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Old 05-18-2006, 10:07 AM   #1
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Can't find a med that works! Help!

Okay i cannot find a pain med that will work for me.
The doctor i work for is also my doctor since i do not have health insurance.
A while back in December i wanted to stop taking Vicodin because i thought my pain was better so i went to him and he gave me a med called Subutex to stop any physical withdrawals, but about 3 days after i started it i felt all the pain again since all the pain med was out of my system, so he put me back on the Vicodin, then it wasn't working so he switched me to Lortab 10/500 for a little bit and then i felt better so we switched back to Vicodin and we went back and forth for a little while and then we switched to Lortab 7.5/500 about 2 weeks ago and he gave me a 2 month supply 120 tablets, but the problem is they are not working once again and i want to switch over to something completley different like percocet or something which i have never taken but i am afraid he will not switch me because he just gave me that large script 14 days ago. I see him today to tell him it is not working and to get a steroid injection, I feel like he may be judging me in his head like i am an addict or something because i went to him once to stop taking them already.
He also cannot figure out where my pain is coming from, i have horrific back pain and ot feels like someone is twisting my hips off, and i have neck pain and my legs always hurt like i just ran a mile. I do not have fibromyalgia i had the blood test that is what he first thought and all my x-rays are clean except for slight spina-bifida, i have flat feet (no arch) and i think that is whats causing it but he does not think so, anyone else have this problem? ANd what med is the best for chronic pain, please help i feel lost!

 
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Old 05-18-2006, 12:39 PM   #2
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Re: Can't find a med that works! Help!

If he just gave you that script do you still have the meds? If you can show him that you still have the meds left etc.... then you would think that he would not have a problem changing the script if you gave those meds back to be disposed of. He may not want to do perc's but there might be something he is willing to try if the ones you have aren't working.

 
Old 05-18-2006, 12:49 PM   #3
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Re: Can't find a med that works! Help!

Obviously your skeleton is out of balance; have you ever consulted a qualified Osteopath? Painkillers serve only to treat the symptom but not the cause. You would require to pay for treatment but it would be worth the sacrifice. Does the doctor know of any charity that might be able to financially assist?

 
Old 05-18-2006, 02:10 PM   #4
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Re: Can't find a med that works! Help!

Hey Emily,

The question about what is good for chronic pain is hard to answer for any particular person. Everyone responds differentely to meds. With any opiate type med like Hydrocodone (Lortab, Vicodin), you will build up tolerance and then require more of that med to get the same relief. It sounds like that is what is happening with you.

It sounds like you need an MRI to help diagnosis or exclude medical issues. I know said that you don't have medical insurance and an MRI can be expensive, but if you're having back problems it can be beneficial to see whats happening in your back. An xray doesn't show tissue or discs. It may show some narrowing of the spine or vertabrae but and MRI will show a lot more detail.

You mentioned Fibromyalgia and having a blood test and that you don't have it. There currently is no blood test to diagnose Fibro. Its a diagnosis of exclusion. They will do blood test to make sure you don't have something else like an autoimmune disorder, but as far as a blood test for fibro there is nothing yet.

As Tina pointed out with your current script, I think thats good advice. If you just got it 14 days ago, bring it in to show that you're not trying to get more meds from the doc. He can destroy them at the office and note it in your chart. This way he has the documentation in your file.

Hopefully you'll get a diagnosis soon. You may want to check with your doc and see what type of medical assistance programs are available. He may be able to get you in somewhere with a specialist at a reduced rate.

Good Luck. Hope you start feeling better.

 
Old 05-18-2006, 03:03 PM   #5
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Re: Can't find a med that works! Help!

hello,
i am so sorry that you are in pain.I can relate i am going though a similar thing right now.I am at a new pm and he increase my dose i take 2 lortab 10 mg 3 times a day from what i was on from another pm dr (lortab 5mg 3 times a day).And the problem is that it doesn't work for 8 hours i also feel like i need to be on something stronger.At night and in the moring i feel so bad i start on a 10 on the pain scale after i take my meds i only go to a 7-8 in the moring,on the middle does i go from a 10 on the scale to a 5-6 and at night after work i take my last dose it goes from a 10 to a 7. So i can totaly understand .I went back last week and he wanted to still keep my dose the same because he said i had to get the meds in my sytem first and he also put me on sequeal 100 mg he said that would also help me because i would get more sleep.So i don't feel like i know him well enough to ask for something else.So what i am doing is keeping a daily dairy so he can see that its not working and hopefully when i go to my next appt next friday (i am going every 2 weeks intil i get on the right track)he will increase or change my meds. So maybe try somthing like that ?it can hurt.Good luck kelsey

 
Old 05-19-2006, 10:00 AM   #6
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Re: Can't find a med that works! Help!

I talked to him yesterday and I asked if i could switch maybe to the Vicodin HP and he said that if i did that then my body will get dependent and he didn't want that to happen and then he walked away from me (like i said i work for him) and that was the end of our conversation and it made me feel real uncomfortable, but i think taking 2 Lortab every 4 hours will make my body dependent i think it would be better to take maybe 1 vicodin hp 3 times a day or something like that, but he didn't even want to talk about it. So i guess i am stuck until i can get a refill which i will run out before then because my script says 1 every 6 hours and i am taking 2 every 4 just to stay as comfortable as possible, i mean i basically sleep sitting up because it hurts way to much to lay down. I am only 22 years old and i think alot of docs. think i want the meds to sell them or something i hate that other people have to ruin it for us who really need them!!
ABout the blood test it was an ANA blood test and it was negative for connective tissue diseases, so he says that he dosen't know what is wrong with me. I really am at a loss right now and do not know what to do or who to turn too,

 
Old 05-19-2006, 10:17 AM   #7
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Re: Can't find a med that works! Help!

I am not sure how a doctor could test your ANA to rule out all connective tissue diseases. Ehlers Danlos Syndrome and Sjorjens (sp) syndrome are both connective tissue diseases and can only be diagnosed by a skin biopsy. In addition there are several other ones that can not be ruled out by a simple blood test. ANA as a general rule will only tell you if there's a potential chance that you have some form of arthritis.

Furthermore there is NO blood test for Fibromyalgia. It is diagnosed by ruling out everything else after a period of 6 months of consistent symptoms. I am sorry while you may work for this doctor his excuses or answers are medically incorrect!

Have you had an MRI? Not everything shows up on X-rays, you could have herniations, spinal stenosis or Degenerative Disk Disease that do not always appear on X-Rays.

Last edited by Kissa; 05-19-2006 at 10:17 AM.

 
Old 05-19-2006, 10:23 AM   #8
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Re: Can't find a med that works! Help!

Thought you might find this helpful regarding FMS:

There are no specific tests for fibromyalgia and diagnosis can be difficult because of the variation in symptoms from person to person.

Diagnosing fibromyalgia involves a physical examination (particularly of the characteristic sore areas) and a discussion about medical history and current symptoms, including mental health problems such as depression.

The GP may suspect fibromyalgia from the symptoms – sore areas of the body, great tiredness and sleep deprivation – if no swelling of the joints or damage to the structure of the body is present.

Routine laboratory and x-ray testing may be conducted along with a complete medical history and physical examination to rule out those conditions with symptoms similar to fibromyalgia. These include chronic fatigue syndrome, lupus, under-active thyroid, multiple sclerosis, myositis, rheumatoid arthritis, and Sjogren's syndrome

Additionally I did want to add there are in excess of 200 different connective tissue disorders.

 
Old 05-19-2006, 12:23 PM   #9
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Re: Can't find a med that works! Help!

Have you looked into any city or state assistance with medical insurance. Without insurance, a doc can't even run a basic medical model that would progress towards a diagnosis. You really need an MRI and a consult with a spinal specialist to interpret more advanced diagnostics. I can't imagine any doc willing to treat pain indefinitely without knowing if it can be relieved with the right treatment method or attempts to DX the problem have been exhausted.

Simply masking it really isn't doing you a great favor other than keeping you working untill you grow tolerant to the next strength med. Masking whatever the problem is could actually be doing more harm than good. Untill a doc knows that's not the case, it's not likely he's going to prescribe pain meds indefinitely.

My employer would also be the last doc I would want to put in that position. I know I'm pointing out the obvious, but untill you have insurance coverage or symptoms severe enough that an ER would do an MRI without inusurance, you really are sc#ewed.
Unfortunately there is a wide crack many people fall through that don't qualify for assistance but can't afford insurance. If your not sure where to start looking, call your local social services dept. Most likely you will have to actually go down and fill out the forms and go through the processing to find out if you qualify for benefits.

Good luck, Dave

 
Old 05-19-2006, 03:50 PM   #10
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Re: Can't find a med that works! Help!

hi ,
i was wondering if your dr told you to take 2 every 4 hours?If so he will give you the meds early. I also have a hard time not taking extra meds if i am in pain.but i never do take extra because i know that i will be screwed.I feel real bad for you.Also i wanted to share that i live in lou,ky and here we have a hosptil that will take payment and they have a pain center and it goes by how much money you make,so maybe you can look in see if you have this in your area . good luck wishing you well.kelsey

Last edited by kelsey1; 05-19-2006 at 03:52 PM.

 
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