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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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What really threw me was that this "Recovery Room" looked like Sheltered Workshops I have seen and self-contained Special Education Classrooms for Developmentally Disabled Students, which my friend Rhia (legendary principal of the year for the whole 10 years until she became Superintendent of Schools) showed me as part of an additional to her school. Rhia was originally a Spoecial Educator and she appreciated my consulting pro bono because you wouldn't believe the low quality and meager qualifications of "Psychologists" evaluating these kids. (School Psychologists in my state are licensed only to give tests and interpret them according to the handbook.) I feel that I have been blessed with a wonderful mother who taught me how to give as well as receive and I donated my time. That there were patients who seemed to be recovering from NO procedures doing the same type of Sheltered Workshop tasks mentioned above was the final straw. My surgeon said he never heard more perfect New Testament Latin. "Jason, the most potent weapon against the most powerful Evil is the Power of God. He didn't just listen, he send the NYPD, the FBI and a DA Bureau Chief plus a few senior detectives. Despite the begging and pleading, these cases are going to trial in the Criminal Part. I gave my statement and found experts to thoroughly discredit their "affirmative defense" that I was hallucinating because of ketamine. Also had the Anesthesia Team locked up for Unlawfully Administering a Controlled Substance to a Patient Without His Permission. They made bail, but their careers are over. Their attorneys approached me and I said, "You're engaging in Witness Tampering. Get the f*** away from me or you'll face charges before the Bar and my sister knows a lot more of the Disciplinary Committee than you do and they'll believe me and her, especially because our testimony will be short, sweet and we'll ask for five-year suspensions." I specifically stated I don't like Ketamine I don't want Ketamine and actually said, "Do I have draw you a picture?" Kiss your licenses good-bye, because my "kid sister" who is a mistress of structuring charges to include Felonies made sure each and every arrested hospital employee was also charged – and rumor has it she made DAVance swear to adhere to her motto while in Sex Crimes: "You'll plead to the max and you'll serve the max, not one day less."

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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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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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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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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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This information jibes with what I know and have learned over the years. Remember, I fired a 20-yearer nurse for calling a kid who happened to be my private patient as a "no-good, damned junkie." She lost her license, too.

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If a Dr suspects that a patient is an addict or abuses or diverts their pain meds they won't prescribe them pain meds. They may or may not refer them to a facility.or Dr that treats addictions.

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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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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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