FACTS FOR U......EDUCATE THY SELF

First, most importantly, Merry Christmas and Happy New Year.

Now, as to a response to your post, starting at the beginning. Diazepam (Valium) is a controlled substance, Class IV. covered by the Controlled Substances Act, . I do not know what you mean by Tier II. Controlled substances are any type of chemical that can alter a person’s physical or mental state. While many of these substances are medically useful, they can also be very addicting. The reasons for prescribing Valium are anxiety or alcohol withdrawal. Occasionally it is prescribed in conjunction with other meds for muscle spasms. This is done off label.
Asking a new M.D. to prescribe a controlled substance because others have prescribed it before, is no justification for dispensing the drug. A drug screen for a patient who is habituated to benzodiazepines (5 previous scripts) as you indicated. Unfortunately, for you, as claimed, ingestion of poppy seeds caused the positive test for narcotics. A positive result indicates the presence of an opiate derivative, there is no nominal amount., degrees of quantity only.
As to the actions of the M.D., what are these "pertinent or elementary questions" that he should have asked?
I do not know what a "patient centered home" references. If you are being "gaslighted" by your physician I would suggest that you go to another practitioner and/or wean yourself from Valium and abstain from "poppy seeds"(your former PA's advice, which you chose to ignore).
My definition of "gaslighting" is that it is a psychological manipulation to convince someone to question his/her sanity and/or perceived reality. Is that what you mean by "gaslighting"?
It is unfortunate that you find comments, written in complete sentences, convoluting. Would prefer I used stream of consciousness writing?
I am available if you wish to have a further discussion of Valium and its "off label" uses such as vertigo caused by psychologic issues (eg, anxiety).

There is general agreement in the context of primary healthcare that the achievement of the well-known four core primary care (PC) functions (also known as the four pillars, four tenets or simply as the 4Cs of PC (4Cs)), is associated with better quality services, lower costs, less inequality in health care and better population health (Baicker and Chandra, 2004; Starfield et al., 2005; Lewin et al., 2008; Chan, 2009).

The 4Cs of PC are defined as (Prates et al., 2017):

First contact – access and use of health services whenever necessary;
Comprehensiveness – promotion, prevention, treatment and rehabilitation appropriate to the PC context;
Coordination – the integration of all the care the user receives and needs with the other health services;
Continuity – a professional-subject-of-care temporal relationship, leading to the establishment of strong mutual trust.

(PATIENT CENTERED HOME DEFINED.)

IT appears u r implying that the rx was for a psychological issues.It is protocol for Meineries Disease,which is hereditary....a middle ear issue that produces vertigo and deafness. ANOTHER.LESS EFFECTIVE SOLUTION IS DIURETICS,WHICH SCREWS WITH YOUR ELECTROLYTES AND B.P.,U R REQUIRED TO GET LABS TO ENSURE YOUR ELECTROLYTES R NOT BEING ADVERSELY EFFECT.AND YES OFF LABEL IT IS A MUSCLE RELAXER .. The above was suggested to me by the very first doctor I saw here,thru the course of a couple of months ,she was heavily implying I was using for other things.....I promptly terminated the visit,asked for my physical records/notes from her and found another doctor. GASLIGHTING NUMBER ONE.(just as a side note ,the specialist on the front range ok'd the protocol,THAT INFO WAS IN MY FILE)
THE PROBLEM occurred again with a N.P.shortly afterwards,she was ALREADY CONVINCED,coming thru the door that I was a drug seeker.....the discussion was terse and non productive and she walked out ,
saying I had not tried other things.....GAS LIGHTING NUMBER TWO ...this was back in 2015 when we first moved to the western slope. THE DOCTORS HERE DID NOT KNOW HOW TO DEAL WITH SELF ADVOCATING PATIENTS.....THEY WERE USE TO SUBMISSIVE AND COMPLIANT....THEY WERE GOD ,AFTER ALL.

"Valium are anxiety or alcohol withdrawal. Occasionally it is prescribed in conjunction with other meds for muscle spasms. This is done off label."....per Ramage

I TAKE EXCEPTION TO YOUR STATEMENT.....the owner of clinic,who was stating there was morphine
present in the results COULD HAVE FURTHERED THE DISCUSSION and asked if I knew of any food/drug issues that might have impacted the results....he immediately jumped to CYA FOR ADDITIONAL TESTING (again the files brought into the clinic indicated a specialist had been on board and the recommended protocol was DIAZEPAM).......my files were NOT reviewed in an adequate manner in any of the cases I have described.

"as to the actions of the M.D., what are these "pertinent or elementary questions" that he should have asked?" Ramage asked

i WILL MAKE THIS SHORT,WE R GOING TO DELIVER DINNERS TO SHUT INS TODAY AND IT IS A HOLIDAY OF KINDNESS AND HOPE.

ex chief medical officer,who was my doctor,ran into the same problem..he asked if I was taking....and then listed off a half dozen or so OTC meds.....we discovered the false positive was from acid reflux med. PROBLEM SOLVED,BECAUSE HE ASKED, EXAMPLE OF PATIENT CENTERED HOME......TRUST

Post by homeagain made earlier today while the forums were briefly open, copied from the old site to here:

www.cnn.com/2022/12/28/us/campbell-fentanyl-dangers/index.html

Using the popular social media app Snapchat, Zach and a friend made contact with a drug dealer who was advertising various products he was selling near the mall’s food court. The teens purchased what they were told was the prescription pain reliever Percocet.

“But they were duped,” Chris said. “They were not sold that. They were instead sold a counterfeit pill.”