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I have to fire my Pain Management Doctor
From my personal experience a family dr.isnt allowed to prescribe pain medications to a patient who needs long term pain treatment, they have to refer them to a pain management place who deals with patients who need long term pain management who can prescribe pain meds long term. I think family practices are not allowed to prescribe pain meds on long term basis anymore. That has been my experience, I had to go to family dr several yrs ago for severe back pain and after a couple months of him prescribing me pain meds he said he was going to have to refer me to a pain management clinic because he couldnt keep prescribing me pain meds long term,therefore I would have to be refered to a pain management clinic
fire your docktor...
I am appalled that you people are dealing with family practicianers, primary care docks and anything other than a pain clinic who would not only help you find adr who writes pain medication but also will write them for you untill y,ou have some pain managegment dr who's practice is primarily concerned about paitients pain issues//They can be found by asking your primary pain clinic dr who would refer you to a docktor who writes pain medication and at the very least he/she would tell your temorary dr permission to write paine medication untill you are in and comftable with a dr who specializes in oain relief. i havee bben extremly lucky initially i had a dr who was sending me to all these specialists including the pain specialist, who would provide diagnosises so they 1, got permission from the pain dr who wrote it was ok to write me pain meds while with this facility as they need that in there file to help if wuestioned by the dea theyt had something from the higher up saying i was in enough pain and required pain meds, and you sign a contract saying u wont do recreationsal drugs ( street drugs) or anything but what is prescribed and what they prescribe better b in there as well as they will wonder where their meds they wrote for you/ they will b suspicious uv sold traded run out but have just not been responcibla with there medication they have taken a chance writing for you, thats the contract, med count anytime to ensure your where u should be with your meds and and also ur urine shows ur taking them as prescibed meaning they should last till the next presciption day...I have a very trusting relationship with my dr and i have neuropathy very painful but i get 6 30 mg poills a day and had fenanynal patches 100 mgc every 2 days not 3 he had me loaded with pain meds but with this condition u NEED it anybody getting by on vicoden 5 mg percocet nerontin throw it out the window as it wont touch ur opain trust me i know so dr shop and u get ur records go thru them if there s anything dtrimental in there pull it out as they r urs and ur therapist has a hippa law as not to disclose anything u say except with a court supena so don't let anybody bully u get on some real pain killers start with a pain clinic referal and then keep ur therapist info to u and them as u may want to discuss how fre=ustrated u r over getting ? for ur medication... nothing touching ur pin i if im pas 4 hours i go into excruciating pain 8 hrs? wtf? is he insane and report him to the board ooof medicine look it up online and tell him ur going to report him unless he refers u out or takes ur pain seriously! i;m sick of hearing and reading what all u poor ppl are going thru for medicine.. my God . u couldnt escape pain of a stubbed toe with friggin vicoden let them know the vicden gives u a gi upset ur not allergic but it makes u like many others nausaous.. best of luck let me know how anyone fairs...shelkly
Last edited by ddcmod; 12-30-2010 at 02:16 AM.
I am about to start writing letters, myself. I live in a very doctor poor area and my family doc is about the best one around. I have been undergoing testing for various things for the past 4 years, aside from the fact that I got hit (as a pedestrian) by a car when I was 15 and have orthopedic problems stemming from that. I also have anxiety issuses, PTSD, degenerative disc, costocondritis, ovarian and uterine cysts and I am currently wearing a Holter monitor for a possible heart condition. I was also told on a recent visit that some of the vertebrae in my lower back resemble the advanced stages of arthritis, such as found in a 50-60 year old woman. I am 31. I am beginning to think I might have fibromyalgia as well. My mom has it and our symptoms are very similar. My problem is, I have been fighting with my doc over pain management for a long time. He wanted to treat these conditions with prescription Ibuprofen. I recently found out that I am allergic to it. And I don't tolerate NSAIDs well. I am also allergic to Morphine, Darvocet and Hydrocodone. So, he prescribes me Oxycodone. It wasn't the greatest, but it at least helped me get out of bed in the morning and sleep at night. I have a 3 year old to take care of. He wrote me 2 prescriptions for 60 pills. That was 1 prescription every 2 months. I never asked for more any sooner than that, because he grudginly gave them in the first place. So then, I went in a couple of weeks ago and asked him if I should have another MRI to see if I have another disc out because I am experiencing some pretty bad sciatica. He said no. I asked him for pain meds then. And he said and I quote " well, I just don't really like throwing those around". And then he says he is FINALLY going to refer me to a pain specialist. I was elated with hope, but still in serious pain. At this point, I average 3 hrs of sleep per night. So I stick it out another week. I go to this pain specialist. He asks me a bunch of questions, doesn't listen to any of my answers and then proceeds to tell me that theres not much he can do. A cortisone injection for my back. But he doesn't believe that I actually have sciatica because " it's just a little bulge" in my back. That was off an old MRI. In the mean time, he tells me to go to physical therapy. As did my family doc in a prior conversation. Like they think that's magically going to cure me. They know there are no cures for my most painful con ditions. But yet they pass me off to the physical therapist with NO pain meds.( Oh, you're allergic to Ibuprofen? Well, we will just skip the meds then). Last time I went to physical therapy, my therapist was at a loss. He tells me that there isn't much he can do for me either. But the thing that made me the most angry was when I got ready to leave the pain specialists office and he said there was one more thing. You NEED to lose some weight ( like I don't know that and wish it was as easy said as done). Then he proceeds to tell " give me some pointers". Eat only breakfast and lunch. Portion control. Start lunch with a big salad. Eat more veggies. Stop eating meat. And I want to see you walking more. Well, as I mentioned before, I have other ortho problems related to being hit by that car. I was wearing braces on both knees. I had my left knee totally reconstructed after I was hit. I now have arthritis in that knee. My right knee is in need of ACL and Posterolateral Corner reconstruction. I currently wear a brace on that knee, because if I don't, I risk falling again and doing more damage. And he wants me to walk, in the winter. It wasn't the fact that he wants me to lose weight. I know I need to. It was that he made it sound like I am just sitting at home, eating potato chips and sitting on my dead rear. I walk as much as possible and I do monitor what I eat. I'm not new to the diet scene. Then he came with the pitch. Why not go vegan? It works for me. I was taken aback that someone in his profession would use their positon to try and persuade a person to stop eating meat. I am NOT bashing vegans, by the way. I have very close friends that are. And they understand my decision to eat meat. My point is, I feel like I am being passed around like a hot potato because no one wants to take the responsibility for treating me. And when I asked why....no one will give me a straight answer. I am not a substance abuser. I am not an alcoholic, although I must admit, my alcohol use has jumped dramatically since I have been cut off pain meds. I have to sleep somehow, although I can't drink for pain during the day because I have a child. I just wonder if anyone out here that has taken the time to read this rather lengthy rant has any ideas on why NO ONE will help me. Oh and for the record, my doc won't give me anything for anxiety, either. Not even occasional. "Because it's not a good long term solution". I, personally, think thats why I have the fluttery feeling in my chest that they put me on the heart monitor for. They have just swept me under the rug. Tonight, I am going to bed and cry because I hurt and I can't sleep. And my mind is going to be going and going and going. In my opinion, this is inhumane. It is directly against what doctors are supposed to stand for. Does anyone have any suggestions for me?? Any at all??
wish all doctors could feel our pain just once--cange your doc
i may be in the same boat. i ave been on pain meds for about 10 yrs--started low vivodin 10,625 , then had an accident and broke my back and neck herniated every disc in my back except c1-2 and now have ddd in spine hips knees plus RA and osterartritis. now my doc is suggesting i go off all my meds and go on subuxon therapy. well i have already been on metadone and workers comp wouldn't ok a morpine pump so doc dropped me, terrible withdrawals almost died, i will never again take that med and sub is almost the same thing no thanks. also had fenanly which worked great, but same thing wc stopped paying and had to go though the withdrawals again. i would suggest no one take any of these meds as pain doc change there mind every month. After going though atleast 5 different pmd, i thought ifinnally found a good compassionite doc, i have been though all the pt and shots to no avail. He told me that there is nothing they can do for me except treat me as a cancer patient with meds to keep me comfortable,i can't take any of the RA meds as they bother my still inflamed stomach do to the 2 withdrawals forced on me. i am now on a combination of meds that work, but do to my ex doc that i had been seeing for 15 years who was just wonderful, he was a pa and the overseeing md got arrested for fraud and other things, i had to find a new doc. the pc and the pm will not write one of my meds, so down one, and now my pm is suggesting i go off all. i will see him in 2 weeks and please pray for me that he will continnue to treat me as he has been, otherwise i am going to try and see another pm, but nieter doc will write a referal. i am on medicare so don't know if i need one or not, by the way i have never taken anything except what was prescriped for me and have never abused any med, i also don;t drink and have always been totally honest. i don't know why they continue to do this, with out my meds i cn't even get out of bed, with it i can do somethings atleast. thanks for listening i know this is very long
Fire your Pain Mgmt Dr
My spine has every possible problem wrong with it. I see a spinal surgeon who said spinal fusion will only help with stability but the pain will still be there. My orthopedic pain mgmt dr does not do meds cuz too much paper work but he is going to try the injections. He also agrees with the surgeon. Even with injections or surgery I will have to be medicated daily for the rest of my life. UGH! He does not see how I even function with only 2 doses of hydro and valium (5mg) daily. I told him it just takes the edge off because I do not want to get a DUI god forbid. However, I went to one anesthesiologist who would only prescribe meds if I saw a psychiatrist and then would have to see him monthly for new scripts and piss test. He was training and intern during my appt and hardly paid attn to me. I have a med background and a bad back for over 30 yrs now. I basically took the script said I would go to psychiatrist and then emailed him that he was a quack!!! He even told the intern while looking at my MRI's that most spinal surgeons and orthos dont know how to read MRI's correctly. Total ???? again. While waiting for my car to be repaired, I read a very interesting article in last months issue of and I cant remember the name but it was about people like us who have to be medicated daily and how hard it is to find a dr that will do it. Not taught much at all in med school about pain mgmt and meds and the AMA has increased that learning time. Also the legal reasons. However, this article said there are no legal issues a dr would have to deal with prescribing meds. Also the psychiatrist visit which, if you are like me are out of work and trying for disability and have no money for even food cannot afford. So the article stated that your general dr can give info on your psychiatric stability. The article said a psychiatrist should only be used if there is personal addiction previous or addiction in your immediate family. The article was written by the, I think, it is called The National Pain Association.
How to change pain management doctors
I had been seeing the same pain doctor for 2 years, getting injections, tests and everything else that he asked me to do. He was a doctor who hated to write pain medication though. I have been in chronic pain from a previous broken bone in my neck, one in my lover back, disc removal at c7-t1 and a fusion. His maximum dose of pain medication after 2 years was 3 percocets per day. Finally I grew tired of hurting, and he would not increase the medication, even though all of his "procedures" were not working.
Finally, I spoke with my primary doctor, and had her to refer me to another pain specialist I had heard good things about. I went to see this new doctor, told him of my concerns about my current pain doctor, and asked him for a 2nd opinion on what he could possibly do to assist me with my pain. He advised me on how he would begin my new treatments, and I "quit" my old doctor, and have since been seeing this new one. It has been 3 years now, and My quality of life has greatly changed! ""Seek another opinion, but advise them that you are not Dr. shopping, simply looking for a new one! Good Luck!
I have no idea how old this is but if you live in TN my doctor that I love moved there and she is so awesome her name is Elizabeth Huntoon I'm not sure what city she is in but she's the best doctor I have ever known. I was on Kadian 20 mg 2 2xdaily and 6 10 325 mg norco or vicodin a day with her because I have alot of residual pain from a surgery removing a tumor from my spinal cord. When she moved I got this dick of a doc who immediatly lowered my meds to an uncomfortable dose. Now I'm miserable and at 1 20mg kadian once a day and 1 vicodin a day does that make sence to you?? it doesn't to me. If there is anything I've learned is always get a female pain doctor.
They are as long as they are taking over treatment from a pain specialist. It is up to the doctor tho weither they feel comfortable with the treatment plan and or the medications ect.
Originally Posted by la9963
So i was recently diagnosed with Multiple Sclerosis about 4 months ago and i have been seeing my PCP for my pain management but she has only been giving me 5/500 Vicodin's and some somas for my muscle spasms, I am in so much pain in the morning it is hard to get out of bed! I need everyone's opinion if i should seek a pain management doctor! I need something stronger for pain. I am also on cymbalta to help with the nerve pain but it doesn't do much for me. I have no idea where to even begin to start looking to find a good pain management doctor. Any suggestions??? Please Help - Anj
I live in Tn and on work comp and it is not easy to get what you need from these so called Dr's, let alone pain meds, I get the "OH well you know Tn is the largest Hydrocodone abusers in the states", yeah well don't put me in that catagory I have legitimate pain issues, like 6 discs pushing into spinal column and 2 tears in my spine and sciatic nerve pinching in left leg.
Suffering from long term chronic pain and appreciated your article very much. Gioya
zippsygoddess, I read your informative post and there are lots of things you covered. Firstly I am a PM patient who was dropped unfairly, honestly, and am beside myself requesting records and pulling information together because I have malabsorption issues. My tests were weak when I had taken medicines. You spoke of a casemanager...may I ask who are they and how does one get a casemanager. Are you talking about a advocate for patients. I have never failed any kind of a blood test, or urine testing for drugs including medications. etc. but my tests come up weak. They know I have these issues. I know you hear all kinds of stories, however, I am telling you the truth. Ialso had a very nasty experience with the new nurses Administrator that had been there only two months prior to my testing. She was cold and talked to patients like they were automatically drug seeking. This has been terrible and I am getting so much feedback of what I should do, and my head is turning in circles. I need to do something to prove my innocence and I know my PCP will not put me on pain meds. I was taking the 5 milligram oxycodone. Allowed up to five a day. I had a wonderful PM Specialist but lost her and I am still in shock. ms. vicki
I have fought the same issues with malabsorption since 1974 when I lost more than 65% of my bowel to Crohn's disease and service connected injuries. Even though I must be fed IV and get most of my vitamins and other vital requirements through blood transfussions, the doctors refuse to listen to me when I complain about my oral pain medications not working. Like you, blood tests confirm the lack of these drugs in my blood stream. the doctors refuse to try any other ways to medicate me. I wish you luck in this struggle, and if you find some way to reach your doctors, please tell me how because in all this time not one doctor has gone beyond paying me lip service with regards to this problem.
more narcotics isn't the answer
[QUOTE. ldhen;68908]I need advice, I went to my pain management Doctor the other day it was time for my meds for the month. He prescribes Hydrocodone 5/500 3X a day Every 8 hours. I take them as prescribed as I don't want to get into any trouble. They just don't cover the pain- What I mean is they do for about 3 hours then I have to wait another 5 hours for another pain pill. I have told him over and over my meds are not working and he just sits there writing me the same script over and over.
Well I have a case manager who checks on me at home 3X a month or more if I need her. Well anyway I had her talk to him and he hit the roof.
He yelled at me- He yells and gets so angry at alot of the patients. And he asked me to sign a release for my mental health records. I asked him what he needed them for and he said to check and see what you told your therapist.
Anyway I was so upset and crying and crying after I left his office I called my husband and he won't let me go back there to finish my treatments.
Can I fire this doctor? And will another Pain Doctor take me?
He said he will never and I mean Never increase my meds.
What can I do about this Doctor should I report him? And where do I go to do that?
Thanks for replying I really need advice FAST!!
Find another doctor with the same views. My wife's new pain Doctor got her off Narcotics after changing she still has some pain but it doesn't stop her. Good luck
oh man, did i love your thread regarding "doctor shopping" i live in nj and seeing as my Medicaid is not accepted, well it is, but not where i can get to easily. do you know that when i shopped for a pain managemtn doc, there are doctors out there who WILL NOT TAKE CASH? There has been alot on the news in the NYC tri-state area about putting "chips" in prescription bottles. so the doctor or pharmacy can "check" to see how many pills are left in your bottle. something along those lines. so if i do my pills for a week in one of those vitamin/week long/ thingies, is my door going to get busted in? anyway, back on topic, my suggestion would be to get a referral from your primary and ask him/her do can they refer you to a pain doc? worked wonders for me. and keeping your primary in the loop is always a good thing, for me anyway. lotsa luck
who does he think he is? its hid job and he took an oath to HELP HIS PATIENCE BEST HE CAN, I feel so bad for you,hon.I have been in pain mngmnt forat least 10.12 yrs, and thankfully my old doc left the clinic. the other did like yours,but,she as nice.she had me on methadone and a muscl relaxer for most of the time i saw her. in 5 yrs. she upped my methadone 1x.I saw the new doc the other day and right after looking on my cart put me on 4md.diladude and 15mg opana and my muscle relaxer.she even gave me her HOME no. if i have any questions!!! also if it works,but i need a stronger dose she will chane NEXT MO<!!she knows my pain is excruciating and my tolerance high, yes,find a doctor who will help you.Thats YOUR right. ask around,most people wanna help and give you drs. names. God Bless
You have given a whole lot of great information. My thing is that the pain management doc had me on MS Contin 3x/day and oxycodone for breakthrough pain. I didn't take the oxy very much, so when he switched me toMS Contin and short acting morphine (instead of oxy), I kept taking the oxy to use it up before changing meds. Face it. I'm cheap. Unfortunately, I had a drug screen a month after being given the short acting morphine Rx and oxycodone showed up. The doc sent me a letter dismissing me from his practice for taking meds "not prescribed in his office." I wrote a letter to him explaining everything, but never was allowed to speak to him. His office manager came down to talk to me when I told another doctor in the practice what happened, and while I was waiting after a spinal injection, the office manager came to see me. In front of people walking through the 6 x 6 area with no doors and other patients sitting next to the doorway, she accused me of getting drugs from other doctors or from my friends! When I asked her what I was expected to do for pain and for withdrawal, her response was "get more from your friends!" Imagine! My friends are either from my church or are grandparents who don't trade drugs. Any suggestions on this privacy law infraction? Who should I report it to to get the best response?
I was amazed going through this thread how many chronic pain patients have had problems with their doctors. I, too, had my pain management dr yell at me (3 inches from my face, screaming at me) because I had a medical test performed by my neurologist (had even told pain mgmt dr I was going to have it done in previous visit). He was furious with me for doing something I told him I was going to do! I began crying as he frightened me (have history of being abused and his anger immediately set off old fears). I vowed never to go back to him (to myself), so I requested my medical records a few days later over the phone. I had the records sent to me and I was astounded to read his last entries: he claimed I was constantly trying to have my medication dosages increased (as if I were a drug addict). I guess the only thing I had going for me is that I had been in pain management for over 15 years at that point. I never filed a complaint on the dr and don't know if it is too late now as it has been over 5 years since that occurred. If someone could advise me about that I would appreciate it!
Another issue I would like to discuss is how hard the DEA is making life for legitimate severe chronic pain patients. I, too, have degenerative spinal disease, several bulging discs (neck & back), have had a discectomy fusion at c5-6 (done in 1998, so the discs above and below are now failing), remaining pain from RSD (or Complex Pain Syndrome) which progression was stopped by right lumbar sympathectomy (surgery cutting the sympathetic nerve affected), lupus, fibromyalgia, on and on...plus constant pain after being broadsided by a 48,000 pound dump truck which ran an extremely red light (I had to be cut out of my vehicle & the dump truck even had to be towed away). I am furious that the DEA makes it so difficult for pain management drs to treat chronic pain. I can no longer receive a prescription for Soma (and I have chronic back spasms, etc). I know Soma is addictive, but so is the morphine I'm on (and previously Oxy Codone & methadone). What is it about Soma (and other muscle relaxers) that the DEA has a problem? Does anyone know? FYI, I live in Texas.
Thank you all for your posts and for reading my lengthy diatribe!
your doggone right I think they forget who is paying who.
Hi zippy good post and lots of info here.
I Do not Guarantee Any Information Presented But Will Be As Appropriate As I Can.
Last edited by ddcmod; 04-12-2015 at 12:02 AM.
I am having the same problem. I have fibromyalgia and have had for years. It started out with restless leg syndrome then irritable bowel syndrome then came the insomnia and then the full all out fibromyalgia and everything that comes with it. The anxiety depression the chest pain the all over unbelievable pain if I do any activities. I had no idea how much pain my doctor was blocking for me until I moved to Minnesota and my doctor stopped me suddenly from all of it I had to withdraw from a hundred microgram fentanyl patch that I have been on for years and I was prescribed 220 10 / 325 milligram lortabs a month. With my patch on board there were several days I didn't even need my lortab. I usually took it when I had extreme cramping because I also have fibroids and endometriosis. About cramps also are apart of fibromyalgia so my period cramps don't just come with my period. sometimes I feel like I have my period all month long because of the cramping. anyway as I said the doctors here it made me withdraw from it all suddenly. They just stop prescribing it. They expect fibromyalgia pain to be covered by gabapentin and now they want to do the injections which I have read up on and AM NOT looking forward to because of the fact that I'm not seeing much relief and other fibromyalgia sufferers. I have never felt like I was doing something wrong so much in my life. I took my medications as prescribed I did not get a high off them all I got was pain relief. But because the doctors took me off of it and I cannot control my pain I have tried to switch doctors about 4 or 5 times with no help. So now I feel like a drug addicted Dr shopper. which is not me that is not who I am. I just cannot find anybody to help me. I did have one doctor who is very caring and kind and he was going to help me come off of a lot of my medications because a lot of them he said where repetitive. However he said he would not take me off of my patch or my soma. He said those were good medications to treat my condition. He just wanted to mess around with some of my anti depressants and anti anxiety meds and I told him if you can make me feel better with less medication I am all for it! Well I made the mistake of signing a release form to a friend of mine who is also a doctor. Turns out my friend is not my friend and he called my doctor because the next time I went in to see him he was no longer kind and caring he treated me like a drug addict and told me that I was nothing but a problem and that the DEA was watching me. He said he got that information from the pharmacy. So as soon as I left I called the pharmacist and the pharmacist laughed and said no you are not being watched you are just flag because you are on controlled substances and that is all I said to your doctor. The pharmacist then called my doctor and asked why he would tell me I was being watched by the DEA and the doctor denied saying it. I called in and got the papers from the Medical Board to report him but then I never did. Pain management enter here will only do gabapentin and the injections. They have stolen my life I am all but bedridden. Any activity I do will leave me in bed shaking in the most excruciating pain I've ever been in for at least 3 dseeker. But I guess that's what I am. But it's just because I need somebody to block this I am tired of feeling like a med seeker. But I guess that's what I am. But it's just because I need somebody to block this pain. I have 3 children to take care of and now dhs is in my life because they are concerned about my health and I can't blame them. My life has been destroyed by this disease and I want it back. I'm using talk to text to do this so I am sorry if there are mistakes because I can't see them with the app I am using. what can I do? I want my life back. I am worthless. I literally cannot function. & I understand what they are trying to do I really do I know there are a lot of people that abuse pain medication. But I am NOT one of them. And I never have been. I was an active mother of three living a normal great life. Now I am a bedridden Dr shopper.
120 lortab a month. Not 220!!!
Is It Really legitiment pain? Isn't ALL extreme legitimate? Do they just not like my communication skills? Are they training us to be politically correct with our verbilizations. I'd like to know what the term "red flag" originated. What are we trained not to do this. Why can't we say we need more, it still hurts when I stub my to you dangerous, brain washers. If my toe hurts- how do you think cancer feels. Go back to the shop and invent something that decreases pain, or cure cancer. That's' your job. My job is to say don't play me or I won't pay you. Your employed by me not vice versa. I don't pick the first pair of shoes I see in the store. I may end up with a broken leg.
Originally Posted by wolseley
I am dealing also with poor pain management and very much considering finding another doctor. I have sciatica pain on the right side that goes down my leg and now has spread to the left. When the sciatica is severe I take steroids and torodal and that helps a lot. Now this past Thursday my rt lower back felt acute so I had to work and I took my ice pack and iced it and took Motrin 800 mg every 7 hours and tylonol 650 mg x2 every 12 hrs , then Friday the pain to my right side became MUCH worse, it extended from my low back to down my right thigh, knee and calf. Every time I move it's extremely painful, if I get up to stand I'm in extreme pain and my whole leg goes into spasam. And yes I have also been taking muscle relaxors. (Tiazedine) my pain management doctor was off on Friday-Monday and I called on Friday, the office staff said they put a note in the computer for doctor and she will get back to them as to what she wants to do. I was so hoping to here back from pain management on Tuesday. And my doctor had NOT gotten back. Meanwhile I'm suffering in excruciating pain!!! I have been going to the ER for pain control. I used up my hydrocodone 5-325 1 every 12 hours is not enough for this type of pain. My nurse practioner ordered a MRI for me and a tens unit. That's all she could do because I have a pain contract with pain management. So I guess I will continue to go to ER for pain control and I will give pain management one more day to get back to me. Then I will look into a better pain management doctor out there. I currently live in Kingman, AZ. I moved here from Michigan and I never had thesis issues in Michigan!! This is so wrong to suffer and pain management not getting back to you. I need BETTER care!!!!