DR.Alzadon's dr.'s office
Posted in the Paintsville Forum
#1 Oct 13, 2012
i was just wondering if anyone knows if dr.alzadon's office is still open since the have came down really hard on dr. offices,that do try to help people that r in true chronic pain,i myself have went to dr.alzadon myself and i will say this ,he was very very polite to me and so wasn't his wife,and he always tryed his best to make sure his patients wasnt in pain, and before someone comes back with a smarass comment,he knowed who needed something and who was just in there for pain meds.,the only reason that i stopped going there was because it costed me 150 dollars to c him and 50 dollars for gas,and 50 dollars for my meds,and i couldnt afford that so my family doctor agreed to give me my meds.and it saved me 225 dollars a month,but the only thing i could never figure out is he used my insurance for a drug test but wouldnt except it for the doctors office call,and if i didnt have my insurance card they would drug test me,thats the only thing that i couldnt figure out,but i never questioned him ,because he tryed his damnest to help me get out of some degree of pain.IN MY THOUGHTS IF I HAD TO GRADE DR.ALZADON AND HIS OFFICE ON A 5 STAR SCALE I WOULD HAVE TO GIVE HIM A 5 HE WAS JUST SO GREAT TO ME .dr.alzadon keep up the great work u have done,because u have done great to the people that needed your help.of course they will be some smartass respond to this but i know how polite u was to me i have never had a medical doctor be so loving and caring to the [patients.THANK U DR.ALZADON FOR YOUR KINDNESS,CARING ,AND LOVING THOUGHTS U SHOWED ME I WILL NEVER FORGET U OR YOUR WIFE.
#2 Oct 13, 2012
AND BY THE WAY THIS DOCTOR DRUG TESTED ME EVERY TIME IN THE 3 OR 4 YEARS I WAS GOING TO HIM EXCEPT FOR ONLY THREE TIMES,AND HE ALWAYS CHECKED YOUR LEVELS,HE WENT BY THE BOOK AND HE SHOULD OF,i believe if u have nothing to hide then y worry about a drug test and i had absoluty nothing to hide from him i was always honest to him.
#3 Oct 14, 2012
I thought he was a "weight loss" Dr. LMFAO
#4 Oct 15, 2012
no he wasnt i was going to him for 3 years i was just wondering if he is still there since they changed all these laws i didnt know ,but i will say this ,this doctor was very very good and he went by the book and i feel was very legiate.i was just wondering i mean i go to my own family doctor to get my meds.,but i was just wondering if he was still there thats all!
#5 Oct 15, 2012
No, he surrendered his license. WTF do you think he did? He has a medical degree, do you really think he just said the hell with it and is working at WalMart now? Of course he is still working. Great post.
#6 Oct 16, 2012
you dont have to be such a smartass dick.
#7 Oct 23, 2012
thats exactly what he is a dumb ass dick,all i asked was if he was still there he took care of me for 3 years and he was the greatest.the man drug tested me every single time and was very very respectful,i just was wondering because how they was doing all these doctors,the only reason i couldnt go back to him was because i couldnt afford paying for the gas to and from there and then pay him and then pay for my meds,if it wasnt for that i stil would be going to him.so "SAY WHAT" u dont have to be a damn smart ass aboutit grow up and laydown and rest your damn neck,inever cuss but u hit a nerve when u talked about DR.Alzadon he is a great man and so isnt his wife and staff.
#9 Nov 13, 2012
Is he a good doctor? Or just write pain meds?
#10 Nov 13, 2012
Chris, thanks for driving from Hindman to get your narcotics. Nobody gives a rats as$ about you being drug tested everytime you came to see him and thanks for trying to convience everyone you are clean. Are you obese? He is after all, a weight loss physician. Right?
#11 Nov 15, 2012
He was my doctor for about three years, after the new laws passed in Ky on Aug. 1st., he could no longer write pain medication. He is a good dr. and a good person in general, he`s still there but he cannot write pain meds. He will write you a referral to a pain mgt. clinic though.
#12 Nov 16, 2012
There was nothing in HB1 that precludes a physician from writing pain medication to a patient who needs it. Many general practicioners simply do not want the hassle of doing all the things involved for only a handful of patients. So if your doctor said they can't see you then that means they don't want to see you any more. They would rather send you to a physician or clinic which is setup to handle those type of patients. However, there are so few of them that it is getting hard to find one.
#14 Nov 17, 2012
Patient visits are stipulated to be at least once a month in the first three months. The physician may then utilize discretion to see the patient less frequently, once documenting that this is effective, not causing side effects, and that monitoring proposed is sufficient to prevent a patient's improper use or diversion of the prescription.
Physicians, by regulation, shall annually perform preventive health screening and physical examination appropriate to gender, age, and medical condition(s).
The physician, also by regulation, shall conduct unannounced random pill counts. If an irregularity is found, the prescribing should immediately stop, or a tapering process be begun, along with the initiation of appropriate safeguards for the use of the tapering doses, such as designating an alternate person to administer the remaining pills.
• Additional documentation and administrative mandates physicians must meet when dispensing, administering, or prescribing a Schedule II controlled substance, Schedule III with hydrocodone, or specified schedule IV medications. It must include the following, but is not limited to the following. It is IMPERATIVE that you read the regulations and adjust your practice accordingly. There are many pages of specific requirement and schedules to follow.
The physician prescribing or dispensing must actually perform a physical examination versus obtaining records of a physical examination previously performed. If it is anticipated that the patient's course of treatment using controlled substances will last three months or longer it would be considered treatment for chronic pain. In this case the physical examination must be more extensive, evaluating all of the patient's medical conditions and related symptoms.
There must be recorded a history of legal or illegal substance use by the patient and by first degree relatives of patient, including treatments for abuse or dependence.
If a physician's practice uses a patient questionnaire to obtain the required information then the physician must ensure that all questions are completely answered, that any conflicting answers are resolved with the patient, that "complete information is obtained regarding any significant disclosure", and that this information is incorporated into the patient record.
#15 Nov 17, 2012
A written treatment plan is required regarding the use of controlled substance(s) in the treatment plan. The treatment plan should be sufficiently defined in scope to be commensurate with the scope of care required in using controlled substances. This includes but is not limited to documentation of, medical history and physical examination, diagnostic and lab testing, present and past therapeutic outcomes, functional outcomes, consultations, indicators of risk, full detail of all medications, intensity levels of medical complaint and related symptoms, subjective patient statements, objective findings including impact on functioning and quality of life, potential treatment options, diagnostic impressions, treatment objectives, discussion of benefits and risks, signed informed consent, instructions and agreements, and periodic review of treatment, adverse effects, functional goals and any other outcome that reflects on benefit or problem with treatment.
Discuss the risks and benefits of the use of controlled substances with the patient, or the appropriate surrogate with legal standing on behalf of the patient, including the risk of tolerance and drug dependence
There must be a written consent signed by the patient, or appropriate surrogate agreeing to the treatment. This should also include that they understand how to safely and properly dispose of any unused controlled substances.
The practitioner shall conduct, at reasonable intervals based on the patient's individual circumstances, the course of treatment and provide to the patient any new information about the treatment. For example, this could include information about any changing status or developments pertaining to the controlled substance being used for treatment. It could also include any information available about new, comparable treatments.
The course of treatment shall include the practitioner querying KASPER no less than once every three (3) months for all available data on the patient and reviewing that data before issuing any new prescription or refills for the patient for any Schedule II controlled substance or a Schedule III controlled substance containing hydrocodone, or a specified schedule IV substance. If the patient's treatment using controlled substances has been terminated, then the physician appears to have no obligation to take these additional steps every three (3) months. The termination date and rationale should, however, be noted in the record.
Each element of the management of the patient, including supporting testing and legible documentation, should be maintained in the medical record. The medical record needs to be reviewed as a part of this management. The course of treatment and KASPER reporting should be reviewed once every three months. This should be documented in the record. If there are any perceived improprieties in patient use of controlled substance(s) the physician shall not prescribe any more controlled substances unless/until the physician has addressed the issues with the patient and determined that it is medically appropriate and safe to continue the prescribing.
#16 Nov 17, 2012
Additional requirements specify that the proposed treatment plan will include specific and verifiable goals of treatment, with a schedule of periodic evaluations. Specific wording is mentioned in the regulation that will not be acceptable. Please read 201_009_260e in its entirety yourself.
Patients must be screened with tools for substance abuse or dependence, to any substance, including alcohol.
Specific mention must be made if the patient has a psychiatric/psychological condition that requires treatment or that may impact the patient's treatment with controlled substances.
The record must specifically state if the patient presents a significant risk for diversion of controlled substances, including if this is based upon information from KASPER reports. This specifically includes if the patient has obtained prescriptions from multiple providers or has filled prescriptions in an inappropriate manner. The regulation, 201_009_260 states on page 18, lines 12-16 that if a KASPER report discloses that the patient is obtaining controlled substances from other practitioners without the physician's knowledge and approval, the physician shall promptly notify the approprirate law enforcement agency and the other practitioners of the relevant information from the KASPER.
If the physician determines that there is a reasonable likelihood of substance abuse or dependence then a referral shall be made to an appropriate treatment program or provider.
If the physician determines that there is a reasonable likelihood of a qualifying psychiatric or psychological condition then a referral shall be made to an appropriate treatment program or provider. The physician shall consider the recommendations of the treatment program or specialist before determining whether to continue with long term use of controlled substances with the patient. If continued, appropriate monitoring must be a part of the treatment plan, documented in the medical record.
If the physician determines that there is a significant likelihood that the patient will illegally divert controlled substances the physician must determine if a "prescribing agreement" (with content specified by regulation) would be sufficient to prevent diversion.
The physician shall obtain and document a baseline urine drug screen to determine whether the medications that are being prescribed are in the patient's system and to determine whether any un-prescribed or illegal controlled substances are in the patient's system. Random urine screens in the course of treatment are also stipulated. If the physician determines from screening that the prescription is are likely to be used other than medicinally or other than for an accepted therapeutic purpose, the physician shall not prescribe controlled substances to that patient. A negative test, when a patient should have the medicine in their system constitutes a "red flag". The physician shall either do a controlled taper, stop prescribing the controlled substance immediately, or refer the patient to an appropriate treatment program, as the case warrants.
#17 Nov 17, 2012
Physicians prescribing or dispensing controlled substances shall educate patients receiving controlled substances about the following through verbal or writing counseling: proper use, impact on driving and work safety, effect of use in pregnancy, potential for overdose, appropriate response to overdose, safe storage of and proper disposal of controlled substances.
There are narrow exceptions to portions of the requirements listed above. If you feel you meet an exception be very careful, and it is encouraged that you obtain legal counsel to confirm the viability of your exception.
The requirements discussed above requiring certain steps be taken prior to the initial prescribing or dispensing of certain controlled substances and during treatment using certain controlled substances will be located in KRS 218A. The current penalty for violating a provision in KRS 218A, unless otherwise stated, is as follows: "[a]ny person who violates any provision of this chapter for which a specific penalty is not otherwise provided shall be guilty of a Class B misdemeanor." KRS 218A.993
• Licensure and regulation of pain management facilities (not covered in depth in this summary).
• Mandatory Continuing Medical Education related to KASPER, pain management, or addiction disorders. Every physician registered with the DEA shall be required to get 4.5 continuing medical education hours per three- year period in topics related to KASPER, pain management, or addiction disorders. The Kentucky Board of Medical Licensure will issue regulations including more details on this requirement by September 1, 2012.
• Requires the Kentucky Board of Medical Licensure to publish prescribing and dispensing standards for ALL controlled substances.
HB 1 permits physicians to share KASPER reports with the patient or patient's representative and to place such reports in the patient's medical record. This makes the report part of the patient's medical record and subject to disclosure on the same terms and conditions as an ordinary medical record. Under Kentucky law, patients are entitled to one free copy of their medical record. Physicians will now also be required to provide patients with one free copy of any KASPER report that has been placed in the medical record.
Every dispenser licensed to prescribe or dispense a controlled substance other than by the Board of Pharmacy must report data every time a schedule II or specified schedule III or schedule IV controlled substance is administered or dispensed (not just prescribed) to the Cabinet for Health and Family Services the required data as set out by the Cabinet until July 1, 2013, at which time the data must be reported within one (1) day of dispensing, except that reporting shall not be required for:
• A drug, other than any Schedule II controlled substance or a Schedule III controlled substance containing hydrocodone, administered directly to a patient; or
• A drug, other than any Schedule II controlled substance or a Schedule III controlled substance containing hydrocodone, dispensed by a practitioner at a facility licensed by the cabinet provided that the quantity dispensed is limited to an amount adequate to treat the patient for a maximum of forty-eight (48) hours.*If this applies to you, it is essential that you research this requirement, including the data that is required to be reported and implement policies and procedures by which this reporting will be made.
#19 Nov 18, 2012
The good doctor liked the money but not well enough to go to jail for it so he gave up the drug business because House Bill One changed the day. I say good riddance. I can't wait till they all finally shut down.
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