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Switching pain management doctor and need advice!
An_254726 posted:
I have been with the same doctor for a few years now and none of the treatments on my back he has been doing is working. It took months to get my script refilled for my ER tramadol simply because he didn't tell the insurance he authorized it. I want to switch doctors but am wondering- do I need to tell him all my previous procedures? The hippa act makes it so he can't see my file with the previous doctor correct? What all should I tell the new doctor? Thanks for the advice! Anything will help!
davedsel responded:
It is always best to inform a new doctor of your complete medical history. A new pain management doctor would need to see what treatments you have had and how they worked for you. He/she also needs to see all your health conditions and know exactly how best to help you with your pain. The new doctor also must be aware of any allergies you have to medications.

You do have to sign a release for your new doctor to obtain your medical records, but it would be in your best interest to do this. My wife recently switched pain management doctors and had to have all her records transferred. The new doctor could not treat her if she dd not do this.

Also, I believe you need to make sure you do not have a contract with your current pain management specialist. I am not familiar with the specifics of this, but others in this community may be able to better address that aspect.

I pray your new doctor can give you the relief you need.
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An_254726 replied to davedsel's response:
Did they tell her she couldn't be treated if she didn't sign the records over?
Peter Abaci, MD responded:
I commonly see patients who were treated by a different doctor prior to seeing me. Most doctors are accustomed to seeing patients want to get different opinions or try different practices. Certainly, you want the new doctor that you are consulting or treating with to know as much about you as possible, including your history of past treatments and tests. You will likely need to sign a release form for your prior pain management doctor to send your records to the new one. If you feel embarrassed about this (but trust me most doctors' offices get used to this) it is possible that your primary care doctor has copies of these records and their office could send them to the new doctor's office, instead.

I think if you do some research on the new doctor and let him/her know why you want to work with him/her, then the new doctor will not only feel flattered but will have a better sense of direction of how to best help you. In other words make it more about why you are picking the new person and less about why you are leaving the old one to create a more collaborative working relationship. Good luck!
hatebeinginpain replied to Peter Abaci, MD's response:
In my area they ask for the last year's records. Mostly they will take people on if they can do procedures and not if they can only be helped by medications. Florida doctors are so nervous and so hindered now that they can't take on the patient load they used to and they are unwilling to prescribe the medicine that chronic pain patients need because they don't want to be labeled a 'pill mill' and hassled by the powers that be. I was turned away by every pain mgmt dr in my county and the next one too and I'm not the only one. In talking to other patients in the waiting room of the dr that did take me on they had similar stories. It is a terrible shame that the pendulum has swung from 'nobody needs to suffer' to 'we need to focus on making sure there is no one getting or giving pills who shouldn't even if it wrecks peoples lives and they suffer'.
blessedladyptl responded:
If you don't agree for your new dr to get a copy of your old medical records, they will believe you're hiding something. Also without previous medical records, they new dr won't treat you with the meds you've been taking.
ctbeth responded:
Hi from Connecticut,

I'm another agreeing with the rest.

Your new, or potentially new MD really does need to see your pain management history.

Treating you without this history would probably compromise your care. The new MD needs to see what treatments your former MD has performed and your responses.

This includes meds that have been prescribed.

Best wishes; I hope that this change will be a good one for you.