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   Hannu Ikonen, MD (hannu_ikonen@med-mastodon.com)'s status on Friday, 15-Mar-2024 05:57:36 JST Hannu Ikonen, MD

   Just the usual chiding of MyChart message screeners:

   Is there any reason I was limited to an 8 day supply of Vyvanse when:
   
   - I've taken it since 2006,
   - I'm a partnered Psychiatrist,
   - there's NO limit whatsoever on virtual mental status exam prescribing of controlled substances as per DEA as of 05/11/2023,
   - if I run out of the medication, I will have to cancel my clinics with MY patients -- in other words, the patients YOU send to me for psychiatric care?

   • Embed this notice
     Hannu Ikonen, MD (hannu_ikonen@med-mastodon.com)'s status on Friday, 15-Mar-2024 05:57:32 JST Hannu Ikonen, MD

     in reply to

     Post-script:

     My apologies if it sounds assertive but I've been in (Purple State), (Blue State), (Maroon Red State), and now back in (Purple State) and have not run into a single issue until becoming a patient in YOUR healthcare system. Ever. Not once. And it generally has not been because of the med shortage.
     
     Hannu Ikonen, MD

     AnthonyJK-Admin repeated this.
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     Hannu Ikonen, MD (hannu_ikonen@med-mastodon.com)'s status on Friday, 15-Mar-2024 05:57:33 JST Hannu Ikonen, MD

     in reply to

     Sources:
     https://www.dea.gov/documents/2023/2023-10/2023-10-06/dea-and-hhs-extend-telemedicine-flexibilities-through-2024
     https://chadd.org/advocacy-blog/chadds-position-on-patient-access-to-adhd-medications/

     Sincerely, Hannu Ikonen, MD

     AnthonyJK-Admin repeated this.
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     Hannu Ikonen, MD (hannu_ikonen@med-mastodon.com)'s status on Friday, 15-Mar-2024 05:57:34 JST Hannu Ikonen, MD

     in reply to

     Continued

     If there *is* a shortage, my preference is to wait until the 90 day supply is available as piecemeal is complicated and requires multiple trips when I'm seeing patients.
     
     It is also not a policy of our department - Psychiatry - that controlled substances are ONLY refilled with a scheduled follow-up. I filled 19 today and I don't see them for a couple of months. If that's a policy of the FM department, that's simply a barrier of care for the sake of there being a barrier to care.

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     Hannu Ikonen, MD (hannu_ikonen@med-mastodon.com)'s status on Friday, 15-Mar-2024 05:57:35 JST Hannu Ikonen, MD

     in reply to

     Continued:

     Ive tried to be patient with this entire process, but since <<physician>> left, I've received nothing but barriers to a 90 day prescription , something that has been covered by <<my>> insurance for several years now, as well as roadblocks on MyChart every single time in terms of communicating with my doctor.

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     Hannu Ikonen, MD (hannu_ikonen@med-mastodon.com)'s status on Friday, 15-Mar-2024 05:59:17 JST Hannu Ikonen, MD

     in reply to

     Let me tell you something: there's NOTHING WRONG with asserting yourself.

     If you have to elevate your voice to do so, commensurate with the noise and the inflexibility of a broken system, do it. That's called using effective communication skills.

     AnthonyJK-Admin repeated this.
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     Hannu Ikonen, MD (hannu_ikonen@med-mastodon.com)'s status on Friday, 15-Mar-2024 06:00:26 JST Hannu Ikonen, MD

     in reply to

     If you want to steal my format, taylor it to your specifications, and use it as needed, please by all means do so.

     You deserve destigmatized care. Not barriers to care.