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Old 04-12-2010, 03:03 PM   #1
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Since when does a doctor's schedule allow him to violate the Hippocratic Oath?

The doctor's vacation schedule is NOW my problem.

The background:
Referred to my present PCP 20 months ago by my old doc who moved away.

Other than the occasional ailments, I see him every 30 days for: Adderal XR (I was diagnosed 8 years ago with ADHD), and
Norco.

About 2 years ago, I aggravated/re-injured, what ever, an old back injury. When I came to him I was taking 40 mg per day, but it wasn't cutting it and I would be back in his office on day 26/27. After my MRI's 5 months ago, he increased my Norco to 60mg per day. Seems we have found the correct dose and I can comfortably make it to day 30. No problem. Both the lower back and thoracic MRI's show legitimate pain causing conditions.
I am investigating other chronic pain relief options, but how do you pick a PM doc? (Another thread, I know)

So… my last appointment was on (prev appt plus 30), March 12, in this case, and I had 3 Norco left when I got to his office. No problem. Today is April 12, previous appointment plus 31 days and I have 2 left. If I went to his office last Friday, he more than likely would have re-filled the Norco and he would have definitely re-filled it today. BUT…he was on vacation last week and they scheduled me for April 14th – (previous appoint plus 33 days).

I knew this, so I did try and cut back throughout this past month were I could. Then a week a go, I slipped on the tile floor ended up with a severe knee contusion, no break, thank the lord. I DID NOT receive opiate pain meds from the walk-in clinic I went to because first of all, they wont prescribe them and secondly, even if they did I was honest and told them I was taking Norco for my back. I do not ever want to be accused or labeled as doctor shopping.

So, I called my PCP office this morning to see about getting in today, or tomorrow. I was told, no "we are booked until the 20th." You can come in and wait, but there is no guarantee we can get you in. You might sit here all day, and not get in. I said, "I have an appointment on the 14th" can you ask if the doctor if he will give me a 2 days supply? I was told, "He probably wont (translated – I'm not even going to ask him) since you are 3 days early for your appointment!" I said, "well I was given a 30 days supply of medication 31 days ago, I need to figure something out." She said, "We'll see you Wednesday." I hung up before I lost my temper.

She may or may not have had any idea what the medication were I was talking about Maybe it is something that you take or else you die, or have a stroke, etc. She may have no idea they could be, and are, something that you take, and if you don't you're in unnecessary pain and suffer opiate withdrawal. And that is just the Norco, what about the Adderal? It is no picnic to being a scatter brain, on top of being in unnecessary pain and discomfort. I'm fairly certain I'm not going to die from this, I might wish I was dead later today or tomorrow, at least I hope not, but what if I were taking something that stopping suddenly would be really really dangerous? I can't be the only patient this is happening to.

Thanks for letting me vent – nothing better to do now that the wd's are setting in. Oh joy. I'm SERIOUSLY considering going to the ER and saying 5 or 6 Norco or send me to detox. Then sending my PCP the co-pay bill and let him explain to my insurance why as a "preferred provider" he left me no other choices. Hmmm, I think I'll call the helpdesk at my insurance and see what they suggest.

I'm obviously going to step up the search for a PM doctor and a just added a new PCP too. Isn't FORCING your patients to suffer needless pain and withdrawal, or worse when they run out of medication because they cant get past the front desk, malpractice or abandonment?

 
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Old 04-13-2010, 07:02 AM   #2
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Re: Since when does a doctor's schedule allow him to violate the Hippocratic Oath?

I have been in PM for over 2 years now because my PCP didn't beleive in presribing medications over a period of time

 
Old 04-13-2010, 08:01 AM   #3
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Re: Since when does a doctor's schedule allow him to violate the Hippocratic Oath?

A question. Is there a nurse at your doctor's office that you can talk to? The fornt desk is wall to keep you under control. But if you ask to speak to the nurse-Or even leave a message for the nurse to call you you might be able to get enough meds to carry you through. They usually aren't as heartless as the front desk.

Ask your pharmacist about PM docs if you are on a good relationship with him. Ask him who the ogod ones in the area are-or ask him who alot of people go to. They know which doctors are good...

 
Old 04-13-2010, 05:16 PM   #4
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Re: Since when does a doctor's schedule allow him to violate the Hippocratic Oath?

Thanks for letting me vent- I see this is a good place to do just that and a bunch of folks who can relate. I do understand that on the scale of 1 to 10, my chronic pain is about a 3, and is/has been managed very well for the last 5 or 6 months with meds, including narcotics, excercise and some modification in my activity, while there are lots of folks here, on a scale of 1 to 10, they are 15, and suffering quality of life and having more difficulty than me. I am lucky in many ways.

My PCP is fine, his staff are bunch of MORONS!!!!!!!!!!!!!!!!!!!! The front office girls are also the med assistants, so no nurse to go to. After stewing, I faxed a thoughtful note to the doctor saying this is day 31, appt on day 34 and "I understand that your staff has received generalized blanket instructions from you regarding refills... " I told him I had the pharmacy send a refill request for the entire script but I only wanted 6 - 8 tablets and I'd see him Wednesday." It worked, the pharmacy called me at noon today and he had authorized the 2 day supply.

His staff is terrible, but after writing my original post I read a lot more and seems like I need to tolerate them for the greater good. I guess they are there to discourage the bad apples, not prevent legit (and percistant) patients like me from getting my meds. We shall she how it goes tomorrow.

Thanks for listening to me vent. These are our doctors, not probation officers for gosh sake.

 
Old 04-13-2010, 07:31 PM   #5
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Re: Since when does a doctor's schedule allow him to violate the Hippocratic Oath?

Glad you got your meds. Very smart to handle it the way you did. Pain is pain and we all have different types and levels depending on any number of factors. Feel free to join us anytime and vent all you need to. I know the feeling of having office staff that is not up to snuff. I try and deal with my doctor as much as possible and have one nurse at the practice whom I trust with my life. She has saved me many times because I use mail order pharmacy and they can really be trying at times.

Bullymom

 
Old 04-14-2010, 12:26 AM   #6
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Re: Since when does a doctor's schedule allow him to violate the Hippocratic Oath?

You wouldn't believe what I did on Monday, I had an appointment with my specialist who is about 3/4 hour from home and I was out of endone Valium and needed to talk to him about the Oxycontin I had been taking. Anyway we decided to go back to the Durogesic patches I had taken previously and worked out that the best strength for me was to take 50m/gr/hr and a second after 1 1/2 days then change each at 72 hours. This was what I had done before and it worked well. Anyway we also talked about my nerve pain and He put me on 200mg morning and 200mg night of Tegratol so that was fine and he mentioned his new motorcycle etc so that was fine I went to the chemist and got the Patches and Tegratol also I needed some neutral PH shampoo. Ok I got those and drove to my Dad's near where I live and where talking about medication and it suddenly dawned on me I had forgotten the Valium and endone, Both I use in emergency times but the valium almost every night. I was just horrified and went into panic mode as I couldn't possibly get another appointment for at least a week, My normal GP would give me the valium but not the endone (oxycodone) I was stunned I had done this, what am I going to do. My Mum said just ring the doctors and ask them to get the script off the doctors. I thought no way as my specialist would have definitely left the surgery. So I rang and the lady at the counter recognised me and said she would get the script and for me to come at 4pm to pick it up. I was that shocked and I had already put on my first patch so Dad came with me and I walked in to the doctors, the lady said that she had gotten another doctor there that I had never seen to write the script for me and handed me the script and I walked into the chemist and had it filled no problems.
I could not believe it, how often would that happen. Never! So there you go some one was definitely looking after me on Monday. I could not believe it. I would not have even rang but my Mum insisted I should ring. So things happen sometimes when you don't even believe it. So I said a little prayer and thanked God for watching over me. Sometimes things happen to give you a little surprise. And karma works that way.
I just wanted to tell someone that story that is saving me quite a bit of pain and un-comfort.
Allan
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25-Nov-2010: ALIF fusion L5-S1. 9 years of Chronic lower back pain. Nearly 18 months of pain across my upper pelvis, through my butt and down my left leg into my foot. Sciatica relieved by surgery.

Last edited by allanbruce; 04-14-2010 at 12:30 AM.

 
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