Board Order: Sabotaged by doctor

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Specializes in ER, L&D, Psy.

I need to ask for guidance, wisdom, anything that could help. I’m about 2 months away from completing a Board order that calls for “indirect supervision”. I’m so close to finishing this I can reach out and touch it. Part of my order requires my physician to provide a form stating my diagnoses and medications prescribed to treat them. I have gone to the same medical practice for many years, however, the physician who treated me first and completed the 4 previous forms left, moved to another state. My current doctor, that I inherited by default has refused to complete the Nsg Board form, saying he cannot be assured of my ability to practice since he isn’t there. Due to significant cervical and lumbar problems, including 3 cervical spine surgeries (fusion of 5 discs due to a patient injuring me in the ER back in 2005). I have a board order that requires my pain specialist to send them (once every 3 months) the meds he prescribes & my diagnoses. The part he has a problem with is answering if I’m safe to practice. I’ve been told by his assistant several times in the last week that he “will not fill out any forms, EVER”. I have 2 months left to complete this requirement by the Board of Nursing, I’m so close. But this jerk refuses to do anything and told me I needed to go off all meds (which are non narcotic, minimal & long acting to boot.) I told his assistant (He won’t talk to me himself) to only prescribe what is medically necessary. She said”Oh, he feels you should actually be on stronger meds than you are on now, but he will not work with the nursing board or complete any form you SAY are required”  I’m afraid to tell the board my Dr refuses to complete the required form. I feel my only option is to go off all meds and get through until this order is satisfied. It’s supposed to be 2 months, but the board does what they want. I’m so upset. I’ve paid out of network prices to stay with this practice because I am afraid the Board will cause more issues if I switch doctors. But, I’m afraid I won’t be able to work with no meds, I can’t function and the Dr acknowledges this. This *** Dr says I definitely need meds to function, but if he won’t disclose this to the board, I have to suck it up and go without anything, right?? I also wonder if he would treat a physician in this situation differently!!

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I'm sorry that is happening to you. I would just go to a different doctor. If they're non-narcotic, can your PCP just fill out the form? I've had to switch drs a lot (I moved, they moved out of state, my insurance changed, etc) and have been on controlled substances and it hasn't been an issue.  

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Specializes in tele, ICU, CVICU.

OMG, what a dick!  I'm so sorry to hear this!  What about contacting your case manager, thru the monitoring program?  Or are you only under the board order & don't have to participate in your states' monitoring program for HCP?  

Could he speak with your prior physician, since he clearly doesn't know you well enough & the other who moved does?  Could you yourself reach out to the prior doctor, if you had a good rapport (which it would seem you do, if he never had issues with the forms in 4 years).  Not that I encourage dishonesty, but how long ago did he move?  could he sign the same forms?  Would he be willing?  

Would a job description/talk with your supervisor at work with this new doctor help?  To assure you're fully functional for the description, ensure your job performance isn't questionable, etc???  I cannot believe another medical professional would be such an absolute AS$Hat to do this to you THIS close to the end....  

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I have no advice except to say this hurts my heart and I feel angry with you for this. I can’t imagine why he would be acting this way, especially considering you’re not even on narcotics.

Thinking of you and praying you find a solution to this problem that frankly shouldn’t exist.

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Specializes in general.

Any chance you could find your original doctor (regardless if he is out of state,or wherever) and establish at his new clinic for just the amount of time you need to get through??? Sorry you are in such a sucky place right now.

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Specializes in ER, L&D, Psy.

You know, I didn’t even think of contacting my previous doctor, but I’m going to try. I heard from my board contact and was advised to approach him again and if he still won’t, to find another doctor. I’m so afraid this mess will delay my completion of the order. I should complete next month. 
 Thanks so much for your suggestion. 

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