| Re: DR asked me to sign contract
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
Last edited by Shoreline; 08-07-2007 at 07:54 AM.
|