Thread: First time here
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Old 12-24-2008, 09:09 PM   #26 (permalink)
DesertEyes
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Join Date: Jul 2004
Location: Starting over all over again
Posts: 3,116
Quote:
Originally Posted by chloes1 View Post
.... I went and saw the pain/addiction Dr, and I have mixed feelings about it......
Good for you. Having mixed feelings means you are being careful and paying attention to details. That's called being pro-active and it's hugely important for those of us with chronic problems.

Quote:
Originally Posted by chloes1 View Post
.... His office personnel didn't put enough postage and this HUGE packet of questions that I had to fill out. So, it came postage due. .....
hmmmm..... I don't like that. If the staff can't bother with little things like postage how are they going to do with _big_ things like filling out forms properly for disability, or referals to other docs, etc.

Quote:
Originally Posted by chloes1 View Post
.... He averages about 2 complaints each year, .....
Good for you calling the state. Two complaints a year out of how many patients. If he only sees one patient a month that's a _lot_ of complaints. Was his office full of people?

Quote:
Originally Posted by chloes1 View Post
.... He only accepts cash or checks and does not bill any insurances. .....
That means he's not seeing enough patients to be able to afford a full time insurance adjuster on his staff. So instead of filling out insurance papers he just shoves that work off on you. That also means that if your insurance gets nasty and declines your claim you are out of luck. The whole point of having the doc bill the insurance is that the doc has the staff and the knowledge to _fight_ the insurance for payment.

Quote:
Originally Posted by chloes1 View Post
.... He encourage me to try low dose methadone to see how effective it is for me.....
Trying low doses of meds to see how they work is a good idea. If it does work the you can decide if you want to stay with it for awhile. It also tells you what _class_ of medications will work for you.

One thing my docs with me is change my "recipe" every couple of years. That way I won't develop addiction or tolerance to one particular med. I also take several different meds in low doses for the same reason. For example, I take 3200mgs of Aspiring a day for pain, and when I have "breakthru" pain too strong for the aspirin I add up to 30mg of Lortab, and when the pain goes beyond that I get on a short course of Prednisone.

The idea is that trying different meds at different doses under the direction of a doc is a good way to find the best "recipe" for your specific needs.

Now that you know what this doc is like, and how much Methadone you can handle, you can go shopping for a better doc. See what other docs are available to you, see if they will bill your insurance direct, if you feel more comfortable with the office staff.

I have found that having a good doc makes a _huge_ difference, and I've done _lots_ of shopping 'till I found a few that I'm really comfortable with.

And congratulations on taking care of _you_

Mike ((((( hugs ))))
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