RESPONSE NEEDED ASAP -- ER HELP??

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renren13
New Member


Date Joined Jul 2011
Total Posts : 10
   Posted 7/14/2011 9:00 PM (GMT -6)   
I have done all I can to make it to this day. I am in pain and having reactions to abruptly stopped medication due to my doctor suddenly leaving and or closing down. I do not know why and the operator at the Dr.'s office can not tell me - I am sure it is a privacy right's situation and for that I respect that particular matter but direly wih I knew where to turn.

I have called 32 doctors. Most can not see me due to the pain medications i am on. Others wont except me because I lost my insurance when I was discharged from my previous employer. No insurance will pick me up due to pre- existing conditions, "they say' and HIP excepted me but enrollment was full.

Urgent care will not except me. The ER is all I am left with. I feel this is an emergency but I am waiting (on the floor) for my fiance to come home so he can drive me. Will the ER assist me with a temporary script until I can get into a PM doctor. I have found one that will see me in almost a month. It is the only one that will due to my medications, having no insurance and the circumstance of no doctor. PLEASE REPLY ASAP.

The ER bill will be 1000 or 2000 or more that i can not afford but will deal with that later when the damage arrives in the mail. I just need advice. Will I be helped? OR will I not be helped and leave with the pain and WDs I came with except 10x more anxiety.

THANK YOU!

Angeleyes13
Veteran Member


Date Joined May 2011
Total Posts : 636
   Posted 7/14/2011 10:42 PM (GMT -6)   
Renren13, I really highly doubt that the ER will send you out the door with a prescription for a months worth of patches. They will likely help you with the withdraw symptoms and possibly a script for a few vicodin or something similiar if they determine why you have pain. Maybe I am wrong, or they may be aware of an issue with your current PM and be prepared allready with info.

You mentioned something before about your PM doctor prescribing your blood pressure medication! This confuses me as to what type of dr you where really seeing. As I have never heard of a PM dr handleling your regular meds as well. I cant predict what happened to your dr, but have you called your PCP for help, if in fact your PM dr has closed up shop for one reason or another this is who you need to communicate with. I just dont know.

I am sorry if that is no help what so ever, but I really feel like we are missing something here. The chain of events doesnt exactly add up. Have you requested a return call from the doctor on call due to your symptoms? It would seem unlikely that they would continue to send calls to an answering service if they are gone.
DX: CRPS/RSD full body, Fibro, CP, DDD, DJD, OSA, Syringomyelia, Arachnoiditis, failed fusion. Fusions C5-6, L5-S1, hardware removal and removal of scar tissue. SCS trial successful awaiting placement.
MEDS:To many to mention, changes every week it seems.

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1235
   Posted 7/15/2011 2:06 AM (GMT -6)   
Renren,
The ER is not going to give you a prescription for the fentanyl patches. Withdrawal is not an emergency, despite it feeling like it is. That is , unless you have some other life threatnening condition that would make sudden withdrawal dangerous.
This is how many days now since you removed the last patch? The worst of the withdrawal symptoms should start improving after day 3, and should improve more as hours go by. If I recall correctly, this should be at least day 3 now, so your symptoms should improve from this point on. Chicken and rice help bind the bowels, so eat rice, chicken and other bland foods for the next day or so to help your body readjust to the intake of food.
The symptoms of withdrawal can easily be managed with some over the counter medications, like anti diarreheal medication, and there is some ingredient in the antidiarreheals that helps to ease some of the withdrawal symptoms too,  some hot showers for the chills and cool baths for the muscle cramps , and some gatorade to help make sure you don't dehydrate.
The most the ER will do is maybe give a small, very small amount of vicoden and most possibly a catapress patch to help with withdrawal symptoms but your GP can also give you similar medications.
An urgent care is also not going to give you a prescription for fentanyl but may give you a catapress patch which is supposed to help with the withdrawal symptoms.
 

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1235
   Posted 7/15/2011 2:11 AM (GMT -6)   
Shell,
Your last part of the post reflected what I was thinking too......something isn't adding up, and I am not sure what it is. Ren ren could have left the patches on for three days instead of every 48 hours changing them and that would have extended the time that she had before running completely out. Even leaving them on for longer than 72 hours , because of the adhesive would have kept some level of fentanyl in her system until she could find out what is going on.
I have also never heard of a PM doctor prescribing blood pressure meds, so maybe this was a sliding scale clinic and she was getting her medications prescribed through that? I don't know, but there is something missing from this story and whatever it is, is making this situation just not sound kosher to me.
Sandi
Motorcycle accident 1992, Back problems from 92 to 2005. August 2005- early 2006- Chiropractor care
March 2006- consult with surgeon -PLIF/TLIF L4-5, spondylolysthesis, canal and foraminal stenosis, multiple herniations
Post Op Cauda Equina Syndrome
Revision August 2007- salvage op
March 2011- 2nd onset of Cauda Equina Syndrome
Needs surgery to prevent paralysis

renren13
New Member


Date Joined Jul 2011
Total Posts : 10
   Posted 7/15/2011 2:31 AM (GMT -6)   
Well Guys I went. Based on my records and MRIs that were performed at the hospital I went to for an ER visit ~I was sent with three fentanyl patches to 'bridge/carry" me over ( allowing me 6 days to get a Pm doctor. I think I may have one. I have faxed and faxed and called and called and finally got a receptionist that worked for my suddenly gone PM doctor. I had to be persistent but she faxed my records to a doctor that would except me and we will see how that goes on Thursday of next week. I had to go to ER. It was all I had left despite how much I did not want a bill for 1000 bucks! My shoulders were locking up and burning so badly that it took all the effort I had to just go. At least I can focus for a week and get something done now. Answer me one thing PLEASE... I feel deserve to know what hap with my doctor.I have made calls to a lady at the hospital he is affiliated with but she wasn't there when I called right back. They ( receptionists at my doctor's office) will only tell me he is no longer with us. ANY SUGGESTIONS ON HOW TO INVESTIGATE THIS MORE WOULD BE HELPFUL. They scheduled my an appt. for August 3rd for my blood pressure medication. And I am not going just to get that with a $75 copay and also pay $250 to get in this new doctor so maybe I can get my bp meds from him or maybe I can be off the BP meds ~ until then I have some left. (and for guy above I do not have a PCP he was my PM doctor and PCP They closed for 2-3 days leaving a sign on the door so I couldn't even get my medical records after that, I only had to go into day 3 with out my patches but I had xanax to help and I wore that last patch longer and just got maxillofacial surgery that gave me lortab for the teeth pain (because fentanyl isn't the dentist preferred medication for teeth gum surgery).so that helped as, well, your gonna laugh when I say this; but I have had so much dental work done that when I went in to the orthodontist I had no idea what I was in for. Walked out numb as heck, and stitches in my gums due to a tooth that broke off and infected my gums rather quickly and a cut open gum line near my sinus palette. I it was a root canal and crown that ended up falling out~ but only few months after it was done (and I swallowed in nearly choking to vomit.) And no. I do not see that dentist anymore. So thank you guys a bunch. I hope I can be here to help others. Im exhausted. Thanks again.

flower123
Veteran Member


Date Joined Apr 2009
Total Posts : 856
   Posted 7/15/2011 4:15 AM (GMT -6)   
Hi. I'm sorry that you're in this situation.

It's great that the ER gave you three patches. I really think that you should try to make them last nine days instead of six though.

I don't think that you'll be able to find out why this happened. It's a terrible situation for anyone to be in...

I hope that the new doctor is able to get your pain under control.

Hugs,

Flower

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1235
   Posted 7/15/2011 9:04 AM (GMT -6)   
Renren,
If you got three patches, instead of leaving each one on only two days ( 48 hours), they are supposed to last 72 hours. With the new adhesive backing, the fentanyl is in the adhesive, so it gives it a much smoother delivery, and more consistent. You should be able to leave the patch in place for the entire 72 hours , and that would give you 9 days worth of medication, rather than just six.
I have never heard of a PM doctor giving anyone blood pressure medications. That is very strange. If they finally got a new doctor at the old practice, to replace the one that was there, then you shouldn't have any further problems.
It sounds to me that this is a cash only clinic? Is that the case? You pay cash for the visit and get your medications there also?
I doubt that this new PM doctors office is going to write you a prescription for blood pressure medications, so it would be prudent for you to find yourself a regular GP doctor to take on that aspect of your health care. If you need bp meds, you will most probably continue to need them, so it doesn't sound like not taking them would be a good idea.
Sandi

NiNi53
Veteran Member


Date Joined Mar 2011
Total Posts : 816
   Posted 7/15/2011 9:57 AM (GMT -6)   
From your first post until, I couldnt understand what was going on with your doctor.  I to have never heard of pm doctors giving bp meds.  Do you have a GP, if not get one, even your GP could have helped you out.  You had xanax all that time, why were you so worried about wd, if you had xanax, your withdrawal would be minimal.  I dont know what state you are in I think you said Indiana? I am not sure, It seems to me that no matter how many people answered your posts, you kept posting the same thing over and over again.
 
I am sorry if I am mistaken and everything you have said is what is going on.  But I have to be honest, after the third request for help, when many persons had given you all the advice there years of being cp patients had tried to help, I too thought something was missing from your story.
 
You have been a cp patient for at least a year right?, you seemed so scared, and indeed it is scary, as far as the doctor that up and left, get ahold of the AMA, see if they have any informtion on your doctor, it is very undoctor like especially a pm doctor to up and leave patients with nowhere to go and no meds for at least one months worth.
 
I have  had a pm doctor relocate, but they left me with one months worth of meds and all my records to have time to find a new pm doctor.  Your doctor should be held accountable for his/her actions, did you know any of the other patients there? what did they do.
 
 
Well good luck to you.
degenerative disc disease, fibromyalgia, osteoarthritis, neuropathy, lumbar laminectomy july 1998 no help, rechargeable neurostimulator unit low right back w/lead wires to left side and right leg unit not working just sitting there.i am 57 years young in may will turn 58. i have 2 grown daughters, 25 and 29. i have 2 grandchildren, 9 year old grandaughter and 5 yr. old grandson

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16411
   Posted 7/15/2011 12:03 PM (GMT -6)   
RenRen I hope this new dr will take you on as a permanent patient. I would not go back to that clinic for BP medication, instead if you have issues with high BP you would do much better finding yourself a primary care physician. They can see you for pretty much anything except most will not handle chronic pain patients. Everyone needs a good primary care physician in their corner.

We could sit here all day and speculate what happened with the dr, who knows the feds could have closed him down, I mean there is really no way of knowing, his office sure will not tell you anything. If you read your local paper you may want to be on the lookout for any articles over him being shut down, if it was by the feds it will eventually be in your paper.

Let us know how your appt went. Yes, I too think you need to make your patch last 72 hours instead of 48. The Fentanyl patches are usually rx'd to be changed every 72 hours. If the outside temperature is hot where you live stay inside where it is cool so that your body temperature does not get elevated causing your patch to release too much medication. Same thing with staying out of a hot shower.

Let us know how your appt goes. Take care.
Moderator Chronic Pain Forum

sashasmom
New Member


Date Joined Jul 2011
Total Posts : 2
   Posted 7/15/2011 12:47 PM (GMT -6)   
I think you said your name was RenRen,  Well Hi, I'm Sunlover, I grew up in  Florida but live now right outsid of Chattanooga,TN.  We have had several PM doctors closed down because they were really nothing more than drug dealers.  I feel very fortunate to have a reputable PM doctor.  But he and my nuerologist won't or can't tell me if the nuropathy in my hands and arms will or will not go away.  Does it stay with you forever.  I hate being on oxycotin and percocet and teramadol, as we all know they are very addictive.  I have a terible fear of being addicted to them.  I told my pm doctor I wanted to come off of them so we tried. I got down to 1 20mg. oxycitin a day and within 2 days I was in so much pain I couldn't stand it.  He put back on all of it 20mgs of oxy a day and percocet for any breakthrough pain I might have which is twice a day. I absolutely hate it, cause now even with all these drugs I still hurt.  Woke up at 5am this morning in pain.  What is this patch you are all talking about.  My dr. has never mentioned it.  I was going to talk to him about a tens unit at my next apt. in August.  I hope you are feeling better real soon and can someone tell me about this patch and tens units.  Thanks,  Just reading everyones thoughts has made me feel like I'm not alone with this.  My husband of 37 years has been wonderful but I know he doesn't compleatly understand the pain and depression that goes with it.  Thank You All again,  Sunlover

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1235
   Posted 7/15/2011 7:53 PM (GMT -6)   
Sashamom,
Welcome to the forums! We're sorry that you had to join us but glad that you found us....hope that makes sense ! Anyway, I just wanted to address something that you said about oxycontin, tramadol and percocet being "addictive", yes there is a potential for "addictions" to come from taking medications, but that only happens if you are abusing the medications. "Abusing" the medications means, taking more than you are supposed to, without the permission of your doctor, taking it more often than you are supposed to, altering the delivery method of the medications, and some other factors all come into play in addiction, including the potential for abuse/misuse.
Tolerance is something that will occur in any patient taking long term opiate medications. It is simply that the body becomes acclimated to having a certain amount of opiate in our system and if we were suddenly to stop taking those opiates, we would experience withdrawal. After some time on these type of medications, just as in other types of medications, our bodies become acclimated to the current dosage, so our dosages may need to be raised or lowered, depending on the circumstances.
It is very, very common , when we are lowering our doses of pain medications for our bodies to try to convince us that we need it, but that is simply an issue of tolerance and many people find if they can stick with the lower dose, their body will start to reproduce the endorphins to help block the pain again....It may take a couple of weeks for your body to start making its' own endorphins again but in the meantime , you can supplement the pain medication by using heat, ice, over the counter creams and analgesics, TENS as you mentioned and even rice grains in a sock , heated in the microwave will all help lower the seemingly increased pain.....medications should only be one small part of your total pain management plan- use the other modalities as a first line defense when pain levels rise and you will find that both the other modalities will be pretty effective when you find the right combination for you, but it will make your breakthrough meds more effective as well, when they are used sparingly.
There are many other medications for you to try if you are not finding adequate relief from your current pain medication plan before the patches. The patches they are talking about are fentanyl transdermal patches. They are up near the top of the pain medication spectrum and should only be used after a patient has been properly titrated up to that type of medication.....
There are also many of the anti depressents that work really well in managing nerve pain ( neuropathy). Gabapentin and Lyrica are two other , similar medications that really do work well at managing nerve pain. Talk to your doctor about trying some of the tricyclic antidepressants or SSRI's, such as Cymbalta , which is reportedly getting good results in neuropathic pain......
Best wishes to you,
Sandi
Motorcycle accident 1992, Back problems from 92 to 2005. August 2005- early 2006- Chiropractor care
March 2006- consult with surgeon -PLIF/TLIF L4-5, spondylolysthesis, canal and foraminal stenosis, multiple herniations
Post Op Cauda Equina Syndrome
Revision August 2007- salvage op
March 2011- 2nd onset of Cauda Equina Syndrome
Needs surgery to prevent paralysis

purplereading
Regular Member


Date Joined Nov 2010
Total Posts : 108
   Posted 7/16/2011 3:12 PM (GMT -6)   
First, there are no insurance companies that can refuse due to PREEXISTING conditions. That was outlawed. AND , if you were continuously insured for the past year, before leaving your job, ANY insurance company has to take you. You get the proof of that from the old isurance company , which usually just sends it in the mail. AND< when you leave a company or work insurance plan, you have COBRA so that you can continue to have the same insurance if you can afford it. Fortunately, Obama administration passed a law where the government was picking up something like 60% (not sure of the exact amount) for each person forup to 18 months. This was originally only going to last so many months, but I believe it is still going on. IF you can afford a "1000-2000 dollar ER bill", then you can afford to pay for the insurance through Cobra, esp. with help.

As a nurse,and former user of fentanyl patches, they are suppposed to last 72 hours, and if I were without , I would wear one for 72 hours,and then still save it, and hope if I was not able to get more, that maybe I could utilize the oldused ones, for a little coverage.
till I got a new script. PLUS the cost of fentanyl, even generic is one of the more expensive ones.
Was this an office with multiple doctors, as if not, why would they be open at all, and if they are, then they should be able to refer you to another dr, or one out of the office. Not much of this makes much sense.
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