I continue to read those of you who seem to have problems with your pain dr such as not believing you, dropping some , won't increase med dose, etc. I have written about this problem in the past, and my belief is that establishing a good relationship is paramount in getting one's pain dr to do things that we ask.just a brief review, this is my 2nd pm, the last one retired. I tried to establish good relationships with both. I am having hernia surgery next week and i called my pm, it is hard to make last minute appointments with him but i was lucky. i have always been honest and non demanding, and if he said no on an issue, i said ok and did not get angry. since i was having surgery and i have had problems with other surgeries in the past, i asked him to increase my dosage of oxycontin. i usually take 45 mg, i have them compounded, 4x a day and 500 mics of fenatyl lollipops for breakthrough a day. i asked him to increase my dose to 4-5 pills a day an keep the lollipops the same. i did not beg etc, i just asked. to my surprise he upped my dose to 6 pills a day for 2 weeks then back to my regular dose. i said this is for one month only. i did not ask or expect this much of an increase. i was surprised. i am not trying to rub this in to people who have issues with their pm's. it just goes to show you that the most important thing to do is establish a positive non confrontational relationship. i don't go in complaining of pain or say my life is bad and i also work eventhough i could get workman's comp if i wanted to. if he trusts you and respects you it could go a long way to ask him for favors once in a while.
i was surprised how supportive he was. he can be a bit of a pain once i a while, but not now. just a suggestion to help.
I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.