Can you pain doc and PCP talk about w/out your permission of visa versa

My great pain clinic is having to begin enforcing what they say is a
national law or state requirement that pain clinics fax a copy of a
patients medications to the patient's primary care physician.

Supposidy, the DEA or hosptial big wigs are forcing the pain clnics to
do this in a attempt to keep patients from "doctor shopping," that is,
getting the same or simliar substanes from more than one doctor. The
idea is that if the pcp is rxing any other the same controlled drugs,
the patients is nabbed and discharged.

I have nothing to worry about this that regard. But there are many
personal things about my life and my history that are -drug-realted,
and I don't think my pain doc would be too pleased to learn this
information form a "well-meaninc PCP. He wouldn't dare call my pain
clinics would he? Isn't that against the law?

Is there not a thing called Patient/Doctor confidentiality -- on both
sides of this coin -- and so then why can the pain doc just
automatically and without my person -- unless I unknowlingly signed
something in my contract -- contact another doctor and list the
medication or give any personal information about

neither doctors has ever heard of the other/ in fact they live in
different cities.
My PCP knows I sturggle with terrible cp AND addiction, a terrible
curse, if you can imagine.

Now in NC, when I go tot he pain clinc, they count my pills -even
though most of the time I have no extra pills because I come exactly
30 days or at least 29. I told my doc about that and he said don't
worry abotu it. It' s all part of this
new law... Is this really a LAW or is this crap something each pain
clinic is concoacting themselves and on their own terms. My doc
insisted that NDHI (national department of hosptials and instiutions?
I don't nkow, something like that has ordered ALL pain clinics do it.
My doc say he held off as long as he could -- he's an old hippy who
rxes the THC pill imarinol to patients so they can smoke pot and test
OK on Piss tests.

Now, before my visit, the nurses go down each meds, and asking you
what day and what was the last time you took this medication --
presumeable to that they can catch you if it doesn't show up in your
urine. I really don't know. It's all documented - on every single
patients. Sounds like a whole lotta paper work for nothing to me...

My doc also confided that the "keith Ledger" death has called in new
scrutinty on docs who rx pain meds and this is the most scrutinty he's
been under since he started treating pain in the late 80s......I've
never seen him so freaked out -- he hates all this doc and hosptial
intrusion into the lives of his patients and didn't instigate these
policies, he says, until they became law recenly

In reality, It's SO stupid to ask people to bring in their pills to be
counted, because any good drug addict or drug seeker, would just take
the empty bottle, fill it half with an over counter meds that looks
similar and hope the sweet, halfblind nurse doens't notice (how can
they keep up with the EXACT look of all these brand name and generic
narcotics.

As for the piss tests, well I know several people who go through their
meds ONE at a time, and keep one of each pill to take the doc appoint
day so he will tes positive for all his drugs -- he's not woried about
other stuff. I go through my various meds ONE at a time, and don't
mix them. My doc doesn't seem to have a problem with thatb, but you
see, it's NOt what he PRESRCIBED ON THE BOTTLE even though he told me
today that we both know that pain is rarely the same from same to day
and is very objective and ought to be treated as such.


Back to the main issues: I trust my PCP with the personal information
i shared with him abotu my health due to past drug abuse. I would hate
to think he would cold call my pain clinic and tell that to my pain
doc.

SOMEONE TELL ME THAT"S ILLEGAL PLEASE!!!!
Or I'm sueing his asss off.

Thanks
greenwire.
.

Relevant Pages

  • Re: Can you pain doc and PCP talk about w/out your permission of visa versa
    ... patients medications to the patient's primary care physician. ... the DEA or hosptial big wigs are forcing the pain clnics to ... Isn't that against the law? ... something like that has ordered ALL pain clinics do it. ...
    (alt.support.chronic-pain)
  • Re: Can you pain doc and PCP talk about w/out your permission of visa versa
    ... communications from doctor to doctor. ... that it's any kind of new law, but it may as well be. ... There is no laws saying patients on controlled substances have to ... but if you don't submit you can find another pain doc. ...
    (alt.support.chronic-pain)
  • Re: States with good pain treatment docs and laws
    ... The states with Intractable Pain Treatment Laws and Regulations on the ... disciplinary measures against the physician for prescribing narcotics ... Even before that in 1988 the Virginia Legislature even enacted a law ... ill cancer patients. ...
    (alt.support.chronic-pain)
  • Re: States with good pain treatment docs and laws
    ... The states with Intractable Pain Treatment Laws and Regulations on the ... disciplinary measures against the physician for prescribing narcotics ... Even before that in 1988 the Virginia Legislature even enacted a law ... ill cancer patients. ...
    (alt.support.chronic-pain)
  • Re: Can you pain doc and PCP talk about w/out your permission of visa versa
    ... patients medications to the patient's primary care physician. ... the DEA or hosptial big wigs are forcing the pain clnics to ... Isn't that against the law? ... something like that has ordered ALL pain clinics do it. ...
    (alt.support.chronic-pain)