Release From Pain Doctor?!

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Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 10/9/2008 4:08 PM (GMT -7)   
Why would a doctor release you from care when he is the one who prescribes
Opiods?
I have a friend who is in this spot.
Pamela Neckpain shocked

ekkorose
Regular Member


Date Joined Jul 2008
Total Posts : 329
   Posted 10/9/2008 4:42 PM (GMT -7)   
A few reasons listed on my contract are

Pill counts are off
Drug screening comes back with undesirable results
RX for pain meds obtained from outside source. (I cannot even take an Rx from the ER)
More then 2 no call no shows to appointments
Seeing another PM doctor


The practice I go to really covers their tails when it comes to Rx'ing pain meds!

Hysterectomy at 25

4 laproscopic surgeries since 24

 

Meds - vicodin : nexium : skelaxin : klonopin

 

Supplements : calcium : magenesium :potassium : milk thistle : fish oil : B complex : vit E


In the United States today, there is a pervasive tendency to treat children as adults, and adults as children. The options of children are thus steadily expanded, while those of adults are progressively constricted. The result is unruly children and childish adults. ~Thomas Szasz 


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 10/9/2008 4:56 PM (GMT -7)   
I love your signiture-another favorite quote of mine from Szasz is "Scitzophrenia is a sane reaction to an insane society."

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 10/9/2008 5:16 PM (GMT -7)   
Szasz was a wise man indeed. I haven't heard him mentioned since my college days! Very appropo to what's going on in the US today.

PaLady
oops - forgot to answer Pamela's question, although I think ekkrose did a good job. Could be lots of reasons, but anything that violates the pain contract. Or it could be that the doctor has decided not to continue prescribing pain meds.

BionicWoman
Regular Member


Date Joined Jul 2008
Total Posts : 243
   Posted 10/9/2008 8:20 PM (GMT -7)   
Adding to ekkorose's list, from my own pain contract..

- Failure to return a phone call from the doctors office within 24 hours

- Failure to notify the office of an ER visit within 24 hours, regardless of the reason for the visit

- Failure to bring all medications to your appointments, regardless of the purpose of the medication or the prescribing physician

- Failure to notify the office within 24 hours of changing your pharmacy

- More than 1 call for refills outside of specific hours (M-W-F 12-5pm, T 9-11am)

- Failure to achieve goals in the timeframe outlined in your plan of care, including weight loss goals.

- Failure to comply with addiction screening and/or treatment if the physician determines it's appropriate.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 10/9/2008 9:32 PM (GMT -7)   
While I agree that SOME of these things are important, as I read them I realize how much we're treated like criminals. If I was trying to stay working a full time job, that alone would be enough to max me out. Trying to keep track of all these "rules" would put me over the edge.

Again, some things are reasonable. But all the rigidity (like more than one call for refills outside of specific hours, etc.). This is nuts.

PaLady

Hound-Dog
Regular Member


Date Joined Oct 2005
Total Posts : 183
   Posted 10/9/2008 11:45 PM (GMT -7)   
Like most people, I can see the logic in some of these Dr.'s rules, like monitoring proper useage and the legitamacy of the prescription for the pain being suffered by the patient but that's where the grilling should stop.Responsible people should never be treated like criminals to get their pain medication. Pam, I hope your friend is able to find a helpfull Dr. on short notice.

Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 10/10/2008 1:56 AM (GMT -7)   
All these rules show so much lack of trust. Our relationships with our doctors
should be trusting both ways.
Bionic Woman: Your doctor (or clinic) is sooo strict. I'll bet you even had to sign
a contract.
Pamela eyes

BionicWoman
Regular Member


Date Joined Jul 2008
Total Posts : 243
   Posted 10/10/2008 3:24 AM (GMT -7)   
Signing the pain contract was the least of what I have to do.  shakehead
 

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 10/10/2008 11:00 AM (GMT -7)   
I know we keep talking about these same issues on the forum - and with good reason - but reading them listed so starkly makes me want to scream. smhair

Maybe if we didn't have to expend so much energy responding like children to rules that favor only someone else's office, we'd have a little energy leftover for our lives. Or maybe to organize with one of the chronic pain organizations and fight this junk. Again, I think it's reasonable for a doctor to keep track of our meds, and whether we're taking them properly, but the rest of the junk is CRAZY. I am trying to figure out how to pay for my heat this winter. How to pay for my co-pays for meds. and doctor visits. And maybe, just maybe, whether I can ever work again. My doctors should be working WITH me in these efforts, not adding extra stress.

Ah, but I digress. shakehead

PaLady
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