I'VE BEEN RELEASED The reason is because I was told to go see the nuero dr and see what he said about my seizures THAT I had after not having any for 18 mos. Well when I started going to that pm dr I took all my records into them telling them about my seizures and what causes them etc... I told this to my pm dr (pa) and she said I still had to go so I lied and said I did. but then went in 4 days later to him, Well that dr. Says it's the meds that caused it like I told him had all test to discover what was causing my seizures it's not meds cause had seizures long before ever took those meds. So long story short I was released because they say they can't trust me. Don't I have the right to refuse to see a dr. When i've told THEM what causes my seizures all they had to do is read the records which I know they most likely never did. Can't I go to a neuro dr. I want and not one they tell me I have to see... If I can check out of an er ama why can't I do ama when they say go see this dr. It's my right to pick my dr not theirs. Do I have any grounds to stand on cause they now say they are going to put me through detox I have chronic severe back pain been on fentanyl 100 and tramadol for 5 yrs and only thing that makes it so I can even walk, stand, sit even just been a human without crying in pain all day. They had my records with what causes my seizures so can't I use that to my defense and that I never in the 2 yrs with their clinic I never done anything wrong never seen another dr even for a cold because of the agreement I signed, never took anything without calling the office first, never did one thing wrong do I have any grounds??? Help I DON'T KNOW WHAT TO DO SHOULD I SEEK A NEW DR. BUT RELEASE THEM FIRST? I JUST KNOW THAT FOR THE FIRST TIME IN 20 YRS I'M A PERSON AND CAN LIVE AND DO THINGS NOT JUST SIT AND CRY CAUSE I'M IN SO MUCH PAIN. BUT THEY WONT LET ME STAY AT THEIR CLINIC SO WHAT DO I DO??? HELP
While I agree that a doctor shouldn't have the right to tell you which doctor you can see, they do have the right to refuse to treat you if they feel it would be against theirs or the patients best interest. I don't think you can force a doctor to treat you. If it were an emergency and the doctor refused to treat, then it might be against his hippocratic oath but otherwise, he has the right to refuse treatment.
I think your best interest is to seek the aid of a new doctor taking all your records of course. Review your records with the new doctor so to be sure he/she knows of your seizure disorder and the cause thereof. Honestly, given the treatment you have received at this clinic, moving on is in your best interest.
When you sign a PM agreement, you really need to do whatever is asked of you by your doctor, as in seeing a Neurologist about your seizures.
I also agree with Laurie, you definetely should be able to choose your own Neuro, and not be forced to see whom they choose!
Please, find a new PM doc asap.
Best wishes to you,
although I agree with Laurie and I believe it is your right to see or refuse to see a doctor, you or your Insurance are paying the bill from the explanation that you have given you really have been cautious about doing things that would get you discharged quicker than quick, I at one time ( not my current doctor) was in a similar situation, I had signed a contract just like you I had seen this doctor that he wanted me to see only 1 year prior I didn't believe (he didn't either think he would be of any help to me but the pain management doctor was dead set on me being evaluated by this doctor, he even stated that there was a possibility that a problem exhisted and without consultation he could not be sure, it came down to this if you refuse to see this doctor I will discharge you at once! so he even pulled out the pain contract and informed me you agreed by signing this to do whatever we feel is the best for you, failure to comply is basis for me to discharge you without further treatment, I saw this doctor who spent all of 10 minutes with me and a bill that I didn't need to have to pay but I was up against a rock and a hard place, once seen the pain doctor seemed to have the attitude you have now done what I requested you to do, I didn't stay with this pain specialist long after that because I thought if he decidedes to do something else which seems unreasonable then I am at his mercy, I don't want to bash your doctor or put idea's into your head which might further make it difficult for you, One thing is certain each time you need to make a change it is a traumatic experience, you don't know if the next one will prescribe something that will help or cause you problems that you just aren't up to coping to, I am fortunate I was forced about 5 years ago to change due to the office manager and the doctor she advised the pain doctor to no longer take care of me because of my Insurance, I had no choice but to make a change, I was ever so fortunate I found a woman (I use to work emergency room and I made physician friends and was in the position to ask what is your opinion of this doctor, I was so fortunate, truely blessed she is an internist with a degree in pain management, she spends anywhere from 30-45 minutes with each visit, she told me she is senior physician and she has worked long and hard and has the luxury of being able to not clock watch, upon seeing her she had me sign a pain contract but every paragraph she explained what was mean't and didn't leave me to be hit blind sided, she allows you to explain anything rather than just taking what she thinks and end of story, It is my sincere hope that you find the help you need whether with and through this pain doctor or by doing the same thing that I had to do, It seems we are at their Mercy and we don't have much of a say, they have a contract and when all is said and done they have control of the entire situatioon, Nothing like being on medications and in need of them after all they write the prescriptions and they can refuse when the chips are down! I wish you all the very best sorry for going on so long but it is what it is we are under their control, again I wish you nothing but the very best!
You do have the right to say no, you do have the right to go to a different doctor than the one they sent you to, you have many different rights and the ability to negotiate those rights and come up with an acceptable plan that will get your doctor the information they need and you see a doctor you are comfortable with. However, the one thing you don't have the right to negotiate after the fact, is that you lied to them. As I understand it, the reason you have to leave the practice is that they can't trust you. I'm not judging you, I wasn't there, I don't know what happened. I do know that a contract is a An agreement between two people that is signed and the signature is each person's word to adhere to the policies stated in the contract. Your doctor doesn't sound like they want to give you another chance, though it may be worthwhile to apologize and ask for one. Whichever way it works out, I wish you the best.
Eliza Jane is right. Yes, you do have a rights and yes, you should have been allowed to see the neuro Dr you wanted to see, not necessarily the one they recommended but you should have said this upfront. It is the fact that you told the lie that they lost trust in you. Also remember that a patient does have the right to say no or refuse a treatment BUT a Dr also has the right to refuse to see you anymore if you refuse what he thinks is in your best interest. It all boils down to legal issues. If you refuse to follow up, you basically tie his hands or blind him and he doesnt know if further treatment could damage you then he is going to refuse to treat you anymore and it is on legal grounds. He could be sued if he knowingly does something that could cause harm. He needs the other Drs opinion to make a judgement call.
I know at times it doesnt seem fair but Drs have to always CYA because we live in a very sue happy society and no Dr wants the mark against their name so if you are non compliant then they are going to discharge you. Find another PM Dr but be honest and upfront next time. You can always bring a copy of the document to support your claim, even if he already has a copy, and go over it with him to make your point. That may or may not change his mind but hopefully it will open a discussion so you each know the others mindset.
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