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  • How many of you suffer b/c you're too afraid to ask for more pain meds.

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    Old 02-14-2008, 07:57 PM   #1
    IZZY'SMOM
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    How many of you suffer b/c you're too afraid to ask for more pain meds.

    Hi all of my buddies and everyone i havent met!
    I have a simple question. My doc has been very kind to me, but its high time I need an increase in my meds. Im on the patch 25, this has been over 2 yrs, w/ LA hydro 15 mg. 4 X daily as NEEDED.
    First of all...My doc is a VERY nice man, but a GP, and has moved away, and Im having to drive many harrowing miles in horrid weather to see him, BUT I adore him.
    He has helped me more than ANY in this one horse town.
    So...Here is my delimma..
    Shore, and some of you out there...How many months can a doc write Sched II meds for? Im in CO. I dont want to drive to see him EVERY month...I have never been under contract in 2 yrs going on three. He used to have his own lil practice here though, and now he's in a medical facility that is huge.
    Im getting ahead of myself, but IM afraid he will tell me he can only fill monthly, and the meds I am on now are not cutting it.
    I guess my question is: Im afraid to ask for an increase...just like anyone else. What should I do? Ive been totally compliant, and he always tells me that...
    There is no one here that will prescribe narcs, and Im tired of "getting by" but yet I dont want to **** him off or push it.
    If anyone has any input, please post.
    Thanks, everyone...
    xoxoxox,
    IZZY'SMOM

    p.s happy Valentine's Day!!!

     
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    Old 02-14-2008, 08:47 PM   #2
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    Re: How many of you suffer b/c you're too afraid to ask for more pain meds.

    Izzy- As of Dec 17, 2007, the DEA announced a new policy on schedule II scripts whereby Docs can write a second script for a future time period as long as it says "do not fill until xxxx." However, as you can imagine, even though the DEA now allows it, some Docs won't do it.

    I'd discuss all of this very specifically with your loving Doc and explain the hardship you go through to see him. When looking at the prospect of finding a new Doc, it's always best for your current Doc to recommend one and have him call ahead and explain your case to the new Doc. This route gets you off to a great start with the new Doc, especially when narcotics are involved. If possible, I'd also try to find a fairly young one to ensure he/she will be around for awhile (assuming you are going to change of course).

    Given your described relatioship with your Doc, it sounds like he will steer you in the right direction. Stay positive and do what you think is right. Good luck to you!

     
    Old 02-14-2008, 09:56 PM   #3
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    Re: How many of you suffer b/c you're too afraid to ask for more pain meds.

    Thx, Executor, I have an appt next week, and Im trying to make the trips as few as possible! Btw, I havent met you, I dont think, so thank you and "Nice to Meet You!"
    xoxoxoxo,
    IZZY'SMOM

    Last edited by IZZY'SMOM; 02-15-2008 at 06:06 PM.

     
    Old 02-15-2008, 01:31 AM   #4
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    Re: How many of you suffer b/c you're too afraid to ask for more pain meds.

    Good Morning. Izzy- since you've been working with this Dr. for quite some time, maybe he will allow you to do phone consultations once a month, and just see him quarterly. He can refill your prescriptions by calling the pharmacy directly. As for the medicine increase, that's a tough one! But your Dr. sounds very understanding-and I'm sure he has your best interest in mind. I'm going through a similar thing with my Drs...

    I've been taking Norco for two years now. My pain issues are chronic, and surgery is not an option. my pain level is a constant 4-7 with periods of increase-especially if I try to cut back on my meds. I've been seeing a wonderful FNP (Family Nurse Practitioner) at my local Health Clinic for a few years now. He is my hero because he is the one who ordered the tests that show I have scleroderma. He is a brilliant, caring, and soft spoken man. Well, about 6 months ago he referred me to a Pain Management Dr. He was uneasy about keeping me on long term opiates. To my suprise, the Pain Doc. increased my meds from 3 pills a day to 6-7 pills a day, and has instructed me to do NO exercie while we try some PT techniques. The last time I saw him, I told him that occasionally I take slightly higher doses than normally prescribed. Again, to my suprise-he was okay with it. And he told me that the maximum daily allowance is 12 pills (Not that he wants me to take this much, but I shouldn't worry about liver damage at 6-8 pills a day). Well, now the Norco isn't working as well, and I'm having highs and lows throughout the day. So I'm considering tying some Long Acting pain meds, which I've never done before.

    So, Yesterday I saw my FNP at the Clinic. I hadn't seen him in several months. The thing is, when he referred me to the Pain Dr. he said that it was up to him-weather to keep me on narcotics or not. But yesterday I got a very definate opinion from him (the FNP) against it! Eeeeesh... I told him how things are going with the Pain Dr. and that I'm considering LA medication at this point. He strongly urged me not to "go down that road." And he said that I should be working with my pain Dr. to get off of the narcotics entirely... He made a point about pain in general, weather it's physical, mental, or emotional... And he said that people who use narcotics on a long term basis, are destroying the body's natural ability to produce endorphins. He said that chronic pain is my body's way of waving a red flag, and that I need to get healthy PERIOD! He made an issues of diet, quitting smoking, and getting exercise too (which goes against what my pain Dr. has me doing).

    I'm sure that both Drs have my best interest in mind, but at this point I'm stuck! The FNP even mentioned "addict behavior" in relation to everything I do, which is not cool! At 47, I'm fairly well educated about unhealthy habbits that everyone has... And my chronic pain issues are no joke! The FNP is suggesting that I just bite the bullet, and experience much worse pain for an unspecified period of time, so my body can build up natural endorphins again. Sorry but, I'm not signing up for that today! lol Now, I'm concerned that my FNP will call my pain Dr. and share his opinion. Well, one thing I do know, the pain Dr. overrides the FNP's opinion, and he seems to be just fine with keeping me on meds for the time being. I'm not so sure about upping the medication though. Maybe I should give it some more time before asking....

    Please excuse the long post, I needed to let this out, and I think this is a good thread to do it on. We seem to be at about the same place with these issues.

    Thanks
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    Last edited by BayLady; 02-15-2008 at 01:40 AM. Reason: Afterthought...

     
    Old 02-15-2008, 08:18 AM   #5
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    Re: How many of you suffer b/c you're too afraid to ask for more pain meds.

    I have never been afraid to ask my Dr for an increase. EVER! Since you and your Dr have such a great relationship and he adores you and you him, than I don't see why he wouldn't want to increase your dose if you really need it. You have been so compliant and honest with him, that I am surprised you feel so scared to ask him for an increase....I am sure it will be just fine with him Izzy and no problems at all due to loyality you have for one another. The only way to know is to ask him, so let us know how this goes next week at your next apt. Be brave!

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    Old 02-15-2008, 08:21 AM   #6
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    Re: How many of you suffer b/c you're too afraid to ask for more pain meds.

    I also remember that at one point he did put you on the 50 mg patch and it was to strong for you or to sedating or something of that nature. so you scaled back down to the 25 mg. I hope I am right as I do have a good memory, so since you did at one time wear a 50 mg patch than I am sure it won't be an issue for him to increase your base med! go for it Izzy, you can do this.
    SS

     
    Old 02-15-2008, 06:10 PM   #7
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    Re: How many of you suffer b/c you're too afraid to ask for more pain meds.

    Awwww, Slip, you are so sweet. I see him next week, and he is swamped at his new job, so I made an appt before his lunch hour, and Im sure we will cover everything.
    Baylady...That would be great, but my meds are sched. II, they cant be called in!
    Sorry to be short tonite, IM off early in the morning on a short jaunt, so I wanted to say thx to everyone who posted, and Ill respond to this thread better when I have more time.
    You all are the best!~
    xoxoxoxoxo,
    IZZY'SMOM

    Baylady...after re-reading your post its not hard to see why the FNP is a FNP, and the PM doc is a PM doc. What a loser. I hope you dont have to see that a**hole again.

    Last edited by IZZY'SMOM; 02-15-2008 at 06:13 PM.

     
    Old 02-15-2008, 06:37 PM   #8
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    Angry Re: How many of you suffer b/c you're too afraid to ask for more pain meds.

    Thanks for your support Izzy'sMom.

    As I said, I really respect the guy, he does a great job with my child and all. It just sucks to be at the mercy of these County Drs. though. I just know that they treat a lot of addicts and losers in general, but I don't like feeling like I'm being placed in that lot! It's funny, all of the Private Drs. and specialists (like at Stanford MC) agree that I should be on disability, but these County idiots just keep trying to push me into doing the impossible... And then they make me feel guilty for being on disability-like I'm wasting my life, and letting my son down... I really need to find a better source of primary medical care. Cheap health insurance is something I need to look into NOW!

    Have a nice weekend everyone! :-D Sheri
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    Old 02-15-2008, 06:49 PM   #9
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    Re: How many of you suffer b/c you're too afraid to ask for more pain meds.

    Baylady- With all due respect, I'd throw the LNP overboard! First of all, this person isn't even an MD, much less a specialist. PM Docs are SPECIALISTS in this area and almost all work in anesthesiology. LNPs and PA (physician asst) handle the day-to-day basic items...flu, basic physcials, and etc. that Docs can't get to. It's way today for clinics to expedite patients based on their needs and situations. A LNP or PA is a NURSE who has taken an extra internship and couple classes to have the ability to see patients. Heck, they can't even sign scripts unless a Doc is on site. I'm not trying to dog them, but rather give a perspective of where they fit in the food chain. They certainly provide value and do a good job at what they're trained for, but again, with all due respect, this is waaayyy out of their league. It's certainly ok to ask them their opionion, especially if you feel strongly about this person, but they are in NO WAY QUALIFIED to make that kind of judgement. In fact, a good LNP or PA would probably "defer" to the SPECIALIST and say something like, "hey, thats out of my area, and the field of PM is fast evolving....I trust the PM I referred you to." I'm sure if you mentioned this to you PM Doc, he/she'd laugh, or make some type of snide remark....Would be hard not to!

    I would try to work with your PM Doc as much as possible. The reason PM clinics exist is to handle cases exactly like yours....Very SPECIALIZED cases that require a lot of EXPERIENCE. Additionally, because most PM Docs also work in anesthesiology, they are the foremost EXPERTS in drugs and their effects on you. You should make NO APOLOGY for being in pain and having a problem. Yes, going down the PM route isn't an easy one and must be managed...There is certainly a cost to benefit trade-off....And ONLY YOU and YOUR PM DOC know the right choice. Sorry to be so emphatic about this, but these type of stories really make me mad! People like this LNP is what give PM a bad name/connotation.

    Hope this helps. Best of luck to you!

    Last edited by Executor; 02-15-2008 at 07:01 PM. Reason: spelling

     
    Old 02-15-2008, 07:52 PM   #10
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    Re: How many of you suffer b/c you're too afraid to ask for more pain meds.

    I have been worrying about a move that is coming up and my doc said he would see me every four months and mail me scripts via Fed Ex - we would have phone appointments monthly - is this legal???? I would think it is cause my doc is pretty conservative huummmmm Aver

     
    Old 02-15-2008, 07:57 PM   #11
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    Re: How many of you suffer b/c you're too afraid to ask for more pain meds.

    Oh yea - I am always afraid of talking about upping my meds because I am already on a guilt trip for taking them and am sure everyone thinks I am a drug addict - even my sister gives me heck about it - Thanks for the support I get from ya'll because I need it - I do have a wonderful supportive husband but the rest of the world is so prejudice against chronic pain patients Peace, Aver

     
    Old 02-16-2008, 03:35 AM   #12
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    Re: How many of you suffer b/c you're too afraid to ask for more pain meds.

    Executor, RIGHT ON! :-D Thanks for putting this into perspective.

    This NP has been the one who has stood by me up until now. He discovered that I have scleroderma, and referred me to a Rhumatologist. He also discovered signifigant pelvic floor swelling which lead to me seeing one of the very top Urologists at Stanford. I have systs on my urethra, and a tiny fistula on my urethea as well-from a botched surgery in 2000. This one isolated problem causes pelvic floor muscle spasm and pain that runs throughout the area-and down my left thigh. My lower back is in spasm on a regular basis, and it hurts tremebdously at times-like when I have to stand and wash dishes. And with the scleroderma attacking my connective tissue on a random basis, there's always some kind of pain & fatigue happening in my body.

    And on Thurday he made a comment that I don't "look" like I'm in pain... I explained to him that the narcotics relax my system enough so I can deal with it fairly well... That Clinic really bites! and I have no where else to go.

    I'm also dealing with an issue of my son (2nd grader) having lots of absences. He has a long history of asthma, and bronchitis. He had ear tubes as a baby, and when he was 5 he got resistant staph in his tonsils, so he had a tonsilectome at age 5. Sadly it's "normal" for my son to miss maybe 5 days a month due to this. But recently the school counselor had the nerve to call the Clinic to report his numerous absences. And now I can't even keep him home sick for ONE day unless I take him directly to the Dr. I've always been totally on top of this-calling the school early every morning when he's sick, and providing Dr.s notes that prove his illness. This is just BS all the way around! What, I'm supposed to send my kid to school when I can predict that he's heading for pneumonia.... And again, that clinic is treating me like I'm some lazy 16 year old mom who knows nothing! I'm 47 years old, fairly well educated, and I do better than most single moms in my position!

    AVER, I hear you! Society is prejudiced against single moms on disability too! I once was married, and owned a nice house on the hill in Monterey, ca. 15 years later, after going to Hell and back a couple of times, I deserve less respect??? I'm still the same person! This is wack!
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    Last edited by BayLady; 02-16-2008 at 03:41 AM. Reason: Spelling & Afterthought...

     
    Old 02-16-2008, 04:40 AM   #13
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    Smile Re: How many of you suffer b/c you're too afraid to ask for more pain meds.

    Hi Izzy's Mom,
    I think most of us go through the same thing, however I must say some doctors will easily go up and some will haggle. Here is what works for me.... I tell my doc that My pain needs are not being met and ask him if I can take say two of my oxycontins at least in the morning and at bedtime and he almost always increases my bt meds. I went from 10 mg of lortab starting last oct 2007 with 10 mg of oxycontin 3x a day to now I am up to 30 mg of roxicodone 4x a day along with my oc. GOOD LUCK

     
    Old 02-16-2008, 08:19 PM   #14
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    Re: How many of you suffer b/c you're too afraid to ask for more pain meds.

    Izzy'smom and all...
    I'm about to deal with this myself. I have an appointment on Monday and am going to ask for an increase. I just went back and checked my old prescriptions and I went to Swedish last March and started on the guinea pig roller coaster which I stayed on until July when they put me back on the meds I was taking to begin with. I want to ask for an increase because I'm gobbling the bt meds but without going to see my pm and starting the guinea pig thing again.

    I don't know how to put this so my doc will agree without just laying it on the line like I did above.

    Anyone have any ideas???
    Thanks, Mush
    ps also going to the acupuncturist for the first time next month.
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    Last edited by trowftd3; 02-16-2008 at 08:27 PM.

     
    Old 02-16-2008, 08:50 PM   #15
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    Re: How many of you suffer b/c you're too afraid to ask for more pain meds.

    Bay- Hang in there! Until that little smart a$$ NP has walked in your shoes, he doesn't know squat! Do what you think is right.

    Trow- Can you give us more specific information? I'm not sure I understand your situation. Are you seeing a PM or GP? Also, what regimine did they put you on last time that started the roller coaster?

     
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