Help With Getting A Second Opinion

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Hi friends.

Just an update....I managed to go back to my previous PM doctor (the one I'd been in the care of before I moved to the one I'd been seeing and described in my original post) and laid my cards out on the table as honestly as possible.

Well, long story short.....everything came out fine! He agreed that suboxone wasn't a good option given my current situation, and put me on perc0s (10/325s) and trams.......

Thanks so much to everyone who helped me out, and LONG LIVE DBG!

 
Hi friends.

Just an update....I managed to go back to my previous PM doctor (the one I'd been in the care of before I moved to the one I'd been seeing and described in my original post) and laid my cards out on the table as honestly as possible.

Well, long story short.....everything came out fine! He agreed that suboxone wasn't a good option given my current situation, and put me on perc0s (10/325s) and trams.......

Thanks so much to everyone who helped me out, and LONG LIVE DBG!
That is great news! Rarr!

 
I'm so glad to hear of the outcome and that it was a good one for you.

Thank you for sharing the original and the update

Have a great weekend Jsaurus

 
I would go to a pain management clinic other than the one you're at now and hope.  Go to a couple of different doctors so long as you don't cash out the narcotic RX wouldn't be seen as doctor shopping.  It's when you go to three doctors in a month to get your pain killers or to get, say opiates from one, benzos from another, and muscle relaxers from the third.

I have experience with Subutex/Suboxone and it doesn't do a whole hell of a lot for pain.  Shit you might as well be eating Skittles and Motrin.

What I would say is this, tread carefully.  Be honest.  When you go to your new pain clinic tell the doctor there that your current guy has you on Suboxone and refuses to prescribe you anything else because you had opiates in your system from a previous encounter with a phyisician and you were drug tested.  Tell him you aren't drug seeking, but that you're in real pain.  Work the doctor a little bit, play on his sympathies, and also go read reviews of the places you're thinking about going too.  If they have negative reviews chances are people aren't getting the service they need.  ( Yelp is a really good place for this.)

 
Not that I condone violence, but maybe all its going to take is one /default_ph34r.pngbehe@ding of a pm dr to set things straight again. joke of course

 
All these lengthy posts are really very good.  All I can add is that if they don't help me, I go to the next one.  I have a MRI set that shows even to an unpracticed eye, an S shaped broken spine, pinched nerves the length of it, leaking fluid top and bottom.  Had two different jerkoffs read and had two polar opposite reads and conclusions.

I have one I like now.  They like me.  She hugs me every time I go there.  and still I supplement.

 
All these lengthy posts are really very good.  All I can add is that if they don't help me, I go to the next one.  I have a MRI set that shows even to an unpracticed eye, an S shaped broken spine, pinched nerves the length of it, leaking fluid top and bottom.  Had two different jerkoffs read and had two polar opposite reads and conclusions.

I have one I like now.  They like me.  She hugs me every time I go there.  and still I supplement.
I think you just stumbled upon a choice song title. "And Still I Supplement". /default_biggrin.png

 
All these lengthy posts are really very good. All I can add is that if they don't help me, I go to the next one. I have a MRI set that shows even to an unpracticed eye, an S shaped broken spine, pinched nerves the length of it, leaking fluid top and bottom. Had two different jerkoffs read and had two polar opposite reads and conclusions.

I have one I like now. They like me. She hugs me every time I go there. and still I supplement.
And hugs are lovely, but only go so far.This is indeed supplement city.

 
I have to admit that I am so worn out......But still having a positive outlook and thoughts.....I am ok now had a poor me moment....Carry on.

KK

 
All very good advice, and yup - Supplement City is hitting it right on the head.

One suggestion for Jsarus and others in such a situation:  File a complaint against the doc that denied you communicating your meds to him/her.  Of course AFTER you have another resource.

My primary care doc wrote me some perc's for a 3rd degree burn.  When I first met her I told her I saw a shrink and he managed ALL my meds including pain meds. 

Next time I saw prim. care doc., she claimed I told her I had a pain management doctor and accused me of lying.  I assured her that, no, in fact I did NOT say that and what I HAD said was I saw another doc who managed all my meds including pain meds.  I told her that I now had a problem with our relationship if trust was not there.  She said it was all good and wrote me 30 perc's. for my back. 

She then referred me to a pain mgmnt. doc who doesn't prescribe opiates at all.

I was told by a very wise family member in a similar situation filing a complaint puts it on the record and keeps u out of trouble.

Thoughts?  Haven't done it yet.  Would that be a good move for others?  For Jsarus?

 
All these doctors forget that they are in a service industry...like cops.  ho hoo hee haw wheese

 
Hi all,

This is in response to Misery Luvs Company's question regarding filing a complaint about a physician to the medical board, the state or both. I understand why you would want to do so, and respect it, but my opinion, based on my personal and professional experience (working in the medical field as a lay person for many years) is to re-consider that tact. Here are the reasons why:

1. physicians are under the microscope when it comes to prescribing pain medications...I believe some regions of the country employ tighter controls than others, but it isn't "pretty" anywhere anymore. MLC's experience with her primary care is a good example. Though during the first visit, the physician clearly misunderstood MLC's admission (which was really just making sure the doc had all the facts). The PCs response to the situation is, in my opinion, an example and indication of the pressure she, as a primary care physician, is feeling from many different oversight bodies. On the first go-around she appropriately wrote a script to control the pain associated with a 3rd degree burn. On the subsequent visit, she accused/misunderstood/misrepresented what you had, in good faith, told her. It sounds like she backed down, wrote you one script to get out of the situation (but in her mind, she had already decided she was going to refer you out). Therein lies your dilemma, because if you complain, a reviewer might say she did the right thing as far as pain management. They might also conclude she could improve her communication skills, etc, but the bottom line is primary care physicians are being told - ad nausium -to refer pain patients to specialists....so, while a complaint might be a bother to her, the "worst" that would happen would be that the reviewing agency might make her take a course in pain management. That is no big deal to her, as in some states physician are mandated to have a certain amount of hours of CMEs (education) to maintain their license.

2. Will that complaint "cover you"? I am not sure where or how it would, but I might be missing something. My reasoning is that the path that a complaint takes is separate and apart from the provision of care and would never make it into your medical record, unless you are making it directly to the doctor, or the practice. Moreover, I wouldn't think that you would want it to be, IMO anyway...

In answer to the bigger question of what to do when you are in pain, it really depends on many different variables:

1. if you have insurance, there is a paper/electronic trail - so harder to fly under the radar - and while physician technically need your consent (HIPAA regulations) to obtain your past medical records, the information is still "out there"

2. if you are private pay - its a little easier to avoid scrutiny - but do your homework before choosing a physician, and heed all the warnings posted in this forum about "Dr. Shopping", as once you are marked, its hard to shake

3. Most primary care docs will write for acute medical necessity, but not for maintenance, most specialists, such as orthopedists, will write for a certain time period after surgery, etc...but not for maintenance, though there are still some that do

4. Pain management is a growing specialty, but their goal is to get you to a place where your quality of life is improved with pain medication and well-trained specialists will tell you so. There are still, albeit, fewer physicians who will continue to prescribe without managing the "whole" person, but even they are being scrutinized closely, and if they can't document necessity, they won't get paid and they may face regulatory reviews

5. A physician who specializes in addiction has a goal to manage just that, and more often than not, suboxone, methadone, etc...will be in their medical bag of tricks...you won't find many if any who will medicate chronic conditions with other meds....

In the U.S., the healthcare landscape is changing rapidly with the Accountable Care Act now a reality...the phrase "you can run, but you can't hide" is very true. Hence why this board is such a valuable resource for us all. Its been said before, but its worth repeating, supplement if you need to. If you have a doc who will treat you, hang on tight and don't abuse or take advantage of the relationship, as they are harder and harder to come by.

Just my two cents, I hope it was helpful /default_cool.png

 
Hi all,

This is in response to Misery Luvs Company's question regarding filing a complaint about a physician to the medical board, the state or both. I understand why you would want to do so, and respect it, but my opinion, based on my personal and professional experience (working in the medical field as a lay person for many years) is to re-consider that tact. Here are the reasons why:

1. physicians are under the microscope when it comes to prescribing pain medications...I believe some regions of the country employ tighter controls than others, but it isn't "pretty" anywhere anymore. MLC's experience with her primary care is a good example. Though during the first visit, the physician clearly misunderstood MLC's admission (which was really just making sure the doc had all the facts). The PCs response to the situation is, in my opinion, an example and indication of the pressure she, as a primary care physician, is feeling from many different oversight bodies. On the first go-around she appropriately wrote a script to control the pain associated with a 3rd degree burn. On the subsequent visit, she accused/misunderstood/misrepresented what you had, in good faith, told her. It sounds like she backed down, wrote you one script to get out of the situation (but in her mind, she had already decided she was going to refer you out). Therein lies your dilemma, because if you complain, a reviewer might say she did the right thing as far as pain management. They might also conclude she could improve her communication skills, etc, but the bottom line is primary care physicians are being told - ad nausium -to refer pain patients to specialists....so, while a complaint might be a bother to her, the "worst" that would happen would be that the reviewing agency might make her take a course in pain management. That is no big deal to her, as in some states physician are mandated to have a certain amount of hours of CMEs (education) to maintain their license.

2. Will that complaint "cover you"? I am not sure where or how it would, but I might be missing something. My reasoning is that the path that a complaint takes is separate and apart from the provision of care and would never make it into your medical record, unless you are making it directly to the doctor, or the practice. Moreover, I wouldn't think that you would want it to be, IMO anyway...

In answer to the bigger question of what to do when you are in pain, it really depends on many different variables:

1. if you have insurance, there is a paper/electronic trail - so harder to fly under the radar - and while physician technically need your consent (HIPAA regulations) to obtain your past medical records, the information is still "out there"

2. if you are private pay - its a little easier to avoid scrutiny - but do your homework before choosing a physician, and heed all the warnings posted in this forum about "Dr. Shopping", as once you are marked, its hard to shake

3. Most primary care docs will write for acute medical necessity, but not for maintenance, most specialists, such as orthopedists, will write for a certain time period after surgery, etc...but not for maintenance, though there are still some that do

4. Pain management is a growing specialty, but their goal is to get you to a place where your quality of life is improved with pain medication and well-trained specialists will tell you so. There are still, albeit, fewer physicians who will continue to prescribe without managing the "whole" person, but even they are being scrutinized closely, and if they can't document necessity, they won't get paid and they may face regulatory reviews

5. A physician who specializes in addiction has a goal to manage just that, and more often than not, suboxone, methadone, etc...will be in their medical bag of tricks...you won't find many if any who will medicate chronic conditions with other meds....

In the U.S., the healthcare landscape is changing rapidly with the Accountable Care Act now a reality...the phrase "you can run, but you can't hide" is very true. Hence why this board is such a valuable resource for us all. Its been said before, but its worth repeating, supplement if you need to. If you have a doc who will treat you, hang on tight and don't abuse or take advantage of the relationship, as they are harder and harder to come by.

Just my two cents, I hope it was helpful /default_cool.png
Vineco,

Excellent post.

Thank you for taking the time.

Should be helpful to quite a number of folks.

Take Care,

Beranda

 
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  4. drjimmy1964 @ drjimmy1964: Sweet Ol' Me asked about Real ID, Stoup. Are you responsive to emails ? LMAO
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  7. drjimmy1964 @ drjimmy1964: @bigblueallda I was under the impression that you'd need all of the points to get a real ID . I'd check it's validity if you're gonna fly domestic any time soon, just to make sure. Not to tell you what to do, sorry -
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  12. drjimmy1964 @ drjimmy1964: @Turbo259 advertising - putting in writing for example an negative action to show they are guilty prior to taking action.
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  14. drjimmy1964 @ drjimmy1964: @bigblueallda are you sure you have a Real ID ? I mean , they really want 6 points of proof and 1 for your addy and 1 for your SSN. Did you maybe get it done and forgot and flew out of the country or something ?
  15. S @ soupson: did anyone ask about real id or is sweet ol jimmy just rambling
  16. T @ Turbo259: @drjimmy1964 what did you mean by advertise? not gettin the verbiage, DM works if anything, just didnt understand
  17. B @ bigblueallda: {Visit your local Driver Service Bureau with the necessary documents: original birth certificate, Social Security card, and two proofs of your state's residency. } I definitely provided this when I had to get a new ID when i let mine go expired too long maybe I unknowingly got one but I think it is pretty standard here.
  18. B @ bigblueallda: Well it was a state id renewal. Before that there was a mixup and I had lost my birth certficate and social security number. After a couple of weeks and finally getting several documents in order I was able to get a state ID. It had been expired previously for a little too long and they wanted all kinds of proof. It was a mess. But nah I looked up what to look for an my state's ID to see if it is a Real Id or not and my card as the symbol it is supposed to have. I'll take a closer look though
  19. drjimmy1964 @ drjimmy1964: @bigblueallda are you sure you have a Real ID ? I mean , they really want 6 points of proof and 1 for your addy and 1 for your SSN. Did you maybe get it done and forgot and flew out of the country or something ?
  20. drjimmy1964 @ drjimmy1964: Actually it says "Not For Real ID Purposes". That is my 2022 renewal of my 2018 picture ID. I am not due till 2026 and I am sure they will make me go in since my pic would be 8 years old - they used to make you go in in my state for aging when I was younger, then went paper - then back to picture ( I think 9/11 to blame for that ) but relaxed it.
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