Doctors Willing To Prescribe Heavy Pain Medication In Colorado (Page 209)

I have a serious problem. My dr. had two patients start dr. shopping and has decided it is too big of a pain in his butt to continue prescribing, even though I have gotten MRIs and Xrays to prove my problems. I have over a half a dozen herniated discs in my low back, along with degenerative disc disease, spinal stenosis, scoliosis and arthritis in my facet joints. I am currently on5 30mg oxycodone a day for breakthrough and 60mg of methadone for my long lasting meds. I REALLY need a doctor in the Denver, CO area who will not judge me because of my age, thinking I'm just some drug seeker as I TRULY need my meds to function. I am even being placed on disability until I can get my back healed because if something doesn't change I will be in big time pain for the rest of my life. If ANYONE knows of a good doctor that prescribes strong meds willingly in the Denver area please let me know. I am in desperate need of help as I am going to be SCREWED if I cannot find a good doctor. SOMEONE please help me with a doctor!!!!!

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Nope they are closed Saturday and Sunday, what pharmacy legit closes on weekends than they didn't come till five Monday I think

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Wendy 1, Ah, thank you but what did I do?

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GUYS!!! Was anyone else told that new regulations don´t allow for your meds to be filled until 30-31 days? It isn´t true. It is the same 28-30 days.
Plus, I´m also finding that this ¨approval¨ for 6 months isn´t working. I´ve had to be approved every month. I was told by Medicaid it should show authorization on all pharmacy programs that provide Medicaid.
Lastly, If you exceeded the guidelines, were you offered to self pay?
I´m helping doing a study. All input would be appreciated, it´s to help us and totally anonymous.
Thanks

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Jet,

I actually looked up in the guidelines and they are perfectly unclear. Yes, Vicodin was switched to a Level 1 narcotic and you are absolutely right, a doctor CAN write multiple scripts at once but suggested for no more than 3 months. Then in another part of the same guidelines, we have if a patient is on multiple medications, they need to be monitored on a monthly basis. I think we are dealing with apples and oranges as far a policies of the doc or office administration. I know several doc´s that will write multiple scripts but still for a total of a month. It used to be that pain management folks had to be evaluated every quarter. Bottom line, you have one heck of a doc, stick with him, he is practicing true medicine.

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Janey girl, I was told on 31day u can refill no exceptions .

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I don't have Medicaid but the pharmacist at Target told me that EVERYONE can get scripts refilled 3 days before they run out. You may know this but she also told me that you can pay for any additional pills on your script that Medicaid doesn't cover. Ex: Medicaid will only cover 4 pills a day but the Dr. will give you 6. You have the option to pay for the other 2 pills a day yourself.
All of you on Medicaid may already know all that but just in case...

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Janey I found this on Doctors against pain:

The greater problem is that there’s a huge reluctance in general of physicians to prescribe adequate medication for people who really are in pain and have a very low risk of becoming addicted. That’s the big problem. I think if you read the actual epidemiological data and the data from insurance companies and health organizations, it suggests that the vast majority of people are undertreated for their pain and I think that that’s in part due to the scare of overdosing and having the drugs diverted and making somebody who never was an addict and never had a drug abuse problem into an addict. My position on that is that’s very rare. I know people are being undertreated for pain. Opioids are the most effective pain relievers we now have. You want to use them optimally, but you want to use them when they’re necessary.”

I love this Dr, wish he was here in Colorado!

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JaneyGirl:
Have you heard of LENS treatments? It stands for Low Energy Nuerofeedback System, it does help to restart all the 21 neurotransmitter's in the brain and has worked wonders. I believe this helps a lot, I work with clients daily in this treatment.

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Walgreens filled my meds for 12 years now they would do it three days early. CPR won't let u go elsewhere only to their people. Which cost 1.00 per meds extra copay

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Cooper, Yes, I have both on folks and animals, plus the new lasers, magnets and alternative therapies that can do wonders. I´ve spent the day consulting with doc´s, going to my doc appointment, being truly energized with ideas that I have shared with a guy who actually conducts studies on pain management here and in Canada. Unfortunately, I personally am not able to participate in any of the above although I do teach bio-feedback, am a Reiki Master and do hands on healing therapies. My actual degree is in Alternative Health Care Practices. I unfortunately have a genetic disorder called Prolonged Q-T. It is the #1 killer of folks over 40 that they just can´t figure out why they died since they can´t diagnose except while someone is alive. Anything, including a great number of medications can kill me. Many doc´s are not educated in this disorder, so I have the Arizona list on my phone of what I can and cannot take and therapies I can´t participate in, I´m in a study at the Cleveland Clinic to help find out how this genetic disorder works, how to prevent death and such. I guess u can say, I was blessed but I also have another disorder, which they believe is caused by the prolonged q-t stimulating my vagal nerve, called Cyclic Vomiting. This is why it is so important I don´t get started into withdrawals. I drop my potassium, magnesium and sodium in a heartbeat and when I say I vomit, it´s far too gross to even explain. I honestly never had withdrawals until the past 3-4 months. My veins are shot from phenergan and between the pacer for the prolonged q-t and the cyclic vomiting, I´m a very tough patient because I have no veins and have a port in place. So when doc´s and folks tell me that u won´t die from withdrawals, I react and strongly. About 5 years ago, I got the swine flu. Went to a urgent clinic because I had what everyone else had, thankfully a nurse who had worked for me was on these 3 days because the doc told me he´d seen 12 people with the very same symptoms by the time I had gotten there at 9 am and that he would see at least 12 more before 12. I didn´t have 12 hours left. I was transported by ambulance and the paramedic noted that I had prolonged q-t. He gave report to the nurse, she put the EKG on the wastebasket and the doc never saw it, I was too sick to mention, the monitor in the room didn´t work and I was sent to CAT scan. The last thing I remember was a tech who was pissed off that I was spoiling her Arby´s who rudely told me I HAD to hold up my left arm for the diagnostic and that´s the last I remember. They pulled me out of the scan, without a pulse and not breathing and remained that way for over 23 minutes but they finished the evaluation. They assume that when I went into this deadly rhythm, my potassium was way low and when they pushed the contrast into my vein, I arrested. I won´t go into my feelings of them not noticing that I wasn´t talking back to them or that I wasn´t breathing. Typically, they ask u or tell u that u should taste a metallic taste in your mouth and I didn´t answer, Arby´s was getting colder by the minute and so was I. They did CPR for 23 minutes, they truly don´t know how long I was dead but even being a nurse since the 70´s, having alarms on breathing machines that sound like cars beeping is terrifying. I was put in what I call a Michael Jackson coma, hypothermia and ICU. Much to their surprise since I was on meds to maintain my blood pressure, plus all these therapies to decrease further brain cell loss, I woke up. Make no mistake, CPR hurts, I already had a fusion on my back, a totally numb left leg and was back to riding my horse but 7 broken ribs, severe burns on my back from defibrillating or shocking me about 5 times, hurts. As many times as I have performed this life threatening procedure, I always assumed folks would b happy they were alive and never thought for a second about how much it hurts. Don´t get me wrong, I am thrilled that they did it correctly but being stuck in the CAT scan, it made putting my breathing tube extremely difficult to place, breaking upper and lower teeth and the actual bone next to my nose on both sides. I awoke to my cardiologist and hospital doc arguing about what to do with my now severely high blood pressure. The cardiologist was trying to explain and educate this doc that my blood pressure was obviously an indication of me awakening and that I was in pain, the hospital doc was disagreeing, never even looking at me. The wonderful cardiologist who was holding my hand simply asked ¨are u in pain¨? I squeezed her hand and shook my head YES!!! Then it was 20 more minutes on why I couldn´t take the medication through a tube to my stomach, the cardiologist looking at the other doc like she was from Mars. I thought I was in a car accident from the constant beeping from the alarms. Although I was out of it, I was terrified, tried to write that I wanted transferred to the Cleveland Clinic, where I had worked for years. Even out of it, I clearly understood what the cardiologist was saying and flipped a bird at the other doc. So anything that is electrical that could stimulate my combo of pacer/defibrillator is out of the question. If I could, I´d be there in a New York heartbeat. There really are so many options of modalities out there currently and we really should be talking about, that although may have to be done with a medication program but we don´t, simply because everyone is terrified of having pain and if it doesn´t work, do u end up being screwed? While managing the pain program, it always included additional modalities, allowing patients to look like their eyes were sprayed with windex. Although treatments plans were individualized but often it was these adjunct therapies that made a huge difference. I wish I could teach about 99% of folks on here simple techniques, like bio-feedback that won´t take their pain away but allows u to have some control of your pain. Even creams, compounded ones, work wonders until someone falls in love with the ketamine, does something stupid like put a heating pad on it and that option will b gone. If u r up to it, perhaps one of us can post and educational note on therapies that would b excellent adjuncts to rx. I think it would be very helpful. I tend to think everyone know things that have never been mentioned to them and if they r like me, r sick of these issues running my life, taking a pill is easier, sick of waiting rooms but potentially have benefits that can make a difference. How about u start and explain about the benefits, how it works and what to expect and I´ll put together different types of laser treatments that are now available. I´d offer to do this week but I´m moving. Where? Only the Lord knows right now and I am comfortable with that. FYI-Did u know that they actually did a study on belief studies and pain management? The results were shocking. It not only covered pain management but cancer, heart disease and other chronic illnesses. Truly a good read and I will try to look up and post. U know that feeling of when u have just nailed something, how sure of yourself u feel and emotionally feel awesome? That´s your endomorphines working for u. The natural high, that many try to replicate by taking too many meds. OK! Another soap box! I just feel that if I open up about what´s been hard for me, others will do the same and we can help on so many more levels than how many oxy´s u can get from which doctor. Cooper, u r on the right path and I thank u for reminding us all that we have knowledge that others may not have and may help someone. Medicine is called a science for a reason. Although there are guidelines and probabilities with any treatment, only u know what works for u! Bless u my dear and share on!

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Wendy I believe CPR is messing with you all and could get in trouble if someone were willing to report them, but I understand many would be without a Doc if this happened.

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Cindy,
You are exactly right. I think this 30-31 day deal is this doc´s guidelines, which is why I asked. I´m actually finding a 3 day leeway from about 76% of doc´s right now, with close to 200 people.
You are also exactly correct about the addiction issue. What actually happens to far too many people is, the doc´s don´t write scripts with the ability to take an appropriate dose for their initial pain. People aren´t medicated enough, they hurt more, they get blown off and then have to get creative with their pain management, often ending up with now being terrified of pain, their endomorphine supply already altered and boom, u have a pain management patient. These ¨difficult¨ patients then get labeled and the circle begins. I´m not sure u saw my post but u take a person who broke his arm, he ends up with external fixation, from the start of taking medication, it takes 10 days for the patient to be addicted. When I say addicted, I mean this patient will experience some type of withdrawal, simply because at this point their own bodies endomorphines have stopped production. They will experience a higher amount of pain for a few days, making them Jones for something and BOOM, again, u have a pain patient. Even people with simple surgeries can end up here. No! U won´t have the same type of withdrawal as what we would have but they will have symptoms. Even these people should b taken down slowly to allow your body to catch up with what u have been taking. Utilizing oxy´s for a simple surgery is simply a poor excuse for not wanting to take a call from a patient here or there. We r all in this situation from many doc´s experience. Do u know that they do not teach pain management in medical school? So basically, what you learn is from what you have seen from your mentor. They do not offer classes in pain management, so most r flying by the seats of their pants. BAD!!!
I had an appointment with my primary doc today, had this discussion and was told she has had more education from me and my articles I throw at her everytime I see her. They teach, hands on therapy but not medical pain management? Is it a wonder there are so few doc´s capable of truly managing pain. It is sad that no longer is the doc who doesn´t care about time, rules and regulations, afraid of patients like us although the amounts of truly street addicted hasn´t done anything but increased. I have proposed to all that I have emailed, talked to and such that perhaps education would help here? We are not guilty until proven guilty. The monkey is on our backs to protect our own selves. How about we work at switching that around?

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Wendy 1, I couldn´t agree with u more. I have bucked this pharmacy deal from the start. I´m getting way more forward here but the first time I used them, a year or so ago, when they weren´t using bonded delivery, I was short 45 pills and I had to make do. I asked 4 months ago how to deal with an extremely important trip. I was told, I would have to ¨make due¨. Each month, I´ve had to get authorized even though the first time I was told I had an exemption for 6 months. My scripts were decreased because they didn´t bother to tell me I could pay out of pocket for them if needed. I´m in the middle of a move, my roommate broke his hip, I´m doing it all myself and I have to stretch not what was ordered but what I´m given now, which is about 1/3 of what I was on, plus like I have said before, I´m on a strict budget and only get paid once a month, so I´ve been averaging about 30-36 days for refills. When I went to pick up, the whole room was full and not ONE person had any of their meds ready, many were wrong and I couldn´t even pick up a non-narcotic medication. As I´ve said, I understand that there have been a ton of changes but after hearing from folks that go to different doc´s that this is consistent, it made me even more nervous. I adore the folks at CPR, I really do and have said constantly that Hector is probably one of the finest doc´s I´ve had the pleasure to meet. However, I have medical issues that make going into withdrawal truly life threatening. When u get to this level, there is a problem. I believe communication is the real culprit here. Just let us know what we need to b doing, most of us r compliant. I know people have been tough, I´ve heard the yelling in the office. I´ve been tough but people just need to know the rules, not be jacked around and it would make life easier for all.

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Has anyone had success going to CPR in wheat ridge? I am in a lot of pain due to my job over the coubtless years and don't have mris or medical record. Please I am In needing help.

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The reason I'm asking now it's because I have health insurance recently through my job now and can afford medical help, I have fell on the job twice and am needing to get mris and testing done to make sure there's no serious injuries, can someone please help to recommend me to a doctor who can help with all this? And I don't have a primary care doctor would I be best off going to painmanangemnt to get all the testing done or primary care doctor? Can someone please recommend any of these?

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I was just told by both my doctor, and the pharmacist at Walmart and King Soopers that the feds allow 3 days early if the doc writes a 30 day prescription. Insurance is the same. However, King Soopers....and all Kroger company pharmacies only allow 1 day. All this drama almost makes it worth flying to Mexico with your prescription and buying a 5 gallon bucket full!!! Freaking junkies ruin it for everyone!!

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Lildevil,
Yes! CPR does a great job. Their PA, who is actually an MD from Mexico, is probably one of the finest doc´s I´ve met. U will need an MRI or a doc´s referral to get an appointment. U may want to try Spine One to get a referral, if u need one? They typically can get u in very quick, medicate u until u get your referral. I´ll warn u, they may give u a referral for a different doc, run it past us first. Secondly, they tend to overbook there, so expect a long wait to c the doc but I´ve seen many going this route to get a referral and quickly. Don´t feel uncomfortable with telling them u r considering CPR, so u get a referral that will work. As most doc´s r having the very same issues as CPR, I do want to warn u, they r going through some changes that haven´t been communicated very well and were caused by a few patients who basically did inappropriate behaviors, making the process of getting your meds difficult. This is why I suggest seeing Spine One or another doc first to get your referral and meds to cover u until u can c them. All of CPR´s scripts go through one pharmacy. The scripts r sent to the pharmacy, then processed and all r fedexed to u. So u can expect 2-3 days for your meds to actually arrive. So PLEASE, regulate your meds to cover for this amount of time. CPR takes very few insurances, so expect about $300 for first visit and $180 for your regular visit. They do a UA every visit and be honest with what u have or havent taken. They will NOT judge u, believe me, Hector has seen it all and he is very, very compassionate and understanding. If u follow their rules, you will have no issues. Even an urgent care can give u a referral but they won´t b able to cover the meds u may need. CPR has also been busy, it used to b u could get in within the week, I am not sure of the waiting time at this point but I would request at least a 2 week supply of meds. Do NOT b afraid to tell them what has worked and what hasn´t, u will not b judged and helps Hector get u into a program that will help u the best. If you have questions, just write back, one of us will get back to u. I will watch for your response, I work off the internet, so I can typically answer fast. Anyone here has been through your exact situation and will help. You aren´t alone my friend. We care!

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My Brother goes to Rocky Mountain Pain Managment. They have him on #240 30mg Oxycodone IR. # 180 100mg Morphine ER. #180 10mg Valium and 120 somas. Try them he had his medical history sent to them and had him and appointment 3 days after he 1st contacted them. He's been going there for 6 months. He's really likes his Dr there. Another one is Dr Tim Brown I use to use him until I moved out-of Co. You can google him I have lost his contact number. Hope This helps. Good luck

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I agree Cindy, I'm going to Dr Glazier ASAP

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Janeygirl,
So I should go to spine one to get my mris and get my tests done there? Do they accept insurance? I have an appointment Friday with a dr name jack rentz, it's the Rocky Mountain pain solutions in Lakewood,has anyone been to or heard of him? I need a doctor to get my tests done I need a good one I reside in Denver currently. So would it be better for me to go to pain management to get my tests done or to a primary care doctor? I don't have either one.

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