Legal Or Illegal (Page 4)
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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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Kipper, Let me help you with insurer cost. (5) name brand Duragesic 100 mcg/hour is costing the insurer over $1,000 my normal medication bill was $ 25,000 give or take a few MONTHLY. These patches are left on not removed to avoid over medication. Perhaps you should discuss with the physician why they dropped you a point I will state before I send this message.

I knew another patient I referred same deal. She would go to the post op anesthesiologist who worked with her surgeon and obtain Dilaudid from him her regular PM did not write it. Both knew, and when the anesthesioglist
decided too much heat, too many patients he used the same reason--seeing two physicians and she washed. Permanently in today's heavy cut back world of pain management and out where you reside it will not be easy to replace these physicians. Further your surgery is recent they will expect LESS pain in the next six months or so.

Good luck. Read my other posts for my credentials.

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Kipper are you really. First of all since you have excellent specialists get tested for your P450 DNA factor. If you (like me) are an ultra rapid opioid metabolizer. Normals do not get 72 hours from Duragesic. Other key pay close attention.

Duragesic brand 100mcg/hour is 16.7 mg. Fentanyl
Watson 100 mcg/hour is only 10 mg. Fentanyl
Mallinkroft 100 mcg/hour is only 11 mg. Fentanyl
Duragesic brand 75mcg/hour is 12.8 mg. Fentanyl meaning HIGHER then both generics.

Chemically there are two Fentanyl types used; one is superior and it is the one used in brand.

The FDA mandate affects all prescribers no more than 120 mg. morphine equivalent they can go over for example as for a rare case like me--no one is going to do this the first year or so until the FDA sees enough dead people to up the suggested high end.

You also will get legal actions if you obtain class 2's from multiple prescribers. You could be arrested. Pharmacists under Odumma have authority over a prescribing physician to make a call which can be local LE, the DEA, or whoever and also to override a physician by stating to the patient "I'm replacing your Percocet with Lortab."

Just in case Joey is busy I sent him a long and involved email as I am hoping he can get me a referral I decided to give you my two cents worth. There is no humanity now either Kipper; the physicians do not want trouble and in my case seeing the top in America resulted with new regulations release of 30 out of state patients. It is not abnormal for rare medical cases to have to refer to out of state physicians, but in this case I can soon be pushing up daisies.

Hope that helps if your insurance limits you to quantity on the patches have the doctor write brand necessary so you get more of the opioid content, better quality and have them do a P450 analysis it is done by buccal swab.

Kipper you sound so familiar sigh..

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Dr Joey, I had a rheumatologist for 3.5 years . For the last 3 years he took over my narcotic pain care so I wouldn't have to drive to the next state over. AnywY he had me on 300mg MS Contin, perc 10/325, and soma 350 mg , oh yea 4 Percs and 4 soma I've had three surgeries in the last two years and all the sergeons gave me extra Percs . He new about all of them, them last surgery on my c5 & c6 in aug of 2014, I had to stop taking my imuran as it could lower a positive bone graph from healing so he raised my remicaid infusions . I told him in sept and dec at my appt's after that surgery what they had given me for the pain from surgery, it was 60 extra 10/325 Percs he ask , I told him twice then he raised my monthly BT perscription FRON PERC 7.5/325 to 10:325 that was in dec if 2014. Then for some reason he sends me a letter in march of 2015 he sends me a letter saying he's dropping me as a pt. Period cold turkey on the narcotics, plus he knows it takes at least 3 mid to get I to a me rheumatologist . I live in Idaho, I called the AMA and they said a dr can drop you for any reason, and he can cold turkey you for any reason but there was no reason . He said it was because I got extra meds from the surgeon HE sent me to but he knew for six months and even raised my Percs from 7.5's to 10's ????WTF? I didn't think that was legal unless I broke my contract and I didn't so luckily I had a decent oct that started tapering me down on the morphine, but my new rheumy lowered my remicaid to 500 mcg a month from 900 mcg. It hardly even does anything at all . I tried fentanyl patches 75 mcg in June and they wore off in the middle if the second night. My ins will pay for 15 for 30 days so I was thinking now I can go to a lower patch , but the pcp said that if I changed um every 60 hours I'd get too much med . How is that possible if I take one off before bed and wait few hours to put on new one ? I really want to get off all these pills if I set my alarm for day 11pm and take a couple Percs will that stop the fish flipping at midnight till time to change patch? Or is that something that goes away after my body adjusts to the fentanyl ? I've read and been told so many diff things I wondered what you Thot I can try that second nite I go dr in three days so I'd like to kinda kniw what my options are ? ALSO CAN HE DO THAT TO ME JUST DROP ME COLD TURJEY AND EVERYTHING ELSE FOR NO reason?

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Yeah who does that person think he is it certainly can't read dates in ur question so he prob not very smart in other avenues , lol

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When I called to make my regular appointment I was told over the phone that he "quit indefinitely". To clear up a few things, I never obtained an attorney bc of my doctor quitting, I had to obtain a lawyer from a vehicle accident in which my nose & the right side of my face has been fractured...I'm not the type to do legal cases, actually would rather not but I was contacted by a local law firm that persuaded me to let them help me out. My doctor put me on xanax when I was actually 18 or 19 yrs old....biggest regret of my life was getting that script filled bc at that time I had no idea how addictive it was till I ran out and went back to pick up my refill then the pain killers started when I was 21 yrs old & now I am 36 yrs old. I never wanted either of the medications but I thought it would fix my problems with anxiety and fix my pain unfortunately I had to learn the hard way...not once was surgery ever brought up to me as an option, doctor also never done blood work on me the whole time I was being treated by him. I just got a new doctor and just found that I have osteoporosis, degenerative disc disease, L5 is fractured in my back & have herniated disc. Thank all of u for your opinions I really appreciate all! God bless & have a good day.

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Stace it sounds like he's shut down. Recently the DEA did a 3 state shut down (Tennesee, Alabama, and WV) and when they do this depending on what they are seeking charts are grabbed I've seen patients also arrested.

I'd seek your records and immediate appointment with a new physician.

Ask your pharmacist who else in town writes if you have a good relationship.

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Hi Joey I emailed you and MedChat confidential information since I will likely be tied up literally with federal agency today I wanted to give you some background. You talk about NYS and wish it were legally as tight elsewhere it is not. Thank you for releasing email and look forward to feed back rarely do I reach out but you are so much like me (in detail and I love your knowledge) so thank you.

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Oh, now you've picked up a law degree? From Yale, the same as my sister, who also holds a MLS along with her JD. It's not for you to determine if a malpractice case is viable. I know more about this than most, but not a lot, since we don't get sued very often — honest!

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What journalists call a "chilling effect" is affecting the medical profession today. I"ll put out feelers.

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Speaking strictly as a Board-certified Psychiatrist observing this exchange, I would refer you to a good shrink — the sooner the better. Occasionally, I'm asked to consult in-hospital on whether a patient needs some in-patient or intensive OPD therapy and/or meds. I do my best not the present it as punishment. I said once, "Even we psychiatrists see our own shrinks." ENTER STAGE RIGHT, my own shrink and buddy, Dr. G....and btw, this is Dr. ..., my shrink. I owe him a lot. (I do. He has BALLS when it comes to the regulators. As a DO he graduated with Board-Eligibility on Family Practice and "the mentor of us al," Doc F, taught us to "take no s*** from anybody — you DON'T HAVE TO. You're MY BEST in all 50+ years. Give 'em hell when you have to, but Joey, be careful someone might actually speak Sicilian Dialect. Very few people can translate what I say otto voce, but it's NEVER pleasant. Find a qualified translator and I'll worry!

Editor's note: We do not verify the credentials of our users and nothing stated in our forums is intended to be taken as medical advice.

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Federal law gives you the right to get a copy of your medical records at any time for a copying fee, unless you have mental health impairments. In cases of mental health impairment a Dr can refuse to give you a copy of your medical records, but you can give someone permission to get them for you. Google patient access to their medical records, choose the Ghana.gov links.

Each state has its own laws regarding how medical records are to be handled when a Dr dies, closes their practice or moves. The states decide how long medical records must be kept in these situations. Even though some states have incorporated federal law into state law when it comes to the cost of medical records, not all of them have. Federal law states a search or administrative fee is not to be charged, but some states still charge this fee.

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Joey correct in NYS and miss this direction action and attention to criminal actions which essentially the employer (workers comp) recently tried to kill me and I also mentioned this in my position statement with proof--both through a physician and also other methods.

In other areas or states this does not occur. I really hope you and I connect and perhaps you know of a specialist who handles rare cases. Not willing to die yet.

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There's recourse. He's committed Patient Abandonment, refusal to give you access to your records (required by law when a doc dies or retires) and my sister (who was Sex Crimes B bureau Chief for the County of New York for 10 years and two as Exec Asst DA), said she'd throw in "Reckless Endangerment" (i.e., endangering your life because of abrupt withdrawals. Not every pseudo-contract a doctor throw into one of his spate for forms are NOT legal or binding. You can't agree to take that risk — and that came from a Federal Court judge whom I know well. "He also advantage of her not being fully competent BECAUSE of those medications." (His son is MY cardiologist.) I think good prosecutor could get an Indictment and then there's the State Board of Medical Licensure, which has a number of administrative charges they can file against him. You DON'T go to an ER when you need ongoing meds. She should go to an ER and explain the situation calmly. If this clown was a "Dr Feelgood," the docs on staff will know the whole story. She may need a few days inpatient to be detoxed. It NEVER hurts to call the DA and her states equivalent of The Office of Professional Conduct. A staff rep will listen and tell her the options available from the State Board of Medicine.

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That's Patient Abandonment and Gross Negligence in the Practice of the Profession. When you say he "quit indefinitely," does that mean he "quite" practicing medicine or quite writing for Xanax?

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Stace my apology although not my fault. Apparently when 10.0 updated on my system your post showed up in two spots one stated 2012. Since I cannot delete the last it sounds like you've attained your goal.

Anyone in pain with anxiety is usually not well treated for pain. Yes a tolerance to Xanax will cause rebound anxieties and potentially seizures if you go off cold. It is a good idea to use one pharmacy at all times especially if you are receiving medications for dual providers.

Good luck and apologies.

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My post is definitely not from 3 yrs ago....had no problems at all back then concerning my pcp Dr & my refills everything was fine until Sept. 8th, 2015...that's when my treatment was discontinued on 9-9-2015....thank yall for all y'all's help but I did receive a doctor. ALSO got my REFILLS From my Dr.

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Get to a dr or er and they will give u something to ease the withdrawls so u don't die. u may not feel well for a while but u will be ok.

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Stace an addict seeks the drug for the wrong reason you are tolerant.

You should seek a psychiatrist for the many issues you face and he/she can refer you for therapy it will help you.

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Stace, your original post is 3 years old so I am sure by now you have corrected the issue especially if you had an attorney for a MVA. Clearly you would not be having seizures now from then.

I am a professional nurse; the anti-anxiety medications can if gone off cold cause seizures. Perhaps you need to update the post as to what medications you are on, how your legal suit fared and who you are seeing for pain management now.

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I've never had a seizure before until today I don't remember having one but I was told I did.....idk what to on a Sunday

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