Nurse practitioner?

Discussion in 'Fibromyalgia Main Forum' started by hagardreams, Mar 8, 2011.

  1. hagardreams

    hagardreams New Member

    Does anyone know if a nurse practitioner can write for pain meds?

    I made an appt to see one this week, but it dawned on me that she might not be able to help me. The doctor she works for was full up on appts, and they offered for me to see her.

    I dont know a thing about them.

    Thanks, Julie
  2. Mikie

    Mikie Moderator

    Usually when the PA's need to write Rx's for controlled substances, they have the doc sign off on them. The PA I was seeing was sending my Klonopin Rx to the pharmacy by fax under the doc's name.

    Love, Mikie
  3. hagardreams

    hagardreams New Member

    I think it said something about a 30 day supply? If I have to see her every month, I will go broke! WOW. It amazes me how the government can control this, and not give a care to those that are not rich.

    I am anxious to find out friday how this is going to turn out.

    Thanks for the link!
  4. Mikie

    Mikie Moderator

    The Rx can be written for only six months. Pharmacies, like Target, will call and auto-fill the Rx once the six months is up.

    Love, Mikie
  5. 3gs

    3gs New Member

    So glad to hear you found someone to see.

    Nurse Practitioner's are wonderful. If they are available would rather see them then a doc. better care,more time.

    yes they can prescribe. However it can depend on the docs policy they are under. I had one who believed in pain care and prescribed even tho the doc did not do pain meds.
  6. Mikie

    Mikie Moderator

    My own daughter is a nurse; however, not all NP's are so good. I am leaving the practice where I've been under the care of Nurse Ratchet (pronounced as two words). She wasn't so bad when I started but she has some kind of control issues and is extremely rude. Also, medically, she isn't good. I had been looking for a new doc and found the one I've been posting about who specializes in immune and auto-immune illnesses. Can't wait to get started with him.

    Love, Mikie
  7. jole

    jole Member

    The doctors here are so busy and impersonal, that I now go to a NP. She writes all my prescriptions. She's caring and listens. She discusses my case in depth with the doc she works under. If something comes up that she doesn't feel qualified to handle, she sends me on to a specialist. She's not afraid to say "I don't know, but I'll find out" and she does. She is my one constant, and I'd take her over any doctor I've ever had!

    I know I've been fortunate to have her....and as Mikie says, there are many out there who "play doctor" and the entire thing is just one big ego trip. Keep trying until you find that perfect fit, no matter whether it's a NP, GP or Specialist. Once you're comfortable with each other they seem to work for you. Good luck!........Jole
  8. Saoirse3

    Saoirse3 Member

    I would run like all getout! My FORMER doctor gave me over to his LNP, and then the fun began. I don't know what you state's rules are, but here in Alaska, the medical board DOES NOT monitor the actions of the LNP and WILL NOT discipline them in any way. That is left entire up to the "supervising" MD. And most of the time, the MD is overloaded with patients and treats his LNP as his "partner" not as a subordinate. Which means that the LNP can pretty much do whatever the heck he wants to do without any fear of recrimination. I went to my MD, who handed me off to his LNP. I told him I was having a routine procedure at the hospital and to please order platelets, because I have a low platelet count. He drew the blood but "forgot" to send it to the lab. The surgeon, not seeing any lab requests, went ahead. To make a long story short, I spent 3 days in the hospital because of this man's negligence, and could have easily bled to death. When I complained, the hospital said it was MY fault for "not following up" (so, I'm a doctor and a lab tech now?) and the State Medical Board said it was entirely up to the doctor. Of course the doctor and the LNP are good fishing buddies.

    I switched practices immediately. I am not saying all MD's are heaven-sent, but at least you have SOME recourse. I was also wearing a bright yellow band that stated I was allergic to opiod painkillers. The LNP ordered Dilaudid. Again, it was MY fault for not being "specific" - I never SAID I was allergic to THAT drug (what part of "opiod painkiller" was confusing?)

    I refuse to see an LNP until the state takes responsibility for their actions and cracks down on these so-called "medical specialists" who are little more than office assistants. It's not a "file", it's a LIFE! And it could be YOURS!
  9. ellikers

    ellikers New Member

    I believe that Nurse Practitioners can have complaints filed against them just as easily as an MD- it's just a different governing body since they are licensed as NPs not MDs.

    One experience does not mean everyone in one profession is horrible.

    They are not "little more than office assistants," I find that description offensive. They have to go to quite a bit of higher education (including a PhD in some places, they are switching over to that instead of only a Masters).

    I've had overwhelming positive experiences with NPs in my life (at least 5 off the top of my head). And I've gotten far more help from them than MDs in my health saga.

    In Oregon at least they can prescribe, including narcotics, and not just for a month's supply.

    My general medical person is a NP, and the person I see the most at the pain clinic is one too.
  10. hagardreams

    hagardreams New Member

    I finally saw the NP friday. She spent over 45 minutes with me. She did say that I will see the doctor next month, (in 30 days), and after that I will be getting my pain meds for 3 months at a time. She did give me one months worth this time around.

    I was amazed how well she listened to me. I took the copy of my chart to her, and showed her what meds I was on, and for how long. She couldnt believe that I had been on lortab for over 5 years. Yes different strengths, but to be able to cope on the same pain meds for that long suprised her. She said that she could see the pain all over my face! (yes I look that bad). Anyway, she wanted the doctor to see me next time, and see if I might need something stronger. She said because of my pain, and stress, it was making my blood sugars go up, and I needed the pain taken care of, so that I can work on my diabetes. 38 years of type 1 diabetes, is a long time, and I am getting brittle, and need to have it under control, but with pain it was very hard to do.

    I hope her and the doctor works out for me, especially since she is only $50 to see, and he is only $60. I was paying $100 every 3 months. This is a blessing, or lets hope so. But so far, so good.

    Thanks to all who replied. I was kind of worried about seeing her, but I did feel relaxed with her, so I hope that it will work out!

  11. Saoirse3

    Saoirse3 Member

    And NO, our State Medical Board does NOT accept nor respond to complaints against NP's. The simple fact is, that HERE (NOT Oregon, Michigan, North Carolina or any of the other 46 states) almost anyone with ANY kind of medical experience can hang out a shingle and call themselves an NP, LPN or ANP. I have a Master's Degree as well, but I'm not going to practice medicine! There is one thing you fail to realize. Alaska is, by and large, TRIBAL, and the State will, in almost ALL cases, bow to the wishes of the Native Alaskan tribunals. And there are over 400 different tribes. Medicine, therefore, is at the tribal level. Which is not a bad thing at all. In fact it is a very GOOD thing and I have been to tribal doctors with better results. But what does that mean for non-natives? It means you either fork over the cash or get the medical leftovers. I cannot begin to tell you how many doctors have come to Alaska to "make a fresh start" after a malpractice suit. And this isn't Chicago or Detroit, where you have lots of options. You can't even drive to our capital city! If you are extremely lucky, and thoroughly do your homework, you will find that one special doctor who really IS a good doctor. But in a state that is 1/5 the size of all the other states combined, and whose cities are not connected by roads, the task is daunting.

    I never said EVERYONE in the nursing field was horrible! I have had some wonderful RNs who really cared! But you will have to excuse me if I say that I will only trust my health to an MD, where, at least in THIS state, I have some recourse if they screw up.
  12. jole

    jole Member

    I'm so happy you had a good appointment. I wouldn't trade my NP, and the one you saw sounds like mine. In my opinion, they seem to have better listening skills than most docs, and mine isn't afraid to say she doesn't know everything. With having the doc to back them up, it's almost like having a doctor and a second opinion all in one at

    So glad she put you at ease, which makes it much better for us on our 'foggy' days to know that we don't have to feel rushed or embarrassed to get our words out right. I hope it works well for you, and you're able to get both your pain and diabetes under control. Hugs....Jole
  13. Saoirse3

    Saoirse3 Member

    I did and do what I must to save MY OWN life. I have a wonderful gastroenterologist in Anchorage who is top-notch in the entire country. And I have an MD in Soldotna (do you even KNOW where that is, WITHOUT running to your Google Maps?) who is a graduate of Tufts School of Medicine. AND I live within the boundaries of the Kena' itze tribe. I don't think you understand that we don't just have a "government bureaucracy for everything" and that complaining can get you blackballed from the entire medical community. Every doctor knows every other doctor in Alaska. We have no medical school, no medical research teaching hospital and no trauma center. We don't have hundreds of hospitals and clinics to choose from. House, Grey's Anatomy and Off the Map are TV shows. THIS is MY reality!

    Life is different here! And by and large, you are responsible for your OWN treatment! And I stand by what I have said. This is for ME, and if it isn't for YOU or anyone else here - FINE!

    My experiences have not been good with NPs. If your experience is a good one, well, GOOD! I am happy it works for YOU. But you have your opinion and I have mine, based on MY OWN knowledge and experience. Knowledge is there for the taking, and I am going to arm myself with the most knowledge about my condition that I can. I am not going to blindly swallow pills and nod my head like a good little girl. I am going to research the drug, the side effects, the risks, the clinical studies, what it does, what it's supposed to do, and the chemical properties, interactions and the company that makes it. I will read every lab report and know what every abbreviation and test means, I will compare it to the others to see what improvements or changes I need to make. I will keep a diary of everything that goes into my body, food, supplements, water even the make-up, shampoo and personal products. I will keep a sleep journal. I will adapt and adjust. My doctor will work FOR me. I am paying him, not the other way around and I don't have to do anything I don't think is right for ME. I am NOT angry or bitter, just cautious. Life is a gift, is sacred and not to be taken lightly or handed over willingly. Again, this is what works best for me, and if just one person can glean anything from my experience then it won't have been in vain. Namaste.
  14. Mikie

    Mikie Moderator

    Some docs are good; some are not. I don't tolerate bad, or even mediocre, docs nor their NP's. I could go back to seeing the doc but he is only so so. The thing which made me decide to switch practices was how filthy the office was the last time I was there and how rude the NP was. Over time, I've discoovered that she isn't good medically. Sometimes, it just takes time and experience to find out our medical partners in our healthcare are not up to our needs and/or stds.

    I see an orthopedic NP for my knee injections and he is excellent. I only see the doc for surgery. This is an excelleent practice.

    In a bad practice, there are usually multiple negatives. In additon to the filth and attitude, this practice loses test results and has made numerous mistakes on my history. I will be seeing the new doc, who specializes in our illnesses, and will have to evaluate him and his practice too.

    I don't condemn all NP's for the lack of caring or talent of this one Nurse Ratchet. I evalutate them all, just like with docs, on the basis of experience of each one.

    Love, Mikie
  15. Beadlady

    Beadlady Member

    I have seen an Advanced NP for over 10 years and she is wonderful!! I orginally saw the doctor who owns the clinic but when I couldn't ever get an appt to see him, I started seeing the NP. In this office there is one doctor and 4 or 5 NP and each one has a special interest of medicine and the one I see is for Fibro. The clinic sends her to conferences each year re: Fibro.

    MY NP would like me to come in every 3 months for labs & appt, but since I don't have insurance she lets me slide to every 6 months--but I have to do that or else I don't get my meds re-filled.

    From the very first visit we "clicked". There have been a few times when I've had to see antoher NP in that office and while they have been nice they don't understand me like my regular NP.