Ok, I will try to make this as short as possible...
I moved for CA to AZ March 2009. Met with my new primary. Brought x-rays and MRI, explained my condition, she had no problem prescribing my meds (Norco, Flexeril and Mobic). After a few months she told me she wanted me to go to a pain management doc. Sure, no problem.
I met with (let's say) Dr. Z, he's a great doctor and a great man. In the past year I have had 4 epidurals. They helped my leg pain, but never touched my back pain. January of this year he tells me he wants me off the Norco (he began prescribing my meds when I transferred to him, no problem) for 3 weeks so he can evaluate my "true" pain. OK, kinda scared, but no problem. After the 3 weeks, I go and see him, he evaluates me. I'm thinking he is then going to put me back on the Norco (which, by they way, he did not tell me he had no intention of putting me back on once the 3 weeks was up), but he didn't. He tells me he doesn't believe in narcotics, that they only mask pain and allow you to do things that can further damage your back, etc. I started crying. I cried because the past 3 weeks had been hell, and I felt like I was totally screwed. I told him I have to have something. He told me he would put me on Tramadol, a non-narcotic. I was TOTALLY ok with that. If a non-narcotic works for my pain, GREAT. So off I went with the Tramadol. It proceeded to take the edge off the pain. It didn't work as well and the Norco, but I was not about to ask to be put back on it.
So fast forward to almost 2 weeks ago when I went back to my primary for some unrelated issues. Without even planning on it, I wound up telling her that I feel that I have come to the end of the road with Dr. Z. He's given me 4 epi's that haven't worked. I also told her the Tramadol just wasn't effective in controlling my pain. But that Dr. Z had said he didn't believe in narcotics, etc. She told me she had no problem prescribing me something, but that she would have to talk to him first, just to touch base. I had no problem with that. I understood why.
Bottom line is that she prescribed me 2 5/525 Norcos a day. I was on 3 10/325 daily before I was taken off. I take 5 50mg Tramadols a day.
I'm feeling as if they don't trust me. I have heard from both of them, that they know I am not a "drug seeker", and that my condition warrants pain meds. But why would she prescribe such a small amount? When her nurse called me to tell me the doc sent the prescription in to the pharmacy, she told me my doc wanted her to tell me that she will not be prescribing these on a regular basis, yet the prescription has a refill. I'm so confused.
Do you think they are concerned I am abusing meds? Or are they starting me out with a low dosage, so I have room to gradually increase my dosage? These are more retorical questions, but I'm wondering what you would think if this was you?
Don't worry, I have an appt. to discuss this with her. I'm not sure if they still want me to take the Tramadol, and use the Norco for break through? I'm just confused.
Thank you all so much for listening, and your opinions. I really appreciate it!!!