 My HMO refuses to treat my rare disease Dercum’s Disease. They kept telling me it was only fibromyalgia, even though the lumps kept multiplying and were so painful that I was bedbound and barely cognizant of the day. I would wake to my own screams. I found my own diagnosis but had to fly to the only specialist to have it confirmed. When I had brought the possibility up to my HMO only the dermatologist believed me and she was told I was exaggerating and had fibromyalgia and just wanted pain meds. The specialist confirmed what I had feared and gave me a protocol of many treatments to try. Top of the list was pain meds. They still refused. I got treatments from her. HMO had me go for a second opinion. I did. Got confirmed. Still no treatment. I just paid out of pocket this past year for low dose methotrexate and we found that it took Fentanyl 75mcg every 48 hrs to subdue the pain. I have been taking that since last January. I stopped needing even any breakthrough meds so I stopped getting refills. NOW, my specialist has dropped all scripts for pain meds. No decreasing dose….She is terrified to treat me with any because of a conference she went to. She told me to start stretching out to three days last month, which I kept trying to do, but would be bedridden on the third and first day of the patch. Apparently, she forgot I didn’t have enough meds for breakthrough and since I didn’t comply the entire month, she is using that fact as the reason for breaking off. When she ordered me to do it again immediately, I reminded her that the last prescription I had for Percocet was from last year and I had only about 10 pills(which I had forgotten about.) I haven’t heard back but I suppose she won’t write me any more Percocet, either. I was suicidal, the pain was so bad before the pain meds. I wish I could enjoy these last two months but I need to find a compassionate pain doctor and I have tried so hard here in CA, but had no luck….
My HMO refuses to treat my rare disease Dercum’s Disease. They kept telling me it was only fibromyalgia, even though the lumps kept multiplying and were so painful that I was bedbound and barely cognizant of the day. I would wake to my own screams. I found my own diagnosis but had to fly to the only specialist to have it confirmed. When I had brought the possibility up to my HMO only the dermatologist believed me and she was told I was exaggerating and had fibromyalgia and just wanted pain meds. The specialist confirmed what I had feared and gave me a protocol of many treatments to try. Top of the list was pain meds. They still refused. I got treatments from her. HMO had me go for a second opinion. I did. Got confirmed. Still no treatment. I just paid out of pocket this past year for low dose methotrexate and we found that it took Fentanyl 75mcg every 48 hrs to subdue the pain. I have been taking that since last January. I stopped needing even any breakthrough meds so I stopped getting refills. NOW, my specialist has dropped all scripts for pain meds. No decreasing dose….She is terrified to treat me with any because of a conference she went to. She told me to start stretching out to three days last month, which I kept trying to do, but would be bedridden on the third and first day of the patch. Apparently, she forgot I didn’t have enough meds for breakthrough and since I didn’t comply the entire month, she is using that fact as the reason for breaking off. When she ordered me to do it again immediately, I reminded her that the last prescription I had for Percocet was from last year and I had only about 10 pills(which I had forgotten about.) I haven’t heard back but I suppose she won’t write me any more Percocet, either. I was suicidal, the pain was so bad before the pain meds. I wish I could enjoy these last two months but I need to find a compassionate pain doctor and I have tried so hard here in CA, but had no luck….
Does this sound like failing to meet the standard of care and best practices ? I would like to see the brochure on that conference… and who the speakers were and the topics on the agenda ?
Filed under: General Problems
 
	


















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