Pain Contracts

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Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 12/10/2008 11:37 AM (GMT -7)   
As you all know I am currently preparing to see a new pain doctor tomorrow. Well I received their new patient packet which included a new pain contract for me to read and sign. After reading it I of course signed it but it got me to thinking and I decided after finishing all of my stuff for tomorrow to come online and post a message to everyone concerning our contracts that each of us have signed when we decided to have a Pain Management Doctor to take over our care.

One part of the contract states that I am responsible for keeping all of my medications safe and secure from theft or loss. It also states that under no circumstances will any of my medications be refilled if they are lost or stolen. So this made me think of something. My medications are safely locked up inside my safe downstairs in the basement, but what would happen if a tornado were to wipe out the entire house and the safe were destroyed? Or say someone were to break into the house and get the balls enough to take the safe? What then? I know that I am required by law to report the theft to the police and everything but if my doctor will not refill my medications then what is the point of reporting them?

I know that some of you have your medications readily available and I wonder what will happen if your medications are stolen...does your doctor understand? Will he refill your medications for you? Just thought I would get your views on this subject.

hugs and praying for each of you to have a LPD

Love

Scarred
HEALTH ISSUES: Herniated discs at S-1-L5, L5-L4, L4-L3. Two level fusion (2000); one level fusion (2002); Revision at L4-L3 (2003). Diagnosed with Failed Back Syndrome, Permanent Nerve damage and Chronic Pain

Medications:

Kadian, Lexipro, Percocet, Temazapim, Lunista, and Robaxin.


ekkorose
Regular Member


Date Joined Jul 2008
Total Posts : 329
   Posted 12/10/2008 11:43 AM (GMT -7)   
My contact says the meds will be replaces only if a police report is provided to the doctor and this will happen no more then 3 times in the life of "our" relationship.

I couldn't imagine what I would do if a doc would not replace my meds for something beyond my control. I think that would make me seek a different doc because that seems to be a bit on the uncaring and extreme side.

Hysterectomy at 25

4 laproscopic surgeries since 24

Cervical stenosis in C3 & C4

_____________________________________________

 

Meds - percocet  3x day : nexium : xanax :

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 


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2281
   Posted 12/10/2008 12:10 PM (GMT -7)   
Scarred,
First off, welcome back!

As for the pain contract, perhaps you could talk to your doctor about your concerns. Mine says the same thing. When my sleeping pills were stolen out of the mail I couldn't even get the police to take a report b/c they said it could have been stolen in another state for all they knew. I was terrified! I went to my doctor & explained what happened. I got a statement from the Mail Order Pharmacy stating what they believed happened. He said that since he knew me & knew I always take extra care with my meds that he would refill it that one time.

Keep in mind that usually the Pain Contracts are not written by the doctors at all but rather by lawyers at their malpractice insurer. Sometimes the doctors will add something about if you miss so many appointments or such, but most of it is legal language provided by the insurance companies. Sometimes the doctors are willing to make an exception, even though they know that if something happened (for example, a patient they wrote a "replacement" script for overdosed & died) that their Insurance Company would not pay out b/c they violated their contract with them (which would mean the doctor would be 100% liable).

It's tough times to be sure, but you might be worrying for nothing. A tornado would be pretty well documented. I'm sure there are a few docs out there who would drop their patient for losing their meds in a tornado, but I would be shocked if that is the policy of most docs. Many of them got into pain medicine b/c they genuinely want to help patients. They could make more money in a hospital, but they want to see people live more comfortable lives & that's why they chose pain management. Try to give your doctor the benefit of the doubt -- at least until you find out for sure what he would actually do in that scenario.

As for why to report a theft -- you are legally liable if anything happens from someone taking your meds unless you reported them stolen. For example, if some guy breaks into your house, steals your meds, sells them on the street to some kids & one of them overdoses & dies, you could be held liable for the child's death. You know the drug dealers are going to lie about their involvement. If you don't have a police report, there is no evidence that you yourself didn't sell the kids your meds. Always best to be safe & leave a paper trail with those kinds of things. :)

wishing you a lpd,
frances

Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 12/10/2008 2:04 PM (GMT -7)   
That's so true Frances. I am not really worried about it per say I was just wondering how most of you handle keeping your medications safe from those that would rather take from you when they know that you need them for your pain. Just after moving here to Pratt there was a murder. The first in over 30 years. The lady was only 48 years old and was alike to me having bad back problems and under many medications. Someone broke into her home and murdered her for her medications so that they could either get high or sell them. We live in a world that is so untrustworthy and messed up that no one can tell who is going to hurt you for one single pill. Sad really I think, I mean a small town turned upside down because someone out there is crazed enough to kill over medication its insane.
HEALTH ISSUES: Herniated discs at S-1-L5, L5-L4, L4-L3. Two level fusion (2000); one level fusion (2002); Revision at L4-L3 (2003). Diagnosed with Failed Back Syndrome, Permanent Nerve damage and Chronic Pain

Medications:

Kadian, Lexipro, Percocet, Temazapim, Lunista, and Robaxin.


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 12/10/2008 2:11 PM (GMT -7)   
A murder in the town you just moved to??? Wow! Maybe you should write murder mysteries?? ;-)

Seriously, it is scary. I live alone and mostly try not to think about things like that happening because I can't control everything. Right now I can't even keep mice out of my house and I mean big time! But I guess there are worse problems. Hopefully they can't chew through prescription bottles.

PaLady

Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 12/10/2008 2:19 PM (GMT -7)   
OMG PA I know what you mean! The mice are now starting to come into the house and it drives me nuts LOL.
HEALTH ISSUES: Herniated discs at S-1-L5, L5-L4, L4-L3. Two level fusion (2000); one level fusion (2002); Revision at L4-L3 (2003). Diagnosed with Failed Back Syndrome, Permanent Nerve damage and Chronic Pain

Medications:

Kadian, Lexipro, Percocet, Temazapim, Lunista, and Robaxin.


kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 12/10/2008 4:20 PM (GMT -7)   
My contract says the same things.... also says that I can not accept pain killers from another dr. I, out of courtesy, always let my dr know when I have had a trip to the ER- because they do random drug tests. And, as far as the "no refills" most drs will let you file a police report. I had dropped off a script at CVS once & they lost it (for oxycontin) imagine the thoughts running through my mind. I went a few days without calling my dr & he told me if something like that happens again to get in touch with them & they would let me know. But you can't help if you are robbed, act of God, etc... just ask what to do incase something like that ever happens. Let us know how it goes... I will keep you in my prayers you find a great dr for you! -Shan
RX's: Oxycontin 80 MG 2x's daily; Dilaudid 8 MG 4xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100 MG 3x's daily (pain & fibro.); Phenergan 25 MG (as needed); Amitriptyline 25 MG 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); 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


uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 12/10/2008 4:49 PM (GMT -7)   
I had somebody, a good friend, steal my medication out of my purse right after I picked them up at the RX. I was too scared to call my Dr. so I suffered for 7 days...Finally, after the pain was soo bad I called her and told her what happened. She was pretty upset with me....only because I waited so long to call her. She scolded me for not being more careful and wrote both of my scripts (Lortab 10 & Methadone)...I suffered for nothing. So, the moral of this story boys & girls??? Trust nobody when it comes to your pain meds.....I had to learn that the hard way.

Me.

I am not friends with that girl anymore...she's lucky I didn't call the cops on her, but she has 5 kids and no help...so I felt sorry for her.....
 
 
spinal stenosis,degenerative disc disease,bilateral neuropothy.
lamenectomy L3,L4..spinal fusion L4-S1
 


kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 12/10/2008 5:04 PM (GMT -7)   
You have a lot more patience than I do..... I don't know what I would do if a "friend" stole a script from me. You need those pills for a reason. My dr said the same thing when I was without for a few days with the CVS mix up. I think if you have a good relationship with them, they know you aren't looking to do anything wrong. And she was very luck you didn't call the cops. I would have been livid, but my close friends know what I go through. That must have been a tough decision to make. I don't know. I say I would call the cops, but you are right... I have a soft heart & don't know what I'd do. Do you think she had a drug issue or was selling them for the money? I know I always take my husband with me to pick up my pain killers, there has been about 5 robberies since the 1st of the month people stealing oxycontin. I'm always nervous about having my pills on me. Those people (thieves, etc) make so hard on the ones who really need these medications.
RX's: Oxycontin 80 MG 2x's daily; Dilaudid 8 MG 4xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100 MG 3x's daily (pain & fibro.); Phenergan 25 MG (as needed); Amitriptyline 25 MG 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); 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


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 12/10/2008 5:34 PM (GMT -7)   
I always pick mine up at the drive through - although now I'll have to go into the hospital and walk back to the car. I mean how the heck can we be blamed if we're robbed trying to get our scripts from the pharmacy to our home? Should we call an armed escort service?
smhair

PaLady

skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 12/10/2008 6:49 PM (GMT -7)   

My old contract with my PM said the same thing as your's, Scarred. They must make some exceptions though. Like you said, what if a tornado destroyed your home...

This is something that I am going to have to worry about too. I'm in college, so I have to be extra careful with all those people around. Fortunately right now I live alone, and no one ever comes into my room, but I still worry about maintanence people, ect comming in unannounced when I'm not there, so I just take out what I need for the day & hide the rest.

Next semester will be a different story, because I will be living with 3 other girls. I've ordered a lock box, but I'm still pretty paranoid. I worry about someone stealing the lock box or still being able to break into it. Someone here, I forget who, suggested locking the lock box to something secure with a laptop lock, which I'm probably going to do also. I have lived with these girls before, and I do trust them, but I'm still worried because you never know. And I certainly don't trust the people who they might let in. I don't tell anyone at school what I'm taking. My roomates know that I take meds, but that's about it. I've been warned by my docs to keep my mouth shut or I'm basically asking for someone to break in & steal my meds in order to get high or sell them. It is really sad. I'm not sure what I would do now if someone stole my meds, as I've just switched docs, back to my pcp & we've never talked about the what if, just preventive measures.


Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 12/10/2008 6:54 PM (GMT -7)   
See now this is exactly why I have not told anyone that I am even taking medications that I live around or even speak with (with the exception of my drs and the pharmacy). I am so scared that someone that I trust will come into my house and me being the trusting person that I am they will take advantage of my good nature and steal my meds.

I've found a real good friend in my neighbor that lives next door on the north side and she of course knows that I have horrible pain in my back and stuff but as far as medications she has no idea and will never know. Not because I don't trust her but more because I just am a private person and I feel that no one needs to know about what I am taking for pain. I know how people tend to judge people who are on pain medications and how we are labeled as "seekers" so I figure its no ones business but mine as to my pain meds.

Scarred
HEALTH ISSUES: Herniated discs at S-1-L5, L5-L4, L4-L3. Two level fusion (2000); one level fusion (2002); Revision at L4-L3 (2003). Diagnosed with Failed Back Syndrome, Permanent Nerve damage and Chronic Pain

Medications:

Kadian, Lexipro, Percocet, Temazapim, Lunista, and Robaxin.


uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 12/10/2008 7:58 PM (GMT -7)   
 
 
Isn't it a sad day when u have to worry about whether or not someone is gonna steal your meds while you are trying to go to class and make a better life for yourself?  I usually leave mine at home locked up and hidden.  But this day I just happened to be going out of town and had them in my purse...I didn't tell her I had anything so that leads me to think she was gonna steal whatever she could find, and unfortunatley for me, it just happened to be my "Gold" so to speak....Anything else....all my $$$$, credit cards, anything but my pain meds..  that was just WRONG...
 
Me

 
 
spinal stenosis,degenerative disc disease,bilateral neuropothy.
lamenectomy L3,L4..spinal fusion L4-S1
 


Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 12/11/2008 12:20 PM (GMT -7)   
Yep Unique that is horrible that it happened to you. I am so sorry that she did that to you. When I went to my doctor today I did ask about that and found out that if it did happen that the house burnt down or a tornado destroyed the safe where I keep the meds I would have to have a police report and then they would give me a 30 day supply to keep me going until my next refill. What that referred to in the pain contract is like if you were to pick up your script and walked out of their office and the wind were to have blown it out of your hand before you made it to the Pharmacy. In that situation they would not replace the medications and you would of course be given enough withdrawal meds to last you until your next refill then start over on a new month.
HEALTH ISSUES: Herniated discs at S-1-L5, L5-L4, L4-L3. Two level fusion (2000); one level fusion (2002); Revision at L4-L3 (2003). Diagnosed with Failed Back Syndrome, Permanent Nerve damage and Chronic Pain

Medications:

Kadian, Lexipro, Percocet, Temazapim, Lunista, and Robaxin.


skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 12/11/2008 6:41 PM (GMT -7)   
Me,
Wow. That is just horrible. Just when you think you can trust someone! It's like the say, some of the worst crimes are commited by friends or aquiantances of the victim.

Scarred,
I'm glad you talked to your new doc & clarified the contract. Hope the rest of your visit with the doc went well.

Skeye

Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 12/11/2008 7:08 PM (GMT -7)   
Ohhhh guys I am so worried now! I've been having problems keeping on track with my medications and have a few times taken one too many because I thought I had not taken it an hour or two before. It's only happened with my Percocet but still I'm worried now because I had to of course do a drug test for the new doc and now I am worried that they will drop me for taking to many. How am I going to get through these next 6 weeks until I see the doc again without going totally out of my mind with panic?
HEALTH ISSUES: Herniated discs at S-1-L5, L5-L4, L4-L3. Two level fusion (2000); one level fusion (2002); Revision at L4-L3 (2003). Diagnosed with Failed Back Syndrome, Permanent Nerve damage and Chronic Pain

Medications:

Kadian, Lexipro, Percocet, Temazapim, Lunista, and Robaxin.


skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 12/11/2008 7:25 PM (GMT -7)   
Wouldn't they call before you went back if something was wrong with your test? Donno, never had to take one before. Wish I could help more.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 12/11/2008 10:40 PM (GMT -7)   
Scarred,
Are you worried about running out of percocet, or your urine screen? If it's the latter, wait and see if there are any problems with the test results. If there are, then explain to the doctor what happened. But I think you need to get some organizational systems in place, as this new doctor might get suspicious if there are too many things that need to be explained.

I have found anymore that I have to write down when I take my meds. There are just too darned many of them to fit in the daily pill box things, and too many for me to keep track of. So I save scrap paper and just jot down when I've taken what. Then I can go back and see what I took when; otherwise I'd be doing what you did!

Get a notepad, relax, and go catch some mice! (eek!)

PaLady

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13466
   Posted 12/12/2008 2:53 AM (GMT -7)   
My PM dr requires all of his patients to sign a Contract. I just sign it and glanced over it. This is a CYA thing for these PM drs believe it or not. My Contract goes into some depth about the drugs can being strong and a possibility of becoming dependant on them. Drs have been sued because a patient was given X, Y Or Z and then either the patient or family member swears up & down they were never notified of this possibly happening. In addition, this Contract could be something required by the drs Medical Malpractice Ins too.
 
Mine had all the usual warnings about getting pain meds somewhere else, giving one of my pills to a friend or family member, running short either because I took too many, lost some or script stolen. I think if a person is a good patient and has been with the dr for some length of time, he will know if you are telling him the truth. Not remembering when you took your meds will only make you look irrresponsible with the dr. PA had a great idea on how to keep track of your meds.But, running out cause you took to many may be a red flag for a dr, not sure I would mention it at all. The Contract goes in depth about patient responsibility so I would ditch that idea.
 
In 4 yrs I have had 2 pee tests and thats it it. Both came back fine of course. The only time you are notified of a problem is if too much of a drug, not enough or something that shouldn't be there at all showed up. The dr can terminate his care if he has a patient has a problem UA. It says that in the Contract too.
 
Ry do you have adequate pain control with your current meds. Maybe its tme for either an increase or a switch in meds. I would talk to my dr on the next visit. Hugs, Susie


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 12/12/2008 3:00 AM (GMT -7)   
Me:
As far as I know, nobody gets high on Methadone. It kinda just slows you down
and makes you feel like a dud. (At least that's how it is for me) I wonder why
your ex friend stole it.
Pamela

Post Edited (Pamela Neckpain) : 12/12/2008 3:11:27 AM (GMT-7)


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 12/12/2008 3:10 AM (GMT -7)   
I kinda worry about the pharmacy itself. Sometimes there are a lot of "kids"
working there. They are not pharmacists. They have sisters, brothers, and
friends. Those youngsters actually know our pain profiles and our addresses. We
usually hear about people under thirty being the most interested in getting high
on drugs. Of course, we have to trust somebody but I worry about them.
Nobody but nobody knows what I take for pain. There are still many people who
think Methadone is for recovering addicts.
PN
MEDICAL CONDITIONS

Osteoarthritis all levels of spine right down to Coccyx,Spondilytis,Myofascial Pain
Fibromyalgia,Bulging Discs,Spinal Stenosis,Scoliosis,Osteopenia,Chronic Constipation
Carpel Tunel Syndrome, Attention Deficit Disorder,
Depression & Anxiety

Methadone for Pain, Xanax for Anxiety, and more, of course.


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 12/12/2008 3:18 AM (GMT -7)   
Scarred & Pal,
You'll love this. I actually had to move away from a house and a certain area
because there were lizards in the side yards. Lots and lots of lizards. They
just sat there all green-gray and prehistoric flicking their tongues and humping up
and down on MY rocks.
One time ... One twilight ... OMG .... listen to this ...
I was in a chat room and I saw a "leaf" outta the corner of my eye. I didn't
really look because somehow the "leaf" gave me a chill.
When the leaf moved closer to me I looked. It was oh, oh, oh ... Half a lizard
that the cat had brought in for a gift for me.
I stayed on the chat line. Everybody was laughing at me and we discussed such
things as whether or not lizards could climb chair legs. I was sitting on my
feet. It was a good distraction. I could not move.
It was after that when we moved from the house. OH!
Mice are small, cute, and furry. They have little pink feet. What in the hay are
you worried about.
Pamela Offtopic smhair smhair smhair

Lizards = skull
Mice = smurf

Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 12/12/2008 3:22 AM (GMT -7)   
make that "half lizards" shocked

Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 12/12/2008 8:18 AM (GMT -7)   
Actually PA I'm worried about passing the UA not running out. I have bought a pill reminder box to aide me in the reminder as to whether I have taken my meds and also I will start writing them down as well (that is a very good idea to write it down). I've been a little uncoordinated because I have been taking my medications at different times in the morning as I have gotten up at 3 or 4 and fallen back to sleep after hubby has gone to work at 7:30am and not woken until 9 or 10 so that screws my whole schedule up.

I will fix this if it comes up as I have messed up and since it only happened once and I don't intend it to happen ever again and intend on sticking to my scheduled medications like I am suppose to this is only a screw up on my part that will not reoccur. If I have to take ua's after ua's for the next few months so that they will trust me again then that's what I will do but I am not abusing my medications and it was only one slip up and it will not happen again.

Scarred
HEALTH ISSUES: Herniated discs at S-1-L5, L5-L4, L4-L3. Two level fusion (2000); one level fusion (2002); Revision at L4-L3 (2003). Diagnosed with Failed Back Syndrome, Permanent Nerve damage and Chronic Pain

Medications:

Kadian, Lexipro, Percocet, Temazapim, Lunista, and Robaxin.


kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 12/12/2008 12:57 PM (GMT -7)   
scarred, i have a box that holds a weeks supply of my meds. i have found if i break them up into my pill box i don't lose track of them or take too many. i had a problem with percocets too, & told the dr to switch me off them. not that i was chomping too many, they just made me paranoid & restless. i have had them before & always a bad reaction, nothing else bothers me. though when i first started taking my dilaudid i did have some really vivid crazy dreams! i was waking up every 20 minutes from nightmares. now i'm fine. i understand what are going through, sometimes when the pain is just so bad its easy to think, well i will take an extra & make it up later.... i don't want anyone to think i have a problem.... but i find that if i use my pill box vs having the pills on my nightstand i am not tempted to do that. i try and drink hot chocolate (maybe the new grape juice) or take a hot shower. i wish there were more people who understood we hurt so badly & how unfair it is. the loss of sleep i think is the worst! have you considered telling your friends about your meds & how important they are to your daily functioning? they have to suspect you are taking something to manage your pain. i guess after reading these posts i am so blessed to have people in my life who would do something like that. i'd rather them take everything i own versus my meds. i think we all feel that way.
RX's: Oxycontin 80 MG 2x's daily; Dilaudid 8 MG 4xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100 MG 3x's daily (pain & fibro.); Phenergan 25 MG (as needed); Amitriptyline 25 MG 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); 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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