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#636591 - 01/23/08 05:08 PM PCP Just Dropped Me
Tiades Offline
Board Addict


Registered: 09/14/07
Posts: 391
Loc: West Coaster
And I'm not sure why. I was told by the office that a letter was sent out yesterday 'releasing' me as a patient. I have fallen into such despair. Now I have to find a new Dr for myself and my infant son. Plus what happens to the meds she Rx'd me, will I still be able to refill them? I just don't know what to do!
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Only those not paddling have time to rock the boat.

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#636782 - 01/24/08 12:22 AM Re: PCP Just Dropped Me [Re: Tiades]
JokerOwling Offline
Pooh-Bah


Registered: 07/14/07
Posts: 1214
Loc: here at the moment
I've never heard of anyone being 'dropped' as a patient in Australia.I suppose it happens though.
It's strange they never gave you a reason.It may be for the better,you might find a more caring dr.I hope you do anyway.
I have to find a new dr too,it can be such a hassle to go through everything from scratch AGAIN.My dr's usually leave or die.
_________________________
"A magnesium deficiency may be responsible for more diseases than any other nutrient."-Dr.Norman Shealy,Neurosurgeon&Chronic Pain expert.

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#636918 - 01/24/08 08:28 AM Re: PCP Just Dropped Me [Re: JokerOwling]
Tiades Offline
Board Addict


Registered: 09/14/07
Posts: 391
Loc: West Coaster
I'll get a reason in the mail. I hope she's just leaving or maybe we're behind on the bill. I dunno. I hope to get the letter today. I agree, I need a better Dr anyway!
_________________________
Only those not paddling have time to rock the boat.

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#636940 - 01/24/08 09:16 AM Re: PCP Just Dropped Me [Re: Tiades]
shmoopy Offline
Banned. Another ID of Shestheone, flaminghead,, test321, kryp
Member


Registered: 01/08/08
Posts: 188
I too have never heard of such a thing. I hope you keep us informed as to why this is happening. Perhaps, you can get a referal to a new Doctor from the old.
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#637172 - 01/24/08 04:18 PM Re: PCP Just Dropped Me [Re: shmoopy]
Tiades Offline
Board Addict


Registered: 09/14/07
Posts: 391
Loc: West Coaster
I was accused of being a drug seeker. Basically I kept saying that the Ultram 300mg ER's weren't enough for my pain. So my Doc informed me that she was no longer able to provide services to me or my son. No referal to a pain clinic, nothin'.

However! A great discovery was that a national FM support/ research association is located in my town! I talked to someone there and they reassured me that this was quite common. They emailed me a list of good local Dr's as well as specialists.

I posted this elsewhere and got a lot of accusations thrown at me. I appreciate that you guys didn't do that.
_________________________
Only those not paddling have time to rock the boat.

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#637322 - 01/24/08 07:14 PM Re: PCP Just Dropped Me [Re: Tiades]
mmyp Offline

GRAND Pooh-Bah


Registered: 02/20/06
Posts: 1700
If I may suggest to get a copy of all the records for yourself. Do not let your old doc send to new pcp unless you know exactly what they are sending. You will be surprised at whats in your records. I always ask for them and find amazing stuff. Stuff they said I had and we never talked about. Stuff they thought was just being"whiney" etc. I still haven't found the magical doctor for me yet. I will be looking in the next few months as my old pcp quite seeing patients and went to work for the VA.( No private practice) I went to one doctor who treated me like a piece of ;;;; I have never been treated like that before. the only difference is that I wrote down I take ..... on a daily basis plus usual meds. Even with the pill bottle from my retired pcp who saw me a few months before as evidence. People wonder why CP patients go to the internet for help! if there was a sarcasm smiley I'd put it here. Good luck. I think you are better off without that old doc. Better to know now than when you really need her later.

Edited by mmyp (01/24/08 07:15 PM)
_________________________

Your village called... they want their idiot back !

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#637578 - 01/25/08 11:17 AM Re: PCP Just Dropped Me [Re: Tiades]
nico Offline
Banned. Very offensive and rude posts
GRAND Pooh-Bah


Registered: 09/20/05
Posts: 3165
Loc: TURN THE [censored] AROUND
 Originally Posted By: Tiades
I was accused of being a drug seeker. Basically I kept saying that the Ultram 300mg ER's weren't enough for my pain. So my Doc informed me that she was no longer able to provide services to me or my son. No referal to a pain clinic, nothin'.

However! A great discovery was that a national FM support/ research association is located in my town! I talked to someone there and they reassured me that this was quite common. They emailed me a list of good local Dr's as well as specialists.

I posted this elsewhere and got a lot of accusations thrown at me. I appreciate that you guys didn't do that.
Imagine, expecting medicine from a doctor!!! The nerve
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#637584 - 01/25/08 11:21 AM Re: PCP Just Dropped Me [Re: nico]
shmoopy Offline
Banned. Another ID of Shestheone, flaminghead,, test321, kryp
Member


Registered: 01/08/08
Posts: 188
300mg of Ultram ER isn't really a red flaf alert in my opinion. I don't think it's an opiate or anything like that. It can be habit forming, but so can eating a sugar cube. I don't see any logic in this at all, no reasonable person would take such a severe action against their own patient.

Is there any little bit of information that may be helpful, such as past history of a certain problem. Have you asked the Doctor for opiates?

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#637589 - 01/25/08 11:26 AM Re: PCP Just Dropped Me [Re: shmoopy]
Jamo Offline
GRAND Pooh-Bah


Registered: 12/08/05
Posts: 1815
Loc: new england
I do believe that Tramadol is an opiate as mild as it is i do beleive its an opiate.
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#637601 - 01/25/08 11:36 AM Re: PCP Just Dropped Me [Re: Jamo]
shmoopy Offline
Banned. Another ID of Shestheone, flaminghead,, test321, kryp
Member


Registered: 01/08/08
Posts: 188
Tramadol is a narcotic-like pain reliever. I'm pretty sure there isn't any Narcotics of any sort or any amount in the pill.

For me, Tramadol does absolutely nothing. Tylenol does a much better job for me. Isn't that weird?

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#637608 - 01/25/08 11:45 AM Re: PCP Just Dropped Me [Re: shmoopy]
jimborg Offline
Stranger


Registered: 10/03/07
Posts: 14
Opioids are synthetic opiates, and Tramadol is an opioid. Opioids *are* narcotics. It doesn't cause nearly as much saturation of mu-opiate receptors as other narcotics, but it is still a narcotic.

Studies have shown it to be about as effective as Tylenol #3 as far as pain relief, but it has less potential for euphoria. It's a little higher on the ladder than propoxyphene (Darvon).

If they have accused you of being a drug-seeker, best to move on and forget about him. I had the same thing happen to me when I asked for a refill of lortab from my GI doctor. Six months later when I was admitted to the hospital with three abscesses, they asked who my GI doc was. I named his practice. They called to have someone come over and look at me, and they actually said, "Sorry, he has been discharged from our *practice*."

So I understand exactly how you're feeling. It sucks. It sucks even more knowing that I had these abscesses developing for 6 months and he wouldn't take my repeated complaints of pain seriously...

Find a more compassionate doctor who can help you and your son better! And most of all, don't dwell on it because it will only make you feel embarrassed and depressed. These things happen all the time; you probably aren't the first he's dumped and you definitely won't be the last.

Sorry you're having to deal with this!

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#637611 - 01/25/08 11:50 AM Re: PCP Just Dropped Me [Re: jimborg]
jimborg Offline
Stranger


Registered: 10/03/07
Posts: 14
Just want to add that I believe there are very few reasons that justify being discharged from a practice. Most doctors who have good people skills can work with a patient unless they are very disruptive, violent or something.

It's their job not only to deal with managing your pain, but also to deal with the possibility that you might have other problems. If this doctor really believed that you were "drug-seeking," it's really his responsibility to treat that as a medical problem. Not saying that you are an addict or drug-seeking, but if he believed you were, he should've tried to help from that angle (i.e., sat down with you and explained why he thought you might have a problem).

Unfortunately many doctors can't handle a tough but non-judgmental discussion like that and would rather ditch you.

Again, not saying that you're an addict. Just saying that it is unconscionable to label someone with that and then leave them without help.

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#637621 - 01/25/08 12:06 PM Re: PCP Just Dropped Me [Re: shmoopy]
Jamo Offline
GRAND Pooh-Bah


Registered: 12/08/05
Posts: 1815
Loc: new england
shmoopy, no its not weird!! Everybody is different. Like me the Tramadol work better then a lot of things for me. I actually got more releif from 2 Tramadol then one 5mg oxycodone. Tylenol does absolutely nothing for me if i need something on top of my pain meds i usually take ibuprophen, when i have a major flare up i take the Tramadol if i have any. So you see everyone is different, their bodies , their diets etc... this all works together in what will and will not work. Its a process of elimination i guess, find what works best for you and stay there.
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#637625 - 01/25/08 12:11 PM Re: PCP Just Dropped Me [Re: Jamo]
Jamo Offline
GRAND Pooh-Bah


Registered: 12/08/05
Posts: 1815
Loc: new england
I flipped out on my dr's office one day. I was in so much pain and waiting for over an hour in his waiting room and one of the girls mentioned somethig to me about a past balance or something. I lost it and said i have to wait over an hour , cant get you to listen to a word i say etc... F U , F this and that etc..... They did not like that but had they put themselves in my shoes they probably would have done the same. Unfortunately they are the type of people who care about no one but themselves. Anyway he had a leeter in my file ready to realease me as a patient but at my next appt i apologized, even though i was right with what i said, I went about it the wrong way. So i apologised to him and his staff and he said good thing you did that and waves an evelope at me. I was like whats that? Its a letter realeasing you as a patient i shrugged it off and stayed there for another couple years like a jack asss. Fianlly i found a good dr and she listens to everything i tell her and has me on track to getting back to work full time again. WHOA! Sorry for flapping so long all.
peace,
jamo

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#637657 - 01/25/08 01:14 PM Re: PCP Just Dropped Me [Re: Jamo]
mmyp Offline

GRAND Pooh-Bah


Registered: 02/20/06
Posts: 1700
No need to apologize for sharing your story. It benefits all when we share our experiences. We can learn from others mistakes as well as their successes. Especially yours Jamo!
_________________________

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#637755 - 01/25/08 03:28 PM Re: PCP Just Dropped Me [Re: shmoopy]
Tiades Offline
Board Addict


Registered: 09/14/07
Posts: 391
Loc: West Coaster
 Originally Posted By: shmoopy
300mg of Ultram ER isn't really a red flaf alert in my opinion. I don't think it's an opiate or anything like that. It can be habit forming, but so can eating a sugar cube. I don't see any logic in this at all, no reasonable person would take such a severe action against their own patient.

Is there any little bit of information that may be helpful, such as past history of a certain problem. Have you asked the Doctor for opiates?


The problem was I kept telling her that the Ultram wasn't effective enough. I needed something stronger. She'd give me hydro 5/500's 20 to last 3 months which wasn't enough. Guess she got tired of me complaining and asking for stronger/more effective meds. Thus I was labeled a drug seeker. She had another patient that had FM for over 10 years and Ultram worked great for her. This is what my Dr told me, but it didn't work enough for me. I have FM, MPS, and some disc issues in my neck! I hope that clears up any confusion. It was a small town Dr, with small town ideas. At least now I'll go see a specialist once I get a new PCP! So annoying!
_________________________
Only those not paddling have time to rock the boat.

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#637928 - 01/25/08 08:02 PM Re: PCP Just Dropped Me [Re: Tiades]
jimborg Offline
Stranger


Registered: 10/03/07
Posts: 14
Many PM docs have special training on diagnosing and treating FM. I know where I live they like to treat that with Lyrica (like Neurontin, which may or may not help). But the pain management docs are much better informed about FM than primary care docs in general...
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#637995 - 01/26/08 12:14 AM Re: PCP Just Dropped Me [Re: jimborg]
Tiades Offline
Board Addict


Registered: 09/14/07
Posts: 391
Loc: West Coaster
 Originally Posted By: jimborg
Many PM docs have special training on diagnosing and treating FM. I know where I live they like to treat that with Lyrica (like Neurontin, which may or may not help). But the pain management docs are much better informed about FM than primary care docs in general...


Amen to that! I'm considering a Rheumatologist too!
_________________________
Only those not paddling have time to rock the boat.

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#638464 - 01/27/08 12:22 AM Re: PCP Just Dropped Me [Re: Tiades]
JokerOwling Offline
Pooh-Bah


Registered: 07/14/07
Posts: 1214
Loc: here at the moment
I think we people who suffer from FM(and some other problems) know far more about it then any dr I've ever heard of or seen.
We need to start an international FM action group and get these dr's(and governments)informed.As far as I can see,you
are nowhere near a 'drug seeker' Tiades.The stigma attached to seeking medications for FM is worse then I've ever experienced when I've needed meds for other problems.My last dr didnt even want me to be diagnosed because he said "there is no treatment or cure,so why bother".Another dr a few years ago gave me 60mg MScontin for tooth ache,so who knows what they think.(he actually upped it to 100mg for a while).

Tiades,I only just seen your PM and I've replied if you can access it.
_________________________
"A magnesium deficiency may be responsible for more diseases than any other nutrient."-Dr.Norman Shealy,Neurosurgeon&Chronic Pain expert.

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#638467 - 01/27/08 12:27 AM Re: PCP Just Dropped Me [Re: Jamo]
JokerOwling Offline
Pooh-Bah


Registered: 07/14/07
Posts: 1214
Loc: here at the moment
 Originally Posted By: Jamo
I flipped out on my dr's office one day. I was in so much pain and waiting for over an hour in his waiting room and one of the girls mentioned somethig to me about a past balance or something. I lost it and said i have to wait over an hour , cant get you to listen to a word i say etc... F U , F this and that etc..... They did not like that but had they put themselves in my shoes they probably would have done the same. Unfortunately they are the type of people who care about no one but themselves. Anyway he had a leeter in my file ready to realease me as a patient but at my next appt i apologized, even though i was right with what i said, I went about it the wrong way. So i apologised to him and his staff and he said good thing you did that and waves an evelope at me. I was like whats that? Its a letter realeasing you as a patient i shrugged it off and stayed there for another couple years like a jack asss. Fianlly i found a good dr and she listens to everything i tell her and has me on track to getting back to work full time again. WHOA! Sorry for flapping so long all.
peace,
jamo

If you want to freak a dr out,tell them you are using a voice recorder to record the visit.This will show you whos who when it comes to dr's.A good dr wont care one bit.A bad dr will DEMAND you turn it off,or simply ask you to leave.
Note:Voice recordings stand up in court.
_________________________
"A magnesium deficiency may be responsible for more diseases than any other nutrient."-Dr.Norman Shealy,Neurosurgeon&Chronic Pain expert.

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#638473 - 01/27/08 12:38 AM Re: PCP Just Dropped Me [Re: JokerOwling]
scruf Offline
GRAND Pooh-Bah


Registered: 03/21/05
Posts: 2565
Loc: pacific nw
I would think any doctor, good or bad, would demand that you turn it off or ask you to leave. if you have some reason to record your doctor visit, at least do it secretly.
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#638479 - 01/27/08 12:47 AM Re: PCP Just Dropped Me [Re: JokerOwling]
ohsoannoyed Offline
Member


Registered: 04/02/07
Posts: 198
Loc: lala land
Tiades, maybe it is a blessing in disguise. Believe me I know how hard it is to find a dr willing to treat with pain meds (opiates). Ask around. You will be surprised how a many referrals you will get. I have gotten them in very unexpected places. I have Lupus and found a great Rheumatologist and a PCP, both female BTW. I think women drs (in most cases obviously not this one you were seeing) understand womens pain issues better.

Both of the drs I found have no problems prescribing under legitimate circumstances. Unfortunately for me I have no insurance and can not afford to see them on a regular basis. I see the Rheumy every 6-12 months (depending how my Lupus is behaving) and it is $300 which I have to pay at the visit plus lab work (at leat $700) and the PCP $185 per visit. I could not afford to see the Rheumy every time I needed meds. (that is the one thing for controlled substance she will not write a refill you have to see her each time and for the PCP same thing applies plus no evening office hrs and I can't take off work. So here I am.

I think you should try a Rheumatologist but ask around and get agood feel for their reputation. Good luck!

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#638583 - 01/27/08 09:27 AM Re: PCP Just Dropped Me [Re: ohsoannoyed]
Tiades Offline
Board Addict


Registered: 09/14/07
Posts: 391
Loc: West Coaster
 Originally Posted By: ohsoannoyed
Tiades, maybe it is a blessing in disguise. Believe me I know how hard it is to find a dr willing to treat with pain meds (opiates). Ask around. You will be surprised how a many referrals you will get. I have gotten them in very unexpected places. I have Lupus and found a great Rheumatologist and a PCP, both female BTW. I think women drs (in most cases obviously not this one you were seeing) understand womens pain issues better.

Both of the drs I found have no problems prescribing under legitimate circumstances. Unfortunately for me I have no insurance and can not afford to see them on a regular basis. I see the Rheumy every 6-12 months (depending how my Lupus is behaving) and it is $300 which I have to pay at the visit plus lab work (at leat $700) and the PCP $185 per visit. I could not afford to see the Rheumy every time I needed meds. (that is the one thing for controlled substance she will not write a refill you have to see her each time and for the PCP same thing applies plus no evening office hrs and I can't take off work. So here I am.

I think you should try a Rheumatologist but ask around and get agood feel for their reputation. Good luck!
 Originally Posted By: ohsoannoyed
Tiades, maybe it is a blessing in disguise. Believe me I know how hard it is to find a dr willing to treat with pain meds (opiates). Ask around. You will be surprised how a many referrals you will get. I have gotten them in very unexpected places. I have Lupus and found a great Rheumatologist and a PCP, both female BTW. I think women drs (in most cases obviously not this one you were seeing) understand womens pain issues better.

Both of the drs I found have no problems prescribing under legitimate circumstances. Unfortunately for me I have no insurance and can not afford to see them on a regular basis. I see the Rheumy every 6-12 months (depending how my Lupus is behaving) and it is $300 which I have to pay at the visit plus lab work (at leat $700) and the PCP $185 per visit. I could not afford to see the Rheumy every time I needed meds. (that is the one thing for controlled substance she will not write a refill you have to see her each time and for the PCP same thing applies plus no evening office hrs and I can't take off work. So here I am.

I think you should try a Rheumatologist but ask around and get agood feel for their reputation. Good luck!


You are so right! I have seen it now as a blessing rather than a curse. I will be able (hopefully) to get my son into a pediatrics group that's nearby, instead of the 20 minute drive to another town (that goes for me too). And, I'll be able, and have actually gotten references form the National FM advocacy group. They were such a big help. I was talking to a close friend last night and found out they'd gone through something similiar. Except their daughter had type 1 diabetes and the mom had done her research and came to the appointments armed with information that the Dr didn't know about, etc. So they were formally dismissed and the reason the Dr gave was that he was no longer able to provide her the help she needed. It was over his head. Can you believe that! Type I diabetes in a child can KILL!

Somethings wrong here in Oregon!
_________________________
Only those not paddling have time to rock the boat.

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#638952 - 01/27/08 09:21 PM Re: PCP Just Dropped Me [Re: Tiades]
Biz Offline
Newbie


Registered: 04/09/06
Posts: 33
I feel you'r pain, my mother also has FM. I feel so bad for her.
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#638999 - 01/28/08 12:24 AM Re: PCP Just Dropped Me [Re: JokerOwling]
bdit Offline
Threadhead


Registered: 02/23/07
Posts: 974
Loc: Mid South
 Originally Posted By: JokerOwling
If you want to freak a dr out,tell them you are using a voice recorder to record the visit.This will show you whos who when it comes to dr's.A good dr wont care one bit.A bad dr will DEMAND you turn it off,or simply ask you to leave.
Note:Voice recordings stand up in court.


My son had to have a spinal tap several years ago, and the comedian in him wanted to videotape it. The neurologist allowed me to do so as long as I didn't tape him putting the needle in. He said he needed total concentration to do that, and that's understandable. But he let me tape the rest of it. We call it "This is Spinal Tap II."

The doctor could and probably should have emphatically said a big NO, but I guess he thought it was kinda cute that a 20 year old would want to do something like this. Of course, after changing doctors (this doctor misdiagnosed my son and mother), we found he never needed a spinal tap in the first place.

This brings up another point. For those of you who have had spinal taps, did you suffer headaches and have to go back for a blood patch? He had to do that, and the doctor said we had to go to the hospital for that. The hospital said it was considered surgery, so the insurance said we were responsible for $250 copay. We paid an office visit for the spinal tap, but then the hospital expected us to pay for the repair of the spinal tap.

To get back on topic, we dropped the neurologist. We found a better one who understands the neurological disorder that runs in our family. The old one will still sign my son's disabled placard renewal without a visit or charge, but I would never go back to that quack. My mom's brain MRI's had white spots, and he wanted to do brain surgery. He told her she had brain cancer and the only thing to do was a biopsy. She said she would rather die. So I took her to my neurologist, and he said it wasn't brain cancer. A dose of steroids made the spots go away, and cancer doesn't go away like that.

Doctors can drop us, but we can drop them just as easily. I would like to find a site where there is a forum to discuss local doctors and get others' opinions before going to them. Does anyone know of such a site?

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#640341 - 01/29/08 11:08 PM Re: PCP Just Dropped Me [Re: bdit]
JokerOwling Offline
Pooh-Bah


Registered: 07/14/07
Posts: 1214
Loc: here at the moment
One dr I seen a number of years ago actually asked me to come back in a day or two because he couldn't concentrate.The reason was because he had to do a spinal tap later that day,and as he said to me "its been freaking me out all day,its so easy to paralyse them if I stuff up".He then went on to say he wished another dr could do it for him.At least he was honest.

A website discussing drs would be great.But legal issues seem to scare people away from any legitimate type of forum or discussion.
_________________________
"A magnesium deficiency may be responsible for more diseases than any other nutrient."-Dr.Norman Shealy,Neurosurgeon&Chronic Pain expert.

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