If you've only contacted one or two drs, you may want to try a few more. Have you verified they take your insurance ? You have done the smart thing by giving your pain management top priority. A lot of people move and then they think about pain management. Wisdom does come with age. Being older does have it's advantages.View Thread
Have you seen any of the pain drs in your new town ? If you're on a high dose, it may be difficult, if not impossible to find a dr who will rx them. You also may want to get a copy of your medical records and read them. Drs don't always tell patients what they write in theri medical records. And drs also make mistakes. There may be something in your medical records that is a red flag to another pain dr. If you have had more than one dr refuse you after they got your medical records, you really need to read them. Also, ususally the drs themselves don't read the medical records, someone on their staff does. Even if you don't move you need to read your medical records because if there is a problem it could affect you being able to get a new dr where you live. Things happen to drs, the move, retire, become ill and have to close their practice and they also die, even when they are young. You have no guarantees that another dr will rx you the same meds that your current dr is. Or for that matter, if the dose is high that there won't come a time when your current dr says that he can no longer rx those meds at that dose.View Thread
You won't find a pain dr who prescribes opioids by asking if they do when you call. The rating websites also don't have that type of info. All you can do is start seeing a new dr. They wil want to get a copy of your medical records from your previous dr. There is no guarantee that a new dr will give you the same es or the same dose as your previous dr did. If you're on high doses of pain meds, it is highly unlikely that you will be able to find any dr who will continue the pain meds at that level. Each dr has their own way of prescribing.
When you see a new pain dr don't ask for any particular med or dosage. Very few dr will give you a rx for any opiates on the first visit. You also need to be ready to sign a pain contract and take routine drug screens and possible pill counts.View Thread
You fail a drug screen if drugs that aren't suppose to be in your system are there AND if drugs that are suppose to be in your system aren't there.
It will be up tp your orthopedic surgeon if he wants to continue as your dr. Although if he doesn't prescribe you any pain meds, I don't see where he would have a problem. You may want to ask him if he knows any pain management drs he can refer you to. The problem you are going to run in to is when a patient fails a drug screen most pain drs won't take them. From what I've read the gastric bypass surgery can affect the meds showing up in your system. But, I think the problem the clinic has is the is the first time this has happened and you had the surgery over 10 yrs ago. You mau also ask your pharmacist if he knows of a pain management dr who is educated regarding the gastric bypass surgery and the problems it can present with drug screens. You also may want to go back and see the dr who did the gastric bypass, he may know of a pain management dr he can refer you to. By the way, sometimes the pain dr isn't even aware when a patient fails a drug screen. The nurse or PA is the one who handles it.View Thread
You won't find a dr by asking if they r pain meds. You will have to go to a pain management dr and work with them. Each dr prescribes their own way. Just because your last dr presccibed certain meds is no guarante that another dr will. Although you will need copies of your medical records from your previous drs to prove that there is a medical diagnosis that indicates a medical condition that may cause pain severe enough to require opiates. If your dr needs the medical records and you don't have them, the dr can request them from your previous dr. A new dr may also want you to have more diagnostic test done. It may take you seeing a dr for several months or longer before you know if he will rx you opioids. If you're taking high doses of opioids, chances are another dr won't continue you on them, You will also have to sign a pain contract and have routine drug screens done.
If you have insurance, call your insurance company and ask for pain management drs in your area that take your insurance. If you don't have insurance, it may be difficult to find a pain management dr who will accept cash.View Thread
Drs can't continue to increase the dosages of pain meds. The FDA Guidelines are that the daily amount is not to exceed 120 mg morphine or morphine equivelent. Chronic pain patients have to be responsible and keep their meds as low as possible, make life style changes and use non medication forms of pain management along with the meds. If they do this, they don;t have a problem finding a dr who will manage their pain or a pharmacy who will fill their rxs. It also helps if the patients don't complain about having to take drug screens, sign pain contracts, see their dr when they are told and pill counts.The vast majority of patients who have problems with pain management are the problem, it isn't the drs, FDA, DEA, ect.View Thread