after being scripted subs'

[w1nd0z3]

will friend ever be able to be scripted any other opiate/opioid? ie: dilaudids or anything of the such --

my friend has fibromyalgia, and neuropathy -- pain is intense and friend was doing H for a long time as well (since he was 12)

now that subs will be on friends med records (friend not sure if he will be listed as an addict)

if friend goes to a pain management clinic, will he be able to get pain meds again or will he be SOL? friend is curious that if he switches insurance and doctors -- will he be able to get around this?

friend has never been to a pain management clinic before -- his primary physician always thought it was best if he took everything under his own wing.

yes.. mmhmm "friend" =]

any ideas? answers? pleasie =]

[ZodiacKiller]

Unfortunately, most likely SOL. Unless of course, that the medical records are not cross-referenced between clinics/doctors. That's an avenue that your friend should look into. But most pain-management clinics are pretty hard core about their patients' records. Best of luck...

ZK

[Narkotikon]

If you weren't in something strict like a pain clinic, then maybe. It's really easy for them not to know: you just don't ever tell them you went to that doctor. If you don't have insurance, it's especially easy (probably the only good thing about having no insurance), because it's all cash. I mean, when you start a new doctor, they'll give you those info forms asking about your medical history, but if you've had a particularly shitty doctor who pegged you as an addict, you just don't have to tell them about that. I don't. Plus, I really don't have any kind of health problems, so I'll be damned if I'm going to pay a fee each time some new doctor wants my old records. One time some doctor a few years ago wanted my records from my childhood pediatrician, whom I've not seen since I was 15 maybe. Hell no. That's just ridiculous.

Same goes for psych "professionals" like a psychiatrist especially. But, even then, I don't do that. I don't personally view it as necessary for them to know every single little thing that every other doctor thought.

But when you're in a situation where they will require records, then you might be screwed, because obviously you're in pain, and they're going to assume that if you've gone without seeing a doctor before, that must mean you can handle it without meds, and that you being there isn't necessary. I suppose that logic doesn't apply if this is a new condition, but you didn't make it seem like it's something you just got.

Lots of people with mental problems don't get help though. If a doctor ever asks me why I've not seen a doctor in so long, I simply say because I'm 1.) embarassed, or 2.) I didn't think it was that big of a deal, or 3.) I didn't want to admit that I needed help. They love those excuses. Unfortunately, doctor-patient relationships today are a game.

Edit: the reason I said this isn't because I doctor shop or anything, it's because I feel like if you do finally tell a doctor about your addiction, and then future doctors get those records, all future doctors will be highly unsympathetic to you when you really are in pain and DO need the pain meds. They're way more likely to say "oh, I can't give you anything." Bullshit! No one should be deprived of pain meds when they're in pain. I don't even expect a future doctor to be sympathetic about tolerance and prescribe something that would actually work, but they sure as hell better prescribe the standard script of 12-16 5mg Vicodin for my pain if I need it. At least that way I could take a third - a half of the bottle with a CWE and have it work somewhat. I just think if you're honest and say you've had a problem with opiates, that means that--unless you're undergoing something major like surgery--you're basically screwing yourself over because no doctor (or very few) will ever take your pain seriously and they'll just say "oh, I can't give you anything" when you do have moderate pain for something like a sprained ankle, or back pain, or even severe pain. Lots of non-addict CP patients have to jump through hoops to get pain meds as it is. Having the junkie label is a death sentence usually for pain management.

[The_Highwayman]

Not sure but I can only tell you my experience....when I got my subs script i had to sign a contract that states, I would take any other pain medications and any medications or doctors that I was seeing I hadto disclose you they could check...however, at the time I was seeing a croacker and getting roxis, I was only selling them for xtra $$$ and I never told my sib doc I was seeing another doctor..anyways I got cut off from the craoker when I failed my UA for having nothing but sibs in it, and no one was ever the wiser..however I do see a psychiatrist and by happenstance, my sib doc and paychitriat and personal friends, I am not sure if they ever talk about me or my treatment but I keepo them both informed on what I am doing with the other.....my psychitrist told me to stay clean I cannot lie ever....

[Ludakris]

This is very much a crap shoot...lots of variables, depends on how your state handles medical records and RX records, and if you go to a pain clinic they are most likely going to want every little scrap of paper that has anything to do with your condition and who've you seen already and what RX's you've tried, what therapy you've tried (massage, Chiro, Physical Therapy, etc.). For me, my pain doc insisted on getting every little piece of anything and was very clear that if I wasn't completely honest with him about doctors/films/RX's, etc that he would drop me like a bad habit. For me, it has been completely worth it, he's a GREAT doctor and we have a great relationship and he is very adament about being agressive with treating pain and doing all he can to ensure you are as comfortable as possible. But because he treats his patients this way, he has to cover his ass in every way possible. I actually have to keep a log of when I take my opi's, how many I take, etc. But I've never been on subs either.

I do know a guy who's been in this situation and he was accepted at a pain clinic and they were hardcore as far as keeping a close eye on him. They gave him weekly scripts instead of monthly, did pill counts all the time, piss test as often as once a week...so it's possible yes, but be prepared to be treated like a convict.

[Poppylvr]

if friend goes to a pain management clinic, will he be able to get pain meds again or will he be SOL? friend is curious that if he switches insurance and doctors -- will he be able to get around this?

friend has never been to a pain management clinic before -- his primary physician always thought it was best if he took everything under his own wing.

yes.. mmhmm "friend" =]

any ideas? answers? pleasie =]
Like Ludakris says, it's a crap shoot. Pain clinics exist in part because regular docs got tired of dealing with addicts and their games, and sifting the wheat from the chaff. They know that it is possible to be a drug addict and have terrible pain and need help. They also understand the lengths folks will go to to gt relief.
My thought would be to be very upfront - My friend used heroin because the pain was so bad, and then he tried to fix things up by using subs. That didn't work; I don't want to go back to the street life, can you please help me?
Good luck - I hope you can get the relief you need.

[oxy kid]

I had been on subs a while and got scripted some Hydros last year. The doc doesn't look too much into anyhting because i have talked to tons of people that go there.

I will eventually have to go to a PM clinic so I'm hoping I can get back on some pain meds. I have broken my wrist 3 times and have some problems with one of them, had shoulder surgery to repair a number of different problems, had knew problems (didn't have to be repaired, but still has pain). Fell down some stairs a while back and had some problems with soemthign in my back. Havn't had that checked out too much because I am finishing up my subs at the moment.

HOPEFULLY they will not give me any problems about my past and being on subs when I go to another PM clinic.

Best of luck to you.

[Boxcar]

i usually make a habit of getting my records from whever the last place i was..... reason is, i have the updated records, so when or if i need to go elsewhere, i have my complete medical history and I myself can give the new DRs the records. it also gives you a chance to pull out pages you dont want. i dont have anything ini my records that will do me any haarm, cept maybe a tried to get early scripts a couple times. thats not real bad tho. but by having copies yerself you have some control. my doctor as far aas now has not called to get any records from any previous DR because he has my records that i myslef gave him. i dont know for sure, they coulda gotton them themselves w/out my knowledge, i would really know... like i said tho i dont have bad marks.

my best friends wife got made at him and called his DR and told him he ODd from chewin a fent patch, which was not true. but shes a mean bitch. anyway that DR wouldnt see my friend again, 3 pain clinics later not one DR will perscribe him ANY narcotic at all. because the first one wrote a testimony in regards to the overdose that never happened. he did not mention that it was the wife that called and told him, nor did he try and investigate or question my friend at all. i keep tellling him to ask for a full copy of his records... hopefully he an pull that page, hopefully the new PM wont call to get records because of course my friend would provide all records less that paper. i think if he did that, he would get his fent and roxis back. i really want him to get his roxis back... worth a try in a strategic sense i think

[jonny-5]

i currently am scripted subs and go to drug classes through my health ins and they scripted me vicodin recently for a broken hand. they of all peeps should know im a junky...anyway like others said just dont tell em and they wont know.

[Silencer]

Last year my wife went to a new pain clinic to get back on oxycontin. After the doctor had gone through the whole procedure he left the room to go fill the script for her. After waiting a minute the doctor comes back into the room with that little DEA paper in his hand with a list of the prescriptions she had filled during the past year. Of course the list is filled with her oxycontin and fentanyl prescriptions she had filled earlier in the year, but it also gave a pretty detailed summary of her recent suboxone prescriptions with the dates, quantity, etc.

Of course the doctor is a bit interested in those suboxone prescriptions and he asks my wife about it. My wife explains she wasn't getting any pain relief from the oxycontin and fent. and found a doctor who felt that suboxone might help her with her back pain (Of course the actual reason for the suboxone was that she was addicted to the opiates her prior pain doctor had prescribed her and she found an addiction specialist to get the suboxone to get off of the oxy). The doctor nods his head in understanding and then hands her a script for 90 oxy and tells her to come back next month.

So in short it can be done with the right luck. Suboxone is used in some clinics to treat pain so with the right medical records anything is possible. Of course I could also see many doctors nod their head and say leave and dont come back.

[oxy kid]

Last year my wife went to a new pain clinic to get back on oxycontin. After the doctor had gone through the whole procedure he left the room to go fill the script for her. After waiting a minute the doctor comes back into the room with that little DEA paper in his hand with a list of the prescriptions she had filled during the past year. Of course the list is filled with her oxycontin and fentanyl prescriptions she had filled earlier in the year, but it also gave a pretty detailed summary of her recent suboxone prescriptions with the dates, quantity, etc.

Of course the doctor is a bit interested in those suboxone prescriptions and he asks my wife about it. My wife explains she wasn't getting any pain relief from the oxycontin and fent. and found a doctor who felt that suboxone might help her with her back pain (Of course the actual reason for the suboxone was that she was addicted to the opiates her prior pain doctor had prescribed her and she found an addiction specialist to get the suboxone to get off of the oxy). The doctor nods his head in understanding and then hands her a script for 90 oxy and tells her to come back next month.

So in short it can be done with the right luck. Suboxone is used in some clinics to treat pain so with the right medical records anything is possible. Of course I could also see many doctors nod their head and say leave and dont come back.

Exactly, it all depends on where you go and who you see.