Hello to all my fellow spinal patients.
I'd like some insight into some fallout which occurred after my most recent visit to my pain management doctor. First however some insight into my history, I am a patient in my mid 20's suffering from intractable cervical spinal pain for the past 2 years. This stems from scoliosis and kyphosis caused by an underlying connective tissue disorder.
The pain has been very severe and isolating, often very cruel with no doctors offering me any treatments aside from the one thing that seems to help, opioid analgesia.
Back to my visit, all seemed routine as pain management sessions usually seem to go. i discussed how the precious month felt, describing how I felt as though my pain was increasing and I was losing further mobility. I stated i was afraid, not an unlikely emotion given my prognosis has been ever evolving negatively (further degeneration may leave me requiring my entire spine to be fused, C2 to Pelvis) My doctor seemed to understand my having a rough month, refilled my meds with a modest increase (I have had no increase in over a year, in fact I have actually returned unused scripts and voluntarily ceased dosage completely of diazepam)
Four days letter I receive what appears to be a discharge letter, stating that the clinic is not qualified to treat depression with opiods. If i see a psychiatrist, then I will be allowed to be weaned off and a weekly basis, otherwise I am considered discharged.
First and foremost, I am hurt. I feel deeply betrayed, as I have been receiving care for 18 months and in that time have conducted myself admirable, following all rules and laws. I was never disrespectful and dishonest, and have extensive documentation (and post-op scar tissue) to prove my condition. Worst of all, I left my last appt. with no knowledge of any sort of problem. While I have turned down previous suggestions to see a psychiatrist, those decisions were based on my previous negative experience with anti-depression/psychotic medication, furthermore I do not feel I am medically depressed ie 'chemical imbalance' Yes I mourn for my lost future and my lifetime of pain, but this is not due to a disease per se.
I've heard of discharges for drug seekers, but for being depressed? Is this is anyway standard practice? What should I do?