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kenb63 05-17-2014 08:23 AM

new pain dr and meds?
 
So i went to see new pain dr on 5/9 and was down to my last pain pill assuming he would prescribe something , i was wrong about that. he said he doesnt do that until after 1st visit or something along those lines. he said legally my former dr would have to order and they also need my med records sent. he ordered new mri as my last was over 2 years old. called old office and after 2 calls someone put in for 40 norcos for me on 5/9. my dilemna is that my next appt with the new pain doctor is not until 5/27 and i will be without pills way before that time. i had my mri on tuesday of this week and believe that it indicated that my arthritis has worsened and the bulging discs are pressing on nerves and spinal cord .i had a really rough 2 days this week and used ice and heat to no avail. couldnt sit at desk at work and ended up going home early one day. feel like crying. i submitted a request online for a sooner appt with this doctor but what do i do about my meds. i will run out by monday without a doubt with the pain i currently have.any suggestions or help ? i am soooooo sick of this , i feel like i have followed all the rules and i end up worrying so much about this every day. thank you all

backhurtz 05-17-2014 01:09 PM

Re: new pain dYou may r and meds?
 
You may have to tough it out. You should figure out how many tablets you have left and divide them by how many days until you see the doctor and only take that amount of meds until you see the new doctor again.
He may not give you a prescription then either if he does not see enough on the MRI to justify the meds.
He also may not be happy that you got meds from your old doctor if you singed a contract.

kenb63 05-17-2014 01:42 PM

Re: new pain d and meds?
 
I did not sign a contract with the new dr and he told me legally the other dr should prescribe the meds for me. I have been on pain meds since September 2013 so I would go through withdrawal to stop sudden. My prior doc must have felt that me prior MRI necessitated meds for the last 8 months ? any other suggestions?

gmak 05-17-2014 02:15 PM

Re: new pain d and meds?
 
Hi ken, If the MRI shows nerve or cord compression the dr will probably refer you to a neurosurgeon who can evaluate you from a neuro standpoint & determine if surgery would be necessary or to order conservative treatment of some kind. If not would the old dr prescribe pain meds again in the interim? Im sorry that you are going through medication problems during this transistion but hopefuly a solution may be found to help you long term to relieve some of the pain? If the new pm dr doesnt help with pain relief after testing then i would find a dr that worked better for me but i hope some answers & help will be found for you this time!

kenb63 05-18-2014 05:47 PM

Re: new pain dr and meds?
 
3 pain pills left and my dr apt is until 5/27at 4pm. When I called the previous Ortho pain specialist it took 2 calls and they just called in an order to pharmacy.it wasn't the usual doctor as he wasn't in. I'm in constant pain and the stress of worrying about what to do isn't helping. I did submit a request online for a sooner apt with the pain dr. I feel if I call Ortho doctor they are going to deny and I feel like im stuck in the middle... the new pain dr didn't really seem to care about my dilemma. Maybe I will just go to my family dr and explain or go through withdrawal on top of the pain, so mad at myself for becoming dependent on the meds and disgusted that I am in worse shape than when I started all of this. The only relief I get is taking the Norco every 4-5 hours, Advil, ice, and laying down. Can't do that when u have to work. Thanks for your advice and kindness.

momzworkin 05-19-2014 06:12 AM

Re: new pain dr and meds?
 
Don't be too hard on yourself, Ken. They only "choice" we have is insufferable pain, or pain management. I hate being in a position where I have to practically BEG for someone to call in some relief for me to my pharmacy. It can feel really humiliating. A trip to the family doctor might not be a bad idea, but keep a CAREFUL record of who calls in what, or you will be accused of "doctor shopping" by getting medication from too many docs.
Norco contains plain old acetaminophen, so I have started taking arthritis strength Tylenol to help with my pain, and it really helps me! You have to be careful not to go over 2500 mg a day-but you can manage that.
You might ask your pain doctor what medications he can put you on that are non-narcotic. Celebrex, Cymbalta, Lyrica, Tramadol-all good choices to back up the narcotics so you are using a multi-prong approach to getting better.
Good luck, and keep coming back!

kenb63 06-07-2014 06:01 AM

Re: new pain dr and meds?
 
It is now almost a month later from my initial apt with pain dr and still no meds form him I went in on 5/27 and he said he never received my records from Ortho dr so he couldn't prescribe meds. He scheduled me for an epidural injection , feels I need to get second opinion on surgery and also that I should be on opiods for pain. So I work on getting records sent to them and confirm that they received them on 5/29 meanwhile horrible pain and ended up at family doctor who was kind enough to call in 40 Norco. Pain is worst it has ever been . Called pain dr on 5/30 to schedule epidural and ask if dr reviewed my records, nurse said it could take a week and I may have to come in again. Now running out of meds so family dr calls in refill. This is ridiculous, I haven't heard from pain dr and my pain and anxiety levels are highest they ever were. I went to pain dr for help with better management of pain as. The Norco isn't as effective and my Ortho felt that . I requested an apt on line with the pain dr. And will call on Monday but is this normal? my family dr is not going to keep refilling my meds. Any suggestions? I am also paying a 50$ copay with each visit. Thanks for any advice. I have bulging discs, degenerative disc disease, bone spurs, and all impinging on nerves causing horrible pain, headaches, and hand issues. Thank you

backhurtz 06-07-2014 07:43 AM

Re: new pain dr and meds?
 
Ken,
The issue is that no doctor, pm or not has to continue to prescribe medications that you got from another doctor. And when you change doctors, they usually will not prescribe medications at the first visit , nor at subsequent visits until you have at least tried injections and possibly physical therapy. Even if you have done those things many times before, they want to see for themselves that injections are not helping and physical therapy isn't either.
Since you know that for right now, the new doctor isn't prescribing, the smart thing to do is to taper, the medications, not continue taking them as you are. I understand that you are in pain, but you can use other modalities to help ease some of the pain until you can see the doctor and see what he is willing to do to help.
I would be very careful about getting prescriptions from the surgeon or your GP in the meantime, since he may see the frequency of you getting them as too much medication in such a short time frame.

kenb63 06-07-2014 09:12 AM

Re: new pain dr and meds?
 
I have been taking less of the meds. I start to go through horrible withdrawal also. How do you get past that and pain? I thought pain management was for the relief of, pain?

backhurtz 06-07-2014 01:04 PM

Re: new pain dr and meds?
 
[QUOTE=kenb63;5295869]I have been taking less of the meds. I start to go through horrible withdrawal also. How do you get past that and pain? I thought pain management was for the relief of, pain?[/QUOTE]

Pain management is about the management of pain, not the relief of it......at least not in the way that some think it is supposed to be. Chronic pain is going to be there, on some level, even with the medications, so pm is about learning to manage the pain and the flares up by using a combination of modalities to treat it. Ice, heat, heating pads or patches, topical creams and ointments, accupuncture, massage, aqua therapy, etc. All of those things add up to better overall pain control.
Withdrawal is unavoidable when using narcotics, but it's symptoms are manageable, while you are going through it....if you spread the time frame between doses, your body will acclimate to it, rather quickly, by the third day, usually. If you are taking one whole tablet, try taking 3/4 of a tablet of norco/vicoden instead, at each dose, and then a few days later, take half a tablet instead......a taper plan done properly will reduce the withdrawal significantly.
Gatorade or products such as that, will help to manage your electrolytes while you taper, immodium helps with the stomache and intestional issues, and coke syrup helps ease stomach discomfort. Topical creams for muscles that ache also help to ease those symptoms.
I know that this isn't easy but until your new doctor gets your records from your old one, and is comfortable with using medications in your situation, this is your best option. And the constant worry about who you can get to write your next vicoden prescription is over, at least until you have established a treatment plan with your new doctor.

kenb63 06-07-2014 02:17 PM

Re: new pain dr and meds?
 
I use heating pad, ice, prescription pain cream and advils. I know my pain will not go away completely even with the Norco how do u take 3/4 of a pill? I do split them to taper down. My sleep patterns are also messed up and awake with horrible pain I am prescribed 10mg Norco every 4-6 hours. I am trying to take sparingly. Thank u for your input.

backhurtz 06-07-2014 09:20 PM

Re: new pain dr and meds?
 
Ken,
You simply cut it in half, and then in half again.......or you can use a pill splitter and cut it in equal quarters.....

gmak 06-09-2014 06:17 AM

Re: new pain dr and meds?
 
Hi kenb, Ive been in pain mgmt for 20+ years & in my experience if i need something from the dr or just need my dr because of pain increase i go in to see him face to face because if the drs office is really busy then getting a dr callback or referrals for second surgical consult or my request for meds to be called in are all taking a back seat to all the problems of the patients that are being seen that day kind of like first come first served & its worth it to me to make an appointment & go in & get what i need from the dr himself. I found that finding a pain dr that clearly treats pain because his name, Physical medicine & rehab M.D. & pain mgmt are written on the door of his office, on his business cards & he has one office location, no PA, one receptionist, one nurse & one office mgr helped solve alot of the confusion for me. I hope that this gets
straightened out when you call today & you can get an appointment soon. If the pain dr told you that he wants you to have a second surgical consult & told you that you need to be treated with narcotics for pain, it used to be the office would pull your chart so that the dr can take care of what you need & the treatment he recommends but now with charts on the computer i dont know what the system is that reminds the dr to review charts, order meds, etc & if i were you i would want to know if i was being overlooked or if the dr has another plan of care in mind. I truly hope that you can get an appt soon & that you no longer have to be in pain or withdrawals.

Paininohio 06-09-2014 06:51 AM

Re: new pain dr and meds?
 
If your having trouble sleeping, there is Tylenol PM or Advil PM, NyQuil, any number of over the counter options available. Ben Gay has this cream/gel that you keep in the freezer that works wonders.

Withdrawal won't kill you, yes its uncomfortable, but things happen. Get some Imodium, Gatorade, even Pedialite is a good option. (Don't laugh, it works for adults too).

As backhurtz said, you really don't want your new doctor to see you getting script after script from your family doctor. It might make him think that you're not willing to try other things. I know it sounds weird, but PM doctors are a lot more careful than in the past, they have more responsibilities now to justify their use of narcotics and if they don't trust you, he won't prescribe for you. Then where will you be? It might even effect you in the future with other doctors.

You've been on Norco's for just under a year, you will be fine with the withdrawals after a few days, if you have to work, take your last pill on Friday morning and do it over the weekend, so by Monday the worst is over. Yes you'll still have pain, but with some patience, that will be addressed soon enough.

Also please remember that this new doctor of yours also has other patients and is quite possibly pretty booked up, most usually are, so if they can't get you in at the drop of a hat, you need to be patient, they will fit you in as soon as they can. Just hang in there OK; And keep us updated.

kenb63 06-10-2014 03:29 AM

Re: new pain dr and meds?
 
Good morning. I called the office first thing yesterday and the nurse that I spoken to before said Se received my request for an apt. I told her I haven't heard from dr and just want to make an apppt she said he was in surgery. But would be checking messages and she would speak to him about me and call me back. Never heard from her so I guess I have to call again. This is now upsetting m I just went to make an appt.


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