OK I have been going to pain managment for 6 months now due to chronic back pain... I have been taking my meds no problem... until I started having galstones inaddition to the pain..My pain managment Dr knew surgery was coming because the last time I was in her office she had to shoot me up twice to keep me from pucking all over her lol... well to cut a long story short the two weeks after that waiting for surgery the pain was so bad I ended up taking 50 of the 60 30mg oxy in two weeks... After I left the hospital the Dr gave me loratab 7.5 to take to tide me over to the PM Dr... What i did not know until after the whole fact is that I can kicked out if she thinks I am abusing drugs... which I am not now after surgery I am ok... just back pain..I plan on not hiding anything from her on the next visit...
Yes it is possible to be let go as a patient. That doesn't necessarily mean you will though. I'm an honesty is the best policy kind of gal, but you have to decide what works for you. I think you will fare better telling her up front rather than risking her finding out on her own.
i am in pm in too and i had surgery last week and my surgeon gave me 2 pain scripts !we called pm before we left the hospital to make sure what they gave me was ok with pm!i had my appointment today and saw a different doctor because mine was away .and this doctor wanted to know if my surgeon knew i was in pm because he gave me 2 scripts and a refill on tabs!i'm like yeap they knew and carly knew what they gave me so i was safe !doctor just told me to hurry up and finish what the other doctor gave me !no problem will do!of course i was trying to give him what was given by my surgeon cause pm doc's meds work much better for pain!so if you are honest with pm doc's they are pretty cool most times!
The way this thing goes, is you are responsible for letting both the surgeon know you are in PM, & your PM know you are going to have surgery. My surgeon told me my PM would be in charge of my pain scripts when I was discharged after surgery, but ended up giving something extra for break thru pain anyway, & my PM knew about it so no problem. Seems like some get very upset , & some don't., but with signing a contract you could get into a problem with your PM. I've heard tell of people in horrific car accidents gettings meds, & then getting dropped because they were in PM,so don't take chances. I carry a card with me at all times provided by our local hospital listing all prescriptions, who orders them, how much I take etc... Also the card contains all allergy info to drugs, previous procedures, & all conditions, who all doctors are, dates etc... Hope this helps...
I am seen by a professor/teacher and also a degree in pain management, I started seeing her approximately 5 years ago I have found that this physician brought in the contract and she explained each and every clause involved in it, She told me if you are involved in an accident and have to obtain medications from another doctor as soon as it is possible it is a must that you yourself or the doctor who treats you notify me or my nurse or both that we need to know what was prescribed and where you got the medication filled at, she also told me it was my responsibility to be open and honest with the doctor treating me that he needed to know what medications that I was on and what pharmacy that I got those particular medications at, and that the ER or Urgent Care doctor needed to be made aware that I was being treated by a chronic Pain management physician, so in order not to cause any questions I carry a card in my wallet that notifies any emergency crew or emergency physician what meds I am on, that I am on chronic pain medicine and also I give the names of the pharmacy that I utilize, I don't know how you doctor runs his practice but I went over things with her 3 times and the whole reason for this is so that all things are kept above board, honest, and so that if the Drug enforcement agency questions anything they see that I am not out doctor shopping, the pharmacy that I go to has a letter from her that gives them answers as to why I am on the medications that I am on and also it is to protect the pharmacy so if the federal men go in and have questions the pharmacist has a letter on file at all times that explains why things are the way they are. Pain management doctors are not trying to make it difficult on you they have the DEA watching them if they for some reason are not vigilant and a patient does something inappropriate then they have to protect their liscense, narcotics (especially when you suffer can be a temptation to use more than prescribed) Please I don't mean to sound like I am accusing you of wrong doing I am just trying my best to explain there are some individuals that they don't always do the right thing so that;s why it is vital that doctor's monitor and evaluate you so that they can defend themselves and also answer questions that arise about you, I think pain doctor's who care if they find out that nothing was done and you were not actually doing something wrong they try their best (or my doc seems to) understand and gives me a chance to explain (I've not been in a position to have the doctor need to question me but it could and does happen I'm sure more often than we might care to know) I am sorry this situation did arise one thing to remember doctors (despite what they may seen and know) they forget even the most caring doc who uses all manor of reminders it can happen and that is the very reason for requesting that you remind the doc of any medicine given by another physician, It does not seem easy, fair or compassionate or even reasonable but from your post your doctor compared to some I have heard about seems to be at least leaving some room some doctors it's cut and dry one time, they are not notified of every detail and they discharge you and this day and age it is very difficult to get good pain management care, doctors are watched and are always under what we would think a microscope, Narcotic liscense can be pulled and they can do it in a heartbeat! I wish you the very best and hope that in some way this can be resolved, if not please always beware the next doctor may seem much worse than the one you have now as far as what guidelines go with a pain contract. We live in a world of people who are willing to do almost anything in order to obtain their drug of choice so we can't really find fault with a doctor who is trying hard to be honest I wish you the best
Thanks guys... I dont think I will get kicked out as I dont remember signing a contract..when I signed up... My Dr while good I think is prolly about ready to get her license pulled... When I first got there I peed in a cup, they took a picture of me.. For the next 6 months though I was never asked to pee again. Dr, she is really good and caring. I like her alot thats why I am so concerned. But what concerns me about her practice is that I know that she doesnt know that I worked for a Dr for 8 years and I alot of stuff she does is illegal... Her nurse half the time see's me and forges her name on the script..I know thats illegal, but its also Medicare fraud as if he is licesnsed in some way to do that she isnt present in the buliding so medicare would not pay... so I think its i real big mess and me being young and unaware of pain management ethics is the least of thier worries... I am just trying to file for disability and she said she would help me..thats my only worry, I can go to another pain clinic no big deal...
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