Refuse To Prescribe (Page 2) (Top voted first)

I live in a very small town and the number of doctors here is limited. The number of good doctors is almost nonexistent. I'm finding that calling for an appointment as a new patient the office staff says right away, "We don't prescribe pain meds"! Also have heard "We don't take fibromyalgia patients"! This is said before I ever state what I need to be seen for. Assuming I did have pain, do I no longer have the right to have my pain relieved? I'm so offended by this. If you have chronic pain you are treated like a leper. Apparently it is automatically assumed you have a drug problem. Going to other towns is the same. No wonder people self medicate. Is this happening all over the country?

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Ron, Thank You for clarifying. I apologize for misunderstanding. Seems like I've done a lot of that in this thread.

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It just seems BL pops up no matter where I post and always says negative things that are very hurtful. It's made me reluctant to say anything, anymore. He speaks like he is (or thinks he is) a medical authority. I have felt targeted. So unfair, when he or she doesn't know all the facts.

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This is what's wrong with today's medical system. There is a specialist for everything but our bodies are integrated. One part affects other parts. I worked as an RN for many years & care became more fragmented. I'd call about a patients problems after surgery & the surgeon didn't want to deal with constipation or various issues related to the surgery. They'd instruct me to call in a GI guy. Sometimes the patient would end up with 4 or 5 specialists & each one only wants to deal with their speciality. It's insane. Goodbye to good old family docs who knew the whole you!

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Being psychologically addicted to a med and your physical body reacting when the med isn't there is Not the same thing.

I agree about Family Doctors being better than some specialists. But, in recent years the younger Family drs don't seem to have the knowledge that the older ones did and do. Although I think a lot does depend on dedication. I think a lot is a sign of the times and pushing specialists. It also seems to depend on if the Dr received his medical education and training in the U.S. or a foreign country. Those that are educated and trained here don't seem as quick to refer every patient to a specialist if a problem in a speciality field comes up.

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Prescription for tramadol (4 per day) held up because new rule. Must see doctor every three months. Ok, went in and had take a drug panel and sign pain contract. Have had RX more than halved. Have to over medicate with NSAIDs till gastric symptoms. Hell with that. 65 years old with chronic problem. Still working full time.

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I asked my Doctor if he was being bothered by the DEA, Feds about pain meds. He quickly answered yes, they treat us like criminals! What a shame that Doctors are being pressured by the government about the way they practice Medicine! No wonder that the opiate epidemic is so out of control...There are many people who suffer daily and Doctors can no longer help them, because of the addicts who abuse the system! This so-called drug war has been going on for decades and has not even put a dent into the illegal narcotic trafficking!

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My pain management refuses to prescribe soma anymore. I never failed a drug panel, dont abuse meds, soma actually works. Why do doctors think they know what helps you when you know your own perfect body (haha)

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P450, you need to post the link to the State Of Texas Law that states only a pain management dr can prescribe pain meds for chronic pain. This would mean that in the State Of Texas a dr that is not a pain managment dr cannot prescribe pain meds to a chronic pain patient.

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I had knee replacement surgery two weeks ago and took oxycodone and then vicodin. I've had nausea from surgery and for the entire two weeks. I've stopped taking all narcotics for two days but still have nausea. When can I expect the GI upset to go away? ## Hello, Carmen! How are you feeling? Has the nausea eased, yet? Both the anesthesia used during the surgery and the medications can cause nausea that may linger for quite awhile, even after you stop taking them. However, after being off of it all for a week, or so, it should start to improve. If it doesn't, then you should consult your doctor. The FDA classifies this medication as a analgesic, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constip..

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Why are people afraid to go to a pain management Dr.? Your PC Dr. can't write scrips for pain because people have abused pain meds. My pain management Dr. has all my records and knows where my pain is and why I have pain. But most of all he knows my workout routine and what I personally do to help me manage my pain along with meds. You can't depend on meds alone as a cure; learn to help yourself with yoga, aquatics, massage therapy, meditation, etc. Be your own best advocate.

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It's quite ok..I could see how things can get mixed up. It is a, shame, I will say because I've gone through it too, people who need their pain addressed only get it acknowledged. In other words, I've had some doctors say, yes you are in pain, but I'm not going to do anything about it. I recently had a partial leg amputation and I screamed in pain in the hospital for 4 days before they could get the medicine right and I got relief. It was hell...There are so many people in pain for lots of reasons and cannot afford, do not have a doctor, etc..It's very sad.. And the rules, are ridiculous. The majority of people on pain management play by the rules, etc. Follow protocol by not abusing, selling, trading, giving away, etc..It's the drug seekers, drug abusers that make it hard for legitimate people like us to get pain relief. And make it hard to find a doctor. And it's country wide too..Sorry..I got on my high horse. It makes me furious that people have to suffer. It's not right or fair either. I suffered for over 20 years before I found a doctor. Nobody should have to suffer that long or go without pain relief because if poor insurance or low money..I see this problem every day all day long and then people who assume that we are druggie because we are in pain..

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Help!!! Ive made several posts and all are under review, nothing crazy just simple questions and answers.

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Glad you could get that off your chest.

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Go to a teaching hospital...a university hospital. You will be treated very differently. Call the hospital and as to be assigned an internist, and that doctor will send you to other specialists with the hospital as needed. Even if you have to drive several hours each way, it is worthwhile to receive competent health care.

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Sharon, with respect your PCP can prescribe pain meds, in fact many, maybe most, patients that come to us were started on pain meds by their PCP, and when the PCP becomes uneasy about the amount of meds they are prescribing a patient they send them to Pain management saying that "they" will continue the meds.
I do not agree with many of the prescriptions being written by PCP's so maybe a better statement would be that PCP's should not prescribe pain meds without a full understanding of a patients condition. Pain Meds MUST not be used to mask pain that should be treated by other means. As an example we saw a patient recently who was on lots of pain pills prescribed by a loca PCP. Yes he hurt like crazy but that was the wrong treatment completely. Looking at his MRI we saw a previous back surgery that had failed over time and he had metal intruding into his spinal canal (using layman a words to describe a very serious condition). He needs revision surgery and had he simply continued on the pain meds the outcome might have been catastrophic.
My view is that a good doctor found this problem and sent him to have it resolved. A good doctor did NOT simply give more medicines (pills) to mask the pain.
Just my 2 cents.

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I disagree: here at Hopkins the specialists all work together and the software allows the doctors and the patients to view everything! If you are stumped where you are, I repeat: go to a teaching university hospital.

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Actually new doctors are better educated on pain management. As nurses, in good hospitals we were required to attend 8 hour classes and take a test that had to be passed with a 90% or better. In addition, we had to take shorter courses for continuing education. When I first graduated in 1975 we told the patients, too bad , it's not time yet. Doctors ordered lots of placebos. If patients ask an hour early, they were called "clock watchers". That's why I hate to see us go backward on pain control. I hate to see legitimate chronic pain patients suffer because of the abusers.

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Nonono, there are no new rules. or laws governing Tramadol. It is your drs choice to make you come in like you would have to if it was a Schedule II. Tramadol is a Schedule IV. It can be called in and you can get refills written on the prescription, no requirements for how often you must see your Dr, no drug panel recommendations.

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Tramadol has changed classification. It IS a schedule drug and requires a triplicate Rx now. That happened last Fall here in Texas. I presume it did the same everywhere else, too.

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Law,

Is Hopkins still treating complex cases from out of state?

I was with Dr. T. (Mr. Famous) in California past 5 years; now California regulations disallow 30 of us rare cases from out of state are without help. I am a professional nurse and published researcher; have progressed to Central Pain Syndrome; and am an ultra rapid opioid metabolizer. I am in Texas.

Your information would be appreciated. I have taken Comp back to court, won, etc. They did not pay mileage for over 16 years of this injury and have a life time medical award.

Thanks!
P450

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