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mxpac76

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  1. Must just be my lack of computer skills but I went through all 20 pages, looked at the original post and nowhere do I find arrows to take me to a survey. mxpac76
  2. Must just be my lack of computer skills but I went through all 20 pages, looked at the original post and nowhere do I find arrows to take me to a survey. mxpac76
  3. Anybody have a link to signing the letter that works? Every time I try the http://www.Associatenamechange.com I get the add selling stuff and a note that says the domain name is for sale. mxpac76
  4. Anybody have a link to signing the letter that works? Every time I try the http://www.Associatenamechange.com I get the add selling stuff and a note that says the domain name is for sale. mxpac76
  5. Every time I try this link, regardless of whose post I try it from I get taken to a page with a pretty young woman next to a bunch of ads selling bikes with the notation above that the domain name is for sale. Anybody have any ideas? dave jones (mxpac76)
  6. Every time I try this link, regardless of whose post I try it from I get taken to a page with a pretty young woman next to a bunch of ads selling bikes with the notation above that the domain name is for sale. Anybody have any ideas? dave jones (mxpac76)
  7. The link given does not take you to where you want to go unless you are selling sex or bicycles. In addition it says the domain name may be for sale. mxpac76
  8. The link given does not take you to where you want to go unless you are selling sex or bicycles. In addition it says the domain name may be for sale. mxpac76
  9. A couple of weeks ago I realized that I have been in practice for longer than my current SP has been ALIVE! For that matter that also applies to the internist my wife and I currently see. Has anyone else found themselves in this situation?
  10. I keep talking about a motorcycle and my wife keeps saying no. I think it stems from the early days of our marriage when I wanted to get one with a sidecar and she was afraid, since we both worked at UW, that on the way to work one morning after we had had an argument, that I would pull the pin as we went around a corner. I tried to tell her it wasn't that simple to detach a side car but it didn't get me anywhere. sigh.
  11. I work part time in pain management. In addition I work in family practice where I see some pain patients. The feds (and lots of states) are putting a lot more scrutiny on prescriptions for pain meds. For your own protection, as well as the protection of your patients, you need to make sure that every patient has a pain contract in their chart. It is also wise to do the in-house dip urine fro drugs of abuse with any positives sent to an outside lab for confirmation. If for some reason you get audited, you will get dinged if you do not have signed pain contracts for all patients on long term opiates. The "ding" can be fairly substantial. It is also critical to do thorough documentation each visit including pain scale rating, actual PE, and what the pain folks I work with refer to as the four As - Affect - do they look depressed, etc.; Activity - are they more or less active than they were before the pain meds - this can also be termed Adequacy - are they getting sufficient relief; Aberrant behavior - any indications of abuse, diversion, etc.; and Adverse effects - side effects and what is being done for them if present. They also make it a rule that anyone who uses marijuana does not get chronic opiates, period. It does not matter if they have a medical marijuana card or are from Washington where they recently legalized it. The potential combination of opiates and marijuana exponentially ups your liability issues. It may sound mean but they stick with it and are very open with the requirement. Any recreational drug use is grounds for dismissal. The frequency of urine tests depends on their history of abuse or positive results. There are no early refills, not even if they present a police report showing purported theft. They put "must last until" and "do not fill before" on all opiate rx as I now do in my other jobs. It is your license and livelihood on the line. It is nice to be empathetic towards pain patients but not at the expense of your ability to practice. This is spoken both as a provider and as a back pain patient myself - which is how the clinic found me to work relief for their PAs. Hope this helps.
  12. I was on the PA Committee of the Medical Board in Oregon for 6 years. This issue came up occasionally. The most critical part of this is what you have already been done - you were totally honest with the board. Based on what I have seen here, your initial meeting should be the end of things. Medical Boards have the ability to put all kinds of strings on things but can be flexible in how they allow things to be fulfilled. It is conceivable that you may be put into the program for a couple of years but if you follow their conditions during that period (which, imho, you should not be put into the program) then you will be cleared. In Oregon if you were put in the program I would think it would require quarterly reports from your SP for the duration of the program. If they do decide to put you in the program, then grit your teeth and you will get through it. With the information you have presented, I would hope they can see that you don't belong in the program. good luck.
  13. I am in the small town of Condon, pop 650. I have been here over 32 years. I mostly do family medicine, volunteer on the local ambulance but also fill in at a pain management clinic.
  14. I just joined this forum though I belong to a couple of others. I was just wondering if there are any other Oregon PAs on the forum. dave jones
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