Current Events > Holy fuck, my doctor fucked up again.

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itachi15243
05/28/22 3:58:42 PM
#1:


I've posted about this before but goddammit it is fucking annoying how horrible these doctors are. They keep fucking up left and eight and treating me like shit

First they tell me that coming off clonazepam will NOT cause any difference with my brain/mental state at all

Then every month they forgot to prescribe My medicine even after I would ALWAYS call in advance to the point where I have had to call everyday that my medicine is due 5+ times every month on the day i need to pick it up to get them to do it. I even ended up in the ER once where they just didn't prescribe my medicine

Took me off my morphine cold turkey because I was on percocet too the morphine was, "not indicated for headaches" and only for cancer patients dying.

Accidentally prescribed the morphine again a month after I got off it.

Constantly bullshit me with shit like they only give a 28 day supply because it's then made "impossible" for it to end up needing being prescribed on the weekend (which DEFINITELY does happen.

For a long time they made me not able to take my percocet as prescribed by prescribing 28 days worth and expecting me to pick that up every 30 days

Now recently (a month ago) I mentioned that I'm going to start looking for a new doctor at this rate because all their fuckups. So, they decide to only prescrible my medicine once a week (which is rough on me, because I'm disabled, but ridiculous all together)

Now, just today, they changed my prescription without telling me at all. They cut a third of my clonazepam for literally no reason and never told me until it picked it up just a little bit ago.

Even my pharmacy feels bad for me and says things about how this crap is RIDICULOUS

After I get a new doctor I'm likely going to report them and maybe even talk to a lawyer.

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DarkRoast
05/28/22 4:02:25 PM
#2:


You realize that prescribing Percocet and clonazepam puts any doctor into extremely high risk of having their license revoked, correct? The reason you're having a lot of trouble is because we get raked over the coals by the DEA if we prescribe benzodiazepines and opioids together long-term.

Prescribing controlled substances is not nearly as easy as you think it is. Every single time we prescribe one, we have to run a background prescription filling check, have to fill out a DEA prescription pad, and have to justify why we are prescribing it with other controlled substances. It's a huge pain in the ass. And it's also legally dangerous.

I'm not a judgmental person, but based on the way you're writing I can only hope that you don't talk to them the same way you talk about them online. Because that would be essentially my ideal nightmare patient.

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#3
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DarkRoast
05/28/22 4:20:29 PM
#4:


[LFAQs-redacted-quote]


Yes, and unless you can basically prove that you're trying to titrate them off of one or the other, it's extremely easy to be the subject of huge lawsuits or lose your license from the DEA.

There are very specific pain management agreements that have to be filled out in these kinds of situations, and they almost always include a clause about the need to titrate down medications.

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AldousIsDead
05/28/22 4:21:05 PM
#5:


[LFAQs-redacted-quote]

Is what killed my brother.

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Axiom
05/28/22 4:21:25 PM
#6:


DarkRoast posted...
You realize that prescribing Percocet and clonazepam puts any doctor into extremely high risk of having their license revoked, correct? The reason you're having a lot of trouble is because we get raked over the coals by the DEA if we prescribe benzodiazepines and opioids together long-term.

Prescribing controlled substances is not nearly as easy as you think it is. Every single time we prescribe one, we have to run a background prescription filling check, have to fill out a DEA prescription pad, and have to justify why we are prescribing it with other controlled substances. It's a huge pain in the ass. And it's also legally dangerous.

I'm not a judgmental person, but based on the way you're writing I can only hope that you don't talk to them the same way you talk about them online. Because that would be essentially my ideal nightmare patient.
So what you're saying is when he reports and sues them he's going to win. There you go TC. Get your shit
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AlCalavicci
05/28/22 4:25:22 PM
#7:


I remember a similar TC topic from a while back complaining about his doctors and meds.

I don't know what you're dealing with, TC, or whether the pain could be manageable in other ways or not. I hope you can get a new doctor and have a pain management plan that isn't an issue and gives you everything you need.

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TheGoldenEel
05/28/22 4:27:57 PM
#8:


DarkRoast posted...


I'm not a judgmental person, but based on the way you're writing I can only hope that you don't talk to them the same way you talk about them online. Because that would be essentially my ideal nightmare patient.
tc makes a topic like this once a month, they sound like an addict imo and my guess is their physician has seen many difficult patients like them before

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DarkRoast
05/28/22 4:28:03 PM
#9:


AlCalavicci posted...
I remember a similar TC topic from a while back complaining about his doctors and meds.

I don't know what you're dealing with, TC, or whether the pain could be manageable in other ways or not. I hope you can get a new doctor and have a pain management plan that isn't an issue and gives you everything you need.

As I don't know anything about his case, I don't feel right making judgments about whether or not he needs those medicines. That said, in my experience these sorts of medications, especially when used together, don't really solve any problems. And they usually create a lot of other problems. When we see statistics about pharmacy related deaths, this is precisely the kind of medication regimen that does it.

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AlCalavicci
05/28/22 4:32:27 PM
#10:


DarkRoast posted...
As I don't know anything about his case, I don't feel right making judgments about whether or not he needs those medicines. That said, in my experience these sorts of medications, especially when used together, don't really solve any problems. And they usually create a lot of other problems. When we see statistics about pharmacy related deaths, this is precisely the kind of medication regimen that does it.

Yeah, I mean I don't want to say whether he should or shouldn't have those drugs, but ultimately I hope he can get a pain management plan that doesn't cause any major issues to him, and by that, I mean not getting addicted to heavy drugs or mixing drugs that shouldn't be mixed, etc. Based on TC's topics in the past he seems to be in a lot of pain and I'm just grateful that I don't have to deal with things like that right now in my life, but empathetic to those that do.

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itachi15243
05/28/22 4:33:17 PM
#11:


DarkRoast posted...
You realize that prescribing Percocet and clonazepam puts any doctor into extremely high risk of having their license revoked, correct? The reason you're having a lot of trouble is because we get raked over the coals by the DEA if we prescribe benzodiazepines and opioids together long-term.

@DarkRoast

I understand that, but it's no reason to lie to me, Inconvenience me for no reason, make copious mistakes. Including accidentally prescribing morphine, and changing my clonazepam dose with 0 warning and things like that. Also, please don't bring up the DEA thing. I've been on these medicines for literally over 10 years and I understand that, but it's no reason to commit literal malpractice and make a disabledman suffer.

If you got a patient with ten years on these medications at least, would you start by just ripping one away, and not bother prescribing them correctly? Along with changing doses of controlled substances without telling them? I could go through serious clonazepam withdrawal by having a third of it cut out of nowhere.

Also, I understand that it might be a lot of trouble for doctors, but what about the risk of someone turning to street drugs(I wouldn't but still) due too dependence and need for pain relief? My pain is so bad that I literally cannot see and/or speak right on some days, even with my percocet. Or, potentially worse, ending up in an ER because of you a second time due to a major withdrawal issue thanks to the fuck up with the clonazepam?

Like I know for a fact that it's illegal to change a patients prescription without telling them.

Like, can you please think of all the consequences you know for ALL of that and everything I said in my OP (for both parties) and really tell me you'd rather go with what they've done?

Also, sorry, I hope that didn't come off as rude or anything but I just really wanna hear another doctors honest perspective.

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DarkRoast
05/28/22 4:35:18 PM
#12:


I don't necessarily think you're doing anything wrong. Again, I don't know any of the details and I strongly believe in not giving an opinion on something I don't know. I just know from personal experience that I've had a few patients with similar circumstances, and basically nothing I did was right, and after a while it gets kind of frustrating because you do whatever you can for them, but the limitations imposed on you are what they are.

That said, conversely, it's certainly possible that the Physicians you're going to are basically a pill mill and part of the reason they're screwing up is because they legitimately don't care. I honestly don't know. There are plenty of those kinds of Physicians around, sadly.

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DanHaren2022
05/28/22 4:39:56 PM
#13:


Surprised the doctor hasn't fired you yet. If I was TC's physician, I would absolutely fire the fuck out of his annoying ass. Sorry but the physicians job is not to be your personal drug dealer, their job is to help you manage your illnesses and improve your life and outcome. If TC is addicted to controlled substances, any and every reasonable doctor would try to taper him off of this stuff. Opioids are not a treatment for chronic pain and Benzos are not a treatment for chronic anxiety with the exception being cancer or some serious life-limiting disease that causes pain.
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AlCalavicci
05/28/22 4:40:44 PM
#14:


DanHaren2022 posted...
Surprised the doctor hasn't fired you yet. If I was TC's physician, I would absolutely fire the fuck out of his annoying ass. Sorry but the physicians job is not to be your personal drug dealer, their job is to help you manage your illnesses and improve your life and outcome. If TC is addicted to controlled substances, any and every reasonable doctor would try to taper him off of this stuff. Opioids are not a treatment for chronic pain and Benzos are not a treatment for chronic anxiety with the exception being cancer or some serious life-limiting disease that causes pain.

Fire the TC? The TC doesn't work for the Physician lol

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#15
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DanHaren2022
05/28/22 4:41:36 PM
#16:


AlCalavicci posted...
Fire the TC? The TC doesn't work for the Physician lol

Doctors can fire patients. The more you know.
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AlCalavicci
05/28/22 4:42:08 PM
#17:


DanHaren2022 posted...
Doctors can fire patients. The more you know.

Really? Hadn't heard that within this context before

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itachi15243
05/28/22 4:50:41 PM
#18:


DarkRoast posted...
I don't necessarily think you're doing anything wrong. Again, I don't know any of the details and I strongly believe in not giving an opinion on something I don't know. I just know from personal experience that I've had a few patients with similar circumstances, and basically nothing I did was right, and after a while it gets kind of frustrating because you do whatever you can for them, but the limitations imposed on you are what they are.

That said, conversely, it's certainly possible that the Physicians you're going to are basically a pill mill and part of the reason they're screwing up is because they legitimately don't care. I honestly don't know. There are plenty of those kinds of Physicians around, sadly.

I don't think they're a pill mill. My previous doctor vastly over prescribed and at some point I was even on fentanyl for a while years ago. What sucks is that I literally clawed my way off it, and then struggled to continue to get off that and lower and lower until I was on a low dose of morphine and a moderate amount of percocet. And I wanted to keep going down as much as I could.

Instead I just got ripped off it after they said otherwise (which I managed to deal with with, even if has been a lot rougher) and that was only the start of it. They don't even have my doctors records for all my specialist and basically decided that they seeming don't seem to care whether or not they do have them.

What I'm really asking though is if you would feel comfortable(and justified) with personally doing things like lowering a person's dosage without even vaguely hinting to them you would or even just not prescribing them medicine until after it's due.

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itachi15243
05/28/22 4:59:41 PM
#19:


DanHaren2022 posted...
Surprised the doctor hasn't fired you yet. If I was TC's physician, I would absolutely fire the fuck out of his annoying ass. Sorry but the physicians job is not to be your personal drug dealer, their job is to help you manage your illnesses and improve your life and outcome. If TC is addicted to controlled substances, any and every reasonable doctor would try to taper him off of this stuff. Opioids are not a treatment for chronic pain and Benzos are not a treatment for chronic anxiety with the exception being cancer or some serious life-limiting disease that causes pain.

Can you please give me insight as to why you're able to immediately tell how I'm clearly a drug addict in your opinion?

I've been trying to taper off for literal YEARS

I tell that to these doctors and they do shit like rip me off one of them completely rip me off one of my medicines and make me feel like shit for months, only to represcribe it again by accident and it's not even the worse thing they've done at this point.

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#20
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kingdrake2
05/28/22 5:42:04 PM
#21:


itachi15243 posted...
After I get a new doctor I'm likely going to report them and maybe even talk to a lawyer.


it's the best. cant wait for those revenge games.
doctor's shouldn't of wronged you.

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Turbowaffles
05/28/22 5:49:16 PM
#22:


Okay I'll be the one to ask.... What's your disability that requires so much medication, TC?

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itachi15243
05/29/22 5:29:23 PM
#23:


Turbowaffles posted...
Okay I'll be the one to ask.... What's your disability that requires so much medication, TC?

I have had 3 pituitary tumors (and 3 surgeries) since I was 14, and the last two surgeries left scarring on on the lining of my brain leaving me in complete agony. Not as bad as when I had the tumors themselves, but it's still pretty horrible. Although it did get noticeably worse after the second surgery and noticeably better after the third, my neurosurgeon told me that the scarring is likely causing pressure which causes me headaches, occasionally messes with my vision and so on

Most of the medicine I take is for that. I have adrenal insufficiency and diabetes insipidus too from it and I need to take medicine to replace my hormones and also deal with my headaches. I also have major anxiety and ADHD which a lot of my doctors contribute to my tumors, as the hormone issue can cause all of these things on its own.

Anyways, I literally didn't notice until now, but he also cut my percocet by half without telling me.

Someone please defend that. I can't see any rational reason to take away a third of one and half of another. Literally cut in more half any controlled substance I have after saying he'd fill them as normal. Like wtf. You can't just do that to people and hope they're alright.

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#24
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megamanfreakXD
05/29/22 5:53:29 PM
#25:


So glad that I don't do outpatient medicine. Hospital medicine ftw.

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DarkRoast
05/29/22 5:54:54 PM
#26:


megamanfreakXD posted...
So glad that I don't do outpatient medicine. Hospital medicine ftw.

I know, right?

Although today was a dumpster fire at my hospital.


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Ooooooranges
05/29/22 5:58:06 PM
#27:


You need to go to a pain clinic. No new doctor is gonna be comfortable prescribing you that combination.


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itachi15243
05/29/22 6:01:03 PM
#28:


[LFAQs-redacted-quote]


To my understanding, no.

Only something like ten or fifteen surgeons in the country do the endoscopic pituitary surgeries(in through the nose) in the first place and the scarring is supposed to heal over time.

My headaches have gotten better over time though, I used to not even be able to go outside on really bright days or be somewhere with certain types of florescent bulbs for too long without experiencing some of the worst pain in life.

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AlCalavicci
05/29/22 6:02:47 PM
#29:


itachi15243 posted...
To my understanding, no.

Only something like ten or fifteen surgeons in the country do the endoscopic pituitary surgeries(in through the nose) in the first place and the scarring is supposed to heal over time.

My headaches have gotten better over time though, I used to not even be able to go outside on really bright days or be somewhere with certain types of florescent bulbs for too long without experiencing some of the worst pain in life.

when was your last surgery?

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itachi15243
05/29/22 6:06:14 PM
#30:


Ooooooranges posted...
You need to go to a pain clinic. No new doctor is gonna be comfortable prescribing you that combination.

I tried to get them to refer me to one multiple times but they said that the waiting list would be between 1 to 3 years and that it's probably not worth it for me.

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#31
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AdrianBeterson
05/29/22 6:15:09 PM
#32:


[LFAQs-redacted-quote]

Uhhhh, yes physicians can choose not to see a patient and fire them.

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#33
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AdrianBeterson
05/29/22 6:18:45 PM
#34:


[LFAQs-redacted-quote]

You're arguing semantics here. And the term that doctors use is "firing patients".

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Hinakuluiau
05/29/22 6:20:28 PM
#35:


I don't think Dan is a doctor either but the term "firing a patient / customer" is used fairly regularly

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DarkRoast
05/29/22 6:46:51 PM
#36:


"firing" is the term we use, and it goes both for physicians and patients.

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