Hi, Ronda1760, You did not say in any detail about who prescribed your Percocet. We also do not know if your pain clinic told you not to ever come back or anything other than “my pain clinic let me go.”
Being another chronic pain patient myself, I will tell you what I know from my pain doctor here and my pharmacy here in Dallas, Texas. A prescription of my Dilaudid/hydromorphone is for a 30 day supply. I cannot take more per day and expect my doctor to fix it. I am drug tested every visit so my doctor,knows exactly what I take, what I do not take, and how much is in my system. The numbers of time per day and the strength of my meds are what my pain doctor gives to the pharmacy. I will assume you had a thirty day supply and you either took more than you were given by your doctor or some or all of them went somewhere other than in your body. Yes, you can find another doctor or another pain clinic. I suggest you figure out how many pills you have left, if any, and look at a calendar and count 30 days from when that prescription was filled - date is on the bottle. Calculate how many pills you have left per day, if any. When you go to another doctor, your doctor or a new pain clinic, DO TELL THE TRUTH about everything. They want their patients not to lie to them at all. Telling your doctors the truth all the time every single time will only work for you. People that lie or make up stories about themselves or their pills, pill intake, etc. will not do well at all. Now get busy before you may end up in withdrawal from Percocet!!! All the best to you!!!
Tonyplake described how most pain centers "police" their patients. It's a shame it's gotten to this point when you have to sign contracts, have drug levels checked, etc but its the way it is.
It would be helpful to find out as to how you took more than prescribed and how they dismissed you.
You should be able to be accepted for another pain center eval. You have to be very smart for that first appointment. Don't forget that with electronic charting the info will follow you. The patient's chart is not really the patient chart anymore. It is the doctor being able to write what they feel like with no input (in writing) from the patient.
The higher standard of patient care providers have a philosophy of transparency. This means the patient chart can be provided via their websites. I went to Mayo and the information written by doctors were available the day after my appointment. It's very comforting knowing that your personal legal document represents exactly what happened. If there was a misunderstanding, I had the opportunity to respond. My response would then become part of my "official" chart. Transparency permits us to feel on an equal basis as the doctors and the comfort of knowing there was no miscommunication.
If your pain center dismissed you, they probably charted "non-compliance" in their discharge note. This will not be good for you.
The doctor should have questioned why you took more than prescribed. They have to be so careful now that the government is involved because it puts them at great risk. For the future, don't take the dose that you need to control the pain. CALL the office and tell them what you're experiencing so it will all be legal. Write down facts before the call so you don't get nervous. By facts I mean pain levels. Is your pain a #8 for 6 hours? What is the number after taking the medication? This helps them determine the response to your dose. If it goes down to a #6 an hour after the dose then that should tell them the dose is too low. Your information will make it harder for them to "fire" you because you were telling them it is not sufficient.
Keep a daily diary of symptoms. Is the pain keeping you from performing necessary tasks to maintain your lifestyle? Is it keeping you from sleeping or eating?
If possible, take a family member with you so you have a witness to the events. People in pain have memory problems so make life easier by writing it down prior to the visit. Have your family member verify, from their point of view, how you are doing.
Life used to be easier...
"Pain is what the patient says it is".
I hope you feel better.
- Percocet Information for Consumers
- Percocet Information for Healthcare Professionals (includes dosage details)
- Side Effects of Percocet (detailed)
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