It is truly amazing the number of Nurse Practitioners and Physician Assistants who fail to treat low Vitamin D levels appropriately. I see many of the failing to even address the low lab results that they themselves ordered. When they do address it, they commonly prescribe 50,000 IU’s of Vitamin D once a week for up to three months. Then they tell their patients “You’re good.” They fail to recheck the Vitamin D level before saying that! You have to RETEST the Vitamin D to see if the levels have come up BEFORE you can say “You’re good.” Often times the Vitamin D level fails to come up to where it needs to be. If you quit taking the Vitamin D when it’s been low, guess what? You’ll just get low again. The FDA still recommends the out-dated 400 IU level per day. Most physicians that I know are easily comfortable prescribing 2,000 IU per day. But those in the know are prescribing more like 4,000-6,000 IU per day. Treatment can benefit the patient in many ways, as low levels affect chronic pain, sleep, anxiety, depression, overall metabolism, and more.
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Per a letter I wrote awhile back, I see that the Oregon PDMP is finally reporting the refills properly per my suggestion.
If they want to claim religious beliefs, then they need to be willing to pay the consequences of such beliefs too.
Pulled out some records to check some things and refreshed myself with something I had been meaning to post earlier but got distracted.
I find it amazing that so many clinics, especially pain clinics are ignoring the requirements of having pain agreements and Material Risk Notices with their patients.
Here is a letter that I sent to the Office Manager of Oregon Cardiology, located at Peace Health Sacred Heart Medical Center, by fax on 12-10-19.