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L4-L5 Spinal Fusion in 3 days- Want to fire my Pain Management Doc- Need Advice
An_250726 posted:
want to fire my current pain management doc who i just met in january. she demanded i self detox off oxycodone 10 mg TID with no help. direction, assistance, discussion- nothing. then, tells me all pain meds stop at 3 weeks- finished, no matter what the symptoms.

i have an appointment w/ a pain group who will work with opiates, and i want to hear what they have to say. they tell me i sound appropriate. i don't want to be under medicated after surgery.

how do i do this? if i become a patient with the new group tomorrow, as long as i don't accept scripts or treatment we're legal. i could send the current doc a letter in a few days after surgery? or should i present the letter to the RN at medical clearance on tuesday for my file, stating the other group will work with me on discharge, and not to provide me with prescriptions?

two issues- i want to make sure i am taken care of while in the hospital, and i am doing this ultimately, as i know 3 weeks post-op isn't long enough for pain control!

when should i advise the current doc of termination?
ctbeth responded:
If you choose to become a patient of the new pain management group, you will have to inform them, in writing, that you will be a patient of Dr. X. and you wish your medication contract to expire as of (the date).

It is the new MD's office's responsibility to secure your medical records, although you'll have to sign for the release.

I am, of course, that the pain management MD with whom you're not happy is NOT the surgeon who'll be doing your fusion surgery.

Ordinarily, the surgeon manages your pain meds while you're in patient and for the six-weeks post op. He/ she may consult with your pain management MD during this time, or the med prescribing may become your PM's responsibility under some circumstances.

Please be certain that the surgeon is updated of your decision.

Remember, many people get pain relief post-op and do not require opiate pain management for more than a week or so post op.

I wish you the best with your MD choice and surgery.

ctbeth replied to ctbeth's response:
  • wish I could edit before posting:

    I meant to say:

    I am, of course, assuming that the pain management MD with whom you're not happy is NOT the surgeon who will be doing your fusion.

    I have a killer headache, so my words may not be coming out exactly right. If I have not answered your questions or seem unclear, please write and I'll try better.

    Your issue is very, very important. I hope that you can get this all straightened out tomorrow.

    77grace responded:
    Hi 250726,
    I think maybe it would be aa good ideaa to ask this new group,are they pain specialists or A group that does Surgery and pain control???Either way just be sure you ask them what they want and also then notify the other Dr. of your dissionn!
    Just make sure all your bases are covered!If I were in that position I would also get Names !!!!Then you have something to stand on if there are mix ups!!!
    I wish you the very best and Pray for a speedy recovery!!

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