Before I moved here, my previous PCP, who was also my doctor for 15 years and knew my whole health history, was also treating me for CP. I had to sign a contract, more than one, I think it may have been every 3 or 6 months, as the contract would sometimes have revisions. The major point I took from that particular experience was that regardless of whether I was getting surgery or dental work, HE
was the ONLY
physician I would or could accept pain med Rx's from. Of course, he'd confer with all my practitioners, but he was the singular doctor to prescribe. I actually liked it that way, it made things so much simpler
Where I live now, my PCP also manages my pain meds. She required urine tests from day one and throughout the beginning of my establishing myself as her patient, every 2 to 4 weeks, I wouldn't know. Something puzzling happened: On three
occasions, my urine tests came back negative
! Once was the lab's error, testing for the wrong things. But we're baffled about
the other two negatives. I realize: This alone could have been enough for many other practitioners to cut me loose, but she had faith in me, trusted me, and was always in contact with all of my surgeons. We did turn to blood tests, and everything's been fine. I still cannot figure out why or how those other two urine tests could possibly be negative given during that at that time I was taking 10mg oxycodone qid.
I'm thankful and grateful and know how fortunate I am to work with her, and, likewise, I am sad and even nervous at the prospect of how I will be needing to find a new PCP when we move out of state. (She also knows I've been to PMC's and did not have success,....she knows I exhaust options and don't object to other means).
I have no problem with her wanting to count my pills or asking for urine tests, (or taking blood), if that's what it takes to help me maintain being able to receive the medication that, for me, keeps me functional, especially if it helps weed out those "bad apples" that are responsible for discouraging doctors from treating we CP'ers with medications that really work for us.
Post Edited (Sookie Snows) : 8/2/2013 11:11:04 AM (GMT-6)