bioethics of pain contracts

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lsteller
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Joined: 09/19/2008 - 10:12pm
I have a contract

with my doc. It's a DEA contract. Says I can't get prescriptions for pain meds from anyone else and I can only get the prescription filled at one pharmacy. It's been in force for over two years now, and I've not had a single problem with it. Actually, I had rotator cuff surgery this summer with another surgeon and when he asked about pain meds, I just said, "I've got a contract with my PCP for those, so you can't give me any. I'll be just fine." He was fine with that, I was fine with that, and there has not been any problem. My file at the doctor's office lists that prescription as "chronic." I'm able to refill it as long as I don't abuse it, and I never have.

3 level spinal fusion, L3/4, L4/5, L5/S1, November 2008. Stiff, but I can walk.

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dave
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Removal

The URL was removed because it leads to advertising and is a paid for service. I'm just enforcing the rules. If I allow this one, then I have to allow the idiot pedaling a health club membership.

Dave

Aviatrix36440
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Joined: 09/29/2009 - 10:35pm
URL

Dave,

Thanks much, I didn't even think about the advertising! I guess that gives me my answer on the links I was thinking of posting. Appreciate! Smile

Brenda

PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.

hockeyfonzie
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Doctors Responsibility in pain contracts

Hi all...I hope that I can get some advice here...I have congenital hip dysplasia and in 1998 I had a hip reconstruction/osteotomy on my left hip but my right wasn't as bad...also...I had two back surgeries in 2009 and 2010 respectively. The fusion was a failure...it had a 50 50 chance of being successfull. I went to my regular doctor for about two years. I needed more structure with my pain management so I started seeing g a pain management specialist three years ago. I have followed my contract since I signed it. I started to get steroid injections into the hip joint about 2 years ago...Well...we were on vacation the week of Labor day and I tripped and injured my right hip. By the time I got home I couldn't bare any weight on that leg so I had an injection. It did nothing. I asked my pain dr. to increase my medication and he would not. He wanted a mri and it showed a bone bruise and a torn muscle. He said it would heal in a couple of weeks....well he doesnt k ow jack about bone bruises...mine is deep into the marrow nd they take months to heal...so I asked again for an increase and he said no. I have been to the ER twice in the last few weeks when the pain became so unbearable and they just treated me like a drug addict...finally on Friday I saw a bone and joint doctor and he did xrays...what I had been asking the pain doctor to do for months...and it shows no cartilage left in the right hip...it's bone on bone....his suggestion is a total hip replacememt. I am in the process of getting g a second opinion. I have called my pain doctor twice today and have not received a return call. In the meantime I can't walk and I haven't worked in over a week. I refilled my regular prescription last week and said the hell with the contract I have been taking what is keeping upright but unable.to drive safely. Up to this point t I have followed my pain contract each and every month...I feel like the doctor is not holding up his end. His job...which my insurance pays a bundle for...is to keep my pain under control and he is not doing that. It's not like I am asking for a med change for no reason...so finally...my question to the forum is what should I do now??? I have to drive 100 miles to see any pain management specialist as we don't have one where I live. Isn't his part of the contract to keep my pain meds at a level where I can function?? I feel like he isn't doing his job. What should I do? Has this situation happened to others??? Help please...I don't know what to do.

Savage
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Hello hockeyfonzie and Welcome......

Welcome to Spine-Health
Please click on link for helpful information!

I am not a medical professional. Anything I write is from my own experiences.

Savage
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Joined: 02/04/2011 - 8:18am
Hello hockey....

I need to see my PM doctor every month for refill of pain meds. And for urine specimen for testing.

I have asked my PM about if I were to need ER and they medicated me. I also, have other issues.
My PM told me to go to ER if needed, but to let him know ASAP about situation and medication given.
Re pain medications, he would then document on my chart and if I was given a script, he would tell me if okay to take or not, or to destroy script if prior to filling.

With your attempts to call your PM, did you leave message re ER visits and X-ray results and consult with your bone and joint doctor?
It would be good if they could work together for your best interest.

I am not a medical professional. Anything I write is from my own experiences.

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