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pain meds
#1
Just wondering if this has happened to anyone else and any ideas what to do next. I'm form NY and I have been seeing a Physiatrist (every 3 months) for about 4 years who pretty much just oversees everything in my case. He also prescribes my pain meds. 3 weeks ago I went in for the spinal cord stimulator trial and the doctor who did the trial suggested for me to stop taking the percocet so they have a baseline to work off from. They removed the trial on a Tuesday and the way it worked out I needed my scripts filled on Wednesday. When I went in to pick up my scripts they told me they had started a narcotics contract that I had to sign and also take a drug screening test. I just had my 3 month appointment last week and they told me that tested positive for my tramadol but there was no percocet in my system. I explained to them why it wasn't in my system and they told me they didn't care why but they would no longer write me scripts but would continue to see as a patient. I am not abusing or selling my narcotics, I need them everyday to deal with pain. I called the stimulator doctor to let them know what happened but have not heard back yet. What should I do now? Go to my primary doctor ? No matter what it's gonna look like I'm doctor shopping for meds. sorry so long, thank you
 
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#2
contact the carrier and advise them that your treating doctor no longer wants to provide care and give them the name of a new doctor or ask them to provide another.
followup your request in writing.
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
THANKS FOR POSTING.
 
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#3
(04-27-2015, 11:22 AM)1171 Wrote: contact the carrier and advise them that your treating doctor no longer wants to provide care and give them the name of a new doctor or ask them to provide another.
followup your request in writing.

I forgot to mention that I do have a lawyer and I did let them know what happened. I have not heard back from them as of yet. I wasn't sure if they could do anything or not. Hopefully the carrier won't find a doctor for me 100 miles away just to make it difficult to pick up my scripts monthly. Should I contact the carrier or let the lawyer take care of it for me ? Also can my doctor release the drug screening results to the carrier ? I'm afraid if they do the carrier could fight my need for pain meds. Thanks 1171 or anyone else who replies for your help
 
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#4
many carriers won't deal directly with a represented worker; i don't know your carrier's policy.
yes, any medical information that affects your comp benefits has to be shared.
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
THANKS FOR POSTING.
 
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#5
NY here too.... Only pain med I take is Tizanadine for my back muscles that are trying to compensate for my lower back injury. I too was given that paper to sign from the nurse and she told me they can request the urine test at any time. My PM doctor said I didn't need it cause he has a list of meds I have tried, didn't work and brought back to them to be destroyed. I also was told to be off any and all pain meds 1 week before my SCS trial on May 27th.

I would try and keep calling to talk to the doctor that takes care of your scripts. All that should be in your file and anyone can there can see it. Also, check to see if you are at your limit on the scripts. I was told they can only write out so many in a year before they have to stop with this new contract on certain drugs. My dentist gave me a script for Tylenol with Cod. and they had to check the system to make sure when I had it last.... they are under the same contract too with certain drugs... just not the urine test..
 
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#6
As others have said, call your Physiatrist and explain whats going on.. I was in the exact same position, injured in 2007 and had my Physiatrist taking care of meds until around 2012.. When you go to a pain clinic here they try to pull the sych eval before they will even try to treat you. My Physiatrist dr never signed off from being my main treating dr so Ididnt let them getaway with taking over my med control. It is so very important to find a dr who understands your body and treats you good and not like a criminal..
.
 
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#7
I wonder if this is just some office person telling you this, without the doctor being told what actually happened.

I do want to mention that a lot of those contracts state not to stop any medications without the consent of the doctor. This can be dangerous with some medications due to withdrawals. For those reading this lease notify in advance the doctor you signed a medication contract with not only adding a medication from another doctor, but also any time you stop your medication.

Hopefully your attorney has given you some guidance. The doctor who asked you to stop the medication should have documented it in your chart. Maybe getting a copy of this and giving it to your prescribing doctor with a letter explaining why you stopped the medications may help. Again, I would not recommend doing anything without talking to your attorney first. It sounds like this doctor will still see you, perhaps you can straighten this out with him in person at your next appointment.

I am not an attorney.Anything I write should not be considered legal advice.I am writing from my own personal experiences,which is not from any sort of legal background. You should consult with an attorney over legal issues. In California, if you cannot get an attorney you can consult with an I&A officer.
 
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#8
I've never heard of stopping your pain meds before a trial stimulator. And I've had 7 spinal cord surgeries that are all related to my SCS.

I just another one a few months ago, to move the leads up in the spine. Never stopped taking my meds.

I can't tell you what the rules are in your state, I can only tell you what I've been through.

Also, in CA. the stimulator must provide a minimum of 70% relief, or it will be deemed unsuccessful, and more than likely denied by the ins. comp.
 
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#9
Just to give an update: I went to see my primary doctor and back to see my pain managment doctor who also did the trial stimulator. Neither doctor was surprised that I was denied after a failed positive urine test for one of meds. Both said that with all the regulations that go along with presribing narcotics most doctors when they find out your seeing a pain managment specialist will push you to get your scripts from them. So my pain managment doctor is now presribing my meds with no problems. Thanks for all the replies and help...
 
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