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Pain Management when living in two states.
An_253662 posted:
We spend 7 months a year in New York State and 5 months in Florida. Both states are very strict on pain meds and requirements. My wife has been taking controlled meds for a few years and it has helped. She has severe RA in spine, legs and hips.

She is now required to see her pain management doc in person every month in NY to get her meds (which she charts and takes as instructed). However new i-Stop law in NY makes it difficult to travel to the Fl sun in the winter...a trip we take to help relieve her pain. NY doc said "just find a Florida pain management doc."

With computer records I suppose it can be done...but not sure if it can really be done...or how to do it? If someone else is facing this situation please advise.

blessedladyptl responded:
Finding a Pain Management Dr in Florida is one thing. Finding one that will treat your wife with the same meds may be far more difficult. Put "pain management doctors AND city and state" in the search bar. You will need to call and verify they they take your insurance and are taking new patients. But you have no way of knowing what the dr will prescribe.Check with your insurance company. If it's Medicare go to the link below.

Physician Compare Home
77grace responded:
Hello and Welcome,
I wish I knew how to help but I the only thing I can think of is to check with your insurance and then if you find a Dr. in Florida make sure that both Dr.s ae willing to talk to each other once in a while if they would be more comfortable doing that !Then their are no secrets!
Best of Luck 77grace
An_253662 replied to 77grace's response:
While the intent of all the tighter pain med legislation is laudable and good in the long run, the way it gets implemented is harmful to long term pain patients who, like my wife, have been dealing with a situation for over 40 years. Everything tried. Nothing helped much. At least with the pain meds she can be somewhat normal in her mid-60s. It seems like the med profession and legislators figure once you get to a certain age you are suddenly disposable. This whole thing is terrifbly frustrating and seeing my wife worried again is infuriating. Thanks for the comments folks.

BTW our med advantage won't cover a second pain management specialist out of the area. Why did I not expect that?
77grace replied to An_253662's response:
I understand that your insurance won't cover 2 Dr.s but I have chronic pain and that would not stop me >I had dto pay cash for over 1 yr. because our insurance changed and I could not find a new Dr. with Kaiser who would prescribe strong Narctics !
Anyway ,for me even if I had to budget to do it I would !I would also tell my main Dr. what I was doing or ask them what they think I should do ?
I know how frustrating it is because I even lived in another Country and had problems getting meds.!
Best of Luck, 77grace
PapaRoot replied to 77grace's response:
It amazes me how the threat of lawsuits has scared the medical community into running from past procedures and even in some cases "firing patients"...for just wanting to continue what is currently working for them.

It is no question that prescription drug abuse is a major health issue in this country, but it also seems like the over reaching by law makers etc is just as big of one.

In any event...folks like my wife, and others in her RA support group, are left floundering in our "Golden Years."

We will not give up on finding pain care that actually cares however. Again thanks for your comments!
An_253662 replied to PapaRoot's response:
After being treated for RA for four decades by two different experts and clinics...and enduring every test imaginable at least three times each...trying several biologics...being placed on pain meds wife's (excellent)RA doc retired. New guy, much younger, spent ten minutes with us today, looked at a blood test and declared that my wife doesn't have RA. Said she has fibromyalgia. Then said not much he could do to help and said he had to move on...very busy today.No continuity of care at all.

We left shocked, in disbelief, and angry.

After settling down I begin to feel that this a lot like long running malpractice to me. Suggestions on how to handle this poor excuse for a doc? Thanks and our best to all!
ctbeth replied to An_253662's response:
Wow! This is crazy.

Your wife's medical records will include diagnostic criteria for her diagnosis of RA

I hope that she finds a new MD

As far as malpractice, the criterion is specific that there. Ust be legally-defined loss or losses resulting from the MD's treatment or neglect.

Whilst she probably does not want to return to this MD, what you explained does not seem to fit into a malpractice plaintiff action.

Of course, you can ask your attorney.

Oh yes, have you a copy of the blood work result that shows no RA evidence? Under the circumstance, it would seem that the MD would want the test repeated

Best wishes.
PapaRoot replied to ctbeth's response:
Thanks again for the response. Glad we started this threat if nothing else than to be able to get it off our chests a little.

We don't have the four decades of records however the medical practice should have. We do have a copy of this latest blood test....which did show much better results than some in the past. However, he had not even reviewed it or past ones. Said during the interview that my wife needed blood work done. We answered she just had it based on his PA's instruction. He then looked up the one test and made his 60second dianosis.

The number one thing for a new doc to achieve is normally continuity of the least. He actually said he didn't agree with the retiring doc and based on his ten minutes vs. four decades of care just dismissed the issue.

This is a sad time in the state of American medicine. Hearing horror stories like this from other seniors.

Pain med doc (also new and a colleague of Doc ten-minutes) is coming up tomorrow. Will post results of that.

We need patient advocates in this country now I suppose.

Again, thanks for listening and thank you for your comments.

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