who prescribes pain meds

October 23, 2005

Hi all,

I have not posted for a few weeks as I have been battling an acute attack of

pancreatitis for about 3 weeks now!!!!!!!!! Trying to stay out of the hospital.

My Internist has been treating me for all my medical conditions for about 3 1/2

years now. He only has 4 patients that he prescribes narcotics for, myself

being one of them. A few weeks ago, he said that he received some new

literature that the DEA is cracking down on docs who keep prescribing narcotics

for patients who aren't seen on a " regular basis. " I see him every 4 weeks. I

have NEVER missed an appointment and I have NEVER asked him for my pain

medication even 1 day earlier than when I am supposed to get it. He said that

he would continue to treat me, but that I should see a pain doctor who can do

the documentation and prescribe my narcotics. I have seen pain doctors in the

past and they all agree that CP is treated with narcotics and they tell my

Internist that what he is doing is " correct. " The pain docs that I have seen

have chosen NOT to prescribe narcotics AT ALL. They treat pain with therapy,

massage, etc., etc. My Internist is best friends with my GI doc and they play

tennis once a week and they always discuss my case and agree on what is being

done for me.

Therefore, my question is: who do you all get your narcotics from? Your pain

docs, GI docs, or Internist? None of the pain docs that are on my Insurance

prescribe narcotics.

Also, I am awaiting a trial before a Law Judge and I have been trying to obtain

any and all of my medical records from everyone I have ever seen. I did obtain

my records from a doc that I saw in my teenage years and he does document

" stomach problems. " They mention, IBS, gastritis, nerve stomach, etc. Do you

think that these chart notes will help my case? Also, I finally had blood drawn

this week to be tested for Hereditary Pancreatitis. It was sent to the Mayo

Clinic and I don't know how long it will take to get those results back.

I would greatly appreciate any information about these things.

My thoughts and prayers are will you all!!!!!!

T. (Ohio)

October 23, 2005

,

I go to clinic right now-a " regular " doctor and he doesn't have

problem giving me narcotics.He will only give me Lortab 10/500,which works

pretty well.I asked him about some Demerol for breakthrough pain - which a

doctor in Ct. where I used to live prescribed me.He told me in order to get

something stronger,I would need to see a pain clinic-which,incidently,I have

referrals to,but cannot afford to.I also take Flexeril 10mg(muscle relaxer)

for back problems but I think it works well with the Lortab-somehow.My doc

agress with me and said it is relaxing stomach muscles too. - hmmmm.

Pete

>From: nancy@...

>Reply-To: pancreatitis

>To: <pancreatitis >

>Subject: who prescribes pain meds

>Date: Sun, 23 Oct 2005 16:13:54 -0400

>

>Hi all,

>

>I have not posted for a few weeks as I have been battling an acute attack

>of pancreatitis for about 3 weeks now!!!!!!!!! Trying to stay out of the

>hospital.

>

>My Internist has been treating me for all my medical conditions for about 3

>1/2 years now. He only has 4 patients that he prescribes narcotics for,

>myself being one of them. A few weeks ago, he said that he received some

>new literature that the DEA is cracking down on docs who keep prescribing

>narcotics for patients who aren't seen on a " regular basis. " I see him

>every 4 weeks. I have NEVER missed an appointment and I have NEVER asked

>him for my pain medication even 1 day earlier than when I am supposed to

>get it. He said that he would continue to treat me, but that I should see

>a pain doctor who can do the documentation and prescribe my narcotics. I

>have seen pain doctors in the past and they all agree that CP is treated

>with narcotics and they tell my Internist that what he is doing is

> " correct. " The pain docs that I have seen have chosen NOT to prescribe

>narcotics AT ALL. They treat pain with therapy, massage, etc., etc. My

>Internist is best friends with my GI doc and they play tennis once a week

>and they always discuss my case and agree on what is being done for me.

>

>Therefore, my question is: who do you all get your narcotics from? Your

>pain docs, GI docs, or Internist? None of the pain docs that are on my

>Insurance prescribe narcotics.

>

>Also, I am awaiting a trial before a Law Judge and I have been trying to

>obtain any and all of my medical records from everyone I have ever seen. I

>did obtain my records from a doc that I saw in my teenage years and he does

>document " stomach problems. " They mention, IBS, gastritis, nerve stomach,

>etc. Do you think that these chart notes will help my case? Also, I

>finally had blood drawn this week to be tested for Hereditary Pancreatitis.

> It was sent to the Mayo Clinic and I don't know how long it will take to

>get those results back.

>

>I would greatly appreciate any information about these things.

>

>My thoughts and prayers are will you all!!!!!!

>

> T. (Ohio)

>

October 23, 2005

I have my PCP that control's my pain meds. I had asked him a month or

so ago if I could go see a pain doc so that way he wouldn't have to

worry about having to prescribe me narc's every month. He told me

that the only thing the pain doc's do here is give steroids and he

didn's want me to start that. I think that he didn't want me to get

addicted like I was about 7-8 yrs ago. I was taking 300ml of morphine

every three hours. My fiancee was the only thing that saved me and I

had just started seeing my PCP for the first few times. I do also

have a gastro doc but mainly my PCP works with my pain issues....

October 24, 2005

Hi ,

My pain doc has been prescribing my pain meds for a little over two years now.

At my last

visit though, she mentioned that the policy in the pain clinic is changing to

sending stable

pain patients to a PCP in the future for all narcotic prescriptions.

Personally I am not in favor of this as my pain doc is the only one I have now

and the only

doctor that I trust and has treated me with any kind of compassion and respect.

I am hoping that I can be the exception to their new rule......

laurie

My personal opinion concerning your earlier files that mention IBS, etc is that

these

diagnoses will hurt you. However, I have never put my case to any legat

scrutiny, so I could

be giving you very bad advice. I am just basing it on my personal beliefs on how

the

medical field views a diagnosis of IBS (most think it is a purely self-induced,

malingerer's

" disease " ).

October 24, 2005

Hi all,

I just recently moved and we found out that going from one state to the other

and needing narcotic drugs is a very tricky thing to do. In Alabama my PCP took

care of the pain management and all of the Dr's I went to agreed he should do

this because he saw me the most. But in Nevada only a Pain Clinic Dr can do this

and everyone else is very scared of prescribing any narcotics. I have found a

pain Dr. that I am getting comfortable with but changing Dr's is very

frustrating at this point in my illness. But because of finances and insurance

my husband had to change jobs to keep me in health care. The pain Dr here after

she saw me the first time explained to me the things they look for in a person

that is trying to get the drugs to sell or who is addicted with no disease. It

has to be hard for the Dr's with all of the scams out there. But unfortunatly

they hurt those of us who are truly ill.

Robin

nancy@... wrote: