Question re: prescriptions and different states/docs/update
I am getting myself all worked up and am trying to calm down. Saw the new neurosurgeon today in our new area and just did not go well and I did not like him. (He implied my formers doctors are idiots and I am not in enough pain to warrant the SCS.) He was supposed to take the referral from my previous ns and move forward with the SCS trial. But, I guess that isn't his protocol and he is sending me to pain management first (I guess to PROVE my pain levels, I don't know. What the heck happened to the referral????????). I was just in tears - not knowing if this is a good thing or a bad thing. (I have never been in pain management before.)
My new family practice doc here said at my appointment a few weeks ago that all the pain management docs in my area want to do is inject inject inject and he has nowhere he can send patients who just need meds, not ESI's, etc. (Or he would have sent me to one - he is uncomfortable handling my pain meds long term.) He said they get $1000 a pop for each shot, but piddle for writing prescriptions.
So to not confuse anyone I will try to spell this out:
I lived in a rural small town until last month.
My previous (much-loved) neurosurgeon lived in the closet "civilization" which was 2 hours away and in a DIFFERENT state. (Let's say State #2)
We moved in June to another state (let's say State #3), which is 4 hours away from previous small town and 8 hours away from previous neurosurgeon.
The plan was that if this referral didn't go well, we would just go back to neurosurgeon in state #2 and have the procedures done. Don't know how that will work with hubby's new job and all, but he is not concerned in the least. Let alone the long car travels, the 2 day SCS trial, etc. Hubby says to let him worry about that. I will.
My worry is the actual pain meds I take. When we first moved here, I got a new family practice doc who wrote me 1 month worth of meds - Oxycontin ER 10mg 2 X day, Soma 3X a day and Ambien, once a day. This was to help in the interim until I established with the new NS.
Can my neurosurgeon or any doc in State #2 write pain prescriptions for me living in another state? He never had before - just let my family practice doc in small rural town prescribe pain meds. Since it was a 4 hour round trip (previously) it never made sense to go to him for the pain meds as well.
My pain management appointment here State #3 is Wednesday morning at 9am. If I go to them and all they want to do is injectables, I will not use them, which I'm sure will go over really well (not). That probably means they will also not give me any pain meds (I have about a week and a half left before I need a refill.) I am usually a glass half-full girl but today's appointment and the gruff treatment of this new ns has triggered my emotions.
Might be able to get another month out of my new family practice doc, BUT long term, could my neurosurgeon (or any doc he sends me to) in State #2 handle my pain meds? Is that a DEA red flag or anything? It just seems like I read somewhere that it would cause a problem.
I am really praying that this post was written in a coherent manner and that you don't have a headache trying to figure it out!!
Thanks SO much,
1/09 Spinal Cord Stimulator, ANS/St. Jude Eon Mini
11/07 - acute & chronic S1 nerve root irritation
12/21/06 -360 PLIF L5-S1 w/inst.
3/21/06 - L5-S1 fusion w/o inst.
12/21/05 - Lam/Disc. L5-S1.
Last edited by cherish1; 07-21-2008 at 04:21 PM.