Forgive me if this isn't the right place to post, but I don't know where else this would fit.
I have had chronic joint pain for 10+ years, and 6 months ago was officially diagnosed with Rheumatoid Arthritis. My RA doctor has repeatedly stated that she "cannot give anything more than Tylenol" and suggested that I see a Pain Management doctor. I began seeing a PM doctor a few months ago with all of my lab reports, xrays, MRIs, etc. He started me off on a dose of 5mg hydro 2x a day. I immediately discussed with him that previous providers were giving me up to 30mg a day for my chronic pain. Nevertheless he has never budged to more than 20mg a day.
Which leads to my dilemma...
I went to immediate care this morning in order to get extra meds, as I'm nearly out of what the PM doc gave me 2.5 weeks ago, and I don't have an appointment for another 3 weeks. (Thanks holiday season). The immediate care doc pulled up my RX history and gave me discharge instructions for "drug seeking behavior". I explained to her that I have explained to the PM doc that his current dosage is not enough, and I typically run out well before my next appointment. Regardless she stated that she would contact the PM doc about my visit.
Two questions: 1) can they do that without a signed, specific consent? 2) could this prevent future PM docs from helping?
It's a catch 22, as I have legitimate chronic pain that my doc doesn't fully treat which forces me into a situation where I have to, essentially, doctor shop. As it stands I have been in the process of finding a replacement PM doc as this one just doesn't seem to listen. There is no doubt whatsoever that I am physically dependent on these meds, the same as a diabetic is on insulin. However I know for a fact, as a substance abuse counselor, that I am not *addicted* in the sense of the actual disease and negative behaviors that are associated. How much is this trip to immediate care going to screw me over? I'm in Illinois if that matters.
I have had chronic joint pain for 10+ years, and 6 months ago was officially diagnosed with Rheumatoid Arthritis. My RA doctor has repeatedly stated that she "cannot give anything more than Tylenol" and suggested that I see a Pain Management doctor. I began seeing a PM doctor a few months ago with all of my lab reports, xrays, MRIs, etc. He started me off on a dose of 5mg hydro 2x a day. I immediately discussed with him that previous providers were giving me up to 30mg a day for my chronic pain. Nevertheless he has never budged to more than 20mg a day.
Which leads to my dilemma...
I went to immediate care this morning in order to get extra meds, as I'm nearly out of what the PM doc gave me 2.5 weeks ago, and I don't have an appointment for another 3 weeks. (Thanks holiday season). The immediate care doc pulled up my RX history and gave me discharge instructions for "drug seeking behavior". I explained to her that I have explained to the PM doc that his current dosage is not enough, and I typically run out well before my next appointment. Regardless she stated that she would contact the PM doc about my visit.
Two questions: 1) can they do that without a signed, specific consent? 2) could this prevent future PM docs from helping?
It's a catch 22, as I have legitimate chronic pain that my doc doesn't fully treat which forces me into a situation where I have to, essentially, doctor shop. As it stands I have been in the process of finding a replacement PM doc as this one just doesn't seem to listen. There is no doubt whatsoever that I am physically dependent on these meds, the same as a diabetic is on insulin. However I know for a fact, as a substance abuse counselor, that I am not *addicted* in the sense of the actual disease and negative behaviors that are associated. How much is this trip to immediate care going to screw me over? I'm in Illinois if that matters.