It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Pain Management Message Board

  • Opinions on how to change pm doctor

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 02-02-2012, 09:39 PM   #1
    DucStar
    Junior Member
    (male)
     
    DucStar's Avatar
     
    Join Date: Dec 2011
    Location: Texas, USA
    Posts: 20
    DucStar HB User
    Opinions on how to change pm doctor

    Ive been visiting the same pm office for the last 6 years approximately. During that time I've had good times and bad times with pa's and doc's that have come and gone. Sometimes I'll work with one that I don't care for much, then 3 months later it will be someone new that I like a lot, the another 2-4 months goes by and I have someone new. Finally, I've had a doc/pa combo that I loved for the last 7 months or so, but between my last appt and today (30 days) almost all of the staff have gone. New pa's, new docs, new office staff, all new except the head doc that founded the firm.

    I really want to transfer to the office that the recently departed doc has gone to as I built up a lot of trust in him as did my wife who deals wit most planning,scheduling, billing, etc for all of my appts. I'm just sick of the constant change, and worry of the new persons temperament, sick of having to sit in a waiting room for an hour + sometimes, just sick of all of the inconsistencies that really impact my ability to receive seamless care.

    Any tips on things to or to not do when transferring to a diffence pm office?

    I'll give you a brief recap of today's event at my visit just to give ou an idea of what I want to get away from.

    I arrived 15 min early for my appt, but wasn't seen for 75 min. Once in the room I waited an additional 10, then the new doc comes in, 4th day ever doing pain management - just left heart surgery. Makes me rehash my story for the umpteenth time with this office. When he finally asks how everything is working I asked aout an increase on my long acting med which we had been planning and working towards for 3 months, all documented in my chart. The doc said, well, you just had some injections, let's wait another month to see how that does. I said that would be ok normally, but I've had these injections every 2-3 months for the last handful of year - I know what the results will be, can we please make he change. He then spun the topic elsewhere, went away for about 10 min to ask another doc some questions, came back and said we'll see you in a month, wait in the lobby for your scripts. All of this took nearly 2 hours when I was clearly in miserable pain. End of the day, I walked out with my normal scripts without the change.

    I understand a new doc may have concerns about med changes, but damn, it's all documented, there was a plan in action, it wasnt like out of th blue I said hey doc, hook it up I want the good stuff.

    It's just really frustrating and depressing that I don't feel liked can rely on my doc for consistent, reliable, concerned treatment. The place is starting o feel like a cattle holding cell with the number of people they keep waiting in the lobby at all times.

    Sorry for the rant I'm just done.

     
    The Following User Says Thank You to DucStar For This Useful Post:
    panicnpain (04-24-2012)
    Sponsors Lightbulb
       
    Old 04-17-2012, 02:17 PM   #2
    panicnpain
    Newbie
    (female)
     
    panicnpain's Avatar
     
    Join Date: Apr 2012
    Location: sarasota,FL
    Posts: 3
    panicnpain HB User
    Re: Opinions on how to change pm doctor

    Hi, I can relate to your frustration. I've been with same pain mgt center for 2 yrs. I saw a new Dr last week. The third in 2 yrs. I have lower back pain and neck pain. I have 4 bulging disks in neck and 3 or 4 in lower back with disc protrusion and degenerative disc disease. I've been given oxycodone 30 mg, 5 xs a day, along woth lyrica for sciatica pain. This new dr immediately cut me to 4 30 mg oxycodone. Also wouldn't refill lyrica. I was given flexeril for spasms, last September, and only filled refill 6 months later. I'm a 50 something woman, and this dr told me my mri's are normal. He's only a gp. My pain was well controlled on meds. He then told me to lose weight, to which I replied I've lost 100 in 4 yrs. I was so upset and have never asked for meds early or shown up with none. I feel like a criminal, and very angry. Im my hubbys caregiver, he had a heart transplant and has ptsd.( the heart problem is genetic) 3 bros in all have heart transplants. I don't know what to do. Should I call center amd speak wkth administrator or just pull records and see original Dr who started his own clinic. I called new clinic last wk about accepting my insurance, and still haven't returned my call. Please help! Thanks

     
    Old 04-17-2012, 06:05 PM   #3
    tortoisegirl
    Senior Veteran
    (female)
     
    Join Date: Mar 2012
    Location: Washington
    Posts: 1,204
    tortoisegirl HB Usertortoisegirl HB Usertortoisegirl HB Usertortoisegirl HB Usertortoisegirl HB Usertortoisegirl HB Usertortoisegirl HB Usertortoisegirl HB Usertortoisegirl HB Usertortoisegirl HB Usertortoisegirl HB User
    Re: Opinions on how to change pm doctor

    As long as you are confident that the clinic the doctor is associated with will be more constant and otherwise a good fit (drive time, office hours, etc), definitely go for it. Unless you are switching doctors several times a year, I see no reason why this would hurt you. I'm so glad I recently switched from seeing my primary doctor to a pain specialist.

    I'm a tough case...26 years old, under treated pain, have 6.5 years of pain & rx narcotic history, although only daily since the last 3 years, but due to age I am on high doses as I build tolerance fast. So, it took me a year to find someone willing to take my case and not decrease my meds. However, my suggestions are as follows.

    Set up a consult appointment only at the new doctor's office without doing anything with your old one. Most of them won't prescribe meds on the first visit anyways. Ask what their treatment plan for you would be...confirm they can at least continue your meds, not decrease them, and overall they aren't going to be against necessary dose increases due to tolerance, make you re-try treatments that didn't work, etc. Bring in your bottles so they can see what is being prescribed (and it may be good for them to see its midway through the month and you have half your pills or whatever?).

    Get a copy of their pain contract to ensure you can follow it (but don't yet sign it...you need to cancel the old one first). If everything is good, set up an appointment at the new doctor's office for your next refill day. Then, go to an in person appointment at the old doctor's to cancel your contract and let them know you are changing doctors.

    Don't do it over the phone as you never know if they will forget to put the note in your chart and get angry at you...even if you don't see them anymore, a note in your chart that you violated your contract can get to other doctors (such as the new one) and jeopardize your treatment. Get a copy of your records from your old doctor. Sign the new contract and take it, your records, and your prescription bottles to your first refill at the new doctor.

    You shouldn't have to sign a pain contract just to consult (not get meds) with the new doctor. You will likely have to explain what you are trying to do to the office staff though. I also didn't have to take a UA until I was getting meds from the new doctor, but there isn't harm in doing that. Worked well for me! Best wishes.

     
    The following user gives a hug of support to tortoisegirl:
    panicnpain (04-24-2012)
    The Following User Says Thank You to tortoisegirl For This Useful Post:
    panicnpain (04-24-2012)
    Old 04-23-2012, 06:40 PM   #4
    panicnpain
    Newbie
    (female)
     
    panicnpain's Avatar
     
    Join Date: Apr 2012
    Location: sarasota,FL
    Posts: 3
    panicnpain HB User
    Re: Opinions on how to change pm doctor

    Quote:
    Originally Posted by tortoisegirl View Post
    As long as you are confident that the clinic the doctor is associated with will be more constant and otherwise a good fit (drive time, office hours, etc), definitely go for it. Unless you are switching doctors several times a year, I see no reason why this would hurt you. I'm so glad I recently switched from seeing my primary doctor to a pain specialist.

    I'm a tough case...26 years old, under treated pain, have 6.5 years of pain & rx narcotic history, although only daily since the last 3 years, but due to age I am on high doses as I build tolerance fast. So, it took me a year to find someone willing to take my case and not decrease my meds. However, my suggestions are as follows.

    Set up a consult appointment only at the new doctor's office without doing anything with your old one. Most of them won't prescribe meds on the first visit anyways. Ask what their treatment plan for you would be...confirm they can at least continue your meds, not decrease them, and overall they aren't going to be against necessary dose increases due to tolerance, make you re-try treatments that didn't work, etc. Bring in your bottles so they can see what is being prescribed (and it may be good for them to see its midway through the month and you have half your pills or whatever?).

    Get a copy of their pain contract to ensure you can follow it (but don't yet sign it...you need to cancel the old one first). If everything is good, set up an appointment at the new doctor's office for your next refill day. Then, go to an in person appointment at the old doctor's to cancel your contract and let them know you are changing doctors.

    Don't do it over the phone as you never know if they will forget to put the note in your chart and get angry at you...even if you don't see them anymore, a note in your chart that you violated your contract can get to other doctors (such as the new one) and jeopardize your treatment. Get a copy of your records from your old doctor. Sign the new contract and take it, your records, and your prescription bottles to your first refill at the new doctor.

    You shouldn't have to sign a pain contract just to consult (not get meds) with the new doctor. You will likely have to explain what you are trying to do to the office staff though. I also didn't have to take a UA until I was getting meds from the new doctor, but there isn't harm in doing that. Worked well for me! Best wishes.
    Thank you so much for your advice. I called my PM center last thursday, and I explained how the new dr wouldn't refill my lyrica and also I was having a hard time adjusting to the lower dosage of oxycodone. They put me through to the nurse who told me they would.call in a rx for the lyrica right away. Also gave me an appointment with the Dr who has been there for yrs.and only comes in on Thursday for procedures. She said they'll bring me in 5 days sooner than scheduled appt. Ive never called or ran out of meds, I've been in alot of pain without that 1 pill everyday. Nights have been pure hell. I called the other pain mgt clinic 4 times about accepting mu insurance. I told them.no referral is needed and it's open enrollment. I gave them the info, and didn't even have the courtesy to call back.I will ne staying with my current pain mgt center, but if I have to see that other dr again, I'll ne back to square one. I will express my concerns with the dr I have appt with,I've seen him quite a few times. I won't go over the top with how I really feel about the quack I saw, bc it won't help in the long run. Thanks again, and sorry it took this lomg to reply, I forgot password. God bless amd I'll stay in touch

     
    Old 04-23-2012, 06:44 PM   #5
    panicnpain
    Newbie
    (female)
     
    panicnpain's Avatar
     
    Join Date: Apr 2012
    Location: sarasota,FL
    Posts: 3
    panicnpain HB User
    Re: Opinions on how to change pm doctor

    Sorry for all the typos, I'm on cell and my puppy is into everything.thanks again

     
    Old 04-23-2012, 09:17 PM   #6
    katlin09
    Inactive
    (female)
     
    Join Date: Mar 2008
    Posts: 5,038
    katlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB User
    Re: Opinions on how to change pm doctor

    If you want to move to a practice that is ran by a former doctor of yours, changing should not be a problem. All you need to do is contact that Dr.s office and see if he's willing to take you on as a patient. If he is, he'll tell you what procedure you need to follow to become his patient and he'll get your records from your old Dr. Make sure your insurance company covers your new doc before you make the change, because once you change docs, after your recent request for med increases, chances are they may not take you back if something happens and it doesn't work out with the new doc. Make sure you have all your ducks in a row and everything is lined up and certain with your new doc, but do not under any circumstance have any crossover between the two docs.

    You need to keep in mind also, you saw the other doc when he was working under someone else's rules and office policies, he may not operate the same way in his own practice. Make sure you know what your getting into.

    Take care,

    Kat

     
    Closed Thread




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 06:36 AM.





    © 2022 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!