Worried about pm doctor not continuing my pain treatment?
Posted: August 4th, 2010 | Author: admin | Filed under: light relief therapy | Tags: 20m, 3 years, bulging disc, claritin, couple days, dying of cancer, family member, family members, hospice, hurniated disc, kadian, mri, oxycontin, pain med, physical therapy, presc, puking, scars, shock treatment, shoulders | 1 Comment »Ok, here is my situation that I never thought would ever be. I have been with my primary doctor for about 12 years now, and I thought she knew me well. I even thought of her as more of a friend. Over the last 3 years, I started having some major problems with my lower back, shoulders, and neck. So she set me up with a mri which did show a bulging disc. She sent me to physical therapy, and the shock treatment really helped, she also prescribed hydrocodone 5 that I had only had to take for a month, because I responded well with therapy. So about a year goes by and not having that much pain, I could take over the counter meds to suppress it. Then like lightning it strikes again. This time it gets so bad that my leg gives out on me and hurts. I can’t sleep for days, and only certain things I did could give enough relief to where I was not screaming in pain. So I go back to her with all of this and she sets up another mri, which then shows two bulging disc and a hurniated disc. She again prescribes the same pain med and sets me up with the physical therapy which I am excited for because it helped before. This time it did not, and the therapyst said that my pelvic joint was popping out of my hip joint. So my doctor prescribes me a long acting pain med named kadian. I took it and it made me itch bad, so she prescribed claritin to help with the itch. Umm, needless to say, I will always have scars on my chest from digging. So she then started me on 20m of oxycontin for two weeks, and 40m for the next two weeks. It was amazing relief after the puking for a couple days. I am amazed on what I can do now that I have not been able to do for a while. So the refill time comes and no problems I get my refill. About three weeks later, I find out that a family member is dying of cancer in another state and he was refusing hospice so it was up to us family members to go take care of him in his final days. So my turn of course was up and I call the office the day before leaving to see if they can send my prescription to me when it was due to be filled. Mind you I was without a vehicle this day and in a hurry to get things ready to leave. They tell me that they can not do that, and I said well, that is ok because I have to come back to the state for my bone scan anyway and I would just drive the extra 2 hours back home to see them. My doctor calls back and says I need to come in for a pill count. I had no problem with that other than I had no vehicle, and not ride and they closed in 2 hours, and I was told that she would not longer prescribe them unless I came in that day. She then tells me that I could come in the following day before leaving. I said ok that is fine I will just have my ride swing me by. Well low and behold that night we get a call for all family members to come immediately, my uncle was not going to make it through the night. We all left within an hour, me not thinking twice, just knowing that my doctor would understand. So after the funeral and all, I come back home, and call my doctor and explain, she said that is fine I understand. So, I get my next refill on the 12th of June. I had an appointment to go back to my neurosurgeon yesterday to read my results which quite frankly was devistating to me. Basically I have bad joints, degenerative disc disease, and my bone scan made me light up like a christmas tree. So I drive home crying most of the way. I look on my calendar and see where I had a doctors appointment scheduled for today with my primary doctor which was just going to be going over the same thing I went over with my ns. But I decided I needed to go anyway. So I wake up this morning and guess what my car will not start at all. I hurry up and call in to reschedule my app. My doctor knowing that I just said my car broke down again, demanded me to make my appointment or she would not fill anymore meds ever. I can’t make the appointment, I have no vehicle. I have never had to sign a contracts or agreement with her, but she said that I broke the contract. I never had to sign one. I was unaware that people even had to do this, I just always assumed that my doctor would know me after 12 years of never trying to get meds. I am devistated and hurt that my doctor was so mean and accusing on the phone. At my appointment yesterday, I was told to get a breast reduction and see a chiropracter regularly, and to continue my pain meds, and he was referring me to a pm doctor. I am just wondering if I am still going to be without what I have been used to for 2 months while I am going through the steps with the pm doctor. I have enough to last me until the 12th of August, but I am not sure how it will look to go in to the pm doctor and say this is what my old doctor has me on, but she is not going to give them to me anymore. What should I expect or do?
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First of all this is a major problem with many more people than just you and your doctor. You can blame those who abuse pain meds for all these hoops to jump through!
If you go back some 12 years to the paperwork you signed when you first started with your doctor you may find a pain medication contract you signed way back then……. when it didn’t mean anything.
Also, doctors writing scripts for strong pain meds and pharmacists are held accountable for those medications and the patients for whom they prescribe. The FDA makes everyone accountable so that the patient usually ends up looking like the suspect but misuse of these meds happens at all levels.
It’s very possible that your doctor just received a call to send all her recently written scheduled drug scripts in for investigation. She may know you for a long time but what has happened to you recently is not something that is common with the family caring for a sick member and their death. This could be viewed as suspicious behavior to avoid appointments. It doesn’t mean you are guilty of that but the doctor needs to cover her @** too!
There are other techniques which will need to be used to control pain instead of long term pain meds because they lose effectiveness over time.
I’ve had several surgeries which helped alleviate back pain and before them, I found a TENS unit to be helpful.
I realize this all seems very overwhelming to you in a time of extreme pain but you are not being blamed for anything. (And medications like oxycontin can only be written on certain types of prescription paper and filled the date they are ordered at a pharmacy local to the prescriber and patient.)