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The Chicken

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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #30 on: March 24, 2011, 01:17:31 PM »


an addict is an addict is an addict.. There are some legitimate people who do manage pain with pain pills.. and doctors like this makes life harder on everyone..

I know from talking to a few pharmacist around town... they would not even fill this guys scripts.. This was right when he opened his new clinic but he must have been in practice before that. 

I spoke with a few pharmacist in town to get the low down on the doctors.. I only planned to stay one month and it was turning into three months.. I was running out of ALL my meds..

and these doctors don't work 8 hour days.. even Dr. Pompy who is an Anesthesiologist, and has the pain management clinic at the hospital..  he is only in town a couple of days a week.. but he is there until 10pm...  and it is packed with people.. all kinds of people..

I will say, he does require a referral from another physician.. The Spine doctor I saw first.. Dr.Macy referred me.. He did examine me.. I had to take a drug test.. then he ordered x rays from tip to tail and MRI's.. a few different Neuro tests and a couple of other things.. I am still working on it because I have to pay out of pocket for most of this stuff... and no he did not want what I already had.. like an xray and an MRI.. I have the films..  he wants new ones.. but I understand.. he is in a dangerous game.. The day I saw him he said he was having to testify in a case where one of his patients had overdosed..

I know from one of my trips up there, a friend of mine who has MS, and is in a lot of pain.. she overdosed on Vicodin and a bunch of other stuff... She had 60 15mg hydro codone on Friday.. by Saturday evening she was unresponsive and 23 of her coding was gone.. plus a bunch of methadone..  I sat by her for five days while she was in a coma... 

I don't blame the doctor.. if he gives her that many pills again I blame him.. but people also have to be responsible.. While she was in a coma.. I told her family they needed to take over.. first by taking away her ability to be her own payee so she would stop buying from the street.. secondly she should only be given her meds two days at a time.. 

It took a few more times in the hospital before more people started to intervene.. She is doing well now.. I hope she stays that way.. I was beginning to feel like I was putting people in coma's.. (that year I saw a lot of coma's)


The bad part about overdosing on something like vicodin is not so much the narcotic part.. people who abuse narcotics can build a high tolerance, its the Tylenol.. you take over 3000 mg you are taking a chance of shutting down your liver..  That why they love the Oxycontin.. 12 hour release can be avoided my chewing them, crushing them or shooting them up..  and no Tylenol!.. 

They say in Florida there a 7 deaths a day from prescription drug overdoses.. but out of those 7, five typically die of liver failure because of the Tylenol..

Percocet is the same drug as Oxycontin.. They are both Oxycodone Percocet.. its just compounded with Tylenol.. and instead of having 12 hours.. it has 4 to six hours... See 10mg of a Oxycontin if you chew it, snort it or shoot it.. its like 20mg of percocet if you took 20mg at once...  Except Oxtcontin can go up to 80mg...

There has always been dope doctors.. always will be..  Most of our elite can afford a private physician.. like when Wynona Ryder was busted for shoplifting she had a vile of Demoral.. which you don't usually see outside of a hospital.. but she had a legal prescription..

I know a friend of my Sister's whose son.. in Monroe.. 26 years old, died because he took off his Fentynl Patch and sucked on it.. Again.. to my understanding he had a "bad back" but I have never seen fentenyl prescribed like that unless you have serious cancer or have had some serious surgery.. and again.. he abused the dosage..

I broke my leg and back severely in 87.. along with a few other bones.. I was off all narcotics by the time I left the hospital.. and I had two years to go with physical therapy.. I did not take anything for over 20 years except Motrin and then Cataflam.. but when my spine started going haywire.. in order to have some sort of life, I had to resort to pain pills..

I feel its a privilege to take them and not abuse them.. I am also on two different types.. Hydrocode APAP 10/325 bid prn.. for the daytime.. I cannot sleep on hydro codone.. so I am prescribed Oxycodone APAP 10/325 PRN at night..  I can wake up from a dead sleep with sharp piercing pain..

I have been on this dosage for a couple of years.. the top dosage that is considered appropriate does not exceed 30mg at one time.. I am still at 10..   

and I have refused all offers of Oxycontin.. of course I was only offered that from the Doctor in Monroe because it doesn't damage the live the way narcotics can that have Tylenol, and my Cataflam breaks down their too.. But I had just had my blood work done a month before, and my Liver enzymes are well within their range.. that is also an indication I am not abusing them, or drinking with them..  and I would have never of started on the narcotic route but I was running out of options..  I have given myself in endocrine problem from years of steroids.. orally and injected in my nerves..  I cannot afford the new ones.. especially when I can't even get a sample to see if it works before I spend 800 dollars for a month supply..

But I worked a long time with drug addicts.. my primary care is also an addictionologist, and a friend.. he's been my doctor for 20 years.. I always bring my pill bottles to show I have some left and that I am not abusing them or selling them.. when I travel I travel with a safe.. I lock all my meds up.. I don't give them away or sell them.. 

I don't use them everyday because you can build a tolerance to them quickly.. so that is why people think they need more.. because the pain comes back..

I understand that you will not die of pain.. you may think you are.. or you may want to.. but you won't die or fall off the earth.. It can run your blood pressure up!  I will stretch one month sometimes into three months.. and on my really really bad days.. Pain pills will make me sick at my stomach if I take a high dosage..

So some days I just say to *ell with it.. get a bag of ice, and ice my spine.. or my sciatic nerve which ever one is causing me the most grief..

I understand the risk.. oh do I understand the risk.. and I have told all of my friends.. if they ever see me stoned on pain pills tell me.. tell on me!   Because I don't want to be impaired.. That's why I can't take Percocet in the daytime.. I can't function on it..

and out of ALL the selection of meds I have.. and believe me, I have them from every food group.. Its Cymbalta that is the hardest... The side effects can make you feel like you have had a lobotomy.. through a mistake by my doctor, he wrote a lower dosage.. So instead of making a fuss and going back to have him change the script.. I took the lower dose..

Talk about a withdrawl.. I had to go on the internet to look it up.. my head was splitting into.. Cymbalta is a powerful psychotropic medication.. that has a nasty withdrawl.. and after I got used to the lower dose.. I realized the fog and low energy I had accepted as.. This is part of your illness and get used to it.. I now realize was the Cymbalta! 

I still get a benefit from its nerve pain blocking ability.. so I rotate dosages..

but it is so hard for people like me to find a doctor and develop a relationship with them.. and there are people who don't abuse it.. but I know, when I move back to Monroe, I will go through the gauntlet at Dr. Pompy if I am ever going to get a pain pill...  To tell you the truth.. I really don't know if its worth it..

It will mean fewer times outside my house.. but I don't like pill mills.. and having to see three different doctors for the same problem.. Like Pompy won't write me a script for my Cymbalta.. and he took me off my anti inflammatory I have been on for years.. it only cost five dollars to fill.. and put me on one that cost 800 dollars to fill... I told him I don't have that kind of money.. he said it wasn't his problem..

So.. IDK.. I have been pretty stable and I have felt better than I have in five years.. my doctor even sent a letter with my records.. but to no avail.. oh yes.. he would write me a narcotic.. but what he did with my cataflam I had a flair up.. and it put me back to square one until I could get back on my cataflam..

And this is what its like for a chronic pain person.. sometimes we are forced to see quacks.. and if it were not for the doctors operating pill mills.. it makes it tough on the people and the doctors who don't abuse the system..
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The Chicken

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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #31 on: March 24, 2011, 01:38:44 PM »

Geez.  5 million scripts.  Now, what will happen to all those addicts?  Less deputies on the road to respond to break ins, city cops responding to fires and medicals and having to stay on the scene, state police down on manpower at the Monroe post.  EVERYBODY needs to take up arms to protect their families and properties.  Personally, I do not like firearms, but with reduced police presence, every man/woman for themselves.

Its not 5 million scripts its 5 million dosages.. so lets say he writes a scripts for one person taking vicodin which he can ethically write as much as 30mg 4 times per day.. now people who pay cash would want them in 5mg dosages because 5/660 is the lowest cost pill.. you get way too much tylenol but, the pharmacies charge more for the pills with the lower tylenol, and the DEA says it has to be compounded with something.. Norco is compounded with Motrin.. Some pharmacies will compound for you and put as little as 5mg of Tylenol.. but you are talking big $$$ to spend.. So lets assume the doctor doesn't care about the Tylenol.. so even if a person is taking 10mg.. thats 12 pills a day.. 360 pills for the month.. 720 if they are in the 5mg dosages..

and they will charge him for each dosage as a count on trafficking... like if they were little bags of heroine.. but by the time it goes to court they won't charge him with five million counts.. but I bet it will be in the hundreds..

You know its funny..  they would not see me at that clinic because I am from Florida.. or they maybe thought I was an undercover investigator.. they said I had to have a Michigan Drivers License.. apparently that isn't true... lol.. I didn't want to go there...

You know.. people from Florida don't have to go other places.. we have LOTS of Pill Mills.. and how they were getting around the feds is they were filling their own scripts.. all for cash... people from all over coming down here for Oxycontin..  groups, since these mills were filling their own scripts it isn't like when you take your script to a pharmacy and that pharmacist can see if you have had other scripts filled at other pharmacies.. so people could hit Florida and seen many doctors within days and get hundreds of pills at each stop..

So they have made it that these Pain Clinics.. are now licensed as.. and they are only to fill three days of meds...

but its like roaches.. you stomp one and ten others run.. they open up and shut down before the feds catch up to them..  When you hit the State line coming into Florida.. the first thing you see after the welcome station is big billboards with 1 800 numbers advertising pain clinics.. not Disney.. or Universal.. Pain meds.. they have operators that will direct you to the closest pain clinic..

I don't think they should be allowed to advertise and I think all patients should be referred by another doctor.. just to make it a little more difficult for them...

I don't know if its true.. but its probable.. I hear that they actually have a phone app to show you where the pain clinics are...
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wes

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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #32 on: March 24, 2011, 01:59:49 PM »

The landlord/owner of this building was ok with this circus ?? Hillbilly herion  & people worry about a medical marijuana dispensery.
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Professor H

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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #33 on: March 24, 2011, 02:02:50 PM »

TC sorry that you have to suffer from chronic pain.
Very informative information, and I enjoyed the pharmacology update, as often people hear the brand name and generic name thinking they are different drugs.   

The need for pain control is clearly a dilemma for healthcare, as abusers have given it a bad reputation.  It will be interesting to see if Medical Marijuana will decrease opioid use in the future.
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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #34 on: March 24, 2011, 03:32:32 PM »

Did a little quick math on this...   he had to be seeing patients at the rate of one every 2 minutes in order to get 240 through the clinic in an 8 hour day...

There is an interview with one of the employees here:

Article with video from Fox Detroit Ch 2...

http://www.myfoxdetroit.com/dpp/news/ron_savage/monroe-pain-center-raided-by-dea-agents-20110323-wpms
From that article.

Quote
"The rumors were that they were giving out narcotics to people.  It's a pain center, but it was kind of scary," Marcoff said.  "I'm glad their gone."
It's THEY'RE as in THEY ARE.

Freakin idiots at Fox news need to get a decent edjamacation :P
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lordfly

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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #35 on: March 24, 2011, 03:53:59 PM »

Irony is their office website has a picture of police rollers and handcuffs...
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MM1

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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #36 on: March 24, 2011, 05:11:35 PM »


and he took me off my anti inflammatory I have been on for years.. it only cost five dollars to fill.. and put me on one that cost 800 dollars to fill... I told him I don't have that kind of money.. he said it wasn't his problem..



And this is what its like for a chronic pain person..

I hear ya!  It was that attitude, along with his need to make clear to me at my very first consultation visit with him that he was from a very litigious family with 2 or 3 brothers who are attorneys, that made me turn and run from him.  He was more concerned that I knew this than learning what my problem was.  In fact, his attitude when it came to my problem was to #1, make sure I had insurance and #2, make sure I understood that my problem was just that.  "My problem". 

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BigRedDog

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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #37 on: March 25, 2011, 01:19:58 AM »

Irony is their office website has a picture of police rollers and handcuffs...

Perhaps he had a "vision" lordfly  8* 8* 8*
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BigRedDog

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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #38 on: March 25, 2011, 01:24:49 AM »

Quote
The University of Toledo yesterday terminated Dr. Linares as a clinical community-based faculty member, has about 1,300 volunteer positions.

"At no time during his volunteer faculty appointment, which began July 1, 2008, did Oscar Linares participate in the education or training of medical students or residents, nor did he ever provide health care at UTMC," said Lawrence J. Burns, UT vice president for external affairs. The University of Toledo Medical Center is the former Medical College of Ohio.

"Community-based volunteer faculty are uncompensated physicians who typically collaborate with the university on research projects and/or provide third and fourth-year medical students with the chance to observe the spectrum of clinical specialty and subspecialty opportunities," Mr. Burns said.


More in the article from The Blade website:

http://toledoblade.com/Police-Fire/2011/03/25/Alleged-pill-mill-raided-in-Monroe-County.html
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Billy

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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #39 on: March 25, 2011, 08:54:20 AM »

The landlord/owner of this building was ok with this circus ?? Hillbilly herion  & people worry about a medical marijuana dispensery.

I was kind of thinking the same thing. Lots of scrutiny over a medical marijuana clinic and all the while this nonsense was going on.
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blue2

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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #40 on: March 25, 2011, 09:45:57 AM »

years ago my dentist then sent me to a specialist for a root canal or something like that and the first thing they were interested in was my insurance and how much they were going to pay.  Nothing about my tooth.  I got up and left and ask the dentist to recommend someone else.
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BigRedDog

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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #41 on: March 25, 2011, 09:51:29 AM »

The landlord/owner of this building was ok with this circus ?? Hillbilly herion  & people worry about a medical marijuana dispensery.

I was kind of thinking the same thing. Lots of scrutiny over a medical marijuana clinic and all the while this nonsense was going on.

Most commercial leases have a clause that says the tenant agrees not to run any type of "criminal enterprise" on the premises...  Once a lease is signed it's not real easy to break any of the terms...   unless the tenant fails to pay the rent and then the eviction process can "start"...   but can drag on for some time depending on circumstances...

As far as I know this is the first time Dr. Linares has been charged with any type of crime...   if anyone knows of prior incidents it would probably be appropriate to post 'em here!!!

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BigRedDog

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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #42 on: March 25, 2011, 09:53:41 AM »

Irony is their office website has a picture of police rollers and handcuffs...

I couldn't get onto their website this morning...

don't know if it's just really busy or the feds took it down :-\ :-\ :-\
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BigRedDog

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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #43 on: March 25, 2011, 09:58:33 AM »

years ago my dentist then sent me to a specialist for a root canal or something like that and the first thing they were interested in was my insurance and how much they were going to pay.  Nothing about my tooth.  I got up and left and ask the dentist to recommend someone else.

I had the same situation at 2am one morning with my wife needing emergency surgery...   the surgeon and I guess probably the anesthesiologist...   seemed much more interested in what insurance we had and what all it covered than how my wife was doing...

Unfortunately I didn't have the option of finding anyone else...   but I sure would have liked to have gone looking!!!

they did the surgery and she healed up pretty good  :) :) :)
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Billy

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Re: Something happening at the Pain Clinic in Harwood Plaza
« Reply #44 on: March 25, 2011, 12:42:00 PM »

Glad everything worked out okay BRD. That is usually my criteria when making an appointment, when my insurance is the first thing they ask about I usually look for another doctor. I recently switched general practitioners and had a few recommendations from friends I was amazed to find how many offices first concern was insurance. I get it but really if that's the first question, as far as I'm concerned my health is at least second on their list of prioities. My parents told me that they had tried to make an appointment with Dr. Linares and were told by his staff that they did not accept Blue Cross Blue Shield so they were convinced something shady was happening in his office. Turns out they were right.
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