I am a Chiropractor that works in a interdisciplinary occupational medical clinic and I do not evny what you guys(DOs,MDs) have to go through regarding patients and their meds. I have seen so many fishy stories...."I left my meds on the bus" to the ever so often used "it was stolen"...to which our office response is, "fine, just bring in the police report and we can re-fill it for you". Medication seeking patients is one part of health care that I am glad that I don't have to deal with....
Joined: March 27, 2003
From: Savannah, GA, USA
I can be pretty sure that she is not making much of a business with 20 pill orders of 5/500 Vicodin. I have never worked in an ER, so I have not been in direct contact with "seekers," but I don't know anybody who would spend a $100 co-pay at the hospital to get 20 Vicodin to sell at $5 a pop on the street.
She is likely just a user and it sounds like she needs some help. Flag her and give her some Ultram next time.
Joined: January 25, 2003
I have no idea who has insurance or who doesn't...generally until they are gone, primarily as I don't have any paperwork...but it doesn't matter because I get paid hourly and not per patient or based upon insurance. I get paid the same if I see 30 patients pershift or 10.
"Co pays" are not collected on sight in my hospital. ...
Sometimes at discharge I ask if they have insurance in an attempt to write for cheaper/generic medications.
Dr. Wagner DO Moderator of Medical Complexity Forum