Anonymous
Post 03/22/2016 20:05     Subject: s/o Anyone else fed up with doctors thinking everyone is a junkie?

I had a similar experience as a patient. I had waited over a week with the flu before i sought care. By the time I went to the ED, I hadn't been eating or drinking x 48 hours. I was in terrible pain. For whatever reason, they assumed I got the flu on purpose to seek drugs, even though they thought I was sick enough to be admitted and X-ray should signs of pneumonia. Then I was told I could only be admitted if I didn't ask for any pain medication. I was very very sick. So I agreed.

I'm very angry and upset. I don't use drugs. The assumption that I did was so unfair, and once I was labeled they were mean to me. The ER nurse put the call bell on the other side of the room. I was so weak I needed help to move. The RN said something like "you have legs." I was dehydrated, they couldn't stick me. When I tried to tell them the IV was infiltrating, they rolled their eyes. It was awful.
Anonymous
Post 03/22/2016 19:46     Subject: s/o Anyone else fed up with doctors thinking everyone is a junkie?

Pancreatitis is extremely painful. All doctors are aware of this.

Yet regulators send doctors almost what amounts to death threats about over prescribing yada yada.

It's the junkies and drug seekers who are harming the rest of us from good care.

Laws are being passed to limit prescriptions for pain to three days for first time prescriptions and make it more restrictive to obtain pain medication.

I work in healthcare. What I'm seeing is that Junkies are still getting drugs and the rest of us are suffering.



Anonymous
Post 03/22/2016 16:54     Subject: Re:s/o Anyone else fed up with doctors thinking everyone is a junkie?

Anonymous wrote:
Anonymous wrote:I was in the ER last summer because I had an awful virus that made me vomit every ten minutes and I couldn't keep water down for 24 hours. The minute I disclosed that I take extended-release morphine prescribed by a pain specialist during intake they stopped listening to me, and took 2 hours before they gave me IV fluids and anti-nausea medicine. I never asked for painkillers and all I needed was fluids and an anti-emetic but the minute I disclosed that I'm a chronic pain patient (I have a degenerative joint disease) they treated me as subhuman. A friend came with me and was in the waiting room repeatedly asking to come sit with me but was lied to multiple times to keep her from advocating for me. I spent two hours vomiting, shaking, and crying, and the only time a nurse came to check on me was when I was curled in a fetal position with an awful migraine from severe dehydration and she told me I needed to stop disturbing the other patients with my whimpering. I will never trust an ER tech/nurse/doctor again.


I am also a chronic pain patient (severe arthritis in my cervical spine) and am on a very low dose of Vicodin to help manage it. 1 or 2 5 mg tablets per day, max. Some days I take none. I've avoided going to the ER a few times in recent years when I really should have gone (cut my hand and should have had stitches; severe food poisoning) because I didn't want to go through the humiliation of disclosing that I am a chronic pain patient. I knew I would be labeled a drug seeker and treated as a second-class human.

There is a huge opioid problem in this country; I hope the pendulum eventually swings back to center, so that people in actual pain can have the treatment they need without stigma; and people who are abusing meds will have a much harder time accessing them.


In your situation I would have no problem not disclosing that I took Vicodin.
Anonymous
Post 03/22/2016 16:36     Subject: Re:s/o Anyone else fed up with doctors thinking everyone is a junkie?

Considering the doctors in California just had a proposition attempted to be levied against them and adverts accusing them of prescribing too many pain killers, I think they have a right tone wary. Unfortunately it impacts real pain relief seekers, the doctors just can't win.
Anonymous
Post 03/22/2016 15:02     Subject: s/o Anyone else fed up with doctors thinking everyone is a junkie?

Anonymous wrote:Your big mistake was naming a specific brand of painkiller. Doctors pick up a whole list of red flags to help them pinpoint who is trying to play them for drugs and that one is right near the top of the chart. Yes, YOU know that you are not a druggie but keep in mind that this doctor probably already had 10+ patients this week who had "terrible back pain and the only thing that works is Demerol" or "spilled their Vicodin into the toilet and can you just write me another Rx" or are "allergic to everything except Dilaudid" or "just need some fentanyl patches to get through it." He doesn't know what you are, but he knows a bunch of people have already tried to play him and is on the lookout for the next one. So are the nurses, because they see it all the time.

It's not heroin junkies doing this kind of stuff. They know where to get their drugs, and it isn't the ER. It's the prescription drug addicts. The reason the doctors treat everyone like a drug seeker is because they get them all the time and can't let their guard down. Your irritation should be reserved for the druggies, IMO, not the doctors who have become jaded by them.


Well, geez, they asked me! I can't win.
Anonymous
Post 03/22/2016 13:30     Subject: Re:s/o Anyone else fed up with doctors thinking everyone is a junkie?

Anonymous wrote:I was in the ER last summer because I had an awful virus that made me vomit every ten minutes and I couldn't keep water down for 24 hours. The minute I disclosed that I take extended-release morphine prescribed by a pain specialist during intake they stopped listening to me, and took 2 hours before they gave me IV fluids and anti-nausea medicine. I never asked for painkillers and all I needed was fluids and an anti-emetic but the minute I disclosed that I'm a chronic pain patient (I have a degenerative joint disease) they treated me as subhuman. A friend came with me and was in the waiting room repeatedly asking to come sit with me but was lied to multiple times to keep her from advocating for me. I spent two hours vomiting, shaking, and crying, and the only time a nurse came to check on me was when I was curled in a fetal position with an awful migraine from severe dehydration and she told me I needed to stop disturbing the other patients with my whimpering. I will never trust an ER tech/nurse/doctor again.


I am also a chronic pain patient (severe arthritis in my cervical spine) and am on a very low dose of Vicodin to help manage it. 1 or 2 5 mg tablets per day, max. Some days I take none. I've avoided going to the ER a few times in recent years when I really should have gone (cut my hand and should have had stitches; severe food poisoning) because I didn't want to go through the humiliation of disclosing that I am a chronic pain patient. I knew I would be labeled a drug seeker and treated as a second-class human.

There is a huge opioid problem in this country; I hope the pendulum eventually swings back to center, so that people in actual pain can have the treatment they need without stigma; and people who are abusing meds will have a much harder time accessing them.
Anonymous
Post 03/22/2016 01:08     Subject: Re:s/o Anyone else fed up with doctors thinking everyone is a junkie?

What a terrible experience! I think your take away is do not disclose until after they have put in the IV fluid line.

You are not treated well if you are suspected of drug seeking. Even heroin addicts get sick for reasons unrelated to their drug usage. Unfortunately, once they know you take drugs--licit or otherwise--there is a tendency to treat the patient as though all his ills are rooted in his addiction.
Anonymous
Post 03/22/2016 00:56     Subject: Re:s/o Anyone else fed up with doctors thinking everyone is a junkie?

I was in the ER last summer because I had an awful virus that made me vomit every ten minutes and I couldn't keep water down for 24 hours. The minute I disclosed that I take extended-release morphine prescribed by a pain specialist during intake they stopped listening to me, and took 2 hours before they gave me IV fluids and anti-nausea medicine. I never asked for painkillers and all I needed was fluids and an anti-emetic but the minute I disclosed that I'm a chronic pain patient (I have a degenerative joint disease) they treated me as subhuman. A friend came with me and was in the waiting room repeatedly asking to come sit with me but was lied to multiple times to keep her from advocating for me. I spent two hours vomiting, shaking, and crying, and the only time a nurse came to check on me was when I was curled in a fetal position with an awful migraine from severe dehydration and she told me I needed to stop disturbing the other patients with my whimpering. I will never trust an ER tech/nurse/doctor again.
Anonymous
Post 03/21/2016 22:44     Subject: Re:s/o Anyone else fed up with doctors thinking everyone is a junkie?

Wow! Surprised ERs give out percoset scrips for chronic pain. I know they give them for things like fractures and broken bones, but giving them for a chronic condition they pretty much have to take the patient's word for is an invitation for prescription drug seekers. As I said, at the ERs we've been to they preferentially give a percoset instead of IV narcotics for pain caused by a chronic condition but won't give a scrip.
Anonymous
Post 03/21/2016 20:11     Subject: Re:s/o Anyone else fed up with doctors thinking everyone is a junkie?

Anonymous wrote:
Anonymous wrote:
Anonymous wrote:It is still odd that they offered IV morphine and got upset when she asked for a Percoset pill instead. That is a much lighter narcotic.


You can't go out and sell IV morphine the way you can an Rx for Percocet


They do not give you an Rx for Percoset at the ER. They give you one pill while you are there. If you are there long enough, they may give you another. At least that has been my experience with a family member--perhaps ERs differ on this.


Many ER's will give a short term Percocet Rx. I'm a pharmacist.
Anonymous
Post 03/21/2016 20:06     Subject: Re:s/o Anyone else fed up with doctors thinking everyone is a junkie?

Anonymous wrote:
Anonymous wrote:It is still odd that they offered IV morphine and got upset when she asked for a Percoset pill instead. That is a much lighter narcotic.


You can't go out and sell IV morphine the way you can an Rx for Percocet


They do not give you an Rx for Percoset at the ER. They give you one pill while you are there. If you are there long enough, they may give you another. At least that has been my experience with a family member--perhaps ERs differ on this.
Anonymous
Post 03/21/2016 19:33     Subject: s/o Anyone else fed up with doctors thinking everyone is a junkie?

Anonymous wrote:I have chronic pancreatitis which has an unknown cause. I did nothing wrong or unhealthy to cause this condition. Sometimes I have to go to the ER for fluids, anti nausea meds and pain meds. Tonight I turned down morphine because it makes me very ill. I was then told I couldn't get a different opioid as a substitute. I politely asked a second time and heard no. Then I told them I was offended that they were implying I was a junkie because I requested a specific opiod that wouldn't make me sick. Only then did they give me the pain killer I needed.

I completely understand there is a serious heroin epidemic I this country and my heart goes out to those who struggle but doctors need to treat those of us with legitimate needs. I'm tired of being treated like an addict. Having a chronic condition is stressful as it is. I feel so betrayed when I ask for help and am treated like a liar.


I have gastroparesis so I have a similar experience at the ER. Opioids are the only thing that helps with the pain at the point, but I don't need them at home. I'm typically stable in a few hours or a day and can just follow up with my GI. The ER staff often don't know anything about Gastroparesis and if I'm in pain, I can't communicate well what is going on so I bring a companion or show them a letter from my doc. I still get treated like crap because they assume I am drug seeking. Never mind that I'm also asking for IV fluids, a scan with contrast to see how bad the blockage is, and anti-nausea meds. However, the letter does help. We also tend to call my doc/his service and warn them I am headed to the ER. That way, they will check in on me sooner.
Anonymous
Post 03/21/2016 19:22     Subject: Re:s/o Anyone else fed up with doctors thinking everyone is a junkie?

Anonymous wrote:It is still odd that they offered IV morphine and got upset when she asked for a Percoset pill instead. That is a much lighter narcotic.


You can't go out and sell IV morphine the way you can an Rx for Percocet
Anonymous
Post 03/21/2016 19:18     Subject: Re:s/o Anyone else fed up with doctors thinking everyone is a junkie?

It is still odd that they offered IV morphine and got upset when she asked for a Percoset pill instead. That is a much lighter narcotic.
Anonymous
Post 03/21/2016 18:53     Subject: s/o Anyone else fed up with doctors thinking everyone is a junkie?

Your big mistake was naming a specific brand of painkiller. Doctors pick up a whole list of red flags to help them pinpoint who is trying to play them for drugs and that one is right near the top of the chart. Yes, YOU know that you are not a druggie but keep in mind that this doctor probably already had 10+ patients this week who had "terrible back pain and the only thing that works is Demerol" or "spilled their Vicodin into the toilet and can you just write me another Rx" or are "allergic to everything except Dilaudid" or "just need some fentanyl patches to get through it." He doesn't know what you are, but he knows a bunch of people have already tried to play him and is on the lookout for the next one. So are the nurses, because they see it all the time.

It's not heroin junkies doing this kind of stuff. They know where to get their drugs, and it isn't the ER. It's the prescription drug addicts. The reason the doctors treat everyone like a drug seeker is because they get them all the time and can't let their guard down. Your irritation should be reserved for the druggies, IMO, not the doctors who have become jaded by them.