Question on pain contract...

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TDoern
Regular Member


Date Joined Jul 2006
Total Posts : 495
   Posted 11/26/2007 8:32 PM (GMT -7)   
So I signed a pain contract with my PCP - on the same appointment that she started a referral to see a pain doctor - I start seeing the new pain specialist in January.

I have no problem with a pain management contract - they make complete sense to me - protecting the doctor - the clinic - and myself.

The problem that I'm having is that I found out on Tuesday what the date for my gastric bypass was. It then dawned on me that without some cooperation between my surgeon and my PCP I'll be in violation of the pain contract. It stated that I can/will not receive treatment for pain in any form from another doctor - and that I'll only get my prescriptions filled at the CVS I use.

I called my PCP on Tuesday giving them the surgery date and asking about the pain contract - I got called back and was told I was right - I would be in violation of the contract - she took down my surgeons name - and said they'd call back on Wednesday. Well I hadn't heard anything from them and went in for my pre-op appointment today. My surgeon gave me a script for liquid oxycodone - it's a stomach operation and he wants all his patients on liquids only for the first week - even crushing my meds isn't good enough for him that week. I told him about my contract so he told me to just take the script call my PCP and that she could take the script and rewrite it. I know that I can't fill this script without breaching the contract. I called my PCP today was told I'd be called back today after 4pm - wasn't called back. I don't need the script yet - and wont until I get out of the hospital. BUT - what do I do if they dont call me back? I was figuring giving them until Thursday and then going in to wait for someone to talk to. But now I'm worried that the surgeon even writing me the script was wrong.

Does anyone have any thoughts? This is the first problem I've had with this doctor who has never given me any problems before now - and she's an awesome doctor. I know the pain contracts were something they had just started doing a couple months ago - so I might very well be the first person they've encountered with the problem.

It's this whole - I signed it - and even being put under for the surgery would "technically" be in breach of the contract.

Ideas?
"When we come to the edge of the light we know, and are about to step off into the darkness of the unknown, of one thing we can be sure; either God will provide something solid to stand on... or we will be taught to fly.'"

"Cause when push comes to shove You taste what you're made of, You might bend, till you break Cause its all you can take; On your knees you look up Decide you've had enough, You get mad you get strong Wipe your hands shake it off, Then you Stand" From "Stand" by Rascal Flatts
_____________________________________________________________________________
Dx.: Polycystic Ovarian Syndrome, Ulcerlative Colitis, Chronic Inflammation of the Colon, Ruptured & Fused L4-L5-S1 w/pinched nerves, Degenerative Disc Disease, Chronic Costochondritis, Back Muscle Spasms, Asthma, Benign Tremmors (hands)


nikao
New Member


Date Joined Nov 2007
Total Posts : 9
   Posted 11/26/2007 8:52 PM (GMT -7)   
Call the doctor, and if no answer go to the office, with the script.  Document who you called, when they called etc.
you nor the doctor have done anything wrong. Wait to fill script, when time and if, and when your pain doc says to.
:-)  
 
"even being put under for the surgery would "technically" be in breach of the contract"
 
Its not breach of the contract you had no control over your body needing surgery.  
your just passing a test.. doing the right thing. I took the contract seriously... my word and not to jeopordize my meds that i am
dependant on and the doctor respect of the office.
 Dont worry :)
 

Post Edited (nikao) : 11/26/2007 9:45:31 PM (GMT-7)


mom24boys
New Member


Date Joined Mar 2007
Total Posts : 9
   Posted 11/26/2007 9:31 PM (GMT -7)   
I agree with Nikao, but I would call around to pharmacies and make sure you can find the liquid. When I had my gastric bypass almost 5 years ago I had a really hard time finding the liquid, I ended up having to get it ordered for me, so you really don't want to wait until the last minute to get it.

Also I have been in the hospital having surgery (since then) and I just call my pain doctor and tell the office that I have had surgery and this is what was prescribed to me and they just note it on my chart, and that was it.

Good luck!

TexasJen
Veteran Member


Date Joined Dec 2006
Total Posts : 649
   Posted 11/27/2007 7:55 AM (GMT -7)   
I don't think you'll have a problem with your PCP. You have done your best to bring them in on your situation, and if they discharge you as a patient over a legitimate increase in meds from your surgeon, well... you need another PCP. That clause in the contract is meant to stop people from doctor shopping for narcotics, which you are obviously not doing.

As for filling your scrip for the liquid, you might check with the hospital pharmacy. They tend to have some of the more obscure meds in stock that the commercial pharmacies don't have. If they carry it, you could have it filled there when you're ready to go home and not have to make a special trip to pick it up at CVS. Run that idea by your surgeon. And good luck on your surgery!
Living in the Republic of Texas minus a gallbladder, a couple of cervical discs, appendix, uterus, and 18" of colon; but living with my wonderful husband, 2 dogs, 1 cockatiel, and 2 gold fish. 


TDoern
Regular Member


Date Joined Jul 2006
Total Posts : 495
   Posted 11/27/2007 10:30 AM (GMT -7)   
Thanks everyone :)

I know the CVS by us carries the liquid - because I called them the same day I got my surgery date to ask if my medications can be crushed until I run out then gotten in liquid form - I was told that all of them are availible in liquid or capsules that can be opened, and all are safe to crush. :)

I figure I'm giving my PCP till friday afternoon to call me back on it - and then I'll go sit in the hospital until I get word that I'm good to go. That will have given them almost two weeks to make up their minds :P

Thanks for the imput - I know I'm more scared than I should be over it - it's just that I NEED the pain medication to function. This morning I was hurting so bad that I asked hubby to bring me a pill and something to drink before he left for work because I hurt so bad I could barely move. My husband does his best to understand - but he doesn't get the whole 24/7 pain thing.
"When we come to the edge of the light we know, and are about to step off into the darkness of the unknown, of one thing we can be sure; either God will provide something solid to stand on... or we will be taught to fly.'"

"Cause when push comes to shove You taste what you're made of, You might bend, till you break Cause its all you can take; On your knees you look up Decide you've had enough, You get mad you get strong Wipe your hands shake it off, Then you Stand" From "Stand" by Rascal Flatts
_____________________________________________________________________________
Dx.: Polycystic Ovarian Syndrome, Ulcerlative Colitis, Chronic Inflammation of the Colon, Ruptured & Fused L4-L5-S1 w/pinched nerves, Degenerative Disc Disease, Chronic Costochondritis, Back Muscle Spasms, Asthma, Benign Tremmors (hands)


curley
Veteran Member


Date Joined Mar 2005
Total Posts : 4305
   Posted 11/28/2007 3:16 PM (GMT -7)   
Ok I have been through this,I see a pain doctor and I as well had to sign to contract as well.I talked to my pain doctor and was told that since I was having surgery that they would give me my pre-opt meds and it was fine because I didn't have to worry about getting into trouble.So please got to your pain doctor and tell him/her to script you pain meds.The ast surgery that I had I told the doctor that was doing my surgery to please not script any typ of pain meds but he did whene I got back home I took the script home and ran it through the papewr shureder and I told my Pain that he had scripted me pain meds.She told me that I did the right thing.So any time I have surgery I get my pin meds from my pain doctor that way every one is happy and I don't have to worry about getting thrown out.
Curley
.........
 

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