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Why is my Doctor doing this to me?

If she was stuck in traffic & her car wasn't even moving at the time & the truck rammed into her car, then the guy who was driving the truck is the at fault driver, & there's absolutely no way a positive drug test can change that. Whether or not she's at fault for the car crash is not the issue in question, the issue in question is about how much if any money she can get from him. & it sounds like it's pretty much a sure thing that she can get quite a bit of money, since I'm assuming the lawyer must have taken her case on contingency since she says she couldn't even afford to pay for an entire month's prescription of pills at once, & lawyers only take really, really solid cases on full contingency, since a percent of the money she gets is how the lawyer's paid.
& even if the blame could somehow be shifted the truck driver would then have to file a suit against her, & nobody ever files a suit against someone who doesn't have much of any money & can't even work.
.

Lollie wasn't saying that....The OP has mentioned that her lawyer is suing the truck driver, what Lollie said makes reasonable sense, the aftercare WILL be brought up in court if it goes that far, the doctor will be aware of this and will be pussyfooting....As soon as the OP starts to complain about the medication, and given previous family history, the doc is going to want to move away from the situation, a bit of rudeness here and there, and everyone simply, as many have suggested 'switch doctors'
If his practice comes under scrutiny during the preceedings, any form of medication abuse will then become a factor, last thing they want is an investigation...

**Ignore that, I completely missed the other post explaining it lol!****

Plus to be fair OP, you love your hubby, you can't look me in the computer screen and say you haven't flicked a couple his way...
Your on bluelight,, I mean....come on, he's got a reason to be concerned, I would be, he's given you painkillers, something which if you required more you wouldn't be seeing your PCP..Now he's going to see pot in your piss...docs aint stupid, and oxy's shouldn't be dished out all over the place, that's what's created everyones fucking addictions in the first place....
 
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^^^

I wasn't even talking about the drug test. It's not uncommon for insurance companies to argue that inadequate or inappropriate medical care contributed to the degree of disability - ie that a better outcome would have been possible with different medical care.

Because of the potential for the OP's doctor to come under scrutiny for the care he's provided to her and have to defend those choices in court (and be accountable to his own insurer for them if it gets that far), he really does need to create a paper trail which indicates that his treatment choices have been aimed at ensuring the best recovery and return to function possible for the OP.

Oh man, well, that certainly makes a lot more sense now. When I read "it's highly likely that the defence will put your medical care under intense scrutiny and any deviation from accepted care standards gives them an opening to shift blame" I thought you were referring to her deviating from the accepted care standards by using an illegal substance that she was either told or just expected to know through common sense was in some sort of violation of the accepted care standards she had a responsibility to comply to ... Which in retrospect was pretty moronic of me. Fuck. I blame not enough sleep & way more than enough drugs... Which I normally wouldn't do, but, I feel I might be able to pull that off as an "excuse" for being stupid on Bluelight.

However, she did say she's suing the driver himself, not the insurance company. In both No-Fault states & Tort-System states successfully suing an Insurance Company is incredibly difficult; even in Tort states a Maximum Liability Limit is what it is, & can't really ever be exceeded by suing the Insurance Company despite the cost of damages. So I'm pretty certain it would just mostly be about suing the driver of the car that hit her because the max. Liability Limit just isn't enough to cover shit.
Still, though, regardless of whether its the insurance company or the driver she's suing, extensive documentation would definitely be at the least very helpful for the doc. to have.
 
Thank you everyone, any more comments will be greatly appreciated...

I'm going over to the care center on Friday to pick up my records from July 15 - Present. I'd like to see what the Dr. wrote, with my own two eyes. Then go from there. I fcuked up and I'll tell you all, I didn't smoke green, until my friend popped out this bag of medicinal MJ, I was in the wrong place at the wrong time, all my tests were clean up until this Dec. 3rd UA. I was thinking that the Dr. wasn't going to test me again and again, boy, was I wrong.
And yes, my attorney is suing the Insurance Co. the driver and the logging company, all 3 of them.
Medicinal MJ is legal here where I live and if you don't have a MM card, being caught with under an ounce in one bag is just a fine, it's like a ticket and you don't go to jail or anything like that.
It's cruel of Mr. Dr. who I've been with for so many years, to be testing me and telling me he does this to ALL HIS PATIENTS when I know for a fact he does not!
I will post on here Friday, what my records say and let you all know.
 
Unless you are on a high dose that most doctors wouldnt give new patients without a history, I would just doctor shop until you find one that works for you....I know how scary it can be without a good doctor.

Some people also use poppy pods for pain. I almost resorted to using poppy pods for pain, but then I found a good doctor.
 
You're the one paying him, yet he's acting like a probation officer more than a doctor. If things can't be resolved quickly, find a new doctor. You are not bound to this guy.
 
Okay, I just now got off the phone with my lawyer. She said that the doctor may have not even tested for all drugs, he may have tested only to see if my oxy co's were in my system, he did the pill counts because he wants to make certain that I am:
A) Taking too many
B) Selling them
C) Sharing them

She advised me that I did nothing wrong with the case, to hurt it in any way.
She also said to call in for my prescription (the 30 he owes me) on the 21st.
I will know only then if he checked for the MJ and if he did:

A) He will dismiss me as a patient.
B) Give me one more try and keep me, and still prescribe the pain meds.
C) He will keep me, but not write out any more scripts.

My next appt. is January 3rd. He wrote out (at my request) a script for 20 days supply. She said to go in or call in at the 18th day pass and tell him I have only 6 pills left. Then we will know for sure if I need to find a new Dr.
I was thinking about seeing him and just fessin' up about the MJ, but my lawyer said not to, he may have not even tested for MJ and cut me off for admitting to something he had no knowledge of. Tricky situation for sure. Ugh...Plah!
 
In addition, I am going to see the foot and ankle specialist today. His office is 70 miles away. I'm going to tell him that since the pain is now isolated to my foot area, my PCP said to see him for medications from now on. :)
 
Well, I went to the ortho, I need to have the hardware removed in my left foot due to a mid-foot fusion that was done in 2004. The ortho Dr. wouldn't prescribe me any pain meds until after surgery in January... Sooo, I had a report copied and gave it to my PCP, in that report the ortho Dr. wrote: Patient is to continue meds with PCP. I gave the PCP all the notes from the ortho Dr.

Now, about the UA, yes they did check for the presence of THC and it came up positive, also, all the benzodiazepines were checked as well, but not just for benzos, they actually gave each independent benzo I took, Valium, Xanax, Klonopin and Ativan. My current PCP only gave me Valium and Ativan, so I imagine he's going to question why I have the other benzos in my system. My answer is, when I was living in S.Carolina, I had a different Dr. and she prescribed me a lot of benzos to see which one worked the best for my panic and anxiety disorder. I don't have the bottles in which they came in, just had them in a old tylenol PM. I'm going to tell my current PCP exactly that and I took "old pills I had on hand" As for the THC, my PCP's nurse went to school with my daughter and she told me to just be honest and tell him I smoke from time to time and it helps with my muscule spasms and weight gain as well as sleep, in Maine you can acquire a Medical Marijuana card, it's legal, then she told me that he should be okay with that and she will have a talk to him about me...she told me to go ahead and call on the 21st for my partial script on my oxycodone. In any event, I must go there to collect the script because you can't call in to the pharmacy with this type of medication. Wonder if he will give me another UA just to pick up the script...he always does the pill count and UA's at our appointments...Addressing the "Pain Management issue" The PM doctor I see does not give out prescriptions, he only gives epidural shots, they only medicaton he gave me was Flexeril, I didn't ask for any pain meds due to the fact that he in partnership with my PCP and told me that I get my pain meds from him (PCP) so he wouldn't prescribe me additional pain medication....hum...we shall see. 8)
 
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back pain issues, drug tests/counts, doctor-patient relationship

I am new to this forum and hope I can get some answers that have been on my mind lately. My mother and I see the same PCP, my husband fired him and said nasty things to him over the phone (he is very ill, in the head and was hopspitalized for months at a behaviorial health hospital) hubby got mad because he wouldn't prescribe him painkillers, or do tests from head to toe. Hubby has a new doc now.
My problem: I got into an accident in stopped traffic, a large loaded logging truck rear ended me, sending me to the hospital on July 15, 2010. I was x-rayed, have MRI's done and they found out that I have 2 discs that are swelled along with sciatia nerve pain in addition to pain in my left foot (I have hardware in it from 2004). My doctor put me on oxycodone 5mg tabs. On my visit back in August, he said he has to do a urine test and a pill count on my next visit, he put me on those tablets 4 per day, if needed for pain. he said "I cannot keep you on this drug, only while you are healing) I go to Phys. Ther. 2x per week, as directed by him, along with going to a pain mgmt. clinic for steriod/cortisone injections in my back and sciatia nerve, they wear off. Okay, my mom goes to the same doc. I am 50, she is 73. He told me he does a ua on all his patients...he lied because my mom is on percocet 15 and he never ever tests her. He keeps asking me if I'm working! How can someone work with a back problem? I was a janitor and opened a restaurant heavy lifting, etc...We live in a tiny little town on the ocean in Maine. Now why the heck is he doing this to me??? He asks if I still live with hubby along with other questions. In November, I had fallen out on the deck (it was icy) right on my back. I called his office and he was off on that Friday. I was alloted 20 pills, and picked up the script at his office and had it filled. Dec. 1st was my next appointment and I was running out. When I went to see him, he was very very angry at me, his assistant was in the lobby waiting for me with the Calloway Lab. cup and told me to go urinate in it, which I did. He told me in his office that he can't keep writing out prescriptions forever and he was so angry he forgot to give me a script for my Ativan. Now, I will be honest, I smoked some green earlier in the week, a friend came to visit and I did smoke some. I didn't tell the doc that, in fear that he would not prescribe me the pain meds. I also told doc please don't give me 120 all at once, I am broke and need to wait for SSI check to come to get the rest of the script. He said 3x per day now, so that would be 90 altogether, so he wrote the script out for 60 of them to be filled that day. I am really confused because he owes me a script for 30 more this month. What kind of ua is this? Do they send it out? The reason I'm asking is because he can do a test with results in 5 minutes, or send it out to the lab for a more accurate test. How will he react with THC in my system? Do they test just for the drug(s) I'm on? He asked if I still take vicodin, I don't so I said no. Now, I'm afraid to call him for my other 30 pills!!! He counts my pills, but not my moms'. What is going on here? I had him as my doc for 12 years. If he did test for THC, will he call me, send a letter to me in the mail or what? There is another person I know that goes to him, she had an accident with lesser damage to her body and told me he never tests her or counts her pills...she is on heroin! She told me she happy he doesn't treat her that way because she would be booted out by his ua immediately. I know he lied to me. I am so mad and confused and scared to even go near the place right now. I want to ask if anyone can help me out in telling or offering me help on this one. I will be out of my pain meds next week. Any advise?

he's testing you for a couple of reasons.

he basically doesn't trust you...

if he's writing you for opiates (be it vicodin (hydrocodone) or percocette (oxycodone) and you're selling them you'll come up clean... you're busted.

if he wants to have fancy tests run they can tell if you're say selling the vicodins/percocettes and doing a different opiate... i.e. heroin (and just because you don't have needle marks doesn't mean you're not smoking or snorting it)... but usually they won't go that far... it takes a far fancier (more expensive) test to differentiate between similar opiates than just clean vs dirty.

if you're smoking pot, and he's not cool with that, he'll test and you're busted...

that's actually the easiest test to fail because the metabolites are in your system for like a month+ (depending on the cutoff level of the test he uses and how much water you've had to drink in the previous 24 hours)

like Gregory House M.D. (love that show) says "everybody lies"... he lied, you lied (you admit it too... about pot)

he's just running the numbers and figures you're more likely to be fiddling the system at 50 (you were a teenager in the 70s) than your 74 year old mother.... it's just a matter of HOW you're fiddling the system... janitor in restaurant = not enough money = likely to be selling the pills... especially if you're getting them via insurance, workman's comp, etc... or doper who just wants more dope...

and never ask for a smaller script than what he's writing... you can always ask the PHARMACY to only fill half, or a week's worth, or whatever because that's what you can afford and get the rest later... real common.

hubby going off on him, his nurse, his front desk staff, etc is BAD ... generally treat docs polite.... like a cop... he's your drug cop.

my experience with steroid shots hasn't been good myself... though I've had short cycles of oral cortical steroids with good results... but the back pain relief was only "good" not "great" and generally not worth the side effects which are worse for men than women... though women don't want to bloat up either.

but I'm lucky... I've got a GREAT doc who respects my 30+ years of dealing with pretty severe back injuries (I was RUN OVER by a car) and the resulting pain... and I respect his years of experience and education too...

he has a sign in the patient rooms to bring in your scripts/bottles for counts...

I did it once just bringing in the schedule stuff because "I don't think you really care about the diuretics"...

I hadn't come close to using all he'd written me for and I never hassle him for more (except ONCE for a single day's worth of STRONG pain meds so I could deal with being strapped down for an 8 hour scan (the scan was for a heart issue and he knew I couldn't stand being strapped down for 8 hours without being in excruciating pain... he had my x-rays etc for my back... he wrote me, and I thanked him my next visit (for a couple of months I was in one doctor or another every week for tests etc related to my heart/circulation/breathing/etc)

but I don't hassle my doc for "more"...I don't claim to have flushed them down the toilet, lost them, the dog ate them (though when I found my ex wife was stealing my soma and klonopin I fixed that issue... I divorced her! but I didn't complain to him about them for another bottle of soma because she took them)

but I'm looking for a new doc long term...

he's winding down his practice with an obvious path toward retirement (he's about the right age)...

limiting his practice to 400 patients and going toward what amounts to a fancy concierge practice with some bells and whistles that are pretty cool...

that probably WILL help my health in that since to be one of the privileged 400 costs 1500$/year and if I'm shelling out 1500$ for "membership" (it's a multi-city multi-doc etc setup) I'm going to use it and I really do have other health issues that really could stand more attention...

and I don't really like most docs... I was in the computer support end of the state medical school... this put me in doctor's offices, clinics, hospitals, etc... and seeing what goes on outside the facade the doc wants you to see.... and this guy is exceptional.

he's a doctor for the right reasons... to help people... not just money, prestige, and privilege.... and that's pretty rare.

but I'll hit my health insurance's deductible pretty quick...

so yea I'll be in there more than twice a year... (to get my basic blood work done and fresh scripts (schedule III scripts can be refilled but expire at 6 months))...

and I'll get the things I kinda just "let ride" paid more attention to... with regular attention I can probably get my long term foot issues dealt with more successfully.

and since I'm at the doc anyway I can use more schedule II pain meds than "doubling up" on the schedule III stuff... (tylenol is hard on the liver) it's not that he's stingy on the pain meds... I've got multiple sealed bottles of 5 and 10mg hydrocodone w/acetaminophen for example... he can (and has) written scripts with refills to avoid the repeat visits... but I'll be there so I can just get a monthly script each visit of the schedule II stuff with no tylenol.

but enough rambling...

you're not being singled out per say...

if you're on an opiate for pain, and ativan for stress/anxiety you're probably a little "anxious" (stressed, freaked out, whatever you want to call it) and that's a red flag to most docs...

the symptoms for chronically undertreated pain are really pretty similar to "drug seeking behaviour"...

like I've told my doc when asked if I needed refills for my scripts (this was early in our relationship) I said "sure... it's not like I'm out, I've actually got a full bottle from the last script left over, but having an extra bottle in the cabinet makes me feel better since I know that if I'm standing at the sink with the water running at 4am in bad pain shaking out a couple of vicodins to try and get some sleep, slip and I accidentally dump a whole bottle down the sink that I've got a spare bottle safely in the cabinet and I'll be OK... and that makes me feel better knowing they're there if I need them"...

this has gone on for a while now... I -always- get -all- my refills and he knows this... I tell him... so now I've got sealed 100 count bottle of 5mg hydro/apap -and- a sealed 100 count bottle of 10mg hydro/apap at each house (long story, I'm not rich or anything but I'm remarried and because of the shitty housing market we've still got both houses...)... that's 400 pills still in sealed unopened bottles.... plus the oldest bottle that I'm actually working on.

we dropped the 5mg's last visit... but I'm still picking up 270 (3 month script) of the 10s this weekend... and he knows I've got unopened bottles... and it just makes me feel better to have extras...

he trusts me

I trust him

your doc obviously doesn't trust you...

and you don't trust him to give you good treatment (if you've got sciatica plus other stuff and all you're getting is cortisone shots and 5mg percocettes for sciatica outbreaks (which I know can bring you to the depth of hell with those lightning bolts of pain shoot down your leg... so you're NOT getting good/adequate treatment/pain-control)

so you need to find a good doc... one that your ex hubby hasn't blown up on... one that doesn't have a doctor/patient relationship with your mother... and one that you can build an honest/trusting relationship with.

to me keeping my doc is worth 1500$/year (plus regular fees etc)...

and I ain't rich... I'm on disability.... but I've got -1- doc I can trust... he's a generalist (technically an Internist) so he can treat almost anything I'd allow...

like a couple of orthopaedic surgeons have "offered" to amputate my lower leg and replace it with a prosthesis .... yea yea I know technology is grand and it probably would work better than my buggered up original equipment... but I'm sentimentally attached to it :D

one cardiac guy I was referred to about a possible bypass pushed (hard) for a heart transplant... and his office visit/consultation was little more than a hard sales pitch... and what passes for a success to him (and his press department... he's getting LOTS of press lately) looks a lot like failure to me...

like one article... the guy DIED (heart stopped... and not when they were planning it) 4 times, he was in a coma for almost a year, his wife divorced him, had a stroke related to the transplant, awoke from the coma with major paralysis (had to relearn how to talk, walk, eat, everything all over) taking several years... and this was a success because he hasn't rejected the heart... yet.... there are things worse than death...

needless to say I'm not about to consent to a transplant, or a bypass (they kill you for that too)... I'd rather just die nice and clean... I know how to administer a nice big OD of barbs... I'll just "put myself to sleep"... treat me at least as good as a faithful hunting dog! <3

so find a new doc... it's the only thing that'll work long term... the sciatica ain't going away... the PT may eventually help with the disk issues... but really you'll need something along the lines of celebrex every day... having some opiates available for use as needed (and that's more than you're getting... but YOU have to be able to control your use... just because you've got the percocettes doesn't mean you have to take them for every ache and pain... there's a level of pain in between pain free and popping percs you've just got to deal with...

you might want to suggest some non-schedule pain meds (not nsaids like celebrex, nor cortical steroids) like Soma (a non schedule but pretty effective muscle re-laxer) and Ultram (tramadol)... a non-schedule opiate like pain killer that is effective for some (and worthless to others)... but worth a try... some people have interesting side effects... I gave my wife a tramadol for cramps and it made her horny 8o

but having options (i.e. tramadol, soma, THEN percocettes) can work...

but suggest the options with the doc (tramadol/soma so you won't have to use as many percocettes) might help you short term with the doc you're seeing now... and find a new doc.
 
Hi All!
Well I listened to all of your advise and I'm so grateful and happy for all your input! I asked my pain management doctor (who is an anestesioligist) sp. to take over my medication prescribing with the exception of my benzos, I see a NP specializing in Psych. I had good luck with him and he's given me more of the oxycodone due to the fact that I was being undermedicated in his opinion by my nasty PCP. I was honest with him and told him exactly what was going on in terms of how hard it was to get a prescription for narcotics from PCP. He said that it was absolutely no problem for him to write out my scripts and also make me monthly visits. I had so much anxiety and panic from my PCP, he would prescribe me 120 oc #5's on lets say the 5th of the month, with 31 days in the month and then book my next appointment on the 12th of the next month...which means, at 4 per day, I was continually running out for days before my next visit. This wonderful PM Doc. actually counts the days in each month, and literally does his math on it, I was in WD every month with that PCP, he's an idiot! He is doing the damn same thing to my 73 yr old mother, get this: he has her on perc 15's 4 x per day (she has debilitating arthritis that is so bad, it's in all her joints and is deformed from it) He scheduled her on the 17th of last month and gave her 120 pills, her next appointment is on the 27th, which means she has to go 11 days or so without any. Don't they teach you math in medical school? I'm so happy I found this website! I now have to go for surgery on the 24th of January to have my hardware removed in my mid-foot, get this: my dingbell PCP was trying to "wean" me off the oxy's...um, I have excruciating pain in my foot and going to have surgery, so....why the hell is he trying to wean me off pain meds? My PM Doc. said it makes no sense at all and gave me a script right away. I'm really happy with his bedside manner, he actually sits and listens attentively to what I have to say. I'm truly happy with him and his staff, he has a wonderful caring personality and I wouldn't have known what to do if I hadn't stumbled upon this website. Thank you all so very very much. May you all be blessed with a great holiday season! I'm a happy camper now thanks to you all! :)
 
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