ok so im dealing with some pretty heavy shit right now. im in the hospital getting my lungs tuned up because, well, i was born with cystic fibrosis as some of you know. anyway, i switched to a new hospital last october because my last doctor was a quack, got me hooked on heavy narcotics from the start for simple shit like back pain. dilaudid, fentanyl patches, oxycontin, percocets, somas, and some others which i actually do use, like marinol and klonopin. anyway, thats not what this malpractice is about.

now that i am in this new hospital, my doctor wont have anything to do with helping my cause. i have nerve damage in my leg and severe pain in my foot, and my foot is already starting to look like a fucking leaper. he does let me have my OC40's that my local neurologist lets me have, but its been a year i've been on these and tolerance is exceeded the pain level or whichever way makes sense, im not thinkin too clear, so i dont give a shit how that sounds. he has REFUSED to refer me to a pain specialist while i am in the hospital, but his other patients haven't had too much of a problem getting to the pain management. the pain is no fuckin joke though seriously, it wears off too early and i have to wait 2-3 hours for my next dose, which in that time it feels like stabbing knives or little fuckin bugs inside my feet just chompin and chompin away, i literally scream out loud from the pain. i looked up malpractice, and everything seems to fit. what he is doing is wrong, ignoring a patient in serious pain is fucked up. im about to take it up to a higher authority today, its like 5:40am right now, i finally got my previous dose at 5am after waking up at 2 to 3 o'clock with the nerves goin outta wack, and had to go through it for 3 strait hours in the middle of the night. them making notes not to medicate me early. even with the oc40's though, i still have pain around 4 or 5 on a scale between 1-10 because of a years worth of tolerance taking the same doses every day.

now, i dont really give a shit what some of you will say with the "oh tough it out pussy" or whatever, but obviously you've never had real nerve damage. anyway, i just wanted to see what some of you thought, as to whether i should go ahead with this cuz time is running out and morning working hours will be arriving very shortly. anyway, thats all.

oh and heres what i been reading through, so im pretty determined this isn't some bunk case...

http://en.wikipedia.org/wiki/Medical_malpractice

Good luck with a malpractice suit on that. Because of all of these bitch ass kids now, they have made it nearly impossible to get any decent pain meds without it looking like your fishing for good drugs. So go to another doc, or tell the mother fucker if he doesn't do something, you'll just go home and suffer. No point in having to pay if you can just suffer at home. Also, since you don't give a shit what anyone has to say, 4-5 on a scale of 1-10? The doctor probably just thinks you're being a pussy, so bump it up a few points.

A duty was owed - a legal duty exists whenever a hospital or health care provider undertakes care or treatment of a patient.
A duty was breached – the provider failed to conform to the relevant standard of care. The standard of care is proved by expert testimony or by obvious errors (the doctrine of res ipsa loquitur or 'the thing speaks for itself').

The breach caused an injury – The breach of duty was a proximate cause of the injury.

Damages – Without damages (losses which may be pecuniary or emotional), there is no basis for a claim, regardless of whether the medical provider was negligent.

Go for it, but you need to get a really good lawyer or your screwed..

well i meant the 4-5 between 1-10 after i take the OC40. in the last few hours its a complete 10, perhaps 11. the nurses out there can hear me in my room moaning in pain in the last few hours. i doubt i will do the whole lawsuit thing, i mean, these whole problems just started the past few days, when they stopped letting me get my pain meds an hour early which is hospital policy if it is needed, even though it seems longer. i just want to get the mother fucker to realize what hes doing is wrong.


his reasoning for not referring me to a pain management specialist is "im just a pulmonologist / cystic fibrosis doctor, i wont go there". fucking dune koon...

Sorry about the misunderstanding on the whole scale thing. I can understand where you are coming from, my mother went through the same thing, she has some weird fibro thing and her doctor kept wanting to dick around and not refer her to anyone so she told him if he wasn't going to do any god damn thing about it then she wanted to speak to someone who would/could. You could probably motivate the stupid bastard if you brought up something about talking to your lawyer about the pain that he refuses to take care of, OR, you could tell him that after being on OC for so long you developed a tolerance and can no longer notice ANY pain relief (which you would be telling the truth). The hospital here has a pamplet in their waiting room explaining that, "We WILL NOT prescribe ANY narcotic pain reliever for ANY reason unless otherwise noted by a specialist." Maybe they're the same way, but you'd think if you were already prescribed OC for so long they would take the hint of just how much pain you were in when you started taking them in the first place. Maybe you should go to another hospital? Again, I apologize about the misunderstanding.

do you want more drugs or do you wanna talk to a pain specialist?

cuz like, he really SHOULD let you talk to the pain specialist if thats what you want, fuck

do you want more drugs or do you wanna talk to a pain specialist?

cuz like, he really SHOULD let you talk to the pain specialist if thats what you want, fuck

obviously i want to talk to the pain specialist to get my "drugs", or as i call them, medicine. like i said, i have nerve damage. i spoke to the patient relations guy and hes gonna talk to him, i brought up the term malpractice, so things should be set in motion by the middle of the day. like, there needs to be a secondary 6 hour med to take so that when the oxy wears off, the secondary one will be working while im waiting for the time to take my next oxy pill.

Go over his head and address your concerns with the Chief of Staff. Don't be an asshole about it, but do be assertive and make sure to include the information you listed here pertaining to your previous treatments that were effective as well as documentation of which physicians at which locations prescribed which treatment at which time. Being specific about that shit is a lot less dodgy than attempting the "well this other doctor I had gave me this..." approach.

Offer to sign a HIPPAA release/exchange of information form so that they can have open communications with your past doctor(s) regarding your treatment.

You did say you actually left your previous doctor/hospital because of strong regimens of narcotics, right? That's something that could easily make a lot of pain management doctors a bit nervous; it's not exactly flattering if a patient leaves a hospital to seek treatment elsewhere with their primary reason being that you gave them too many drugs. They'd be a lot more worried to get sued over prescribing too many drugs rather that prescribing not enough; that second scenario isn't quite as likely to raise the eyebrows of people like the friendly DEA.

Lastly, now, I don't doubt you're in some serious pain; you certainly have my condolences. However, considering, again, that you opted out of a doctor's treatment because of an increasingly powerful regimen of narcotic analgesics, do you not think that returning to something like OxyContin isn't going to lead you directly back down that same road? If you're in chronic pain, and it's something that's going to last quite awhile and/or is irreparable, there's a good chance that you will come to a point where you have to decide between a flow of gradually increasing narcotics and a life that is dominated by pain. Albeit there are, of course, plenty of people who thoroughly enjoy taking powerful narcotics for years at a time, there are also many who don't, but when push came to shove and they had a choice between drugs and their constant pain, the decision of which was the lesser evil wasn't exactly difficult.

As for your doctor not wanting to refer you to a pain management specialist because he was "just a cystic fibrosis doctor"...what the fuck does he think a referral IS, in the first place? That makes it sound like you're asking him to prescribe the narcotics.

You will end up wasting your money, believe me.

I had a broken neck and all I got was 100 vicodins a month.

Go over his head and address your concerns with the Chief of Staff. Don't be an asshole about it, but do be assertive and make sure to include the information you listed here pertaining to your previous treatments that were effective as well as documentation of which physicians at which locations prescribed which treatment at which time. Being specific about that shit is a lot less dodgy than attempting the "well this other doctor I had gave me this..." approach.

Offer to sign a HIPPAA release/exchange of information form so that they can have open communications with your past doctor(s) regarding your treatment.

You did say you actually left your previous doctor/hospital because of strong regimens of narcotics, right? That's something that could easily make a lot of pain management doctors a bit nervous; it's not exactly flattering if a patient leaves a hospital to seek treatment elsewhere with their primary reason being that you gave them too many drugs. They'd be a lot more worried to get sued over prescribing too many drugs rather that prescribing not enough; that second scenario isn't quite as likely to raise the eyebrows of people like the friendly DEA.

Lastly, now, I don't doubt you're in some serious pain; you certainly have my condolences. However, considering, again, that you opted out of a doctor's treatment because of an increasingly powerful regimen of narcotic analgesics, do you not think that returning to something like OxyContin isn't going to lead you directly back down that same road? If you're in chronic pain, and it's something that's going to last quite awhile and/or is irreparable, there's a good chance that you will come to a point where you have to decide between a flow of gradually increasing narcotics and a life that is dominated by pain. Albeit there are, of course, plenty of people who thoroughly enjoy taking powerful narcotics for years at a time, there are also many who don't, but when push came to shove and they had a choice between drugs and their constant pain, the decision of which was the lesser evil wasn't exactly difficult.

As for your doctor not wanting to refer you to a pain management specialist because he was "just a cystic fibrosis doctor"...what the fuck does he think a referral IS, in the first place? That makes it sound like you're asking him to prescribe the narcotics.

well thats what i did this morning pretty much, i got ahold of the patient relations which does that same basic thing for me. well.... now that i started this post, i gotta go, hes walking right towards me in the hall right now... get back at ya. oh and the reason i told him that i left the other hospital is because the CF specialist they had there left for medical studies in hopes of finding a cure. plus they dont do nearly as much vigorous treatment there, like baby shit.

well the motherfucker is still singing the same fucking tune. sayin shit like "when i saw you walking yesterday, you waved and seemed fine". well shit, you think im gonna cry about it every time i fucking see your face? FUCK!!! this is aggrevating as a mother fucker, i dont know what to do. i strait up just said "this is malpractice, and i am going to speak to a higher power", and he just says "ok well i'll see you later today" and i ended it with "i centainly hope so". here in a few im gonna go down to administrative services and see what i can do there. problem is now he wants to just send me home early... well, not a problem, cuz i can get it taken care of with my local doctors, but dammit, i dont wanna have to get legal on his ass. i have a history of drug abuse obviously because of my last doctor writing shit out like stickit notes, but i been clean of abuse for a year now, sometimes going to N/A. god dammit, i hate dune koons.... (sorry kp;-)

i dont think that is malpractice. All the doc needs to do is come up with one little excuse to why he will not allow more meds and your case has nothing on him. but dont let me stop you talk to a lawyer(ambulance chaser) that specializes in that and see what he/she says, maybe you have something. Have you asked you doc WHY he will not refer you or up your dose or give breakthrough pain meds. Obviously this doctor has no compassion for people in pain and likes to play god with his patients. A pain specialist knows how to treat pain and understands pain. Do you have another doc that can refer you? you do not HAVe to use that doc.

Also this is the pain management mega thread at bluelight:
www.bluelight.ru/vb/showthread.php?t=390899&highlight=chronic+pain+thread

they could probably help you alot better than alot of the kidiot answers you will get on &t.
obviously i want to talk to the pain specialist to get my "drugs", or as i call them, medicine. like i said, i have nerve damage. i spoke to the patient relations guy and hes gonna talk to him, i brought up the term malpractice, so things should be set in motion by the middle of the day. like, there needs to be a secondary 6 hour med to take so that when the oxy wears off, the secondary one will be working while im waiting for the time to take my next oxy pill. isnt it nerve related pain that does not respond to narcotic painkillers?

i hate dune koons.... (sorry kp;-)

No offense but I have a feeling he's not really going to be giving a shit one way or the other...

i dont think that is malpractice. All the doc needs to do is come up with one little excuse to why he will not allow more meds and your case has nothing on him. but dont let me stop you talk to a lawyer(ambulance chaser) that specializes in that and see what he/she says, maybe you have something. Have you asked you doc WHY he will not refer you or up your dose or give breakthrough pain meds. Obviously this doctor has no compassion for people in pain and likes to play god with his patients. A pain specialist knows how to treat pain and understands pain. Do you have another doc that can refer you? you do not HAVe to use that doc.

Also this is the pain management mega thread at bluelight:
www.bluelight.ru/vb/showthread.php?t=390899&highlight=chronic+pain+thread

they could probably help you alot better than alot of the kidiot answers you will get on &t.
isnt it nerve related pain that does not respond to narcotic painkillers?

i take nurontin also, which i cant really tell if it helps. and yes, i have been taking it for a while. but the past the months the oxy tolerance has risen to a level thats just not right to stick with. i was told narcotics dont cover the nerve pain too, but thats been proven wrong myself, trust me. i have about 18 total hours a day of almost free of pain, the other 6 are unbearable.

No offense but I have a feeling he's not really going to be giving a shit one way or the other...

nah im sure hes reading this down there in on a hell based computer with windows 95 and one button for an entire keyboard he has to move around if he wants to use.... i dont think hell is too bad.

Kick that bum's ass, man. Get what you need.

i was told narcotics dont cover the nerve pain too, but thats been proven wrong myself, trust me. i have about 18 total hours a day of almost free of pain, the other 6 are unbearable.

I'm surprised I forgot to ask this earlier, but have you ever tried nerve blocks?

in the last few hours its a complete 10, perhaps 11.

Umm... bullshit. The definition of "10" is "like nine, but unrouseably completely fucking unconscious with absolutely no medical reason other than pain."

I think "suicidal ideation" is the difference between a five and a six, but I could be wrong.

Other than the technicalities, you're basically doing the right thing. You're making no specific requests while demanding competent and efficient treatment. Don't let me stop you from continuing what you're doing.

In the meantime, if it's bad enough to take your life into your own hands... have you considered trying to find a competent japanese resturaunt? They have this sick, twisted little history of getting high on pufferfish soup... whose intoxication comes from this really, really lethal shit called "tetrodotoxin" which is a bitchingly-efficient systemic Na+ ion channel blocker, I believe.

Basically, it's like total-body cocaine without the monoamine high. "Less than the japs eat of the stuff" should in theory be a nonintoxicatory effective total body anaesthetic - albeit one where a chef's fuckup could kill you.

Probably hard to find because of that, but if you're in a big enough city with a large enough japanese immigrant population, you might have some chance. Do NOT try to prepare the shit on your own, because you will fucking kill yourself if you try to grow pretty crystals from a god-damned intarwebz text file.

Other than that, you might want to look up the effects of chronic, low-dosage dextromethoprhan on opioid tolerances.

None of this, of course, is legal, psychological, or medical advice.

You do know that you don't have to take all the meds you're given. Why couldn't you stick with your old doctor and just only take the meds when you need them? Sell the rest, or stock up.

You're an idiot for changing doctors.

You do know that you don't have to take all the meds you're given. Why couldn't you stick with your old doctor and just only take the meds when you need them? Sell the rest, or stock up.

You're an idiot for changing doctors.

first, you have no fuckin idea what you're talking about. i had to go to a REAL cystic fibrosis specialist in a HOSPITAL, you know, those big places where they do things up to open head surgeries. the doctor i had before was a complete quack with no cystic fibrosis specialists on his team and at one point right before i turned 21 i had something go wrong with my kidneys (part of cf). then everything started going wrong. im not gonna name them all off, but i almost died twice just cuz he practically gave up and had me on a death regimein, you know, lots of dilaudid, lots of ativan, some verced here and there, just to chillax me as much as possible into a coma. my parents were the ones that flipped out on him and told him to fucking just try to get my lungs cleared out, and he finallllly did, so, here i am, alive, thanks to my parents once again. the other time was breathing for me when i OD'd, but thats another story. but i had to get out of there, had to find a new hospital, or that shit was gonna happen again. so i came to STANFORD, one of the best hospitals there are, especially for cystic fibrosis, its just the doctor i have now is a dick head dune koon. the only thing he has on the black market is his mother. hes a narcissistic ego maniac, and cant be bargained with. i just want to be treated like a normal patient, like my other CF patient friends that i got here recently, they didn't have a fuckin problem. but anyway, when i get home, i'll have it all taken care of, i just have to endure some heavy pain for the next couple days. im getting out friday, 2 days, and taking 2 of my 40's as soon as my mom gets here, er maybe 1 plus the one they give me. anyway, i gotta go, time to do some stuff.

and you're an idiot for acting like you know anything remotely close to whats going on, douche.

Umm... bullshit. The definition of "10" is "like nine, but unrouseably completely fucking unconscious with absolutely no medical reason other than pain."

I think "suicidal ideation" is the difference between a five and a six, but I could be wrong.

Other than the technicalities, you're basically doing the right thing. You're making no specific requests while demanding competent and efficient treatment. Don't let me stop you from continuing what you're doing.

In the meantime, if it's bad enough to take your life into your own hands... have you considered trying to find a competent japanese resturaunt? They have this sick, twisted little history of getting high on pufferfish soup... whose intoxication comes from this really, really lethal shit called "tetrodotoxin" which is a bitchingly-efficient systemic Na+ ion channel blocker, I believe.

Basically, it's like total-body cocaine without the monoamine high. "Less than the japs eat of the stuff" should in theory be a nonintoxicatory effective total body anaesthetic - albeit one where a chef's fuckup could kill you.

Probably hard to find because of that, but if you're in a big enough city with a large enough japanese immigrant population, you might have some chance. Do NOT try to prepare the shit on your own, because you will fucking kill yourself if you try to grow pretty crystals from a god-damned intarwebz text file.

Other than that, you might want to look up the effects of chronic, low-dosage dextromethoprhan on opioid tolerances.

None of this, of course, is legal, psychological, or medical advice.

i tell them 10 cuz thats when it seems like to me, i have never felt pain like that. if it was constant without waves, i would fucking sever the mother fucker off. as far as japanese puffer fish? lol, are you fucking kidding me, no thanks... it probably is what you say, but i dont trust those fucks with their poisonous fish. im in palo alto though, if i knew where to go, i'd just go get some fucking smack, but im in the middle of a huge stanford campus that goes for miles. hmmm, you got me remembering the dxm to make the shit stronger. how much do i need to take, i can probably go buy some at the pharmacy, just gotta cover up my wrist band and IV.

I'm surprised I forgot to ask this earlier, but have you ever tried nerve blocks?

i take nurontin, but it doesn't work 100%, almost as if its not working at all. you see veterans that get shot in a nerve or something, they're fucked for the rest of their life on morphine or something. not that i want to be a zombie the rest of my life, its not as bad as them guys, but its worth getting taken care of.

PS, everybody, i know i coulda put this all in one post, but im in a hurry cuz i always got something or another to do here.