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Help with pain management doctor.

pgolfer22ppgolfer22 Posts: 2
edited 09/13/2015 - 9:19 PM in Chronic Pain
Hello, I am relatively new to pain management. I know there is a contract about other doctors prescribing you medicine.
I went to my general care doctor just because I had a chronic cough and felt terrible. He prescribed me your normal anti biotic and prednisone. BUT here is the catch and its pretty unique, this is like a stop in walk in clinic type place, and he was going to prescribe me hydrocodone cough syrup for my cough and to help me sleep. You have to bring in the sheet to the pharmacy obviously nowadays and I think they printed the wrong prescription, and it was an old pain 90 pill 3 month supply of hydrocodone pills that he prescribed me a long time ago BEFORE I went to pain management. I had to go to work, so without even looking I assumed it was the cough syrup prescription took it home dropped it off for my wife to take and went back to work. I came home and its a bottle of 90 pills? She didn't know the situation with pain management so I freaked out about it being filled!!!
This was a complete accident. Now I have an appointment this Tuesday and I know they cant prescribe me any narcotics which is fine I have plenty but I just don't want them to think I was seeking pain meds elsewhere when it was an honest error on their part due to the lack of organization they have. Its a low grade doc in abox as they call it... What do you think I should do? I don't want to be dropped by my pain doctor. I do not know if each visit they check your recent prescription status or what? Please let me know how to approach this for those of you who have a lot of experience with pain doctors.



  • LizLiz Posts: 7,832
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  • I would waste no time. Call the pharmacy and take the meds back(hopefully they haven't been opened), call your GP and explain what happened, then call the PM and explain the whole situation to them.

    Most PM's are pretty strict(mine included) and when you sign that Pain Contract that says you cannot accept narcotics from any other source that is exactly what it means. Hydrocodone cough syrup would be a big no-no as well. You can't accept narcotics in any form.

    As PM patients we have to follow the rules to the letter and if in doubt, CALL your PM and ask! He is the only one who can make exceptions.

    And yes, if you do get dismissed from this practice, it will follow you to the next.

    I would waste no time in calling because there is a good chance that your PM already knows. Pharmacist have access to PMP where all narcotic prescription you have filled are listed. My pharmacist has my signed Pain Contract with my PM and would call him if I tried to fill a pain script from anyone else.

    Just do everything you can to make this right and don't ever do it again. You have to put in the work to establish a trusting relationship with your PM. That trust is absoutely priceless! I will say a prayer for you this morning. Please let us know how things work out for you.


    PS...If the pharmacy doesn't want to take the meds back, I know the PM can take them, destroy them, and put it in your record.
  • dilaurodilauro ConnecticutPosts: 9,856
    edited 09/14/2015 - 2:03 AM
    do NOT open the pill container!
    Call the pharmacy and your doctor as soon as you have the opportunity to explain the situation.

    I do have to stress how important it is to:

    • - Look over the written prescription given to your by your doctor - mistakes do happen!
      - Look at the prescription container you get back from the pharmacist very carefully, at times do a pill count

    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • I did what you all recommended I haven't opened it. I tried taking it back. Problem is I don't think the PM doc will buy it even if I bring them
    In and explain sotuation. That's why I was wondering if the pain doctors analyze your prescription each visit even if your not a new patient? From what I've read they do not look each visit and my pm does not urine test each visit either. Just curious about this I would prefer to avoid dealing with it at all, this pm doc has a reputation for not caring and being more concerned with his own issues.
  • If you explain the situation to your PM and give them the meds, I would think that would really go along way as far as him trusting you. On the other hand if you keep the meds and he finds out down the road, you will surely be dismissed and you will have no chance to explain anything. I am not sure why you would even be considering taking that risk. With the PMP the pharmacists and doctors have access to, somebody is probably going to see it. That is part of the reason PM doctors usually restrict their patients to filling at one pharmacy only. The pharmacists also send that info to the DEA. You could be in far more trouble than you are anticipating if you are not 100% honest with your PM. Take care and keep us updated.

  • dilaurodilauro ConnecticutPosts: 9,856
    you will probably start playing Russian roulette.

    You may get away with this situation a couple of times, but things like this have a way to catch up. And when that happens you lose.

    Being straight forward and honest in this situation is your best choice. Maybe not initially, and maybe not with this pain management doctor, but dont give up. Even though the doctor's office gave you the wrong prescription, it is still your responsibility to check it out and verify before you leave the office. I've been going to the same doctor for almost 10 years now, and when I pick up the hand written prescriptions, the doctor has me look at it to verify it.
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • EnglishGirlEEnglishGirl Posts: 1,825
    edited 09/15/2015 - 2:45 AM
    I'm pretty sure that ALL of the PM's I've ever seen have had access to the records of all the prescriptions I've filled. I'm in Texas, don't know if that makes a difference. In my experience all they have to do is look & you'll be in trouble. Take the meds in & explain the situation.
    Osteoarthritis & DDD.
  • Both the pharmacy and the doctors are required by LAW to check the database before prescribing and filling any opiate prescription.
    And I know there are the same requirements in other states as well.
    It seems easy enough to clear up, by your pm calling the walk in clinic, or having the walk in clinic contact your pm and confirming the reason for the visit and they mistakenly printed off the wrong prescription.
    In fact, I would be more concerned about going to a doctor whose office can not prescribe the right medication, but that is a different situation.
    Trying to avoid the situation only serves to make you look guilty , so you need to address it.

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