Second Opinion

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Regular Member

Date Joined Mar 2007
Total Posts : 161
   Posted 11/13/2008 12:12 PM (GMT -6)   
Does anyone know if you have to tell your current PM doc that you are getting a second opinion.  I really do not want to get my current PM doc mad by telling him.  I do not want to tell him.  That being said I would not go into the new PM docs office looking for meds.  I would not get any meds until I am not under the care of the 1st PM doc.  Basically I want to interview a new doc. Also , will the insurance company tell the current PM doc of your going to a second opinion?  Will your current PM doc find out about the second opinion?  I just dont want him to get mad..... THanks

Pamela Neckpain
Veteran Member

Date Joined May 2008
Total Posts : 1821
   Posted 11/13/2008 3:26 PM (GMT -6)   
OMG, shaw ... You asked the same exact question that I have. I wonder if anyone
knows. I hope so.
Pamela Neckpain

Veteran Member

Date Joined Aug 2008
Total Posts : 3193
   Posted 11/13/2008 3:39 PM (GMT -6)   
No, you don't need to tell your current doc you are going for a 2nd opinion.  As long as you are not getting medications, you are fine.
No, the insurance company doesn't care.  I've had multiple insurances over the last five years and have never had any problems with this type of thing. 
You aren't even starting care with the new doc; you are interviewing them.  I would suggest NOT telling your current doc until you find your new doctor.  Once you do, you can then switch over.  You can terminate your relationship w/ your current doc via a letter; I would definitely have it in writing if you have any type of signed contract. 
The new doc won't find out about the second opinion UNLESS the doctor you consult with sends their notes to him.  I would specifically ask the docs you interview NOT to do this.  Explain what you are doing; you are interviewing docs to find a better quality of care.  The only reason they would care is if, again, they were giving you medication.
I'm actually going to do exactly what you are doing.  I want a second opinion re: getting my pain pump implantation.  I found that there is another doc about 20 minutes from here that has a good success rate w/ the pump.  I don't want to terminate my current relationship w/ my doctor.  I just want a 2nd opinion.  I will make the appt., go the appt., and see what happens.  If I really like this new doctor, I'll weigh the pros/cons and maybe switch doctors.  If I do, I'll write my current doc a letter, thanking him for his care but that I've found another doctor that I'm going to go with.
Are you really worried about making your doc mad....or is it that you are afraid you won't find another doc, and that your current doctor will find out and stop prescribing your meds?  A doctor can't do this for getting a 2nd opinion.  Even though we are literally shopping for a new doctor, "doctor shopping" (in it's negative context) only deals w/ getting meds from multiple sources w/out the others knowing.  All you are doing is getting a 2nd opinion. 
Good luck! --Tina



Diagnosed with: POTS/dysautonomia; Fibromyalgia; Severe Hypertension; Hypothyroidism; Adrenal Gland Disorder; Chronic Pain - severe carpal tunnel syndrome, migraines, severe back problems, widespread muscle/joint well as depression/anxiety.


Current Meds: 480mg MS Contin, 90mg MSIR, Soma, Effexor and MANY other meds (heart, thyroid, etc)

Past Meds: EVERYTHING.  Fentanyl patches, Actiq (which caused $$$ in dental work), Fentora, Oxycontin, Oxycodone, Kadian, Avinza, Dilaudid and on the list goes.


Waiting On: Intrathecal Drug Pump Implantation (Dilaudid/Baclofen combo)


Veteran Member

Date Joined Aug 2006
Total Posts : 9607
   Posted 11/13/2008 3:47 PM (GMT -6)   
When, I switched to a new PM Doc it was a complete split from my other PM Doctor. The
new one is a little better than the other one, so my opinion would be if you switch to make it a complete switch
as you'll have to sign all new pain medication contracts and stuff. You might want to go to this
new doctor's waiting room, ask his patients if they are satisfied with this doctor and you might
get an idea as to how long a wait you'll have as well, just a suggestion. I'm sure others will probably
come along with better advice...
Good Luck in whatever you decide to do...
Lots of soft hugz......
* Asthma, Allergies, Osteoarthritis, Spinal Stenosis, Degenative Disc, Fibromyalgia, Gerd, Enlarged Pituitary Gland
******** "We could never learn to be brave and patient if there were only joy in the world" from Helen Keller *********


Veteran Member

Date Joined Jul 2007
Total Posts : 554
   Posted 11/13/2008 3:49 PM (GMT -6)   
no i would not advise your current dr of the situation until you are switched. just my opinion. i would definetly make the new dr aware that you do not feel you are getting adequete care at your current dr. you don't want to be excused for drug seeking. if you have private insurance as long as you don't need a referral i would think it would be ok. never hurts to call & ask. though i doubt it would be an issue. but i don't know your insurance. i would take my meds to the new dr so he knows you are willing to flush them when given a new scipt. (some dr are like that) your drs office probably will find out if are up front & have your records faxed. you can play it 2 ways.... act like you have no idea whats wrong & start from square 1 or be upfront. i had a dr who just made me feel like ** bleep** he accused me of seeking because i was "too young to be experiencing back pain like i am describing" what? are you serious? i really thought no dr will take me seriously. i had nights i just cried & cried from the pain & NO ONE was listening. finally i moved to a new state, got a new PCP dr- he referred me on to my pain dr & i think the world of him & his practice. he actually has back pain, too so he knows what its like. he never asked for my old records, he started from scratch. which i am glad cause the other dr said i had disk deteration. completly wrong. i actually have a completly broken disc. a lot of other issues as well. so it can play out either way for you. they say honesty is the best policy. i would be honest with your new dr, then break it to your old one when you do find one you like. thats just me..... i'd probably bring in some cookies. lol. i don't like people being mad at me. then again i was so angry at my old dr who gave the wrong diagnosis i never as much called him or said goodbye. i was so upset for so long. i just went through a lot. i lived in a small town in georgia (not a lot of drs to chose from) now i am in tampa- lots of options here. i was lucky to get one the first try. good luck & let us know how it goes!
RX's: Oxycontin 60 MG 2x's daily; Oxycodone 30 MG 4x's daily; Soma 3x's daily; Lyrica 100 MG 3x's daily (all for pain & fibro.); Phenergan 25 MG (as needed); Amitriptyline 25 MG 1x at bedtime; Cymbalta 60mg 2x's daily (for pain & fibro); Restoril 15mg at bedtime; Zanaflex 4mg 3x's daily; Metoclopram (as needed) & Senokot (as needed).
"The most critical choice you'll ever make is the one you make about what you're going to do with this. The past is over. The future hasn't happened yet. The only time is now."
- Dr. Phil

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