I found your web site tonight as I researched information to write my health care facility about my concerns, I have two.
I live in a very poor county in northern Maine. The clinic I use is completely staffed by PA's & I've never met the Dr who is making the decisions about my health care.
This worries me greatly. This is not a small office with one Dr and one PA but rather a lot of PA's employed there and one Dr who never sees the patient.
"The doctor–patient relationship has been and remains a keystone of care: the medium in which data are gathered, diagnoses and plans are made, compliance is accomplished, and healing, patient activation, and support are provided. United States law considers the relationship fiduciary; i.e., physicians are expected and required to act in their patient's interests, even when those interests may conflict with their own."
My PA told me after my reading an article on yahoo news about the opioid crisis which stated the the emergency room visits for over doses are less than 1% for patients legally prescribed the medicine. Seems the over doses are mainly for drug addicts buying the pills illegally. That upon proof of my producing the article she would write me a script but than she informed me she spoke to the Dr who stated I don't qualify for the medicine.
I am elderly at 60 years old, disabled with 50% lung capacity, I've had numerous heart attacks & a stroke too. I have serious lower back problems, where the pain shoots down my left leg and exits thru my ankle. Out of 7 days in a week I'm lucky to have one good day. The rest of the time I wake up and just make it to my couch, which is where I spend the rest of my day, simply waiting for bed time to arrive. That gets depressing, especially being reduced to that little, that powerless of a man in front of my wife. Most nights I'm just lucky to hold her once we get into bed, forget about a romantic love life. My wife and I are madly in love to this day, we still hold hands and we are never apart.
I just recently transferred to this clinic and the 10 mg oxicodone is the script they refuse to write for me, I understand the crisis in this country but I also have a right to a quality of right expectation. I use to get 60 doses or 120 5mg pills but I've offered to reduce that number to only 12 doses of 10mg oxicodone in a month. They still refuse the medicine.
My two questions to you are, and I quoted the US National Library of Medicine in the 2nd paragraph, in the hope that it's true. Do I have a right to get the medicine I need?
My other question is, is it ethical to see a PA and never meet the actual Dr responsible for my care? This concerns me. I look forward to your reply.
Thank You in advance,