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Have to find new doctor to treat my Chronic Pain by Dec 3rd, 2014

edited 09/19/2014 - 12:39 AM in New Member Introductions
I've tried all "tier" medications for pain control and currently use Fentanyl TDM patches. My pain was well controlled for 4 years on 100 mcg Fentanyl q48h until my health insurance changed to a crappy MANDATORY Managed Care Health Plan that my doctor is not enrolled in. I have until December 3rd to find another provider and wean off Fentanyl because there's NO WAY I'm going to find any Medi-Cal health provider that will continue all my current medications. Fentanyl - (now 75mcg q72h), Ritalin, Klonopin, Ambien, Baclofen, Prozac, Mobic, Levothyroxine and Promethazine. My current doc is an ex colleague of mine (I used to be his Medical Assistant but had to quit due to chronic pain and debilitating fatigue). He has been a GODSEND, working with me over the years to get my pain managed and now I'm being forced to find another doctor....as you all know, it will be virtually impossible to find a doc that will be willing to scratch out all the same prescriptions!
As the old saying goes....All good things must come to an end!
I'm having issues with pain control now on the 75 mcg every 72 hours and will have to lower my dose in 2 wks to 50 mcg. My BP is sky-high (166/105) and I'm not able to work more than 10-15 hours a week and it's only going to get worse! I know stress is causing my pain and BP to fly off the charts right now and don't know what to do, where to turn or have anyone that understands or gives a EDIT I'm really glad I happened upon this forum.
Thanks for letting me vent....


Post edited to remove inappropriate language...Liz spine-health moderator.. Please read the Forum rules



  • LizLiz Posts: 7,832

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • You most likely will not find another doctor who is going to continue to provide you with the same medications, at least not at first. What are the conditions that caused you to need to be treated for pain? Do you all of your medical records and imaging studies, results? If not, you are going to want to locate them and get them put together. I would not suggest waiting until December to start looking for a new doctor. Most of them require a referral, and time to go over your chart, and then it can take some time to get your first appointment with them.
    What I would suggest is that you start making appointments now, to interview new pm doctors. That way, you can meet them, discuss your case, they can go over your medical records with you, examine you, and talk about what treatment options they would recommend. I did this when I considered changing doctors and found another who I would have changed to, had I decided that I was going to. That way, the pressure of the first appointment, not having medications on hand, and hoping for the new doctor to prescribe is taken off both of you. Do this with a couple of doctors in your insurance plan and see what you find. Do NOT however accept any prescriptions from any consulting doctor, until you have ended your relationship with your current one and do not sign a contract until you have changed your doctor. .
    One thing, a change in medications may not be a bad thing, and don't be surprised if they want you to repeat physical therapy or injections again, even if they were not successful previously. As you know from working in the field, no doctor is under any obligation to continue medications or treatments provided by your previous doctor.

  • My doc phones new specialists the day before my appointment to discuss my case & calls them again after to check how it went. This was particularly helpful when looking for PM docs. My care was continued & we discussed changes we would like made. It seemed so much easier not walking in as a 'stranger'. You are more likely to continue your prescriptions if your doc explains to a new doc why you're taking those meds, his thinking in choosing those particular ones & doses. It really helped me ;-)
    Osteoarthritis & DDD.
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