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News report on pain patients being denied medicines.

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Chronic Pain
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Mercy&Grace
Veteran Member
Joined : Jun 2013
Posts : 1914
Posted 5/16/2019 3:59 PM (GMT -7)
JakeB, drug schedules are based on the drugs acceptable medical use and the drugs abuse or dependency potential.
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JakeB
Regular Member
Joined : Dec 2008
Posts : 164
Posted 5/16/2019 6:37 PM (GMT -7)
I do get that... but my PM doc and I have discussed this very subject on the Nucynta. All her patients have much less side effects and research backs it up, but again still got put into schedule II. I don't find that Nucynta is a medicine that is typically found on the streets, but oxy definitely. More of a personal opinion on this than anything...
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Darla
Veteran Member
Joined : Jun 2018
Posts : 508
Posted 5/17/2019 3:05 AM (GMT -7)
Just to clarify Psychologists are not less trained than Psychiatrists. They are not trained to do the same things though there is some overlap. If you want therapy you want a Clinical Psychologist. That is a doctorate level person with a license. Psychologists are well trained and understand medications but do not prescribe. If you are looking for medication a Psychiatrist is appropriate. While some do therapy it is not what they are trained to do...medication management is.
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straydog
Forum Moderator
Joined : Feb 2003
Posts : 18981
Posted 5/17/2019 8:53 AM (GMT -7)
Alcie, you may want to consider looking into some meds that will not cause serotonin syndrome & prepare of list for the dr.

Darla has brought up a valid point about psychiatrist & talk therapy. HW is full of posts from members that see the psychiatrist for medication, however, they see a psychologist for talk therapy. A lot of course is what your insurance will cover too. Regardless, I just hope you can get some help. I hope you get lucky like I did & see someone that you can connect with it & not have to do several trial runs at finding a good fit.
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Alcie
Veteran Member
Joined : Oct 2009
Posts : 5169
Posted 5/17/2019 1:58 PM (GMT -7)
Darla- After your post I looked and saw that clinical psychologists have a good bit more education than they did just a few years ago when it was only a master's degree. I'm not sure it's what I need. I think I just want someone to talk to, as I have no close neighbors and can't harp on my problems to relatives. At least my PM promised not to dismiss me, which relieved major stress, and he will refer me to someone good in that field if I ask him. Medicare and a supplement cover just about everything in mental health. I'll have to check if counselors are included.

I appreciate the experiences with Nucynta, and maybe next month when I see my PM again I'll agree to try it if I can keep the Norco if it doesn't work out. I'm glad I didn't just agree to switch though! I need to find info on how it works for poor metabolizers. I saw what my DIL was like on a quarter of a 5 mg Norco, and I've never had that relief from even 10 mg, not even when I first took it. She acted like I feel when I get 2 mg of Dilaudid. I'll try to get genetic testing then too.

Susie- My list of reactions, good and bad, runs to 3 pages now. I look up every new med before I consider taking it. I've sent a message to my brain neurosurgeon about the increased pressure this drug causes to see if my type of tumor would be a contraindication. I'm seeing another neurosurgeon, the one who fixed my broken neck, next week, and I'll ask him too.
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Grammiessunshine
New Member
Joined : Jul 2019
Posts : 1
Posted 7/27/2019 10:12 PM (GMT -7)
I'm 56 yrs old, have had 10, yes 10 lower back surgeries for ruptured disk and the neuropathy caused by rupture. I moved (family issues) from WY to OH at which time my new PM took me off everything! Cold turkey, (60mg Percocet, Daladid in pain pump, tizanadine, zanax and toridol) I thought I was loosing my mind. One year later, I've had 4 different meds put into pump and Belbuca for breakthrough (what a joke) just this pass week he changed the pump med AGAIN...I've had the emergency alarm going off sense (6 days) and a spinal headache to kill a horse, with the B reading of 8305...I want the pump out, but have deep concern with all the med regulations that I would not be able to tolerate "life". I lost my husband (my rock) 5yrs ago and am alone with nothing but the pain. If anyone can suggest, recommend or just talk me through the best options I'd be greatful.
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straydog
Forum Moderator
Joined : Feb 2003
Posts : 18981
Posted 7/28/2019 6:43 AM (GMT -7)
Hello & welcome to the forum. Would you mind making your own separate post here at the forum. The thread you have posted on doesn't really have anything to do with pain pumps.

To start a new thread, click on new topic, fill in the heading & then you can paste your original thread.

I will be happy to visit with you about your situation.
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PriMeTiMeGaL
New Member
Joined : Jun 2019
Posts : 2
Posted 10/21/2019 12:56 PM (GMT -7)
Hi everyone I’m having a hard time with finding a Nother pain specialist because as most of us can agree we don’t want to go to a pain specialist and have to go through the horrible scheduling and sometimes coming back in a few weeks it takes forever to even get medication when there’s a laundry list of illnesses I have and legitimate pain and it’s been our laws and assumptions of character to me anyway?

I’ve been treated like crap and have a referral in my hands for the next contestant as a potential pain doctor to write me prescriptions that I’ve taken forever and still get treated like a newbie when it’s inappropriate and unprofessional. Can anybody recommend a real Doctor Who really listens and really doesn’t act like a nose in the air pompous *** and understands a persons laundry list of issues are within plenty of reasons to continue care for my pain which is constant. Torn shoulderOn the right, RA, Constant back spasms and low disc degenerative disc disease + 1 other disc bulge same area of lower back there is the nerve that goes down my right buttock down to the mid me of my right side so the shooting pain and sciatica nerve issues.,

Also, just had my two carpal tunnel surgeries which still hurt every time I use my hands and one cubital tunnel surgery and still need to schedule the other one? I barely found out I had this cubital tunnel issue right before I was scheduled for surgery. The nurse study didn’t tell me anything about that! So I’ve got scars all over and terrified to go for another surgery Which I’m supposed to have because I don’t know who I’m going to end up with next as a doctor to prescribe the pain medicines that I used to get without giving my first born as a collateral it feels like! I’m annoyed and frustrated and hoping that one day I can find a loophole in so I can speak my mind on the Dr. Slack like they are God and you’re a lucky **** heawhich I’m supposed to have because I don’t know who I’m going to end up with next as a doctor to prescribe the pain medicines that I used to get without all the laws, documents, PHOTOS OF ME AT CHECK in Etc...WHATS NEXT? Collecting my first born as collateral ??!! I am annoyed and frustrated And would like a recommendation for a human doctor with their soul still intact please and I’d appreciate it because you’re the best people to ask for recommendation. Thank you everybody for letting me rant and ravand would like a recommendation for a human doctor with their soul still intact please. I appreciate it because you’re the best people to ask for a recommendation. Thank you. everybody for letting me vent.

I made some paragraphs in your post to make it easier to read.

Post Edited By Moderator (straydog) : 10/21/2019 7:05:35 PM (GMT-6)

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Mercy&Grace
Veteran Member
Joined : Jun 2013
Posts : 1914
Posted 10/21/2019 4:39 PM (GMT -7)
There are some things you need to realize. A new doctor does,not know you. It takes time for a,doctor to get to know a,nee patient. You also need to give the new doctor time to look over your medical records. Be sure you sign a release form and be sure your pain doctors office obtains the copies. A previous doctor prescribing you a medication does not mean a,new doctor will prescribe the same medication. Being defensive does not help. The days of seeing a,new doctor and,walking out with a prescription for opiates on the first visit are almost completely gone. You need to be patient.

Contact your insurance and ask for a,list of pain management doctors in your area that accepts your insurance. If you are self-pay that will make it difficult to impossible to find a pain management doctor. Finding a,primary care doctor as,a,new,patient that will prescribe opiate will be next to impossible if not impossible even with copies of your medical records.

Post Edited (Mercy&Grace) : 10/21/2019 5:49:25 PM (GMT-6)

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straydog
Forum Moderator
Joined : Feb 2003
Posts : 18981
Posted 10/21/2019 6:30 PM (GMT -7)
Hello & welcome to the forum. Treated of chronic pain is very restrictive in today's environment. The pain mgt drs go by the CDC guidelines that went into effect 2016.

You will need a referral to be seen by a pain mgt dr. Nearly all pain mgt drs ask the referring dr to furnish a copy of the individual's medical records for the previous twelve. Once the pain mgt dr reviews those records you will be told whether you will be given an appt or not.

It takes time to build a patient/dr relationship. The dr has to get to know you, just as you do him/her. You can make a list of medications that you have taken that has helped, but do not expect a new dr to ever prescribe what a previous dr did. All drs have a different opinion on how they handle patients.

You will have to do UA's, some drs do them every 30 days or at random. They have to make sure nothing shows up that shouldn't be there. I am not saying you do, but I have seen this happen before. Also, you will have to sign a Contract that sets out what you will do as the drs patient.

Every year my drs office makes a copy of my drivers license & insurance card. I have never had to show ID at each visit. It all depends on each drs protocol.

I have been in pain mgt since the early 90's, I am seen once a month & my scripts are given to me on a monthly basis. I have never had to do all of the running back & forth you are describing.

There are no loopholes so forget about that. You need to keep an open mind when you see the new dr. Tone it down when seeing this new dr. I hear your frustration but this frustration may portray you in a negative way with a new dr.

M&G gave you a great tip on contacting your insurance to fins out who is on your insurance. Take care.
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Mercy&Grace
Veteran Member
Joined : Jun 2013
Posts : 1914
Posted 10/21/2019 6:39 PM (GMT -7)
I have heard some pain management doctors require new patients to come back every 1-3 weeks,as opposed to every 28-30 days later on. This is done for the first few,months.
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SharonZ
Forum Moderator
Joined : Mar 2014
Posts : 2821
Posted 10/22/2019 4:53 AM (GMT -7)
The type of doctor that you are looking for no longer exists. They follow the CDC guidelines as Susie has said. It is now quite common to have your photo taken to add to your file and there is a protocol to follow with new patients. Is there a particular reason that you are changing your pain specialist? I think if you change your approach to the appointment, and try and be less negative, your appointment will be much smoother. No one wants to go through what you are experiencing, but you need to be a little more tolerant of the process as it's about the same for everyone.

Sharon
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