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Without a paddle... or physician

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Without a paddle... or physician  
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OnMyNerves
New Member
Joined : Feb 2016
Posts : 1
Posted 2/19/2016 9:18 PM (GMT -7)
I have been told by my PMP that she will no longer prescribe any Opiate Pain Medicine after establishing the relationship for years.
Her scripts last month, fell on the 19th and then the scripts this month fall on the 24 & 25. (I take two).
When I called to address the issue the nurse had assumed I ran out an that I took to many. When in reality there was just a lapse in prescribing dates. So just like that I am off pain medicine after a long time needing them and she prescribed Xanax and Clonidine ro help me through withdrawal.
The withdrawals are horrible and I'm in excruciating pain.
What do I do now? Do I be insistent with my doctor about the mistake or do I find another one?
My GP said he won't help since I "breached contract" with the PMP and the ER (which I HAD to go to because of pain) wouldn't even give me as much as motrin.
I feel up ****'s creek without a paddle.
Please, any advice would be tremendously helpful.
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rocckyd
Veteran Member
Joined : May 2012
Posts : 1115
Posted 2/19/2016 10:07 PM (GMT -7)
Unfortunately, when a Dr says there is a breach of contract, it closes a ton of doors. Whether it's right or wrong, you are stuck in a bad place. Thankfully, she did prescribe meds to help you through withdrawal, many are stuck with OTC meds.

A GP will very rarely get involved when there is a question involving meds through a PMP. The PMP is the specialist and is in charge of the meds for your treatment.

I hate that you are stuck in this situation, and I wish I had a better answer for you.
Single mom to my little man 11yrs old
39yrs old. JRA since a kid. Chronic Uveitis, pleurisy, pericarditis, intersticial lung disease, sjorgrens syndrome, Cushing's Syndrome, gastroparisis
Bilateral TMJ replacements due to bone fusion, port-a-cath, g/j feeding tube, antiphospholipid antibody syndrome(my blood fights itself) epilepsy, MCTD
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nvrthesame98
Veteran Member
Joined : Jun 2008
Posts : 6706
Posted 2/20/2016 2:04 AM (GMT -7)
Welcome to the forum. First why the lapse in dates and if this was done via a office visit and I assume it was since you have to pick them up every month now,did you not bring it up at that time? Knowing that January's 31 days was going to make a thirty day supply written the previous 19th due the 18th? You would have been out on the 19th when you called so I am not sure I understand this. The exception would be of course if they were written as prn and not scheduled therefore they don't intend for you to take them everyday and you should have not been out if you weren't. PM Drs who prescribe opiates on a as needed basis expect patients to let them know if they're requiring the as needed meds on a regular basis since regulations suggest short action meds need to be switched for long acting one's in chronic pain conditions.

If you were in fact on a as needed basis and had meds remaining at the point of misunderstanding I would went immediately to the office to show that there had been a misunderstanding or communication issue.

If you were in fact on a schedule med then the office is wrong but getting one to reverse the decision is nearly impossible unless they will actually get you in a face to face with the Dr to plead your case and you better be ready to prove what your stating,and usually once this has happened they won't give you a appointment and a letter of discharge from the practice is generally already on its way.

With the confusion of this situation,the fact you went to the ER and attempted to be treated for something your already being treated for and under contract is enough in itself to get you discharged before the med problems. They're assuming that you were likely already out of meds when you went there and you gave weight to that when you called.

Its a bad situation but like Roc said your lucky they helped you with withdrawal symptoms most don't get that.

In hindsight if you know your short for the month its better to cut back and spread them out to have something at least every day then to continue taking the prescribed amount and finding you have days with no meds.

This will go in your record and likely follow you for years to come making finding a new PM Dr virtually impossible.

Good luck and this was a difficult lesson
Vickie
CHRONIC PAIN MODERATOR


When something bad happens to you, you can let it destroy you, let it define you, or you can let it strengthen you.
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Mercy&Grace
Veteran Member
Joined : Jun 2013
Posts : 1752
Posted 2/20/2016 8:18 PM (GMT -7)
OnMyNerves, are you saying that you called to address the different date on the prescriptions and that the nurse misunderstood ? That means that the rxs last pain rxs that you received had the 24 & 25 on them by mistake ? I'm sorry, I'm not understanding. Er's rarely, if ever, give anyone pain meds when they are in pain management, or if they have been dismissed. If you can't get this straightened out and The Correction Written In Your Medical Records it will be extremely difficult, if not impossible, to find a dr that will treat your pain.
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tidalmouse
Veteran Member
Joined : May 2013
Posts : 1130
Posted Yesterday 8:28 AM (GMT -7)
I'm in a similar situation.My PMD dismissed me 2 weeks after a total knee replacement.I won't go into the reason.

I went from Dilaudid and Morphine to 2 Norco 10 mg a day from my PCP.

Terrible withdrawals.

I'm having trouble getting another PMD and am thinking about getting on Suboxone because just feeling horrible is over-riding any pain I have at this point.

I hope things work out for the both of us.

Take care and God Bless.

Rick
54 yr old male.SSDI since 2010.Bulges at L5-S1,L5-L4,L4-L3,L3-L2.Spinal Stenosus,DDD,Arthritis,Rt. Knee Replacement in 2015,Pain Management Patient.
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tidalmouse
Veteran Member
Joined : May 2013
Posts : 1130
Posted 2/26/2016 8:40 AM (GMT -7)
Monday I came to a decision to get back on Suboxone because I felt my PCP wasn't doing anything to refer me to the PMD I wanted to see.

I've been waiting since the first of the Year for a call from the PMD.

I went to the Suboxone Doctor.He prescribed me 45 for 2 weeks.Later that afternoon the PMD called me to set up an appointment.

I felt kind of like the person that washes their car and then it rains.

I see the PMD March 14th.It's tough to get in with a PMD in the Town I live.At least the PMDs that don't want to give injections that you don't need.

After sinking low into depression and withdrawals I see the light at the end of the short tunnel.

Hope everyone has relaxing low-pain weekends.

Rick
54 yr old male.SSDI since 2010.Bulges at L5-S1,L5-L4,L4-L3,L3-L2.Spinal Stenosus,DDD,Arthritis,Rt. Knee Replacement in 2015.
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Mercy&Grace
Veteran Member
Joined : Jun 2013
Posts : 1752
Posted 2/28/2016 9:44 AM (GMT -7)
tidalmouse, will you have any problems with your pain dr prescribing your pain meds again since you went to the Suboxone dr ? Also I have seen where people have reported not being able to find a dr that will treat their pain after being given Suboxone for it because other drs think they are addicts without even looking at their medical records. Have you had this problem ? I am assuming that like some things to do with chronic pain management that a lot depends on where you live.
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tidalmouse
Veteran Member
Joined : May 2013
Posts : 1130
Posted 2/28/2016 9:58 AM (GMT -7)
I certainly hope not.My 1st appointment with this PMD is March 14th.I was prescribed 2 weeks supply of Suboxone Feb. 24th.

If the subject comes up I'll be honest with the PMD.I was suffering taking 2 10 mg Norcos a day.I felt that Suboxone would be more effective than that and it is.

I have very legitimate reasons to be in Pain Management.

I think everything will work out.I'll find out soon enough.

Take care and God Bless.

Rick
54 yr old male.SSDI since 2010.Bulges at L5-S1,L5-L4,L4-L3,L3-L2.Spinal Stenosus,DDD,Arthritis,Rt. Knee Replacement in 2015.

Post Edited (tidalmouse) : 2/29/2016 6:27:37 AM (GMT-7)

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