Haddonfield04
12-01-2008, 11:14 PM
I have had severe chronic back pain for 17 years now and have a herniated disc and I'm looking for a pm doctor for strong medication
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. Can anyone help please? And I have been through every form of pain management you can think of. I am old enough to know where I'm at with this, so pm for medication is all I'm looking for. I've done physical therapy, cortizone shot, acupuncture, massage therapy, ect ect ect. So if someone could please recommend a doctor who is liberal in prescribing I would be very grateful. There are two in northern DE that I'm not interested in.
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But if anyone knows any others, I'd be very grateful. Thanks.
~Devin
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. Can anyone help please? And I have been through every form of pain management you can think of. I am old enough to know where I'm at with this, so pm for medication is all I'm looking for. I've done physical therapy, cortizone shot, acupuncture, massage therapy, ect ect ect. So if someone could please recommend a doctor who is liberal in prescribing I would be very grateful. There are two in northern DE that I'm not interested in.
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But if anyone knows any others, I'd be very grateful. Thanks.
~Devin
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chicubs
12-02-2008, 05:12 AM
Dear Devin;
With all due respect to you, I don't think that you are going to be able to find a pm doctor that is just interested in giving out pain medications.
Your post just comes across like you are rather desperate for medication and medication only. I can understand why you may be upset with all the tests that have been done to you, we all have been down that road as well.
Have you just recently moved and that is why you now need a new pm doctor? Or has your doctor retired? If something like this has not happened then I'm not sure I understand why after all these years of suffering you would now need a new doctor?
I personally cannot suggest to you any pm doctor that would just be interested in giving medications to a new patient the way you want them to. I would think that any doctor receiving a new patient would want to find out if there are other ways besides being liberal with medications to try and help you.
It does sound like you are at the end of your rope but if you come across that way to any doctor I would think that the doctors may put a red flag by your name because they may think you are just a "drug seeker". And I'm sure that is something that you don't want.
I wish you all the luck and I hope that you get the help you need and want.
Take Care,
Chris
With all due respect to you, I don't think that you are going to be able to find a pm doctor that is just interested in giving out pain medications.
Your post just comes across like you are rather desperate for medication and medication only. I can understand why you may be upset with all the tests that have been done to you, we all have been down that road as well.
Have you just recently moved and that is why you now need a new pm doctor? Or has your doctor retired? If something like this has not happened then I'm not sure I understand why after all these years of suffering you would now need a new doctor?
I personally cannot suggest to you any pm doctor that would just be interested in giving medications to a new patient the way you want them to. I would think that any doctor receiving a new patient would want to find out if there are other ways besides being liberal with medications to try and help you.
It does sound like you are at the end of your rope but if you come across that way to any doctor I would think that the doctors may put a red flag by your name because they may think you are just a "drug seeker". And I'm sure that is something that you don't want.
I wish you all the luck and I hope that you get the help you need and want.
Take Care,
Chris
slipperyslope
12-02-2008, 03:13 PM
Since I don't know your history and what your pain issues are and what modulaties you have tried besides narcotics I really can't comment.
Since all you need at this point is medication, I would try and find a good GP Dr or an Internal medicine Dr. When you make the apt do not tell the front desk people what you are after or they will not even let you in the door.
tell them you need a physical and need to establish yourself with a new Dr than you can tell the Dr what your needing and why you need it.
Bring all of your records with you and show that you have tried everything possible for your pain and that the only thing that works is meds.
This is what happened to me. I have tried it all and some. My GP knows that I have chronic pain and is willing to treat me with pain meds forever. However he did send me to a PM Dr to get me on new pain meds, and once that is done I will go back to him for my medications monthly. Usually Dr's know which PM Dr's will prescribe narcotics and which ones won't. Also the pharmacisit also know who prescribes and who doesn't.
Since all you need at this point is medication, I would try and find a good GP Dr or an Internal medicine Dr. When you make the apt do not tell the front desk people what you are after or they will not even let you in the door.
tell them you need a physical and need to establish yourself with a new Dr than you can tell the Dr what your needing and why you need it.
Bring all of your records with you and show that you have tried everything possible for your pain and that the only thing that works is meds.
This is what happened to me. I have tried it all and some. My GP knows that I have chronic pain and is willing to treat me with pain meds forever. However he did send me to a PM Dr to get me on new pain meds, and once that is done I will go back to him for my medications monthly. Usually Dr's know which PM Dr's will prescribe narcotics and which ones won't. Also the pharmacisit also know who prescribes and who doesn't.
Haddonfield04
12-03-2008, 05:40 AM
I spoke with my pharmacist and he recommended two doctors who wanted my medical history before seeing me. Both of which turned me down after they had read the previous doctors notes. It's really amazing what he wrote. He wrote that I was not in compliance with my medications.
I have always had clean urine tests and when I went to a wedding about a month ago, I had asked a family member for Tylonal PM. They accidentally gave me a valium. This showed up in my urine and after explaining myself, I have been red flagged from every doctor in the state. I find it amazing after being an honest patient and one who has always followed guidelines, that I am left to rot, because of some doctors misunderstanding and his notes. I'm in the process of writing that doctor a letter, but I don't think it will have any effect. My regular doctor doesn't like to prescribe pain medication, so therefore I'm really going to have difficulties on this.
I have always had clean urine tests and when I went to a wedding about a month ago, I had asked a family member for Tylonal PM. They accidentally gave me a valium. This showed up in my urine and after explaining myself, I have been red flagged from every doctor in the state. I find it amazing after being an honest patient and one who has always followed guidelines, that I am left to rot, because of some doctors misunderstanding and his notes. I'm in the process of writing that doctor a letter, but I don't think it will have any effect. My regular doctor doesn't like to prescribe pain medication, so therefore I'm really going to have difficulties on this.
lifeaftr40
12-03-2008, 03:47 PM
I had a good friend in much the same situation. He had taken Vicodin prescribed by his PCP and also had something show up that wasn't presribed. his FIRST PM appointment he told the DOCTOR what he had taken in past and who prescribed it etc and had his records from pharmacy. One question was asked was if he had taken anything NOT prescribed to him. He was honest and said YES, a friend had given him a Valium one night after a very trying stressful night with his son. That did NOT show up in UA but the NP took the scripts from him and wouldn't presribe. Since then he has showed up to every appointment for every procedure and they have begun presribing after seeing he was serious about pain control and wasn't there for the meds. Since then he has been getting meds as needed, even schedule II . Maybe one Dr would be willing to see you and do a UA to screen any unnecessary meds out or a letter from your PCP as a lead in ?
Haddonfield04
12-03-2008, 09:29 PM
Thats interesting to hear. Thanks for the information. Honestly, I called the doctors office back and spoke with the office manager who is new. I told her my story and what happened and she sympathized with me and said she would speak to the doctor. But I'm not holding my breath. Honestly, I've been through everything else in the way of treatment over the years and to repeat all of that, which didn't work in the first place, just to see if they can earn my trust, would really be a waste. But I see your point. I'm currently researching a few pm specialists while I wait to see what happens with the doctor that stopped presribing. But thanks for the opinion.
Shoreline
12-04-2008, 12:32 PM
Hey Haddon, Sorry to hear about your problem. Just a couple things to think about. You said you have tried everything there is in the last 15 years, What I have found is that one PM doc can be very skillfull at giving TP injection, acupuncture, bio feedback, relaxation techniques etc etc etc where some PM docs can't hit the broad side of a barn with a TP injection. They only work if they hit the right spot so I have had plenty of useless TP injections and some that were extremely beneficial.
Some PM docs are greatly skilled at needle work and hands on modalities and some aren't, you can't weed those out with a phone callor the right question. A doc with the same credentials and training may simply not have the touch. meaning he couldn't hit the aside of a barn with a TP injection or offer the slightest relief from an epidural or any other interventional procedure, where other docs truly a gift or the touch to produce positive results. If one doc had no luck with trigger points or any other modality, it doesn't mean you could never find a doc that would achieve a positiove result from any interventional procedures. So having had tried something once, certainly doesn't mean that modality could never help and the differences between docs is night and day when it comes to skill level.
I've had the same with ESI's, never blocks, even relaxation techniques where I got no beneft from one doc and great benefit from another doing the exact same procedures.
When you go in and say I',m not going to try X Y or Z, I know I only get relief from the most potent meds, It's going to send up a red flag unless you can document every docs attempts and the results from each and every procdure. All docs are not created alike. You know what they call the doctor that graduated last in his clas don't you, The answer is Doctor. just as qualifid on paper as any other doctor.
As far as the Valium thing, you may find that taking ownership will do better than playing dumb. If you have had chronic back pain for 15 years, what doc is going to believe you don't know the difference between Valium and Tylenol PM. In their mind you knew exactly what you took and simply got cought. Trying to tell a doc it was some mistake only takes credibilility away from you.
You also have to understand that you haven't named a single procedure or suregery other than claiming to have tried everything. Those are the exact words that any addict looking for tips on how to get meds or the name of a doc with liberal prescribing practices in a certain area, is the same info that every addict within 300 miles would also like to know. Realisticly you have to know that addicts read these forums for tips and tricks and names of docs that will cotinue their lifestyle of abuse.
Just to be honest, given the nature of your post, the total lack of any information, I wouldn't post the name of my doc for anyne and everyone to abuse. It isn't something I would be wiling to do. As a patient it's also our responsability to protect our doc as long as we want our care to continue. If I posted my docs name as a liberal drug prescriber, every addict in the area would be making an apt and very likely one of those addicts will be the downfall of my doc which would get him prosecuted, and leave hundreds of legit patient with nowhere to turn. Finding a doc and getting the most potent meds available isn't supposed to be easy and the easier we make it, the more abusers we will bring to our docs door steps.
Just give more info and you might have better luck. There are resources out there that can help you find a doc, whether he will prescribe to you is entirely up to your condition, DX, whether you pass a UA, possible psych eval and whether your willing to try anything other than opiates. I've been doing this PM thing for 15 years too, and they didn't use opiates 15 years ago and not all PM docs use then now. I also incorporate about 8 other Pm methods I've picked up over the years at numerous PM clinics and docs to manage my pain in addition to narcs that do help. If yoga helps even 2% it's worth doing to someone that cliams to live with intractcable pain.
If you had no luck with one attempt at a procedure, It doesn't mean another more skilled doc can't be more succesful. If you want to lay out your own treatmant plan to a doc you just met and plan on refusing all other options because you think you have tried everything, I would say your best bet is Mexico if you want guaranteed drugs.
Good luck Dave
Some PM docs are greatly skilled at needle work and hands on modalities and some aren't, you can't weed those out with a phone callor the right question. A doc with the same credentials and training may simply not have the touch. meaning he couldn't hit the aside of a barn with a TP injection or offer the slightest relief from an epidural or any other interventional procedure, where other docs truly a gift or the touch to produce positive results. If one doc had no luck with trigger points or any other modality, it doesn't mean you could never find a doc that would achieve a positiove result from any interventional procedures. So having had tried something once, certainly doesn't mean that modality could never help and the differences between docs is night and day when it comes to skill level.
I've had the same with ESI's, never blocks, even relaxation techniques where I got no beneft from one doc and great benefit from another doing the exact same procedures.
When you go in and say I',m not going to try X Y or Z, I know I only get relief from the most potent meds, It's going to send up a red flag unless you can document every docs attempts and the results from each and every procdure. All docs are not created alike. You know what they call the doctor that graduated last in his clas don't you, The answer is Doctor. just as qualifid on paper as any other doctor.
As far as the Valium thing, you may find that taking ownership will do better than playing dumb. If you have had chronic back pain for 15 years, what doc is going to believe you don't know the difference between Valium and Tylenol PM. In their mind you knew exactly what you took and simply got cought. Trying to tell a doc it was some mistake only takes credibilility away from you.
You also have to understand that you haven't named a single procedure or suregery other than claiming to have tried everything. Those are the exact words that any addict looking for tips on how to get meds or the name of a doc with liberal prescribing practices in a certain area, is the same info that every addict within 300 miles would also like to know. Realisticly you have to know that addicts read these forums for tips and tricks and names of docs that will cotinue their lifestyle of abuse.
Just to be honest, given the nature of your post, the total lack of any information, I wouldn't post the name of my doc for anyne and everyone to abuse. It isn't something I would be wiling to do. As a patient it's also our responsability to protect our doc as long as we want our care to continue. If I posted my docs name as a liberal drug prescriber, every addict in the area would be making an apt and very likely one of those addicts will be the downfall of my doc which would get him prosecuted, and leave hundreds of legit patient with nowhere to turn. Finding a doc and getting the most potent meds available isn't supposed to be easy and the easier we make it, the more abusers we will bring to our docs door steps.
Just give more info and you might have better luck. There are resources out there that can help you find a doc, whether he will prescribe to you is entirely up to your condition, DX, whether you pass a UA, possible psych eval and whether your willing to try anything other than opiates. I've been doing this PM thing for 15 years too, and they didn't use opiates 15 years ago and not all PM docs use then now. I also incorporate about 8 other Pm methods I've picked up over the years at numerous PM clinics and docs to manage my pain in addition to narcs that do help. If yoga helps even 2% it's worth doing to someone that cliams to live with intractcable pain.
If you had no luck with one attempt at a procedure, It doesn't mean another more skilled doc can't be more succesful. If you want to lay out your own treatmant plan to a doc you just met and plan on refusing all other options because you think you have tried everything, I would say your best bet is Mexico if you want guaranteed drugs.
Good luck Dave