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pill counts

dmoonchildddmoonchild Posts: 383
edited 06/11/2012 - 7:21 AM in Pain Management
My new PM dr says they do pill counts randomly. How does this work? Do they call you at home and say to come in to the office? The reason I ask is that my husband travels with work. He will be taking my car to the airport. I cant drive his car because it's a stick shift. He is only going away fo 2 days. What if they call for me to come in? Will they give a few days to get in? I know I am required to bring my unused pills to every monthly appointment.


  • of that one. I would assume that they will randomly count on your reg appt time. I do not think that they will have you come in at different times than appt. For one thing that would be very time consuming for them. Maybe someone that knows for sure will come along and answer this for you.
  • If you signed a pain contract when your pain doctor gave you your meds,then they can do a pill count at anytime....
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  • dmoon- I never have been called in for a pill count so I do not know how that works. I have had urine tests done randomly though at my pain drs office during routine appointments. jade
  • On my second visit to my pain doctor, his office gal came in before he and told me to sign it(pain contract)and said everyone who is treated at their facility must sign one. I didn't even have a chance to read it, I was in excruciating pain, crying etc., so I signed the darn thing just to get on with the appoitment...should I have signed it? My GP gave me an anti-anxiety scrip and my pain doc was livid! What is protocol here and can I get pain help without the signed pain contract? Thanks y'all for your experienced and knowlegable answers/comments.
  • Random pill counts are just that. They call you and give you a time frame to come into the office and bring your pills with you. If you don't show up, then it counts as a failed test and they can terminate you.
    I would suggest that if you don't have a copy of your contract, that you call and ask them to mail you one if it is a long time before you see the PM doctor again.
    If you have transportation issues, you need to let them know right away, and depending on the practice rules, so that they can tell you what will happen if you can't make the time frame.
    The reason that your PM doctor threw a hissy fit about the anti anxiety drugs is that you are supposed to either get any schedule II drugs from your PM or notify them first before you fill the script. You might want to clarify that with your PM so that you don't get in trouble again for it.
    Like Paul said, PM is hugely regulated and strict these days, so it is best to ask questions and make sure that you are sticking to your contract, otherwise, you can find yourself blacklisted or flagged for something that you didn't know was a problem.
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  • I can toatally understand why they do it and I cant blame them. I was a little concerned if I dont have a car and if I would have a few days to get in if they called. I could always ask someone to drive me if they wanted me in ASAP.
  • I have been going to my PM for 3 1/2 years now and have never been asked to sign a pain contract. This site is the first place that I have ever even heard of them.

  • I asked my doctor for a contract to show him how serious pain relief is to me and that I understand the potential pitfalls of narcotic pain meds.Plus the quantity required it due to possible diversion (120 x 10/325 Norco).I am open to random testings and pill counts, so far none, but I have no issues following the rules.My doctor is a GP, so it protects him too.
  • That's incredible. I have never heard of this one. Bringing in your unused portion to the Dr. to count the pills? That is totally outrageous unless of course you signed some ridiculous contract that states you do this absurd thing. Wow, I can't believe that. I am required to give urine 3 times a year that would be every second visit as I go to the Dr. every other month. That is all I am required to do, and I am not sure why I am required to do that. I have no problem with it, so I do it, but bringing in unused meds to count, you gotta draw the line somewhere!
  • I too have never heard of this before reading it here. although I have been going to a PM for a year now I get my meds from my GP. He has never questioned pill counts . when I am getting low I just go back and ask. when I was first having problems I saw him and told him the meds wernt working and he gave me stonger ones.The last time he just asked me which ones I wanted.I dont see how they can do a pill count . I take mine as needed which is every so ofton so how can they determine in a case like that if you were off on the count. If you were coming back every week or so for more if say the gave you 40 or so then I could see they would question it.
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