Need support in asking doc for new meds~PLease! - Pain Management Message Board

IZZY'SMOM · 05-21-2008, 02:30 PM

Hi everyone...
A while back, Steve or someone wrote a really great paragraph on how to ask your doc for a new plan without sounding pushy and also thanking him for wonderful PM care.
Does anyone have any thoughts on how to talk to my doc? I put a call in to him today, and most likely he will catch me when i have kids in the car or cant talk. If so Ill call him back.
But I want to try the compound oxy instead of the patches this summer, but I dont want him to tell me the old.."well then maybe we need to stop your meds for awhile, ect."
I dont think he will say that at all, but Im always terrified it could happen.
Usually I have no problem asking him for what I want, maybe Im reading into too much of the posts lately, and being sfraid that my doc thinks Im pushy or one of those pts who think they know it all.
Any help would be greatly appreciated.
If anyone can find the paragraph Steve wrote, that would even be better!
It was about 3 weeks ago. Ive been looking, too.
xoxoxoxo,
IZZY'SMOM

I am currently on LA hydro 15 mg
SA hydro 10 mg for b/t
12 mg patch 2-3 days usually 2

forginon · 05-21-2008, 03:00 PM

"Hey doc,"

"I can't tell you how much I've appreciated the pain coverage you've given me this winter, and how much I appreciate how understanding you are when we talk.

Summer's coming and I'm already experiencing perspiration and small difficulties with keeping the patch on. Plus I hear heating up while on the patch can drain it too fast.

You know my preference for the compounding meds. Do you mind if I offer an idea? How about we discontinue the patch for the summer and use compounding for my main LA med? I find that the compounded hydrocodone isn't a one-for-one substitute for the patch, but maybe something else. Something that will have the strength of the fentanyl but compounded - I've done real well on the medicine called oxycodone before, could they compound that for me in a LA form like with the hydrocodone? I'm willing to do a brief trial and see how it goes. After you select the dose we could do trial and error with dosing until it covers my pain like the patch did. If it works, then maybe that could be my hot weather solution.

I'd really like to try this if you think it's an OK idea."

steve

Torry590 · 05-21-2008, 03:07 PM

Wow, I have always wondered the same thing. I never know how to address things with these doctors. I usually pile it all on and I know thats not a good thing to do.

speciality · 05-21-2008, 04:31 PM

Hi IZzy, all Dr's are diffeent, I have always been very open and direct with my Dr. and he with me. He has even gotten a bit fired up with me at times, but I think he respects me. Usually, he has an idea, I listen to it, then I add whatever I think, or any suggestions. Then we work it from there. Because I do not have insurance, he went out on a limb treating me with only xrays and no MRI for many years. I did finally pay for an MRI, and he seemed to realize his instinct was correct in treating me. I had/have 5 heniated disks, 2 nerve impingements ect. I have told him repeatedly (and meant it) that I appeciate his having the fortitude to prescribe meds for me. I thanked him for giving me the ability to stand for 5minutes in the shower ect. He does get a bit fired up when I tell him a med is not woking, and he isnt quick to incr

ease doses, but he has been good to me. I would say use your gut, and try not to overthink it, people can FEEL when we are sincere, and when we are not. Good luck!

aussiejono · 05-21-2008, 05:12 PM

Can I ask.... why a compound, rather than OxyContin?