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Old 02-27-2013, 06:58 PM   #1
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assassoid HB User
My pain management experience

I live in southern IL.Just saw a pain management doc who absolutely would NOT write Lortab ,I was given Ultram ( great im addicted to ultram now!) I was also mailed a medly of drugs to be taken topically in the form of a cream It says:
(ketamine,flurbuprofen,baclofen,bupivica ine,clonidine,cyclobezaprine,gabapentin)
10/10/2/1/0.2/2/6

says apply one to two grams 3 to 4 times daily..so that would mean I am getting 40mg per day transdermaly .Of ketamine daily..so far it's done nothing to me as far as making me tired but I have a bandage around 2 grams of it right now and they said it has to be used for a few days because it has to absorb....but I am not looking for to much of an effect. I get this from a pain management specialist.Apparently these topical ( sticky crap you rub on area of pain) cocktails range in as many as 42 drugs according to the label

I have many years of experience with Ultram... it's so additive for me and the come down if not done with 2 a day for a week and one a day for a week and then cut off .... I still wanna die... when I start to run out.I start to feel depleted after taking them for about a week. I think it's more destructive addiction-wise than hydrocodone with is now reshelued in the US so I read.I am mad and not satisfied.I mite as well get on Suboxone, it would be better than the Ultram Hell Path

I crushed the radial head of my fibula and have a steel plate on the arm and narcotics are the only thing that woks. The pain is bad and I can't do anything anymore

Last edited by assassoid; 02-27-2013 at 07:04 PM.

 
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Old 02-28-2013, 09:08 AM   #2
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Re: My pain management experience

Hi AAoid, who has been prescribing your pain meds in the past and when was your injury. Was this the first PM doc you have seen. It took me 8 years, three 30 day PM boot camps and 3 failed back surgeries and a big shift in the way pain was trested to find a doc willing to treat chronic pain with opiates. Although things are very different from the 90's, there has certainly been some changes in the way pain i now treated to curb the abuse problem. Im not suggesting anyone thinks your abusing but when you say you have tried everything, i wasn't given pain meds other than shortly after surgery for years while trying anything and everything. Have they tried nerve bocks, direct injections. Have you learned any relaxation techniques, tried other meds. Is your pain nerve type pain or crushing type bone pain. Generally a multi faceted aproach to treating pain is required unless you just find a doc willing to write opiates and not cover his back side and document all the other methods he has tried and that have failed. I know time ticks slowly while waiting for a new consult or hoping the next doc will be more compassionate, unfortunately these are the hoops we have to jump through, it protect our docs and ourselves from being labeled a med seeker. If you tell a doc the only thing that helps is norco at your fist visit you may through up so many red flags with the doc that it makes it harder to find someone to help. Just some ideas, of course we would need to know more of your history with PM and what has been tried and failed. Good luck, Dave

 
Old 02-28-2013, 01:08 PM   #3
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assassoid HB User
Re: My pain management experience

I am going to just bide my time and when I find a good doctor my search will be over. I didn't know what real pain was until I broke my arm in the manner that I did. The sort of pain I have is because of break down and damage to my right arm joint.. the pain mng. doc explained it but it was over my head. It huts too bad to even type anymore. I don't know what to say. I have degenerative joint disease in my back and if properly medicated would take every pill presrcribed . Most are scared you're gonna "sell them" which makes me angry. I hate people that sell their pills.

I just have had problems while taking ultram in the past because you cannot use an opiate/oid without becoming somewhat addicted....

There also is a huge issue with my back. I cannot sleep without waking up in excruciating pain in my back. I am tired of having only tylenol. I am in agony every day.

Last edited by assassoid; 02-28-2013 at 02:20 PM.

 
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Old 03-01-2013, 09:10 PM   #4
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Re: My pain management experience

well, what is it that you believe will help you? i would approach the primary treating surgeon or MD rather than the pain mgmt. doc, and calmly discuss your concerns.

i wanted to share an experience with you. after a demand to self detox off oxycodone 10 3 x/day in 30 days before my spinal fusion, the PM doc then said i would get meds for 3 weeks after my spinal fusion, and then nothing.

my primary doc called her and she let me keep the meds pre-op. i was incredulous. the spinal fusion percentages are not great, so i expect to maybe still need meds after the fusion.

i thought long and hard. there must be one doc who will work with legitimate pharmaceuticals? and i found her... i called, explained my story, and have an appointment monday. at three weeks, if i am cut off, i will sever my relationship w/ the current one, and go with the new clinic. bring your money, MRI's, and drug history from the pharmacy. that's all.

i don't mind going off pain meds if i have no pain. i would do one week of suboxone. but realistically, my functioning will go from 20% to maybe 50%, and pain will decrease. but not at 3 weeks....

so..read between the lines. read every website, and rule out the ones that say interventional therapies. not all pain doctors are bad...

 
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