Getting Prescriptions From 2 Different Doctors For Pain Meds But There Are Conditions (Page 8)

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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I don't know if these posts are going in order but this is directed to keiki mostly but its an update most unusual. not sure cant see that my last post went through before internet went down here. so at last I was anxiously awaiting a response from the good ole doc to see if he was going to let my mom back in. Sadly, I must report, he did not. the last response I got was "Apparently Susan asked if you had gotten a prescription from someone else and was told no. Apparently this was not true. We can't have patients here that don't tell the truth. I'm not sure what you want me to do." ok so Susan was apparently the pa who we saw for the 2week adjustment, it had not even occurred to me that shed even asked that question because in my mind, I was handed that previous prescription even before I had met this good ole doc, you have consider that im two 3 months into just finding a pain clinic and two weeks with this doc for mom. so im not saying this is a technicality, this is two distinct and separate things to me. a doctor handing me prescription ,the last one in fact. we parted ways and the next month we got in early to see the pain mgt guy. I then filled it after he had given me a script to be safe. not being far into the game, the way the question is asked, this is a perfectly reasonable explaination, documentation to support this was provided so surely the good doc would see it for what was, but no, I never got a response after that. and heres the twist, this afternoon, I got a letter in the mail, the one that the old doc was supposed to fax the pain doc, and all this time the pain doc never mentioned that he didn't get a fax, so yeah, clearly this one didn't care, I don't know why, I kept feeling I was missing something and that completed the puzzle, I thought this doc responding to me via personal email was on the up and up who knows, maybe it wasn't easy enough for him but he doesn't know me and my mom. he doesn't owe me anything, I was livid for a while but strangely no more, you see, I did everything I knew I could do to make this right and to no avail. and isn't timing a you know what? getting that letter today that shoulda been faxed was perfect because not only did I do my very best, but we know with 100 % certainty that this doc was actually not good enough for my mom! so oddly enough, I am freed, my Mom, I love her, she saw what this was doing to me and tries to act like shes not hurting. wait, I guess I do get a happy story after all, Stanford Medical Center Called,you may have heard of them, they have quite the cafeteria! lol, anyway, the np whos prescription mixed with my stupidity that got me in trouble did see this for what it was, took pity on us and redid the referral and sent it in house. I am happy to report that two days from now we will have a drive, meet with a new patient coordinator, turn in all the paperwork weve been doing and meet our new doctor. so unless it goes bad, which knowing it could very well. I doubt that we are going to have any problems. You see we know from my moms experience that stanfords cafeteria isn't the only thing that rocks, after my moms extensive surgery and the day after, I saw the doc come in and started to step away from them as he came up to the nurses he grabbed me and said oh no, here we consider the caregiver one of our most valuable resources. That NP whos prescription I shouldn't have filled didn't have to do this, she didn't have to send me that letter. she doesn't care, right? I beg too differ, so thank you Keiki again, I will be fighting the good fight, may youre struggles and pain be minimal but mostly thanks for the belief and inspiration, I couldn't imagnine trying to do this with the chronic pain you all suffer. it scares me because I don't see this getting any better, unless you know a loved one with chronic pain or are the person with it. most will never understand the real struggle you go through. whats that saying .....when one door closes.....................................

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Dude just go to a different pharmacy. ... duh....

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Hello Victor,
It's amazing to hear things are turning out positively for you & therefore positive for your mom! You'll likely find the hospital based Pain Management Dept is professional and caring. Which y'all deserve! What you went through, the feelings of angst, guilt, anger & fear will hopefully fade quickly from your mind now. You did good, Victor. Your parents are blessed to have you by their side. Take care of yourself. Life is short. Enjoy!

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Victor, let us know how it goes with Pain Management at the hospital.

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Oh my god, it has not gone well at all, did you know that what they say in their website and pamphlets and letters they send you aren't true at all, I cant even fathom how difficult it was for my mom as I walked out of it during the evaluation, now, mind you, I pride myself on dress and manners and while I am emotionally driven with regards to this have made great strides in composing myself, being pleasant yet firm, and all I wanted to do was take my one hand, just the one,and slap the student doc for simply being stupid, 5 minutes into the session she proceeds to tell us that they do not do opiod therapy at this client and she was unclear as to why we were there, that's how our encounter started and pretty much ended, dawning the invisible armour, I politely explained to her that we were referred her by stanfrord medical center due to the issues this patient is having which part are you not understanding? knowing full well this person is not the one that I need worry about, she then stated well, that remains to be seen lets physically examine her. I moved forward and stopped her explaining, no, first we are going to talk about where her pain issues are , indicating this way she would be more careful around the sensitive areas, sorry folks, this is a student doc with no supervision and there's my mom just out of a 2 hour ride hurting like hell. so begrudgingly she starts to flip through the pages and asked many questions that were fairly evident and mind numbing, as that 24 page questonaire preceded us and no she had not read it prior. moving on to the exam, she did a lot of touching bending and made comments such as you shouldn't be hurting there, and of course asked about the levels. finally when completed she began to talk about topical creams at which point my mom had to shove me out the door to go smoke as I am afraid I lost my mind, yep, full on, you mother F er, all that and away I went, so never havng met the real doc in charge, I found my mom coming out of the appt with you know it, a script for oxycontin 10 mg, 140 of them, the only problem we encountered is that they are 550.00 a bottle which is not affordable and too date the good doc has yet to replace them. I cant say how but weve managed to make my mom comfortable for now and I have had discussions with this doc via telephone and messaging. hes more interested in how I am handling my moms meds and what my perception of her pain is, it became so bizarre that I emoved myself from the situation as that was last Friday and here it is a week later no replacement meds. this doctors reasoning for not prescribing was as follows, 1. those just aren't great meds for long term use. (we aren't long term). 2 those meds bring up yellow flags to pharmacies (ummmmm so) and 3. logistically speaking , it wouldn't be prudent to deal with those on a monthly basis especially in tripilicate (yep you guessed it, I lost my mind). once calmed, I just messaged back that I cant have a serious dialogue with you if you aren't going to take my moms condition seriously, I would suggest as I remove myself you consider an alternate medication and provide it asap, In the mean time I will seek othe avenues within Stanford to get my mom the care she needs, and until that time doctor, we look forward to your treatment plan and attention to the patients pain levels, she will be calling you if these do not suffice. thank you.

OYE, I know I know, I blew it but when ya aint got nothing, what do ya got to lose, so Stanford has this patient liason thing that works with the clinics too, im pursuing that as well as nother doc nearby I just found out about, man, im tired, more later.

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Victor. Sorry things did not go as well as you like. But from what I am reading it sounds like your mother may do better spending some time with the doctor on her own since your anger about this whole thing is probably getting in the way. The fact your mother got any opiate medication is really a surprise. Before a doctor is going to prescribe whatever medication you think your mother needs there has to be some trust between the patient and the doctor. Today no matter what is going on a doctor is not going to give whatever pain medication you want at least until they have seen your mother a few times. Doctor also want chronic pain patients to try everything possible so that they can prescribe the least amount of pain meds as possible to control the pain. Tropical types meds fall in line with that and can be very helpful. You getting mad when that topic came up makes it look like you just drug seeking which is a behavior doctor watch out for to determine if the person is having a drug problem. ( I am not talking about your mothers actions but yours.) Maybe next time let your mom see the doctor on her own and if is need some help you can then step in. I understand all this is very frustrating but many doctors have been fooled in the past by lying patients to get pain meds. Today though doctors can lose there license when it happens.

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Victor, you need to let your Mom handled her medical appointments and meds. These drs may well be thinking these pain meds are for you.

Frankly, I'm surprised she got the rx she did. Pain management clinics at teaching hospitals are teaching other forms of pain management instead of opiates. I seriously doubt they replace the rx or give her another rx for pain meds if she returns. You really need to let your Mom handle this on her own. If she isn't capable of being responsible with her meds, you won't find a Dr that will rx her what you want her to have. If she is responsible there is no need for your being this involved in her drs appointments or getting her meds.

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I hope someone will see this, I went to a dr, I did not like, so a few days later I went to another dr, I was not give an narc meds by either,but I was given meds for blood pressure by both... I did tell both docs the same thing, am I in trouble....

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This Is correct. In arkansas it shows 2 years of history. The doctors names and also your address you use with the pharmacies. Also shows diferent names like if someone's name is Jane Ann Smith and she fills Under Jane Smith or Ann Smith and all addresses she may Use. It also shows if it was MEDICARE or Medicaid paying for it or insurance or cash and the Doctors and pharmacist have access to the same database when you have had issues its best to tell the dr upfront because once you set an appt and give the dr your name and birthday they then have the right to go pull a Prescription Monitoring Report and then you won't get Anything. Some doctors may cancel you without seeing you at all over this and some may see you for the one time visit fee. It's crazy but it's necessary. If not for this we would have a harder time than we already do getting our chronic Meds. And the states are all tying together. Arkansas will show many states around it. Last I pulled a report it was as far off as Kentucky and Virginia. Eventually they will all be tied together. it's for everyone's protection. Oh and the DEA doesn't get a daily list. They will only have your name if your being investigated. They will however have doctors names and patients if the dr is being investigated.

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I do not know who's comment you are applying to but state med list are normally for meds like opiates and med like Xanax. Blood pressure type meds are not reported. However you are right insurance companies, part D providers and pharmacy s keep record's and will limit or at least call the doctor why multiples of the same meds are being prescribed before they are due. If you are replying to Victor you are right. This guy sounds like he getting the medication for himself instead then for his mother. After a screw up of filling multiple prescriptions from different doctors, no matter when the prescription was originally written he has put himself in a place that demanding a doctor to prescribe pain meds puts him in a very bad light. If his mother really needs the pain meds then hopefully he will step aside and let his mother deal with her own care. If she needs help from someone hopefully she will be able to find someone else to help her. Maybe someone from social services in her community can give her some ideas if she no other friends or family who can help her. But no matter what is done the best thing is to start working with someone and as the doctor gets to know her and develop some trust then he will start prescribing the pain medication she needs.

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The prescriptions that have to be put in the Prescription Monitoring Program database depends on the state. For example in Louisiana all prescriptions are in the database. The only ones that could get you dismissed from a Dr if you've gotten 2 for the same drug or class of drug filled are Schedule II meds and meds like xanex, Valium, etc meds that have a high rate of abuse.

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Comment to jennifer, you are absolutely right, i even messaged the doc telling him that i believe my presence has become more of a hinderance and would prefer to step out of this and allow the doctor and patient to do their thing, of course if there was anything he needed i would be happy to answer. the reply i got back was that it would be more chaotic without my assistance and he just believes i am more emotionally driven, again, i declined only to say that my moms without meds, anything you could do i'm sure she would appreciate, i leave it in your hands now. well then it gets worse he finally asked about the fentynal patches my mom took for two weeks so i ended up telling him the whole story about the other doctor, oh lord, i was getting a second can of whoop ass and it did not go well, he hasn't dismissed my mother but yesterday while in stanford, i told the neurosurgeon the whole story, he went in my file, he pulled mine and my mothers medication database or whatever you call it and we went over every single narcotic on there, the stanford pain clinic doc told my sister i lied to him and that my mother appears to have been doctor shopping according to the list but i was never afforded the opportunity to explain as the surgeon was sitting there with these lists and allowing me to explain. this current pain doctor has to know that a pain management doc also has PA's who prescribe, he also has to know that stanford was sending my mother roxicodone fedexed every week 120 ct. for 3 months straight- they get around the whole visit thing by inputting into the system that the date they send it was a visit, crazy i know but we have login to stanford and we so those as visits anyway the good surgeon also has nps and pas that will write the scripts for him, that doctor at the stanford pain clinic has to know that but is putting me in a bad light and the more i protest, the worse i look so i'm screwed. so in a phone conversation with my sister he states i lied to him as well because i didn't disclose the dismissal from the other pm doc, who we were with all of a month. my only question would be, to him is how did he find out about the dismissal and 2nd rx i submitted, well the answer is that i told him. so i am unclear as to what his issue is and i have retained stanford hospitals patient liasion manager as well as a social worker to assist in this ridiculous situation.because to me,, frankly at this point, its all bullls***, what everyone there is forgetting is that i'm just thinking about whats going to happen to mom. so much so that for an entire week that doctor didn't ask one question about my mom considering he prescribed her some other non opiate meds to try. and for that entire week when he wouldn't issue meds after the first one he gave us, he withheld that information from me about what he thought about all the doctors, why, because seriously, i don't think he knows what to do with my mom, she has documented evidence of all the meds she tried as well as all the therapies and yet nothing works like opiates, period, no treatment plan, no compassion no understanding nothing. we told him, the plan was, recover from spine surgery have knee replacement,recover from that, have other knee replacement recover from that, go to therapy and wean off of opiates altogether, what is so hard about that, hell i developed the plan , he didn't have to do anything. anyway.oddly enough, he called our knew family practitioner who thank goodness i had told her about him and we met with her and told us that we didn't need to be driving 2.5 hrs their , that if we wanted, she would hanlde the meds,but she said she would respect our wishes but to think about it and let her know, i want off this roller coaster.

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If you have a primary doctor who will take care of your mom's meds then go with that and just move on and forget about the other doctors. It sounds like your mom is not really ready have another major surgery for a while anyway. By the way lidocaine ointment can be very helpful for knee pain. (which may help delay knee replacement surgery until your mom's pain and the rest of this settle's down.

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Dear worried,
The subject for this thread is prescription medications considered controlled substances. The controlled substances being discussed specifically are NARCOTICS aka OPIOIDS. To my knowledge, blood pressure medicine doesn't contain any narcotic properties whatsoever. I gather from your question the following; you had an appt with a Dr for high blood pressure treatment. Not feeling comfortable with that Dr, you made & kept an appt with someone else. Both Physician's prescribed blood pressure medication which you accepted. What you describe doesn't constitute the type of "Dr Shopping" being discussed here at all. If I've missed something please don't hesitate to let us know! No need to worry!

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Victor, right now millions of pain patients around the U.S. are being unfairly cut on opioids due to the FDA morphine equivalent rationale. A physician can write above but in cases such as mine (I am a legal P450 ultra rapid opioid metabolizer by testing genetic and through a lab that specializes) we are still not being overall treated with fairness.

Make no mistake the reason the FDA is involved is due to the HIGH RATE OF OVERDOSE deaths due to prescription opioids.

The problem is the legitimate people are NOT overdosing it is the addicts, the people who think they can sell part of their medications (this is a felony and if you do so then you are no longer legitimate), and street addicts who prefer the higher opioid content of LA medications are destroying pain management.

The FDA is also financing huge interfaces to make opioids either unappealing to those forced to take them (in my case I have progressed to Central Pain Syndrome and can die without pain medication) by taste for example or feeling horrible, and this in and of itself makes someone needing such medication unwilling to take it once given.

Odumma is behind 99% of this. If you are over 30 and have anything wrong it has been his concept that you are a health cost and should be put out to pasture (to die).

So sir you need to stop and get out of your mother's medications.

Clearly you as many get involved because they are enjoying the benefit of some family member dependent for other measures and gaining an addiction to their medication.

Your mother's medical issues are not yours and her being able to get written these medications has gotten both your mother and now you (catalyst) caught.

There is little you can do now but get uninvolved. Tell all physicians the truth in one short letter and step away from her medications. If you need treatment get in a treatment program.

It is my hope your mother gets what she needs and rids herself of your attention and your involvement in her medication and her life.

I need a physician (due to changes in out of state patients not being treated for my former specialist) in Texas or Louisiana--that can extend anywhere in the U.S. but those are my closest areas.

Victor leave your mother's medications alone.

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I understand but if the family dr finds out does he have the legal right to notify your pain Dr?

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Zippy, drs have a legal right to discuss your health with any other professional. When you do.the paperwork when you become a new patient you give them.this permission. Although few people read every word of everything they sign.

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Zippy they had to clear my post so forgive me for a late response. Any and all physicians (MD or DO) in America have a legal obligation to share information.

When Odumma started forcing all physicians to register with a NIP number many if not most PM specialists balked; at the time many preferred to take cash only, not to be associated with hospitals (this costs money) and already PAID and PAY higher malpractice rates.

Due to the DEA immediately obtaining $1,000,000 and I presume it is higher now this was in the 90's for any physician arrested with or without cause; innocent or guilty and that FEE IS RETAINED not returned, the cost of an attorney firm that can handle federal charges a PHYSICIAN must do this.

Why?

99.9% of the overdose deaths are due to those NOT PRESCRIBED this medication but to addicts, kids trying the medication due to peer pressure, the list goes on. A Fentanyl patch is 100 x stronger then morphine, why would addicts NOT attempt to obtain these powerful medications.

That means family members aka "do gooders" who suddenly are taking care of "auntie with the cancer" or driving "sister with the bad back" to the doctor, asking the three to four physicians who treats "she is still in pain can you write her something" and then the surgeon is writing scripts, the PM is writing something, and the GP who took care of them for 20 years writes something.

Yes if they have an ounce of sense they will do so, and you may find yourself arrested when your PM who is also dirty gets busted it happens all the time.

I am getting more irritated with people who think they have the right. They do not; pain patients must be empowered; the medication is given to increase quality of life and they must monitor and be responsible of their own medication.

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Zippy they are clearing my reply as they did my original.

BL does not answer for me; he/she is a TROLL.

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Victor do you realize you are considered a threat to this family member; you have NO RIGHT to interface her treatment plan at all. No family member has a right to presume this patient will not require opioids for life; from the sounds of this case she likely has DDD in the back which is not surgically repairable and chronic pain occurs.

And due to this you have cost her medication that works.

Or that works for you and that you are currently in withdrawal for.

The hospital people you refer to will not be able to override a physician's willingness to provide these medications for your family member NOW due to your relationship and your instigating drug seeking on their medical history.

The more you balk the worse it is for the PATIENT!

In my line of work we obtain court orders against family members on a regular basis that prevent the well being of a patient. That SW is aware of this process.

Move on down the road Victor you have been seen, are being monitored, and your family member suffers due to your presence. But an addict only cares about their next FIX right?

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