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Old 12-05-2007, 01:44 AM   #1
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If you move or change doctors question

Hiya,
I maybe moving to a different state next year. I have been to dozens of DR's concerning my pain where I currenlty live. But never out of state. I've been threw hell and back trying get proper help, and have finally been given the help I need.
My question is. If I move or have to get a new dr, will they honour my old doctors orders? Or will I have to start over and possible change meds etc.

 
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Old 12-05-2007, 03:21 AM   #2
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Re: If you move or change doctors question

Be sure to bring your past records and tests results. Unfortunately from what I have experienced myself and read on the boards, typically the doctor will restart you at your lowest dose, change meds sometimes, do his own workup, and rebuild. Good luck.

 
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Old 12-05-2007, 04:55 AM   #3
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Re: If you move or change doctors question

Go ahead and search for doctors in your new area. I have found that a good way to feel out any doctor is to call and speak with a nurse who works there. It will help you get an idea, what type of pm doc are they? I hope that this helps you, and that you find a great doctor. Make sure your doctor here will cover you for at least 6 weeks. This will give you enough time to move, and shop around some. Most docs are happy to do this, as they know how hard it can be for pain patients.

Good luck and keep us posted!

Amanda

 
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Old 12-05-2007, 05:27 AM   #4
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Re: If you move or change doctors question

Hi Mermaid, With this much advance notice you can certainly make the transition easier and have scouted ahead. People make pretrips to scout the housingmarket, this is no different.

Dr Peper is talking worst case scenariorios, She is right in that it doesn't matter if your orders came from the Mayo clinic, Boston General or Hopkins. It's the new doc that's prescribing whos licence is on the line. Opening a chart and say this is how they did it there doesn't give him a free ticket to prescribe without fear of abuse from a patient or making him a target for an over zealouis DEA agent or cop in the new area.

Thereis a right way and a wrong way to do this. I have a pump, I would first ask my doc for a referalll if he knows anyone. Then I would cntact the makers of my pump and get the names of every doc in the area cerified to manage medtronics pumps, Then I would send a brief synosis of my recorsds to everyone odff those docs and ask if they would be taking new patient on my arival date and are they comfortable continuing a plan that is working well and explain the positive benefits of the present regemin.

The wrong way is to show up in town with an empty
Dood Mcjm Dace bottle expecting somone to continue your regemin simply because your old doc was comfy with it. If your doc is comfy and your state and insurance allows, you can get 9 day suplies right before you leave, bujt at the end of those 90 days you better have a plan. I don't beleive It's the norm to torture new patients, but I do believe there are docs out there that can't possibly justify their prescribing that are seen by their patients as compassionate and miraculous. Unfortunately no other doc could ever justify continuing The "compasionate" regemin without fear of loosing their licence.

It just depends on each patient, the area your movng too and your abilty to provide documaentaion that you have tried alternatives before your old doc sent you on your way dependent on a high dose of opiates.AS general rule, the less you tried before being put on opiates leaves that many more options for your next doc to try before he's cmfortable prescribing the same. If you have extensive history and documantation of 12 other Epidural steroid injections where 5 resulted in spinal fluid leaks, you less likely to have to try another or "jump through the same hoop". If you have had one interventional procedure and had a negative reaction,sayy a fluid leak or an infection at the injection sight which are both risks we should be aware of prior to a treatment plan, I doubt most docs are going to say fine, we will never ask you to try any other interventional procedure. Being one in 10,000 for a negative side effect or reaction, doesn't mean you will be that one everytime anything similar is done. Thereis ratuional fear and irational fear.

So plan ahead, get a referall, get copies and send them out once you know for sure you will leaving.

 
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Old 12-05-2007, 09:25 PM   #5
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Re: If you move or change doctors question

Thanks for all the helpful info. Will diff think ahead.

 
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