Treatment from A Doctor

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rogueviper
New Member


Date Joined Oct 2009
Total Posts : 8
   Posted 10/21/2009 8:53 PM (GMT -7)   
Recently I lost my job and had to go on unemployment pay and WellCare (medicare).  I discussed it all with my then Pain management doctor and he was sad to see me go but no problems.  When I got my refferal from go to the new doctor I thought this would be a great time to maybe talk about trying to get me off some of the meds.  I was using one Pharm with the first doctor but due to that Pharm being out of meds on the regular bases I went to another Pharm in the same town.  The new doc was very upset about this and accused me of trying to skirt around the system.  I even brought him a four month history from each pharmacy signed by the pharmicists.  Even though There were no doubles he denied me as a client and now I am trying to get another doctor.  I guess my question is.  Is this normal?

OnTheRocks
Regular Member


Date Joined Oct 2009
Total Posts : 117
   Posted 10/21/2009 9:15 PM (GMT -7)   
That hasn't been my experience, but it seems that many people on here have run into conflict with pain doctors. I can't really say if it's normal, but you're definitely not alone on the matter.

rogueviper
New Member


Date Joined Oct 2009
Total Posts : 8
   Posted 10/21/2009 9:17 PM (GMT -7)   
Thanks I was really hurt by the whole thing. I am hoping that the next doctor will be better.

Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 10/21/2009 9:26 PM (GMT -7)   
Some doctors see prescription drug seekers around every corner. As far as I am concerned if this "new" doctor is that paranoid about it then in the end he may have done you a favor.

What is extremely pathetic is that if you had not mentioned it this idiot would never have known.

You know though, if your "regular" pharmacy is often out of the meds you take and your backup pharmacy usually has them it might be a good idea to switch pharmacies for good. A good pharmacy is a vital safety check in your health care team as they should be checking for potential drug interactions everytime you have a prescription filled.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.


Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 10/21/2009 9:40 PM (GMT -7)   
Wow, it seems like some doctors are just too paranoid. I understand them having to be extra careful to not get any people who do misuse their meds, but there is a such thing as being way too careful, in other words paranoid. I think it's lucky if you find a good doctor the first itme, but normally it's a hunt, and of course if we hunt too much then it's considered suspicious....it just gets so confusing sometimes. But no, your story is not unusual at all.

-Carmen

Carmen~*~*~Chronic Pain Moderator

DX-Chronic Pain due to two freak car accidents, Pancreatic Divisum,Fibromyalgia, Asthma, Depression w/anxiety, Migraines

Meds- Suboxone 16mg for pain, Cymbalta 60mg, Lyrica 50mg, Imitrex 100mg PRN,Ibprofen 800mg PRN, Ventolin Inhaler PRN, Visteril PRN

 


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 10/21/2009 10:04 PM (GMT -7)   
Hi, Rogueviper,
Welcome to the chronic pain forum of Healing Well. It's very common for pain management doctors to require a pain contract, and as part of that it's often stated that you must use one pharmacy. Did you have a contract with your first doctor? Or the new one? If not, then your explanation, especially with the proof from the pharmacies, should in theory have been honored. But if you had a pain contract with one or both, it could have been in violation of the contract. Sadly all this is part of the process for most of us.

Do you have other PM doctors you can choose from on your insurance? If not, you might try writing to your first doctor and explaining what happened, and asking if he/she could help intervene for you. This may be needed even if you go to another doctor, because they will usually get your records from all other pm docs. Try to see if you can get this straightened out as soon as possible so the paper trail doesn't go on too long. Let us know if you had a pain contract, and what it said. That, to me, makes a huge difference.

It's frustrating, to say the least, but at least you've found a great site for support and understanding about all of this.

Again, welcome.

PaLady

rogueviper
New Member


Date Joined Oct 2009
Total Posts : 8
   Posted 10/21/2009 10:25 PM (GMT -7)   
Yes I had a contract with my first doctor and he and I worked well together. He was aware that I had to goto the other pharmacy on ocassion for the script but with him there was never a conflict. I did try to explain to the second doctor that I was going to try to use only the one pharmacy and would inform his office if there were issues. I live in very rurual area (pop. 25000) 200 sq miles. And reading the comment I think this second doctor may have done me a favor. I currently have an appointment on Monday, I hope this next one goes fine.This was also the first and last with the second doctor. I love the whole contract thing. Keeps the abusers in check. HEre's the real kicker on my old insurance I had to pay up front and turn in reciepts every 90 days for review and consideration for refund. BAck then my meds were runnubg about 400.00 a month. Like I could even afford to double up. Now on this plan I can see the issue.

rogueviper
New Member


Date Joined Oct 2009
Total Posts : 8
   Posted 10/21/2009 10:32 PM (GMT -7)   
Oh btw

CP caused by Strep A the flesh eating strain, loss of toes, skull cap, right brest, depression, and anexiety.

Current meds include 50mcg fentanyl, 10/325 oxocod, baclofen, celaxa,.

I really want off the patches but am not sure how it will do have come down to 50 from 100 in two months.

rogueviper
New Member


Date Joined Oct 2009
Total Posts : 8
   Posted 10/21/2009 10:37 PM (GMT -7)   
Snap I knew I was forgetting one...ambien too

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 10/21/2009 10:38 PM (GMT -7)   
Rogue,
I'm glad you've got another doctor lined up. I'd be prepared to answer any questions re: use of pharmacies, and arrive at a clear agreement with this new doc. Even suggest he/she contact your first one.

Sorry to hear all that's happened to you. I hope this new doc is at least as good as your first one!

PaLady

Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9622
   Posted 10/22/2009 8:00 AM (GMT -7)   
Rogue,
I hope things work out good for you with this new doctor...I had the medicine trouble one time,
my doctor switched me to oxycodone and only one pharmacy stocked it and it was not the one
I listed, so I told my doctor I had to get it at a compounding pharmacy and he was okay with
that...the thing with the contract is that they don't want you getting pain meds from other
Doctor's, which I don't do...my pm explained that to me and was okay if I had to use a
different pharmacy for one script... but I've been switchedback to norco and now getting
all my scripts from one pharmacy again....I don't know what your 2nd doctor had a problem..
but, I'm glad you've got an appointment to see a new doctor...good luck and keep us posted...
soft hugz
(((((((((((((((((((((((((((((((((((((((((((((((Rogue)))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))
**********************************************
* Asthma, Allergies, Osteoarthritis, Spinal Stenosis, Degenative Disc, Fibromyalgia, Gerd,
Enlarged Pituitary Gland, Sjogren's and Ocular Migraines

********>^..^<********>^..^<********>^..^<********


rogueviper
New Member


Date Joined Oct 2009
Total Posts : 8
   Posted 10/22/2009 9:28 AM (GMT -7)   
Thanks...I spoke to my OG Doc and he said that the contract is more on the line of no drug from anyone but him or a hospital. HE understood the two pharmacies. thanks for your input and support.

rogueviper
New Member


Date Joined Oct 2009
Total Posts : 8
   Posted 10/24/2009 3:50 PM (GMT -7)   
I am very curious to know how long does it take for your body to detox from ocycodone, bacophen, and fentenyl.? The reason I ask is that the fir too have not been out of my system...for at least 9 days..God knows they have been loving school this week...;-p...and thank god for my patches...Thanks for all you help...good to know that there are people that arent just taking the meds for a high...for real pain...maybe one day we can all find a cure.

uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 10/25/2009 6:09 PM (GMT -7)   
 
 
 
Well, I know that my Pain Contract states that I have to use the same pharmacy every time...no matter what...and if I change I have to tell them ahead of time...Now, that's what it says....but I know that I have used at least 3 pharmacies because of the Oxycodone shortage and they haven't said a word...
 
I can't imagine why a PM Dr. would use that against you...and you weren't doing anything wrong....some PM Dr.'s are just &%^holes....you get my meaning?
 
So, maybe before you go to the next one, get your previous Dr. to write a letter stating that he knew about it and that it was ok....maybe that will help.
 
Me.

I have been a spectator for so long..Now it's time to participate.......
 
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/  30 mg. Oxycodone as needed(up to 4 x a day)
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2 Diabetes: (March 16, 2009)
Metformin HCL ER 1000 mg. at night..Glipizide 10mg. 2X in the morning
Lantus 35 units at bedtime with Solostar Pen                                                                   

 


rogueviper
New Member


Date Joined Oct 2009
Total Posts : 8
   Posted 10/25/2009 6:15 PM (GMT -7)   
Thanks...I have come to the conclusion that being completely honest sometimes doesn't pay. So if this new doctor does ask I want tell. I am just hoping that all goes well for my visit tomorrow. Best part of it all is that have detoxed from the Oxycontin and baclofen. So I now have a real good idea of my true pain level. This will also help the doctor and I work together better. I am so glad that I signed up hear.
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