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Doctor insights on: Letter To Judge Requesting Treatment For Drug Addiction

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What is the best way to fight an insurance co that denies approval for a rhizotomy recommended by 3 mds? Appeal letter sent; 2 peer:peer reviews done

What is the best way to fight an insurance co that denies approval for a rhizotomy recommended by 3 mds? Appeal letter sent; 2 peer:peer reviews done

Keep fighting: The only way to win is to persevere. This is a stare down competition the first person to look away loses. It sucks that it takes all this effort, but it took me and one of my patients almost 1.5 years to get procedure approved. We never waivered and obviously the treatment helped and was appropriate for care which inevitably helped. Good luck! ...Read more

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Dr. Vasu Brown
612 doctors shared insights

Addiction (Definition)

Addiction is a primary, chronic disease of brain reward, motivation, memory, and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors. A person affected by addiction will be unable to consistently Abstain from use, will have Impaired Behavioral control, will have Craving or increased "hunger" for drugs or rewarding experiences, will have a Dysfunctional Emotional response, and will show diminished recognition of significant problems with their own ...Read more


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Is it legal to order meds online?

Is it legal to order meds online?

Technically no: Prescription medication requires a valid physician signed prescription. It is legal if you have this in hand and can forward it to an on-line supplier. This might be out of the country or from an undocumented source so there is some risk of counterfeit or inappropriate medication. ...Read more

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If you are legally taking Suboxone and fail a pre employment drug screen for buprenorphine is it legal for them to deny the job?

If you are legally taking Suboxone and fail a pre employment drug screen for buprenorphine is it legal for them to deny the job?

Probably not: If you are taking prescribed buprenorphine, you may fall under the protection of the americans with disabilities act. If so, you are entitled to accommodations for your disability if our employer has more than 50 employees and meets other criteria. Get your doctors note doctor that the Buprenorphine is prescribed and you and the medication are under medical supervision. Then take the test. ...Read more

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Do you know that this complete treatment programs is good for addiction patients of percocet medication?

Do you know that this complete treatment programs is good for addiction patients of percocet medication?

Medication: Addictive Disorders are way too powerful for any individual to fight all by himself claiming victory. Percocet.. means Opioid Addiction at the moment. This can change to some other addiction. Yes he/she needs complete as well as on-going treatment. It's for life. Slips occur Relapse too may be a part of treatment . Just don't give up. Keep at it. Your health = your responsibility . ...Read more

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Can you please discuss the criteria for mental abuse?

Can you please discuss the criteria for mental abuse?

Mental Abuse: When you feel restricted in expressing your thoughts, feelings, have to stay on egg shells all the time, fear what the other person may say or react when you say or act certain way, these are signs of abuse. ...Read more

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Is support or punishment better for treating drug addiction?

Is support or punishment better for treating drug addiction?

Healthy support: " healthy" is the key word here. The wrong kind of support such as enabling can make it worse. Too an addict who is not ready to change healthy support may feel like punishment. Punishment from consequences related to the addiction are sometimes what gets the addict in the door to then seek the support. But punishment alone does not "cure" the problem. Hope that helps? Not an easy answer. ...Read more

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Would you say it is standard for drug rehabilitation facilities to test the patient for hiv?

Would you say it is standard for drug rehabilitation facilities to test the patient for hiv?

Likely: Drug use is a high risk activity for HIV infection, among other infections. Cdc recommends testing everybody for hiv. ...Read more

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Are substance abuse treatment facilities allowed to release information to authorities?

Are substance abuse treatment facilities allowed to release information to authorities?

Yes: Yes - if they are subpoenaed and so ordered to release them by a judge. ...Read more

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What requirements exist for Suboxone treatment programs?

What requirements exist for Suboxone treatment programs?

I assume....: Your question is about criteria for admission to a treatment program. If you admit that you have an opioid addiction and will be paying cash it is very unlikely the program will turn you away. If you will be using insurance then the program will usually get your ins. Co. To approve and authorize the admission and treatment. ...Read more

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Will drug screening labs tell the company they are testing for what meds an employee is taking- like methadone?

Will drug screening labs tell the company they are testing for what meds an employee is taking- like methadone?

Drug screen: The report will be sent to whoever order the test. If it is a company doctor then the company will get the results. ...Read more

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Is it legal for the nurses to give unsolicited medical advice or speak on behalf of the m.D. And intentionally mislead the patient?

Is it legal for the nurses to give unsolicited medical advice or speak on behalf of the m.D. And intentionally mislead the patient?

No: Nurses can relay the md's answers and obtain and gather info from the patient to relay back to md. They can give answers if it fits with established protocols (such as for upper resp infections or urinary tract infections). But seems unprofessional to offer unsolicited advice especially if not conveying the md's advice. ...Read more

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Any docs believe prescribing adderall/other prescription amphetamine effective/acceptable sub to prevent relapse, aid in withdrawal symptoms for meth addiction?

Any docs believe prescribing adderall/other prescription amphetamine effective/acceptable sub to prevent relapse, aid in withdrawal symptoms for meth addiction?

Harm Reduction. : The ideal treatment for meth addiction is one that does not include use of stimulants. The meth addict treated with stimulant replacement runs the risk of impaired control over use. At the same time, the physician should "first do no harm", and in rare case by case basis may have to employ the lesser of two evils for purposes of harm reduction. Ideally addressed by an addiction psychiatrist. ...Read more

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What line of work or specialty is best for a person who obsesses over medical books or medical treatment to find error so to prescribe better Rx?

Medicine obsession: Hi Celina C349 ~ if you have the capacity and the passion, laced with a ton of compassion, and ready for an extraordinary amount of hard work and no personal time, become a doctor ! :-)) ...Read more

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What is a legal basis for ordering involuntary medication? When a physician or psychiatrist orders a patient to take medication involuntary, what legal reasons can he or she use to justify this or what are the legal reasons a physicians uses to justify pu

What is a legal basis for ordering involuntary medication? When a physician or psychiatrist orders a patient to take medication involuntary, what legal reasons can he or she use to justify this or what are the legal reasons a physicians uses to justify pu

Medication : Medication may be involuntarily administered to a patient in an emergency when it is deemed necessary to protect the safety of that person or other people. The psychiatrist would need to determine that the medication is required to prevent physical injury and that less intrusive alternatives would not be adequate. If this is an issue for you personally, i recommend that you consult an attorney for further advice about the laws in texas. ...Read more

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Please recommend the best overall drug for schizophrenia?

Please recommend the best overall drug for schizophrenia?

No such thing: Each person can respond to different medication differently. Best drug for one person will not be the best drug for every person. ...Read more

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Hoping you can tell me, is psychiatrist responsible for prescriptions written by a nurse practitioner in his employ?

Hoping you can tell me, is psychiatrist responsible for prescriptions written by a nurse practitioner in his employ?

Independent practice: In some states, nurse practitioners can practice independently -- meaning they are self-employed. If employed by a physician in states where np's don't practice independently though, that physician is responsible for all prescriptions written. You would need to check the laws in your state to find out. ...Read more

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Medicolegal opinion of employer required drug testing?

Medicolegal opinion of employer required drug testing?

Medico legal: An employer may require a urine drug test in order for you to get the job. This is quite appropriate. You can refuse- and it will then be very unlikely that you will land the job. ...Read more

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Tapering advice for adderall (dextroamphetamine and racemic amphetamine)? prescription for imm.Rel. 20mg 3× day for 1+yr. Current docs not answering ?'s giving feedback or explaining withdrawal effects.

Keep in mind that...: Adderall (dextroamphetamine and racemic amphetamine) contains amphetamine that acts like other stimulant drugs, such as methamphetamine and cocaine, so abrupt cessation can result in extreme fatigue, insomnia, irritability, weight gain, mental depression, urination problems. You would be best served to be under the care of a physician knowledgeable in the treatment of substance abuse to direct a slow taper, maybe 10 mg a week. ...Read more

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Can the consults here be relied upon for sound medical advice & valid for medical-legal purposes? Pls inform. If u r not sure, pls confirm w/collegue

Can the consults here be relied upon for sound medical advice 
& valid for medical-legal purposes? Pls inform. If u r not sure, pls confirm w/collegue

Absolutely: All the physicians here are thoroughly vetted, well trained, Board Certified Physicians. We have an active Peer review process to assess consults that are given as well. Perhaps you need to check with customer service if you have other concerns. ...Read more

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Dr. Vasu Brown
235 doctors shared insights

Substance Abuse (Definition)

Substance abuse refers to a dependence on a harmful or addictive substance, most often drugs or alcohol. The substance is often used to suppress difficult feelings and results in impaired intimate and work relationships. Substance abuse is diagnosed by observing the pattern of use, looking for tolerance, and withdrawal upon halting the use of the substance. Recovery begins with the substance abuser admitting being out of control and ...Read more


Dr. Vasu Brown
303 doctors shared insights

Drug Addiction (Definition)

Drug addiction is a compulsive physical or psychological ...Read more