It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Chronic Pain Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 01-25-2011, 04:38 AM   #1
Junior Member
(male)
 
Join Date: Jan 2011
Location: Seoul South Korea
Posts: 20
first there89 HB User
21 year old male BEGGING you all for an opinion

im begging anyone and everyone for an opinion and advice to see where to go. here is a little background im a 21 y/o male in hte military and suffer from Degenerative Disc Disease and also multiple partial tears to my L3-S1 and have EXTREME pain. which to me is really bad because i have had multiple surgeries on other compound fractures and stuff so pain to me isnt that bad except this. I have chronic pain in my lower back into my buttocks down into both my legs. It first started from ruck marching and airborne school and lifting just hte constant pressure and **** on my back eventually my back gave out one day when i was squatting and was taken to the ER. there i was prescribed tramadol after getting my pain under control with morphine and fentanyl and valium. after that i had a follow up with my primary care doc i told him hte tramadol wasnt even touching my pain he agreed and gave me lortab had another follow up that wasnt even touching my pain so finally he moved me up to percocet for about a month i was living at a 7 which to me was great but then it shot back up and he finally referred me to a pain management doc in korea which wasnt a military doctor....while I was there she was the first doc to actually listen to me and take her time to examine me and take an MRI thats when i first found out what my actual injury was...she tried multiple medicines and finally found a combo of 20mg oxycontin 4x a day, 12MCG fentanyl patch, 200MCG fentanyl lozenge for breakthrough pain, then a muscle relaxer and klonopin at night to sleep. ALSO in korea they do their pain management differentely I was receiving injections of ketamine and other trigger point injections and something other i forgot the type of injection but they did it with the Xray constant picture thing. all of that was FINALLY controlling my pain i could function and **** again, then when i went to leave the base I had switched primary care docs without me knowing and the new one was a physicians assisstant and IMMEDIATELY cancelled my referal to the pain management doc and wanted to treat me. he reduced all my meds to 5mg percocet 6x a day. and 5mg valium at bed with physical therapy. and now he constantly refuses to raise my dose and i just suffer and lay in bed most of the time and now am pretty much getting kicked out. in a couple of days I go to another base to get looked at by a military pain managment doc. sorry this post is so long but im looking for help and advice so desperately....I have seen 1 other doc since this PA has been treating me and she said she thinks I should ask this doc im going to see to get put back on oxycontin....because its the only thing that has controlled my pain. NOW what do you all think? do you think my pain med regiment was within limits? do you think I should ask to be put back on oxycontin? what else do you all think I can do? they said right now surgery is out because im to young they think they can fix it other ways. I APPRECIATE ANYONE AND EVERYONE WHO READS AND RESPONDS. i hope no one ever has to go through this


ALSO the PA who put me back on the percocet when he first met me literally walked in and told me i was addicted and was dependent and put me in drug rehab went there n they cleared me because i wasnt abusing or anything. he then told me at my next appointment I waste his time and ****

Last edited by first there89; 01-25-2011 at 05:37 AM.

 
Sponsors Lightbulb
   
Old 01-25-2011, 08:25 AM   #2
Senior Veteran
(female)
 
Join Date: Apr 2006
Location: Oak Hill, VA
Posts: 3,508
ibake&pray HB Useribake&pray HB Useribake&pray HB Useribake&pray HB Useribake&pray HB Useribake&pray HB Useribake&pray HB Useribake&pray HB Useribake&pray HB Useribake&pray HB Useribake&pray HB User
Re: 21 year old male BEGGING you all for an opinion

Welcome to the board. I'm sorry for your torubles. It's tough when you suffer from unrelenting pain and you can't get the care that you need. As an aside-my hubby was AF and spent a year in Kunsan-armpit of the country according to him.

I'm not a doctor so I can't say that your dose is too much/little. what I can tell you is that if the meds you are on are controlling your pain and bringing it to a reasonable level that you can function at, then someone has done you a favor. You will need to remember that the goal of pain management is not to eliminate your pain, but to bring it within reasonable bound so that you can function day to day. No doctor is going to be amenable to bringing your pain level down to 0.

What I would suggest is that you start by doing a timeling for hte doctor that lists all the doctors, meds given, success rate, dates.. This will then give you a background for the PM that you are going to see. I would also start with a pain journal that lists when you have flare ups what you took, if it helped etc. This is invaluable to not only yourself but your doctor.

The first PM you saw is just doing normal pain management things. It is common to recieve injections and trigger point injections. A good PM will try a bunch of different modalities, from injections to therapy to accupuncture.

When you go in to see the new PM doc, i wouldn't ask for oxycontin, but show him your pain log and what you are on and tell him what your average pain level is in a day, and if your meds are controlling your pain to an adequete level. Asking for meds - especially at a first visit can get you labeled as a drug seeker-not what you want on the first visit-and probably your lst. Anoter option would be to get a letter from the previous Pm doc with what she found and what she had porescribed for you.

If you have more qestions-ask away. And I am sure others on the board will chime in with more suggestions.

good luck!

 
Old 01-25-2011, 12:41 PM   #3
Junior Member
(male)
 
Join Date: Jan 2011
Location: Seoul South Korea
Posts: 20
first there89 HB User
Re: 21 year old male BEGGING you all for an opinion

Appreciate it, and i realize im not gonna live with no pain i have accepted that ill be happy to be at a 7 or 8 even, but I kno asking for something will get you labeled as a drug seeker but ive already been called that by this POS and im just sick of the ********

 
Old 01-25-2011, 03:46 PM   #4
Senior Veteran
(male)
 
Join Date: Nov 2010
Location: West Coast
Posts: 606
Isotope HB UserIsotope HB UserIsotope HB UserIsotope HB UserIsotope HB UserIsotope HB UserIsotope HB UserIsotope HB UserIsotope HB UserIsotope HB User
Re: 21 year old male BEGGING you all for an opinion

Many here will say NOT to ask for a particular drug by name -as if acting uninformed is somehow helpful.....? I don't agree.

Do you and your Doctor a favor, have an adult conversation, ask questions, share what you know.

Best of Luck to you!

~

 
Old 01-28-2011, 11:48 AM   #5
Member
(male)
 
joebob254's Avatar
 
Join Date: May 2010
Location: Missouri, USA
Posts: 93
joebob254 HB Userjoebob254 HB Userjoebob254 HB Userjoebob254 HB Userjoebob254 HB Userjoebob254 HB User
Re: 21 year old male BEGGING you all for an opinion

First,

First off let me say that I know exactly what you are going through. I am a back patient myself. Secondly, I am an ex 11B myself and was with A Co 1/506th (Currahee!!!).

The military gave me my extreme distrust of doctors. Don't let them discharge you unless it is on a medical with disablilty. Hopefully the continuing medical care in the civilian world will allow you to find a decent doctor. Let me tell you that it is a night and day difference as you found with the helpful doc. They actually give a crap versus the patch you up and get you back out on the line mentality. I agree with Ibake and Isotope and I have read many of their posts in the past. Both are valuable contributors

I was a little suprised about the combination of ER Oxycontin and Fentanyl as they are both a long acting meds. Usually it is one long acting med plus a breakthrough med. I am currently hoping to get on a long acting med as my L2-L3 fusion is looking like it has failed (18 months post op). After my surgery, I was on 20 mg of oxycodone every four hours and valium for a muscle relaxer. I would continue to express your concern that the meds are not allowing you to function and even walking to the chow hall is excruciating. I have personally had luck in the past saying that "I don't want to be on the meds... I just want to be able to function and have a life". You have to explain that you are relegated to staying in bed and it is not touching the pain. Drug seeking and abuse is rampant in the civilian world and all docs are weary these days... some more than others. We all have to be cautious as they are the so called gatekeepers.

Keep your faith... It's gonna be a long hump. Keep your MRI results handy and obtain copies for yourself. ESPECIALLY when you get out!! When you are PCSing or getting out and have the opportunity to get your hands on your medical file, copy everything for your records. I'll be around if you need to talk or catch me on here.

Good luck brother!
"Joe"

Last edited by moderator2; 02-27-2011 at 06:39 PM.

 
Old 01-30-2011, 06:52 AM   #6
Senior Veteran
(female)
 
Join Date: Jul 2009
Location: Maryland
Posts: 694
Pegala HB UserPegala HB UserPegala HB UserPegala HB UserPegala HB UserPegala HB UserPegala HB User
Re: 21 year old male BEGGING you all for an opinion

Hello Friends,
I agree with ibake&pray. Like ibake&pray I'm a big advocate of pain journals. I have found them to be invaluable. Doctors are scientists and rely on data to make decisions. A pain journal will give the doctor the data he needs.
You note that there are ways to fix your back. Have the doctors talked to you about the options for fixing the problem? If they haven't I'd ask about the options. The more information you have, the better you can make decisions.
I'm impressed that you said that you can live with the pain at a 7. Like others have noted the goal of pain management is to get the pain level down, not completely elimated. You understand that, which is a key point in pain mangement.
Hang in there, there's help out there. Please keep us posted on your progress and please keep the questions coming.
Peggy

 
Old 02-05-2011, 06:54 PM   #7
Junior Member
(male)
 
Join Date: Jan 2011
Location: Seoul South Korea
Posts: 20
first there89 HB User
Re: 21 year old male BEGGING you all for an opinion

I started the pain journal and last time I saw my doc last week I finally switched over to another doc but he also made me take a **** test then come back to get my prescriptions refilled so I waited an hour n a half n he finally came out n told me he filled them....so friday I see a new doctor who actually is a doc and not a physicians assistant so I am hopeful she will listen n i can go to a PM or shell do something about it. and as far as living with my pain at a 7 i would be happy, to me there is a huge difference between a 7 and a 8 i have had some pretty horrible things happen to me at my young age so pain to me is a mind game at most points until u cant function and thats to a point im at plus it dosent help im around the world with no family but appreciate all the input

 
Old 02-11-2011, 01:52 AM   #8
Junior Member
(female)
 
Join Date: Dec 2010
Location: Australia
Posts: 24
Imperical HB User
Re: 21 year old male BEGGING you all for an opinion

Hey there,

I was just wondering what happened at your appointment? I really feel for you as it sounds like you've been through a lot - it is frustrating how different countries treat pain. I have been treated for chronic pain - well, a flare up, in asia as well and found that they treat pain quite aggressively compared to many western countries.

I deal with quite severe pain on a daily basis, an 8 is not usual for me and some people have a hard time understanding this thinking that I am not using the pain scale appropriately. BUT some people do deal with severe chronic pain all the time. My pain is severe enough to effect my breathing and make me jump when it is bad - so I say it is an 8, it effects how I think, I find it hard to concentrate and i am just barely able to cope when it is like this. Some days it's a 6 (usually when I take more BT meds which I try not to do much) and those days are wonderful - it's still pretty bad but I've learnt to cope. I just want you to know that I understand what it's like to learn to cope with such severe pain. It's not easy and it's a difficult thing to understand. Do you have nerve pain? My pain is mostly nerve pain and I find it hard to cope with because it's so sharp rather than a throb etc. I think every type of pain is probably just as bad to those who are experiencing it.

Anyway, please let us know how you go.

 
Old 02-11-2011, 05:01 AM   #9
Junior Member
(male)
 
Join Date: Jan 2011
Location: Seoul South Korea
Posts: 20
first there89 HB User
Re: 21 year old male BEGGING you all for an opinion

wow, everyone i never expected the support or response that I got from all of you. thats what some military expierences make you believe but im glad i posted and you all actually care. I saw the new doc today and she just gave me the same "we want you off narcotics speech" but raised my gabapentin dose significantly higher for my nerve pain but kept my percocets at 8x a day even though EVERY day i feel like im playing pain catch up....she ordered some blood tests to check for rhumatory arthritis or however you spell it and some other tests for diseases so again well see. still arent sure if im getting kicked out or hwat

 
The following user gives a hug of support to first there89:
bhoppy (03-08-2011)
Old 02-27-2011, 03:31 PM   #10
Junior Member
(male)
 
ArmySSG's Avatar
 
Join Date: Feb 2011
Location: USA
Posts: 12
ArmySSG HB User
Re: 21 year old male BEGGING you all for an opinion

20 mgs 3x a day is TOO MUCH? What frickin planet are THEY on?? There are people taking over 100 mgs a day out there!! You DESERVE to be put BACK on the oxycontin! It's because it is so expensive thats why they took you off of it. Try asking them for methadone. It's cheap and works WONDERS. Anyway, Yep, I sure do know what you can do. Write a letter to the JAG, that is what he is there for. Explain to him that you were taking the oxycontin and it was keeping you out of pain so that you can function, but now they were taking you off of it with no valid reason, which it sounds to me like there IS no valid reason.

If the damn treatment is working, why take you off of it?? I think all the hype about people abusing their medication is starting to rear it's ugly head here. Just because other idiots are doing it does not mean YOU have to be penalized for it!! If the oxycontin is working, then there is no reason to discontinue it, PERIOD. If the JAG does not work, write to your state congressman in your district. They LOVE to hear about soldiers not getting the care they need AND deserve. I have wrote mine TWICE and both times the problem was FIXED, just like that!!

May I ask how you injured yourself? Was it while on duty? And what state are you in? Because if it was they have the OBLIGATION to fix you, plain and simple. and WHY does this new doc feel the need to take you off the narcotics? For God's sake that is why they were invented, to make people have the ability to LIVE without being in constant pain. I am in Washington state and a bunch of us, my friends and I who went to Iraq, are on narcotics and there is NO problems.

We do the **** tests every 2 months and it is always fine. They are treating you like an abuser and someone who is out street dealing, and it is NONSENSE.

These doctors have NO right treating you like this!! DEMAND to be referred to a Pain Specialist, and they HAVE to provide by YOUR wants, NOT theirs!

Last edited by moderator2; 02-27-2011 at 06:38 PM.

 
Old 02-27-2011, 03:34 PM   #11
Junior Member
(male)
 
ArmySSG's Avatar
 
Join Date: Feb 2011
Location: USA
Posts: 12
ArmySSG HB User
Re: 21 year old male BEGGING you all for an opinion

And EXCUSE me, but that PA had NO right to just walk in and tell you that you are an addict! I would have jumped out of my chair and said I am DONE with you! You judge me on what? YOUR own personal opinion? Because he had NO proof, and I would have told him I was filing a grievance with the administrator and then went to to the JAG. I would NOT have put up with his BS!!!

Last edited by moderator2; 02-27-2011 at 06:36 PM.

 
Old 02-28-2011, 12:31 AM   #12
Junior Member
(male)
 
Join Date: Jan 2011
Location: Seoul South Korea
Posts: 20
first there89 HB User
Re: 21 year old male BEGGING you all for an opinion

I got hurt in afghanistan, also from Illinois. i go see the doc thursday and im gonna ask em to refer me elsewhere becuz i cant even get out of bed....they just want me off narcotics cuz of addiction thats the SOLE reason. and i took a **** test for hte first time the other day becuz they felt i may have been selling them or "smoking marjiuana on the weekends"

 
Old 02-28-2011, 12:51 AM   #13
Senior Veteran
(male)
 
jonnstar's Avatar
 
Join Date: Mar 2010
Posts: 1,873
jonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB User
Re: 21 year old male BEGGING you all for an opinion

I would def seek a second oppinion, and if that doesnt get you anywhere, start writing to your senator, congressman, the new york times, newsweek etc.

best of luck my friend, you deserve so much better than this.

I beleive that there is actualy an act of congress that guarantees injured servicemen adequate pain releif.... I'll try and goodle it up for you, i remember reading about it several years ago when it first passed.
__________________
The desire to take medicines is what seperates man from the lower animals - William Ostler

Multiple anecdotes do not equal evidence - Me

Last edited by jonnstar; 02-28-2011 at 04:24 AM.

 
Old 02-28-2011, 02:47 AM   #14
Junior Member
(female)
 
Join Date: Dec 2010
Location: Australia
Posts: 24
Imperical HB User
Re: 21 year old male BEGGING you all for an opinion

Good luck on Thursday. You've got some great advice from the other poster that will hopefully help you in you PM battle. Being so young is difficult in so many ways. I've been dealing with this since I was 22 and it's so hard to get doctors to listen - I've gotten pretty tough now (though it was hard) and will not allow anyone to say that I am an addict, amazingly this has helped with getting older doctors to respect me.

You are being treated abominably. You were injured whilst in the army, for your country, it is unacceptable that you can't get out of bed. Tell them this if they won't listen and tell them that you will fight, through JAG or your congressperson against this discrimination.

Let us know how you go...good luck

 
Old 03-02-2011, 03:38 PM   #15
Senior Veteran
(male)
 
jonnstar's Avatar
 
Join Date: Mar 2010
Posts: 1,873
jonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB User
Re: 21 year old male BEGGING you all for an opinion

OP, do some research on the "Military Pain Care Act of 2008", its an act of congress that guarantees injured veterans effective management of their pain. You should be able to ******** it from the net, or get a copy from the American Gvernment, might be worth taking it along to your next appointment, it will show them that you know your stuff, and arnt going to get pushed around.
__________________
The desire to take medicines is what seperates man from the lower animals - William Ostler

Multiple anecdotes do not equal evidence - Me

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Very happy! Nicole74 Chronic Pain 3 11-21-2009 06:41 PM
How trustworthy are MRIs sammyo1 Chronic Pain 34 07-17-2009 09:29 PM
Still pain in ankle one year after surgery cmasse Chronic Pain 1 05-24-2009 07:57 PM
groin hurting svignes Chronic Pain 2 04-02-2009 10:09 PM
Holidays expectation dealing with the got to dos and Chronic Pain zoey1 Chronic Pain 5 10-28-2008 08:07 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



gmak (37), katlin09 (20), cspineguy (19), tortoisegirl (18), BB07 (17), Shoreline (13), Moldova (13), LadyBassPlayer (12), jonnstar (11), nochange (9)

Site Wide Totals

teteri66 (1166), MSJayhawk (1000), Apollo123 (898), Titchou (833), janewhite1 (823), Gabriel (758), ladybud (747), sammy64 (668), midwest1 (665), BlueSkies14 (610)



All times are GMT -7. The time now is 03:34 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!