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Changing pain Management Doctors

charryccharry Posts: 5,657
edited 06/11/2012 - 8:25 AM in Pain Management
Hi Everyone, I'm going to another pain management Dr. in December and I was wondering since I just had 2 epidurals I have to tell him another Dr. did those. How do you say why you're changing pain management Doctors? Thanks 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
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Comments

  • charry---
    it is always best to be as truthful as possible to any new doctor. this will save time, energy, and frustration on everyones part. it will also ensure that he will not treat you the same way.
  • :H How are you feeling? What happen with your pm? i know you told me some stuff about pain management when i first joined. still didnt search for one yet.

    Been going to tons of appointments and finally seen a nuerosurgeon, and orthopedic specialist well 2 one specializes in the shoulder and had trigger point in the shoulder but didnt help.
    Had MY MRI today. neuro doc said he needs to compare it to 8/1/08 Mri i had to see if i need surgery. Im nervous because after the insurance company finally approved it [MY MRI], they called and said they wanted it STAT and a wet reading [immediate results] was at the MRI place for 4 hours.so they said they cant give wet reading until tomorrow. I told them my face was getting really numb on left side and i keep dropping things due to the numbness in my left hand.

    I never even made my pc doc appointment to discuss my pain meds one more time before i have to finally seek pain management. Did you have a bad experience with the doctor at your current PM clinic?

    DAWN
  • I have been suffering for over 5 years with sciatica, right hip pain and pain over my ileac crest. I thn got in a car accident hit from behind and pushed into two cars in front 11/2007. The sciatica radiates down to my foot sometimes and is always present in the groin area. CT scans haven't revealed much, and because I have an implant I can not have an MRI. It is very hard for me to work. I have seen a few PM doctors. I never seem to be taken seriously although my right leg just gives out on me and I have fallen several times. I have had shots and epidurals up the ying yang--only the Marcaine helps for a couple of hours until it wears off. I don't know what to do. I don't know if I am not giving enough infor to my doctor (I don't know what else to tell him.) I work three jobs and just want to be put on medication that will make this tolerable. I had a box of Fentynl patches, and actually had to put one on the other night. Otherwise I am only prescribed 2 10 mg of oxycodone a day, and the doctor will probably not give me another prescription for Fentanly--which makes me sick to my stomach anyway. He has to go by a lot of subjective information, and does not seem to think sciatica could be this debilitating. I am also still having pretty bad pai in my neck from the car accident, and can no longer see the chiropractor for that. The chiropractor did help my neck, but nothing seems to help the sciatica. I don't know if I should change to a neurologist, but I am getting so burnt out on doctors. Does anybody have ANY suggestions......? I would be grateful for any. Thanks. :??
  • Maybe you can ask your doctor about having a CT/Myelgram; it was the gold standard until MRI's came along, and sometimes it can pick up what an MRI misses. What kind of implant do you have? If the doctor is uncooperative, it's not a bad idea to get with a neurosurgeon. About the Fentanyl, it's recommended that you don't use it as needed - please be careful about that. Take care
  • dilaurodilauro ConnecticutPosts: 9,739
    Dawn, do not tell another member that they can take more than the normal dosage just because they are having a bad day with more pain.
    Prescriptions are written and constructed by a doctor with a specific patient in mind. Different doctors and patients may have different scripts.
    But no one should EVER change or increase what the dosage as was identified on the script. IF there is a need based on increased pain, the first step is to contact your doctor to discuss this. There are not many doctors that will not return a phone call when it comes to a patient that is about to exceed the prescribed dosage.

    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • The only input I have from my experience is that using the Fentynl patches may take a few days to properly absorb into your bloodstream and take affect, as well as a week or so for your body to become accustomed to it. If taken off too soon you may experience a withdrawal @) feeling or some of the stronger side effects, such as 'being :O sick to your stomach'. Perhaps a RX for nerve pain might be more appropriate if you have any nerve damage or disk pressure, etc. Have you had a recent MRI to help expose these issues? Just thinking out loud...
  • I don't understand the confusion here.

    Now in MY case the second month I went to PM I explained that my pain was bad at night and I was getting up in the night time for a pill...the PM looked at me as if I were from MARS and said 'Robin you can't do that'..well geeze,I had no idea.He spelled it out clearly then and no problems since.. :))(

    It is important though how the script is written.4 times a day usually means every 6 hrs.,but sometimes that may not be specified on the script.In that case I would ask the Dr.,instead of the pharmacist-to know the docs meaning.
  • This is really upsetting to me right now. i cant sleep at night because of pain and i really thought that my meds that said take one tablet every six hours meant only for day time.

    my parmacy and my doctor told me night time counts to i can take maximum dose of 4 a day. What i was saying is usually i take 2 a day anyway but if my pain is severe i sometimes take the maximum dose allowed.

    I WOULD NEVER EVER INTENTIONALLY TRY TO HARM SOMEONE IN SUCH A WAY!! EVER. :(

    RON'S comment really hurt me because i didnt mean for it to come out the way ron interpeted it at all.

    I feel like im walking on egg shells now afraid to post or comment after this. :SS

    He had me seriously crying and still right now. to even think someone got injured due to something i said i wouldnt be able to live with my self.

    I post because it feels good to help people in the same boat as me, but now im not sure how i feel.

    dawn
  • Sorry that your thread has kind of taken a side track.

    Dawn,

    I was confused by the way you originally wrote your posts and I still am.

    Prescriptions are an individual thing. Each doctor sets the limits for each patient. If either doc or patient feels a change needs to be made, then it should be discussed so that both are in agreeance and both understand.

    Prescriptions are written based off of a 24 hour day. Max dosages are based off of a 24 hour day. Deviation from this can extremely dangerous depending on the drug.

    When in doubt I recommend talking to your doc or pharmacist or both.

    "C"
  • Good luck with your new PM.I don't blame you for wanting to change,and find another who won't be as insulting.Also the flouroscopy w/epidurals is important and even with that my PM hit a nerve.I'm glad he's not doing any more(to me).

    Good luck on the 3rd.
  • HELLO,

    DO YOU GET YOUR MEDS FROM A PAIN MANAGEMNT DOCTOR OF REGULAR PRIMARY DOC.? IM ASKING BECAUSE I WAS WONDERING IF YOUR BOTTLE OF OXYCODONE WHICH ARE PERCOCET SAY 2 TIMES DAILY?

    Because i take vicodane and didnt know i could take more than i thought. see some people think if it says every 6 hours it just means day time hours.

    But my doctor told me i can take 4 a day . 1 every 6 hrs. or if it says 1 every 4 hrs. you can take 6 a day. But it depends how he wrote it. ask your pharmacy.

    im prescribed vicodane hp 10mg and it says 1 every 6 hours on my prescription, It is for 100 pills and i can refill it every 25 days.

    you may find you can take more if allowed only to help your severely painful days.[NEVER MORE THAN YOUR MAXIMUM DOSE] ALWAYS ASK YOUR DOCTOR!!

    JUST CALL AND ASK WHAT YOUR MAXIMUM DAILY DOSE WOULD BE. SORRY FOR THE CONFUSION.

    And if your doc takes you off the patch most likely he should up your dose on the oxycodone, i would think so?

    get some test done, some docs want to see you make an effort to find out whats going on, or they just plain stop the meds without results of somekind.

    dawn
  • @) I was just explaing and asking how many times a day does it say on the prescription. i asked was it 2 times a day or every; for example 6 hours. only because i thought i was only allowed 2 a day also until my doctor told me four a day. meaning 1 pill every six hours,for pain as needed. Meaning i can take them at nite as well, Meaning my max prescribed dose is 4 PILLS A DAY,1 every 6hrs AS NEEDED for pain.

    Maybe it came out wrong on the post but i would never tell someone to take more than prescribed.

    I did write to ask the pharmacy. I just read my post i see what your saying Ron, But thats not the way i meant to interpetate it.

    WHAT I Was trying to say was ask your pharmacy it depends how the doctor wrote your prescripion, That maybe he/she thinks there maximum dose is 2 x but may be 3 or 4 depending on the hourly dose.

    SORRY FOR THE CONFUSION.

    Meaning myself i can take 4 vicodan a day but take 2 a day but when the pain is severe i take my maximum daily dose which is 4 a day.

    WOW IM TIRED

    Ron did this one come out right? Its hard to explain i guess with a keyboard.

    SPIRIT NOW, LISTEN TO RON AND ASK YOUR DOCTOR PLEASE. SORRY FOR THE CONFUSION

    DAWN

  • Dawn,

    My rx for norco 10/325-basically what you use less tylenol-is even weirder.


    The bottle says (PRN)take as needed 1x every 6hrs on the bottle.

    NOW,

    My contract says to take 1 every 4-6 hrs daily PRN aka as needed.Which is what we discussed, Now when I had my gout attacks, I had to use the norco's as my pain med(DR Rx'd) which resulted in a few days of every 4 hours which was 6 a day.I get 120 a month and my count was off, the following month and got chewed out for taking more than needed.I pulled out the contract and corrected him.Showed him the discrepancy and then he said follow the bottle, I was livid at the bait and switch at the time.So even when we think its right, it pays to recheck.

    Now, I just realize that timing my meds is very important or I am left hurting.I wish he would just put me on a long acting to see if that resolves my peaks and valleys.
  • WOW YOUR'S WAS CONFUSING. I see what you mean. I never heard of pain management until i joined this forum. So thats why i asked SPIRITNOW above was he in pain management. because i read post and asked questions on this forum.
    So i know the PM docs are strict with rules.[just from what i heard hear on [SH] MY PRIMARY DOC treats my pain but had cut back on stronger meds.He puts me on then off.

    For instance he gave me percocet take every 4-6 hours as needed for pain. but i could take 6 a day if needed without a problem with a refill. But i dont have a contract with a PM doctor.

    Boy did i learn a big lesson today on this thread. every doctor is different and i guess what the bottle say's doesnt neccesarly mean the content on the bottle. :/

    Talk to you soon, FEEL BETTER,

    DAWN
  • ...
    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
  • Good luck Spirit
    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
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