Hello everyone! I will be going to to my 1st PM appointment next week and have some questions, as well as need some advice. Quick background, emergency eye trauma surgery 10 years ago from a small, thrown shard of wood that completely penetrated the left eye. I have since had tons of surgeries (corneal transplant, artificial lens, cataract removal, eye muscle surgery, eyelid lift, and more). I have always had pain, but ever since my last (failed surgery) last August, my eye gets extremely irritated every morning, as well as throughout the day as I stare at a computer screen all day. At times, my eye is literally so bloodshot that it looks bloody. Sometimes I am left so irritated and uncomfortable that I have to leave work. I have tried several treatments to relieve the pain, but the only thing that has seemed to work has been 15-20mg of Oxycodone. I saw my eye doctor (whom performed the trauma and corneal transplant surgeries) and stressed the pain I endure daily and asked if he could prescribe me something. Long story short, he would not prescribe me any narcotics as he said "he does not have a license to prescribe them", in addition, he said that "I am far too young to get sucked up in that crap since they are very addicting". He advised me to see my family doctor in which I did today. Immediately, my family doctor (whom is the one who has prescribed me over 200 Percocet total for other injuries) said this would be a chronic pain case and wrote me a script for (60) Percocet 5/325 (to get me to the apt) and a referral for a PMS.
Can anyone tell me what to expect at my first appointment. More so, I do not want to say anything that will hurt me at the appointment and what I might receive. Can someone please advise me of my best approach to this to get the medication I truly need? I sometimes can get through the day fine with no need of any kind of medication. With that being said, it is rare so I probably shouldn't even mention that - right? Also, I have heard they normally try to start you on crap (tylenol 3's, etc.) in which I already know from prior attempts do not reduce my pain. Knowing that 15-20mg of Oxycodone has been proven to reduce my pain to about a 2-3, is there a good chance that he will start me off on that? My thoughts are: I am not looking for anything intense or crazy, and also am not needing a huge monthly supply. Just simply 15-20mg of Oxycodone that I can take probably once a day, maybe every other day or whenever I truly am uncomfortable. Also, I plan on going to my appointment in the morning prior to taking any eye drop medication so he can see how horrible and painful my eye looks. Any help or insight anybody can offer would be so greatly appreciated. I just don't know how to approach this. Thank you!