City Hospitals - GRRRRRRRRRRRR

This is what was printed on slip of paper given to me by my city hospital, when I went and waited 11 hours to get some relief:

PRESCRIBING NARCOTICS in the EMERGENCY DEPARTMENT

Grand River and St.Mary's Emergency Departments are acute acre facilities, not chronic pain centres. Use of nrcotics and other restricted substances such as barbiturates and benzodiazepines/sedatives, requires ongoing monitoring for both safety and effectiveness.

During your visit today, you will be asked if you have obtained any analgesics (pain killers) or restricted substances within the last thirty (30) days. The name of the prescribing practitioner will also be required. Failure to supply true and accurate information to our staff is a chargeable criminal offence.*

Our physiciams are here to help you , but we are under no obligation to either re-new or begin pain treatment with narcotics. We can provide non-narcotic methods of pain control, including alternative pain solutions. Non-narcotic treatments are available should you be experiencing withdrawal symptoms.

We welcome the opportunity to address your emergent medical needs all day, every day , as best we can. Thank you for your understanding of this practice.

*Canada Controlled Drugs and Substances Act 1996, c19, Page 1 Section 4

Sometimes I wish I lived in the states. I now have no family doctor and no way of getting my pain pills for this terrible pain.

I don't understand this at all. I've never experienced anything like this at my facility (Small rural town hospital)

Is there an alternative ER you can attend? It seems this facility is not set up to treat conditions that REQUIRE narcotics.

I would be inclined to speak to a Patient advocate (who ever plays that role in your province) and determine which facilities can treat you. Perhaps you regular Physician needs to give you an Emergency Directive letter (or whatever they may be called) so you can take with you to the ER.

I just don't know what else to say! I hate that we have to do all this extra work like its a full time job. Who has time.

Elaine

Elaine, I don’t have a family doctor. I was getting my meds from the ER doctors. They know I don’t have a family doc and they were fine with it until this one doc. Now I am screwed and in pain :frowning: Gonna try Toronto, but I shouldn’t have to travel two hours away from home to get help. Considering I don’t drive.

Does anyone in the Ontario system have any ideas for Barb? I am in MB so I don't know what she can do?

My grandfather couldn't get a family doctor. We wrote to the minister of health for MB and explained how desperate his health condition was. We also gave a little toot about the way the health system treats war vets, etc. Within two days we received a call from the local health authority with a Doctor for him.

You never know - a letter to your Health Minister or local politician may help.

Elaine

My chronic pain doctor forgot to renew my script for dilaudid and I didn’t notice til last minute friday and I was supposed to go away that weekend. So I got up early Saturday and went to emerg with letters from doctors that I still have lying around from when I applied for ODSP. I went in and surprisingly didn’t have to wait. I started explaining my situation and had pill bottles with me. And she wouldn’t even listen to me. She pointed at a sign that says no narcotics and recommended i got to a walkin. WHAT!? a walkin? they are less likely to give me something. I was pissed that was a second time I’d gone to them in immense pain. Because of stupid junkies we can’t get what we need. And when u get the asnwering machine for my pain doctor it says if this is an emergency go to emerg!!! ARG. Luckily, my pain doctor had just prescribed me a new med that week which I wasn’t going to pick up cause it wasn’t covered, so I picked it up and it was my saviour. Anways, thats my experience. It was awful.

Hi Barb, that sounds so frustrating and i cant imagine not being able to get relief when they could help. Sometimes official procedures and the way things are set up here can seem to unfair and at times cruel to those of us who suffer TN. I recognize that hospital as being in Kitchener/Waterloo right? as I am in Fergus( about 20 minutes from Waterloo). I'm wondering if you can see a neurologist in Guelph ( Dr. Jicichi), or even pop into their hospital or even Fergus hospital for help. My physician, Dr. N .Rose-Jaynes is very familiar with my TN, prescribes my meds, and is also one of the attending emergency doctors various shifts at Groves memorial hospital in Fergus. Just a thought. I truly hope you find help , I know our healthcare system can be so difficult at times. Take care. Oh, by the way, a few years back when I needed a doctor in the area, I actually called the Ontario college of physicians and surgeons to find any doctors in the are who were accepting new patients. They gave me a couple and I started seeing mine. Good luck, hope this helps in any way.

I live in Ontario, and have the same problem.

You really need to get into a Pain Clinic. It takes MONTHS to get into one and you need a specialist to request it. I tried with my family doctor and it took forever, to be rejected..... After I got to a Neurologist, it only took about a month.

The pain clinic doesnt PUSH narco's either, but they do offer real treatments. I had several nerve blocks (which didnt work) but this is where I got the script for my Butrans Patch (I swear it saved my life)

You might want to look into it.

Smash.

Hi Barb, I know this was 2 years ago, but my Mom and I have just had such horrific and life endangering care here in Alberta that I just had to comment here. I think most big hospitals have taken on this policy, to not start a pain control regimen for chronic pain patients, but, they will often give you a pain shot while you are there, or if you have an injury or painful infection (something that will heal) they will often give you a few pills to hold you until you get to another Dr. I can't even go to the E.R. anymore. I can't bear just sitting in the waiting room for 8-11 hours with screaming kids and sick people spreading their viruses to me. I get sick every time I go, even if its to take my mother. Perhaps if you go and are in level 10 pain and tell them you're not there for a prescription, but for relief while you're there, they will think differently. Often when I am struggling with the cycle of pain and no sleep and each one makes the other worse for days and days, a shot will be enough to stop the cycle and make the pain bearable with my meds at home. Did you ever find a pain control Dr.?

They refused to send me to a pain clinic

smashagnome said:

I live in Ontario, and have the same problem.

You really need to get into a Pain Clinic. It takes MONTHS to get into one and you need a specialist to request it. I tried with my family doctor and it took forever, to be rejected..... After I got to a Neurologist, it only took about a month.

The pain clinic doesnt PUSH narco's either, but they do offer real treatments. I had several nerve blocks (which didnt work) but this is where I got the script for my Butrans Patch (I swear it saved my life)

You might want to look into it.

Smash.

wow I haven't been on here in a long time. I was able to get a N in Toronto. He helps me mostly via email. (I see him once every 3 months or so). The ER here sucks. I go in saying my head hurts and they say it is a migraine. The only thing good about that is the meds give my pain a swift kick.

Sheila W. said:

Hi Barb, I know this was 2 years ago, but my Mom and I have just had such horrific and life endangering care here in Alberta that I just had to comment here. I think most big hospitals have taken on this policy, to not start a pain control regimen for chronic pain patients, but, they will often give you a pain shot while you are there, or if you have an injury or painful infection (something that will heal) they will often give you a few pills to hold you until you get to another Dr. I can't even go to the E.R. anymore. I can't bear just sitting in the waiting room for 8-11 hours with screaming kids and sick people spreading their viruses to me. I get sick every time I go, even if its to take my mother. Perhaps if you go and are in level 10 pain and tell them you're not there for a prescription, but for relief while you're there, they will think differently. Often when I am struggling with the cycle of pain and no sleep and each one makes the other worse for days and days, a shot will be enough to stop the cycle and make the pain bearable with my meds at home. Did you ever find a pain control Dr.?

So sorry about that Barb but there are other ways to go. We don't even have "pain clinics" in our area, so I had to make appointments with any doctors who were taking new patients, and explain my pain to them and ask if they are comfortable dealing with strong pain meds when a person's quality of life, and their responsibilities are so impaired. I had a few really nasty Dr. visits, but finally found a Dr. who is open minded enough to understand that the effects of long term severe pain are more dangerous than pain meds. I know your frustration. I lived in a city where they are absolutely fanatical about any pain meds for anything, and I suffered for 20 years and lost my husband, home, family, country (I was living in the states), everything due to their narrow mindedness about severe pain. I hope you can find a Dr. willing to help you.
Reply by Barb Shakespeare 50 seconds ago

They refused to send me to a pain clinic


I have a Dr who has been helping me out for just over 2 years but nothing is really helping, or if it does it doesn't help for long

You were able to get a what? "N"? That's great if they're willing to help you with pain shot in the E.R. even if they don't understand what TN is.

Barb Shakespeare said:

wow I haven't been on here in a long time. I was able to get a N in Toronto. He helps me mostly via email. (I see him once every 3 months or so). The ER here sucks. I go in saying my head hurts and they say it is a migraine. The only thing good about that is the meds give my pain a swift kick.


I'm, sure sorry Barb that you haven't found much help. Glad you found someone willing to try to help. I've found that nothing takes all the pain away, but some meds take the edge off, enough to be more functional and to improve our quality of life a bit. Most people have better success with a combination of meds rather than just one medicine. Have they had you try tramadol (Ultram) or opiate painkillers yet? I just read your profile. Did you have any relief at all from your MVD? It's almost 2 years to the day since you had that.

Barb Shakespeare said:

I have a Dr who has been helping me out for just over 2 years but nothing is really helping, or if it does it doesn't help for long