This is practically a joke. I am convinced these people are simply out to take Medicare/Medicaid for every dime they can take. I would love to know if they are doing this to people who have regular insurance companies like BCBS or CIGNA. I am betting not because those places really scrutinize the procedures done on their clients. I dont think they would approve something that wasnt necessary. For years and years my family doctor was the one who took care of my pain management. It worked well because we knew each other very well and we trusted each other completely. However my doctor was getting towards retirement and only doing the hospital work and the other doctors in his practice werent comfortable continuing my pain control because of the DEA crackdowns so they referred me out to these new pain management clinics that are popping up like weeds. Well in the beginning it was pretty good. I liked the doctor that I saw. He was a very nice gentlemen who was older and we got along great. He understood that I had a good handle on what was going on with my body and that I wanted to keep my pain medications to a minimum for as long as possible. He worked well with me. This went on for over 18 months. Suddenly in the last 8 months or so this clinic has gone through some changes and they have changed their focus. Now instead of simply being a pain management clinic it is Pain Management and Lazer clinic. As I have said before I have been fighting since June over that stupid epidural block which I never agreed to have but they set up anyway. I had told them I wanted to look into the epidural block because I wanted to see what it entailed and I am glad I did because it has steroids in it and I cant take steroids. They should have known that because I tell every single doctor I go to that I cannot take steroids but these people obviously cannot read...or they dont care. Also, this is the same medication that is giving everyone meningitis. Then my doctor pulled my medication down to almost nothing without even telling me, like a coward in the night, and I never even knew it until I was out in the parking lot. Once I was in the parking lot and noticed that the medication was not right I went back into the office and asked about it and they say we cant talk about medication until the next appointment. Once you leave the exam room you cannot see the doctor again no matter what. So for my October appointment I called and asked to see my original doctor...Dr Tim. This is the older man. The promised me he would be there. I go in and he isnt there. The only one there is the ass that got mad at me the month before and lowered all my medications. I walked out and refused to see him and asked to be transferred to another one of their offices hoping that I could have better results if I could see someone else and explain my situation and they could view my entire record and see that I had been a very appropriate patient who had never requested an increase, never missed an appointment, never flunked a urine test...nothing. the only thing I refuse to do is procedures. Well that didnt work. This witch of a PA came in and told me that they wouldnt increase my medications to what they were the month before because the evil PA would have never decreased my medications because he was mad at me. Oh yes he did. Look at the chart. I had been on the same medications for at least 10 months. This PA told me that I had to do procedures because there was no other way I was going to get "better". Excuse me? I am never going to get better. I have 2 different forms of degenerative arthritis plus fibromyalgia. The only thing that could possibly help me get somewhat better is to have both knees replaced as well as have my hips replaced and have some surgery on my lower back. It is not going to make me better to have cortisone injected into my joints. All that will do is make my joints weaker and softer. Their other patients may not know this stuff but I do. I was so ticked off when they handed me the scripts for the same scripts as last month. I am going to call new pain management centers this week and find a new one to get in with. I am sure I have to fire the old one and get a referral from my GP. I dont care, I will do that. Once I get out of there, I am going to go to a lawyer and see if I can sue them. There is no way on earth they can tell me that doing procedures will make me better and trying to get me to do an epidural block which contains a steroid when its in my notes that I cant take a steroid has got to be malpractice. Especially when they caused me so much grief after that because of that mere fact.