Tuesday, May 12, 2009 mj or malia io, Community Member, asks

Q: Doctor says no to writing for pain medication

Doctor says no to pain meds because the town has too many addicts, my partner moved to the island 2 years ago, he had no problem getting his meds from his previous doctor but now he has to see someone here on the island. Patrick has serious back problems and he's 62 years old. the doctor at the clinic he went to said she would definately not prescribe pain meds for him because the town has a reputation for having drug problems. That's the most ridiculous statement I've heard a doctor make in 25 years. There are drug problems in every city and town in the country and as far as the island goes one town's problems are no different then the other towns. How can a doctor refuse to treat a patient for pain when the documentation is right there, my friend brought everything he could to show this doctor he wasn't just pill shopping. What can he do to get help? finding a doctor on the big island of hawaii is very difficult, we don't have enough doctor's to meet the influx of new people moving to the island.

Thank you for replying to my earlier question about pain. i appriciate it.

mj bafile

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Answers (3)
Karen Lee Richards, Health Guide
5/15/09 1:24pm

I agree that not prescribing pain medication for someone who has legitimate pain problems because the town has drug problems is a poor excuse.  Sadly, though, a lot of doctors have adopted a blanket policy that they will not prescribe opioids for anyone because it's too hard to distinguish those who are genuinely in pain from the drug abusers.  Doctors are afraid of losing their licenses and being prosecuted if they unintentionally prescribe opioids for someone who turns out to be an addict, or worse, a drug dealer.  Since doctors can't be forced to prescribe pain meds, there's little you can do other than find another doctor.

 

Ideally, your partner needs to find a pain specialist.  Their practices are set up to treat pain patients and to closely monitor patients to ensure the medications are not being abused.  Here's a link to a site that offers a directory of pain doctors around the world.  There are 21 listed for Hawaii, so hopefully you can find one that will help.

 

http://www.doctorsforpain.com/physicians/index.html

 

Just a note of caution – If he is asked to sign a medication contract, be sure he reads it carefully and abides by it strictly.  Once you sign a medicaton contract, you must take the medications exactly as prescribed.  They will do drug tests and if there is too much or too little of any given drug in your system, you'll be dismissed as a patient and will have a great deal of difficulty ever finding another doctor who will treat you.  I know that sounds rough, but I've heard from too many patients who have found themselves in that situation, so I like to forewarn others to be careful. 

 

I hope your partner is able to find a caring doctor who will help him.

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CRAIG FORD, Community Member
1/ 2/11 9:45pm

As a Texas Physician surrounded by PAIN SPECIALISTS who REFUSE to prescribe opiates, I have been forced to become a very competent Pain Manager and I even developed a subspeciality in using non-narcotic trigger point injections to lessen the need for escalating narcotic doses.  I have done this to follow my Hippocratic oath, advocate for those in pain, to do the right thing.

 

Unfortunately, doing the right thing does not always bring about rewards, especially in a state with a corrupt, anti-narcotic, anti physician medical board made up of narcissistic morons who know next to nothing about chronic pain care.  I have been persecuted by 15 board investigations centered around the treatment of pain.  I have won 11 times at a cost of over $200,000 and I know these imbeciles will eventual destroy my career before I see my mid fifties.

 

I refuse to back down because all the investigations are baseless and so may people need my help.  Therefore, I can understand why your average mediocre Physician refuses to treat pain patients.

 

I am no hero, but I do have the integrity to continue to try to treat patients with pain in a literature and scientifically based manner.  I pray I can make it a few more years, but I am sure the tyrannical Medical Board will eventually destroy my career.

 

SO pain patients it is YOUR JOB to fight the government with all means necessary , if you wish to continue to receive treatment.  It is not the Doctor's FAULT--THE ENEMY IS THE GOVERNMENT AND THEY WILL TAKE YOUR RIGHT TO ADEQUATE CARE THROUGH THE ABUSE, INTIMIDATION, AND ELIMINATION OF PROGRESSIVE PHYSICIANS LIKE ME.  ANY DOCTOR WHO HELPS PATIENTS WITH PAIN FACES GOVERNMENTAL DISCIPLINE AND PUNISHMENT AT THE SAME CERTITIUDE AS DEATH AND TAXES.  I CAN'T BLAME MY PEERS FOR ACTING ON THE SAD FACTS.

 

i KNOW PAIN CARE HAS SHORTENED MY CAREER, HOWEVER, MY HEART GOES OUT TO DESERVING PATIENTS WHO WILL SOON FIND GETTING ADEQUATE PAIN CARE NEXT TO IMPOSSIBLE.  GOD BLESS YOU FOLKS WHO ARE LEGITIMATELY IN PAIN.  I JUST HOPE I DON'T DEVELOP CHRONIC PAIN IN THE NEXT 20-30 YEARS.

 

NEVER UNDERESTIMATE THE STUPIDITY, POWER, AND EVIL ASSOCIATED WITH GOVERNMENT AGENCIES.

 

CRAIG

fIGHTING FOR YOU TILL THE BITTER END.

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CarrieTexass, Community Member
8/ 4/12 1:39am

Thank you Dr. Craig for knowing that some of us are in chronic pain daily. My doctor has been good to me and knew of another medication I was perscribed before coming to see him 2 years ago. He tried something else, it did not work. So I went back to taking what did work (this was a muscle relaxer) not a pain pill. He was giving me medication for pain and then last month did a UI and it showed the other medication (which it shows in my charts that I said I took, long before knowing him) and now he is terminating me as a patient. I am very upset because I have been honest w/ him about what I took, what works and what doesn't. So far from what I have read today... he should treat me for another 30 days or adequate time to find a physician. When I told his nurse today that I wanted to make an appt to discuss this w/ him, she told me in a very rude voice, "he wont give you your medication, and you cannot come to visit him unless you are sick, or deathly ill" 

That to me does not sound like continued care until I find a doctor that knows how to properly treat me.

I wish I had more answers, but this just doesnt seem quite fair to me.

 

Have a wonderful weekend!!

 

Carrie =)

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Anna, Community Member
10/29/12 11:03pm

WTG Dr. Craig I wish we had doctor's here in Ga like you. You are 1 in a million!

I have had chronice pain for over 10 yrs.No dr. here will write a prescription for the awful pain. I didn't ask for anything strong just a mild LorTab. Heck when you are in pain you take it just to be able to function. Now I suffer day and night. I can't take walks with my granddaughter, go to the mall or activities I could do when I was taking my med. Had to drop out of my classes, can't walk from class to class more. All I do now is just sit, cry and wait to die.

Dr. Craig... ever think about relocating to Savannah, GA?

 

Thanks,

Anna

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Joanna, Community Member
8/24/11 8:07pm

I am right there with him, I have spinal stenosis and Degenerative Disk Disease and I have all my medical records on hand.  I have been on muscle relaxers and pain medications for upwards of 4 years because of these problems and I am having the worst time here trying to find anyone who will even see me.  I came from a town in California where there was a lot of drug activity and I can't see how other people's drug problems have anything to do with my medical conditions.  I am just expected to not be able to walk and be in horrible pain everyday, they just say "oh well, I wont help you".  I just want to find a doctor that can help me with not only pain medications but physical therapy and other things as well.  If you find a doctor here that will help please let me know!  joanna @ mckinleyphotography. org

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Necrasyn, Community Member
10/14/12 1:53pm

You know this discussion is all well and good, if I want group therapy? But the fact is, wheres the facts? Every site I go to its always the same thing. Everyone telling their stories of about this "doc" or that quack. Well guess what people, NO BODY IS  LISTENING! Nothing is being done this way. We need facts, who do we go to to get something done? address and phone and email to bombard with all these stories and complaints and demands! They have me so pissed Im ready to climb a clock tower somewhere! Im tired of watching my wife put to suffer this pain by some jackass "physician" that finds it more convienant to let her suffer then grow a set and stand up for whats right. Im tellin ya boys and girls this goes on much longer and the street supplies were all forced to suppliment treatment with are going to start drying up. Soon theres going to be violence by those of us that refuse to see loved ones hurting and watch their condition get worse from lack of movement. My wife is confined to bed 24/7 without her pain meds. She is 43 with incomplete paralysis occurring 6 years ago. The "DOCTORS" say she a drug seeker or "doctor" hopper. ........HELLO? I get it now! they are keeping all these narcotics for themselves! Either that or medical schools are giving diplomas to, excuse my expression, A BUNCH OF FREAKIN RETARDS! What are you supposed to do?
"oh well i guess my pain isnt really that bad!" and tough it out? Not find the treatment you should be give elsewhere, sit home and rot away until such time as they come take you and put you in a home to be numbered, cataloged, and warehoused for cost efficency? Cause thats what it looks like to me. Ive seen some ugly shit in the "medical  profession" since my wifes injury. This however is out of hand. And Im done sitting on mine. WHERE DO WE GO AND SEE AND EMAIL AND CALL TO FORCE THESE JACKASSES TO CHANGE THIS AND HELP MY WIFE? 

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By mj or malia io, Community Member— Last Modified: 10/29/12, First Published: 05/12/09