People who fake pain for scripts

[Buckshot]

Well I finally have decided to see a G.P. about treatment for the pain I suffer on a daily basis.

Although I have a steady job, and wont go to see my G.P. dressed in anything other than my office clothes, part of me is worried the doctor will be reluctant to provide me with any scripts to treat my pain. I suppose I would be happy with a referal to a specialist. But some immediate relief would be a godsend.

All the media reports of people abusing the system is what contributes to my concern. I dont want the doctor to think I'm lying. I dont even want him to suspect Im being anything but sincere.

In an effort to avoid this situation for myslef and all of us whom this would apply to in the future, I would ask that some basic information to be posted here.
-What is the type of injury that doctors see the most fakers trying to get drugs?
-What is an injury that is honestly the hardest to make a concise diagnosis...therefore creating an uncertanty for the doctor?
-What are sign that a doctor looks for when diagnosing pain?
-How do doctors spot a "faker"? And how does a person in honest need of help avoid accidiently looking like a faker?
-What if the day of your doctors appointment you actually are having a (very rare) good painfree day, and your pain isnt that severe.

Any other help or ideas regarding this area would be of great concern.
Thanks everyone
Buck out

[Peripat]

-What is an injury that is honestly the hardest to make a concise diagnosis...therefore creating an uncertanty for the doctor?

Back pain is one of these. I'm afraid I can't really help with your other questions, but I wish you luck. Nobody should ever be under-medicated for pain, for whatever reason... but sadly, these days it happens more and more. Good luck.

[Blake]

FIbromyalgia (sp?) is a common, hard to prove you don't have it, painful and needs to be medicated, easy to fake disease.

[Blake]

Here is a description of it:

http://www.fmnetnews.com/pages/basics.html


Here is how it is diagnosed:

http://www.fmnetnews.com/pages/criteria.html

[casperfromkidz]

First off dont go to the doc high! He\she will know! What you wear doesnt really matter, and just tell the truth if your hurt, your hurt, who the fuck is he to tell you any different. In my personal experence getting sent to a specialest is the best way to get a steady script. It wont last forever but a good while, then you have info for the next doc you see. I think scaming scripts is an art, some people are good at it some are not, but you can all ways get better at doing it! good luck!!

[red26]

The doctor will peform a series of tests on you to check you out if its back pain(mine) . Lots of dumn talk and scrutinizing involved, thats why I said fuck it and went into a methadone program instead of dealing with the scrutiny of g.p.'s around here.way too many "naturalist" doctors. I do not reccomend this approach however due to the fact that methodone is the hardest of all narcotic pain relievers to get off of. It's hell running around in your body trying to git out if ya know what I'm sayin. Be honest with your doctor, tell them that you've tried borderline toxic levels of O.T.C.'s and sustained no relief whatsoever or maybe alittle, which was my case. If this quack doesnt believe you, he/she is a fucking ignorant asshole, or has been the mark of people just looking for a fix and are too jaded to approach now. In my case, the G.P. was a fucking ignorant asshole and more than likely just branded me with a D.S.B. on my chart wich means "drug searching behavior" and will stick with you for a long time and make it nearly impossible to get relief even if your borderline suicide like I was. I doubt if I've answered any of your questions but at least maybe you can lern from my experiences with g.p.'s. Also, ask around, see who's the liberal practitioner in your town so maybe you wont have to deal with a hassle.

[blackdog]

hey there's good rule of thumb?what the hells a rule of thumb??? anyhoo try to remember to K.i.s.s.- keep it simple stupid .cause if you gotta story well good lier's need to have good memories .anyway my doc is a d.o. and all that other specialist crap. he knows the game but he still yet serious at what he does his practice is as a painand addiction specialist and also weight loss prograhmlolhaha if you go in talkin dope and addiction then you and the doc are under severe guidelines but if you state that any and all drug use/abuse is cause of pain like from the time you fell off the roof or outta the tree or were in a friends car when in accident along time ago well thats easy ...thats called intractable pain and the doc only hasto see you i at first once every two weeks then after you fill up his bank account every once monthly yum-yum can you cay biscuits peace da/dogg

[Chevelle]

My experience in relating the same back pain from a car accident, described to many doctors over the years, has covered the entire range of responses. Family general practitioners have given me muscle relaxers and anti-inflammatories with a small amount of Vicodin or codiene; surgeons have only talked about surgery (which I'm trying to avoid like the plague); physical medicine specialists have offered injections of steroids and local anesthetics, along with lots of physical therapy; pain management doctors have given me epidural steroid injections and limited amounts of percocet (5mg, 4 times daily) but the EASIEST group to get heavy meds from were the MDs who work in auto-accident treatment mills that are typically owned by chiropractors.

The chiro-therapy clinic that has physical therapy, massage therapy, muscle strength testing, massage, and oh-by-the-way-we-have-an-MD-too, are looking to maximize the dollars extracted from each car accident victim, and inflate the value of a case for their attorney friends (I was offered two attorney referrals BEFORE my first examination.) They do this by repetitive treatment (3-5 days a week), which is charged to auto insurance at no discount whatsoever, and any medical record entry that makes the victim look worse is good for their business.

My back injury was painful, but some percocet would have handled it. It was easy to convince the in-house doc to let me try the oxycontin with percocet for breakthrough pain. After a couple months of telling him that I was using a lot of extra pills, I was up to 80mg of oxycontin twice a day, along with a prescription for 10mg percocet (120 per month). My back pain never really went away, but I really didn't care because I felt GOOD. Gradual tapering down the doses over time limited the withdrawal after about a year of this, and I still crave the stuff, but it was a pretty good ride for awhile.

Of course, the medical bills to my car insurance company totaled over $25,000 US. And the eventual lawsuit settlement only covered about half of the wages I lost while sitting stoned at home on the meds.

I guess that's a long answer for your question: different docs give different stuff, even if you look and act the same way each time.

One tip: If you're going to fake the "straight-leg raise" pain test at 45-degrees while lying down to show sciatica, be sure to show "positive" for pain when sitting on the side of the exam table and they raise your lower leg about two-thirds of the way to straight.