mylives
08-07-2007, 01:36 AM
My doctor was out of town, I didn't know but went to have
a thryroid blood test, since there was no order on file had
to see other Dr my DR partner, first they have PA see me
she went on and on checking and asking questions that didn't relate to me visit she decided I needed a sleep clinic
evaluation, ok maybe that's a good idea. Anyway she leaves the room another nurse comes in puts a paper in front of me that is some kind of contract to only get your
meds at CVS, she asked first where I got my meds. Long
story short I hate the other Dr have seen him twice and he
was rude each time, I didn't sign and things go hairy, have
never been treated badly before, it did get ugly now I am worried about my relationship with my Dr because of his
partner.
a thryroid blood test, since there was no order on file had
to see other Dr my DR partner, first they have PA see me
she went on and on checking and asking questions that didn't relate to me visit she decided I needed a sleep clinic
evaluation, ok maybe that's a good idea. Anyway she leaves the room another nurse comes in puts a paper in front of me that is some kind of contract to only get your
meds at CVS, she asked first where I got my meds. Long
story short I hate the other Dr have seen him twice and he
was rude each time, I didn't sign and things go hairy, have
never been treated badly before, it did get ugly now I am worried about my relationship with my Dr because of his
partner.
Sponsor
mylives
08-07-2007, 02:17 AM
It's late going to bed, will check posts tomorrow this contract thing has made me feel bad.
Shoreline
08-07-2007, 09:49 AM
I Don't understand why a contract would cause such a problem, they are nothing more than a complete informed consent form. This prevents patients from saying I didn't know I wasn't alllowed to do X, Y or Z and should also have provisions for what to do in each case. Using one pharamcy for example, That's not a huge request. It's in my contract too, But it also explains that we shouldn't except partial fills and the remainder won't be replaced by the doc. If CVS can't fill it, under my contract I can go to any pharrmacy and have it filled, I simply have to call the nurses line and let them know I have used a different pharmacy within 48 hours, This has happened 3 times in the last 18 months and it's a simple call to make. CVS couldn't fill the script entirely so I had it filled at AB pharmacy. What's the big deal.
Contracts spell out what a doc expects as far as compliance, which is basically absolute. If you want a doc to believe your in enough pain to use meds that were reserved only for terminal patients as little as 10 years ago, you have to agree to take the meds as prescribed. You have to agree to make an apt with your doc and not just self medicate if what he prescribes isn't working, so what if you have to use one pharamcy or call and let them know you used a different one if your primary pharmacy was out of your meds. Is it really that hard to deal with. Good luck finding a doc willing to risk 12 years of school, his livelyhood, abilty to suport his family and potential freedom if your not willing to sign a piece of paper stating you will abide by all rules.
. If you have nothing to hide, I don't get the problem with contracts, UA's, Pill counts and having to actually go in and be seen to get an increase or change in meds.
It's when patients use their pain to justify their actions that docs are at the greatest risk. Signing a contract simply says your not going to do this, if you're having a problem you will call before you sel medicate.. Having read and signed such a contracts just takes away the abilty to say I didn't know. How is it a bad thing to acknowledge you won't doc shop, use multiple pharmacies, will submit to UA's and pill counts if you truly need the meds.
It really doesn't sound like muc to ask of a patient to put their word in writing to Protect his lifestyle, his freedom and his abilty to provide for his family by complying with what the he wants and what the DEA wants him to do to prevent abuse and diversion.
If your not willing to play by the rules, why would any doc treat you. Why is signing your name to a piece of paper that says you understand all the rules and will follow them, too much to ask if your pain is so great you can't function without the most potent opiates every made.
Do you see the absurdity in the situation. You want a doc to risk his livelyhood, his home, the abilty to provide for his family, and potentially his freedom, but signing a contract is too much to ask of you?
You want absolute trust from your doc, but your not willing to sign a contract stating you're aware of the rules and will comply with them all? Why should he trust you or anyone else that's not in enough pain to except this is what it takes to get treatment and for the doc to practice without fear of prosecution. I like knowing my docs office won't be shut down because he does everything in his power to prevent abuse, misuse and diversion.
Good luck finding another doc.
Dave
Contracts spell out what a doc expects as far as compliance, which is basically absolute. If you want a doc to believe your in enough pain to use meds that were reserved only for terminal patients as little as 10 years ago, you have to agree to take the meds as prescribed. You have to agree to make an apt with your doc and not just self medicate if what he prescribes isn't working, so what if you have to use one pharamcy or call and let them know you used a different one if your primary pharmacy was out of your meds. Is it really that hard to deal with. Good luck finding a doc willing to risk 12 years of school, his livelyhood, abilty to suport his family and potential freedom if your not willing to sign a piece of paper stating you will abide by all rules.
. If you have nothing to hide, I don't get the problem with contracts, UA's, Pill counts and having to actually go in and be seen to get an increase or change in meds.
It's when patients use their pain to justify their actions that docs are at the greatest risk. Signing a contract simply says your not going to do this, if you're having a problem you will call before you sel medicate.. Having read and signed such a contracts just takes away the abilty to say I didn't know. How is it a bad thing to acknowledge you won't doc shop, use multiple pharmacies, will submit to UA's and pill counts if you truly need the meds.
It really doesn't sound like muc to ask of a patient to put their word in writing to Protect his lifestyle, his freedom and his abilty to provide for his family by complying with what the he wants and what the DEA wants him to do to prevent abuse and diversion.
If your not willing to play by the rules, why would any doc treat you. Why is signing your name to a piece of paper that says you understand all the rules and will follow them, too much to ask if your pain is so great you can't function without the most potent opiates every made.
Do you see the absurdity in the situation. You want a doc to risk his livelyhood, his home, the abilty to provide for his family, and potentially his freedom, but signing a contract is too much to ask of you?
You want absolute trust from your doc, but your not willing to sign a contract stating you're aware of the rules and will comply with them all? Why should he trust you or anyone else that's not in enough pain to except this is what it takes to get treatment and for the doc to practice without fear of prosecution. I like knowing my docs office won't be shut down because he does everything in his power to prevent abuse, misuse and diversion.
Good luck finding another doc.
Dave
pattihabs
08-07-2007, 09:52 AM
hi mylives. i also had to sign a contract with my pm doc. they just want to make sure i only get my meds so the pharmasist can make sure they mix well with all the meds, also, my pm wanted to make sure he was the only one perscribing them. i just got back from my sleep study this morning. went to bed at 1130pm and they woke me at 5am and asked if i had a good night sleep. i was like no, i sleep usually 8 hrs...lol, anyway, i hope my info helped you. some docs are jerks and i only see my doc, i don't schedule with anyonw but him. the recep. sometimes gives me a hard time but, i pay for it so i see who i want and too bad for them. your reg. doc i'm sure will be ok with you, good luck anyway, patti
feelbad
08-07-2007, 12:07 PM
ditto on everything shore just stated.this IS standard practice at any PM clinic you may have to go to.we just have a huge responsibility when our docs are Rxing us strong narcotics,to ourselves and to them,they have to cover their butts from certain types of patients,and WE as patients need to have everything spelled out in front of us so we know what our boundries and guidelines are.you will see this in any good PM clinic.a PM is very very different than just seeing your primary doc,for alot of reasons.its just the nature of what they do.you are not being asked to do anything that is not being done at any other PM clinic,believe me.good luck and i hope things work out for you.please keep us posted.Marcia
morgyporgy
08-07-2007, 12:08 PM
i can understand the reason for the contracts. i signed one with my PM doc. i have no problem with this since they have been a god-send to me. if they are willing to treat your pain then the contract is simply a formality. i have no problem with it at all.
mylives
08-07-2007, 12:15 PM
I play by the rules, have never ever crossed any line or
asked to increase anything, have known my Dr for many
years and would not cause him a problem, he knows that.
This contract was put before me out of the blue, no explaination in fact I didn't read it, the nurse said I didn't have to sign, then when leaving this Dr stopped me in the
hallway and the things he said were over the top.
This was a unpleasant encounter because of this Dr wanted
it to be, I had crossed his path before and was insulted by
what he said but didn't report it to my Dr. My husband even saw this Dr once and told me how arrogant and rude
he was.
asked to increase anything, have known my Dr for many
years and would not cause him a problem, he knows that.
This contract was put before me out of the blue, no explaination in fact I didn't read it, the nurse said I didn't have to sign, then when leaving this Dr stopped me in the
hallway and the things he said were over the top.
This was a unpleasant encounter because of this Dr wanted
it to be, I had crossed his path before and was insulted by
what he said but didn't report it to my Dr. My husband even saw this Dr once and told me how arrogant and rude
he was.
mylives
08-07-2007, 12:36 PM
Thanks all for your help, I get it that he has people looking
over his shoulder and there is no way I would cause him
a problem, my DR has been kind, understanding and a great help to me, working with me on not just one problem
by several, lots of Dr today don't really care about the patient.
We are in the process of something legal that would not bode well to having my name out there with having to sign a contract, also the more you sign the less rights you have,
peolpe treat you differently, you all know that as a pm patient we are looked at, and under scrutiny.
Please be kind, not having a good week.
over his shoulder and there is no way I would cause him
a problem, my DR has been kind, understanding and a great help to me, working with me on not just one problem
by several, lots of Dr today don't really care about the patient.
We are in the process of something legal that would not bode well to having my name out there with having to sign a contract, also the more you sign the less rights you have,
peolpe treat you differently, you all know that as a pm patient we are looked at, and under scrutiny.
Please be kind, not having a good week.
Donorpanc
08-07-2007, 02:14 PM
Before I reply with stuff that happend ten years ago, What was their reasoning for having you fill only at CVS? I think most of us have had to sign a contract, and I think we all know what there for. But a contract saying you'll only spend your money at a predetermind pharmacy sounds very odd to me? I personally have never heard of that? What happenes if your not by CVS?
Fabrashamx
08-07-2007, 04:57 PM
Hi Mylives,
I'm sorry you are having a bad week, and I will of course try and be kind. ;)
I also have signed a contract, another reason is that the DEA likes for them to have them, and doctors who use them have much less to fear from a federal audit. Even kind and above board doctors can get into big trouble unless their paperwork is all in place.
My old doctor had a contract for the last several years I was with her, it said I would only use two pharmacys, and not accept narcotic prescriptions from any other doctor for the same issues she was treating me for without her permission and knowledge.
My new doctor is stricter, He does random UAs to check levels, too much and they know you are abusing, not enough and it looks like diversion, selling your meds. I also have to see the new guy every month, which is way more than my last doctor, and he does pill counts too. He told me that if you have too much or not enough in your UA he will try and work with you, but if they find any street drugs, you will be cut off then and there and dropped from the practice. seems fair to me.
Doesnt bother me because the alternative is having doctors decide its too much of a risk to treat chronic conditions, which is their right, and kicking us to specialists who tend to want to treat with surgery and then dump us.
I think you are over reacting a bit, it sounds like this guy was a jerk, but the contract part of it has become the industry standard, and all it takes it to make that phone call before you need to use another pharm or go to ER, not a big deal.
You arent giving up your rights when you sign one, you are protecting them, along with all the rest of us that rely on opiate therapy to give us quality of life.
Best of luck to you, welcome to the pain boards, and please keep posting and let us know how you are doing, we care.
Your Friend, Fabby :wave:
I'm sorry you are having a bad week, and I will of course try and be kind. ;)
I also have signed a contract, another reason is that the DEA likes for them to have them, and doctors who use them have much less to fear from a federal audit. Even kind and above board doctors can get into big trouble unless their paperwork is all in place.
My old doctor had a contract for the last several years I was with her, it said I would only use two pharmacys, and not accept narcotic prescriptions from any other doctor for the same issues she was treating me for without her permission and knowledge.
My new doctor is stricter, He does random UAs to check levels, too much and they know you are abusing, not enough and it looks like diversion, selling your meds. I also have to see the new guy every month, which is way more than my last doctor, and he does pill counts too. He told me that if you have too much or not enough in your UA he will try and work with you, but if they find any street drugs, you will be cut off then and there and dropped from the practice. seems fair to me.
Doesnt bother me because the alternative is having doctors decide its too much of a risk to treat chronic conditions, which is their right, and kicking us to specialists who tend to want to treat with surgery and then dump us.
I think you are over reacting a bit, it sounds like this guy was a jerk, but the contract part of it has become the industry standard, and all it takes it to make that phone call before you need to use another pharm or go to ER, not a big deal.
You arent giving up your rights when you sign one, you are protecting them, along with all the rest of us that rely on opiate therapy to give us quality of life.
Best of luck to you, welcome to the pain boards, and please keep posting and let us know how you are doing, we care.
Your Friend, Fabby :wave:
ozzybug
08-07-2007, 06:00 PM
I also had to sign a contract. I was asked to do this at the first appointment after watching a video about the rules my doctor enforces. He kept a copy for my records, but also sent me home with a copy to refer back to. Also, he made sure to let me know that if I ever had a question about any of the rules on the contract, to call his office for clarification instead of trying to decide for myself how to interpret the rules.
You also need to understand that this protects everyone involved. It protects the doctor as well as you. It's not any kind of vendetta or hidden agenda, rather than an open statement that you agree to abide by, and in turn are allowed the priviledge of being treated for your pain issues.
Maybe the doctor you see on a regular basis forgot to have you sign a contract from the get-go, or maybe this is something new he's started in order to feel comfortable prescribing medications. Either way, it would be wise to sign it. Many doctors will refuse to treat you if you refuse to sign. Yes, you do have the right to refuse, but in turn, they can dismiss you from the practice if you choose not to.
I was glad to see the contract and happy to sign it because it made me feel more comfortable in the fact that my doctor is doing everything in his power to keep accurate records. This also takes the worry off of me because I know up front what is expected of me.
Try and not view this as a bad thing, but something that will actually protect you too. Take care.....
You also need to understand that this protects everyone involved. It protects the doctor as well as you. It's not any kind of vendetta or hidden agenda, rather than an open statement that you agree to abide by, and in turn are allowed the priviledge of being treated for your pain issues.
Maybe the doctor you see on a regular basis forgot to have you sign a contract from the get-go, or maybe this is something new he's started in order to feel comfortable prescribing medications. Either way, it would be wise to sign it. Many doctors will refuse to treat you if you refuse to sign. Yes, you do have the right to refuse, but in turn, they can dismiss you from the practice if you choose not to.
I was glad to see the contract and happy to sign it because it made me feel more comfortable in the fact that my doctor is doing everything in his power to keep accurate records. This also takes the worry off of me because I know up front what is expected of me.
Try and not view this as a bad thing, but something that will actually protect you too. Take care.....
Donorpanc
08-07-2007, 08:12 PM
Sorry for the Threadjack, But has anybody else had a doctors office make them sign a contract saying you will only fill your perscriptions at a CVS pharmacy?
Fabrashamx
08-07-2007, 08:25 PM
Yeah Dono,
I thought that was a little weird, I've never heard of the contract naming the pharmacy, most people pick one that is cheapest, or open 24 hours, or closest to their home or doctors office.
Maybe this practice knows that the CVS pharm carries all the meds they prescribe, so they avoid having partial fills or being forced to go to another pharmacy. Or maybe most of their patients use that pharmacy and they know their scripts are not gone over with a microscope and questioned at every fill like at some places. Still seems weird, like a kick back lol.
Was it in the OP's chart that his pharm of preferece to call meds into was a CVS? If so maybe this doctor was just going by his chart, saying you need to stay with this one you chose already.
OP, comments?
~Fabby :cool:
I thought that was a little weird, I've never heard of the contract naming the pharmacy, most people pick one that is cheapest, or open 24 hours, or closest to their home or doctors office.
Maybe this practice knows that the CVS pharm carries all the meds they prescribe, so they avoid having partial fills or being forced to go to another pharmacy. Or maybe most of their patients use that pharmacy and they know their scripts are not gone over with a microscope and questioned at every fill like at some places. Still seems weird, like a kick back lol.
Was it in the OP's chart that his pharm of preferece to call meds into was a CVS? If so maybe this doctor was just going by his chart, saying you need to stay with this one you chose already.
OP, comments?
~Fabby :cool:
Donorpanc
08-07-2007, 09:41 PM
I could see maybe suggesting a pharmacy just to make thing easyier as far as getting OK's and what not. But normally they don't care were you get it filled. My guess is that your going to fill it where it's convenient to you, not the doctor? Wierd?
morgyporgy
08-07-2007, 11:57 PM
i just assumed this was the pharmacy this patient used before so when signing the contract they ask you to stick with the same pharmacy. my pm doctor has me stay with just one pharmacy. i can change pharmacies at any time but i have to let them know before hand.
ibake&pray
08-08-2007, 10:42 AM
My PM just started with the contract this past month. He is one of the highest prescribing PMs in Northern VA. He told me it isn't to "catch" people like me. It is to protect me and himself. It is also to help protect the youth of our communities.
The DEA sends out a list to him every month of people who doctor shop and what scripts they get. (News to me). He can keep track of any of these folks who come to his pain clinic, saying that the scripts aren't working, they need more meds, yet there aren't any drugs in their urine.... hmmmm.
He does require that you use one pharmacy, but it is your choice, not his... I was appalled at the way the contract was presented by the staff, but after talking to him I had no qualms about signing the contract.
The DEA sends out a list to him every month of people who doctor shop and what scripts they get. (News to me). He can keep track of any of these folks who come to his pain clinic, saying that the scripts aren't working, they need more meds, yet there aren't any drugs in their urine.... hmmmm.
He does require that you use one pharmacy, but it is your choice, not his... I was appalled at the way the contract was presented by the staff, but after talking to him I had no qualms about signing the contract.
Donorpanc
08-08-2007, 11:30 AM
It's still odd to name tha actual pharmacy. I actually put down on my contract were I would be having my stuff filled at. That's one thing, but to have the doctor tell me were I have to go is what I'm questioning. On a slight side note. As far as partial fills, my pharmacy wont even do it. I have to go elsewhere.
curiousforever
08-08-2007, 12:35 PM
I think in the original post she said they asked her what pharmacy she uses - and that is what pharmacy they put in the contract.
I don't have a contract with my doc - he's a primary care doc. Yet I refuse scripts (all of them) from any of my other docs...and I only use one pharmacy. This is something I learned from here - mainly cause I don't want any questions concerning my intentions (I guess that's the right word). I went to ER the other day due to major increase in pain. She wanted to give me pills. I said NO WAY...and I told her just give me a shot.
Is your problem more just with that doc than the contract?
I don't have a contract with my doc - he's a primary care doc. Yet I refuse scripts (all of them) from any of my other docs...and I only use one pharmacy. This is something I learned from here - mainly cause I don't want any questions concerning my intentions (I guess that's the right word). I went to ER the other day due to major increase in pain. She wanted to give me pills. I said NO WAY...and I told her just give me a shot.
Is your problem more just with that doc than the contract?
ozzybug
08-08-2007, 02:25 PM
In the original post, she did mention that they asked which pharmacy she used and then went on to say the contract said she would use CVS. I missed it, but after reading it again, I saw that.
Mylives-
I haven't seen you back at the boards. Are you still with us? If so, were you using CVS already? If so, that's why they put that in the contract. If not, which pharmacy were you using prior to them putting CVS down as the pharmacy you will use?
If you weren't using CVS before that, it would seem strange form them to tell you which one you have to use. Seems like "freedom of choice" would apply here. You are the one paying for the meds, so I can't imagine anyone making use the pharmacy they want you to use.
Please, if you stop back in, let us know how things are going. Take care!
Mylives-
I haven't seen you back at the boards. Are you still with us? If so, were you using CVS already? If so, that's why they put that in the contract. If not, which pharmacy were you using prior to them putting CVS down as the pharmacy you will use?
If you weren't using CVS before that, it would seem strange form them to tell you which one you have to use. Seems like "freedom of choice" would apply here. You are the one paying for the meds, so I can't imagine anyone making use the pharmacy they want you to use.
Please, if you stop back in, let us know how things are going. Take care!
mylives
08-09-2007, 03:05 AM
The nurse asked me what pharmacy I used, I replied that
usually go to CVS but had coupons from Kroger for $20.
worth groceries, and mentioned another coupon, also this
completely innocent on my part. The DR has 2 offices, the
one the I use was closed because my Dr was on vacation,
didn't know at the time, just went for the thyroid and made
the bad decision to go to other office, not really thinking that my path had to cross with other Dr, thought it would only be blood work for thyroid.
usually go to CVS but had coupons from Kroger for $20.
worth groceries, and mentioned another coupon, also this
completely innocent on my part. The DR has 2 offices, the
one the I use was closed because my Dr was on vacation,
didn't know at the time, just went for the thyroid and made
the bad decision to go to other office, not really thinking that my path had to cross with other Dr, thought it would only be blood work for thyroid.
sammyo1
08-09-2007, 06:19 PM
My PM just started with the contract this past month. He is one of the highest prescribing PMs in Northern VA. He told me it isn't to "catch" people like me. It is to protect me and himself. It is also to help protect the youth of our communities.
The DEA sends out a list to him every month of people who doctor shop and what scripts they get. (News to me). He can keep track of any of these folks who come to his pain clinic, saying that the scripts aren't working, they need more meds, yet there aren't any drugs in their urine.... hmmmm.
He does require that you use one pharmacy, but it is your choice, not his... I was appalled at the way the contract was presented by the staff, but after talking to him I had no qualms about signing the contract.
Oh my gosh, I have been to so many docs. trying to find out what is wrong, & used two paharmacies because one was close to work, won't do that again, I had no clue never had to take meds. like this before. Now I am worried. What do you think? funny my husband yells cause I would not take the pain pills on time hoping I would not need them, I also told doc. did not want oxycodone, hope they remember that, I am glad I seen this, I will be more careful in the future. How would I correct this if it did become a problem? only been in the last few months, since may.
The DEA sends out a list to him every month of people who doctor shop and what scripts they get. (News to me). He can keep track of any of these folks who come to his pain clinic, saying that the scripts aren't working, they need more meds, yet there aren't any drugs in their urine.... hmmmm.
He does require that you use one pharmacy, but it is your choice, not his... I was appalled at the way the contract was presented by the staff, but after talking to him I had no qualms about signing the contract.
Oh my gosh, I have been to so many docs. trying to find out what is wrong, & used two paharmacies because one was close to work, won't do that again, I had no clue never had to take meds. like this before. Now I am worried. What do you think? funny my husband yells cause I would not take the pain pills on time hoping I would not need them, I also told doc. did not want oxycodone, hope they remember that, I am glad I seen this, I will be more careful in the future. How would I correct this if it did become a problem? only been in the last few months, since may.
ibake&pray
08-10-2007, 10:57 AM
YOu just need to be upfront with your doctor and keep well documented records so that you can back up what you tell him.
Pain meds can't help you if you don't take them. My friend who is a nurse keeps telling me you don't get a medal for having pain. The doctor prescribed you pills for a reason...keeping them in jar wasn't the reason....
Pain meds can't help you if you don't take them. My friend who is a nurse keeps telling me you don't get a medal for having pain. The doctor prescribed you pills for a reason...keeping them in jar wasn't the reason....
trowftd3
08-10-2007, 12:45 PM
Maybe I'm completely out of line here but.....this is what I understood from the original post.....correct me if I'm wrong.
mylives just went in for blood work to check her thyroid. She had no idea that she wasn't going to see her regular doc. Because there was no order on file to have the blood work done she has to see her doctor's partner. She has had bad experiences in the past with this doctor. Out of the blue the nurse hands her a pain management contract. She doesn't sign it. I believe she didn't sign it because she thought this would be a contract between her and her doctor's partner who she has no intention of ever seeing again. And because she was not there for any pain management issues.
Would the contract be between her and a specific doctor or the office in general(so it would cover whichever doctor she sees on any given visit)???
Punctuation and grammar can completely change the meaning of a post. Tone, inflection, and humor(or sarcasm) can be completely lost in the magical world of the message boards. I hope no one is offended by my post. I just tried to spell out in black and white what I understood to be mylives intention. Mylives, please correct me if I'm way off base. Take care.~Mush
mylives just went in for blood work to check her thyroid. She had no idea that she wasn't going to see her regular doc. Because there was no order on file to have the blood work done she has to see her doctor's partner. She has had bad experiences in the past with this doctor. Out of the blue the nurse hands her a pain management contract. She doesn't sign it. I believe she didn't sign it because she thought this would be a contract between her and her doctor's partner who she has no intention of ever seeing again. And because she was not there for any pain management issues.
Would the contract be between her and a specific doctor or the office in general(so it would cover whichever doctor she sees on any given visit)???
Punctuation and grammar can completely change the meaning of a post. Tone, inflection, and humor(or sarcasm) can be completely lost in the magical world of the message boards. I hope no one is offended by my post. I just tried to spell out in black and white what I understood to be mylives intention. Mylives, please correct me if I'm way off base. Take care.~Mush
mylives
08-10-2007, 11:21 PM
Thanks again to all for you kind help, my last post didn't
explain things right so I will try again. The contract that
was shown to me was unexpected and not explained at all,
I had gone to Dr second location, just for blood work only
it ended up being unpleasant and intimadating to me, I left
but telling them I would speak to my Dr who knew me, that I had trust in (didn't say that), just would speak with my Dr. The other Dr said more that once, "he will not choose you over his business partner". It just got weird.
Today I saw my Dr, he didn't ask me to sign anything all is
well, he was as kind thorough and caring as always.
explain things right so I will try again. The contract that
was shown to me was unexpected and not explained at all,
I had gone to Dr second location, just for blood work only
it ended up being unpleasant and intimadating to me, I left
but telling them I would speak to my Dr who knew me, that I had trust in (didn't say that), just would speak with my Dr. The other Dr said more that once, "he will not choose you over his business partner". It just got weird.
Today I saw my Dr, he didn't ask me to sign anything all is
well, he was as kind thorough and caring as always.
mylives
08-11-2007, 01:46 AM
Mush,
I didn't expect to see the other Dr at all, thought when going there it would be just getting blood work. After seeing PA, telling her was I was there they did ask me about med and refills, off hand I replied two that were probably needing refills not sure, told her about blood work, she leaves for about 30 minutes, then nurse comes in an asks what pharmacy do I use. The rest is posted.
If my doctor needed me to sign something we would discuss it, this was out of the blue and gave me a feeling of
distrust and suspicion. Have seen my doctor all is well.
I didn't expect to see the other Dr at all, thought when going there it would be just getting blood work. After seeing PA, telling her was I was there they did ask me about med and refills, off hand I replied two that were probably needing refills not sure, told her about blood work, she leaves for about 30 minutes, then nurse comes in an asks what pharmacy do I use. The rest is posted.
If my doctor needed me to sign something we would discuss it, this was out of the blue and gave me a feeling of
distrust and suspicion. Have seen my doctor all is well.
Jenn4508
08-11-2007, 02:11 AM
Mylives Most pain docs do expect a contract signed due to doctor shopping. I have several relatives in the medical field and see a pain doc also. I just had to change pharmacies and I asked last month when I was in how to handle and they advised just let us know where you decide next time in. I take every pill bottle in from all three of my docs everytime I go. It is required in my contract.
The DEA also keeps a database through the pharmacies throughout the country. They really don't need to even go through the pain docs. One of my relatives told me that a 69 year old grandmother was doctor shopping for pain pills and they picked her up at one of the pharmacies and not at the doctors office.
The DEA also likes to keep track of which pain docs are handing out pain pills like candy also. Look at the doctor that was prescribing all the pain meds and steroids to the wrestlers. That is what the DEA is looking for also.
The contract is just so you will only get pain meds from that particular doc and if you break that contract, you can be dismissed from his/her practice as a patient. That is probably what the contract states as that is what mine states.
Hang in there and I am sorry that you had problems with the partner.
Good Luck
The DEA also keeps a database through the pharmacies throughout the country. They really don't need to even go through the pain docs. One of my relatives told me that a 69 year old grandmother was doctor shopping for pain pills and they picked her up at one of the pharmacies and not at the doctors office.
The DEA also likes to keep track of which pain docs are handing out pain pills like candy also. Look at the doctor that was prescribing all the pain meds and steroids to the wrestlers. That is what the DEA is looking for also.
The contract is just so you will only get pain meds from that particular doc and if you break that contract, you can be dismissed from his/her practice as a patient. That is probably what the contract states as that is what mine states.
Hang in there and I am sorry that you had problems with the partner.
Good Luck
IZZY'SMOM
08-11-2007, 07:46 PM
God, I am SO lucky...I just saw my doc that Ive been seeing for a year, and he told me that he has never ever thought about having me go under contract because of the honesty and integrity that I have shown since we have met. My sister works for a PM doc, and I know that there are not very many who trust anyone anymore. IF he asked me to sign one, I would in a heartbeat. Its for everyone's protection~ I may find another doc that has me do it, and I would if I wanted my meds!
xoxoxoxoxox,
IZZY'SMOM:angel: :angel:
xoxoxoxoxox,
IZZY'SMOM:angel: :angel:
Jenn4508
08-11-2007, 07:57 PM
I agree... My PM doc has never questioned me about anything. I have never had to take any type of test to prove that it is in my system as he knows and trust me and I him.
He has to protect himself and I want to know that I am protected as well.
Good Luck to all.
He has to protect himself and I want to know that I am protected as well.
Good Luck to all.
Fabrashamx
08-11-2007, 09:07 PM
I had been a patient of my last doctor for over 6 years when she asked me to sign, she made a point of saying that while she had no worries whatsoever about me, The DEA liked them to do it, so all her chronic patients were given one.
I think saying your doctor didnt make you sign one because he 'trusted' you, implies that the rest of us are untrustworthy, which is not true. Many doctors have every single patient they regularly prescribe narcotics to sign, no matter if its their best friend or what.
I personally would rather have one than not. I know my doctor isnt going to get auditied and maybe closed down.
~Fabby:)
I think saying your doctor didnt make you sign one because he 'trusted' you, implies that the rest of us are untrustworthy, which is not true. Many doctors have every single patient they regularly prescribe narcotics to sign, no matter if its their best friend or what.
I personally would rather have one than not. I know my doctor isnt going to get auditied and maybe closed down.
~Fabby:)
Jenn4508
08-12-2007, 04:59 AM
Fabrashamx If you are speaking to me about this, that is not what I was talking about in no way, shape or form... The whole thread started as a poster who got upset as their PM had asked them to sign one. Further back in the post I had just said that it is for the protection of everyone.
If you read the thread from IZZYSMOM there was a statement in there about not having to sign one due to the honesty and integrity between IZZYSMOM and the PM doc however, if the PM doc asked she would sign it in a minute.
I was just stating that my PM doc had to trust me also as I have never had to be tested to see what was or was not in my system, but that I had to sign a contract also. The originally poster was upset over the contract having to be signed and I was trying to explain that it doesn't mean the doc thinks you are doing anything wrong, they are just trying to cover their butts.
It is also for the DEA as I had stated earlier in the thread.
I apologize over and over as I in no way meant to hurt anyone. I was just trying to help the originally poster and let her know there are alot of PM docs that require this. I really did not mean any harm.
Sometimes when the fibro fog is bad, it is hard to get out the correct words... I think it makes sense and sometimes it just doesn't.
I did not mean for my post to come out as some are trustworthy and some are not... as I do not come here to judge anyone. So I am really sorry if you took it that way.
The originally poster was just having a hard time with her doctors partner that she had a run in with before and didn't want to sign it for the partner... However, everything is fine since she has talked with her doc in the same office.
Have a Great Day!
If you read the thread from IZZYSMOM there was a statement in there about not having to sign one due to the honesty and integrity between IZZYSMOM and the PM doc however, if the PM doc asked she would sign it in a minute.
I was just stating that my PM doc had to trust me also as I have never had to be tested to see what was or was not in my system, but that I had to sign a contract also. The originally poster was upset over the contract having to be signed and I was trying to explain that it doesn't mean the doc thinks you are doing anything wrong, they are just trying to cover their butts.
It is also for the DEA as I had stated earlier in the thread.
I apologize over and over as I in no way meant to hurt anyone. I was just trying to help the originally poster and let her know there are alot of PM docs that require this. I really did not mean any harm.
Sometimes when the fibro fog is bad, it is hard to get out the correct words... I think it makes sense and sometimes it just doesn't.
I did not mean for my post to come out as some are trustworthy and some are not... as I do not come here to judge anyone. So I am really sorry if you took it that way.
The originally poster was just having a hard time with her doctors partner that she had a run in with before and didn't want to sign it for the partner... However, everything is fine since she has talked with her doc in the same office.
Have a Great Day!
Fabrashamx
08-12-2007, 05:47 AM
Hi Jen,
I know you would never say anything mean, I was pointing out a statement that a few people had made some in not so many words, and I dont think anyone on this thread would ever be less than 100% supportive of the other posters, I did NOT mean to imply that I thought that people were making it look like some of us were untrustworthy on purpose, I realize they were just reporting their own situations.
I worded mine badly, you didnt. I meant to make a point for people reading this thread as an outsider and not wanting them to get the wrong idea, not to condemn or bash any comments that had been made.
No worries, and I am really sorry for the misunderstanding. My bad.
~Fabby
I know you would never say anything mean, I was pointing out a statement that a few people had made some in not so many words, and I dont think anyone on this thread would ever be less than 100% supportive of the other posters, I did NOT mean to imply that I thought that people were making it look like some of us were untrustworthy on purpose, I realize they were just reporting their own situations.
I worded mine badly, you didnt. I meant to make a point for people reading this thread as an outsider and not wanting them to get the wrong idea, not to condemn or bash any comments that had been made.
No worries, and I am really sorry for the misunderstanding. My bad.
~Fabby
Jenn4508
08-12-2007, 05:46 PM
Fabrashamx Thank you for understanding my well meaning sometimes misunderstood fibro fog answers... I have received so much help here at this website that I try so hard not to offend anyone and if I do it is not intentionally.
Sometimes I come to vent, rarely as it makes me feel weak (no offense to anyone) and something I am working on with my therapist, and other times to try and help... as it makes me feel better if I can at least help someone else.
I am working really hard on getting the nerve to start my own thread to vent my story as I know how much journaling helps me. However, with the journaling, I don't get feed back and there is so much more help I get back here when I do let myself go and listen to suggestions from many different members hear. I go through alot of the threads to get a laugh on the bad days and also just to hear what helps others.
We all have to take it one day, one step at a time and had I not found this website when someone told me about it, God knows where I would be now. Maybe in one of those little white jackets however, I would ask if they could make mine purple as that is my fav color.... Do you think they would accomodate me there?:bouncing: I doubt it but it is worth a try. I have more support here and more comfortable here than anywhere as I do not like to worry my mom, as she is my rock but she has enough to worry about. My husband works all the time and tries to understand but you know how that goes. He is supposed to go to my next appointment but I am not sure whether I am ready or not, but hey, I will see.
Now look what you have done to me on Sunday... You have made me confess much more than I was going to and boy does it feel good ;) Thank you for your kindness and compassion. Like I said, I can always find it here no matter what.
Thanks to all on this thread and you all are a tremendous help. God Bless to you all :angel:
Sometimes I come to vent, rarely as it makes me feel weak (no offense to anyone) and something I am working on with my therapist, and other times to try and help... as it makes me feel better if I can at least help someone else.
I am working really hard on getting the nerve to start my own thread to vent my story as I know how much journaling helps me. However, with the journaling, I don't get feed back and there is so much more help I get back here when I do let myself go and listen to suggestions from many different members hear. I go through alot of the threads to get a laugh on the bad days and also just to hear what helps others.
We all have to take it one day, one step at a time and had I not found this website when someone told me about it, God knows where I would be now. Maybe in one of those little white jackets however, I would ask if they could make mine purple as that is my fav color.... Do you think they would accomodate me there?:bouncing: I doubt it but it is worth a try. I have more support here and more comfortable here than anywhere as I do not like to worry my mom, as she is my rock but she has enough to worry about. My husband works all the time and tries to understand but you know how that goes. He is supposed to go to my next appointment but I am not sure whether I am ready or not, but hey, I will see.
Now look what you have done to me on Sunday... You have made me confess much more than I was going to and boy does it feel good ;) Thank you for your kindness and compassion. Like I said, I can always find it here no matter what.
Thanks to all on this thread and you all are a tremendous help. God Bless to you all :angel:
Fabrashamx
08-12-2007, 05:58 PM
Jen,
I know exactly what you mean, Without this board, I would also need a straight jacket (pink, with a hat like this~~>:jester: lol)
Chronic pain can really only be understood by others going through it, this board is such a great place, not only to share information, but to vent, vent, vent! We have issues and frusterations that no one but another person in unrelenting pain could ever relate to 100%.
I look forward to reading your post, when ever you are ready, we'll be here.
Hugs, Fabby:cool:
I know exactly what you mean, Without this board, I would also need a straight jacket (pink, with a hat like this~~>:jester: lol)
Chronic pain can really only be understood by others going through it, this board is such a great place, not only to share information, but to vent, vent, vent! We have issues and frusterations that no one but another person in unrelenting pain could ever relate to 100%.
I look forward to reading your post, when ever you are ready, we'll be here.
Hugs, Fabby:cool:
IZZY'SMOM
08-12-2007, 07:27 PM
:confused: :(
Golly, I hope I didnt offend you guys. Most all of you know me by now, and know my situation with my doc is as just, because hes not a pain doc, and the only doc in his practice! One horse town...woohoo!
Anyway, maybe I should have worded mine better...I was just saying how friggn greatful i am to not have to go thru all of what you have to. Have a great Monday.
xoxoxoxo,
IZZY'SMOM
Golly, I hope I didnt offend you guys. Most all of you know me by now, and know my situation with my doc is as just, because hes not a pain doc, and the only doc in his practice! One horse town...woohoo!
Anyway, maybe I should have worded mine better...I was just saying how friggn greatful i am to not have to go thru all of what you have to. Have a great Monday.
xoxoxoxo,
IZZY'SMOM
Jenn4508
08-13-2007, 10:56 AM
Izzysmoms No offense taken here... I have learnt so much in this particular thread... All I was trying to do was help the original poster understand that signing these contracts is not uncommon. She was upset due to it not being her primary doc asking her to do this but the partner she had had trouble with before. The orignially poster has spoken with her primary doc there and all is well. She is happy and that is what matters. I just didn't want anyone to take offense at anything in this thread and have someone close it down as this has been the best thead I have been involved in yet. I sometimes forget members names and there are several including you that have given me much insight and help that I need to have this thread to come back to. I believe everyone in this thread feels the same way.
I don't really talk about my issues just some parts of them here and there, never the whole story... I am always afraid it will come back to bite me in the butt even though I know it really can't as I am safe here. I am trying to work up the courage to tell my story. Until I am ready to do that however, I like to try and help others, even if it is only one. It makes me feel like I have a purpose in life.
Thanks to you and all others for the wisdom, compassion, insight and all those other things that I get from this thread.
I thank God everyday for the Angels he sent to me through these threads. :angel:
Have a Great Day!
I don't really talk about my issues just some parts of them here and there, never the whole story... I am always afraid it will come back to bite me in the butt even though I know it really can't as I am safe here. I am trying to work up the courage to tell my story. Until I am ready to do that however, I like to try and help others, even if it is only one. It makes me feel like I have a purpose in life.
Thanks to you and all others for the wisdom, compassion, insight and all those other things that I get from this thread.
I thank God everyday for the Angels he sent to me through these threads. :angel:
Have a Great Day!
shawley
08-13-2007, 01:40 PM
Hi I also signed a contract with my PM Dr. when I went in for a spinalcord implant 128 miles from my PM office , my surgeon would not give me anything for pain because he didn't want to go against the contract. I told him the Dr. said it was ok since I was having surgery.. It was a huge mess , I had to have my wife stop at a local CVS store to pick me up a script that my PM Dr. had to call in.. Now on Wed. I go for surgery for another lead implant and only have a few pills left and my PM Dr. is on vacation. I told my surgeons office either they kick in and give me a one week supply or I will have to have the surgery on another day..Still waiting on my surgeons answer.
Shawley
Shawley
Jenn4508
08-13-2007, 05:45 PM
Shawley Sorry to hear about that.... I have had to go to the ER for really bad flare ups and they have given me shots and a script for about 12-15 pills. My PM Doc did not have an issue with that.
Due to this being surgery it is a totally different issue so I do not understand how he thinks this is going against the contract.
Hopefully, the surgeon will call the other docs office, leave a message and you will be taken care of. If he doesn't, I would call your drs office myself and explain what was going on and make sure that everything is okay before going forward.
Good Luck and keep us posted.
Cheryl
Due to this being surgery it is a totally different issue so I do not understand how he thinks this is going against the contract.
Hopefully, the surgeon will call the other docs office, leave a message and you will be taken care of. If he doesn't, I would call your drs office myself and explain what was going on and make sure that everything is okay before going forward.
Good Luck and keep us posted.
Cheryl