Wednesday, October 22, 2014

Thursday, May 22, 2008 MsBackPainInAlabama, Community Member, asks

Q: I need a pain medicine doctor in Birmingham Alabama that takes Medicaid, How can I find one?

Since 1996, I have had 3 lumbar back surgeries (laminectomy diskectomy fusions rods & screws etc) and I have had one neck surgery (anterior cervical fusion.) I developed fibromyalgia right after my neck surgery.  The  back surgeries  never stopped the back pain and even made it worse and eventually the doctors said that I had that failed back surgery syndrome.  My back & neck & legs hurt all the time. I found a good pain management doctor and he put me on Duragesic Patches and Percocet for breakthrough pain. He moved me quickly up to the 100 size patch. I still have pain but it is bearable and I can function enough to almost be a normal person. My good doctor moved to Chicago and my next doctor continued my treatment.  Now that doctor is moving to New York. He has already quit seeing anyone that has Medicaid.  Now I need to find a new doctor but the problem is that I only have Alabama Medicaid.  There is no such thing as a Medicaid directory of doctors. Medicaid workers will only say that I should "call around" to find a doctor.  It isn't that simple if you need a doctor to continue Duragesic patches, especially at 100 strength!

I have called all the pain clinics in the Birmingham area and none take Medicaid. I am on SSI and cannot afford to pay cash. If I could find a doctor that would take cash, and if I could afford him,  that doctor would have to be willing to fill out Medicaid Prior Authorization and Pharmacy overrides-Therapeutic duplication forms for each prescription he would write every month, every drug. Without that paperwork Medicaid will not pay for the medicine.  The doctor would have to be willing to go that extra mile. Medicaid forms and  Medicaid rules are sometimes overwhelming. (Most non-Medicaid doctors will not fill out those forms!)   All the doctors that do take Medicaid only do epidurals and blocks and do not write prescriptions for pain medicine.  I don't know how to find a doctor that takes Medicaid and would continue to prescribe the Duragesic Patches 100 and the Percocet that I have been taking for years.  I don't want to go abruptly off my medicine either.  Without the medicine I am useless & worthless and spend all day-every day- in bed and in tears. I don't want my life to return to that. Please help me find a doctor that  will keep me on my current medication and that takes Alabama Medicaid.  I have called over 60 doctors (Primary care, neurology, neurosurgeons, pain clinics that only do epidurals, orthopedic surgeons, physical rehab medicine & family practice doctors) and no one will do medication management.

Also, as a Medicaid patient I only have 14 doctor visits per year. I cannot afford to randomly see doctors to see what they will do or not do.  I only have 10 doctor visits left this calendar year.  I have ignored some other important medical problems so I can keep my doctor visits free so I can search for a pain management doctor.  How can I call around and ask  if  the doctor prescribes  the Duragesic Patches in 100 strength without sounding like a drug addict?  (I definitely am not a drug addict!!)    Just last week I wasted a visit on a doctor that wouldn't do an epidural and wouldn't continue my pain medicine. He basically said that I should seek a pain managment doctor,  but he didn't know of any that take Medicaid!   He said he doesn't prescribe narcotics and only does epidurals... and my rods and screws were in the way so he couldn't do a block on me either.

Please help me figure out how to find a doctor that will continue my medication and will take Alabama Medicaid.  My primary care physican will not help me even though I have been a patient of his for three years. He refuses to write prescriptions for any narcotics. I always thought pain relief was the major thing for doctors, but it seems that if  you are poor the doctors don't care if you suffer. It seems all doctors in this area think that if a person is on Medicaid they are either selling their drugs or using them to get high.  I am not selling my drugs or using them to get high. I am an honest person not doing anything illegal.  All I want is another doctor to continue what the other doctor has started. I cannot help that my doctors keep moving out of the area. 

Most non-Medicaid doctors in this area only take people with insurance (but not Medicaid) and will not take "self-pay" people!  And the non-Medicaid doctors that do take self-pay  want between $290 and $490 in cash in advance just to make an appointment for a first visit.   Maybe there is a compassionate  pain management doctor out there someplace that will take payments instead of so much cash at one time.  And maybe that doctor  could get me into one of those drug company  free medication programs instead of his having to fill out all those Medicaid forms (Medicaid won't pay without the paperwork!)   But since I do have insurance, I doubt that a doctor could get me into a free medicine program unless they deliberately lie on the free medicine program forms.  Once UAB (University of Alabama Birmingham) Kirklin Clinic social workers lied on the forms to get me free Nexium because Medicaid does not approve of Nexium no matter what forms you fill out and Nexium was the only medicine helping my reflux.  I didn't approve of their lying on those forms, but they did all the lying, not me.  I did get the Nexium that I so badly needed, sent to my home for a year without any problems.  (UAB has a pain clinic but they have changed their policy so that now they do not prescribe any narcotics and they only do epidurals, blocks, injections.  They did say that they could recommend/advise on  using narcotics  in a letter to a primary care doctor but they just couldn't write the prescriptions. How weird!  If  my primary care doctor would only do that everything would be fine and I wouldn't have to beg for help from strangers)

I hope this makes some sense.  The main question is  " How can I find a doctor that takes Alabama Medicaid and will continue my pain medicine, especially the Duragesic patch 100, when there is no directory of Medicaid doctors and not every doctor will prescribe such high amount of Duragesic patch strength??   The label "Pain Management" is decieving because here, in Alabama, most pain management doctors only do epidurals/blocks and they do not write prescriptions.   So, How can I find a doctor that takes Alabama Medicaid and will continue my pain medicine?  How do you ask the receptionist when she answers the phone?   I can't waste appointments, I only have 10 left until January 2009.   So, "How do I find a doctor takes Alabama Medicaid and will continue my pain management? 

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Answers (35)
john vitz, Community Member
8/11/08 5:44pm

your helth care ins should have a list of doctors who take your insurance. pain management doctors are a joke. they think everyone is a junkie. doctors start you on pain meds then cut you off and leave you hanging. they dont care about anything but the paycheck. its a disgrace. i am in chronic pain every day and have been on strong oxycontin and morphine for a decade. my doctor was recentley sued and cut me off my meds i need so badley. ive been reduced to vicodin and now he wants to take me off them too. as if a miracle happened and my body rejuvinated itself. stay away from pain management doctors. they dont help. they will do costly tests and expensive nerve blocks but wont give you any real pain meds. what do they think they make that medication for anyway? i guess all the abuse and illegal activity from the scumbags who sell them make it hard on us innocent people. good luck.

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Kate, Community Member
4/21/10 12:27pm

  Oh m Iy god, EXACTLY!!!  You took the words right out of my mouth! I have a pretty poor existance without med's ,atleast for the really unbearable days you'd think someone would go to bat for us & not give in to all of the negative propaganda!!  We're not all junkies!!!!@@!

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debra, Community Member
6/ 4/10 5:47am

i need all the luck i can get.finaly got in pain management just to be treaded like crap,and kicked out because i refused to let them stick my spine again.then went back to my primary doctor to get meds she cut me off because she's leaving now what to do?

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bb4, Community Member
10/12/11 12:59am

if u need help im in the same situation if u live in alabama i can help u can find me on facebook at bj brownson ive been goin doctor to doctor just to be refered to get to another doc then i was put in pain mangment just to get let down ive got two town sholders and it just seeems like they could care less and they wonder y people give up hope with doctors alll this red tape u have to go through is out of control

 

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eredy, Community Member
3/10/12 11:52pm

hey im looking for a surgen in birmingham or surounding area add me at fb im erik weber from tupelo

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Tazinround, Community Member
5/29/12 3:55am

I just had neck surgery at Brookwood just over a week ago. I was PETRAFIED and everyone told me not to do it. My doctor was Dr. Blake Pearson. He is the best doctor I have ever had and if I had to do it all over again he is exactly who I want working on me. I HIGHLY recommend Dr. Pearson in Birmingham to anyone.

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toodee, Community Member
9/ 6/12 12:31pm

Are you on Medicaid?

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Tazinround, Community Member
10/25/12 10:35pm

Now that I have had My back surgery done. Only a couple months after my neck surgery by the same doctor, Dr. Pearson. One week after my major back surgery he and/or his staff are already trying to ween me off of my meds completley. I am still haveing complications from my neck. I was also told my hip pain was caused by my lower back problems but after the surgery My hip hurts much worse and I am now told it is a different situation and I would need to see an orthapedist. I ended up going to the emergency room two nights ago because the pain was to much and they had not gotten my perscription to me yet. So now I am stuck after all this surgery being weened off of my medications before the swelling from the surgery has even gone down. This is the worst care I have ever recieved from any doctor and I cannot for the life of me understand how this can even be legal, much less good practice. Has anyone ever heard of this nonsence or experienced it yourselve or am I just being treated like a junkie and left for dead??????? PLEASE HELP.

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sam bushel, Community Member
3/19/12 10:25pm

I am currently in a pain clinic but am very dissatisfied. Can you direct me in the right way of finding a pain management clinic with openings that take BCBS?

Thank you-

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cowgirl, Community Member
4/ 8/12 2:06pm

North Alabama Pain Services 256-772-7922

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Krennon, Community Member
5/14/12 12:21am

One way to find a Dr is to use a Private pharmacy, not a chain store.  Get to know the people working there and a lot of times they can lead you to the right dr.  Also talk to the people in waiting for there meds.  I was at my pharmacy the other day.  This girl was in there and she went to naming a list of dr.s that write this and that.  She sounded like one of those people that make it hard for us that truely need our pain meds.  But get your file from your old dr.  Look thru it and make sure there is nothing negative in it about you and your meds.  Sometime you can be turned away for some little thing wrote in your records.  My husband is on disability and sees Dr Jack Denver at Lakeshore.  But he's not on the patch and I don't know if he will prescribe it.  But You could call and ask but just explain your problem first.  Tell them what you are on and ask if he can help.  I have used the patch before and they did absolutely nothing for me.  Time released morphine... nothing.  Now on a combination of lortab and methadone and that has given me a new life.  I dont feel drugged and can function again.  Just fortunate that my reg dr. takes care of me.  There is a dr Ali in Jasper but I think he is cash only. 

Dr. Edwin Kelsey.  801 Princeton Avenue South West Suite 201

Birmingham, AL 35211 Phone:  (205) 783-7705
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lisa, Community Member
7/14/13 9:12pm

can you call me cause i need a doc that precribes domes n tabs.my doc.will not give breakthru meds,lisa 5033613.ill e plain when u call. god bless thiz iz answer to prayers

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lisa, Community Member
7/15/13 1:27pm

this doc sounds good.i need a dr.that writes methadome n meds for sleep.or hes ok if im goin yo physictrist.ive been in pain 10 yrs born with a twisted spine.the doc i go to barely dulls my pain.i take shotd drug screens n pay 200 every visit.n he will nit write anymore or breakthrough psin.whivh i dont need all the time.but when im trested with the meds i need i csn work full time n care for my 3 kids.so if anyone knows of a good doc. text or call 503 3613.or i may lose everythin please help

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Deborah, Community Member
5/19/14 2:13pm

What is the name of the doctor in Jasper? I do not have insurance and will have to pay cash. Thanks

 

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L., Community Member
6/ 8/08 5:25pm

Sorry to hear of all of your painful conditions...I can relate to quite a few of them so my heart goes out to you.  I have extended family in Mobile, Alabama (I live on the Gulf Coast of MS.) and my Uncle sees a Pain Management doctor in Baldwin County...I don't know the doctor's name though =(  You could call around in that area and ask if they take medicaid, etc.  My Uncle is a Vietnam Vet and he's on Social Security and Disability benefits...He lives on a VERY fixed income and he is also on Medicaid...I'm not sure if the place he goes to accepts Medicaid but it's worth a shot to at least call around in that area and ask.  I'm sure they must accept it or he couldn't affort to go.  Good Luck with everything and may your pain ease up some dear. 

Keep your chin up Wink

 

I hope this helps somewhat.  Much Love & Peace to you, Sincerely, L.

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aura, Community Member
1/21/10 5:14pm

ive got the SAME XACT PROBLEM

IVE BEEN THRU MANY SURGERIES AND  cannot find a dr. here in alabama who takes medicaid.

the dr. i WAS SEEING, has decided to charge my last bill  of 175.00, when he found out i didnt have bcross insurance nemore.

i  DO HAVE MEDICAID,  but am having the same problem, the dr.s all want to jst stick me in the bk w/ a needle and always send me away w./ out pain meds, ive wasted so much time and appointments.

 i jst got eligible, for medicaid, after i had my last son, 2 months ago

 can u help me understand how long i will have (full medicaid?) that is how the social worker  said it, tht it wouldnt  JUST BE PREGNANCY MEDICAID,  she said i'd be eleigable 4 full medicaid.

and , i believe i still have medicaid, becAUSE I HAVENT RECIEVED A LETTER FRM HER,  so i dont dare bring up the issue or call her to ask her if i still have it,  i do hAVE VERY LOW, (NO INCOME) SO I SHOULD STILL HAVE MY MEDICAID. AND EVERYTIME I GO TO GT A REFILL SCRIPT FILLD FRM  THE DR. WHO JUST BILLED ME 175.00, MEDICAID AlwAYS COVERS MY SCRIPT, W/ NO PROBLEMS.

IM GNA GVE U MY EMAIL , CUZ I HAVE THE SAME QUESTIONS U DO,  WHEN U DO FIND A DR.  OR DOCTORS  TO TAKE MEDICAID FOR PAIN MANAGEMENT, PLEASE LET ME KNOW?

IM A SINGLE MOM  AND CANT AFFORD TO PAY MY OLD DR.

 AND IM ONLY GETTING BY, B Y GOING TO THE METHDONE CLINIC , TO MANAGE MY PAIN, ITS 13.00 DAILY, AND SOME DAYS I DONT HAVE THE MONEY TO GO AND I LAY IN THW BED TOO. MY EMAIL  IS , INDEPENDENT3693@YAHOO.COM

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need help too, Community Member
12/15/11 6:00pm

the methadone clinics in birmingham alabama take medicaide now but i need a doctor to go to because i have to be resertified for my disability in 2 years. i have a doctor now who gives me 5-10mg a day but its not working anymore.I have been on methadone for 10 years and i cant stand the doctor i go to.It cost me 150.00 a month and i have to wait 3 hours to be seen.I had a appointment at 8:00 and the doctor didnt get there untill 9:30 and it takes him another 30 mins to get started. I really need a new doctor.HELP ANYONE. I live in odenville.

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robtodnn, Community Member
6/ 9/08 7:42pm

Have you asked your current doctor to refer you to another medicaid physician? Usually they know who will or won't take patients on medicaid. It's all I have to and it's really bad to think the doctors can't ignore how they get paid. It's always about the money.

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ADormi, Community Member
8/17/08 3:21am

I work in the health care and insurance industry (pre-cert coordinator) and my best guess would be to call Medicaid and ask for a referral to anethesiologists that participate. Good luck!

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ADormi, Community Member
8/17/08 3:35am

Sorry, previous answer was not helpful. You see, though I am in Bham, I do insurance for state of OK, which has great physician guides....

 

 

I would try Matthew Berke, a physiatrist (physical medicine) at St Vincent's East. I think he takes Medicaid patients... he has treated me in the past and is very good. I hope this is more helpful than my last answer. I am not sure of his narcotics policy; I hate that people genuinely in pain have to suffer because of the suspicions cast by prescription drug abusers...

 

Matthew Berke, M.D.

Department   Physiatry Section   Physiatry Expertise   Physiatry Office address   48 Medical Park East Drive, Suite 255 City, State, and Zip code   Birmingham, AL 35235 Phone number   205-838-3090 Fax number   205-838-3345

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peachy, Community Member
9/17/08 3:18pm

Have you found a Dr. in B'ham?  My daughter has been a pain patient for ten years.  She had seen a Dr. in Ga. for years  but cannot travel that far anymore.  If you have had any success please share.  She is on Medicare and does have a Rx plan.

Three ruptured, torn disc and fibro.

Thank you

 

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Rhiannan777, Community Member
9/22/08 5:05pm

I am also living in Alabama and on Medicaid so I completely understand your predicament and how the limited amount of doctor visits we're allowed per year can make managing our care extremely difficult. In truth I have no idea how Alabama gets away with this since it's not the case in other states I can assure you, I know for a fact since I'm not originally from Alabama and moved here AFTER I became disabled.   Now hopefully this information I'm about to give will find it's way to you and be of at least a little help.

 

Firstly if you're on the patient first program your PCP, or primary care physician is the one who has to refer you to a pain specialist. You can't cold call them yourself because they will automatically assume that you are drug seeking. There are very few pain management doctors in this state who do take medicaid but I know that there are 2 of them in the city of Decatur. I see one of them myself and it only took 4 years for my PCP to bother reading my medical history that I brought with me when I moved here so that they finally realized that the pain I kept complaining about was NOT in my head. They have in fact consistently ignored a number of medical problems I have and I seem to be in some major trouble now as I've already used all of my allocated appointments for this year only to have my PCP discover this past week that I'm most likely suffering from Kidney failure now, and that they somehow expect me to pay for this care out of my pocket knowing full well that I'm living on SSI.  In your case there may be something more you can do.. I did a bit of reading today into the whole medicaid system trying to find out how to go about getting more doctor visits approved by medicaid because THERE IS ACTUALLY A WAY TO DO THAT, but I was unable to find that information listed anywhere.. Because they don't want anyone to know they have that option. Anyway with your condition being as bad as it is, it's very possible that you may be able to qualify for some of the wavers.. This means that your PCP doctor would have to say that you qualify for Home health services such as like someone in a nursing home might get, but it also covers doctor visits as well.. Like they remove the 14 visit rule or something, at least that's my understanding of it anyway.   The main problem that I've seen here is that most doctors don't take their patients seriously. I've gone to the local ER complaining of sever abdominal pain only to have them assume I was drug seeking and send me home again.. I needed surgery and at the time when I went to the ER asking for help I was actually septic with my uterus rotting away inside of me.. We also have problems with ER's that do not have the proper equipment to treat general type Emergency cases such as broken limbs. Again, I went to the ER, this time with a broken leg and ankle and they slapped a splint on, gave me nothing for pain or swelling and sent me home without any crutches or anything.. I'm not sure  how they expected me to get out of the car once I got home, or how I was supposed to get around until i could be seen by an orthopedic on my own several days later because it happened on a Friday early in the afternoon and everyone here closes early on Fridays. The quality of care in Alabama is terrible for anyone who doesn't have decent coverage and i hate to be the one to inform them but yeah, that does constitute discrimination which is illegal by Federal laws for patient care. It's called the Patient's bill of rights and is by law required to be posted in all American ER's but I've noticed that it's not posted here, nor in at least one ER in Decatur.  At any rate the PCP is the doctor who is responsible for making sure you get the care you need from a pain specialist and since yours is clearly NOT doing his/her job you can take that up with the medicaid agency and you could also think about calling a civil rights attorney and discussing the fact that your rights are being denied, and that your care is being denied.   I wish you good luck, but I'm in the same boat as you here and I'm trying to find a way through this all myself as well..

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grumpy, Community Member
12/ 8/08 4:25am

don't feel like it is an insurance issue.  I have okay insurance.  I was called in to see my pain specialist & was suddenly dismissed from care.  I received an injection two years ago that caused a disk to rupture - leaving me with nerve damage even after emergency neurosurgery.  I have tried everything the pain doc. ordered: PT, TENS, swimming... all are very helpful as long as I have use of Lortab and Robaxin - one or two per day at most.  After two years of this, I am kicked to the curb by my pain doc..  I have been out of my mind in pain & unable to swim, PT...or cook, clean, bath, talk on phone...  There are no doctors that I have found in North Alabama that will perscribe pain meds for chronic pain sufferers, no matter the reason.  They are all terrified of going to jail.  There are no treatment facilities that teach folks like me how to survive with severe pain and without pain meds.  I would gladly go to such a program.  Its all or nothing here.  Get injections or get screwed out of a life.  We all need to start something in this stupid State to advocate for doctors and for ourselves! There must be a way to protect good and caring doctors who could and would help us if the freak'n Federal prosecutors would take a breath and look at those of us who really have pain and need help!!!  If you agree and want to help, email me. 

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MawMaw, Community Member
5/ 5/09 4:01pm

I want to help. I'm a pain management patient and was taken off lortab 10 mg 6 times a day and was taken off in one month. I now use only fentanyl and robaxin but lortab helped for the 'break through pain' so it set me back in daily life.  Cooper Green Mercy has a pain management program that does accept medicaid and fills out the forms. Truely, I think that's why they cut off the loritab; an over ride to get 180 a month when medicaid only allows 68 a month. Too much trouble and looks bad to medicaid???? Anyway, it's a shame the way doctors will listen to you tell of your pain and bad days and nights you have, AND........ they took the oath but will still leave you in pain. It should be aginst the law. I feel like I have to beg and talk them into giving me narcotics for my pain. I'm so tired of struggling for pain meds. If a person has all the test and procedures and PROOF of your pain, what is the problem, I honestly do not understand the big issue.

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wishingfordeath40, Community Member
1/22/10 4:32am

the only thing that can be done to help our pain and familys is to kill ourselves because if pain doctors go to jail then we might as well blow our selves up or something to die fast as not to suffer anymore and to make a point i moved to virginia and wished i didnt now i want to leave from the states the land of sufferers and slaves whom pay for there homes but never own them. i would kill myself while i want heaven so i wont. as god said you will wish to die but will live. as we do. those that wish to live will die. and burn in hell

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Bon, Community Member
2/ 7/12 9:02am

I agree I,m in the same boat. Did you ever find any help?  I don,t have medicaid. I have medicare and blue cross.  -I was managing just fine with lortab presciption and hydrotherapy (mild swiming).. Then up out of the blue went to get my new prescription for lortabs - was completely cut off. I know the feds must be on my doctors tail. I,ve used this doctor for over twenty years. This is a nightmare! I need a doctor who can continue to help me! 

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doctorinalabama, Community Member
3/23/12 4:18pm

It will be quite difficult to find any doctor in Alabama to write ongoing for pain or nerve meds (unless you are already their patient) due to federal, state, and local misgivings about physicians writing such.  Physicians are under great scrutiny from many who are watching and blaming us for most of the problem with them.  If you have a doctor who will write these medications, keep them as they are getting few and far between.  I take most insurance (and cash/credit), including Medicaid; but, I would not write for the above medications on a chronic basis due to the above.  Understand it is not us, it is the threat we are under and the number of people who attempt to illegally obtain them from us that has put us in this position. 

I hope those of you that are looking will be able to find the correct physician for you.  Those in pain and those of us who can relieve that pain are all backed against a wall and I don't know what the answer is.

Alabama Doctor

 

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FLpainadvocate, Community Member
10/13/12 10:29pm

It is very sad that patients with chronic pain have suffer because of the laws and scrutinty put against them and the doctors that treat them.. Unfortunately this growing all over the country. I live in Florida. I was an American Pain Foundation leader of the FL for pain patient advocacy. Since APF has shut down. I started my own non-profit ,"Fight For Pain Care Action Network". Some of my members and I just rallied at the state capitol here in Tallahassee because of the unbalanced new pill mill laws the state passed and since the DEA has went completely overboard. Now legitimate pain patients of this state are not able to fill their medications. PLUS all the doctors and pharmacists are scared of losing their licences and are reducing doses that not effective enough for long time patients. Because of mine and groups actions. 13 congressman and stakeholders are investigating the DEA, just this week I am honored to say this happening. They have realized this is a serious problem. The reason I am posting on the Alabama thread is because I do own a home in Fort Payne on the mountain and I would love to live there, but because no doctors in AL or in the northeast section won't treat me, my mother nad my son with severe chronic Lyme disease. I am very passionate about fighting for the rights of Americans with chronic pain. I am middle aged and if I don't get this mess straightened out in this country, I will never get to live in mountain home. So.. doctor please know that I have many collegues that are professional pain experts as well doctors fighting this cause with me. Something has to change in this country and ALL people need to be educated that pain is very common and NOT a dirty word. It can happen to anyone at minute. One fall or accident or discovered disaese and they are victims of CP also. 100 million adults in our country suffer with chronic pain on a daily basis, not including veterans, pallitive care or people under age 18. It's high time pain patients start standing up and fighting for their rights to pain care that includes medications that are used to treat it. Addiction and over doses are very low considering how many people there are. Much media is hyperbole. I am sorry but media love to inplate things and the stats are way off. Please check out my web site www.ffpcani.com. I want to get this mess straightened out. I want to move back into my home. I shouldn't not be able to live where I want. This is supposed to be a free country. Please help us fight ! Thank you for reading.. Donna Ratliff

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gsmith38, Community Member
1/31/13 12:29pm

Where are you located? Its not a matter of having pain medication as much as it is finding a way to relieve the pain. I would be more than willing to try other methods, but don't have the insurance for a dr to even speak to me about the matter. 

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trisha, Community Member
4/28/13 1:33am
hi, i feel for all of us,,,but certainly more for the sufferers of chronic pain, like my myself. in the past couple of yrs, after leaving a 17yr abusive marriage,i decided that my chronic pain was not going to run my life but that i was going to manage me chronic pain(sstenosis of the cervical spine, herniations of diff degrees c onee thru c sevven...one in the thoracic and all of the lumbar..ddd of all areas, psoriatic arthritis,osteroarthritis, orif of the right forarm and right ankle ..fibromyalgia etc etc..)and i moved away from all that had hurt me...from pennsylvania to alabama. sadly enough i left a spectacular psyiatrist as well and found that finding a new one in my new life wouldnt be that easy. i suffer daily and greatly and im finding that my new pain doc here doesnt seem as concerned as i am with my need to maintain my obility....when i started my pain management yrs ago i was in a wheelchair,fought n clawed my way to lorstaff crutches and then on to being free of assistive devices..i went on to have a car accident n ultimately recieved a total hip implant but struggled n succeeded in maintaining my tug of war with chronic pain...til i came to birmingham..where i am slowly losing my battle..and my winning combinations of medications of the last ten yrs has been scoffed at by my new physiatrist...my bigggest battle is my advocating for the use of muscle relaxants in the mix of meds for my pain management beecause in truth i have never been pain free in over twenty yrs..except immediately following a surgery....im okay with the management of my pain. who suffers more? the chronic pain patient or the doctors who care for them? loss of quality of life affects both, but personally id rather take a financial hit that i can recover from then suffer chronic untreating life long pain...wouldnt you? im sure your family would rather be poor then have a single one of you suffer any pain let alone long term chronic pain... Reply
Fibrogirl, Community Member
3/16/12 9:09pm

Hi.... I am new to this site... and saw all of the info about the lack of health care rights in the state of Alabama. Did anyone ever get back to you? I am very interested in getting pain patients in this state together.  Julie  jsehler@charter.net

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barbara mills, Community Member
1/13/09 1:02pm

i need a pain management doctor

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mike677, Community Member
9/28/10 1:54am

totalpaincare.org  they are great but will not take medicaid but are not expensive after first visit.

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Lady Luck, Community Member
2/ 4/09 3:02pm

So sorry for your troubles. Although I am not sure you could try 1st Priority.com.  They may have a doctor in your area that can help. 

 

Take care.

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CHILD OF GOD, Community Member
3/12/09 3:10pm

Come to Huntsville, AL.  I work for Rehabilitation and Neurological Services, LLC.  We gladly accept Medicaid patients and we deal with pain management.  Just give us a call to schedule an appointment (256) 885-9708.  Pain relief is just a phone call away.

 

~CHILD OF GOD

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Hurtin in VT, Community Member
7/18/09 2:20pm

I am in Vermont in the North East Kingdom, Barton to be specific. My physician discharged me because I didn't get along with one of his "mid-levels." I had seen this Doctor fr almost 5 years before this man joined. [He also attends my Church]. The doctor gave me prescriptions for 3 months so that I could find another doc in the area. I have called all in the phone book and no-one will see me because of the pain meds I am on. I also take Dexedrine for ADD and have since I am about 7, off and on, but on for the last 12+ years. I am out in 2 days and can not get anyone who will see me. This doctor I was going to knew I was not going to be able to get another doc in the area, in fact he is the only one seeing new patients. Even the ones who have a waiting list called me up and told me I should call someone else because of the meds I am taking. Now I am faced with either going in to a detoc center or going through severe with drawal. I also take Klonpin for a history of seizures and they include this drug when they tell me that they do not write for my meds. So if anyone can help up here, then please do ASAP! I can't go through this and I do not want to go into a detox because when I come out, how am I supposed to handle the pain? I was in law enforcement so am not a "Drugie" as the mid-level intimated at ne point. I had three accidents at work; one where my cruiser rolled 31/2 times and landed upside down. I have Stenosis of the back, one torn shoulder and one torn knee but even though I have had numerous surgeries I am left with lots of inflammation and can't even get out of bed without taking my meds. I  can't believe a doc can just let you go knowing that if you do not have meds that you have been on for over 12 years, that you will have too go through a very dangerous withdrawal. I thought th3e motto was "Do no harm".... I could use sme assistance if anyone knows of any place up here. 

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Karla Hogan, Community Member
4/ 2/11 3:32am

My son has Crohn's Disease and joint problems and I have suffered from pain since 12/1998 when I underwent extensive cancer surgery. It is a constant struggle trying to find a physician to treat pain issues. It seems like every doctor is fine with your problems and treating them but then after 2 years they decide to retire, not treat chronic pain, etc. Neither of us have health insurance and need a doctor ASAP.

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Jackie Richard, Community Member
4/ 3/09 3:16am

Dear Fellow pain management friend,

Yes there is a Santa Claus Virginia.  In other words, I have found a remarkable pain management facility in Anniston, Alabama, and it does take Medicaid.  The name of it is Pain Management (256) 231-1231.  The doctor is great, his staff are both friendly, compassionate and quite professional.  I have been going for a couple of months.  You will have to be referred to him, after that, you will have a real pain management center, which you can rely upon.  I pray your pain goes away. 

 

JackieKiss

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cton, Community Member
1/13/11 2:16pm

He may seem nice at first but then he turns into a TOTAL JERK!!

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Itpays2Bpersistant, Community Member
4/ 4/11 4:38pm
How did he turn into a jerk? If you don't mind me asking. Reply
Itpays2Bpersistant, Community Member
4/ 4/11 4:33pm
Omg... You are a life saver!!! I have been looking for a doctor that does pain management and takes Medicade for quite sometime!!!! I just wanted to say thank you!!! You have been a great help!!!! Reply
bamagrl in pain, Community Member
4/25/11 1:36pm

who is this dr it must of been said in a private conversation. Please help me I will be out of my meds in 7 days.

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janeg, Community Member
7/27/09 11:34pm

I no sure if they accept Medicaid or not, but mayb you could work out the other cash option you were talkng about.  I go to the Doley's Clinic.  The doctor't there are fantastic, and do really care about treating your pain and gettng it under control.  They do write prescriptions, not do epidurals..

 

Good Luck,

janeg

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just me, Community Member
8/ 1/09 9:23am

I have looked on Google and I cant seem to find where this is located. Would you tell me where the Doleys Clinic is, and do I need my dr to refer me? I am desperate for some help. I had cervical disc surgery that has gone wrong and Im in extreme pain. My ortho refuses to help me.

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MsBackPainInAlabama, Community Member
9/10/09 5:54pm

Dr. Doley's office won't see anyone with Medicaid as their only insurance. They also won't take cash. A lot of doctor's won't even see you if you don't have insurance but you want to pay up front in cash!  I know, it's crazy out there. I still haven't found a pain doctor and I'm the one that originally wrote the first post here.  I can't drive very far because of the pain and the idiopathic hypersomnia that I suffer from.  I even lost 75 pounds but that has made the pain worse when I sit down. It makes shooting pains go down to my toes when I sit for over 5 minutes,  which isn't very long at all. None of the doctor's offices I've talked with were nice... None would work out payment plans or anything. They just don't want to help me at all.  I have 2 inches of files about this back problem that I have, and 3 failed surgeries and the doctors still act as if I'm faking it.  If they would just read the files they'd see I am not a druggie, I just need low cost help or they need to accept Medicaid as payment. Good Luck! I hope you find help!

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abc, Community Member
12/13/10 9:56pm

I was a pt of the Doleys Clinic until Dr. Nortick left who is the absolute best in the world imho.  The poster who said they do not take medicaid is correct but I believe that they will accept self-pay.  When I first started going I only had United and they took me as self pay.  I was truely blessed to be able to get back on BCBS within 5 months so it did not turn out to be a big deal for me for the most part.  I will say that they have had a turnover in physicians and Dr. Hill who is currently the only MD is pretty "opioiphobic" though Dr. Doleys (psychologist) and Dr. Cianfrini (psychologist) are "working on him".  That said they did come up with a general limit of less than 300 morphine equivalents per day in dosage that they would not go over.  This is a new policy as Dr. Nortick had me on a great deal more.  I am told that they do have a new dr coming.  They are located at Trinity Hospital but will be moving to Valleydale Road (in N. Shelby Co in mid 2011.  You have my thoughts and prayers!

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Hixrus, Community Member
5/10/10 1:34pm

Dear Janeg, 

I just wanted to write to you and thank you for telling me about the Doleys clinic. I too have been trying to find someone that does not treat me as another cow in a sea of cattle that floods the waiting room. Sorry for that analogy but I pass in through one door, move along, then pass through to the exit. I can not say what it is like to actually go there yet but wanted to let you know that I emailed them letting them know that I had found out about their caring staff and physicians through a message board. Dr Doleys wrote me himself and as you know this is a man who not only runs a clinic successfully (for about 30 years) but also does alot of different seminars and continuing education all over the country, so it has already been about as pleasant as any office I have ever encountered. Maybe I am setting myself up for disappointment or expecting too much but I can not imagine it is any worse than the humiliation, stigma's and rudeness of dr's who determine you just a drug seeker and make up pain and depression and the thought of suicide. Anyway, thank you again. I will post back after I actually get started at the clinic. 

 

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Lainey, Community Member
11/ 9/10 10:56am

Have you gone to clinic yet? Would love to hear about your experience.

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abc, Community Member
12/14/10 2:07am

I was a pt at the Doleys Clinic as I mentioned above and received wonderful care and from everyone there.  They literally changed my life.  The psychologists are all still there but the MD's all left with in the past nine months.  One of the replacement drs died of cancer.  One new dr (dr hill) is a very nice man but his prior experience is OB anesthesia (ie epidurals for ladies popping out babies) not pain management.  I would love to talk to you and tell you more.  You may email me at annabananabelle80@yahoo.com.

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sklightsey, Community Member
11/ 5/11 11:00am

I love the Doley's clinic I have had nothing but positive experiences I do not have issues with insurance I am fortunate that way and am sympathetic to those who do I can't imagine how it must be. I have seen Dr. Hill at the Doley's clinic and he is one of if not the best pain management Dr. I have ever had or heard of. He actually listens, does not treat you like an idiot and will give you a choice of treatment. He will talk to you like a friend sometimes, he is a pain Dr. of course, but he is laid back and I have had conversations such as the world's view on people on pain meds. the ignorance that is out there and the discrimination towards these people on meds. I don't know about you but it is nice to talk to someone who understands and that you don't have to try and justify taking meds We have a medical problem to increase of quality of life we have to take meds THE END

 

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SouthernGirl, Community Member
9/10/09 2:15pm

I lived in Gadsden AL for 22 years, and I am currently living in Gulf Shores AL.  In gadsden there are two doctors that I know of that accept medicaid, and will prescribe you the pain medications that I know you desperately need.  Try Pain and wound care....Dr. Sandra Connor.  She is great...she understands the pain.  Also, Paul Murrata....in Gadsden, and Anniston AL.  I can't remember the name of his clinic, but you should be able to find info online or in phone book.....Good Luck. 

 

By the way.....anyone in the Baldwin County, AL....or Pensacola FL areas should look up Robert Sackheim MD.   He is my current Pain Management Dr. I love him.  As long as you are seriously in pain, and not just looking for drugs, and follow the rules....He will take care of you!!!!

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In need, Community Member
1/27/10 9:48am

I have Fibromyalgia along with some other problems and I've been seeing Dr Paul Muratta for several years and haven't been happy with the care. He has started refusing to see patients unless you get procedures or epidurals whether you need them or not. The only time you see him is when you get a procedure, he has nurse practioner's that see's his patients, he doesn't even see his own patients. He is not helpful with helping with disability. I have been trying to find another doctor that would spend the time to talk to me and help me with my disability. Help!!!!!!!!!

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debra, Community Member
4/18/10 8:40pm

i can't find a doctor eaither but if you need help getting your disabilty there's a rep. for the social security in childersburg shane mckee he got mine after 10 years of trying.256-378-3700

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MjBoaz, Community Member
6/14/12 1:26pm

well yesterday i was sceduled for my 1st visit with dr. connor she no longer accepts medicaid so i called Dr.Murratas office and they will not write you prescriptions on medicaid only if you have medicare however they will do procedures but i have re accuring blood clots in my legs and am not able to do alot of the therapy so i am stuck now with no dr after my dr after 3 years cutt me off for no reason ... from Boaz alabama which prob has alot to do with it plus drs seem to think around here if you aRE  young 2 things you are either an addict or lying and not in any pain.. cancer srvivor here as well as living with lupus and lupus anticoag..fibro.. several other things... anyone knows of where i may could turn please feel free to email me .. mj35950jh@yahoo.com... God Bless

 

 

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MjBoaz, Community Member
6/14/12 1:26pm

well yesterday i was sceduled for my 1st visit with dr. connor she no longer accepts medicaid so i called Dr.Murratas office and they will not write you prescriptions on medicaid only if you have medicare however they will do procedures but i have re accuring blood clots in my legs and am not able to do alot of the therapy so i am stuck now with no dr after my dr after 3 years cutt me off for no reason ... from Boaz alabama which prob has alot to do with it plus drs seem to think around here if you aRE  young 2 things you are either an addict or lying and not in any pain.. cancer srvivor here as well as living with lupus and lupus anticoag..fibro.. several other things... anyone knows of where i may could turn please feel free to email me .. mj35950jh@yahoo.com... God Bless

 

 

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PainHoldsMeBack, Community Member
6/20/12 11:57pm
Dear Southerngirl, I live in Mobile, Al, and was wondering if you are still seeing Dr Sacheim. I have seen the doctors here and they all demand nerve blocks, epidurals, etc, and get mad if it doesn't relieve all of your pain. I saw this post and I am SO tired of wasting my precious down time to find a Dr when I should be enjoying my life. Wonder if someone from mobile can see him, and if he is worth the drive. I have recent tests to show- just again, tired of wasting my money and time for nothing. Thanks Reply
lost, Community Member
2/19/13 3:50pm

I was a patient of Dr. Murrata and after Feb 18th 2013 I was dismissed.  I had a MRI done in OCT 2012 and had a chip in L4 and L5 ruptured I was not told this until December. Went to a spinal doctor in Huntsville and he said I should have done had surgury. Im in severe pain along with osteo artritus in my hand, and knees along with disk degenerative and since I refused to have A needle in my back and knees I was told to find another doctor. I did a few of the injections in my knees and went from 150 to 230 because of the steroids. I didnt have an epi done when I had my son and was not about to take a chance on getting nerve damage as well. Been a patients there several years and never met the man so YEA he realy takes care of you.

 

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hurtsbad, Community Member
10/15/09 1:46pm

You poor dear....I've been seeing the same doc @UAB in B'ham for 22 yrs. with chronic pain due to 3 cancers....radical surgereis...now amputation.  He was wonderful and just retired.  Now he referred me to the most vacuous, unsympathetic doc on earth who's only interraction with me is to tell me that i'd bettter find someone close to home (Pensacola, FL now) because "this just isn't what he does." Even with a referral!! Since when does a Rheumatologist not treat pain?  Anyway, i'd be so grateful for someone to direct me to a sympathetic ear in Pensaola or surroudning communities.  I've gone off the Duragesic patches and Percocet that actually worked for Lortab 10 that makes me want to urp on an hourly basis.  I could (and never have) pop them like PEZ and still get no relief.  But Dr. Mengala (of concentration camp fame) feels it's all he can provide in the short term.  Perhaps with us all searching we can find the one, lone, kind physician out there who actually wants to help people.

God Bless...I promise to share if I find this illusive individual. 

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DeDe1111, Community Member
4/ 6/10 5:50am

Dr. Robert Sackheim in Pensacola will take care of you. His office is very compassionate. They are great. He does do random urine screening to make sure you are taking the meds he prescribes to you only. That's his only rule. I was a patient for six years and loved him. I moved to North Alabama and still haven't found a pain management doctor. For the first time in my life, I don't have Blue Cross/Blue Shield insurance. I went through a divorce and my husband was ordered by the Judge to continue my health insurance for six months or longer if necessary. My ex husband didn't continue my health insurance and because I didn't work for his employer, BCBS wouldn't give me any info nor wood his Office that handles insurance. So now I'm on medicaid, living in North Alabama. I'm in such pain that I can't stand it. Anyway, Dr. Sackheim will help you, if it wasn't so far to travel to see him, I would continue seeing him. If anyone knows of a pain management doctor that will help me, please reply to this or email me. God Bless and Thank you.

DD in Alabama

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yankeemom, Community Member
4/ 6/10 11:08am

Thanks so much for your guidance.  The irony is I have begun to see Dr. Robert Sackheim...saw him yesterday as a matte of fact!  The only thing I would caution patients about is that Dr. Sackheim can seem rather abrupt and disinterested at times.  I'm learning that he is listening, just not in the "down home" way we who have resided for decades in the South have come to expect.  He's straight out of New York City and chit-chat is not his strong suit.  I have learned to overcome this cultural deficit by stating my complaints in a crisp, concise manner the minute he walks in the room.  After the "hellos" we get down to business.  He is very direct; rather off-putting in the early going if you must know.  But, he has for the moment addressed my pain issues with a medication that other dr's would  be reluctant to perscribe in this hyper vigilant climate we poor pain sufferers find ourselves.  Be prepared for random urine tests.  I believe this is now the case with all physicians doing pain management.  The upshot is that for today things are as good as they're going to get with what has been offered.  Would I like to be more pain free?  You bet!  Am I in love with the fact that I have to schlepp across town once a month to pee in a cup and be sort of barked at?  No way!  But it's what I've got at present and I have to be grateful for that.

Thanks again for your kind response.  I'll put you in my prayers....that there's a Dr. Sackheim (only way sweeter) in yoour very near future.    

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PainHoldsMeBack, Community Member
6/21/12 12:02am
Hi yankeemom, Are you still seeing him? Currently looking for someone to help with this ridiculously frustrating time consuming pain. If so, how does he decide what medicine to put u on? For ex, is he a patch dr, or does he let u tell him what has worked for u in the past? Thanks for your time Reply
abc, Community Member
12/14/10 2:01am

To Hurts Bad.....I am a former UAB pain pt and got excellent care there until 2004 when things began to change.  I am really interested in talking to you and think I can help you in your search.  Pls email me at annabananabelle80@yahoo.com.  Hang in there!!!

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yankeemom, Community Member
12/14/10 11:36am

Hurts Bad...I wish i could help u with ure search.  My dr. @ UAB has cut me loose for good when things began to change.  I'm now in Pensacola, Fla.  Blogged some months ago that I'd found Dr. Sackheim but that became too exepnsive...insurance is a joke.  My gen. practice doc is filling in for a few months with a paltry # of pills until he decides to stop or i find someone to help me i guess.  I hope the email link provided u will b able to give u some feedback..perhaps helping more of us in the process.  God Bless us everyone!  Best regards...yankeemom

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Kayyy, Community Member
10/24/09 10:42pm

I also need a good Doctor.I have been in pain for years have plenty of records and I have good Ins. my problem is my Ins. does not pay any of my office calls and I can not afford to go 5 different Doctors a month and I know family Doctors can write out what I need but no,I guess they just sat there anymore and get a cut from all the Doctors they send you to. For awhile I did that but I just cant.Doctors are just mean here and these pain doctors should all be in pain they act like your just a druggie well I am not and no doctor better not say it again.I guess I will just leave this state. Anyway have anyone here in Alabama found a kind Doctor?

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aura, Community Member
1/21/10 6:38pm

IM HAVN THE SAME PROB, MY DR DOESNT TAKE MEDICAID, AND MY INSURANCE HAS DROPPED, SO I GOT A 175.00 BILL AND CANT GO SEE HM TILL I PAY IT , BT HE WAS WONDERFULLY NICE ,( DR. LEFFRAGE ROBBINS) IN PINSON , ALABMA. HE GAVE ME EVERYTHING I NEEDED, LORTAB 10 2 TIMES A DAY( I WAS IN A WHEELCHAIR W/ NUMEROUS SURGERIES, AND HAD TO REWALK AGAIN,  AND HE GVE ME KLONOPIN W. 2 REFILLS, HE GVE ME REFILLS ON EVERYTHING, HE JST DOESNT TKE MEDICAID 4  ADULTS. THTS MY PROB , I NEED A  PAIN DR . WHO WILL SCRIBE MY MEDS IVE BEEN ON 4 YEARS, THT WILL TKE MEDICAID! IF ANY1 CAN RELATE PLEASE!  HIT ME UP  INDEPENDENT3693@YAHOO.COM

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Le, Community Member
3/15/10 3:18pm
there is a doc in bham that accept cash pt's 119 per visit Ronald Moon is his name located on southside. Reply
Karla Hogan, Community Member
3/14/11 2:42am

How much does Dr. Moon charge if you have to pay cash?

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eredy, Community Member
3/10/12 11:58pm

you can use the clinic at winfield ala on hospital rd he will give you the max on pain meds my ex went there

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mike677, Community Member
9/28/10 1:50am

 I know a doctor that will treat your pain with medicaid, you will need your records of where you are getting the patches 100mg. and the percocet. please contact the doctors clinic at A P Soriano M.D. 517 center avenue south  phone 601-656-1440 he gladly accepts medicaid and the last i checked it will work in  mississippi as it does in alabama.

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Debbie Marsh, Community Member
11/ 5/10 3:31pm

I am in the same shape with chronic pain Doctors who wont take Medicaid in Birmingham. I am in a wheelchair (power), and have had 98, yes 98!!!! surgeries. I can not even begin to list them all. My clinic also stopped my chronic pain meds yesterday. I fully believe in GOD, and somewhere in Birmingham Cullman Jaspar anywhere that will take heart on the ones of us who want to live so badly. If not, there is going to be a widespread massive sucide rate from the ones who can not stand the pain, and feel the hopelessness. I want to live more than anyone who has ever fought to live. Otherwise I do not know where thatI would be. I spent 1 solid year in the hospital without being able to come home. When I did come home, I was bed- ridden 7 Yrs. Just when they help me to get up, It is hopeless? Please helpme, I too was just started on the Duragesic patches. To some Doctor out there, PLEASE take away the pain so that I can live. I am not a drug-addict!!!!!!!!! I am in so much pain, that I did not know your body could even produce!! I have 2 sons that I can not even raise because of the pain.  GOD BLESS some Doctor in Birmingham

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Lainey, Community Member
11/ 9/10 11:06am

I pray that the power of God reign down upon you strongly and give you relief as never before. You have been through enough.

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abc, Community Member
12/14/10 2:14am

As a fellow OR victim, patient patient, and powerchair user in this very ADA unfriendly state, I FEEL your pain.  I would love to chat and I think I can help you in your search for medical care.  You can email me at annabananabelle80@yahoo.com

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galoregirl, Community Member
3/28/11 8:56am

I too am finding it very difficult in locating a doctor who will give pain medication for chronic pain.  Although I'm not on medicaid, I do not have insurance either.  Apparently, it is state wide, but really world wide.  I have 4 bulging disks, documented 7 years ago, DJD, and just chonic pain. I am not a drug addict, u just get labeled that, as does everyone else who has chronic pain, so am not goin there, everyone on this site knows what I'm talkin about.  I am 53 years old, moved to Shoals area about 5 years ago.  I'm self employed, so no insurance.  I cannot afford to go back and forth to doctors, so when I can afford to, I go.  The only thing that helps me is 10mmg Lortab and Robaxin together.  I've tried everything in between for years, shots, no surgery, cant afford. This seems to help the best.  I know that these are not "hardened drugs", so why is it so hard to get them? I recently went o a doctor in the Shoals, and he gave me these and they helped, completely.  Now, I was getting ready for my monthly visit this morning and have found out, he has closed his practice!  Does anyone know of a doctor here that can help me with my problem?

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snykerz, Community Member
4/30/11 8:37pm

This is to all of you who are looking for pain management doctors, I hope it helps you find one, as I am going thru the same thing. I was dismissed from my pain clinic for not taking my meds! They told me my count came back low, so they "assume" I am not taking my meds... and trust me I am taking them! I am going to fight this and be tested to see if I simply metabolize my meds differently or what the h*ll is going on. There was no reason for my dismissal, NONE. I am in constant pain/in a wheelchair and need my medication! I think we all need to band together and call the American Medical Assoc, Whistle Blower 9 (WSOC NEWS) and expose these doctors. Anyway here is a list of pain management doctors in Birmingham al, you will have to sift thru all of them to see what they offer, but there is a ton of them. Best wishes and good luck to all of you, I am in the same boat, but I am in NC!! Here is the site:  http://www.healthcentral.com/chronic-pain/c/question/38506/comment/28659/re=287661

 

 

 

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snykerz, Community Member
4/30/11 8:50pm

OOppppsss : Here it is:

 

www.youcomparehealthcare.com/drs/alabama/pain_management_physicians/Birmingham.html

 

 

Darm computer wont allow copy and paste!

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snykerz, Community Member
5/ 1/11 1:35am

I am so pi**ed off at these damned drs. and this computer right now I could spit bullets. Here is the link I found.

 

http://www.ucomparehealthcare.com/drs/alabama/pain_management_physicians/birmingham.html

 

 

www.ucomparehealthcare.com/

 

If all of us cannot find the help we need, and have been dismissed for no reason, and have been treated like a criminal (which we are not!) its time to expose the pain clinics! They take our money, get us addicted to the opiates, and then just leave us! and for no reason! I am sick of it! If anyone wants to email me on this subject my addy is naturelady_3 at yahoo dot com. We all need someone on our side and we need to band togher on this! Let me know! and please put "Pain Clinic" in the topic bar so I know where its coming from. God Bless all of you,I know the pain all too well. In the meantime try to stay strong, if enough of us blow the cover by contacting newspapers, local tv news, and the american medical association, they will have to change their their policy and not just dismiss anyone with=out good reason. Nite peeps!

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snykerz, Community Member
5/ 1/11 2:06am

Let me add this before I close for the nite: At first I was accused of taking too many pills, then was called in for a pill count (it was fine) I was piss tested and my numbers came back low, so I was accused of NOT taking my meds, and thus dismissed from the clinic. I have been doing alot of research, as I was told if I had blood work done that would prove I metabalize my meds slowly/and/or/ differently that they would reinstate me me into the clinic. EVERYONE has the right to go be tested! and one of the tests is something to do with "immunoassey." Here is what I found on the subject::

 

Immunoassays are chemical tests used to detect or quantify a specific substance, the analyte, in a blood or body fluid sample, using an immunological reaction. Immunoassays are highly sensitive and specific. Their high specificity results from the use of antibodies and purified antigens as reagents. An antibody is a protein (immunoglobulin) produced by B-lymphocytes (immune cells) in response to stimulation by an antigen. Immunoassays measure the formation of antibody-antigen complexes and detect them via an indicator reaction. High sensitivity is achieved by using an indicator system (e.g., enzyme label) that results in amplification of the measured product.

Immunoassays may be qualitative (positive or negative) or quantitative (amount measured). An example of a qualitative assay is an immunoassay test for pregnancy. Pregnancy tests detect the presence of human chorionic gonadotropin (hCG) in urine or serum. Highly purified antibodies can detect pregnancy within two days of fertilization. Quantitative immunoassays are performed by measuring the signal produced by the indicator reaction. This same test for pregnancy can be made into a quantitative assay of hCG by measuring the concentration of product formed.

 

Purpose

The purpose of an immunoassay is to measure (or, in a qualitative assay, to detect) an analyte. Immunoassay is the method of choice for measuring analytes normally present at very low concentrations that cannot be determined accurately by other less expensive tests. Common uses include measurement of drugs, hormones, specific proteins, tumor markers, and markers of cardiac injury. Qualitative immunoassays are often used to detect antigens on infectious agents and antibodies that the body produces to fight them. For example, immunoassays are used to detect antigens on Hemophilus, Cryptococcus , and Streptococcus organisms in the cerebrospinal fluid (CSF) of meningitis patients. They are also used to detect antigens associated with organisms that are difficult to culture, such as hepatitis B virus and Chlamydia trichomatis . Immunoassays for antibodies produced in viral hepatitis, HIV, and Lyme disease are commonly used to identify patients with these diseases.

 

Description

There are several different methods used in immunoassay tests.

  • Immunoprecipitation. The simplest immunoassay method measures the quantity of precipitate, which forms after the reagent antibody (precipitin) has incubated with the sample and reacted with its respective antigen to form an insoluble aggregate. Immunoprecipitation reactions may be qualitative or quantitative.
  • Particle immunoassays. By linking several antibodies to the particle, the particle is able to bind many antigen molecules simultaneously. This greatly accelerates the speed of the visible reaction. This allows rapid and sensitive detection of antibodies that are markers of such diseases, as infectious mononucleosis and rheumatoid arthritis.
  • Immunonephelometry. The immediate union of antibody and antigen forms immune complexes that are too small to precipitate. However, these complexes will scatter incident light and can be measured using an instrument called a nephelometer. The antigen concentration can be determined within minutes of the reaction.
  • Radioimmunoassay (RIA) is a method employing radioactive isotopes to label either the antigen or antibody. This isotope emits gamma raysare, which are usually measured following removal of unbound (free) radiolabel. The major advantages of RIA, compared with other immunoassays, are higher sensitivity, easy signal detection, and well-established, rapid assays. The major disadvantages are the health and safety risks posed by the use of radiation and the time and expense associated with maintaining a licensed radiation safety and disposal program. For this reason, RIA has been largely replaced in routine clinical laboratory practice by enzyme immunoassay.
  • Enzyme (EIA) immunoassay was developed as an alternative to radioimmunoassay (RIA). These methods use an enzyme to label either the antibody or antigen. The sensitivity of EIA approaches that for RIA, without the danger posed by radioactive isotopes. One of the most widely used EIA methods for detection of infectious diseases is the enzyme-linked immunosorbent assay (ELISA).
  • Fluorescent immunoassay (FIA) refers to immunoassays which utilize a fluorescent label or an enzyme label which acts on the substrate to form a fluorescent product. Fluorescent measurements are inherently more sensitive than colorimetric (spectrophotometric) measurements. Therefore, FIA methods have greater analytical sensitivity than EIA methods, which employ absorbance (optical density) measurement.
  • Chemiluminescent immunoassays utilize a chemiluminescent label. Chemiluminescent molecules produce light when they are excited by chemical energy. These emissions are measured by a light detector.

Precautions

Blood samples are collected by vein puncture with a needle. It is not necessary to restrict fluids or food prior to collection. Blood should be collected in tubes containing no additive. Risks of vein puncture include bruising of the skin or bleeding into the skin. Random urine samples are acceptable for drug assays; however, 24-hour urine samples are preferred for hormones and other substances which show diurnal or pulse variation.

Special safety precautions must be observed when performing RIA methods. Radioactive isotopes are used by RIA tests to label antigens or antibodies. Pregnant females should not work in an area where RIA tests are being performed. Personnel handling isotope reagents must wear badges which monitor their exposure to radiation. Special sinks and waste disposal containers are required for disposal of radioactive waste. The amount of radioisotope discarded must be documented for both liquid and solid waste. Leakage or spills of radioactive reagents must be measured for radioactivity; the amount of radiation and containment and disposal processes must be documented.

 

Normal results

Immunoassays which are qualitative are reported as positive or negative. Quantitative immunoassays are reported in mass units, along with reference intervals (normal ranges) for the test. Normal ranges may be age- and gender-dependent. Positive immunoassay test results for HIV and drugs of abuse generally require confirmatory testing.

Although immunoassays are both highly sensitive and specific, false positive and negative results may occur. False-negative results may be caused by improper sample storage or treatment, reagent deterioration, or improper washing technique. False-positive results are sometimes seen in persons who have certain antibodies, especially to mouse immunoglobulins (immune cells) that may be used in the test. False-positive results have been reported for samples containing small fibrin strands that adhere to the solid phase matrix. False-positives may also be caused by substances in the blood or urine that cross-react or bind to the antibody used in the test.

 

Preparation

Generally, no special instructions need be given to patients for immunoassay testing. Some assays require a timed specimen collection, while others may have special dietary restrictions.

 

Aftercare

When blood testing is used for the immunoassay, the vein puncture site will require a bandage or light dressing to accomplish blood clotting.

 

Risks

Immunoassay is an in vitro procedure, and is therefore not associated with complications. When blood is collected, slight bleeding into the skin and subsequent bruising may occur. The patient may become lightheaded or queasy from the sight of blood.




Read more: Immunoassay Tests - procedure, test, blood, removal, complications, time, pregnancy, cells, Definition, Purpose, Description, Precautions, Normal results, Preparation, Aftercare, Risks http://www.surgeryencyclopedia.com/Fi-La/Immunoassay-Tests.html#ixzz1L4rTlJ1P

 

 

Alot of times the readings the docs get back from the lab can be due to many factors, such as individual metabolism, or not not taking your meds exactly every 4 hrs (or whatever the doc says) even forgetting to take a pill will throw your blood work off. Anyways, I just wanted you all to know that, and hopefully if enough people complain about being dismissed for no reason they will listen! But be sure and get tested for your metabolism, etc, it can't hurt right? and I am ready to fight tooth and nail for my rights! They take my money, they better take care of me AND THEY BETTER BE NICE ABOUT IT, because I have always been nice and respectful to them... as the Bible says, treat others as you expect to be treated. OK, I'm off my soap box for tonight. Nite all*

Reply
PersonNotPain, Community Member
12/ 9/11 10:04pm

Dr. Mark Murphy, North Alabama Pain Associates, 256-340-9553. He's great. Office, well, marginal.

Reply
kmurray1, Community Member
6/ 4/11 1:42pm

This is in response to just your "Pain Part". I take back pain seriously as I have had it since February 2001 when 2 nerves were severed during a "Routine" surgery to repair a ruptured T9 disk. I have been on pain management ever since and finally after 10 years and much surgery I have been relieved of 90% of my pain. My pain doc here in NC finally suggested to implant a "Pain Medicine Pump" into my abdomen. This is normally used with morphine, but mine uses Dalaudid (I guess I spelled it right) and it is wonderful. They implant the pump and run a catheter around to your spinal cord fluid sack and the medicine drips directly on the nerve endings that cause the pain. Now, they have to keep adjusting the level until they have it right, but afterwards when it is where it needs to be, you are able to enjoy things a lot better. This does not put you into a "Fog" or anything like that and guess what, you get to give up the oral narcotics alltogether. i did it within 2 weeks of the implant and had zero withdrawels.

I really am sorry to hear about your situation, but I hope when you do find another doctor, you will ask him about this pump. If you want further info from me email me at inmybusinessisyou-myinfosharedwithyou@yahoo.com. Yes, this is my real email address. feel free if you wish and God bless.

Reply
marineedshelp, Community Member
8/22/11 4:52am

I am sorry that I cant help you out in Alabama, but Ive just moved to Chicago, and I face manyof the same problems you have.:( is it possible for you to give me the name of the dr. you had success with in Chicago?

THANKS

Marzdo@aol.com

Reply
eredy, Community Member
8/30/11 4:37am

how far will you go i had a ex go to alabama winfeld to her doc  . he gave her lortab 10s 120 and he takes medicade and medcare try him its called the pain management clinic on hospital road and if you run out of vists its 20 bucks each time after 14 .

Reply
DrG, Community Member
12/22/11 9:19am

I am on SSI and have had back problems since 2005. I had two laminectomies this year which made things worse. I've been on pain meds for years and have gone through much of the same problems in finding a good doctor here in Alabama after I moved from Tucson, Arizona. I recently have been referred to Dr. Mark Bailey at UAB. He has been there only a year or so I understand. My primary care doctor is Ramy Toma and he has given me Lortab 10 three times a day without a problem. And now I have been referred by Dr. Johnston at Alabama Bone and Joint Clinic in Alabaster to Dr. Mark Bailey at UAB. He is excellent and has referred me to get facet joint blocks which so far have been very effective. If they work, they are supposed to burn the nerve out completely. Dr. Bailey prescribed 10mg Opana ER twice a day to start with. I can't say it helps more than the Lortab so far because I'm used to as needed meds but he is willing to help and that says it all. I am praying the Lord will take away the need for the meds at some point and I know He can. God bless you all.

 

Reply
breezyyy, Community Member
4/ 8/12 3:31pm

wtfnebula@yahoo.com only legit guy i know of thanks hes located near Pinson

Reply
Skitter99, Community Member
8/14/12 10:33am

I was going to Dr Ali in jasper but viva health care droped him because of his billing pratice,, After my 3rd back and neck surgery 6 yrs ago i was put on disibility, its hard to make it through the week with out some help. So now i must look for another Doc. If anyone has any suggestions on a new pain doc please let me no. i live in Warrior maby i can find one close and THANKS in advance  Cool

Reply
toodee, Community Member
9/ 4/12 2:05pm

I am a pain patient at Cooper Green Pain Management and have been since 2001 because this is the only clinic that I can go to on Alabama Medicaid. I am not pleased with the way I get treated by some of the doctors, physician assistants, and other staff there. When Dr. Mark Wilson was head of the clinic, it was pleasant and he had compassion...he was a "True Caring Doctor", not the narcotics police. When other staff come in to run the clinic, the automatically want to take you OFF meds that are abused on the street(as they say). What does that have to do with me? They have always and still do urinalysis...which I have never failed, so that should say something in itself. They make you feel like it's a clinic for drug abusers instead of a clinic to HELP you with you're pain. If there was another pain clinic to go to, I would get my records and get away from Cooper Green Pain Management A.S.A.P.. 

If anyone here knows of a Pain Clinic in Birmingham, Alabama...PLEASE let me know because 'they' add to my pain because they STRESS ME OUT.

Reply
Skitter99, Community Member
9/ 5/12 1:28pm

Hi toodee, i went to alabama pain center in cullman al, turned my paper work in to them, i dont no much about these people i guess i will wait and see, i need a block in my neck hope that will ease some of the pain,  Cool

Reply
GodsRecruiter, Community Member
12/29/12 10:26pm

Hey Toodee,

I don't know if you've found another pain management clinic yet, but I know exactly what u mean. I too, went to Dr. Wilson at Cooper Green before he ascended through the ranks. But after he did, it was just as u stated. They treated u like drug abusers instead of patients. Anyway, if u can get to Jasper Dr. Ali will see you gut I can't promise that u won't experience the usual "drug politics". Anything they want u to do is followed by "or else we won't write u your prescription." So it's like u have to choose what u will or will not accept. For the most part, they offer nothing more than writing your prescription as long as u pass the drug tests, which I've been doing for six years now. Walker Rural Health 1090 Highway 78 E Jasper, AL 35501. Phone: 205-387-9787. Hope this helps

Reply
toodee, Community Member
9/ 6/12 12:34pm

The ONLY place in or around Birmingham that accepts Alabama Medicaid is Cooper Green Pain Management. You will need a referral from your PCP. I have been going there since 2001 and WISHED there were other pain clinics to go to.

Reply
Joe Smith, Community Member
10/20/12 3:38pm

Have you tried Birmingham Pain Management Group.  They are out on 280 on Hugh Daniels Drive.  I have been with them for 10 yrs now.  I was hit by a drunk driver.  I see Dr. Michael Gibson.  Their office number is (205) 313-7246.  Good Luck!

Reply
Skitter99, Community Member
11/ 1/12 2:48pm

Thanks Joe i need to find someone who givs shots for neck and back i will give him a call :-)

Reply
amelia76, Community Member
1/ 8/13 12:00pm

It’s unbelievable how fortunate I feel after finding your email: antogaispelltemple@yahoo.com For the past 8 months, I have been so depressed after losing my fiance to another woman. My money situation worsened so much that I thought I’d have to file for bankruptcy. I had a huge amount of debt and I didn’t know what to do. Out of complete and total desperation, I contacted many of those so-called individuals who promised powerful magic, witchcraft or black magic. None of them worked and none were as wonderful, affectionate and warm as Antogi has been. He is definitely different from the others and I felt immediate hope and strength from hearing about the promises he had to offer. He carries an air of purity and divine strength that is as pure as fresh snow on the ground. I requested Antogai most powerful spells and I was relieved right away that I had someone to solve my problems for me. His spells worked wonders and I am now back with my fiance and my money troubles resolved itself after winning the lottery. Dr. antogai, I have no idea what I would have done without you being there to help me out.

Reply
Distressed wife, Community Member
1/31/13 10:40pm

Have you checked with Dr David W Cosgrove

 

 

Reply
Distressed wife, Community Member
1/31/13 10:40pm

Have you checked with Dr David W Cosgrove

 

 

Reply
Distressed wife, Community Member
1/31/13 10:40pm

Have you checked with Dr David W Cosgrove

 

 

Reply
Distressed wife, Community Member
1/31/13 10:43pm

Have you tried DR David w cosgrove?

Reply
DamagedAKAdylans mom, Community Member
11/13/13 6:49pm

My doctor refered me to him and his office said he doesn't take Medicaid so they told me they can't legally write me medicine to help me and it seems inhumane and should be illegal to deny pain relief to someone with a leg that shattered and 9bulging discs,3herniated 1back surgery at 19sponddylolitheisis at 9years old I was told I would have pain my whole life and learn to live with it which I did until my world fell apart and I had 2wrecks the worst I wasn't driving my son's dad was and my son was in the back so I didn't think he'd be messed up on drugs and risk his son's life so I handed him my keys and that was the biggest mistake I've ever made. We flipped 3times I hit a tree at 55mph and my son is the only one of us who can say what happened(13years old only met his dad 8 months prior so he niw has anger that is getting him in trouble) I don't know what it's like to not be in pain and am done suffering and fully acknowledge I don't care if I'm a drug addict if I'm able to later work. I had 23 staples in my head and the person i knew for 29years died last year on. 2/20/2012 if anyone can tell me a doctor who takes Medicaid I would pay you if I wasn't poor and be appreciative. Please

Reply
Joynpain2, Community Member
5/27/13 12:58pm
You said that you're on SSI. Do you have Medicare on addition to your Medicaid? If not, you should see about getting it. I have Medicaid and Medicare and by having both there is an insurance company called Viva which offers "Viva Medicare Plus" to those with both Medicare and Medicaid. I have had good luck with doctors taking this insurance. Personally, I have extensive abdominal adhesions which cause severe pain. I go to Alabama Pain Physicians at Trinity. Www.bamapain.com. For a long time I was scared to go to a pain doctor because I didn't want to take strong narcotics and was luck enough to get a doctor who is willing to try other things to get me off the ones I currently take. I have had good results from the blocks and have been able to reduce the amount of narcotics I took before. Of course, each person and their condition is different and they work with you. Give them a call. Otherwise, Doley's Clinic takes cash payments and I have heard that the doctors are excellent. They even offer counseling specialized for people in chronic pain. I wish you the best of luck and would be willing to further discuss things with you if you would like to send me your email address. I don't really want to disclose mine in an open forum like this. Reply
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By MsBackPainInAlabama, Community Member— Last Modified: 06/18/14, First Published: 05/22/08