Pain Management Shreveport (Page 2)

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Does anyone know of any primary care physicians in the Shreveport/Bossier City/Haughton/Minden area that do pain management? I have been going to a pain management doctor here in Shreveport for about 6 years now, but it is just getting to expensive. He refuses to to go any higher on my dosage of Oxycontin, which is 30 mg 3 times a day. And he will not give me anything for break through pain. I am on Medicaid so I have to pay him out of pocket. Medicaid pays for 60 of my oxy's, but I have to pay for the other 30. If I knew of a primary care physician that accepts does some pain management and also accepts medicaid it would be a really big help. I'd really appreciate anyone that could help me out and answer this. Thank you.

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21

Dr. Tanga does do the inj's. I think, but he's never asked me if I wanted to try them. He also prescribes extended release pain meds, but the highest he will go is 30mg on Oxycontin and he absolute refuses to give anything for breakthrough pain. Which really sucks and is totally wrong, but I have no choice but to see him because far as I know he is the only pain doctor that accepts self pay. All the others are insurance only. He charges me $175 plusan extra $100 every three months or so for drug panels. Initially though it's a much higher fee for the first visit, but I'm not sure exactly how much it is now. Back when I first started seeing him I think it was $350, but I believe it's much higher now cause that was like 6 years ago. VEronica, I can't believe he's only giving you 1 lortab a day. That's just insane. I'm pretty much in the same boat you're in as far as my diagnosis on my neck and my back. Both are seriously messed up. I'm on Oxycontin 30mg every 8 hours, zanaflex 4mg 1-2 every 8 hours. I've been on these same dosages for quite a while now and they are no longer really working for me, but he will not increase the dosage. I'm almost to the point now where I'd rather try and buy some insurance just so I can see a different doctor, but if I do that I will lose my disability. Really sucks!

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22

I was have been under pain management for 6 years with a doctor in Texas and. Out of nowhere I can no longer go because he's out of state. My PCP was writting my meds until last week, he said the law has changed and he can no loner write them. Right now I'm going through some heavy withdrawals and in more pain than i thought possible. I have Lupus, RA, Fibromyalgia, Muskeler Skeletal Disorder, Nuropothy, Serverve Chronic Pain along with Anixty Disorder and have had Knee Replacement. I have medicate and there is not one doctor that will take me as a patient because of it, I even offered to pay cash but they are not taking cash patients either. I'm on SSI a 1/2 credit from getting my full disability but I'm 100& disabled. We are being treated like lower class citizens and it isn't right. I have never abused my medication, I always follow the direction on the bottle

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23

Connie, your PCP can write rxs for pain meds, he just chooses not to. I don't understand why drs lie to patients. Also drs that accept Medicaid try and stay away from rxing high doses of pain meds because the politicians in D.C. are pushing the states to discipline Medicaid Providers who are high prescribers of pain meds and certain other meds. Louisiana Medicaid will not pay for a Pain Management Clinic or a Pain Management Dr. Although they will pay for the meds. I know others here have said that it will, but call your health plan and ask them for the names of Pain Management Dr. Louisiana will pay for you to see other drs. But good luck at getting them to prescribe much, if anything for chronic pain.

Why did you have to stop seeing the pain managment dr in another state ? Is it because in Louisiana you can only get a 10 days supply of pain meds if the dr doesn't have a license to practice in Louisiana ? They also call the dr and tell them. You can't get another rx for the meds and get it filled in Louisiana before 90 days are up, even though you only got a 10 day supply.

The best advice I can give you is to go to work and earn that other credit. Then you will qualify for SSDI & Medicare. There are many Pain Management Drs in Louisiana who accept Medicare. It can be a filed work attempt, so you shouldn't lose your SSI. Although you might be ineligible for SSI for a few months because of income.

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24

My PCP did write my pain Meds for the last year as of January 1st he can no longer write them. He has sent my records out to the pain manement but like I said medicade doesn't pay for that anymore and the doctor's aren't taking cash payments. If I could work I would in a second believe me. Thanks for your reply

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25

con,Talk to your Medicaid PCP and tell him that they won't accept cash. Although even if they did, it is very expensive and chances are you can't afford it. A PCP can write rxs for pain meds which also means they can write rxs for Medicaid patients. Maybe he will help you.

None of the 5 Louisiana Medicaid Health Plans will allow you to see any dr that accepts Medicaid that is not a member of their plan effective February 1, 2015. United Healthcare and Community Health Solutions are changing their plans. You need to check and be sure the drs you're currently seeing will still be part of your health plan after February 1, 2015. You have until Tuesday January 20, 2015 at 6pm to make changes.

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26

Talked to my PCP and he will not write pain medicine long term. He said that he can get in trouble for it and I have to find a pain management specialist. He gave me a list of 20 doctors and there are 3 that except cash pay.one doctor is $250.00 every 2 weeks he's in Shreveport, LA and the other is $300.00 every 28 days he's in Orange,Tx. If I went to Shreveport my medicine will be covered by my insurance if I go to Orange I have to pay for medicine out of pocket because I have to fill it in Tx. The problems my limited income.

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27

con71446, I realize that physicians are in business to make money. But, it seems that they are taking advantage of those without insurance who have to pay cash. How many people on Medicaid can afford $500 a month for pain management ? Unless you have really well hidden resources or someone with a lot of money who is willing to pay for you to go, I don't see how you or anyone can go for more than a few months with limited income. With all of the changes to Louisiana Medicaid that went into effect Feb 1, Medicaid may not pay for the meds if the dr doesn't accept Medicaid or your health plan.

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28

Your right about that. It's a sad situation for everyone on LA Medicaid. I don't how it is in other states but here it's a mess and heartbreaking for the elderly and disabled. The sad fact is that people who are drug abusers ate still getting their drugs somewhere and those of us that need the medicine can't get our medicine.

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29

Most PCP don't write pain medicine anymore. They are all refer you to pain mang. I would advice you to keep the doctor you have because it's really hard to find another one also on a side not if you don't see the pain mang doctor you have for 3 month you will be dropped and considered a new patient.

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30

con71446, well said !

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31

BL I'm just wondering where is your information coming from I was a nurse until about 2 yrs ago . Everyone of the dr I know say that there was a new law in place last year restricting them from writing prescription for chronic pain unless that provides has cancer. They can write for acute issues but not long term chronic pain . I was just wondering where to look

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32

He most definitely as rude as you have read. And you are not allowed to assist in your own care . At all and if you have questions he becomes angry and tells you you can see someone else all the while knowing that he is the only choice for cash pay patients. I didn't want and increase in mess I just need to have him change the frequency of my visit because on a limited income I can't afford every two weeks . And there is always a new excuse for why he won't change a new goal when the last goal has been met .

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33

Shen, I am going by Federal and State Laws. There are no laws that state only pain drs can write pain meds for non cancer pain. I do not know why so many drs lie about it. The next time a Dr tells you this ask them for the Code Of Federal Regulations reference number if they say it is federal law and the Louisiana Revised Statues reference number if they say it is Louisiana State Law.

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34

Has anyone heard of a new condition of pain management requiring you to be at a certain weight in order to receive your medication? I have gained some weight over the last year and so last month Dr. Tanga comes in and tells me that unless I lose 4 lbs every visit my pain medication will be decreased by 10mg. He set my goal weight at what I was when I first started seeing him over 8 years ago which was 130lbs. At 130lbs I am way to thin, but apparently that doesn't concern him since is now a requirement by the federal government that you have to be thin to get pain management now. I lost 8lbs by the way and he was very happy with me. It seems the government wants to take over every aspect of our lives even down to how much we weigh.

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35

Robyn, there are no federal or state laws saying you can't get pain meds unless you're a certain weight. But, weight does increase pain which often requires stronger pain meds. So it makes Denver that a Dr would want patients to keep their weight down.

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36

That's why I stopped going to pain management doctors. Best decision I've ever made was going to a methadone treatment center. I never run out of meds or go through withdrawal symptoms. I'm also given xanax with my methadone. I have serious nerve damage and not much use with my left hand, people are misled about methadone it helps better than any other pain medication I've ever taken. It's not just for opiate withdrawal.

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37

Paul, methadone treatment centers are not for chronic pain patient. If anything happens and you can no longer go to the clinic, you won't be able to find a Dr to manage your pain because you gave a history of being treated for drug addiction.

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38

I really don't think doctors want to write scripts for Oxus anymore now that the people out there that have abused this med they have changed the med so you can't crush them anymore and they gel up if you do so thanks to those abusers people with chronic pain have a hard time to get their doctor to write them or they WILL send you to pain management to prescribe you something and decide what and how much they think would be good for you

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39

Amica, many regular drs don't do chronic pain management any longer, but it is up to each individual Dr. Now days most chronic pain patients that need Schedule II meds have to go to pain management drs.

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40

I've stopped going to pain management clinics 10 years ago. I originally went to get off the opiates to stop the extreme withdrawal symptoms. But then I soon found out that it completely got rid of my notorious pain

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