What's up with these "pain contracts"?

Spurred by the federal government's crackdown on prescription drug abuse, doctors around the country are resorting to "pain contracts" with patients in an attempt to protect themselves from charges they are Dr. Feelgoods. Such contracts typically require the patient to agree that "lost, stolen, or misplaced" drugs are not to be replaced and that the patient agree to be drug tested. Patients who refuse to sign such an agreement or who test positive for non-prescribed drugs--i.e. marijuana--are likely to be cut off. There is at least one chronic pain patient in the Veterans Administration system who is challenging the pain contracts. I will be writing about his ordeal next week. In the meantime, I sit and ponder: Who benefits from these contracts? It doesn't appear to be the patients, who are basically treated as criminal suspects for wanting to relieve their pain. And how does the Hippocratic Oath fit into this? I'll be digging into the whole sorry issue. Stay tuned.
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pain contracts

I was a pain managment doctor in the recent past, but no longer give that care to the people that deserve therapy for their chronic pain. My license was taken through actions of doctors who do not understand and completely oppose the treatment of chronic pain with any means possible. That includes high dose opiod therapy. I followed the state regulations that would help showed that I was not a Dr Feelgood, trying to supply diverters and abusers with drugs, but it still did not help. Pain contracts are used to try to protect the doctor from the people that would destroy his career. It did not seem to help in my case. Now the chronic pain patients I saw are left to suffer without adequate treatment! All at the hands of the 99% of the doctors and the government, through the DEA and federal prosecutors, who know nothing about high dose opiod therapy! They do not care to, even, listen to the science! They are fighting the failed "drug war" by hurting doctors and patients, now!

The Hippocratic oath is not taken in many schools today, but we still have a moral obligation to help those we can to relive suffering. Notice I did not include pain in that statement because pain is sufferring! Doctors in this country have been jailed after unscrupulous individuals , who would sell or abuse their medications, turn coat and testify againts the doctor as if he were a "drug dealing kingpin". The DEA gets to these people, after they are caught selling their meds, and offers them deals to testify against the doctor. They end up putting him in jail for trying to treat chronic pain patients. They say that the doctor was not really trying to help the patients pain, but to get rich selling the drugs. Most doctors do not sell prescriptions, so the basic premise starts out as a lie, from the government!

Doctors are expected to abandon the doctor /patient relationship and treat the patients like criminals and less than human! There may be a few doctors out there that wil benefit from the contracts. But, I was not one of them. And, not only does it hurt me and my ex-patients, it hurts the future patients who might have found some relief in the treatment of their chronic pain in my practice. It also means many other doctors throughout the country will not attempt to treat someones's chronic intractable pain with opiods. Or, they will end up unemployed. In my case, it was after seventeen years of post high school education! it si no fun not working for over a year, now!!

Sincerely,

an MD

Chronic Pain Doctors

While it is the good ole' American way to prosper, there are some very caring physicians out there. They might want to prosper but they really want to relieve legitimate suffering. Too bad they have to be hounded by the damned DEA, who should be working on the crack and meth problems. I'm real tired of being treated like a second class citizen, leaving a pharmacy feeling ashamed just because I got hurt and have to take pain meds. I've never known a physician who actually sells prescriptions. And not all pain doctors are Dr. Feel-Gooders. When will society grow up and realize that there are medical people who really, honstly want to help those who suffer everyday? Folks who don't experience pain everyday do not understand that there are people who need pain medicines to exist. We who have chronic pain don't get all buzzed up on these meds. and they aren't fun like most people think. To this Dr.-- I'm very sorry my friend!

...My dr. has me on a pain contract.

I've been doing everything he's asked me to do. go to my foot dr. appointment, MRI on my shoulder. The MRI I went to, my shoulders we're too wide, so I have to schedule an open MRI.....
The bottom line, is, I've been following this contract for 3 months. But this month, my foot has been killing me, and this month I''ve been taking 2 more Norco than perscribed a day, plus Ibuprophen(7-9 Norco a day this month, and 3 Ibuprofen) a day....My contract is for 6 norco a day, and 3 Motrin 800 a day, refill every 30 days. I asked for a few more Norco. this is the 1st of 3 months I've taken a bit more, becuase of the severe pain!. NO, my Dr. is very angry with me and said "NO", sorry. Just take Motrin. And Wants to talk with me when I go to my next appointment! I'm not a bad person, but just made to feel like I am!! This stopping quick has raised my blood pressure and my pain is so much worse than it was!. He made me feel like I was a total criminal.

Refused treatment

I just went through a very similar situation. I had a PM doc for 4 years. I also had a work related injury. W/C takes forever to get anything approved so I went through TRICARE to find a pain management doc. Through a series of events and the stupidity of me being honest, the pain doc found out I was given medicine from my surgeon. The medicine my surgeon gave me didnt work. It contained way too much tylenol so if I took as much as I needed to kill the pain I would have killed me too. The pain doc told me I signed some stupid contract back in 2004 (yeah, like I remember. I cant even remember yesterday!). He just dropped me. That was it. So I now have pain from four failed back surgeries, and no one to help me manage the pain. I feel I am not far from ending it all. It's too much for me to handle.

its not too late

Its not to late. Do not end your life my son

don't give up!

You deserve the basic human right to have your pain managed. I have been doing a lot of research regarding this whole denial of pain treatment. What we need to do is, have a voice. We need to get the media involved as much as possible, talk with our polititians, Go through human rights as a discrimination case. Gather a large number of people together to fight it in a class action lawsuit. There is so much a person can do to try and change policies in the mistreatment of chronic non-malignant pain. Unfortunately people are only complaining and not really doing anything about it. Actions speak louder than words. I am in a situation where my physician is having his prescription privivedges taken away for 3 years. My doctor is a pain specialist, so this effects about 150 of his pain patients. We are not sitting back & allowing this to happen. We are taking the necessary steps to have our doctors priviledges reinstated. We are tired of being looked at like we are drug abusers (USE DOES NOT EQUAL ABUSE). People please stand up for yourselves and fight for what is right. If nobody complains, nothing will ever change . We are having a big meeting tomorrow night, to rally people together. We will be going to the media soon, so look out for a little town in alberta, canada who will not be taking this anymore.
Let me know if anyone else out there feels the same way we do?
Thanks for your support

I'm sorry I didn't read this

I'm sorry I didn't read this post sooner, Please hang on, and in response to the above: DO IT ! We DO need a voice! This is awful! I was gutted like a deer and won the grand prize of "those who refuse to wash their hands". Now they look at me as well with those eyes that size you up in one word---JUNKIE! During one of the multiple "botch her back ups", I experienced what we on earth call "death". One thing I can tell you is that I fear for those who are given the gifts of healing but choose to let their brothers and sisters suffer. Our Creator gave us "seed bearing herbs for food and comfort". Warning: It truly does matter how we treat one another. Opiates are naturally occurring in us and in nature. Big Daddy Government'll charge ya six bucks for a pack of smokes drenched in chemicals,,,,eight bucks for American Spirits',,no chemicals,,,hmmm. We ALL need to get organized and let our VOICES be heard. Someone get on it! Do it HERE! We may not be able to "march" on Washington but there must be a way right???

Pain NO Mas!!!

Hey,
You know things can get better, I'm not sure how.
I have had three spinal surgeries, each one more serious than the last.
I have been to so many different doctors, I can't even count them.
I have been on almost any pain med you can name, with varying degrees of success.
Pain clinics are a scam.
The pain contracts are clearly for the benefit of the clinics, not the patient.

It is the same story. They prescribe you a certain amount of meds, then never seem to account for tolerance, and don't increase the amount. Everyone can take slightly more or less medication depending on the daily situation. I travel sometimes and sitting on a plane for 4 hours will tend to make even a healthy spine be painful. For people with serious problems it can be hell.
So you may take a pill or two more on that day, but that is considered a breech of contract. In my case I was sent for an drug dependency evaluation, twice. Both times the counselor seemed irritated that he had to waste his time with me, as he did not think it was a problem at all. He sent me back to the clinic to deal with them.
They eventually got me though. The nurse practitioner wrote down the time of my last dose as 8pm instead of 8am. When they tested me with the wrong parameters they said I tested negative for the drugs prescribed and cut me off. I wrote a protest letter stating that the nurse had written down the wrong time, but to no avail. I was still cut off and eventually left the program voluntarily.
After they wouldn't prescribe any more pain meds, they tried all these really crappy meds that don't do a thing for pain.
Maybe if you leg is sore from a fall or something simple they may do something, but for serious chronic debilitating pain they are pointless.
So, in the end, people stop going to pain clinics because of the terrible conditions and don't get their pain treated. This has a devastating effect on society as a whole. People walking around in pain aren't really happy.
Also, why do they always want people on pysch drugs to treat pain???
If they just treated pain sufficiently, maybe people would be happier.

OMG this couldnt be more

OMG this couldnt be more true. All of these that Im reading.  I tested postive for thc my med level s have always been right on the money same w med counts.  And I crushed both of my feet ankles and lower back has been rebuilt.  Im truly suffering and no doctors will help now that my record has been flaged. And your right pain does make you depressed however the pysch drugs only intensify the pain. Prob cause its not made up in your mind. 

Same here

I also had this happen. I had knee meniscus surgery they gave me vicodens for the pain and a few refills as well as it turns out I need knee replacement! The ortho doc did not like prescribing these to me said come in get charged more co pays and we can figure something else out. I had to get new Primary care Doc my Doc retired. I had to sign a contract with this new doctor.Had a contract with the old doc too. One week ago I fell in my bathtub injury to my back and neck. The urgent care doc this female doctor from hell comes out with this sheet of paper stating you just got vicodens from the orthopedics on the same day you fell in bathtub. You are only to get these from your primary doctor you signed a contract we will not be giving you any vicoden since you already got some. I did not ask for any vicoden just wanted an xray to be sure I did not fracture anything but this damn female doctor had to go and say all this to me. She must have alerted my doctor cause now he cut me off the vicodens for violating the contract. I tried to explain that after surgery all patients are given medications for pain how was I to know they would not inform my primary doctor of it. I figured well now I do need these pills for pain since I fell through no fault of mine. I was not going to ask the primary doctor for any after the awful episode with urgent care from hell doc no way no how. Wondering how long ago they knew about the vicodens I got at the ortho clinic and were they trying to trap me into something by requesting refills now. They did that at my last appointment he said at least twice do you need any refills no way was I going to say yeah to that since it was way too early to be asking in the first place. I did use them for back and neck severe arthritis and also knee arthritis an now need for knee replacement and now from the fall I took in the bath a week ago. I also used them for severe migraine headaches but no more for any pain because of this rotten medical system we have that does not help patients soaks them for every dime and nickle with co pays and the like and cuts them off pain meds.

Now I guess I can find a pain management doc or fibromyalgia doc already go to chiropractor twice a month for degenerative disc disease etc. I am going to another clinic next year and will probably not be seeing any doctors at that clinic again. Oh and they finally did an xray of my neck which I complain about all the time to no avail. Good luck to you.

I've had the same problems...

Hi everyone,

I too was asked to sign the pain contract.  I have been with my current dr. for almost 20 years and never been asked to sign this.  The doctor that asked me to sign the contract, had only seen me about 4 times period!  Which means you don't even know me.  I was told that since I've been on oxycodone for app. 5 years, I'm probably addicted.  I was then asked if I wanted Morphine or Oxycontin, I said that I would rather continue with what I was taking.  That's when the pain contract was produced.  I read it and felt like a sex offender, or worse.  Random drug testing, can be sent for psychiatric treatment, at the doctors discretion.  Also I could only go to one pharmacy, it goes on and on.  I refused to sign and was told that I will be cut off.  I have an appointment with a new doc next week, she's not part of the current practice.  Meanwhile I'm getting copies of my medical records, because these doctor's are getting scary.

more of the same

I had to change clinics too much for co pays new doc says if you want pain meds need urine test test 4 drugs this seems like med system policing patients. Very scary may stop going to docs eventually feel they scrutinize our every move who do you live with how much alcohol which is still legal etc etc sickening and obtrusive!

Irritated

I as well have been put on a pain management contract. After numerous attempts of back injection, physical therapy and countless back specialists. My doctor sent me to a final back specialist that said i should of had back surgery months ago. I had to wait one year throw all this. When i finally had surgery I had complications and had to have a second surgery . I ended up in more pain then when I started. Two doctors later they tell me I have perm. nerve damage . Now not only in my lower back but now into my left leg. There isn't a day go by that im not in extremely chronic pain. I can not sit, stand or walk more than 20-30 min. at a time. My pain levels are throw the roof. When going through different attempts to get the pain to at least bearable levels my doctor put me on this pain management contract . But how he came at me with it was like he didn't believe me. I later learned that the area I lived in was known for people who abused pain medication. I do all of what my doctor ask and I do not do drug nor do I drink but I still feel like I have to prove myself. This is outrageous . UUGGG

pain med response

that is real sad. no wonder why they dont want to help me relieve pain on my knee with torn ligaments.
They offerd me tramadol which is a non narctoic pain reliever....funny thing its the same thing the vet gave my dog.
Totally rediculas they cant operate a surgery and fix it right away, but instead of relieving pain they made it worse by forcing exersizes and giving me canine pain meds that do nothing.
I am sorry that has happened to you.....For doing nothing but being a great doctor that cares for your patients. Probably the same darn reason why most doctors chose that profession to begin with!!!! to help people get better.
An curse those patients for making you into the bad guy, you did nothing but try and help rid them of their pain. I totally bet they feel dumb now as they lay there and hurt. It upsets me cuz some jerks selling their scripts is the very reason the legit people in pain,...myself included...is the very reason i cant get pain meds to rid me of my pain.
god bless you and best reguards.

pain contracts and doctors

Can i be honest with you all even though my spelling and grammer is that of a 5th i mean 4th grader?  I guess the public school system really works huh? I was in the Marines and I was injured in 2002 I had 2 back operations in 02 then again in 03 most of my left hand/arm was blown off i was on 160 80 mg oxicodone and 240 norco for years was told i had stage 3 colon cancer went thru surgery had chemo and rad. I went in to the doctor for my 3 month check up in 2010 and was seen by a Nurse Practioner after a 1 min. visit she said im not reissuing you any pain meds i think your addicted. I said no Shi* ive been taking this crap at this amount for years,Well she was taking me off of them right now...no if and's or butt's.....So i hobble out of that doctors office wondering what im going to do for my pain, After about 1-2 days i started to withdraw O.M.G.!!!!!!! the back/ leg pain was nothing compared to withdraw i hate to admit it but on more than one occasion i went Poo-Poo on myself it was too much for me so i went on the street to find the some crap on the bad side of town,I have only done drugs as a kid and im 52 now that was just pot so i didnt know where to go but i got some crack coke, It didnt help my pain all that much but i thought i just didnt smoke enough and  boy did{ i} and life take a weird turn so after about 4 months and $150,000.00 later and seeing many naked 25 year olds  

[sometimes 2-3 @ a time} I checked myself into a rehab, I was labled a drug addict and i completed rehab went to my doc and he gave me a script for 60 40 mg of oxicodone a month no way enough but i dare not complain and i lived with it for a few years now.  In January an old friend stopped by to visit and asked me if i wanted to smoke a joint i thought about it a second er two and said sure. I noticed it helped with my back/leg pain and i said hummmm so i decided to grow my own and grow enough to get me thru winter and to the next harvest in early summer well ive been a regular smoker for the past 7 months but i know my doc is going to give me a pee-pee test for drugs when i see him next time and i have decided to give up the oxycodone for the mary-jane....And you know what? Taking a crap has never been as easy. Im in total bliss on earth my back/legs still hurt but it did on the oxycodone too...Call me a drug addict or whatever you want. Just to be able to go Poo-Poo again was enough for me....7 grams a day keeps the pain doc away! Oh 1 other thing, Someone told me just YESTERDAY that smoking pot causes short term memory loss,And something else, I forgot!   LOL The government sure has spent alot of money keeping me alive but i think they just dont want me/us to be alive AND pain free! GOD bless YOU  and the good ol U.S.A.

pain dr /pain contracts

Thank you for caring for people like me who are in chronic pain. I have been in pain for so long and have had multiple surgeries and recently lost my therapy because I was told I broke the pain contract. I honestly forgot. What the contract said because when I sighned it I didn't really read it at time so now I need a new doc.we need more doctors who would recognize that. We make stupid mistakes but that doesn't mean we are not in any less pain. I would like someone to give us one chance to make up for a mistake we made and if it happens again then that would be grounds for dismissal. The director of the pain clinic at Dartmouth hospitol in NH treated me like a criminal and an addict. He actually yelled at me and said" your an intelligent person so you must have known that you were wrong,are you an addict! "Really I could of said English is my second language but he degraded me so badly I just went home and wanted to cry. He made me feel like I was the most terrible person and didn't deserve to be treated. I have never abused anything. I just w want to be given a chance to prove myself and be pain free.

pain dr /pain contracts

Thank you for caring for people like me who are in chronic pain. I have been in pain for so long and have had multiple surgeries and recently lost my therapy because I was told I broke the pain contract. I honestly forgot. What the contract said because when I sighned it I didn't really read it at time so now I need a new doc.we need more doctors who would recognize that. We make stupid mistakes but that doesn't mean we are not in any less pain. I would like someone to give us one chance to make up for a mistake we made and if it happens again then that would be grounds for dismissal. The director of the pain clinic at Dartmouth hospitol in NH treated me like a criminal and an addict. He actually yelled at me and said" your an intelligent person so you must have known that you were wrong,are you an addict! "Really I could of said English is my second language but he degraded me so badly I just went home and wanted to cry. He made me feel like I was the most terrible person and didn't deserve to be treated. I have never abused anything. I just w want to be given a chance to prove myself and be pain free.

Veterans pain program Unfair

I am a 100% disabled veteran, disabled from failed back surgery, degenerative disc disease, spinal stenosis-central and foraminal, impinged nerve roots at L4,L5 and a whole string of secondary conditions related to the above. I have been disabled since 2000 and under the treatment of the veterans hospital pain clinic in Nashville, TN. My spinal fusion took place in 1977 at Fort Riley, Kansas after an injury while in the Army. The doctors have had me on all kinds of medicine to include Morphine, Methadone, Oxy-contin and every kind of nasid under the sun.
On 9/12/06 the pain clinic gave me a urine test and found marijuana. This after 7 months of trying to get my medication increased to no avail. The pain clinic immediately discharged me and said no more narcotics would be issued to me unless I attended a substance abuse treatment program that was 30 days in hospital in which they would completely detox me from everything then would put me on high dose methadone. I ask, What kind of since does this make? A man with documented severe spinal conditions that are intractable and no promise of it getting better, unless a miracle from my Lord and savior. What has happened to common since in America, this is nothing short of torture for a man in my condition. We have no rights once you sign on the dotted line.
Sign Me-Disabled an sentenced to a life of pain and distress.
If you know of any assistence I could get please email me at x_catvman2@yahoo.com

pain meds and docs and gov

you people put limits on how many, how long,how many docs you can see and meds you can take and you people dont live with chronic back and leg and nerve pain that gets worse as time goes on,so dont tell me i can't take this or this many or don't give me more of something if i say i need it and say i'm just addicted when you have not lived it and don't know the pain i'm and other people are going thru!!!!give people what they want as long as its not completly crasy!!!!!!

notoky's picture

Medications that help

Those who attempt to live with chronic intractable pain without available, safe and mass produced pharmacy products now live in a feudal state of frustration.
With no degree in medicine, the DEA (and assisting conspirators) continue to overstep boundries and impose their 'governmental' superiority over licensed physicians who attempt to treat those living with pain. This situation is out of control and continues to drive away the few physicians who may prescribe opiate pain medications.
At this time, I'm just putting the comment out here for some response. I have much more for this topic as I am a person, like many, who deals with physiological/documented chronic pain and the issues relative to this on a daily basis.

" a madman is one who has lost everything except reason"

Errogant Doctor

I was diagnosed with Crohn's disease last year, have been dealing with it eversince. It is not in remission and my life has been a living hell. My sophomore year in highschool I tore my ACL and had 4 reconstructions on it in a 9 month span. Then I was diagnosed with Crohn's disease about 8 months later and have been living with it since. Lately in the last 3 months I have been having the worst Chronic Pain througout my entire body. I got in to see the Rheumatologist and he diagnosed me with Fibromyalgia...on TOP of my Crohn's disease and bum knee. Then he whipped out one of those pain contracts, after giving me a prescription for Oxycotin of 30 tablets; giving him sole custody over distributing and dictating my pain medications. I have four other doctors, and they would have to go through my Rheumatologist for approval if they need to distribute me any kind of narcotic for what they are treating me with (which happens to be completely different than something that of Rheumatology). When I refused to sign the contract due to that reason, he took back his prescription and told me "Sign it, or hand over the prescription."
He clearly saw, by giving me the script, that I was in severe pain. Then because I wouldn't sign it (which was nothing personal), the took back the script. In Affinity Health System's Patient Rights and Responsitbility Clause, Rule #19, patients have a right to be relieved of pain when possible. THIS WAS DIFFINITELY POSSIBLE and the kicker is, I am only 19 years old and about to lose my SECOND job to this because I can't even get out of bed in the morning, nor can I get comfortable at night to even fall asleep.

What kind of healthcare has this turned in to? Or should I say..what kind of BUSINESS has "healthcare" turned into?

Veterans Clinics have gone nuts

Millions of Adult Americans are enduring chronic pain that remains under treated or untreated completely, because the War on Drugs has become a War on Doctors. With the advent of the Pain Treatment Contract, I prefer to call it Blackmail Drug Testing; common sense would indicate that something is wrong. As a U.S. Military Decorated Combat Veteran with chronic pain, my situation becomes even more complex given the fact my Healthcare is theoretically guaranteed as a lifetime benefit. I am presently being denied my medication solely for refusing to sign a waiver of my rights and protections.

The best way I can describe the problem is, the DEA in order to quell prescription drug abuse, has begun prosecuting doctors who actually have participated in the illegal dissemination of prescription drugs, along with those honest doctors that may fail to recognize the difference between, a patient with chronic pain and a drug addict lying to obtain narcotics. Doctors are also being held liable it seems, for the misuse of prescription pain medication by patients, even after having been warned of the deadly consequences. Doctors have had to sacrifice patient rapport, trust and confidentiality with presenting their chronic pain patients with a document that serves as many functions as the ‘names’ it has been referred to, to sign or not be helped.

Primarily, the document serves as a detailed “Informed Consent” Agreement; it doubles as a waiver of applicable rights and protections of privacy, to include a waiver of Fourth Amendment rights and protections against unreasonable search and seizures, i.e. granting permission to perform a “Drug Test”. The idea that a patient with chronic pain must prove truth and innocence to a doctor to receive medication and/or healthcare and sign a contract that the patient is not signing of their own volition does not sound ethical or lawful.

·A physician shall, while caring for a patient, regard responsibility to the patient as paramount.
·A physician shall respect the law and also recognize a responsibility to seek changes in those requirements, which are contrary to the best interests of the patient.
·A physician shall support access to medical care for all people. - Principles of Medical Ethics are standards of conduct, which define the essentials of honorable behavior for a physician. Adopted by the American Medical Association House of Delegates June 17, 2001.

The agreement policy is creating an adversarial relationship between patients and physicians where the doctors feel the need to resort to contracts instead of working cooperatively with patients and patients no longer trust the doctors sufficiently to be candid and honest.
As a military combat veteran I thought, with the additional Federal Regulations of Rights and Protections that I have, the VA could not permit implementation of such a policy that appears to be in direct conflict with CFR Title 38 Part V Chapter 73 Subchapter III
§ 7333. Nondiscrimination against alcohol and drug abusers and persons infected with the human immunodeficiency virus

(a) Veterans eligible for treatment under chapter 17 of this title who are alcohol or drug abusers or who are infected with the human immunodeficiency virus shall not be discriminated against in admission or treatment by any Department health-care facility solely because of their alcohol or drug abuse or dependency or because of their viral infection.
(b) The Secretary shall prescribe regulations for the enforcement of this section. Such regulations, with respect to the admission and treatment of such veterans who are alcohol or drug abusers, shall be prescribed in accordance with section 7334 of this title.

However, new VA national guidelines appear to be allowing the contract policy.

"The ethical obligation to manage pain and relieve the patient's suffering is at the core of a health care professional's commitment."
Agency for Health Care Policy and Research (AHCPR)

The Pain Relief Act, and similar statutory and administrative responses, can minimize fear of legal penalty for effective treatment of patients in pain. The Act identifies pain control as a priority for state health policy, and allows pain control to join drug control as an expressed policy of the state.

Forced Drug Testing is becoming a tool to deprive citizens of healthcare benefits and services, being ‘sold’ to the public as the War on Drugs. A person can go to jail for permitting a dog to suffer in pain, yet we are allowing Americans, including veterans, to suffer with chronic pain for refusing to sign a waiver? Or failing to pass a drug test, that also has no custody or control protections in place?

Blackmail Drug Testing is becoming quite popular in a free and democratic America. Allow me to propose a “We the People” Contract Agreement, whereas “Drug Testing” is a ‘mandatory’ routine procedure for ALL Federal, State and Local Employees of “We the People” from the President on down, and then publish the results for dissemination, if they don’t want to sign it, they are denied employment with “We the People”.

“I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know.” - Hippocratic oath

Amen!! A Comrade after my own heart

My name is Russell Belcher and I am not ashamed to spell or say my name. I have been kicked out of the pain program twice for testing positive for Marijuana, This after begging for 7 months for them to raise my little 120 mg of time release morphine sulfate aday 60 in the A.M. and 60 in the P.M. for a spinal condition fusion L4,L5,S1 that has failed and now have Degenerative Disc Disease amoung 6 or 8 other secondary diseases.
The DEA has became better doctors after some pencil pusher signed his name to his so called degree. Yet most doctors have 6 or8 or 10 years to learn to diagnose these chronic pain diseases we all suffer from.
The DEA is a waste of the tax payers money in most instances the should get their ass to work on the crack labs, etc. I personally think they are to scared of catching a bullet like most of us in the wars then maybe a few would get shot in the BACK and let us then see who's side they are on. They have names for those kinds of people where I come from it's called Chicken Sh--!!!!

COMRADE

MAN, I AGREE,100% THERE ARE WAY TOO MANY OF US OUT HERE WHO ARE LEFT TO SUFFER BECAUSE OF THESE DEA & TOP DOGS, WHO THINK THEY KNOW WHAT'S GOOD FOR AMERICANS IN CHRONIC PAIN. I PERSONALLY HAVE BEEN FINE TILL I MOVED TO NASHVILLE, THESE PAIN CLINICS HERE ARE A RACKET, THEY WANT INS. OR $300. FOR AN INITIAL VISIT $150. MONTHLY, I AM POOR I CAN'T WORK MY FREAKING SPINE AND OTHER JOINTS ARE KILLING ME I DON'T UNDERSTAND THIS B.S. WHY I AM BEING TREATED LIKE THIS? THE FREABIE PLACES REFUSE NARCOTIC PAIN RELIEF, WELL THAT'S THE ONLY THING THAT RELIEVES ME, I CERTAINLY COULD CUT BACK BUT NOW I'M CUT OFF...I NEED AN EMPATHETIC DOCTOR!!!. I WILL SIGN A CONTRACT.... I HAVE BEFORE I DON'T HAVE TO WORRY, LUCKILY FOR ME I DON'T LIKE WEED...DOES NOTHING FOR ME BUT HURTS MY BACK MORE BELIEVE IT OR NOT .. THANK GOD TOO... THAT CRAP CAN RUIN A PERSONS LIFE FROM WHAT I BEEN READING.... IF ANY ONE OUT THERE KNOWS OF A KIND SYMPATHETIC DOCTOR TO TREAT ME. OR MANAGE MY CHRONIC PAIN, I HAVE AN MRI ECT... METHADONE WORKS AWESOME FOR ME, 40 MGS A DAY, I CAN LIVE WITH... WITHOUT I DONT THINK I'M GONNA HANG AROUND HERE MUCH LONGER IT'S TOO MUCH PAIN.. AND I'M COMING FROM 390 MG OF MORPHINE SULPHATE/ MS CONTIN 100 MGS 3 TIMES A DAY, AND 30 MG IR'S 3 TIMES A DAY. I'M GOING WAY DOWN ON THE DOSAGE BUT IT KEEPS ME ALIVE... IF SOME ONE OUT THERE CAN HELP ME??? IF ANYONE OUT THERE KNOWS WHO I COULD SEE, IN NASHVILLE, TN..TO HELP ME, PLEASE HELP ME . MY EMAIL IS markie719@yahoo.com THANKS FOR READING

Drug test scare!

Hello all,
I smoked a little bit of weed, maybe two hits about 3 days ago. I have a urine drug test I think in about 5 days.
Do you think it will show up?
This is my first pain clinic appointment, and I don't know if they typically test you the first visit or not. I've already been kicked out of one pain clinic at oh so the worst time.
I just had a baby, and now am at the mercy of yet another unknown clinic.

Thanks! email me at star601@earthlink.net to answer back.

Appreciate it!

Not only do we have to take

Not only do we have to take drug tests, but unlike employment drug testing we have to pay for them. I've put out over a thousand dollars for drug testing ($500 each) in the last 3 months. My tests came out just fine (correct level of medications and no illegal substances) and I still have been refused treatment!

Band Together

I wish there was a feasible way for all of us to form a lobby that basically told doctors that we refuse to sign these contracts because they likely involve illegal search and seizure. Could you imagine what would happen if we all refused to sign these absurd invasions on our collective privacy? We'd have poor doctors, wouldn't we? I'm sure that the god of greed would intervene and doctors would just throw out those silly forms. Then again, maybe they'd just find another specialty to practice. I'm finding that doctors don't really care about the patients anymore, but rather, they enjoy counting their greenbacks. Where is the love? (As if!)

Facepain

Let me know

I'd be happy to put my name on a legitimate document to stop this lunacy.

i've sign that contract

well, i had to sign that drug contract, cuz my pain was so bad. when i went to the hospital, they found out that i needed surgery. i have a 19.9 x 17.0 x 11.0 tumor in my stomace and when they went to do the surgery, they had to stop cuz they found out that i had hyperthyroids and they can't do the surgery until they control this matter. so now i have been under treatment for the thyroids but the doctor said it takes time. meanwhile i am suffering from the pain, even taking pain medication i'm still in pain, but i needed to sign that contract cuz if not. i guess i would be more in pain, i just had my first drug test last week and i have to go see my doctor in 2 more days , i don't do drugs and i don't drink but i drink all kinds of medecine and i don't know how my test is gonna come out,
i didn't know that they did drug test when i first sign the contract after 5 month my first test was last week and i didn't know that i had to get a drug test and to top it off they send a nurse with me in the bath room they have to see you pee well thank you for listening to me i'll keep in touch with you guys
signing out

goggie gonzalez

After the pain clinic

What are the answers to receiving pain relief after you have been kicked out of the pain clinic. Mail order drugs? Move to another country, state, city etc.?

Lawyers..

Lawyers..

If we are to be heard we need legal advice on how to lobby against these ridiculous contracts..

They do NOTHING to protect the doctors from a lawsuit, and older guys like myself cannot pee on command anymore. Not to mention the indignity and inconvenience of having to travel to and from the clinic to get tested.

If anyone can get something going, post it here.

In the meantime I punish the clinic when I have to be tested by getting other tests done outside of the clinic so it costs them money..

REALLY ON YOUR SIDE

I'M IN THE SAME BOAT AND I ONLY AFTER FOUR YEARS WENT TO A DENTIST AND THEY GOT RID OF ME I DIDN'T EVEN HAVE A CHANCE TO TALK TO THE DOCTOR HIMSELF. SO I WENT BACK TO MY DOCTOR THAT SENT ME THERE IN THE FIRST PLACE AND HE EVEN TOLD ME HE COULDN'T GIVE ME ANYTHING EITHER SO NOW I'M JUST LOOKING FOR ANOTHER DOCTOR DON'T KNOW IF THIS WILL HELP AND IF YOU FOUND OUT WHAT TO DO AFTER JULY 08 AND NOW IT IS FEB-09 PLEASE HELP ME.
KATE

PAIN

WELL I'M IN THE SAME SPOT AS YOU AND IT IS FEB-12TH-09 AND I STILL CAN'T FIND A DOCTOR WHAT ARE WE TO DO I SEE THAT YOU WROTE YOUR COMMENT IN JULY OF 08 ANY HELP YET. I NEED SOME HELP ALSO

sad

that so many object to these contracts and so few willing to do anything about it.

Failed drug test.

Hey
My name is Marshall and I have been going to a pain c. for about a yr now and I too had to sign a contract. My question is this,,,I took a drug test today and failed it and I have been taking my meds for the last 30 days but I have also been taking a baby asprin each day and someone told me that it may have something to do with taking the baby asprins but I do know that I took my meds and I know that I felt like a fool today in that Dr's office b/c I know they did not believe me when I said I had been on my meds but I swear to the almighty that I have been taking them! So they sent if off to the hospital for more testing and said it would take about a wk to get it back but I know it will come back Neg if it was Neg in his office but like I said my friend said that a drug testing office told them if they was on Baby Asprins that the test may not be true so as I said if you have any info that would help me or any advice please let me know and here is my emil marshallgranny@yahoo.com

nuropthy pain from diabetes

I am a military spouse, i recently switched my doctor from on post to off, when i was in the emergency room on post a nurse told me to ask my doctor about a pain contract, i was wanting some percocets for my cronic pain in my feet, legs and arms. I have diabetic nuropthy, My doctor off post says that he has never heard of pain contracts and he doesnt perscribe percocets, That is what i have taken in the past and it has helped me, I do have a handicapped plate on my car and recently had my 2 dogs registered as service dogs to me, what can i do about my doctor and this pain contract, I need my meds, Marcy

wow

I have read through all of these stories and I keep on getting more upset with our government every day i live. This is ridiculous for people to have to sometimes BEG for medicine, to have to ask multiple times, and have to even take a test to take pain medication. This absolutely absurd. What's even worse is when people get denied our very rights. I know so many people in my life that need medication because they just can't deal with the terrible pain from their daily routines. I know people that can go through days without taking medication and will because they don't want to take too much of their medicine because then their doctor will think they are abusing the medicine. They will only see how bad you guys hurt until they are in your position. I'm not saying beat them up... but show them. I am only 18 and if I ever see anyone being treated like you guys are being treated I know I will never stand for it and I will do whatever I can in my power to stop this ridiculous hold on the medicine that you guys are promised as patients.

start a petition

anyone starts a petition i will sign it. i am no lawyer and therefore do not know the first thing about making petitions but i am all for exercising my constitutional rights and that contradiction to the Hippocratic oath is ironic in the very essence of the term. this post has made me cry from all the pain that i have felt just reading your words. i wish that i was a lawyer or judge so that i may do something about it. im 22 and have severe nerve damage due to complications from other medical conditions and there is nothing that can be done to rectify that nerve damage. i asked for nerve blocks and they said they cant do nerve blocks on the spine. so they gave me opana and i take it as prescribed but i have been fighting this pain ever since i was 15 and it took me til then to be taken seriously because muscle atrophy and nerve damage doesn't show up on the typical mri. luckily i had a reputation for being honest and straight arrow and settled for a diluted pain management program from my family physician until i was approved to a pain management system. now i am too scared to ask for refills and even go in so there are times i just go without and bite the bullet. after reading this post i am scared i will fail because i take Tylenol to stretch out my meds and drink a screwdriver or two to make them work better together. my pain is nowhere near what i felt by reading your posts and it just pisses me off how a government can dictate what we can and cannot do. blame Nixon and his war on protesters. the scheduling laws were enacted during his administration to supplement the war on drugs. there was only one commonality among protesters or "hippies" and that was the use of marijuana and acid among other substances so to arrest them he made the scheduling act which empowered police to arrest protesters and strike fear into anyone who contradicts the government. i hate how i feel like an addict simply because i am in pain. i never took the pills to get high if the dea would worry about crack and get the dealers who sell the drugs and not the doctors who are just doing their jobs. whats next they will hook all patients up to lie detectors to see if we are telling the truth before administering any treatment. i have gone my entire life having people not believe me. i limped as a child because my hip was deteriorating and no one could find it on the x-rays except one nurse practitioner and i nearly had to get a hip replacement at the prime age of 8. i felt like i was making it up myself because no one could find out why. so anytime i was told i was limping i would get pissed and tell them i wasn't and then try to compensate myself so that i wouldn't be limping anymore to no avail. pain can't be measured scientifically and everything must be measurable, categorized, and easily referenced for the government to give a damn. all they see is parents crying help for their children oding on their meds and plead for intervention. as a result everyone in pain suffers. my prayers are with you all i count myself lucky now after reading this post. start a petition and i will sign it. you lead i will follow. there is no reason why people would opt for death to get away from the pain. no reason at all!!!

count me in

I have tried to get something going in the past. It seems most just want to whine about the testing problems but are not willing to do anything stop it.
I can only assume that they are doing drugs other than what the doctor has given them.
I am offended by the drug test in that it infers that I am buying and using illeagle drugs. That in itself seems to be reason enough for a good lawyer to be able to start some sort of proceedings. Not to mention constitutional issues.
Also, at my age you don't urinate on command anymore.
Get one going, I'll sign.

Opioids for chronic pain

Unfortunately high dose opioids are almost always unhelpful for chronic pain conditions. They cause side effects without relieving the pain. Abberrant drug taking behaviour, especially rapid increases in dosing usually indicates that the drugs are not working. If they are not working you should stop them. Believe it or not most pain physicians have your best interests at heart and pain contracts are definitely to help patients and not doctors. Their purpose is to outline to patients their legal responsibilities and also the conditions which would indicate that opioids are causing more harm than good and so should be stopped.

The sad reality is that there are very few effective therapies for chronic pain currently available. Low dose opioids provide relief for a small proportion of sufferers, but for many they will do more harm than good.

FFPMANZCA

bull

a pain contract is called a "contract of adhesion", it gives doctors so much power that even courts of law give deference to those that are required to sign contract of adhesion when a court action is brought.

You sign away all of your rights, including privacy, which means the doctors can tell anyone that you messed up and you are an addict even if it is not true. They tried to make me sign it right before I was supposed have a procedure. I refused and they had the nerve to get mad. I was just beginning to trust them. Not anymore.

The day I take a drug test is the day I commit suicide. My doctor has already told me that he will not provide medication if I do not sign. But I have no intention of taking a drug test if he demands it so I guess I will be in the same boat. No pain medication. I have no intention of living in pain. The last doctor stopped my medication for no reason and I was crawling around the floor of my apartment, unable to bath or fix a meal. My former doctor called the police because I was begging and crying for him to give me the medication. Luckily the police were nice enough to take me to the hospital.

Where did you find this bullshit?

"Unfortunately high dose opioids are almost always unhelpful for chronic pain conditions. They cause side effects without relieving the pain."

Where did you get this load of shit? Do you idiots just make this shit up?

Yeah really those are the

Yeah really those are the allergic types or addicts that opioids dont work for or are too strong and abuse.  No doubt idiots that have never truly felt chronic pain. Dumbasses

hello and in pain

MY COMMENT IS I HAD PAIN MANEGMENT FOR 4 YEARS ONE DAY I HAD A TOOTH PROBLEM HAD TO GO TO THE DENTIST WHERE THEY TOLD ME I HAD TO GET 4 TEETH PULLED, THE VERY NEXT MONTH WHEN I WENT TO MY P.M. APP' THE LADY AT THE WINDOW TOLD ME SORRY BUT YOU WENT TO THE DENTIST AND THE DOCTOR WILL NOT SEE YOU NOW WELL I COULDN'T BELEAVE THIS SO WENT BACK TO MY FAMILY DOCTOR WHO SAID I CAN'T GIVE YOU ANY PAIN MEDICINE YOU SIGNED A PAIN CONTRACT WELL I TOLD HIM HE WAS THE ONE WHO SENT ME THERE IN THE FIRST PLACE AND DIDN'T KNOW THAT IF YOU WENT TO A DENTIST YOUR P.M. WOULDN'T SEE YOU AND WOULD CUT YOU OFF AT THHE KNEES SO IF ANYONE IS READING THIS CAN YOU JUST GO TO ANOTHER DOCTOR OR DO THEY GET YOUR MEDICAL RECORDS TO WHAT DO I DO PLEASE HELP IN WILKES-BARRE,PA TRY TO COMMENT ON THIS PLEASE

Relese of Med Info and new doctor

Please know your rights when signing a release of medical information from any provider.  Most of the forms do not show this, but you have the right to put parameters on what is released.  You can, at least, provide specific dates/date ranges that MUST BE ADHERED TO!!!!!!  If they don't respect your designation then they are in direct violation of HIPPA and you can sue their pants off!

 

P

Me too

I appreciate everyones insight into this issue. It is ridiculous what we have to go thru ~

I am in the process of diagnosing what is going on with my back. Something in the thoracic area. It feels like someone is playing the game "operation" on me!!

I am only on Vicodin ES - which barely handles it! My regular doctor is out on medical leave (funny!) and the temporary doctor put me on a pain contract??!! Literally at the end of my visit she told me they were going to drug test me and put me on this pain contract! I was scared shitless as I dont drink, smoke or even have a social life due to work! I seriously felt violated and like I was a junkie. They called all the pharmacies to see when I was picking up my refills and literally were counting the days and the amounts. i was off by one day.

So in this case it seems as though it is mainly to cover the doctors ass for over medicating. Now I understand there are people who abuse the system but for those of us that need it. This is a little much. It almost is to the point where the doctors are so numb to the issues ~ they see so many patients. It isnt personal. It is a business.

It's fight or die

I would like to join a class action lawsuit. Years ago I broke my back and I'm in pain every minute of every day. About a year and a half ago I was given a standing prescription for Vicodin. It wasn't enough to completely leave me pain free, but it took the edge off just enough so that I could function and sleep. My quality of life went through the roof. I wasn't able to climb mountains, but I could keep house and do some basic home improvement projects. I felt useful, happy... almost normal. I was finally able to start a gentle exercise program and I was getting my strength back.

For some reason, my doctor stopped refilling my prescription. Hasn't returned my phone calls. Nothing.

I cut back my pills to one or two a day and I find myself back in a place I thought was over. I'm back on the couch with ice and heat packs. Taking way too many Tylenol and Motrin, trying to get through the night. Up at 2AM in agony. Exhausted all day.

I really want to die. I won't live like this again. I can't go back to what my life was. All I want is to be useful.

I want to join a class action lawsuit to end this madness. The suffering must stop. The anger I feel toward this system is the only thing keeping me from giving up.

If anyone knows of such a national lawsuit, please contact me.

house_frau42@hotmail.com

I'm with you guys I have had the same problem

I am a veteran and I have faced this same issue with the VA and the private facilities. I do smoke marijuana to make up the difference that the pain meds don't address. I can't eat unless I smoke some Pot. My dosage is not strong enough and they won't raise my script. I actually have withdrawls everyday when it gets within a few hours of my scheduled time. I used to smoke for the buzz now i don't even catch a buzz but I still get the munchies so at least I am able to eat. however i don't live in a state that it is legal for medical marijuana. So I am persecuted by the Government and the VA. Please feel free to contact me for any type of petetions that may be available.

Pain Contract BS

I just got home from signing a new pain contract. I'm only 26 and I get recurring blood clots in my legs, post-thrombotic syndrome and corresponding nerve pain/depression. I have switched doctors twice due to issues with getting my pain medicine when I need it. I'm on Percocet and Cymbalta (the latter is for nerve pain and depression). My new doctor told me that he reserves the right to call me and ask for drug tests or pill counts at random and if I don't come in and do it within 24 hours it can automatically be considered a positive result. Problem: Due to the pain, mental issues, etc. I DON'T DRIVE. I'm reliant on the hospital van which requires 48 hours notice to get me to my doc visits. I told him this flat out and he more or less told me he doesn't care. Therefore, I called Patient Relations and made it clear that if I am EVER denied my meds because I couldn't make it to a urine test within 24 hours they'll be hearing from a lawyer. I was called back within 5 minutes; apparently they started caring real damn quick and it's not going to be an issue.

That being said, people should not have to put up with this nonsense. I would gladly sign a petition or go along with other plans for dealing with this sort of problem. I've been on my pain meds for 2 years now and I've never had issues with addiction or anything remotely similar. I'm sick of being treated like I am guilty until proven innocent. If any of you guys get a petition or anything similar going count me in.

I am sitting here, to scared

I am sitting here, to scared to put my email address on this, because the drug police may find out. I have had 27 surgeries and 13 pregnancies in the last 10 years. The doctors have cut me open, up down, and sideways so many times, to see what is wrong, and still cannot find anything. Oh yeah they remove things, that I find out later, they took out, what quite surprised to find out I do not have an appendix anymore, not that they can tell me who, or when it was removed. A living hell. So for 8 years my wonderful GP who made me feel like shit everyday, started to prescribe me pain meds. I did not want them, I had went thru an alcohol addiction as a teenager and did not want anything addictive. He says do not worry these are great. So we start on the road to hell, first Tylnol 3 with enough codiene that you will never, sleep, poop, or do anything functional again, well after 6 months and 4 more exploratory surgeries, and removal of few female parts, lets try a stonger pill, yeah that is a great idea doc. I have 3 children at this point, and they need a mother, not a zombie. Well that is ok, he says, 13 or 14 percocet a day should not bother you. Yeah well I lost 6 years of my life, my first marriage, and the respect and love of my 3 children, from your little white pills, that are NOT Addictive, do not worry, once the pain is gone, you will just stop taking percocet, and go back to the way you where. Yeah after 6 years of ups and downs, yelling and screaming, then sleeping most of my life away, I finally cannot get out of bed anymore. Meantime I have been remarried and pregnant 7 times, and had tubal pregs, misscarraiges, fetal death, all these wonderful things, that I never had a problem with for my first 3 pregnancies, even had renal failure with one, and still had the baby. I said to them I do not think I should be on narcotics while trying to get pregnant, but the pain from the adheasions, scar tissue from all the surgeries, plus thryoid disease, 13 kidney stones, some kind of bowel disease, and god knows what else, being off the pain meds is not an option. I am pleased to say I beat the odds and had a son 4 years ago, that is healthy, I took myself off the percocets for the last 4 months of the preg, almost died of pain, but often during preg your pain is not as bad. Yeah right live a day in my life doc. So merrily I roll along, 2 years ago my regular doc of 10 years, puts me on oxycontin, finally, a visiting doc wanted to do that years earlier, but my doc new best, lets ruin her liver also. So they started with a low dose of 60mg a day, I say low for me, as I was taking over 300 percocets within 10 days, so I was still takeing 100 percocets every 10 days, and the oxy, the percs made me so sick, I finally convinced my doctor, well let him think it was his idea, that is the only way to convice a doctor you have a brain at all. That I should up my dose of oxy and get off the percs, he says NO. Next appointment he says he has a great idea, lets up my dose of oxy and get me off those nasty percs that make me so sick, wow what a great idea. So 2 years into my oxy treatment, my dr. starts to get a bit silly, threatening me if I take more than prescribed he will cut me off, yet then saying come back early if you need more, I do not want to up the dosage. So like an idiot I thought that ment, take what I need, and come back early, after another threatening appointment, I decided to switch drs. and those of you that know and depend on your meds to control pain, know that this decision is not done lightly, you are so scared of getting cut off your meds, because they make you feel like YOU are BAD for having pain. So I interview this new doc, he says no problem, if I need to be upped just let him know, 3 months go by, I have a really bad month passed a kidney stone, which is just one of these worst pains ever, so I go back 2 weeks earlier, he says no problem, just try and watch it. So today I go for my appointment 29 days from my last, and he gets my pres. ready, asks some questions, I tell him the dosage is still too low, they only last 26 days, he says ok. Then leaves, comes back 5 minutes later, and says I may need you to sign a contract, next time you get your meds. I say ok, I have been on them for over 10 years. He goes to leave, I ask, what kind of contract, he says, oh just a little contract that says, you abuse prescription drugs, and that we have the right to register you with the government as a drug abuser, and if you ever are even 1 day early asking for your drugs you will be cut off cold turkey. OH IS THAT all, I sat and talked till I was blue in the face about everything, crying my eyes out, while he stood there and said, yup, yup, yup,.well see you next month. So here I am, what to do. I will not sign a contract after reading about the rights you lose, but if I go cold turkey I will probably have a heartattack, but since I signed a contract I could not even blame the doctor. I am sorry, but doctors should choose to be doctors for other reasons than money. I know in this world that is unrealistic, and that they do not even take the oath anymore, but when you can be so cold and unfeeling, I think they need to take a look at themselves and say, am I any better than a murderer or a rapist, I am able to control pain, and cause others as much hurt and uncomfort as I want, is that being a doctor? So now I have to decide, do I try somewhere else, or hope next month he forgets about his contract, as they do not care, AT ALL, it is sad. But as you look around in this world, where everyone is stepping on everyone else just to get ahead, and the people(doctors are human, even though they may not think it)that are to care for us, make sure we are healthy, if not happy, are now controlled also by the government, I look back on all the doctors advice, and years of treatment, wish to God that I would have ended it all back then, for now as an idiot, I have brought 4 children into this world, on the promise and the oath of another human to take care of me, and help me, well Hell there is no help anymore, there is only who can stab each other in the back first. I wish to God I would have killed myself those 25 years ago, when the pain and surgeries all started, I prayed to God to let me die, but he pulled me thru, why I ask? I have no answers, just regrets, I can honestly say I would HAVE gladly died, than to live under the thumb and prosecution of my doctors , government, and fellow man. I do not have the option of death now, I have children, I have responsiblilities that I cannot just leave behind, that would not be any more fair of me to do to my children , as the healthcare givers have done to us in chronic pain. I go to sleep everynight, in hopes that I do not wake up, I will not take my own life, but would give it freely, why do I live thru this pain and suffering, Without my meds I will no longer be able to get out of bed, or function, I have tried many times, I guess the government will be happier with another person on assistance, than a functioning druggy. Thanks for listening. I am sorry I no longer believe there is a God, but I am living in hell.

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