12-08-2011, 02:48 PM
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Policing of patients
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12-08-2011, 03:21 PM
quote:NO NO NO NO OBIE..Every patient has the right to medication if such medication takes care of a specific problem. We already live in a POLICE society where Our rights are constantly being taken away such as here in Puna. It is the responsibility of patient as to where he or she takes it!NObody but nobody deserves to suffer pain in this modern society. NO ONE!We cannot have these local clinics etc play god with our bodies. SURE..there are such addicts. Sure..many have become addicted but it is NOT a Doctors responsibility or place to tell a patient what works for them.When your in terrible chronic pain, tell me then if you would rather suffer the pain or take something for it that relieves such. You will not care what you take as long as it relieves such pain. GOT A KIDNEY STONE? Ask the other punawebber about that. How about if you cannot sleep a wink because your in pain?Truthfully? If it meant becoming an addict, and what I was taking helped me? Well,I would go for the meds anytime!
12-08-2011, 08:54 PM
When my 45 year old sister, who has very painful chronic back and leg pain, moved here in 2006, she became a patient at the Pahoa clinic soon after. Her doctor first sent her to a pain managemnent doctor in Hilo to be examined and review her issues. The doctor then gave a referral to her primary doctor and she was prescribed her pain medication. My sister see's her doctor every three months for review and is then given a new prescription. Her doctor has lowered the quantity of medication to see if she could tolerate and function at the lower amount, but she has NEVER not received her prescription in the last 5 1/2 years. I feel that here in Hawaii, it has been safer for her to be on these addictive medications. I believe that she is more aware and is DEPENDENT not ADDICTED to her Opioid medication. By the way. I took her to her 3 month appointment last week 12/1. She received her prescription for her Opoid medication that day. I believe prescribing Opioids is done on a case by case basis and is not refused to those that need to control their pain safely. Others though may show signs of abuse. Asking for a prescription to be re-filled early. Asking the doctor to increase strength or amount of the Opioid medications are signs the patient may not be using the Opioid safely. It also could be something in their medical records that keeps the doctor from prescribing the medications. I wish you the best Condoman. I hope you will soon feel better.
12-09-2011, 02:55 AM
quote:Actually I am not on any pain meds. Point is that when my I needed them, the clinic would not subscribe them. Even though I have documented proof of condition that would cause pain. I would certainly understand if ome first time patient walked into one of our clinics and looked like a street person and made demands for pain killers, as a Doctor YES I would be hesitant. However if the person was a long time ptient in uch clinic, and their need was presented to the Doctor, then Doctor should without question give a script.
12-09-2011, 04:33 AM
"...it is NOT a Doctors responsibility or place to tell a patient what works for them. ..."
What's the point in going to one then?
Puna: Our roosters crow first
12-09-2011, 07:38 AM
I talked to someone yesterday who has had Bay Clinic (Kea'au) as a PCP for seven years, and I mentioned this topic. He told me his doctor has told him his/her strong views of the policy.
The policy comes from the director of Bay Clinics. Not sure how long she has been in charge, but she came along since my friend has gone there. She came here from Florida, which apparently is the land of Oxy mills these days ... So her view of narcotic pain killers is heavily colored by the Florida culture, and she hasn't yet figured out that Hawai'i may be different. The doctor in question disagrees with the policy, but can't do anything about it. So now you know where the source of it lies. "And I'm sure it wouldn't interest anybody, outside of a small circle of friends ~ Phil Ochs
12-09-2011, 07:57 AM
Why do you think they have security guards at all Bay Clinic offices? LOTS of pissed off patients who need their meds!
12-09-2011, 10:12 AM
quote: Call Paul Strauss. He is very interested in patients opinions. Or email him at pstrauss@bayclinic.org Mr Strauss has been very responsive when I have had to go that far. Our Bay Clinic doctor also has issues with the current (and again new) policies.
12-09-2011, 10:58 AM
Cat, not sure if you were talking to condoman or to me, but I will mention your referral to my friend when I see him again. He has feedback he would like heard. It doesn't concern the pain pill policy, other stuff.
The pain management clinic concept seems to be the new way to go. Bay Clinic will refer people out, as condoman said. My family has used Aloha Pain on the other side for treatment of injuries from an MVA. They are fairly vigilant about denying drug-seeker-abusers, but they do prescribe pain pills as an adjunct to other treatments like injections. I wonder how Dr. Kaiwi stays in business if he is so loose. Doesn't the DEA come down on him? "And I'm sure it wouldn't interest anybody, outside of a small circle of friends ~ Phil Ochs
12-09-2011, 02:07 PM
I had this same experience when looking for a new doctor here in Hilo after moving from the mainland Sept. 2010.
I have great health care insurance that allows me to pick any doctor I want and I can go to specialists without the referrals most insurances require. So I thought it would be easy to get a new doc here. Not the case at all. On my insurance web site it listed tons of doctors who were taking new patients and took my insurance. when I would call them one of the first things they stated was they were only taking patients with no chronic pain issues. I don't take Rx pain medication for my chronic pain. My pain is well managed with tylonel extra strength arthritis over the counter pills. I explained this to 4 doctors who were listed on my insurance website as accepting new patients. All 4 of these MDs had the screener turn me down because I had ongoing chronic pain as a symptom even though I was not on pain meds and I explained I did not want pain meds. I finally got in to see the last doctor I called because I lied and said I had no chronic pain. Amazing. The bad part was it took me 4 months to get this doctor and when I did he turned out to be NOT at all what I was used to. He believed there was a drug for every symptom and within 3 visits had prescribed 5 new medications instead of looking at the big picture or the cause. Dizzy? Here take this med. Not sleeping well? Here take this med. Ringing in ears? here take another.... and on and on. He never explored these new symptoms, just wanted to prescribe meds. I stopped seeing this guy. I have been very disappointed with the quality of doctors here and the inability to get through the door to become a new patient. I am now seeing Dr. Chris Lawinski, MD. I am very happy with him. He is not a primary provider with any insurance. My insurance has me pay the bill in full and then send it in to get reimbursed. However, they only pay 1/3 of the bill and 1/3 of any service I get because he is not one of the primary providers. This has been hard financially, but so worth it health wise. I highly recommend Dr. Chris Lawinski. He is a very caring person. He doesn't push drugs for symptoms but instead looks at the whole person and looks for the cause of the symptoms. He is into natural healing and vitamins and minerals to help balance the system. He also prescribes my ongoing Rx. He does take pain patients, but again, he is not a preferred provider for any insurance, so you have to pay. Anyway, he is wonderful and has helped me. I will continue to with him. I do wish that there were more good doctors not hung up on giving drugs as a band-aid and looking at the causes and whole system and I wish there were doctors who compassionately treated chronic pain folks. To deny taking new patients because of that is not compassionate and not caring about the patient in pain. Remember, it could be you who is in chronic pain soon. Arthritis usually gets you sooner or later, and if not, maybe an accident or virus or whatever. You never know. Don't loose compassion for those who live with pain and just want to live a life with a little relief. Not everyone with chronic pain even uses Rx meds (me for instance). Not everyone with chronic pain abuses their needed Rx medications. For the vast majority the pain meds help the person function normally and continue to live a full happy life.
hawaiideborah
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