this post was submitted on 25 Feb 2025
58 points (91.4% liked)

No Stupid Questions

37608 readers
1675 users here now

No such thing. Ask away!

!nostupidquestions is a community dedicated to being helpful and answering each others' questions on various topics.

The rules for posting and commenting, besides the rules defined here for lemmy.world, are as follows:

Rules (interactive)


Rule 1- All posts must be legitimate questions. All post titles must include a question.

All posts must be legitimate questions, and all post titles must include a question. Questions that are joke or trolling questions, memes, song lyrics as title, etc. are not allowed here. See Rule 6 for all exceptions.



Rule 2- Your question subject cannot be illegal or NSFW material.

Your question subject cannot be illegal or NSFW material. You will be warned first, banned second.



Rule 3- Do not seek mental, medical and professional help here.

Do not seek mental, medical and professional help here. Breaking this rule will not get you or your post removed, but it will put you at risk, and possibly in danger.



Rule 4- No self promotion or upvote-farming of any kind.

That's it.



Rule 5- No baiting or sealioning or promoting an agenda.

Questions which, instead of being of an innocuous nature, are specifically intended (based on reports and in the opinion of our crack moderation team) to bait users into ideological wars on charged political topics will be removed and the authors warned - or banned - depending on severity.



Rule 6- Regarding META posts and joke questions.

Provided it is about the community itself, you may post non-question posts using the [META] tag on your post title.

On fridays, you are allowed to post meme and troll questions, on the condition that it's in text format only, and conforms with our other rules. These posts MUST include the [NSQ Friday] tag in their title.

If you post a serious question on friday and are looking only for legitimate answers, then please include the [Serious] tag on your post. Irrelevant replies will then be removed by moderators.



Rule 7- You can't intentionally annoy, mock, or harass other members.

If you intentionally annoy, mock, harass, or discriminate against any individual member, you will be removed.

Likewise, if you are a member, sympathiser or a resemblant of a movement that is known to largely hate, mock, discriminate against, and/or want to take lives of a group of people, and you were provably vocal about your hate, then you will be banned on sight.



Rule 8- All comments should try to stay relevant to their parent content.



Rule 9- Reposts from other platforms are not allowed.

Let everyone have their own content.



Rule 10- Majority of bots aren't allowed to participate here.



Credits

Our breathtaking icon was bestowed upon us by @Cevilia!

The greatest banner of all time: by @TheOneWithTheHair!

founded 2 years ago
MODERATORS
top 20 comments
sorted by: hot top controversial new old
[–] [email protected] 22 points 5 days ago (1 children)

Doctors don't necessarily send patient information between each other, but many practices use connected platforms (i.e. My Chart) that a new provider could pull previous history from. Doctor shopping is when a patient goes to different providers/practices in hopes of getting multiple prescriptions (such as controlled substances like Vicoden or Percocet). Others mentioned maybe it's pharmacy shopping which is when a patient takes prescription(s) to multiple pharmacies hoping for better prices or, in the case of controlled substances, trying to find one who won't check the state's controlled medication reporting system to verify they aren't already getting it elsewhere.

[–] otter 3 points 5 days ago (1 children)

More places seem to be switching over to a centralized/interoperable system for prescription information. In BC Canada we have

https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/pharmanet-bc-s-drug-information-network

PharmaNet is a provincewide network owned and operated by the Ministry of Health. PharmaNet keeps a record of every prescription dispensed in B.C. community pharmacies and select hospital outpatient pharmacies.

In another Lemmy thread recently, someone mentioned that Australia has a national system for it. I think this might be it

https://www.health.gov.au/our-work/national-real-time-prescription-monitoring-rtpm

[–] [email protected] 2 points 3 days ago

Australia has pretty tight controls on opiates.

Yes there's the central database.

Most GPs have signs saying they don't prescribe opiates on the first consult.

Even for serious pain it's difficult to get opiates prescribed.

[–] [email protected] 18 points 5 days ago (2 children)
[–] [email protected] 12 points 5 days ago* (last edited 5 days ago)

Financially? Yes (for now). In terms of Spoons (mental/physical energy to care about whatever conditions i likely have)? Nope.

[–] [email protected] 4 points 5 days ago

What's doctor? I don't need them since I have a friend that just shows up whenever I feel sad. Idk why my parents never say hi to my friend, fucking rude.

[–] [email protected] 17 points 5 days ago

Lamo, look at this american!!

sobs because I need this answer too

[–] [email protected] 11 points 5 days ago

If I don't get a happy ending during my yearly physical then I'm out.

[–] [email protected] 10 points 5 days ago* (last edited 5 days ago)

You can either start with a general Internet search for doctors and read their reviews and check if they accept your insurance. Or start with your insurance company's list of providers (which may be out of date) and then go read reviews for doctors. If possible, I highly recommend non-profit/university-affiliated doctors offices, and especially stay away from anything owned by private equity...they try to squeeze as much money out of patients and their employees as possible.

In the US, doctors aren't allowed to share info about their patients with anyone without the patient's permission. However, there are lists out there for people who try to circumvent controlled substance laws.

[–] [email protected] 10 points 5 days ago (1 children)

As in trying different doctors before you find one you like? Or is there another meaning I'm unaware of?

[–] [email protected] 10 points 5 days ago

Yeah, the term usually refers specifically to moving between doctors to gain access to specific classes of medication that are restricted. In doing so, the "shopper" hopes to bypass limitations on how much of the drug they can get in a given time frame.

It's almost always drugs that have recreational use and/or high addiction potential.

[–] [email protected] 5 points 5 days ago

As John Mulaney explains, you use your favorite doctor finder website and sort by fewest stars.

[–] [email protected] 4 points 5 days ago

Try asking around your network for a person who has had a similar affliction, or ask a doctor you know for a referral. Doctors don't usually send patient information unless approved by the patient, in which case it's usually by means of industry or national standard file formats or even hard copies of you're going old school.

[–] [email protected] 4 points 5 days ago

No, doctors can't pass info between each other without your written approval, due to HIPAA. If you're drug seeking, you won't sign the release forms.

[–] [email protected] 3 points 4 days ago

Main criteria is Has walk-in slots or relatively quick availabilities and is either close from home or close from work. This usually drastically reduce the option. While I am lucky enough to be able to afford "Extra-costs"and "private doctor" I would prefer to see doctor applying the legal cost and public hospital over private clinics, but sometimes going private means seing a specialist tomorrow rather than next week. (Or in 3 month for rare specialities)

Nowadays, most countries, have some form of centralized medical record, so if you consent to it, and if your doctor use-it (Public hospital most likely, private hospital sometimes, old 80 year old doctor nope)

[–] [email protected] 4 points 5 days ago (1 children)

This feels too much like a post about how to get opioid prescriptions.

[–] [email protected] 3 points 5 days ago* (last edited 5 days ago)

Or actual good drugs, like Adderall. Which is hard to do these days without a psychiatric recommendation. On a serious note If OP is struggling with opiates they should look into a Suboxone program. Plenty of clinics out there for that and it could get well save their life.

[–] [email protected] 3 points 5 days ago

like all review sites nowadays folks can pay to hide bad reviews so good luck.

[–] [email protected] 3 points 5 days ago

It isn't like there's an automatic cross reference any time you go to a doctor.

Where people usually get caught is at the pharmacies, since that's where most places have their tracking. When it isn't there, it's via insurance, since even if pharmacies didn't track prescriptions against a database, the insurance companies that pay for your meds already do.

Doctor shopping, on the level you're asking about, it tends to be about finding providers that will just write a prescription with little or no difficulty. That's the easy part of it. Doctors tend to either refuse to do pain management at all, or will only do it short term; but the ones that will do it short term tend to still be willing because they know they aren't going to end up with hassles as long as they aren't providing you with a steady stream. And, they also know if you're "drug seeking" as opposed to treatment seeking, that you'll get noticed at the pharmacy or insurance company.

Now, if you're actually a chronic pain patient, you can find doctors that will act as your pain management, but it's going to be rare as hell, and they'll keep an eyeball on you. But you'll usually get turfed to a pain "specialist", and have to jump through whatever hoops they prefer.

It's the same with things other than opiates, like benzos, ambien, etc that have a recreational use aspect, or get abused heavily/are addictive. But opiates are more or less the big doctor shopping target. Benzos are a close second, but GPs are much more likely to refer you to a psychiatrist that's set up for handling the underlying issue than with opiates.

It has gotten a shit ton harder to sustain doctor shopping though, because there's so many possibilities to get flagged now. You don't even want to know how often chronic pain patients run into issues if they make the mistake of seeing a different doctor because their primary is out of town, or retires. And gods forbid you switch pharmacies when there's a shortage of a medication that's controlled like that. You can end up being refused anything without jumping through a million hoops.

I've seen people in their eighties flagged for pain meds. Like, who gives a fuck if they do become chemically dependent, they're not going to be a long term risk for anything if they're dealing with chronic pain in the first place. Too many co-morbidities.

[–] [email protected] 1 points 5 days ago

They can't if if they're "difficult".