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Old 04-21-2005, 11:01 AM   #1
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acl828 HB User
Pain medication question

Bear with me on this one. Recently, my pain doc told me not to have an artificial disc replacement. He said he wanted me to do more physical therapy, epidurals and use pain meds for relief. That day, he prescribed 30 pills to be taken 1 every 6 hours as needed. On the morning of April 18th, 11 days later, I called requesting a refill. They called back later refusing the request saying he had "intended" for me to stretch that 30 until I went back on the 28th! Basically, they gave me 30 pills for 21 days.
The leg weakness and pain have been so bad I've been unable to walk at times. I took the meds as prescribed. There were many, many times where, after only 3 hours, the pain was so bad I wanted to take another but I didn't, not once.
Before you guys think anything, no, I have never had an issue with pain killers nor have I ever abused them or had issues with any doctors about such. The pain killers serve me only by turning down the volume on the pain, nothing seems to totally stop it.
I am posting this to find out if my thinking is wrong or if they are mistaken. I have to see him on the 28th and I am quite anxious about the issue. I do not want to be tagged nor do I want to be mistreated.

 
Old 04-21-2005, 11:51 AM   #2
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Re: Pain medication question

First off...I can't believe that they would do that to you! He is your Pain Management doc? He is supposed to keep you from being in an intolerable amount of pain. I would call back immediatley and request to talk with him or have him call you back as soon as he can...don't explain to them why...they don't need to know. Just be honest with him and tell him that you have been taking just as directed and you've been in a lot of pain. I can't believe that he wanted 30 pills to last that long. I go through that in a week! I take 2-3 at a time as well...mostly due to the fact that I've been on pain meds so long that I have built up a tolerance to them and I need more to get relief. I suggest you take your pain and your back into your hands...you are the patient and you know your body better than anyone. Please don't let it get to the point where you are in sever pain and going to the ER when the doctor could simply call in a perscription to get you by until you see him next week. Just my 2 cents! Good luck to you and keep your chin up. Don't let them treat you any other way but well! God Bless and hoping you have a pain free day soon!

 
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Old 04-21-2005, 12:49 PM   #3
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Re: Pain medication question

Thanks soooo much for the reply, Diva! I have been blaming myself all week and feeling like I'd done something wrong. It helps to know I was right....gives me more confidence to face him with on the 28th! I wish for you, as well, that the pain will soon be gone. Thanks again.

 
Old 04-21-2005, 02:08 PM   #4
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Read66 HB User
Re: Pain medication question

My PM doc told me to take my pain meds ( he has me on MS contin 3x aday) as directed, even if I wasn't in extreme pain. He says it is important to keep it in your system and not wait until you are in a ton of pain. It is to hard to get on top of the pain then. I would definetely look into a second opinion or a new PM doc. Their job is to help control and manage your pain. Good Luck to you.
Barb

 
Old 04-21-2005, 02:14 PM   #5
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Re: Pain medication question

Thanks for the response, Read66. What's funny about what you said is I've heard that before. One doc will say take the meds on the clock to keep them in your system, but my current doc acts like he's giving me meds out of his own supply and says I should only take them when the pain is bad. What really gets me is I thought he cared about my pain level, lack of sleep...etc. I guess not. I am going to take my bottle to my next appointment and ask what I did wrong. Depending on his answer, I will decide whether I'm going to change docs. Around here, changing PMs is like pulling teeth. You have to get documentation from a doc who will verify you need their services, you have to wait forever to get in as a new patient..etc. Again, thanks for your input.

 
Old 04-21-2005, 02:17 PM   #6
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victorsch HB User
Re: Pain medication question

What condition do you have in your back that is requiring the medication?

 
Old 04-21-2005, 08:53 PM   #7
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Re: Pain medication question

Before my disability was approved (and after my health insurance expired) I had no choice but use the ER for pain management. I went in once a month and the doctor there gave me scripts for pain meds, plus shots of demoral and fenegran to ease the pain. He also told me to keep the pain meds in my system because when I let my pain go without taking something, my blood pressure would skyrocket. It takes 3 times the time for pain meds to react to pain if you do not take something to control it on a regular basis. I am no druggie. I control my meds myself. I know better than anyone else at what level I need to take something to keep it from becoming unbearable. I may not take 3 pain pills a day if I am having a good day.....but I may take 6 a day if I am having a bad day. Unfortunately, people do abuse pain meds daily and the doctors and pharamicist see this and feel the need to with hold meds to protect their patients. I would talk to the doctor (not the nurse or receptionist) and explain that you took the meds exactly how they were prescribed and that you are out and need more. Hopefully the doctor will see your point and give you something to hold you over until you see him. If not, I would find a new doctor that didn't make the mistake of writing a prescription one way and meant for you to take it another.

Good Luck!!! Keep Smiling!!!
Tammy

 
Old 04-21-2005, 10:13 PM   #8
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Read66 HB User
Re: Pain medication question

Stay strong when you go in. Remember he works for you. And this is YOUR pain. Doesn't matter about other patients and how they have handled their pain. Pain is a very individual thing. And remember we are all behind you. Demand answers and that he listens to what you deal with everyday. I wish you the best of luck. Keep us posted.
Happy thoughts coming your way.
Barb

 
Old 04-21-2005, 10:59 PM   #9
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Re: Pain medication question

hmm ya i take vicodan and have been for 10 months now. and i get 30 every 10 days directions say take 1 or 2 every 4-6 hrs but wat i do is take 1/2 every 4 hrs.and 30 last 10 days.although i wish i had somthing to take that last longer. the doc has never question wat dose he prescribe and if i was takeing to much.but i must admit many times i wish i could take a couple at a time i just cant bring myself to take two every 6 hrs.before i reach that point i would request a stronger med.
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Mother of 15 year old boy with Mild Cerebral Palsy

 
Old 04-22-2005, 05:16 AM   #10
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acl828 HB User
Re: Pain medication question

[QUOTE=victorsch]What condition do you have in your back that is requiring the medication?[/QUOTE]


I have already had 3 back surgeries and was recently told I need another to replace L3. I also have spinal stenosis and very bad radiculopathy in both legs though the left is much worse than the right.

 
Old 04-23-2005, 07:19 PM   #11
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dezispec HB User
Re: Pain medication question

[QUOTE=acl828]That day, he prescribed 30 pills to be taken 1 every 6 hours as needed. On the morning of April 18th, 11 days later, I called requesting a refill. They called back later refusing the request[/QUOTE]

It's a shame a doctor can't do simple math. I have a PCP that told me my posterior annular disc tear will take 2-4 months to heal and gave me 20 vicodin. Requests for refills were denied. Doing that type of math the label should have read 1 pill every 3-6 days as needed for pain and not the 1 pill every 4-6 hours as what was on the bottle.

One can't really switch doctors for fear of being labelled as shopping. I feel for you and can tell you, as many others probably can, that you're not alone. Unfortunately I am too sheepish to put my foot down when I'm ignored and I pay for it with pain that can't be controlled.

 
Old 04-23-2005, 08:52 PM   #12
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Re: Pain medication question

xxxxxxxxxxxxxxx

Last edited by Quietcook; 07-16-2005 at 06:58 PM.

 
Old 04-25-2005, 08:24 AM   #13
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acl828 HB User
Re: Pain medication question

[QUOTE=Quietcook]You know, I agree with others comments regarding how you weren't given enough meds for the time period, etc. But it truly concerns me that a PM doc would recommend you not have the ADR and actually fix the problem that is actually causing the pain and the problem that could cause you more damage.

[COLOR=Blue]Believe me, I totally, totally agree with you there. I have been standing on my head trying to get my Neurosurgeon to find the origin of my problem. I told him I wanted it fixed and not masked with meds. What's funny is, he says my problem's not bad enough to warrant surgery while the new Orthopedic surgeon says it's bad enough to warrent an ADR at L3 (oddly enough, a surgery). It's very frustrating the way docs give very different opinions over the same problem. Makes being a patient and making decisions for your own care, very confusing and frustrating. AND I've even heard venomous comments from others about people choosing surgery and that they "wanted" it. Can you all believe that? I wanted to scream but I bit my tongue. Get this, I was referred to a Neurologist for an EMG and he actually said to me, "when you allow yourself to have surgery done on you, you can expect to live the rest of your life in pain". Again, I could have choked him. Again, I kept my cool though I don't know how now that I relay to you what he had the nerve to say.[/COLOR]

 
Old 04-26-2005, 10:52 AM   #14
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Re: Pain medication question

xxxxxxxxxxxxxx

Last edited by Quietcook; 07-16-2005 at 06:58 PM.

 
Old 04-26-2005, 11:28 AM   #15
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acl828 HB User
Re: Pain medication question

[QUOTE=Quietcook] However, even with that, I still would encourage you to seek out a spine specialist instead of a general neuro or general ortho.

Thanks for the reply, Quietcook. I have 2 spine specialists. One is a Neurosurgeon and the other is an Orthopedic Surgeon. My three surgeries have been done by 2 different docs, both had spine specialties. The ortho did my first one and the other two were the neuro. I'm not sure what my next move will be but as for now, life is definitely not so hot.
thanks again....

 
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