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Thread: My Pain Doctor in WA state Raided, I am without my meds! Help!?!

  1. #51

    Pain Doc In Kent, WA

    There is a MultiCare clinic in Covington. In that clinic is a Pain Management doc whose name is Louis Jacobson. The number there is 253-372-7000.

    I have to say that he only prescribes 2 opiates. MS Contin and Methadone. That's it, no breakthru meds whatsoever.

    I was with him for a couple of years, but had to leave because my pain was getting to be more than he was willing to treat.

    Best of luck!!!!

    fallNApart

  2. #52

    Dea

    I am very sypathetic to those who lose their doctor because of the raids, even after they have done everything right. The point here though is that these raids do not happen unless there is a abundance of evidence that shows the the doctor is doing illegal activities.

    While a lot of the these clinics seem legit on the surface, there is an undercurrent of criminal activity that lies in plenty of these clinics. Keep in mind the DEA just does not kick in doors of just anyone that they want to. A judge has to be convinced that there is enough evidence showing illegal prescriptions are being obtained.

    I am not siding totally with the DEA on this, however I am saying that if the Dr or someone at his office is committing a crime should it be overlooked because he is also doing good things? There are plenty of people every day that do good things but are criminals. should we take that into account for everyone committting a crime?

    I have suffered from Chronic Pain for over 15 years so I know that being without meds is not a place you want to be. That is why it is critical to chose a Dr that you know is 100%. My recommendation is to find a Dr that is affliated with a medical school or that your insurance company recommends. Also, take the time to research where you are going. Do just go because they give the meds you like.

    I might take a lot of heat for this, but I stand behind law enforcement to protect us from criminals. If you cannot see if from that standpoint, I am not sure what to tell you. If your doctor was out robbing banks or killing people you would want him shut down. Consider this the same thing.

  3. #53
    Many clinics are what is termed "Multi-faceted." That means they treat with bio-feedback, psychiatry, and anti-depressants. If that's the kind of pain you have, by all means... GO!
    Last edited by megghegg; 01-11-2010 at 01:57 PM.

  4. #54
    Thank you for your posting. It is difficult for me not to rail against some of these know-it-alls.

  5. #55
    Yes, I believe the term I head most used is "multi-disciplinary" approach to pain management. Many of the large teaching hospitals with reputable programs will have doctors from different departments available for consultation regarding the pain, given that chronic pain is not a uni-dimensional problem. I believe most of us understand ongoing pain, and often find it is associated with depression. Anti-depressants also often have the benefit of relieving our pain (especially some meds for fibromyalgia, or other chronic pain syndromes). Any doctor who will only have you pay cash, up front deposit, seems like a scam to me. Many of the over prescription of opiates and other related addicting drugs, have been linked to many long term problems in health.

    I have heard some people say to just take pain meds, with the relief of pain as the top priority (no matter what..). I am concerned about this. That "no matter what" is what is most troubling. If one keeps taking addicting pain meds in high quantities, at first, it may help the pain. But then ones body gets accustomed to it, so they have to increase their use.
    Rebound pain can be worse than the original pain. I found this article which I thought did a pretty good job explaining it. http://www.bayareapainmedical.com/wrebound.html.

    I have heard some say it would be better to take the chance of being addicted to the pain meds, than to be in pain. I understand how disabling pain may be, but I don't see the logic of saying that someone who is "addicted" is somehow in less pain than one who is just in pain, etc. People who have true addictions have to go through a very
    painful process of getting off the drug. The disability from pain, is now "added to" with the disability of being physically dependent and emotionally dependent on the drug.

    Again, responsible pain clinics will be able to be paid for with most reputable health insurance companies (private or Medicare/Medicaid). Any clinic who hides under labels and demands cash up front or deposits, certainly would or I believe "should" send off major red flags to the astute consumer.

    I agree with the above post to check out your doctor too. Medical state licensing boards in the US have public information about any doctors who have had their license revoked or disciplinary actions.

    I just read this thread started a year ago...
    Last edited by med100; 01-11-2010 at 02:38 PM.

  6. #56
    MED100 and I disagree on the opioid therapy. Fair enough.

    I believe studies have shown that there is a very low risk of becoming addicted to opioids, if you are actually in pain. The risk is not zero - but it is very low. There are risks to any medication. With opioids, as with any medication, the potential benefits must be weighed against the risks. Opioids are excellent and safe medications, prescribed and used correctly.

    It used to be thought that everyone who took opioids had a big risk of addiction. But the current thinking in pain management now no longer agrees with that - the risk is generally considered to be low. Extra care must be taken with patients who have a history of substance misuse, or other factors that put them at a higher risk. But if other pain management medications and strategies do not work, then opioid therapy is generally recommended. There was just a recent continuing medical education show on this topic - as many practicioners (and the public) still mistakenly fear these medications. The show talked about not only opioid therapy, but also the impact that unrelieved, undertreated pain has on the patient, and society.

    I also believe it is not true that as everone's body gets used to the medication, the dose has to be increased. In some cases, that does happen. But for many people, they reach a stable dose that controls their pain, and remain at that dose.

    Like any medication, there are some side effects, and some risks with opioids. But unrelieved pain is itself a risk, and has many consequences. I believe the most modern teaching is not not fear these drugs. Use appropriately, take care, assess risk. But do not be afraid of them.

  7. #57
    Oh yes, I do agree entirely with MED100 that things like clinics that require cash payments etc. do not sound like a good plan.

  8. #58
    Med100, It would appear that you are someone who is not, or has never been, in chronic severe pain. To bad there is not a filter to keep people like you from posting. Your kind of post is such a waste of time because it is never appreciated by the people who need this forum the most. Have you ever thought about being an evangelist? You know so much about it.

  9. #59
    People have different experiences. I do not really doubt MED100 has good intentions. I cannot say nothing ever goes wrong for people who take opioids - perhaps MED100 has seen one that went wrong. But I still believe, for most people that need them, opioids are safe and hopefully effective.

  10. #60
    Meg, I did not write not to ever take prescribe opiates from responsible medical oversight for chronic pain, so please , before you try to write defaming comments, re-read the post- please. Clearly, it was missed. TAM, I will PM you....
    Last edited by med100; 01-11-2010 at 07:37 PM.

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