SpineUniverse Community Advice
Get help and share your story with others who know what you're going through.
Please register or log in to join the discussions!

Pain Management Doc retailation

Started by jrsygrl109 on 12/22/2010 10:46am

Hi - has anyone every experience retailation from a pain management doc? I have a pain management doc from a reknown orthopedic institue in Philadelphia (I live in central new jersey and use a satelitte office). When I went in for my yearly check up and subsequently got a copy of his progress notes (which goes to SSA as my surgeon put me out on permanent disability after 4 surgical procedures (3 lumbar; 1 cervical) on my spine) and found that he documented a lot of tests that were NOT performed and contridicted other docs reports who actually did the tests. I attempted to correct this once but the doctor never called me back. So I called in for my rx pain prescription and I was told that he WAS NOT going to refill my prescription until I come into his office to talk about "my" issues with his report. Needless to say I was forced to abruptly stop my pain meds (15mg oxycodone 3 - 4 times a day) without the benefit of first tapering the dosage down. I kinda knew the routine as I needed to get off meds for my three surgeries but the dosage was not as high. What I didn't expect was that my panic disorder would be exacerbated and my depression has increased significantly (My psychiatrist is out of town for the holidays too) This occurred on December 17 and my appt with the doc is on Dec 30. I am seriously contemplating filing a complaint with the NJ div of consumer affairs through the attorney general's office because this is not the first blatant issue I've had with this doctor - any advise? Has anyone else experienced this type of issues with their pain management doctors?

Do you find this discussion helpful?
1

18 Responses

Like/Dislike
2

hey jrsygrl
I am sorry to see your delema. Sounds to me as though it is time to find a different pain doc. If you have been using oxy for any lenght of time, like a month or more at that dosage be watchfull of your reactions to the physical withdrawl from this stuff. I too use oxycontin 30mg 3x with 15mg oxycodone for breakthru pain. Not weaning you off can be life threating not to mention the ethics. I can't advise you as to legal action as my doc has never done that to me. Please be carefull to monitor yourself as far as breathing. Doing this to you could cause seizure or worse. Get to an ER and explain whats going on,bring any empty persription bottles and paperwork such as letters from this goon so you won't be judged a "drug seeker". Doing this could easily fuel a panic attack so seek help at the ER asap. Before it gets out of hand
Good Luck
Fred

Like/Dislike
2

Hey jrsygrl - I think Fred has some damn good advice there. Be looking for a new pain management Dr. and possibly a lawyer.

While my case is very different, I've had to go off pain meds twice while work comp denied me treatment. It was a case of the insurance company not wanting to pay for the surgery (I'm now scheduled for surgery in 6 weeks, having two c-spine discs removed and three vertebra fused) I was denied treatment of ANY kind, including seeing ANY doctor. I eventually did get a lawyer and won the case hands down. I'm now back on percocet, far more mild than oxy, but I'll reserve the need for more pain control as needed. The injury date was November 2009, so I've been dealing with this over a year now.
As much as I HATED to have to go to the ER, I finally did one night because I could not get any relief. I took all my paper work, gave them the surgeons name and number that I had previously been seen by, informed the ER doc that this was a work comp issue and that I needed pain control. The dr was kind as were the nurses. I was in and out in 45 minutes, with a shot and an rx to hold me over for a couple days.

Finding a PCP to treat me before the judge heard my case last month, was impossible, they simply did not want to get involved in a legal/work comp case, nor do they like to give out narcotics these days. Like I said, I ended up getting a lawyer, and won my case. You can always ask a lawyer to review things at no charge as a consultation.

Fred is also right about going off oxy cold turkey, it turns into morphone in the body, and it can cause alot of problems. So please seek a medical professional if the pain is too bad or if you feel you are having any problems.

Jenn

Like/Dislike
1

WOWE!!! EXCELLENT advice from BOTH Fred AND Jenn!!
I,too, was on Oxycontin- 80mg x 3, w/ Percocet 10, or Norco-2 every 3-4 hrs. for breakthru pain, PLUS 2 Fiorinal #3's. One for am., one for pm. If the Percocets didn't work, I had an rx that I got at the same time as the others of Lortab 10's. That's alot. It's warranted-but it's still alot. I had a falling out with my "best friend" (Note I use that lightly!!!! I had to stay w/ her for 5 weeks one winter as my pipes had frozen, and MUCH later discovered that she had been STEALING my meds, AND SELLING THEM!!!!!!! I felt SUCH a sense of BETRAYAL!!!! ) BUT-NOT as much as when I went to my reg. sched. appt. w/ my Dr., who refused to see me!!! It seems that "Robbin" had called his office, and told him, in retaliation for me confronting her(WHO WOULDN'T ask?!?), that I was selling my meds., and as my "best friend", she just couldn't BEAR thinking of anything bad happening top me.RIIIIIIIIIGHT. Although I told him the truth, my PARENTS told him, it wasn't worth the possible risk to his lic. to risk continuing to see me. HOWEVER- he REFUSED to refill ANY of my RX's!!!!! AS i was no longer a "Patient of Record".......as of 5 min. ago!!! Suggesting instead, that I find a new Dr. "FAST!!!!" I hAD 3 DAYS OF MEDICINE LEFT. I found a new Dr. by then, but HE ref., saying that he preferred that his Chronic Pain patients see a Pain Specialist. The FIRST appt. thaT i COULD GET WAS 2 MONTHS AWAY!!!!!!!! (sorry- I have swollen fingers and they KEEP hitting the caps lock!!! How annoying!!)! To make a really HAIRY, SCARY, LONG story shorter, I broke the oxys, YES- I DO know that you are not supposed to!! LOL! But-I took about 1/20-a chip, of them every 6 hrs. Same w/ the others. It was enough. I STILL cannot IMAGINE doing ANYTHING THAT cruel......to ANYBODY!!!!!! They were ALL very well aware of the danger!!!!! It is actually WORTH filing a Lawsuit- REPORT him to the BOARD!!!!!! AMA!!!!!!!! FAST!! It is, I BELIEVE, or so I'm TOLD- ILLEGAL-to get someone dependant on these drugs, and then just ABRUPTLY STOP!!!!! PLEASE!!!!!! It CAN BE FATAL!!!!! It is NOTHING to screw around with!!! DO NOT think that you are "TOUGH"!!!!!! Tough has NOTHING to do with this. God bless!!! XO, Becky

Like/Dislike
2

@ Becky .... damn!! I'm really sorry to hear you had to go through that ... I think that falls under the catagory of "lesions learned" ... To think a Dr office would take the word of anyone else besides the patient and make decisions regarding that patient is pretty amazing. I know Dr's all over are scared to death when it comes to scheduled narcotics. Unfortunatly, it often comes at the expense of an honest person needing pain control for a Real medical condition.

I had one back specialist I was having to go to because of workers comp, that simply said, "I don't write Rx's for any narcotics." I still don't know if he doesn't do it as a rule or if he insn't allowed to because he lost his DEA number. Regardless, the evidence was there that I had a serious injury and he didn't refer me to another Dr. or pain management Dr. So while I had him for 3 1/2 months, no pain medication. It astounds me to this day that I have seen Dr's that simply would rather cover their own butts over taking the patient into consideration.

Hope things are better for you!

Jenn

Like/Dislike
0

Yep!! Sad but true!! To top it off- I NEVER got to even TALK to HIM!! It was ALL done via Karen, his Office Mngr.!! He was my HERO- He was the one that diagnosed me and treated me for over 8 1/2 YEARS!!!! I thought that we were GOOD FRIENDS!! I could, and DID tell him ANYTHING!! PLUS- he KNEW that I NEVER asked for MORE, or EARLY- I ALWAYS had at LEAST 2 WEEKS worth left!! AND- he had the added benefit of all of those DRUG-SCREENS that I paid for every month!!! He admitted that I was the ONE patient that he trusted !!!! WHY, then did he DC me?!?!? I guess, according to Karen, if word EVER got out that I was selling, yeah RIIIIIIGHT!!!!- then HIS LIC. would be jerked and HE'D go to jail!!! Oh PLEASE!! It was a NIGHTMARE, and I STILL MOURN the man!! I HATE the new Rhem. Dr. that I see- and I am HORRIBLE about sched. appts.!! I don't think that he has heard a WORD that I have said in the almost 2 years that I have been FORCED to see him!!! Oh well- C'est La Vie,, I guess!! I am SO sorry that you went thru this, TOO!!!! Stay in touch, girl!! Good luck!! XO, :) Becky

Like/Dislike
0

Oh yes!! By the way- having been married twice- BOTH Doctors- but that's a whole OTHER discussion, LOL!!!- I KNOW that the VERY FIRST item in the the Hippocritic, sorry- that's HIPPOCRATIC Oath, (Freudian slip, huh?) is: "FIRST, DO NO HARM......."' maybe some of them just MISSED that one.....huh? XO, B.

Like/Dislike
1

I would report him to the state licensing board and file a complaint with medicare/medicaid for fraudulent billing practices. If he has been billing for tests and procedures that were not done, Medicare will go after him big time and you may end up getting a large reward if/when he is found guilty. If you are on Medicaid/medicare, you can sue on behalf of the federal government. If not, you can still notify them of the problem as I am sure if he is doing this to you, he is probably doing it to all his patients. http://www.federalfraud.com/content_medicaid.htm
I wish you well and hope you are now with a good pain management doctor.

Like/Dislike
1

It will just be waste of your time turning your doctor in to the med board or where ever. The Day After my lumbar fusion I was on less pain meds then presurgery!! My Surgeon hates pain meds. I had uncontroled pain for two days after my fusion. He just didn`t want me on a lot of pain meds. I asked after he said he wanted to see if I was fixed with surgery. I never hated anyone really in my live but I can say I hate My Surgeon for lack of meds after a real tough surgery. Better luck, Sam

Like/Dislike
0

Thanks to Sam and Flymom!! I actually DID report him to my ins. carrier. Turns out that his "Office Mngr.", who is ALSO his wife, wasn't commiting Ins. Fraud- she was just being UNETHICAL in NOT giving me my money back. (Or-rather- Dad's money!!!
I DO have a WONDERFUL Pain Mngmnt. Doc now, even IF he wouldn't increase my dosage!! LOL!! This week has been a little better, tho! Thanks again!!! :) XO, Becky

Like/Dislike
0

My sister is going thru the same thing,as far as pain meds.She had a great doctor for 10+years.the dr. left to go to another clinic out of state but assured my sister that her replacement would take care with pain meds as usual. The new Dr. immediately reduced meds and wouldn't refill others.sister has been on oxycontin 80 3x day,40mg 2xday, oxycodone 30s 4-6 dayly when needed for break thru pain. sounds like alot but after 10yrs she built up a tolerance. Gail [sister] was doing great on these meds,reduced pain,anxiety,depression and IMPROVED quality of life; started w/wheelchair then a walker,to a cane.She was only 43 then,had been to many specialists;same answersGOING TO GET WORSE W/AGE So learn to live w/ it !. Gail had had 4 spinal surgeries thrue her neck and back, physical therapy,etc. She has degenerite disk disease,extensive nerve damage,RA,etc. anyway,new dr. taking away all meds COLD TURKEY. I took her to the other clinic and it seems like he had told them not to give her any refills. Gail is now running out of meds and I don't know where to take her[emergency hospital gave her 10 vicoden]. ANY ONE have any advice for me here in Rhode Island ? I've been on the comp.non-stop trying to find her immediate help and I do not know how to dr. shop or want to. ANY HELP would be appreciated , RHODE ISLAND also has smallest list of DOCTORS. THANK YOU- DONNA L. [care taker] PS - IS THERE any way I can track her old doctor [to get advice] I tried but she is still listed on line at the previous clinic NO forwarding address. Tried web md physician finder no luck. Heard she went to a Veterans hospital in R. I. DR. EVA KLONOWSKI MD

Like/Dislike
1

Oh, WOW!!!! I am SO sorry!!! 10 VICODEN?!?!? Like- as in 5 (FIVE) mg. Hdrocodone?!? After she was on Oxy 80's? TID???? Oh dear GOD!! I would call the place she left from, explain that you MUST contact her, (the previous Dr. that HAD her on all of that) that it is regards to a prior patient of hers, (do NOT mention names unless absolutly neccessary!!!). They probably will NOT give you her number, BUT- WAIT!! They SHOULD be willing to contact her (the DR) themselves, and GIVE HER YOUR NAME AND NUMBER!!! EVEN if she has LEFT the STATE(and it IS tiny- my son in law went to Brown) she should STILL HAVE PRESCRIBING priveledges!! (sp-sorry!:) Explain only (to the clinic) that it is an EMERGENCY- that you MUST speak to her, ASAP. That YOU are not at liberty to discuss this patient with ANYBODY else-other than the prior Dr.
In the mean time- contact a Pain Dr. in Boston- there are plenty there. Explain the situation. It IS a hike, I know- BUT-it is better that a full blown w/drawl, w/ all of the repercussions, including the ones that can be FATAL. Turn her present PM doc into the Board!!! Remember the Hipocritic, excuse me, HipoCRATIC Oath-"FIRST, DO NO HARM"!!!!!! Good Luck, and GOD BLESS!! She sounds as if she has darned near what I do, and.....it sucks! XO, Becky

Like/Dislike
0

This sounds like it might be the right board for me to ask this question, and to also say that the dr. should be reported. I live in TX. and just found out last month that my Dr. is having legal problems and was sent to see another Dr. from the same group. I have been seeing the same Drs. for over 9 yrs now. I am on morphine, which the pharmacies in my area no longer carry, Roboxian 750mg, hydrocodone 10mg 4x's a day, xanax .05 (which is no longer working,lol), requip 4mg 1x day, amitriptylne 100mg 1x a day. and Lyrica 100mg 3x's a day. I am trying to find a doc who will treat me and not think that I want to take this crap. Was wondering if anyone else here is having the same. its like if the doc doesn't like you or you say something wrong, or tell them things are working well, you risk losing them as a doc.

Like/Dislike
0

Hi there, Tex!! (I'm in Oklahoma!!:) Your Dr. MAY be having Legal problems due to overprescribing.....OR to sampling the goods himself.....OR to selling scripts. (it happens-I dated a Neurologist for 2 yrs., that had JUST gotten his License back from selling scripts....which, of course, he denies......riiiiiiiiiiiiiiiiiiiiiiiiight.LOL!!)
Yes- it does seem that (for ALL the reasons that you listed) we DO risk losing our Dr.s!! If you tell them that it is WORKING-you feel BETTER, they think that you're getting a good buzz. If you tell them that it seems to help-but you believe that the dosage is not QUITE strong enough, they think that you're exibiting "drug seeking behavior"!!! It a lose/lose situation, and a real BALANCING act!!!!
They don't carry MORPHINE????? That's literally NUTS!!!! I can see not having MS Contin, but GENERIC MORPHINE??? Keep your chin up!!! :) Becky ps: I HATE, HATE being on all of the stuff that I am on!!! And- I THINK that my Dr. believes me.......:)

Like/Dislike
0

Thanks for listening Becky and Willow, you gave me some great solutions! been researching pain clinics on thr Mass. border. seems that anestesialogics [sp...ie'drs would put you to sleep] handel all pain medications and anxiety meds etc.. Wasn.t able to get appt. for 3 wks so I called her SADIST DR and told him he still has to take care of meds till i get a CARING ONE. told him i would report him to the board,that is is causing more pain and stress on my sister! thanks to you girls advice, got her a nexy day appt. HE better open up that prescription pad and start writing. Gail also has high blood pressure so you can imagine what the pain and stress is doing to her. will ask the nurse to forward a letter to her old good doctor also. NOW, does any one know about pain doctors or pain management clinics? don't want to take her to another sadist, just would like to hear some personal experiances here. If i find a good one I'll post it. AGAIN THANKS BECKY!!!! THANKS WILLOW. I'll let you know what dr sadist does today

Like/Dislike
0

I'm just now catching up on the posts from the past week or so on here. I know the issues I've had due to workman's comp and abruptly stopping pain meds (3 diffrent times in the past 14 months) due to their non-compliance with my case. But it continues to astound me that these Dr's are messing around with peoples health (as well as pain management) in this manner. Does AMYONE know of a way to report the actions of either the clinics or the Dr's themselves besides the state board? I know everything is dependent on what state you live in, meaning some take action and some don't ... and in the mean time people suffer needlessly and quite possibly are in danger of the very real consequences of stopping medications ... seizures etc..

My battle is hopfully coming to an end, I'll be having surgery in a little over 2 weeks from now, and like I said ... this has been going on for 14 months. Taking the insurance company to court was the only way to get them to comply, something I hated to have to do, but was very necessary. I struggle daily with pain management, I'm on percocet and its like chasing a 3 alarm fire with a water gun. I take two every 4 hrs, literally around the clock. I can't sleep more than 2-2 an a half hours at a time, usually waking up due to the pain.

I hope there is a remedy at some point for all of us, but there has to be a better way for those of us with lagitimate medical conditions requirering narcotics to have the Dr's, clinics and pain management offices take care of us and not live in fear of the DEA coming down on them for being perscription mills/ fraud, or thinking that everyone is drug seeking. I wish I knew the answer.

Jenn

Like/Dislike
0

Hi,
I don't know where to begin, I'll give it my best :) .I have 6 herniated discs in my neck and 2 in my lower back- this has been going on since 2006- I have Chiro 3 x a wk. and PT 2 x a wk - I live on Hydrocodone 10/500 4 x day and Flexeril 10 mg 4 times day- I tried the oxy and it made me hear voices ( not my cup of tea LOL) but it did work on the pain . I have had an issue with my pain management Dr. also - not regarding meds though ( I won't rely on him for that reason ) I have my meds done by my Primary Dr. whom I see 2 times a month. I've had two caudal injections done by the same PM Dr.- the first a bit uncomfortable but tolerable as for the second one, he double injected me-claiming the syringes were malfunctioning - he gave me a (miracle antibiotic ) only 1 pill LOL- he said just incase of a poss infection because of all the poking done that day . That was done in July 2010 and I'm still in severe pain ( more than before) from it !!! I said something to his PA on my follow up appt. , and she looked up the chart on the computer- she said I'm sorry it doesn't mention anything about that here......... I've mentioned this to all my doc's and they have requested the notes from that procedure to be faxed to them ( 3 months and still waiting for them ) .My other Dr's have told me that if it's not in the original paper work- it's my word against his..... and who do you think they will believe ?!!!! Needless to say Dr.'s can and will do what ever they want at our cost !!!! If I were you , I would see if your Primary Doc would be able to write your scripts for you,they might not be able to because it's a stronger pain med but it's worth a shot, or maybe you'll have to find another PM Dr. because they don't like to be messed with. I wish you luck , it's really hard finding a Dr.that we can trust. I would also go the route of the Attorney General like you mentioned - not sure about this , but isn't there a site that we can look up Dr. history of sorts- maybe you could look into that and see if there is a way to make a complaint about them- if they had to live like us , they wouldn't tolerate this kind of behavior from a Medical Professional !!!!!! best of luck - may you have better days ahead :)

Like/Dislike
0

It's hard to know about these docs. When I first read your post I didn't understand why you wouldn't just go into the office to discuss the issues in documentation. I have written to one of my docs in the past to have her correct an error - on the next visit she thanked me and told me she corrected her documentation. Well then after that I had spent 2 years in and out of specialists offices to get to the bottom of some disabling health issues. In gathering all the consult notes I found that errors were the NORM shockingly -- only one doc out of over ten had things correctly documented. Wow was that an eye opener. So then I had to decide - do I actually write to each of them telling them - no I am 53 not 63....no I do not have Irritable Bowel Syndrome....no I never got out of a chair with ease - ever.... I mean it went on and on and on -- so many errors. Mind you I am lucid and a veteran nurse for an entire career lasting over 20 years. I finally decided that these guys and gals in medicine who see so many faces day in and day out are normal fallible people like anyone else. Because they are a doc does not mean they get a pass on mistakes so they never make any. By and large the documentation errors are the least of errors they make - too often I know the big errors - and even then I trust they were not done purposefully. Only a few have the guts to tell the patient when they've screwed up - and even then can you trust them to surgery again once they admit error? I don't think so. Yet getting along in the world depends on accurate documentation (for health and safety) & for those utilizing the social security system they bought into to aide them in life's essentials while disabled. Anyway I'm rambling here for sure - but the thought came to mind that rather than accept that a doctor is punishing you or retaliating - I would probably rather than suffering without my required medication - go with a friend perhaps - (for support?) - or have the nurse in the room if I was anxious about being alone with the guy....anyway I'd go and hear what he had to say. Maybe he truly wanted to meet with you. And not for bad reasons. But really wanted to have a face to face to get to the nitty gritty of the issues at hand and clarify for all involved. If at that point he truly did behave innappropriately in the office toward you - you would have a witness and could then yourself document the incidents if you decided to create a report to authorities. Anyway I'm sorry this happened - truly. I myself am a pain management patient who recently had to move and begin again with all new caregivers ... it's challenging minimally. Good luck to you.

Like/Dislike
0

OH My GOD I CANT RESIST THIS ONE!!!!!I live in OhioIM 44 Ive been going to doctors for the last25 years, I sware Ive experierienced every one of the comments Ive read here!The final straws were siitin in 1 pain management office for 4hours with kids halfmy age selling there pills right there only forme to go in and walk out with hydrocodone7.5.Mind you Ive got crushed discs in my neck several in my back My spinal cords almost completly closed off arthritis and fibromyalsia.So I consulted a surgeon he sent me to pm be4 surgery so he didnt have to write scripts for pain ok 5and a half hours in waiting room and 2 in exam room Im literally crying and he tells me Im not perscibing anything unless you agree to (what would be 3rd set) epideral shots.hydrocodone7.5.I got the fusion on the l4-l5 now mynecks goin crazy!To this I say THANKS YOU LITTLE PUNKS! THANX CROOKED DRS!Im dreading the rest of all this!

SHOW MAIN MENU
SHOW SUB MENU
Cancel
Delete