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#897684 - 06/18/09 06:54 AM
Re: DoctorsonDemand.com - Q & A, General Info, Comments
 
[Re: PNWRain]
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Veteran
Registered: 02/13/07
Posts: 652
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I"m not sure how this would answer the referral part of this but a PM Dr in our area makes you come back every month if meds are issued. I know my PM (without meds but a ton more tests ordered) is about 250 each visit. My Primary is 125 to 175 and the Orthopedic is about 175 to 200. A Dr. in the Cleveland Clinic is 550 a visit. I actually think that the way DOD is doing this is more like a regular PM establishment. Now do I wish they would give a refill, yes. If I remember right before the internet became so popular there was a dentist referral place. I remember seeing it on TV all the time. The Dentist could pay to be a member and when a patient called in their area they were in the data base to be referred. Of course that's not exactly the same but we are in new waters with F2F. K PIXY - I am so sorry, I just now read your post.
Yes, you could very well be correct. That would make their "referral" service a little bit more legit.
The problem remains (for patients and, I believe the DEA,) is the cost. Hard to believe that billing services charge those kind of dollars. Could be wrong - been wrong a couple of times, lol. Maybe you mean they bill for the whole shebang, take their cut and saunter off? But, if the pharm also charges, then just what are they getting money for? That will be the question.
Just a thought or two. Just WHAT are they doing to warrant the amount of money being paid? If anyone can answer this, I'd be grateful.
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#898877 - 06/21/09 04:36 AM
Re: DoctorsonDemand.com - Q & A, General Info, Comments
[Re: tango5]
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GRAND Pooh-Bah
Registered: 10/18/07
Posts: 1578
Loc: Eugene, OR
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Tango, as I said before, I have nothing personal against DOD - and if you are satisfied, that is all that matters.
You stated all those costs (and, believe me, I KNOW about costs), but having a referral service ON TOP of those costs, that's the thing.
And, only Hydro is prescribed. No Schedule IIs. Why is that? ER Schedule IIs are a chronic pain patient's best bet. These are the issues I come to the table with. ER Schedule IIs don't contain Tylenol (some do, but it easy to prescribe one that doesn't). That's a good thing. You don't get "hills and valleys" - good; you get consistent pain relief - good. But this is not available. DOD - James - correct me if I am incorrect and I'll retract all over the place.
Listen, I really, really don't want to make any trouble. If people are happy, I'm all for it. It just bothers me because a "real" pain clinic wouldn't take anything off the table. And maybe I'm living in La La Land, lol. I keep smelling pancakes and it's 2:30 here on the west coast, lol.
Tango, be well. I am very happy for you that you have found a service that, at least, listens and treats your pain. That is surely a blessing.
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#902453 - 06/30/09 04:15 PM
Re: DoctorsonDemand.com - Q & A, General Info, Comments
[Re: watcher12]
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GRAND Pooh-Bah
Registered: 10/18/07
Posts: 1578
Loc: Eugene, OR
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Yes, exactly, Watcher. A patient needs to know that there is a treatment plan in place - and, if you adhere to it - that it with continue, will periodic adjustments.
I may not like my situation, no-far from it, but at least I know that my pain will be treated. For a reasonable cost.
IMHO, there is NO reason schedule IIIs should not have a couple of refills. Maybe the first script - so the doc can evaluate its effectiveness, etc, but after that, what's up?
Truth is, docs climbed on board with the promise of significant income (maybe they wouldn't without that?) I don't know. Maybe they are being cautious, which isn't necessarily a bad thing. But, for patients with experience with these meds - I just don't get it.
And, it doesn't matter if I don't get it. Like I said before, I have good pain management. My posts truly are concern for my fellow CPers and my desire that option continue to be available for them. Y'all.
Hope my posts do not annoy anyone. Certainly not my intention. Please forgive if they are not helpful. May we all have the best day possible.
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#903769 - 07/03/09 10:25 AM
Re: DoctorsonDemand.com - Q & A, General Info, Comments
[Re: oceans11]
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GRAND Pooh-Bah
Registered: 10/18/07
Posts: 1578
Loc: Eugene, OR
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Oceans - man, I am so sorry you have to deal with this. And, I am guessing, you had no option but to wait until a "certain" day to even ask for a consult.
IMHO, it is nearly criminal to not give any refills. You see the doc, do your part, get an initial script and a couple of refills.
They charged your card?? What's up with that?
Do what you can to remain reasonably comfortable. My heart goes out to you.
DOD - isn't this what you get paid for? To make sure your patients receive the meds they have come to rely on? Or what? BTW - stating the obvious is not negative, but NOT servicing your patients IS.
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#904189 - 07/04/09 01:10 PM
Re: DoctorsonDemand.com - Q & A, General Info, Comments
[Re: mcbrown]
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GRAND Pooh-Bah
Registered: 10/18/07
Posts: 1578
Loc: Eugene, OR
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First, every doc I have ever been to has an "on call" doc, if they are out. Every one. Second, how can a non medical service ( OCS) tell ANYONE they cannot see another doctor? These guys will not be around if they don't change their ways. And I don't mean just dod. Third, it is not unusual to be able to get your script on the 28th day - the insurance companies will generally fill on the 23rd (altho too early for the doc). But, can't use insurance, right? Red flags everywhere. If the OCS' are legit, insurance should be able to be billed for their cost. Doc too. Pharm, etc. Fourth - refills. With "normal" medical practices, you simply go to the pharmacy where you got the original (even if it says no refills remaining) and the pharmacist calls the doc - and more times than not (especially with an established relationship) you call later and then pick it up. What's always been true, and remains true, is that pain patients are at the mercy of the OCS. And they have not displayed much mercy. They are not selling widgets, they are (supposedly) offering a service that provides meds (without which people go thru withdrawals) that make life worth living. IMHO, the DEA will not hold the current model in any more esteem than they held the last. Our very health is on the line and we have a right to good care. OK, rant over. Sorry. I get pretty emotional about this. NNCIP is doing it right. I do not begrudge any OCS/doc from making a buck - "regular" docs do too, but there are protocols and too many are NOT following them. For those who were left hanging on this 4th of July, you have my greatest sympathy (for what it's worth.)
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#904190 - 07/04/09 01:11 PM
Re: DoctorsonDemand.com - Q & A, General Info, Comments
[Re: tango5]
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Veteran
Registered: 02/28/07
Posts: 496
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No need to be jealous!!! That person also didn't disclose that it costed her over 300.00 for the F2F, and for each refill mailed to her, it will cost her $150.-$180.00!! Depending what they feel like charging you! Guarentee that she will post about how much her refill costed her! Because I know that they didn't tell her that when she initially got her consult. This is with 1stclasscare. My friend uses them and told me how furious and mad she is with them. They have LIED throughout the whole process! I convinced my friend to tell them to shove it and go on Tramadol like I am instead. Unbelievable! The OCS's have turned into an utter discrace and personally, I would love for them to all go down! You guys need to either find a local pain doctor www.pain.com or take something else instead like Tramadol or Naproxen Sodium. Oh and by the way, my friend said she will post her experience with 1st class on their thread (from start to FINISH as in done with)... Sorry for your suffering (to the above poster) and even more sorry that you aren't able to spend time with your kids due to not having medication! Hopefully you will take my post into consideration and lesson be learned. Sometimes we all learn the hard way:( I had my reconsult the other day with them but this Dr. requires you to wait the full 30 days and calls in the script the same day. The call came to late in the day for me to go and pick it up so I had to wait. I live very rural. I would demand my money back without having to do a charge back since that takes up more of your time. I would also request/demand the consult to be free or almost free. Word of mouth is huge and your story of the Dr. not calling you is not good business on their part. They should never close unless they know all the patients have been called by the Dr. That should be part of the service. They should eat this money and you should get what you where told you would get. I'm so jealous of the post I just read of the person in NJ who had a F2F, got 120, with 2 refills. K
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#904470 - 07/05/09 04:30 PM
Re: DoctorsonDemand.com - Q & A, General Info, Comments
[Re: mcbrown]
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Veteran
Registered: 02/13/07
Posts: 652
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James from DoD posted this on 6-1 (copied below). If I remember this thread right you only saw the Dr. once so the numbers he gives below should be higher for you since the Dr. was gone in one month when it came to your reconsult. I hope this helps if even a little bit. K Depending on what state your in, if the doctor quite 2 or 3 months after your Face2Face we would give you a credit of some sort $99-$149 to help cover the cost of a new Face2Face if it has been 10 or 11 months then we would obviously try to expedite your new doctor F2F but not give a large credit since your would have to see the doc again shortly...........We try to learn as we go and want to make sure everyone is happy. If something happens let us know and we will do everything we can to take care of it. Thanks again, James I agree, now they told me they will let me know when they get another mass dr, but you are not allowed to see on of their other drs, in NH, VT or ME. Not to mention no refund for at least 100.00
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