you live a state where people go to retire so PM docs and funeral homes must be making good money. lol

Not to mention that was one of the worst counties in the state for drugs. Isn't Miami right up there in the top 10 for drugs and dealers. You've got the whole Florida Keys where drugs come in then get distributed in your area.

I used to be stationed down there and even back then the pot and coke was big time business. I think it was the number 1 import in the keys...

I also read that the Governor decided not to go with a bill that was passed a couple of years ago that would make Florida the last state in the nation to finally put a triplicate prescription / electronic database record / etc., into place for controlled substances. As long as that type of record keeping is not in place, Florida is going to be the destination of choice for persons looking to obtain large amounts of CII and CIII drugs. They come from KY, TN, IN, OH, NC, etc, with MRI report in hand, see a pain management doctor, get their 600 oxycontin tablets, go home, sell half to pay expenses, and use the other half. Florida has a good start on a solution, they just need to put into action.
Mogradh

I enjoyed an article on WTSP.com, Channel 10, Tampa Bay, around Feb. 9th. The last sentence of the article stated: "Laurie Serra helped fight to get the PDMP law passed and she believes the Governor's plans to ax it now are just dead wrong. "People are dying and we can't wait," she says. "I heard a quote that he said the program isn't working-Governor Scott, the program hasn't even started!"

Mogradh

I read that Florida had put a bill in place to limit the amount of controlled drugs dispensed from a doctor's office to 72 hours worth. That may be a start. I just don't understand why there is so much resistance to this bill. They complain about the problems, but then sit on their hands and do nothing. There are a lot of examples of databases/triplicate prescriptions/etc to study, but, just do something already.
Mogradh

I think the difference between "pain clinic" and "pain management" is only that the first dispenses medicine directly from their office, while the other writes prescriptions for the patient to take to the pharmacy of their choice. This suppossedly limits the "fly by night" pain clinics from giving out huge amounts of opioids to questionable "patients". Again, it's a start.
Mogradh

Good that they stopped the dispensing from the clinics, also good that they knew what to close & what not to. Pain management is important to CP patients and it would be a travesty if they had closed them too, since many PCPs are sending their patients out for pain management.

I always thought it was wrong that those clinics had you buy your medication right there (with cash) where the Dr. worked and not take your Rx to a pharmacy where you can use your insurance. That is wrong on many levels and something should have been done long ago. Waiting until now and blaming the patients, some of who know no better, when the State dropped the ball on this one. I realize that most of those patients do know better, but some I'm sure, did go there for real pain management. I wonder what will become of them, the ones in real pain. I imagine some will have a hard time finding a good Dr.with this in their charts.

I ended up going to websites and watching videos about all this. I can't believe what's going on down there and glad they're cleaning up those pill mills. The only thing is I'm concerned about the "real" in pain people who are affected by all this and who can't get proper assistance for pain relief. I can't imagine not having Drs believe me and having to suffer in pain it would certainly have me wondering where to go to get some pain meds. Charry

This could have been me.I was at the point I was looking online for somewhere to buy Narcotics to help me deal with the pain. My Doctor Ignored me, I tried the Emergency room. I was near to overdosing on Motrin and Aleve every single day and it didn't touch the pain through out both of my legs.

I started buying Vicodin from a Friend who had major medical problems.

So I have been one of those people. I finally changed Doctors and found out that due to my Doctor Ignoring me I had developed Cauda Equina Syndrome. I had a Huge Herniation at T12 L1 and even had several pieces of the Disc Material free floating, central spinal stenosis and then some.

So you see, sometimes those people. They arn't addicts. They are just regular people who can't take the pain any more. We need better screening for for Drug use. They need to be able to tell the difference between patients using low amounts to get by, and people popping 3-4x the dose to get high.

so npeople like us in chronic pain are not confused with those who are abusing pain meds, esp Oxycodone. Legitimate pain clinics should not be confused with pill mills either. I was watching CNN early this am and they did a segment about Prescription Abuse which covered the problem in FL and TN with pill mills. To me they sounded like they want do away with Oxycodone/oxycontin. Pharmaceutical companies marketed long acting meds like Oxycontin to be safer and less addictive but we know how things turned out. I was shocked to hear that more people OD from Oxycodone and other prescription drugs than from black tar heroin in the 70's and crack in the 80's, according to CNN.

A drug that combats the high a pain pill gives? Like equalizes it? If they could develop something like that and Administer it to Drug Addicts people would be more motivated to get off of Drugs.

They already give drugs to Pedophiles to cause ED. Why not do something similar to Drug Abusers.

Seems they would stop seeking if they couldnt get that high feeling from it.

As a Floridian gotta add my two cents. First up you have a unique insight here as having been on the job and now sadly as a CP patient.
I voted for Scott and still support him.

My PM doc has been a godsend not because he writes scripts but for the totality of the care and coordination he has provided me over the past 6.5 months.

We have some serious drug issues in this state, sad but true! Reform is needed and I think the raids are a step in the right direction on these pill mills.

I think it was Robin who mentioned the REAL patients who will be impacted by the closures. I feel for them I am sure there had to be some legit patients as you mentioned you yourself were referred to one of the raided mills. But I guess like any war there are innocent people who will suffer. ( Not fair but what in life is? This is a war on illegal drugs.

Now I had NO clue that these clinics were also dispensing meds! Wow on cash basis no insurance I don't know but that just sounds like drug dealing to me! This is Florida we have no shortage of pharmacies! I have 2 CVS 4 Walgreens plus Walmart & other supermarket plus mom & pops within 5 miles! Maybe inland is different? ??? I'm in SW Florida!

Don't know if you know this but when I was at my last PM appointment last week they had signs up everywhere, new law I think April 11 pain management doctors can NO LONGER call or fax in any RX whatsoever, nothing, nadda. .. not even antibiotics or steroids. Not sure how that helps as the drugs that are wanted/dealt on the streets always required a paper script. . So now if I somehow run out on my Soma or restoril or even my lidoderm patches, I have to make an appointment drive 20 miles each way & pay copay. So I just have to be more mindful of all my quantities.

Hope you are feeling well today!

V

If dr cant call in script you will just find more people ending up in er in a lot of situations. Thats nothing but bs. There has been many times dr had to call or fax my script in when things got real bad. Maybe i dont want to move to florida anymore. I can just see after 20 years being treated for pain in illinois, they might just treat me like a drug addict once i ended up moving to florida by a clinic that dont know me from jack

Brenda NO apologies sweetie for timing.

You need to take it easy girl! Will you ever learn, nah... you just push yourself and test your waters every now and again. But please be careful. Hope you are feeling better seeing you are posting.
Did you have your MRI??

On to the topic, I am just shocked with what is going on here, I live here and had no clue that the doctors were filling RX. I havent heard of any of that in the Sarasota county area.

Like I said that is just taking it from the street corner and putting a roof over it. That needs to be stopped! I am sorry, that just opens up the window of opportunity for this type of pill mill operation to just move down the road or up the street.

I think I will call Rick Scott tomorrow and have a little chat with him! LOL

Brenda, can they authorize refills?? Seeing you mentioned the 30 day thing. I get 30 day say of my soma, but I will have seveal refills, do you know is that still allowed?? Seems like it would have been easier to just go the triplicate / electronic database way... dunno?? thinking out loud here.

Alex, Florida is great! We are the sunshine state! One stop shopping too, see your doc & fill your script!
Seriously, Alex I have a fab pain management doc here who is caring and honest. Just like every where you go, you got the good, the bad & the ugly... just saw that movie the other night, couldnt resit!
v

Thanks for the Info.

Eventually we will get to the point that Drugs that do not offer a Buzz will be available to us. Until then we will all have to keep fighting for our rights to Adequate Pain Management. I'm rooting for a Once a day Dissolve-able , pleasant tasting medication that works on all types of pain with Abso no side effects that has a built in Stool softner I know I can dream right?

Oh and Said Medication should cause Excruciating Pain and Vomiting to anyone with Illegal Drugs in their System, Hahaha Again I can dream.

I'm a Little pissy today. Ive had 3 people ask me for a Pain Pill because I have them and they think they need them. Thats just in the last 24 Hours.

The law you are getting in Florida is the same law we have. To me it is no big deal. I carry my day timer with me make a appointment on the way out for less that 30 days for the opiod medication and do all the others same time. My dr does fill my scripts in his office, but I like them like that. The come in manufacture sealed bottles with foil still in place. Has the manufacture label on the bottle only my name and information is added to a separate tag they place on it. If we change my meds to something he doesn't have it will be sent to my home. Love that program no pharmacies or waits or anything. Now he doesn't take cash, but some people don't have insurance or maybe not met their deductible say like me sitting with a $7,000 a year one. So i do write a check to him or put it on my card at the time of the visit. But really that is no different than going to a drug store and doing it. Actually I think what he does takes a lot of confusion out of the mix. No prescriptions to alter. You have to be there every 30 days, you sign for the meds at the time you receive them. I don't even sign at the drug store agreeing i have the right meds. But there I look at the bottles and sense they are sealed manufacture bottles it is kind of simple.

If you do have to use the pharmacy here most doctors can now all fax all scripts except certain classes of drugs. That works well to as the prescriptions are ready at the pick-up window by the time i get there. Now if it is a class you have to carry in, well it is the old fashion method. I will say all of my doctors are going to computer generated scripts on a special paper, so there is less issues with the scripts. Of course the real addicts will figure out how to get the paper like they do to make money.

I saw on the news about that tropical system in PR... geez, its not even May. Buckle up its gonna be a bumpy huricane season... I agree.

Yes,Soma is a muscle relaxer. I called my PM to ask about the new restrictions and per them they can NOT fax or call in any script regardless of the class as he is a pain management doctor. You are right he can still use the refill option (for soma and such) on the hard copy scripts, so I am good with that.

On my pain meds I see him monthly anyhow so no big deal, but I never had to watch my quantities of my other meds, as it was always a phone call away in the event that I thought I had a refill and did not... so just need to pay better attention.

Gov Scott said howdy back at ya!
v

I love when I get the sealed bottle, not sure why, it just seems more clean, less hands toughing it. Walgreens often gives me my oxy in the sealed manafucture bottle and just add thier little lable sticking off of it.

I, regretfully, went to one of these "pill mills" in the begining, simply because every time I mentioned pain killers, the doc would give me a script for 5 of them or make me feel ashamed for even mentioning them and just tell me, you don't want to go down that road, you are to young. To be fair, the bad part is there is people who need the meds going to these places, but the majority just make it bad for others in the area. I live next to Texas and it is bad.

Anyway, here is the story from that day.
I walked into a full waiting room, there were people falling out of their seat, etc. I noticed a security guard with a gun and immediatly told my girlfriend to get back in the car and wait for me.
I was told they did not take insurance, just cash. I noticed that I was the only person in the office that had any sort of MRI scans, etc.
When I got back to see the doctor no tests were ran, no hands were laid on me, my MRI were not even looked at and I was asked what I want. I said something to help with the pain and he said " i'm giving you loratab, soma, and zanax" I said I do not need the soma and zanax and was told the doc was leaving it on the script in case I ever needed it.
It was so bad you had a list of pharmacies that allowed the clinic to use, due to its reputation.

People in the waiting room were actually talking about making several stops prior to this clinic. There was a van full of people from New Orleans that had came up to hit texas up for the day.

That was the last time I ever went to that place and have basically only taken pain meds for going on vacation since.
I told my girlfriend " I just saw hell"

Anelsen,

Thanks so much for sharing your experience. An appointment like yours is how undercovers are able to differentiate between a pill mill and the real deal amongst other things. On my last appointment with my GP, I had fun rubbing it in to her assistant how the "pain clinic" (as he called it) that he tried to get me to go to got popped! (G) He didn't see the humor! Lol!!!

You described the "rubber stamp" of pill mills. We too would have vehicles in the parking lot - very few of which had Florida plates. That too is a big red flag for law enforcement. And the "no insurance" cash only is another.

Brenda

That sounds like the stuff in movies. I know that it goes on and is true and all of that, I just can't imagine it. I would be so scared that I would get in trouble just for being there.

When I was a teenager (19), I went to a Dr in my small town that was known to give patients medication to lose weight. Now, I didn't really need to lose, but was engaged, planning to marry the following year and wanted to be 'skinny'. No "real" or good Dr would have helped me with this 'problem', so I made an appt., and sitting in the waiting room there were 4 people ahead of me (all women). The receptionist was calling them in as they came in it seemed and when she called the girl back who I knew had come in right before me I knew I was next. I started to get really nervous and all kinds of thoughts were going through my head. In high school I dabbled in a few things and speed made my head itch and made me feel..I dunno, moody, lack of control or something. Just when I thought the receptionist might open the door to call me back, according to the timing of the other call backs, I got up and walked out. A week later that Dr was arrested and lost his practice-he had practiced in my small town for decades. I guess this type of thing has been going on as long as there has been a demand for Rx medications, and Drs who will do it.

On the news tonight they put out that at least (get this) 100 so called pill mills had been identified in Broward county (just above Miami Dade county), and authorities expect to execute warrants on them in the near future!!

And here I thought 20 in one day here was pretty cool! Whew!! As they put it, "Florida wants to rid themselves of the stigma of being the pill mill capital of the US!" (G) More to come I am sure...

Oh and this makes me sick being retired from law enforcement, an officer from Broward got nailed for "doctor shopping for pain meds that he showed no medical need for!" Damn, pisses me off big time!! Sorry had to vent on that nibblet!!

Brenda

I was seeing a good pain management specialist. I went on vacation and when I came back I heard on the news that the DEA had shut him down.

It may look like a pill mill when actually it's just folks like me who are on Medicare, and who have already done every invasive procedure known to man without success.

So it may look like a pill mill because pills are mostly what the the doctor prescribes. What else is he going to offer a person on Medicare and disability? I never once saw anything that looked suspicious in the year that I saw this doctor. He never over-prescribed or did anything that I could see was wrong. No-one I talked to had any stories of getting meds they didn't need, etc., etc.

Now I've been living in Florida for 3 months. I was seeing a PCP for my pain control. I've been stable on the same medications for over 7 years so it wasn't that difficult for him to prescribe and maintain my health needs. But on Monday he told me he could not see me anymore because of the new legislation. He said that it was too costly, the laws too complex, and that his office wasn't set up the way the law wants, (I think he was referring to drug testing).

For him to keep writing prescriptions for just a few patients ( he said he saw 4 total) it just didn't make sense to jump through all these new hoops in order to *try* and comply with the new laws. Personally with all the laws for prescribing I don't know how they keep themselves from getting in trouble in the first place.

So I'm without a doctor as of Monday and all I know to do is telephone pain clinics and ask if they are taking new patients. How many other people are in my shoes and doing the exact same thing now? Plus I don't know which pain clinics are legit and which are not.

We do not have enough pain clinics for the amount of people who live with CP. There's something like 1 pain clinic for every 4000 patients. (This figure was taken from studies by professional pain specialists who are renowned for their work in pain care.)

Plus my experiences at other pain clinics have not been good. One treated me like a criminal. Another did every procedure they could get Medicare to pay for then dumped me. I learned I got better care at a PCP so that's who I stayed with for over 5 years until I moved to Florida. But now the PCPs are too scared to offer pain care. So how do I find a good pain clinic to go to? How do I know what to look for, so that the DEA won't shut them down in a month or two?

Does anyone have any suggestions? My doctor can refer me to a pain clinic but that doesn't exactly give me the most comfort, considering everything. I'm lost and feel very alone.

Howdy!

The laws really haven't changed much in Florida, they are just finally being enforced. Unfortunately we don't see all the actions of our doctors. He may have been great with you, but with others, he was apparently doing something outside the boundary of the law to get popped.

Me personally am still keeping all my medications with my GP. Her PA has tried to get me to go into "formal" pain management. I told him that once my surgical options are exhausted, I will but until then, I am fine with staying with her for my scripts.

I hope you're able to find a new pain management doctor. More clinics will be popped in the coming weeks - this time in Broward county...sigh...

Brenda

Ohio has begun closing down clinics due to "there are more prescription drug deaths then traffic fatalities in Ohio". They have stated they will not stop until every pain clinic is shut down. I work for a group of doctors and trying to find a pain clinic for a patient who could not find one that was taking on new patients was a nightmare. We finally found this patient a Dr. 2 hours away. My doctors were not allowed to prescribe her meds because now Ohio Drs. are only allowed to see so many chronic pain patients. So tell me if a primary care doctor cannot prescribe meds for a patient because he or she has met their quota of chronic pain patients and we can find no pain clinic around who suffers? The patient. The only thing we can do is send them to the ER. The Er doctors here say the average wait time at the ER is 3 hours. With the new regulations concerning pain medications they state the new wait time will be around 24 hours due to all the chronic pain patients seeking help thru the ER. There has to be a better solution.. I just read a article in the paper about a gentlemen who had pancreatic cancer and he was forced to buy his pain meds off the streets until he was admitted into hospice the last week of his life. So sad, Im lucky I am established at a pain clinic but they could be shut down tomorrow with the way this is going
Susan

My pain doc recently wrote a article and stated that he was approached and told he was writing too many scripts. He stated he will not change this because his patients need him. This clinic is a very strict clinic following all the guidelines, drug test every month.You can receive a phone call at anytime during the month for a pill count and you have 24 hrs to go to the clinic for a count. One mess up and your gone. No ifs or buts. In a article that was printed by law enforcement they state 'Any pain clinic that has more then 20 cars in it has to be a fraud". My pain clinic has more then 20 employees in it!!! This is a practice that offers physical therapy, counseling, and procedures. A doctor on staff for addiction. I worry there is going to be a day that he also is shut down and then what am I going to do? Without my meds my quality of life would diminish greatly. I would no longer be able to work. I would be able to do very little. It is so sad that the bad apples have caused us real chronic pain patients to have to jump through hoops just to get our meds.
Susan

I have been lucky and have never been called in for a pill count but regardless it is in the pain contract all must sign. My doctor has trust in me, I have never failed a drug screen or been non-compliant of any request the doctor has made. I also have miles of paperwork to document all my issues but this is what we in Ohio must do if we are a patient in a pain clinic. At first I found it insulting untiL I realized it only protects my doctor and myself. I always know when I walk into the office and they are doing drug screens that day because the waiting room is full of people that just cant seem to pee. They are given 2 hours to pee , if then they are still not able it is considered a failed test and you are dismissed from the practice. I have no doubt these people have legit issues but they are not taking their drugs as prescribed. Of course there are I am sure a few bad apples in the bunch.
Susan

Brenda, I'm cracking up that you posted under the "Good News" forum! LOL, this is not good news, or IS it? Hugs from me to you for posting, and the rest of you for jumping in. Not only are these posts extremely educational it allows a peek into the future! I'm a "gotta know how's it's made and why" type, and I don't like surprises when it comes to my quality of life!

Good news: I will guess that when these laws, guidelines make my State, my PMC will be the first to go! I say this because, I had a drug test that was never sent to the lab, and billed for a drug test that I didn't give. So, what happened to the pee pee that never made the lab, or least not with my name on it. Last visit, I was drug tested AGAIN, my $270.00 cup of pee pee, without a label, no name, nothing, was slid onto a counter in a tiny room with several other cups of pee pee without patient label!!! WTH And the story of my Sister's customer that goes to the same PMC as I, gets procedures, and hasn't had a drug test since his first visit. He gets, according to Sis, a boat load of stronger stuff than I've ever had, and quoting my Sister, "the poor man has to sell his pills to make ends meet." I'm still pizzed about that! I get that he is struggling financially, but how much does it cost to live in a, not so cheap Hotel!" Please!!! He and the like are the reason we other CP suffers, suffer more! And, what do you do about it?...can't turn him in, only have his first name, and I can only imagine the look of furry (mad at me) if I brought it to the PMC, Docs attention. LOL, he would probably accuse me of buying the mans pills...

So if it's happening in your States, it going to happen in mine. My other sister, a NP, that teaches in a Medical College, says the FDA is going to band Hydrocodone and Viccodine (sp?), saying they are the number one cause of liver failure. I took Viccodine once, as in one pill, for a strained rib cage, and OMG, it made me itch like crazy!

I'm seeing a new PCP doc next week that claims he will do my PM's. But, I'm NOT getting my hopes up, and assuming he'll get the same notice as my NS. To all surgeons: Patients get pain meds for 2 or 6 weeks,and off to a PMC! DH remembers him saying 6 weeks, and I thought 2. In any event, my NS was NOT happy about it. But, now I read, above, that PCP may have X number of CP patients, and I'm getting in on the ground floor with this new PCP since he has just joined the practice. However, I still plan on asking if he is prepared to meet the requirements should this happen? Also, he needs to be knowledgeable regarding my injuries/condition!

Dang, I didn't mean to get so wordy, and will end with, great food for thought on this thread, love it!!! Going to keep watching, posting and learning! There has to be a better way to accommodate CP patients!

Thanks All!!!
T

Tina,

Similar to how you started your thread reply, this helps us all!!! Yeah I was military, then flew for a well known cargo company, then into federal law enforcement - tinkle tests were always an inch away - God forbid you get into a shooting, and arrest that results in any injury requiring medical attention (you or the suspect) or an accident with 'xx' dollars in estimated damage. It varied on what vehicle you were in (car, bike, boat, aircraft....)

We where also blood tested once a year. They told us that it was to (while I was law enforcement) verify that we had not contracted any blood borne diseases and such. We knew it was true, but since they would ask for a complete listing of any and all medications, we knew it was both - blood being more accurate. Later some of the tests (never had this myself) were taking of head hair samples! Hummmm....

As for your "little friend" that lives in a hotel and sells his medications err...stash. All you have to do is let the local police know. If they deem your info credible, they will stake out his hotel and pop him on their own! Snicker doodle smack I say!! Problem solved!!! As for the clinic trying to pop him based on non-directly known information, (eg, the word of a patient you trust) - is not PC - Probable Cause for touche`, and opens the clinic for a liable law suit. Let the local police pop his butt!!

Brenda

Below is what I've been wanting to say but could not put into words as nicely as they have written. (Let me back up a second.)

In the state of Washington patients are hurt in advance of the new laws for prescribing opioids. I'm going to post a link, but also copy and paste a portion for those who don't wish to read the whole article without knowing why they might want to. (Not sure if copying is allowed, guess I will find out).
Quote:
In one area of the state, a University of Washington neighborhood clinic stopped accepting new patients with chronic pain after there was an upsurge of patients coming in and saying their physicians had cut them off from opioid pain relievers. “A lot of it is because other providers have stopped [prescribing],” states Peter McGough, MD, chief medical officer for UW Medicine's Neighborhood Clinics quoted in the article. “I think there's been a fair amount of patient abandonment going on. … a lot of physicians are saying it's more trouble than it's worth, so I'm just going to send my patients away.”
Indeed, entire hospital systems, emergency departments, and clinics have reportedly adopted anti-opioid policies. Such a swift and sweeping prohibition surprised even critics of the new rules, who predicted there would be some negative fallout for patients but did not anticipate this sort of extreme reaction. In what might typify many concerns, a physician wrote the following in an online comment to the newspaper article:

“Our clinic reviewed the new rules and found them unworkable. They are so detailed and specific that following them 100% of the time would be impossible. This sets up a perfect legal case against any doctor whose patient should happen to accidentally overdose and die. It wouldn't be hard for a sharp lawyer to find some small part of the regulation that wasn't perfectly followed. I can't think of any other area of medicine that is so neatly handed over to a plaintiffs lawyer without having to lift a finger.”

According to Ostrom, “two large statewide physician groups have asked the state's medical-licensing board to amend the rules, saying they are so detailed that doctors could face discipline or legal liability if they don't dot every ‘i’ and cross every ‘t.’ The result, warned the Washington State Medical Association and the Washington Academy of Family Physicians, likely will be that many doctors simply refuse to see pain patients.” However, the medical-licensing board has declined to act.
End Quote, from Pain-Topics.org, Seattle Times [August 27, 2011], reporter Carol M. Ostrom

The stuff highlighted in red is exactly what we've been hearing about over and over for approximately the last 10 years in fits and starts. A little bit of pain care cut out here, a little bit cut out there, and 10 years later suddenly opioid prescribing is [b]against the law[b]. Each new law, each new bill passed makes this a [b]reality[b].

I know I'm not exaggerating because I've read the above in so many words written in so many ways at different times over the years. I would like as many people as possible to see this. Should I start my own thread, and if so where?

I don't disagree that something must be done to get rid of the people breaking the laws. But I highly disagree with how the law makers are going about it and how it impacts our health care options for pain control and our lives.

Here is the link to the article and quotes about the new regulations in Washington and West Virginia.
http://updates.pain-topics.org/2011/09/rules-hurt-patients-with-pain-in....

Angela

Well first off a 1000 perc's is just insane, period.
I am in the Tampa Bay area and yes they are finally clamping down on fly by clinics, legitimet clinics are to out there, with doctors that really want to help you People have been driving into the state for meds for a long time, it was wide open. Now they are finally addressing the issue, way over due !!! At the PM office i go to there is 2 doctors, 2 assistants,PT and MRI. So there are more then 20 cars, and if you drive in and there are few you are lucky as the wait time is nothing, that is a gift.
Like Tam i use to get meds from clinic as it was just easier, the whole drop off and pick up part. Always sealed bottle as well.
Florida needed and continues to need cracking down on so many clinics, also pharmacy's that would fill a script with a huge amount or to many.
Use to be a simple urine test was all that was required. and now i am so glad they also check all vitals, as a patient with other issues then just chronic pain, personally it is about time.
Brenda when a clinic is raided what happens to patients that are in waiting room?? That is not there issues. as one doc said his problems are not ours and vice versa??? just interested.

Alex Florida is good. Another neighbors house is no the market. Just remember the winters........bbbbrrr and no thanks......also we are not all old down here, think that is overstated.

jane

s