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    Old 12-10-2007, 12:18 PM   #1
    kaydenxo
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    I Cant Believe My Doc Said This To Me !!!!!!

    hello all,
    i saw my prim doc on friday, she treats me (gives me my pain meds etc) until i can get into pain management which is in one month. I just recently got out of the ICU unit due to a blood clot in my lung which is VERY painful. I also have fibro, Degenerative Joint disorder, and bulged discs. She was giving me narcotic pain meds, as my prev doc where i used to live was giving me narcotics, she is now saying that she sees no reason i should be on pain meds, (i have been on pain meds for 6 years now) it is the only thing that allows me to function somewhat normal and care for my toddler. When i saw her friday she came right out and said that "she doesn't trust me". I asked why and she said because I would call early for my scripts, now she was giving me 10 day supplys I would call on the 8th day to put the request in, and ask to pick up on the 9th day. This is what ever other doctor would allow.She wanted me to wait until the 10th day to pick up my meds. She says because of this she will not give me meds anymore, i have to go to pain mgmnt. I cannot see a pain doc until Jan 4th, what should I do, has anyone ever had this happen? Im on 60 mg oxycodone (short acting) 4X a day, to be cut off this , is going to be HORRIBLE. Im also on 2 mg Xanax 3X a day due to extreme anxiety, im just so scared and don't know what to do, i can't see another prim doc becasue my insurance card lists the name of the doc i have to see and that would be her. please give me suggestions because im really scared and don't know what to do.......

     
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    Old 12-10-2007, 02:41 PM   #2
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    Re: I Cant Believe My Doc Said This To Me !!!!!!

    That is terrible your DR did this to you. Now I call my DR 3 days early before my refill is do, just to make sure it gets done and I don't run out, and some times I pick it up 1-2 days early but its ALWAYS post dated for the excact date it's do to be refilled. so it sounds like you were doing the same thing as I do, if I hear you correctly, your not calling asking for your meds early, your just wanting to pick up the RX and have it before your fill date right? did you explain this to your Dr? I know my GP told me that if I ever ask for an early refill or start becoming a problem patient he will not treat me at all for my pain, so he warned me ahead of time so I am NEVER going to ever ask for anything early and I never have and I have been in pain managment for 2 years now. You have to be so careful and if they think your being a problem they will give you the boot.

    so let me know if you actually were asking for early fills or if you are doing what I do?

    so are you our of pain meds now? I would start a QUICK taper right now if your not and cut back until you can get into your PM doc. the problem is, if he gets your records he might see you were a problem patient and not want to prescibe to you. I would get your records and see what they say. you will need them anyways for your new DR... Another thing you might want to do is to bring your pharmacy records with you so you can show your new Dr what you were taking and show him you werent getting meds from multiple Dr's.

    good luck, I am so sorry you have been cut off like this with no taper plan in place. it is very dangerous to come off of xanex but you won't die from coming off of opiates but I know benzo's can be dangerous to just be cut off from.

    SS

    Last edited by slipperyslope; 12-10-2007 at 02:43 PM.

     
    Old 12-10-2007, 04:39 PM   #3
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    Re: I Cant Believe My Doc Said This To Me !!!!!!

    I just read through all of your post and am really puzzled for you. never having good pain control even on the high doses of oxy you have been given.. It appears you have seen a lot of Dr's and all of the Dr's you have seen are telling you the same thing, that they want you to see a PM DR. They have been mentioning this for almost a year now so I would go ahead and do that but you will have to change a lot of things about the way you manage your medications, getting a safe would be a good idea for you since they have been stolen before. You have gotten excellent advice in the past and I would go back through all of your post and re read what everyone has suggested you do.. I am sorry things have been so tough for you, but a PM DR is your best bet and I hope they can help you manage your pain better.

    good luck to you, SS

     
    Old 12-10-2007, 04:40 PM   #4
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    Re: I Cant Believe My Doc Said This To Me !!!!!!

    Goodness, I'm so sorry this happened to you. There HAS to be some way you can resolve this. Maybe talking with your insurance company about seeing another doc, as this one has dangerously taken you off of some strong meds in a "cold turkey" kind of way! SOMEBODY will listen to you! You may have to move heaven and earth, talk to the dr's boss (unless she owns her own practice), complain to the head of the head of the head! Your insurance company has to give you another option! This is dangerous, in my opinion. I'll surely be prayin' for you!

     
    Old 12-10-2007, 06:22 PM   #5
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    Re: I Cant Believe My Doc Said This To Me !!!!!!

    Getting a 10 day supply and picking up your refill on the 9th day doesn't sound very suspicious to me. I have to call a week in advance and my refills are always ready within a day or so. If I call for a refill and it gets filled, I pick it up. Seems logical! I am wondering why you are on 10 day supplies to begin with? It
    seems your doctor was keeping you on a short leash. I hope you have better luck at PM, one note in your records about being a suspected addict can ruin your treatment for life. Good luck.

     
    Old 12-11-2007, 07:47 AM   #6
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    Re: I Cant Believe My Doc Said This To Me !!!!!!

    I too read through all of your posts. There seems to be a lot of conflicting info in these posts between the Fibro board and the Pain Management board. In one post you say you've never been to a PM doc , and in another you say you just saw your PM (10/22/07). Perhaps this was due to your move?? You've seen a "Temp. family doc", an "Unhelpful primary doc", your prescriptions have been stolen, and according to one post you have been falsely accused of fraud. You have been prescribed only 10 day scripts, as well as had one PM appointment moved from just after Christmas to just after New Years.

    These are all HUGE red flags to your doc and these are all good reasons why your doc is treating you this way. Because of the DEA regulations, the doc has to cover his butt, regardless of whether or not you did any of these things, together, as they say "perception is reality". It could cost the doctor his license to practice, and he is just being cautious.

    In no way am I accusing you of any misdeeds, I am just saying, that just from your posts, and from your situation of moving, and of caring having to care for your ill grandfather, all of these things put together in writing seem to leave questions. I'm sure in person, when you give your story it also comes off as questionable as well.

    I wish you well, and hope that you can get this situation resolved and that you can get your pain managed. From the get go it seems that you have a strike against you because IMHO so many people do not believe that Fibromyalgia is EVEN a true diagnosis, and believe me, I've seen first hand the debilating effects that it can have on someones life.

    Much luck to you.
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    Old 12-11-2007, 08:23 AM   #7
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    Re: I Cant Believe My Doc Said This To Me !!!!!!

    Hi Kayden, As SS said the xanax is ther bigger problem to DC cold turkey. Perhaps your primary could refer you to a psychiatrist. GP's playing shrinK and PM really is a pet peeve of mine. Someone needing 6 mgs of Xanax a day really should have their problems managed by someone specially trained to mange that level of anxiety. The same goes for that much Oxycodone. I can't imagine a GP even prescribing 60 mgs of Oxy at a time for anyone. The ability to write a script doesn't make a doc qualified to manage pain or psych issues either related or unrelated to the pain. At least a shrink could get the anxiety controlled and kee you ut tof the ER when you run out. It would certainly make most PM docs more comfy knowing a shrink is prescribing that much Xanax and offering more than a healthy script.

    There is a lot more to PM that could help both your pain and anxiety aside from meds that have the potential to cause so much harm. A study was done several years ago that determined medication alone is no more efective than counseling alone for depression. However when both meds and counseling are used the outcome far exceeds any single method to manage a problem. I truly believe the same goes for chronic pain and anxiety. If the only tool you have is tranquilizers and pain meds, the only outcome aside from temp relief is assured tolerance to those meds. That's how you get from one percet to 60 mgs of Roxicodone and from .25 of Xanax to 2 mg bars.

    Obviously there are a lot of people concerned about your med use and that info is going to follow you to the PM doc. Finding one out of 10 docs willing to prescribe this amount doesn't mean it's your only option or the only tool they have to work with. If you move on when a specialist isn't comfy with the treatment plan created by GP's and family docs, you will never find other tools to mange your problems beause that's all they can offer you.

    When was the last time a GP tought someone a relaxation technique, spent any amount of time trying to get to the bottom of your anxiety issue or tought you anything like bio feedback, self hypnosis or guided imagry to learn to cope with pain when meds simply fail to work. All a GP can do is increase your dose.

    Where will you be in 5 more years if all their doing is treating the symptoms with increase after increase and not looking for a multi faceted aproach to help you cope with all your issues.
    Good luck, Dave

    Last edited by Shoreline; 12-11-2007 at 08:37 AM.

     
    Old 12-11-2007, 09:00 AM   #8
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    Re: I Cant Believe My Doc Said This To Me !!!!!!

    i was also kind of wondering about this too.i read in one of your posts that you were going to be seeing the PM on the 6th of dec?what happened at that appt or weren't you able to make that?i just thought that is what i read in one of them.i really do think considering your situation that you really do need to try and find adjuncts to your narcotics for pain management.i have had to do this mainly because i don;t want to have to rely solely upon narcotics and alot of my pain processes just do not actually respond to any types of narcotics.so i also use lidocaine,both patches and the ointment,my TENS unit and a wonderful topical called biofreeze that has even held down the pain i am having from a torn rotator cuff at the moment.it reduces the overall intensity and i have not had to raise my narcotic intake at all.

    i am just kind of concerned for you at this point.being on high levels of narcotics over long periods of time can bring along with it actual addiction and not just the dependancy that comes from the chronic use of them. trust me,this just happens to people when you are on these types of meds.i am only telling you this not to make accusations or even begin to judge you,but this is from someone who has been there.as a recovered addict for over fifteen years before my life got completley turned upside down,i am seeing the little red flags popping up all over the place hon,and i do have some worries for you right now.only you truely know what is actually going on here,but honestly,i do think there could be an issue here brewing for you.i did go thru all of your posts that you have made on this board with almost every single one about an urgent need for help with narcotics.people also offered you some very well thought out advice and for the most part,you never bothered to actually agknowledge any of them.like i said,the little red flags are popping up here.i am sure your doc also suspects this too since you were on a very highly restricted limit of amount you could have at one time.most docs don't do this unless they suspect a problem.when looking at the really(and this is really high)amounts of oxy you were taking before and then needing more on top of that,well,it IS looking like you are trying to keep up an active addiction.like i said,i am not here to judge,just to highlight some things that i don;t think you realize,or have realized and are afraid to actually address,or are willing to admit to yourself.i just really do think you need some help here hon.believe me,i wouldn;t have taken the time([because] it hurts)to write this to you if i wasn't concerned for you and your child and the grandfather that needs you too.i just think the time has come that you really do need to sit down with your doc and really discuss your options here.i do really feel i know here you are at right now and it does suck,espescially when you have very real pain you have to deal with and people who are depending on you as well.i just really think that you need to just stop and really really think about your current situation and what needs to change,soon.or honey,things are not going to get any better for you,really,they will become worse.what is going to happen when you have completley run out of your docs patience?i think this is where you are at right now and YOU can take the high road here and ask your doc to help you or continue on the way things are(whatever that could be at this point).that choice is up to you and no one knows where you are at in your head really other than you.i think you have reached the end here with this and have completly turned this doc against you.but you can redeem yourself by taking that first step and just telling her you need help.i honestly do not really see that you can do this any other way hon.you are in crisis right now,and the person who put you there is you,but YOU can take some control back and do what you can do at this point,have a very open and honest chat with your doc.

    i hope this did not come across too harshly,that was not my intent.i am just really concerned about you and your child right now.taking that very first step is the hardest but right now,i really do not see any other real options for you other than just telling your doc "help me".you DO have pain and that also has to come into any treatment plan but you just really have to do some deep soul searching here and look at where this is going,where you currently are at and do what is the best possible thing for you and your family.i really,honestly am truely concerned about you.i do hope you do the right thing and the best possible thing that you can do based on what turns up during your searching inside your head.i just see a situation that is very very familiar to me.you CAN get thru all this and back on track with the right approach to your pain management,but any real help is going to have to start with opening up to your doc,believe me,she is already there waiting for you,she knows,trust me.i hope i have not scared you off hon,i really just want to know that you are okay.please post when you can.i will be waiting and hoping to hear from you.marcia
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    Last edited by HBMod07; 12-12-2007 at 05:32 PM.

     
    Old 12-12-2007, 12:18 PM   #9
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    Re: I Cant Believe My Doc Said This To Me !!!!!!

    I think by law they have to wean you off these drugs not cut you off cold turkey. You can have severe withdrawal as a result of being cut off cold. Consult an attorney.

     
    Old 12-12-2007, 01:17 PM   #10
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    Re: I Cant Believe My Doc Said This To Me !!!!!!

    WOW!!!! I can relate because its happened to me-I used to have to go in with my old dr all of a sudden every 10days aswell.its very costly and time consuming and than another doc heard what she was making me do and he took over as my doc at the time.And the Doc I have now sounds like the one u have ?????? She used to be very helpful and told me she was gonna take me on for pain and other...so I got rid of really good Dr and now recently well lets just say I don't get her at all.But...this is about [you] and I can tell [you] this [because] [you] have been on these meds for 6 years regularly....she cannot abruptly stop u on these types of meds ITS VERY DANGEROUS!!!! and unprofessional.When going off of these meds it is a slow process that needs to be done properly and under supervision of the Dr. and like I said [because] its been 6 yrs,it is dangerous to just stop taking the meds.HUGE lawsuit!!!! I would report her.Have [you] spoken to her stating [your] concerns....and that its very dangerous and that [you] are scared of the affects....????? and have [you] called the Doc your to see in Jan to see if [you] can get an emerg appt with him/her [because] of this situation????? Gosh I feel for you!!!! and this Dr should be ashamed to treat a patient like this-soooo not right at all.Please keep us posted and any questions or complaining [you] need to do or ask I am sure we can all help some way or another.God Bless and keep us posted!

    Last edited by HBMod07; 12-12-2007 at 05:29 PM. Reason: Please refrain from internet "speak"

     
    Old 12-12-2007, 01:28 PM   #11
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    Re: I Cant Believe My Doc Said This To Me !!!!!!

    Another thing from reading 'feelbad' reply I too have been on high levels of oxycontin for about 5 years now on/off of oxycontin/mscontin/patches....I take atleast 100mg of oxycontin every 6 hours everyday plus others...and overtime [your] body obviously gets psyically dependant and yes the mind too whether we like it or not however either way the Dr shouldn't be approaching your situation like this if its addiction or other your on serious meds and need the proper care from your Dr to fit [your] situation...and may that be gradually getting [you] off of the meds or continuing the pain manegment to suit what is going on with [you].I hate being on this crap especially for so long and knowing its damaging my body-yet the only way I am able to walk each day...At this point in time [you] need to get someone who is gonna treat [your] health properly-and I would call a lawyer if that Dr still cuts [you] off like this.Can I ask why she thinks [you] are asking for meds too early all the time? Have [you]? or is this what he/she is saying???? Anyhoo....My prayers are with [you]

    Last edited by HBMod07; 12-12-2007 at 05:27 PM. Reason: Please do not use acronyms or shorthand when posting

     
    Old 12-12-2007, 03:03 PM   #12
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    Re: I Cant Believe My Doc Said This To Me !!!!!!

    If you are calling in early for refills and not abiding by the pain contract, they CAN AND WILL cut you off cold turkey. Its in there contract and they can do as they please if they feel you are not following the rules to a T. They can loose there license very easily and its not worth it to them and you can also ruin it for all of the other pain patients that are following the correct protocols. Also your Dr has been telling you she does not want to treat you with pain meds anymore and she has been asking you to see a pain Dr for awhile now so your actually quite ucky she keeps refilling for you, but you need to respect her rules and not call in for early refills or loose your meds or keep asking her to increase your dose. she has told you she won't give you a higher dose so just deal with it the best you can and keep your meds safe and try and space them out more.......... she is being VERY generous with your pain meds, A lot of GP'S wouldn't prescribe the high doses of oxy she is giving you so try and give her a break and find a good pain Dr that can help you and get your pain under better control. I hope you keep your apt on the 23rd of Dec. Please post to us after your apt and let us know how it goes for you. I hope you get taken care of and get the relief you are seeking.

    SS

    Last edited by slipperyslope; 12-12-2007 at 03:05 PM.

     
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