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 Post subject: Telling my primary doc
PostPosted: Tue Sep 17, 2013 11:44 am 
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I am on my 7th day of sub and it's been amazing. A few side effects but nothing I can't work through. I went to the clinic to dose today and they asked me to sign a form that allows them to release my info to my primary care physician. I asked if it was mandatory and they said it was if I wanted to continue treatment. I was really surprised. I guess I'm just embarrassed that he will find out. I feel like such a failure. I understand what they said about trying to "coordinate my care", I was just hoping I could get through this without him knowing. I suppose this is probably for my own good? I don't really have any questions, I guess...I'm just a little bummed about it.


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PostPosted: Tue Sep 17, 2013 11:53 am 
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Your NOT a failure Leslie, if anything you should be very proud of yourself for doing what you believe necessary to make yourself better! And I bet once your physician finds out your on the sub he will also be proud of you! You win all the way around!

Make this a positive situation Leslie, everything is going to be just fine! :D

Karen xoxo


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PostPosted: Tue Sep 17, 2013 11:55 am 
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Thank you for your kind words, Karen. It means a lot to me!


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PostPosted: Tue Sep 17, 2013 12:00 pm 
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Hi Leslie,

Welcome to the forum!!

I agree with what Karen said. I would think your PCP would be happy to know you're treating your issue. I was nervous about telling my PCP I was an addict and on Suboxone, but he was nothing but compassionate and understanding, I hope yours is too.

Also, I'm glad Suboxone is working so well for you.

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PostPosted: Tue Sep 17, 2013 5:23 pm 
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I second my two friends encouraging words above...or maybe I third them???

I was extremely worried about my p doc finding out too. However, my husband kind of took it out of my hands and outed me before I had the chance to worry about it. In hindsight, it was a good call. He was worried I would go back to him and get more hydrocodone if he wasn't aware of the situation. At the time, I was completely emberassed and didn't go in to see him until about 4 months from the time of my induction. Come to find out, I was worried for no reason, he was extremely kind and supportive, and it's really a good thing to have all of this in your chart to avoid problems with your future medical care.

Don't let it bother you too much Leslie, it's a small price to pay for having access to a life saving treatment such as Suboxone!

Q

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PostPosted: Wed Sep 18, 2013 3:00 pm 
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It absolutely is best-practice to coordinate care between all medical professionals especially when it comes to chemical dependency and co-occurring disorders; I really believe that though it might be a bit embarrassing at the moment it'll be the right thing to do big-picture. I've been the guy asking for the Release of Information (ROI), I would never refuse treatment over it personally though facilities I've worked for have taken the hard-stance you mention... I would think that would get into a legal gray area if really challenged unless, of course, something is popping up on a prescription monitoring plan (PMP) database or something as a justification to contact prescribers.

Part of the reason I personally didn't like signing ROI's was because it would 'close the door' to an extent if I wanted to obtain licit drugs while still keeping the right hand from knowing what the left hand was doing. This logic is to be expected in early recovery, but it's becoming impossible to do because of the PMP. The other fear is that the Primary Care Doc is going to hold the information against us in some way and unfortunately this IS sometimes the case and really just means that ultimately they're not a good match for our case and it's time to start looking for another Doc who understands that buprenorphine is a HUGE positive step and not a negative one or reason to be leery of a patient; better to find this out sooner than later when we have something major happen and need to, say, legitimately break-through the buprenorphine via licit narcotics for short-term acute or surgical pain.

For the sake of food for thought and generalization:

Sometimes, our Primary Care Doctors were and likely would continue to be 'easy marks' within our network of pill-seeking for whatever reason. Certainly was the case for me, and with some kicking and screaming it was better to find another primary care Dr. anyway and start with a completely fresh slate.

At any rate, welcome, good luck and it's awesome that you made the step over to buprenorphine/recovery.

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PostPosted: Wed Sep 18, 2013 3:48 pm 
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Yep, the Dr isnt our friend or family so wont act sad or be 'disappointed' with us. They have seen it all. I suspect he/she may if even known something was up anyway. Just never broached the subject unless you mentioned first.
The dr is there to help with medical conditions and wont really have any emotional attachment to you, even if we feel quite close to them.
So wont be phased about hearing of you sub treatment.
Will probably be relieved to have full history and info so as not to mistreat you.
Don't worry, it will be fine.


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