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-   -   pain meds required at first consult? (https://www.healthboards.com/boards/pain-management/1012981-pain-meds-required-first-consult.html)

Raedew 12-07-2015 02:00 PM

pain meds required at first consult?
 
I have a consult tomorrow with a pain management Doctor as a referral by my PCP. I've had several bulged and herniated disks and suffer from chronic pain and nerve pain from damage. Received a message today from the clinic stating that I needed to physically bring any medicine I was taking for pain in its original bottle with me to my appointment. I guess I'm confused as all of my prescription info is on file as my pain dr is in network with my PCP. Any ideas? Thanks!

tortoisegirl 12-07-2015 05:33 PM

Re: pain meds required at first consult?
 
This is likely to verify any substances which may show up in the UA they are likely to ask you to give. They may also check you haven't used the pills up quicker than the prescription says is allowed (do a pill count, assuming you aren't due for meds that day). This is likely only applicable to any opioid pain medications (ex. Vicodin), but you might as well bring anything you take for pain in just in case. I hope the appointment is helpful. Best wishes.

Raedew 12-07-2015 07:08 PM

Re: pain meds required at first consult?
 
Makes sense. I was just confused as this is a consult appointment and I don't have a pain management agreement with them. I'm hoping they will recommend injections or something else useful as I would like to stop the pain meds, muscle relaxants, etc. I think I'm short 3 pills based on my count. Oh well, we'll see what happens. Thanks for the feedback!

Whoopee 12-07-2015 07:19 PM

Re: pain meds required at first consult?
 
I may be wrong but I'm thinking they may want to physically verify they are making a seamless transfer from your previous doctor's prescriptions. As far as the pain contract goes, if there is going to be a need for one, I'm sure they'll hand one to you to sign. Also, you're right that it's pretty common for a new PM clinic to want you to try alternative treatments, such as injections etc.. That's exactly what my current doctor did. When they took me on, they had my records with all my current medications in it and they picked up with a different but equivalent dose of new meds. Hopefully you will be pleasantly surprised and leave the office feeling very good about your PM.

Raedew 12-07-2015 07:39 PM

Re: pain meds required at first consult?
 
I hope so! It's nice to hear other people's experiences as this is my first and they were making me feel like a dope seeker with all the pre appointment instructions, but I understand it's required now with all the restrictions on narcotic pain medicine. I've got such an awesome PCP that I trust implicitly and is easy to talk too with impeccable bedside manner so I always get nervous when I have to see a different specialist. Hopefully they'll find a good plan for me!

tortoisegirl 12-08-2015 05:10 AM

Re: pain meds required at first consult?
 
Note that they may hand you an opioid contract as part of the new patient paperwork at reception, but don't sign it if you have an existing one already as that could cause issues. If you decide to get pain meds from this doctor, then is the time you'd want to contact your old doctor to cancel any old contract, then sign the new one and get the prescription/s. Folks can be too quick to sign everything they are handed, and in your case it sounds like it won't be applicable. I hope this doctor is a good fit; if not, there are more doctors out there, so don't hesitate to ask for another referral. Best wishes.

teteri66 12-08-2015 04:09 PM

Re: pain meds required at first consult?
 
Have you consulted with a spine specialist? It would be better if you could find a resolution to your spine problems rather than treating for pain.


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