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New Pain management topics

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2

Comments

  • terror8396tterror8396 Posts: 1,832
    edited 04/08/2014 - 10:05 AM
    personally, i would not have a problem. we have a great relationship and i have never ran out early asked for more asked to increase my dose. there have been no problems so i don't think i would have to give him tickets etc. and if i was going out of town, i would make an appointment to see him before i went and tell him what was going on. if need be and he asked for a ticket there would be no problem on my part showing him proof. any proof he wanted would be no problem. i have nothing to hide from him. when i was in the hospital for cellilitus, i told him they gave me pain meds and i told them i gave his name and address also. he said he would have given me different meds with the pain unit where one doses himself. it is people who abuse their doctors and the system as i mentioned before that would have to worry.
    jon
    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.
  • Jon, I have a signed contract with my PM and I give a urine sample at each visit and it's never a problem because I know I'm doing things exactly the way I'm supposed to. My PM office under no circumstances will they give another script if mine lost, stolen, lost in a house fire or blown away in a tornado. I assume that if mine were stole and EVEN IF I brought them in the police report they would not give me another script & I base this on the fact that even if my meds burn in house fire, even with the fire report, they would not give me another....It was made very clear on the day they gave me my first script that those 2 pieces of paper they gave me were it for the next 2 months and it was my responsibility to keep up with them. No excuses and no if, ands or buts....

    Another thing with my PM office, is like all of you, I have to use one pharmacy only (no problem there) the problem comes into play is when I go to get a refill & my pharmacy is out of my meds. If they don't have them in stock, I have to wait until they get their delivery to get them filled, I can not, under any circumstances, go to another pharmacy. I have to wait, for days, until they get them in. And yes, this will begin the withdrawl process. This has happened to me only once. It was on a Saturday last year, I figured ok I will call them Monday and since my pharmacy is out surely they will let me go to another pharmacy because they know I would be in withdrawls..I called 1st thing the following Monday morning, explained my situation and the response I got was NO, you can't go elsewhere you have to wait until your pharmacy gets them in. I was out of my meds for 4 days!! I don't think this is right but given the rules of the facility there is nothing I could do, unfortunately.

    Sandi, you were so very lucky that your dr re-wrote your script for your fentanyl patches, mine would have not. I, too, have a very good relationship with my dr, all of my dr's actually. I think a lot of it has to do with the state I live in, I'm sure that CA is a lot more liberal. KY has had a bad rap for years with prescription drug abuse and with good reason. In the 90's when oxycontin was being prescribed left and right it created quiet a problem here. It quickly became tagged as hillbilly heroine. People were giving up their homes, jobs, families & everything they had in order to obtain this drug & dr's were freely giving it out. It was a disaster here. I know a couple who had it all, very nice home, nice vehicles, family, good jobs & money they gave it all up, even their small children, just to have that prescription and I'm sure even that wasn't done legally all the time. They now struggle everyday and live a miserable existence. I know many people who gave everything they had to chase their preferred high. It's very sad. I had to end a friendship a few years ago due to her drug use. I couldn't stand being around her, she was hypochondriac central too. There was no disease she didn't have, her pain levels were always through the roof, even medicated and there was no one anywhere who could have possibly suffered as much as she had. She just got to be too much for me and too hard to be around.

    MSG, I'm not sure. I would imagine it would be your dr's call on that one, depending on their rules and probably depending on the state you live in. Some states are more liberal than others and I would guess depending on the type of medication also, not sure though. As for me, I plan everything around my appointments and refill dates. I'm pretty sure my dr wouldn't allow it an early refill due to my vacation plans if they wouldn't allow for a house fire w/proof.
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  • terror8396tterror8396 Posts: 1,832
    edited 04/08/2014 - 11:04 AM
    taren
    i keep my scripts locked in a safe along with my meds. like i said i guess my guy is a little more liberal but since i have not called him on it, i don't know how he would react to asking for meds. like i said i guess that would not be a problem and i base that on listening to his receptionist and phone calls that come in and ask. he never told me about what would happen. i have been with this guy for 6 years and my last guy for 5 years. over the years as i have mentioned i have tried to establish a personal relationship with him. it is not to kiss up to him it is just how i am. we talk about all sorts of things not related to pain or meds. i use the same pharmacy near him where i have my meds compounded and they both know each other, the doctor and the pharmacist. i have been going there for 12-13 years. i have both of my pain meds compounded and they specialize in compounding pain meds along with other meds. so myself the doctor and the pharmacist have all known each other for years. if i were to go out of town i would also let my pharmacist know and they could call the doctor to let him know to release the meds early. also i go to the pharmacy about 5-7 days early because they need that much time to compound them so they never had run out. they make them there for me and i pick them up when they are done.
    jon
    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.
  • LC84LLC84 Posts: 599
    edited 04/08/2014 - 12:08 PM
    So the meeting with the NP went well in regards to her thorough exam and also finding the same problems as my surgeon. I didn't have to sign anything, and she was very understanding that I'm still trying to figure things out. The problem is that she would be the one I consult with and one of the other Doctors ( that I never met) would do the injections etc, and I don't feel comfortable going that route. I'm seeing the PM doctor that did my previous injections ( he is doing my SI joint injection on the 15th) and I will consult with him about long term options and possibly continuing under his care. I will also be getting advice from my PCP tomorrow. I've seen him since birth and have a great relationship with him. He has been the one to handle all my flares over the years and I wish I could stick with him, but I know what's ahead of me and I'm going to need a specialist in Pain Management :( So the journey continues.
    Progressive DDD
    Osteoarthritis
    Chronic S1 Radiculopathy
    Discectomy L5-S1 2002
    Discectomy, Laminotomy/Foraminotomy L3-S1 January 2014
    Bilateral SI Joint Fusion and 2 level spinal Fusion October 2014
  • I remember when I was looking for a new PM & discussing it with my GP the subject of clinics that don't prescribe came up..my GP said if I wanted to go to a clinic he would do the prescribing! Just another idea for you to consider ;-)
    Osteoarthritis & DDD.
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  • LC84LLC84 Posts: 599
    edited 04/08/2014 - 3:00 PM
    I planned on discussing my options with him tomorrow. He's never steered me wrong. I also want him to reassess my reflexes. I didn't have any reflexes of my left leg during my physical exam today. She pounded, and nothing. I had them just a few weeks ago, anyway, off topic... Thanks for the advice!
    Progressive DDD
    Osteoarthritis
    Chronic S1 Radiculopathy
    Discectomy L5-S1 2002
    Discectomy, Laminotomy/Foraminotomy L3-S1 January 2014
    Bilateral SI Joint Fusion and 2 level spinal Fusion October 2014
  • MSG said:
    & you realize that you will not have enough meds to make it through your trip, but it would be too early to refill before you go? If you can prove you will be out of town, via plane ticket, hotel reservation, etcetera, will your dr let you refill early?

    MSG,
    In the event of a vacation /business trip, you would need to contact your doctor and discuss the travel dates and ask him /her what you should do......Most pm doctors will allow one vacation override per year, and in the event of business traveling, you most likely would be asked to provide some type of proof of travel...
    It is another one of those questions to ask your particular doctor about his policies regarding travel and medication refills.
  • dilaurodilauro ConnecticutPosts: 11,650
    I mad sure that I had all my medical records in hand. There were times when the length of our vacation exceeded the number of daily medication I needed. It was no problem, first contacted my doctor to explain, no problem, then called the insurance company to explain, again no problem. But you dont want to wait until the last day!

    When we went overseas, I kept my medical records and medications all neatly together. Domestically, I would combine my daily set of pills into one container. Unmarked, but I knew what they were. Not sure for International flights.

    Bottom line, there are always ways to formally go through the appropriate channels to ensure that you will have the proper amount of medication while you are gone and that your documentation spells out exactly what your problem(s) are.
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • Most of my trips that are more then few days long I know about at least a month in advance. If I am going to run out of meds during the trip I ask the doctor to write a prescription to end a few days before I go on my trip. For example I will be on a trip that starts in 3 weeks and will last 2 weeks. I ask for script for 2 1/2 weeks so just before I go I see him and get month supply. I live by myself so I do not have to worry about kids throwing meds ect. However I do split my medication and put in different bottles that I store in different place in case someone breaks in. When go out I usually take only what I am going to need. I also make sure it is in a labeled bottle from the pharmacy.
  • PlumbTuckeredOutPlumbTuckeredOut Philadelphia, PAPosts: 325
    edited 01/02/2015 - 11:23 AM
    I'm pretty new to narcotic medications and pain clinics. I have not been asked to sign a contract where I go but I had the rules explained to me and I get it!
    For over 20 years I had a friend who was going to a Pain Clinic from the day I met her. (I'm still naïve and good willed but boy was I innocent!) She and I remained friends for a long time but she was ALWAYS losing her meds! She had a roommate steal them, she lost them all when her car was stolen, she left them somewhere when she traveled- I just thought she was a klutz. She got "friendlier" with me when I was working in Pharmacy but it never occurred to me about her wanting me to do anything illegal.
    And after years with certain doctors she was being thrown out of offices and refused treatment. I was as angry as she! How could someone refuse to help me friend? Now I live in another city and, at 48, I've lost some innocence. I noticed her nasty moods with me and her increasing "untruths". The stories for lost meds were more elaborate and I was still kind of believing them.
    But now after reading the posts about contracts and not being given meds and knowing insurance policies I know my former friend is an addict. I'm sure she's in pain and didn't start out with the intention of becoming an addict but I'm guessing most people who know the 58 year old would never guess her as a prescription med addict.

    I sincerely hope that if I do cross that line and lose objectivity that someone steps up and tells me that I have lost control. I definitely understand why clinic needs contracts and pharmacies have rules. I quit smoking cigarettes more than 2 months ago and I know when I was still smoking I would have done some pretty obnoxious stuff if I thought I needed a cigarette. I can imagine the same "need" for pain medication and it sounds like a horrible road to travel.
    Sheila

    Two roads diverged in a wood, and I took the one less traveled by...... (Robert Frost)
    I still don't know if I should have taken the one that said, "Caution! Dead End" (Me)
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