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@Decoherent
Created December 27, 2024 01:07
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Healthcare

So after my Emergency Room Surprise Visit when my neck came apart, I'd called the neurosurgery clinic to see if I could get more methylprednisolone (steroid anti-inflammatory, aka. Medrol) to cover the gap until my scheduled appointment. They said that they don't issue prescriptions until they've seen a patient. OK, that's reasonable.

I put up with it for another day, then decided to go into the urgent care facility to see what they had to say, because it's been common (to me, at least) that the NP's will write a single short-term prescription of "benign" meds (things like cyclobenzaprine [Flexeri], diclofenac [heavier-duty NSAID], etc.) until my next scheduled appointment.

When the NP finally came in, they barely glanced at me, and immediately kept asking how much oxycodone I was taking. Odd, I guess the ER doc had written a script for 15 if necessary that I'd forgotten about, and I don't want opioids (and they're going in the med recycling bin at the pharmacy), because that would just be treating a symptoms way down the line, and not the cause. In my minimal defense, when I got the prescriptions, it was 5am, I'd been awake for like 36 hours, and was full of drugs :)

But, I continued to get asked was I taking this with oxy, how many oxy per day, what else have you tried besides oxy, blah blah. It was a little surreal, how the vast majority of questions involved oxycodone in some way. It felt like the tests that ask you the same questions a couple times in the list, each worded slightly different, to make sure that the answer was consistent.

I got blasted me through the fastest stroke check I've ever seen, just sort of shoving my arms around, and then would only write me a prescription for cyclobenzaprine, which is a muscle relaxant, and zoomed out of the room, 5 minutes tops. OK, cyclobenzaprine helps some, but I really wanted to keep the inflammation down, and OTC NSAIDs aren't quite covering it. Oh, and cyclobenzaprine is taken 3x daily, for all uses. They wrote a script for 15 tablets, total, for a 32 day gap ["Take one at bedtime"]. This is weirdly off-label, especially for a NP and not a MD, and I intend to follow that up.

So at that point, I'm prepping up to go talk to the patient advocate people to see if they will get that fucking oxycodone off of my med list, because otherwise I'm going to get treated like a drug-seeker, forever. I was flipping through the visit notes, and discovered that the person that I'd called at the very beginning, at the neurosurgery clinic, had made an interesting note; it says that I called wanting more methylprednisolone (true), and...oxycodone (false). So that's why I have a drug-seeker label.

I have no idea where that person even came up with that. For non-urgent questions, every department has a nurse line, where you leave a voicemail with your thing, then they call you back, usually the same day. So, at least there is/was a recording of what I actually said, but I am fucking pissed off. Now I have two complaints to register, a med to remove from my list, and a visit note that needs to be amended, at least, or removed. And my neck & arm still hurt.

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