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The report, titled "'You've Got Drugs!' V: Prescription Drug Pushers on the Internet," details the advertising and selling of controlled substances online. It is the fifth annual report on the subject. The report tracks the availability of prescription opioids such as OxyContin and Vicodin, depressants such as Valium and Xanax, and stimulants such as Ritalin and Adderall.
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The "most disturbing" finding, the authors write, is that "there are no controls on any of these sites blocking access by children." Most Internet users are adolescents and young adults; 78% of kids 12 to 17 have online access. Nearly all college students do, too.
Children easily gained access to the online pharmacies by typing in a fake age. Yet in some cases, a child may still buy and receive drugs by providing true information -- even when their answers should raise red flags. A previous report revealed how a supervised 13-year-old ordered and received Ritalin after entering her own age, height, and weight on a site's questionnaire.
This report also reveals a trend in which many sites allow Internet users to buy a controlled substance after signing up for an online "medical consultation." Visitors must complete an online questionnaire about their medical history before having their prescription filled. However, the answers may or may not be reviewed by a doctor. Such sales do not constitute a legitimate doctor-patient relationship, according to the study authors.
In April, the U.S. Senate passed a bill controlling Internet trafficking of controlled prescription drugs. The bill calls for federal certification of online pharmacies and prohibits the delivery, distribution, or dispensing of controlled substances online without a prescription issued by a practitioner who has conducted at least one in-person medical evaluation. The bill awaits House approval.
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In addition, the high cost of prescription medications, the rise of online pharmacies, the ease of online sales through social media and delivery of products through the mail are contributing factors. And, there is a sense that the risks of getting caught are low.
What have you done to address these symptoms (PT, injections, medications, braces, recent surgery)- what makes it better- what makes it worse- ex: the patient has tried percocet from the ER and this helps but the neck brace makes it worse.- ex: nothing helps the hands- ex: Dr Yenni gave an injection into the left knee last year and this gave good relief for 6 months. Motrin and Percocet alsohelp.- again add them to the end of the paragraph. Try saying, "he/she notes that the percocet from the ER help.....
Ms Jane Doe is a 55 year old retired teacher who presents with 1) neck pain which radiates down the left arm,2) hand numbness, 3) bilateral knee pain. The neck has caused pain ever since the car accident on Jan 1, 2014 andcauses very severe pain all of the time. She notes that percocet from the ER and this helps but the neck brace makesit worse. The hands have been numb for 2 months and cause moderately severe pain at night. She notes thatnothing helps the hands. The knees have been causing pain for the past 10 years and the knee pain is severe onlyduring the day. She notes that Dr Yenni gave an injection into the left knee last year and this gave good relief for 6months. Motrin and Percocet also help the knee pain.
Ms Jane Doe is a 55 year old retired teacher who presents with 1) neck pain which radiates down the left arm,2) hand numbness, 3) bilateral knee pain. The neck has caused pain ever since the car accident on Jan 1, 2014 andcauses very severe pain all of the time. She notes that percocet from the ER and this helps but the neck brace makesit worse. The hands have been numb for 2 months and cause moderately severe pain at night. She notes thatnothing helps the hands. The knees have been causing pain for the past 10 years and the knee pain is severe onlyduring the day. She notes that Dr Yenni gave an injection into the left knee last year and this gave good relief for 6months. Motrin and Percocet also help the knee pain. Of note, the patient has had a right knee scope in 1995. Ofnote she has had a right leg vascular stent in 2010.
Ms Jane Doe is a 55 year old retired teacher who presents with 1) neck pain which radiates down the left arm,2) hand numbness, 3) bilateral knee pain. The neck has caused pain ever since the car accident on Jan 1, 2014 andcauses very severe pain all of the time. She notes that percocet from the ER and this helps but the neck brace makesit worse. A CT scan of the neck was performed in the ER at the time of the accident. The hands have been numbfor 2 months and cause moderately severe pain at night. She notes that nothing helps the hands. The knees havebeen causing pain for the past 10 years and the knee pain is severe only during the day. She notes that Dr Yennigave an injection into the left knee last year and this gave good relief for 6 months. Motrin and Percocet also helpthe knee pain. Of note, the patient has had a right knee scope in 1995. Of note she has had a right leg vascular stentin 2010. An xray of the knees was taken in the ER.
Ms Jane Doe is a 55 year old retired teacher who presents with 1) neck pain which radiates down the left arm,2) hand numbness, 3) bilateral knee pain. The neck has caused pain ever since the car accident on Jan 1, 2014 andcauses very severe pain all of the time. She notes that percocet from the ER and this helps but the neck brace makesit worse. A CT scan of the neck was performed in the ER at the time of the accident. The hands have been numbfor 2 months and cause moderately severe pain at night. She notes that nothing helps the hands. The knees havebeen causing pain for the past 10 years and the knee pain is severe only during the day. She notes that Dr Yennigave an injection into the left knee last year and this gave good relief for 6 months. Motrin and Percocet also helpthe knee pain. Of note, the patient has had a right knee scope in 1995. An xray of the knees was taken in the ER. Of note she has had a right leg vascular stent in 2010. She notes that 800 mg Mortrin causes stomach upset, but 400mg taken 3 times daily with food is well tolerated. Neurontin causes bad dreams. She denies any sedation with thePercocet, has no problems with driving, and is taking the medication as directed. She is allergic to iodine and sulfa.The patient is taking Plavix. Of note, she has had a mini stroke in 2005, and had a cardiac stent in 2009, and a rightleg vascular sent in 2010. 041b061a72