOT primary care doctors and should prescribe only meds to treat acute ailments.

This is a common sense move for Bloomberg to make. This is the first thing he's done I can agree with.

7 posted on 01/11/2013 3:04:53 AM PST by Islander7 (There is no septic system so vile, so filthy, the left won't drink from to further their agenda)
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To: Islander7

I can’t disagree with him on this action either, especially since we all have health insurance now. Ok just a little sarcasm there....

But truly, if they are writing a 7-10 script for pain meds that is way too much to be walking out the ER door with. If one is still in that much pain post 3 days, one needs to be seen by a regular doctor for further treatment or should be admitted for further diagnostic care.


8 posted on 01/11/2013 3:53:53 AM PST by EBH (0bama is guilty of willful neglect of duty.)
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To: Biggirl

Bloomie will never sit in an ER waiting area for 3 hours waiting for Xrays, with multiple fractures, and without powerful pain relief, as did my spouse 3 weeks ago


9 posted on 01/11/2013 3:55:53 AM PST by silverleaf (Age Takes a Toll: Please Have Exact Change)
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To: Biggirl
Outlaw medicine.
Stop interfering with the will of Allah!
10 posted on 01/11/2013 4:18:09 AM PST by MrBambaLaMamba (This Message Contains Privileged Attorney-Client Communications)
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To: Biggirl
Having worked for *many* years in a big city ER (not NYC) I've seen "drug seeking behavior" on a regular basis.The physicians and nurses were all tuned into it,particularly with the "regulars" (all big city ER's have regular customers).Our hospital's legal department even went to the point of informing one of our regulars...an addict with genuine health issues..that he was always welcome to seek care at our facility but he would no longer receive narcotic analgesics in the ER.We never saw him again.

A proclamation like this is bound to result in serious trouble...legal trouble,particularly...for the hospitals involved.

11 posted on 01/11/2013 4:19:18 AM PST by Gay State Conservative (When Robbing Peter To Pay Paul,One Can Always Count On Paul's Cooperation)
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To: Islander7
ER physicians are NOT primary care doctors and should prescribe only meds to treat acute ailments.

Tell that to the millions of people who see the ER as a walk in clinic that *never* closes and that *must* see you and who get most,if not all,of their health care there.I saw exactly that over a 20 year career in hospital ER's.

12 posted on 01/11/2013 4:24:30 AM PST by Gay State Conservative (When Robbing Peter To Pay Paul,One Can Always Count On Paul's Cooperation)
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To: silverleaf

Sorry your spouse had such a bad experience - hope things are improving. Unfortunately, once Obunglercare is fully implemented, a 3 hour wait will sound like paradise.


13 posted on 01/11/2013 4:31:15 AM PST by Mygirlsmom (If bad plastic surgeons were banned, then Bob Costas' normal face would still be alive.)
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To: Biggirl

I guess it all depends on how the restrictions are enacted. Since faking a medical crisis and going to the ER is a common way for addicts to get their fixes, a policy that manages to address that while still giving appropriate care to actual patients is a good measure to take.

However, I have no idea how Bloomberg plans to implement this, and he has a history of being a petty dictator. So, for all I know, this could turn out to be a burden for the hospitals and end up harming patients.

As an aside, I went to the ER for chest pains (I still don’t know the cause). The first thing I told the staff was “No narcotics!”


14 posted on 01/11/2013 4:36:09 AM PST by exDemMom (Now that I've finally accepted that I'm living a bad hair life, I'm more at peace with the world.)
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To: Lazamataz

——— Bloomberg, you are Obama/Mao writ small. ———

I would argue he sees himself as Obama Redux.

His efforts are but prelude to those of President Bloomberg


15 posted on 01/11/2013 4:39:20 AM PST by bert ((K.E. N.P. N.C. +12 .....The fairest Deduction to be reduced is the Standard Deduction)
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To: Gay State Conservative

I have noticed the big signs in spanish at the local ER that pretty much says all are welcome, payment optional.


16 posted on 01/11/2013 4:39:50 AM PST by wrench
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To: taildragger

Many would gladly give him New York and everything north and east if they would split off and leave the real America alone.

Rather than New England, they can be called New Europe

They can still be Yankees an thought of with utter disdain


17 posted on 01/11/2013 4:42:46 AM PST by bert ((K.E. N.P. N.C. +12 .....The fairest Deduction to be reduced is the Standard Deduction)
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To: bert
His efforts are but prelude to those of President Bloomberg

Not likely. Obama ain't leaving.

Seriously.

18 posted on 01/11/2013 4:44:38 AM PST by Lazamataz (LAZ'S LAW: As an argument with liberals goes on, the probability of being called racist approaches 1)
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To: EBH
But truly, if they are writing a 7-10 script for pain meds that is way too much to be walking out the ER door with. If one is still in that much pain post 3 days, one needs to be seen by a regular doctor for further treatment or should be admitted for further diagnostic care.

I agree to some extent but then I wonder if an ER doc proscribes you only a few day supply of an opiate pain killer and then you go to your primary care doctor a few days later and he writes you another partial or full scrip for the same pain killer, that you won’t end up in some data base as a “doctor shopper”.

And I would add it may not always be necessary to follow up with a primary care doctor after a visit to the ER for some types of injury if it doesn’t require follow up or further treatment and it can sometimes take a week or more to be seen by a lot of primary care docs and even more by some specialists.

Back in around 2003, I a relative took me to the ER one evening because my back pain and back muscle spasms were so bad that I couldn’t stand up straight without severe pain – I initially didn’t want to go BTW, but she convinced me. The ER doc did an examination, asked a lot of questions and determined I had a “slipped disc” and a pinched nerve and the pain was causing the muscle spasms which in turn were exasperating the inflammation. He sent me home with an Rx for muscle relaxers (1 every 4 hours), Percocet (1 every 6 hours), enough for about 7 days and a steroid for the inflammation and at the ER gave me a shot of an anti-inflammatory drug. Boy those drugs knocked me out but they also worked. I ended up not taking all the muscle relaxers and Percocet, only took them for about 4 days and I did follow up with an orthopedic (I had to wait two weeks to be seen BTW). By the time I saw him I wasn’t in eructating pain anymore and didn’t need pain meds but he did write a new Rx for the muscle relaxers with instructions on when and how to take them and only if necessary and wrote a script for what he called “Back School”, i.e. physical therapy. If the ER doc had only wrote a script for a day or two worth of pain meds, considering how long it took to be seen by the ortho, I might have likely ended up back at the ER, missed more than 4 days of work and would have suffered needlessly. Just saying.

19 posted on 01/11/2013 4:46:34 AM PST by MD Expat in PA
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To: Lazamataz

Think Caligula


20 posted on 01/11/2013 4:48:32 AM PST by bert ((K.E. N.P. N.C. +12 .....The fairest Deduction to be reduced is the Standard Deduction)
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