Legal Or Illegal (Page 2)
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My doctor has had me on 1 mg xanax 4 times per day for 15 yrs now and oxycodone 30 mg 4 times a day. I was supposed to see him last Thursday to get my refills but when I called to make the appointment I was told that he quit indefinitely so now I'm going cold turkey without anything...my pharmacist faxed my refill orders several times last week & they told me they couldn't find my medical chart....1st time in 15 yrs my chart got lost & my refills for xanax were never called in to my pharmacy... Can he legally quit on me without informing me here in Arkansas?

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It is not malpractice for a Dr to write in a pain contract that you may be prescribed meds that you can become addicted to. You also can't sue if a Dr puts it in a pain contract or tells you face to face. As a matter of fact some that have become addicted or their families if the patient's deceased, have sued because they say they weren't informed that the meds they were given could be addicting and became addicted to them.

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Kipper I did want to explain something about pain contracts. Depending on what state you are in they vary but it is a contract. That contract should NEVER state that opioids are addicting--physicians are not supposed to prescribe opioids for addicts and being an addict is a life threatening diagnosis generally handled by a psychiatrist.

The contract should advise that you become physically tolerant which is what happens NORMALLY when one has chronic pain and is treated.

For a licensed physician or nurse to EVER infer a legitimate pain patient is an addict is medical malpractice, and if this has happened to you then you can sue. It has been in years past a common practice in ER's who see many addicts to infer this and it is wrong.

Physically withdrawal makes inexperienced people who suddenly go off medication for various reasons like an addict but instead make sure you realize that you have these side effects due to medications that allow you to have some quality of life in my case keep me alive as I've progressed to Central Pain Syndrome. Don't sign a contract stating you are becoming an addict ever. Cross through that term for that puts you in another category and could prevent treatment in the future for your legitimate pain.

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Kipper excellent I'm glad with AS you are in serious pain and it appears you also have RA.

What state are you in? I need a physician also specialized due to my being an ultra rapid opioid metabolizer.

My normal was 80 of the 100's and 80 of the 75's brand.

Liquid Oxycodone no Tylenol the 500 mg/5 ml solution.

I'm happy for you.

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Kipper, , yes it is legal. You were informed that the meds could be addicting and you agreed to take them. FDA Guidelines state 120 mg Morphine/ Morphine Equivalent Daily but that is not law only a guideline although few drs don't go by it now.

You didn't mention why the Dr stopped prescribing these meds for.you but it is up to the Dr to continue or stop prescribing. If you broke a pain contract, you were informed of the things that would leave you without pain meds and you agreed to them. You are very fortunate that you found a Dr to keep you on the doses you were on and decrease them slowly.

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Well Monday I went to my doc and in April was on 300 mg MS Contin, 10/325perc qid, 350mg soma qid plus my remicaid infusions of remicaid 900 mcg, and 200 mg imuran for Ankylosing Spondilitis, and be cause the scared docs locally weR so scared of me as I had so many medical problems they added 80 mg prednisone a day and it caused arterial necrosis causing no blood flow to my hip. It took the two years to figure that out an the head of my femur totally dissolved so I was walkingb with a cane of course on just my muscles, ligaments etc . I could see it narrowing on all the exrays but they said oh it's just ur arthritis, so for two years I lay in bed only able to lay in one position until finally I had to go life flight to emergency hip replacement. Omg these docs up north at rude, stupid and I'm pissed so now I'm highly addicted to high doses of orpine, Percs, diladid, etc. That god I got a good local doc the tapered me from 400 mg morphine plus down to only 37 mcg fentanyl patches every two days and BT PERCS AND STILL SOMA, but I feel so much better . I have good days and bd days but mostly just medium days. That doc that had me on such high doses of narcotics just cut me off with 12 days notice. In the last. Six months he even raised my pets for BT pain SO IS THAT LEGAL?

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Clinical settings have access to patient information that someone on a public internet forum does not have.

Tele Med is growing in popularity. But that is not the same thing as saying you can assess someone over a public internet forum.

You have no more authority here than others do. You or anyone else here saying they are assessing members is misleading because the necessary information needed isn't provided here. This site is not for the assessing of those that post here for any reason. You post your opinion and here your opinion is the same as everyone else's.

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BL you are totally wrong. How many physicians are doing Skype work these days? Do you know how many suicidal pain patients I have pulled from a hole due to text messaging with follow up?

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Don't forget that clinical experience plays a role for those of us with year on the job — there's also instinct or "guy feelings". Before med school, I was a reporter for a large metro daily and I learned my instincts usually were spot on.

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My baby sister, former Chief of the Sex Crimes Bureau for the Office of the New York County DA,has a lot of good friends, on both sides of the aisle. My surgeon kept trying to justify it and I said, "I had an MD while you were jerking off to Penthouse; hope you didn't sign off on any of this crap, because my sister's motto as a prosecutor was 'Arrest everybody and we'l see what sticks.'" Yes, I"m filing complaints against any licensed professional who signed off on ANYTHING with the Office of Professional Conduct; my high school boyfriend, Billy, today, managing partner of a large PI firm that does Med Mal, has a bunch of his guys working on that asp ect and I had to insist he's entitled to his 1/3 of any settlement; its a lot of work and tis atrocity occurred in Manhattan, where my sister worked for legendary DA Robert Morgenthau. HE made a call and his successor extended every courtesy, even that of Special Prosecutor."The wheels of the gods grind slowly/But they grind exceeding small." Thanks for caring!

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I've prescribed it more for DDxs 1, 2 and 3 than 4, but I've had a few puts shared with PM doc who were...well---apprehensive about writing for Xanax. Those are the proper indications, for sure, but most of us prescribe some short-term for plain old anxiety. For me, short term is 10-14 days of tx; no refills and further therapy.

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Assessing a patient in person in a clinical setting is not the same as attempting to assess someone based only on what they say on a public internet forum. The latter can be very dangerous.

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Stace we are trained to assess actions by terms and descriptors. It's part of the job simply put.

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First of all....i never mentioned the wreck in my first post....doesn't matter and u finding me hysterical....wow BC the feelings are mutual what I find very unprofessional about u and that self proclaimed doctor is how you both just assume what my health conditions are for your own personal use "profiling online" I don't know how old you are but I can bet that not just at my age right now but at the age of 18-19 I have experienced evil traumatizing unfortunate events in life than u have ur whole entire life I'm definitely not gonna play n to ur stupid games now or ever & I'm right back on the same medications that I have been on by a different doctor u don't know my health conditions.

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The One takes one to protect one I'd be glad to get you a psychiatric referral as well.

Don't foster someone who is seeking opioids for the wrong reason there is difficulty enough in those who need them for intractable pain then people searching the net for a fix.

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Stace you should read the post from the man who was jailed.

He speaks the truth, and recognizes exactly what Dr.J. said addiction is a serious and VALID disease, and unfortunately if you were put on Xanax as a teenager with no proper mental diagnosis and left on that dosage (just under a BAR) for all those years you at the least are tolerant and can suffer seizures and death going off COLD, but in your case you mentioned nothing other then a car accident.

What did the MVA give you to need that level of opioids and anxiety medication for all those years?

Most posters here have valid diagnoses in their search for help.

I find your last post hysterical and insulting to a very kind physician I do not believe anyone here deserves his excellent words at this time.

The poster you had post on your demise is just as sad. I am sure I could get you an excellent psychiatric referral if you really have the need (diagnoses) for that medication.

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I'm on alot of meds from blood pressure to benzos an high doses of opiates an I never ever had no bad withdrawals cause I always had meds to take so I been on Diazipam 10mg3aday an oxycontin morphine oxycodone ir an I messed up an got locked up for possession of a cannabis plant they locked me up refused my meds not as much as getting a benadryl cold turkey off all my meds 12 bottles total daily I was withdrawing in jail after day 3i started getting bad had to wait days to see mental health they finally showed up on day 6 I was actually dying talking out my head got taken to er an they did nothing they said you will only die if we don't give you something for Diazipam so I can't take alot of other meds so they gave me 3 types I'm not supposed to take atavan buspirion an haldol an the lady said you won't die from opiate withdrawals but you will from not taking benzos they almost let me lay there an die nobody could get me out it took 9days an 15,000 on a lawyer I did research an it was a couple of meds I was on an they never give it to me an I could have died from a combination of deadly withdrawals on a few meds I needed an never got plus them giving me meds I was not supposed to take an it was in my records I had dillusions talking seeing an living stuff I thought was real but was not day 9i got out almost dead took 2plus weeks to stop seeing an living a nightmare an got all my meds back in me an that crap they had out but I wish I never had to the doctor prescribed meds cause now I'm dependant not addicted but I do depend on them to get me through my daily chores with less little pain versus needing help to get up out the bed or chair so to everyone if you don't already no stay away from benzos an opiates cause its good at first the the good goes away an your stuck in a cycle that I been chasing an still am now just to feel normal its hell

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TO THE "ONE" WHO PUT THE BULLIES N THEIR PLACE, THANK U!!!! ITS SAD TO SEE JERK OFFS & AS U SAID "SELF PROCLAIMED DOCTORS" WHICH I COMPLETELY AGREE WITH YOU ON THAT.....LOVE TO ACT LIKE THEY KNOW MY WHOLE LIFE HISTORY......I AM VERY THANKFUL FOR YOU TO JUMP IN AND DEFEND ME THE WAY YOU DID!!! KNOW THIS, NOT ONLY R U THE "ONE" WHO PUT THEM TWO HYPOCRITICAL LIARS N THEIR PLACE AND TO CALL THEM OUT LIKE YOU DID BUT U ALSO R "THE ONE" WHO HELPED ME OUT WHEN I WAS ALONE & I THINK YOU R THE ANGEL FOR LITERALLY COMING IN ON THIS RIGHT ON TIME AND FOR THAT I AM AND WILL BE FOREVER GRATEFUL!! I WILL NEVER FORGET THIS DAY THANK U SO MUCH & GOD BLESS YOU .....outta the dark, now I am n the light....what a wonderful person u r

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Joey, appropriate diagnoses these days for Xanax:
1. PTSD
2. Major Panic Disorder
3. Anxiety NOS or related to an Axis I or Axis II (Borderline)
4. Intractable pain with increased anxiety due to uncontrolled pain.

In the last case the PM specialist must look at the overall level of pain control. Has the patient been on the same medications for a period of time. If so then they might be tolerant and need an increase. Or are they on a LA and BT of the same class? Oxycontin and Oxycodone? It might be a good idea to use a BT of another caliber for example HC or Morphine. Has their case changed? For example I supposedly have end stage DDD so someone just starting out may be going worse. Have they gotten too heavy? Some physicians will not write for obese in pain until they get on a weight loss routine and show 10% loss before starting therapy.

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Joey oh no Ketamine they use that in vet anesthesia on animals. Kids are bumping it for that purpose to trip out like LSD. Why would they use that on a human?

I hope you have filed malpractice on the facility, the anesthesiologist and all other parties who likely had you in four point restraints, and otherwise sedated when that stuff drove your mind completely blotto WOW!

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Hi Dr. J. I believe the post was written to cause outrage. I did notice that one poster inadvertently posts from his/her cell phone and the reason I notice is from several Neurologic forums I was on many years ago (when first injured) there was a guy who for some reason hated people with RSD. He would come on insult us and by the way as you know this horrific disease with pain 88 x worse then end stage cancer (now called CRPS) hits you in a manner where your body has never experienced such symptoms. The disease when it is systemic (my injury caused widespread RSD within two months) becomes a persona; it is the same as having an abusive husband or wife attached to every fiber. I believe RSD hit within twelve hours of my injury; I was taken to the ER from my floor (had gone back to work for my alma mater to get my Executive MSHA paid by the same they accepted 20 per year half were physicians and half were others).

The folks on that web site helped me understand that what I had was RSD. This is a time where old time veteran pain patients helped the health care professional. It used to be soaking in a hot tub caused bliss; after raising five girls less than two years apart one understands the tired body in the hot tub syndrome at the end of the day. RSD did away with this the feel of water on my skin sent me into such spams of utter despair (burning, a feeling of crawling bugs upon the skin you name it the bath went down the drain for a good long time). Also I loved cotton; cotton shrug socks, cotton sheets upon the bed. Well forget anything on the bed or me. At the time I was still married to my first husband and he knew it was hard to find me at times I could be found in flannel night gown wrapped in cotton sheets and ten blankets. Well RSD changed that for I would cry in agony if any such thing touched me. Mine was and is so bad although now that lovely title of Central Pain Syndrome (where inflammation of the brain occurs the one clear living proof of damage so severe that the brain gets inflamed and only one reason which is unbearable pain and irreversible), that I would banana clip my hair for my hair HURT I could feel each hair on my head and it hurt.

I remember filing these descriptions on one of my support forums in the archives perhaps one day I'll pull a few so others can see the colorful, horrifying descriptors of pain for we each experience pain subjectively. I learned from old times that "suicidal ideation" from RSD occurs the first year. Why you ask? Because those symptoms and body experiences never so realized are so bizarre almost psychotic that one cannot escape. I literally was unable to walk without making some type of cane the first few months. I'd drag about with a tree branch for I like so many was not using a cane!

The reason one is suicidal the first year is what I stated BUT one remembers "NORMAL" and longs for their body to stop these actions now "cease and desist" but there is no control. Brutal, terrifying and REMS sleep is the first dead giveaway. With true RSD you never have REMS again. These old time painers as I lovingly call them took me under their wing. I was seeing a specialized pelvic PT for from the injury the pelvis was off line about 1/4 inch enough to cause SI injury and make me "insane with the pain." Sure enough in my time with her I suddenly got black feet, red palms of the hands, and the pain already was totally unacceptable I had plans to dig my own grave and jump in.

The first rehab physician a very outgoing DO told me "P450 (that is not my real name lol) you are in fight or flight response nonstop. You will die of a MI and CVA a horrid death you must take something to kill this pain." I had fought the class 2's I'd swallow one Percocet 5 but anything more than that was "I'm a professional nurse I start my Masters in a few short months I need to be well none of that." She wrote my first prescription of Oxycontin keeping the other as my BT.

I could not walk. Without my varied stick canes and the first night I had dinner with the children and decided I'd take one of those Oxycontin enough already. I drank it down with a Coke, ate dinner and went to stand up. For the first time since the injury I could stand up. I did not allow that makeshift cane thing disappear but I went out in the cold night air and decided to drag myself around the subdivision. I had no idea.

One passes that first year when their body FORGETS what NORMAL is. However, my feet had forgotten already how to feel and walk. I did a little study and have used it on others with early RSD using my hands to move the toes, and feet (massaging them) and using my vision to remember patterns of movement. Without this I'd not be still walking today. Mind you RSD is only one of about 400 outcomes of this injury I've had one cervical fusion and need a revision we have put off the full BAK cage lumbar fusion, and have a host of immune disorders secondary to all this injury caused.

It is nice to be a professional and injured in pain and get kicked in the rectum by the overflow. Those who throw stones at those in pain for shame. God needs no defense HE created us all and it is up to each of us to do HIS work for HIS will does prevail.

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