Posted 5/5/2012 10:51 AM (GMT -7)
This is an issue that troubles me greatly. I understand the PM's need to protect his practice, and that the fault lies with federal policy (and the media). But the OP's experience speaks to the lack of compassion for those in CP.
However, I don't want to see laws written regarding pain contracts as I doubt that they would more than another mechanism to come down hard on abusers. It would, however, be interesting to see what would happen if a denied patient sues a doctor or clinic for refusing to take him on as a patient. There is something called "public accommodation law" that has been used to fend off various forms of discrimination, ranging all the way from denying non-whites access to restaurants and hotels to requiring casinos to allow card-counters to play (the courts didn't agree in Nevada, but did in most other states).
I don't know if it has ever been tried, but I wonder if there's a chance that that law could help the OP? I suppose consulting with a GOOD lawyer in his state would be worth a (long) shot.
In my own case, I have a pain contract, but am without a copy. So, I don't recall what I can and cannot do. I thus err on the side of caution and call my PM regarding any medication that has to do with pain prescribed by another doctor (from Naproxen up). I also tell my PM everything I have taken during my appt -- e.g. I have an old bottle of opana we tried a few years ago and now and then I take one to see how benefits vs. side effects pan out.
One thing that still bothers me are the urine tests. Again, I understand that the PM is trying to protect his practice, but I see it as more like malpractice insurance, which he should be paying for rather than charging me. The tests are not germane to my medical needs.
One suggestion to the OP --- go back to the neurologist and ask him to help you find a new PM. If the violation was minor enough, then he might. Otherwise, find a new GP, state that you've had this ongoing pain and that you don't want any meds, but need to find the diagnosis. It might take a year, but in time, maybe he'll be able to get you to a new PM
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs), RT hip and SI joint damage from car accident. Also, pectus excavatum, supraventricular tacycardia and mitral valve prolapse syndrome.
Current meds: Ultram ER 300mg & 2-3x 10mg Hydrocodone daily. Oxycodone 10mg for BT. .25-.5mg xanax as needed for sleep, Verapamil 240mg SR (for tachycardia).