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  #1  
Old 17-05-2011, 20:17
sarcastabitch sarcastabitch is offline
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What to do when doctor has you blacklisted (long)

Here is friend's situation. Fir background info, my friend has lordosis, which is a condition regarding the curvature of, in her case, the lumbar spine. Her upper portion of her pelvis is tilted forward as well, which I'm not sure is standard with her type of lordosis. She has tried acupunture, chiropractors, and NSAIDs, as well as physical therapy to no avail.

Her doctor refuses to prescribe her anything other than cyclobenzoprene (sp?), which does NOT help. He has even looked at her and said, "I'm NOT giving you opiates."

This being said, she is prescribed Adderall by the same doctor, and after three years her doctor decided to drug test her. She self-medicates with opiates, and of course they came up in her urine. The messed up thing about this is that my friend also smokes marijuana for sleep on a daily basis, and she had been selling her adderall, so she hadn't take that in a few weeks.

The reason I say it is messed up, is because after the labs, she got a letter from the doctor saying he refused to give her schedule II's anymore (including her adderall) and that she would never get another opiate prescription from him, due to the presence of oxycodone and hydrocodone in her urine. He said NOTHING about the marijuana (which most certainly came up positive), and also went on to say that her tests showed she was taking her adderall as prescribed (WHAT?). He also went so far as to suggest a "narcotic addiction program", simply based on this one test.

Obviously, this doctor has a big problem with opiates, considering that's all he harped on. My friend is in the process of finding a new doctor, but is sure that her records will say something about the opiate "abuse" issues. A lot of the doctors around here will request your records through their office (probably so you can't remove parts of the records like my friend wants to do). If she has to do this, what is her best bet? What does she say to her new doctor in order to get proper treatment for her physical pain, and also not get type-casted as an opiate addict/abuser? Does anyone know if this info will be all through her file or just in the recent stuff?

I guess I'm just looking for general advice- what my friend can say, maybe tips on how to find a doctor that will properly treat her pain, and how to explain the drug stuff if she has to transfer her records the way she doesn't want to.
  #2  
Old 17-05-2011, 20:28
3dfunk 3dfunk is offline
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Re: What to do when doctor has you blacklisted (long)

What reasons have you given your doc to be so set upon making sure you are not prescribed opiates? Or is this doc just against them overall?
  #3  
Old 17-05-2011, 20:42
St Dismas Novitiate St Dismas Novitiate is offline
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Re: What to do when doctor has you blacklisted (long)

Honesty is always the best policy! If you get another doctor (and it sounds like that might be a good idea!), explain in detail what methods-chiropractic, physical therapy, etc.-you have tried. Bring any supporting documentation that you may have from anyone other than the primary care doc for the new doctor to review. Unless those were referrals from the primary care doc, they are probably not in your medical records that will be transferred from the old doc to the new one. Explain that the pain was so great you chose to self-medicate, because your previous doc refused to help in any way.

Ask to be referred to a pain management specialist! Most reputable doctors will agree to this, as it essentially takes the responsibility for opiate prescriptions off of them. You will probably have to undergo various testing, such as x-rays and MRI's, but that is a small price to pay for pain relief. The most important thing to remember is the documentation from any and every other medical professional you have seen in the past, as that will indicate that you have tried several methods and only resorted to self-medication as a last resort. Stress the fact that you are extremely uncomfortable with the idea of self-medication, and you want professional help.
  #4  
Old 18-05-2011, 03:24
sarcastabitch sarcastabitch is offline
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Re: What to do when doctor has you blacklisted (long)

Thank you, ToxinReleased.

Quote:
Originally Posted by 3dfunk View Post
What reasons have you given your doc to be so set upon making sure you are not prescribed opiates? Or is this doc just against them overall?
My friend probably got type-casted by the way she looks (tattoos, piercings etc) and also she gets the general idea that he simply doesn't like to prescribe painkillers and believes that lifestyle changes are enough (and in my friend's situation they are not). He also knows that she used to use drugs recreationally, but is only speculating about current use (she said she used them as a teenager).

My friend got her medical records today and was able to take out the one section that included the drug testing. The only other incriminating thing in there that she can't remove (it's all over the records) says, "history of poly-substance abuse". I guess that's better than saying, "current poly-substance abuse"?

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adderall, adderall abuse, drug, drug test, drugs-forum, opiate, opioid, pain management, pain medication, painkillers, thc

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