I had the great displeasure of having a kidney stone yesterday. I now know what 10/10 pain feels like! The ER doc came in and said he was going to order meds and I should feel better soon. I told him that I was on pain meds for my back at that point. His demeanor changed a bit and ordered Toradol and Zofran. The Toradol didn't take away much pain, but it did take the edge off of it so that I could get a CT done.
Once he confirmed the stone (actually two of them), he ordered Dilaudid for pain control which really helped. He then came in with my KASPER report (drug report for KY) and started reviewing it with me. The med I'm on now wasn't listed. I explained that my doctor moved to Indiana and I have to get my meds filled over there. I gave him the name of my PM (which he knows the guy). He said he was reluctant to send me home with any pain meds because of what I'm already on for my back. I explained that I cannot take my back pain meds for any other condition or it will throw my pill count off. He then said he was going to send me home with Vicodin. Then I had to explain that it won't work because my body doesn't metabolize Hydrocodone or Oxycodone. Then I really got the look from him! He asked how I know that. I explained the test where they swabbed my mouth and ran a test. He then lightened up a bunch and explained to my wife and I how that test works. He did go ahead and order Dilaudid for pain management with some Zofran for nausea and another med to help pass the stone.
As I was up most of the night I was thinking about how the whole thing went down. I understand now how people who are just beginning with Pain Management could have just said "ok" to taking meds intended for their back pain for other type of pain. After all, it's a doctor telling you to do it. Most of the people on this site knows that doing that is a no-no and will get you in big trouble with your PM. If I wouldn't have described everything in detail to the ER doc, there is the chance I wouldn't have been able to get the right meds for the stones. The takeaway point I realized about this is to be able to tell the treating doctor as much detail as possible about what you take for our spine issues and be able to describe it all as well. I'm going to add the info to my "drug card" in my wallet so that if I'm not able to talk for some reason, the doc will know what's up regarding my meds.
Several Epidurals, L4-S1 360 ALIF, Numerous Facet Joint Injections, RFA x2