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Suspicion about PM physician(s)...

scottishkrumpetsscottishkrumpet Posts: 35
edited 06/11/2012 - 8:40 AM in Pain Management
I, at age 64 and on permanent disability, am having difficulty at finding the proper physician to help me. First, let me begin by telling you that I have been burned twice by PM dr's I sought out. I thought it was time that I stopped burdoning my primary with pain med requests for something so chronic and apparently permanent. When I went to my first pain management physician and was examined, at the end of the visit I assumed that she would continue with my meds, which I depend on for functioning daily. She told me that she 'didn't do narcotics' and only treated with invasive techniques. When I pressed her as to my need for medication, she told me a terrible lie, saying my pharmacist had called her and told her I would become suicidal if I took pain medications because I was taking other medication for depression. I became furious because it was obvious she was telling me a lie because there are no FEMALE PHARMACISTS at my local drug store. I let her staff know that I knew she had been caught in a lie. Who would want to see a dr like this? Well, I tried again with another dr. and I came to find out that her office had been raided by the police 2 weeks before because of pain medication script theft. Her assistant told me outright that the dr didn't care about my pain as much as she cared about keeping her license. When she examined me, she said 'I hope you don't think I'm going to give you strong pain meds' and she order PT and a lidoderm patch. I had already tried both so I left that office visit in disgust.
My primary didn't know what to treat me with anymore as the endocet he prescribed for almost two yrs wasn't helping me much anymore, so he mentioned a PM at this point to handle my pain issue. I have complied and called someone yesterday for an appointment and red flags started flying again for me. She seemed very, very young and she answered her own office phone as one would answer their phone at home. I find it very strange and unprofessional for a physician to do. I got the feeling that she didn't have many patients and wondered why. She called me back today and gave me an appointment but was more concerned with WHO had referred me to her rather than asking me what the problem was for me to come to see her.
My intuition told me that there is something odd about this physician and it is a feeling that I cannot shake. I wonder if I should go by what my gut is telling me or whether other people find her behavior normal. I saw a foot dr about a year ago who answered his own phone and had no office staff and he turned out to be something of a nut...he told me he doesn't operate on people that smoke and that he could smell it off me. He was very arrogent also about the fact that I was 2 minutes late as he was sitting there waiting for me. I thought it funny that he answered his own phone and found in the end that he was a wierdo. I'm afraid that this new pm will be a waste of time, also, and deny me continuation of meds. I'm willing to undergo procedures to permanently rid of the problem, but for now expect pain alleviation with medication.
How do I find out if a dr will deny medication before I waste my time and money on a visit? If I ask about the opioid meds on the phone before my first appointment, It will make me look like a drug seeker. I honestly don't know how to handle this problem anymore.
If someone knows how I can locate a dr for this within my insurance plan and not waste any more needless visits, I would be most appreciative!


  • Krumpet -

    What I would do - if I had your history with doctors - is this: when calling for an appointment, ask which modalities of pain relief do they offer? If they ask why, just tell them where you are in your treatment (it's been 5 years, etc.) and what procedures you have tried (epidural steroid shots, pt, massage/accupuncture therapy, etc) and are wondering if this doctor offers the same. Hopefully, the receptionist/nurse (or whomever answers the phone) can give you an idea of where you're headed.

    Good luck with your treatment, Krumpet. Hope you are able to find what you're looking for (adequate pain relief)!

  • How awful. Can't your insurance company give you a list of PM doctors/clinics to call? They would be listed under their Specialists and they should assist you in looking for one. Some clinics won't let you make an appt unless you have a referral, and then you have to wait to see if you are accepted.

    You can also try looking online on their website to see what treatments they offer. SH can help you find one in your area under "FIND A DOCTOR" on the bottom left side of the screen. You are right to stay away from those who only do invasive procedures/injections and the ones suspected to be pill mills. Take care
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  • My primary Dr. takes care of all of my medication needs. I trust him and he knows me best. If your primary took good care of you, why did you feel like you were a burden to him? If he has no problem giving you med's maybe you should consider returning to him. I saw a PM once and I must admit it was a waste of time and I truly didn't like his "style" or his recommendations. And then his office hounded me to set up a follow up appt. even after I'd told them I was only there for an opinion! I hope you solve your med issues soon, take care.

    Faith M
  • I hurt my back in 2004 had a L3-L5 fusion done from the front in 2006 and just had a front and back revision on L3-S1. I am only a month out of surgery and am still in a lot of pain. When I was in the hospital they couldn't control my pain very well and called in a pain management doc. The spine surgeon wants only 1 prescriber so he said only the PM doc will handle that. The Pm doc won't even give me more than 4 endocet per day and nothing else. I don't know what to do. Can I fire him and go elsewhere?
  • It's sad your Primary Dr. won't help you anymore. My Dr. gives me slow release narcotics with a break through medication that I have used rarely within 6 months. Maybe your Primary can ask the type of treatment they have at the PM's office before he refers you to another disappointment. I've had 2 PM Drs and awaiting my 3rd at a hospital as the clinics don't do ablation which I feel I may benefit from. I wish you get some pain relief soon. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
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  • jlrfryejjlrfrye ohioPosts: 1,111
    I feel your frustration but do not give up. Some one on here once told me to interview your doctors. After all they will become your medical caregiver for years.Do not give up as frustrating as this is, you will find a doctor that will meet your needs. Are you bringing medical documentation with you to your appointments? Sad as it is the drug seekers have made our care harder to get. I found myself in the same situtation as you and it too months to find the right doctor that helped me.

    good luck,
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