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Old 01-30-2006, 10:44 PM   #1
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Angry are doctors being fair about pain meds?

Hi all , I am a chronic pain sufferer for over 16 years. Over the course of the last 8 I have had the same doctor . About a half a year ago she left the hospital she was originally at to another and told her patients if they wanted to follow they could. After having ups and downs from the 1st facility I decided I missed her care and I would follow her. During this time I made a BIG bad judgement call. I picked up my last script from the old place and 2 weeks later I started recieving meds from my original doctor. The pharmacy called her and told my Doctor it was two weeks early which ended up causing major havoc in my life now. After 8 years of her being my doctor she was concerned that I neglected to tell her I filled my last script from the other facility and now Im not getting the proper medical attention because of this.I didn't feel like this should have been blown out of proportion the way it was and after all the years she has known me we have never had an issue with me getting any other scripts from any other place except from her. I was not able to walk 2 weeks ago and was not given the proper medical attention I should have got. Every visit that I have with the new specialist she reffers me too have already made pre-conceptions about me and they are lacking in taking care of me. I was also given an emg and found out I have severe nerve damage in all my limbs this was done recently. I picked up my medical records today and began reading sarcastic remarks these doctors wrote in their notes , in regards to me complaining about tingling but in "their opinion" they dont believe I have any nueropathy. i was so upset and mad I called my doctor and told her I feel I have not been getting the right care and she did admitt to not returning my call when I couldn't walk and that she was hurt that i filled a script earlier than it was suppose to be. I apologized again but told her i didnt feel that was significant enough to be treated the way I was and If this was going to continue I would have to find another doctor. She was apologetic and she and I made a mends however that doesnt mean everytime I have to see somone in this facility now that they are going to think theres going to be an issue as far as pain management is concerned. Im very angry about this and it makes me question what the hell some of these doctors are thinking. I know there are people who take advantage but this situation has been blown out of proportion and makes me sad , while i was reading my records that these doctors that dont even know me or my medical conditions can be so insensitive and cruel. Now wonder so many chronic pain sufferers commit suicide or become incredibly deppressed how could someone possibly understand pain if they dont go thru it themselves. Thanks for allowing me to vent

 
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Old 01-31-2006, 03:57 AM   #2
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Re: are doctors being fair about pain meds?

[FONT=Comic Sans MS]Dear Nwhat;

I had a very similar situation w/a Doctor I'd had since I was 15 years old. I'm 41 now. I was seeing another Doc in town since childhood and "Doctor George" came to the practice, doing his family care residency--straight out of med school. He was the older brother of a friend of mine. We knew the family. When he broke off to do his own practice--I thought I'd go w/him and get the newest up to date care.

There was a "fly in the ointment". "Doctor George" is virtually 95% homeopathic, or anti-interventionist. This might be great for someone else. However, I have pneumonia, 2- 3x a year. I get horrible sinus infections that it takes a month's worth of medication to get rid of. If that wasn't bad enough I ended up with degenerative spinal disease, chronic clostridium difficile (an intestinal infection that I got from a S. African woman in the Shelter I was working in), Diverticulitis, and colitis all in one year. I'm not generally a well person,

My Doc's response to my pneumonias was that I had a virus--repeatedly. I had to go to the ER--where they did x-rays (I had an excessive amount of fluid in both lungs), a white blood cell count (which was extremely elevated). The ER Doc said, "Well, George will believe you now, won't he?"

I thought so--BUT "Doctor George" says to me, "Well I guess that virus sipped over into pneumonia this weekend, ay? They do that sometimes."

For ALL my other conditions I had to get tests done by Specialists at the hospital, and made sure the reading was done by that specialist. I researched every treatment. What George wanted to go was ALWAYS to under treat or take a "wait and see" attitude.

I got another Doctor and it quite simply was heaven to be treated like a normal human being. I read George's notes. He referred to me as histrionic, demanding, somaticizing, possibly psychotic, etc, etc. It's a wonder I got any care at all ffrom the specialists!

My new Doctor does NOT treat me like a fruit cake. If I tell her my spineis really hurting and it seeming to be getting worse and worse--she asks me about where it is--sends me for an MRI--and sends the whoe ball of wax to my Pain Management Specialist.

Now there is the main who has saved my life! Another story, another day![/
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Old 01-31-2006, 05:17 AM   #3
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Re: are doctors being fair about pain meds?

dangovt,

From what you have experienced with the "homeopathic" approach I would say the shoe is on the other foot as far as the fruitcake goes. Maybe your specialist thought that way too. I would never go to one of those docs. I may get some flack from those statements. I am glad you got some legitimate help or you might not be with us today.

Carol

 
Old 01-31-2006, 05:37 AM   #4
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Re: are doctors being fair about pain meds?

Carol;

Too true, too true. EXCEPT--Dr. George does not think of, nor does he advertise himself as "homeopathic". He thinks his tx is merely "conservative", out of reaction to the residency he did w/my childhood Doc--who would give a person Darvon for an earache. ...BUT guess who I feel safer going to? I can always say "No thanks, but I appreciate your concern for my comfort"--to the Darvon. There's not much wiggle room when someone is smiling in your face--but "charting" that you are perhaps psychotic!

Be well;
Dango/Mya

 
Old 01-31-2006, 05:07 PM   #5
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Re: are doctors being fair about pain meds?

Hi dangovt, Thats a horrible story , although Im happy u no longer are dealing with this individual. Im not sure what happened with the care these days. Im 34 and when I went to see a specialist last year I was telling her how much my neck was hurting , she was an orthopedic surgeon , she stated I was there to discuss my lower back pain. I told her I was sorry but I thought while I was there I could get her opinion. She also had terrible remarks on her notes as well. She wrote to the pcp "patient was complaining about neck pain, was very persistant about her neck(which was a lie) at one point patient claimed her pain began when she was 5 then she stated her pain began recently" I was very upset because my lower back pain has been since I was 5 my neck pain started recently, why would she write a note like that. That made me think I wonder how many times doctors relay notes to one another and add their little 2 cents in . If we don't have good relationships with our pcps they would take the words of these other doctors. Needless to say the MRI done of my neck showed severe dd. spurs narrowing of the canal and apinched nerve. If we would have left it in the hands of this orthopedic person I would still not know what was going on..We all must follow up with whats going on as far as pain is concerned and educate ourselves and research your symptoms because now a days if we leave things in the hands of SOME doctors we will never get the proper care we all deserve..God Bless Us All

 
Old 02-01-2006, 12:38 AM   #6
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Re: are doctors being fair about pain meds?

Hello nwhat

Your post sounded a little too outraged to me. You broke the rules by getting a prescription two weeks early. No responsible pain patient would do that, and then blame it all on their doctor, especially the one doctor who was helping them.

It brought up a 'red flag' for me, so I did a search and read all of your other posts, way back to August of 2005 where you posted on the Addiction board that you are addicted to a laundry list of drugs, legal and illegal, prescription and nonprescription.

You need to come clean with your doctor, and tell her the truth. You are not only putting yourself in danger, you are also endangering your doctor's career and the trust that all doctors have for all pain patients.

You are hurting your doctor, and all pain patients by what you are doing. You are hurting your daughter and you are hurting yourself.

Please wake up. Go back to the Addiction board and get the support you need. Go to Narcotics Anonymous, and make a new start. Once you are 'found out' you will have no choice, so why not do it now while you can still be in charge of your own recovery? Good luck to you.

 
Old 02-02-2006, 05:23 AM   #7
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Re: are doctors being fair about pain meds?

I just wanted to mention that this IS the biggest reason that everyone HAS to get copies of all of their medical records and keep them up dated.It is really amazing and rather appalling at what some docs will actually stste in their clinic notes about you.if they didn't actually understand just what point it was that you were trying to make to them at some appt,it can be written up in a very abd way for you.i started gathering my records when I was in the application process for disablity,and was just completly shocked at the lack of info in some areas and the 'over'info in others.there were also many actual Dxes that my certain docs had told me that were never even listed or actually documented anywhere.those clinic notes that our docs make on us after evry visit a real huge eye openers as far as actually seeing just what they are REALLY thinking about us.I get ALL of my many docs records(depending on how often I see them)like twice a year and kep everything updated.honestly,just reading thru some of the stuff they said about certain appts really was interesting.this also gives you the opportunity to discuss with that particular doc something that was stated that was simply not true or that they had interpretted wrong.Those records really are vital to have.Obtain them all and then just keep them updated.You DO have the right to dispute something that may be in there that is totally off the maek and could possibly be a big issue when you have to see a new specialist and those actual records will be forwarded to this new person who does not know you at all and can really form a rather bad opinion about you just because of what some other doc stated about you.they DO follow you ya know?Marcia

To Glad,I know you are new here(and by the way,welcome to the boards) but i do think you need to tone things down a bit,really.We really are not here to actually judge other people,but offer advice and support.If this man has an addiction issue i am sure he is aware of it and is trying to deal with things the best he can.you just came off a bit too harsh IMO.things can be said in a much less judgemental way,thats all i am saying.Marcia
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3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
Old 02-03-2006, 11:16 AM   #8
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Re: are doctors being fair about pain meds?

Marcia - I agree with you. We are here to help each other, not to pass judgement on each other. There is room here for people with all kinds of issues or combination of issues. I had a situation with an orthopedic doctor that sounds like the stories I've been reading here. Back in 1997 I fell 18 feet from a window ledge while washing a window. Unbelievably I fell on my feet but this caused severe compression fractures in my back, leg, foot and wrist. The orthopedic surgeon who treated me in the hospital was very reluctant to give me enough pain medication to get me comfortable. I think I cried and begged for the whole 6 weeks I was in there for more meds. Anyway, when I was released to a nursing facility for more rehab my husband and I decided it was time to get another doctor. We took a doc recommended by the nursing home and asked for a consult. He came in and checked me over, read my file, including notes from my original orthopedic doctor who it turned out was a close friend of his. The first thing he did was to come back in and tell me that he wouldn't take my case because I already had the best ortho doc in town who was doing a great job. In reality he had read in the notes that I was a "drug seeking, hypochondriac tendencies, etc., etc.! I never would have known this except that after leaving the nursing home I requested my entire record from my original surgeon. He forgot to take out the correspondence in the file between these two doctors. It was basically something like this: "You were very wise not to take Ms.******** case as she would have certainly roped you into a situation without a positive outcome. Her insistence on more and more narcotics was active drug-seeking behavior out of sync with the amount of pain she should have been feeling." Pain I SHOULD have been feeling?? Is there some sort of chart that tells the doctor how much pain you should be feeling when your body is bent and broken in about 8 places and you've got rods and cages and metal everywhere?? I was so angry that my husband and I made an appointment with the original surgeon and didn't tell the nurse what we were coming in for. We brought the letter that we found in my files with us (and which he obviously didn't expect his staff to xrox and include in the files sent to me). I presented the letter to him and asked him to explain himself and tell me what right he had to pass judgement on my pain and on me for asking for better pain control. He was all over himself with apologies. He said that was something that he believed about me "before" he got to know me. Now that he knew what kind of person I was, he didn't think I was a drug seeker at all!!! Yeah, right!!! But he didn't see it necessary to remove those remarks from my file, did he! My husband and I sat there as he retrieved the orginal letter and destroyed it from my file as well as the other doctor's letter to him. Then I fired him and left. I felt so betrayed by this guy. And yes...I was a drug seeker - I was seeking relief from my pain and he had no clue as to what Pain Management meant! Anyway, after all these years I'm still ticked off thinking about it. Sorry this post is so long. KathyMac

 
Old 02-03-2006, 11:40 AM   #9
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Re: are doctors being fair about pain meds?

A person named FeelBad responded to my post, and said that I as too harsh and judgmental and that

'If this man has an addiction issue I am sure he is aware of it and is trying to deal with things the best he can.'

Another person respondeed with a story about problems with doctors. you are both missing the real source of the problem here. It is not uncaring doctors: it is her own behavior.

I was not 'harsh' or judgmental.' If I were harsh I would have used adjectives such as 'stupid' or 'foolish.' I did not use a single adjective: I simply stated the truth. Addiction hurts everyone.

A pain contract states that patients cannot get prescriptions from more than one doctor. She broke the rules, and now she is angry because she was caught out. I reminded her of the rules we all live by.

I took the time to care about her, and to read all of her posts, and then I formed an educated opinion. This is a young girl, around 21 years old, with a daughter, who is a self-declared drug addict.

She is obviously burning her bridges with the doctors in her area. How long can she go on getting double prescriptions before she is arrested? I said nothing 'harsh' about her addiction, I did not judge her. I said that she needs to stop blaming her doctor for her own drug-seeking behavior.


She is begging for help in post after post, saying she is out of control with all of the drugs she orders, and now she wants us to commiserate with her about how 'mean' those doctors are! Maybe her medical records are correct.

Those doctors know her far better than we do. The world is not going to get any 'nicer' and life is not going to get any easier for her. She is a person who is obviously having problems and every doctor she sees is aware of it.

In post after post she is asking for help saying she is at the end of her rope. She does not want coddling, she wants a way out of the trap she is in.

Simply because a person posts does not mean that we have to be 'supportive' by agreeing with anything and everything they say. I saw the real problem; all of her doctors are getting her number, she is being pushed against the wall. It is time for her to wake up. That is the kindest thing anyone can say to her.


She is young and strong and capable: she can take the challenge of getting back in control. But if she really is in as much pain as she says she is, she will lose all of her pain meds soon by the way she is acting and the way she is alienating all of her doctors. Then how will you help her?

 
Old 02-03-2006, 01:12 PM   #10
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Re: are doctors being fair about pain meds?

Hi Glad, welcome to the boards, I am glad you found us. you say you carefully read all of this 'young girls' posts and that she is in her early 20's, yet she clearly said in her 2nd post in this thread that she is 34. 'That FeelBad person' is named Marcia and she is a very kind and thoughtful woman and has helped me personally many times. I respect your honesty and your wish to help, and I fully apprieciate your wanting to get to the root of a problem and deal with it in total honesty. I just wanted to say I hope that I personally can always word things in such a way that people are encouraged to share and be steered to the discussions that can most help them have a better life. I look forward to getting to know you better and I hope we can all work together to make the boards a better place for everyone. Your Friend, Fabby

 
Old 02-03-2006, 06:39 PM   #11
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Re: are doctors being fair about pain meds?

My apologies for thinking she was around 21 years old. In one post she said that she had been a chronic pain sufferer for over 16 years, and in another she said she had been in pain ever since she was 5 years old. I didn't say that I read her posts 'carefully', I said that I read them! I said that I took the time to care about her by reading all of her posts.

But you are right Fabby, I hope I can always word things so that people understand my meaning. I was not attacking her, in fact, I was giving her the gift of honesty. I was impressed with her honesty from what she had said on other posts and I thought she could handle an honest answer. But if anyone thinks I was judgmental, that was not my meaning. The truth is that she would not have written these things if she didn't want someone to address them.

By the way, the posts I am referring to were on other boards, not the pain board. I pulled them up by doing a search of all her posts.

Now, I'm going to bow out of this discussion, I don't like talking about people, in this manner. I was wishing her well. That's all I'm going to say.

 
Old 02-04-2006, 05:34 AM   #12
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Re: are doctors being fair about pain meds?

I just wanted to clarify something.if you had posted that response on the addiction board,I would have said,ditto,but this IS the pain board,and things are a bit different here,thats all.it,in just my opinion,was just a bit too much on this board.i could very well see the response you made was definitely from a very caring standpoint and i had no problem with that,really.we all care about each other here and thats kinda the point of the boards.

Believe me,the original poster has to know where she is at and what needs to be done,she unfortunetly just has not hit that bottom point yet.
I was a recovered addict for many many years before my world came crashing down around my ears,and because of many syndromes and spinal cord related nightmares from hell,I was left with some very hard choices i had to make,it all sucked really.and it still sucks.he thing is,wayyy back when my addiction was an active one,i KNEW at a certain point,that I was between a rock and a hard place.i KNEW what I needed to do,but it did not happen right away.you spend ALOT of time in the land of denial before something hits you dead in the face and you are forced to either deal with it,or lose everything in your world that matters.and it was only at that time that I knew it was time.the thing is,i knew what I was doing to myself and my family,but quite honestly,anybody could have told me anything,and i wouldn't have mattered.I HAD to get placed in a particular situation where i had so terribly hurt someone who was so very very dear to me,and he gave me the courage to do what I had to do to climb out of that deep dark hole from hell that i had dug for myself.

ya see,an addict can and will deny and try to justify everything and anything they do just so they can continue to do bad things that have a hard impact on other people.it is truely amazing on just how far you can let yourself go when you can sit and try and justify the need or the reason for it,this is the workings of the basic brain of an addict.

Glad,I totally really see where you were coming from and the thoughts behind it,really.The thing is,you can tell an addict anything(and I am not labeling anyone anything here,lets make that clear)but until that person is ready to actually accept that there is a problem all the talking wont do a damn thing.This is something that is just sooo deeply personal and individual that anyone who is living in that state of mind will not actually see what they need to do until there is that 'something' that will trigger them back into reality and actually see just how bad there life is and how deeply they are hurting the ones they love the most.like I stated before,if this person were on the addcition board,and was needing advice,what you ststaed would have been dead on,totally.it is just a bit too much for the pain board.do you understand what I am trying to say?I think you did a good thing,it just would have been better not done here.K?Are we okay?
The thing is here on the world of the boards,is it is kinda like vegas?what happens on a particular board stays on that particular board unless that specific person is asking for that type of advice.
I hope you do stick around here,we can always use another person to add to the fun and the frolic of the world of chronic pain.Take care,marcia

Love you too fabby!
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3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
Old 02-04-2006, 06:44 AM   #13
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Re: are doctors being fair about pain meds?

(((((((((((Marcia)))))))))))

 
Old 02-09-2006, 06:31 PM   #14
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Re: are doctors being fair about pain meds?

I don't think all doctors are fair about pain medications. I was in a snowmobile accident several weeks ago where I clipped a good sized tree - the sled and tree are fine, but I sustained major blunt force trauma injuries to my lower back and hip when I was thrown from the sled into the tree on impact. Nothing broken, but I could barely walk, my back swelled up like a water balloon and I was given a prescription for Vicodin from the emergency room physician...when I visited my regular doctor a week later, she gave me Ultram and told me to let her know if that didn't work. It didn't, so I asked if she could switch me back to Vicodin. Unfortunately, the Vicodin wasn't doing the trick either. It didn't matter if I was sitting, standing, walking or lying down; I was relentlessly getting stabbed in the back. She then switched me to Darvocet, which only made me feel like throwing up, even if I took it with a meal. When I made an appointment to visit her again, she told me there was simply "nothing stronger" she could give me. I understand that addiction to pain pills is a growing concern for doctors prescribing medication - but you can talk to me about it or ask me to even give back that bottle of Darvocet or Vicodin and I will gladly offer it up if you'll just give me something that works!! Don't just tell me that there's "nothing stronger you can give me". She didn't take more than a passing glance at my injuries or ask me what sort of pain I was experiencing - I felt like was on the defensive, like she was thinking 'this girl just wants more pills'.

 
Old 02-10-2006, 07:25 AM   #15
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Re: are doctors being fair about pain meds?

Have you actually had an MRI on the impacted area?If not,you really need one.They will only normally do a CT when you hit the ER.I would also start looking for a new doc,really.'there is nothing stronger"???? what a crock.you DO deserve much better treament than what you are getting right now and i am willing to bet that it will not ever happen with her.time to find a good doc that actually cares about their patients.talk to friends and see if they have any good recomendations that work with your ins plan.this really IS the best way to find the type of doc you are looking for.or see a pain management doc.but you do need to find out the exact extent of your injuries.down to the spinal cord.good luck,marcia
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3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
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