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update on pain doc appt.........

AnonymousUserAAnonymousUser Posts: 49,731
edited 06/11/2012 - 8:24 AM in Pain Management
I was in a panic yesterday about going to the pain doc and asking again for pain medication and my results. She wants to do cortisone facet injections on 3 vertebrae IF her next order for a thoracic mri comes back fine. She mentioned p.t.. I told her the chiro did not help after 2 yrs of blind trust.
I became VERY UPSET, however, when I asked her for pain medication in the interim. I told her norco helped me and that the ultracet she gave me did nothing whatsoever. Again, she said she doesn't do narcotics because all they do is scramble a person's brain. I felt close to tears and was so desperate I asked her for the ultracet again (figured it was better than nothing), and I almost passed out when she refused to give me the ultracet, either. She said that my pharmacy called her that I took depression medicine (which I indicated on my patient questionaire) and that the ultracet might make me feel suicidal. I came home so upset and disappointed and in disbelief that a patient could be denied any help whatsoever. I'm going to have a bone to pick with my pharmacist in the morning. This was done behind my back and I feel emotionally devestated at being treated like a low life when I am nothing like that and took this as a personal affront. I am now afraid someone has 'flagged me' and don't know what to do to protect my well being.
If anyone has any ideas, PLEASE let me know what you think I should do. I couldn't sleep last night I was so sad over this treatment!
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Comments

  • Could you get pain medicine from your primary doctor instead of the pain mangement doctor?
  • I would go to ER for some pain meds and say your pain is unbearable. I would get another Dr. right away. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Welcome to S~H :H

    I must disagree with the advice you were given on going to the ER for pain meds.Unless it is an emergencey situation the use of the ER is frowned upon,and is certainly a way to get you 'flagged' as you referred to it,as a person looking for not help,but as a drug seeker.People don't seem to like it when I say this,but I don't make these things up.

    Your Dr wanted you to try the PT,and IMO,when you became very upset and told her that the norco worked for you in the past..she probably saw that as you not wanting to try anything other than the norco.She may even have thought that was the only reason that you went in to see her.

    Pharmacists will on occasion call a Dr if they become suspicious of a customer calling in to refill to soon,getting scripts from more than one Dr.,or any other number of reasons.That is their job,and they are allowed to do this,however,you will have an occasional pharmasist who seem to abuse their power.I've heard stories.

    Your best bet would be to try all conservative treatment that the Dr suggests,starting with the PT.Ask her what you can take for the pain,and do NOT accept the ultracet if it doesn't help you and makes your nerves(suicidal),and thoughts worse..that is not at all helpful.Be honest,and work WITH your Dr.If she won't listen look for another Dr.,and good luck.

  • IN THE MANY YEARS THAT I HAVE BEEN LIVING WITH CHRONIC PAIN, I HAVE MET SOME PM DOCS THAT I FELT WERE TRULY INTERESTED IN HELPING ME AND MADE HELPING ME THEIR TOP PRIORITY. OTHERS.....NOT SO MUCH. I ALSO WOULD AGREE WITH ROBIN THAT GOING TO THE ER IS NOT A GOOD IDEA. THE ONLY, ONLY TIME I WAS EVER STEREOTYPED AS A "DRUG SEEKER" IS WHEN I WENT TO THE ER AFTER A RADIO FREQUENCY ABLATION FOR WHICH I RECEIVED NO PAIN MEDICATION AND FROM WHICH I EXPERIENCED A HORRIBLE INCREASE IN PAIN. IN RETROSPECT, I DID THINGS AT THE ER THAT "FLAGGED ME" AS A DRUG SEEKER BUT (NOT BEING A DRUG SEEKER) I DIDN'T KNOW THESE THINGS WOULD PUT ME IN THAT CATEGORY. IT DIDN'T HELP THAT THE ER DOC WAS 6 MONTHS OUT OF SCHOOL. I WOULD GO TO MY PRIMARY, ASSUMING HE/SHE KNOWS YOU, KNOWS YOU'RE NOT ADRUG SEEKER. MAYBE YOUR PRIMARY CAN HELP YOU FIND A DIFFERENT PM DOC---ONE THAT "BELIEVES" IN GIVING NARCOTICS--IF THAT'S WHAT'S INDICATED. I'M NOT HAPPY WITH THE THOUGHT THAT THIS DOCTOR WILL SIMPLY NOT GIVE OPIOIDS TO ANYONE. PLUS!!!!!ALMOST EVERYONE WHO'S BEEN LIVING WITH MODERATE TO SEVERE PAIN FOR A SIGNIFICANT PERIOD OF TIME IS TAKING ANTIDEPRESSANTS. BESIDES, PT WILL LIKELY INCREASE YOUR PAIN, IF ONLY TEMPORARILY. A GOOD DOCTOR LISTENS TO YOU. A GOOD DOCTOR BELIEVES YOU. A GOOD DOCTOR MAKES YOU FEEL COMFORTABLE THAT YOU CAN TELL THEM HOW YOU'RE FEELING. IF YOU SHOULD SAY SOMETHING "SUSPICIOUS" I.E. THAT MAKES YOU SOUND LIKE A DRUG SEEKER, A GOOD DOCTOR WOULD ASK YOU MORE QUESTIONS BEFORE FORMING AN OPINION. FIND ANOTHER P.M. DOC A.S.A.P. SUSAN.
  • I've gone to ER in extreme pain and received pain medication. You are allowed to go if you can't get to your Dr. I work in an ER and it's true that minor things are frowned upon, but true uncontrollable back pain requires a physcian's attention. This is not medical advice just to let you know there is help available if you're in extreme pain. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • While I agree that a person is "allowed" to go to the ER,and if a persons pain is severe and considered an emergency by all means one should ultilize the ER as that is their purpose;however,your previous advice stated:
    charry said:
    I would go to ER for some pain meds and say your pain is unbearable.

    I disagreed with this for valid reasons as stated above,and never implied that a person was not allowed or should not go to the ER in the case of an emergency.Your 'broken fingernail' reference in the PM that you sent to me has no bearing on what I was trying to explain.

    A broken fingernail would be a zero on the pain scale,and therefore would of course be no reason to rush to the ER,however unless your pain is at a 9 or 10 on the pain scale,the ER would not be the place to go for treatment (for pain).All pain being subjective,and all Drs not being objective,this is a hot topic.

    That rule might change as well if a person did not already have a PCP,or PM,and the ER was their only source of medical treatment.

    I do not work in the ER no,but I used to work in the medical profession,and I have a tiny bit of inside info on how some of the medical field feels about people who utilize the ER for treatment of pain.

    Only trying to help.

  • I'm sorry things didn't go as hoped for at the appt. I disagree about her saying your mind will get all scrambled. A lot of people do take different kinds of antidepressants here to supplement their long acting and short acting pain relievers. I just started on one, and I read the suicide warnings. I'm not sure if they are talking about teenagers, but I'll try to find out. I do believe that there is bias against people that are depressed. Chronic pain can cause it, or make it worse if it was already there, but the pain IS real. I know how discouraging it is to be hurting 24/7, and to not have the life you used to have. And then be in despair because you can't get the help you need, or your pain is dismissed.
    I was asked if I wanted to go to the ER today because the pain is so bad, but I decided to wait. If it goes up anymore, then I'll call my NS and have them send me. That is my preference because I don't want to be mistreated. Things shouldn't be like this, but that is the reality today. I am trying to take my mind off the pain by participating in these forums. Take care everyone >:D<
  • you are in so much pain and do not have any pain management options at this time. From what I have read, it can be a "flag" if a patient requests a specific narcotic from the physician, rather than seeking pain relief in general. I do try to stay open-minded and cooperate with my pain doc on recommendations of other therapies, and have not had any issues with getting pain meds. I have read stories, though, and it sounds like you have found a doc who doesn't believe in the use of opiates for pain relief. That is unfortunate.

    If you had agreed to try physical therapy again, do you think she would have been more inclined to give you a prescription? I know it is hard to think at a given moment when under stress, and when she declined to even give you a script for Ultracet, I'm sure you started to panic. I would ask at my next visit, though, if there is something else you can take to help relieve some of the pain. My experience has been that physical therapy causes an increase in my pain, even if it helping at the same time, and I'm sure she is aware of that.

    I can understand if you feel betrayed by your pharmacist, but I would certainly not want to mix medications that could cause such a horrible reaction. The best result would have been that she were willing to give you a different medication, but she did not.

    I hope that your MRI helps your doctor diagnostically, and at that point, she may change her mind regarding your treatment and pain relief. Once I had my EMG results of massive S1 nerve damage, my doctors changed their "tune", so to speak.

    For the time being, try to distract yourself and not focus on the pain as much as you can. I know how hard that is, but many doctors have told me that distraction is my greatest weapon against the unrelenting pain I suffer with. It is certainly easier said than done, though, and particularly when you feel helpless as you must feel right now.

    Here's hoping your MRI shows the problem clearly and enables you to have a better relationship with your doctor. If not, I would get copies of all medical records and find a new doctor. When you get your MRI done, ask at that time for a copy. They should provide you one before you leave the building. Always good to have that with you, in case you do end up at the ER or at a new doctor.

    Hang in there and positive thoughts your way,

    Cheri
  • I just want people to know what I have just experienced at the hands of a 'specialist'....firstly, she told me that my phone didn't work and that she had tried to call me. My husband and I called our number from other phones and there is nothing wrong with our phone. Secondly, she told me my pharmacy called her to tell her ultracet would make me suicidal. My husband and I directly confronted the owner/pharmacist and found out that no one had ever made any such call to a physician on my behalf. He also said that ultracet is not a very powerful pain reliever at all, and it wouldn't raise any flags with the average pharmacist.

    Thirdly, this dr. said that the pharmacist that called was a female: this pharmacy of mine has only male pharmacists right now.

    She denied me pain relief and took my copay for 4 visits already. I don't trust her and will cancel the upcoming injections. I got referred to a pain management dr from my pharmacist whom I have known a used for 17 years. My husband and I are also in the medical profession and know what can go on. He feels she is just a plain loser. Does anyone know if I can file a complaint about her treatment toward me? I sure would appreciate hearing whether or not someone else had been through a similar experience!! :<
  • How can someone so mean spirited be in a profession that requires care and compassion. Why would that doctor go out of her way to derail your care? Fire her and file a grievance with the state regulatory board if you are up to that. That's just malicious. She could have simply said no; why the lies?
    I'm really sorry Enchantress. You don't need this at all.
  • I had been taking Prozac a year or so before my surgery. Fortunately I was able to eliminate some big stressors in my life and stopped taking them about the time I had my neck injury this summer. My regular doctor (not my NS) prescribed narcotics and muscle relaxers for my pain prior to surgery (which was 4 months after my initial injury) He also ENCOURAGED me to restart my anti-depressants a couple weeks before surgery to help avoid post-op depression. I feel great and have no urge to off myself! I guess every doctor has a different opinion on medicine interactions, so I would try and find a different doctor who is more willing to work with your needs.
  • I went to my first PM appointment for a consultation and Epidual Injection, I was very scared and upset about having the injection. I told the dr upfront how scared I was, I had a bad time in July with a myleogram and another needle in my back just scared me to death. The PM talked to me for over 20 minutes talking me into try the injection. Well it was horible, I was so tense that it hurt a lot. I was in bed for 3 days after with more pain that I could imagine. The PM gave me no meds to cope with pain after and when calling the office was told that it was only pain and would not hurt me. My husband called the office the next day and insisted the pm see me, we went to the office visit, the pm would only give me lido patches and gel to numb the area. That did not work at all. I called my ortho dr and saw him the following day and he gave me oxycodone, what relief I finally had after 2 1/2 days of pain, 8 or 9 out of 10. I am not sure about these so called Pain Management Doctors. I do not take any pain meds on a regular basis, I am lucky so far, I have DDD and L5/S1 Spondy, with buldging disc. I hope you find a doctor that will help, it is very fustrating to have pain and not get any help. Take care.
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