History: so I've got something wrong with ever disc, herniated, bone spurs, stenosis, fractured pediculs, etc. I'm still trying to piece together the specifics of what is specifically wrong with each disc, that's why I've not put the info in my profile. I also have extremely bad bursitis in my left leg, & nerve pain in my legs every time I lay down.
I had been seeing an Ortho who did cortisone shots, sent me to PT, prescribed Vicodin, then perc, than Norco. Nothing worked. He suggested surgery, but I don't want it, & the neuro I consulted says he won't touch me, I'm too high risk.
So about a year ago, Ortho sent me to PM. Mind you, I was very naive about what a PM will & will not do, & the fact that if you ever go to the ER & mention you have a PM, you will have completely wasted your time.
The PM did 2 epidurals, one lasted a month, one lasted about a week. Most recently I had the nerve burning thing, minimal relief. I also had a breast reduction about a month ago. I mentioned in another post "The importance of having your PM dr involved with any type of surgery". After my surgery, the typical pain meds/levels didn't work, the plastic surgeon called a friend of his who is a PM who explained non-pm dr are not comfortable prescribing the meds/levels chronic pain patients need. So he gives me 2 small prescriptions for OxyContin & OxyCodone. One was every 8 hours, the other for break through as needed. Note that my PM dr has only prescribed neurontin (which I can't take) & I have no pain contract with him.
So yesterday I go in & update him that the nerve burning didn't do a whole lot, & he's very disappointed. I also tell him about the mess I ended up in when I had my surgery. I show him the empty bottles, and say I just want to inform him of what happened; I do not ask for these drugs. First thing he says is I don't prescribe either of these drugs, if this is what you want, you need to go somewhere else. I say again, I'm not asking for these, just want to let him know what the other doc gave me. In fact, I tell him I thought about the long acting one, & how if I were to take something like that, how I would work it around driving, because it's very important to me to not to drive under the influence of narcotics (please no debate, that's how I feel & I'm not going to change my mind). I tell him if I were to take any kind of long acting med it would have to 1 time per day, around 6 PM, & I'm not sure it would be a good option. I explain my schedule, which is I get home around 8:30 am from dropping kids off, & I am faced with a dilemma. My back may not be hurting a ton, but if I wait & it starts hurting a couple of hours later, I won't be able to take anything, because I have to pick up kids at 2:30, & I always want at least 4 hours to go by before I drive. I further explain that my back is usually getting pretty bad by late afternoon, but I take nothing because I have to drive again to pick up my daughter around 6 from dance class. So I don't take anything until driving done & I'm home got the night. Sometimes the pain is unbearable, but I would rather suffer a few hours than take a chance & drive.
I explain I've been taking Norco for awhile & it's not working as well, I'm not asking for oxy & totally respect his feelings about it, but does he have any suggestions for something else? That begins a long discussion about the evils of narcotics, & that it's really the Tylenol in all these drugs that give people relieve. I should take 2 extra strength Tylenol 2 times per day, rest, & "mind over matter". I tell him I tried Tylenol a bunch of times when I was working, & it never worked. He told me no one has ever died from pain, but lots of people die from pain meds. I ask "but isn't that because they abuse them?" He says no. He talks about how even though I may not feel loopy or anything, it's destroying my memory, etc.
He says he has faith in me that I can survive on Tylenol, because I'm willing to suffer every day so that I don't have to drive. I tell him yes, but part of what gets me through is knowing that around 6 I will be able to take my Norco & get at least a little relief. He then proceeds to tell me he does not prescribe narcos, period, if that's what I want I need to go somewhere else.
I tell him I respect his views, & I'm willing to give it an honest try. I tell him I will try this for 2 weeks, & write down how I'm feeling & show him a chart. He basically says that's great, but no matter what I will not prescribe any narco meds.
I'm trying to keep an open mind, but I have serious doubts. My husband comes home, & I'm totally freaking out thinking I have to find another pm, but our insurance doesn't cover very many, & then what if the DEA thinks I'm dr shopping, all the things that can happen that I've read about on this forum. He reminds me that I get my Norco from my Ortho not PM, & if the DEA comes knocking, or my Ortho has to stop prescribing (I don't think he would unless he was forced to, at least I hope not) we will deal with it then. My Ortho has prescribed Vicodin before, i think next time I see him I'm going to ask him to switch me back to Vicodin, & see how long I can get by this way.
Sorry for the long, rambling post. This is half vent/half what do I do now? post. Appreciate feedback/suggestions
We can't always control the cards we are dealt in life, but we can control how we play the hand