My practice is focused on management of chronic pain problems and medication assisted addiction therapy.
I have a part time practice at Murfreesboro, Tennessee.
Given my limited resources I accept only certain kind of patients in my practice.
I have tried to provide the necessary information about my practice, so that you have a fair idea about my limitations, ... and decide whether my practice will meet your needs.
My clinic policies and fee structure are changing from Sept 1, 2014. Please disregard the older information that is contained in the information folder and brochures.
The important changes are:
Suboxone clinic enrollment is now a two day procedure.
Day 1: Completion of application and medical history forms, payment of fee, discussion and plan.
Day 2: Examination and induction. Induction is required for most patients.
I no longer provide free induction.
Patients who drop out of the program will not be allowed to re-enroll. Patients who complete the program, but have a relapse, can be re-enrolled.
I have added medication assisted treatment for alcohol addiction.
I have discontinued my participation with all commercial insurance carriers, and will not be able to file, or assist you in filing any insurance claims. I do not accept patients who have Medicare or Tenncare.
The kind of patients that I accept in my practice are patients who have a painful condition for which there is no cure. For example, rheumatoid arthritis, cancer, RSD, etc. The patient must be under the care of a physician who is actively treating the condition. I also accept patients who have had surgery to relieve pain, ... but continue to have pain; and the surgeon is of the opinion that further surgery may not relieve pain.
I do not accept patients who do not meet the above criteria. Referral is required. Appointment is offered after review of medical reports, the controlled substances data base, and a phone interview with the patient. The purpose of the interview is to ask you about your pain, ... and to know what your expectations are.
I can then tell you whether my practice offers you the kind of service you need, and whether you should come in for enrollment.
I do not offer any interventional procedures or implants. I must decline enrollment if I do not have anything significant to offer you in terms of pain relief. I also do not accept patients who have received medications that appear to be disproportionate to their underlying condition.
Beginning 2014 I have completely discontinued my participation with insurance.
I offer an office based therapy to patients who need help with their narcotic/opioid addiction problem. This applies to medications like Lortab, Percocet, Oxycodone, Oxycontin, Opana, Morphine, Methadone, Heroin, and similar drugs. I do not treat other forms of substance abuse, as there are no FDA approved medications for them.
Patients who have an addiction to narcotics/opioids find it very difficult to quit due to uncomfortable withdrawal symptoms. For such patients a medication called Buprenorphine (Suboxone/Subutex) is available as a tablet or a film. This medication is placed under the tongue and it effectively prevents symptoms of opioid withdrawal. This is very effective, ... and being a long acting drug ... a single daily dose is sufficient for most patients. Patients are able to carry on this treatment at home. Beyond that, it is upto the patient not to use narcotics again. This medication is gradually reduced by the patient and eventually there is no need for it.
This is a very gentle method, and can be carried out without any disruptions with work or school schedule. It does not require patients to be admitted to a residential facility. This program is not suitable for someone who is not motivated, and does not have the necessary self discipline. I do not prescribe Methadone for addiction treatment.
Another medication Naltrexone is also approved for opioid addiction treatment. This is an opioid blocker. This medication is available as a tablet and is taken as a single daily dose.
This is also available as a once a month injection. I do not prescribe this injection.
Alcohol addiction is treated with Naltrexone or Acamprosate (Campral). These drugs are known to reduce craving for alcohol. Once cravings are controlled patients are better able to modify their behavior with the help of a counselor or behavior therapist.
Patients who have insurance are not accepted in my program, as I am not an approved provider for any insurance and do not have the resources to assist patients in filing their cliams or obtaining medications. Patients who have commercial insurance can be accepted if they do not need insurance reimbursement.
I have certification to prescribe Suboxone/Subutex. I am not an addiction treatment specialist, or an addiction treatment facility. My practice only accepts un-insured, self-pay patients, from Murfreesboro and surrounding counties. The cost of treatment is much lower than what one spends on buying narcotic drugs illegally. The cost of outpatient treatment is much lower than inpatient/residential rehab, ... however this treatment is not appropriate for patients who are not well motivated, and do not have the self discipline to follow the program.