Your PCP can prescribe pain meds, but he is choosing to not prescribe them to you. You may want to get copies of all of your medical records and read them and see exactly what the pain dr, his PA and your PCP have written there. There is a very good chance that things that weren't said to you directly will be there and that will explain things.View Thread
The medical community has realized that they can't continue to prescribe stronger and stronger pain meds. You don't want surgery, you won't do injections so it can seem to drs that you only want the meds. Your situation isn't getting any better nor will it. There will come a point when you won't be able to be prescribed pain meds any stronger or at a higher dose that you have gone. I think the dr may be telling you that you need to find a way to manage your pain with the meds you're getting. You also need to use non medication forms of pain management in addition to the pain meds. Things like biofeed back, seeing a pain psychologist, etc.
I'm sure a new pain dr will want a copy of your medical records from your old pain dr. You may find it difficult to find a new pain dr depending on what has been written in your medical records. If a new pain dr won't treat you with the meds you want, you need to get a copy of the medical records for your old one and read them.View Thread
I said that many drs are now urging their patients to make these changes, which is true. But, for those patients who aren't interested, the time is coming when they will be forced to reduce the meds. The medical community has realized in recent yrs that what they had been doing isn't best for the patient. Noone wants to go through the adjustment period because it can be very difficult. But, it is better to go ahead and get it over with before you are forced into it. When the time comes and the dr you were seeing refuses to increase the meds and you try and find a new dr who will, it can be difficult if not impossible. A new dr almost always wants copies of your medical records from your previous dr. And your previous dr will have noted in your medical records that you aren't coorperative.
brew_fool, Enjoy that fly-fishing ! Another positive point to decreasing meds is that you don't have the constant fear that they won't be increased or that you will be cutoff.View Thread
People don't comprehend that the drs can't continue to increase their pain meds indefinately. Many drs are now urging patients to use non medication forms of pain managment along with medications to reduce the amount of meds needed. Many people have gotten use to continuing to do what they want to do without making any lifestyle changes. Drs have no choice but to reduce or discontinue meds. People who are on high doses of strong pain meds seem to be the ones who are having the most problems finding a dr to continue to treat them and rasie their dosages. The ones who do all they can to keep their meds at a low dose don't seem to be having the same problems.
Drs are also getting tired of patients complaining about the meds they do get. When a patient accepts a rx for certain meds, they accept the risk of physical dependency if they are taken for a long time frame. If they don't accept the risk, they shouldn't take the rx. It is not the drs fault that the meds make our bodies physically dependent. The pain patients that are thankful for the meds they do get and don't blame the dr for them building up a tolerance, or going into withdrawals if they have to stop the meds, etc don't seem to be having the problems getting treatment that others do.View Thread
sid, Thanks. What I find strange is that even if the state drops what they now require, the drs can still do them. The decision being made by each individual dr is different than a law mandating it. I also wonder why Indiana even wrote this into the law since almost all of the pain management drs do require drug screens, pain contracts and often pill counts. From what I've read so far, no decision has been made.
annette, Medicare Prescription Part D is looking out for overutilization. Unfortunately, the ones who decide if a pain med is being overutilized have no medical background. There is also no explaination of what constitutes overutilization. So it is up to each individual in each plan that has that job to decide is a patient is overutilizating pain meds.
I don't have a problem with drug screens, pain contracts or pill counts.I don't think those who don't have a problem with them and go by the rules have much of a problem when they're trying to find drs. Some seem to have the belief that they are above those things, which makes them look guilty. And some seem to think that they are entitled to pain meds when they are in pain, which is not true.
The ACLU case has not been won. It is still in Litigation.Even if they win, your dr can still tell you if you don't submit to a drug screen as often as they ask you to that you won't be given any meds.. There is a difference in a individual dr requring it and the goverment mandating it. I was surprised that they only mandated drug screens once a yr. Most drs do them more often. No patient is forced to do them or to sign the pain contract/agreement. The patient has a chance of getting meds if they sign the contract & do the drug screen, but they aren't guaranteed it. No dr is required by law to give a patient pain meds if they are in pain. Some people think it is their right, but it is not.View Thread
Would you please post a link to the case the ACLU won in Indiana. Drug screens are not mandated by federal or state laws. Although many drs tell their patients that they are. They are recommended. Medicare Prescription Part D is on the look out for the overutilization of pain meds by their patients. But, overutilization has never been defined. I'm not sure what AMA announcement you're referring to. There are regular drs who still write pain meds for their chronic pain patients, although they are now few and far between. There are also plenty of pain management drs who still write pain rxs for their patients.View Thread
davedsel2, Valium is not a Schedule II nor has it ever been. So I'm not sure why they say you have to have a paper rx. Even if it were a Schedule II, drs can write 3-30 day rxs at one visit for Schedule II. Few will do it, but they can if they want to.
An_246419, I'm not sure why Pain Managment Drs are telling patients they can't rx them pain meds, unless they have not followed the rules. It will take much more than writting politicans to get the powers that be to take notice. The voice sof chronic pain patients will have to get so loud and constant that they are on the national evening news at least several times a month for a number of months. It will take, time, money and energy.View Thread
You may want to look into seeing a Pain Managment Dr. But, since you don't need pain meds on a 24/7 basis, I'm not sure if they would accept you because you have to go in every 30 days. And most of them use extended release pain meds and maybe breakthrough meds. They usually try and stay away from immediate release meds only, especially if it is needed as seldom as you need it.
Maybe your dr is trying to keep track of how often you take the Methocarbamol to be sure you aren't abusing it.View Thread