TammyG77

It's fine, she asked me to post. She isn't a member but wanted peer opinions. I am only trying to help her. Her identity is safe.

Thank you all for your posts! You are all awesome! I have a little more info to add now 1. Wanted to mention maybe restarting ADHD meds at this appt due to being agency nurse, no insurance, didn't want to pay for two appts so just asked a question about it. She is interviewing for LTC position next week and is struggling to keep up with her childrens' schedules (school, sports, etc) and worries about focusing on that many patients since she has been private duty or doctor office nurse for many years and hasn't had but one-on-one for quite some time. 2. Medical Assistant asked her if she was still taking xanax, said yes and was taking a little more lately due to quitting smoking and will need a refill. 3. Did ask the doctor his opinion on the research about opioid use for fibro AND herbal remedies or something like acupunture etc etc, he only heard OPIOID and immediately became enraged. She's not one to cry easily so I believe her when she says he was out of control, also considering she now received an apology from admin for his behavior 4. Since she doesn't have insurance right now she wanted a second opinion due to cost of specialist. She thought (at the time lol) would be worth to compare another doc's opinion to her primary before spending the money for the rheumatologist. She even stated she felt like she was betraying her regular doc, he's great and she values his opinion but has never had much more than a cold and was kind of in denial. Actually has stated she was at one time a person who felt fibro was a "make believe" illness and could not accept this dx. She feels super embarrassed that anyone would consider her more or less a junkie, as she put it. I don't know, she found all this research about opioid use for fibro and thought she would ask. She also joked about getting medical marijuana for it because of research proving that helps. She now doesn't know if she should find a new doc, will they think she is doctor shopping etc? Thanks again for all your input :)

Also to the person who sent private message, thank you very much for the info. I agree too. I can't send private messages yet, I haven't had enough air time lol, but I will leave your identity unknown:D

True, I may not have all the story, did get the scoop on the benzo, just a quick "are you still taking it?" and "yes, need refill" I think the pain management idea is great. I think it was a harmless appt that escalated and turned into a train wreck...

The doc said she will have to find another physician practice, so the manager suggested she start looking for another location. I also don't know all the situation, was asked by the patient my opinion. I just don't think she would lie about it so I am thinking I probably have most of the story. I had searched for her and found something about a doc has to give a patient time to find another doc and still treat for about 30 days after giving written notice the patient is being "fired." Not sure. Just wanted some more opinions on it:D

Opinions PLEASE! Background: patient makes appt at family practice for today to see different doc than her regular primary for second opinion on dx. C/O generalized discomfort, muscle and joint pain, fatigue, loss of interest in daily activities. Tried lexapro, zoloft, pristiq, no response from any. New dx Fibromyalgia, placed on Savella and a few percocet for pain until Savella started to work. Want to throw in currently on synthroid and not noticing much change there either. Anyway, not responding to Savella much either. Stopped taking it. So, appt is for another doc to say yes it is Fibro, then she will seek rheumatologist. In the meantime requests some pain management such as oxycodone because she did have some relief but doesn't want acetaminophen in it, only requests low dosage until seeing rheumatologist. Also while in office, wants to discuss restarting ADHD meds. Doctor starts yelling at her saying he is suspicious of her, "drug seeker" knows too much about these meds to come in asking for them by name. She says she has been on them and, oh yeah doc, by the way, she's a nurse, she is supposed to know medications, should she pretend she doesn't?? He then asks if she was diagnosed with ADHD as a child because it isn't in her chart (started going to this practice 2008) and that childhood is the only time to be diagnosed with that. She tells him her previous retired, possibly dead doctor gave diagnosis as late teen BUT her mother and her sister were both diagnosed as adults. As she is saying all of this, the doctor gets up, says he needs a break, and leaves the exam room!! When he comes back she tries to say she was only telling him what she responded to and what she didn't. Also asked him what she should do regarding trouble with attention, keeping track of everyday details, tasks etc. She is crying hard at this point too. He asks her if she wants to speak to the office manager and leaves again, yelling in the back hall that there was a problem and manager needed to come in here. Who knows how many patients and staff heard this. Manager comes in, patient explains everything she said and what she meant, look in her history, NEVER had a "seeking" incident or request etc. Manager says never saw doc like this, doesn't know why he is acting this way. Patient asks for alternative meds etc, manager brings doc back in, patient says she will try Lyrica, he asks about gabapentin, patient never took this, he leaves again to find samples, comes back says nope none, patient says she will take script for either to at least give it a chance, and her xanax needs a refill sent too. Doc gets up AGAIN, opens door, loudly says to the patient she will have to find another doctor. Now, patient has no meds, no scripts called to pharm, needs to find another doctor with no notice and was never even examined, no heart, no lungs, no painscale NOTHING! Manager did give patient contact number to report physician. Wouldn't this be considered patient abandonment?? He refused to examine her, treat her, or even call in scripts she has been on for awhile. She will be without a physician for who knows how long, and she only wanted his opinion to see if maybe something was missed because she wasn't responding to the normal treatment for that dx.He also stated after calling her a drug seeker that she probably will refuse payment for his services today too!! That to me is very offensive to assume someone has no money to pay and implying she is a junkie. Opinions???

I have to agree with the majority. No concern of yours. And by the way, my husband has worn my old maternity scrubs just around the house, and he's not in any way in the medical field, he's a professional bull rider! If you are currently in nursing school you have enough to worry about!

I agree with all the positive comments!! Way to go!! :loveya:

I am facing the same problems. Any suggestions would be much appreciated!! I have heard of many nursing grants and scholarships but I have failed to find them!! Thanks everyone :)

Hi! I just wanted to say I am new here too and wondered if you would be interested in an online study/support buddy?? I feel I am having the same issues you are...I feel like it is difficult to determine what is "fluff" and what are the important topics to study! I am preparing for my first exam as well (Transition to RN...). I haven't even gotten up the nerve to schedule it yet!!! If you do not want to exchange info and help each other, that's ok and I wish you the best of luck in your studies!!!!

Hi! I just wanted to say I am new here too and wondered if you would be interested in an online study/support buddy?? I feel I am having the same issues you are...I feel like it is difficult to determine what is "fluff" and what are the important topics to study! I am preparing for my first exam as well (Transition to RN...). I haven't even gotten up the nerve to schedule it yet!!! If you do not want to exchange info and help each other, that's ok and I wish you the best of luck in your studies!!!!

ok great advice!! Thanks!! As everyone here knows you can't afford to waste any money!!

Hi all! I am new to this site AND to Excelsior. I was wondering if anyone here has ever used the site "nursing practice exams" for Excelsior? They are the ones that are 29.99 each. Any input would be greatly appreciated! Thanks!!