Saturday, July 20, 2013


Early, 2011, I experienced an excruciating pain in both knees, resulting in my uncontrollable
screaming to 911, in the ambulance, ER and recovery.  Morphine injections and oxycontin
and oxycodone / Percocet were administered until the pain subsided to where I could be
transferred to a rehab facility.  There, the oxys continued to be daily administered to me. 
When I was discharged, they gave me additional oxys for me to daily take, according to
discharge orders, until I saw my long time Primary Care Physician ( PCP ).

At the May, 2011 PCP appointment, he was obviously annoyed when he presented a
"Contract for Controlled Substance Prescriptions" to me and said that I needed to sign it,
or he wouldn't write the prescriptions.  I said that I wanted to take the "contract" with me,
review it and return with whatever questions. comments or concerns.  The PCP loudly replied
that I had "to sign the 'contract' now, or he wouldn't write the prescriptions.  He refused to let
me read it.  Being coerced into signing, WHILE  UNDER  OPIOID  INFLUENCE, I signed, and
received the two prescriptions.  ( By law, each 28 days, new scripts, must be written, not refills. ).  
I told my PCP that I wanted a "contract" copy.  He agreed and said that I needed to make another
appointment in 3 - 4 months, which I did before leaving the practice.  I  filled the scripts and
returned home.  I never received the promised "contract" copy.  My then Primary Care Assistant
( PCA ) was present in the examining room and witnessed all.  Unfortunately, he moved several
weeks later and I doubt is easily found.

From May to September, 2011, the 28 days fills happened normally.

My September, 2011 PCP appointment repeated May, 2011.  I never received both "contract"
copies.  My new and continuing PCA was present and later commented that my PCP "wasn't
treating me well.".  .

From September, 2011 to April, 2013, the 28 day fills happened normally.  No other "contracts"
were presented nor signed.

Friday, April 26, 2013, my PCA was to pick up the new fills.  Her car disabled and the pick up
didn't happen so that I could continue the meds without break.  The PCPs office was not open
on Saturday.  My 28th day was Sunday, when my PCA borrowed her husband's car to visit me.
Given my PCP's long time order that, If I had an emergency, to immediately go to the ER, AND
my PCA's knowledge that I was facing likely quite painful withdrawal, she advised that it would
be wise for me to go to the ER.  She brought me there, stayed with me the entire time, and
drove me home.

The ER did not admit me.  Instead, they gave me one oxycontin, when I needed more to make
it through the script pickups and fills.  The discharge order included that I needed to see my PCP.
My PCA was present when my PCP very loudly called me "a contract violator, a drug abuser, a
junkie and was going to discharge me from his practice."  I then asked "Do you mean that after I
have been your patient for over 20 years, my PCA's car disables, and I got one oxycontin from
the ER, you are going to terminate our physician-patient relationship ?"  He replied "I'm not
discharging you, just don't let it happen, again.".  The PCP's words are obviously defamation of
my character. 

As bad luck would have it, Walgreen's Pharmacy lost my recent oxycontin script while verifying
coverage with my insurance company.  The pharmacist lied about it, the store manager reviewed
the security recordings and determined that the pharmacy had NOT returned the script to my PCA.
The Walgreen's Store Manager honorably admitted this to me, my PCA and my PCP.  He told my
PCP that if he would jut cancel the lost script and reissue a new one, they would fill it.  Instead, my
PCP, again, outrageously defamed my character as he had before.  The practice business manager
was more insulting.  Result, I received a less than 30 days notice stating that "THE PRACTICE"
would no longer treat me.  I have less than 14 days to find another PCP.

1.  The now former practice is HUGE and handicapped accessible.  So far, non practice PCPs are
in non handicapped accessible buildings.
2.  What do I say to the potentially new PCP about why I left the former practice ?

Since discharge, I've cyber located excellent chronic pain resources.  I've read that in 2010, 26
recognizing that MDs are free to write whatever opioid scripts they felt were necessary to treat
their patients.  The DEA only cared about the rare MD who was obviously abusing their DER
privilege with known addicts.

Related articles that such "contracts" are not advised as they:
1.  Violate the Hippocratic Oath.
2.  Replace mandatory physician-patient trust with an adversarial relationship.

That said, there are contracts found online, that are nowhere as unfair to patients as my
former PCPs.  

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