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#877675 - 04/19/09 01:17 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: nitemoon]
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Veteran
Registered: 04/18/06
Posts: 501
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Nitemoon, wow! GULP! I know this is probably causing you a lot of grief right now. Down in the Sunshine State, we have had watch poor Doc Friedlander and company be hauled off and arrested by LE. They physically came in and took one of his associate's off in handcuffs at the Pain Clinic in Lakeland. The doctor was all tattooed up both arms with a coat over his head. Now, nothing against tattoos, I just found the whole thing kind of surreal. Anyway, the investigation thus far seems to be all about the Pain Clinics operating in many cities in Florida and how he and his fellow doc's have been ALLEGEDLY distributing and dispensing controlled substances without a valid medical purpose. They are also ALLEGEDLY accused of giving out blank scripts too. Nitemoon...I would not respond if you are not in-state. If they keep on hassling you, you may need to down the road, but the investigation is actually about the Pain Clinics in Fl, not the involvement you had with him. I won't elaborate more for obvious reasons, however, they obviously have those records too. Here's a link to the video of the doctor getting arrested with the coat on his head at the Pain Clinic and the media talking about how patients can get their records <--sarcasm! http://www.abcactionnews.com/news/local/...S-SlbKD4Hw.cspx
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#880788 - 04/26/09 02:40 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: BACKPAIN24]
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Stranger
Registered: 03/06/09
Posts: 14
Loc: Indiana
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Investigators have nothing with out 'the other side' which is anybody that would have received that letter and signed for it.
If they did, buckle the seat belt well, you are going for a ride.
I used to practice law UP until April 10, 2009 - then got the boot. I was fighting everything I could with my last client for doctor shopping, which to me, he wasn't. Sad story with my client. He retained my services and in the end, I refunded his money and pro-bono'd the service since it pissed me off so bad.
I am 48 and seen it all folks. Last 2 years on the front line with doctors and patients.
Guys, I am just bewildered what's going on now. Some of the folks I have seen, THEY HAVE NO CHOICE but to 'dr shop' just because of the doctors. They are scared and relentless about anything with the CSA (controlled substance act) Same goes with the pharmacist's - they see it all the time and 90% do not care about dr.shopping.
Some of the clients I have had... I am serious, I could write a book. So sad and the extreme measures they have to take just to live!
Few I had, if they didn't have a 'norco' pain reliever, they couldn't go to the store to get food.
I can't practice with the 2 mile high wall between the people and government. I will work at jack n box... I don't care anymore.
Last 2 years - immense legislature has been processed that barricades pain patients, doesn't matter of your age,color,insurance,wealth,poor,medicaid,etc.
There is a much bigger picture being painted right now and no one truly knows what it is. I don't, but I see the brush strokes here and there.
All I am saying, do what you gotta do. If the dice rolls in your favor-GO. If not, go after it.
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#880793 - 04/26/09 03:01 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: Super400CESN]
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GRAND Pooh-Bah
Registered: 08/08/06
Posts: 3033
Loc: Top of The World!
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Investigators have nothing with out 'the other side' which is anybody that would have received that letter and signed for it.
If they did, buckle the seat belt well, you are going for a ride.
I used to practice law UP until April 10, 2009 - then got the boot. I was fighting everything I could with my last client for doctor shopping, which to me, he wasn't. Sad story with my client. He retained my services and in the end, I refunded his money and pro-bono'd the service since it pissed me off so bad.
I am 48 and seen it all folks. Last 2 years on the front line with doctors and patients.
Guys, I am just bewildered what's going on now. Some of the folks I have seen, THEY HAVE NO CHOICE but to 'dr shop' just because of the doctors. They are scared and relentless about anything with the CSA (controlled substance act) Same goes with the pharmacist's - they see it all the time and 90% do not care about dr.shopping.
Some of the clients I have had... I am serious, I could write a book. So sad and the extreme measures they have to take just to live!
Few I had, if they didn't have a 'norco' pain reliever, they couldn't go to the store to get food.
I can't practice with the 2 mile high wall between the people and government. I will work at jack n box... I don't care anymore.
Last 2 years - immense legislature has been processed that barricades pain patients, doesn't matter of your age,color,insurance,wealth,poor,medicaid,etc.
There is a much bigger picture being painted right now and no one truly knows what it is. I don't, but I see the brush strokes here and there.
All I am saying, do what you gotta do. If the dice rolls in your favor-GO. If not, go after it.
Please Fill Me IN! What Happened to you! ....What do you Know? ...I am getting Very Active in this Fight! Stevo
_________________________
I Need to Stare into my Avatar and Relax!
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#880847 - 04/26/09 06:33 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: mmyp]
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Stranger
Registered: 03/06/09
Posts: 14
Loc: Indiana
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I was contracted through a nice sized firm that operates out of W.DC,Philly,NYC.
After my last case with the client that was suspected of Dr.Shopping (1 script for narcotics from FL, Other from OH) for the same meds, I pleaded with the DA and Judge from my clients point of view.
Bottom Line - he was majorly under treated and Dr in OH was not doing anything for him ONLY.... and say ONLY in fear of the DEA in losing his license to be a professional Doctor and render his patient with the care that was needed!
This made me so upset that fear rumor of the DEA made the Dr relentless in doing his job.
My client came back from Iraq all tore up and fractured his femur bone and ankle had hardware in it. Client was in cructhes with F'ing pins sticking out of his leg.
In the end, he had to do 140 hours of community service instead of the DA advising on 4 years in prison.
The jury was in tears (so was I)
I couldn't handle this perception and vented (rather aggressively) to my partners and was asked to leave with full contract services paid out.
I cannot do my job any longer. If you ever have to go to court, jury trial is the way to go, because you are doing with other human beings with integrity and respect, unlike DA's and PA's with out souls.
I will apply at Starbucks and be more happy working there or even McDonalds.
The court systems are so FXXXk'd up regarding people that live and deal with pain.
My last client was in pain physically, emotionally and sincere.
Sorry for the vent guys or whoever reads this, but do what you have to do to.
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#880901 - 04/26/09 10:23 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: Super400CESN]
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GRAND Pooh-Bah
Registered: 08/08/06
Posts: 3033
Loc: Top of The World!
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I was contracted through a nice sized firm that operates out of W.DC,Philly,NYC.
After my last case with the client that was suspected of Dr.Shopping (1 script for narcotics from FL, Other from OH) for the same meds, I pleaded with the DA and Judge from my clients point of view.
Bottom Line - he was majorly under treated and Dr in OH was not doing anything for him ONLY.... and say ONLY in fear of the DEA in losing his license to be a professional Doctor and render his patient with the care that was needed!
This made me so upset that fear rumor of the DEA made the Dr relentless in doing his job.
My client came back from Iraq all tore up and fractured his femur bone and ankle had hardware in it. Client was in cructhes with F'ing pins sticking out of his leg.
In the end, he had to do 140 hours of community service instead of the DA advising on 4 years in prison.
The jury was in tears (so was I)
I couldn't handle this perception and vented (rather aggressively) to my partners and was asked to leave with full contract services paid out.
I cannot do my job any longer. If you ever have to go to court, jury trial is the way to go, because you are doing with other human beings with integrity and respect, unlike DA's and PA's with out souls.
I will apply at Starbucks and be more happy working there or even McDonalds.
The court systems are so FXXXk'd up regarding people that live and deal with pain.
My last client was in pain physically, emotionally and sincere.
Sorry for the vent guys or whoever reads this, but do what you have to do to.
Super ...Thank you for filling in the Blanks! I Owe you an Apology for what I Posted in another Thread! Please Accept my Sincere Apology ....We need People like you that have the Legal Expertise and Knowledge that are on the Legitimate CP'ers side!! Peace Stevo
_________________________
I Need to Stare into my Avatar and Relax!
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#881188 - 04/27/09 06:52 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: stevo1]
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Stranger
Registered: 03/06/09
Posts: 14
Loc: Indiana
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All I can say to you guys and stick it out and don't go down with out a fight. I would be more then happy to help out in any way I can. I truly learned a lesson after this trial and wanted to share it with all of you Everyday you go about your business, work, home life, children, parents, grand parents, neighbors etc, just THINK about our servicemen and women overseas devoting LIFE for our life. Even though we all have an opinion or two about how we got over in the Middle East, these honorable human beings 24/7 are risking life and limb. Some don't come back and so do but missing arms,legs and just beat up physically and mentally. All of them have family that think about them all day, every day -hoping they are alive and doing alright. When you see them at the airport or driving down the road, remember what they are doing and what most importantly, what they are risking. All and all - we will all look back at this current debacle of treating pain patients (elderly, young, old, soldiers etc) and learn. And to my previous message from yesterday, Yes- I applied at Starbucks and have an interview tomorrow. The Manager thought I was nuts and over qualified, but I just want to be happy and get away from the trials that should have NEVER been trials to begin with. If I can offer any service to you all, just let me know and of course, no fees. Heck, I might be filling your coffee next week and you will never know! 
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#881251 - 04/27/09 09:04 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: Super400CESN]
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Journeyman
Registered: 12/14/06
Posts: 73
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#881344 - 04/28/09 07:43 AM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: APAININTAMPA]
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Veteran
Registered: 02/13/07
Posts: 661
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The only reference I have is Dr. Garcia who seems to have lost his scripting license also. People still had one or two refills with him and I only heard one person on this board say they couldn't fill it. He wrote more scripts than Friedlander I bet since he worked for so many services. It's worth a try and if they tell you it's no good at the counter than it's no good and you know for sure. Otherwise you will always wonder if you did the right thing. This is no fault of yours so do not feel embarrassed to try and get your refills. You saw him F2F like the law requires. How did you know he was doing something illegal? Should I check each of my Dr.s before I go and refill. Of course not. Unless the government wrote you to tell you he lost his license there is no real way for you to have known in all honestly. Okay since we all know that was a speech  just give it a try.  Did you try Lucy? I used him too last year and loved their service but never went F2F. K I am an ongoing patient of Dr. Friedlander and his Physician Assistant Troy Wubbena. I have script with refills and a future appointment. Should I fill the script? I did some research and found that Dr. Friedlanders license was suspended on 4/16/2009 (see below). Should I try and refill the prescription and is it even still good? Does anyone else know what is going on with their office? Are they still open? I have tried contacting them and only get a recording and they have not returned any phone calls. I am afraid that if I go to a different physician and get a new script for the same dates that the one for Dr. Friedlander covers, I might be accused of Dr shopping.
JEFFREY FRIEDLANDER LICENSE NUMBER: ME43369
Profession MEDICAL DOCTOR
License/Activity Status Emergency Suspension
Qualifications Dispensing Practitioner
License Expiration Date License Original Issue Date 1/31/2010 12/14/1983
Discipline on File YES Link To Discipline
Address of Record 1525 EAST AMELIA STREET ORLANDO,FL32803 UNITED STATES
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#881606 - 04/28/09 06:27 PM
Please explain the new law!!!!
[Re: nitemoon]
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Journeyman
Registered: 12/14/06
Posts: 73
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I don't want to sound like an idiot, but could someone please clarify for me the new law change. As I understand it, through out the years Dr.s abilities to perscribe have changed from simply needing to fill out a medical questionare, to needing medical records, to needing a consultation.. Now, as I understand, we need to do a face to face consultations. Is it true that this law took affect on or around 4/15? If so, if we had a phone consultaion before that date, with refills, are those refills still legal after 4/15? I read a recent post stating the new perscribing law, but I did not see were it referred to refills on consults written prior to 4/15. Could someone please clarify this for me? Thank you
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#881612 - 04/28/09 06:37 PM
Re: Please explain the new law!!!!
[Re: stp16]
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GRAND Pooh-Bah
Registered: 08/08/06
Posts: 3033
Loc: Top of The World!
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I don't want to sound like an idiot, but could someone please clarify for me the new law change. As I understand it, through out the years Dr.s abilities to perscribe have changed from simply needing to fill out a medical questionare, to needing medical records, to needing a consultation.. Now, as I understand, we need to do a face to face consultations. Is it true that this law took affect on or around 4/15? If so, if we had a phone consultaion before that date, with refills, are those refills still legal after 4/15? I read a recent post stating the new perscribing law, but I did not see were it referred to refills on consults written prior to 4/15. Could someone please clarify this for me? Thank you You got it all Correct ! As Far as Refills ...I guess it's how you Interpret the RHA Act! To Me it Looks as though any Script that was written before April 13th that did Not result from a F2F is Illegal!!...That is how I Interpret it!...I have read it (the RHA over and over)...I keep coming up with it being Illegal! Others think It is Legal! Most Pharm's That Knew that they were Internet Scripts...Refused to fill them after April 15th.....Most That is!! a Few Pharms seem to be filling them still!!!
Edited by stevo1 (04/28/09 06:40 PM)
_________________________
I Need to Stare into my Avatar and Relax!
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#881983 - 04/29/09 05:35 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: Super400CESN]
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GRAND Pooh-Bah
Registered: 05/20/06
Posts: 3512
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He retained my services and in the end, I refunded his money and pro-bono'd the service since it pissed me off so bad. I can't practice with the 2 mile high wall between the people and government. I will work at jack n box... I don't care anymore. I want to heartfully thank you and afterward another lawyer who joined in with an honest opinion about the lack of advocacy for adults who choose their provider, based on need, through the internet. I've known cancer patients who continued to see the same doctor even though he moved from New York City to Florida to open a private practice. That's extreme, but health and comfort within your body is necessary to function. It's not the court or legal system's option or training to decide what occurs between doctor and patient, unless a patient asks for legal intervention for malpractice. Isn't that rational? When did the AMA become so dopey and disorganized? Where are their lobbyists? They are a powerful, wealth based nationwide group who is sitting, wringing their hands, just like their patients. This is just too much! Nobody is really interested in what these legal entities think is the moral or safe route for free, competent, adult Americans. The more people move over the more room will be taken by this insolent new version of "social workers". Because that's what the DEA, FDA, and courts have become, untrained wannabe medical and mental health professionals. Good, they can pay my malpractice and every other provider who does the best they can, retains a license, cares about people as individuals. That should become a reasonable lawcase if the government wishes to take over the decision making for medical professionals. We can have a class action lawsuit for reimbursement of all monies spent in the pursuit of becoming licensed medical professionals. And then the government can step in and do our jobs, we won't have an investment in providing treatment and we can just step out of the field.
_________________________
FERBLUNJIT, FERMISHT, FERSHLUGINA, FERSHTAY?
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#882846 - 05/01/09 10:04 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: stevo1]
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Journeyman
Registered: 04/23/09
Posts: 94
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Stevo1 - I guess you did not read the first line of my post where I clearly stated that "I talked to two people who know Dr. Freidlander and Troy Wubbena (the Physicians Assistant) well today." when you stated in your post "you know this How?" I did not know that it was my obligation to provide back up documentation for things that were told to me by someone else. But, because of your stated that I "have to do a Little better than that! Proof Please!" I did basic internet searches today. This is what I found
1 Troy Wubbena was previosuly arrested on 2-10-2008 for two Felonies (UNLICENSED PRACTICE OF HEALTH CARE PROFESSION and UTTERING A FORGED INSTRUMENT) and was still out on bail when he got arrested again on 4-6-2009 with 13 more felonies. Go to this link for his arrest record on the intial felonies: http://www.hcso.tampa.fl.us/pub/default.asp?/online/qdisp/bn=08009195
2 Troy Wubbena does have a 103,184.26 tax lein from his personal taxes for his property in Miami. Go to this link and type in Wubbena, Troy http://www.miami-dadeclerk.com/public-records/pubsearch.asp
3 Jeffrey Friedlander violated the conditions of his bail on 4-16-2009, which caused him to have his license suspended and probably explains his disappearance as he was most likely re arrested. Please go to this link: http://www.dadehealth.org/public/PUBLICnewsarticle.asp?newsID=1666&typeID=&news_type=Press+Releases
4 Jeffrey Friedlander is in a very nasty divorce. Please go to this link. Click on Guest Access and then type in Jeffrey Friedlander. https://pubtitles.co.pinellas.fl.us/login/loginx.jsp?goto=/officialrec/officialrec/DMDAInput.jsp
While I cannot find the proof of Troy Wubbenas bankruptcy filing, that is only because new bankruptcy applications are not public records.
I have now provided the PROOF. I do not know why the people on this board are so protective of Jeffrey Friedlander, M.D. and Troy Wubbena P.A.. I understand that "jjmay" aka xxxname from xxxcompnay works for an IME company that probably referred people to Dr. Friedlander and therefore has a vested interest in standing up for him. I personally am very upset with them as I paid good, hard earned money to see a doctor who could prescribe me the appropriate medications only to find out that my money was wasted, in effect stolen, as the prescriptions I received were worthless.
Stevo1, you seem to ridicule me because I have only posted three times, now 4. I came onto this board seeking advise and guidence only after the problem with Dr. Friedlander and no one else could answer my questions. I do not have the time, as I have a job and a life, to post thousands of times a year. I am not obsessed (you post every day, 17 times just yesterday). It is a shame that you would stick up for a doctor that screwed us by not keeping good records and giving out blank, pre-signed prescriptions, then ridicule me who was the victim of Neurology and Pain Centers.
Edited by Administrator (05/02/09 09:44 AM) Edit Reason: triple x'ed private name and company
_________________________
It's not what you know, it's what you know that you don't know.
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#882945 - 05/02/09 10:58 AM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: APAININTAMPA]
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Administrator
GRAND Pooh-Bah
Registered: 11/18/01
Posts: 7041
Loc: DrugBuyers.Com
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I do not know why the people on this board are so protective of Jeffrey Friedlander, M.D This situation is sort of strange... You never posted and come to post all the bad news you can find and the other people that have great things to say about Dr. F... never posted about him before either The main problem with Dr. F is that he associated with some vary shady OCS's that among other things liked to promote using our PM system and were always telling people this was to be kept secret and off the boards or the whole things would go bust... well maybe they were right and there was something to hide... As you can see, with similar services, the Dr. that was mentioned all the time and even posts here is doing fine and the secretive one with the shills that do not want any publicity is in trouble... We are pretty sure everything will work our in favor of Dr. F and we wish him and his associates the best of luck
_________________________
>>> Please post all questions on the board for all to see and comment. >>> To contact us privately go to www.drugbuyers.com/help
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#883018 - 05/02/09 04:55 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: APAININTAMPA]
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Enthusiast
Registered: 11/08/05
Posts: 244
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First, Dr. F was only connected to one OCS and that is Your E health. I have never kept it secret that I own a med fraud company. Also, I have never kept secret that sevral physicians that do do work for me are also OCS doctors. As well a lot of the doctors are surgeons and own medi spas at all the same time. If this same thing happens to any of the other 20 doctors I work and now know personally with that also work with OCS's I am sure I would know the inside information as well and would provide what I could. Why did I become a schill? Because I know al most every doctor that works with the OCS's. For that matter Ive been around the boards for almost 10 years now and know almost every owner as well. How could I be a schill? I cannot even PM and if you look at any of my posts I have never once recommened Dr. F. I just don't get it. I have so much information that can be helpful to everyone but anytime I post anything I get jumped on and am accused of doing something wrong. RE: Dr. F- The info you posted was prior to the current arrest. This was nothing new. From my experineces and knowledge Dr F and team were very thourough group of physicians. Also, what is in it for me to stick up for them. I have nothing to do with their drug bust and neither does my business. We don't deal at all with pharmaceuaticals only people who try to screw the system and eventually get caught. APAIN- I never jumped on you and am not sure why you have anger towards me since I gave the board first hand knowledge not information from someone who has talked to them.
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#883031 - 05/02/09 05:35 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: jjmay]
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Board Addict
Registered: 04/30/07
Posts: 371
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Hi everyone.. I too had went for my F2F with drF in Feb,I had a very complete and long exam and found the whole staff and team there very kind and caring, I personally never saw any foul play but who knows in this day and age of what was going on behind closed doors, the staff at the desk really was very in the dark about the whole telemed system and had to refer to Troy as to who sent me, I was so upset and shocked when i first heard the news of drf and his teams situation ,and for me flying was a terrifing ordeal , but I cant do anything about the past and have found a dr in my area (thank god)and can get some help , so no more flying for me ,,,Its such a shame that this is happening to us all and I thought i found a great dr when i saw drf and really wish he was still in practice ,sigh....i really do hope the dr and his team get through this because they really did seem to care for people in chronic pain,i will miss them,,, take care everyone sincerely Faith
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#883039 - 05/02/09 06:03 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: Faith2005]
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GRAND Pooh-Bah
Registered: 08/08/06
Posts: 3033
Loc: Top of The World!
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APAININTAMPA..... I understand your frustration! Yes I went and Did the F2F with Dr F and... Just Like Faith ....It was Much More Through then My Neuro Surgeon in my home state! I am just like you...... Out a lot of Money Also ....Never got my Refills and have had to go without my Meds!!..... Your Anger is being placed in the wrong Direction!!....These Doc's were Caring Compassionate Doc's! They didn't want this to happen to their Patients! They Didn't do this to Us! If you want to Blame someone for what happened to these Doc's ...Blame it on the Abusers of the System....Weather it be Slimy Pain Clinics like jjmay Posted about or it be Busloads of people going to Florida and Seeing Multiple Slimy PM docs and going back home and filling all their Scripts and Selling the Meds all over their Towns! ....And The DEA!!! And Most Definitely Do Not Believe Everything you see in the Media! Lastly we all have our Baggage! I am sure I could Dig up some on You Just like you could Dig up some On ME! So Please Put your Anger in the Right Place and Forgive Me if you felt that I attacked you. It was Not my Intention! I wish Dr F and Troy and their Staff the Best!!!....They Were the Best thing that happened to Me in Years!!!...Even though it did only last 1 Month for Me!I hope and Pray that Someway they will come out on Top of all this CRAAP!! Peace Stevo
Edited by stevo1 (05/02/09 06:17 PM)
_________________________
I Need to Stare into my Avatar and Relax!
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#883090 - 05/02/09 11:11 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: stevo1]
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GRAND Pooh-Bah
Registered: 10/05/04
Posts: 3799
Loc: In the moment
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APAININTAMPA..... I understand your frustration! Yes I went and Did the F2F with Dr F and... Just Like Faith ....It was Much More Through then My Neuro Surgeon in my home state! I am just like you...... Out a lot of Money Also ....Never got my Refills and have had to go without my Meds!!..... Your Anger is being placed in the wrong Direction!!....These Doc's were Caring Compassionate Doc's! They didn't want this to happen to their Patients! They Didn't do this to Us! If you want to Blame someone for what happened to these Doc's ...Blame it on the Abusers of the System....Weather it be Slimy Pain Clinics like jjmay Posted about or it be Busloads of people going to Florida and Seeing Multiple Slimy PM docs and going back home and filling all their Scripts and Selling the Meds all over their Towns! ....And The DEA!!! And Most Definitely Do Not Believe Everything you see in the Media! Lastly we all have our Baggage! I am sure I could Dig up some on You Just like you could Dig up some On ME! So Please Put your Anger in the Right Place and Forgive Me if you felt that I attacked you. It was Not my Intention! I wish Dr F and Troy and their Staff the Best!!!....They Were the Best thing that happened to Me in Years!!!...Even though it did only last 1 Month for Me!I hope and Pray that Someway they will come out on Top of all this CRAAP!! Peace Stevo Good cons ALWAYS seem to care about people more than money. Just remember some care salesmen you've met. THEY are the reason the government went after them. The DEA does their job, although sometimes a bit overzealous like the LE, I have to admit that when there is a problem and I see the police coming, I am very relieved. Secondly, that information that was given is a matter of public record, so I don't see where Rules were broken. From what I see, these guys were a couple of sleazes who thought they would outwit not only the public, but the law. Don't work that way. As for getting the pills you need, with all the money you've spent (after reading your posts, Stevo), wouldn't it be cheaper to buy health insurance? This unorthodox method of treating yourself has lead you down a desperate road to nowhere, except that you are lauding common criminals. It's not unlike the praises that used to be handed out for that huckster snake oil salesman, Chris Larsen. Personally, I don't do business with people that have felonies, no matter how sweet they are. They'll take every buck they can get when you're not looking. That's why they are (were) in jail. Enough of this "no one cares about us people in chronic pain" baloney. It simply isn't true. I know because I've been living it now for some time and have had no problem when a condition truly exists. I have had to change my lifestyle completely (the hardest part) and learn to accept it (the second hardest part). The whining stopped a long time ago--there are a lot of people far worse off than I. I was blessed to get health insurance. THAT'S the REAL crime here. Health care in business--it is not about medical treatment.So why aren't we going after the AMA?
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Pay it forward,then let it go. You will be amazed at what comes into your life at just the right time.
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#883127 - 05/03/09 10:44 AM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: kserah]
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GRAND Pooh-Bah
Registered: 08/08/06
Posts: 3033
Loc: Top of The World!
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APAININTAMPA..... I understand your frustration! Yes I went and Did the F2F with Dr F and... Just Like Faith ....It was Much More Through then My Neuro Surgeon in my home state! I am just like you...... Out a lot of Money Also ....Never got my Refills and have had to go without my Meds!!..... Your Anger is being placed in the wrong Direction!!....These Doc's were Caring Compassionate Doc's! They didn't want this to happen to their Patients! They Didn't do this to Us! If you want to Blame someone for what happened to these Doc's ...Blame it on the Abusers of the System....Weather it be Slimy Pain Clinics like jjmay Posted about or it be Busloads of people going to Florida and Seeing Multiple Slimy PM docs and going back home and filling all their Scripts and Selling the Meds all over their Towns! ....And The DEA!!! And Most Definitely Do Not Believe Everything you see in the Media! Lastly we all have our Baggage! I am sure I could Dig up some on You Just like you could Dig up some On ME! So Please Put your Anger in the Right Place and Forgive Me if you felt that I attacked you. It was Not my Intention! I wish Dr F and Troy and their Staff the Best!!!....They Were the Best thing that happened to Me in Years!!!...Even though it did only last 1 Month for Me!I hope and Pray that Someway they will come out on Top of all this CRAAP!! Peace Stevo Good cons ALWAYS seem to care about people more than money. Just remember some care salesmen you've met. THEY are the reason the government went after them. The DEA does their job, although sometimes a bit overzealous like the LE, I have to admit that when there is a problem and I see the police coming, I am very relieved. Secondly, that information that was given is a matter of public record, so I don't see where Rules were broken. From what I see, these guys were a couple of sleazes who thought they would outwit not only the public, but the law. Don't work that way. As for getting the pills you need, with all the money you've spent (after reading your posts, Stevo), wouldn't it be cheaper to buy health insurance? This unorthodox method of treating yourself has lead you down a desperate road to nowhere, except that you are lauding common criminals. It's not unlike the praises that used to be handed out for that huckster snake oil salesman, Chris Larsen. Personally, I don't do business with people that have felonies, no matter how sweet they are. They'll take every buck they can get when you're not looking. That's why they are (were) in jail. Enough of this "no one cares about us people in chronic pain" baloney. It simply isn't true. I know because I've been living it now for some time and have had no problem when a condition truly exists. I have had to change my lifestyle completely (the hardest part) and learn to accept it (the second hardest part). The whining stopped a long time ago--there are a lot of people far worse off than I. I was blessed to get health insurance. THAT'S the REAL crime here. Health care in business--it is not about medical treatment.So why aren't we going after the AMA? kserah....You are SOOOOO off Base here! Did you forget that I have Insurance!.....State Insurance!....It is Probably the Best Insurance in the Nation! I don't even see the Bills!! When I had My 5 1/2 Hour Shoulder Surgery and went to PT for 2 Years for it....I never even saw the Bill!! I don't get Bills for My MRI's or the PM doc that Gives me Epidural's and Facet Injections!! They will Do Almost anything to treat my Pain without giving Me Narcotics!!! Do you Really think I should Have my 3 Herniated Discs in my Neck Fused? Not to Mention the Ones in my Lower Back! Should I keep Spending My States $$$ for These Band-Aid Tests and Injections? How Much is Too Much Steroid Injections? And No I can't seem to Find a Doc in my Area to Treat Me Properly and With The Respect That I Need!! It is all about $$$ For these Doc's TOO!!! Jeeze! If You are Sick of My Posts ....Put me on Ignore or Notify Admin! I am Done Defending Myself! Stevo
Edited by stevo1 (05/03/09 10:50 AM)
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I Need to Stare into my Avatar and Relax!
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#883137 - 05/03/09 11:58 AM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: kserah]
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Pooh-Bah
Registered: 11/26/03
Posts: 1255
Loc: Mississippi
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Kserah,
I have noticed you make posts like this several times recently. I am very glad you are able to get the pain relief you need, but that is not the case everywhere. To imply, or state that if your condition is real you will get adequate relief is really not fair to many here.
The University Of Mississippi Medical School, the only one in the state, issues the official opinion that narcotic pain relief is only appropriate for chronic pain patients if they are terminal, with less than 6 months to live. That leaves most cancer patients, people with Lupus, diabetes, back issues, and many other conditions out in the cold.
ER's in the state have posters stating if you are seen for pain issues more than once in a 6 month period you will not be treated with narcotic pain relievers, they will be treating your pain with non-addictive alternatives.
_________________________
All of my posts these days are typed on an Iphone or an Ipod touch, and there will be typos. Sorry.
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#883172 - 05/03/09 02:16 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: Firefairy]
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GRAND Pooh-Bah
Registered: 10/05/04
Posts: 3799
Loc: In the moment
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I've had this condition and pain for several years, but no health insurance, so I do indeed know what it is like to be without--it is hell. The problem was not that I didn't have the condition, it was that the medical community is a BUSINESS community, not dealing with people. The only way I finally got the relief I needed was when I collapsed, spent a week in the hospital, was told I had an irreversible terminal condition, to go home and get my affairs in order and if I go more than 18 months I'm a lucky dog. In other words, the only way people can get what they need is if they are dying. That is pathetic, but blaming the DEA is inane. They are little robots who want to keep their civil service jobs and pension. It is the AMA that needs to me hit up hard and where in the hell is the "Hypocritical Oath" in all of this? I realize that you may not have know my entire saga, but please do't be patronizing. I have gone through hell like the rest of you, but even then I used common sense and generally got what if NEEDED--not always what I wanted. And if I'm not feeling as much pain it is because I am losing oxygen to the brain. I'm up to 6mil 24/7 and feel pretty daffy most of the time. The biggest blessing I have is that I am forgetting all the things I did, what I was capable of doing that I'll never do again, that once I was smart and healthy and energetic and loved kids and dogs and people and now I can't even pick up my grandson. He's 22 pounds. I'll be 59 in a month and I got my first job when I was ten. I had to wear contacts on my eyes (they had just come out) so I wouldn't go blind. They hurt like broken glass every second I wore them. I was eleven. I went through a C-section with no meds after wards b/c of a doctor that thought women would drop their babies. So, please---spare me the "I can't take the pain," [censored]. People have been doing it for millions of years. So I'm getting some relief before I check out. Sorry if that annoys you. Maybe we just live in a soft society that demands entitlement and our desires attended to immediately like a child's. I realize you are educated, etc., but you can take all those studies and put them in a file drawer for what they are worth. What you are looking for you will not find on a drug board---you need a lot of money and someone with political clout who is in a lot of pain. Forgive me if I have made my posts look easy or 'patronizing'. I have lived through hell and I ain't done yet.
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Pay it forward,then let it go. You will be amazed at what comes into your life at just the right time.
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#883214 - 05/03/09 04:15 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: latech1113]
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Journeyman
Registered: 04/23/09
Posts: 94
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Latchet1113 - You are almost for sure Troy Wubbena. I notice you keep saying "we" and "us". You do not have a Phd. As Stevo1 was so quick to tell me, PROOF please. I have done a thorough records check and I cannot find anything to back up where you said that you won a court preceding on Friday. I believe Dr. Jeffrey Friedlander is still in jail. You would be CRAZY to be keep seeing patients with all of your pending Federal Felonies (15 at last count). But from what I have already found out about your previous habit of quackery and seeing patients when out on bail, it would not surprise. Please see the Press Release on Saturday, yesterday, from the Orlando Sentinel, the day after you said that Dr. Jeffrey Friedlander won his court case. By the way, I want the money you in effect stole from me back!!!!
Dr. Jeffrey Friedlander of Orlando suspended from practice Fernando Quintero | Sentinel Staff Writer
May 2, 2009 - Orlando Sentinel
An Orlando doctor charged with illegally prescribing oxycodone, morphine and other drugs has been ordered by state officials to quit his practice.
State Surgeon General Ana M. Viamonte Ros issued an emergency suspension order for Dr. Jeffrey Friedlander of Orlando.
On March 26, Friedlander was indicted and charged with knowingly and willfully conspiring with three co-defendants "and other persons, both known and unknown" to illegally distribute and dispense controlled substances, primarily oxycodone, morphine, hydrocodone and alprazolam, which is also known as Xanax.
As a condition of his release, Friedlander was ordered not to prescribe, dispense or transfer any of the types of medications listed in his indictment.
On April 14, Friedlander violated this provision, authorities say. An emergency-suspension order was then issued.
"Through his actions, Dr. Friedlander has shown that he is unable to practice medicine safely at this time," Viamonte Ros said. "Due to his impairment, his inability to practice with the necessary skill, causes him to be an immediate and serious danger to Florida's residents and visitors."
An emergency-suspension order prevents Friedlander from practicing as a physician in Florida until final action by the Florida Board of Medicine.
Fernando Quintero can be reached at fquintero@orlandosentinel.com or 407-650-6333.
I notice that you only have 4 post and your last one was in 2007, yet Stevo1 (who obviously only gets uspet with people who do not appreciate you stealing our money) does bot have a problem with you.
_________________________
It's not what you know, it's what you know that you don't know.
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#883237 - 05/03/09 05:06 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: APAININTAMPA]
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GRAND Pooh-Bah
Registered: 08/08/06
Posts: 3033
Loc: Top of The World!
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APAININTAMPA.....I would think if you are a Patient of Dr F's.... That You would be happy to hear the GOOD News That was Posted!! I guess Not  ....Post Away I am Done Posting to You .....I have Only Posted What I think is the Truth and You seem to Be Very Angry and Vindictive! I will Not get into a Flame War with you! I wish you the Best of Luck with your New Doc. Peace Stevo
Edited by stevo1 (05/03/09 05:08 PM)
_________________________
I Need to Stare into my Avatar and Relax!
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#883240 - 05/03/09 05:14 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: latech1113]
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Journeyman
Registered: 04/23/09
Posts: 94
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Once Again, you are obviously Troy Wubbena. You are an indicted federal felon and lying would be something that you are quite good at. By the way, an appelate court cannot order the clinics open. Dr. Frieldander would have to have a license. That can only be done by the State Surgeon General. Do you really think she will give your supervising doctor his license back if in fact, as you state, he was prescribing Opana. Info about Opana:
WARNING: OPANA ER contains oxymorphone, which is a morphine-like opioid agonist and a Schedule II controlled substance, with an abuse liability similar to other opioid analgesics.
Oxymorphone can be abused in a manner similar to other opioid agonists, legal or illicit. This should be considered when prescribing or dispensing OPANA ER in situations where the physician or pharmacist is concerned about an increased risk of misuse, abuse, or diversion.
This will be easy to prove. When at the end of this coming week Dr. Jeffrey Friedlander does not have his license back, I will come back on this board and let latech1113, I mean Troy Wubbena (not PhD), that he is still out of business.
By the way, I would love to have them reopen their doors. I would be the first in line to demand my money back that they in effect stole from me.
Let's all wait until next week and see who is right.
_________________________
It's not what you know, it's what you know that you don't know.
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#883254 - 05/03/09 06:12 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: latech1113]
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Board Addict
Registered: 10/25/06
Posts: 380
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Late Friday afternoon Dr Friedlander and Dr Troy, PhD won their first battle vs. the state of Fl and the government. The Federal judge ruled that they did not violate the terms of their release by prescribing the medication Opana. This week an emergency motion will be filed to the state appelate court to reopen their offices and see patients once again. Once that is ruled on and should with out question be 100% favorable we will be able to provide service again. We hope this to be with in the next week. We are aware of your concern to continue working with Dr Friedlander, however those that have seen the drs or spoke to Dr F or Troy for consults know they are 100% legit and this type of action by the government if tolerated will make it impossible for those who are in genuine pain to receive any medications. Dr and Troy still need your support to get through this and please continue to send your emails of support if you have not already for the Dr and his staff. This is good news and hopefully the next email you receive from us will have even better news.
this is a legitimate email that was sent out. its nice to hear some good news once in a while, especially with all the mud that has been tossed around here. --- such anger and hostility may stem from some form of resentment, so its curious why an anonymous person would go to such lengths to make public the lives of others, whether they be doctors or fellow posters. the info may be on public messages but because you went to the doctors office which unfortunately was shut down, you have come to some sort of conclusion in your mind that you will retaliate by posting all their personal info - as a way to achieve some sick sort of satisfaction. being a pain patient is an unfortunate position to be in. many clinics and doctors are being forced to stop writing prescriptions or being shut down completely, as well as having the burden of criminal charges thrown onto them. unfortunately it is the patients who bear the brunt of the governments actions as they may be shut out of their medicine. you seem to be concerned with getting your money back than being adequately treated. it sucks to lose money but it sucks more to be in pain and not have the medicine you were prescribed to treat it. there are pain patients across the country who have lost money because the government has suddenly closed clinics etc. you are not the first person this has happened to nor will you be the last. this is now the nature of pain management.
Edited by snippets (05/03/09 06:26 PM)
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#883309 - 05/03/09 09:39 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: funkybreakz]
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Veteran
Registered: 06/01/08
Posts: 585
Loc: midwest
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Hey is this APAININTAMPA person even worth worring about, apparently he must be mad, and it's to bad that he can be so mad over something like this, yeah your not the only one who has lost money, there's a lot of people out there who have, what are you gonna do there's a lot more worse things going on in this world then this.. Instead of putting all your negitive energy into this, put it into finding another doc, you coming on here causing all these problems isn't gonna help anything, come on really what's this gonna do NOTHING! The past is the past, Let's look towards the future and help eachother out, now isn't that what this board is all about. Work together it's stuff like this that's gonna ruin it for everyone.
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#883386 - 05/04/09 08:02 AM
Re: Certified Letter from FL Department of Health Re. Dr. Friedlander
[Re: jjmay]
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Administrator
GRAND Pooh-Bah
Registered: 11/18/01
Posts: 7041
Loc: DrugBuyers.Com
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You are making no sense in your posts For starters you are one of the persons we restricted to no PM's for soliciting business for one of the OCS that used Dr. F. You said were not soliciting so we settled for no PM's... Then you post your email that shows your company Web so people can contact you... we edit it out because we do not allow emails in posts... but when someone posts your info, which you yourself have posted, you complain they do... You post it would be crazy for you company to do business with Dr. F and then you post about your phone calls to their associates like if you know them... Since you mentioned your company... what services do you provide to the many sites you posted are discussed here and are your clients... and why are you so concened with this one you would not do business with?
_________________________
>>> Please post all questions on the board for all to see and comment. >>> To contact us privately go to www.drugbuyers.com/help
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#883410 - 05/04/09 09:36 AM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: stevo1]
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GRAND Pooh-Bah
Registered: 10/05/04
Posts: 3799
Loc: In the moment
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APAININTAMPA.....I would think if you are a Patient of Dr F's.... That You would be happy to hear the GOOD News That was Posted!! I guess Not  ....Post Away I am Done Posting to You .....I have Only Posted What I think is the Truth and You seem to Be Very Angry and Vindictive! I will Not get into a Flame War with you! I wish you the Best of Luck with your New Doc. Peace Stevo Stevo, you know I like you, but for the life of me I cannot understand why you jump on the bandwagon of these scabs like Larsen, Friedlander, etc. You say they are kind and compassionate only because they give you what you want!!!! Ted Bundy was a nice guy, too, but a sociopath. Why on earth would you want to be treated by people that have had run-ins with the law? Doesn't that raise any red flags? You lauded St. Chris and Skyla, too, and look where everyone is at now. Rather than defend these folks (since no one knows what is really going on), let's just let this play out and Dr. F, et al, can SHOW everyone they are on the up and up. Talk is so cheap, especially second and third hand.... I am saying this to you with love. BTW--EVERYTHING IS GREAT HERE AT "ALL YOU NEED IS LOVE"! For a $50 MO you will receive 2 VERY FUNNY jokes OVER THE PHONE (laughter is the best form of medicine, after all)! Our site is down right now, but look for it shortly.
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Pay it forward,then let it go. You will be amazed at what comes into your life at just the right time.
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#883537 - 05/04/09 04:10 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: Administrator]
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Enthusiast
Registered: 11/08/05
Posts: 244
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As I have mentioned sevral times in the past I own a fraud medical company. Many OCS doctors do business doing these evaluations for supplemental income. My business has nothing to do with telemdicine. It is on the opposite spectrum. We do fraud evals for people trying to screw the system and surveillance. My clients are not leigh people but insurance carriers. We take people off the system that lye to get on it. I am prud of what I do and have worked very hard. Since the name of my compnay was posted anyone could google it and see that. I have nothing to hide. I don't work with OCS owners. I know a lot through business meetings throughout the world and from being a telemedicine patient myself since 2000. Since 2000 I have obviously been with at least 15-20 companys. Of course through my profession I would meet different medical business owners. I am not sure why this has been so hard to believe and understand. I have no allegiance to one OCS or doctor. I really don't care. I just go by what I know by first hand knowledge. Sure I made a mistake by posting my email and thank you for deleting the post that that person posted my personal info. I deleted my post within 10 minutes after I posted with my personal email address. Yes you did take away my pm'ing privs on the free side. You claimed I was the same person as Tweety. With all the proof I showed you you still did not believe me. That is fine. There is really no reason for anyone to PM when you think about it. I think there is so much parania here it is frightning. This is a public board and the little I have ever said has been fact. Half the people on here are probably narks. I have always posted info that I am trying to help people out because of my first hand knowledge because of my work. Everyone forgets that a OCS doctor is not just a OCS doctor most have thriving practices and this is a small part of it. When docs have come to me for advice if they should get into this business I have always said there is so much scruitiny and legal issues I wouldn't if I would have gone to school for so long. It's not worth my license. In this thread I have post factual first hand knowledge. Nothing more nothing less. I have nothing to gain. Of course I know Dr. F. I know about 3000 doctors since I employ many of the ones I know. It's a side business for them just like OCS. I'd question a doctor who would ever just do telemedicine as their sole practice. If you have any more questions please ask away. I have always been nothing but honest.
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#883543 - 05/04/09 04:40 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: Firefairy]
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GRAND Pooh-Bah
Registered: 10/05/04
Posts: 3799
Loc: In the moment
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Kserah,
I have noticed you make posts like this several times recently. I am very glad you are able to get the pain relief you need, but that is not the case everywhere. To imply, or state that if your condition is real you will get adequate relief is really not fair to many here.
The University Of Mississippi Medical School, the only one in the state, issues the official opinion that narcotic pain relief is only appropriate for chronic pain patients if they are terminal, with less than 6 months to live. That leaves most cancer patients, people with Lupus, diabetes, back issues, and many other conditions out in the cold.
ER's in the state have posters stating if you are seen for pain issues more than once in a 6 month period you will not be treated with narcotic pain relievers, they will be treating your pain with non-addictive alternatives.
I thought of something last night after re-reading your post. Perhaps it is time for a lot of lawsuits to get going down there for undertreatment of pain. That's what worked up here. If the people in Mississippi want to sit around and wait for the system to change, they'll be hurtin' for a long time. If you want something done, you must get out and do it--alone or collectively. Simpering and pretension on a drug buying board just doesn't cut it with making major changes. One thing you may not know about me is that I am a prolific letter writer to the Chicago Tribune, Chicago Sun Times, and the Aurora Beacon. I have had senators and representatives call the papers to call me and have me call them. There are many numbers of people I have PO'd, but then again, there have been many changes because of what I have seen and written about as well. I'm surprised that all you sweet ladies who had so much to say about me a couple of years ago weren't aware of that. But then, that was just silly ol' gossip, wasn't it? I still have a fairly good memory. Especially when people are crucifying me while I'M SICK AND IN PAIN AND THEY DIDN'T CARE, but expect me to. Homey don't play that game. I have an excellent memory, my dear.
_________________________
Pay it forward,then let it go. You will be amazed at what comes into your life at just the right time.
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#883560 - 05/04/09 06:17 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: kserah]
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Pooh-Bah
Registered: 11/26/03
Posts: 1255
Loc: Mississippi
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The problem with the lawsuit theory is getting lawyers to agree to take a case. The fact that you would be challenging the state's only medical school's official take would be a major point. Activists here in our state are constantly fighting this, unfortunately so are many activists on the side of those whose family members claim they received meds to easily.
Every time one person in my county is admitted to rehabilitation in a nearby county, every doctor they list as having prescribed to them is put on notice. Our local Walmart pharmacy then destroys every narcotic prescription refill they have on file written by said doctor/dentist. Insurance companies for many of the businesses around here omit doctor's from their networks if one person lists him/her on a rehab list. This may sound outrageous, but is indeed the practice. Many here take prescriptions for narcotics out of county for these reasons.
I believe that the abusers have caused many problems for chronic pain patients and those that have compassion for them.
Kserah, I am sorry you feel that my post was attacking you. I was upset to see several posts by you stating that if someone has a legitimate pain issue, they will be able to find local doctors to prescribe what they need. This is not a theory you have held to in the past, but in an ideal country/world, it would be true.
I am very happy that you are able to get the help you need, but was disturbed by the fact that since it worked for you, you now seem to think it will work for everyone everywhere. You may not have realized that it was coming across like all legitimate pain sufferers can get local pain relief, and of course, it is offensive to many when someone comes on here and posts that.
_________________________
All of my posts these days are typed on an Iphone or an Ipod touch, and there will be typos. Sorry.
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#883568 - 05/04/09 06:37 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: Firefairy]
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Board Addict
Registered: 04/30/07
Posts: 371
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Hi everyone..as many of you here know this is going to be a rough time for alot ,,,most...of us who live with chronic pain , I am very heartbroken for us all who will suffer now, and please know your all in my thoughts and prayers ,DrF and his team really did seem sincere in their caring for there patients,(maybe iam a to trusting)but thats how i feel .. As many of us know we cant always believe what we read in the Media as alot of false words are written and NewsPapers are often incorrect,,Sometimes people can quickly judge a person even before a trial ,and we all know how often that happens ,So For me i will wait to see the outcome of this story(trial)before i jump to conclusions,and if he is guilty ,,well not much we can do ,except to try to see the bigger picture and unite are voices together(like many here at DB are starting) for the fair and humane treatment of us all who live in pain so we can all see Drs who are 5min down the road,not 500 or more miles,,take care everyone... sincerely Faith ps sorry to go off topic a bit ,,iam just so sad for us all ,,,
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#883584 - 05/04/09 07:11 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: Faith2005]
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Veteran
Registered: 06/01/08
Posts: 585
Loc: midwest
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Hi everyone..as many of you here know this is going to be a rough time for alot ,,,most...of us who live with chronic pain , I am very heartbroken for us all who will suffer now, and please know your all in my thoughts and prayers ,DrF and his team really did seem sincere in their caring for there patients,(maybe iam a to trusting)but thats how i feel .. As many of us know we cant always believe what we read in the Media as alot of false words are written and NewsPapers are often incorrect,,Sometimes people can quickly judge a person even before a trial ,and we all know how often that happens ,So For me i will wait to see the outcome of this story(trial)before i jump to conclusions,and if he is guilty ,,well not much we can do ,except to try to see the bigger picture and unite are voices together(like many here at DB are starting) for the fair and humane treatment of us all who live in pain so we can all see Drs who are 5min down the road,not 500 or more miles,,take care everyone... sincerely Faith ps sorry to go off topic a bit ,,iam just so sad for us all ,,, I wish more people could think like you are faith2005! Your right we need to fight for these doctors and fight for eachother, that's the only way were gonna get anywhere!
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#883591 - 05/04/09 07:38 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: Faith2005]
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GRAND Pooh-Bah
Registered: 08/08/06
Posts: 3033
Loc: Top of The World!
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Hi everyone..as many of you here know this is going to be a rough time for alot ,,,most...of us who live with chronic pain , I am very heartbroken for us all who will suffer now, and please know your all in my thoughts and prayers ,DrF and his team really did seem sincere in their caring for there patients,(maybe iam a to trusting)but thats how i feel .. As many of us know we cant always believe what we read in the Media as alot of false words are written and NewsPapers are often incorrect,,Sometimes people can quickly judge a person even before a trial ,and we all know how often that happens ,So For me i will wait to see the outcome of this story(trial)before i jump to conclusions,and if he is guilty ,,well not much we can do ,except to try to see the bigger picture and unite are voices together(like many here at DB are starting) for the fair and humane treatment of us all who live in pain so we can all see Drs who are 5min down the road,not 500 or more miles,,take care everyone... sincerely Faith ps sorry to go off topic a bit ,,iam just so sad for us all ,,, Faith  You are Not too trusting! They Are Sincere!...They are Good People!....It is Terrible to see people Kicking them to the CURB!! I don't care about their Past!! I Know what I feel.... What I saw...... I was There!! They are Good People! We Need Doc's Like this!!!....The only thing they did wrong was to Help Legitimate CPers....Everytime one goes down to LE ...We should assume the allegations are true!! You have to be Kidding! Peace Stevo Ok.... Let the Frenzy Begin....Kserah ....APAININMYA$$ I don't care what you think!
Edited by stevo1 (05/04/09 07:48 PM)
_________________________
I Need to Stare into my Avatar and Relax!
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#883810 - 05/05/09 12:41 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: Firefairy]
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GRAND Pooh-Bah
Registered: 10/05/04
Posts: 3799
Loc: In the moment
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You see things as problems--I see them as challenges. I just had a credit card reduced from $8,500 to $3,700 with a fixed payment over five years, should I live that long.
I went to Credit counseling, but they didn't know what to do, so I did my own research. The Office of Thrift Supervision did, though. I spent time, wrote letters and got results.
If people don't try, they never know. And if they give up they never know. I wasn't referring to your recent posts, but the ones a couple of years ago when I PM's you not realizing you couldn't stand me and read things on another board that hurt like crazy--I had done nothing. I thought you were intellectual. You are book learned and drilled to go along with prevailing thought.
None of the insect crowd knew what I was going through b/c I'm not a whiner. And I don't reveal how or where I get what I need on a public board. Just think how much happier you all would have been knowing that I had an irreversible condition that is terminal. I kept holding on until my son had is child in February so he wouldn't have to go through hell. And now everything is beginning to descend. So, write your cronies. Maybe you can pick a day to celebrate. (BTW--I'm not gone yet, so I keep busy with a job I can work at home with. I'll bet that will aggravate someone. Why can't this kserah broad just quit and leave? I don't know, either, but I want to. Living like I am is hell.
So please, don't tell me about problems with lawyers, doctors, etc. Don't give up so easily and you'll get what you want. My son asked me to hang in there until September when he comes home for 2 weeks from Israel, but we both know that may not happen. I can't walk five steps w/o oxygen and the steroids have wreaked havoc with my blood sugar. And I was better four years ago, but I went to nursing school in the cold and the dark and studied and was so lonely I wanted to die. And then my "friends" from this board chose to shove another one in me for no reason at all. What they did to Ruggie was even worse.
I can't take what you are saying seriously because you are preaching to the choir. It's the squeaky wheel that gets greased. You know a lot of folks that can squeak real loud, but it's pointless to do it on here.
And yes, if it can work for me, it can work for many others. I know, because I've seen it done. The one thing that stops most people from even trying is fear and/or laziness. I never could believe that if the amounts of money people spent on getting their drugs online were put towards health insurance, they'd get what they needed in a heartbeat. I couldn't at the time--working and school. Only by the grace of God that I got a job that had BCBS a week before I collapsed. I thought I'd have to wait 90 days so I forced myself to go back to work, but they wouldn't let me. Turns out COBRA took me anyway. But then, I've always had a strong faith in the unseen and that things happen for a reason.
Would have written this to you in private, but your PM's are turned off. Matters no more to me anyway. I've had so many rotten things and lies told about me, no one would know the truth if it smacked them in the face. And frankly, my dear---I don't give a damn.
_________________________
Pay it forward,then let it go. You will be amazed at what comes into your life at just the right time.
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#883830 - 05/05/09 01:47 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: tvo14]
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Veteran
Registered: 02/13/07
Posts: 661
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This is your call but what other choice do you have? I had a script dated 4/10 I had a problem filling after the 15th. Walmart made a huge stink but I asked for it back and got it and moved to a different Pharm out of state where it was filled. I know this is different since Dr. F is not allowed to script so it's a tough call. Call again to see what happened. Remember how would you know his scripting rights have been revoked right, so you shouldn't feel ashamed or nervous (easy for me to say  ). I would ask when was it found, since that's a honest question and why is there a problem filling it if the ones in the past have been filled without a problem. Now if you live in Ohio just give up. Good luck and I hope you tell us what happened. K Well, I called the Pharmacy this morning and spoke to the Pharmacist that works the early shift. She said she had the script but was making a judgement call by calling the doctors office for verification. So last night they claimed they couldn't find it but all along the Pharmicist had it. They never verified before all of the sudden she wants to verify it? I should pick it up a month ago when I had the chance. Dammit all. Can I ask for my Script back and go to another Pharmacy?
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#883833 - 05/05/09 01:55 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: Firefairy]
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GRAND Pooh-Bah
Registered: 10/05/04
Posts: 3799
Loc: In the moment
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Kserah,
I have noticed you make posts like this several times recently. I am very glad you are able to get the pain relief you need, but that is not the case everywhere. To imply, or state that if your condition is real you will get adequate relief is really not fair to many here.
The University Of Mississippi Medical School, the only one in the state, issues the official opinion that narcotic pain relief is only appropriate for chronic pain patients if they are terminal, with less than 6 months to live. That leaves most cancer patients, people with Lupus, diabetes, back issues, and many other conditions out in the cold. What makes you think it isn't the same way here? The reason I'm getting what I need is so I don't scream when I wake up and the condition is genetic and incurable. The period of time they give to be merciful is longer, that's all. It's a waiting game. And since my waiting had been long overdue, they promised me they would keep me comfortable. Now if you want to be happy for me b/c of that, you go right ahead. I only wish it was quicker. We don't do this to animals. I lived through other conditions w/o hard narcotics (yes, a ruptured disc, among other things. Now, do you want to know my bra size, too?
_________________________
Pay it forward,then let it go. You will be amazed at what comes into your life at just the right time.
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#884083 - 05/06/09 09:38 AM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: stevo1]
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Stranger
Registered: 03/26/06
Posts: 9
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http://blogs.theledger.com/default.asp?item=2372254Opana or Oxycodone: It Matters in Friedlander Case Contributed by Robin Adams - Posted: May 4, 2009 6:02:30 PM There are new developments in the federal case involving Dr. Jeffrey Friedlander and Troy Wubbena, a neurologist and physician assistant who practiced in Lakeland and other cities. First the background: They were indicted earlier this year on charges of improperly prescribing heavy duty pain meds such as oxycodone, morphine and hydrocodone. With two others, they are accused of conspiring to unlawfully distribute and dispense those drugs. They're accused of using presigned prescription forms. But they were released after their arrests, although the case still is pending. Friedlander was allowed to keep practicing medicine with certain restrictions. He couldn't prescribe the drugs mentioned in the indictment. Then the Florida Department of Health put his license on emergency suspension, meaning he can't practice medicine in Florida. It said he violated the court order by prescribing Opana ER on April 14. Opana is a type of oxycodone, prescribed for pain, its emergency order said. Therefore, it says, he was prescribing a type of one of the banned drugs. On Friday, however, Wubbena won a court victory that appears to have bearing on the suspension against Friedlander. U.S. Magistrate Thomas Wilson issued an order saying Opana, a brand for generic drug oxymorphone hydrocholoride, isn't listed in the special conditions of the defendants' release. The federal government says Opana and its generics should be covered by the practice restrictions because of its similarity to those in the indictment. Not so, Wilson said. "The order of release covered only the types of medications mentioned in the indictment, not similar types of medications...If the government wants other medications covered, it must file a motion justifying the request." That's what I have officially. Unofficially, an item sent by a reader about information posted on an online board says the doctor and physician assistant will seek court action to overturn Friedlander's emergency suspension. This could bring his case before the Board of Medicine for review in June. It could bring a governmental request to add more drugs to the list of those he can't prescribe. And, at some point, there will be a trial, a settlement or other court action. The story is far from over.
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#884214 - 05/06/09 03:22 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: tvo14]
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Veteran
Registered: 02/13/07
Posts: 661
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I bet the pissing war is the RHA. I'm assuming all Pharmacies where told about it in bulk emails or letters to watch for certain scripts. I was told or read that scripts out of florida with two refills is a red flag and that's not just Ohio. I think your Pharmacist is crazy at this point. If the Dr.'s office called back I bet that would have been good enough for most pharmacies. I wonder how many times my Primary had to actually speak to the pharmacist? Maybe it's more common that I realize. Good luck and I'm glad you have hope. I kept hope alive and got a DS filled. K I just feel like I'm getting the run around now. No one has came and flat out said "The script is not valid due to blah blah being suspended" According to the Pharmicist, she's said she's playing phone tag with the doctors office. The Pharmicist said, the doctors office called, but said that they would call back and the pharmacist is waiting for them to call back and will not call them again. I thought to myself, if the doctors office called, then what they hell did they need to call back for? This pharmacy has filled the direct script from the same doctor 8 months ago. At this point, I think the Pharmacist is having a pissing war, I just don't with who. Possibly with Me and/or the Doctors office.
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#884388 - 05/07/09 12:27 AM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: tango5]
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Veteran
Registered: 06/01/08
Posts: 585
Loc: midwest
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You know I was just thinking about this thread, and aren't we suppose to help protect these doctors that prescribe???? I mean come on at least he was prescribing meds for people, If we keep talking bad about every doc that gets busted, were not gonna have any docs that treat. How do we know prescription pads weren't stolen, or the media's telling the whole truth. It sounds like the doctor's fighting it and winning. I just think part of the problem of the OCS's, doctors, and pharms, getting shut down is because of people being jerks... I just think we need to all unite and work together to keep these doctors around, not right away say there losers and they deserve to be put away. I'm gonna laugh when that day comes and it's like proabition because it's gonna be all the people who didnt have an open mind who are gonna ruin it for everyone. It's just to bad, that people can't have self control. Don't get mad at these docs fight for them like STEVO is!!!!! Stevo's been around for a while on here, and I believe him when he says the doc was a good doc, why would he lie! Good luck to all, I hope you think twice the next time you start slamming all these docs because there the one's who are trying to help! -Hick
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#884660 - 05/07/09 07:03 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: cripple]
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Pooh-Bah
Registered: 06/27/07
Posts: 1476
Loc: Deep in Dixie
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I agree with others about not persecuting the doctors.
I know of several local doctors over the years that had their DEA number taken away, license suspended, etc, and if you believed what was published about them it would seem like they were horrible people. They were not, they just believed it treating their patients as they believed appropriate, and had the opinion that adequate pain relief was a major factor in this.
Our state has recently sent out letters warning doctors that if the prescribed more than 4 narcotic scripts a day they need to rethink their prescribing practices, with oncologists, surgeons, and pain management being the only exceptions.
So a local newspaper crucified a doctor whose prescribing practices exceeded this, he was declared a "pill mill", and part of the criteria was that he had many older patients on Medicaid.
_________________________
Stubbornness does have its helpful features. You always know what you are going to be thinking tomorrow. ~Glen Beaman
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#884950 - 05/08/09 02:25 PM
Re: Certified Letter from FL Department of Health Re. Dr. Friedlander
[Re: Administrator]
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Old Hand
Registered: 07/14/07
Posts: 409
Loc: Hush Boy !
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Well... you have to give credit to this Dr. for his determination do what he thinks is right... Exactly right, he should fight it ! Over the 26 years (since 1983)) he has practiced in the state of Florida, this is the very first time he has had a serious problem. In 1993 he got a slap on the hand and now this hulabaloo. I'm sticking up for him because he is innocent until proven otherwise, he was always fair to me and if you are a real honest to God pain patient,until proven otherwise you should support him. And he is one man that you never saw his name all over the forum,any forums... simply because he only wrote for 2.5 ROPs later to just 2. He stoped all online business in February.I tried and if I couldn't get consulted, let's just say no one else could with out going the F2F route.He was straight up! I'm sure the problem is the the federal system is oversexed about doctors writing pain meds...PERIOD. I wished they was this agressive about crack, heroin and Xpills that will never benefit anyone. We can agree to diagree and still Love everybody...MBS
_________________________
Blue Blue Windows Behind The Sun..Yellow Moon on the Rise..Big Birds Flying Across the Sky, Throwing Shadows on Our Eyes, leave Us...
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#885036 - 05/08/09 05:10 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: latech1113]
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Board Addict
Registered: 04/30/07
Posts: 371
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Hi everyone... wow thats great news,,, thank you letech,,, I have not been able to get in touch with lucy(she handles the telemed and new F2F),,, again thank you so much for the update,,, its wonderful news for us all who see dr F... take care everyone sincerely Faith
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#888657 - 05/21/09 02:20 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: jkn8]
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Board Addict
Registered: 04/30/07
Posts: 371
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Hi everyone..well i thought i would let you all know that the Dr is doing reconsults again,,, but has to modify prescriptions untill his case gets settled,,but is trying to help his patients the best he can for now,,, which is great news,,, it really shows that he does still care about us and is trying his hardest to keep us as comfortable as he can,,, iam due for my reconsult ..well late really because i have been stuck in bed sick,,, very painful.. but anyway i will let you all know how it turns out ,, and i hope the dr and his team pull through this hard time,, take care everyone.. just thought i give a brief update for anyone interested.. sincerely Faith
Edited by Faith2005 (05/21/09 02:20 PM)
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#946461 - 10/19/09 10:09 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: APAININTAMPA]
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Journeyman
Registered: 04/23/09
Posts: 94
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Lakeland Pain Doctor Faces New Charges Allegations of Medicare fraud heaped on physician accused of improperly distributing painkillers. By Robin Williams Adams The Lakeland Ledger
Published: Sunday, October 18, 2009 at 12:01 a.m. Last Modified: Monday, October 19, 2009 at 12:15 a.m. LAKELAND | A federal grand jury has lodged additional charges against Dr. Jeffrey Friedlander and three staff members arrested with him in April on charges of conspiring to dispense addictive painkillers.
They worked at the Neurology and Pain Centers in Lakeland, Tampa, Sarasota, St. Petersburg, Jacksonville and Orlando. A hearing is scheduled Oct. 29 for arraignment on a "superseding indictment," basically taking the place of the earlier one, that adds accusations of Medicare fraud and retains the previous allegations of improperly distributing painkillers.
The arraignment is scheduled for Friedlander, physician assistant Troy Wubbena and employee Sarah Ehresman, according to court documents.
A fourth defendant, Carl Ehresman, an emergency medical technician, has accepted a plea agreement.
The agreement calls for him to plead guilty to conspiracy to "knowingly and intentionally distribute and dispense, and cause the distribution and dispensing of" the prescription drugs. Several charges against him would be dropped and he would testify in ongoing federal proceedings in that case.
A hearing on the plea agreement is scheduled Thursday in Tampa before Magistrate Judge Thomas G. Wilson, who also scheduled to preside at the Oct. 29 hearing.
Friedlander - board certified in internal medicine, neurology, pain medicine and vascular neurology - was the only one legally allowed to prescribe the controlled substances named in the indictment.
But the indictment contends the defendants used pre-signed, blank prescription forms on which people other than Friedlander filled in the controlled substances and dosages being prescribed.
Oxycodone, morphine, hydrocodone and alprazolam are the drugs they mostly used, according to the indictment filed earlier this month. The first three are powerful, highly addictive painkillers. Alprazolam, better known as Xanax, is for anxiety caused by depression and for anxiety and panic disorders.
A jury trial once set for Nov. 9 for all defendants has been rescheduled for February.
The indictment accuses Friedlander and Wubbena of conspiring with others to defraud Medicare by filing claims for services that weren't given. It says they billed for procedures with higher payment rates when lower-paid, less complex procedures actually had been done.
That type of billing, called upcoding, results in health providers' receiving more money than they're eligible for under Medicare. The indictment says they began committing Medicare fraud about 2006, through methods such as:
Using massage therapists to do "physical therapy" that they weren't licensed to do, while billing Medicare for legitimate physical therapy done by licensed physical therapists under the supervision of a physician.
Billing for more extensive office visits than actually occurred, requesting the higher rate for medical evaluation and management for established patients when unlicensed, nonmedical people saw patients without supervision by the physician.
Routinely billing for a procedure called facet joint block injection that needs fluoroscopic guidance with imaging equipment into a point in the vertebrae when they actually gave "trigger point" injections into painful areas of muscle. Unlicensed, nonmedical people did the trigger-point injections without a doctor's presence and supervision, the indictment charges.
_________________________
It's not what you know, it's what you know that you don't know.
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#953116 - 11/01/09 02:24 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: APAININTAMPA]
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Board Addict
Registered: 10/25/06
Posts: 380
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they may be able to fight the charges relating to the prescriptions but, now that mr. ehrsman is going to testify against the others in the case, it is quite feasible he will say ''anything'' damaging to those being charged in order to save his own tail.
as far as them not performing an adequate diagnosis, they did much more than any so-called ''legitimate'' doctor i have been too. i was asked more questions, given a thoro physical exam, asked questions about addiction, etc. but that is only my experience. that is not to say they werent doing the opposite in another room. anyways...
its the medicare charges they may have an extremely tough time fighting. it appears they are being charged with a significant amount of ''upcoding'' which is just what it sounds like, submitting claims to medicare which were not done. gotta be careful when defrauding the government. many times medicare patients do not review their explanation of benefits bc if they arent paying anything out of pocket, or have a set copay each time, what doesnt it matter to the patient if $5 was charged or $5,000, they have to pay the same $X copay each time (that is of course if they even have a copay.)
an interesting thing to note is that the amount they are alleged to have schemed looks like to be roughly $1,100 total. it is VERY conceivable that the billing person erroneously posted those charges since they occurred over the course of approx. one year throughout 2007-2008. it is very very rare the doctor themselves will post charges as that is why they have a biling dept./billing person to post charges, submit claims, etc. its very interesting bc if the doctors did in fact try to scam the medicare system, why did they not do it prior to 2007 and why stop after only so short a time. further, it appears this couldve been done with only one or a few patients when they were undoubtedly seeing many more. so why try to scam for only $1,000 and not go for so much more as doctors who conciously scam are prone to do. that is why you read about million dollar scams being perpertrated bc its done on every single patient. it doesnt look like the case here.
however, the court system sucks and even if they are innocent, they obviously are facing some super serious charges and its going to take some time and be very expensive to get through all this.
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#972774 - 12/01/09 09:19 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: Stacy]
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Journeyman
Registered: 04/23/09
Posts: 94
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Clinic owner, physician face federal charges By ELAINE SILVESTRINI | The Tampa Tribune Published: December 1, 2009 TAMPA - A physician and the owner of several pain clinics are facing trial in February on federal charges that they doled out pain pills to drug addicts and cheated Medicare out of more than $200,000. Two clinic employees have pleaded guilty to conspiracy to distribute drugs, including oxycodone, morphine, hydrocodone and alprazolam. The two – Carl and Sarah Ehresman – also have agreed to cooperate with the government. Jeffrey Friedlander, 51, a doctor certified in internal medicine, neurology, pain management and vascular medicine, and clinic owner Troy Wubbena, 44, operated pain clinics in Tampa, St. Petersburg, Lakeland, Sarasota, Orlando and Jacksonville under the name Neurology and Pain Center, according to court documents. The clinics were targeted in a Hillsborough County Sheriff's Office undercover investigation beginning in September 2008. Two detectives, wearing recording devices, visited clinics six times, according to court filings. Each time, the detectives were given prescriptions with "no meaningful physical examination" and no diagnostic tests or verification of their complaints. There was also no discussion of alternative treatment methods, no assessments of risk or abuse, no referral for physical therapy and no discussion of a treatment plan, court documents state. One of the detectives never met with Friedlander, the only physician working at the clinics, and the other had just a brief discussion with him concerning whether the detective had any pain, court documents state. Instead, the detectives met with Wubbena, a licensed physician's assistant, or with Carl Ehresman, 43, or his wife, Sarah, 44. Carl Ehresman was licensed as an emergency medical technician and radiologic basic machine operator. His wife was a clinic employee but not a licensed medical professional. The state Department of Health has issued an emergency suspension of Wubbena's license. Carl Ehresman's licenses are listed as clear and active. According to an indictment, the defendants gave prescriptions to patients knowing they were addicts or were misusing or abusing the drugs. They knew the patients were seeking additional drugs to support their own habits or to give to others. The defendants used pre-signed blank prescription forms, filling in the name and quantity of the drugs to be dispensed, the indictment states. The indictment also accuses Friedlander and Wubbena of submitting falsified paperwork to Medicare in 2006, representing that certain procedures were performed when they weren't. Carl Ehresman pleaded guilty to conspiracy to distribute drugs Oct. 22. His wife pleaded guilty today. The couple are from St. Petersburg. Friedlander and Wubbena are scheduled to go on trial Feb. 1. The trial is expected to take three to four weeks. Reporter Elaine Silvestrini can be reached at (813) 259-7837.
_________________________
It's not what you know, it's what you know that you don't know.
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#973128 - 12/02/09 12:19 PM
Re: Certified Letter from FL Department of Health Re. Dr. Friedlander
[Re: PharmaKarma]
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Journeyman
Registered: 11/03/09
Posts: 64
Loc: I come from No Where!
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If you read his/hers first post it shows the hatred. Going to get refills and being canceled. Ten days cold turkey. How many did that affect? MHO
Here is first post.
"#887335 - 05/16/09 06:21 PM Re: Dr. Freidlander arrested [Re: snippets] APAININTAMPA Newbie
Registered: 04/23/09 Posts: 42 I know the people involved in the indictment. It is Troy Wubbena, Jeffrey Friedlander, Carl Ehresman and Sarah Ehresman. All have seemed to disappear even though Troy Wubbena, posing as another person (Latch1113), has posted regularly on this website. I have tried to contact them by their phone numbers. I do not have their e-mail addresses, even though in Troy Wubbenas posting he says to contact him that way. I just want to know how to call them as all of their phone numbers are disconnected. I have received PMs about them, but they are not giving any useful information, so it seems that their "shills", (the administrators words, not mine) are trying to keep their information off the boards. Unfortunately, it appears that many of the people posting on this forum are addicts who would buy from the Devil to get their drugs. If you are a legitimate patient, as I am, getting pain medications through a reputable physician is not difficult. I was able to get in to see a new doctor, and get pain meds, 10 days after first learning that my refills from Dr. Friedlander were worthless.
By the way Snippet, this is a forum. By definition, it is a place for people of different ideas and opinions to express themselves. Who put you in charge of deciding what the people posting should write and believe.
Edited by APAININTAMPA (05/16/09 06:25 PM) _________________________ It's not what you know, it's what you know that you don't know.
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My! People come and go so quickly here!
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#992411 - 01/15/10 01:04 AM
Re: Certified Letter from FL Department of Health Re. Dr. Friedlander
[Re: akfisherman]
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Journeyman
Registered: 04/23/09
Posts: 94
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New and Seperate Federal Grand Jury Indictment on Troy Wubbena as reported today on TBO.com Published: January 14, 2010 TAMPA - The owner of several pain clinics who was already facing trial on charges he doled out pain pills to drug addicts and cheated Medicare out of more than $200,000 has been indicted again on a charge of conspiracy to traffic in oxycodone. Troy Wubbena, 44, of Tampa, is a physician assistant and co-owner of the Neurology & Pain Center clinics located in Tampa, Lakeland, Orlando, Jacksonville, and St. Petersburg. He was charged in another indictment in March, along with physician Jeffrey Friedlander. Two clinic employees have pleaded guilty to conspiracy to distribute drugs, including oxycodone, morphine, hydrocodone and alprazolam. The two – Carl and Sarah Ehresman – also have agreed to cooperate with the government. The latest indictment alleges that Wubbena, who was prohibited in Florida from dispensing or prescribing controlled substances, illegally distributed oxycodone by obtaining blank prescription forms pre-signed by his supervising physician and filling them out. Wubbena is accused of recruiting people to act as patients and to fill the prescriptions at pharmacies throughout the Middle District of Florida. The indictment says he told the people to bring him all or part of the oxycodone prescriptions. Wubbena is also accused of filling out the blank prescriptions in the names of other people without their knowledge or consent. Those prescriptions also filled and used for illegal distribution, the indictment states. The clinics were targeted in a Hillsborough County Sheriff's Office undercover investigation beginning in September 2008. Two detectives, wearing recording devices, visited clinics six times, according to court filings. Each time, the detectives were given prescriptions with "no meaningful physical examination" and no diagnostic tests or verification of their complaints. There was also no discussion of alternative treatment methods, no assessments of risk or abuse, no referral for physical therapy and no discussion of a treatment plan, court documents state
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It's not what you know, it's what you know that you don't know.
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#998628 - 02/01/10 01:24 AM
Re: Certified Letter from FL Department of Health Re. Dr. Friedlander
[Re: APAININTAMPA]
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Journeyman
Registered: 04/23/09
Posts: 94
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Clinic trafficked pain pills through workers, report says By ELAINE SILVESTRINI/Tampa Tribune Published: February 1, 2010 TAMPA - Thousands of pain pills were sold to high school students and addicts all over Florida by a network of pain clinic employees, patients and family members, federal authorities say in court documents. Pain clinic co-owner Troy Wubbena directed the sales and kept track of it all on 3-by-5 note cards, with people's initials, the date of the next prescription refill and the type and quantity of drug, one participant told investigators, according to court filings. "This was a widespread, significant operation," said Assistant U.S. Attorney Joseph K. Ruddy. "We're seeing a marked increase in this type of trafficking in Florida, in general, and in the Tampa area, specifically." Wubbena and Jeffrey Friedlander, who both owned the Neurology & Pain Center clinics, are being prosecuted in federal court on drug and Medicare fraud charges. The operation, which primarily involved the pain drug oxycodone, relied almost entirely on blank prescription forms signed by Friedlander and filled out by Wubbena and other clinic employees, federal authorities say. "This is a major case, in our opinion, strictly because of the volume that was generated through the operation and also through the geographic scope," said Special Agent in Charge Jim Madden of the Florida Department of Law Enforcement Tampa Bay Regional Operations Center. The pair operated eight pain clinics in Tampa, Lakeland, Sarasota, Orlando and Jacksonville. Attorneys for Wubbena and Friedlander would not comment for this story. Cases such as this are concerning, Madden said, particularly because of the high numbers of overdose deaths attributed to prescription drugs, which far surpass deaths attributed to traditional street drugs. In the first six months of 2009, oxycodone caused more deaths in Florida than any other drug, according to the state Medical Examiner. During that time, more than three times as many overdose deaths were caused by oxycodone than by the total caused by cocaine or heroin in Hillsborough, Pasco and Pinellas counties. The problem is particularly acute in the Tampa area, according to Madden, who said the eight counties that make up his office coverage area account for 25 percent of the prescription drug deaths statewide, but less than 18 percent of the population. In the past year, three doctors have either pleaded guilty or agreed to plead guilty to federal drug trafficking charges in Tampa federal court. But each of those cases involved individual physicians, not chains of clinics. New details of the Neurology & Pain Centers case have emerged in recently filed court documents. At least a dozen people, including high school friends of Wubbena's sons, got prescriptions from Wubbena, and in return, they gave him money and a portion of the drugs, according to federal and state records. Some of the dealers told investigators they agreed to become dealers after getting hooked on Wubbena's prescriptions. The arrangement enabled them to feed their own habits and have some money left; one clinic employee made enough selling drugs to pay the mortgage, records state. The state Department of Health has suspended Wubbena's physician's assistant license until a hearing can be conducted. Friedlander's physician's license was suspended briefly but has been reinstated, although his ability to prescribe pain medicine has been curtailed as a condition of his bail. An 18-year-old high school student told investigators his involvement started when Wubbena offered him "roxies," slang for the pain pill roxicodone, which contains oxycodone. The young man, identified in state Health Department documents only as AB, split one of the pills with a friend, records state. He told investigators Wubbena supplied the drug free of charge at least three or four times. Later, AB reported, after he was hooked, Wubbena charged him $15 a pill. When AB ran low on money, Wubbena told him that if he would sell 20 pills for him, Wubbena would give AB five pills. With mostly high school students as customers, AB's sales rose to about 200 to 300 pills a day at $15 each, according to records. In July 2008, AB was arrested by after a traffic stop where police found oxycodone and $800 in cash. He pleaded guilty in state court and agreed to help the investigation. Two clinic employees, Carl and Sarah Ehresman, have pleaded guilty to federal charges and are also cooperating with authorities. Carl Ehresman is an emergency medical technician. Another alleged participant, Janusz Susdorf, was arrested last week. Several other participants have been prosecuted in state court and are now cooperating with an investigation by a federal, state and local task force. Their stories were outlined in an affidavit filed in connection with Susdorf's arrest. The affidavit does not give their names, ages or sex. One former clinic employee, for example, told detectives of seeking treatment at one of the clinics for back pain, court documents state. The employee "quickly became addicted" to the pain medicine, which increased in potency until the prescription was for 80 mg pills of Oxycontin, according to the affidavit. The drug's manufacturer says that dose is potentially life-threatening and should only be prescribed for patients who have developed resistance to opiods. The Neurology & Pain Center clinics are now closed. http://www2.tbo.com/content/2010/feb/01/...-re/news-metro/
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It's not what you know, it's what you know that you don't know.
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#1017137 - 03/15/10 08:09 PM
Re: Certified Letter from FL Department of Health Re. Dr. Freidlander
[Re: stevo1]
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Journeyman
Registered: 04/23/09
Posts: 94
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JEFFREY FRIEDLANDER, M.D. GUILTY!!!!!!!!! Doctor will plead guilty to pain pill trafficking, Medicare Fraud and agrees give up Medical LicenseBy Elaine Silvestrini Tampa Tribune TAMPA - A doctor who was medical director of a chain of pain clinics authorities say trafficked in pain pills has agreed to plead guilty to federal charges. Jeffrey Friedlander will admit to his guilt of conspiracy to distribute several drugs, including oxycodone, and defrauding Medicare out of more than $300,000, according to a signed plea agreement filed today in U.S. District Court. The charges carry maximum prison sentences of 20 and 10 years, respectively. Friedlander, a doctor certified in internal medicine, neurology, pain management and vascular medicine, was the only physician working for Neurology & Pain Centers, which operated eight pain clinics in Tampa, Lakeland, Sarasota, Orlando and Jacksonville. According to court filings, pain clinic co-owner Troy Wubbena directed the drug trafficking and kept track of it all on 3-by-5 note cards, with people's initials, the date of the next prescription refill and the type and quantity of drug, one participant told investigators. The operation, which primarily involved the pain drug oxycodone, relied almost entirely on blank prescription forms signed by Friedlander and filled out by Wubbena and other clinic employees, federal authorities say. Patients seen at the clinic and given prescriptions for addictive pain drugs were not given medical evaluations or even seen by Friedlander. Even though Friedlander didn't participate directly and had no specific knowledge of what the others were doing, he "did willfully choose to take and did take steps to deliberately ignore" them, according to his plea agreement. The clinics were targeted in a Hillsborough County Sheriff's Office undercover investigation beginning in September 2008. Two detectives, wearing recording devices, visited clinics six times, according to court filings. Each time, the detectives were given prescriptions with "no meaningful physical examination" and no diagnostic tests or verification of their complaints. There was also no discussion of alternative treatment methods, no assessments of risk or abuse, no referral for physical therapy and no discussion of a treatment plan, court documents state. In six visits, the detectives were given prescriptions for hundreds of pills of oxycodone and hydrocodone – the equivalent of 163 kilos of marijuana, according to Friedlander's plea agreement. Friedlander also admits in his plea agreement that he participated in filing $317,000 in fraudulent Medicare claims. Four other participants in the scheme – including two clinic employees – have pleaded guilty and agreed to cooperate with authorities. Wubbena has pleaded not guilty. The state Department of Health lists Friedlander's medical license as clear and active. As part of the plea agreement, he agrees to forfeit his license, his right to prescribe drugs and $317,000.
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It's not what you know, it's what you know that you don't know.
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#1019414 - 03/19/10 12:04 PM
Re: Certified Letter from FL Department of Health Re. Dr. Friedlander
[Re: snippets]
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Board Addict
Registered: 10/25/06
Posts: 380
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you claim you lost money from them so let's say it is refills. so you lost a vicodin refill. you live in florida, you can go practically anywhere with legitimate records and get stronger medicines. but lets say you were getting oxy, well now i can see why you are lashing out. but lets say you were getting oxy and selling it, since you do claim to have lost money and at the fever at which you post is not a casual one, this could be the case.
if this is all over a refill for vicodin basically, most people would just move on. most people have moved on already and found other doctors. those who live in florida have more opportunities than the rest of the country to find pain clinics. we want to defend this doctor because he did do some good for people. its strange to me you cannot see that but feel ripped off. a true pain patient would move on and go to the next doctor but you want to harp on the situation, as if you lost something large.
if you are someone with legit records, why the worry? just go to a new pain clinic. but you have taken to the boards to knock people down. why is this? people wonder if you are law enforcement because the casual person who lost a refill would not go to the lengths you are going. and since you are so extreme it is clear you have a vested interest here - so you are either the law, a former exwife, a former office employee, or someone who was receiving copious amount of narcotics who got cut off from their supply.
Edited by snippets (03/19/10 12:05 PM)
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#1020277 - 03/20/10 07:01 PM
Re: Certified Letter from FL Department of Health Re. Dr. Friedlander
[Re: snippets]
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Journeyman
Registered: 04/23/09
Posts: 94
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Snippets - I am not LE (nor am I with any government agency) and do not now, or have ever had, any personal association with anyone in this case ever. I am not a former Employee. While I did see them a couple of times for headaches and got a prescription for Fioricet with codiene, I never received copious amounts of narcotics and was never cut off. I did find that I could not get a refill on prescriptions that had been written. I have found an new doctor and am getting the same medications.
After I had problems with my prescriptions, and was already suspicious due to the activities I obeserved while at the clinic, I did simple online research and came to the conclusion that it was a criminal organization. I do not believe, as you and many on this board seem to, that it is OK for doctors to partake in criminal activity.
With that said, do you actually have any comments on what this thread is about, the admitted criminal activity and criminal conspiracies of Dr. Jeffrey Friedlander, Troy Wubbena, Carl Ehresman and Sarah Ehresman?
A review of your posts shows an obsession with who I am and absolutley no concern whatsoever with the criminal activities at the Neurology and Pain Centers.
Edited by APAININTAMPA (03/20/10 07:22 PM)
_________________________
It's not what you know, it's what you know that you don't know.
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#1020375 - 03/20/10 07:33 PM
Re: Certified Letter from FL Department of Health Re. Dr. Friedlander
[Re: Firefairy]
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Journeyman
Registered: 04/23/09
Posts: 94
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Firefairy, please explain: The guilty plea does not read that he was a dirty scumbag drug dealing doctor, it says he was a careless idiot who trusted employees with pre-signed prescription pads and failed to follow up and and provide proper oversight, and is willing to own up to it and take his licks rather than take the risk of circumstantial evidence and tainted testimony convincing a jury that he is guilty of the crimes some have tried to lay at his door. You seem to have changed your standard Old Standard - Innocant until proven Guilty New Standard - Innocent even after admitting Guilt. Even if you go with he was just a "careless idiot who trusted employees with pre-signed prescription pads and failed to follow up and and provide proper oversight", that does not explain the Medicare Fraud and Coverup. I would like to know how you explain that he, per the Plea Agreement that he signed, admits that he "submitted false claims to Medicare for performing Paravertebral Facet Joint Block Injections" and "submitted false claims to Medicare for office visits coded at the highest degree of complication and requiring detailed involvement by the treating physician, when, in reality, unlicensed, non-medical persons had performed limited office visits outside of Friedlander's supervision" and "entered false information in patient files to support the false Medicare claims". I do not know of to many "careless idiots" that fabricate fraudulent notes to cover thier criminal activities.
_________________________
It's not what you know, it's what you know that you don't know.
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#1025009 - 03/28/10 01:27 AM
Re: Certified Letter from FL Department of Health Re. Dr. Friedlander
[Re: snippets]
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Journeyman
Registered: 04/23/09
Posts: 94
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Some posters are very quick to believe everything they read, when it suits their story. As Snippets has accused me of being wrong about Dr. Friedlander's and his wife's divorce, I will set the record straight. Laura (Jeffrey Friedlander's ex wife who is a Nurse Practitioner) is lying when she says the divorce was not nasty. The facts that are in the public record tell the true story. But it is in her best interest to support him now as she worked under his medical license for a while.
Jeffrey Friedlander and Laura Deleruyelle have actually filed for divorce twice. Evidently, they had breifly reconciled in between divorce filings. It is all in the public records of Manatee and Osceola Counties. There is over 5 years of back and forth depositions, discovery and other nastiness in what should have been a simple divorce between two people who have no children. There is much more legal involvement between the two of them than that I could post also. As Laura is not part of this case, I will hold off on the posting of further personal details.
Dr Friedlander's wife is also against most pain patients, with a few exceptions, trying to get pain medication. What is this boards opinion of her stating "I actually wish the state would set boundries (guidellines) on narcotic pain pill prescription usage, limiting it's use to, for example, cancer patient's, pt's with fractures on a limited basis, etc. In other words, I would like to see strict control guidelines on prescription pain pills for only very few medical conditions"
Edited by APAININTAMPA (03/28/10 01:29 AM)
_________________________
It's not what you know, it's what you know that you don't know.
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#1035353 - 04/16/10 10:19 AM
Re: Certified Letter from FL Department of Health Re. Dr. Friedlander
[Re: snippets]
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Pooh-Bah
Registered: 08/08/07
Posts: 1353
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Instead of asking us, why don't we ask you...
Do you believe what Laura believes? Do you truly believe that no one should get relief from pain except cancer patients and people with broken bones and then only for a very limited time?
So all the people who are 65 and 70 and dealing with severe pain all day long should deal with it or die? Because I see it all the time. Most people that I know who are over 60 are on some chronic medicines and usually a pain medication too. That's because there are many doctors in the US who are compassionate and don't wish people to suffer through their last years of life.
I watched my mother die and I'm glad they gave her pain medicine for the last year of her life. My father died with a bottle of liquid Morphine in his hands (he had liver disease and was in so much pain that they gave him 2 weeks to live and unlimited amount of liquid morphine until he died). My father in law died in bed, without dealing with pain because a nurse came to his house everyday, put a Fentanyl patch on him, gave him a shot of morphine in his IV and gave him 4 different pain medicines that he took by mouth. They had to keep a log on what they gave him when so that he would be comfortable but wouldn't overdose.
So you want your medicines taken from you because you don't have cancer and you don't have a broken bone? You are just dealing with migraines right, so you should just suck it up and deal with it. That is what you are telling everyone else to do. I personally don't want to live the last 50 years of my life in pain so guess what? I take a pain medicine 3 times a day, anti nauseau medicine, sleep medicine and nortripyline to help me deal with the problems, pain and sleeplessness. As it is I still can't sleep with my husband because I would keep him awake all night. I stay up most of the night in pain and I promise you, you wouldn't want your loved ones or yourself to have to deal with what I deal with.
I have no opinion of this doctor because I don't know him. But if you used the clinic and then they got shut down, well, it's life. I see it all the time. At least you found another doctor, unlike the hundreds of people I saw get kicked out of my pain clinic because the DEA was breathing down their necks. They decided to keep their jobs, stop writing the narcotics that the patients needed and instead kicked out the people who needed the medicine the most, filling up the ERs and other pain clinics in the process.
And guess what? As much as you might like to disagree, there are doctors who go to jail every year for writing what the government considers to be too many narcotic prescriptions, when in reality it's usually doctors who are sympathetic to others needs, or doctors who have mostly older patients and write pain meds along with many other meds. Instead of looking at the whole picture, and seeing that the doctors have many chronic patients and are writing 3 or 4 scripts a month for medicine that isn't a narcotic, they focus instead on the prescriptions they don't believe in.
Whatever. You don't seem to understand that most people on this website will read your other posts to try to understand why you are on a vendetta about someone. It's that which leds them to find your first incriminating posts about your chronic pain, the clinic, how their doctors' scripts weren't any good anymore and you had to change doctors, etc.
Post the truth and no one will have a problem with you. Go off on a vendetta and watch everyone shake their head, ignore you or wonder why you are acting bipolar. You don't understand how many people read this, but think you aren't worth the effort and go on to another post. You can play rabid bulldog all you want, as long as you understand that most of us here could care less and are only slightly curious about the crazy poster that couldn't stop posting about one subject and one subject only.
And understand that most of us will comment because we simply don't agree with you, and then we move on and never come back. We have already formed an opinion about both the doctor and you. We see a doctor who was careless, didn't bother to keep up with his scripts, etc. and you see someone who is SELLING DRUGS TO OUR CHILDREN. (because they wouldn't give them to you right?) Honestly, you think we don't know that people still had to have records to go to this clinic? That they still only saw people who were over 19 and considered an adult?
We aren't stupid and we don't fall for the "selling to our kids" comment anymore than you do. We know better. It's the street kids selling heroin that we worry about, not a clinic where our kids would have to prove they have a chronic condition, and our insurance would let us know about it, and our kids would give it away too?
Please. Move on. We know what happened and we can agree to disagree with your assessment on why this happened, as you can agree to disagree with ours. You have your thoughts on this... fine. So do we.
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#1035358 - 04/16/10 10:34 AM
Re: Certified Letter from FL Department of Health Re. Dr. Friedlander
[Re: Lynx4]
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GRAND Pooh-Bah
Registered: 08/08/06
Posts: 3033
Loc: Top of The World!
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Instead of asking us, why don't we ask you...
Do you believe what Laura believes? Do you truly believe that no one should get relief from pain except cancer patients and people with broken bones and then only for a very limited time?
So all the people who are 65 and 70 and dealing with severe pain all day long should deal with it or die? Because I see it all the time. Most people that I know who are over 60 are on some chronic medicines and usually a pain medication too. That's because there are many doctors in the US who are compassionate and don't wish people to suffer through their last years of life.
I watched my mother die and I'm glad they gave her pain medicine for the last year of her life. My father died with a bottle of liquid Morphine in his hands (he had liver disease and was in so much pain that they gave him 2 weeks to live and unlimited amount of liquid morphine until he died). My father in law died in bed, without dealing with pain because a nurse came to his house everyday, put a Fentanyl patch on him, gave him a shot of morphine in his IV and gave him 4 different pain medicines that he took by mouth. They had to keep a log on what they gave him when so that he would be comfortable but wouldn't overdose.
So you want your medicines taken from you because you don't have cancer and you don't have a broken bone? You are just dealing with migraines right, so you should just suck it up and deal with it. That is what you are telling everyone else to do. I personally don't want to live the last 50 years of my life in pain so guess what? I take a pain medicine 3 times a day, anti nauseau medicine, sleep medicine and nortripyline to help me deal with the problems, pain and sleeplessness. As it is I still can't sleep with my husband because I would keep him awake all night. I stay up most of the night in pain and I promise you, you wouldn't want your loved ones or yourself to have to deal with what I deal with.
I have no opinion of this doctor because I don't know him. But if you used the clinic and then they got shut down, well, it's life. I see it all the time. At least you found another doctor, unlike the hundreds of people I saw get kicked out of my pain clinic because the DEA was breathing down their necks. They decided to keep their jobs, stop writing the narcotics that the patients needed and instead kicked out the people who needed the medicine the most, filling up the ERs and other pain clinics in the process.
And guess what? As much as you might like to disagree, there are doctors who go to jail every year for writing what the government considers to be too many narcotic prescriptions, when in reality it's usually doctors who are sympathetic to others needs, or doctors who have mostly older patients and write pain meds along with many other meds. Instead of looking at the whole picture, and seeing that the doctors have many chronic patients and are writing 3 or 4 scripts a month for medicine that isn't a narcotic, they focus instead on the prescriptions they don't believe in.
Whatever. You don't seem to understand that most people on this website will read your other posts to try to understand why you are on a vendetta about someone. It's that which leds them to find your first incriminating posts about your chronic pain, the clinic, how their doctors' scripts weren't any good anymore and you had to change doctors, etc.
Post the truth and no one will have a problem with you. Go off on a vendetta and watch everyone shake their head, ignore you or wonder why you are acting bipolar. You don't understand how many people read this, but think you aren't worth the effort and go on to another post. You can play rabid bulldog all you want, as long as you understand that most of us here could care less and are only slightly curious about the crazy poster that couldn't stop posting about one subject and one subject only.
And understand that most of us will comment because we simply don't agree with you, and then we move on and never come back. We have already formed an opinion about both the doctor and you. We see a doctor who was careless, didn't bother to keep up with his scripts, etc. and you see someone who is SELLING DRUGS TO OUR CHILDREN. (because they wouldn't give them to you right?) Honestly, you think we don't know that people still had to have records to go to this clinic? That they still only saw people who were over 19 and considered an adult?
We aren't stupid and we don't fall for the "selling to our kids" comment anymore than you do. We know better. It's the street kids selling heroin that we worry about, not a clinic where our kids would have to prove they have a chronic condition, and our insurance would let us know about it, and our kids would give it away too?
Please. Move on. We know what happened and we can agree to disagree with your assessment on why this happened, as you can agree to disagree with ours. You have your thoughts on this... fine. So do we.  Thank You Lynx4!!!
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I Need to Stare into my Avatar and Relax!
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#1035384 - 04/16/10 11:46 AM
Re: Certified Letter from FL Department of Health Re. Dr. Friedlander
[Re: stevo1]
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Old Hand
Registered: 07/14/07
Posts: 409
Loc: Hush Boy !
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This poster , APAININTAMPA , has been a pain in the A$$ on all the local boards in Florida.
Has done everything in their power to throw Dr. Friedlander and team in the river. Cares nothing about justice PERIOD!!
I personally have not seen such hatred, such animosity, a black heart such as this in my life. This poster spends hours and hours every day spewing this venom.
I'm participating in this thread only to let everyone know here at DB , APAININTAMPA , you have no crediabilty... also, APAININTAMPA needs to understand that many people know who they are...!
Regards,
MBS....
Edited by Mr_Blu_Shoes (04/16/10 11:47 AM)
_________________________
Blue Blue Windows Behind The Sun..Yellow Moon on the Rise..Big Birds Flying Across the Sky, Throwing Shadows on Our Eyes, leave Us...
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#1035556 - 04/16/10 04:26 PM
Re: Certified Letter from FL Department of Health Re. Dr. Friedlander
[Re: stevo1]
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Pooh-Bah
Registered: 08/08/07
Posts: 1353
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Steveo, you know what we did with trolls and flamers when the internet was new, before there were actual messageboards and we only had newsgroups? We ignored them. The best thing to do is DO NOT READ what they wrote, talk with other people in the thread, and act like they don't exist. I didn't read anything that Apain wrote after my post. I wrote what I wanted and I'm done. What else is there to say? I simply skipped it and read what you guys wrote. Why get your blood pressure up by hitting your head against a wall? We can discuss this subject without including someone who spends all day spewing hate, and we can be more relaxed. If DB has an ignore button use it. If not, skip the posts  Life will be easier. Many years ago the internet had flamers galore, but no trolls because you couldn't buy anything online and therefore had no need of people pushing websites or their own merchandise. But then, years ago most of the flamers were people who came on our group, acted like they'd been there forever, and bragged about stupid stuff like all of their money, their houses, etc. because they thought that was what was important. That's why we assumed they were kids. Mature people don't think it's important and seriously, what does it matter how big their house is or how much money they (or their parents)) make? We ran them off our group or ignored them and *poof*, they disappeared. Just my tidbit for the day. I don't read peoples' posts when I already read one and figured out what they were doing.
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