Good point Bluefairy that is true we always do go after the OCS but the doctor has the altimate control. But why doesn't CD get on the horn and say that then!!! Thats what I don't understand, and not just CD but all the others say something, I'm in business for my self and if theres something I pride my self on it's comunitcation, and as long as I have that I could screw up big time on a job and the customer will still come back because I comunitcated.

I think they were finding out at the same time we were.

Also, apparently there really is a family emergency for the Garcias that is really serious, a close family member with a stroke or heart attack. So far CD has not spoken to Dr. Garcia (either one) in person or on the phone, just through someone else.

Right again Bluefairy. I cannot understand why people (some who have never even used CD?) like to kick someone when they are down.

They are again nice people who have never cheated anyone and tried their best to service their customers. Thank you for posting Linda despite this.

I just received this message from one of our great clients. It seems that I am doing a few things that are upsetting some. I'm really sorry.
Linda


When you answer posts, try not to cut and paste if you want to quote someone else's post. Hit the quote button instead. It confuses people and angers others. It appears as if you are parroting them rather than just quoting them. Others think you are trying to claim their words as your own, and others who are really unobservant think you are making the comment yourself.

Just trying to help!

Perhaps a timeline of when you guys found out about the situation, and what action is planned for those who already had consults/F2F, etc. If you do not know, just say that.

Something like:

We found out ___Wednesday Afternoon___________ on (insert day)(Day Inserted). Since then we have started exploring all options and finding out more about Dr. Garcia's plans and decisions. Rather than make a blanket decision about how to handle all incomplete transactions and F2F visits already completed, we will address each individual customers needs separately. We will let you know more as soon we know it.


Debbie is actually on the phone with Fedex getting a label for a client that is receiving the Prescription for the new stuff.

We are trying our best. We are re-acting on a day to day basis.

I gotta say I got a PM from Cd, and your right it's a tough road for everyone, including the OCS. I guess were just so used to getting screwed over that it's so easy to jump on and get mad, I've kept my mouth shut for a long time but I was like damn! CD sounded like they were such a good company, well I believe they are and they'll fix it, my reasoning boom right away they Pm'd me to fix the clearafy for me, and I've never ever heard of anyother company doing that. So I wish them luck! I hope it get's fixed soon I just hate seeing people without there meds!

Ok one more thing then I'll shut up cuz I'm a horrible writer. But I know people hated all those posts CD USED to make, but you know what I do the same thing with my business it's just through the mail, and hey if it gets you more business why not!!

Of course I'm sorry if some one in anyone's family is ill but I still think CD should have known more and known it earlier.
Last week, Wednesday or Thursday I called two places that used this Dr to try and fit in one last consult mid March before the law goes into effect. The first one I called was clear that all consults where finished. How did they know last week? Than the other service knew with a letter Monday straight from the Dr. what was going on?
To hear that CD hasn't even been able to talk to the Dr. yet just blows me away while nitemoon was able too and she's just a patient not the huge service linking him to his cash cow.
Than CD comes on and says basically that "well not enough people scheduled an appointment in Florida for a consult, so you guess why this is happening" This is not a direct quote. Well I'm glad they didn't and I feel very sorry for Kaolgal who did and spent all that money for WHAT? I think someone else posting also went. Instead of posting that CD should find out the information they need to give there customers. Maybe this service should reimburse these people some of the profit they made on that visit plus the full office visit back if they care like they say they do. That would at least help with some of the costs their patients took on by doing what they were told to do.
If I did not find out what was going on how much longer would people have been strung around by CD? Other services were answering their phones and telling the truth.
Last year PPC did something similar to me and I felt it just wasn't right for this to happen to others. Being strung along with no information is very hard to deal with.
K

WTH? Has this client seen Gracia?, because if they haven't, I see a real ethical problem with the patient being sent a prescription for a drug they have never used before, AND, a drug that has naxolene (sp?)like properties that may throw them into violent withdrawals if they have been taking opiates for a long period of time. Jesus, what a mess.

Besides that, at this time we do not have any information that the DEA has any involvement in this situation. He may have just decided risks were great and it was better to go in another direction. If his license to prescribe controlled medications had been revoked he would not be seeing anyone till things were straightened out. [/quote]


highlight of color is mine. Dr. Branch continued seeing patients and prescribing...just not controlled meds. The DEA can take away the DEA license for controlled meds. The ability to prescribe other non controlled meds is not done by the dea.

I have had nubain via IV for migraine before and it does nothing.

Actually made my H/A worse.

I just got over to visit here and if I had booked a consult/plane ticket with this company, I'd be very upset.

My regular doctor won't give it to his patients. I was at a walk in clinic and this was that doctors med of choice.

I was a victim of Ben's. I was left without my refills when 1steprescriptions went down. I was left without further meds when Dr. Branch had his DEA license removed It does make you very angry when you spend the money, go through the hoops and then nothing.... Yes we all know the risks we take when ordering; but it doesn't make the hurt any less when you are out of money and meds and in PAIN, and most importantly as seen here, without HOPE. I was not with cd. But I can feel their pain all the way to my keyboard.

i received word from MEC that dr. garcia is no longer prescribing hydrocodone. only nubain. their words.

The Patient did see Dr Garcia.
Linda

if your comment is in reply to me linda, i just want to say i did not see the doctor, but heard through my easy consult(MEC) who also used dr. g.

edit: i WAS prepared to see him though. unfortunately, from what i have learned about nubain, i believe it is not something i am interested in, especially because of the needles.

it appears to be a suboxone-like pain treatment to me, which is something i could obtain from a doctor in my state at a much lower cost. so it would be a viable alternative to me.

Linda meant the person they had offered to send the weeks worth of Nubain to. The one Deb was making the Fedex label for. That poster was on here last night, and I believe she said she did not want to try it. Perhaps said poster will post here to explain.

I am the one getting the 7 day script for the Nubain. I am willing to try it, but I did not want to get a script for 3 months worth in case I could not tolerate the medication.

Nitemoon .....Please be Very Careful!

Oh I plan to be. I don't take any medication lightly. That is why I would only take 7 days worth of the stuff. I will probably have my friend, who is an EMT, give me the first shot.

SQ injections are very easy to take and give to oneself. Brand new needle. I like 29-30 gauge 1/2 inch or less length. Silicone coated needle name brand syringe. Off brand syringe doesn't push in so easy. I've had lots of clients even give their insulin with them through their clothes (No kidding) when in public. These don't hurt at all. Very rarely leave even a tiny drop of blood on skin. Easy in easy out no trauma what so ever. EMT goood idea for reactions but I'm not sure what he/she could do for you other than call for help if needed. If you have any questions pm me. I've instructed many clients with giving self injections.

I remember that some IOPS offered nubain as nose drops, I wonder if that is not available here. Injections, of the under the skin type, are easy to give oneself with the ultra fine needles, but I would think that nose drops would be easier to control. Personally, I think this option sucks, but hopefully any DB member who tries it will post their results.

I really don't think that this is a viable solution....It would be like the Wonder drug.....Why wouldn't Doc's have been Prescribing it all along then? I go to a Neuro Surgeon and to a Spine Center that Does Spinal Blocks , Facet Injections, Nerve Blocks and a host of other Treatments ....But they never Offered me this Stuff! Why is that?

Did I mention the thought of giving myself a shot makes me break out into a sweat? I don't mind someone else giving me a shot, but I don't know if I am going to be able to stomach doing it myself. As it is, I have to have my friend give me my b-12 shot every two weeks.

let alone trying to convince family members that what you are doing is ''safe.'' i would bet the majority of people not only on this board, but pain patients, do not have a condition where they must use a needle.

now, all of a sudden, they would just whip out a needle and inject themselves? i recall reading some members on here whose wife/husband does not know they are on pain meds and hide pills. theyd be hiding needles now? i know my wife would not accept me having needles even if they were for my treatment.

i cannot say i blame them bc if i knew someone who all of a sudden had to inject themselves with meds on a regular basis, i would be very suspect of what they are doing to themselves. especially bc this course of treatment is not very common at all. i think if doctors knew they could have prescribed this drug, which has been around for years, as a good pain reliever, it would be done much much more commonly.

This wont last for long. He's going to get into big trouble. Let me tell you what I think of this Nubain attempt since I'm an RN.
Nubain is used in Labor & delivery (mostly). Reason being its a drug that doesnt cross the barrier ( I think). I'm stretching my memory. I worked in a hospital for 15 years & only gave it in Nursing school while in L & D. I have worked every dept from ICU, ER & med surg. And have worked as a traveler so have been accustomed to different parts of the country. If I havent given it, it's not a good drug!
Either way, its not a narcotic & not used for chronic pain. And to blindly send scripts to people that have never used it or given it to themselves just blows my mind. IV & subcutaneous meds are given in different doses. Suppose someone plans on giving it subq & hits a vein. This entire concept of him prescribing Nubain is total [censored]. Totally a money cow & if he could rx scheduled meds he would. I wouldnt try this one folks. Its not a good med & doesnt have a very good feeling to it. JMHO!!!
Please avoid it. I really feel it could be trouble. Gut feeling.

You may also bruise after a subcut injection. Morphine is often given subcutaneously, but absorption can be unreliable to the point that some describe it as malpractice. It was useless when I had it, though IM worked fine. I'm not sure about the reliability of subcut nalbuphine.

Looks like you have pernicious anaemia?

I agree. I feel kind of sleazy when I buy the syringes for my B-12 shots. Which is stupid since I get my B-12 filled at the same pharmacy. I do have the kind of family that I have to hide the fact that I take pain pills. My mom thinks I am an addict because I take flexeril!!

I do not think I would want to take this Nubain on a regular basis. I use to keep some Ketamine on hand for when my condition would flare up. I liked the fact that the pain relief was pretty immediate. However, I knew it was safe to use in conjunction with the hydrocodone. I never injected the Ketamine though. I would mix it with juice and drink it.

I did find out one pharmacy here in my small town does order it for several chronic pain patients, and did not seem to think it was a weird question.

I found out it is now commonly being used locally during labor and delivery, and that that is a recent thing here.

Apparently at least two of the three pain clinics in the next city prescribe it to some chronic pain patients.

My husband has diabetes, he thought it was funny that I even had issues with giving myself a shot for pain, and pointed out I used to do it all the time with Imitrex. I tried explaining that that was an auto-inject, and that in the midst of a migraine I would scalp myself with a butter knife if I knew it would help.

Still thinking and looking into it. My sister who recently had her F2F picked up her refill with no issues today, but has no idea what she will do when it is time for her next script, since her reconsult will obviously not result in what she was told.

Apparently it is not being offered to anyone who has not had their face 2 face yet.

(edited to add) Nitemoon is the person I was speaking about, but did not want to say her name for her, if that makes sense.

I guess we all have our hang-ups when it comes to certain meds. A friend of mine started going to a new pain clinic and her doctor wanted to put her on a combo of oxycodone and methadone. She was outraged that he was going to give her methadone. She walked out and never went back. She said she would have not been able to hand that prescription to the pharmacist.

I do feel that Garcia is kind of grasping at straws when it comes to Nubain. The info he gave me on it does not match up with the research I have done. Especially when it comes to how long the med is suppose to last. Garcia said 12 hours. Everything I have read is saying 3-6 hours.

Nitemoon .....Please Please Be Careful....I have a Bad feeling about this! I really Don't that the Good Dr. Garcia has Your best interest at hand!
Please Be Very Careful!!
Stevo

I have two questions:

1- From my limited research, it seems as though Nubian aays on the brain the same way Suboxen does. Since its an agonist and antagonist opiate. Is this right?

2- If Nubian is an opiate, why dont you need a DEA# to prescribe it? Since it isnt a controled med, why isnt it available OTC?