2 doctors weighed in:

How can your doctor denie you severely needed pain medication? My wife n i spent 110, 000 dollars on her back surgery last year only to be basically thrown out of the doctors office for haveing a clean urine sample, is this for real, she told the nurse th

2 doctors weighed in
Dr. Joy Jackson
Family Medicine

In brief: I

I am so sorry to hear about your wife's difficult situation.
My advice is to seek the care of a pain management specialist. This is a doctor that is trained to treat pain using the least amount yet most effective pain medications and/or procedures. Often times doctors are in a rush and don't have adequate time to deal with the complexities of pain management therefore she will be much better under the care of a pain management specialist. I hope your wife finds help soon.

In brief: I

I am so sorry to hear about your wife's difficult situation.
My advice is to seek the care of a pain management specialist. This is a doctor that is trained to treat pain using the least amount yet most effective pain medications and/or procedures. Often times doctors are in a rush and don't have adequate time to deal with the complexities of pain management therefore she will be much better under the care of a pain management specialist. I hope your wife finds help soon.
Dr. Joy Jackson
Dr. Joy Jackson
Thank
Dr. Monica Wood
Surgery - Hand Surgery

In brief: A

A surgeon is primarily trained to treat anatomic conditions that cause symptoms, frequently pain.
Narcotic pain medications are necessary in the immediate timeframe after surgery because of the acute pain from the surgery. Most surgical pain decreases very quickly, within 1 to 2 weeks, though some can last longer. After about 3 months, the pain can no longer be considered "post-operative" pain and is considered chronic pain. Chronic pain is physiologically different from acute pain. There is a growing body of knowledge, but it is still poorly understood. Once a patient is in chronic pain, most surgeons do not feel comfortable managing it, though some will continue to prescribe narcotics out of a sense of obligation, having done the surgery. There is a very large problem in this country of prescription narcotic abuse, overdose, and death. In fact, for certain age groups, more people die of prescription drug overdoses than from car accidents. A number of people will fake symptoms to get prescriptions which they then sell to others. The clean urine sample was likely interpreted as her getting a prescription that she was not taking herself. I am not a toxicologist and i don't know how long the medication she was taking should last in her urine. I also do not know if she was on a pain contract. Any violation of a pain contract is grounds for termination of all narcotic prescriptions and often dismissal from the clinic. The surgeon may have felt that if she was taking the pills only intermittently, she should have used fewer pills. Unfortunately, in the interest of preventing abuse, people with legitimate pain are made to feel like they are addicts. Until we have a better understanding of pain and better drugs to manage it, we will continue to wrestle with these problems. I hope you can find a physician to help your wife with these issues.

In brief: A

A surgeon is primarily trained to treat anatomic conditions that cause symptoms, frequently pain.
Narcotic pain medications are necessary in the immediate timeframe after surgery because of the acute pain from the surgery. Most surgical pain decreases very quickly, within 1 to 2 weeks, though some can last longer. After about 3 months, the pain can no longer be considered "post-operative" pain and is considered chronic pain. Chronic pain is physiologically different from acute pain. There is a growing body of knowledge, but it is still poorly understood. Once a patient is in chronic pain, most surgeons do not feel comfortable managing it, though some will continue to prescribe narcotics out of a sense of obligation, having done the surgery. There is a very large problem in this country of prescription narcotic abuse, overdose, and death. In fact, for certain age groups, more people die of prescription drug overdoses than from car accidents. A number of people will fake symptoms to get prescriptions which they then sell to others. The clean urine sample was likely interpreted as her getting a prescription that she was not taking herself. I am not a toxicologist and i don't know how long the medication she was taking should last in her urine. I also do not know if she was on a pain contract. Any violation of a pain contract is grounds for termination of all narcotic prescriptions and often dismissal from the clinic. The surgeon may have felt that if she was taking the pills only intermittently, she should have used fewer pills. Unfortunately, in the interest of preventing abuse, people with legitimate pain are made to feel like they are addicts. Until we have a better understanding of pain and better drugs to manage it, we will continue to wrestle with these problems. I hope you can find a physician to help your wife with these issues.
Dr. Monica Wood
Dr. Monica Wood
Thank
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