ENDO Messages for July, 2007: Re: At what point should a dr be concerned about prescribing pain meds?

Re: At what point should a dr be concerned about prescribing pain meds?

From: Elisa (anonymous@obgyn.net)
Mon Jul 30 23:03:27 2007

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In reply to: Sunam: "At what point should a dr be concerned about prescribing pain meds?"

Good Evening Sisters~

After seeing several posts relating to this very good question about pain management and why Dr.'s are limiting their scripts, I felt compelled to find a link to an article that may shed some light on this even though it goes back a few years here.

If anyone has any updated links on this topic to better help the sisters here that would be good to see as well. For now here we go:

http://www.usatoday.com/news/opinion/editorials/2004-12-07-our-view_x.htm

Going through a good pain clinc can be very helpful and holds a good amount of accountablity on all ends. This way if they get monitored by the DEA which can happen at anytime, they have everything documented from the narcotics agreement each patient signs to random urine tests to prescription counts as needed by them. It seems many Dr.'s have been referring patients into pain clinics to take the pressure of long term prescribing off themselves while allowing the patient to get some form of pain relief needed even though they may have to begin the process all over again with the pain clinic they choose.

This allows the pain clinic to be in charge of all the patients prescriptions and progress. They can't see any other Dr. of any kind for refills that are narcotics and it helps them weed out any potential drug seekers. Not referring to anyone hear but the subject as a whole.

I know it doesn't seem fair but I hope it makes better sense as to why they are cautious. I hope everyone gets all the help and assistance they need.

Thinking of you...

-- Elisa

At Mon, 30 Jul 2007, Sunam wrote: > >Just curious because with the chronic pain often associated with Endo, I >have known many women who require prescription pain meds (narcotic >level) for several days a month. As a general rule, I have cramps for >about 3-4 days each month that Advil just isn't touching nor is any >other anti-inflam that I have tried (rx or otherwise) A prescription of >20 Lortab can last 2-3 months if I really stretch it and endure a couple >of tough days to make it last. My dr, however, (or maybe its more his >nurse because so much gets lost in translation) seems to think that >every 2 months is a red flag and I need to see a pain specialist. This >coming from the same dr who after the birth of my son (no epi) and an >emergency lap a few months ago was amazed at my pain tolerance. I have >friends whose drs prescribe everything under the sun with multiple >refills and seemingly no questions asked. They just trust the patient. >I'm having a hard time not getting the umpteenth degree grilling when I >call and ask for a prescription. I understand that there are people out >there who abuse the system and that drs have to be careful. But stories >I have heard are people with addiction issues who are taking 20 pills a >day if not more. We are talking 10 a month here.....is that really at a >level that I should be concerned about and the drs really are >"protecting" me or is it more likely that this dr or clinic has been >called on this before and having to be over-cautious or what? I just get >so tired of the mess that Endo brings with it much less having to dread >calling the dr for relief. Is this typical?

Next message: jillson: "Re: Excercise Thanks for the replies"
Previous message: Sherry: "Re: Surgery with Dr. Andrew Cook"
In reply to: Sunam: "At what point should a dr be concerned about prescribing pain meds?"

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