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My GI called me Wed and said that he is going to review all my x-ray films to

decide which surgeon he is going to refer me to to have the head of my pancreas

removed. Last Nov he said I was not at that stage of disease now since my last

admission last week that is going to be the best option for me to control the

panc attacks. My pain specialist just called me today because I have had more

pain after being d/c from hospital that I was taking the max of my lortab

allowed per day. He is putting me on oxycodone for bt pain. Said it is more

effective. The only thing I don't like is he wants me to bring to him the

lortab I have left in exchange for the new script and they will destroy the rest

of the lortab I have left. I don't have money to just throw away so I may just

wait until Monday to pick up the new script. Has anyone else's pain doc done

this. How do I know that they destroy it. What's the point of taking it back?

Sincerly,

Patty Duley,

Office Coordinator

L. Doering, MD

Louisville Oncology

3991 Dutchmans Lane, Suite 405

Louisville, KY 40207

(502)899-3366 ext. 142

.jensen@...

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Hi Patty,

I am sorry about the news that you may have to undergo surgery.

But I hope that this will be very effective in relieving your pain and

the attacks. Surgery is a scary thing but if all goes well, it can

also give you back your life. Just be kind to yourself while

recovering and don't hurry back to work. That is one of my

biggest mistakes that I did after my worst surgery....hurrying back

to work....and I can't help but think that this is the reason I am

sick still today, five years later. But it is hard to know for sure but I

do know that abdominal surgery is one of the roughest on both

your physical and mental health and you need to give yourself

permission to use the maximum amount of sick time that you

can have. Trust me, you won't regret it.

As far as your meds are concerned: the only thing I can think of is

that they want to destroy them in the clinic so they can document

that you only have what they prescribe now on hand. I am

thinking that pain clinics are feeling the effects of the increased

policing of the DEA in regards to this issue and destroying

previous scripts may be a new policy that is instituted to meet

these DEA guidelines. I am feeling those effects myself as my

pain clinic for the first time, made me sign a drug contract with

them this Wednesday which had some pretty harsh " clauses "

that were more rigid than what I have seen on previously

published contracts. Truthfully, I am having some mental

" issues " with these type of contracts - not that I intend to violate

them in anyway as far as doctor shopping, purchasing

non-prescribed meds, etc. - but that we are singled out and

" blackmailed " with our drugs. It is pretty evident that they can

take the prescriptions away from us at anytime for any reason -

the drug contract only states what conditions we as a patient

must meet, not what the responsibilities of the doctor and clinic

are. I find that quite humiliating and emotionally depressing. To

know that my quality and quantity of life is at the whim of a

" benevolent " doctor - a stranger who has no vested interest in

seeing me whole. I am also having problems reconciling this

requirement to receiving medication when I compare it to other

illnesses with long term medical management: that is, are

asthma sufferer's, cardiac risk patients, and epileptics required

to sign a contract in order to get meds? Are they told that if they

lose meds or they get stolen that they must do without for a

month? and that if they get sick in the meantime, " so-sorry, so

sad? " . I also see it as one more example of why I personally, do

not deserve health care, that there is something lacking in my

personality that proclaims loud and clear to doctors that " this

woman should be ignored and discouraged from getting

treatment, so let's put one more hoop into the health care maze

and maybe she will just go away and leave us alone " . Not that I

do not realize that almost everyone on long term pain meds

must sign this...it is just that we as a group are still being

stigmatized...and by the specialists that are suppose to be our

advocates. I have to say, my relationship with my pain doctor has

been cast under a dark cloud because of this. Oh well, off on a

tangent again.........Sorry

Laurie

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