Top Ten Reasons People Use to Get Pain Meds Early

I work as a Medical Assistant in a Rheumatologist’s office. One-hundred percent of our patients are chronically ill, and are living with constant often debilitating pain. I also have an autoimmune disease, and have been a patient of this doctor’s for twelve years. I live with chronic pain 24/7 and know first hand how physically and emotionally devastating it can be to all aspects of a person’s life. There are many times when coping and just getting through the day seems close to impossible. There are no cures for the diseases we treat, and part of our job is to do our best to improve the quality of our patient’s lives by treating the symptoms.

Most of our patients are on some type of medication to provide pain relief. With pain and fatigue being the chief symptoms of most autoimmune diseases, helping our patients maintain a decent quality of life is a very big priority in our practice. Consequently, this makes it necessary to carefully monitor how our patients are using these particular drugs. I would say close to 90 percent of the patients take their medications correctly without abuse, but of course, there is always that 10 percent who will do what ever it takes to get more of their pain meds filled early one way or another.

Please understand that I take pain medication on a daily basis as well. Being a patient myself, I definitely see both sides of the coin, but some of the stories we hear on a daily basis are just too good not to share. So, I came up with of a list of the top ten most creative reasons people have actually used in an attempt to get their meds before their prescriptions allowed.

10.  I just found out two hours ago that I’m leaving unexpectedly for Mexico this afternoon and don’t know when I’ll be coming back. I’ll be in contact with you for refills of my other meds, but I need … um … oh … let’s say … 3–4 months of Oxycontin now.

9.  Either you’re doing the math wrong, or the pharmacy shorted me again. There is no way in Hell I could’ve taken that many pills already.

8.  I don’t care if both yours and the pharmacies records show it’s ten days early for my refill, one of you is lying.

7.  My truck was stolen and my Morphine was in it.

6. I never received the prescription in the mail. It’s been lost for the fourth time, but I did receive the scripts for all of my other meds.

5.  The neighborhood kids picked the lock on the cabinet in my garage where I keep my meds and stole them. I have no idea how this keeps happening.

4.  My house burned down and I was able to get all of my meds out except for my Oxycontin.

3.  I left the trunk open when I brought my groceries in. My prescriptions were in one of the bags and someone stole that bag out of my trunk. No, I don’t need any of my other meds, they were in a different bag.

2.  I opened my Opana bottle in the driveway, dropped it and the pills spilled everywhere. It was raining, and they melted, so I guess I need a new prescription.

And my personal favorite …

1.  My son got me arrested this weekend and the police officer confiscated my Vicodin. I also had a small amount of weed on me at the time and was wondering if you could write a letter to the judge saying it was for medicinal use.

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07.05.2009
Avery Acadia
(continuation from previous post) ....This post was written out of great frustration from the perspective of the doctor's staff and the liability involved when people abuse the system. Each of the examples I posted were patients who had repeatedly taken advantage and had a new excuse month after month. All of the above patients were eventually sent to a pain management specialist, and it is my sincere desire that their pain is under control without trying to find a way to take 2-3, even 4 x's the max. dosage of very dangerous substances. Nothing scares me more that having uncontrollable pain, but I try to be up front and honest with my physican and address it in a responsible manner. I apologize again for any offense I've caused. Believe me....I literally feel your pain!!!!!! :)
07.05.2009
Avery Acadia
Wow, obviously I need much more practice on my wriiten communication skills. First I'd like to personally apologize for anyone who I have offended with my post. I intended to make it clear that I not only work in a rheumatologist's office (or did at the time this was written), but am a patient there myself. I have suffered from Fibromyalgia, Sjogren's Syndrome, MTV which causes extreme tachycardia, chronic tendonitis, osteoarthritis since 1996. Believe me, I am no stranger to pain or pain meds. I have used a variety of them myself at one time or another and still do on a daily basis. No, I'm not one of the lucky ones. I am forced to work full-time due to my financial situation and there are many days I could not get out of bed without my many meds, much less function or hold down a job. I guess maybe that's why I'm super sensitive to the repeat offenders and the difference between the necessity of taking these meds responsibly and truly abusing them and using the whole medical staff.
09.25.2008
Ian
Look In some cases you have to admit being an addict would be better then living in pain. There is some pain that simple is not survivable psychologically. There are some conditions that antidepressants do not work on. You simple have to kill the pain to continue to live. If you don’t agree maybe you have had that kind of pain and you should count yourself lucky.
08.23.2008
ken Letson
I was flying from Washington to upstate NY and had a layover in Philly. I left my travel bag with my Percasette in the men's room, By the time I remembered we were taxing for take off. I called the airport and they could not find it. I went to ER in NY and got a couple day supply. When I got back I went to Dr's office. Doc told me "you are and addict" "why do you not get a epidural or something? (I did not know what an epidural was at the time) Any ways she gave me a weeks supply and 5 days latter I got a letter from her dropping me as a Patient! She even had told me that 90 % of back pain can be disproved but I had the MRI's to showed it. It is like you are guilty of having pain until proven my some other method rather than communication. Well you would not believe what it took to get a new DR. I went to 8 and all saw that most my monthly visits were for the Oxycodone. I finally found a Pain Management Dr. but I felt like a criminal! I now know what an Epidural is.
08.06.2008
James
I have to agree with the posts below me---accidents & mistakes happen---at least half of that list are things that happen to RESPONSIBLE patients. The difference obviously, is if the patient is repeatedly claiming these things. If not, and the patient has a good record, being this skeptical and viewing EVERY situation as nothing more than an "excuse" borders on cruelty and paranoia in my opinion. Granted, health care profesionals DO see this stuff quite often Im afraid, however as I said, a patients record should be the determining factor in how the situation is viewed and resolved, NOT that its some "common excuse." I couldnt help but think as I read the list, that someone who truly had lost their narcotic meds somehow, would be afraid of the withdrawls, whereas other meds can be recovered later without such a pressing need. Im sorry but more emphasis early on a patient "REPEATEDLY" using those excuses, might have made the list sound more amusing, and less apathetic & cold-hearted.
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