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    Losing Another Pain Management Dr,.
    meaningfulc1952 posted:
    Hi all,
    It has been about 2 years now that I have had my current pain mgt. dr. Prior to that I also had a pain mgt. dr. that died unexpectedly and I was not able to get my medical records. It's a long story. I have chronic pain and have had other pain mgt. drs. for the past 16 yrs. You would think that I would not have to change to a different pain mgt. dr., but I can assure you that has been the case with my jaw joint replacements, neck and back problems., My pain is what I call a "laundry list" of problems.
    Neverless, I recently saw my current pain mgt. dr. and he informed me that he was changing his practice of treating pain and that if I wanted to continue with him he would be decreasing my methadone all together. He said that he would refer me to some other pain mgt. drs. since he felt that I needed to be taking opiate meds.

    I have to tell you that I have been fired by pain drs. and then when I walk the walk like I should, I get slapped down again. I have just about had it with all of this. My dr. also said that the DEA and other government agencies are coming down real hard on him and other pain mgt. drs. I believe that. It is so unfortunate that we "pain patients" are treated like drug pushers or worse. I don't know where you all live but, here in TX it is a real drug war going on. I do not know what the outcome will be, but I am really fed up with all of this crap.

    19lindy responded:
    I can understand you. It varies by state, but they are making it harder and harder for doctors who give out pain medicine. One doctor I had said that if he gave me a stronger pain medicine they (the government) would make him get an attorney and go to the state capitol with my records to defend his prescriptions. That meant he had to close his office, hire an attorney which meant he would loose business while closed, have the cost of an attorney and then end up talking to a bunch of semi-retired politically appoointed doctors, most of whom had no special training in pain management. He believed I had the pain, but he could not afford the cost just for me. I might point out this doctor saw that I was developing cirrosis of the liver, because the pain medicine I was getting from the VA was not working and I used a lot of tyleonal to help, even though it did not help really. If he had not caught that I might not be here now.
    Since you live in a state near the border, maybe you could go their and see a pain doctor for medicine? Mexico has the largest number of retired Americans living there of any country, I was told, due to the cost of living and the good quality of medical care. I was told that as long as you have a perscription you can bring the medicine to the US and get refills by mail.
    I have seen others write into this site from Texas with the same problem as you have. I wish you well and hope something will work out.
    I finally found a doctor who would write my prescriptions here, but he maybe retiring soon and then I may be in your position. Lindy19
    77grace responded:
    Hi There,
    Wow,I feel bad for you because I can relate!Thank God that's not my problem right now but I I know that I would be upset if that happened to me!I am also in Chronic Pain ,have been for over 20 yrs.!!I also take Methadone and it works better than any thing else that I have tried!
    I would try to find another DR.,Unfortunatley that's what alot of us will have to do!Especially if Obama care goes through!!WE'll be in one big mess!!
    Best of luck to you! 77grace
    annette030 replied to 77grace's response:
    "Obamacare" is already the law, and is taking place gradually as it was designed to do.

    It will not effect my doctor at all, as far as seeing me goes. I asked my pcp ages ago.

    Many doctors support this.

    Take care, Annette
    _swank_ replied to annette030's response:
    One effect of Obamacare that people are going to see, if they haven't seen already, is that they won't be able to see a doctor at all. They will be seeing a PA or NP instead. There will not be enough doctors to handle all the new patients. That's already the case in a lot of offices. And many will not be taking anymore Medicare or Medicaid patients, especially specialists.
    annette030 replied to _swank_'s response:
    I am an RN and have seen both PAs and NPs in the past, no problems for me. They are trained to handle most kinds of office visits anyway. Many people already say here that they see NPs and PAs in their PM doctors' offices. That has been true for many years now.

    So far, all my doctors (pcp, and surgeon, and orthopedist, and PM) and my husband's doctor (pcp) will take Medicare and are glad to continue to see us. I check with them every year, when I double check Medicare to make sure we are on the right plans.

    I do disagree with any reduction in Medicare payments to doctors. I do not agree with "Obamacare" because I feel you need a single payer system, NO insurance companies at all, no Medicare, no Medicaid, no VA, just one big system for everyone.

    Hugs, Annette
    _swank_ replied to annette030's response:
    My brother-in-law lost all but one of his doctors when he was old enough to get Medicare. Two of my specialists do not take Medicare or Medicaid. One will not even accept an HMO because they pay so little.
    SAgoddard responded:
    I have been dealing with chronic pain and the horrible, embarrassing experiences of trying to find a pain management doctor that doesn't treat you like a harden criminal. I lived in TN and had a wonderful pain management doctor. When we moved to OK about a year ago I wasn't prepared for the challenge of finding decent medical care. Those of us that truly need daily pain management pay the price of the pill seeking people. If the people in the DEA and the others making it impossible to get the meds I need to get through everyday ever had to walk in my shoes or had to experience my everyday life they wouldn't be so quick to make assumptions or to label everyone based on a few idiots. It has gotten so bad over the past year that I gave thought about ending it all rather then facing the rest of life in agony. I think that everyone that has been dealt this as their life should band together and stand up and fight the people that have decided they know what's good for me without knowing who they are hurting and fight for our right to live a life that could be manageable with the right pain management !!!
    Anon_2912 replied to _swank_'s response:
    I agree with you. When I go see my specialist some have signs at the desk, "Do not take medicare & medicaide".
    annette030 replied to Anon_2912's response:
    I don't say you and Swank are not being truthful, it just has not happened to me or my family out here on the west coast.

    I would not blame a doctor for not accepting less $$$ that it takes for them to survive and pay their bills. I thought that Medicare might be a problem when I finally needed it, but it has not been a problem where I live.

    Take care, Annette
    americaslawsreallyneedtochange responded:
    wow thought i was the only druggie in the united states lol god i am so tired ,meaningfulc52 you think you got it bad in texas well dont come to ohio lol i been on 340 mgs of methadone a day but weened myself down to 180 a day like your history mine to is if not longer ive had 37 operations for chrons disease and colon cancer i only now have only 150cm of small intestine left verses the norm of 28 feet. i was stabbed and robbed that required 3more because i developed staff infection in my liver and pelvis, he stabbed me so hard the knife went through the pelvic bone. a few years ago i had a grease fire almost lost my right arm leg and foot last year i was hit by a car mowing my yard lol yea she came right up and smacked into me and it hit the colostomy bag area now ive had three major bleeds since then.i now have kidney disease and i just had a seizure because the hospital made a mistake amd gave me too much magnesium. well back to the sotory i been on meds for 37 years and i just got kicked yet once again and i follow the right path do the right things its such a shame that a person has to be forced to live in pain. my life was ripped from me at age 10 then given back to me in a pill and that pill allows me to eat work on my yard house car i am on disability so i cook for my family it allows me to do the very thing others take for granted well now my life is again ripped from me its unfair kick the real junkies out you know them the ones who you see acting then once they get that piece of paper you c, see it on their face ive even seen them being sold right at the pharmacies its pissed me off. people like us should not have to suffer i was shocked to hear your dr at least refers you because he thinks you need them hell i been to four drs and they all say detox oh also im now labbeled a dr shopper. nice huh i mean the dam medicine is on this earth for a reason god grows it in the rain forest why are we made to suffer so we need to get together and go to capital hill whos with meand im serious if someone wants to help me fight for us lets gettis done and make a differen e
    ctbeth replied to americaslawsreallyneedtochange's response:
    Did you reduce your Methadone for a reason? 350 mg a day is an awful large dose.

    When you say help you fight, what specifically do you mean?

    Whom are you fighting and why are you fighting?

    blessedladyptl replied to meaningfulc1952's response:
    There is a difference in Medicare and Medicaid, they are 2 different programs. Finding a dr or clinic that accepts Medicaid is very difficult. It is not as difficult to find a dr or clinic that accepts Medicare. Some people do have Medicare & Medicaid. The Medicaid part varies, but usually when you have Medicare & Medicaid your Medicare Premium, Co-pays, deductibles are paid for by Medicaid.Medicare is a Federal program whereas Medicaid is Federal and State, with the majority of what they cover left up to the indiidual states.
    ctbeth replied to meaningfulc1952's response:
    From what I read, Annette did not say that anyone was wrong. As a fact, she prefaced her sharing her experience by saying that she is. To calling anyone a liar, but her experience has been different.

    I live in Connecticut and have Medicate Disability plus a private insurer

    In CT, all of the hospitals accept Medicare and Medicaid

    While very few, if any, medical practices accept patients with Medicaid insurance, I have never encountered a medical practice that does not treat patients with Medicare. Medicare is my primary insurer. They pay a portion and my private company pays a portion. Hospitalization is paid 100% by Medicare. This is my experience only.

    Since Medicare is a federal plan, it would seem right that coverage would be uniform in all states.

    Sadly, I now know that it is not.

    There are different plans within Medicare, as well as commercial insurance companies that offer plans to augment "gaps" in coverage

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