Re: Severe ongoing lung pain after lung surgery
Not much you can do. You either have to have the tests at that pain docs clinic and go with his suggestions for long acting meds. Or find a new Pain Management doc that your insurance pays for, have all of their tests and do what they want you to do, which may or may not be the same as your current pain doc.
Long term or Long Acting meds are meds that are slow release and are supposed to last for 12 hours. They are usually prescribed twice a day, morning and night. These meds build up your blood plasma level so that the pain control is a constant steady control. These meds include Morphine, Oxycontin, Opana, Fentanyl, etc. Often Dr.'s will RX a short acting med like Vicodin along with them for Break thru pain.
The Vicodin that you are taking now is a short acting med. It has a half life of 3.5 hours, which means 3.5 hours after you take a pill it's ability to control pain has peaked and it is starting to decline, even though you can't take another pill for another 2.5 hours. The reason they don't use short acting meds to control serious chronic pain is because of the peaks and valleys.
Has your abdominal pain been diagnosed? It's rather unusual for a Dr. to keep someone of Vicodin for years as it's not a very strong pain med and once your body builds up tolerance to it, it's not going to work anymore.
You say you've seen your Family doc and the ER, what about your oncologist, what does he say about the Lung pain?