Refuse To Prescribe

Updated

I live in a very small town and the number of doctors here is limited. The number of good doctors is almost nonexistent. I'm finding that calling for an appointment as a new patient the office staff says right away, "We don't prescribe pain meds"! Also have heard "We don't take fibromyalgia patients"! This is said before I ever state what I need to be seen for. Assuming I did have pain, do I no longer have the right to have my pain relieved? I'm so offended by this. If you have chronic pain you are treated like a leper. Apparently it is automatically assumed you have a drug problem. Going to other towns is the same. No wonder people self medicate. Is this happening all over the country?

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1

Unfortunately yes, it is. Many people, all over the country, are having problems getting medications prescribed to help with pain.

The DEA issued some new directives last year to try to further curb prescription drug abuse and over prescribing, but it has just seemed to create more problems, so far.

People that have chronic pain are expected to see specialists to help get better control of it, but many of them are also worried about what and how much they prescribe of anything.

Are there any other questions or concerns?

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2

You never had the right to be prescribed pain meds. There are no.laws stating drs have to prescribe pain meds. If you need meds for chronic pain, you need to see a pain management Dr to manage your pain and other drs to treat other aspects of your health conditions.

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3

It clearly states in government department of health, quote: "As a patient it is your right to have your pain addressed by your health care provider."

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4

No Paddle You said it, You have the right to have your pain addressed, but its up to the doc to decide what treatment he is willing to prescribe. If you dont agree with his treatment plan you dont have to follow it. That just means you have to go somewhere else. Unfortunatley we all dont have doctorates to prescribe medicine. And Yes this is crazy when we know what works best for us, but the docs have protocols and they say they must start at the least amount first and work up from there. Very frustrating. There is no good answer. When I hurt, I hurt, I want what I want and I want it now! Sound familiar. Do the best you can and keep on looking and praying you'll find a doc that will listen to you.

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5

Having your pain addressed doesn't always mean.receiving pain meds. Just because you don't agree with your Dr doesn't mean that your pain isn't being addressed in a medically accepted manner.

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6

That's most unfortunate that Doctors now bow down to the government. I went through the exact same thing, so my comeback concerning the pain meds was, who do the drug companies make pain meds for a secret society? It's a sham

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7

It's really sad that when you have pain, you can't always receive the meds that your body needs because of people who abuse meds. I take Tramadol, Flector patch and Voltaren gel for osteoarthritis. I also do aquatics about 4 hours a week and yoga. Try meditation and walking on even surfaces, sit in the sun for limited time with sunblock. (I also have basal cell carcinoma) Pain meds can't always help make us pain free, sometimes we need to try anything else that will help relieve our pain. Good luck!

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8

I'm laughing so hard.

I had a traumatic back injury and two surgeries for it.

They sent me to a pain clinic.

He didn't do s***.

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9

This is to BL, you seem to either have all the answers, or affiliated with the health field industry or a current or previous patient who seems very angry with other's who need medication or there questions answered, preferably by someone who isn't so disrespectful and doesn't know the person's whole story. And if you did I'm pretty sure that your attitude won't change. And I truly feel for you, even though, you could give a ___ about it. There's just so many better ways these so called PROFESSIONALS could handle this situation's. Doctors, Pharmacists, Pharmacy staff, Pain management team, PT, Dea team, etc. It stars with these educated Professionals to not speak among themselves or send letter's, notices about changes, but to educate the patient about what you may ask. Well when I'm sick or hurt I go to see a doctor. He is not only the first Professional I'm in contact with, but the most important Professional that not only is going to try and help me, but someone I can trust my health with, so I need to be educated by my Dr. and when I say educated I mean explanation of every thing that will help me to not only understand all the procedures at the Dr. office, but I need to be informed about what happens when I take a prescription to the pharmacy and run into some kind of new law, why wasn't I given a copy of this so called new law. That was supposed to be given to me or verbally, but I prefer in writing, because there is to many finger pointing or he said she said baloney. Coming right out the mouths of our Professionals, that's why I would like everything in writing. Because the insurance companies that collects our monthly premiums and let me tell you these premiums are high, so I expect from the Professional Dr. a education about my whole appointment today I want to know everything that has changed, the way I know it can be done new laws new policies what I can do if I run across any problems especially at the Pharmacy where I believe God resides. Because my monthly premium should get me a satisfying Dr. appointment that includes fully being informed of any new procedures that has to do with the doctor, Pharmacy Staff Pharmacist or even God. I don't want to leave this Dr. Office because the next patient is here for their appointment. Dr.'s should make sure the patient they are seeing has enough time to not only be treated but to be educated, we pay for our appointment,and you Dr.'s are compensated nicely. One word sums it all up Educate Me you see that's two words. I need to be educated from a Professional Doctor.

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10

I had knee replacement surgery two weeks ago and took oxycodone and then vicodin. I've had nausea from surgery and for the entire two weeks. I've stopped taking all narcotics for two days but still have nausea. When can I expect the GI upset to go away? ## Hello, Carmen! How are you feeling? Has the nausea eased, yet? Both the anesthesia used during the surgery and the medications can cause nausea that may linger for quite awhile, even after you stop taking them. However, after being off of it all for a week, or so, it should start to improve. If it doesn't, then you should consult your doctor. The FDA classifies this medication as a analgesic, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constip..

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11

Yes it is sad. I have degenerative disk disease and 5 spinal fusions on top of that then a spinal cord stimulator put in and it helps some a lot at 1st. But something else has to be done about pain control I agree I have fibromyalgia additions disease and now vein disease in my legs and it gets ridicjous..

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12

Ron, drs don't work at the pharmacy or insurance company. They have no way of knowing what problems patients may encounter. Insurance companies pay drs to diagnosis and treat you. What you're talking about would require an enormous amount of time and insurance companies won't pay for it. But, you can pay out of pocket. Drs cab advise you on your health and procedures. But the education you're referring to isn't a drs job. You have to assume a certain amount of responsibility when it comes to your health.

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13

To be clear, my post was supposed to reflect the fact that patients that call a Dr for an appointment are told immediately, "We don't take fibromyalgia patients", and "We don't prescribe pain meds". This is said before I mention I wanted to be seen for possible thyroid testing. I do happen to have fibro, but they didn't know that. And I do, if needed, have the right to have my pain "addressed".

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14

Absolutely, it is happening all over the country. I have a pain physician but needed a family doctor to treat other illnesses. As the nurse called me back before I even opened my mouth she said, "we do not treat chronic pain"! I responded, " I wasn't asking you to treat chronic pain you dummy"!.. Then she said, "Oh"! If you have chronic pain, get a pain doctor who is very good. I have one of the best in the state I live in. It is true, that, if you have pain and go to a family doctor that they think you are 1) drug seeking, 2) an addict or 3) looking for pills to sell. Unfortunately, we with chronic pain, arthritis, spinal stenosis, degenerative disc and joint disease, scoliosis or have broken your spine at some point in your life, which all of the above apply to me are looked upon as drug seeking addicts. Its a fact because there are so many of the drug seekers, addicts etc, all of us are thought as such. Its very sad in this day and age too. I have a wonderful relationship with my pain doctor and I have NEVER, sold, traded or have given away my medications to anyone. They are that to me, medications. I never call them pills and everyone I know around me abuses, buys off the street and every month takes too much and run out of theirs. I did for about 11 months run out every month but couldn't figure out why.. I explain this later on... Its an illness just like any other except this one ruins families because people who are addicted often steal from their loved ones. My husband used to steal mine while I was going through chemotherapy and every month I would run out and I suffered.. I couldn't figure out why. My husband would never steal from me, the person he loved so much! I was naive and very wrong. I bought a very good safe and that ended that!!! If you do get on pain management, protect yourself by buying a safe and tell as few people as possible because many people you will now will be more of a friend because you have pain medications now. It happened to me!! Oh, she's got pain medications now so I will try to borrow from her!! It still happens even though I say know. Drug seekers can also spot you 10 miles away. When it comes to drugs, people's radars go off..

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15

In the local hospital there is a sign that states, and I quote, "You as a patient have a right to have your pain controlled". Their sign,not mine... I'm just saying...

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16

No Paddle, The right to have your pain management in a hospital setting where you don't control the pain meds you receive is Not the same as having a Dr write you a rx outside a hospital setting. The Joint Commission oversees hospital settings. Put Joint Commission in Google, when you are at the site put Pain Management in the search bar there.

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17

I was speaking about a hospital setting. Hence. The sign at the Hospital

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18

I was speaking about a hospital setting. Hence. The sign at the Hospital. Please do not respond to what you think I am saying. I said a sign at a hospital which means in a hospital setting. No, in the real world we don't have the right to have our pain controlled. That is why I suffered, and I do mean suffered for over 20 years before I found a very good pain doctor. A good pain Doctor will help you, providing you have the correct documentation, x-rays, mri's, cat scans etc..

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19

Why are people afraid to go to a pain management Dr.? Your PC Dr. can't write scrips for pain because people have abused pain meds. My pain management Dr. has all my records and knows where my pain is and why I have pain. But most of all he knows my workout routine and what I personally do to help me manage my pain along with meds. You can't depend on meds alone as a cure; learn to help yourself with yoga, aquatics, massage therapy, meditation, etc. Be your own best advocate.

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20

Angelina, I apologize for misunderstanding.

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70

Gran,

Latex and silicone in generic patches (glue). You are correct madam also in generic pill binders.

I need your help if you do have a Houston physician I am fairly sure who I know or heard about in Baytown, it's a damn shame but we changed ALL in our medical board around 2010 when Dr. Hochman died he took care of me for 10 years (until his death).

Pacific Northwest is suicide, they were bad before this, they are worse now. You won't get morphine there.

The physician I went to for the past 5 years is the top PM in the country but 10 months ago he dumped 30 out of state rare cases (he only takes the worst the total piss end death risks and I can die from pain since the P450 DNA allowed it to reach my brain and the barrior is now damaged) and came out of retirement (he is now about 73) when Joel died and another "good physician" who evolved terminal cancer and went bad rapidly in Oregon.

You do not want to move anywhere out there but California but Jerry Brown who was Attorney General was busting pharmacies nonstop; the class 2's are written 3 per page. A kind gentleman I am posting with on the Duragesic withdrawal posts gave me (privately) a physician in Louisiana. I am waiting to hear from him since I'm on the border anyhow and had a boyfriend I lived with there on and off for 10 years. I turned 61 in September although most think I am in late 30's or 40's. Currently fighting and won against the Attorney General in the state my Workers Comp was in and fighting the local yokels at SSA who decided after all these years to deny me for my comp did not pay all this travel for 20 some years. Meaning I'd take a DON or CNO job and drop within 4 weeks, get laid off but it paid the airfare to these wizards. When I was seeing Joel I lived in Midland so you know that was better by plane, and California is only by plane.

I would love the help Gran if you feel comfortable take your time. I have or had put aside 10 to 15% a month for years which is the only thing that has kept me alive; since I am P450 only patches and liquid work, the pills they shoved at me for years apparently zipped out without any good benefit before my GI mashed them to sludge :)

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69

exactly its a pretty stupid law. what is going on people cant even get pain meds, anxiety meds its crazy because of gerks who ruin it for everyone.

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68

Thanks for the info.

I have had extensive dental work and bite revision for TMJD. And I have always ground my teeth and clench all the time. Despite having great teeth, I do have diabetes and over the last few years have had a few cavities. I even had a tooth break recently, but the dentist suspected it had a stress fracture to begin with.

But I will be more mindful.

I feel confident my doctors know their business. We've done RFTCs, PStims, MUAs, injections, and so on. While the pain is somewhat better than it was a decade ago, it is still pervasive and debilitating.

That and Houston is hot all year round. That only exacerbates my pain.

I struggle with diabetes and Myasthenia Gravis on top of RA, OA, FMS, CPS, and structural damage from living fast. So anything to help with the pain is a true blessing. It does freak out some doctors, though.

I carry documents with my ailments and meds (with prescriber info). I've only had one who took me off my meds in the last 15 years during a hospital visit. I screwed up, though. I accidentally took my nighttime meds in the morning and my husband couldn't wake me.

I found out the hard way that Narcan sucks worse than natural labor. It squeezes all 36 hours of hard labor and delivery into an hour and sears your veins with acid. But it was necessary.

That was a decade ago, and I am much more careful now. Everything is colorcoded and kept in different containers now. I never want to go through that again.

I will keep researching my dental health and keep my appointments. Thank you for the info.

I'm not sure who Dr. Famous is, but I was once treated by a doctor who also treated Quentin Tarantino and was even in several of his movies.

He was a wonderful and empathetic doctor; but following a horrific wreck (which killed him twice, only to be resuscitated and put in a coma to heal) he developed an addiction. I still love him to death, but he no longer practices.

After his ordeal, his name and practice was dragged through the mud. He was pegged as a pill mill. Even the people who shared an office building in Baytown talked smack about him. We, his patients, were a pariah.

They didn't know that we patients were evaluated carefully, including contracts, blood work and u/a's. They just wanted their 15 seconds on the back of a man who was at his lowest.

Fortunately a doctor in the Houston area took his patients and I love him and his PA to death, too. They are just as thorough and caring.

As I cross my 50th in a couple of months, I fear that Blowbamacare and the unsettling interference in causes in care will hurt my options.

We want to retire to the Pacific NorthWest, but am concerned about finding another doctor when we do.

I pray for relief every day.

I also see a psychiatrist and he prescribes my sleep meds (because I will go for days without so much as a nap if I don't have it) and Cymbalta to help with the pain.

I've done the psychanalysis and "it's all in your head" quackery. While there are some seekers, that are the minority and unfortunately the rest of us get treated like second class citizens.

And that saddens me.

Why don't we have more research into pain relieving medication? And why are the meds so dadgum expensive? (I understand free markets...I was a business prof. I was being only somewhat serious.)

There has to be a better way.

And I still didn't catch why my latex allergy is a possible problem. Is it the binders used to make the tablets?

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67

P450, Sandy didn't say her dr said she could die. She said he said that at her age the risks of falls became greater. And the number of falls that occurs in seniors is greater than the rest of the population. If she drinks at all, that may also be a reason for her dr's concern.

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66

Sandy,

My dear let me tell you for years we in the medical community thought that babies and grandmothers did not feel pain (the very new to the very old ok) but this is a medical fallacy. Any adult who generally has been opioid tolerant on medication is not going to suddenly become DECREASED due to age.

We must reach our hearts out to those here who are mentally defective and require psychiatric evaluation.

Peace

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65

Gran,

There is a post we have been doing all opioids cause dental erosion. Also for those rare cases such as my own I was in constant fight or flight response leading to hypercortisolemia Dr. Famous tests all these hormones when you first come in and along the way. He literally gave proof of scientific information to support.

Opioids will erode and break the teeth regardless of good hygiene. All of them dear.

Check out that post we'd love your feedback on that. I'd appreciate any life saving physician help at this time. I do post to the point and over my years since the injury have effectively referred over 10,000 suicidal patients who were ready to take their life instead got them help.

I have deteriorated now and cannot. Dr. Famous made me stop several years ago he said it would kill me. Pro bono literal referrals and helped indigent walk into ERs and get treated, well Odumma has castrated the system and her people. I'd like to see America and her constitution return in order for all of us here to continue to be free.

When physicians must become ball suckers rather then the great men and women they can be it makes me want to gag. Makes withdrawal look like a damn panty raid.

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64

Gran,

I am highly complex and will die soon without a physician. Does your physician write Duragesic due to my P450 DNA pills do not work (I have all the paperwork) and would love to have a physician who treats you I am allergic as you are; that is why BRAND on Duragesic the latex and silicone on the generics eats holes in my body and they do not go away.

In the 90's the scientific community which I am a part of (published researcher, and professional nurse) knew that opioids were the safest most productive way to treat intractable pain. Further we finally were able to not just treat pain as a symptom of another disease but a disease in and of itself.

I saw Dr. Famous out in California after my Houston PM died (was with him over 10 years) and still have the best orthosurgeon in the world currently at Baylor, Houston. I am way over in Port Arthur area but had to travel for five years to California and 10 months ago he dumped 30 of us (out of state) due to new California regulations. I am now house bound on less than 30% of what I was on and you would not believe what I as an ultra rapid opioid metabolizer was finally on to stabilize Central Pain Syndrome which in short means all those years of pain had caused inflammation to the brain which is generally fatal.

I have fought all odds my good friend and appreciate your spirit and want to tell you that using morphine is likely the best measure you could do for that chronic pain.

Peace

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63

P450,

I have been on short and long acting morphine for about a decade. It isn't something I relish, though. Especially when it comes to coming off it, which I have done twice unintentionally. The pain was excruciating and that isn't counting the withdrawal symptoms. And I am concerned about getting older and taking it.

I've tried Neurontin, Skelaxin, Flexeril, Darvocet, and more but nothing worked for very long. I have RA, OA, FM, and various issues due to living too hard and fast when I was younger.

Since I'm allergic to codiene and hydrocodone and Percocet and anything with the same ingredient (of which no one has ever told me the name unlike my live poinsettia allergy due to latex it emits I to the air when the leaves change color, making any place with one hidden in some far corner an effective death trap for me and anyone allergic to latex and turning me into a hermit for about four months every year). I use holistic methods including Accupuncture, massage, biofeedback, physical therapy, hypnosis, meditation, guided relaxation, etc. in addition to pain medicine to try to assuage the unrelenting and mind-numbing pain I have every day...even with meds.

I am open to other methods and other medication. Options are difficult to find, though. I feel thankful that I have a doctor who is willing to work with me.

And if I ever have a condition that would merit pain meds, I always decline and let them know I am on morphine.

Now I worry about my bones and teeth. Info for the layman about the threat t poses would be greatly appreciated.

Heck...I'm willing to go off morphine if something else would work and be legal. Unfortunately here in Texas, medical cannabis isn't yet despite coming close last session.

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62

Sandy, it isn't a Law it is a recommendation. It is still up to each dr to prescribe for each patient what they believe is the safest and works the best. Seniors usually are taking multipe meds for different conditions that can effect each other. As you get older your body changes and how meds affects you changes. If you have Medicare, it may be more them than your dr. I honestly can't remember if the recommended age is 62 or 65, although it is up to the dr at any age what they prescribe their patients. You can put Prescribing Guidelines for Seniors in Google and more info will come up.

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61

There, using s a new law preventing primary care physicians from prescribing Xanax or Robaxin to anyone over 62. Does anyone know what this law is called? Supposedly 62 & over are at a fall risk.. Maybe some but not everyone. Seems unfair to single out and place all in one group. What do you think?

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