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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by MrLost on August 4, 2004, at 4:41:00
This is probably a stupid question, but I'm not familiar with the whole prescription filling process. I assume the pharmacy calls to verify that the prescrip is legit, but does the shrinks office make a note that you filled the prescrip?
I'm just asking because I disagree with my doctors advice, yet she seems adamant that I take a certian amount of certian meds. Instead of disagreeing I just don't take the full amount prescribed, but at the same time I don't want to have to purchase what I'm not going to use. So my question is will she be able to see how often and how much of the prescriptions I actually decide to purchase?
thanks for any help with this
Posted by linkadge on August 4, 2004, at 6:40:51
In reply to Can a psych tell if you are filling prescrips?, posted by MrLost on August 4, 2004, at 4:41:00
I have the exact same problem. OFtentimes I want to try one drug but the doc won't let me till we give a full trial of one I *know* won't work.
I have filled the prescription and then just not taken it. But I have wondered the same thing. If I don't fill it and say I took it will he know I am not being truthfull ??
Linkadge
Posted by woolav on August 4, 2004, at 7:31:03
In reply to Can a psych tell if you are filling prescrips?, posted by MrLost on August 4, 2004, at 4:41:00
I dont know about your problem, but i can say my pdoc knows when i get scripts filled. because i will see her look at her notes & she'll say "oh, you just got "such and such" refilled, so you should be good until next month, or whatever. But somehow she knows..
just FYIS
Posted by almondjoy on August 4, 2004, at 7:45:41
In reply to Re: Can a psych tell if you are filling prescrips?, posted by woolav on August 4, 2004, at 7:31:03
i don't think they know if you go to an outside pharmacy (not affiliated with your doctor's hospital or clinic---and prolly not even then) i don't know for sure, but it doesn't seem reasonable that a pharmacy would have the time or desire or technological capacity to contact or respond to your doctor, even in writing...or that your docs office would have the time or capacity to recieve or request the information.
but why not just tell your shrink you disagree and you havent and don't plan on filling the script? what can she do? you can talk about it (or let her know your mind's made up) and unless you're court ordered to "cooperate" i doubt there is anything that they can or would do for disagreeing with logical argument--no matter how "wrong" they might percieve it.
the only thing a shrink must respond to is threats or confessions of hurting yourself or others. so i think you can trust your shrink...if you don't then this disagreement and mistrust (is that a word?) would make a great opportunity to search for a new doc you can trust.
take care
Posted by flipsactown on August 4, 2004, at 7:51:30
In reply to Can a psych tell if you are filling prescrips?, posted by MrLost on August 4, 2004, at 4:41:00
I am with Kaiser and my pdoc knows because everything is all computerized at Kaiser. My pdoc knows exactly when I refilled my RX and how many refills I have remaining. Of course, they would not know if you are actually taking them, but that would be a complete waste of money and time for both you and your pdoc, if you paid for the RX and then not take them.
FST
> This is probably a stupid question, but I'm not familiar with the whole prescription filling process. I assume the pharmacy calls to verify that the prescrip is legit, but does the shrinks office make a note that you filled the prescrip?
>
> I'm just asking because I disagree with my doctors advice, yet she seems adamant that I take a certian amount of certian meds. Instead of disagreeing I just don't take the full amount prescribed, but at the same time I don't want to have to purchase what I'm not going to use. So my question is will she be able to see how often and how much of the prescriptions I actually decide to purchase?
>
> thanks for any help with this
Posted by gardenergirl on August 4, 2004, at 8:22:37
In reply to Re: Can a psych tell if you are filling prescrips? » MrLost, posted by flipsactown on August 4, 2004, at 7:51:30
This seems like it would be a violation of HIPAA unless your pdoc is a business partner of Kaiser? Or unless you signed consent to release this info. to your pdoc at the beginning.
gg
Posted by flipsactown on August 4, 2004, at 10:31:23
In reply to Re: Can a psych tell if you are filling prescrips?, posted by gardenergirl on August 4, 2004, at 8:22:37
I have Kaiser Health Insurance and my pdoc is an employee of Kaiser and the pharmacy is a Kaiser pharmacy and yes, signed consent is a requirement of Kaiser.
FST
> This seems like it would be a violation of HIPAA unless your pdoc is a business partner of Kaiser? Or unless you signed consent to release this info. to your pdoc at the beginning.
>
> gg
Posted by Sebastian on August 4, 2004, at 11:34:46
In reply to Re: Can a psych tell if you are filling prescrips?, posted by almondjoy on August 4, 2004, at 7:45:41
I think the pharmacy will call your doctor when you fill the prescription, just to varify. Whether or not the receptionest tells the doctor is a myth.
Posted by linkadge on August 4, 2004, at 11:43:34
In reply to Re: Can a psych tell if you are filling prescrips?, posted by Sebastian on August 4, 2004, at 11:34:46
The pharmacy by law is not allowed to discuss medical information with anyone besides the patient, unless you give authorization.
Wheather you fill a prescription or not is considered medical information is it not ??
Linkadge
Posted by Sebastian on August 4, 2004, at 11:58:41
In reply to hold on, posted by linkadge on August 4, 2004, at 11:43:34
Why is the doctors name and number at the top of every prescription? I am sure that even if it is not confermed that the doctor could call and find out. My pharmacy always tells me they will call the doctor to verify the prescription.
Posted by MrLost on August 4, 2004, at 13:07:49
In reply to Re: Can a psych tell if you are filling prescrips?, posted by almondjoy on August 4, 2004, at 7:45:41
> but why not just tell your shrink you disagree and you havent and don't plan on filling the script? what can she do? you can talk about it (or let her know your mind's made up) and unless you're court ordered to "cooperate" i doubt there is anything that they can or would do for disagreeing with logical argument--no matter how "wrong" they might percieve it.
Thanks for the responses. Woolav, the reason for my dishonesty is that sometimes doctors won't give you one medication unless you take another medication also. I have expressed disagreement, but it seems my doc won't change her mind. Now, I could switch doctors and hope they will see it differently, but then I risk not getting the medication I want. There seems to be no consistency among psychiatrists from my experience. It's just a total crap shoot. Because of previous frustrations I'd rather just fill the prescrip for the med I want. I realize this is dishonest, and therefore some will see it as wrong, but sometimes you reach a point where you're so sick of the differing opinions among p-docs that you just don't care.
If you think about it, what really is the difference between not taking one of the medications prescribed, or spending lots of money searching for a doctor that agrees with you. I'm sure I could find one that agrees, but then what have I accomplished?... the end result is the same, only I just spent a lot of money. It isn't like my psychiatrist spends lots of time with me anyway. I see a psychologist for that, and he agrees with me on the medication issues. Thanks for your comments though.
Posted by gardenergirl on August 4, 2004, at 17:44:34
In reply to Re: hold on, posted by Sebastian on August 4, 2004, at 11:58:41
> Why is the doctors name and number at the top of every prescription? I am sure that even if it is not confermed that the doctor could call and find out. My pharmacy always tells me they will call the doctor to verify the prescription.
That's one part of this thread I don't understand...your pharmacy verifies all of your scrips? Mine NEVER calls to verify...they would only call if there was something unclear on the scrip...like illegible writing or if the dosage was unusual. Or are they saying they will call the doc to verify you filled the scrip?
Confused,
gg
Posted by Emme on August 4, 2004, at 19:18:04
In reply to hold on, posted by linkadge on August 4, 2004, at 11:43:34
You mean your pdoc has the time and energy (and mistrust of patients) to check with the pharmacy and keep track of whether you filled your script? The only time there's communication between my doctor's office and the pharmacy is when I'm out of refills, in which case they tell me they'll call the doctor's office to get the prescription renewed.
Posted by Camille Dumont on August 5, 2004, at 10:51:17
In reply to Re: hold on, posted by Emme on August 4, 2004, at 19:18:04
I don't know about the states but here I don't think they do unless you're under some sort of court order to be meds compliant.
In the end, its your decision to take or not to take the meds you are prescribed but I'd recommend being honest with your doc. If there is a med that you are not going to take no matter what, just tell him. Maybe he can prescribe you something else and what not.
There is no shame in deciding not to take something. I've decided to refuse any and all attempts to convince me to take antipsychotics and thats just that ... they tried convincing me for a while but then just accepted my decision ... its your body, your brain, and in teh end, your decision.
Posted by linkadge on August 5, 2004, at 17:13:30
In reply to Re: hold on, posted by Camille Dumont on August 5, 2004, at 10:51:17
The problem is that many doctors want to be the bosses.
I have had doctors that say to me: "this is the med I think you should take, if you don't want to try it then find another doctor with another oppinion"
For me, in this case, it is easier to say I have tired it, then to find another doctor alltogether. At least if you give their idea a whirl, then they are more likely to give yours a whirl.
This is the end of the thread.
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