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Is my Pain Management Dr. setting me up to get kicked out (PLEASE READ) Important!
  1. #1
    goldenlalonde is offline New Member
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    Question Is my Pain Management Dr. setting me up to get kicked out (PLEASE READ) Important!

    PLEASE DO NOT RESPOND UNLESS YOU'VE READ THIS POST TOP TO BOTTOM. IT IS KINDA LONG, BUT I'VE DECIDED TO GET INTO THE DETAILS FOR A REASON. THANK YOU!


    Hi! I'm NEW to Pain management,
    I suffer from an Herniated disk after a violent MVC.
    The other driver was at fault (also officiated),
    SO anyways after about a year of putting up with pain in my lower back due to a herniated disk the Orthopedic Surgeon tell me i have two options SURGERY / EPIDURAL, Understandably i avoid both and avoid both, the pain was pretty bad, i thought i would be able to deal with it THEN WINTER COMES and my pain doubles. I had been avoiding Pain management, because I did not want to become addicted, i get referrals to Pain management i also avoid, however at this time a year having passed since the time of the accident i become concerned about the future of the pain and finally decide to go to Pain Management a year BEFORE the validity of my MRI expires.

    I decide to get on the grid for pain management.

    ANYWAYS. I felt that necessary to state before get into the questions. So i get into Pain Management, no problems. I get a urine test of which that I'm more than confident I'll pass because i don't do any other drugs besides Xanax of which i've literally been prescribed without a single issue, not even drug tested ONCE in over 20 years.

    I express concern to the Pain management i am concerned about becoming addicted, i figure it would be best to be OPEN with my DR knowing how strict they can be are after reading so much literature BEFORE going knowing i would probably get on something addictive. She tells me ''pain is subjective'', take it when necessary or every other day only SO I DO. She prescribes Percocet, i decide to start with small fractions of the pills and start a journal to document how i feel, how my body reacts, how it affects my system, what i notice.. keeping in mind NOT to take any XANAX before taking ANY Percocet at least for 5-6 hours. Which was a suggestion of the Pharmacist upon me asking about the combination of medications. Once again this is ME taking the time to remain informed.

    I also upon the initial visit decide to ask for a copy of the paperwork which seemed to delightfully surprise the nurses. I felt they would like to see that, however that is NOT the reason i asked, i asked to be informed and study the papers because that's the way i am, thorough so as to be prepared about anything as usual. I had the feeling actually not many people asked for those documents signed upon the initial visit.

    ANYWAYS sorry for such a long intro, im just that way ''details''. About a week later i go to my main doctor, the one that's prescribed Xanax for over 20 years, and i follow the guidelines of pain management rules to the ''t''. In those pain management warnings/regulations/rulles etc it says to ''inform your doctor'' you are taking Percocet, so i do.

    NO problem so far right. SECOND APPOINTMENT comes, Pain Management calls me in one hour and a half early. I say OK, im there within 20 minutes. Not sure if this is when a problem starts but come time for me to take a urine test i barely am able to provide a sample since they called me in early it messed up my timing I guess, my plan was to drink fluids before my actual appointment, they are the ones that called me in early.

    So I tell them i'll be more than happy to provide a urine test and start drinking water i brought, they tell me the doctor is about to leave, which is the reason they callled me in early, at which point they give me a mouth swab test. It turns blue which i have NO idea what it means (BTW if anyone knows what blue means PLEASE tell me) .

    So FINALLY the Doctor comes in and she asks, any problems? I tell her no, just some sensitivity to light, so then she asks me after i express i've been careful because i do not want to get addicted, and have been following her own advice ''pain is subjective, only take when needed''. But then out of the BLUE she asks me to tell my doctor i am taking the new medication she's prescribing, i told her i already did, then she tells me i need confirmation. I'm like hey, ''no problem'', but THEN she asks for CONFIRMATION i say ''OK'' thinking to mysellf not really a problem, but THEN as if that was enough she tells me she ALSO needs confirmation from him ''this medication is right for you''. All i say is OK, not knowing WHAT to think of that, she prescribes my medication, i walk out.

    After i got home i had time to think about her request, upon thinking about it i'm thinking the reason she did this was either because (1) She was just being extra cautious (2) She wants to reduce as many people coming who abuse pain medications OF WHICH BY THE WAY I HAVE ABSOLUTE ZERO RECORD of abuse. In fact as stated above i've been prescribed a controlled substance for over 20 years not one problem. (3) This doctor is trying to cover her behind with certain patients, by slightly blame shifting the responsibility upon another doctor besides herself for writing such prescriptions.

    I feel so many people trying to abuse this drug, sell this drug are making it much more difficult for the people who are in pain and need help. The problem is what doctor in the world is actually going to say ''yes'', that's the right medication for your patient which is a patient of mine being that it's so controlled.

    This medication works for me, i not only get to have the pain taken away when i feel it but smile again and feel OK, which i have not in so long. So it is just me, is this ''standard practice'', am i being ''singled out'', ''making a big fuss over nothing'', or what. I know my doctor will be able to confirm i told him, but as far as him saying i think this medication is right for him, he already stated when i told him it's ok but you should only take it short term or else you would have to take less xanax.

    I understand people are being cautious, but it seems overly so. At this time the use and prescription of controlled substances is under fire LIKE NEVER BEFORE, but this is a bit much for those that really need help like me.
    Any suggestions? I do of course plan on going to see my doctor to tell him, what the PM doctor requested, but see what the PM doctor did there ''seems to be'' is asking my other doctor to CONFIRM her being a doctor herself that it was ''OK'' for her to prescribe Percocet. What doctor in the world is going to say YES keep writing THAT prescription to him in light of it being SO controlled.

  2. #2
    Catrina is offline Diamond Member
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    Welcome to the Forum.

    I did read your entire post. My thought is that you may be overthinking this situation. This is the drill that every pain management patient must endure to be a part of that practice. I think that your pain management doctor is simply reaching out to your primary care physician because you are being prescribed two different controlled medications from two different doctors and this particular combination can be dangerous. Your pain management doctor is just beginning to get to know you while you have probably been a patient longer with your primary so he/she knows you a lot better. These two doctors share responsibility for you and these two drugs (percocet and xanex) so it's important that they both are on the same page. Your pain management doctor isn't attempting to shift "blame" anywhere. It's just important that they are both on the same page and know exactly what the other is prescribing. The responsible thing for each doctor to do is to confirm that the other is fully informed. You're not being singled out. With some time, your pain management doctor will see that you'll have passed every urine analysis, you won't request early refills, etc. showing that you are being responsible. Pain management clinics, unfortunately attract both patients who legitimately need them as well as those who have burned out their primary care doctors not to mention that laws have changed and so has policy from insurance companies some of which require that any patient needing narcotics long term be treated by an established pain management facility.

    I know it's hard, but try not to be sensitive. This new doctor will get to know you and that will make things easier but still not without all the hoops that you will continue to have to jump through. They have to document regular drug screening and other procedures to ensure that every patient is obeying the agreement they have agreed to. I think you mentioned that your primary care physician mentioned that it may be time to begin to reduce the xanex,. I wouldn't be surprised if he/she suggested that because you are now taking percocet...not a good combo...and something that your pain management doctor may have been hoping for.

    Peace,

    Cat

  3. #3
    goldenlalonde is offline New Member
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    Catrina, first thanks for taking time to read my post. Your reply was so succinct with what i have been feeling i know you took the time to read it carefully. As mentioned in initial post.. i have been taking xanax for over 20 years, not ever have i had one single issue. Not one surprise 'drug test'', ''pill count'', nor have there been personal issues with abuse or have i ''got into trouble with the law'' throughout this time.

    Things may be way different with Pain management, but in time if i decide to continue to use it properly it should be my choice. I'm not an invalid unable to express himself, let alone make sound/wise decisions. Your right i think i have overthought this to the ''t'', it's just the way i am, thorough. However the cause for me writing this was trying to understand,,, What Dr on earth is going to ask another Dr. to essentially confirm ''a controlled substance such as Percocet is a-Ok" and give ''the nod'' knowing how addictive and dangerous it can be in the first place. Anyone seeing my point? I know my primary Dr. ive been seeing him about 20 years (the one that prescribes xanax), i already told him i am prescribed Percocet from Pain management, not even the confirmation was my issue, the need to also confirm Percocet was the ''right'' medication from me from another doctor is what raised an eyebrow. Any other insights fully appreciated. Thanks for helping me understand. Truly.

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