hi, I take Oxycodone,( its workers comp), live in xxxx seeing a Dr. for pain, have 2really bad knees,. he’s more of a family Dr, an is willing to help me. the question is, the manager there, said I have to see the Dr,same day as I get my pills filled. t never had to do that before… that he can only see me no more than 5 days before script is filled..,she said its a law …I know other people on opioid, they get their scripts a week ahead of time, the one , gets predated scripts, for opioid… my question is this .. is it a workers comp rule now? I think the girl does not know too much about workers comp, I’m looking for somewhere else, its really hard here to find a pain Dr. they’ve shut alot down. the , one I went to b 4 was raided, they had own pharmacy, they were great, got quality pills, my husband takes pain pills,, he asked a pharmacist,,about how many days for filling scripts.he said,,, the script has to be filled in 14 days. I have been on workers comp for 18 years, , one more question, my husband is on 40 mg of Oxycontin , the 12 hr.. do you know did they change it? he notices a difference, my husband said something is wrong with them,not working for him, at first they were working . no problems, after that no relief.., and hasn’t been working since. he had drug test,, metabolites were 6100 ,, after he noticed no relief, he paid for a drug test. and the metabolites were, 1300..that’s a big difference, my metabolites are higher than his. he didn’t do anything different,,.. think the Dr,& insurance company and Purdue are doing something,to them. Dr. not saying anything.when he talked to him, I think he needs to get off those, and take short acting, he has spinal problems, appreciate you listening, an any help we would appreciate. thank you
It is often the case where front office staff make up their own set of rules and the prescriber has no idea of what is going on. He/she is focused on treating pts. Pts who run into such situations it is best that they discuss their concerns with the prescriber.
Sometimes front office staff self-appoint themselves as the “dictator” of their own “little fiefdom”.
I am sure that these “little dictator’s” world is not made up of perfect circles and perfectly smooth roads… they are never too sick to get out of bed, their cars never breakdown, Mother Nature never puts obstacles in their way.. like the rest of us in the real world.
Anytime someone tells you that they must or can’t do something because “it is the law”.. just ask for a copy of the law and/or statue number – so you can look it up on the web – if they can’t/won’t is because the law doesn’t exist and they have establish this “law” as their office policy… which they can do.
Metabolites from medication is never going to be a constant… more like a bell curve from the time you take it until the next dose is due… The body is in constant flux… a test is just a “moment in time”… just take your driver’s license out and look at your picture on it… that is a snap shot in time.. does it do a good job of representing you ?
People who are put on pain meds – and gets good results – they tend to increase their activity… and end up being in pain from activity induced pain… there is also aging, deterioration of the condition causing the pain and MAYBE a little bit of tolerance.
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