I went to the Dr today and was told that I have to reduce my pain medication. My Dr tells me that all of the doctors are getting letters from the DEA and insurance companies that no one should be on medications that equal 200mg of morphine or more unless they have substantial spinal conditions-like a fracture. Apparently herniated discs and degeneration dont qualify. I have been on the same doses of medications for more than 3 years. I have always abided by the rules. I never ask for early refills. I knew this was going to start happening! This is politics plain and simple! Politicians are coming down hard on pain management. Since they cant win the war on illegal drugs, they are going to start fighting prescription drugs. The DEA has to justify it's existance somehow and we legit pain patients are a much easier target! I cant even begin to say how much this upset me. If you dont show MAJOR structural damage on your body, dont expect to get opioid pain meds. This comes right after a few months ago being pushed into considering SURGERY!! Now they are doing a complete about face and trying to tell me there is nothing substantial going on! Is that a crock of you-know-what?! They just cut my OxyContin by 60mg a day and my oxycodone by 30mg a day. Right as I have my family vacation coming this month and my sons wedding in August. I'm going to need help and support from my friends as I go through this-it is going to be hell!
This isnt really a question. More of a comment or warning?
- Posted:
- 30 May 2012 by DzooBaby
- Topics:
- pain, doctor, insurance, medication
Responses (39)
I was rather shocked too (on one hand but on the other I kind of expected it because I have been reading what the climate is like out there right now and it is getting brutal. I doubt that I will be the only one that this happens to)! Out of the blue! I could understand if I was asking for early fills or not being compliant. I think prayers are going to have to occur every minute! Somehow when you hurt minutes FEEL like hours!
This is part of what the new guidelines are saying. Non-cancer pain patients should Rarely, if ever, be on more than 200mg of morphine a day or its equivelent. So that is 130mg of oxycodone a day, 67mg of Opana a day, 50mcg Fentanyl patches, 50mg hydromorphone (Dilaudid or Exalgo) a day, if you are on greater doses than those, start expecting reluctance from your Dr to continue you on that dose.
30 May 2012
We have been going through this in Virginia for several years now. Whatever made the goverment think they are able to practice medicine is beyond me. I've called the DEA and told them they had no right to practice medicine, and wished that they all get severe chronic pain and no one would allow them anything other then tylenol. Doctors are much easier to attack, they leave a paper trail. That pharmacy registry of narcotic prescriptions are their instrument of keeping track. It really had nothing to do with watching for people who were doctor shopping. My pain management doctor lost his license 3 yrs ago because he wrote "too many narcotic" prescriptions. Of course he had a lot of patients and we were all chronic pain patients. And for the fibro patients, we get nothing, we're supposed to work because we aren't disabled in their minds, but we don't get anything for pain either.
I agree, it is something that makes me mad and could go on and on! Like the hospitals treating us like we are drug seekers ehh makes me mad!!!
You are TOO right! I just KNEW this was going to happen! It is politics-a war on drugs-nothing more and nothing less! I have been saying this for some time and now it is happening to me! Last Spring they were encouraging me to have surgery, for God sake! Now, it is a complete about face! Everything you say is so right. The government is trying to discredit associations that advocate for pain patients by saying they accept monies from pharmaceutical companies to "push" drugs and downplay side effects of these drugs. We can thank the government and the media for this! They all need to be cursed with severe pain. The Drs are running scared because the DEA can come in and take over ALL of their assets if they fall under investigation. So the DEA PROFITS from accusing Drs of overprescribing. They take their license and all of their savings and assets. I cant say I blame them. They have to protect their livelihood.
30 May 2012
This has been slowly coming, I was talking in my pain group about it a few weeks ago and for people with fibro and RSD and other disease's it has been a struggle the whole time. We have no broken bones just symptoms, it scare's me always has. This is why people turn to buying drugs off the streets the DEA are making more of a mess than any good. They will have more drugs on the streets than ever!
Also for your doctor to cut your med's is cruel because they should stand up for what they practice, and remember you have a problem a real one and most likely have for a long time. This is why I am thinking off getting the pain pump even though it's surgery.
Take Care
You could try reminding a doc who is going to cut you "first, do now harm". The AMA has stated that people should be treated for pain adequately. Unfortunately they have tangled with the DEA and can't get anywhere.
It wont make any difference. They are now saying the opioids are harmful. As far as fibro??? The guidelines say opioids should NOT be used! If they cant prove on an MRI or xray that you have something major going on to validate your pain you are just SOL! Even though they KNOW that MRI's dont always reliably show why a person has pain. You can have a person with all kinds of herniations and degenerations and they have no pain at all. While another persons dont look as bad and they suffer terrible pain!
30 May 2012
I have 4 herniated disks and 3 degenerative disks and never been perscribed that many or that much opiates. There calling that abuse and the dr is using them in accsess. Taking like 100mgs of.oxycontin and oxycodone of that amount is killing people nation wide. Pain meds are to make the pain managable not painless. Thats why drs. And ur dr is being questioned about this practice. And im sorry that u have been on this amount yes it is wrong rite from the start. And im very sympathetic and im sorry about this whole stinking mess. And yes i am in the medical field. So feel free to write back. I know its hard and wrong but i get these letters too.
Many of us are RNS and have been for many many years, and its a disgrace that someone in the medical profession could be so heartless. Oxycontin hurts idiots who take it wrong, it helps responsible people in pain. You're part of the problem in this country.
This IS what makes the pain manageable! I'm FAR from pain free! I'm happy that you dont suffer in that much pain but I really dont feel one person can tell another how much pain they are in. I'm very funtional at this dose and it allows me to work. I'm very afraid that I wont be able to do my job without medication. I'm in the medical field too! What is killing people is the abuse NOT so much people who take them correctly! Do you know they count any death where OxyContin is present, in any amount, an OxyContin death-even if it is obvious that the amount of OxyContin isnt what caused the death? Even when it is mixed with benzos AND alcohol! Even if there is NO drug present but the family mentions they may have been on OxyContin, THAT is counted as an OxyContin related death! I'm sorry but that skews the facts to make it look much worse than it really is.
30 May 2012
This whole scenario scares me to death. I saw my family doctor this morn and was in severe pain with my fibro involving my left arm. She asked me the last time Id seen my gastro Dr. She had to make sure Id not been prescribed anything for pain by him. She has a list from the pharmacies that I've used that shows every single time I've been prescribed a pain medication. She had cut me off completely 3 months ago because of her fear of the DEA coming down on her. She said that she had been prescribing pain med for me for almost a year and I should have been sent to a pain mgmt doctor a long time ago. Now Im in the process of going to a pain mgmt doctor. What do I have to look forward to? I can't work, I can't function because of all the pain, I don't know if I'll get my disability.
Finding a pain management dr in Virginia is a real trial in itself at this point, since the state seems to think they need to get rid of them all. I'm working, and I don't take any strong pain meds because I need my head clear, but that doesn't mean I don't feel for others who suffer.
What part of Virginia are you in? Im in the Richmond area. I am curious how close I may be to the problem area.
Thanks,
Tee
30 May 2012
I am so totally not surprised. In fact I expect it to get worse because the politicians have nothing better to do like cracking down on the illegal stuff. The deaths of two idols who were abusing drugs is the reason why and the one's of us who are legitimate and need help will not be able to get it.
Thats why I say on one hand I was shocked but on the other I knew something like this would happen sooner or later. The climate is changing regarding pain management due to the abuse. The abusers will move on to heroin or some other drug and legit pain patients will be left to suffer. I agree that it will get worse before it gets better!
Yes it will get worse, but also the drugs on the streets will be profiting from this. I think it's sad that we have to pay for the people who were abusing drugs or have died from there stupidity.
30 May 2012
OMG, I know Florida has a major problem with pill mills, I was referred to one by my PCP up in north Florida, a pill mill was located in Gainesville, and the place sent employees out to surrounding counties recruiting patients. I asked about it, the nurse gave me the name, get this, Gainesville Wellness Center, and phone number. I called and was told by whoever answered the phone, I needed to live within 60 miles of this place, a Florida ID, recent xrays and/or MRI's, it cost $250.00 a visit, had to fill the scripts there on site, ad nauseum. I about pooped in my pants. Was pissed off and told everyone I knew it was simply a pill mill, would stay long enough to make an ungodly amount of money, then pick up stakes and move somewhere else, hopefully ahead of the DEA. I can't tell you how many pain docs than were supposed to be practicing in town to find, when I called, numbers were no longer in service.
I can guarantee you after 2 hrs of the pain we have 24/7 and those officials would be screaming for morphine. I can only hope I'm their nurse and refuse to give it to them.
It simply is just what they need, a big, no humongous dose of our reality.
Laura
Well, we've already lost the American Pain Foundation. They managed to shut them down. They are trying to discredit all of these groups lobbying for fair treatment of pain patients. they've made the mistake of taking monies from Perdue and Endo etc. and Congress is asking them to disclose monies taken from Pharma. they are trying to make it seem like big Pharma is "pushing" drugs through these groups and skewing any research done by these groups that proves that opioids DO help restore function! Legit pain patients are in too much pain to lobby-we are too used to suffering in silence. I mean really, how many of you have stopped telling family and friends about your pain because you have discovered that they really dont understand or dont really want to know?
They can't understand pain they can't see. They can relate to an open wound or amputation, but chronic back pain? Cheesh!
31 May 2012
this is slightly off topic but points to what you said Dzoo about the cycles turning around 180 degrees with policy. They did the same thing to the mentally ill in the 70's and 80's, closed all the mental institutions and put those folks out on the street to be homeless and prey for the more aggressive homeless. I worked the city streets and deserts in this country for the homeless in many states and I know first hand that 75 % of them are mentally ill, then the vets and then the others. This was the reaction to too much hospitalization for the mentally ill, maddness. To go out at night and see women in their 60's and 70's staying awake all night so they don't get raped stays with me. always.They sleep under trucks for half hour at a time etc... I digress. The chronically pained have now become what we used to call in the field the "throwaways"...
You're so right seek. When they introduced "maximum hospital benefit", just because they were ok when on meds. It didn't bother those pc people to send poor ill people out on the streets to be unable to care for themselves. They sat in there wealthy little homes and patted themselves on the back.
31 May 2012
How many of us are on this site, that are in pain??? With all the grassroots sites starting on social media, why can't we start petitions to the media, the politicians, wherever we can? We have quite a few people on this site alone, and like I said, with the social media, we have to make a stance!! My PM cut me WAY down on meds, with the hope of starting me on a new med in two weeks time, but what if she doesn't? What if she does start me on a new med, but in a lower dosage than is necessary. Yes, I did use the walker at my son's wedding, and no, the activities didn't keep my mind off the pain. I SAT, getting up only for pictures. Up and down, up and down, I was crying by the end of the night. I hadn't even changed my meds yet. It was the old meds that I was on. It was also a buffet, so we had to go up and get our food. I barely visited with all the relatives from out of town...
How many more will be on disability because they can't work with all the pain they have?
I just read a few days ago that Disability Applications are waaaaaay UP .
I was cussing yesterday-big time--- went for a s**** flu shot. After half of an hour they bring out paperwork-tell me to fill it out-- I holler- F--- my name is not Margaret Wenscler- wait another half hour-get papers that actually have my name--Then the d****** shot. What a stupid imbecile jerk!!! I tell him that I do well with shots if I can stand and lean on something-the USN, the USAF, and the Army let me stand and lean on something. Often female staff asked me if I would feel better leaning on them-YES- I get blood drawn and no problems-because my arm can lean on the desk and it's in my line of vision-I really jumped- then he lied and said that it was done- I tried to stand up-but he wasn't done- Then I'm walking backward to escape because he's following me blathering. He smiles and says-I'll see you next year-I said- NO- I came home and filed a complaint with Walgreens.
31 May 2012
So sorry Dzoo this has happened to you. I was really fearful when my brother moved from Tcson to Washinton state he would run into trouble getting his pain meds there, but so far so good. His condition has deteriorated to lymphoma tho', so it's understandable they are going to try to keep him comfortable. I was hoping to ask my pain doc when I see her in June for an increase on my pain meds of oxycodone 15mg. They mail me the ones in between visits every 3 months. Well, my May script came in the mail as usual, but also included Junes. Hmmm. Makes me wonder why they would have done this, & maybe you have hit on something . It's pretty obvious I have an appt. on the 21st of June as they give you your appointment when you are there for the last visit. I tucked it away in our fire proof box just in case.
Oh, it is politics for sure! Blame the drug or blame the gun, not the person behind it! It's like blaming misspelled words on a pencil! I dont blame individual agents-it is the folks at the top. They have to justify their jobs somehow. Insurance companies dont like paying high prices for drugs like OxyContin, Fentanyl and Opana either. OxyContin is anywhere from several hundred dollars to a thousand dollars a month. Same with Fentanyl and Opana. So insurance companies will jump on the bandwagon so that they dont have to pay for these high priced medications. Methadone is cheap. I have a herniated disc and disc degneration mainly in L5-S1. The problem is, and I've known this for a while, is that some people with multiple herniated discs and levels of degeneration dont have much pain at all while others with less obvious results have terrible pain. I have had a discography to prove that this is my pain generator.
All that means is the "worst " injuries have destroyed more nerves so they don't feel it as much.
1 Jun 2012
The gov won't admit their "war on drugs" has been a complete failure.
I mean, heck! Obviously there aren't fewer dope dealers, dope users, back-alley dealings, drug violence, etc.
It was a stupid idea to begin with (catchy name, though, huh?).
They are now forced to keep up the pretense, simply to avoid embarrassment.
Now (and for quite a long time) this has become a war against doctors and sick people. Plain & simple...
We suffer. Docs are (rightly) terrified of losing everything they've spent their entire lives working for AND getting branded a "dope doctor" if they dare try to alleviate (or even manage) the suffering of the ill - especially the chronically ill.
We & the docs pay the price, while the illegal dope trade flourishes...
All because the government won't admit their utter stupidity.
Even good docs who want to help sick people are terrified to help us...
Every word you said is the truth.
You are very right! That is exactly what this is!
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The DEA can go F themselves. I have very severe scoliosis, my spinal cord is in a S shape. The lower Thoraciclumbar column is at a 68 degree curvature with degenerative progression. If it wasn't for my pain meds. I would not be living any kind of quality of life. I couldn't even go to the mall. Some of those Dr.s get to paranoid and (cover there A_ _) is there biggest issue. If they can justify prescribing there pt.'s the amt. of medication they need to be on so they can live a functioning and productive life and there mental well being is normal, not depressed, because of the pain medication prescribed using x-rays, c-scans, MRI,ect. proving there need for the amt. of medication he prescribes there's no reason Drug Enforcement can interfere with the Dr.s decision.
Appreciated your point of view. Be well.
I've been going to a spinal doctor for a year now. I've had many different procedures done, and every imaging imaginable. I've spent thousands of dollars, but the only thing changing is the doctor's bank account. I'm in more pain now than when I started because of their reluctance to prescribe adequate pain relief medications.