Getting Prescriptions From 2 Different Doctors For Pain Meds But There Are Conditions (Page 10)

Well I just really need to know if what I am doing is considered doctor shopping. I fell at at department store and injured my knee. Now I have to go to the doctor the lawyer sent me to. He prescribes pain meds for me but the only thing he can treat is my knee. I started having back problems. My primary care doctor sent me to a different doctor and he also gives me meds. But the pharmacy said they would call the doctors and tell on me. So I went and ahead and told the doctors myself so that it would not look as bad. What do you think will happen to me? The pharmacy refused to give me back my prescription. Can they do that?

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Yes, its doctor shopping, but IF you inform Doctor A what Dr. B. is writing for and for what indication. (At this point, the info can come from you, but bring your RX bottle just to be sure and ask Dr. A exactly for WHAT is he writing those scripts.) Then do the same thing with Dr. B. Unless one or both are nuts, should be no problem. I'm a shrink and while I CAN write fro C-II opiates and opioids (e.g., migraine, cluster headache and a few others), I prefer not to (although Il'l write a "cover script" for an established patient; God knows I forgot when my doc were taking vacations and ask my new patients about other drugs, who is prescribing ad for what. On their new patient form, theres a clause that permits us (my NP, and though I know it;s Residenct and Fellow abuse, also "my staff"). Some patients got details wrong, but in 10 years no one has overtly lied.

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Jenifer although it is unethical placebo is still allowed to treat some psychiatric and medical problems. It is the foulest and unacceptable practice I've witnessed as a professional nurse.

I'll need to get off here perhaps for days due to my fight for JUSTICE backfiring on me I hope my remaining family can go before the Judge and obtain settlement for unlawful death peace out everyone.

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ll of my doctors feared severe opiate withdrawal and my old Fp-turned-Intersgt wrote for 30 Peroccoet-1TELL ON YOURSELF! The DR. A. that Dr. B is writing for Percocet 1/325, how often, how many of what for, Tell him he can call Dr. A. If there is any rhyme or reason to these multiple scripts, n problem. Then the Dr. B. what. A. is prescribing, say, Klonopin 2,g BID and Effexor-XR 150mg for anxiety and depression. i'write a note to be included your chart. For a while — because I was a Mixed Headache.Migraine-Type Syndrome — I had a lot of HA patients coming to me. Most were on Fiorinal#3, Tylenol #4, Vicodin or Percocet. I explain that I don't feel comfortable prescribing those drugs without a physicial, told them what I planned to prescribed and ask to contact their MDs. Amazon g was :..."and I'm Chief of Psychiatry at LARGE, UNIVERSITY AFFILIATED TEACHING HOSPITAL" works wonders when it comes to getting docs on the phone. (Even though I was younger that most, I sounded authoritative.) The conversation, which sometimes took place from my home, etc, usually ended in our agreeing to the meds (more of less) and my knowing me about the patient;s hx and there meds. I was in an accident recently and needed Perocet 7.5/325, I embed my shrink (who because he;s a DO, was well-trained in Family Practice before starting his Residencies) to let him know the Dx, the Tx and the Rx Ke know what kind f pain I must be in to ask an Orthopedic Surgeon for Percocet. My headaches — blessedly gone when my mentor, the good friend and I put ever molecule of our knowledge experience and research (I have the research degree) to devise remedy. As it happened Dr. K or Dr. F changed SOMETHING -- probably an Antidepressant and the HAs just stopped. Cold. In was taking 60-80mg of Oxyycodone that one of our Pain Management Specialists (You're getting annoying. MY degree carries as much weight as your dices and I went t better schools. Why don't you shut be still and let me answer these reprinted questions? ) My two colleagues gave me scripts for plain Oxycodone 1mg tablets; my Anesthesiologist buddy (born on the someday in the same neighborhood) simply played me a bottle of Dilaudid 3mg tablets. Hev wasn't a "Dr. Fellegood," b ut he knew how to cook the books PRN. I DIDNT HAVE ASIGN SIGN OF OPIATE WITHDRAWAL,

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DrJoey, Dude, did you take a bit of all the meds you mentioned in your post? Have mercy. I'm sorry about your Auto accident but I'm happy your HA are gone. I thought you were gonna mention or suggest going to Peru for the Shaman medicine when the word "amazon" popped up which would be very interesting. ..anyway, Doc...take care of yourself.

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A good sense of humor helps healing, too. I didn't prescriber it for myself, but my colleagues let the need keep me comfortable, scale bace the meds PRN, etc. Thanks for you concern. Yeah, it seem like I took my keys to the C-II medicine cabinet and opened it wide! LOL

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Actually, I have a friend -- best friend -- born on the same day, also an MD and a DDS, Master Acupuncturist, who wanted me to do essentially what you joked about. He's a whiz at acupuncture and trigger point inj's, but — assuming I could get the right angle — can you imagine my excusing myself for 5 minutes while I inj. LIDOCAINE into one of my "trigger points". Besides, I"m only GOOD with needles. You have to be FIRST-RATE to do this kind of therapy.

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Joey not your fault all is well take your time. As you will see on my abbreviated email this attack by both "systems" is literally hell bent on destruction. It is almost irony that this high school graduate who writes checks and hence takes medical actions on WC claimants producing any vile actions that can kill those who have less intellect left for example, are not legally sound and hence no attorney wants a piece of it, and further the literal kill on me that near occurred would if it goes public likely obtain a contract for a reality television series.

I am not about drama and these f****s are implementing it on a daily three meal a day plate. The one overwhelming part of me that stands up is a powerful belief in God. I literally died and crossed over (when they removed the fifteen pound left ovarian cyst and performed left oopherectomy while 28 weeks pregnant and done at Rutgers in Jersey thank God can you imagine such a situation in the rural South?) and ultimately am an abuse survivor of the worst kind (mother abused from infancy so you know the depth of destruction that entails especially on the infant mind) but if I try to let go of my reigns right now so that all this legal crap is not done I feel I am ignoring my part of the gig you know?

Well I am worse in the early morning of course because as a P450 metabolizer my patches were daily and am on less than 30% of what I was on to stabilize finally after so many years. I'll wait till we touch base on email no worries.

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I really need to know that doc. Mine retired and for 5 years I have been on medications bc I don't want surgery. But I have been to 4 doctors in 6 mths and most they write locally are percocet 7.5. I really would appreciate your help. Thanks. {edited for privacy}.

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Harley, It might help if we know who you're referring your question too. I looked over the past 3 pages of this thread and don't see any comments posted by you. What's your area of the country?

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Harley hey hon I'll be back on later. If you give me just your state we can look up some physicians for you ok? {edited for privacy}

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oh my, sorry for the late reply, i just realized this was directed at me, P450, thats what you took from these writings? i would agree about removing myself from the situation and are you under the impression i was advocating against narcotics for this family member because im not quite sure what youre saying, aside from that part. you have derived this hypothesis based on your intimate knowledge of experiences and your knowledge of the people involved which is zero- This is a late reply to your post so youve had a chance to write quite a bit more on here. now go back and read them all, do you see a common theme? cmon P. whats all this about, you have some need.

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another posting directed at me P. sorry again for the late response but all information you just shared, where did you get it? and you believe it all? sometimes family members help other family members out because they love them, it happens all the time, all across the world, dont you know that? Geeze, Im sorry youve never had that experience but believe me, its real. i dont know anything about your diagnosis, but clearly you wear it as a badge, look at your name for goodness sakes, and that sense of entitlement that makes you think you can just talk to people like that, well that needs to stop because you give people with pain a bad name

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That's odd unless the states are flagging Onyx 10mg Rs. AS you know Percocet 7.5/325 contains 7.5mg if Oxycodone and Percocet 10/325 contains 10mg if OXYCODONE. If you're doc is willing, wee if he'll go for "1-to-2 TID to QID." An Internist bud who does a lot of Pain Management told me they don't look at "TID to QID" (oh, = it means THREE to FOUR times daily [not 1 OR 2; that gives the suggestion you may need 1-1/2 pills — and YES, i know this is nuts.] This guy saved my sanity by writing for Peroccet 10/325 #180 every month when I had those still undiagnosed Migraine-Type headache. Good thing they a; teated me pro bono. I don't think we could have come up with a Diagnosis Code for insurance. My drug coverage insurance could care less if I or anyone else wrote for 90 days worth of Dilaudid. (They do now have to follow STATE LAWS and NYS has the 30-d limit.)

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When did this happen? Every doc I'e known since I was too young to understand what my pediatrician would have said (but he told my Mom — I remember "injection of Bicillin-CR and Amoxil liquid) every doc I ever knew mentioned at least the name and a braine naisond'etre for prescribing that drug. The exception might be something like this: I'm treating a pt for panic Attack Disorder and he's beeen of Klonopin for 3 years. "Do you need a new Klonopin script?" If he says he does, I double-check the dosage and ask if it's working OK and simply write the script. Some psych patients are afraid if they tell me they're getting only partial relief, especially from benzos or hypnotics because THEY think I'll THINK it's drug-seekingg behavior. It's irresponsible not to ask what other meds youre on and explain what you're prescribing — and why.

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Victor your anger speaks for your addiction.

Leave your mother and her medication in competent hands.

I've seen a thousand of you trust me in professional practice now back off.

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Victor

If you did not have a problem there would not be laws for people like you who use other people's medications.

I do not need to post my personal information although if you read my various posts you will understand not only am I a professional nurse and a published psychiatric scholarly researcher.

Like I said love does not drive people like you their addiction does you have essentially put your mother's treatment for pain in jeopardy, further no one will prescribe for her after this it is on the record.

If you are in pain Victor get a few real diagnoses like the rest of us have; addiction is a serious enough diagnosis a DSMIV will give it when you get yourself a psychiatrist and treatment.

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Dr. Joey most intractable pain clients prior to this new FDA stalemate to limit IP clients to 120 mg. morphine equivalent were on huge amounts of Oxycontin before addicts on the street started taking it, and then IP patients were further stigmatized by having a little block put in the pills, meaning if you broke it up, the block (likely Narcan) invalidated your dosage. Since this long acting form went into the high dosage category you had millions literally on the 160 mg. pills; well they went off the market during Odumma (go figure) and in California where I went to the great Dr. T for the past year getting 80 mg. became almost impossible. So now you have a concerted effort for physicians who treat pain NOT to write the higher dosages and the trend goes down. My first year in California pharmacies were getting broken into for the higher level Oxycodone pills then they stopped anything over 30 mg.

This again is the result of addicts. Yes we all know what a serious disease addiction is but the antagonistic fact is this; pain clients are suffering due to middle class drug addicts; the white collar business man suddenly addicted to opioids that are in pill form and used for IP not for a rough day at the stock market.

The poster striking out at me is I see right through the "help mother" routine--there are how many in practice that you've seen diagnosed as addicts. How did they start? Well "I nursed Dad through his terminal cancer" and of course through that trial there was liquid morphine, oxycodone, pills, and patches laying around and since Dad was snowed 90% of the time he won't miss this and I'm really tired.

If IP clients were not being imprisoned due to addicts right now I would just quietly suggest someone who abuses get help because a legitimate pain specialist will not prescribe to that type patient. And pill millers get shut down regularly. Any physician who takes cash customers is shut down shortly even though physicians "who treat pain" liked this type customer (10% of a practice who is cash is money in the bank) it is now frowned upon.

Victor get help. I know plenty about love of many people. Perhaps the 10,000 suicidal pain clients I've referred (written) throughout the world including out of India where they do not use opioids and there are people with arachnoiditis, CRPS, and the like screaming to die unless they get help. Unfortunately in those cases only those with money (and they were referred to physicians in England) who could afford to get help did so but you know what Victor "leave your mother's medications and her care to a family member not interested in her pills."

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Harley, if you aren't seeing a pain management Dr, you need to see one. If you are, you need to get a copy of your medical records and read them. A Dr will want to see evidence in your medical records that you have a physical reason for needing the pain meds. Some drs may want you to have updated diagnostic tests done like an MRI if its been a while since your last one

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Harley ignore people who are attacking right now some people come here for the wrong reasons.

I am a professional nurse also who suffers intractable pain I am sure since it appears your post states that physicians are willing to write you Oxycodone your records are fine; the party blasting on you is a lay person who downs people as if he or she is the Governor of Louisiana also throwing out live hits on Texans as if he or she knows.

We will find you something give me your State and I'll look up some physicians also what medication works for you if possible. Clearly you need a LA not just a PRN.

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BL you may not realize this but your post to Harley is a perfect example of condescending attitude.

As Joey mentioned when you attempt to attack professionals who do have degrees, license and credentials then you get what you deserve.

I have dealt with thousands of people on the cliff due to untreated pain and this is NOT HELPING THEM AT ALL. You have not stated you are a professional nurse, physician, or other health care provider. Those of us who do are not even thinking to attack these poor people.

Do you think Harley or anyone here is prescribed Oxycodone because a physician was too dumb, too wet behind the ears, or not fearful of the DEA to just hand it out like ice cream? Sorry does not happen.

Do you realize there are pain disorders where a MRI is not indicative of anything? For example RSD, arachoniditis, FM, IBS the list goes on. RSD is researched as pain 88 x worse then end stage cancer pain (McGill Canada pain scale study) and I am not going to deal with one of these kind people suffering going through these attacks.

I happened upon this board and decided to stick around I too need a physician. I like everyone else who is valid have intractable pain, and again it is ILLEGAL not to treat an addict in viable pain so I'd stay off their parade too.

The only ones I'll chase for good reason are folks abusing their own family members medications which all in all affects everyone prescribed opioids.

Harley does not need your information nor would Johnny, Susie Q, Doorbell, Wall Mount or any one human being suffering. I believe the Owner of this site has the right idea. I normally do not stick around when researching. I delete the cache and off I go but here there is a need for EMPATHY not hitting these people harder then they've been smacked by pain.

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