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 Post subject: Need new doc now...help!
PostPosted: Thu Jun 03, 2010 1:17 pm 
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I haven't checked in here for awhile and my gosh, I'm heartbroken to see that two moms had god-awful, nightmarish experiences after giving birth. I will DEFINITELY be hounding my docs next week to let them know that I do NOT want any curveballs and to see what they say. I'm fine with a 72-check, I'm fine with treating any NAS that does show, but I'll lose my mind if they start pulling CPS crap since I've been stable on sub for like 6 years. Ugh----so sorry you ladies have gone through this. It makes me so mad and sick.

I'm 23 weeks pregnant this week and so far all seems well. I continue to take Subutex and Ambien and while I have tons of pregnancy-related nasty side effects, all seems well with baby boy! I have my next ultrasound with the perinatologist next week, so I'm looking forward to that.

The bad news is...my sub doc is leaving his practice. I have been with this doctor since 2001, and he literally saved my life by being willing to put me on sub in 2004 even though I had NOT been a model patient up until that point. He is a wonderful doctor and has been incredibly active---doing speaking engagements and writing articles, etc. His wife died very unexpectedly last month, and as she was the sole office manager, logistically him keeping his practice apparently isn't a smart idea. I also think frankly he's heartbroken and doesn't want to deal with practicing anymore---and I don't blame him. They were married for 30-something years I believe, and had a great relationship. He has experienced a lot of struggle in his own life, and to have this happen is just so unfair! I cried like a baby when I found out---very embarrassing but this doctor and his wife meant a lot to me. I always felt very 'safe' under his care b/c I knew he was a reputable, ethical doctor and again, he has literally saved my life.

He is leaving in August. I'm due in September. So, I'm in a bit of a panic, to say the least. I know there are physician locators, but honestly, I'm worried about all of the doctors out there who get their sub waiver but who aren't really addictionologists/specialists. My doctor was an addictionologist and truly 'understood' the disease as much as any non-addict can. He also prescribed all of my meds for me (Subutex, Ambien, and Ritalin--not on Ritalin now as I'm pregnant, but would like to return to it after baby is born and breastfeeding is over, etc.) He also managed any pain control as he was a pain specialist as well (I know, odd combo, huh?) so when I had surgery on my foot I knew he could take care of me and I never stopped taking Sub. He was going to handle my pain control during labor/delivery/post-partum, too....so I'm REALLY freaked now. I have great ob/gyns/perinatologists but they know little to nothing about Sub---and obviously my Sub doc wasn't a pregnancy specialist, so they were all going to work together near the end to develop a plan. Now, I'm missing a HUGE piece of that plan.

I like in Northern Virginia, so if anyone knows of good, reputable Sub docs who will take on a 6 month pregnant woman, please let me know! My current Sub doc says he will obviously communicate with my next doc, and will send all relevent info and 'glowing letters of recommendation' but this is still incredibly stressful to be dealing with at 6 months pregnant! And unfortunately, he wasn't really in the position to recommend any doctors to me---at our last visit it had literally only been two weeks since his wife's death, so naturally he was shellshocked and frankly kind of just wanted to write scripts, tell patients he was going, and be done. I do have one more scheduled appt. with him before he officially stops his practice.

So, anyone with recs, please speak up! And admins/Dr "J" if you have any suggestions for docs in the No. VA area, please let me know!


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PostPosted: Thu Jun 03, 2010 1:41 pm 
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HF - That is a bit of a shocker to be in this position. I'm sorry about it - especially the timing, which sounds like it couldn't be worse.
I know you said your current doc is in no position to recommend someone, but what if you simply asked him to look over a list of doctors from one or more of the physician locators? It might take less time and effort on his part; all he'd have to do is look over a list of names and circle one or two of them that he thinks are good. It's just a thought in case no one on here is from your area.

I'm sorry I can't be of more help. I wish you the best and hope you find someone new that you can trust as much as this doctor. Good luck.

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-As I have grown older, I've learned that pleasing everyone is impossible, but pissing everyone off is a piece of cake.

-I'm only responsible for what I say, not for what you understand.


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PostPosted: Thu Jun 03, 2010 3:29 pm 
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Location: Wisconsin
"He also managed any pain control as he was a pain specialist as well (I know, odd combo, huh?)"

It's actually not as odd as some may think. It seems like more and more pain clinics, specialists, anesthesiologists, etc. are becoming involved in the treatment of addiction with Suboxone. Since so many people with this rotten disease had the origins based in treatment for legitimate pain, it actually makes a decent amount of sense for these same practitioners to be involved with the "other side of the house" as it were.

I bring this up because as you search for a new doctor, don't at all overlook pain clinics and the like. And six years... awesome!!!!!! It sounds like you've come a long way and have been doing great. I hope it continues for you.


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Fond Du Lac Psychiatry
Dr. Jeffrey Junig, M.D., Ph.D.

  • Board Certified Psychiatrist
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