College Health Centers

<p>I am so upset as I am writing this that I can just spit. Back problems have been plaguing my D, who is a freshman. She went to the Health Center on her campus today. They prescribed her a new drug. A muscle relaxer. Not only was it the most expensive and newest drug out on the market, they prescribed her 60 pills. 60 muscle relaxers because they told her back pain is caused by stress. IS THE DOCTER OUT OF HER MIND. How dare they give her 60 pills. I when my D told me the dr. prescribe it for her, I figured they would give her 10, to see if that would help. But 60. How well do they know her? What if she was so stressed that she took an overdose. What if she sold them, or used them for her own recreational abuse. </p>

<p>I can’t talk to the doctor of course, because she is 18. But I am just shocked and disgusted that they would be so thoughtless. I am very happy my D talked to me about it.
Mbe</p>

<p>Actually, if she gives permission, you can speak with the MD.</p>

<p>Yes, I know that she could sign a release, but nevertheless, I still don’t think that they did the correct thing.</p>

<p>mbe, you can still can the health clinic and ask to speak to the physician in charge of the clinic. Yes, without written permission of D. they won’t discuss anything pertaining to their specific treatment of your D. But, they can LISTEN and you can tell them that you know what was prescribed, the amount and your concerns. They will not confirm prescription, but you will still get your point across. I would not hesitate to call —with all one reads about depression and stress in college populations there was absolutely no need for her to have this number of a muscle relaxant (if it is in fact in the category of drugs I am assuming it is in).</p>

<p>I did leave a message for the head doctor of the clinic. I found out who treated her and left the name of that doctor. I did not receive a call last night, so maybe today. I have spoken to a number of parents and they are also surprised at the cavileir prescription of so many muscle relaxers. I thought that it would be more appropriate to prescribe a small amount for a week, and then the dr. should of had her come back. It seems negligent to me.</p>

<p>wow
I am surprised they didn’t have her go to a massage therapist first or maybe take a yoga class</p>

<p>Pain meds can be very strong- and if combined with alcohol- not saying your D drinks, but many college students do- they could be deadly</p>

<p>I’d be furious too! The doctor was entirely irresponsible and DENSE. I cannot imagine a scenario in which she would be justified in that prescription, for all the reasons outlined above.</p>

<p>Please continue to try to get through to the head of the clinic. If this stunt is repeated, it could have terrible outcomes.</p>

<p>quite honestly, ive never heard of a school where students were satisfied with the on campus health center. its a sad state of affairs.</p>

<p>my daughters school didn’t have a bad clinic
she really liked the psych and I think the nurse practioners were good
They did miss when she had mono, for a while, but it can be hard to diagnose with a student body that is cramming for finals and not sleeping.</p>

<p>I admit that now that she has graduated, I am comforted that one of her roommates is an EMT-Paramedic. :)</p>

<p>I’m surprised they gave her such a aggressive prescription. 4 years ago when I was involved in car accident and needed a script for painkillers to ease the pain of my massively swollen face, student health was hesitant to even give me them as vicatin is of course a highly sought after recreational drug…and that was with me visibly in pain! </p>

<p>Is this school one with a decent medical school and/or pharmacy program, or not? Just curious to put things into perspective.</p>

<p>This might be a “med variance” - a mistake in the prescription. Still I would be concerned, that’s a big number of pills.</p>

<p>I heard from the head dr. today. Of course he stood behind the dr. who treated her. I am certainly going to have her sign the release so that I can speak directly to the treating physician. The head of the clinic said that the muscle relaxant was short acting and the 60 day supply would only last 2 weeks as she would have to take them 4 times a day. I have looked up the medicine and it is not a controlled substance, but the side effects are drowziness, etc. with all the warnings not to drive a car or any moving vehicle. As this was only a message, I could not voice my opinion that I thought she was being over prescribed too. The treating dr. never said to her to check with her. And 60 pills are still too much no matter what. </p>

<p>And to add insult to injury, they prescribed the newest and most expensive medicine, even with insurance prescription plan. This would have cost her over $100. It makes me wonder what the dr. received in trade for prescribing this. </p>

<p>If you get the overall feeling that I do not trust or entirely respect all drs., you are correct. I have been much too involved with healthcare, not to be suspicious of all drs.</p>

<p>Mbe</p>

<p>thats a good point cangel
messy handwriting could have caused a mistake
but while I am not a medical professional- to say that back pain is mostly caused by stress seems wrong
Its caused by a lot of things
overwork/injury
weak abdominal muscles
structural problems
If this is the first time she has seen this dr and it hasn’t been an ongoing issue, prescribing painkillers, seems pretty inappropriate
plus- if you hurt your back and you are on painkillers- you could hurt it more!
geez
Pain is the bodys way of telling us something is wrong
Its not the cause- it is a symptom</p>

<p>Aside from Gregory House, I wouldnt’ say most people function well while under the influence of strong medication.
( [House is a television character](<a href=“http://www.televisionwithoutpity.com/articles/content/a854/index-1.html”>http://www.televisionwithoutpity.com/articles/content/a854/index-1.html&lt;/a&gt;) )</p>

<p>Hmm- did they send for her medical history?
Thats one thing to make sure they get if she is going go to school there- and a FERPA release so her home doc and the school clinic can talk to each other
Plus the most expensive medicine sounds odd-
Often drs have sample- or at least use generics
4 times a day also seems like a lot- why not as needed?
If she is in that much pain, that she needs pain killers 4 times a day for two weeks, maybe she should be in a hospital to find out what caused it?</p>

<p>I am with you- I would be very upset.
there are a lot of variables that should have been taken into account when prescribing for a young adult & it didn’t seem that was considered.</p>

<p>Maybe this doctor is a total jerk - a poor clinician unable to select appropriate treatment and out to overmedicate innocent kids with the newest most expensive and dangerous drugs for which she gets a kickback. It happens…</p>

<p>But then again, maybe not. </p>

<p>As we were not there, I think speaking to the prescribing physician may (or may not) ease your concerns. I am NOT downplaying your concern for your DD, but there could be an excellent reason for choosing that treament plan and particular drug as treatment. It is my experience that we don’t always get a clear picture of what goes on when our children see an MD. DD, started seeing our FP alone at 14. She’s an intelligent kid but I was always amazed at how she misinterpreted what she was told or didn’t clearly communicate her issues to the FP. We finally worked out a system where she wrote down her concerns and the FP spoke to us together afterwards. </p>

<p>Maybe there was miscommunication among all parties involved?</p>

<p>As for side effects, every medication has them - many, many OTC meds have drowsiness as one, so that doesn’t set off alarms in my mind. A 2 week supply doesn’t seem outrageous either.</p>

<p>My DD recently went to the health clinic and had an excellent experience. Now, she was perscribed an antibiotic which is expensive when there are much cheaper alternatives. However, this one needs to be taken less frequently and therefore is more likely to be taken. A good use of money in my mind. </p>

<p>I hope this works out and you don’t have another bad interaction to add to what must be some considerably bad experiences with health care.</p>

<p>So sorry this happened. I agree with your actions, hope that this frustration won’t happen to others if the health center listens. I hope you & daughter are able to find a solution to the backpain. I am curious why the physician felt the need to prescribe the med & amt. vs a shorter trial or cheap generic vs non med interventions for relaxation. Not a physician, don’t know details, but am a mom/pharmacist who hates seeing pills as solutions without explanation. </p>

<p>I loved USC’s health centers at the main campus and the healthsciences campus when I was there. Son & I are happy with his college’s also. I thought this thread was going to be about a good experience.</p>

<p>What is the med? I cannot think of a new one off hand but the facility I work at trys to avoid meds that have CNS side effects because of the population we have.</p>

<p>The medication is skelaxin. It is somewhat new.</p>

<p>MBE: you definitely seem to have an attitude here that the doctor is wrong and you are right–but all you’ve said is that the doctor prescribed a two-week supply of an expensive pill. At my D’s health center, all prescriptions are covered by the student health insurance (required) if they come off the prescribing formula; has your daughter checked whether that is the case there? If cost is an issue, your daughter should bring that up with the physician. In any case, with deductibles, co-pays, and arcane reimbursement formulas, sometimes a longer prescription is cheaper than refilling a prescription.</p>

<p>If your daughter has been having chronic back problems–as you state–perhaps the doctor is prescribing two weeks of the medicine to break the cycle? Why are you so sure he’s wrong? After all, you state that she’s been “plagued” by back problems.</p>

<p>A couple of things I have picked up from the OPs post. Could be wrong but this is what I am interpreting. Dtr goes to Dr. Dr. says stress related. Since no tests, etc run, would appear she determined this by talking with girl and touching the painful area. Dr. prescribes muscle relaxants. Dtr calls Mom BEFORE she fills Rx. because she obviously was not completely comfortable with the way the visit went. Dtr doesn’t appear to know 4x day as can’t read prescription (especially if typical bad Dr. Handwriting) and Dr. did not make sure dtr understood how to take this medication or the side effects. All dtr got from visit is they say it is stress related and gave me some muscle relaxants. </p>

<p>Yes, if on Rx plan, 1 week or 30 days supply will cost the same so if dr. gave dtr one week of pills (30) it will still cost $100 to OPs family and then another $100 to do another week if this was working. That may be the reason for 2 weeks worth of pills. </p>

<p>However, the problem I have here is that Dr. prescribes a very expensive prescriptions (dtr wouldn’t know this while sitting in exam room with Dr.) when there are cheaper alternatives. Dr. gives dtr no info on use or purpose of medicine or didn’t make sure dtr understood use and purpose of this particular medicine, gave dtr no guidelines regarding need for followup, things like if it isn’t working stop taking or don’t stop taking without coming back here, etc. and then sent this 18 year old on her merry way and moving on to another patient. </p>

<p>Dtr is concerned enough about lack of info, diagnosis, treatment by DR, prescription, whatever, to call Mom and discuss with her before filling prescriiption. In this scenario, given the type of medication and the seeming lack of communication at best or at worst lack of care and respect for student, I think most parents would freak a little. This is in a student health center and they see college students all the time who have little knowledge or experience negotiating health systems or dealing with medical issues. They should realize that freshmen in particular need a little more hand holding and certainly need a little more explanation. It’s stress, here is a prescription is not enough. I’m giving you a two week supply of xxxx prescription because xxxxx. You are to take it four times a day with food, on an empty stomach, etc. If you don’t get any relief or if you experience xxx, you should stop taking the medicine, come back here, whatever. This can be combined with Tylenol, Advil, etc or don’t take any over the counter pain meds while taking this. Are you sure you understand how to take this medicine and why you are taking it. Do you have any other questions? This would take maybe 2-3 extra minutes. </p>

<p>Certainly the patient can read the prescription insert and certainly they need to take responsibility for their own health. However, at a student health center, the personnel should know their clients well enough to know most college age students don’t have enough experience with health professionals to know it is okay to question your drs nor do they know the right questions to ask. </p>

<p>mbe, you have a right to be concerned and if DR. had taken a little more time or shown a little more concern for your daughter, maybe you wouldn’t be having to call to get the explanation your daughter missed. In the end, this may be the best treatment and medication for your daughter’s problem. But good for her for being cautious enough about meds to not just take whatever, whenever at any cost just because some professional told her to. It is a start at learning to ask the right questions and getting the best care possible.</p>