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Old 07-04-2010, 02:51 AM   #1
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Advice Needed: PM Dr changed script quantity w/o notice & refused communication

Hi all, I need advice. (brief history) .. I have been seeing this PM dr since February. I have not been diagnose w fibromyalgia, but have had 3 dr's including my PM dr's nurse practitioner (NP) state I might have it. On 6/1 I saw the (NP) and expressed that my pain coverage continues to be tolerable (4-5) IF I do nothing, but any activity causes my pain to increase rapidly (6-8). He said that he wanted to increase my Lyrica from 300mg to 450mg and that if my pain level did not drop significantly allowing me to be more active that they'd probably increase my extended release med (Opana ER) to help control my pain. I gave 10-12 days (was told to give a wk) and told the pm dr's office there was a reduction in the burning pain, but did not noticed any "major" changes in the stabbing / aching pain in the muscles / joints between my shoulder blades, lower back, hips, and legs. They said they would forward this to the doctor and give me a call back. I received a return call to tell me no changes would be made to my medications to my Opana ER medication. When calling in for my refill for my break through meds I asked if there was anything I could take / what OTC pain reliever would help so I can be more active. I expressed that I am frustrated that I can't do anything or if I try I hurt for 2-3 days afterwards. They said they'd speak w the dr an call me back. Upon call back they said the dr would not be changing any of my medications, but I asked again about OTC medications. They said AGAIN they'd ask the dr and call me back, but I never received a return call. Anyway on to the current problem.

I went to pick my prescription and realized there was a reduction in the quantity. I asked the receptionist why the quantity was reduced? She said the dr felt that I should have proper pain coverage with my current prescriptions and thought a reduction would not reduce my pain coverage. I reiterated that my pain is tolerable w/o the change and any reduction would give less pain coverage and that I already get little sleep and this will cause me to have less sleep. She then said that with all of my scans, blood work, and tests showing normal that "this is where we are at and the dr felt too much medication was prescribed and if you'd like to speak with him it'll have to wait until your next appointment." (It was scheduled the 2nd wk of June & the earliest appointment was on 8/9). I was very emotionally affected because by them reducing my medication and making those comments, because it was as if they were saying, "You are lucky you are getting what you got because we don't believe you."

My wife called me and when she found out what had happened she called the pm dr office (with me on the line) & this was the conversation:

Wife: Hi, I am calling on behalf of my husband because she was wanting more information about what I just told her about what had happened.

Receptionist: Yeah, we just finished speaking with your husband and we're not going to change his dosage

Wife: I can understand that, but I would like to speak with the dr to have an explaination for the sudden change w/o warning / consultation

Receptionist: The dr doesn't speak with patients on the phone, because that's what he has nurses for.

Wife: Ok, so are you saying the dr refuses to speak with patients if they specifically requests to speak with him?

Receptionist: You will not be able to speak with him

Wife: Well, that is too bad because how ... *THEY HUNG UP THEIR LINE*

I typcially would have thought the call was dropped by the phone carrier, but it was a 3-way call and I would've been dropped too. Immediately following that total disrespect we contacted my pcp to see about starting the process to get another referral. I was already on the fence about wanting to get another pm dr, but this was the final nail in the coffen. All a long this pm dr said if I had fibromyalgia that he doesn't feel narcotic pain relievers help reduce fibro pain. After being told that I reduced what I took for 2-3 days and during that time frame my pain level was SIGNIFICANTLY higher. I am taking Cymbalta and Lyrica and all it helps is the intense burning pain in my body, but doesn't have a large impact on my muscle / joint pain. I've tried Savella, but due to side effects I can't take it even though it helped ALOT for my pain.

What frustrates me more than anything is that I've been with this dr office for over 5 mo and I've seen the dr twice and the NP at least 5-8. How can a dr make the call to reduce medication only after seeing a patient twice with the most recent time being the nurse practitioner (who mentioned increasing the Opana ER if increasing Lyrica failed)? Can they do that? Can a dr refuse to speak w a patient if demanded (still have patient / dr relationship)? What good is a pm dr that doesn't see / listen to his patients and causes more pain? I have never requested an early refill nor have I given any reason to be treated the way my wife and myself have been treated.

What do you all think?
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Old 07-04-2010, 07:54 AM   #2
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Re: Advice Needed: PM Dr changed script quantity w/o notice & refused communication

i will not see a doctor who will not call me. all my doctors call me themselves or i fire them and find one who will. to date i have 9 doctors. they all know what i expect from them, and i get it.
suggestion. shop for a new doctor.
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Old 07-04-2010, 11:06 AM   #3
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Re: Advice Needed: PM Dr changed script quantity w/o notice & refused communication

I don't think you need to ask what we think - you know what to do - change doctors straight away - and if you have anything like a medical council in the states I would write to them too. There are some amazing doctors and some real SH.TS!!!!! I would shop around to find one who is patient focussed and not up his own backside!! GRRRR!!!! Or better still find one that you know other people with fibro rate - Good luck x
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Old 07-04-2010, 08:45 PM   #4
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Re: Advice Needed: PM Dr changed script quantity w/o notice & refused communication

Certainly a new doc, but also one who doesn't rely on his NP to do all his work. It is ridiculous and greedy to have so many patients you can't see them and let your NP do it for you and then not back them up on their decisions. That is a doc only interested in the dollar not the patient.

 
Old 07-04-2010, 10:28 PM   #5
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Re: Advice Needed: PM Dr changed script quantity w/o notice & refused communication

Agreed .. I have an appointment with my pcp tomorrow .. Well .. I guess today .. I will try to update you all tomorrow on what is discussed.
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