Re: I have a morphine infusion pump can doctors refuse to fill it?
Hi Leila, As Memere said, we realy need more info. A doc doesn't have to take anyone on as a patient they aren't comfotable with. If it's a medtronics pump they "medtronics" can give you a list of every doc in the area and you can call everyone and ask to be taken on as a patient. It certainly would have been wiser to ask your old doc to make some of those calls before you actually moved. It If you are accepted by a practice, a doc is no way obligated to manage a pump that's delivering more medication than they are comfortable with and they mayy may adjust your pump downwards or change meds but this is something you probabaly should have looked into and aranged months before moving.
Just showing up in a new town and expecting a practice to accept you, evelauate you and fill your pump all within a 30 day time period is alot to ask. Most practices have a protocol for who they accept as pump patients and what meds and doses they would be willing to continue to manage your pump at.You may also have to consider driving to a more populated area if you have moved out to the boonies so to speak. A 2 hour drive is still better than running out or having to fly across country back home for someone to continue to manage it.
If you find someone willing to accept you but they won't continue at your present dose, anything is better than just running out. If you need to return home for one last fill to give you more time your doc can reduce your dose or change you to a more potent med that will last longer and give you more time and perhaps make some calls to help find a doc at your new location.
But I wouldn't assume anything as far as simply moving and finding a doc within weeks before an alarm date and expect a practice to change their protocol to accept you if you made no arangements and put yourself in this situation. If and when it runs out, I would go to the ER because there are meds like baclofen that can be life threatening if stopped abruptly, however an opiate alone isn't lethal to stop abruptly. You do have the option of in patient rehab to make coming off the pump a little eaiser if you can't find anyone to manage your pump.. Hopefuly an ER can find someone in their anesthesiology or PM dept capable of continung your care, it may not be to your satisfaction, but again anything is better than nothing at all if you made no arangements ahead of time.
Is it a problem of not being able to see you iN time, not willing to continue your dose or did you just assume the first person you called would be obliged to take you on and you haven't found your asumption to be true? Which pump do you have, "how big is the resevoir" what med are you on, what's the dose, and how far did you move?
A pump certainly doesn't gaurentee meds no matter where you go and no matter what the dose. It's really no dfferent than having a pump that delivers insulin for diebetes, you have a responsablity to make sure someone in that area can manage it befoe you show up in town. It's something you look into just like the housing market and schools, especially for special needs children before moving.
Good luck, Dave
Last edited by Shoreline; 10-31-2007 at 11:01 AM.