My wife has had surgery on her back, neck (twice) knees (twice), and a few other minor ones. The problems persist and she takes Tramadol as a result. One of the things we weren't prepared for is the minefield that following the rules has become. One of her doctors recommended she check with another doctor, in the same building, so she checked in that office when she left. That got flagged as doctor shopping. Also, I filled her prescription once at my pharmacy because I was trying to save a trip to her usual place. This also was flagged as a problem for reasons I still don't understand. This put her on some double secret probation and a third strike would mean the doc would drop her. I understand that there are folks who are trying to game the system, but it's also extremely difficult to obey rules you don't know about.