Question
I saw in your bio that you have personal experience with FM, Sjogren's, OA, etc.  You know how pervasive and awful pain can be. My wife suffers from the above and a handful of similarly painful diseases and disorders.  She finally found adequate relief 4 years ago with a combination of diet, yoga, Reike, meditation and high-dose/round the clock Opioid analgesics.  She has had the same GP for 10 years and he knows only too well how disabling her diseases were before and after her current treatment plan.  At her last appointment her Dr. said he was requiring her to see a particular pain mgt. Doctor with whom he has already discussed his goal of getting her off of his "books" as she is a liability because of the meds she takes.  She doesn't want to change anything, she manages the side-effects successfully and she has not had any incidence of misuse or diversion, etc of her meds.  So, she fully expects this pain mgt. doctor to recommend drastic change and she's been advised that even seeing this other doctor or getting Rx's from him could be construed as a violation of her Dr/Patient agreement.  That same agreement says that no changes will be made unless mutually agreed on or if medical necessity warrants.  I hope I didn't say too much, I am looking for a way to make her Dr. cease and desist this attempt to push her away which will undoubtedly cause her enormous pain and stress, which I fear will damage her.  can you tell me how a patient who has the need for a certain medicine and has already received it successfully for many years can resist this kind of action?

Answer
Not being a lawyer, I have no idea how binding her Dr/Patient agreement is (or even _what_ it is.)  What's odd to me here is why she'd want to stay with a doctor who is trying to push her "off his books."  I'd be out of there in a flash.

If there's nothing financial, like an insurance requirement to see their primary care doctor of choice, I'd look for another doctor.  If your wife has Sjogren's, FM, and OA, among other things, a rheumatologist is the specialty that sees patients with these conditions.  Otherwise, a change to another primary care practice seems in order, or to an internist.  It'll be an effort finding the one that's in tune with her problems, but it will certainly be less stressful than sticking with someone who doesn't want you around.