Nobody, but nobody, including a president of the United States, can tell a doctor what to ask about in an assessments.
Assessments are supposed to be in the strictest confidence, for openers. Anything else would be against the rules of medical confidentiality. Patients have a right to be seen alone. The doctor has a right to decide what needs to be said.
I can imagine the 2nd ammendment rights activists bursting a blood vessel if doctors are reqiured to survey patients about the guns they own and how they use them. The requirement to have doctors do this would be — most everyone will agree — anti-American.
This being said, a question about firearms is and should be standard psychiatric practice. When you are dealing with suicidal patients, which happens all too often in psychiatry, and the patient says that he or she is thinking about this, then it is absolutely essential to know if that
When human lives are at stake, there is simply no room for emotional decisions based on pseudo-science. But since when does anybody listen to anything I have to say?
Individuals are being removed from organ transplant lists because they are users of medical marijuana. Most recently, a staffer at a dispensary that is kind enough to refer people to me for medical marijuana prescriptions told me about a 30ish young man who is in renal kidney failure. He’s been taken off the list because –you guessed it – he is a user of medical marijuana. I’m afraid it’s more common that I’d like to admit. Read more on Denied a Kidney Transplant for Taking Legally Prescribed Medicine?…
Drug company lobbyists still rule this country, even under a president who promised us something different. I am sorry it took me so long to find out about the threats and deals made by the White House to get drug companies on board with Obama’s healthcare overhaul. Apparently, it was released by Republicans at the end of May. Read more on Even Obama is Ruled by Drug Companies…
Whitney Houston’s death might be “old news” already, but I still think her death may not have been in vain.
Because Whitney was a star, we were treated to hearsay before facts. She drank in the morning, in a public place, and according to some observers may have been behaving a bit strangely.
There is an old screener for alcoholism called the “CAGE” questionnaire. It’s named after the four questions that presumably even a primary care physician — who has little room left in an overtaxed memory — could remember. Read more on Whitney Houston’s Death May Not Have Been in Vain…
Why would a pharmaceutical manufacturer want to change a drug from prescription to over the counter (OTC)?
Well, one thing I’ve learned in my lifetime is – When the Question is “WHY?” then the answer is “MONEY.”
Oh, sure – in our economically-ignorant country, many people think – “Whee! I can buy any drug I want without spending money on a doctor’s appointment and without having to get a prescription! ”
These people are prime candidates for the Darwin Awards.
Yes, believe it or not, the “RX to OTC Switch” can actually HURT patients.
Drug patents expire relatively quickly, competitors are waiting at the gates with generic equivalents, and when a drug becomes OTC, there is a chance that insurance does not cover it.
This makes insurance companies and government programs (Medicare, Medicaid/Medi-Cal, etc.) very happy. They are so strapped for cash that even paying for a cheaper generic is a strain on the budget. When this kind of money is involved, you can bet that lobbyists are pressuring the government to ease their restrictions so that drugs once considered risky enough to warrant a prescription so that not just anybody can have access will be available to anyone who can walk into a drug store or click on a shopping cart on the web.
Patients will have to pay for OTC meds in cash money and doctors usually do not bother prescribing an equivalent drug. If they do not already know of an equivalent, they will probably — and generally do — just tell a patient to go buy it over the counter.
A patient who cannot afford the drug will go off it.
OK – so what’s the big deal if a cold medicine, allergy remedy or hair-restoring pill is no longer a prescription drug?
Like many shows of the era, it had a sponsor’s name and logo prominently displayed in every camera shot – the backdrop of the set where the panel sat and I think even the desk fronts of the panelists. The sponsor was Raleigh cigarettes.
The show had made the rounds of the video sites because it was so hilariously biased. The simple quiz format always yielded the same answer –
“What is the capital of North Carolina?” Read more on Infiltrating Medical School and Continuing Education…
One of my Frequently Asked Questions is “why do you hate prescription drugs so much?”
And the answer is, I DON’T. Not at all. I have used, and will continue to use, prescription drugs whenever they are the best treatment for an individual.
What I DO hate is the way they are mis-used, and the way some companies push their drugs for inappropriate purposes, or in dosages that are harmful when they could be helpful in (usually lower) doses. Read more on A Remarkable Medicine And Its Champion…
My dear, remarkable father of blessed memory was no mere a musician. He was a Harvard-trained composer and arranger, played that complicated organ at his temple for fifty years, and was very, very serious about music.
In fact, he was so serious that only “serious” music could be played in our household. After all, he was a classmate of Leonard Bernstein, and studied under Aaron Copland and was one of the few fellowship students allowed to attend lectures by the great Stravinsky.
Now THAT’S serious!
As such, I missed out on popular music while growing up. I was not allowed “American Bandstand” after school. I was not give Beatles records. We didn’t even watch Elvis on Ed Sullivan.
It took me a while at first to realize that everyplace I saw a green cross, it was going to be a medical marijuana facility. After all, the green cross is some kind of an international symbol for a “druggist,” for someone who sells prescription drugs (primarily) as prescribed. In France, as well as in Canada, I remember following such signs to get a prescription filled.
This one substance, this marijuana, is unique in a couple of ways. First, it is the only prescription drug that has never been required to be tested for safety or efficacy. Second – there is no government oversight as to quality or purity.
Marijuana seems to be something that people want first, then figure out a reason for later. The results are not exactly what I consider beneficial. Read more on Medical Marijuana Can Become Big Business…