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Pain contract

Hey I'm 28 have spinal scoliosis 6 bluging discs and ddd and up till last Tuesday was waiting to have a pain contract appointment with pcp for 2 months. Well about 40 min before appointment was on the way there because traffic so headid out early the nurse call and said the doc might not be able to supply pain meds today and do I still want to keep appointment and I said yes been waiting 2 mounths for this appointment and have chronic pain and they said ok u can come in and talk her about ur options so got there the nurse gave me the pain contract my first experience with one so read everything before initalng and then waited for the doc and first thing they said before looking at the contract I singed or pain scale page in they're very uncontrollable with give me any thing so I explained my chronic pain and inability to sleep and they said alls thell give me is 1 5mg Roxy every other day 14 for 28 days and I was afraid to push so Said ok but now it's sunday and have taken 6, 8 Left for 22 days. Any one have any advice



  • memerainboltmemerainbolt IndianaPosts: 3,437

    Hello wseasar!
    Welcome to Spine-Health

    If my math is correct, it has been six (6) days which means you should have only taken three (3). Your script read "one (1) every other day". You have been taking one (1) a day. Whether you agree or not, you signed the contract. So whatever it states about pain meds you have to abide by.
    Hindsight, I would never, and have never, signed a contract without talking to the doctor first. And not just about pills but your overall care and options to help you.

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  • Well it feels like they think I'm pill seeking with the call before appointment and the nurse telling me to fill the contract before the doc sees me and then the doc saying they are unconfterbal with me taking opioids. And don't know if this was their first contract with a patient but after they said 1 every other day they just said wait for nurse to bring pee test. So took pee test and handed to nurse she then handed me the script and didn't see the doc they just said you can leave

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  • If the directions said one tablet every other day, and you already took 6, you have broken the contract, and you could be dismissed for misusing the meds-self medicating. A HUGE NO-NO in pain management.

    They already told you they were uncomfortable giving you pain meds, and now, they will be even more concerned and believe they were right in thinking you might be drug seeking.

    No one in pain management gets what they feel are adequate meds to relieve all their pain, we get some meds to reduce SOME pain.

    It is entirely self defeating to see a doctor to help treat pain, then sabotage not only your care with this doctor, but ANY doctor, and put other pain patients under even more scrutiny by not following the contract and doctors directions.

  • Not to sound judgmental but her main specialty is gyno should I ask to see a pain specialist? Just trying to learn more about this process. Thx

  • Have you seen a pain specialist in the past?

    Going to a gyno for opioids would raise a red flag to most people.

    I hope you haven’t been discharged from a pain clinic in the past and your only hope of getting pain meds is from a gyno.

    It sounds like you have legitimate medical issues going on, which may merit a pain doctor.

    I just can’t figure out why you’re astonished a gyno won’t prescribe a high(er) volume of pain meds.

    It seems like there’s something missing here...

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  • sandi123ssandi123 Posts: 474
    edited 12/18/2017 - 1:44 PM

    You saw a gynecologist for spine issues? Not trying to be rude or condescending but that makes absolutely no sense and I am very surprised they provided ANY pain meds for your spine issues.

    I agree with the other poster, something is either being left out or there is more to the story behind their concerns regarding the meds.

    WHO/What doctors did you see that diagnosed your spine conditions and what treatment did you undergo, what diagnostic tests did you have done and when?

    Were you being treated by other doctors with pain medications and if so, why are you NOT still seeing those doctors?

  • Just got out of the hospital last night fell due to back pain when the paramedics and nurses asked me my list of meds and doses the were shocked by the pain med 1 every other day so the nurse looked up my doc and said her main specialilty is gyno I didn't know. And that is who the insurance company set me up with in July

  • This thread is like bizzaro world.

    I can’t understand why a gyno would:

    1). See a person for spine issues

    2). Prescribe opioids for spine issues (or for anything, for that matter).

    I don’t know why an insurance company would recommend a gyno for spine issues.

    Usually you go to your PCP first and then any specialists are referred by your PCP (not all insurance companies require this but many do).

    If you truly have spine issues you should be seeing a neurologist/neurosurgeon ... not a gynecologist

  • I guess she dose family medicine too but I was never told she was a gyno. Not even by her

  • It certainly isn't your fault that the insurance sent you to the wrong type of doctor. I am shocked that once she understood you were seeing her for spine issues, she didn't just refer you to the correct Doctor that might actually be able to help you.

    That seems so weird. Most Family doctors are sending their patients to Pain Management for chronic pain where you need pain meds on a monthly basis no matter what the issue may be.

    If I were you, I would ask for a referral to a Pain Management doctor. If you don't know anyone to ask, there are three things I usually do. I have an acquaintance who is an RN so I will ask her who she would suggest I go to, and the times I wasn't able to ask her, I have actually asked the nurse at my family doctors office. You can also go to one of those sites that rates doctors and just see what folks are saying about the PM Doctors in your area. That can be very eye opening and my parents actually never choose a doctor anymore without doing that.

    Gosh, a Pain Management doctor might have some other ideas that might help along with the Pain meds. Another reason that the rate a doctor sites might be a good idea is that you may find out from the posts whether this is a doctor who does procedures only or one who treats with procedures and pain medications as well. There are quite a few out there who don't give pain meds anymore so that could help you weed thru those.

    Anyway, best of luck and please let us know how things go for you.


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