There is only one major PM center in my area so they've got the market cornered. Short version of long story is:
I originally started at the PM center with one doc who I saw once and got one cortisone injection before he left for vacation. I was then xfr'd to another doc for the next one and he ended up giving me two more. I was never happy with him, his demeanor, his help with my problem, etc. That was ~ 1.5 years ago.
I've been getting my pain med scripts through my PCP but the dosage I'm on is no longer working as it once did. He tried me on 50 mcg patches of fentanyl, which didn't help at all. That said, he stated I need to go back to Pain Management to see if they will change meds, up my current dosage, etc.
I called the office and stated I wanted to see a different doctor. their answer was that first, the original doctor would have to officially release me and secondly, the doctor I was requesting would have to agree to take me on. I was dumb-struck. I didn't make an appointment and I'm not sure that I want to. There is one other PM center in the area, but it is out of the way, considerably, while the office in question is ~ 5 minutes from my office.
Questions: Have any of you had the same experience in the past? If so, what was the outcome? Did the doc allow you to xfr? Also, did he assist with modifying the meds? I've got some significant back issues and I'm currently on 120 mg/day of oxycontin, 10 - 30 mg/day of oxycodone (instant release) for breakthrough, Soma for spasms, and Crestor. I'd like to stay away from Fentanyl for a couple of reasons, not the least of which is because I hated the patches and didn't feel ANY relief at all.
If you need an increase in the patches be careful. It is 200 times stronger than Morphine. Depending on your age I would advise against an increase in the patch. You are already on a large dosage of oxy and everything else. They may start thinking you are a drug seeker. I had a similar problem with a pain clinic near me. They walked in and told me I couldnt switch pain doctors. They basically called me a druggie and escorted me out. So it sounds like the clinic is trying to protect themselves.
both pars broken off at L5
Nerve damage R/L
L5-S1 fusion w/hardware
Dorsal column spinal stimulator
Bi-Polar,Gen. Anxiety disorder
Seems to me that it would be worth the extra time to go to the other office and find a new doctor. All these clinics have strict rules, but some really go way overboard. It's important to have a PM with whom you have good rapport. It's worth a try. Good Luck!
Thanks for the feedback. I am trying to deal with the pain and use as little medication as possible. I am a full-time I&C engineer for a large consulting firm in the midwest, so I am not, nor do I want to be, a drug seeker. I just want to feel like I can live a somewhat normal life without being in constant pain.
That said, I do understand that medical offices are hyper-sensitive now. I've read several articles over the last couple of months regarding the massive increase in prescription drug related overdoses that ERs are now seeing. I'm not sure that there is a rational explanation, but I could see why a doctor's office would be very reticent to prescribe stronger meds. than what I'm taking.
I'll just try to keep trucking along, at least until this winter when it will probably get unbearable again.
i wouldnt tolerate being treated so badly. when you have a legitimate reason for being in so much pain confirmed by diagnostic testing as to the underlying cause, the dr shouldnt hesitate to try and help you to function as well as possible. the key is having the right PM doctor. my PM is terrific and i completly trust him, i saw him this past wednesday and i told him the oxycontin(60mg) is working really well except it doesnt last 12 hrs, and i am having bad headaches but the bt med percocet 10/325 he also prescribed me helps the headaches. he increased the oxy to 80mg twice daily and said to continue the percocet when necessary for any bt and the headaches, he said the headaches will probably pass, but to let him know and do not hesitate to call his office at any time if i am uncomfortable or anything comes up. you need to find a doctor like this, compassionate and caring and non-judgmental, they are out there, you just have to go the xtra mile and find one
I just came across your post and hope it is still relevant to you. I am also in the KC area and have had some decent results with some of the facilities. I am not sure what pain management treatment center you had your experiance with but I'll tell you about mine and hope it helps you out.
I was originally referred to KC Pain Centers and went to the one on Arrowhead drive in Independence. The doc gave me two injections two weeks apart and realized they weren't working and immediately referred me to my surgeon. The doc was a younger one and seemed decent enough.
Dr. Wilkerson (neurosurgeon) of Midwest Brain and Spine (Centerpoint Hospital) did my surgeries and let me tell you he is a rare one. He has the bedside manner of an old country doc but the technical expertise go rival the best. He taught at KU Med for many years. The military put an extreme distrust of docs in me but this guy won me over on the first visit. I am currently about 18 months post op from a L2-L3 fusion and it's looking like I have failed to fuse so here I am on the Chronic Pain board. I'm not sure what is going to happen next but I would let him cut me a third time. I sent my sister to him and he performed her operation that is looking like a success. That is how much I trust him. My wife is seeing a different doc in his group for seizures. The front office girls are pretty decent to deal with too. As for the hospital... I had great luck with it. I was in for four days after each surgery. Private rooms and the food was excellent all I can say is thank God for insurance.
I hope you are having better luck since your original post but if not, maybe this new information may give you a new place to look. I'm sure with the history from you PCP a referral would not be too much of a problem.