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surgery and pain dr's

hello everyone
i have not been her for a while. i had what was called a lateral fusion where they corrected a defect in my l3 vertabrae. it was dislocated so they had to fuse it by going in the side. well weird. i usually have gotten along with my pain dr but when i told him i was having surgery, he freaked.. he looked at my scripts for 4 years, gave me a urine test and gave me a bad time. he did the same when i saw him after surgery. well i went back after 2 months and what do you know, he treated me like the person he used to. very polite, did not chew me out, did not look at past scripts etc. i have no idea what happened and why he changed his mind. and this month the same. i guess he got his panties in a bunch, my wife thinks he was upset for my having surgery and he had to share me with another doctor
I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.


  • My guess would be that because of your surgery....your surgeon, and your insurance company and possibly the state and/or DEA takes a fresh look at someone's history pain and their medication use...especially with any opiates. So he probably wanted to get things in order to show that you are being monitored properly by him with your medications and that you are a compliant patient.

    My state of VA started last year requiring all those on opiates to have an annual urine test. I've been seeing my PM since 2006. For others he has always been doing these tests and still does more random ones for patients that are new or he may question. But for me they actually ask me on a visit (I only go every 3 months to see him) when I want to do my test...LOL...As well as I do not have insurance right now and the lab he uses is one of the best in the country in CA....they do the GC/MS analysis which is very expensive but also 99.9% accurate which is good as the typical "dip stick" test can be very unreliable. So he has been "writing off" my test each year so I don't pay a dime.

    Anyway...it could be that your state has changed their rules...or my original thought that he was just having everything in place to show the surgeon and insurance company...

    You can certainly ask him next visit if you are curious:)

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